A presentation by Ahmad Tariq Bhatti Lahore

Dengue Fever
Dengue (pronounced as DENgee) fever is a painful, debilitating
mosquito-borne disease caused by any one of four closely related Dengue viruses. Each year, an estimated 100 million cases of Dengue fever occur worldwide. Dengue fever (also known as break-bone fever) spreading mosquito has challenged Punjab Government in the last 3 to 4 years. Government of Punjab has spent huge funds to fight against the killer mosquito. It has affected thousands of people all over Pakistan in last 3 to 4 years.
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The Killer Mosquito Dengue . (a close shot of the killer mosquito)

Dengue - The Killer Mosquito

Aedes Aegypti: Dengue Mosquito

Kill Dengue, Kill Dengue!!!

The mosquito can be recognized by white markings on legs and a marking in the form of a lyre on the thorax. The mosquito originated in Africa but is now found in tropical and subtropical regions throughout the world. [Please refer to slide 3 for illustration of Dengue Mosquito]
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Breeding Places
Barrels, open sewerage holes, drums, jars, pots,
buckets, flower vases, plant-pots, tanks, discarded bottles, tins, tyres, stagnant water, tree holes, palm fronds and a lot more places where rain water is stored.

Keep your environment clean from mosquitoes.

Important note: The mosquito that causes Dengue fever, bites during the day, particularly in the early morning and in the evening.
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Transmission
Dengue virus is primarily transmitted by Aedes mosquitoes,
particularly Aedes Aegypti. Other Aedes species that transmit the disease include: Aedes Albopictus, Aedes Polynesiensis and Aedes Scutellaris.

Humans are the primary host of the virus, but it also circulates in nonhuman primates. An infection can be acquired via a single bite. A female mosquito that takes a blood meal from a person infected with Dengue fever becomes itself infected with the virus in the cells lining its gut.

The virus is not contagious and cannot be spread directly from person to
person.
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Classification
World Health Organization has classified Dengue fever into two groups in 2009: Severe and Uncomplicated. Severe Dengue is defined as the one that is associated with severe bleeding, severe organ dysfunction, or severe plasma leakage while all other cases are classified as uncomplicated.
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Symptoms
Dengue fever begins with a sudden high fever, often as high as
104 - 105 degrees Fahrenheit, within 4 to 7 days after the infection. A flat, red rash may appear over most of the body within 2 to 5 days after the fever starts. A second rash, which looks like the measles, appears later in the disease. Infected people may have increased skin sensitivity and are very uncomfortable.

Other symptoms include:

Fatigue Headache (especially behind the eyes) Joint aches Muscle aches Nausea Swollen lymph nodes Vomiting
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Causes & Incidence

Dengue fever is caused by one of four different but
related viruses. It is spread by the bite of mosquitoes, most commonly the mosquito Aedes Aegypti. The virus has four different types and the infection with one type usually gives lifelong immunity to that type, but only short-term immunity to the others. Subsequent infection with a different type increases the risk of severe complications.

Dengue - The Killer Mosquito

Manifestations of Dengue Virus Infection

Dengue Virus Infection

Without Symptoms

With Symptoms

No Different from other fever

Dengue Fever (DF) Syndrome

Dengue Hemorrhage Fever (DHF)

Without Hemorrhage

With Unusual Hemorrhage

No Shock

Dengue Shock Syndrome

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Prevention
Because Dengue fever is spread by a virus, there is no specific
medicine or antibiotic to treat it. For a typical Dengue fever, the treatment is purely concerned with the relief of symptoms. Mind it, there is no vaccine available for the treatment of Dengue fever currently. Therefore, prevention is sought only by: Eliminating the breeding places of mosquitoes, Keeping the environment clean, Constant spraying insecticides at open places and Limiting exposure to bites by using mosquito nets, coils etc. It is also advisable to massage exposed body parts with a suitable insect repellent and wear long sleeve shirts and clothing which covers arms and legs.
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Spread the Awareness About Dengue Mosquitoes

Let your family, friends and neighbors know about the dangers of breeding mosquitoes around you!!!
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Treatment
There is no specific medicine to treat Dengue
infection. If you think you may have Dengue fever, you should use pain relievers with Acetaminophen and avoid medicines with Aspirin, which could worsen bleeding. You should also take rest, drink plenty of fluids, and see your doctor regularly. If you start to feel worse in the first 24 hours after your fever goes down, you should rush to a hospital immediately to be checked for complications.
http://www.webmd.com

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Take good care of your health and avoid contract with Dengue Fever. Good Health! Thank you!
A presentation by

Ahmad Tariq Bhatti

Lahore
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