Dr. Muhammad Mahtab Hossain Mazed

The outbreak of dengue is shocking the common people. The number of dengue fever cases in the country is increasing every day. Death is also increasing. Last Monday, October 24, a record 903 people were admitted to the hospital due to dengue in 24 hours. With this, the number of dengue patients admitted to hospitals across the country stood at 3,482. 5 people died due to dengue.

According to the information of the Department of Health, from January 1 to October 24 this year, 31 thousand 966 people were admitted to the hospital due to dengue. Among them, 28 thousand 650 people have recovered and been discharged from the hospital.

Meanwhile, five more deaths due to dengue have been reported in the last 24 hours. With this, a total of 118 people have died of dengue since January 1. On June 21 of this year, the Department of Health reported the first death due to dengue in the country.

During the coronavirus pandemic in 2020, dengue transmission was not seen much. However, in 2021, 28 thousand 429 people were infected with dengue throughout the country. Among them, 105 people died. Dr. MM Mazed, the prominent researcher and founder of jatio rogi kallan Society of Bangladesh, wrote a column about today's issue. Every year a large number of our country's population is affected by dengue fever and many die. And

In case of dengue, many people are restless for morning-afternoon platelet test or start to panic if platelets decrease a little. None of this is necessary. Repeated tests do nothing but increase anxiety and stress. Again, this number may be incorrect when counted on a machine, because the machine counts many as one because the platelets are clumps or clumps.

Basically, if there is severe bleeding in dengue, such as bleeding in the stool or hemoptysis, it is better to give blood instead of platelets. Besides, platelet transfusions are very expensive and laborious, requiring four donors to give blood for one unit. There are also no platelet separators everywhere.

All in all, if you have dengue, don't worry and rush about platelet count and platelet aggregation. In case of common dengue, take enough rest, drink plenty of fluids. In order to be safe from dengue, just as individuals should be aware, others should also be awareAnd dengue is considered as a re-emerging disease in Bangladesh.

According to the recent (2000) report of the World Health Organization, the dengue outbreak in this country is at an explosive level. A survey of school children in Dhaka metropolitan area conducted between 1982-83 found dengue symptoms in 278 out of a total of 2,456 blood samples.

In 1984-86, all 21 blood samples collected from a Dhaka city hospital were found to be infectedIn 1997, about 11% (27 out of 250) of outpatients at Chittagong Medical College Hospital had positive antibody titers to dengue antigen. In 1999 at the Mohakhali Health Institute in Dhaka, dengue was found in 98 out of 241 suspected blood samples sent from different districts. In the detailed information provided by the institute, some of them included information on hemorrhagic dengue.

From the information given by the doctors of Dhaka city, the existence of a significant number of hemorrhagic dengue has been known. Bangladesh is facing the worst dengue outbreak in history in 2019. Earlier in the history of Bangladesh, so many dengue patients were never admitted to the hospital in one season.

Even this number is more than twice the total number of dengue cases in the country in the last 19 years. According to the information of the Health Emergency Operation Center and Control Room of the Department of Health, in 2018, a maximum of 10,148 people were infected with dengue in the country. In the last 19 years, a total of 50 thousand 176 patients admitted to the hospital due to dengue. In 2002, dengue patients were first widely seen in the country.

At that time 5 thousand 511 patients were admitted. In 2001, the incidence of dengue decreased slightly, but in 2002, the number of cases exceeded 6,000. Since then, the number of dengue patients has gradually increased. It is a viral infectious disease mainly in the tropical regions of Asia. Dengue belongs to the virus family, which includes about 70 types of viruses, including yellow fever and several types of encephalitis virus.

An epidemic of a disease similar to dengue fever was first reported in medical textbooks in 1779 and 1780. Dengue fever was first detected in Calcutta in the early nineteenth century. In 1871-72 the disease appeared in epidemic form. Since then outbreaks of the disease have occurred frequently in the subcontinent. From 1939-45, dengue fever appeared every 10 to 30 years in the entire continent. Dengue epidemics did not occur repeatedly in any one particular place. During World War II, co-circulation of multiple dengue virus serotypes occurred in Southeast Asia and the incidence of epidemics increased.

