The mosquito may seem a very small creature, but can be deadly as they spread quite a few severe infections, with chikungunya being one of them. The disease got its name from an African language, which means to walk bent over.

Chikungunya is a viral disease that is carried by specific varieties of infected mosquitoes (Aedes aegypti and Aedes albopictus). It was originally confused for dengue, which is another mosquito-transmitted infection, but then called out as a separate disease. Both diseases start off with non-diagnostic symptoms including fever, rashes, fatigue, anaemia and headache. Dengue could be distinguished by the lowered platelet count, while the persistent joint pains and eye pain could be the distinguishing factor for the chikungunya.

The mosquito is the vector, which picks up the virus from one infected person and spreads it to another person. The virus does not spread directly from one person to the other. Once it reaches the blood stream, it multiplies in the body, and over a period of 1 to 12 days, the symptoms begin to appear.

Symptoms: The symptoms of chikungunya are listed below, which reflect the effects on the body.
The symptoms are generally nondiagnostic and generic including fever, rashes, joint pain, muscle aches, eye pain, fatigue, tiredness, lethargy, headaches, nausea, and vomiting. The eye pain which occurs behind the eyes and the joint pains are the indicative symptoms, which point to chikungunya. In fact, the joint pains make the patient assume a stooped posture, and that is where the name chikungunya was originally derived from.

Most of the above symptoms subside over a period of 10 to 15 days but the joint pain continues. In fact, in many, it can continue to exist for months and even years and eventually develop into rheumatoid arthritis.
Though chikungunya is not a fatal disease by itself, it can produce long-term symptoms which can be severely disabling and affect the quality of life.

Anybody who is bitten by the infected mosquito can develop the disease, but there are some groups of people at a higher risk. These include newborns, the elderly people, and people with chronic conditions like diabetes, hypertension, and chronic heart disease.

However, once infected, the person develops immunity and future infections do not happen unless their immunity is severely compromised.

Treatment: There is no specific treatment, and symptom relief is provided through rest, hydration, pain killers for joint and muscle, antipyretics for fever, and avoiding aspirin.
While there is no vaccine for chikungunya, preventing exposure to mosquito bites when you are travelling and preventing mosquito breeding and reducing exposure to mosquitoes by using repellents and nets are advisable.

Chikungunya  - How It Affects Your Body?

High fever is common in kids and a common worry for parents as well. If you are a parent, you need to know when the fever is serious, and when you should worry about it. Fever is a defence mechanism of the body. Body temperature rises if any foreign body (or antigen) attacks your body. As a defence, body temperature rises making it an unfavourable condition for the antigen. Fever means 100.4 degree Fahrenheit. Normally for kids, thermometer is placed under the armpit to record the temperature. You need to add an extra degree for accuracy. Paediatricians recommend treatment for fever if it's more than 101 degree F.

When to Call a Doctor

If the kid is less than 4 months old and has a fever of 100.4 degree F with other mentioned symptoms as highlighted, one must see the doctor as an emergency situation.
If a kid has 104 degree F fever, rush to the doctor. Such a high fever in children could lead to seizers.

You must call a doctor if the kid has a fever along with the following symptoms:

    Looks very dizzy
    Has a deteriorated immune system or even any other medical condition
    Has a seizure
    Has symptoms such as rashes, painful throat, annoyance, rigid neck or ear pain

Medication Side Effects:

At times, if you treat your children with some medication that does not suit them, it may lead to high fever. In case fever in a kid aged less than 2 years lasts for more than one day, it's time to see a doctor. And lastly, remember that normal body temperature is 98.6 degree F.

High Fever: When It Should Raise Alarm for Parents

Dengue is caused from the bite of the  Aedes Aegypti  mosquito. This mosquito has been known to breed and survive in tropical and subtropical regions. A waterborne disease, it causes extreme discomfort and pain, even death is a possibility. Statistics suggest that each year, the number of people afflicted with dengue is around 390 million. Out of this huge number, 96 million tend to develop severe illnesses wherein hospitalization becomes mandatory. 


