Dengue

Dengue: Patient’s guide for Dengue fever

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At times when newspapers are filed with headlines of Dengue cases,  and its complications , how should one decide what to do when one develops fever. Its a step wise patient guide to take a informed decision at every cross road.

CREDIT: DengueInfo

Step one : DO NOT PANIC

  1. Every fever is not dengue. Even in the season when lots of Dengue cases are reported, it is not the only cause for fever. Fever is one of the most perplexing clinical signs which is seen in diverse clinical conditions  from infections, malignancy ,drug effect  to environmental toxicity. In many cases, cause of fever could not be established even after   after intensive search. So do not presume that you have Dengue, just because few other cases are been reported it.
  2. Every patient of dengue is not at risk of serious illnessDengue fever is a severe  and flu-like illness but seldom causes death. India in year 2017 a total of seen 28,702  cases of dengue  were reported  out of which  46 patients succumbed . It is less that 2  per one thousand patients.
  3. High risk patients
    1. Children
    2. Elderly ,
    3. Patients presenting with hemorrhagic manifestations.
    4. Patients presenting with altered sensorium / disorientation.
    5. Patients with associated diseases,  diabetes mellitus , hypertension, chronic anemia, congestive heart failure, other cardiovascular diseases,
      chronic obstructive pulmonary disease, asthma, renal disease .

Step two: Medical consultation with nearest health facility.

Dengue infection has no specific treatment, but it does not mean that consultation with the nearest health facility is not required. One must consult the nearest health facility available.

Clinical course

Dengue infection is dynamic disease involving whole of the body. It has a wide clinical spectrum that includes both severe and non-severe clinical manifestations .

  1. Phase of fever when patient typically develop high-grade fever suddenly usually last for 2-7 days.
  2. Critical phase when the temperature drops to 37.5–38 degree  C or less usually on days 3–7 of illness. During this period the decrease in platelet count is noticed.
  3. Recovery phase If the patient survives the 24–48 hour critical phase, patient slowly recovers in the following 48–72 hours.

Severe dengue  If one or more of the following is present: (i) plasma leakage (ii) severe bleeding, and/or (iii) severe organ impairment.

Step three:  Selecting correct health facility for management :

Since there is no specific treatment of Dengue, the only way to prevent death in  a case of Dengue is  early recognition of the disease, and its management by the health care personal. When it is not possible to manage that patients, than the referral to a higher center.

Step four: Prevention is better than cure. Ensure that other family members are protected from mosquitoes so that further spread of disease can be avoided.

Best Mosquito control methods for your home.

key points are

  1. Prevention is better than cure.

  2. Most dengue patients recover without requiring hospital admission.

  3. Only some may progress to severe disease.

  4. Patient with severe disease need hospitalization and/or  critical care management.

Also read

Scientific studies report that most individuals (81%) say that they “learned something new” regarding their health, the last time they went online. The majority (80%) of people found the information through a search engine as reliable.

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Dengue

Dengue : Mosquito control measures at home to avoid dengue ?

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Monsoon has arrived and so also the news reports of the dengue cases from the national capital. Its nothing new that cases has began to be reported in these month. Lives in the cities take its own course. People think that mosquitoes can only bite those living in slums and unhygienic localities. It is not true.

Misconceptions

Disease of underprivileged:

 Though, dengue more common form urban poor areas  and the countryside but also affects more affluent neighborhoods. With poor urban planning, this  segregation is further blurred. Just because one is living in a posh locality is no protection.

What can be done about it ?

Don’t get bitten?

Best thing that can be done is to avoid getting bitten by the mosquitos. The mosquitos mostly bite in the day time, not the night. Things that can be done are

  1. Full sleeves cloths

MOSQUITO REPEL ANTS

NATURAL MOSQUITO REPEL ANTS

These contain  natural ingredients like citronella oil, Eucalyptus oil & other herbal extracts (with Aloe Vera base) to keep mosquitoes at away.as these do not contains harmful chemicals/DEET, these are presumed to be safer for all age groups (including children) . There are also associated with lesser risk of skin reactions.

Natural Anti Mosquito Repellent vaporiser

mosquito repelling or trapping devices

Ultraviolet light mosquito trapping machine

Mosquito trapping devices  trap or capture the mosquito using  light, taste, and wind technologies . As harmful chemicals are not used , these are safe for human health and are environmentally friendly. It capture and kill   female mosquitoes which are more common in indoor, thereby, interrupt the breeding cycle of mosquitoes in the surrounding space and making the area mosquito free.

Ultrasonic pest repelling machine

 It emits high frequency ultrasonic sound waves to create an acoustically hostile environment that repels rodents, cockroaches, spiders, ants .

Mosquito nets

Mosquito swatters

Don’t let mosquitoes breed

Management of Mosquito in breeding sites

Mosquito  larvae bacillus

It is made with koline and bacillus species. It is found to be safe for  fish , animal and human . It prevent breeding of mosquitoes in stagnant water.

Mosquito  larvicde

It contains Bacillus thuringiensis or Bt)  is a commonly used biological pesticide to destroy mosquito larvae.

Improvement of water supply and water-storage systems : 

Get the leaking pipes repaired in and around your house, including leaking taps, uncovered overhead tanks. It is often because of ignorance  than actual cost of repairs.

Making water-storage containers Mosquito-proof.

 Solid waste management : 

Ensure that solid waste is  Properly stored, collected and disposed. Discarded useless containers, particularly if  they can act as breeding ground for mosquitoes.

Keep Streets clean.

DENGUE VACCINE : It is still under clinical trail and government has not yet approved it for in India.

Few basic steps taken to keep environment clean can help us reduce the disease burden. so lets do it. please comment and share your views.

Also read

Scientific studies report that most individuals (81%) say that they “learned something new” regarding their health, the last time they went online. The majority (80%) of people found the information through a search engine as reliable.

Subscribe to Blog via Email

Do not miss the opportunity to receive best actionable insight on health issues which matter the most. Its absolutely free.

Join 1,366 other subscribers