Mumbai.Day and Night Medical stores, Pathology Centrers

MRI Scan Centres

Bhatia Hospital (Tardeo)

Phone : 2381-1286

Bombay Hospital (Marine Lines)

Phone : 2206-7676

Breach Candy Hospital (B. Desai Road)

Phone : 2363-3651

Hinduja Hospital (Mahim)

Phone : 2445-2222

Jaslok Hospital (Peddar road)

Phone : 2493-3333

Nanavati Hospital (Vile Parle W)

Phone : 2618-4389

CT Scan Centres

Bombay Hospital (Marine Lines)

Phone : 2206-7676

Breach Candy Hospital (B. Desai Road)

Phone : 2363-3651

Jaslok Hospital (Peddar road)

Phone : 2493-3333

K.E.M. Hospital (Parel)

Phone : 2413-9477

N.M. Medical

Phone : 2363-3520

Nair Hospital (Mumbai Central)

Phone : 2308-1491

Nanavati Hospital (Vile Parle W)

Phone : 2618-4389

Tata Memorial Hospital (Parel)

Phone : 2416-1413

EEG Centres

K.E.M. Hospital (Parel)

Phone : 2413-9477

Sushrusha Hospital (Dadar)

Phone : 2444-9161

Day & Night Chemists

Royal Chemists (Marine Lines)
Imported Medicines

Phone : 2205-7921 / 2205-7896

Bombay Hospital (Marine Lines)
Dilip Drug House,
(c/o Nanavati Hospital, (Vile Parle W)

Phone : 2206-7676 / 2618-2255 Extn. 57

Empire Chemists (Vile Parle W)

Phone : 2612-0186

Kalpesh Medical (Malad)

Phone : 2840-4418

Khar Medical Store (Khar)

Phone : 2646-1329

Milan Medical (Ghatkopar)

Phone : 2515-2727

National Chemist (Mahim)

Phone : 2445-1608

Nobel Chemist (Santacruz)

Phone : 2649-4746

Nobel Chemist (Girgaon)

Phone : 2385-3130

Nobel Chemist (Ghatkopar)

Phone : 2515-3260

Nair Medico (Mumbai Central)

Phone : 2309-1186

Dinesh Medical Stores & General Stores (Borivali)

Phone : 2895-2993

Sheetal Medical Stores & General Stores (Chembur)

Phone : 2555-4461

Royal Chemists (Parel)

Phone : 2413-8419

Relief Chemists (Mumbai Central)

Phone : 2301-2180

Sheetal Medical (Ghatkopar)

Phone : 2551-0703

Shital Medical (Kurla W)

Phone : 2513-8339

Shah Drug House (Parel)

Phone : 2413-8619

Sushrusha Hospital (Dadar)

Phone : 2444-9495

Vijay Chemist (Sion)

Phone : 2409-1495

Welcome Chemist (Mulund)

Phone : 2564-5761

Omair Medical (Jogeshwari W)

Phone : 2678-2141

Hospitals in Mimbai

Aakar IVF Centre

3, Gautam Building, Tilak Road, Ghatkopar (E)

25158875

Agarwal Clinic Surgical Centre & General Hospital

49 Daftary Road, Malad (E)

28893594, 28817105

Alok Shah’s ICCU & Nursing Home

4/6, Shroff Apartment, Sodawala Lane, Borivili

8060890

Ameeta Nursing Home

Ramgiri, 2nd & 3rd Floors, Ist Road, Opposite Natraj Cinema, Chembur

25281369

Ankur Hospital

1st Floor Kalpataru Building, Mathuradas Road, Opposite Punjab National Bank, Kandivali

