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Dengue fever in Delhi after the Monsoon

kes place around the fourth or fifth day. The patient develops abdominal pains with significant vomiting and the colour change in the vomit to red or black or brown indicates bleeding in the stomach. More red spots may develop on the skin and the stool will also be black in colour, which indicates internal bleeding.

The person suspected of having dengue should take bed rest and be given plenty of fluids to drink. The affected patient should not be allowed to go to school or work as this would enable the dengue virus to be transmitted to more people, by mosquito transmission. No drugs (including Aspirin) containing Salycilates should be given to the patient and the symptoms should be closely monitored. Treatment of dengue fever is nonspecific and supportive care. Treatment involves non-salicylate antipyretic drug, oxygen and electrolyte and fluid replacements. Red blood cell and platelet transfusions and fresh plasma are indicated for severe bleeding and decreasing hematocrit values.

No dengue vaccine is available and recently attenuated candidate vaccine viruses have been developed. Efficacy trials in human volunteers have yet to be initiated and research is also being conducted to develop second-generation recombinant vaccine. Till, development of an effective vaccine, the only way to escape dengue infection is to remove water stagnation and eradicate mosquitoes.

Dengue in India:

Dengue fever is one of the oldest arthropod borne viral disease know in India. The first known epidemic of Dengue occurred in 1779-1780 in Asia, Africa, and North America. During 1991-1995, a total of 18 Dengue Fever outbreaks were reported from different parts of the country, and the trend shows that the disease is occurring with increased frequency. A widespread outbreak of disease occurred in Delhi and its surrounding areas during 1996. Similar outbreaks were also reported from the neighboring state of Haryana. In October 1996, a s
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