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Dengue or dengue-like epidemics were reported throughout the nineteenth and early twentieth centuries in the Americas, southern Europe, North Africa, the eastern Mediterranean, Asia and Australia an don various islands in the Indian Ocean, the south and central Pacific and the Carribbean. It has steadily increased in both incidence and distribution over the past 40 years. Annually, it is estimated that there are 20 million cases of dengue infection, resulting in around 24,000 deaths.
The Dengue fever has a number
of distinct symptoms and can be recognised with:
1. Sudden onset of high fever, which may last two to nine
days.
2. Severe headache mostly in the forehead
3. Joint and muscle pain, and body aches
4. Pain behind the eyes which worsens with eye movement
5. Nausea or vomiting of coffee coloured matter
Recognition of Dengue Hemorrhagic Fever and shock
Symptoms similar to Dengue fever, plus any one or a
combination of the following:
1. Severe and continuous pain in the abdomen
2. Bleeding from the nose, mouth, skin bruising
3. Frequent vomiting with or without blood
4. Black stools like coal tar
5. Excessive thirst (dry mouth)
6. Pale, cold skin
7. Weakness
8. Skin rashes maculopapular rash or red tiny spots on the
skin, called Petechiae.
How does Dengue spread?
Dengue
is spread through the bite of an infected Aedes Aegypti
mosquito. The mosquito gets the virus by biting an infected
person. The first symptoms of the disease occur about 5-7 days
after the infected bite.
There is no way to tell if a mosquito is carrying the dengue
virus. Therefore people must protect themselves from all
mosquito bite.
This mosquito rests indoors, in closets and other dark places. Outside, it rests where it is cool and shaded. The female mosquito lays her eggs in water containers, in and around homes, schools and other areas in towns or villages. These eggs become adults in about 10 days.
Dengue
mosquitoes breed in stored, exposed water collection systems.
The favoured breeding places are:
Barrels, drums, jars, pots, buckets, flower vases, plant-pots,
tanks, discarded bottles, tins, tyres, water coolers and a lot
more places where rain water is collected or is stored.
The styles (needle-like structures) and proboscis (elongated
mouth) of an Aedes aegypti feeding. Dengue viruses are
transmitted during the feeding process.
Prevention of Dengue mosquito bites ?
Dengue
mosquitoes bite during daytime. Protect yourself from the
bite.
Wear full-sleeve clothes or long dresses to cover the hands
and legs.
Use repellents.
Use mosquito coils and electric vapour mats during the day to
prevent dengue.
Use mosquito nets to protect babies and old people and others
who may rest during the day.
Make sure that water storage containers are covered to prevent
breeding of mosquitoes.
You can also clean the house gutters to prevent stagnation of
rainwater.
Patients suffering from dengue H-fever must be isolated for at
least 5 days.
Please report to the nearest health centre if any suspected
case of dengue H-fever is in the neighborhood.
Break the cycle of mosquito - human - mosquito infection.
Mosquitoes become infected when they bite people who are sick
with dengue. Mosquito nets and mosquito repellents effectively
prevent more mosquitoes from biting sick people and help stop
the spread of dengue.
Filaria
is a long, thread-like roundworm called Wuchereria Bancrofti
that lives as a parasite in the bodies of human beings and
animals. The male worm is shorter than the female and it has a
curved tail. This is mainly found in Central Africa, Asia and
the Southwest Pacific.
The young worms can be seen in the blood near the body surface
of the host or the animal in which the larvae live. When a
mosquito bites an infected person at night, it takes up the
larvae with the blood. These larvae develop in the mosquito,
near the mouth. Then when the insect bites a man or another
animal the larvae enter the wound and infect a new host.
The adult worms live in the lymph - a body fluid. When the
worms block the flow of lymph, a disease called Elephantiasis
results. This disease is characterised by severe swelling of
the limbs, usually the legs. Sometimes it even can affect the
breast or the scrotum.
This gross swelling in the legs and other parts of the body
and the thickening of the skin due to blockage fo the vessels
of the lymphatic system is called Elephantiasis.
While medicines are available to treat filaria, the gross
swelling of the leg makes a person look noticeable and ugly.
Hence, it is better to protect oneself from the bites of
filaria mosquitoes. Use aerosols, mosquito repellenets,
creams, mats coils, nets and prevent breeding of mosquitoes
with better practice of hygiene and sanitation.
Please do no get offended. These rare pictures have been
collected to show, as part of education, how filaria can play
havoc in a normal human life.
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