Dengue is still here. Sadly, there are indications that things could get as bad as the past few years. Yet again, there is a visible increase in the number of Dengue Fever cases requiring treatment.

This come as no surprise as the rainy season begins and the mosquito burden increases. Public and public health authorities vigilance in mosquito control has waned since the near crisis situation last year.

This is very worrying indeed. It feels like we never learn from any past experience....year after year we have had rising incidence of Dengue around this time of the year, yet we fail to stage a mosquito control program to target this period. We have always waited till the incidence and the "damage" from Dengue become a public health emergency.

If we continue to see the current trend of rising incidence of Dengue Fever, I predict that we will have on our hands another public health crisis.

I call upon all those involved in management of public health to get off their butts and start working on preventing this imminent crisis. I also urge the general public to exert pressure on the authorities to ensure that this work done.

The medical community also need to do more in overcoming this potential crisis. All clinician, whether government or privately employed need to improve their case surveillance and reporting. Case management also needs improvement. It is vital for all clinicians to update their knowledge and skills in recent advances in management of DF, DHF, and DSS. This information is available via the WHO website. The new management guideline is available online from the SEARO office.