Dengue: a suspect case in Martinique



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The ARS has prepared a first epidemiological report on dengue fever in Martinique. If the virus has not been formally identified yet, the health authorities are on alert.

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RCI | the

In an epidemiological bulletin issued this afternoon, the Regional Health Agency reports suspicions concerning a case of dengue fever in Martinique. This case is undergoing biological confirmation.

The health authorities are now on alert given the situation in Guadeloupe and Saint-Martin. In these two islands there are currently 6 cases of dengue confirmed biologically.

Dengue fever is characterized by a high fever (39-40 ° C) with a sudden onset of progression lasting less than 10 days and at least one of the following signs: pain syndrome (headache, arthritis, myalgia, lumbago) retro-orbital pain and fatigue.

In our region, dengue fever circulates in the Caribbean, mainly in Cuba (where the serotype DENV-2 has been identified), Haiti, the Dominican Republic, Grenada, St. Lucia and St. Martin in Dutch part. In Brazil, the four serotypes circulate. In Guyana, the situation is calm.

Prior to October 2018, the last confirmed indigenous cases occurred in August 2016 for Martinique.

In the coming weeks, an intensification of viral circulation is possible. Indeed, the serotype DENV-1, which has recently been identified in Guadeloupe, has not circulated since the major epidemic of 2009-2010.

In addition, in this rainy season, the proliferation of vectors is expected which accentuates the risk of installation of a local transmission chain. The evolution of the situation is to be followed carefully.

Health professionals (doctors, biologists) must detect, confirm and report as soon as possible new cases of dengue to enable the implementation of rapid and appropriate management measures.

Dengue, chikungunya and Zika are arboviruses transmitted by the Aedes mosquito (Ae aegypti) which represents a constant threat to the West Indies. It is a domestic mosquito that reproduces mainly in small collections of clear water, indoors or
around homes.

Individual prevention is therefore essentially based on the means of protection against mosquito bites (repellents in sprays or creams, coils, electric diffusers, long clothes, mosquito nets).

Collective prevention is based on the fight against vector and social mobilization.

The mobilization of everyone can reduce the risks at the individual but also collective by reducing the density of mosquitoes. Without the support of the population, the actors of the vector control could not cope.

To prevent the spread of arboviruses, it is imperative to:

• Fight against breeding sites (containers, saucers, P-tires),
• Protect yourself against the mosquito to avoid bites,
• Seek medical advice promptly if symptoms occur that may suggest
a disease transmitted by mosquitoes (fever even moderate, muscular pains
or articular, etc.).

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