Since the beginning of the year, the country has recorded over 47,000 cases of dengue fever. Hanoi alone recorded 2,750 cases, an increase of 4.7 times compared to the same period in 2022. The age of the cases is very diverse, including many children with dengue fever twice.
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| Dengue fever patients being treated at the National Children's Hospital - Photo: VGP/Tran Viet |
According to the Ministry of Health, from the beginning of 2023 to now, there have been more than 47,000 dengue fever cases recorded nationwide, with 11 deaths. Compared to the same period in 2022, the number of cases decreased by 59.9%, and the number of deaths decreased by 58 cases.
In Hanoi, since the beginning of the year, 2,750 cases of dengue fever have been recorded, an increase of 4.7 times compared to the same period in 2022, in 30/30 districts, towns and 408/579 communes, wards and towns (accounting for 70.5%). In the last 4 weeks alone, the number of cases has increased rapidly. On average, 481 cases were recorded each week, an increase of 4.3 times compared to the average of the previous 4 weeks.
Districts and counties recorded many patients with dengue fever, such as: Thach That, Hoang Mai, Bac Tu Liem, Thanh Tri, Ha Dong, Phu Xuyen, Nam Tu Liem, Thuong Tin...
At the Tropical Disease Center, National Children's Hospital, since the beginning of the year, 120 children with dengue fever have been admitted for examination and treatment. Of these, more than 50 children were hospitalized with warning signs.
One of the most severe patients to date, being treated at the Center for Tropical Diseases, is an 8-year-old patient in Hanoi. The child had a history of dengue fever four years ago. On July 16, 2023, the child developed a high fever of 39-40 degrees Celsius, did not respond to antipyretics, had body aches, vomited a lot, had a stomachache, headache, and poor appetite. The family took the child to the National Children's Hospital. At the time of admission, the child had a continuous high fever, had dengue fever spots on the face, then had a rapid, difficult-to-detect pulse, low blood pressure, decreased platelets, increased liver enzymes, etc. Doctors treated the child according to the Ministry of Health's protocol for severe dengue fever. After treatment, the child's general condition was stable and alert, and the child was discharged after 10 days of treatment.
Another patient, 11 years old, in Hanoi, was also hospitalized for dengue fever with warning signs. Previously, the child had also had dengue fever. The child was hospitalized on the 5th day of the disease with symptoms: abdominal pain, intermittent fever, accompanied by frequent vomiting, poor appetite, and was treated at a hospital near his home but did not improve.
According to medical experts, dengue fever is a disease that can be transmitted from person to person when bitten by an infected mosquito. The virus that causes dengue fever has 4 types corresponding to 4 serotypes: DEN-1, DEN-2, DEN-3 and DEN-4. Children with dengue fever often have a variety of different symptoms.
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| Spraying insecticide to prevent dengue fever - Photo: VGP/HM |
Signs of disease
Dengue fever starts quite suddenly and progresses through 3 stages: fever stage, dangerous stage and recovery stage.
Fever stage : Children have a sudden, high fever. Young children are restless and fussy, older children have headaches, loss of appetite, nausea, skin congestion (hemorrhagic spots under the skin), muscle and joint pain, pain in the eye sockets, bleeding gums or nosebleeds.
Dangerous stage : After the fever stage, usually around the 3rd to 7th day after the illness. Children at this stage may still have a fever or it may have subsided, and the child may have plasma leakage. If the plasma leakage is severe, it will lead to shock, with easily recognizable symptoms such as restlessness, restlessness, lethargy, cold extremities, cold, clammy skin, rapid, weak pulse, little urine, low blood pressure or unmeasurable blood pressure.
In particular, children have subcutaneous bleeding or bruises, scattered or concentrated hemorrhages on the front of both calves and the inside of both arms, abdomen, thighs, ribs; bleeding in the mucous membranes such as nosebleeds, bleeding gums, blood in the urine...
Recovery phase : After about 48-72 hours of the dangerous phase, the child's fever is gone, his condition improves a lot, he has a better appetite, his blood pressure is more stable and he urinates more.
Care and monitoring of children with dengue fever at home
All children with high fever from the second day onwards and in areas with dengue fever should be taken to the nearest medical facility for examination, monitoring, treatment and disease prevention advice.
When the child has a fever above 38.5 degrees Celsius, give the child Paracetamol at a dose of 10-15 mg/kg of body weight, repeat the dose every 4-6 hours if the child has a fever again. Combine with warm compresses to avoid complications of high fever causing convulsions.
Give your child plenty of water, soft, easy-to-digest foods, foods rich in vitamins, vegetables, and fruit juice.
Things you should absolutely not do when your child has dengue fever: Do not give your child carbonated drinks, red or brown drinks; avoid spicy foods, red or brown foods, foods that are too hot or too cold.
Absolutely do not use Ibuprofen or aspirin to reduce fever, because these drugs make bleeding worse, can cause severe stomach bleeding, and are life-threatening.
Do not go to the pharmacy to buy antibiotics for your child because this disease is caused by the Dengue virus. Using antibiotics is ineffective and can even worsen liver and kidney conditions.
Absolutely do not take your child to receive IV fluids at medical facilities that do not guarantee safety or private clinics that are not qualified to perform the procedure.
How to prevent dengue fever: Avoid mosquito bites, kill larvae, pupae...
( According to baochinhphu.vn )
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