• Dreaded Dengue is Preventable and Manageable

    The looming mosquito menace on the capital, according to a recent report, More than 1,800 cases have been recorded in recent weeks, compared to 1,695 cases for all of 2010. Twenty deaths have been reported so far.

    As the dengue outbreak worsens, the Delhi government has directed private hospitals to cap the rates of tests and asked them to add 10% extra beds. While government hospitals conduct the tests Elisa-based NS1-antigen, dengue antibody and platelet count checks for free, the Delhi government asked private hospitals not to charge more than Rs 50 for the platelet count test and Rs 600 for the other two tests.

    Dengue (pronounced DENgee) fever is a painful, mosquito-borne viral disease, transmitted by the infective bite of a particular mosquito known as Aedes Aegypti/ Tiger mosquito. It develops after 5 – 6 days of being bitten by an infective mosquito.

    The dengue virus has four strains viz.

    DEN/Type -I (known as the classic dengue fever)

    DEN/Type -II (which causes thrombocytopenia or a drop in platelets, haemorrhagic fever, organ failure and Dengue Shock Syndrome) are the more severe strains.

    DEN/Type -III (whose symptoms include high-grade fever without any signs of shock) are the milder strains.

    DEN/Type -IV (which leads to fever with shock)

    DEN/Type -I and DEN/Type -III are the most common strains prevalent in the capital since 1960. In 2012, the severe DEN/Type -II strain had surfaced in a lot of patients for the first time after 1996. In 2010 and 2011, DEN/Type -III strain of the virus was prevalent in the capital.

    This year DEN/Type-II is most predominant along with DEN/Type-IV, which we haven’t seen predominantly in Delhi which is the more virulent type of dengue and the symptoms are more severe.

    Nevertheless, dengue is preventable and manageable and completely treatable in 99 per cent cases.

    Symptoms of Dengue Fever: Symptoms, which usually begin four to six days after infection and last for up to 10 days, may include

    • Fever is present in 90% cases
    • Headache, eye pain, body pain, and joint pain in 80% cases
    • Rash in 50% cases
    • Nausea or vomiting in 50 % and diarrhea in 30% cases
    • Cough, sore throat, and nasal congestion are present in 33% cases
    • Mild bleeding (such a nose bleed, bleeding gums, and/or blood in your urine)

    Causes: Dengue virus is an RNA virus (RibonucleicAcid is the genetic material of some viruses). Transmission of this virus occurs in a cycle. An infected human is bitten by a female mosquito (Aedes aegypti). The infected mosquito then bites another human, and the cycle continues.

    Aedes aegypti mosquitoes most commonly bite at dusk and dawn, indoors, in shady areas like under the tree, or when the weather is cloudy.
    The mosquitoes prefer to breed in areas of stagnant water, such as flower vases, uncovered barrels, buckets, water coolers and discarded tires. Some of the dangerous areas are wet floors and toilet tanks, as they allow the mosquitoes to breed in the residence.

    If we know the Causes then definitely, Dengue is preventable and manageable

    Diagnosis: A probable diagnosis is based on occurrence of fever along with some of the following symptoms.

    • Nausea and vomiting
    • Rash
    • Generalized pain

    The diagnosis also takes into account whether the sick person lives in endemic (high prevalence) area.

    Doctors can diagnose dengue infection with a blood test to check for the virus or antibodies to it which is why it is said that Dengue is preventable and manageable.

    Microscopic examination: This is done in order to detect dengue. The earliest change detectable is a low white blood cell count which may then be followed by low platelets and metabolic acidosis.

    Rapid diagnostic test: It is an excellent method for specifically detecting anti-dengue IgG and IgM antibodies. The test can detect all four serotypes of dengue.

    Management: Even though Dengue is preventable and manageable there is no specific medication for treatment of a dengue infection. Persons suspected of dengue can use analgesics (pain relievers) and avoid those containing aspirin.

    Dengue Natural Home Remedies: lets’ see how to treat dengue naturally

    1. Papaya juice is a natural cure for dengue fever. The juice of Papaya leaf is a sure cure for platelet deficiency as Dengue virus, the main cause of dengue fever induces bone marrow suppression. Since, bone marrow is manufacturing centre of blood cells its suppressions causes deficiency of blood cells leading to low platelets count.
    2. Drink as much water as you can in order to replace fluid loss. It will also help to bring down body temperature. Other method could be the leaves of the coriander or Chirayata has tremendous medicinal properties in the reduction of fevers.
    3. To increase the blood count pomegranate juice/ black grape juice should be given and Fruits rich in vitamin C like amla (embellica officinalis) are advised as vitamin C helps in better absorption of iron which increased urinary output, promotes antibodies for faster healing and recovery.
    4. In treating the rash there are plenty of natural oils and balms out there that are brilliant at soothing and healing skin ailments like calomine lotion, chickweed, peppermint oil (with a little corn flour to make a paste)
    5. Chyavanprash can be taken as it is an immunobooster, blood purifier and increases blood count.
    6. Boiled tulsi that is basil leaves served in a warm drink like tea can help prevent an outbreak of dengue. This bitter and pungent herb has all the properties that strengthen the internal system against fever.

    Prevention: There is no vaccine to prevent dengue yet Dengue is preventable and manageable. The best way to prevent getting the disease is to avoid being bitten by mosquito.

    Some of the preventive measures are as follows:

    • The risk of being bitten by mosquitoes can also be reduced by screening the windows and doors and make sure window and door screens are secure and free of holes.
    • Use mosquito nets (If sleeping areas are not screened or air conditioned)
    • Use mosquito repellents (bug spray), even indoors.
    • When outdoors, wear long-sleeved shirts and long pants tucked into socks.
    • If you have symptoms of dengue, speak to your doctor.

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