DENGUE FEVER INFECTION
By: dr. A. A. Ngr. Andika Damarnegara,S.Ked
1. Virus Characteristic
The Dengue Virus (DENV) causes a wide range of diseases in humans, from a self-limited Dengue Fever (DF) to a life-threatening syndrome called Dengue Hemorrhagic Fever (DHF) or Dengue Shock Syndrome (DSS). It is a mosquito-borne single positive-stranded RNA virus of the family Flaviviridae. It was first isolated in 1943, and have been identified to four serotypes (DENV1-4), although the fifth type have been founded in a report in 2013. The incidence of dengue has grown dramatically around the world in recent decades. The actual numbers of dengue cases are underreported and many cases are misclassified. One recent estimate indicates 390 million dengue infections per year (95% credible interval 284–528 million), of which 96 million (67–136 million) manifest clinically (with any severity of disease). The disease is now endemic in more than 100 countries in the WHO regions of Africa, the Americas, the Eastern Mediterranean, South-East Asia and the Western Pacific. The America, South-East Asia and Western Pacific regions are the most seriously affected.
The Aedes Aegypti mosquito is the primary vector for the dengue virus. The virus is transmitted to humans through the bites of infected female mosquitoes. These mosquitos usually live between the latitudes of 35o North and 35o South below an elevation of 1000 meters. And they typically bite during the early morning and in the evening, but may bite and spread the virus at any time of day. After virus incubation for 4-10 days in the mosquito, the infected mosquitoes are capable to transmit the virus for the rest of its life. In human, the infected person can be symptomatic or asymptomatic, and they will be the main carriers and multiplier of the virus, and will become a source of the virus for uninfected mosquito.
2. Clinical Symptoms
Medical Escort Team
Medical Evacuation and Repatriation by commercial flight or charter flight (air ambulance)
Cashless Medical Service
24 HOURS CLINIC
24 hours GP consultation
There are two GP ( general practitioner ) room available for 24 hour consultation , supported with standard diagnosis equipment ( BP ( Nova Riester ), SPO2 ( Nonin Onyx II) , Digitally Ear Termometer ( braun )