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    Thursday, 21 November 2019

    Dengue



    Dengue virus is an infective agent that causes the tropical disease Dengue Fever (break-bone fever) in humans. This virus species are transmitted by mosquitoes (arthropods).
    Dengue maybe a mosquito-borne microorganism disease that has quickly spread in all regions of the World Health Organization in recent years.
    Dengue virus is transmitted by feminine mosquitoes in the main of the species Aedes aegypti and, to a lesser extent, Ae. albopictus. These mosquitoes also are vectors of chikungunya, yellow fever, and Zika viruses. Break bone fever is widespread throughout the tropics, with native variations in risk influenced by precipitation, temperature, ratio, and unplanned rapid urbanization.

    Distribution and outbreaks of dengue

    Before 1970, solely nine countries had experienced severe dengue fever epidemics.
    The America, South-East Asia, and Western Pacific regions are the foremost seriously affected, with Asia representing ~70% of the worldwide burden of un-wellness.

    Transmission

    Mosquito-to-human transmission

    The virus is transmitted to humans through the bites of infected female mosquitoes, primarily the Aedes aegypti mosquito.
    Other species within the Aedes genus can also act as vectors, but their contribution is secondary to Aedes aegypti.

    Human-to-mosquito transmission


    Mosquitoes will become infected from those who are viremic with DENV. this will be somebody who has asymptomatic dengue fever infection, somebody who is yet to have asymptomatic infection (they are pre-symptomatic), however additionally those who show no signs of unwellness further (they are asymptomatic)  Human-to-mosquito transmission will occur up to a pair of days before somebody shows symptoms of the unwellness

    Other modes of transmission

    The primary mode of transmission of DENV between humans involves mosquito vectors. there's proof but, of the chance of maternal transmission (from a pregnant mother to her baby). whereas vertical transmission rates seem low, with the risk of vertical transmission apparently joined to the timing of the breakbone fever infection throughout the gestation. once a mother will have a DENV infection once she is pregnant, babies might suffer from pre-term birth, low birth weight, and abnormal conditions.

    Signs and symptoms


    Dengue may be a severe, flu-like malady that affects infants, young kids and adults, however rarely causes death. Symptoms sometimes last for 2–7 days, when an incubation period of 4–10 days after the bite from an infected mosquito . the world Health Organization classifies dandy fever into a pair of major categories: dengue fever (with / unexpectedly signs) and severe dengue fever. The sub-classification of dengue fever with or unexpectedly signs is intended to assist heatlh practitioners triage patients for hospital admission, ensuring close observation, and to minimise the chance of developing the a lot of severe dengue fever (see below).

    Treatment

    There is no specific treatment for dengue.

    Fever reducers and pain killers are often taken to regulate the symptoms of muscle aches and pains, and fever.

    The best choices to treat these symptoms are analgesic or paracetamol.
    NSAIDs (non-steroidal anti-inflammatory drugs), like NSAID and analgesic should be avoided. This anti-inflammatory medicine act by thinning the blood and during a sickness with risk of hemorrhage, blood thinners could exacerbate the prognosis.
    For severe dengue fever, medical aid by physicians and nurses experienced with the results and progression of the unwellness will save lives – decreasing mortality rates from quite two hundredth to less than 1 Chronicles. Maintenance of the patient's bodily fluid volume is critical to severe dengue fever care. Patients with dengue fever should look for medical recommendation upon the looks of warning signs.