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Chikungunya detected, believed to be transmitted locally

SINGAPORE: A new strain of the disease called Chikungunya virus, which is transmitted in the same way as dengue by the aedes mosquito, has been detected in Singapore.

The Ministry of Health said that the first case was reported Monday.

The investigation revealed that the patient, 27-year-old foreigner residing on Clive Street, it had contracted locally as a person has not traveled outside Singapore for several months.

All previous cases of chikungunya were reported in Singapore contracted abroad.

Following this report, the Ministry of Health in collaboration with the National Environment Agency (NEA) of the Environmental Health Institute have begun to screen people living or working in the field Clive Street.

So far, investigations have found five other people who chikungunya fever.

They were sent to the Communicable Disease Centre (CDC) in Tan Tock Seng Hospital for further medical and two were admitted to isolation.

The Ministry of Health continues its screening of residents and workers in the field of Clive Street chikungunya fever.

NEA also conducts intensive operations to combat mosquitoes in the region and will extend it to the tiny enclave of India in the coming days.

Local residents and owners were asked to check their premises every day to remove any stagnant water that can breed mosquitoes.

The Department of Health said chikungunya, like dengue fever, a disease transmitted by mosquitoes and the best way to prevent chikungunya fever is to take precautionary measures to prevent mosquito breeding.

People infected with chikungunya fever should stay indoors to reduce the risk of transmitting the virus.

The disease is characterized by sudden onset of fever, chills, headache, nausea, vomiting, joint pain, with or without swelling, and low back pain.

Some patients may develop a rash that affect their body and limbs.

Most symptoms last from three to ten days, but the joint pain can last for weeks or months.

The outbreaks have occurred in recent years in Africa, Southeast Asia, South Asia and the Indian Ocean islands.

The Ministry of Health has asked residents or people who work in the affected area to provide relevant information to officials of the Ministry of Health who are currently carrying out epidemiological investigations.

Thailand reports outbreak of dengue Fever

Dengue is sickened more than 2800 people and killed four in Thailand this year, raising concerns about a possible epidemic in spite of broader efforts to combat the disease, the Ministry of Health said Sunday.

A total of 2,824 cases of bites poisoning were detected in Thailand from 1 January-February. 9, compared to 1702 cases with no deaths reported during the same period in 2007, the ministry said in a statement.

Countries throughout South-East Asia has experienced the worst outbreaks of dengue in the years 2007, with about 60000 Thailand reports 29 cases and deaths. Large outbreaks also occurred in Indonesia, Vietnam, Malaysia, Singapore and Cambodia.

The dengue virus causes severe joint pain, high fever, nausea and a rash. In the worst cases, it can cause internal bleeding, liver enlargement, circulatory arrest and sometimes death. There is no vaccine or known cure.

Scientists fear rising temperatures and rainy seasons over - like Thailand enjoyed last year - will allow more mosquito-borne diseases such as dengue and malaria to flourish.

"The mosquitoes that transmit the dengue virus have also been able to adapt to climate change, more and more resistant to drought and reproduce faster," ministry official Praj Boonyarowong said in the statement.

The ministry has advised people to protect themselves against mosquitoes by ridding their homes and surroundings flowerpots, old tires and threw bottles or cans, where stagnant water can collect and enable the insect to reproduce.

Reports outbreak of dengue fever from Thailand, with infected since January 2800

BANGKOK, Thailand - Dengue has sickened more than 2800 people and killed four in Thailand this year, raising concerns about a possible epidemic in spite of broader efforts to combat the disease, the Ministry of Health said Sunday.

A total of 2,824 cases of bites poisoning were detected in Thailand from 1 January-February. 9, compared to 1702 cases with no deaths reported during the same period in 2007, the ministry said in a statement.

Countries throughout South-East Asia has experienced the worst outbreaks of dengue in the years 2007, with about 60000 Thailand reports 29 cases and deaths. Large outbreaks also occurred in Indonesia, Vietnam, Malaysia, Singapore and Cambodia.

