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West Java: Be careful, the Variant of Dengue Fever raged!

Commonground

Senior Moderator
Karawang, West Java, Indonesia
map: http://tinyurl.com/4ngovu

Be careful, the Variant of Dengue Fever raged!
SABTU, 19 APRIL 2008 | 09:45 WIB

Villagers Walahar, Kecamatan Klari, of Karawang, was appealed to more was on the alert.
Because, the death of four children the Village of Walahar Ii, Desa Walahar, of Klari, for the last month it was suspected was caused by the variant attack of the more raging dengue fever virus.
This assumption was brought forward by Section Head Kesehatan of the Karawang Regency, Asep Lukman Hidayat.

"From information of casualties's family, we suspected that not only DBD, but the variant of the more raging virus, that is dengue fever shock syndrome [DSS]," said the smoke to the Kota News, on Friday (18/4)
The variant of this dengue fever virus, continued the smoke, made the sufferer experience the hot sign high was accompanied vomited blood and the blood excrement in the relatively short time.
Counted from the start of the sign attacked, this virus only needed time around five days to make his casualties be not powerful.
"Just needed five days, the sufferer could at once be unconscious and his excrement was black because of having the bleeding in the organ in.
If immediately was not handled, could cause the death,"
he said.
This DSS virus attack, continued the smoke, entered the dangerous category and deadlier compared to DBD normally.
Equally his matter with DBD, this kind virus was also spread through the mosquitoes bite aedes aegypti.


These mosquitoes could it was known fly in a radius of 200 metre.
This mosquitoes kind could only develop in the area that his height below 1.000 metre from the surface of sea water.
These mosquitoes precisely developed in the clean environment, not in the dirty environment.
Although the Klari Subdistrict territory was the endemic area, but the smoke stated, the incident in this Walahar Village was the sporadic incident.
For three years beforehand had never been identified the existence of the incident like that in this village.
Several endemic DBD areas in the Karawang territory apart from Klari among them were the Telukjambe Subdistrict, Karawang Kota, and Cikampek.
According to the smoke, tren the DBD sufferer in the Karawang Regency from the start of 2008 to mid April tended to descend.
"From beginning in January 2008 to mid April already 206 patients that suspect DBD. Whereas during the same period in 2007 achieved 560 cases," he revealed.
"Therefore, our resident appealed to continue to revive the movement of the eradication of the mosquitoes nest (PSN) with 3 M., that is drained-closed and buried plus abitasi with giving of the powder abate in order to interrupts the mosquitoes life-cycle," added the smoke.

http://www.kompas.com/index.php/read/xml/2008/04/19/09452479/awas.varian.dengue.mengganas
 
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Re: West Java: Be careful, the Variant of Dengue Fever raged!

[More info on the victims in Karawang; date is the 17th]

One from three Korban Meninggal in Karawang Positif DBD
KAMIS, 17 APRIL 2008 | 19:52 WIB

One from three villagers Walahar, Kecamatan Klari, of Kabupaten Karawang, West Java, that died in a last week it was confirmed suffered dengue fever dengue fever (DBD).
The results were known from the sample of blood that in the test in the laboratory.
The executive of the control program of DBD Dinas Kesehatan Karawang, Dadang Wahyudin, on Thursday (17/4) said, the cause of the death of two other casualties still could not be ascertained although having the sign of the illness yan g same.
The three of them suffered the high fever, the red spot on skin, as well as vomited and defecated blood.
They in part Fera Setiawan Bin Healthy (12), Taufik Nurohman bin Ata (11), as well as Suhanda bin Sutono (3).
Fera died on Monday (14/4) after treated a day in the hospital.
Whereas Taufik died on Wednesday night (16/4) struck 20,00 and Suhanda on Thursday (17/4) struck 08,00.
The serology test was on the sample of Fera blood stated positive DBD. Sedangkan two other was not yet known because of not having the sample of blood and the report from the hospital, he said.
The death of three children in succession that made the resident of the Village of Walahar Ii concerned and frightened.
Because currently, several residents in the area still were treated in the hospital with the sign of the same illness.
Since emerging the sign of the fever until dying only around 4-5 days.
Several children who died that initially was not seen was sick, but his condition descended drastic in 4 days, said Agus (36), villagers Walahar.


http://www.kompas.com/index.php/rea...tiga.korban.meninggal.di.karawang.positif.dbd
 
Re: West Java: Be careful, the Variant of Dengue Fever raged!

Dengue Fever

Dengue and dengue hemorrhagic fever (DHF) are acute febrile diseases, found in the tropics, with a geographical spread similar to malaria. Caused by one of four closely related virus serotypes of the genus Flavivirus, family Flaviviridae, each serotype is sufficiently different that there is no cross-protection and epidemics caused by multiple serotypes (hyperendemicity) can occur. Dengue is transmitted to humans by the mosquito Aedes aegypti (rarely Aedes albopictus).
signs and symptoms of dengue fever

dengue fever is manifested by a sudden onset of fever, with severe headache, joint and muscular pains (myalgias and arthralgias, severe pain gives it the name break-bone fever) and rashes; the dengue rash is characteristically bright red, petechia and usually appears first on the lower limbs and the chest - in some patients, it spreads to cover most of the body. There may also be gastritis with some combination of associated abdominal pain, nausea, vomiting or diarrhea.
Some cases of dengue fever develop much milder symptoms, than can, when no rash is present, be missdiagnosed as a flu or other viriasis. This is the cause of some travelers from tropical areas passing through denge in their home countries without being properly diagnosed.
The classical dengue fever lasts about six to seven days with a smaller peak of fever at the trailing end of the fever (the so-called "biphasic pattern"). Clinically, the platelet count will drop until the patient is afebrile.
Cases of DHF also shows higher fever, haemorrhagic phenomena, thrombocytopenia and haemoconcentration. A small proportion of cases leads to dengue shock syndrome (DDS) which has a high mortality rate.
diagnosis of dengue fever

The diagnosis of dengue is usually made clinically. The classical picture is of high fever with no localising source of infection, a petechial rash with thrombocytopenia and relative leukopenia.
Serology and PCR (polymerase chain reaction) studies are available to confirm the diagnosis of dengue if clinically indicated.

dengue fever treatment

The mainstay of treatment is supportive therapy. The patient is encouraged to keep up oral intake, especially of oral fluids. If the patient is unable to maintain oral intake, supplementation with intravenous fluids may be necessary to prevent dehydration and significant hemoconcentration. A platelet transfusion is indicated if the platelet level drops significantly.


http://www.symptoms101.com/med/archives/2005/05/dengue_fever.php
 
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