Table 1. Specific objectives and proposed actions of 2021–2030 national strategic plan on sustainable prevention and control of dengue and other Aedes-transmitted arboviral diseases, Cambodia .

Objective	Proposed steps	Additional considerations
Implementing integrated vector management	• Perform routine vector surveillance • Integrate entomological data in early warning systems • Deploy targeted use of insecticides	• Rising vector resistance to the larvicide temephos should prompt adoption of alternative methods of vector control
Improving environmental management	• Develop legislation to enforce sustainable waste management that is integral to vector control	• Changing land use and standards of living may lead to movement of the host-vector interface away from the home and into public spaces. Understanding where exposure occurs is needed to target the right environments
Strengthening early diagnosis	• Establish a national network of referral laboratories equipped with serologic and virologic testing capacity for arboviral disease diagnosis • Increase availability of point-of-care rapid diagnostic tests • Ensure widespread access to basic haematology tests to aid early recognition of complicated cases • Strengthen central oversight and quality assurance by the national dengue reference laboratory	• Advanced surveillance techniques introduced during the COVID-19 pandemic may help predict large outbreaks resulting from antigenic shifts
Enhancing clinical management	• Establish centres of excellence in high-risk areas to centralize management of complicated cases • Provide regular onboarding and refresher training on dengue management for clinicians • Perform regular root-cause analysis for dengue deaths to identify areas for improvement	Periodic active febrile and serologic surveys can help quantify true disease burden to inform control measures
Enhancing epidemic preparedness	• Collaborate with other federal agencies to enhance deployment of surge personnel and supplies during dengue outbreaks • Link existing early warning systems to climate data to allow detection of climate-driven increases in viral transmission	Periodic active febrile and serologic surveys can help quantify true disease burden to inform control measures
Reinforcing outbreak response	• Expand outbreak taskforces to include dedicated community dengue control teams led by village health support groups for community engagement, with a goal of monthly household visits during peak transmission seasons in districts with high caseloads	Deployment of pathogen-agnostic techniques in outbreaks may help identify novel viral genotypes or resembling pathogens

COVID-19: coronavirus disease 2019.