The dengue virus causes severe joint pain, high fever, nausea and a rash. In the worst cases, it can cause internal bleeding, liver enlargement, circulatory arrest and sometimes death. There is no vaccine or known cure.

Scientists fear rising temperatures and longer rainy seasons _ such as Thailand enjoyed last year _ will more mosquito-borne diseases such as dengue and malaria to flourish.

"The mosquitoes that transmit the dengue virus have also been able to adapt to climate change, more and more resistant to drought and reproduce faster," ministry official Praj Boonyarowong said in the statement.

The ministry has advised people to protect themselves against mosquitoes by ridding their homes and surroundings flowerpots, old tires and threw bottles or cans, where stagnant water can collect and enable the insect to reproduce.

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First two weeks of January 2007, there were cases of bird flu in many areas, including Jakarta. And then Hameorrhagic Dengue Fever (DHF). According Depkes (Department of Health), until January 31, 2007, FDH has caused 144 deaths of 8,019 patients. Yet health problem in Indonesia's far larger and more complex as avian influenza and dengue hemorrhagic fever. The anaemia, diarrhoea and tuberculosis, for example. Today, there are approximately 20 million patients with heart disease problem in Indonesia and it caused the death of 30% in Java and Bali. The infectious and parasitic diseases were the causes of death of 22%. In the year 2005, Indonesia has 5 million children suffer from inadequate nutrition. Environment unhealthy yields TBC 557000 new cases each year. About 250000 of them was infectious TBC. Every year, there are 100000 child deaths caused by diarrhoea leads by bad sanitation and access to drinking water. Questions of health insurance, unrational drugs, counterfeit drugs is another health problems in Indonesia.

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Cases of dengue reported in Queensland

Two locally transmitted cases of dengue fever were confirmed in northern Queensland. Queensland Health has confirmed two people have acquired the disease at Mossman, near Port Douglas.

The most recent outbreak of dengue in the region was when 498 people were infected in a case in the whole region of Cairns, between 1997 and 1999 Dr. Scott Ritchie of the Queensland Health says that the case should remind residents to get rid of the breeding sites of mosquitoes around their homes.

Residents are encouraged to get rid of their homes buckets, pot plants and blocked gutters that collect water, and using mosquito repellents and sprays.

People who have symptoms of dengue fever are urged to consult a doctor immediately. Dengue is transmitted by mosquitoes and found in tropical regions around the world. There is no medical cure and no vaccine.

The severe form of the disease, dengue haemorrhagic fever can be fatal, especially among young children. Symptoms of dengue fever, headache, rash, loss of appetite, vomiting, diarrhoea and fatigue.

Dengue Fever: A New resurgence of an old disease.

Although dengue fever has been known for some time, the disease is recurring in epidemic proportions in many parts of the world, and now has become the most common mosquito-born viral disease. The agent that causes dengue is a flavivirus, in the same family as yellow fever and West Nile virus. There are four serotypes that cause nearly identical patterns of disease. The female mosquito, Aedes culprit is the vector that transmits the virus between humans. Unlike the Anopheles which transmits malaria, Aedes bites during the day, and on the other hand, is primarily an urban, mostly in the lowland tropical or subtropical.

After an incubation period of approximately one week, the disease begins with a fever, which can reach 104 degrees or higher, headaches, joint pains, which can be severe, and sometimes a rash lightly. These nonspecific symptoms are difficult to distinguish from the "flu" or malaria. Although the isolation of the virus is possible, the diagnosis is usually confirmed by serological tests, if applicable. Although vaccines are developed an effective vaccine will not be available for at least 5-10 years. The course of dengue is usually self-limited, with total recovery within 2 weeks. Unfortunately, about 5% of patients go on to develop a much more serious form, known as dengue hemorrhagic fever or dengue hemorrhagic fever with few platelets and bleeding from multiple sites, often progressing capillary leak, vascular collapse and shock, the so-called syndrome Dengue shock (DSS). Without fluid intensive therapy at the hospital, the mortality rate among DSS can be 50% or more. It is important to avoid the use of aspirin and other non-steroidal anti-inflammatory drugs, in all cases of suspected dengue. Acetaminophen is safe

