THE EFFECT OF HEALTH EDUCATION ON INCREASING BEHAVIOR FOR THE PREVENTION OF DENGUE HEMORRHAGIC FEVER IN THE COMMUNITY

Background: One form of prevention of dengue haemorrhagic fever is through increasing public knowledge and understanding of the incidence of dengue haemorrhagic fever. Objective: This study was carried out with the aim of knowing the effect of health education on increasing behaviour for the prevention of dengue hemorrhagic fever in community. Methods: This study used a research design in the form of a pre experimental design with one group pre-post test design approach. This research was conducted on September 5, 2021 at RT 01 Kali Pecabean Village, Candi Sub-District, East Java Province, Indonesia. The population of this research is all families who live in RT 01 Kali Pecabean Village. The number of research samples was 26 families that were determined by using a sampling technique in the form of purposive sampling. Families who became respondents in this study were represented by one of the family members who participated in social gathering activities. The inclusion criteria used were families who participated in health education activities conducted at regular social gatherings. The instrument used is The Dengue Haemorrhagic Fever Prevention Questionnaire (DHFPQ). The result of reliability test was .550 and the validity was .84. Analysis of the data used is the Wilcoxon Signed Rank Test with p-value < .05. Result: The results showed that there was an effect of health education on increasing behaviour for the prevention of Dengue Haemorrhagic Fever in the community (p-value .0000). Conclusion: With the results of this study, it is hoped that health workers are expected to increase public understanding through the provision of health education as a preventive measure against the incidence of Dengue Haemorrhagic Fever. In addition, health workers are also expected to provide assistance to the community.

Liver Function Derangement and Bleeding Morbidity in Dengue Fever and Dengue Haemorrhagic Fever in a tertiary Hospital in Bangladesh

Background: Dengue is a major international health concern that is prevalent in tropical and sub tropical countries. Study of dengue infection and its Liver complications are scarce from countries like India. This study was done to assess the frequency and spectrum of liver dysfunction and bleeding morbidity in Dengue infection patients. Methods: A Cross sectional prospective observational study was performed in the of Department of Medicine Sir Salimullah Medical College Mitford Hospital. All the inpatients who were diagnosed with dengue infection between July 2015 to July 2016 were included in this study. A total of 70 patients were included in the study. Results: Patients were classified as classical dengue fever (DF) 61.5.% dengue haemorrhagic fever (DHF) 38.5%. The mean age was 28.607±10.45 years in DF group and 26.78±11.78 years in DHF group and male: female ratio was 3:1. Deranged serum glutamic-oxaloacetic transaminase (SGOT) and/or Serum glutamic pyruvic transaminase (SGPT) was present in most of the patients. Elevation of ALT level occured more in DHF group patient (81%) than DF group (46%). Out of 70 patient 28(40%) patient were within normal value. 42 (60%) patient had elevated ALT level which is statistically significant (p value-<0.05)..The degree of rise of SGOT, SGPT,and Bilirubin was significantly more in DHF and DSS, as compared to DF. About bleeding morbidity, purpura was a mentionable finding 29(41%) but gum bleeding 15(21%), echymosis 14(20%), are less in both DF and DHF group. Major bleeding like hematomesis 5 (7%), melaena 4 (5%) and haematuria 1 (1%) also occured in both group of patients. Conclusion: Liver dysfunction in the form of raised SGPT was seen in almost all patients. Preferentially high SGOT may serve as an early indicator of dengue infection while high values of bilirubin, SGOT, SGPT,may be an indicator of severe disease and poor prognosis. Bangladesh J Medicine July 2022; 33(1) : 44-51

Effect of Prior Symptomatic Dengue Infection on Dengue Haemorrhagic Fever (DHF) in Children

Pathogenesis of dengue haemorrhagic fever is not fully understood, but it is thought that there is antibody enhancement during the secondary infection, which causes severe dengue haemorrhagic fever (DHF). Therefore, patients who have DHF should have a documented history of symptomatic dengue infection in the past. A retrospective descriptive-analytical study was conducted at the University Paediatric Unit at Lady Ridgeway Hospital for Children, Colombo, Sri Lanka. All children who had fulfilled the criteria for DHF admitted to the unit from April 2018 to September 2018 were recruited into the study. Relevant data were collected from bed head tickets. One hundred and eighty-four children were included in the final analysis. Thirty-three (17.9%) had a past history of documented symptomatic dengue infection, while 82.1% did not have a documented dengue infection. Twelve patients had dengue shock syndrome, and none of them had previously documented symptomatic dengue fever. Dextran was used in 96 patients in the critical phase. Twelve (42%) patients with past documented symptomatic dengue fever needed dextran while 84 (54.9%) patients without a documented past history of dengue fever needed dextran. In our clinical observation, we noticed that children with DHF mostly did not have a documented symptomatic prior dengue infection, while those with a documented symptomatic prior infection had a milder subsequent illness. In fact, the majority (82.1%) of patients with DHF did not have documented previous symptomatic dengue infection. It was also observed that the clinical course of subsequent dengue infection was less severe in patients with previously documented symptomatic dengue fever. This finding should be further evaluated in a larger scale study minimizing the all-confounding factors. This fact is more important in selecting recipients for vaccines against the dengue virus, which are supposed to produce immunity against the virus without causing the severe disease.

