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Dengue is a homonym of African word ki blood of the patient, after extrinsic incubation period
denga pepo , a mosquito borne emerging viral of 8 to 10 days, it will be capable of donating disease
zoonoses primarily urban illness showing to a susceptible host. Once infected mosquito bites
cosmopolitan spread. Besides typical form of the a person, after 3 to 14 days there will be sudden
disease, occurrence of dengue haemorrhagic fever onset of signs like fever, headache, rashes, anorexia,
(DHF) and dengue shock syndrome (DSS) have malaise, nausea and vomiting. Viraemia persists for
reported word wide. During 1996 ever reported about a period of a week. Vertical transmission is
severe outbreak was noticed in Delhi with 10252 seen in mosquitoes, too (Kuno, 1995).
recorded cases and 423 deaths. Till date more than The pathogenesis of the dengue fever is poorly
80 epidemics have been observed from among 16 understood, however, the knowledge gained can be
states / Uts of India, where cyclical epidemics summarized in Figure-1.
recorded every year with the presence of multiple Resurgence of infection is likely in gangue infection
serotypes of the virus. due to the following factors:
The infection is caused by a virus of genus 1. Human population explosion
Flavivirus belonging to family Flaviviridae, having 2. Unplanned urbanization
4 potential pathogenic serotypes as DEN-1, DEN-2, 3. Inadequate waste management and water supply
DEN-3 and DEN-4 (Pal, 2007). The virus infects 4. Increased mosquito population
human and primates. Vertical transmission from 5. Increase in the movement of virus
mother to child is reported in Bangladesh (Ahmed, To make diagnosis of the disease number of
2003). The studies conducted in Africa and Malaysia diagnostic tools are available viz., blood picture, liver
demonstrated monkey as likely reservoir hosts for function tests, stool examination, haemagglutination
the infective agent (Monath, 1994). Dengue fever if inhibition test, compliment fixation test, neutralizing
transmitted by Aedes aegypti mosquito. During test, IgG ELISA, IgM capture ELISA etc.
acute febrile phase, if female mosquito sucks the Dengue infection is required to be differentiated
Dengue infection
Þ
Anibody formation
Þ Þ
Re-infection
Shock
Þ
Sever bleeding
Þ Death
from disease like Influenza, Infectious Hepatitis, people regarding etiology, transmission, common
Rubella infection, Leptospirosis, Meningoccocemia, signs of dengue, danger, vector through various
Malaria, Rickettsial infections etc. media sources vis., Television. Radio, News papers,
Strategic measures useful in prevention and Hand bills, Cinema, Slide shows etc.
control of dengue infection 5. Chemical Control
1. Personal prophylaxis a. Use chemical larvicides in breeding places of
a. Use mosquito repellents like cream, liquids, mosquitoes
coils, mats etc. b. Aerosol sprays during day time
b. Wear full sleeve shirts and full pants with socks 6. Biocontrol
c. Use bed nets while going to sleep a. Use larvivorous fishes in ornamental tanks,
2. Source reduction methods for mosquito fountains etc.
control b. Use of biocides
a. Detect and eliminate mosquito breeding places References
b. Cover stored water 1. Ahmed S. (2003): Southeast Asian J. Trop.Med.
c. Reliable water supply Public Health 34: 800-803.
d. Observe weekly dry day 2. Grover,M., Kaskhedikar, M., Chhabra, D and
3. Community participation: Sensitize and involve Arora, S.(2007): Veterinary World. 6(2):
3. Kuno G. (1995): Epidemiol. Rev. 2 : 321-335.
community for detection and elimination of breeding 4. Monath T.P. (1994): Semin. Virol. 5 : 133-145.
places for Aedes mosquitoes. 5. Pal M. (2007): Zonoses. 2nd ed., Satyam
4. Health Education: Impart knowledge to common Publishers,Jaipur, India. p.34.
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