28610671/28070401/28074385

Arihant Heart Clinic

103, Lancelot, S. V. Road, Borivili

28057717/ 28058015

Aseem Orthopaedic Hospital

B-Wing, Rizvi Park, Near S.V. Road, Santacruz

26117946, 26117947

Asha Parek BCJ General Hospital

S.V. Road, Santacruz (W), Opposite Petrol pump

26491203

Ashirwad Orthopaedic & Surgical Nursing Home

2, Sambhav Darshan, Opposite Jain Temple, Jamil Galli, Borivili

Ashvini Children’s Hospital

L.J. Road, Mahim

4452536

Bai Jerbai Wadia Hospital for Children

Acharya Dunde Marg, Parel

24129786, 24129787

BARC Hospital

Anushakti Nagar

25563137-40

Beramji’s Hospital

266 Patel Building, Churni Road, Opposite Central Cinema, Girgaum

3690220

Bhagawati Hospital

Mandepeshwar Road, Borivili

28932461-3

Bhaktivedant Hospital

Sector-1, Shuristi Complex, Mira Road

28128888

Bhatia General Hospital

Dadaji Davuji Road, Tardeo

56660000

Bombay Hospital Trust

12 New Marine Lines, Near Liberty Cinema

22067676

2080871

Breach Candy Hospital & Research Centre

60 A Bhulabhai Desai Road

23696194, 23633651, 23671888, 23672888

Children Orthopaedic Hospital

Hajali Park, Opposite Wellington Sports Club, Clerk Road, Mahalaxmi

24920030

Copper Municipal General Hospital

Vile Parle

26207254-57

Cumballa Hill Hospital & Heart Institute

93/95 August Kranti Marg, Cumballa Hill

23803336

D.S. Kothari Hospital

Kasturi Chowk, C.P. Tank Road, Bhuteshwar

2420957

Disha Pathology Services Shroff Eye Hospital, 2nd floor

222 S V Road, Bandra (W), Mumbai

91 22 5694 9876, 5692 1000 Ext 200

91 22 5694 9880

dishapathology@vsnl.net; http://www.shroffeye.org

Dr. Balabhai Nanavati Hospital

S.V. Road, Vile Parle

26135534

Dr. C.L. Jhaveri Hospital

224 Jaya Deep, T.H. Kataria Marg, Matunga Road, Western Railway, Matunga

4376823

Dr. Das Surgical Hospital

2nd Floor, Gagangiri Complex, 18th Road, Near Ambedkar Garden, Chembur

5282101, 5281960

Dr. Khatav’s Mother & Child Hospital

Arunoday Shopping Centre, Opposite Ajanta Talkies, Borivili

8013814, 8013285

Dr. Mahajans Hospital and Industrial Trauma Centre

R-831, Rabale TTC, Rabale, Navi Mumbai-400708

27691981

27691679

mahajanpv@hotmail.com

Dr. Patkar’s Surgical Nursing Home

Anant Nivas, Keluskar Road, Shivaji Park

4458271

ESIS Hospital

Akruli Road, Kandavilli (E)

28877501

Gandhi Nursing Home

Chandra Apartments, Mandokeshwar road, Borivili

8954255

Ghatkopar Hindu Sabha Hospital

H.J.Doshi, Shradhanand Road, Opposite Ghatkopar Railway Station, Ghatkopar

25153260, 25154013

Gokuldas Tejpal Hospital

Lokmanya Tilak Marg Road

22630553

Guru Nanak Hospital

Kalanagar, Bandra

6456818-19

Guru Nanak Hospital

S-341, Gandhi Nagar, Bandra (E)

