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Dengue update
India
healthysoch.com
New Delhi, October 10, 2019 ;
• Even if the world can meet the goals of the Paris Climate Change Agreement, we can expect 8.8 million more cases of dengue fever each year in Latin America and the Caribbean alone.
• And if the planet warms half a degree more than the goals of the Paris agreement, it is possible to see 500,000 additional cases.
• Climate change has created the conditions for the transmission of dengue at higher elevations
• In the Himalayan Mountains, atmospheric temperatures have been increasing by an average of 0.2 degrees Celsius per decade.
• Ideal temperature range for Aedes aegypti is 20 degrees to 30 degrees Celsius.
Simple Dengue fever:
- Most common; usually self-limiting
- Visit your doctor
- No hospitalization needed as no capillary leakage * Rise in hematocrit by more than 20%
- Oral fluids (100 mi/hour) sufficient; intravenous ¢ Platelet count less than 20,000
Severe Dengue:
- Persistent vomiting / nausea / extreme exhaustion or lethargy / dizziness / persistent abdominal pain / mental confusion
- Capillary leakage occurs
- Rising hematocrit along with rapid fallin platelet count
- Close daily observation required
- Drink 1500 mi of fluids (20 ml/kg) immediately followed by 150 ml/hour; than 10,000
- Patients must pass urine once in 4 hours