Large-scale dengue epidemics occurred in the Caribbean (1977–1981), South America (early 1980), the Pacific (1979), and Africa, affecting millions of people. The first outbreaks of dengue hemorrhagic fever and dengue shock syndrome occurred in Manila in 1953–54 and with regular intervals in most of Southeast Asia by 1975.

In the 1980s and 1990s, epidemics of hemorrhagic dengue spread to India, Bangladesh, Pakistan, Sri Lanka, the Maldives and eastward to China. Dengue hemorrhagic fever and shock-syndrome Dengue is now a major cause of hospitalization and infant mortality in Asia. The mosquito that carries dengue fever, four types of dengue virus 1.2.3.4 are the causative agents of dengue and hemorrhagic dengue and are genetically closely related. Any one serotype confers lifelong immunity against a particular virus, but not against other viruses. Dengue virus is established in the tropical OUP-tropical urban cycle.

That is why the disease is more in urban people. Daytime biting mosquitoes associated with human habitations are carriers of these viruses. In some areas, other species of mosquitoes also cause infection. The mosquito becomes infectious two weeks after biting the patient and remains infectious for life.

> Symptoms of dengue disease:-

* Dengue Fever Dengue-virus infection can range from asymptomatic to symptomatic and even fatal. .Commonly seen dengue, often called classical dengue, is an acute form of fever characterized by a sudden onset of fever accompanied by frontal pain, eye pain, nausea, vomiting, and a red rash. Inflammation of the eye and severe back pain often occur. These symptoms last for 5-7 days and the patient may feel tired for a few more days and then recover.

Most infections, especially inchildren under 15 years of age, may be completely asymptomatic or have minimal symptoms. A skin rash occurs in about 50% of cases, first spreading to the hands, feet, and then the neck. Bloody face, throat or chest during fever. Bleeding in eyes of dengue patient.

* Hemorrhagic dengue fever is a disease mainly of children in Southeast Asia. Dengue hemorrhagic is a severe form of dengue. The main symptoms are the same in all regardless of age. At the onset of dengue fever, the body temperature rises suddenly (380-400 C) and lasts for 2 to 7 days. Haemorrhagic or dengue-shock usually occurs within 3 to 7 days. It consists of headache, persistent fever, weakness and severe joint and muscle pain. The disease begins mildly with an upper respiratory tract infection, but sudden shock and intradermal hemorrhages and bleeding from the ears begin. Impending shock is indicated by the continuous decrease in blood viscosity and the increased centrifugation of the blood. Dengue hemorrhagic patients require good care and monitoring, as the above changes can occur very quickly and the patient's condition can become critical.

* Dengue-shock syndrome This is another variant of hemorrhagic dengue characterized by circulatory disturbances with constricted pulse, low blood pressure or marked shock.

The liver is palpable and tender externally, and the liver is usually abnormal, but rarely jaundiced. Other symptoms include persistent abdominal pain, intermittent vomiting, restlessness or lethargy, and sudden fever followed by chills with sweats and complete prostrationEpidemiology The number of countries affected by dengue epidemics increased rapidly between the 1980s and 1990s due to the emergence of new virus strains and serotypes. Serious infections were rare before 1980. But by 1997, dengue hemorrhagic had become a distinct disease in tropical and subtropical countries, including Bangladesh, causing several large and small epidemics.

According to the World Health Organization, dengue is increasing dramatically worldwide. Of the approximately 500,000 infected patients, at least 500,000 are hospitalized with hemorrhagic dengue every year, a large proportion of whom are children, and about five percent die. The resurgence of dengue worldwide and the emergence of hemorrhagic dengue have been attributed to unprecedented population growth, unplanned and uncontrolled urbanization, increased air travel, lack of mosquito control and deterioration of public health infrastructure over the past 30 years.

> How to avoid dengue?

Prevention is better than cure. Only good is said less. This is the best way to live. If someone gets dengue in this grinding state of corona, what the situation can be will be understood by the person who will be there. But those who did not should think about it.