022 – 26592853-54/55/56/57/59/60

26592862

gnhosp@vsnl.com

Harilal Bhagwati Municipal General Hospital

S.V. Road, Mandpeshwar Road, Borivili

022 – 28932461/63

Holy Spirit Hospital

Mahakali Caves Road, Andheri

28378822 / 28372748 / 28386653

28221430

hsh@bom3.vsnl.net.in

Hurkisondas Nurrotamdas Hospital

Raja Rammohan Roy Road, Girgaon

23855555 / 23810707

23857432 / 23822706

INHS Ashwini Hospital

Colaba, Near R.C. Church

022-22151666

J.J. Hospital

Byculla

022-23735555, 23755555, 23759031-40

Jaslok Hospital & Research Centre

15, Dr. Deshmukh Marg

022-56573333/ 56573175/ 76/ 33/ 71

23520508

info@jaslokhospital.net

http://jaslokhospital.net/

K.B. Bhabha Hospital

R.K. Phatakar Road, Near Bandra Police Station, Bandra

26125555

K.B. Bhabha hospital

Kurla Police Station Road, Kurla

25140241

K.J. Somaiya Hospital

Sion-Trombay Road

Kalajot Hospital & ICCU

‘Devidas Mansion’ Mereweather Road, Apollo Bunder, Behind Hotel Taj

2833187

Kamdar Children’s Hospital

56, Indralya, Sion Main Road, Sion

4091808

Kanamwar Nagar Hospital

Kanamwar Nagar, Vikorali

25782283

Karuna General Hospital

Jeevan Bima Nagar, Borivili

Kasturba Hospital

Sane Gurji Marg, Near Author Road Jail

23083901

KEM Hospital

Dr. Borjes Road, Parel

24136051, 24131763, 24137511

Khandelwal ENT & General Hospital

301 to 305 Jainson Plaza, S.V. Road, Opposite Malad Shopping Centre, Malad

400064

Leelavati Hospital and Research Centre

A-791, Bandra Reclamation, Bandra

26438281/2

LokmanyaTilak Municipal General Hospital

Sion (E)

24076381/24076380/24092020

Lotus Hospital Trust

30 North South Road, Opposite Juhu Bus Terminus

26207352/ 26207534

2620 5590

maparekh17@hotmail.com

M.W. Desai Hospital

Haji Bapu Road, Govind Nagar, Malad (E)

28401215/7857, 28774215, 28777857

Mangal Anand Hospital

48, Swastik Park, Sion S.T. Road, Chembur

25227539

Manisha Hospital

Sant Savata Mali Marg, Byculla (E)

23776656

Mumbai Port Trust Hospital

Nadkarni Parle, Wadala (E)

24145100

Nair Hospital

Dr. A.L. Nair Road, Opposite Maharata Mandri Theatre, Bombay Central

23081490

Nanavati Hospital

S.V. Road, Vile Parle

26184389

P.D. Hinduja National Hospital & Medical Research Centre

Veer Savarkar Marg, Mahim

022 24448524/9199, 24451515

022 24449151, 24447518

Pandya Surgical & Maternity Hospital

Rama Niwas, Sodawala Lane, Borivili

022 28014511

022 28021284

Parleshwar Maternity & Surgical Hospital

Shashi Vihar, Datta wadi, Hanuman Road, Vile Parle (E)

022 26175137, 26141255

Parsi General Hospital

Cumballa Hill, Bomanjee Petit Road

022 23633041

Parvish Nursing Home Pvt. Ltd.

12, Shiraz Building, Telligully, Andheri (E)

022 – 26824868, 26820620

Pikale Nursing Home

M.M. Chotani Cross Road No. 2, Near Mahim Railway Station

022 24467138

Podar Hospital

Worli

022 24933533, 24931846

Prince Aly Khan Hospital

Aga Hall, Nesbit Road, Mazgaon

022 – 23754343-42, 23758871, 23734422-60

022 – 23743820

Radhibai Watumull Chest Hospital

120, Veer Savarkar Marg, Mahim

022-24441920

Raheja Hospital

Raheja Road, Mahim

4467570

Rajawadi Hospital

Vindhyavihar (E)

5115066

Rhushabh Nursing Home

C-2/201, Anjana Apartments, S.V. Road, Borivili

8992261

Rose Petal Nursing Home

Nand Dham, L.T. Road, Opposite St. Anne School, Borivili

8012209

S.K. Patil Hospital

Bafpari Road, Malad (E)

8894381

Sanjeevan Nursing Home

175 A, Kum Kum Building, Scheme No. 6, 13th Road, Gujarat Society

4072669

Sanket Clinic & Hospital

Nand Dham, Opposite St. Anne’s School, L.T. Road, Borivili

8017814

Seth AJB ENT Hospital

7 Maharishi Dodichi Marg, Opposite VSNL Bhawan, Fort

2043322, 2052526

Shah Nursing Home & Child Health Centre

Manu mahal, 1st floor, Above Tipsy Topsy hotel, Maheshwari Udyan, King’s Circle, Matunga

4037318

Shashikant Hospital & Polyclinic

82/B, Syndicate Bank Building, Near Chembur Station

5513182

Shraddha Nursing Home

Behind Shanti Ashram, Off. Ekshar Road, Borivili

8918321

Shree Samasta Parajiya Suvarna General Hospital

Kastur Park, Shimpoli Road, Borivili

8999494

Silver Mind Psychiatric Hospital

Shiv Krupa Complex, 4th Floor, Opposite Canara Bank, Navpada Gokhale Road, Thane

5421159

Smt. Sunita Devi Singhania Hospital

P.O.J.K.Gam, Pokhran Road No. 2, Thane

5426431-32

St. George Hospital

Near CST Railway, Behind GPO Post Office

2620242-47

Suchak’s Maternity & General Hospital

186, Manchhubai Road, Malad (E)

