More on dengue<\/p>\n
Professionally, Dengue Hemorrhagic Fever should be respected
\nas more than an extraordinary incidence. It is a deadly epidemic
\n(minister of health, The Jakarta Post, April 18). The Achilles
\nheal is its prime vector, the aegypti.<\/p>\n
When the yearly slackening in mosquito abatement, the stage
\nhas been set for the aegypties population to grow to critical
\nproportions. The simplistic 3M plan should not be a one-time
\naffair. To be effective, it must be implemented yearly, starting
\nearly, and continued through the rainy season. In addition, eggs
\nand the larvae should be eliminated with cautious use of correct
\ntoxins, even chlorine or Abate added to water. Fumigation can be
\nused with the understanding that aegypti, anopheles, and
\nalbopictus mosquitoes are increasingly resistant to DDT, Benzene
\nhexachloride, Chordane, Heptachlor, and Methoxtchlor.<\/p>\n
The best protection at this stage is to avoid being bitten by
\nmosquitoes. The best prevention is an honest approach to health
\neducation.<\/p>\n
The aegypti creates a microsize wound, injects anticoagulant
\nand anesthetic, and sucks some nourishing blood. This is how the
\nmosquito acquires the virus. If the mosquito already carries the
\nvirus from a previous bite, the virus is injected into the next
\nbitten person. The first time a person is infected, it is called
\nprimary infection. If this person is bitten again, even months
\nlater, the resultant disease is dengue secondary infection.<\/p>\n
If a person has had dengue, specific dengue antibodies attach
\nto the outer envelope of the microbe virus. In dengue secondary
\ninfection, these antibodies are confused by the newly retrofitted
\ndengue virus. The confused antibodies pass incorrect signals to
\nvirus hunting macrophages of the immune system. When the
\nmacrophages arrive to eat the virus, dengue is \"eaten\", but does
\nnot die. Dengue takes control, and through the immune system,
\nenters every organ in the human body.<\/p>\n
The confused immune system tries to overcome the infection by
\ninducing fever. Fluids and electrolytes are thus lost. Hemorrhage
\noccurs when the virus decreases coagulation control by killing
\noff most of the thrombocytes. Death occurs from shock.<\/p>\n
Known treatment consists of electrolytes, plasma and lowering
\nof fever, as expertly stated by Dr. Harryanto. Experimental
\nantiviral drugs have been tried in Latin America with mixed
\nresults. Anticoagulants have been successful in Africa to treat
\nother hemorrhagic diseases but not dengue.<\/p>\n
R. SCHMITT<\/p>\n
Jakarta<\/p>", "url": "https:\/\/jawawa.id\/newsitem\/more-on-dengue-1447899208", "image": "" }, "sponsor": "Okusi Associates", "sponsor_url": "https:\/\/okusiassociates.com" }