Causes
It is primarily caused due to the bite of the  Aedes aegypti  mosquito.
A mosquito becomes infected with dengue if it bites an already infected person. The disease can be transmitted to any healthy person that this infected mosquito bites next.
Living near a stagnant water body or an open drain makes you the most vulnerable to this disease. Letting water accumulate in open containers or spaces over a period of time makes it the perfect breeding ground for all types of mosquitoes. 


Symptoms
On being infected, the symptoms generally last for around 10 days. Some of the common symptoms are:
Excruciating pain behind the eyes
Severe headache
Sudden high fever with chills
Vomiting
Fatigue
Skin rash which generally appears two to five days after you get infected
Nose bleeding, easy bruising and bleeding gums
Severe muscle and joint pain


It should be noted that these symptoms can be easily mistaken for high fever or any other viral infection. Therefore, getting tested as soon as these symptoms start appearing is very important.


If the dengue is left untreated or not treated on time, it can result in dengue haemorrhagic fever. This condition causes nose bleeding (due to damage to the blood vessels), high fever and failure of the circulatory system as well as the enlargement of liver.


Ways to prevent dengue include
Avoid storing water in containers
Wear clothes that cover your whole body, if possible
Maintain hygiene and clean your immediate surrounding frequently
Use mosquito repellent
Use a mosquito net around your bed 


In worst case scenarios, death is a possibility as a result of dengue haemorrhagic fever or dengue shock. Many countries consider dengue to be an epidemic. You need to be on complete bed rest while drinking adequate amounts of fluids if you need to recuperate from dengue.


Treatment
There is no specific antiviral medication that is available for the treatment of dengue. In general, Acetaminophen (paracetamol) is usually recommended for treating fever and pain associated with dengue. Medications such as Aspirin, other salicylates, and nonsteroidal anti-inflammatory drugs (NSAIDs) must be avoided.

Dengue - Can You Prevent Yourself from it?

Fever is not a disease! It's a known fact that normal human body temperature is 98.6 F (37 C). If temperature goes beyond that, then it's called fever. But one must not worry every time if there is a rise in the temperature. 

Why?
The reason is that immune system is designed to raise temperature as a defence mechanism, if there is any attack by a foreign body (such as bacteria). So body temperature may fluctuate between 97 and 100.4. But there is no need to worry.

When to Consider Checking?
Routine check up is unnecessary. You may consider to check when:
- You feel the warmth while you touch
- You feel very tired, dizzy and lose appetite
- You feel nauseated, see rashes on the body, experience loose motion, sore throat, muscle pain, headache, etc.

Is it Time to Worry?
Normally, fever is not dangerous. However, if you see the following conditions, then it's time to worry and call a doctor. 
- If the body temperature is more than 103 degree F 
-,If fever lasts for more than five days
- If you feel difficulty in breathing
- If there is severe vomiting or diarrhoea
- If you feel stiffness in the neck and have headache
- If you feel excessively sleepy and lethargic
- If you see redness in skin, rashes or blood in stool.

If the condition worsens, it is time to rush to a hospital. There could be following:

- Meningitis is life threatening and highly transmissible in case of bacterial infection. A combination of a fever, extreme headache and stiffness in the neck is an indication that you must rush to the emergency department of a hospital near you.

- Difficulty in breathing or chest pain along with fever should prompt you to call for emergency medical assistance.

- If someone has fever along with blood in stool, urine or mucus, it's one of the reasons to seek for emergency medical help.

- If one has fever and is quite disturbed or puzzled unnecessarily, then the person should be taken to the emergency department.

- A person with low immune responses (such as one who is suffering from cancer or AIDS) needs doctor's help in case of fever development.

- Hyperthermia: it's a condition of very high fever, i.e., more than 104 degree F. The person seems to be confused and may not respond to verbal stimuli or commands. It's time for medical emergency.

What should You Do?
For mild fever, even home remedies can help. Aspirin shouldn't be the first choice and an absolute no for individuals less than 18 years. Other drugs that people usually tend to consume are ibuprofen or acetaminophen. One should also drink plenty of water. In case of a heat stroke, body needs to be cooled.
Other severe causes such as viral infection should lead you to a doctor.

