Transcript Dengue Fever in the Philippines - Environmental Public Health Today

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
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
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:
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
Petecchial rash
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,
Jun2008, Vol. 37 Issue 4, p292-294, 3p, 1 Chart, 2 Graphs, 1 Map
Graph; found on p293
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 4-10 days then
produce dengue symptoms
Source:
www.CDC.com

Source: Everyday health.com
TRANSMISSION: Humans
get infected from bite of
infected aedes mosquito.
Mosquitos get infected
when they bite infected
humans.
Reference: CDC, n.d.
Prevention



Environmental Management
Biological Control
Chemical Control
Prevention (cont.)
ENVIRONMENTAL
MANAGEMENT

Modification
Source: CDC,n.d.
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 antidengue 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
Dengue
is a health
Dengue
is Preventable
threat
Source:ADRA

Plan for action
Thank you
Additional
Information/Resources
WEBSITES:
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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/LinkFiles/Dengue_Guideline-dengue.pdf
CDC, Clinicians Reference
card.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_205910A.Dengue%20patient%20Ed%20Eng.FINAL.pdf
Additional
Information/Resources ( cont.)
JOURNALS/ARTICLES:
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Bernardo, E. C. (2008). Solid-Waste Management Practices of Households in
Manila, Philippines. Annals Of The New York Academy Of Sciences, 1140420424. doi:10.1196/annals.1454.016
Johansson, MA, F Dominici, & GE Glass. Local and global effects of climate on
dengue transmission in Puerto Rico. PLoS Neglected Tropical Diseases. 3(2):
e382 (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://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 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/faqFacts/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://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 from
http://web.ebscohost.com.ezp.waldenulibrary.org/ehost/detail?vid=5&hid=12&sid=c81b1f84903a-4856-81e3d2a7b75da458%40sessionmgr14&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#db=a9h&
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%20control%20sheet%20dengue.pdf
Centers for disease control and prevention (2010). Larval control and other vector control
preventions. Retrieved from
http://www.cdc.gov/malaria/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://dev1.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/nationaldengue-prevention-and-control-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