rade 2: Grade 1 plus spontaneous bleeding of skin, gums and gastro- intestinal tract.

Grade 3: Grade 2 plus circulatory failure.

Grade 4: Grade 3 plus shock with undetectable blood pressure and pulse. (Little, n.d)
Prevention and Management Since the dengue does not have any vaccine so the best way to
prevent dengue is to prevent bites by mosquitoes but since preventing to those mosquitoes is hard
there are many ways to secure people against mosquito.
1. Stay away from heavily populated residential areas, if possible.
2. Use mosquito repellents, even indoors.
3. When outdoors, wear long-sleeved shirts and long pants tucked into socks especially if you are
going to a populated area.
4. Make sure windows and door screens are secure and free of holes. If sleeping areas are not
screened or air conditioned, use mosquito nets. (Normandin,2012)
If someone in the house gets dengue, be especially watchful about effort to protect the family
members from mosquitoes because it could spread the infection. Already secured the family
member but the community does not it have a great possibility that the other families have a risk in
dengue. These are the some ways to reduce the breeding habitat to lower mosquito populations.
1. Items that collect rainwater or to store water (plastic containers, drums, buckets, pails, tires)
should be covered or properly discarded.
2. Pet and animal watering containers and

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