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Dengue alert

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					Dengue alert

Fiji Times: Mary Rauto/ Tuesday, December 20, 2011

HEALTH inspectors have been directed to be more vigilant of visitors at all ports of
entry around the country as a fast-spreading and deadly strain of dengue fever was
detected in the Republic of Marshall Islands and Federated State of Micronesia.

Ministry of Health spokesman Peni Namotu said there were concerns that the 12 cases of
dengue fever reported in the Northern and Western divisions could be the fatal type 2.He
said samples had been sent to a lab in Queensland, Australia, and results were expected
later this week.

Mr Namotu said type 2 spread quickly and could cause a fatality. All passengers
disembarking off flights or boats will be monitored for dengue symptoms, he said."The
massive outbreak in the Marshalls and Federated State of Micronesia poses a threat to the
Pacific region," he said.

Officers at the ports of entry will conduct a mosquito larva survey.

Mr Namotu said parifocal spray would begin in most municipalities to knock down adult
mosquitoes.In mid-October, the Marshall Islands declared a State of Emergency as the
number of dengue cases increased. Last week it stood at 504 cases.The highest number
was reported in the capital, Majuro.The Federated States of Micronesia, capital Yap, had
more than 200 confirmed cases of dengue fever.

Mr Namotu called on the public to destroy possible mosquito breeding places.He urged
families to clean their backyards and rid them of tins, tyres and cut grass or bush, saying
it was advisable to use mosquito nets.Mr Namotu said anyone who experienced a sudden
high fever, pain in their muscles and joints, severe back and headaches, pain when
moving eyes, a loss of appetite and weakness, should visit a doctor right away.

DENGUE CLASSIFICATION - Source: WIKIPEDIA

* Grade I is the presence only of easy bruising or a positive tourniquet test in someone
with fever;

* Grade II is the presence of spontaneous bleeding into the skin and elsewhere;

* Grade III is the clinical evidence of shock; and

* Grade IV is shock so severe that blood pressure and pulse cannot be detected.

* Grades III and IV are referred to as "dengue shock syndrome"

				
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