The authorities in Bangladesh have declared the current outbreak of dengue fever as the most severe in the country's history with the fast-spreading infections from rural areas putting additional strain on Dhaka's already overwhelmed hospital system.
The surge in dengue infections since April has overwhelmed hospitals, leading to overflowing corridors and a shortage of beds. The epidemic has intensified in recent times, with expectations of a rising death toll as the rainy season in Bangladesh extends for more than three additional months.
This year, over 187,725 people have tested positive for dengue, resulting in more than 900 deaths in a population exceeding 170 million. Currently, there are 10,470 dengue patients receiving treatment in hospitals. The New York Times reported.
The mosquito-borne virus has caused over 900 deaths this year, prompting rural residents to seek treatment at already strained hospitals in Dhaka, the capital.
Bangladesh is experiencing its most severe dengue fever outbreak in history, with infections rapidly spreading from rural areas, further burdening the overwhelmed hospital system in Dhaka.
The Bangladeshi authorities reported on Monday (25), 909 dengue-related deaths this year through Sunday, a stark increase from the 281 deaths recorded in all of 2022.
Dr Khalilur Rahman, a director at the Shaheed Suhrawardy Medical College and Hospital, noted that hundreds of patients were arriving in Dhaka from other areas.
He pointed out that certain hospitals in Dhaka were experiencing shortages of intravenous fluids required for rehydrating dengue patients.
Additionally, pharmacists were increasing the prices of IV treatment due to rising demand, exacerbating the crisis.
The mosquito-borne viral infection has now spread to all 64 districts of the country, the WHO reported.
Dengue is a common ailment in tropical regions, causing symptoms such as severe headaches, nausea, muscle, and joint pain, and, in some cases, death.
Last week the WHO said that a combination of factors, including climate change, has contributed to the global increase in dengue cases, affecting millions of people.
The warming planet has led to more extreme weather patterns in south Asia, resulting in wetter and hotter monsoon seasons, which provide an ideal breeding environment for Aedes mosquitoes, the carriers of the virus.
The crisis in Bangladesh continues to deteriorate daily, particularly in a city burdened by inadequate infrastructure. Dhaka, with its population of 12 million, is densely populated, and a significant portion resides in slums with poor sanitation conditions.
The issue of clogged drainage systems has led to the accumulation of standing water, creating an ideal breeding environment for mosquitoes.
Tedros Adhanom Ghebreyesus, the director-general of WHO said in a recent news briefing that while cases were starting to decline in Dhaka, they were on the rise in other parts of the country.
He also mentioned the WHO's efforts to address the situation: "We have trained doctors and deployed experts on the ground. We have also provided supplies to test for dengue and support care for patients." Despite these efforts, health experts are concerned that fatalities may increase further, given that more than three months of Bangladesh's rainy season remain.
He additionally outlined the WHO's initiatives to tackle the situation, including the training of medical professionals and the deployment of experts to the affected areas. He said the organisation has also furnished essential supplies for dengue testing and patient care.
Nevertheless, experts in the field of health express apprehension that the number of fatalities could rise further, considering that Bangladesh's rainy season still extends for over three months.
To date, a total of 187,725 individuals have tested positive for dengue infection this year across the nation, which is inhabited by over 170 million people.
Health authorities have reported that 10,470 patients are currently receiving treatment for dengue in various hospitals.
Furthermore, the infection has extended into the densely populated camps housing Rohingya refugees, located just outside the coastal city of Cox's Bazar. Last year, these camps recorded more than 15,000 cases of dengue, resulting in at least six fatalities.
Bangladesh has been grappling with dengue infections for over two decades, yet the authorities lack adequate preventive measures, said Dr Be-Nazir Ahmed, a specialist in public health.
He expressed concern about the widespread spread of dengue throughout the country and fears that rural areas may witness a more substantial impact in the future if immediate containment measures are not implemented.
TENSIONS with Pakistan, fluctuating ties with Bangladesh, and growing Chinese influence in Nepal and Sri Lanka have complicated India’s neighbourhood policy, a top foreign policy and security expert has said.
C Raja Mohan, distinguished professor at the Motwani Jodeja Institute for American Studies at OP Jindal Global University, has a new book out, called India and the Rebalancing of Asia.
