Proposal K22 DengueEpidemic
Proposal K22 DengueEpidemic
Proposal K22 DengueEpidemic
PREPARED BY
CHIA JING HUI 17205051/1
LEONG YEE YING 17204616/1
YOUN WEY CHING 17207559/1
LIM JIAN XHEE 17203134/1
LEE YI JIE 17069705/1
ABRAM VARUGHESE A/L KURIAN 17204036/1
GROUP: K22
PREPARED FOR
DR. FAUZIAH BINTI TAIB
“No Dengue” Campaign
for Residents of Selangor
Lee Yi Jie
Chia Jing Hui
Lim Jian Xhee
Leong Yee Ying
Youn Wey Ching
Abram Varughese A/L Kurian
Undergraduates
University of Malaya
Prepared for
2.0 Introduction
3.0 Discussion
3.1 Criteria……………………………………………………………………... 14
3.2 Procedures…………………………………………………………………. 15
3.3 Logistics………………………………………………………………….... 19
3.4 Cost………………………………………………………………………... 22
4.0 Summary…………………...……………………………………………………... 24
5.0 Reference……...…………………………………………………………………... 25
6.0 Appendix……………...…………………………………………………………... 27
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List of tables
2.0 Cost………………………………………………………………….………... 22
List of figures
Figure 1 Appendices………………………………………………………………. 27
Figure 2 Appendices………………………………………………………….…… 27
Figure 3 Appendices………………………………………………………….….... 27
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1.0 Executive Summary
The purpose of this proposal is to provide a solution regarding the dengue issue in
Selangor. According to the Ministry of Health’s (MOH) Crisis Preparedness Response Centre
(CPRC)(2020), Selangor had recorded the highest number of cases with 72,543 cases, which
December 2019. For the same period in 2018, Selangor had recorded 45,349 cases, which
means that the number of dengue cases in 2019 had increased 60% compared to 2018.
According to our research, we found that the main reason for the dengue epidemic
occurring in Selangor is the residents of Selangor have a low level of awareness on dengue
early warning and poor practices on dengue fever control. The residents of Selangor have
repeatedly been exposed to the messages from the health minister and news about dengue
fever but most of them didn’t take any actions to prevent Aedes mosquitoes from breeding
around their household areas. To lower the number of dengue cases in Selangor, we decided
to organize a campaign to raise the awareness about dengue among the residents of Selangor.
The campaign will be organized for three days in MBPJ Community Hall, Petaling Jaya with
several activities such as Dengue Poster Contest and talks from the minister of Health about
the causes and preventions on dengue. This campaign will open to all the residents from
As this is a non-profit campaign, sponsor from the Selangor State Health Department
is required to organize this campaign. Besides, we also need the Selangor State Health
Department to help us promote our campaigns to increase the number of participants. The
estimated expenses for this campaign is about RM3370 and this campaign will raise the
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awareness about dengue among the residents of Selangor, help the residents in practicing
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2.0 Introduction
Dengue epidemic is one of the most common diseases around the world. The research of the
dengue epidemic is crucial because it provides information regarding the background about
dengue in Malaysia, especially in Selangor where dengue is most common. Our research will
specifically focus on the prevalent dengue in Selangor. We are investigating the possible
causes of dengue in Selangor. Furthermore, the possible consequences of dengue are also
thoroughly explained. We also provide information about our methods of data collection and
the challenges we faced during this research. Last but not least, we share our findings or early
Malaysia has always been one of the countries prone to dengue infection, with more than
130,000 confirmed cases in 2019 (CodeBlue, 2020). According to Loh (2019) from The Star,
there were 251 dengue hotspots identified across nine states and most of the hotspots were
flats and apartments. In fact, dengue occurs nationally in Malaysia, but the problem is most
significant and widespread in Selangor. More than 50% of the dengue cases in Malaysia
happened in Selangor alone with over 72,000 cases and 49 deaths recorded (Siti, 2019). As of
16 May 2020, the cumulative number of reported dengue cases in Malaysia in 2020 was
43,306 cases, a decrease of 5,448 cases, which is approximately 11.2 percent, compared to
48,754 cases for the same period in 2019 (World Health Organization [WHO], 2020).
