{"id":59840,"date":"2023-05-16T10:52:27","date_gmt":"2023-05-16T02:52:27","guid":{"rendered":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/?post_type=health-article&#038;p=59840"},"modified":"2026-01-07T22:12:26","modified_gmt":"2026-01-07T14:12:26","slug":"dengue","status":"publish","type":"health-article","link":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/health-articles\/dengue\/","title":{"rendered":"Dengue"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"59840\" class=\"elementor elementor-59840\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2ebebf4 e-con-full e-flex e-con e-parent\" data-id=\"2ebebf4\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-037773e elementor-widget elementor-widget-text-editor\" data-id=\"037773e\" 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>As the rainy season deposits pools of standing water across Ho Chi Minh City, it is worth reviewing the state of play with Dengue Fever. \u00a0<\/p><p>Dengue is a virus spread by the Aedes mosquito (malaria is spread by Anopheles). It is a leading cause of illness across Latin America, Southeast Asia and the Pacific Islands. There are an estimated 400 million infections annually across the globe, of which approximately 500,000 cases develop into the more severe version known as Dengue Hemorrhagic Fever (DHF). These DHF cases will result in about 20,000 deaths \u2013 mostly among children. \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-2905e76 elementor-widget elementor-widget-image\" data-id=\"2905e76\" 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=\"400\" src=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-3-1.jpg\" class=\"attachment-full size-full wp-image-59855\" alt=\"\" srcset=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-3-1.jpg 836w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-3-1-300x144.jpg 300w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-3-1-768x367.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-5997497 elementor-widget elementor-widget-spacer\" data-id=\"5997497\" 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-e7cd079 elementor-widget elementor-widget-text-editor\" data-id=\"e7cd079\" 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>Symptoms typically begin three to 14 days after being bitten, and may include high fever, headache, vomiting, muscle and joint pains, followed by itchy skin and a rash. Eighty per cent of first infections are asymptomatic or consist only of a mild fever. Those unlucky enough to get DHF may have severely low platelet counts, with bleeding, blood plasma leakage, and may even progress to Dengue Shock syndrome. The platelet count only starts to pick up again a day or two after the fever resolves. \u00a0<\/p><p>There are no specific antiviral therapies. Management is purely supportive, and mostly based around maintaining fluid balance. Paracetamol is used for fever and pain control. Aspirin and Ibuprofen are not preferred because they may cause further bleeding. Severe hospitalized cases may need a blood transfusion. \u00a0<\/p><p>The virus has four different serotypes. Infection with one type gives immunity against that type but increases the likelihood of DHF if the individual subsequently contracts one of the other strains. Ninety-five per cent of severe\/hospitalized cases of Dengue are associated with second infection. Because of this, developing a vaccine has proved complicated. The FDA approved Dengvaxia is only approved for the vaccination of children aged nine to 16 years old, who have been laboratory confirmed with previous Dengue, and who live in an endemic area. \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-4baab87 elementor-widget elementor-widget-image\" data-id=\"4baab87\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"836\" height=\"400\" src=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-1-1.jpg\" class=\"attachment-large size-large wp-image-59856\" alt=\"\" srcset=\"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-1-1.jpg 836w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-1-1-300x144.jpg 300w, https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-content\/uploads\/2023\/05\/ha-dengue-1-1-768x367.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-cfdefec elementor-widget elementor-widget-spacer\" data-id=\"cfdefec\" 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-6057e72 elementor-widget elementor-widget-text-editor\" data-id=\"6057e72\" 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>For the rest of us, it is about avoidance, with the use of mosquito nets and Deet-based mosquito repellants. Don\u2019t forget to clean those swimming pools! \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-a4acc2c elementor-widget elementor-widget-spacer\" data-id=\"a4acc2c\" 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-390626b elementor-widget elementor-widget-text-editor\" data-id=\"390626b\" 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><em>Dr Julian Martin Chadwick &#8211; Internal Medicine Physician<br \/>Columbia Asia Hospital &#8211; Saigon<\/em><\/p>\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>As the rainy season deposits pools of standing water across Ho Chi Minh City, it is worth reviewing the state of play with Dengue Fever.<\/p>\n","protected":false},"author":11,"featured_media":59843,"template":"","topic":[156],"language":[137],"class_list":["post-59840","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-internal-medicine","language-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article"}],"about":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/types\/health-article"}],"author":[{"embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/users\/11"}],"version-history":[{"count":11,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59840\/revisions"}],"predecessor-version":[{"id":59967,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/health-article\/59840\/revisions\/59967"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/media\/59843"}],"wp:attachment":[{"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/media?parent=59840"}],"wp:term":[{"taxonomy":"topic","embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/topic?post=59840"},{"taxonomy":"language","embeddable":true,"href":"https:\/\/stagingsea.columbiaasia.com\/vietnam\/wp-json\/wp\/v2\/language?post=59840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}