He also described how India’s engagement with the US, Japan, Australia and Europe has moved from symbolism to one of substance. Raja Mohan said, “After independence, India withdrew from regional security politics, focusing on global issues and non-alignment. But the past decade has seen a reversal. India is now back in the Asian balance of power. The very concept of the ‘Indo-Pacific’ reflects that, putting the ‘Indo’ into the ‘Pacific.’”
The idea, he explained, has deep historical roots: “The British once viewed the Indian and Pacific Oceans as interconnected realms. Now, after decades of separation, those spaces are merging again.”
Narendra Modi with Xi Jinping and (right)Vladimir Putin at last month’s SCO summit in China
While India once aspired to build a “post-Western order” alongside China, those dreams have long since faded, according to the expert.
“Contradictions between India and China have sharpened,” he said, citing territorial disputes, a $100 billion (£75bn) trade deficit, and China’s growing influence among India’s neighbours.
By contrast, India’s ties with the US and Europe have strengthened.
“Where once India shunned security cooperation with Washington, it is now deeply engaged,” he said. Yet he emphasised that India remains an independent actor, “not a traditional ally like Japan or Australia.”
His comments were made during the Adelphi series, hosted by the International Institute for Strategic Studies (IISS) last month. According to the expert, who is also a visiting research professor at the National University of Singapore, the return of India to regional security politics marks a significant change in its foreign policy since independence. Popular discussions about the “rise of Asia” tend to oversimplify what Raja Mohan explained was a deeply uneven transformation. “It’s more accurate to say Asia as a whole is rising,” he said, adding, “but not evenly. China has risen much faster than the rest.”
This imbalance has created internal contradictions within Asia, according to the academic. “China’s sense of entitlement to regional dominance and its territorial claims have provoked reactions from other Asian countries,” he said.
While China’s economic ascent, once “a marriage of Western capital and Chinese labour”, that relationship has strained over the past 15 years as the Asian country grew into a global military and economic powerhouse, according to Raja Mohan.
And the US, which previously nurtured China’s growth, now seeks to restore balance in Asia, shifting from a policy of engagement to one of cautious competition, he said.
Dwelling on India’s rise, he said, “The question is not whether India can match China alone, but whether it can help build coalitions that limit unilateralism. History shows weaker states can play crucial balancing roles, as China once did against the Soviet Union.”
He explored how the US-China and India-China dynamics might evolve, particularly under US president Donald Trump.
“Some believe the US is retrenching to focus on Asia, others think Trump might seek a grand bargain with China,” Raja Mohan said. “Much depends on how Washington manages its ties with Russia and its global posture.”
He also described how India’s engagement with the US, Japan, Australia and Europe has moved from symbolism to one of substance. Raja Mohan said, “After independence, India withdrew from regional security politics, focusing on global issues and non-alignment. But the past decade has seen a reversal. India is now back in the Asian balance of power. The very concept of the ‘Indo-Pacific’ reflects that, putting the ‘Indo’ into the ‘Pacific.’”
The idea, he explained, has deep historical roots: “The British once viewed the Indian and Pacific Oceans as interconnected realms. Now, after decades of separation, those spaces are merging again.”
While India once aspired to build a “post-Western order” alongside China, those dreams have long since faded, according to the expert.
“Contradictions between India and China have sharpened,” he said, citing territorial disputes, a $100 billion (£75bn) trade deficit, and China’s growing influence among India’s neighbours.
By contrast, India’s ties with the US and Europe have strengthened.
“Where once India shunned security cooperation with Washington, it is now deeply engaged,” he said. Yet he emphasised that India remains an independent actor, “not a traditional ally like Japan or Australia.”
His comments were made during the Adelphi series, hosted by the International Institute for Strategic Studies (IISS) last month. According to the expert, who is also a visiting research professor at the National University of Singapore, the return of India to regional security politics marks a significant change in its foreign policy since independence. Popular discussions about the “rise of Asia” tend to oversimplify what Raja Mohan explained was a deeply uneven transformation. “It’s more accurate to say Asia as a whole is rising,” he said, adding, “but not evenly. China has risen much faster than the rest.”
