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DENGUE
(Break bone fever)
Lecture Prepared by: Dr. Ayesha Tahir
At the end of lecture the students will :
• Know about the Dengue fever
• Its Epidemiology
• Diagnosis
• Prevention
DENGUE FEVER IN PAKISTAN
• On 15th September 2011, seven patients lost their lives
while 5,500 Dengue cases were confirmed in Punjab
only.
HOW DID DENGUE REACHED
PAKISTAN?
• Through the import of tiers from Thailand and
Afghanistan.
• By the transport of NATO containers.
LARVA OF AEDES AEGYPTI
EPIDEMIOLOGY
• Dengue remained a relatively minor, geographically restricted
disease until the middle of the 20th century.
• The coincidental transport of Aedes mosquitoes around the
world in cargo are thought to have played a crucial role in the
dissemination of the viruses.
• The first reported epidemic of Dengue Fever occurred in
1779-1780 in Asia, Africa and North America.
• Worlds largest known epidemic of DHF/DSS occurred in
Cuba in 1981, with more than 116,000 persons hospitalized
and as many as 11,000 cases reported in a single day.
INTRODUCTION
• Dengue fever, also known as break bone fever, is a
mosquito-borne viral infection that causes a severe flu-like
illness.
• The virus is transmitted by female mosquitoes mainly of the
species
• Aedes aegypti and
• to a lesser extent A. albopictus.
TRANSMISSION
• The female infected Aedes aegypti mosquito is the primary
vector for transmitting dengue viruses.
MOSQUITO
• The Aedes aegypti mosquito lives in urban habitats and
• Lays its eggs in clean stagnant water
DENGUE VIRUS
• There are 4 distinct, but closely related, serotypes of the
virus that cause dengue
• DEN-1,
• DEN-2,
• DEN-3 ,
• DEN-4.
DENGUE FEVER VIRUS
DENGUE VIRAL INFECTION
• Dengue viruses are capable of infecting and causing
diseases.
• These infections may be symptomatic or may lead to
• CLASSICAL dengue fever
• Dengue hemorrhagic fever without shock
• Dengue hemorrhagic fever with shock
DHF
• This can cause:
• Bleeding from the nose and mouth
• Severe abdominal pain
• Persistent vomiting
• Bleeding under the skin, which might look like bruising
• Problems with your lungs, liver and heart
DIAGNOSIS
• The virus is present in the blood during febrile stage.
• It can be isolated from blood by serology test.
• Tests that may be done to diagnose this condition include:
• Antibody titer for dengue virus types
• Complete blood count (CBC)
• Polymerase chain reaction (PCR) test for dengue virus
types
• Liver function tests
TREATMENT
• There is no specific treatment for dengue fever.
• For severe dengue, medical care by physicians and nurses
experienced with the effects and progression of the
disease can save lives.
• For typical dengue, treatment is purely concerned with
the relief of symptoms.
• If you start to feel worst in the next 24 hours after the
fever subsides , rush to the hospital for complications to
be checked.
IMMUNIZATION
• There is no vaccin for dengue because it’s a viral
infection.
PREVENTIVE MEASURES
Refrences
• www.who.in
• www.webmd.com
• www.medicinet.com
Dengue

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Dengue

  • 1.
  • 2. DENGUE (Break bone fever) Lecture Prepared by: Dr. Ayesha Tahir
  • 3. At the end of lecture the students will : • Know about the Dengue fever • Its Epidemiology • Diagnosis • Prevention
  • 4. DENGUE FEVER IN PAKISTAN • On 15th September 2011, seven patients lost their lives while 5,500 Dengue cases were confirmed in Punjab only.
  • 5. HOW DID DENGUE REACHED PAKISTAN? • Through the import of tiers from Thailand and Afghanistan. • By the transport of NATO containers.
  • 6. LARVA OF AEDES AEGYPTI
  • 7. EPIDEMIOLOGY • Dengue remained a relatively minor, geographically restricted disease until the middle of the 20th century. • The coincidental transport of Aedes mosquitoes around the world in cargo are thought to have played a crucial role in the dissemination of the viruses. • The first reported epidemic of Dengue Fever occurred in 1779-1780 in Asia, Africa and North America. • Worlds largest known epidemic of DHF/DSS occurred in Cuba in 1981, with more than 116,000 persons hospitalized and as many as 11,000 cases reported in a single day.
  • 8.
  • 9. INTRODUCTION • Dengue fever, also known as break bone fever, is a mosquito-borne viral infection that causes a severe flu-like illness. • The virus is transmitted by female mosquitoes mainly of the species • Aedes aegypti and • to a lesser extent A. albopictus.
  • 10. TRANSMISSION • The female infected Aedes aegypti mosquito is the primary vector for transmitting dengue viruses.
  • 11.
  • 12. MOSQUITO • The Aedes aegypti mosquito lives in urban habitats and • Lays its eggs in clean stagnant water
  • 13.
  • 14. DENGUE VIRUS • There are 4 distinct, but closely related, serotypes of the virus that cause dengue • DEN-1, • DEN-2, • DEN-3 , • DEN-4.
  • 16. DENGUE VIRAL INFECTION • Dengue viruses are capable of infecting and causing diseases. • These infections may be symptomatic or may lead to • CLASSICAL dengue fever • Dengue hemorrhagic fever without shock • Dengue hemorrhagic fever with shock
  • 17.
  • 18. DHF • This can cause: • Bleeding from the nose and mouth • Severe abdominal pain • Persistent vomiting • Bleeding under the skin, which might look like bruising • Problems with your lungs, liver and heart
  • 19.
  • 20. DIAGNOSIS • The virus is present in the blood during febrile stage. • It can be isolated from blood by serology test. • Tests that may be done to diagnose this condition include: • Antibody titer for dengue virus types • Complete blood count (CBC) • Polymerase chain reaction (PCR) test for dengue virus types • Liver function tests
  • 21. TREATMENT • There is no specific treatment for dengue fever. • For severe dengue, medical care by physicians and nurses experienced with the effects and progression of the disease can save lives. • For typical dengue, treatment is purely concerned with the relief of symptoms.
  • 22. • If you start to feel worst in the next 24 hours after the fever subsides , rush to the hospital for complications to be checked.
  • 23. IMMUNIZATION • There is no vaccin for dengue because it’s a viral infection.
  • 25.
  • 26.
  • 27.