Who is sensitive to this more severe form of dengue? Each infection with any of the four serotypes confers lifelong immunity as long serotype, but no protection against the other three. In fact, after infection with a different serotype cause the body's immune system to overreact, which results in a much more severe disease, dengue haemorrhagic fever / DSS. Thus, those who have recurrent dengue will be much more likely to have a life-threatening disease. For reasons that are not entirely clear, the incidence of DHF / DSS is much higher in some parts of South-East Asia, where it has reached epidemic proportions, especially in small infants, usually between 5 and 8 months of age. One explanation is that these babies have residual antibodies passed from the mother, but this hypothesis remains to be tested.

What has caused this remarkable resurgence of dengue? WHO estimates that there are 50 to 100 million cases each year. Dengue fever is endemic in more than 100 countries and more than 30 countries have recently been outbreaks, including Puerto Rico and Hawaii. Many explanations have been offered for this increase. Most epidemiologists blame rapid urbanization, population growth, as a result of overcrowding and unsanitary conditions that have occurred over the past few decades. In many developing countries, public health infrastructure has deteriorated considerably. Pockets of stagnant water have enabled the city loving breeding of Aedes mosquitoes exponentially.

When he was recognized in the 50 years that the Aedes mosquito is the vector of both yellow fever and dengue, a vast campaign of spraying and the elimination of breeding grounds significantly reduced the mosquito population. This campaign has been dropped in 70 years due to the marked reduction in cases of yellow fever, and concerns relating to the toxicity of DDT, spraying pesticides most commonly used. Aedes control efforts have not been included. Increased ease of travel, especially by air, increasing the risk of dengue fever in travellers, and have resulted in the mixing of serotypes, which led to an increased incidence of DHF / DSS.

A recent report in the Journal of the American Medical Association (1) has raised concerns about a possible outbreak of dengue in the continental United States. Two species of Aedes mosquitoes are becoming increasingly numerous, and many cases of dengue were reported as returning residents and travellers in the southern states, particularly along the border with Mexico Texas. The authors believe that "dengue will be a rapidly expanding international health problem for the foreseeable future."

Dengue is a question increasingly being used for acute febrile disease in many parts of the world and is likely to occur in tropical epidemics in urban areas. As missionaries in the short term we still need to include dengue as an examination in the diagnosis of febrile patients we see, and evaluation of fever in the return trip. We must also be aware of the potential threat to life dengue shock syndrome, and be prepared to provide emergency fluid therapy.

The dengue eradication efforts back from Thailand: study

Mosquito control programs aimed at reducing the rate of transmission of dengue in Thailand, has actually had the opposite effect, according to a new study published online Monday in the Proceedings of the National Academy of Sciences.

Researchers at Duke University in Durham, NC, and the Osaka University Graduate School of Medicine, Japan indicate that despite efforts to reduce the number of dengue - 1981, cases of the disease in the most serious form , dengue haemorrhagic fever, have increased dramatically.

Dengue hemorrhagic fever kills about 10 percent of those infected in Thailand. In its mild form, the disease results in a fever, which in some cases takes only a few days.

In Thailand, according to researchers, from 200000 to 500000 cases of dengue fever are reported each year. The World Health Organization estimates that over 50 million cases of dengue worldwide every year.

The researchers say that programmes for the eradication of mosquitoes have meant people are less exposed to all four strains of dengue virus, and thus have reduced immunity.

Dengue infection peaked in Thailand in 2001, according to the authors, when there were more than half a million cases. By comparison, in 1995 there were fewer than 50000 cases.

"We are certainly at a point where we would actually see a decrease in the infection rate, which is substantial enough to reduce the overall number of cases of hemorrhagic fever dengue," said Katia Koelle, assistant professor of biology at the Duke University, in a news release.