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The 2003 outbreak of Dengue fever in Delhi, India.
Southeast Asian J Trop Med Public Health. 2005 Sep; 36(5):1174-8.SA

Abstract

Dengue fever (DF) and Dengue hemorrhagic fever (DHF) are widespread in Southeast Asia. An outbreak of DF/DHF in Delhi in 2003 started during September, reached its peak in October-November, and lasted until early December. This study describes the clinical and laboratory data of the 185 cases of DF/DHF admitted to Lok Nayak Hospital, New Delhi. The mean age of the patients was 26 +/- 10 years. Fever was present in all the cases with an average duration of fever being 4.5 +/- 1.2 days with headache (61.6%), backache, (57.8%), vomiting (50.8%) and abdominal pain (21%) being the other presenting complaints. Hemorrhagic manifestations in the form of a positive tourniquet test (21%), gum bleeding and epistaxis (40%), hematemesis (22%), skin rashes (20%) and melena (14%) were also observed. Hepatomegaly and splenomegaly were observed in 10% and 5% of cases, respectively. Laboratory investigations revealed thrombocytopenia (with a platelet count of < 100,000/microl) in about 61.39% of cases, Leukopenia (WBC <3,000/mm2) and hemoconcentration (Hct >20% of expected for age and sex) were found in 68% and 52% of the cases, respectively. The mortality rate was 2.7%. Despite widespread measures taken to control outbreaks of DF, it caused major outbreaks. More stringent measures in the form of vector control, improved sanitation and health education are needed to decrease morbidity, mortality and health care costs caused by a preventable disease.

Authors+Show Affiliations

Departments of Medicine and Microbiology, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16438142

Citation

Singh, N P., et al. "The 2003 Outbreak of Dengue Fever in Delhi, India." The Southeast Asian Journal of Tropical Medicine and Public Health, vol. 36, no. 5, 2005, pp. 1174-8.
Singh NP, Jhamb R, Agarwal SK, et al. The 2003 outbreak of Dengue fever in Delhi, India. Southeast Asian J Trop Med Public Health. 2005;36(5):1174-8.
Singh, N. P., Jhamb, R., Agarwal, S. K., Gaiha, M., Dewan, R., Daga, M. K., Chakravarti, A., & Kumar, S. (2005). The 2003 outbreak of Dengue fever in Delhi, India. The Southeast Asian Journal of Tropical Medicine and Public Health, 36(5), 1174-8.
Singh NP, et al. The 2003 Outbreak of Dengue Fever in Delhi, India. Southeast Asian J Trop Med Public Health. 2005;36(5):1174-8. PubMed PMID: 16438142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The 2003 outbreak of Dengue fever in Delhi, India. AU - Singh,N P, AU - Jhamb,Rajat, AU - Agarwal,S K, AU - Gaiha,M, AU - Dewan,Richa, AU - Daga,M K, AU - Chakravarti,Anita, AU - Kumar,Shailesh, PY - 2006/1/28/pubmed PY - 2006/4/1/medline PY - 2006/1/28/entrez SP - 1174 EP - 8 JF - The Southeast Asian journal of tropical medicine and public health JO - Southeast Asian J Trop Med Public Health VL - 36 IS - 5 N2 - Dengue fever (DF) and Dengue hemorrhagic fever (DHF) are widespread in Southeast Asia. An outbreak of DF/DHF in Delhi in 2003 started during September, reached its peak in October-November, and lasted until early December. This study describes the clinical and laboratory data of the 185 cases of DF/DHF admitted to Lok Nayak Hospital, New Delhi. The mean age of the patients was 26 +/- 10 years. Fever was present in all the cases with an average duration of fever being 4.5 +/- 1.2 days with headache (61.6%), backache, (57.8%), vomiting (50.8%) and abdominal pain (21%) being the other presenting complaints. Hemorrhagic manifestations in the form of a positive tourniquet test (21%), gum bleeding and epistaxis (40%), hematemesis (22%), skin rashes (20%) and melena (14%) were also observed. Hepatomegaly and splenomegaly were observed in 10% and 5% of cases, respectively. Laboratory investigations revealed thrombocytopenia (with a platelet count of < 100,000/microl) in about 61.39% of cases, Leukopenia (WBC <3,000/mm2) and hemoconcentration (Hct >20% of expected for age and sex) were found in 68% and 52% of the cases, respectively. The mortality rate was 2.7%. Despite widespread measures taken to control outbreaks of DF, it caused major outbreaks. More stringent measures in the form of vector control, improved sanitation and health education are needed to decrease morbidity, mortality and health care costs caused by a preventable disease. SN - 0125-1562 UR - https://www.unboundmedicine.com/medline/citation/16438142/The_2003_outbreak_of_Dengue_fever_in_Delhi_India_ L2 - https://www.diseaseinfosearch.org/result/2187 DB - PRIME DP - Unbound Medicine ER -