Articles on dengue fever outbreaks

Dengue Management and Prevention by Homeopathy

Dr. Abhay S Patil, Homeopath
Dengue fever also known as breakbone fever, is a mosquito-borne tropical disease caused by the dengue virus. Symptoms include fever, headache, muscle and joint pains, and a characteristic skin rashthat is similar to measles. In a small proportion of cases the disease develops into the life-threatening dengue hemorrhagic fever, resulting in bleeding, low levels of blood platelets and blood plasma leakage, or into dengue shock syndrome,According to statistical data there had been rise of 22 % cases of Dengue in Maharashtra in 2014 than 2013Prevention, Symptomatic  treatment after diagnosis, rest and lots of fluid can help to combat this diseaseThere are no approved vaccines for the dengue virus. Prevention thus depends on control of and protection from the bites of the mosquito that transmits it.The primary method of controlling A. aegypti is by eliminating its habitats. This is done by getting rid of open sources of water, or if this is not possible, by adding insecticides or biological control agents to these areas.Reducing open collections of water through environmental modification is the preferred method of control, given the concerns of negative health effects from insecticides and greater logistical difficulties with control agents.People can prevent mosquito bites by wearing clothing that fully covers the skin, using mosquito netting while resting,However, these methods appear not to be sufficiently effective, as the frequency of outbreaks appears to be increasing in some areas, probably due to urbanization increasing the habitat of A. aegypti. The range of the disease appears to be expanding possibly due to climate changeHome remedies1. Papaya for dengue:Juice made of papaya and its leaves is considered as one of the best home remedy. Papaya leaves are packed with enzymes that normalize platelet count, improve clotting factor, improves liver function thereby helping the person to recover.Have the juice with little water as it is bitter to taste2. Dragon fruit juice:This fruit once enjoyed as an expensive and exotic smoothic or juice is supposed to help for dengue fever.The vitamin c in this fruit aid in  improving immunity and prevent dengue hemorrhagic fever. It is good for bones, boost hemoglobin and has high antioxidant property3. High Protein Diet:To restore the vitamins,minerals,proteins and fats in body, high protein diet is required after  recovery. So eating fish, eggs,moong dal khichdi,buttermilk and vegetables soups will get patient to normal activities fastHomoeopathy can help you to get relief from the acute  symptoms and also prevent further  complications. Remedies indicatedEupatorium:Bone breaking pain with feverChill every 7-9am morning preceded by great thirstNausea, vomiting at close of chill.Periodical Headache and vomiting, chill 7-9 am, fever 3rd -4th day.Craving for cold drinks, acid drinks, ice creams.Moaning with all complaints.Aranea Diadema:Periodicity and suceptibility to Dampness with coldness present in every synptom.Throbbing pains in the long bones, feels cold to the very bones.Wakes up at night with hands twice their natural size.All complaints better by Smoking.Hammemilis:Haemorrhages Capillary which causes Undue weakness.Headache esp left temple feels as if bolt were pushed inside.Eyes feels sore, blood shot eyes, better by pressure on eyes.Hastens Absorption of haemorrhage inside the body.Forgetful , but egoistic remedy wants the respect to be shown.• Other remedies: gel, Rhus veneta, Secale cor, Podophyllum, Ipecac , Crotallus horridus are often used as per the symptoms

