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*******************Dengue Mech
anism*********************
Mechanism:
When a mosquito carrying dengue virus bites a person, the virus enters the skin together with the mosquito's saliva. It binds to and enters white blood cells, and reproduces inside the cells while they move throughout the body. The white blood cells respond by producing a number of signaling proteins, such as interferon, which are responsible for many of the symptoms, such as the fever, the flu-like symptoms and the severe pains. In severe infection, the virus production inside the body is greatly increased, and many more organs (such as the liver and the bone marrow) can be affected, and fluid from the bloodstream leaks through the wall of small blood vessels into body cavities. As a result, less blood circulates in the blood vessels, and the blood pressure becomes so low that it cannot supply sufficient blood to vital organs. Furthermore, dysfunction of the bone marrow leads to reduced numbers of platelets, which are necessary for effective blood clotting; this increases the risk of bleeding, the other major complication of dengue fever.
*********************Prevention***************************
1) Advocacy, social mobilization and legislation to ensure that public health bodies and communities are strengthened,
2) collaboration between the health and other sectors (public and private),
3) an integrated approach to disease control to maximize use of resources,
4) evidence-based decision making to ensure any interventions are targeted appropriately and
5) capacity-building to ensure an adequate response to the local situation.
****************4S Strategy against dengue*****************
1. Search and Destory:
Breeding places of dengue-causing mosquitoes like flower pots, vases, discarded plastic bags, bottles, old tires, cans, roof gutters, water drums, and other containers that might hold clean stagnant water. Preventing dengue can be easier achieved by doing your part in keeping the environment clean. Make sure all water containers are kept covered.
2. Self protection measures:
Wear full sleeves and avoid dark colored clothes as dark cloth attract mosquitoes. Apply mosquito repellant on the skin to deter mosquito bites. P
parents are cautioned against using strong repellants on small children because of potentially harsh chemicals. You can also use mosquito coils, electric vapour mats and mosquito spray during the daytime. Screens and mosquito nets are also good deterrents against mosquitoes.
3. Seek early consultation:
Dengue is crucial. See a doctor immediately if you show early signs and symptoms of dengue.
4. Say no to indiscriminate fogging:
In the past, fogging was considered as a temporary solution against dengue-carrying mosquitoes. At present, fogging is only advisable and recommended when outbreaks and epidemics are positively determined in a particular area. Fogging can only kill the adult infected mosquito; it cannot get rid of the larvae, locally known as kiti-kiti. Indiscriminate fogging will only drive away other mosquitoes to other places to find new breeding grounds.