Dengue in Kathmandu threat of larger outbreak
The ongoing monsoon and the prevalence of other infectious diseases that accompany it may cause physicians to be misdiagnosed or unable to properly and timely identify or manage dengue.
In the last few days, an increasing number of dengue virus infections are being diagnosed in Kathmandu, despite the fact that those days never travel outside the city.
A press meet organized by the Epidemiology and Disease Control Division reported that at least 60 patients with dengue virus have been confirmed in Kathmandu. The number of cases reported so far is much higher than the previous year.
Dengue in Nepal is mostly reported during October through December, which may indicate the possibility of a large outbreak of dengue in the Kathmandu Valley. Since the outbreak of 2019, around 4,000 dengue cases have been identified so far. Dengue fever is usually mild and ends within about 7 to 10 days after the first symptoms appear.
Our recently published research shows that only 10 percent of dengue infected patients develop a critical stage. Therefore, most patients do not require hospitalization, only close supervision of a doctor, complete rest and plenty of fluids.
However, many people are unaware of DOS and do not rest in bed at home after infection. People may have heard of the dengue virus, but they lack adequate knowledge about its nature or behavior.
In fact, until now, there have been no publicly known campaigns against this virus other than “mosquito search and destroy” in Kathmandu, even though the dengue virus-spreading Aedes mosquito, has lived in the valley for a long time.
Currently, the government is requesting the public not to use the dengue kit for all suspected cases due to its acute shortage. We have been reducing the potential spread of dengue virus since 2010, despite its regular outbreaks.
It is almost certain that the dengue virus will become more widespread in the following decades due to easy access to transport, rapid urbanization, lack of ineffective mosquito control. Political commitment, climate change, increased surveillance and lack of knowledge.
The ongoing monsoon and the prevalence of other infectious diseases that accompany it may cause physicians to be misidentified or unable to properly and timely identify or manage dengue.
Currently, hundreds of dengue patients are certainly underestimated, or other infectious diseases are being treated due to the lack of dengue test kits. Thus, the government should store a sufficient number of dengue kits before the arrival of the dengue season. Dengue was first detected in Kathmandu during an outbreak in Nepal in 2010.
Small dengue outbreaks have occurred since then. However, mosquitoes that spread the dengue virus were widely found in Kathmandu during the 2011 survey (carried out by EDCD), indicating that large-scale outbreaks could occur in Kathmandu anytime.
In addition, Virus spreads more quickly to larger cities with more concentrated populations, meaning that Kathmandu (the largest and most densely populated city in Nepal) has always been at risk of a this disease outbreak in the past, similar for the future. is.
Its outbreak in Kathmandu is quite unusual and interesting. Outbreaks usually occur in bunches, but in contrast, patients suffering from mosquito virus visit Sukraj Tropical and Infectious Diseases Hospital (STIDH), which are from various locations (scattered) in Kathmandu.
This indicates that mosquitoes, possibly carrying dengue virus, are now active in various areas of Kathmandu. It can also be assumed that mosquitoes are moving freely from one place to another due to the increasing movements of vehicles.
Another interesting thing about this outbreak is that unusual symptoms such as a sore throat and transient hearing problems (or tinnitus) appear among cases of this disease. It is also known as extended dengue syndrome (EDS), which has been increasingly reported in recent years.
Precautionary measures in Nepal are impractical and need to be revised based on our available resources and infrastructure. For example, the government is advising the public not to collect and store water for long periods inside and outside their homes. However, this seems rarely until the government efficiently addresses the demand for water.
In addition, following the current virus outbreak, related bodies have launched a “mosquito search and destroy” program aimed at controlling the outbreak. But the federal government does not have enough staff, and there is also adequate logistic or financial support for such door-to-door efforts across the country.
The fact of the matter is that mosquitoes have not been successfully eradicated with “mosquito discovery and destruction programs” in the past.
Additionally, it is now clear that local governments are not prepared for any outbreak and have failed to establish coordination among the concerned bodies. However, this issue should be taken as a lesson to develop control strategies, so that similar large outbreaks can be controlled as soon as possible in the coming days.
The current virus outbreak is the longest in duration, the largest in terms of cases and the most catastrophe in Nepalese history, one which is unfortunately still spreading aggressively in Kathmandu and across the country.
I am the author and CEO of Hungama Khabar since 2019. I am writing a news article on the World, Technology, Health, Travel, Entertainment, Business, Politics and many more.
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