Although there is a drop in the cases in 2020 compared to last year, it does not imply that the
peak transmission periods of Dengue happened in the late monsoon season which were from
October to February in East Peninsular Malaysia and East Malaysia, and from July to August
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in West Peninsular Malaysia (International Association for Medical Assistance to Travellers
[IAMAT], 2020).
Dengue fever is the most common viral infection that can be transmitted through bite of
Aedes, which are extensively distributed in subtropical and lush areas around the world
perspective), it said that the two main vectors have been identified as Aedes aegypti and
Aedes albopictus. This disease is considered to be a significant threat for mankind in both
developing and developed countries. Dengue virus has the highest human mortality and
morbidity, with children carrying the highest rate of infection. According to “Geographical
distribution of dengue cases reported worldwide, 2019” which is done by European Centre
for Disease Prevention and Control (2020) has shown that several countries which are located
in tropical or subtropical regions have recorded high numbers of dengue cases compared to
other regions.
Residents of Selangor have a low level of awareness on dengue early warning and poor
practices on dengue fever control. A survey “Public Perception and Attitude towards Dengue
Prevention Activity and Response to Dengue Early Warning in Malaysia” (Rafdzah Zaki and
others, 2019), has shown that about 86.8% of interviewers feel that the community in their
area still needs public education on dengue early warning while 8.5% of interviews are not
sure and only 4.9% of interviewers believe that their area does not need public education
about dengue early warning. In accordance with the survey, they are mostly exposed to the
information through social media and school education. It can be seen that this campaign is
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effective in raising awareness among the public. According to “Geographical distribution of
dengue cases reported worldwide, 2019” which is done by European Centre for Disease
Prevention and Control (2020) has shown that several countries which are located in tropical
or subtropical regions have recorded high numbers of dengue cases compared to other
regions. This is because dengue virus is carried and spread by Aedes mosquitoes, which live
in tropical and subtropical regions all over the world. People who travel or live in tropical
areas such as Malaysia have higher risks of exposure to Aedes mosquitoes which bring
dengue virus.
Characteristics of household is one of the possible causes to this problem. Health director-
general, Dr Noor Hisham (2019) claims that the major factor that contributes to the dengue
ideal breeding grounds for Aedes mosquitoes and increase the spread of the dengue virus.
According to survey results, most of the respondents realized that stagnant water is the main
breeding site of Aedes mosquitoes. This will increase the risk of residents getting dengue and
spreading this disease to all the residents who live in this area. Other than that, people getting
infected once will have a higher risk for a more severe infection on the second time. Research
has found that people who are infected second time by dengue will have a higher risk of
MedicineNet (2017) mentioned that dengue becomes symptomatic after four to ten days of
infection and the symptoms last for two days to a week. Symptoms of dengue often begin
three to fourteen days after infection. These may include high fever, sore throat, abdominal
pain, easy bruising, nausea, vomiting and headache. According to survey results, residents of
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Selangor are well aware of symptoms of dengue. Dengue infection can be diagnosed with a
blood test. There is no exact treatment or medicine to cure dengue. Dengue patients are
advised to rest and drink plenty of water (WebMD, June 28, 2019).
In the survey results, respondents support the idea that dengue increases mortality rate.
Dengue can threaten the health and life of citizens. Our population size will decrease due to
the large number of deaths. Darwin.S (2019) claims that the mortality rate due to dengue is as
high as 20% if left untreated in his article “What is the mortality rate for dengue?” published
in Medscape. Dengue epidemic may affect our nation’s economy as well. Loss of
productivity of affected workforce resulting from those suffering from the dengue.
Government is also needs a huge amount to invest the resources needed to develop and
implement effective measures such as fogging. When there is a dengue outbreak in a region,
tourists will not come to visit to avoid suffering from dengue. The US Centre for Disease
Control (CDC) warns: Travelers who go to tropical and subtropical regions are at risk of
getting dengue.
In addition, the dengue epidemic can strain health care services. Akogun (2015) claims that
the health sector could not cope with the large number of patients due to sudden and high
demand during the epidemic. There are difficulties to find the necessary space to care for all
incoming patients. This causes psychological burden on patients and their families as well.
People will be stressed when they are not capable of bearing the cost of treatment for dengue.
