{"id":23523,"date":"2020-03-20T17:44:49","date_gmt":"2020-03-20T09:44:49","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=23523"},"modified":"2025-03-10T11:17:23","modified_gmt":"2025-03-10T03:17:23","slug":"lets-fight-dengue","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/lets-fight-dengue\/","title":{"rendered":"Let\u2019s Fight Dengue!"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"23523\" class=\"elementor elementor-23523\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b92652c e-con-full e-flex e-con e-parent\" data-id=\"b92652c\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f1e3b51 elementor-widget elementor-widget-text-editor\" data-id=\"f1e3b51\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>While we take pride in our efforts in controlling COVID-19 pandemic in our country, dengue cases have been increasing at a worrying pace. According to data from Ministry of Health, since January 2019 until 6th June 2020, a total of 48,584 dengue cases have been reported. An increase of 8% of dengue cases recorded every week is of grave concern with 84 deaths and counting. Majority cases which were fatal were due to patients\u2019 delay in seeking treatment. According to Malaysia\u2019s Health Director-General, Datuk Dr Noor Hisham Abdullah, the surge of dengue cases in 2020 is from June till September.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e4a674a elementor-widget elementor-widget-spacer\" data-id=\"e4a674a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2215279 elementor-widget elementor-widget-heading\" data-id=\"2215279\" data-element_type=\"widget\" id=\"subtopic-02\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h3 class=\"elementor-heading-title elementor-size-default\">Re-introducing dengue\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73fece0 elementor-widget elementor-widget-text-editor\" data-id=\"73fece0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Dengue is a vector-borne disease caused by the dengue virus. The virus spreads through the Aedes mosquito which is most active during sunrise and sunset. There are four strains of the dengue virus; namely, DEN 1, DEN 2, DEN 3 and DEN 4. A person who has contracted a particular strain of the dengue virus will have immunity against that particular strain only. For example, a patient with DEN 1 only has immunity against the DEN 1 virus strain so he\/she is still at risk of contracting dengue fever from DEN 2, DEN 3 or DEN 4.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b6a6fe elementor-widget elementor-widget-spacer\" data-id=\"7b6a6fe\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4112ddb elementor-widget elementor-widget-heading\" data-id=\"4112ddb\" data-element_type=\"widget\" id=\"subtopic-03\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What to look out for\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d5fbd4 elementor-widget elementor-widget-text-editor\" data-id=\"9d5fbd4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>A dengue patient will show symptoms after four to seven days after being bitten by the Aedes mosquito. These include:-<\/p><ul><li>Fever<\/li><li>Joint pain<\/li><li>Muscle pain<\/li><li>Headaches<\/li><li>Eye pain<\/li><li>Nausea<\/li><li>Diarrhoea<\/li><li>Rashes<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60364bc elementor-widget elementor-widget-heading\" data-id=\"60364bc\" data-element_type=\"widget\" id=\"subtopic-04\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The three phases of dengue\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e71082a elementor-widget elementor-widget-text-editor\" data-id=\"e71082a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Dengue fever can be divided into three phases: febrile, critical and recovery.<br \/><br \/>The febrile phase comprises of fever that lasts three to five days. During this phase, the patient experiences fever, joint pain, muscle pain, headaches and other symptoms mentioned earlier.<br \/><br \/>After three to five days, the patient enters the critical phase. This lasts between 48 to 72 hours. During this phase, the patient recovers from fever but there is a fall in platelet count and white blood cell count. Following that, the patient starts showing different symptoms. Some of them do not has serious symptoms whereas some experience complications such as internal bleeding, water retention in the lungs or stomach, low blood pressure, kidney failure and liver failure as well as coma.<br \/><br \/>This can lead to death.<br \/><br \/>After 48 to 72 hours, the patient will go through the recovery phase where dengue symptoms dissipate while blood platelets and white blood cells return to normal count.<br \/><br \/>On average and from end to end, it takes seven to 10 days before a dengue patient starts recovering from the disease. The following diagram is from the 2015 Management of Dengue Infection in Adults \u2013 Malaysia Clinical Practise Guidelines. It explains all three phases:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fe3e5e elementor-widget elementor-widget-spacer\" data-id=\"6fe3e5e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-942855e elementor-widget elementor-widget-image\" data-id=\"942855e\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"836\" height=\"300\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/03\/health-article-let-fight-dengue-banner-image-01.jpg\" class=\"attachment-full size-full wp-image-23526\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/03\/health-article-let-fight-dengue-banner-image-01.jpg 836w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/03\/health-article-let-fight-dengue-banner-image-01-300x108.jpg 300w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2020\/03\/health-article-let-fight-dengue-banner-image-01-768x276.jpg 768w\" sizes=\"(max-width: 836px) 100vw, 836px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07fd084 elementor-widget elementor-widget-spacer\" data-id=\"07fd084\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4976c2b elementor-widget elementor-widget-heading\" data-id=\"4976c2b\" data-element_type=\"widget\" id=\"subtopic-05\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What to do when you display symptoms\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b9f9e8 elementor-widget elementor-widget-text-editor\" data-id=\"6b9f9e8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>To date, there are no specific treatments or immunisation for dengue fever. Patients who experience signs and symptoms of dengue must seek treatment immediately. Blood test must be carried out in order to get the diagnosis. Dengue cases must be notified to health officers so that preventive actions can be taken. This includes fogging in the patients\u2019 area of residence.