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Dengue With more than one-third of the world s population living in areas at risk for transmission, dengue

infection is a leading cause of illness and death in the tropics and subtropics. As many as 100 million people are infected yearly. Dengue is caused by any one of four related viruses transmitted by mosquitoes. There are not yet any vaccines to prevent infection with dengue virus (DENV) and the most effective protective measures are those that avoid mosquito bites. When infected, early recognition and prompt supportive treatment can substantially lower the risk of developing severe disease. Dengue has emerged as a worldwide problem only since the 1950s. Although dengue rarely occurs in the continental United States, it is endemic in Puerto Rico, and in many popular tourist destinations in Latin America and Southeast Asia; periodic outbreaks occur in Samoa and Guam. How to reduce your risk while visiting areas with dengue International travelers risk of dengue infection can vary dependant on transmission in the area as well as exposure to mosquitoes. You are at greater risk when an outbreak or epidemic is occurring. If your hotel or resort does not have air conditioning or windows and doors with secure, intact screens you may be at higher risk. You should take precautions like using repellent and killing any visible mosquitoes. CDC recommends repellents containing DEET, picaridin, oil of lemon eucalyptus or IR3535 as the active ingredient. Repellent can be applied to exposed skin and/or clothing. Clothing impregnated with permethrin is another option (pre-treated or you can treat yourself). Some spatial repellent/insecticide products (mosquito coils, plug-in or butane powered devices), may assist in reducing the risk of mosquito around you. How to reduce your risk of dengue infection: There is no vaccine available against dengue, and there are no specific medications to treat a dengue infection. This makes prevention the most important step, and prevention means avoiding mosquito bites if you live in or travel to an endemic area. The best way to reduce mosquitoes is to eliminate the places where the mosquito lays her eggs, like artificial containers that hold water in and around the home. Outdoors, clean water containers like pet and animal watering containers, flower planter dishes or cover water storage barrels. Look for standing water indoors such as in vases with fresh flowers and clean at least once a week. The adult mosquitoes like to bite inside as well as around homes, during the day and at night when the lights are on. To protect yourself, use repellent on your skin while indoors or out. When possible, wear long sleeves and pants for additional protection. Also, make sure window and door screens are secure and without holes. If available, use air-conditioning. If someone in your house is ill with dengue, take extra precautions to prevent mosquitoes from biting the patient and going on to bite others in the household. Sleep under a mosquito bed net, eliminate mosquitoes you find indoors and wear repellent! List of repellant products approved by the EPA :

petechiae. When the fever declines. This marks the beginning of a 24 to 48 hour period when the smallest blood vessels (capillaries) become . warning signs may develop. nose or gum bleed. Watch for warning signs as temperature declines 3 to 7 days after symptoms began..g. (Spanish) DOC (105 KB/1 page) Dengue hemorrhagic fever (DHF) is characterized by a fever that lasts from 2 to 7 days. laboratories and health care centers in Puerto Rico that will draw serum samples. with general signs and symptoms consistent with dengue fever. tarry stools (feces. younger children and those with their first dengue infection have a milder illness than older children and adults. cold.Symptoms and What To Do If You Think You Have Dengue The principal symptoms of dengue are: y High fever and at least two of the following: o o o o o o o Severe headache Severe eye pain (behind eyes) Joint pain Muscle and/or bone pain Rash Mild bleeding manifestation (e. or easy bruising) Low white cell count Generally. excrement) Drowsiness or irritability Pale. or clammy skin Difficulty breathing For a list of Hospitals. Go IMMEDIATELY to an emergency room or the closest health care provider if any of the followingwarning signs appear: y y y y y y y y Severe abdominal pain or persistent vomiting Red spots or patches on the skin Bleeding from nose or gums Vomiting blood Black.

