Saturday, 10 November 2012

How to prevent, treat dengue - Sobiya N. Moghul, Health Me Up

With more and more dengue cases cropping up in the country the Indian government has sprung into action to eradicate mosquitoes and educate Indian masses about dengue prevention. 

But till the time the circulars reach you, we help you with preventionand treatment of this Break Bone Disease, a fever that may last 2-7 days of the mosquito bite (sometimes with two peaks).

Symptoms

Sudden fever , which may go up to 39.5-41.4°C. It lasts for about 1-7 days, then fades away for 1-2 days. Fever is usually accompanied by headache in front portion of head or behind the eyes

Nausea and vomiting

Loss of appetite

Increased sensation to touch

Change in taste sensation

Symptoms maybe milder in children than in adults

Treatment

There is no specific medication for treatment of a dengue infection. Persons who think they have dengue should use analgesics (pain relievers) with acetaminophen and avoid those containing ibuprofen, Naproxen, aspirin or aspirin containing drugs. They should also rest, drink plenty of fluids to prevent dehydration, avoid mosquito bites while febrile and consult a physician.

Prevention

Water from flower pots should be changed at least once a week

All containers storing water should be covered with a tight lid

Water stored in barrels, drums etc should be replaced by fresh stock (at least) once a week

All large water tanks, like those in buildings, should have single piece cast iron, tight fitting cover.

A suitable ladder should be provided to enable civic staff to climb and examine the tanks at frequent intervals.

The overflow pipe should be protected by a net that can keep away mosquitoes.

Discarded container-like objects like tyres, coconut shells, bottles, etc should be disposed off or destroyed.

Water fountains should be kept dry once a week

Surface wells should be well-maintained so that mosquitoes do not breed in the vicinity

Rain water collected on terraces/roofs should be cleared (at least) once a week

Signs of Recovery

Stable pulse, blood pressure and breathing rate

Normal temperature

No evidence of external or internal bleeding

Return of appetite

No vomiting

Good urine output

What Not To Do

Do not wait in case the above symptoms appear. Immediately consult a doctor. It is crucial to quickly get treatment in case of these complications.quickly get treatment in case of these complications.

Avoid giving blood transfusion unless indicated, reduction in haematocrit or severe bleeding.

Avoid giving steroids. They do not show any benefit.

Do not use antibiotics.

Prevention

Water from flower pots should be changed at least once a week

All containers storing water should be covered with a tight lid

Water stored in barrels, drums etc should be replaced by fresh stock (at least) once a week

All large water tanks, like those in buildings, should have single piece cast iron, tight fitting cover.

A suitable ladder should be provided to enable civic staff to climb and examine the tanks at frequent intervals.

The overflow pipe should be protected by a net that can keep away mosquitoes.

Discarded container-like objects like tyres, coconut shells, bottles, etc should be disposed off or destroyed.

Water fountains should be kept dry once a week

Surface wells should be well-maintained so that mosquitoes do not breed in the vicinity

Rain water collected on terraces/roofs should be cleared (at least) once a week.

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