DENGUE
DENGUE
Earlier this year, WHO listed dengue as a potential threat among ten diseases for
2019 and current outbreaks in many countries confirm this observation. Dengue
epidemics tend to have seasonal patterns, with transmission often peaking during and
after rainy seasons. There are several factors contributing to this increase and they
include high mosquito population levels, susceptibility to circulating serotypes,
favourable air temperatures, precipitation and humidity, all of which affect the
reproduction and feeding patterns of mosquito populations, as well as the dengue virus
incubation period. Lack of proactive control interventions and staff are some of the other
challenges.
SYMPTOMS
Dengue is a self-limiting febrile illness with symptoms ranging from asymptomatic to
severe. Symptoms of dengue may be observed around 4–10 days after the bite of an
infected mosquito. Common symptoms are like that of the flu, with patients
experiencing:
fever
headaches
pain behind the eyes
muscle and joint pain
nausea/vomiting
rash
fatigue.
As the disease progresses, patients can also suffer from respiratory distress,
bleeding from the nose and gums and have a rapid drop in blood pressure leading to
shock. If left unmanaged, this can lead to death. Sound case management of dengue in
hospitals has helped to reduce case fatality rates to less than 1% in most affected
countries.
Dengue is increasing at a higher rate than any other communicable disease, with
400% increase over 13 years (2000–2013). Annual dengue incidence is estimated to be
in the order of 100 million symptomatic cases a year, with another ~300 million
asymptomatic infections. The greatest burden is seen in Asia (75%) followed by Latin
America and Africa.
SOURCE:
https://www.who.int/health-topics/dengue-and-severe-dengue#tab=tab_1