Siriwardana (2018) claims the results of the interview show patients with past dengue had
significantly higher depressive, anxiety and stress symptoms than the control group according
to the Anxiety and Stress Scale and Centre for Epidemiological Studies Depression Scale
tools.
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There is an approximation of 400 million dengue infections happening all around the world
every year, with about 96 million patients resulting in ailment (WebMD, 2019). Dengue cases
in Malaysia grow as time passes. Back in 2015, there were 120,836 dengue cases with 336
deaths (The Straits Times, 2019). Last year, 2019 marked the highest number of infection
cases in four years, reporting 130,000 dengue cases with 182 deaths since 2015. Among the
130,000 cases, Selangor recorded over 72,000 cases Selangor also possesses the greatest
number of dengue-related deaths with 56 cases. On the other hand, Kuala Lumpur and
Putrajaya have a total of 7,591 infection cases with 11 deaths (CodeBlue, 2020). Based on the
survey to residents of Selangor, over 50% of the respondents are unaware of the number of
The purpose of this proposal is to explain and clarify the causes and consequences of dengue
in Selangor with the aid of data collected from surveys and interviews. Based on the
information gathered from the internet and the data collected from the internet, we have
found out that dengue is still an acute problem in Selangor and action must be taken
immediately to bring down the total cases of dengue in Selangor. Therefore, this proposal
also aims to provide a solution to curb the dengue problem in Selangor, which is to organize a
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2.4 Data Sources
There are two main sources of our data, namely surveys and interviews. The reason we used
surveys to collect data is because it was an inexpensive but very effective method. Our
survey, which was a series of questions regarding dengue, was created via Google Form. The
survey was distributed on 13 April 2020 after it had been piloted on some participants and the
survey questions had been confirmed. The survey was then sent to the public via WhatsApp
Group or personal chat. A total of 71 responses were gathered through the survey.
Apart from that, our second method for data collection is done through interviews. Our
interviews were done in question and answer methods. Interview was chosen as our second
method of data acquisition because it allowed us to get some personal knowledge as well as
personal experience about dengue easily that will greatly help us in our research for no cost at
all. Each group member was responsible to interview at least one person to get more
information about our topic. For our research, we had interviewed 6 people in total, whose
names are John Low Jun Jie, Hoh Mee Kee, Yeoh Hong Jing, Chong Jia Mun, Gan Zhan
Xiang and Preman. All of the interviewees are from Selangor. Due to the Covid-19 pandemic,
face-to-face interviews were replaced with alternative methods such as voice calling, instant
messages and voice messages. Before the interviews started, we had prepared the question
and sent it to the respective interviewees so that he or she could prepare for it. We had also
asked for permission to record the call or message history prior to the interview. Then, the
As our initiative is to raise awareness on dengue among residents of Selangor, our primary
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2.5 Suggested Activity/Project
The project that we suggested is a three days campaign that consists of various fun and
interesting activities. The main objective of this project is to raise awareness of the public
towards dengue. For the venue, we plan to have our campaign in a hall.
Due to Covid-19 pandemic, we have to limit the number of participants to avoid crowd
gathering. This causes our campaign is not efficient enough as only a small group of people
get to participate. Thus, we suggest to organise a Dengue Awareness Online Poster Contest
one month before the campaign starts. This contest is open to all Malaysians and the
participants need to post their artwork on social media as submission. We will print and paste
them around the hall during the campaign. Beside calculating the number of ‘Likes’ on social
The campaign will start with an opening ceremony. The main activity on the first day is a talk
from the Minister of Health. He will talk about the ways to prevent dengue and the actions
On the second day, we will have a colouring contest in which our target participants are
children that are under 12 years old. They will be given a black and white drawing and they
need to colour it. This contest is aimed to get the involvement of young people in preventing
dengue problems.