Dengue: Facts And Prevention Measures

Jayakrishnan
With dengue cases on the rise, here's all you need to know about the spread and prevention measures of the disease.The number of dengue cases, caused by viruses transmitted by mosquitoes, have been on the rise, as the monsoon season is underway. Here are some important facts about dengue and a few preventive measures you need to be aware of.Facts about the Aedes mosquitoesThe Dengue virus is primarily transmitted by Aedes mosquitoes. These mosquitoes do not lay eggs in drains, ditches, canals, wetlands, rivers or lakes. “What most people do not realise is that the dengue mosquito breeds in fresh clean water as opposed to dirty drains. Thus, people living in clean urban surroundings are more at risk of acquiring the diseaseWith dengue cases on the rise, here's all you need to know about the spread and prevention measures of the disease.The number of dengue cases, caused by viruses transmitted by mosquitoes, have been on the rise, as the monsoon season is underway. Here are some important facts about dengue and a few preventive measures you need to be aware of.Facts about the Aedes mosquitoesThe Dengue virus is primarily transmitted by Aedes mosquitoes. These mosquitoes do not lay eggs in drains, ditches, canals, wetlands, rivers or lakes. “What most people do not realise is that the dengue mosquito breeds in fresh clean water as opposed to dirty drains.Thus, people living in clean urban surroundings are more at risk of acquiring the diseaseWith dengue cases on the rise, here's all you need to know about the spread and prevention measures of the disease.The number of dengue cases, caused by viruses transmitted by mosquitoes, have been on the rise, as the monsoon season is underway. Here are some important facts about dengue and a few preventive measures you need to be aware of.Facts about the Aedes mosquitoesThe Dengue virus is primarily transmitted by Aedes mosquitoes. These mosquitoes do not lay eggs in drains, ditches, canals, wetlands, rivers or lakes. “What most people do not realise is that the dengue mosquito breeds in fresh clean water as opposed to dirty drains. Thus, peoothingUse mosquito repellents, especially during the monsoon seasonSince dengue is caused by a virus, it is the symptoms that are treated and the chronic phase of the illness with fever and myalgias lasts approximately one to two weeks.The symptoms:Severe joint and muscle painSwollen lymph nodesHeadacheFeverExhaustion - RashesThe risk of complications is in less than 1% of dengue cases The danger of dengue lies in dehydration, so it is vital to consume a lot of fluids and to only opt for a platelet transfusion if there is active bleeding or your platelet count is below 10,000.

This Monsoon, Let's Fight Dengue

Dr. Puneet Gupta, Pulmonologist
Rain has come and its time to relax after hot climate. Rain brings joy to everyone but it also brings some troubles in the form of dengue, malaria, chickungunya, viral respiratory illness, diarrhoea etc.Today, we will talk about dengue, how to prevent, identify it and the various treatment options available. With multiple cities including Delhi recording a high number of dengue related cases, it is important that you know about the disease and how to prevent it.Dengue fever is transmitted by the bite of an Aedes mosquito infected with a dengue virus. Mosquito can bite any time in day but it is more in early morning hourr & in evening.Symptoms of Dengue FeverSymptoms, which usually begin four to six days after infection and last for up to 10 days, may includeSudden, high feverSevere headachesPain behind the eyesSevere Bone, joint and muscle painFatigueNauseaVomitingBreathlessnessSkin rash, which appears two to five days after the onset of feverMild bleeding (such a nose bleed, bleeding gums, or easy bruising)Sometimes, symptoms are mild and can be mistaken for those of the flu or another viral infection. However, serious problems can develop. These include dengue hemorrhagic fever, a rare complication characterized by high fever, damage to lymph and blood vessels, bleeding from the nose and gums, enlargement of the liver, and failure of the circulatory system. The symptoms may progress to massive bleeding, shock, and death. This is called dengue shock syndrome (DSS)People with weakened immune systems as well as those with a second or subsequent dengue infection are believed to be at greater risk for developing dengue hemorrhagic fever.Diagnosing dengue infectionDoctors can diagnose dengue infection with a blood test to check for the virus or antibodies to it.Treatment for dengue feverThere is no specific medicine to treat dengue infection. If you think you may have dengue fever, you should use only Paracetamol for Fever. Avoid medicines with aspirin, Ibuprofen, Nemuslide, pain killers, etc. (NSAIDS), which could worsen bleeding. You should also rest, drink plenty of fluids, and see your doctor. If you start to feel worse after 24 hours or if fever goes up, you should get to a hospital immediately to be checked for complications.Preventing dengue feverThere is no vaccine to prevent dengue fever yet in market. The best way to prevent the disease is to prevent bites by infected mosquitoes.To protect yourself:Stay away from heavily populated residential areas, if possible.Use mosquito repellents, mosquito repellents cream, while going out and even indoors.When outdoors, wear long-sleeved shirts and long pants tucked into socks.Use mosquito nets.If you have symptoms of dengue, speak to your doctor.Avoid collection of water in places where mosquitoes can breed. These include old tires, cans, or flower pots that collect rain. Regularly change the water in cooler, outdoor bird baths and pets' water dishes.If someone in your home gets dengue fever, be especially vigilant about efforts to protect yourself and other family members from mosquitoes. Mosquitoes that bite the infected family member could spread the infection to others in your home.Stay Alert... Stay Healthy...

