Vasai Info

All about Vasai and Mumbai Suburb

Mumbai.Day and Night Medical stores, Pathology Centrers

hosp.gifMRI 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

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July 5, 2007 Posted by | Mumbai, Mumbai helpline | Leave a comment

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 (W)
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 (W)
28610671/28070401/28074385
 
 
 
Arihant Heart Clinic
103, Lancelot, S. V. Road, Borivili (W)
28057717/ 28058015
 
 
 
Aseem Orthopaedic Hospital
B-Wing, Rizvi Park, Near S.V. Road, Santacruz (W)
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 (W)
 
 
 
 
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 (W)
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 (W)
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 (W)
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 (W)
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 (W)
8954255
 
 
 
Ghatkopar Hindu Sabha Hospital
H.J.Doshi, Shradhanand Road, Opposite Ghatkopar Railway Station, Ghatkopar (W)
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 (W)
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 (W)
26125555
 
 
 
K.B. Bhabha hospital
Kurla Police Station Road, Kurla (W)
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 (W)
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 (W)
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 (W)
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 (W)
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 (W)
8992261
 
 
 
Rose Petal Nursing Home
Nand Dham, L.T. Road, Opposite St. Anne School, Borivili (W)
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 (W)
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 (W)
8918321
 
 
 
Shree Samasta Parajiya Suvarna General Hospital
Kastur Park, Shimpoli Road, Borivili (W)
8999494
 
 
 
Silver Mind Psychiatric Hospital
Shiv Krupa Complex, 4th Floor, Opposite Canara Bank, Navpada Gokhale Road, Thane (W)
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

July 4, 2007 Posted by | Medical Articles, Mumbai, Mumbai helpline | Leave a comment

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

July 3, 2007 Posted by | Medical Articles | Leave a comment

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

July 3, 2007 Posted by | Medical Articles | 1 Comment