8885229

Tandon Hospital

Gagangiri complex, 1st Floor, 18th Road, Near Ambedkar Garden, Chembur

5281884

Tata Memorial Hospital

Parel, Mumbai

4146750

Veer Savarkar Hospital

Mahatma Phule Road, Opposite Deshmukh Garden, Mulund (E)

5686225

St. George Hospital (CST)	Phone : 2262-0242
Sarvodaya Hospital (Ghatkopar W)	Phone : 2515-2332
Saifee Hospital (Charni Road)	Phone : 2386-1418
Sushrusha Hospital (Dadar)	Phone : 2444-9161
Tata Memorial Hospital (Parel)	Phone : 2416-1413
Wadia Childrens Hospital (Parel)	Phone : 2414-7843
Bhakti Vedant Hospital (Mira Road)	Phone : 2812-8888
Dr. Mankikar’s Hospital (Virar)	Phone : 95250-2523282 STD : 0250-2523282
Cardinal Gracious Hospital (Vasai)	Phone : 95259-2324220 STD : 2322683

Hospitals In Vasai

Fever of unknown origin

Fever of unknown origin

A fever of unknown origin (FUO) is a temperature that reaches 101°F on and off for at least 3 weeks with no known cause. Fever is a symptom of another condition, so your health care provider will continue to carry out tests for a fever that persists, to narrow down the causes and determine how to treat the underlying illness. In 5 – 15 percent of cases, however, no cause is found.

Your health care provider may prefer not to give you medication while your fever remains undiagnosed. Research suggests that fever helps fight off infections. Treating the fever without knowing the cause might reduce your body’s ability to deal with the possible infection. However, health care providers will prescribe drugs to reduce fever in children who suffer seizures caused by fever (febrile seizures). Because a higher temperature increases your need for oxygen, your health care provider may prescribe fever-reducing medicines if you have heart or lung problems.

Signs and Symptoms

• Fever of more than 101°F (38.3°C), either continuous or intermittent, for at least 2 weeks
• Fever above 101°F with no known cause even after extensive diagnostic testing

What Causes It?

Fever is a symptom of several conditions. Health care providers can use a series of tests to try to narrow down the list of possible reasons for a high temperature.

What to Expect at Your Provider’s Office

A health care provider trying to diagnose the cause of a fever of unknown origin must look for every possible clue. The provider may ask you questions about:

• Your work, because some workplaces contain organisms that can cause fever.
• Places you have visited recently. Locations overseas, and even areas in the United States, can harbor diseases that can cause fever.

Your health care provider will also examine you closely, paying particular attention to your skin, eyes, nails, lymph nodes, heart, and abdomen. The health care provider will also take blood and urine samples. You may have an ultrasound, computed tomography (CT scan), and magnetic resonance imaging (MRI). If the cause of the fever is still unknown, your health provider may want to inject you with “labeled white blood cells.” These are white blood cells that contain a harmless radioactive compound. Once injected, the white blood cells travel to infected parts of your body. The radioactivity allows your provider to see on an x-ray where the cells have moved. This may show location of the infection responsible for your fever. If that test shows no results, your health provider may want to perform minor surgery to take biopsy samples of, for example, your liver or bone marrow.

Treatment Options

Your health care provider will advise you to rest and drink plenty of fluids. You may be asked to stop taking medications for other ailments, because those medications may be causing your fever. If you have a heart or lung problem, or in the case of a child who has seizures as a result of fever, your health provider will probably prescribe over-the-counter remedies to bring the temperature down.

Drug Therapies

• Acetaminophen
• Aspirin and other nonsteroidal anti-inflammatory drugs. Avoid aspirin in children and teenagers.

In cases of infection, your doctor may also prescribe an antibiotic, antifungal, or antiviral drug, depending on the cause of the infection.

Complementary and Alternative Therapies

General immune support with nutrition and herbs may alleviate fevers. Most natural medicine practitioners will treat fever as a sign that the body is trying to heal itself, rather than as an illness. In addition, most natural therapies attempt to support the body’s own healing processes rather than suppress the fever. It is important to speak to your medical doctor about any natural therapies you may be considering. Prolonged fever can be dangerous, and some natural therapies and conventional medications can have dangerous interactions.

