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Dengue Fever Update

First case reported in Uruguay

Posted: March 21, 2007

The Uruguayan Ministry of Public Health has confirmed the first case of indigenous Dengue in Uruguay. The patient is in Salto, a city in the north of the country.

Below is some information about Dengue and how to prevent it.

DENGUE FEVER

Q: What is dengue fever?
A: Dengue fever and dengue hemorrhagic fever are viral diseases transmitted by AEDES mosquitoes, usually Aedes aegypti.

Q: How does dengue fever occur?
A: Dengue viruses spread to humans by the bite of female mosquitoes. These mosquitoes acquire the virus while feeding on the blood of an infected person. The virus circulates in the blood of infected humans for 2 –7 days leading to fever. Recovery from infection provided immunity against that particular virus but offers only partial protection against the other three viruses. In fact, subsequent infection increases the risk of a more complicated fever called as "dengue hemorrhagic fever".

Q: What are the clinical features of dengue fever?
A: In infants and young children, dengue presents as a mild fever with rash. Older children and adults may have the classical symptoms of high fever, severe headache, pain behind the eyes, pain in the joints and muscles and rash. The pain in the back may be so severe that it is also called as backbreaking fever.

Dengue hemorrhagic fever is characterized by high fever, bleeding and liver enlargement. It requires urgent hospitalization as it may even lead to death.

Q: What is the treatment of dengue fever?
A: Treatment for dengue and dengue hemorrhagic fever is supportive. Painkillers may be needed for severe body ache. The patient should take adequate fluids to prevent dehydration. In case of bleeding or any other complications, patient may require hospitalization.

Q: How can dengue be prevented?
A: The only method of preventing dengue is controlling the mosquito infestation. The mosquito causing dengue primarily breeds in man-made containers like uncovered barrels, buckets, flower vases or pots, old tires, cans and cisterns. Empty out all flowerpots and other outside containers of any standing water. As the Aedes mosquito prefers clean water to breed, flush all the toilets, even if not in use, several times a day. The use of mosquito repellent is advised. Cover up with light-colored clothing and wear socks – mosquitoes are attracted to ankles. To reduce your risk of acquiring dengue, remain in well-screened or air-conditioned areas when possible.

The principal vector mosquito, Aedes aegypti prefers to feed on humans during the daytime and most frequently is found in or near human habitations. There are two peak periods of biting activity, in the morning for several hours after daybreak and in the late afternoon for several hours before dark.

Vaccination is not yet available. Vaccine development is difficult because any of the four different viruses may cause disease and because protection against only one or two dengue viruses could actually increases the risk of dengue hemorrhagic fever.

 
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