Dengue Fever in the Philippines Camille Sana MPH

Dengue Fever in the Philippines Camille Sana MPH Student Walden University PUBH 6165 -4 : Environmental Health Dr. Howard Rubin February 2012 Source: Centers for Disease Control and Prevention

Goals/Objectives Audience Expected Learning outcome Objective of Presentation

What is Dengue Fever? Mosquito: Common Aedes Aegypti Bepast. org in tropical countries like Philippines Symptoms : mild to high grade fever, headache, joint and muscle pain, rash Complication: Dengue Hemorrhagic Fever -Lethal ! Source:

Clinical Manifestations Reference: WHO, 2009

Clinical Manifestations cont. Dengue Fever Symptoms: Fever headache muscle and joint aches Skin rash Dengue Hemorrhagic Fever: High fever, hemorrhage, has 4 grades: Petecchial rash Grade 1: Fever, non specific Grade 2: Grade 1 manifestation + spontaneous bleeding Grade 3: Signs of circulatory failure Grade 4: Profound shock, death Reference: WHO, 2009 Source: Denquefever. co. in

Impact of Dengue in the Philippines 1996 -2005 Dengue Incidence Manila, Philippines 1996 -2005 Source : Sia, S. (2008)AMBIO - A Journal of the Human Environment, Jun 2008, Vol. 37 Issue 4, p 292 -294, 3 p, 1 Chart, 2 Graphs, 1 Map Graph; found on p 293

Impact of Dengue in the Philippines 2010 -2011 Source: Department of Health Philippines Disease Surveillance Report Morbidity Week 36 , figure 1 page 1

Impact of Dengue in the Philippines 2010 -2011(cont. ) Source: Department of Health Philippines Disease Surveillance Report Morbidity Week 36 , Figure 2 page 2

Transmission of Dengue VECTOR: Transmitted to humans by bite of female aedes aegypti mosquito. Dengue mosquitos lay eggs in areas with water (see left) HOST: Humans become host of virus. Virus incubation is 410 days then produce dengue symptoms Source: www. CDC. com TRANSMISSION: Humans get infected from bite of infected aedes mosquito. Mosquitos get infected when they bite infected humans. Source: Everyday health. com Reference: CDC, n. d.

Prevention Environmental Management Biological Control Chemical Control

Prevention (cont. ) ENVIRONMENTAL MANAGEMENT Modification Source: CDC, n. d. Manipulation Changes in Human Behavior Source: CDC, n. d. ) Source: travelpod)

Prevention (cont. ) CHEMICAL CONTROL Use of insecticides Fogging Use of mosquito coils Repellents Source: mosquitoes and more. com

Prevention (cont. ) BIOLOGICAL CONTROL Fish (poecilia reticulata) Source: US Geological Survey Predatory copepods (copepoda cyclopoidea) Source: US Geological Survey Lethal ovitraps Source: DOH

Anti-Dengue Programs in the Philippines June 2011: Dengue Prevention Month Massive anti-dengue campaign Source: www. ifmt. auf. org Source: www. tacloban. gov. ph Source: DOH

Anti-Dengue Programs in the Philippines Distribution and training on use of mosquito OL trap (ovicidal-larvicidal trap) Source : DOH Source: DOH

Anti-Dengue Programs in the Philippines ( cont. ) Multi-sectoral mosquito “search and destroy” cleanup campaign Source: College of Nursing, University of Makati

Conclusion Source: ADRA Dengue is a health threat Dengue is Preventable Plan for action

Thank you

Additional Information/Resources WEBSITES: World Health Organization http: //www. who. int/topics/dengue/en/ Centers for Disease Control and Prevention http: //www. cdc. gov/dengue/ WHO. Dengue Haemorrhagic fever ealy recognition diagnosis and hospital management. An audiovisual guide for healthcrae workers responding to outbreaks. http: //www. who. int/csr/don/archive/disease/dengue_fever/dengue. pdf WHO. Global Alert and response. http: //www. who. int/csr/disease/dengue/en/ World Heath Organization. Guidelines for treatment of demgue fever/dengue hemorrhagic fever in small hospitals. http: //www. searo. who. int/Link. Files/Dengue_Guideline-dengue. pdf CDC, Clinicians Reference card. http: //www. cdc. gov/Dengue/resources/Dengue%20 Case%20 Management_card_125085_1 2 x 6_Zcard_Dengue. pdf CDC. Information for health care practitioners. http: //www. cdc. gov/dengue/resources/Dengue&DHF%20 Information%20 for%20 Health%20 Care %20 Practitioners_2009. pdf CDC. Basic facts on Dengue http: //www. cdc. gov/dengue/resources/CS_205910 A. Dengue%20 patient%20 Ed%20 Eng. FINAL. pdf

