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Dengue Fever

in thePhilippines

Camille Sana

MPH Student

Walden University

PUBH 6165-4 :Environmental Health

Dr. Howard Rubin

February 2012

Source: Centers forDisease Control and

Prevention

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Goals/Objectives

Audience

Expected Learning outcome

Objective of Presentation

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What is Dengue Fever?

Mosquito: Aedes Aegypti

Common in tropical countries

like Philippines

Symptoms : mild to high grade fever,

headache, joint and muscle pain, rash Complication: Dengue Hemorrhagic

Fever --Lethal !

Source: Bepast.org

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Clinical Manifestations

Reference: WHO, 2009

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Clinical Manifestations cont.Dengue Fever Symptoms:Feverheadachemuscle and joint achesSkin rash

Dengue Hemorrhagic Fever:High fever, hemorrhage, has 4 grades:

Petecchial rashGrade 1: Fever, non specific Source: Denquefever.co.in

Grade 2: Grade 1 manifestation + spontaneous bleeding

Grade 3: Signs of circulatory failure

Grade 4: Profound shock,death

Reference: WHO, 2009

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Impact of Dengue in the

Philippines 1996-2005

Source : Sia, S.(2008)AMBIO - A Journal of the Human Environment,Jun2008, Vol. 37 Issue 4, p292-294, 3p, 1 Chart, 2 Graphs, 1 MapGraph; found on p293

Dengue Incidence Manila,Philippines 1996 -2005

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Impact of Dengue in thePhilippines 2010-2011(cont.)

Source: Department of Health Philippines Disease Surveillance ReportMorbidity Week 36 ,Figure 2 page 2

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Transmission of Dengue VECTOR: Transmitted to

humans by bite of femaleaedes aegypti mosquito.Dengue mosquitos lay eggs

in areas with water (see left)

HOST: Humans becomehost of virus. Virusincubation is 4-10 days thenproduce dengue symptoms

TRANSMISSION: Humansget infected from bite ofinfected aedes mosquito.Mosquitos get infectedwhen they bite infectedhumans.

Source:www.CDC.com

Source: Everyday health.com

Reference: CDC, n.d.

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Prevention

Environmental Management

Biological Control Chemical Control

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Prevention (cont.)ENVIRONMENTALMANAGEMENT

Modification

Manipulation

Changes in Human Behavior

Source: CDC,n.d.

Source: CDC,n.d.

Source: CDC,n.d.)

Source:travelpod)

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Prevention (cont.)

CHEMICAL CONTROL

Use of insecticides

Fogging

Use of mosquito coils

Repellents

Source: mosquitoes and more.com

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Prevention (cont.)BIOLOGICAL CONTROL

Fish (poecilia reticulata)

Predatory copepods(copepoda cyclopoidea)

Lethal ovitraps

Source: US Geological Survey

Source: US Geological Survey

Source: DOH

http://en.wikipedia.org/wiki/File:Cyclops.JPG

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Anti-Dengue Programs in thePhilippines

June 2011: DenguePrevention Month

Massive anti-dengue campaign Source: www.ifmt.auf.org

Source:DOH

Source:www.tacloban.gov.ph

http://www.ifmt.auf.org/http://www.ifmt.auf.org/

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Anti-Dengue Programs in thePhilippines

Distribution and trainingon use of mosquito OL

trap (ovicidal-larvicidaltrap) Source : DOH

Source: DOH

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Anti-Dengue Programs in thePhilippines ( cont.)

Multi-sectoralmosquito searchand destroycleanup campaign

Source: College of Nursing, University of Makati

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Conclusion

Dengue is a healththreat

Dengue is Preventable

Plan for action

Source:ADRA

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Thank you

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AdditionalInformation/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 tooutbreaks.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/LinkFiles/Dengue_Guideline-dengue.pdf

CDC, Clinicians Referencecard.http://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card

_125085_12x6_Zcard_Dengue.pdf CDC. Information for health care practitioners.

http://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdf

CDC. Basic facts on Dengue http://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdf

http://www.searo.who.int/LinkFiles/Dengue_Guideline-dengue.pdfhttp://www.searo.who.int/LinkFiles/Dengue_Guideline-dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdfhttp://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdfhttp://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/CS_205910-A.Dengue%20patient%20Ed%20Eng.FINAL.pdfhttp://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdfhttp://www.cdc.gov/dengue/resources/Dengue&DHF%20Information%20for%20Health%20Care%20Practitioners_2009.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.cdc.gov/Dengue/resources/Dengue%20Case%20Management_card_125085_12x6_Zcard_Dengue.pdfhttp://www.searo.who.int/LinkFiles/Dengue_Guideline-dengue.pdfhttp://www.searo.who.int/LinkFiles/Dengue_Guideline-dengue.pdfhttp://www.searo.who.int/LinkFiles/Dengue_Guideline-dengue.pdf

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AdditionalInformation/Resources ( cont.)JOURNALS/ARTICLES:

Bernardo, E. C. (2008). Solid-Waste Management Practices of Households inManila, 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 ondengue transmission in Puerto Rico. PLoS Neglected Tropical Diseases. 3(2):e382 (2009).

