According to CDC director Sanya Tahmina, they also started training the doctors and nurses from February considering the possibility of a future outbreak.
The highest incidences were in the states of Selangor, the Johor, Kelantan, Sabah, Penang, Sarawak, Negeri Sembilan and Pahang, as well as the Federal territories.
[10] In Pakistan, in the summer of 2019, more than 47 people died and more than 30,000 were infected by dengue fever, the worst outbreak of the disease in the history of the country.
[12] On 10 October 2019, a Peshawar High Court bench sent summons to the Khyber Pakhtunkhwa's provincial health secretary to explain the situation related to dengue outbreak in parts of the province.
[1][14] The Philippines Department of Health reported that there were over 146,000 dengue fever cases from the beginning of 2019 to 20 July, which was "a 98% increase from the same time period last year".
The epidemic is most prevalent in the southern region of the country, where locals store rainwater in containers for use in farming, providing a breeding ground for mosquitoes.
[29] The ECDC expressed concern that Réunion's European tourism industry could provide a vector for the transmission of the virus to Europe.
Therefore, health authorities pay more attention and update the protocols in order to catch dengue infection among travelers coming from and to Europe.