<br \/><br \/>For patients who have mild symptoms, he or she should rest at home under observation with daily blood tests at the clinic or hospital. For those who have warning signs, he or she must be referred to the hospital for treatment and close monitoring. On average and from end to end, it takes seven to 10 days before a dengue patient starts recovering from the disease. The following diagram is from the 2015 Management of Dengue Infection in Adults \u2013 Malaysia Clinical Practise Guidelines. It explains all three phases:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d8b9c0 elementor-widget elementor-widget-spacer\" data-id=\"3d8b9c0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f6166b6 elementor-widget elementor-widget-heading\" data-id=\"f6166b6\" data-element_type=\"widget\" id=\"subtopic-06\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Warning signs include:-\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b9fb75 elementor-widget elementor-widget-text-editor\" data-id=\"6b9fb75\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul><li>Stomach pains<\/li><li>Vomiting more than three times in 24 hours<\/li><li>Diarrhoea more than three times in 24 hours<\/li><li>Water retention in the lungs, heart and stomach<\/li><li>Spontaneous bleeding<\/li><li>Fatigue<\/li><li>Disorientation\/confusion<\/li><li>Liver tenderness on palpation<\/li><li>Abnormal blood test results<\/li><\/ul>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-139f74d elementor-widget elementor-widget-spacer\" data-id=\"139f74d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ef8043 elementor-widget elementor-widget-heading\" data-id=\"3ef8043\" data-element_type=\"widget\" id=\"subtopic-07\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">The high risk group\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83a9a17 elementor-widget elementor-widget-text-editor\" data-id=\"83a9a17\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Apart from patients who have warning signs as mentioned above, high risk patients should also be referred to the hospital for close observation. These comprise patients with the following existing conditions:<\/p><ul><li>Diabetes mellitus<\/li><li>High blood pressure<\/li><li>Heart disease<\/li><li>Kidney disease<\/li><li>Obesity<\/li><li>Aged 65 and older<\/li><li>Pregnant<\/li><li>On blood thinning medication<\/li><\/ul><p>\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff236f3 elementor-widget elementor-widget-heading\" data-id=\"ff236f3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">What we can do to improve situation\n<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c65d317 elementor-widget elementor-widget-text-editor\" data-id=\"c65d317\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>One of the most effective ways to do this is to ensure that the Aedes mosquito has no breeding grounds. The Aedes mosquito breeds in stagnant water even if the container is as small as a 50-cent coin. Therefore, we must be vigilant and make sure that we:-<\/p><ul><li>Pour out water that collects in plant pots and trays.<\/li><li>Dispose containers that could potentially collect water.<\/li><li>Unclog drains including rooftop drains.<\/li><li>Ensure water tanks are covered.<\/li><\/ul><p><br \/>Try to avoid getting bitten by the Aedes mosquito. Avoid outdoor activities during sunrise and sunset because this is when the Aedes mosquito is active. If you need to be outdoors during that time, wear bright-coloured clothing with long sleeves and long pants. Apply mosquito repellent on exposed areas. Should you find Aedes mosquitos in your house compound, use a mosquito repellent spray.<br \/><br \/>In short, we must work together to fight dengue. Just like COVID-19, dengue too is a fatal disease. Always be vigilant and protect yourself and your family against dengue.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4784454 elementor-widget elementor-widget-spacer\" data-id=\"4784454\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64bf17b jteHAlandingLastTxt elementor-widget elementor-widget-text-editor\" data-id=\"64bf17b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<i>This article first appeared in <a href=\"https:\/\/theiskandarian.com\/lets-fight-dengue\/\"> mStar, 26 Jun 2020<\/a>.<\/i>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>While we take pride in our efforts in controlling COVID-19 pandemic in our country, dengue cases have been increasing at a worrying pace. According to data from Ministry of Health, since January 2019 until 6th June 2020, a total of 48,584 dengue cases have been reported. An increase of 8% of dengue cases recorded every week is of grave concern with 84 deaths and counting. Majority cases which were fatal were due to patients\u2019 delay in seeking treatment. According to Malaysia\u2019s Health Director-General, Datuk Dr Noor Hisham Abdullah, the surge of dengue cases in 2020 is from June till September.<\/p>\n","protected":false},"author":2,"featured_media":23524,"template":"","topic":[98,103,95,94,156,100,155,101],"language":[137],"class_list":["post-23523","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-children","topic-diseases","topic-general","topic-health-wellness","topic-internal-medicine","topic-men","topic-nephrology","topic-women","language-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Let\u2019s Fight Dengue! - Columbia Asia Hospital I Private Hospital in Malaysia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/lets-fight-dengue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Let\u2019s Fight Dengue! - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"While we take pride in our efforts in controlling COVID-19 pandemic in our country, dengue cases have been increasing at a worrying pace. According to data from Ministry of Health, since January 2019 until 6th June 2020, a total of 48,584 dengue cases have been reported. An increase of 8% of dengue cases recorded every week is of grave concern with 84 deaths and counting. Majority cases which were fatal were due to patients\u2019 delay in seeking treatment. 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