Why School Based Dengue Education Matters

Why School Based Dengue Education Matters
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BioMed Central
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School based health education as an underutilized strategy for dengue prevention - Discover Public Health

Dengue is a rapidly expanding mosquito-borne viral disease and a recognized neglected tropical disease (NTD) with substantial population health impacts in tropical and subtropical regions worldwide. Despite sustained investments in vector control, dengue incidence has increased markedly over the past two decades, highlighting persistent gaps in prevention strategies—particularly among children and adolescents, who bear a disproportionate burden of infection. Schools represent an underleveraged but strategically important setting for dengue prevention, offering sustained access to young populations and opportunities to reinforce preventive behaviors within households and communities. This perspective article synthesizes evidence from multiple geographic contexts suggesting that school-based dengue health education improves knowledge, and to a more variable extent, attitudes, and preventive practices among students and, in some cases, their families and communities. However, these interventions are often short-term and peripheral within national dengue and NTD control frameworks. We propose a stepwise integration framework for embedding education within national strategies, complementing vector control and surveillance efforts, and advancing equity and health system resilience. Key implementation gaps include limited policy integration, variable program standardization, and insufficient linkage to long-term surveillance or community interventions. Strengthening dengue education among children may represent a scalable and sustainable opportunity to reduce NTD burden and improve population health outcomes in alignment with Sustainable Development Goal 3.

This paper started with a simple question: why do we keep seeing dengue cases rise, even when we know how to prevent them?

So much of dengue control still centers on vector control, including spraying, surveillance, and emergency response. These approaches are essential, but they often come into play after risk is already elevated. What felt less explored, at least in a sustained and systematic way, was the role of education, especially among children.

As I began reviewing the literature, a pattern became clear. School based dengue education consistently improves knowledge. But when it comes to changing behaviors, the evidence is more mixed. That is not a failure of education. It is a reminder that behavior does not exist in isolation. Students may understand how dengue spreads, but they do not always have control over their environments, particularly when breeding sites exist at the household or community level.

That insight shifted the focus of the paper. Instead of asking whether education works, the more useful question became how education should be positioned within broader dengue control strategies. In the paper, I explore how school based approaches can be better integrated into existing dengue prevention efforts.

What emerged is the idea that education should not be treated as a short term or stand alone intervention. Schools are one of the few settings where sustained, structured engagement is possible. They connect students, families, and communities. When aligned with vector control and surveillance, education can reinforce prevention in a way that is continuous rather than reactive.

This paper is ultimately an argument for integration. Not replacing existing strategies, but strengthening them by embedding education more intentionally within national dengue and public health frameworks.

At its core, this work points to a broader shift in how we think about prevention. Lasting progress will depend not only on responding to outbreaks, but on building systems that support informed, everyday practices across communities.

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Public Health
Life Sciences > Health Sciences > Public Health
Health Promotion and Disease Prevention
Life Sciences > Health Sciences > Public Health > Health Promotion and Disease Prevention
Dengue virus
Life Sciences > Biological Sciences > Microbiology > Virology > Dengue virus
Global Health
Humanities and Social Sciences > Society > Sociology > Health, Medicine and Society > Global Health
Infectious Diseases
Life Sciences > Health Sciences > Biomedical Research > Pathogenesis > Infection > Infectious Diseases

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