On the third day, there will be a drama performance by Interact Club Selangor. The drama
will be a short story about how a little girl contracted dengue and what action she took to
prevent it after she recovered. Then, a simple quiz will be conducted to test the participants’
knowledge on dengue after participating in this campaign. Lastly, the campaign will be ended
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by a closing ceremony. There will be a lucky draw and winner announcement of the online
This campaign is mainly focused on the impact and preventive method of dengue. The online
poster contest will last for one month while the duration of the actual campaign is only three
days. As mentioned above, due to Covid-19 pandemic, we can only allow 50 participants to
join the campaign per day. Thus, we have to limit the number of participants and will
prioritize residents of Selangor. We also have to follow closely to the standard operating
There is a budget planned for the campaign. Due to the high rental fees of the hall, we are not
able to extend our event to more than three days. According to the standard operating
procedure, we have to allocate cost for masks and sanitizers too. Thus, we hope to get
In addition, we can only organize the campaign once which is in the Selangor area although
we know that dengue cases are increasing in other states as well. It is due to the lack of
budget and limited time for preparation. Therefore, we are focusing on the area with the
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3.0 Discussion
3.1 Criteria
Upon discussion with the group members, we have set up a few criterias for our programme
- Knowledge transfer
Talks given by the Minister of Health . The talk about dengue fever will be conducted
after the opening ceremony at MBPJ Community Hall. By inviting the State Health Director,
- Fun activities
Activities like drawing, colouring contests will be conducted on the day 2. These
activities are targeted for young children as they will have fun and at the same time learn
about Dengue.
- Cost effectiveness
The activities conducted can mostly be done in budget and at the same time raise
awareness. For example, activities like dance performance, colouring contests only require
very less cost at the same time it is able to entertain the crowd and raise awareness about
dengue.
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3.2 Procedures
After the discussion with all the group members, we decided to organize a three days
the highest number of cases with 21,858 cases among Selangor in 2019. All the
preparations and activities will strictly adhere to the preventive measures as issued by
Project Manager
Chia Jing Hui
- Responsible for planning, overseeing and leading the projects from ideation to
completion.
- Responsible for designing, organizing and managing all events details during
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Publicity Team
Funding Team
- Responsible for identifying potential sources for funds and producing financial
- Responsible for organizing and managing all the details of Poster Contest,
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3.2.2 Early Preparations
Finalization of
campaign
activities
Event’s venue
confirmation
AJK recruitment
Preparations for
events
Find sponsors
Poster Contest
Open registration
for Drawing and
Colouring Contest
Final confirmation
on prizes
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After discussion on how this dengue awareness campaign to be carried out, we will
finalize campaign activities and last confirmation for the event’s venue, MBPJ Community
Hall, Petaling Jaya during week 1. Besides, we will start the committee recruitment especially
for students from University of Malaya through online applications. The committee members
will assist their head of department to organize this dengue campaign. For example, the
committee of funding teams will take part in finding potential and trustable sponsors for our
campaign.
After the formation of committees, we will start the preparations for events such as
planning on Opening and Closing Ceremony and preparing the terms and conditions for
Poster Contest and Drawing and Colouring Contest from week 3 until week 8. Preparations
will be carried out at home except some committees are required to stay at Petaling district
one week before campaign to design the community hall and finalize all the details for
Opening and Closing Ceremony. At the same time, we will start finding sponsors for our
which opens to all Malaysians through online submission from week 4 to week 7. All the
posters will be printed out and pasted in the campaign venue, and people can vote for the Best
Poster by attending campaign or online voting. The result will be released during the Closing
Ceremony and prizes will be given to the winner. In week 7, we will open the registration of
Drawing and Colouring Contest for underage and finalize all the things for our events.
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3.3 Logistics
Day 1
Programme:
1. Opening Ceremony
Details:
Committees will set off at 6.30 morning to the hall from University of Malaya by bus. After
we arrive, we will decorate the hall with infographic posters. Committees are also need to
arrange the chairs neatly in the hall for participants. At 8am, residents will arrive one after
another. After the chairs are full, we will start with the opening ceremony. We will also invite
the Minister of Health to give talks. After the event ends, committees should clean the site
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Day 2
Programme:
Materials: application form, registration form, drawing paper, colouring paper, mask, hand
sanitizers
Details:
Same as day 1, committees will set off at 6.30 morning to the hall. Then, we will arrange the
tables and chairs for the contests. We shall also set up an application and registration counter
for the contests. Two committee members from bureau registration will be in charge for the
counters. While the other committees will allocate seats for participants. Participants should
bring their own stationery and colouring materials. When the contests are in progress, bureau
multimedia shall play some music as background music. Other committees will walk around
in the hall to make sure the contests go smoothly. All committees are responsible for
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Day 3
Programme:
1. Quiz
2. Closing ceremony
Person in charge: All committee members includes volunteers, Interact Club Selangor
Materials: quiz papers, lucky draw box, participation form for lucky draw, prizes for contests
Details:
All committees should arrive at the hall at 7am. After participants arrive, we shall distribute
the quiz paper to them and collect the paper after they have finished their answer. Participants
will also be given a participation form for a lucky draw. Activities for day 3 will be started
with a drama performance by Interact Club Selangor followed by a lucky draw. Then the
winners for contests and lucky draws will be announced. All the winners will be given prizes
on the stage.