Health Promotion Strategies Towards An Effort To Prevent Dengue Haemorrhagic Fever (DHF) At Health Service (Dinkes) On The District Of Wajo

Demam Berdarah Dengue (DBD) merupakan penyakit mematikan, ditularkan melalui nyamuk Aedes aegepty dan Aedes albopictus yang membawa virus dengue. Berdasarkan hasil observasi di Dinas Kesehatan Kabupaten Wajo adanya strategi yang dilakukan oleh DINKES dalam bentuk advokasi, dukungan sosial, kemitraan dan pemberdayaan masyarakat. Tujuan dilakukan penelitian untuk mengetahui strategi promosi kesehatan terhadap upaya penanggulangan penyakit demam berdarah dengue di Dinas Kesehatan Kabupaten Wajo. Penelitian menggunakan metode kualitatif dengan pendekatan Phenomenology. Pengumpulan data penelitian dengan melakukan wawancara mendalam (indepth interview). Penentuan subjek penelitian menggunakan purposive sampling dengan kriteria pegawai DINKES Kabupaten Wajo, pegawai Puskesmas Tempe dan bersedia diwawancarai. Advokasi yang dilakukan pihak Dinas Kesehatan Kabupaten Wajo dalam penanggulangan penyakit DBD advokasi kepada pimpinan BAPEDA, DPRD, Puskesmas dalam pengusulan anggaran. Dukungan sosial adanya kerja sama antara aparat RT/RW, LSM, tokoh masyarakat dalam upaya penanggulangan DBD. Kemitraan adanya koordinasi antara Dinas Kesehatan, Pemda, Dinas Pendidikan, Korwil dalam pemberantasan sarang nyamuk (PSN). Pemberdayaan masyarakat pelatihan pemantau jentik/jumantik kepada kader dan masyarakat juga melakukan kerja bakti membersihkan lingkungan.

Rare case of Terson’s syndrome and viral retinitis due to dengue haemorrhagic fever in an infant

Dengue haemorrhagic fever with consequent thrombocytopaenia can lead to intracranial haemorrhage and Terson’s syndrome that can lead to visual problems. Simultaneously, the dengue virus can cause typical viral retinitis like picture in the eye. Early funduscopy and vision assessment is desirable in all dengue patients. In our case, an infant with dengue haemorrhagic fever and intracranial haemorrhage developed not only simultaneous bilateral vitreous and subinternal limiting membrane haemorrhage due to Terson’s syndrome from the indirect effect of thrombocytopaenia but also typical chorioretinitis possibly due to the direct effect of the virus on the retina. The vitreoretinal surgical outcome was satisfactory in this case.

Developing an Early Warning System Based on Correlation Analysis For Dengue Haemorrhagic Fever

Several cities in Indonesia have been declared as Dengue Haemorrhagic Fever (DHF)-endemic areas, including East Jakarta, an administrative city of DKI Jakarta Province. Surveillance is the most important activity in controlling and monitoring the development of DHF. This ecological study was conducted to assess the correlation between DHF cases, vector density (Larva Free Index [LFI]) and climate (rainfall and humidity). While the DHF cases were collected from hospitals report, vector density data were obtained from public health centres and climate data were obtained from the Meteorological, Climatological, and Geophysical Agency (BMKG). The correlations between DHF cases, vector density, and the climate were analysed based on weekly data, from week 1 to week 33 of 2019. This study showed a consistent trend of increasing and decreasing DHF cases with rainfall and LFI. DHF cases and LFI had a strong negative correlation (r = –0.72) at a time lag of six weeks. LFI and rainfall also showed a strong negative correlation (r = –0.86) at a time lag of five weeks. The strongest correlation between DHF cases and rainfall was found at week 8 (r = 0.87). Humidity, also an indicator of climate, had a strong positive correlation (r = 0.80) with DHF cases at the 11th-week time lag. However, contrarily, humidity had a strong negative correlation with LFI at the 5th-week time lag. These findings can be used for developing an early warning system that is reinforced by utilizing the application of HDF–climate information. Keywords: dengue fever, vector, climate, early warning system