Dengue - Myths v/s Facts

Dr. Vivek Goswami, Pediatrician
Dengue Myths vs. FactsMyth: We are facing a dengue epidemicFact: Delhi is at present going through a dengue outbreak, and it is not yet an epidemicMyth: All dengue cases are the same and must be dealt with in the same mannerFact: Dengue can be classified as dengue fever and severe dengue. A person is said to be suffering from severe dengue when there is capillary leakage. Patients who have dengue fever do not have capillary leakage. Type 2 and type 4 dengue are more likely to cause capillary leakage.Myth: Everyone suffering from dengue must be hospitalizedFact: Dengue fever can be managed on an outpatient basis and patients who do not have severe abdominal pain or tenderness, persistent vomiting, abnormal mental status or extreme weakness, do not need hospitalization. Only patients suffering from severe dengue need hospitalization basis the discretion of their consulting doctor. One must always remember that 70% of the dengue fever cases can be cured just through the proper administration of oral fluids. Patients must be given 100-150 ml of safe water every hour, and it must be ensured that they must pass urine every 4-6 hours.Myth: Dengue can never re-occur if you have had it once in the pastFact: There are four types of dengue infections, which exist in our country.While dengue from the strain cannot re-occur, that from a different strain can. A second occurrence dengue (secondary) is more serious than first infection (primary). In the primary infection, IgM or NS1 will be positive and in secondary infection IgG will also be positive.Myth: This is the worst outbreak of dengue that Delhi has ever witnessedFact: The present outbreak of dengue in the Capital is that of Dengue 4. The reason for a large number of cases is that Dengue 4 has spread in the capital for the first time. The outbreak of Dengue 2 in 2013 was more dangerous than the present Dengue 4 outbreak.Myth: Platelet transfusion is the primary treatment option for people suffering from dengue feverFact: Platelet transfusion is only needed in cases where the patient's counts are less than 10,000, and there is active bleeding. Unnecessary platelet transfusion can cause more harm than good. The best treatment for dengue is to administer large amounts of oral fluids to patients. For patients who are unable to take oral fluids, intravenous administration may be necessary.Myth: Machine platelet count is accurateFact: Machine platelet count reading may be less than the actual platelet count, and a difference of about 30,000 can occurMyth: Testing platelet levels alone accounts for complete and effective management of dengueFact: A complete blood count (especially hematocrit) is needed to monitor prognosis and increased capillary permeability, which is the starting point of all complications. Falling platelet counts with rising hematocrit levels are most important

Dengue, Chickungunya and Homeopathy.