Fever - When To Check, When To Worry, What To Do

Are you aware of dengue, a fever which is currently on the rise? Dengue is a painful fever, which is caused by one of the four dengue viruses. It is a mosquito borne disease. The virus which causes dengue is related to yellow fever causing virus. Dengue is also referred to as break bone fever. It is transmitted via the bite of an Aedes mosquito infected with dengue. This type of fever has no proper cure and hence, prevention is the best policy.

Symptoms
The symptoms of dengue start appearing four to six days after the infection. They include sudden, high fever, pain behind the eyes, fatigue, nausea, severe muscle and joint pain, skin rash, vomiting and mild bleeding in the nose or gums. In some cases, the symptoms are very mild and are commonly mistaken for another viral infection. Severe problems such as the dengue hemorrhagic fever may occur from the infection.

Treatment
The juice from the leaves of carica papaya mixed with sucrose is given to a patient, which helps in increasing the count of platelets. This may lead to some movement.

Prevention

There is no vaccine, which immunizes dengue and the best way of prevention is to prevent yourself from getting bitten by infected mosquitoes, especially if you live in a tropical climate. The prevention tips include protecting yourself and making an effort to reduce the mosquito population. Here are some important prevention tips for dengue:
Stay away from residential areas which are very heavily populated.
Use mosquito repellents, even when you are at home.
Wear long sleeved clothes and long pants when going out.
Make sure that your windows and doors do not have holes in them. Use mosquito nets while sleeping, if you do not have an air conditioner.
Get rid of places and areas where mosquitoes can breed in order to reduce their population. These may include cans, old tyres and areas where rain water gets collected.
If someone at home gets dengue, you should make efforts to protect yourself and the rest of your family members. A mosquito, which bites an infected family member, may spread the infection to others as well.
In case you experience any symptom of dengue, it is important for you to consult a doctor immediately. He will be able to guide you with a proper diagnosis and treatment based on the latter.

Dengue Fever - Why Prevention Is Better Than Cure?

Typhoid fever is a bacterial disease caused by a bacteria Salmonella typhi. It spreads through consuming food or water that has been contaminated by stool of an infected person. The bacteria spread rapidly through your blood and causes a range of ailments.

It can cause bleeding in the intestine and perforations. This results in stomach pains, nausea, vomiting, and sepsis. Repair of intestinal damage may require surgery. In less frequent cases, typhoid can result in inflammation of muscles, linings, and valves of the heart. It can also cause pneumonia, meningitis, kidney infection, bladder infection, and inflammation of the pancreas. It may also result in delirium.



Symptoms-

The symptoms of typhoid infection start appearing within 1 to 3 weeks depending upon the virulence of the infection. The common symptoms are-

  High fever
  A headache
  Weakness
  Confusion
  Agitation
  Loss of appetite
  Red spotting on skin

Vaccination-

Vaccination is the most effective measure to prevent typhoid. There are two methods of vaccination- inactivated typhoid vaccine shot and an oral dose of live typhoid vaccine. One dose of inactivated typhoid vaccine is enough to protect you against the infection. A booster dose may be required every 2 years. You must consume four doses of live vaccine every alternate day. The capsule must be consumed orally, at least one hour before a meal. A booster may be required every 5 years.

What to know before immunisation-

  The inactivated vaccine should not be used in children below 2 years. The live vaccine is not recommended for use in children below 6 years.
  You should wait to get live typhoid vaccine if you are suffering from a pre-existing fever or infection. If you are on antibiotics, you must not take the oral vaccine until 3 days of discontinuing the medicine.
  People with immunodeficiency diseases such as AIDS should take inactivated typhoid vaccine shots instead of the live vaccine.
  Anti-malarial medicines should not be used until 10 days of a typhoid shot.
  Extremely serious side effects resulting from typhoid fever vaccine are very rare. It is generally safe for use.
  The inactivated vaccine may cause fever in 1 person in 100. It can also cause a mild headache, stomach pain, rashes in a person. Although serious allergic reactions are extremely rare, notify the doctor as soon as possible.

Typhoid affects 21 million people worldwide and causes 2,20,000 deaths annually. It can be fatal if it goes untreated. Therefore, it is crucial for people living in a typhoid prone zone to be immunised.

Typhoid Fever Vaccine - All You Should Be Aware Of!

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