Dr.

Tridib Ghose
Chittagong, Bangladesh
June 2008
 Dengue Fever:
Dengue : pronounced den' gee
Caused by: Any 1 of 4 closely related viruses:
DEN-1, DEN-2, DEN-3, or DEN-4

It is also known as Break Bone Fever.

Incubation period: fever comes within

8 days of mosquito bite.

If the infection is treated on time,

Mortality rate get reduced

These mosquitoes lives near

human habitations where they breed
in even the cleanest water.

Transmitter or vector of viruses:

Aedes mosquito
 Dengue hemorrhagic fever (DHF)?

 More severe form of dengue.

 Can be fatal if unrecognized

& not properly treated.

Each year over 100 million cases

of Dengue worldwide
 How dengue fever & DHF spread ?

TRANSMISSION
CYCLE:

 Aedes mosquito becomes infected with dengue virus when it bites a

 person who has dengue or DHF

 After about a week it can transmit the virus while biting a healthy person.

 Dengue cannot be spread directly from person to person.

 Where can outbreaks of dengue occur?

Primarily in areas where

Aedes mosquitoes live,
which include most tropical
urban areas of the world.

Dengue viruses may be

introduced into areas by
travelers who become infected
while visiting other areas of
the tropics where dengue
commonly exists
 Risk factors of Dengue:
If you live or travel
in tropical areas:

Central and South America

Africa

The Caribbean

Southeast Asia including

Bangladesh

The Middle East

The South & Central Pacific

 When you at more risk?

 If you've had dengue fever before….

In case of dengue fever, having antibodies to Dengue
in the blood from a previous infection actually
increases your risk of severe disease — dengue
hemorrhagic fever — if you're infected again.

 If you are ~

 younger than age 12,

 female
 White
Symptoms:
 symptoms of the disease?
Mild Dengue :
 Fever for 3-5 days
 Intense frontal headache
 Fatigue
 Muscle and join pains
 Vomiting
 Reduced with appetite

Dengue Hemorrhagic Fever:

 Bleeding from the nose
 Frequently vomiting blood or without
blood
 Excessive thirst
 Difficulty in breathing
 Fainting
 What is the treatment for
dengue?
There is no specific medication for
treatment of a dengue infection.

Persons who think they have dengue

should use pain relievers
& avoid aspirin.

Rest

Drink plenty of fluids

Consult a physician.
Is there an effective treatment for dengue
hemorrhagic fever (DHF)?

 As with dengue, there is no

specific medication for DHF.

 It can however be effectively

treated by fluid replacement
therapy if an early clinical
diagnosis is made.

 There is no vaccine against

dengue fever.
 ways to prevent Dengue:
1. Preventing breeding of mosquitoes and larvae
&
2. preventing mosquito bites

Prevent breeding of mosquitoes & larvae:

Environmental Management &
Source Reduction Methods:

 Detection & elimination of mosquito

breeding sources like discarded tires,
Coconut shells , empty cans,
Household & garden utensils

 Management of roof tops, porticos &

sunshades
 Proper covering of stored water

 Reliable water supply

 Observation of weekly dry day
 Prevention of mosquito bites:

mosquitoes that spread malaria - bite at night (from "dusk until

dawn"), mosquitoes that spread dengue fever - bite during the day.

While outdoors:

 Wear light-colored clothing, long

sleeves & long pants.
 Use insect repellent
 Reapply after swimming or excessive
sweating.

While indoors or asleep:

 Install fly-wire on windows

 Use "insect spray to kill mosquitoes worker sprays chemicals to kill
 Use bed net mosquitoes to prevent spread of
dengue fever.
 Prevention of Dengue:

HEALTH EDUCATION:

Impart knowledge to common people

regarding the disease & vector through
various media sources like TV, Radio,
Cinema slides, etc.

COMMUNITY PARTICIPATION:

Sensitizing and involving the community for

detection of Aedes breeding places & their
elimination.