About The Mission

Stop Dengue is a Mission started by Department of Internal Medicine, Medanta the Medicity. This mission was started by Dr. Sushila Kataria, Director, Department of Internal Medicine. The mission was launched by Dr. Naresh Trehan, CMD, Medanta-The Medicity

Introduction About Dengue

As we all know that Dengue is a viral disease and about half of world population is at risk of this disease.
It is a viral infection transmitted by the Aedes aegypti mosquito and is emerging as the most important mosquito-borne viral disease. It is a serious global public health problem. With 2.5 billion people at risk and an annual range of 50 to 390 million infections, mosquitoes are carriers of a range of viruses which include those that cause dengue fever, dengue haemorrhagic fever (DHF), and dengue shock syndrome (DSS).
The severity of this disease varies from mild to severe.

There are 4 types of dengue virus:

DEN -1

DEN -2

DEN -3

DEN -4

 

WHEN TO SUSPECT DENGUE FEVER

Any patient with high-grade fever along with any of the following symptoms:

  • Headache
  • Fatigue
  • Nausea/Vomiting
  • Muscle aches/ joint pains/ pain behind eye balls
  • Abdominal pain or distension
  • Skin rash usually appears 3-4 days after onset of fever

WHEN TO SEEK MEDICAL ADVICE

  • Appearance of bleeding spots on skin
  • Spontaneous bleed from any site like black stools, blood in urine or cough
  • Giddiness due to low BP/cold clammy extremities
  • Altered mental status/ Drowsiness
  • Abdominal distension/ Abdominal pain
  • Frequent vomiting
  • Decreased urine output
  • Dehydration
  • Shortness of breath-effusion in chest/ ascites

 

 

No Treatment-Being a viral infection there is no specific treatment for dengue except supportive and symptomatic care. Vaccine also has just been launched for clinical use in Mexico, but its protection is only 70%. This is not available in India currently. This leaves us with only option to focus on prevention of the disease.

 

Extent of Disease-In India cases of Dengue fever are reported from every state. In monsoon season, the mosquito breeding increases, exponentially and we see majority of cases of dengue fever in July to November only. As per National Vector Borne Disease Control Programme (NVBDCP) data, Govt. Of India, last year 1 Lac cases were reported from India and 220 people died of this disease in 2015. This is definitely under reported, so we can understand the magnitude of problem.

The Mission– STOP Dengue Mission is one such initiative. The aim is to reduce Dengue related mortality and morbidity through a continuous round the year activity in 3 years.

The main focus of the program is on:

  • Prevention
  • Early Diagnosis
  • Uniform and standard care
  • Effective and live case reporting

Prevention-Prevention is the main way to reduce suffering and death due to the disease. An effective program needs participation of people, public and private (PPP) places on equal levels.

  • Public awareness is increased through multiple levels engagement with school children, RWA members and Sarpanches and Panchayats.

 

Graph: Year wise trend for number of dengue cases

 

Graph: Year wise trend for number of deaths due dengue

 

Graph 3: Distribution of Dengue cases by State wise (2016)

 

Graph 4: Distribution of Death due to Dengue by State wise (2016)