This imbalance has created internal contradictions within Asia, according to the academic. “China’s sense of entitlement to regional dominance and its territorial claims have provoked reactions from other Asian countries,” he said.
While China’s economic ascent, once “a marriage of Western capital and Chinese labour”, that relationship has strained over the past 15 years as the Asian country grew into a global military and economic powerhouse, according to Raja Mohan.
And the US, which previously nurtured China’s growth, now seeks to restore balance in Asia, shifting from a policy of engagement to one of cautious competition, he said.
Dwelling on India’s rise, he said, “The question is not whether India can match China alone, but whether it can help build coalitions that limit unilateralism. History shows weaker states can play crucial balancing roles, as China once did against the Soviet Union.”
He explored how the US-China and India-China dynamics might evolve, particularly under US president Donald Trump.
“Some believe the US is retrenching to focus on Asia, others think Trump might seek a grand bargain with China,” Raja Mohan said. “Much depends on how Washington manages its ties with Russia and its global posture.”
China, he noted, has already toned down its aggressive “wolf warrior” diplomacy, realising that assertiveness has backfired. Yet the underlying structural contradictions between China and both the US and India “are unlikely to disappear.”
Asked about India’s balancing act between the US and Russia, especially after Moscow’s invasion of Ukraine, the expert was pragmatic.
“India has steadily moved closer to the US and the West, but Trump’s trade-first approach has caused turbulence,” Raja Mohan said.
He cited the threats of high tariffs on Indian imports and resentment over trade imbalances with Washington DC.
On Russia, Raja Mohan’s view was that the relationship has been “in slow decline since the 1990s.”
While India’s GDP now outpaces Russia’s, it continues to engage Moscow for practical reasons. “India’s oil purchases from Russia rose from two per cent to forty per cent after 2022. That’s pragmatism, not alignment,” Raja Mohan said.
He added that prime minister Narendra Modi’s recent handshakes with China’s president Xi Jinping and Russia’s president Vladimir Putin at the Shanghai Co-operation Organization (SCO) summit in China were “signals, reminders to the West that India has options.”
Raja Mohan said India was at the cusp of a historic transformation. “India once provided security across Asia - in both world wars, millions of Indian soldiers fought overseas. That history was forgotten when India withdrew from global security,” he said.
“Now we are reclaiming that role. Ideally, the partnership with the US is the best. But if not, India and other Asian powers will have to shoulder the burden themselves.”
“Japan, Korea, India, Australia - all will have to do more on their own,” he said. “We’ll need to pull up our own bootstraps.”
Dr Benjamin Rhode, senior fellow at IISS, chaired the session.
aggressive “wolf warrior” diplomacy, realising that assertiveness has backfired. Yet the underlying structural contradictions between China and both the US and India “are unlikely to disappear.”
Asked about India’s balancing act between the US and Russia, especially after Moscow’s invasion of Ukraine, the expert was pragmatic.
“India has steadily moved closer to the US and the West, but Trump’s trade-first approach has caused turbulence,” Raja Mohan said.
He cited the threats of high tariffs on Indian imports and resentment over trade imbalances with Washington DC.
On Russia, Raja Mohan’s view was that the relationship has been “in slow decline since the 1990s.”
While India’s GDP now outpaces Russia’s, it continues to engage Moscow for practical reasons. “India’s oil purchases from Russia rose from two per cent to forty per cent after 2022. That’s pragmatism, not alignment,” Raja Mohan said.
He added that prime minister Narendra Modi’s recent handshakes with China’s president Xi Jinping and Russia’s president Vladimir Putin at the Shanghai Co-operation Organization (SCO) summit in China were “signals, reminders to the West that India has options.”
Raja Mohan said India was at the cusp of a historic transformation. “India once provided security across Asia - in both world wars, millions of Indian soldiers fought overseas. That history was forgotten when India withdrew from global security,” he said.
“Now we are reclaiming that role. Ideally, the partnership with the US is the best. But if not, India and other Asian powers will have to shoulder the burden themselves.”
“Japan, Korea, India, Australia - all will have to do more on their own,” he said. “We’ll need to pull up our own bootstraps.”
Dr Benjamin Rhode, senior fellow at IISS, chaired the session.
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