Nutrition and Supplements

• Eliminate alcohol, caffeine, refined foods, and sugar.
• Drink water or electrolyte replacement (sports) drinks.
• Vitamin C (1,000 mg four times per day), beta-carotene (15,000 – 50,000 IU per day), and zinc (10 – 30 mg per day) help your immune system work better and reduce inflammation.

Herbs

Herbs are generally a safe way to strengthen and tone the body’s systems. As with any therapy, you should work with your provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 – 10 minutes for leaf or flowers, and 10 – 20 minutes for roots. Drink 2 – 4 cups per day. You may use tinctures alone or in combination as noted.

The following herbs may help reduce fever and improve immune response:

• Coneflower (Echinacea purpurea)
• Yarrow (Achillea millefolium)
• White willow bark (Salix alba)
• Lemon balm (Melissa officinalis)
• Spearmint (Mentha spicata)
• Catnip (Nepeta cateria)
• Elder (Sambucus nigra)

Combine 1 part coneflower and 1 part white willow bark with equal parts of two or more herbs. Drink 3 – 4 cups per day. Although white willow bark has not been linked to Reye’s syndrome, it is similar enough to aspirin to cause concern in children under 16. Consult your doctor before giving white willow bark to a child. Also avoid white willow bark if you are allergic to aspirin or if you take blood-thinning medication.

Andrographis is often used to treat colds and sore throats and may also help reduce a fever. One study suggested 6 g per day for 7 days was effective with no side effects. Do not use andrographis if you have gallbladder disease, an autoimmune disease, or if you are pregnant or trying to become pregnant.

Homeopathy

Although few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of fevers based on their knowledge and experience. Before prescribing a remedy, homeopaths take into account a person’s constitutional type — your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for each individual.

• Aconitum — for fever that comes on suddenly and alternates with chills, heat, and flushing of the face. You may be anxious and crave cold drinks.
• Apis mellifica — for fever associated with alternating bouts of wet (sweating) and dry body heat.
• Belladonna — for sudden onset of high fever with hot, red face, glassy eyes, lack of thirst, and hot body with cold hands.
• Bryonia — for fever with symptoms that are aggravated by the slightest movement.
• Ferrum phosphoricum — for the first stages of a fever with a slow onset. This remedy is generally used if Belladonna is ineffective.
• Gelsemium — for fever accompanied by drowsiness and lack of thirst.

Physical Medicine

• Constitutional hydrotherapy — Involves the application of hot and cold packs to the body by a trained professional in order to evoke a general healing response by the body. With any hydrotherapy technique, it is crucial to avoid becoming chilled. All treatments should end with a vigorous rubdown.
• Wet socks treatment — This hydrotherapy technique can be done at home. Before going to bed, soak a pair of thin cotton socks with water and then wring them out so they are damp but not dripping wet. Put them on your feet, and then put on a pair of dry thick socks (preferably wool) over them. Wear these to bed. As you sleep, your body will send blood and lymphatic fluid circulating in order to fight off the wet feeling on your feet. This stimulates the immune system and puts the body in a parasympathetic state that supports healing and restful sleep. By morning the socks should be completely dry. This technique can be done for 5 – 6 nights in a row. Then take 2 nights off and continue.

Acupuncture

Acupuncture may be helpful in supporting immune function.

Special Considerations

Fever can be dangerous if you are pregnant. Nutritional, herbal, and homeopathic treatments for fevers are generally safe in pregnancy, yet you should use them with caution.

Supporting Research

Bartram T. Encyclopedia of Herbal Medicine. Dorset, England: Grace Publishers; 1995:182.

Berkow R. Merck Manual, Home Edition. Rahway, NJ: The Merck Publishing Group; 1997.

Berkow R, Beers MH. The Merck Manual of Diagnosis and Therapy. Rahway, NJ: The Merck Publishing Group; 1992.

Blumenthal M, ed. The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicine. Boston, Mass: Integrative Medicine Communications; 1998:427.

Carr AC, Frei B. Toward a new recommended dietary allowance for vitamin C based on antioxidant and health effects in humans. Am J Clin Nutr. 1999;69(6):1086-1107.

Cummings S, Ullman D. Everybody’s Guide to Homeopathic Medicines. 3 ^rd ed. New York, NY: Penguin Putnam; 1997: 53.

