Dengue Fever(Pronounced as Dhen Gey)Facts we all need to knowbyDr.R.V.S.N.Sarma., M.D.,

Alternative NamesOnyong- Nyang FeverWest Nile FeverBreak Bone FeverDengue like Disease

Inter play of three factorsWEThe VirusThe MosquitoInteraction

The VirusDengue Virus

The Dengue VirusFour types (flavours)Type 1 to 4 (named very cleverly)Transmitted by mosquito Indian national airliner for most germs!

Dengue VirusElectron Micrograms

The Aircraft for Dengue Difficult name to pronounce?We have to ask its parents (Zoologists)Aedes aegypti(Infected Female Mosquito)mostly females are dangerous anyway joking!

Watch out ! This MosquitoDay biting normally catches us unawareLoves / lives in fresh water in homesLays eggs preferentially in jars, discarded containers, coconut shells, old tires etc.Year round breeding Tropical regions like our mother India are its favorite zones. It is an urban mosquito

The Aircraft (Aedes aegypti)

This special mosquitoTransmitsManyDangerous illnesses

See our greatness!Prevalent from centuriesHighly prevalent now

Dengue FeverDengue viruses 4 flavours cause itIt is transmitted by a mosquito- the Aedes aegypti It is generally an animal virusMan is accidentally infectedOther vertebrates are the reservoirs

Dengue Transmission Cycle

Dengue colourful features!Clinical Features

Dengue PresentationsLike any other viral fever- not clear cutDengue Fever with Muscle pains this is classical presentation in 90% casesDengue Fever with bleeding in 7%Dengue the dangerous form in 3%

Bleeding from where?Bleeding into skin From GumsFrom NoseInto our food passagesBlood in urine

What do we experience ?27 days after the mosquito had its dinner on us we may developSudden onset of fever, chills, headacheBack pain with severe muscle and joint painsPain behind the eyes and on moving the eyesNick name - Break bone fever- pains so severe Red patches or spots on the skinMild nose bleedsThis is the ordinary classical Non dangerous form!

What is the end result?

Complete recovery is the rule Severe weakness many persist for many days after the fever leaves us

Skin bleeds

Dengue The bleeding formBlood vessels are affectedThere is severe oozing into tissuesBleeding into all possible parts of bodyBlood clotting mechanism is disruptedBlood pressure falls and many end in collapse and death In the best centers 5% of this type of Dengue will reach their forefathers

Bleeding into the eye

Large bleed into skin

Bleeding spots in skinDengueNormal

Rare types of DengueBrain feverLiver damageHeart damageSevere bleeding into stomach

What are the tests needed?Routine blood testTests to check the clotting processSpecial tests to identify the Dengue or its foot marks in our bloodUrine to check protein leak

Special Test (ELISA)ELISA PlateIgM-capture ELISA

Treatment of DengueSupportive measures Mosquito screenAvoid Aspirin and pain killersSteroids should not be usedPlenty of water and salt are requiredChildren below 12 require careful watchfor dangerous formNo antibiotics are of proven value

Child with severe form of DengueOxygenIV FluidsSpecial CareSee the tubes every whereFrightening, isnt it?

Common MisconceptionsSevere Dengue is only a childhood illness No, All ages may be involved

Sever form is a problem of poor families No, The effluent do get very sick

Can we protect ourselves?There is no vaccine available as yetBut we can prevent the disease by preventing ourselves from mosquito bite

Mosquito ControlHow to prevent mosquito spread?Do not allow empty vessels, coconut shells, plastic containers, flower pots, tires etc to collect rain water in themFrequently (once in 2-3 days) empty all water storage containersCover your over tanks to prevent mosquitoes breeding in fresh water

How to prevent mosquito bites? Screen your homes with mosquito screens like Netlon - Wear full clothing long sleevesApply mosquito repellents like OdomosKeep Dengue fever patient under mosquito netTrue community participation is key

Each person is a Book !Each Day is a Learning Opportunity!!Learning has More Relevancetoday than ever !!!

We need to learn

Reach Yours Sincerely @Dr.SARMA RVSNVoice : +91-4116-2309226, 260593Mobile : +91- 93805 21221E-mail : sarma.rvsn@gmail.comWeb site : http://www.drsarma.inSnail mail :3, Jayanagar, Tiruvallur Tamilnadu, INDIAPin : 602 001

Thank You !