http://visz.rsoe.hu/alertmap/woalert_read.php?id=7582&cat=dis&lang=eng



GLIDE CODE: EP-2006-09-14-7582-IND
Date & Time: 2006-09-14 08:49:23 [UTC]
Area: India Delhi, , New Delhi area ( MAP)

Description:

Dengue has returned in Delhi with a vengeance and more than 81 residents are admitted to hospitals down with the deadly fever. The sudden return of the disease has forced the state government to form 12 special task forces to combat what could turn out to be an epidemic. Lanes and bylanes of the capital are being fumigated to ward off the dengue mosquito. But for some it's already too late as six people have already succumbed. In recent years dengue has become a major public health concern, predominantly in urban and semi-urban areas. Epidemiologists believe that the breeding of Ades mosquito can be contained if people are sufficiently aware of the causes and effects of the deadly carrier of the dengue virus. "The reason is that people are not careful enough, in 90 per cent of cases, water coolers have mosquitoes breeding," says Delhi’s Municipal Health Officer, N K Yadav. This perhaps, becomes an excuse for the administration to pass the buck on the people and get away by not doing enough.

Dengue alert

- Dengue is a viral fever caused by the Aedes mosquito.
- While malaria is caused by the Anopheles mosquito and there are definite anti-malarials available, no specific anti-virals available for dengue.
- Dengue can often be confused with influenza, typhoid, meningitis and viral hepatitis.
- It can be prevented by avoiding mosquito breeding in stagnating water, in broken flower-pots and old tyres. Coolers must be cleaned regularly. Use mosquito nets at night and if you get fever see a doctor immediately.

If diagnosed with dengue:

- Keep the patient inside a mosquito net and give him/her a liquid diet. For fever or pain do not give Aspirin or Brufen and don't ignore even minor bleeding as it could be a sign of complications such as dengue hemorrhagic fever or dengue shock syndrome.
- Indications of complications include bleeding from the gums, nostrils, skin or rectal bleeding. Cold and clammy skin, low blood pressure, weak pulse rate and drop in blood platelets are some of the other signs.
- In case of complications hospitalisation may be required. As of now no vaccines are available and treatment is largely symptomatic. For headache and body ache Paracetamol is recommended.

I think this is worth paying attention to.  With the recent admission by WHO of misdiagnosis of Avian as Dengue I would not be surprised to see some BF mixed in here and a Dengue outbreak would be a perfect opportunity for BF to go unnoticed.  THe death rate above seems awfully high...

INCIDENCE

• Variable, depending on epidemic activity.
• Globally, there are an estimated 50 to 100 million cases of dengue fever (DF) and several hundred thousand cases of dengue hemorrhagic fever (DHF) per year
• Average case fatality rate of DHF is about 5%
• In 1995, 250,000 cases of DF and 7,000 cases of DHF reported in Americas
• Between 100 to 200 suspected cases introduced into U.S. each year by travelers

 

DoH reports 1,447 new dengue cases, 21 deaths in a week

By Jerome Aning
Inquirer
Last updated 06:09pm (Mla time) 09/14/2006

A TOTAL of 1,447 new cases of dengue fever and 21 related deaths have been reported throughout the country in the past week, the Department of Health reported on Thursday.

Dr. Eric Tayag, head of the DoH's National Epidemiology Center, said the 1,447 new cases brought to 14,915 the total number of dengue infections this year. Of this, a total of 188 died of the disease.

The department raised its alert level on dengue last week and placed under watch several areas in the country that has a rising number of cases.

DoH Secretary Francisco Duque III on Thursday also visited state-run Amang Rodriguez Memorial Hospital in Marikina City, where two patients, including a six-year-old child, died and 16 new cases reported.

Duque is expected to visit other hospitals to inspect the so-called "dengue express lanes" he ordered set up to deal with those afflicted by the mosquito-borne disease.http://newsinfo.inq7.net/breakingnews/nation/view_article.php?article_id=20997

September 06, 2006

Dealing with Dengue Fever: You have heard about dengue fever -- demam berdarah (bleeding fever) or "break bone" fever. You probably know people who have You may think your lurah (neighborhood chief) is doing something about it, as are the people who manage the property where you work. Or maybe the Ministry of Health is doing something -- or perhaps not. The fact is, protecting yourself and your family from dengue is squarely in your hands. http://www.planetmole.org/papua   article  by infectious disease Doc..

          demam berdarah  < bleeding fever or breakbone >  Thats a take your breath away description for me , just says it all ,  the pain < breakbone > the fever < bleeding > .