Duke JA. The Green Pharmacy. E mmaus, Pa: Rodale Press, 1997.

Fiebich BL, Appel K. Anti-inflammatory effects of willow bark extract. Clin Pharmacol Ther. 2003;74:96.

Johnston CS. Recommendations for vitamin C intake. JAMA. 1999;282(22):2118-2119.

Jonas WB, Jacobs J. Healing with Homeopathy: The Doctors’ Guide. New York, NY: Warner Books; 1996: 169.

Levine M, Rumsey SC, Daruwala R, Park JB, Wang Y. Criteria and recommendations for vitamin C intake. JAMA. 1999;281(15):1415-1453.

Morrison R. Desktop Guide to Keynotes and Confirmatory Symptoms. Albany, Calif: Hahnemann Clinic Publishing; 1993:6, 58, 62.

Thamlikitkul V, Dechatiwongse T, Theerapong S, et al. Efficacy of Andrographis paniculata, Nees for pharyngotonsillitis in adults. J Med Assoc Thai . 1991;74:437–442

Ullman D. Homeopathic Medicine for Children and Infants. New York, NY: Penguin Putnam; 1992: 84.

Walker LP, Hodgson E. The Alternative Pharmacy. Paramus, NJ: Prentice Hall Press; 1996.

• Review Date: 6/30/2006
• Reviewed By: Steven D. Ehrlich, N.M.D., private practice specializing in complementary and alternative medicine, Phoenix, AZ. Review provided by VeriMed Healthcare Network.

http://www.umm.edu/altmed/articles/fever-unknown-000060.htm

Dengue (DF) and dengue hemorrhagic fever

History of Dengue

The first reported epidemics of DF occurred in 1779-1780 in Asia, Africa, and North America.  The near simultaneous occurrence of outbreaks on three continents indicates that these viruses and their mosquito vector have had a worldwide distribution in the tropics for more than 200 years. During most of this time, DF was considered a mild, nonfatal disease of visitors to the tropics. Generally, there were long intervals (10-40 years) between major epidemics, mainly because the introduction of a new serotype in a susceptible population occurred only if viruses and their mosquito vector could survive the slow transport between population centers by sailing vessels.

A pandemic of dengue began in Southeast Asia after World War II and has spread around the globe since then.  Epidemics caused by multiple serotypes (hyperendemicity) are more frequent, the geographic distribution of dengue viruses and their mosquito vectors has expanded, and DHF has emerged in the Pacific region and the Americas. In Southeast Asia, epidemic DHF first appeared in the 1950s, but by 1975 it had become a frequent cause of hospitalization and death among children in many countries in that region.

• Dengue [DEN-ghee] is a flu-like viral disease spread by the bite of infected mosquitoes. Dengue hemorrhagic fever is a severe, often fatal, complication of dengue.
• Dengue occurs in most tropical areas of the world. Most U.S. cases occur in travelers returning from abroad, but the dengue risk is increasing for persons living along the Texas-Mexico border and in other parts of the southern United States.
• There is no specific treatment for dengue.
• Prevention centers on avoiding mosquito bites in areas where dengue occurs or might occur and eliminating breeding sites.

 

What is dengue fever? What is dengue hemorrhagic fever?

Dengue fever is a flu-like illness spread by the bite of an infected mosquito.

Dengue hemorrhagic fever is a severe, often fatal, complication of dengue fever.

What is the infectious agent that causes dengue?

Dengue and dengue hemorrhagic fever are caused by any of the dengue family of viruses. Infection with one virus does not protect a person against infection with another.

How is dengue spread?

Dengue is spread by the bite of an Aedes mosquito. The mosquito transmits the disease by biting an infected person and then biting someone else.

Where is dengue found?

Dengue viruses occur in most tropical areas of the world. Dengue is common in Africa, Asia, the Pacific, Australia, and the Americas. It is widespread in the Caribbean basin. Dengue is most common in cities but can be found in rural areas. It is rarely found in mountainous areas above 4,000 feet.

The mosquitoes that transmit dengue live among humans and breed in discarded tires, flower pots, old oil drums, and water storage containers close to human dwellings. Unlike the mosquitoes that cause malaria, dengue mosquitoes bite during the day.

 What are the signs and symptoms of dengue fever and dengue hemorrhagic fever?

