Nagbigay paalala ang DOH sa kahalagahan ng maagang pag-detect sa dengue. Paano nga ba ito? Panoorin ang video. #TheMangahasInterviews
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00:00The only disease that we are still concerned about in the public health system is dengue.
00:06What is the situation now? It has increased in some places and in other places, public health emergency has been declared.
00:13Outbreak. We have cities and municipalities that have declared that their cases have increased by more than 50% from the previous year.
00:23We are in the national, around 30% according to the Epidemiology Bureau. Actually, it's dengue season.
00:34Usually bear months is dengue season, September, October, November, December.
00:40In our epidemiology curve, dengue is really high.
00:46This is a mosquito, the mosquitoes are feeding on the water collected on the sides and the mosquitoes are laying eggs there.
00:55So to me, vector control and if we know the season, we should take care of the children.
01:01Buy insect repellent, mosquito repellent that can be sprayed so that it won't bite in school.
01:08Long sleeves or long pants so that it won't spread the mosquitoes and make sure that other LGUs spray when there are many mosquitoes during the season.
01:24So that's what we're doing. The good news, Malu, hospitals used to be full when it's dengue season.
01:33Now, we are able to control it because we have a rapid test, the NS1.
01:39So the mother is panicking because we will go to the emergency and we will test the blood of her child if it's dengue.
01:47We will know if it's dengue or not. Although it's not 100 percent, it also has false negatives, it can still be dengue.
01:56But in the past, when the child was about to give birth, the mother wanted to admit the child to the hospital.
02:03Hospitals are full, so we will have a test. If it's not dengue, you're not afraid.
02:11If it's mild dengue, you will be allowed to go home unless your platelet is going down or it's very low.
02:19She will be admitted because she needs to be swero.
02:23The case management, the early detection and the danger point.
02:27They said that it should be monitored because it's not safe to start.
02:33We've become better. Our mortality rate for dengue is 0.01.
02:41Now, you will be tested and you will be hydrated because good hydration is usually dehydrated.
02:48So the swero can be hydrated if you're vomiting and you can't eat.
02:52And the platelet is monitored so that before it goes down, it can be treated with blood transfusion.
02:58So it's self-limiting. In fact, I'm happy when I see pediatricians who are good at treating dengue.
03:05It's important to go to the doctor right away because some will say that it's just a flu, but it's actually dengue.
03:13So those are the late cases where we have problems with ICU complications, cerebral and cardiac complications.
03:20But if it's early, you should be checked right away.
03:24If it's hydrated, it will recover. Most 99% of dengue will recover.
03:29How many days before the onset of the fever and the flu?
03:33Or after that, you should be consulted and you should be treated?
03:37Anywhere from 4 to 10 days. That's faster.
03:42And for the flu, as you can see, they have common spots like the flu.
03:50This is a sign of dengue.
03:53So it's very common. Doctors suspect it when there are dengue rushes.
03:58What is the period when white blood cells drop?
04:07So after some time, when the flu is gone, that's the time we monitor the drop of platelets.
04:13Because when the fever rises, that's the time the platelets start to drop.
04:18So we have a critical count of 20,000. Below 10,000, we already transfuse platelets.
04:25So when it drops below 10,000, that's the hemorrhagic dengue fever.
04:30That's when the nose starts to bleed, the mouth starts to bleed.
04:35That's what we don't want to reach.
04:37And that's the one with a high mortality rate.
04:42The profile of those affected by dengue, especially here in the provinces where there are outbreaks,
04:48how old are the children or what groups are vulnerable?
04:52Usually below nine years old because dengue, your second infection is usually the one with antibody enhancement.
05:02So your first dengue is going to be mild.
05:06But the second time you get dengue, it will activate the antibody response of your body.
05:12And this is what causes the platelet count, capillary leak, dehydration.
05:18That's why the second dengue is more serious, second, third, and fourth dengue.
05:22There are four varieties, zero types of dengue.
05:26So you can get dengue up to four times.
05:29So it's the second one that is being monitored.
05:33Is there a vaccine against dengue?
05:35There is. In fact, there are two in the market.
05:39One is Tengbaksha. It has already left because there is a problem with its implementation.
05:44So they left voluntarily but it's available in other countries.
05:50But the vaccine is only given to those with dengue.
05:55The wrong thing is we gave it to those who don't have dengue.
05:59Then there is the second one from Japan, Takeda.
06:03It has been registered with our FDA.
06:07But what I can say is I'm not in a hurry with the vaccine because it's two doses.
06:13You are not using it during the time of the outbreak.
06:15It has no use unlike measles or COVID.
06:19We used the vaccine as a response.
06:22The main treatment is still vector control.