D ENGUE P REVENTION

WHODEWS

DENGUE

Dengueisamosquitoborneviralinfection causingasevereflulikeillnessand, and sometimescausingapotentiallylethal complicationcalledseveredengue dengue.

D ENGUE


InfectiousAgent

DengueVirus 4serotypesDENV1,DENV2,DENV3andDENV4

Modeoftransmission Incubationperiod

Biteofinfectivemosquitoes,principallyAedesaegypti (daybitingspecies)

Commonly46days,averagerangeisfrom3to14days

H ISTORY
 

Denguefever(DF)isanolddisease Thefirstrecordofaclinically ycompatible p diseasewas recordedinaChinesemedicalencyclopediain992. IntheaftermathofWorldWarII,rapidurbanization inSoutheastAsialedtoincreasedtransmissionand hyperendemicity.Thefirstmajorepidemicsofthe severeandfatalformofdisease,dengue hemorrhagicfever(DHF),occurredinSoutheastAsia asadirectresultofthischangingecology.

Gubler DJ.Dengue/denguehaemorrhagic fever:historyandcurrentstatus.NovartisFound Symp.2006;277:316;discussion1622,713,2513.

E PIDEMIOLOGY

The incidence of dengue has increased 30fold over the last 50 years. Up p to 50100 million infections are now estimated to occur annually in over 100 endemic countries, putting almost half of the worlds population at risk. The SouthEast Asia and Western Pacific regions are the most seriously affected.

10,000Denguepatients

9 000A 9,000 Asymptomatic t ti

1,000 , Showing g symptoms

500withviral symptoms y p

400presenting withDF

100presenting withDHF

12willexpire

Untreatedwill developDSS

V ECTORS

AedesAegypti

AedesAlbopictus

AEDES AEGYPTI PHOTO.SEPTEMBER 9, 2011 AVAILABLE FROM: HTTP://WWW.THEHINDU.COM/MULTIMEDIA/DYNAMIC/00777/DENGUE_777660F.JPG AEDES ALBOPICTUS PHOTO. MAY31ST 2011, PUBLIC DOMAIN. AVAILABLE FROM <HTTP://IPSNEWS.NET/NEWS.ASP?IDNEWS=55859>

L IFE CYCLE

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

FACTS ABOUT A EDES



Onlythefemalemosquitofeedsonblood.Thisis becausetheyneedtheproteinfoundinbloodto produceeggs.Malemosquitoesfeedonlyonplant nectar. Themosquitoisattractedbythebodyodours,carbon dioxideandheatemittedfromtheanimalorhumans. ThefemaleAedesmosquitosearchesforsuitableplaces tolaytheireggs. eggs Aedesaredaybiters,mostactiveduringdawnand dusk. dusk

H OW D O A EDES MOSQUITOES T RANSMIT D ISEASES ...

23weeks

78days

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

B READING S ITES
Artificialcontainers(manmade) Flowervasesandpotplates Pails,waterstoragejars,basins Discarded Di d dreceptacles l Chokedroofgutters GullyTraps Unusedtoiletbowlsandcisterns AirconditionerTrayanddishrack tray Concretedrains Naturalcontainers TreeHoles,bamboostumps Leafaxils,fallenleaves Ground G dDepressions D i

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

V ULNERABLE POPULATION
   

Children Pregnantwomen Debilitatedpatients Aged g p people p

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

P REVENTION


Vectorreduction
~ ~

Environmentalcontrol Useofinsecticides(fogging,IRS,larvicidal products)

Personalprotection
~ ~ ~ ~

Behavioralchange Repellents(Deet) Windownetscreening g Lightcolorclotheswithlongsleeves

Changewaterinvases/bowlsevery otherday.

Addsandgranularinsecticideto water

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

Removewaterfromflowerpot plateseveryotherday. day

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

Turnupsidedownallstorage containers i

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

Coverairconditioner drains

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

Clearblockageandput insecticideinroofguttersat leastonceamonth

NATIONAL ENVIRONMENT AGENCY, SINGAPORE. [DENGUE PRESENTATION].AVAILABLE FROM <WWW.DENGUE.GOV.SG/IMAGES/GUIDELINES%20ON%20THE%20PREVENTION%20OF%20MOSQUITO%20BREEDING.PDF DENGUE PREVENTION>

D ENGUE

SIGNS AND SYMPTOMS

Fever:acuteonset, highand continuous,lasting twotosevendaysin mostcases. Bodyaches: Severe Headache, Myalgia y g / arthralgia,retro orbitalpain,Rash& bleeding g
C.2008 LOGICAL IMAGES, INC.<HTTP://WWW.LATESTCNNNEWS.COM/WP-CONTENT/UPLOADS/2011/09/DENGUE_FEVER_SYMPTOMS.JPG>

OF H EMORRHAGIC DISEASE


WARNING S IGNS

Rashthatdoesnotdisappear uponpressure,bloodshot eyes, Cold,clammyskinand Restlessness, Restlessness Unabletotakeoralfluids, Unconsciousness, Severabdominalpain.

  

PHOTO. HUMANHEALTH.COM <HTTP://WWW.HUMENHEALTH.COM/WP-CONTENT/UPLOADS/2011/06/DENGUE-FEVER3.JPG> PHOTO. DR.PALUOSE.COM <HTTP://WWW.DRPAULOSE.COM/GENERAL/ENT-SYMPTOMS-OF-DENGUE-FEVER>

W HAT TO AVOID
  

Asprin Ibuprofen Mefenamic acid (P t ) (Ponstan)

P RE - HOSPITAL


Fluid
~ ~

Onlyhypertonicfluids Avoidplainwater

  

Avoidexcessparacetamol Usetepidsponging Rest

F OR MORE INFORMATION

http://www.who.int/denguecontrol/en/index.html