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dirty guru


WHAT IS DENGUE FEVER?

Dengue (pronounced DENG-gay) fever is a mosquito transmitted virus that typically, but not always strikes people with low levels of immunity. Dengue is fatal in less than 1% of cases with children under 10 the most at risk. A typical dose of Dengue lasts around two weeks with most sufferers experiencing severe muscle and joint pain, fever and body rashes. Unlike Malaria, patients make a full recovery and will be immune to that strain of dengue for the rest of their lives. Another form of the virus known as Dengue Hemorrhagic Fever can lead to Dengue Shock Syndrome where the body’s circulatory system basically shuts down – such cases are thankfully very rare. Dengue is not contagious, so it is not spread form person to person – there has to be a mosquito to person to mosquito to another person pathway.

WHAT AREAS ARE AT RISK?

Over 50 million cases of Dengue Fever occur every year with most canted around South East Asia, with Indonesia and The Philippines most at risk. Central America and The Caribbean have experienced ongoing outbreaks of the virus since 2006. From the map below though, we can see that all areas in the tropics and sub tropics that are home to the Aedes Aegyptis mosquito (which includes Northern Australia) are potentially at risk from an outbreak of Dengue fever during rainy seasons.

WHAT ARE THE SYMPTOMS?

The incubation period for Dengue is around 5-8 days, so many people may not experience these until they return home from their trip. Typical symptoms at that time include chills, headaches, intense joint pain and sweating. As the virus progresses, a reddish rash spreads across the body. In severe cases, nosebleeds, bleeding gums and blood in your bowel motions can point to the much more severe hemorrhagic version of the virus – seek urgent medical attention if this occurs.

TREATMENT

There is no vaccine at present for Dengue and no real antibiotic to treat the effects. The best treatment is to relive the symptoms with rest, fluid intake and plenty of water. Medical attention should be sought immediately as treatment via a saline drip may be necessary. Avoid taking any medication or drugs including alcohol until you have received medical advice – such chemicals can worsen hemorrhagic complications unexpectedly. Typically the virus will run its course in around two weeks with victims making an eventual 100% recovery. Prevention is the key here – avoid areas of stagnant fresh water in tropical areas especially during the rainy season. If it’s unavoidable, consider long pants and sleeves. Apply mosquito repellent regularly and again – seek medical advice if you are concerned that you may have contracted the virus as soon as possible,



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Posted on: 4:12 am on Nov. 7, 2010
China Sailor
Good post DG, many of the traveling brothers do not know about Dengue.

Had the mozzie checkers around the house again last weekend.... there has been a persistent outbreak of Dengue in Singapore over the last couple of months and we have had about 10 cases in our neighborhood.

The experts from WHO believe that this is a harbinger of a major Dengue outbreak in SE Asia as it has been several years since the last big outbreak and the historical infection patterns seem to point to a potential pandemic.

So gents, keep the mozzie spray nearby and keep in mind the symptoms of Dengue so you can catch it early ...



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Posted on: 9:29 pm on Nov. 7, 2010
Gus
A bar owner in Hua Hin who is known to tell a good tale told me that he drinks a can of Tonic water every morning and he has no problems with mossies.
I am a little reluctant to believe him, what do you think?

I use a spray Avon skin so soft, and also sometimes use Ultrathon which the British SF use for jungle manouvres, very effective, it doesn't smell too romantic though.
Last trip my shower gel seemed to keep the mossies at bay whilst making me smell 'Hom' it was the standard pinky coloured container from the pharmacy, maybe Lemon or Citron would be better.


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Posted on: 11:44 am on Dec. 27, 2010
China Sailor
Gus,

Tonic water contains Quinine which is a Malaria preventative but does not help with the other nasties that mozzies carry.... such a dengue, West Nile, etc...



Bangkok Girls : Meet Sexy Bangkok Girls
Posted on: 10:54 am on Dec. 28, 2010
Gus
Thanks China.

The mossies that carry the Dengue fever, do they tend to be more in the jungle rather than the jungle of Pattaya or The Suk?


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Posted on: 3:52 am on Dec. 29, 2010
China Sailor
They can be anywhere that there is a mozzie infestation. That being said only a small portion of mozzies actually carry disease such as dengue, malaria, and West Nile.

West Nile is now only found in the Southern US so that is no worries (unless you go to New Orleans). Dengue and Malaria is the big problems in SE Asia. For example in Singapore we had a major infestation of Dengue carrying mozzies tracked to an improperly maintained construction site. It took about 3 months to clean up all of the clusters that formed from that one infestation but the latest news is that the situation has returned to normal.

The best bet here is to check the WHO website and see where there are current infestations. Also keep abreast of local news as breakouts are usually reported in the local news channels/papers (but not CNN or BBC.... if they are talking about it it is too late)...




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Posted on: 11:07 am on Dec. 29, 2010
wackyjacky
I used to use it, but he Avon stuff has been proven not to be effective by labs all over the US. There's only 1 thing clinically proven to work on mosquitoes - what you want is DEET and lots of it. Here in the US we can only get 20-25% as it causes cancer in high doses. In SE Asia it's easy to find 50% or more. When I get off the plane, I buy this stuff called Skeletine or Boots 50% DEET. I've found them to be damn near 100% effective and the mozzies just love me. The quinine in tonic water is good for lessening the symptoms of Malaria. That's how the gin & tonic was invented in colonial India. It doesn't keep the little buggers away, unfortunately. wj


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Posted on: 12:17 pm on Dec. 29, 2010
CalEden
You can get 97% Deet at REI.

West Nile is also found on the US West Coast.


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Posted on: 1:28 pm on Dec. 29, 2010
wackyjacky
Shit Cal, you're right. That's great. Back when I did a lot of camping, you couldn't get the good stuff. They pulled the ban 12 years ago. I guess pumping a liter of DEET into a rat every day wasn't a good test for cancer. It's a neurological toxin and confuses the bugs when they get close. It says over 50% does no additional good. Still 30% in Canada and max for kids. EPA link: http://www.epa.gov/opp00001/factsheets/chemicals/deet.htm


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Posted on: 2:11 pm on Dec. 29, 2010
Kaymanx
There's been a good amount of public education campaign going on and I gather that it's the Aedes mosquito that we have to guard against as far as dengue is concerned. This chap is recognised by ugly black and white stripes and is of slightly larger build than the ordinary moz. Breeds not just in stagnant water but even in any heap of dry and/or abandoned material, such as tyres, construction debris, and so on.


Bangkok Girls : Meet Attractive Thai Girls
Posted on: 8:39 am on Dec. 30, 2010
     

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