Home > District > Dengue, A Fever
Joint Director [Health Services]
District Head quarters Hospital
Nagapttinam 611 001
[4365]-242379

Deputy Director
District Head quarters Hospital
Nagapttinam 611 001
[4365]-242379

Deputy Director [TB]
District Head quarters Hospital
Nagapttinam 611 001
[4365]-242379
HELP LINE
24X7, TOLL FREE NO

104

Facilities

Help 108 Ambulancereaches the person within 20 minutes. It could be either a medical emergency, a fire emergency, or a crime being committed. The number 108 is a toll-free number and can be dialed from any phone, be it a mobile phone or a landline, at the time of an emergency, without any prefix or suffix.

108 Emergency Ambulance Service is a 24x7 service, which anyone can avail by dialling the number 108 on their phone during the case of any emergency.

AMBULANCE
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108

dengue - A fever

Symptoms

Symptoms vary depending on the severity of the disease.

Mild dengue fever

Symptoms can appear up to 7 days after being bitten by the mosquito that carries the virus.They include:

  • aching muscles and joints
  • body rash that can disappear and then reappear
  • high fever
  • intense headache
  • pain behind the eyes
  • vomiting and feeling nauseous

Symptoms usually disappear after a week, and mild dengue rarely involves serious or fatal complications.

Dengue hemorrhagic fever

At first, symptoms of DHF may be mild, but they gradually worsen within a few days. As well as mild dengue symptoms, there may be signs of internal bleeding.The patient may experience:

  • bleeding from the mouth, gums, or nose
  • clammy skin
  • damage to lymph and blood vessels
  • internal bleeding, which can lead to black vomit and feces, or stools
  • lower number of platelets in blood
  • sensitive stomach
  • small blood spots under the skin
  • weak pulse
Without prompt treatment, DHF can be fatal.
Dengue shock syndrome

DSS is a severe form of dengue. It can be fatal.Apart from symptoms of mild dengue fever, the person may experience:

  • intense stomach pain
  • disorientation
  • sudden hypotension, or a fast drop in
  • heavy bleeding
  • regular vomiting
  • blood vessels leaking fluid
Causes
  • There are four dengue viruses (DENV) that cause dengue fever. They are all spread by a species of mosquito known as Aedes aegypti, and more rarely by the Aedes albopictus mosquito.
  • The viruses jumped from monkeys to humans between 100 and 800 years ago, according to the CDC, but dengue remained a minor problem until the middle of the twentieth century.
  • Aedes aegypti originated in Africa, but nowadays it is found in tropical areas around the world, especially in and around areas of human population.
  • The virus is transmitted from an infected mosquito to a human. A mosquito bites a person who is infected with the dengue virus, and the virus is passed on when the mosquito bites someone else.
  • It it possible to have dengue fever more than once. A second infection carries a higher risk of developing a harsher form.
Diagnosis

The signs and symptoms of dengue fever are similar to some other diseases, such as fever and malaria. This can sometimes delay an accurate diagnosis. The doctor will assess the symptoms and the person's medical and travel history, and they may order some blood tests to confirm the diagnosis.

Treatment

Dengue is a virus, so there is no specific treatment or cure. However, intervention can help, depending on how severe the disease is. For milder forms, treatment includes:

  • Preventing dehydration: A high fever and vomiting can dehydrate the body. The person should drink clean water, ideally bottled rather than tap water. Rehydration salts can also help replace fluids and minerals.
  • Painkillers, such as Tylenol or paracetamol: These can help lower fever and ease pain.
  • Non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin or ibuprofen, are not advised, as they can increase the risk of internal bleeding.

More severe forms of dengue fever may need:
  • intravenous (IV) fluid supplementation, or drip, if the person cannot take fluids by mouth
  • blood transfusion, for patients with severe dehydration

Hospitalization will allow the patient to be properly monitored, in case symptoms worsen.

Prevention
  • No vaccine can protect against dengue fever. Only avoiding mosquito bites can prevent it.
  • Anyone who lives in or travels to an at-risk area can use a number of ways to avoid being bitten.
  • Clothing: Reduce the amount of skin exposed by wearing long pants, long sleeved shirts, and socks, tucking pant legs into shoes or socks, and wearing a hat.
  • Mosquito repellents: Use a repellent with at least 10 percent concentration of diethyltoluamide (DEET), or a higher concentration for longer lengths of exposure. Avoid using DEET on young children.
  • Mosquito traps and nets: Nets treated with insecticide are more effective, otherwise the mosquito can bite through the net if the person is standing next to it. The insecticide will kill mosquitoes and other insects, and it will repel insects from entering the room.
  • Door and window screens: Structural barriers, such as screens or netting, can keep mosquitos out.
  • Avoid scents: Heavily scented soaps and perfumes may attract mosquitos.
  • Camping gear: Treat clothes, shoes, and camping gear with permethrin, or purchase clothes that have been pretreated.
  • Timing: Try to avoid being outside at dawn, dusk, and early evening.
  • Stagnant water: The Aedes mosquito breeds in clean, stagnant water. Checking for and removing stagnant water can help reduce the risk.

To reduce the risk of mosquitoes breeding in stagnant water:

  • turn buckets and watering cans over and store them under shelter so that water cannot accumulate
  • remove excess water from plant pot plates
  • scrub containers to remove mosquito eggs
  • loosen soil from potted plants, to prevent puddles forming on the surface
  • make sure scupper drains are not blocked, and do not place potted plants and other objects over them
  • use non-perforated gully traps, install anti-mosquito valves, and cover any traps that are rarely used
  • do not place receptacles under an air-conditioning unit
  • change the water in flower vases every second day and scrub and rinse the inside of the vase
  • prevent leaves from blocking anything that may result in the accumulation of puddles or stagnant water
When camping or picnicking, choose an area that is away from still water.