Dengue Haemorragic Fever FG

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Dengue Haemorragic

Fever

DHF

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Dengue Haemorragic Fever

Dengue is a viral infection transmitted by mosquitoes,mainly the Aedes aegypti species.

 The virus is not contagious and cannot be spreaddirectly from person to person.  There must be a

person-to-mosquito-to-another-person pathway. Thevirus can decrease total human trombosit.

DHF is severe form of dengue . A secondattac by dengue virus of a di!erentserotype from the "rst infection.

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#$%&T'%#

#udden high fever ()*-+./0for 1 to 2 days

Headache &ain behind the eyes %uscle pain, 3oint pain, bone

pain (brea-bone fever0 After to 1 days of fever, the

patient develops initial rash withdiscoloured spots, oftendescribed as 45sles of white in a

sea of red6 #econd rash may develop topalms and soles, and sin maypeel o! (desquamate0 7 bodytemperature drops

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Diagnosis

o  Haemorrhagic tendency 8spontaneous bruising,bleeding from mucosa, gingiva, in3ection sites,vomiting blood or bloody diarrhea 9

o  Fever

o  Thrombocytopaenia 8:;;,;;; platelets per mm<9.

o  =vidence of plasma leaage 8rise in hematocritlevel > than 1;?9.

#erology (identi"cation of antibodies in the bloodserum0 7 polymerase chain reaction (&/@0 tocon"rm the diagnosis of dengue if clinicallyindicated.

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o speci"c antiviral treatment, only supportivetreatment is given to such patients. 5f the patient is dehydrating, adequate Buids are to

be taen. 5ntravenous Buid is administered if the patient is

unable to maintain oral intae.

For severe body ache, painillers may be needed. For severe headache and for 3oint and muscle pain,

acetaminophenCparacetamol and codeine may begiven.

5f there is signi"cant bleeding, blood or platelettransfusion will be carried out.

Note : Aspirin should be avoided as this drugmay worsen the bleeding tendency (becauseof its anticoagulant eects & the increasedrisk of developing Reye syndrome)

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There is currently no vaccineavailable for the dengue fever.

#T@AT=E5=# Individual roles. &eople are urged to

empty stagnant water from old tires,

trash cans 7 Bower pots. Mosquito control. &lace larvicide

e.g. Abate or any other suitableinsecticides into any eGposed watercontainer. se mosquito repellantsprays that contain DI or D==T.

Enforcement. Jocal authorities from%inistry of Health conduct on-sitechec 7 destroy larvae at residentialpremises 7 construction sites. Finesmay be imposed on the owner of

properties.

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Fogging with insecticide. Fogging would be carried out bylocal authorities in housing areawhere 1 or more cases of denguefever are reported within onewee.

Information. The %inistry of

Health carried out a ma3orcampaign against Aedes. Duringthe campaign free pacages ofAbate were distributed.JeaBets 7 brochures to informthe public on ways to prevent 7curb Aedes breeding aredistributed.

Awareness camaign. #chools

7 local communities areencouraged to carry outcommunal cleaning activities.&ublic awareness campaignsthrough strategically placedposters 7 televisionadvertisements are also done.

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The Way of Executing Mosquito

Breeding Site Eradication Program 

• Cleaning water containers 

• Covering water containers • Burying discarded containers 

• Other activities  such as changing water

regularly in flower pots and bird feedingcups, etc

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Tyical water containers in !ndonesia that

can "e otential "reeding lace for dengue

mosquitoes

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httpKCCms.wiipedia.orgCwiiCDemamLDenggi httpKCCen.wiipedia.orgCwiiCDengueLfever httpKCCwww.gov.myC%yEovCI5CDirectoryC/itiMenC/itiMe

nHealthCHealth&ersonalC/ommonDiseases httpKCClibrary.thinquest.orgC;2augC;N+Cdengue-

malaysia.html httpKCCwww.dph.gov.myCvetorCengCesLddLtahunan.ht

m httpKCCwww.infosihat.gov.myCisusemasa.phpOidP2 httpKCCwww.myhealth.gov.myCmyhealthCbmCtemplate.3s

pOshow%eP1Q7storyidP1)+2+112* httpKCCwonder.cdc.govCwonderCprevguidCp;;;;)2)Cp;;

;;)2).asp httpKCCwww.who.intCcsrCdiseaseCdengueCenCindeG.html

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 Thans for attention

Assalamu alai!um "."