there is no specific medication for DHF. Treatment There is no specific medication for treatment of a dengue infection. a health care provider can effectively treat DHF using fluid replacement therapy. After entering the mosquito in the blood meal.excessively permeable ( leaky ). the patient with DHF has a low platelet count and hemorrhagic manifestations.7 days after the mosquito bite and typically last 3 . which might be days or a few weeks. this period usually begins a little before the person become symptomatic. appropriate treatment. Infection with one serotype does not protect against the others. which are found throughout the world. aspirin or aspirin containing drugs. Naproxen.10 days. tendency to bruise easily or have other types of skin hemorrhages. and there is evidence of transmission from an infected pregnant mother to her fetus. As with dengue. and possibly internal bleeding. when large numbers of people become infected during a short period. If a clinical diagnosis is made early. Symptoms of infection usually begin 4 . avoid mosquito bites while febrile and consult a physician. Transmission of the Dengue Virus Dengue is transmitted between people by the mosquitoes Aedesaegypti and Aedes albopictus. bleeding nose or gums. They should also rest. These areas are. often when rainfall is optimal for breeding. In order for transmission to occur the mosquito must feed on a person during a 5. Some people never have significant symptoms but can still infect mosquitoes. Persons who think they have dengue should use analgesics (pain relievers) with acetaminophen and avoid those containing ibuprofen. drink plenty of fluids to prevent dehydration. Adequately management of DHF generally requires hospitalization. In rare cases dengue can be transmitted in organ transplants or blood transfusions from infected donors. and possibly death without prompt. however. Dengue epidemics require a coincidence of large numbers of vector mosquitoes. This may lead to failure of the circulatory system and shock. But in the vast majority of infections. that is. and sequential infections put people at greater risk for dengue hemorraghic fever (DHF) and dengue shock syndrome (DSS). In many parts of the tropics and subtropics. Insects that transmit disease are vectors.day period when large amounts of virus are in the blood. The mosquito remains infected for the remainder of its life. the virus will require an additional 8-12 days incubation before it can then be transmitted to another human. In addition. usually during a season when Aedes mosquito populations are high. allowing the fluid component to escape from the blood vessels into the peritoneum (causing ascites) and pleural cavity (leading to pleural effusions). or serotypes: dengue 1-4. dengue is endemic. additionally at periodic risk for epidemic dengue. Epidemiology Dengue fever (DF) is caused by any of four closely related viruses. a mosquito bite is responsible. large numbers of people with no immunity to one of the four virus types . it occurs every year.

the lack of dengue transmission in the continental U. DENV 3. including 500.. Top of Page Dengue is an Emerging Disease The four dengue viruses originated in monkeys and independently jumped to humans in Africa or Southeast Asia between 100 and 800 years ago. or 40% of the world s population. S.000 DHF cases and 22. DENV 2.(DENV 1. The viruses are transmitted to humans by the bite of an infected mosquito. population has no immunity. Africa. DENV 2. Frequently Asked Questions Q.S.are thought to have played a crucial role in the dissemination of the viruses. The World Health Organization (WHO) estimates that 50 to 100 million infections occur yearly. and the U. DENV 4). mostly among children. Dengue (pronounced den' gee) is a disease caused by any one of four closely related dengue viruses (DENV 1. Dengue is endemic in at least 100 countries in Asia. live in areas where there is a risk of dengue transmission see WHO/Impact of Dengue . is primarily because contact between people and the vectors is too infrequent to sustain transmission. Top of Page Global Dengue Today about 2.5 billion people. or DENV 4). the Pacific. The disruption of the second world war in particular the coincidental transport of Aedesmosquitoes around the world in cargo . geographically restricted disease until the middle of the 20th century. DHF was first documented only in the 1950s during epidemics in the Philippines and Thailand. It was not until 1981 that large numbers of DHF cases began to appear in the Carribean and Latin America.S.000 deaths. Although Aedes are common in the southern U. and the Caribbean. and the opportunity for contact between the two. where highly effective Aedes control programs had been in place until the early 1970s. the Aedes aegypti mosquito is the most important transmitter or . What is dengue? A. In the Western Hemisphere. dengue is endemic in northern Mexico. Dengue remained a relatively minor. DENV 3. the Americas.