Dr. Manu Gupta, Homeopath
DENGUE, CHICKUNGUNYA AND HOMEOPATHY.Dengue fever and chickungunya is a virus-caused disease that is spread by the bite of mosquitoes (Aedes-aegypti). This is also known as Break bone fever. the severity of symptoms like bodyaches, joints pain are more in chickenguinya .WHO currently estimates there may be 50–100 million dengue and chickungunya infections worldwide every year. Symptoms: Dengue and chickungunya are not transmitted directly from person-to-person. Its symptoms range from mild fever to fatigue, headache, joint and muscle aches, nausea or vomiting, swollen lymph nodes. In severe cases hemorrhage dengue fever which is characterized by fever, abdominal pain, persistent vomiting, bleeding and breathing difficulty; can be fetal due to blood loss.Treatment: There is no specific treatment available in Orthodox medicine for such conditions. You will need Intravenous fluids and electrolytes if there are signs of dehydration. In case of dengue hemorrhagic fever a transfusion of fresh blood or platelets can be helpful.Prevention: Clothing, mosquito repellent, and netting can help reduce exposure to mosquitoes. Traveling during periods of minimal mosquito activity can also be helpful.Homeopathic management: Homeopathy has been used successfully in the others countries such as India to tackle this epidemic. The selection of homoeopathic remedies depends upon the individual response to infection. In repertory there are about 25 homoeopathic remedies are mention for the treatment of dengue and chickungunya fever. Above all of them Eupatorium perfoliatum and Echinacea angustifolia were found most effective remedies for dengue fever and it has been widely used in 1996 during epidemic of dengue in Delhi.Prevention and Treatment with HomeopathyNormal Dengue and chickungunya Fever: Eupatorium perf 200 or 1M can be taken once daily for three days and subsequently at least two doses a week at the interval of three to four day till the epidemic persist for the prevention of dengue fever. Furthermore Arsenic alb + Bryonia + Echinacea angustifolia + Ledum pal + Rhus tox in 30 potency should be taken once in a day for at least 2 weeks.In case of high Fever: Take Aconite 1M and Eupatorium 1M alternatively, after every 30 minutes immediately on start fever. Just take 3 doses of each remedy. If the symptoms persist then contact your homeopath or your physician. Above mention formula can also be use in case of normal dengue fever with more frequent intervals.Dengue haemorrhagic fever: Ipecac + Eupatorium + Crotalis-hor + Hamamelis + Dengue fever 30 can be given five times a day and two doses a week in all the patients those who have already suffered with the dengue fever and are prone for dengue hemorrhagic fever.There are very good preventive medicines also available which are helpful in immunity booster and help to prevent such complications. you can contact your Homeopathy physician regarding that also.

How to Prevent Dengue in Your Child?

Dr. Chetan Shende, Pediatrician
How To Prevent Dengue in your loved ones?Dengue can be prevented. Act fast! Act Now! Follow simple preventive things given below & Fight with Dengue.Monsoon has set in and it is the time again to fight against the most rapidly spreading and deadly viral fever, Dengue. Though there is no specific treatment for dengue, there are active preventive measures which effectively helps to protect ourselves, our family and community. Eliminating the breeding places of mosquitoes and personal protection measures forms the mainstay for Dengue Prevention. Here are a few measures:Personal protectionProtective Clothing – Wear full sleeved shirts and long trousers so that your full body is covered and there is no exposed part for the mosquitoes to feast uponUse mosquito repellents – When you are outdoors or cannot wear protective clothing, then never forget to apply mosquito repellent creamsChoose right repellent – Right repellent, rides away mosquitoes. Choose repellents that contain DEET, PICARDIN OR OIL OF EUCALYPTUSProper Housing – Screen doors and windows with insecticide treated mesh with mesh hole area less than 0.04 inch. Air conditioning also helps to avoid mosquito bitesMosquito bed nets – Sleeping under mosquito bed nets acts as an added preventive measure.Control mosquito breeding:5 STEP MOSQUITO OUT:Change water in vases and bowls on alternate daysRemove water from flower pot plates on alternate daysTurn over all water storage containersCover water storage containersSpray insecticides around your house weeklyUse of Guppy fish in water storage areas, feeds on mosquito larva and helps in controlling the growth of mosquitoesMeasures are few but it offers good protection from Dengue. Prevention is better than cure, implement the measures and bid farewell to Dengue.“ Fight the bite to protect your life ”

Don't Fear Chikungunya - Here's all you need to know!