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3.4 Cost
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Fund from residents in Selangor RM 600.00
discount 75%)
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Documents Printing RM 20.00
Refreshments RM 100.00
Materials RM 70.00
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4.0 Summary
Dengue has shown a huge spike in cases especially in Selangor, Malaysia and
residents of Selangor still have a low level of awareness on dengue fever control. Most of
them also didn’t take any action to prevent Aedes mosquitoes from breeding around their
household areas. If residents are not educated on this issue, the number of Dengue cases are
likely to rise. This proposal is to provide a solution regarding the dengue issue in Selangor.
A campaign to raise awareness about dengue cases in Selangor will take place in
MBPJ community hall in Petaling Jaya for 3 days. Day 1 will be the opening ceremony and
talk from the Minister of Health followed by Day 2 with the drawing and colouring contests.
The last day will be the quiz and closing ceremony with drama performance, lucky draw and
also the winner announcement. All these activities would attract the resident to participate.
Participants can also develop their drawing and colouring skills and at the same time learn
Department is required to organize this campaign. Besides, we also need the Selangor State
Health Department to help us promote our campaign to increase the number of participants.
The estimated expenses for this campaign is about RM3370 and this campaign will raise the
awareness about dengue among the residents of Selangor, help the residents in practicing
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5.0 References
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5344327/
2. Bob Yirka & Medical Xpress (November 3, 2017). New evidence shows second
dengue infection can be more severe due to antibody levels. Retrieved May 22, 2020
from: https://medicalxpress.com/news/2017-11-evidence-dengue-infection-severe-
due.html
https://codeblue.galencentre.org/2020/01/03/malaysia-reports-130000-dengue-cases-
in-2019-highest-since-2015/
4. Darwin.S. (2019). What is the mortality rate for dengue?. Medscape. Retrieved May
mortality-rate-for-dengue
24, 2020). Malaysia General Health Risks: Dengue. Retrieved March 19, 2020 from:
https://www.iamat.org/country/malaysia/risk/dengue#
6. Mary Anne Dunkin. (July 26, 2010). Dengue Fever. WebMD; WebMD. Retrieved
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https://www.nst.com.my/news/nation/2019/10/530602/selangor-records-58000-
dengue-cases-49-deaths-so-far-year
8. William C. Shiel Jr., MD, FACP,FACR (January 25, 2017). Medical Definition of
https://www.medicinenet.com/script/main/art.asp?articlekey=6628
9. World Health Organization (2 March 2020). Dengue and severe dengue. Retrieved
https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue
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6.0 Appendices
Online interviews via instant messages by Whatsapp and Facebook messenger, voice message
Figure 1 Figure 2
Figure 3
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We had asked about the personal background of interviewees. Besides, the questions that we
1. Have you heard about dengue, and do you know any information about dengue?
avoid dengue?
We had also constructed a survey by Google form. The survey questions are the following :
7. Do you know how many dengue cases occurred in Selangor, Malaysia 2019?
11. In your opinion, what are the impacts of dengue on society in Malaysia?
12. Where did you get the information about dengue infection?
From the surveys, we knew that all respondents know about dengue and had a certain
understanding. Most of them think that stagnant water is the place where Aedes mosquitoes
breed and sunrise or sunset is the time that Aedes mosquitoes are most active.Based on
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respondents' understanding, symptoms of dengue are sudden high fever followed by severe
joint and muscle pain, severe headaches and fatigue. All of them think that dengue is
preventable and the most effective way is to clear all stagnant water. Respondents also think
that dengue has brought some impacts on society in Malaysia such as increased death rate,
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