may develop. Q.. and mild bleeding (e. followed by death. The principal symptoms of dengue fever are high fever. Q. severe pain behind the eyes. There is no specific medication for treatment of a dengue infection. rash. with general signs and symptoms consistent with dengue fever. They should also rest. severe abdominal pain. drink plenty of fluids. develop vomiting and severe abdominal pain) in the first 24 hours after the fever declines.Is there an effective treatment for dengue hemorrhagic fever (DHF)? A. Q.What is the treatment for dengue? A. they should go immediately to the hospital for evaluation. As with dengue fever.What are the symptoms of the disease? A.to 48-hour period when the smallest blood vessels (capillaries) become excessively permeable ( leaky ). mortality due to DHF can be less than 1%.vector of dengue viruses. and possibly internal bleeding. for more information. younger children and those with their first dengue infection have a milder illness than older children and adults. easy bruising). The mosquito becomes infected with dengue virus when it bites a person who has dengue virus in their blood. In addition. the patient with DHF has a low platelet count and hemorrhagic manifestations. and consult a physician. if circulatory failure is not corrected. nose or gums bleed. allowing the fluid component to escape from the blood vessels into the peritoneum (causing ascites) and pleural cavity (leading to pleural effusions). The person can either have symptoms of dengue fever or DHF. With good medical management. Q. bleeding nose or gums.g. It can however be effectively treated by fluid replacement therapy if an early clinical diagnosis is made. Dengue is transmitted to people by the bite of an Aedes mosquito that is infected with a dengue virus. This may lead to failure of the circulatory system and shock. It can be fatal if unrecognized and not properly treated in a timely manner.. Dengue hemorrhagic fever is characterized by a fever that lasts from 2 to 7 days. After about one week. muscle and bone pain. although a 2001 outbreak in Hawaii was transmitted by Aedes albopictus. Persons who think they have dengue should use analgesics (pain relievers) with acetaminophen and avoid those containing aspirin. and difficulty breathing. symptoms including persistent vomiting.g. Physicians who suspect that a patient has DHF may want to consult the Dengue Branch at CDC. there is no specific medication for DHF. DHF is caused by infection with the same viruses that cause dengue fever. or they may have no symptoms. joint pain. DHF management frequently requires hospitalization. the mosquito can then transmit the virus while biting a healthy person. severe headache.What is dengue hemorrhagic fever (DHF)? A.How are dengue and dengue hemorrhagic fever (DHF) spread? A. If they feel worse (e. Generally. Dengue cannot be spread directly from person to person.DHF is a more severe form of dengue infection. Q. This marks the beginning of a 24. When the fever declines. It is estimated that there are over 100 million cases of dengue worldwide each year. tendency to bruise easily or other types of skin hemorrhages. .

This includes most tropical urban areas of the world. Dengue fever is moving fast and on the rise. there has been 4000 new cases of Dengue fever. or used automobile tires) should be covered or properly discarded. As of September 2007.How can we prevent epidemics of dengue hemorrhagic fever (DHF)? A. primarily artificial containers that hold water. and adulticides). integrated mosquito control. Items that collect rainwater or to store water (for example. albopictus) mosquitoes live.The emphasis for dengue prevention is on sustainable. I chose to report on the Philippines because that is where my family is from. Dengue viruses may be introduced into areas by travelers who become infected while visiting other areas of the tropics where dengue commonly exists. Since January 2007. aegypti (sometimes also Ae. buckets. Proper application of mosquito repellents containing 20% to 30% DEET as the active ingredient on exposed skin and clothing decreases the risk of being bitten by mosquitoes. Q.Outbreaks of dengue occur primarily in areas where Ae. This will eliminate the mosquito eggs and larvae and reduce the number of mosquitoes present in these areas. 55-gallon drums. The wet weather (it's rainy season from June to November) provides a breeding ground for Aedes aegypti. how to recognize it. 689 have been fatal. Q. The best preventive measure for residents living in areas infested with Ae. aegypti is to eliminate the places where the mosquito lays her eggs. Where can outbreaks of dengue occur? A. with limited reliance on insecticides (chemical larvicides. a day-biting mosquito that prefers to feed on humans. There is increased risk if an epidemic is in progress or visitors are in housing without air conditioning or screened windows and doors.What can be done to reduce the risk of acquiring dengue? A. Using air conditioning or window and door screens reduces the risk of mosquitoes coming indoors. Preventing epidemic disease requires a coordinated community effort to increase awareness about dengue fever/DHF. Residents are responsible for keeping their yards and patios free of standing water where mosquitoes can be produced.There is no vaccine for preventing dengue. community-based. The risk of dengue infection for international travelers appears to be small.Q. and how to control the mosquito that transmits it. 283 cases out of 24. Dengue Fever in the Philippines Dengue Fever in the Philippines According to a Promed article. Pet and animal watering containers and vases with fresh flowers should be emptied and cleaned (to remove eggs) at least once a week. . plastic containers.

