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The number of patients was only 184 in May but increased to 1,796 in June
Tahmeed Mehbub, aged 4 and a half, admitted to a private hospital in Dhaka on July 14 with high fever and body pain, was diagnosed with dengue fever.
Less than a day after admission, his condition deteriorated rapidly and he developed breathing difficulties. Doctors said that there was pulmonary edema, a condition caused by excess fluid in the lungs.
He was sent to the Pediatric Intensive Care Unit (PICU) where he was treated until Sunday, before being transferred to a cabin.
"It was terrible, our son is still in critical condition, we have taken quick and timely action and we have been able to save him, and we have been fortunate to be able to cope, but there are many who have less The government should announce the epidemic outbreak now, with more awareness campaigns, "said Shahed Mehbub, father of Tahmeed.
He added that the six beds of the USIP are now occupied by dengue patients and that the hospital's blood bank is still filled with medical badistants looking for blood and blood. donors to save the victims.
Tahmeed is one of the patients that the doctors managed to save with difficulty.
Dhaka hospitals are struggling to cope with the increasing flow of dengue patients. The number of patients admitted to various hospitals in the country has exceeded 6,500 in the last seven months.
According to data from the Directorate General of Health Services (DGSS), from 1 January to 21 July, 6,544 people were admitted to various public and private hospitals infected with the dengue virus.
Currently, 1,558 patients are undergoing treatment, sources at the DGSS Emergency Operations Center and Control Room said.
The number of patients was only 184 in May but increased to 1,796 in June.
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– Dhaka hospitals full of dengue patients. 4,500 people reached this month alone – More than 6,500 people infected, five die. Unofficial death figures kill more than 20 people in 7 months – HC says it's nothing less than an epidemic – Killer insecticides less effective against mosquitoes – WHO calls the situation worrying |
In the first 21 days of July, the number of patients was 4,333, almost 2.5 times more than last month.
Unofficial records indicate that the number of people infected is much higher, with more than 20 deaths in various hospitals.
Dengue, a virus transmitted by mosquitoes, spreads in humans when an infected Aedes mosquito bites them. The disease has no known treatment or vaccine yet.
The High Court on July 17 said that the situation of dengue fever in the capital was nothing less than an epidemic.
21 to 22 people, including children, reportedly died and hundreds of other dengue victims, a high court of judges FRM Nazmul Ahasan and KM Kamrul Kader criticized the two guilds of the city for have not taken appropriate action even after an order has been issued by the court in this regard.
Crammed Hospitals
Most hospitals in Dhaka are now crowded with dengue patients while doctors in many hospitals are struggling to manage the flow of new patients.
If this continues, the numbers could exceed the record of last year, they feared.
The doctors said the government should announce right now that there is an epidemic to inform people of the real seriousness of this public health crisis.
Liza Akhter, mother of a patient from the Holy Family Hospital, was worried. They spent 50,000 Tk last month on the treatment of their daughter, who broke through 80,000 Tk this month.
"I have other children who could also be infected. How can a person treat a family of four? She asked, asking the government to make the treatment of dengue free for everyone.
Dr. Edwin Salvador, Acting Representative of the World Health Organization (WHO) in Dhaka, believes that the situation of dengue in Bangladesh is indeed alarming.
Salvador said that the number of dengue patients is increasing, as are the number of tiny suspects: mosquitoes.
The situation is deteriorating and it will turn into an epidemic if the trend continues, he added.
The doctors say that the country is suffering this year a worse than usual attack of dengue, potentially fatal, while the structure of symptoms changes.
Previously, symptoms were considered high fever, rash and vomiting. Now, new symptoms such as loose movements, pneumonia and kidney failure have appeared.
Mahmudur Rahman, former director of the Institute for the Control and Research of Epidemiological Diseases (IEDCR), said the dengue virus was changing, which partly explains the severity of the disease. dengue epidemic this year.
Previously, there were two types of dengue virus in Bangladesh and in other countries in this region, but in the last two years a third type of virus has affected the population, he said. .
He advised patients to see a doctor immediately if they have symptoms of dengue fever.
The virus affects vital organs such as the liver, kidneys and heart, making patients more vulnerable, he added.
Lutful Ehsan Fatmi, head of the Department of Child Health at the Holy Family Hospital, said that the number of dengue patients was increasing daily and that it had become so alarming that the hospital had to open a new section to treat dengue.
"It's certainly an epidemic," he said, adding that many infected people at a time fit the definition of an epidemic.
Ineffective insecticides
According to a recent study, most of the insecticides used by the city's two guilds in the capital have proved ineffective against Aedes Aegypti.
Mohammad Shafiul Alam, a researcher at the International Center for Diarrheal Disease Research in Bangladesh (icddr, b) who conducted the survey, said he found mosquitoes in Dhaka totally resistant to Permethrin, the main insecticide used by mosquitoes. companies in the city of Dhaka.
Sources from both of the city's corporations said they knew about the study and tried to change the insecticide, but bureaucratic procedures prevented any immediate change.
Cases likely to increase
Ayesha Akther, Deputy Director of the DGHS Control Room, said dengue fever is likely to increase during the rainy season from July to August.
She reported monitoring symptoms such as high temperature (over 100 degrees Celsius), severe headache, pain behind the eyes, nausea, vomiting, swollen glands, muscle and joint pain, and rash. .
Dr. Azharul Islam Khan, head of the icddr, b hospitals, told Dhaka Tribune that the CBC (Full Blood Cell) tests should be performed on dengue patients twice a day because the number of platelets can drop drastically.
"The platelet count of a patient may not be life threatening in the morning, but in the evening. That's why CBC testing should be done twice a day, "he said. He also said patients should not take painkillers without consulting a doctor and should wait at least six hours between doses of paracetamol, he said.
Dhaka an ideal breeding ground
Areas with stagnant water, plastic and metal buckets, discarded tires, plastic cups and drums, flowerpots, clay and paint pots and water tanks. 39 water left open and uncovered are potential nurseries for mosquitoes in Dhaka.
An investigation conducted by the Division of Disease Control of the DGHS revealed between March 3 rd and 12 th that certain areas under the jurisdiction of Dhaka North City City Corporation (DNCC) and the Dhaka South City City Corporation ( DSCC) are ideal breeding grounds for the Aedes mosquito.
Tejgaon, Turag, Pallabi, Magbazar, Uttara, Gulshan, Banani, Kafrul, Khilgaon, Rampura, Mirpur, Pirerbagh, Mohammadpur, Shewrapara, Kazipara, Banani, Kazipara, Banani and Baridhara under the authority of the DNCC have been identified as vulnerable.
Under the jurisdiction of the DSCC, Dayaganj, Narinda, Swamibag, Gendaria, Dhakkine Mugdapara, Basabo, Maniknagar Biswa Road, She-Bangla Nagar, Hazaribag, Moghbazar, Ramna, Segunbagicha, Shahbag, Farashganj, Syampur and Uttar Jura
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