Dr. Neelam Nath Bhatia, General Physician
Chikungunya fever is neither deadly nor contagious. There is absolutely nothing to fear.What is Chikungunya?Chikungunya is transmitted by mosquitoes, which breed in collected water. Direct transmission from one human to another has not been reported so far. Usually multiple members of a family fall sick at the same time because the transmitting mosquito is like a devil with a huge appetite for blood and cannot fly for more than 100 meters. In most cases, same mosquito bites multiple members of a family.After the bite of an infected mosquito, onset of illness occurs usually between 4 and 8 days but can range from 2 to 12 days.Chikungunya is “not” fatal Yes. You read that right. Chikungunya infection does not kill people. What is really fatal is the heavy antibiotics dosage prescribed by the quacks. They often prescribe 2-4 antibiotics at a time, which is too heavy for the body to handle and eventually leads to multi-organ failure.A body that is struck with fever is unable to digest food, let alone “digest” and metabolize heavy antibiotics, especially if they are the kind that are given after a heart/bone replacement surgeries or fractures.They are required in such treatments because the exposure of operated tissues is much more to the bacteria present in the environment. They also help avoid any infections being picked from the hospital environment.Symptoms of ChikungunyaThe symptoms of Chikungunya appear between two to twelve days after the mosquito bite.High fever and headacheIntense pain in the joints (ankles, wrists) that can persist for several weeks.The joints of the extremities in particular become swollen and painful to touch.A rash may sometimes occur.Haemorrhage is rare, and all but a few patients recover within three to five days.Some patients can suffer from joint pain for months even after recovery.Lifestyle advice for treatment of ChikungunyaComplete bed rest for at least 7 daysDrink lots of water, at least 5 litres per day for a normal adult. Plain water leads to distention  and too much glucose leads to cramps in the food pipe. Water has to be given indirectly by ORS (sachets or home made with lemon juice plus spoon of sugar and pinch of salt in per litre water.)Take paracetamol for fever only if tests are negative for Dengue. No aspirin/combiflams etc. should be taken for fever.7 days of rest is needed even after the body temperature has become normal, and it takes only 3 days to get normal from 104 with proper treatment.Don't take heavy medications unless indicated by a culture test (done rarely if Ampicillin does not work for Typhoid cases.)Wear cotton clothes.Try drinking- Weak tea with more milk and sugar.Clear soups.Roohafza in a glass of toned milk diluted with water in a ratio of 1:4, which means mix a glass of milk and 4 glasses of water with Roohafza.Remember gurupurab & roadside stalls offering Amrit to every passer by? This takes care of basic protein given through milk, at least 2 glasses of milk/day.Follow a no fat diet and rely more on liquid nourishment. Eat light food only (no fried food/maida/fats or heavier non-veg)I emphasize on taking adequate bed rest multiple times throughout this article since that's the most important thing people seem to miss. I've seen this mostly in people who earn daily wages because they are too scared to take a few days off to take bed rest.They will get back to work as soon as they feel their body temperature has lowered, which is a big mistake. This leads to exertional fever in these patients and they only get worse than before.We must educate all the people around us who do not have the luxury of reading information online and who are the ones worst affected by this hype that has been created.What can doctors do when they see a patient with 104 F ?Take a detailed history of shiverings, joint pains, swellings, rash, duration of fever, headache & relation of fever to Paracetamol (Yes, most patients do take few doses before coming to doctor.)Exclude Typhoid fever by doing a Widal Test (it costs 100-200 only.)Do a platelet count to rule out dengue. Malarial parasite may not be always seen on the slide, as it only comes out of the liver at specific times, when the person will have high fever with shiverings.Every foreigner coming for a visit to malaria affected areas is given 4 tablets of chloroquine as prevention.With a 104 degree fever, there's no harm in taking 4 tablets of Chloroquine after eating a packet of biscuits with tea made with more toned milk. It helps you get carbs, proteins, and water through tea.Chikungunya tests positive only on the 7th day and if treated well, it takes only 3 days to get well and be fever free. The joint pains & rashes take a few more days to fully heal.Check if the platelet counts are within normal range, perform widal test for typhoid. If that is negative, then it can be diagnosed by process of ruling out other illnesses and observation of symptoms.One can rule out Dengue/ Typhoid within 4 hours - yes good labs managed by MD doctors are giving excellent services through their collection agents within a radius of 10 kms.Try to take care of every fever patient at home first because there's very little need for hospitalization if proper care is taken at home.Do not get into politics of blame game between leaders, confusing junta about Chikungunya at Delhi. 4 people died at Sir Gangaram Hospital, but each one of them had actually landed at hospital with multi-organ failure. Why are we only blaming Chikungunya?