"The Armed Forces Research Institute of Medical Sciences is establishing a satellite unit at the Vicente Sotto Memorial Medical Center and they are trying a new vaccine against dengue. avoiding mosquito bites) S . Jocelyn Abellana. .com recommends those traveling to the Philippines that the best protection against Dengue fever is to "avoid mosquito bites". Now that doesn't sound hard! The Philippine Health department has initiated a 4-S Campaign against Dengue: S .Self-protection (i. training and investigation of emerging infectious diseases.Say "no" to indiscriminate fogging *indiscriminate fogging makes use of insectides to target mosquitoes. Abellana said the AFRIMS central office in Asia is in Bangkok. The dengue vaccine that has been tested to specific age-group children is aimed at minimizing the infections caused by the virus providing temporary immunity and not meant to achieve permanent immunity against the dengue virus. the regional dengue coordinator of the Dept. It has programs in enteric diseases. fogging has led to an increase in Dengue fever.Search and destroy mosquito breeding grounds S ." Abellana said. of Health (DOH-7) bared the news during a recent PIA Kapihan that tackled the perennial health threat of dengue disease in the city. Abellana declared.e.www.Seek immediate consultation S .worldtravels. malaria vaccine and drug research. The Armed Forces Research Institute of Medical Sciences (AFRIMS) is a collaborating center of the World Health Organization for diagnostic reference. viral diseases especially dengue fever and hepatitis among others. Abellana stressed there can be no immunity against the dengue virus as there are four types of dengue strains and there is no cross immunity drug. Dr. Aimed to minimize infections from dengue strain Cebu City (18 February) A vaccine being developed to protect against the dengue virus is currently being tested to children aged six to 14 years old in Cebu City where the incidence of dengue cases is increasing. Thailand while the Vicente Sotto Memorial Medical Center (VSMMC) is a government-manned tertiary hospital under the DOH. In some cases.

Cebu City has 217 cases of dengue and six deaths recorded from January to February 13 of this year alone sharing the biggest bulk out of the 724 dengue cases in the region of the same period. based on the dengue registry record." according to Abellana. the dengue-virus carrying mosquito. The nets are treated to ward off mosquitoes including the Aedes Egypti. The DOH-7 meanwhile. revealed a clinical study initiated by the VSMMC and the Cebu CityMedical Center that undernourished children are more likely to survive the dengue fever compared to healthy babies." Abellana pointed out. this is said. it can only provide temporary immunity of over a year against the active infectious strain while a person only has four infections in a lifetime. Abellana said they are encouraging residents in dengue-prone areas to put up the nets permanently in the windows and doors as the Aedes mosquito is a daytime mosquito. (PIA-Cebu/FCR) Dengue fever and a local cure in the Philippines (tawa tawa. 2010 | Author: Matt Seems that dengue is back as reports from different areas seem to be coming in must be to do with the ."In case the vaccine is effective. Gatas gatas or as i know it milk milk plant!) how to make a herbal tea. has provided 500 insecticide-treated mosquito nets to Calamba. Abellana on the other hand. "We are encouraging the barangay captains of the city to also adopt this as part of the dengue prevention measure. June 16th. Abellana said they do not recommend fogging but in extreme cases like during outbreaks. Although the DOH-7 official said they could not medically explain nor elaborate of the finding but that this is a subject that requires more research. fogging may be necessary. The DOH-7 regional dengue program coordinator said the findings on the effectivity of the vaccine can be ascertained in six months time. one of the 80 barangays in Cebu City where they conducted a pulong-pulong with the residents on dengue prevention measures.

5 glasses of Milk Milk water every 1 hour . throw it away. Let the dengue fever victim drink only the Milk Milk water for 24 hours. But anyway just wanted to share with you about the milk milk plant which cured me when i had dengue previously. Take 5 to 6 full whole Milk Milk plants.recent rainfall giving some breeding grounds. Sip 1 to 1. Cut off the roots. It generally seems to grow like a weed and i have borrowed a photo from another blog as i don t have any recent pictures (should have taken some). Wash and clean Fill your boiling pot with clean water. Boil the Milk Milk for 1 (one) minute in a slow boil. it is not included in the tea. Pour the Milk Milk water and let cool.