Philippines: dengue cases exceed 40,000 in the first half of 2019



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The Philippines Ministry of Health (DOH) announced that 40,614 cases of dengue fever had been recorded by March 2, a significant increase over 2018.

Image / Howard the duck
Image / Howard the duck

The total is 16,383, up 68 percent from the same period last year, according to health officials.

The Ministry of Health (DOH) urged the public to observe best practices for storing water to prevent the spread of mosquito vectors of dengue despite the shortage of water.

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"Mukhang lolobo ang kaso ng the dengue About us Contact us for more information on this topic (Cases of dengue fever may increase, so we ask those who store water from [their containers] with plastic, close the lid of the containers, "said Friday the Secretary of Health, Francisco Duque III.

Dengue fever is a viral infection transmitted by the bite of an infected mosquito. There are four closely related but antigenically different virus serotypes that can cause dengue fever (DEN1, DEN 2, DEN 3, DEN 4).

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    • Dengue fever (DF) – characterized by the sudden onset of high fever, severe headache, pain behind the eyes and pain in the muscles and joints. Some may also have a rash and varying degrees of bleeding in various parts of the body (including the nose, mouth and gums or bruises on the skin). Dengue fever has a broad spectrum of infection (asymptomatic to symptomatic). Symptomatic illness may range from dengue fever (DF) to more severe dengue fever (DH).
    • Dengue haemorrhagic fever (DHF) – is a more serious form, observed only in a small proportion of infected persons. DHF is a stereotypical disease characterized by 3 phases; febrile phase with high fever continues usually less than 7 days; critical phase (plasma leakage) lasting 1 to 2 days, usually apparent when the fever drops, causing shock if not detected and treated promptly; convalescence phase lasting 2 to 5 days with improvement in appetite, bradycardia (slow heart rate), convalescent rash (white plaques on a red background), often accompanied by generalized itching (more intense in palms and soles of the feet) and diuresis (increased urinary output).
    • Dengue shock syndrome (DSS) – Shock syndrome is a dangerous complication of dengue fever and is badociated with high mortality. Severe dengue occurs as a result of a secondary infection with a different viral serotype. Increased vascular permeability, badociated with myocardial dysfunction and dehydration, contributes to the occurrence of shock resulting in multiorgan failure.

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