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Dengue in Pakistan
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Dengue in Pakistan

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  • 1.  
  • 2. DENGUE FEVER by Dr. Zeeshan Ali
  • 3. Aim To acquaint you with the Dengue Fever
  • 4. Seq
    • What is Dengue Fever
    • World distr of Dengue Fever
    • Outbreak in Pakistan
    • Mosquito-characteristics and life cycle
    • Symptoms of Dengue Fever
    • Treatment of Dengue Fever
    • Prevention of Dengue Fever
  • 5. What is Dengue Fever
    • Dengue Fever also known as the ‘Break Bone Fever’ is an illness caused by infection by a virus (Flavi Virus) transmitted by the mosquito Aedes Aegypti rarely Aedes Albonictus
  • 6. What is Dengue Fever
    • Flavi Virus
    hjhjvjvjvjvvvvvvvvjvb
  • 7. Global Status of Dengue Fever
    • New infections annually -- 50 mn
    • Death -- 24,000 annually
    • People at risk -- 2.5 to 3 bn
    • Hospitalized cases- 50,000 /yr
    • (90% affected are children)
    • Disease burden -- 4,65,000
    • Disability Adjusted Life Years (DALY)
    • Half of the world lives in HOT ZONE
  • 8. World dist of Dengue Fever
  • 9. Outbreak in Pakistan
    • The first case of Dengue Fever was detected in Pakistan in the yr 1994 in Karachi
    • The first outbreak of Dengue Fever was in the yr 2006
    • Since then dengue cases detected per yr are on the rise
  • 10. Out break in Pakistan 2006
  • 11. Out break in Pakistan 2011
    • Over 4000 cases have been reported all over Pakistan
    • NIH shows 2143 confirmed and 2708 suspected cases of Dengue Fever
    • Max cases have been seen in Punjab Province where up to 10 deaths have been confirmed
    • In GB Province no case have been confirmed
  • 12. Out break in Pakistan 2011 *NIC stats of 9 Sept 11 05 Azad Jammu Kashmir 4. 08 Khyber Pakhtoon Khuwa 3. 176 Sind 2. 2170 Punjab 1. Confirmed Cases Province Sr No
  • 13. Out break in Pakistan
    • Causes
    • Unplanned urban overpopulation of areas
    • Inadequate housing and public health systems (water, sewerage and waste management)
    • Poor vector control, e.g., stagnant pools of water for mosquito breeding
    • Climate change and viral evolution
    • Increased intl travel (recreational, business or military) to endemic areas
  • 14. Characteristics of Mosquito
    • Aedes Mosquito
    • One distinct physical feature – black and white stripes on its body and legs
    • Bites during the day
    • Lays its eggs in clean, stagnant water
  • 15. Characteristics of Mosquito
    • Only the female Aedes mosquito feeds on blood because they need the protein found in blood to produce eggs
    • Male mosquitoes feed only on plant nectar
    • On average, a female Aedes mosquito can lay about 300 eggs during her life span of 14 to 21 days
  • 16. Characteristics of Mosquito
    • Anopheles Mosquito
    • Aedes Mosquito
  • 17. Life cycle of Aedes Mosquito Stagnant water 1-2 days Eggs Larvae Pupae 2-3 days 4-5 days
  • 18. Transmission of Dengue Fever
  • 19. Symptoms of Dengue Fever
    • Manifestation of Dengue Fever
    • Dengue Fever (DF)
    • Dengue Hemorrhagic Fever (DHF)
    • Dengue Shock Syndrome (DSS)
  • 20. Symptoms of Dengue Fever
    • Dengue Fever(DF)
    • Headaches
    • High grade fever
    • Swollen glands
    • Vomiting
    • Muscle joints pain
    • Positive tourniquet test
    • Basic symptoms in 90% of patients
    • Settles in two weeks
    Dengue Triad
  • 21. Symptoms of Dengue Fever
    • Dengue Hemorrhagic Fever(DHF)
    • All prev symptoms of Dengue Fever
    • Spontaneous bleeding
    • 9% of patient
    • Recover with hospital care
  • 22. Symptoms of Dengue Fever
    • Dengue Shock Syndrome (DSS)
    • Rapid pulse
    • Clammy cold skin
    • Drop in blood pressure
    • Abdominal pain
    • 1% of patients
    • Need ICU care
  • 23. Treatment of Dengue Fever
    • Treatment is purely concerned with relief of the symptoms:
    • Rest
    • Fluid intake for adequate hydration
    • Aspirin
    • NSAID
    • Acetoaminophen
    • Codeine
  • 24. Treatment of Dengue Fever
    • Chemeri Vax Dengue
    • A tetravalent vaccine
    • Uses Yellow Fever vaccine as base
    • 20% sero conversion
    • Still under research
  • 25. Prevention of Dengue Fever
    • Focus on vector control
    • Use mosquito nets, spray and repellent oil
    • Drain stagnant water sites
    • Use mosquito nets
    • Wear full clothes at dusk and dawn
    • Fumigation
  • 26. Prevention of Dengue Fever Public Awareness
  • 27. Facts about Dengue Fever
    • It is caused by a Virus
    • No specific medicine or antibiotic to treat it
    • Treatment is purely concerned with relief of the symptoms
    • Illness with fever and myalgias lasts about one to two weeks
    • DHF is a specific syndrome that tends to affect children under 10 years of age
    • Prevention of dengue fever req control or eradication of the mosquitoes carrying the virus
  • 28. Thank You

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