The spread of “viral fever and dengue” in the governorates of Yemen, raising the alarm?

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The spread of “viral fever and dengue” in the governorates of Yemen sounds the alarm? Today, Saturday, January 25, 2020 11:48 am

The health situation gets worse every year than it was in the past, and in the current year 2020, the first month revealed the aggravation of the suffering of Yemenis and the continuation of the wheel of health status in the country in rolling towards a critical human health status due to the spread of diseases and epidemics that will soon kill a person until you kill another without putting any Real solutions to curb the spread of these epidemics, especially “viral fever and dengue fever”, diseases that continue to devastate the lives of citizens in various governorates of Yemen without supervision or accountability, with complete deficiency by the Ministry of Health and its partners in curbing the spread of these diseases and epidemics, especially in the Hodeidah governorate The great woes of the Loyalty The injured, most of them in childhood.

Recently, dengue and malaria patients swiftly invaded the surgical district of Al Hudaydah governorate, which exacerbated the suffering of her children, especially in light of the difficult conditions in the country and the deterioration of the health situation and the lack of medicines.

And, of course, it is not the city of Hodeidah alone that suffers from that .. other areas where diseases have spread out significantly, such as the governorates of Hajjah, Taiz, Sa`dah, Raymah, Mahwit and Ibb, while the capital Aden came in less than the rest of the provinces, but the matter does not mean that it is exempt from these diseases. The strange thing about it is that the treatment of these diseases is not very difficult, but it is required that the patient’s condition be diagnosed quickly before the condition worsens, which does not happen in Yemen, which contributes to the increase in the percentage of deaths recorded due to the disease.

Dengue fever was first detected in Yemen in the 1990s and the country has since witnessed intermittent waves of its spread. Common symptoms of dengue fever include severe fever, headache, severe joint pain and rash. According to the World Health Organization, the deadly form of the disease is known as dengue hemorrhagic fever, which causes convulsions, vomiting and bleeding.

Yemen suffers from an almost complete lack of health services due to the war that has been going on for more than 5 years, as United Nations statistics confirm that more than half of health facilities in Yemen are out of service and according to the Yemen Humanitarian Response Plan for 2019, 19.7 million people need Health care nationwide, with a total cost of $ 627 million

Tragic and frightening numbers.

The alarming spread of these epidemics made the health sector sound the alarm, announces the state of emergency, and appeals to international organizations to take the necessary speed to stop the spread of these epidemics, in conjunction with a drastic increase in infected cases, and an increase in deaths in these diseases in various regions of Yemen

According to the results of the medical team consisting of the authority and the Center for Tropical Medicine and Infectious Diseases in Al Hudaydah, 407 cases were examined and diagnosed, as positive results of dengue increased by 23.81%, and malaria 28.57%.

The results showed that the percentage of people with dengue and malaria reached 52.38% of the cases examined and diagnosed, and the percentage of cases in which hemorrhagic complications occurred 4.76% and lung complications 4.76%, while cases of malnutrition accompanied by dengue fever reached 4.76%.

The report of the medical team confirmed that the percentage of complications that were referred to the city of Hodeidah and the city of Zabid are all children under five. Has reached 14.29%

While the results of the investigation team work on vectors that cause the disease, the index of infected households with dengue was 100%, and water conserving vessels increased by 96%.

Where stagnant water, open pots, and tires in which water collects are a focal point for mosquitoes that carry malaria and dengue fever.

The districts as the Directorate of “Bani Saad, Al Khubt and Malhan” are considered the most affected by dengue and malaria, due to their proximity to Al Hudaydah Governorate, where the epidemic is highly prevalent.

In the last two months of last year, one person died in Al-Mahwit city, from death, while more than 700 others were infected with dengue and malaria, according to reports confirmed by the health office.

Last year, he witnessed a catastrophic situation regarding the health situation in Yemen and the spread of diseases, especially among children. The Minister of Health in the Salvation Government revealed 116,6552 confirmed cases of malaria, and suspected 500,000 cases of this disease, as well as registration of about 23,000. Dengue case.

The World Health Organization has announced the monitoring of 913 cholera deaths in Yemen, from the beginning of 2019 until the end of last September.

In its report, the international organization said that 696,537 suspected cholera cases had been detected in Yemen, with 913 deaths from the epidemic, since the beginning of this year until September 29.

The report added that children under the age of 5 constitute 25.5% of the total suspected cases of cholera, noting that 305 directorates out of 333 districts in Yemen, the presence of the epidemic was reported.

And. Al Hudaydah Governorate recorded in the last month of 2019 more than 60 deaths, most of them children, as a result of dengue and malaria, according to what the Humanitarian Press Foundation in Yemen monitored, which was confirmed by a report published on its Facebook page.

The Foundation said it had monitored the deaths of 60 people, and infected more than 7,000 cases of malaria and dengue in the Al-Jarahi district in Hodeidah, the majority of whom were children.

It determined that among the deaths, 46 were children under the age of 12, 9 male deaths, and 5 females within less than one month of age.

The Foundation indicated that, through its communication with the Directorate of Health in the Directorate, 3, 373 cases of malaria and 3, 871 cases of dengue were documented.

The Foundation warned of a humanitarian catastrophe in the Al-Jarahi Directorate in light of the worsening conditions, the lack of health services and the absence of the role of international organizations.

In Juba in Marib, 486 cases of dengue fever were recorded last year in the district alone, including 66 cases in the last three months.

What is the cause of disease outbreaks?

According to observers, the cause of disease outbreaks in all governorates of Yemen is due to negligence and shortcomings by those in charge of local authorities and health offices, in addition to the acute shortage of medicines and equipment and the failure to deal quickly with stagnant water that collects for long periods in many areas and neighborhoods after heavy rains and mixing with water Sewer. In addition to the shortage of water that drove slum residents to store them in open tanks, adding that this is “the main factor for the spread of dengue, malaria and other diseases transmitted by insects.”

The absence of electric current in several areas also contributed to the spread of these diseases, because citizens are forced to leave their bedrooms on the roofs of homes and yards during sleep, which exposes them to mosquitoes more.

And the specialists working in the field of epidemiological monitoring and malaria control attribute the reason for the spread of diseases due to the presence of pits and pools of wastewater and stagnant swamps of rain from which rain was found – after taking samples from them – thousands of mosquitoes that transmit the disease to thousands of people, and this indicates the arrival of 9 cases To the government hospital infected with the disease from one family, mosquitoes are a carrier of infection and one mosquito per day puts more than 20 eggs, and some go to it that it lays 100 eggs and here lies the problem.

Symptoms of diets and how to prevent them?

According to doctors, dengue fever is more deadly than malaria, and symptoms of the disease appear on the patient after a period of three to six days after the bite of a mosquito carrying the disease. From high fever, severe headache, or pain behind the eyes, muscles and joints, as well as a rash.

Doctors stressed the need to take a number of practical steps to counter this by intensifying spray-team campaigns to combat vectors of disease, sending medical teams to raise awareness and educate about disease prevention and patient treatment and implement comprehensive clean-up campaigns.

The only appropriate way to combat or prevent dengue virus is to control vector mosquitoes by preventing mosquitoes from accessing egg-laying habitats based on environmental management measures and adjusting them, as well as properly disposing solid waste and removing human-made habitats, and covering water storage containers Household, emptied and cleaned weekly, use of appropriate pesticides in external containers to store water, as well as the use of personal home protection measures such as window blinds, long-sleeved clothes, pesticide materials, and walking KE community mobilization to fight against the continuous vector.

Careful early detection of patients with dengue fever and their clinical management can also significantly reduce fever deaths.

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