Therefore, there is no alternative to stop the breeding of mosquitoes and eliminate mosquitoes to save from dengue. Care should be taken that there is no situation where water can accumulate. All kinds of can shells, car tires, broken bottles, abandoned flower tubs, etc. should be removed on your own initiative. It is not possible for the government alone to find or remove the broken bottles, glasses, cans, buckets, tires of 17 crore people. In order to live, everyone has to participate in them at their own initiative. Remember, the mosquitoes next to your house will attack you.

> Home remedies for dengue prevention and treatment:-

Some home remedies can be used to prevent and cure dengue!

* Honey:-Daily consumption improves immune system and increases immunity.

* Kalijira oil:-Kalijira or Kalijira oil is called the medicine of all diseases! But it is not right to eat more than 3 teaspoons per day! If you have never eaten before, you can adjust the body by taking half a spoon! Any patients and pregnant women should consult a doctor before use

* Neem oil:- Neem oil mixed with water can be sprayed at home to avoid mosquito infestationBesides, if you mix 10-15 drops of neem oil with half a cup of coconut oil and apply it on your skin, mosquitoes will not come close.

* Coconut oil:- If coconut oil is applied on the body, mosquitoes will not come near.

* Turmeric powder:- Turmeric contains various substances like proteins, vitamins, mineral salts, phosphorus, calcium, iron etc. Therefore, eating turmeric increases the immunity of the body. Drinking turmeric powder or juice mixed with milk or water every day can be very healthy. Turmeric is commonly used in quantity in various cuisines! Apart from that, it can be consumed directly, but definitely not in excess! Patients, taking various medications and pregnant women must consult a doctor before use.

* Milk, bananas, eggs: - these are called balanced food! Daily consumption ensures good health and increases immunity! Many people are allergic to these foods or have various diseases (such as kidney disease, lactose intolerance, etc.) and milk is a forbidden food.

* Papaya and papaya leaves:- Papaya can increase blood platelet count very quickly. A study by the Asian Institute of Science and Technology in Malaysia has shown that papaya leaf juice boosts blood platelet count due to dengue fever. Drink papaya leaf juice or ripe papaya juice daily if blood platelet count is low.

* Dragon fruit: Dragon fruit has a lot of antioxidants! It helps increase white blood cells (WBC).

* Sweet pumpkin and pumpkin seeds:- Sweet pumpkin is very effective in making blood platelets. Sweet pumpkin also contains vitamin A which helps in the formation of platelets. Therefore, regular consumption of sweet pumpkin and its seeds is beneficial to increase the number of blood platelets.

* Lemon:- Lemon juice contains a lot of vitamin C. Vitamin C helps increase platelets in the blood. Vitamin C also boosts the body's immune system. As a result, platelets are also protected from destruction.

* Desi fish:- Various fish (such as Kai, Shin, Magur, Shoal, Bine, small fish, Panch-Mishali fish etc.) play a role in increasing blood in the body.

> What to do:- The patient suffering from dengue fever should be wiped with cold water to prevent high temperature. If the body feels too cold, the food should be given saline. A patient with hemorrhagic dengue fever should be admitted to hospital. He should be given complete rest and plenty of water to drink.

> Homeopathy:-

The patient is treated, not the disease, so an experienced doctorAccording to Hahnemann's homeopathic rules, treatment of any complex and difficult disease, including dengue, is dependent on the individual's individuality, the symptoms of the disease, and the combination of symptoms. By God's grace, dengue fever can be treated with the homeopathy treatment methodAconite, belladonna, bryonia, rastox, eupterium perf, arsenic album, carbovage, epicac, sulfur and many other medicines can come on the symptoms, so do not use medicine yourself, take the advice of an experienced doctor.

> Finally, if dengue fever is treated without panic, the patient recovers quickly. Therefore, it is necessary to maintain regular cleanliness around the house and to adopt regular habits in order to prevent the formation of dengue lava.

Along with individual initiatives, it is important to make the neighborhood aware and provide accurate information to the public. To help implement the initiatives of the city-centric city corporation. Collective effort should be developed along with individual awareness.

The writer is a founder of National Patients Welfare Society