Barrera R. 2009. Simplified Aedes aegyptis pupal-surveys for entomologicalsurveillance and dengue control. American Journal of Tropical Medicine andHygiene 81: 100-107. http://www.ajtmh.org/cgi/reprint/81/1/100

Barrera R, Amador M, Daz A. Joshua Smith, Muoz-Jordn JL, Rosario Y. 2008.Unusual productivity of Aedes aegypti in septic tanks and its implications fordengue control. Medical and Veterinary Entomology 22:62-69.

http://www3.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 andWHO.

http://www.ajtmh.org/cgi/reprint/81/1/100http://www.ajtmh.org/cgi/reprint/81/1/100http://www3.interscience.wiley.com/cgi-bin/fulltext/119401311/PDFSTARThttp://www3.interscience.wiley.com/cgi-bin/fulltext/119401311/PDFSTARThttp://www3.interscience.wiley.com/cgi-bin/fulltext/119401311/PDFSTARThttp://www3.interscience.wiley.com/cgi-bin/fulltext/119401311/PDFSTARThttp://www3.interscience.wiley.com/cgi-bin/fulltext/119401311/PDFSTARThttp://www.ajtmh.org/cgi/reprint/81/1/100

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ReferencesWorld Health Education ( 2009).Dengue guidelines for diagnosis treatment prevention andcontrol. Retrieved from http://whqlibdoc.who.int/publications/2009/9789241547871_eng.pdf

Centers for Disease Control and Prevention (2009). Dengue frequently asked questions. Retrievedfrom http://www.cdc.gov/Dengue/faqFacts/index.html

World Health Organization (2006). Dengue hemorrhagic fever early recognitiondiagnosis and hospital management an audiovisual guide for health careworkers responding to outbreaks. retrieved fromhttp://www.who.int/csr/don/archive/disease/dengue_fever/dengue.pdf

Department of Health (2011) Disease surveillance report morbidity week 36. Retrieved fromhttp://dev1.doh.gov.ph/sites/default/files/2011Den36WMR_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 fromhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458%40sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=a9h&AN=33116717

http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRlhttp://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84-903a-4856-81e3-d2a7b75da458@sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl

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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 fromhttp://www.cdc.gov/dengue/resources/Vector%20control%20sheet%20dengue.pdf

Centers for disease control and prevention (2010). Larval control and other vector controlpreventions. Retrieved fromhttp://www.cdc.gov/malaria/malaria_worldwide/reduction/vector_control.html

Elias, M. Islam, M. Kabir, M & Rahman,M. ( 1995, August). Biological control of mosquito larvaeby guppy fish. Bangladesh medical research council bulletin.21(2):81-6. Department of medicalentomology. Institute of preventative and social medicine Mohakhali, Dhaka.Retrieved fromhttp://www.ncbi.nlm.nih.gov/pubmed/8815867

Department of health ( 2011). Dengue surge in Luzon. Retrieved fromhttp://dev1.doh.gov.ph/content/dengue-surge-luzon

http://www.cdc.gov/Dengue/epidemiology/index.htmlhttp://www.cdc.gov/Dengue/epidemiology/index.htmlhttp://www.cdc.gov/dengue/resources/Vector%20control%20sheet%20dengue.pdfhttp://www.cdc.gov/dengue/resources/Vector%20control%20sheet%20dengue.pdfhttp://www.cdc.gov/malaria/malaria_worldwide/reduction/vector_control.htmlhttp://www.cdc.gov/malaria/malaria_worldwide/reduction/vector_control.htmlhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://dev1.doh.gov.ph/content/dengue-surge-luzonhttp://www.cdc.gov/malaria/malaria_worldwide/reduction/vector_control.htmlhttp://www.cdc.gov/dengue/resources/Vector%20control%20sheet%20dengue.pdfhttp://www.cdc.gov/Dengue/epidemiology/index.html

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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 controlprogram. Retrieved form http://www.doh.gov.ph.content/national-dengue-prevention-and-control-program

World Health Organization (2012) Dengue epidemiology philippines. Worldhealth organization Western pacific region Retrieved fromhttp://www.wpro.who.int/sites/mvp/epidemiology/dengue/phl_profile.htm

http://www.science.ph/oltrap/http://www.science.ph/oltrap/http://www.science.ph/oltrap/http://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.doh.gov.ph.content/national-dengue-prevention-and-control-programhttp://www.science.ph/oltrap/http://www.science.ph/oltrap/http://www.science.ph/oltrap/