The number of dengue fever (dengue) in Hanoi has increased in recent weeks.Meanwhile, in the south, this dangerous disease is also stalking.
Overtake risk
According to the Center for Disease Control (CDC) in Hanoi, 30 districts, towns and towns have recorded dengue patients.Since the beginning of the year, the whole city has recorded nearly 3,300 cases of dengue macadamia.At this time, Hanoi started the peak phase of dengue epidemic (September to November).With complicated and unpredictable weather conditions, combining heavy rain creates favorable conditions for mosquitoes to transmit dengue disease.The supervisory results at some outbreaks still record high insect index exceeding the risk threshold, forecasting the number of cases of cases will continue to increase in the near future.
A dengue patient for treatment in Hanoi.
Assoc.Prof. Dr. Do Duy Cuong, Director of Tropical Diseases Center - Bach Mai Hospital, said that the center earlier received dozens of Dengue dengue cases in the hospital, in which many cases showed very heavy manifestations.Typically, the male 25 -year -old patient (in Hoang Mai district, Hanoi City) was hospitalized when he had a fever 5 days and had a test results confirming dengue.During treatment, the patient has severe liver failure, platelets falling quickly, concentrated blood.Some other patients have headaches, human pain, knee joints, nervous vomiting and hematuria, etc.
In Ho Chi Minh City, dengue is also increasing.According to the Ho Chi Minh City Control Center (HCDC), in week 38 (from 16 to 22-9), the city recorded 328 cases of dengue macadamia, up 8.3% compared to the average of 4 weeks earlier.The total number of dengue cases accumulated from the beginning of 2024 to now is 7,337 shifts.The localities have a high incidence including District 1, 7 and Thu Duc City.
Only at Children's Hospital 1 (Ho Chi Minh City) is currently treating 30 inpatient children with dengue.According to Dr. Nguyen Minh Tuan, Head of Dengue, compared to the period from January to June-2024, the number of dengue cases showed signs of increasing, but still lower than the same period last year."The situation of dengue in the city has increased slightly compared to the previous months, but compared to last year's cycle and the average of the past 5 years is still low. However, not so subjective, especially in the rainy season, when the disease is ill,Can increase " - Dr. Tuan recommends.
MSc Le Hong Nga, Deputy Director of HCDC, warns dengue not excluding anyone.The majority of dengue deaths often come to the hospital too late or the patient has a warning sign but is ignored due to confusion with other symptoms of the disease.Many cases of arbitrary treatment or inviting people to the infusion house lead to dangerous complications.
Circulation is no longer according to the rule
According to experts, dengue becomes an annual circulation, no longer in the 4-5 years of outbreaks.The characteristics of dengue dengue are fever, hemorrhagic and plasma escape, which can lead to shock to reduce the volume of circulatory, coagulation disorders, organs, if not diagnosed with early and timely treatment, it can easily lead to death..The Dengue virus has 4 types of Den-1, Den-2, Den-3 and Den-4.The virus is transmitted from the sick to a healthy person by mosquito bites.Aedes Aegypti mosquito is an intermediate insect that spreads the main disease.The disease usually increases in the rainy season.
Assoc. Prof. Dr. Do Duy Cuong said the dangerous stage of dengue patients usually on the 3-7 day of the disease.Patients may still have fever or have fever.The patient may then have more abdominal pain and constant pain or increase the pain of the liver area with vomiting.Patients with plasma escape, pleural effusion can cause respiratory failure;eyelid edema.If the plasma escapes a lot, it will lead to shock with the expressions of struggle, irritation or libidies, cold heads, mitigation pulse, blood pressure or hypotension, no blood pressure ...
According to Dr. Tran Van Bac, Deputy Head of Emergency Department - Central Tropical Diseases Hospital, patients with severe dengue fever, fever over 5 days are at higher risk of bacterial infection.Common bacteria are staphylococcus aureus, many of these are staphylococcus a staphylococcus that makes it difficult to diagnose and treat.In addition, high -age patients, many background diseases, if suffering from dengue, should be diagnosed early to plan to monitor the risk of bacterial infection, thereby intervention in time.Aedes Egypti mosquito mosquitoes are the main source of infection.Mosquitoes often live in areas close to where people live and urban areas.
Dr. Nguyen Minh Tuan warned that he was a dangerous disease and had no special medicine.Common complications of dengue include heavy dengue shock, multi -organs, shock due to decrease in circulatory volume and plasma escape, occurring in both children and adults.It is worth noting that the symptoms of dengue are usually not specific, easily confused with other diseases such as sore throat, hand, foot and mouth or viral infection.
Experts note that when there are signs of sudden high fever, constantly not decreasing, headache, human pain, patients need medical facilities for doctors to examine, test and evaluate signsand symptoms.Dengue should be diagnosed and have early treatment regimen, avoid arbitrary medication and home infusion."There is no special medicine, so when suspected or dengue, patients need to seek medical help, rest and drink plenty of water. Can drink paracetamol to reduce fever and soothe pain.For anger, aspirin or ibuprofen because these two drugs may increase the risk of bleeding " - Assoc. Prof. Dr. Do Duy Cuong recommends.
Licensing the use of disease prevention vaccines
According to the Ministry of Health, the country has recorded more than 2,400 dengue cases in the country, 1 death.Accumulated from the beginning of the year, the whole country recorded nearly 80,000 cases, 12 deaths.In order to prevent dengue, in addition to preventing mosquitoes and destroying larvae, the Ministry of Health has licensed the use of disease prevention vaccines.This vaccine takes effect 80% and is against all 4 serum groups of the dengue virus.The vaccine is indicated for children and adults from 4 to 60 years old.Although the vaccine has existed, the risk of dengue is still high due to pathogens and zebra mosquitoes exist widely in the community.The maintenance of traditional preventive measures such as vector control, destroying larvae and mosquitoes is still the optimal solution to minimize the risk of infection and protecting the group under the age of vaccinating.