The outbreak, which escalated quickly since late June, has seen a complete of 69,483 confirmed instances and 327 associated deaths between 1 January and seven August, with a case fatality fee of 0.47 per cent, based on the UN well being company. The instances had been reported from all 64 districts within the nation.
In July alone, 43,854 instances and 204 deaths had been reported, accounting for 63 per cent of the entire instances and 62 per cent of the deaths. The sharp improve in numbers is unprecedented in comparison with the previous 5 years, emphasizing the gravity of the continued outbreak.
“The upper incidence of dengue is happening within the context of an uncommon episodic quantity of rainfall, mixed with excessive temperatures and excessive humidity, which have resulted in an elevated mosquito inhabitants all through Bangladesh,” WHO mentioned.
Signs of dengue
Most individuals with dengue have gentle or no signs and get higher inside two weeks. Hardly ever, dengue might be extreme and result in demise. If signs happen, they often start 4 to 10 days after an infection and final for 2 to seven days.
Signs might embrace excessive fever (40°C, or 104°F), extreme headache, ache behind the eyes, muscle and joint pains, nausea, vomiting, swollen glands, and rash.
Extreme dengue signs usually come after the fever has gone away and will embrace extreme stomach ache, persistent vomiting, speedy respiration, bleeding gums or nostril, fatigue, restlessness, blood in vomit or stool, being very thirsty, pale and chilly pores and skin, and feeling weak.
Folks with these extreme signs ought to search medical care instantly.
Transmitted by means of mosquito bites
Dengue, a viral an infection that transmits by means of mosquito bites, has lengthy plagued tropical and sub-tropical areas. Aedes aegypti and Aedes albopictus mosquitoes function the first vectors for the illness. An contaminated mosquito can transmit the virus for the remainder of its life.
Whereas there may be presently no particular remedy for dengue, early detection and acceptable healthcare for case administration can considerably cut back mortality.
Based on WHO, the main target is on treating ache signs. Acetaminophen (paracetamol) is usually used to regulate ache. Non-steroidal anti-inflammatory medicine like ibuprofen and aspirin must be averted as they will improve the chance of bleeding.
Well being authorities’ efforts to regulate the outbreak
Bangladesh’s well being authorities have established a devoted dengue management room to gather information and coordinate on the nationwide stage, with further management rooms in all districts and medical school hospitals.
Six hospitals assigned for the administration of COVID-19 sufferers within the capital, Dhaka, have been repurposed for dengue case administration, and devoted dengue wards and dengue corners have been established in medical school hospitals.
As well as, authorities are offering coaching to healthcare employees, supplying intravenous saline and different supportive medicines to well being amenities, and stepping up surveillance, threat communication, group engagement and laboratory testing.
WHO threat evaluation and recommendation
WHO assessed the dengue threat on the nationwide stage as “Excessive”, primarily as a result of escalating case numbers, excessive case fatality fee, and the intensive geographical distribution of instances.
The UN well being company referred to as for built-in vector administration (IVM) to regulate mosquito populations and cut back human-vector contact, together with removing of potential breeding websites, decreasing vector populations, and minimizing particular person publicity.
Particular actions contain vector management methods for larvae and grownup mosquitoes and supply discount, particularly of water storage practices, and embrace overlaying, draining and cleansing family water storage containers on a weekly foundation, utilizing insecticide-treated nets and indoor house spraying (fogging).
At a person stage, protecting measures embrace topical software of repellents to uncovered pores and skin or remedy of clothes, and the usage of lengthy sleeves shirts and pants; use of family insecticide aerosol merchandise or mosquito coils, in addition to window and door screens, which may cut back the likelihood of mosquitoes coming into the home.