Additional Information/Resources ( cont. ) JOURNALS/ARTICLES: Bernardo, E. C. (2008). Solid-Waste Management Practices of Households in Manila, Philippines. Annals Of The New York Academy Of Sciences, 1140420 -424. doi: 10. 1196/annals. 1454. 016 Johansson, MA, F Dominici, & GE Glass. Local and global effects of climate on dengue transmission in Puerto Rico. PLo. S Neglected Tropical Diseases. 3(2): e 382 (2009). Barrera R. 2009. Simplified Aedes aegypti’s pupal-surveys for entomological surveillance and dengue control. American Journal of Tropical Medicine and Hygiene 81: 100 -107. http: //www. ajtmh. org/cgi/reprint/81/1/100 Barrera R, Amador M, Díaz A. Joshua Smith, Muñoz-Jordán JL, Rosario Y. 2008. Unusual productivity of Aedes aegypti in septic tanks and its implications for dengue control. Medical and Veterinary Entomology 22: 62 -69. http: //www 3. interscience. wiley. com/cgi-bin/fulltext/119401311/PDFSTART Group on Dengue Meeting 1 -5 October 2006, Special Programme for Research and Training in Tropical Diseases UNICEF/UNDP/World Bank and WHO.

References World Health Education ( 2009). Dengue guidelines for diagnosis treatment prevention and control. Retrieved from http: //whqlibdoc. who. int/publications/2009/9789241547871_eng. pdf Centers for Disease Control and Prevention (2009). Dengue frequently asked questions. Retrieved from http: //www. cdc. gov/Dengue/faq. Facts/index. html World Health Organization (2006). Dengue hemorrhagic fever early recognition diagnosis and hospital management an audiovisual guide for health care workers responding to outbreaks. retrieved from http: //www. who. int/csr/don/archive/disease/dengue_fever/dengue. pdf Department of Health (2011) Disease surveillance report morbidity week 36. Retrieved from http: //dev 1. doh. gov. ph/sites/default/files/2011 Den 36 WMR_draft. pdf Sia Su, G. L. (2008). Correlation of Climatic Factors and Dengue Incidence in Metro Manila, Philippines. AMBIO - A Journal Of The Human Environment, 37(4), 292 -294. Retrieved from http: //web. ebscohost. com. ezp. waldenulibrary. org/ehost/detail? vid=5&hid=12&sid=c 81 b 1 f 84 -903 a-485681 e 3 d 2 a 7 b 75 da 458%40 sessionmgr 14&bdata=Jn. Npd. GU 9 ZWhvc 3 Qtb. Gl 2 ZSZz. Y 29 w. ZT 1 za. XRl#db=a 9 h&AN= 33116717

References ( cont. ) Centers for Disease and Control Prevention ( 2010). Transmission of dengue virus retrieved from http: //www. cdc. gov/Dengue/epidemiology/index. html#transmission Centers for Disease and Control Prevention ( n. d. ) how to prevent the spread of mosquito that causes dengue. Retrieved from http: //www. cdc. gov/dengue/resources/Vector%20 control%20 sheet%20 dengue. pdf Centers for disease control and prevention (2010). Larval control and other vector control preventions. Retrieved from http: //www. cdc. gov/malaria_worldwide/reduction/vector_control. html Elias, M. Islam, M. Kabir, M & Rahman, M. ( 1995, August). Biological control of mosquito larvae by guppy fish. Bangladesh medical research council bulletin. 21(2): 81 -6. Department of medical entomology. Institute of preventative and social medicine Mohakhali, Dhaka. Retrieved from http: //www. ncbi. nlm. nih. gov/pubmed/8815867 Department of health ( 2011). Dengue surge in Luzon. Retrieved from http: //dev 1. doh. gov. ph/content/dengue-surge-luzon

References ( cont. ) Department of science and technology (n. d. ). Mosquioto OL trap. Retrieved from www. science. ph/oltrap/ Department of Health (2011). National dengue prevention and control program. Retrieved form http: //www. doh. gov. ph. content/national-dengue-prevention-andcontrol-program World Health Organization (2012) Dengue epidemiology philippines. World health organization Western pacific region Retrieved from http: //www. wpro. who. int/sites/mvp/epidemiology/dengue/phl_profile. htm