Dengue fever usually starts suddenly with a high fever, rash, severe headache, pain behind the eyes, and muscle and joint pain. The severity of the joint pain has given dengue the name “breakbone fever.” Nausea, vomiting, and loss of appetite are common. A rash usually appears 3 to 4 days after the start of the fever. The illness can last up to 10 days, but complete recovery can take as long as a month. Older children and adults are usually sicker than young children.

Most dengue infections result in relatively mild illness, but some can progress to dengue hemorrhagic fever. With dengue hemorrhagic fever, the blood vessels start to leak and cause bleeding from the nose, mouth, and gums. Bruising can be a sign of bleeding inside the body. Without prompt treatment, the blood vessels can collapse, causing shock (dengue shock syndrome). Dengue hemorrhagic fever is fatal in about 5 percent of cases, mostly among children and young adults.

How soon after exposure do symptoms appear?

The time between the bite of a mosquito carrying dengue virus and the start of symptoms averages 4 to 6 days, with a range of 3 to 14 days. An infected person cannot spread the infection to other persons but can be a source of dengue virus for mosquitoes for about 6 days.

How is dengue diagnosed?

Dengue is diagnosed by a blood test.

Who is at risk for dengue?

Anyone who is bitten by an infected mosquito can get dengue fever. Risk factors for dengue hemorrhagic fever include a person’s age and immune status, as well as the type of infecting virus. Persons who were previously infected with one or more types of dengue virus are thought to be at greater risk for developing dengue hemorrhagic fever if infected again.

What is the treatment for dengue and dengue hemorrhagic fever?

There is no specific treatment for dengue. Persons with dengue fever should rest and drink plenty of fluids. They should be kept away from mosquitoes for the protection of others. Dengue hemorrhagic fever is treated by replacing lost fluids. Some patients need transfusions to control bleeding.

How common is dengue?

In tropical countries around the world, dengue is one of the most common viral diseases spread to humans by mosquitoes. Tens of millions of cases of dengue fever and up to hundreds of thousands of cases of dengue hemorrhagic fever occur each year.

In the United States, approximately 100 cases of dengue are reported each year in travelers returning from tropical areas. Many more cases probably go unreported. A few persons have become infected with dengue while living in the United States. Aedes mosquitoes are found in Texas, Florida, and other southern states, and locally acquired dengue has been reported three times since 1980 in southern Texas.

Is dengue an emerging infectious disease?

Yes. All types of dengue virus are re-emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics. The emergence of dengue as a major public health problem has been most dramatic in the western hemisphere. Dengue fever has reached epidemic levels in Central America and is threatening the United States.

Several factors are contributing to the resurgence of dengue fever:

• No effective mosquito control efforts are underway in most countries with dengue.
• Public health systems to detect and control epidemics are deteriorating around the world.
• Rapid growth of cities in tropical countries has led to overcrowding, urban decay, and substandard sanitation, allowing more mosquitoes to live closer to more people.
• The increase in non-biodegradable plastic packaging and discarded tires is creating new breeding sites for mosquitoes.
• Increased jet air travel is helping people infected with dengue viruses to move easily from city to city.

Dengue hemorrhagic fever is also on the rise. Persons who have been infected with one or more forms of dengue virus are at greater risk for the more severe disease. With the increase in all types of virus, the occurrence of dengue hemorrhagic fever becomes more likely.

How can dengue be prevented?

There is no vaccine to prevent dengue. Prevention centers on avoiding mosquito bites when traveling to areas where dengue occurs and when in U.S. areas, especially along the Texas-Mexico border, where dengue might occur. Eliminating mosquito breeding sites in these areas is another key prevention measure.

Avoid mosquito bites when traveling in tropical areas:

• Use mosquito repellents on skin and clothing.
• When outdoors during times that mosquitoes are biting, wear long-sleeved shirts and long pants tucked into socks.
• Avoid heavily populated residential areas.
• When indoors, stay in air-conditioned or screened areas. Use bednets if sleeping areas are not screened or air-conditioned.
• If you have symptoms of dengue, report your travel history to your doctor.

Eliminate mosquito breeding sites in areas where dengue might occur:

• Eliminate mosquito breeding sites around homes. Discard items that can collect rain or run-off water, especially old tires.
• Regularly change the water in outdoor bird baths and pet and animal water containers.

Details Of Dengue In PDF

8887.pdf

8887.pdf