The Investor Sentiment - Equity and investments forum for Sri Lankans
Search
 
 

Display results as :
 


Rechercher Advanced Search

Latest topics
» NDB.N0000 (NATIONAL DEVELOPMENT BANK PLC)
Yesterday at 10:26 pm by PANTOMATH

» PB. N0000 (People's Bank)
Yesterday at 6:01 pm by Ethical Trader

» Sri Lanka President drops assassination bombshell, accuses India
Yesterday at 6:00 pm by Ethical Trader

» BOC.N0000 ( Bank of Ceylon)
Yesterday at 5:52 pm by Ethical Trader

» රුපියලේ ඉරණම
Yesterday at 5:50 pm by Ethical Trader

» Sri Lanka gets US$1bn eight-year loan from China Development Bank
Yesterday at 8:06 am by serene

» Sri Lanka 3-month Treasuries yield up 20bp at auction
Yesterday at 7:48 am by The Invisible

» Sri Lanka seeks joint venture with Indian Oil unit for Trinco oil tanks
Yesterday at 7:46 am by The Invisible

» Sri Lanka stocks down 0.33-pct, rupee steady
Yesterday at 7:45 am by The Invisible

» Global stocks mostly fall as Fed signals more US rate hikes ahead
Yesterday at 7:44 am by The Invisible

» SAMP.N0000 (SAMPATH BANK PLC)
Yesterday at 7:39 am by The Invisible

» Plantation sector updates
Wed Oct 17, 2018 5:22 pm by කිත්සිරි ද සිල්වා

» Fed Rate hike , Rs Devaluation PART 2 : Should CSE be like this? Whose FAULT is it?
Wed Oct 17, 2018 3:14 pm by Yin-Yang

» Banking Sector
Wed Oct 17, 2018 11:17 am by lanka

» Sri Lanka needs prudent fiscal policy to retain confidence, refinance debt: Economist
Wed Oct 17, 2018 9:51 am by The Invisible

» EPF needs governance overhaul, proxy advisor, to invest in Sri Lanka stock market
Wed Oct 17, 2018 9:49 am by The Invisible

» 17-pct of Sri Lankans stunted: World Bank Human Capital Index
Wed Oct 17, 2018 9:45 am by The Invisible

» Coalition politics hurt Sri Lanka liberalization drive: Harsha
Wed Oct 17, 2018 9:44 am by The Invisible

» Sri Lanka President calls to expand Nixon shock as rupee falls
Wed Oct 17, 2018 9:43 am by The Invisible

» Sri Lanka new car registrations down 40-pct in September
Wed Oct 17, 2018 9:39 am by The Invisible

» Sri Lanka stocks up 0.37-pct, rupee ends marginally lower
Wed Oct 17, 2018 9:38 am by The Invisible

» Sri Lanka’s Nations Trust Bank gets US$50mn from Dutch lender
Wed Oct 17, 2018 7:58 am by serene

» JKH shares trade Rs1.1bn worth at 126-127/share in today’s trades
Tue Oct 16, 2018 8:45 pm by PANTOMATH

» Only 8-pct of Sri Lanka’s 2018 budget promises progressing on track: Verité
Tue Oct 16, 2018 7:14 pm by serene

» වෙළෙඳපොළ වැටුණු මොහොතේ නිමල් රු. බිලියන 2 ක කොටස් අරන්
Tue Oct 16, 2018 11:35 am by Ethical Trader

» බැඳුම්කර මගඩියෙන් අර්ථසාධක අරමුදලට වූ පාඩු පියවා ගන්න මහ බැංකුව සිවිල් නඩුකර පවරයි
Tue Oct 16, 2018 11:32 am by Ethical Trader

» සිංගර් කොටස් ගනුදෙනුවෙන් පසු ශුද්ධ විදේශීය ගලායාම රු. බිලියන 8 ඉක්මවයි
Tue Oct 16, 2018 11:23 am by Ethical Trader

» Hayleys buys balance 9.47-stake in Singer Sri Lanka
Tue Oct 16, 2018 8:24 am by yellow knife

» Sri Lanka's All Share index falls below 5,800 points
Tue Oct 16, 2018 7:50 am by serene

» Sri Lanka stocks end 0.70-pct lower, rupee lose some gains
Tue Oct 16, 2018 7:33 am by The Invisible

» Sri Lanka gilt yield curve flattens amid currency pressure
Tue Oct 16, 2018 7:30 am by The Invisible

» Global stocks mixed as oil gains amid scrutiny of Saudi Arabia
Tue Oct 16, 2018 7:24 am by The Invisible

» චීන සංවර්ධන බැංකුවේ සරණින් රුපියල අළු ගසා නැගිටියි
Mon Oct 15, 2018 6:11 pm by serene

» Will take care of debt issues of Belt and Road projects: China
Mon Oct 15, 2018 6:07 pm by serene

» සිංගර් ඉතුරු කොටස ධම්මික අද මිල දී ගනී
Mon Oct 15, 2018 4:57 pm by The Invisible

» ලංකා හා මහජන බැංකු කොටස් අලෙවියක්
Mon Oct 15, 2018 12:23 pm by nihal123

» රුපියල ශක්තිමත් කිරීමට අතේ ඇති ඩොලර් විසි කිරීමේ අවාසිය
Mon Oct 15, 2018 9:32 am by The Invisible

» Global stocks stumble as Trump attacks Fed
Mon Oct 15, 2018 9:29 am by The Invisible

» අහිමි වෙන ඉරාන තේ වෙළෙඳපොළ වෙනුවට රජය විකල්ප සොයාගෙන නෑ
Mon Oct 15, 2018 9:28 am by The Invisible

» Sri Lanka apparel exports up 7.8-pct in Aug despite Brexit hit
Mon Oct 15, 2018 9:25 am by The Invisible

» 'Shock not over' as Asian stocks extend slide
Mon Oct 15, 2018 9:24 am by The Invisible

» "The unreasonable man" - Rohan Pallewatte
Sun Oct 14, 2018 10:55 am by කිත්සිරි ද සිල්වා

» අනං මනං! #/+?.<>
Sat Oct 13, 2018 7:09 pm by Yin-Yang

» Investing in stocks - how to find the best time to buy or sell
Sat Oct 13, 2018 5:15 pm by nihal123

»  How To Identify Stock Market Direction (Trends) Part 1
Sat Oct 13, 2018 5:06 pm by nihal123

» Backroom moves over Sri Lanka Chief Justice pick
Sat Oct 13, 2018 12:22 pm by කිත්සිරි ද සිල්වා

» Sri Lanka makes second forced bond sale, yields up
Sat Oct 13, 2018 8:31 am by The Invisible

» Sri Lanka stocks end 0.40 percent lower, rupee in sharp rebound
Sat Oct 13, 2018 8:30 am by The Invisible

» Sri Lanka's Lion Brewery regrets leaving Indian market
Sat Oct 13, 2018 8:28 am by The Invisible

» Sri Lanka looks to shed massage parlour image for billion dollar wellness industry
Sat Oct 13, 2018 8:22 am by The Invisible

October 2018
SunMonTueWedThuFriSat
 123456
78910111213
14151617181920
21222324252627
28293031   

Calendar Calendar

Disclaimer


Information posted in this forum are entirely of the respective members' personal views. The views posted on this open online forum of contributors do not constitute a recommendation buy or sell. The site nor the connected parties will be responsible for the posts posted on the forum and will take best possible action to remove any unlawful or inappropriate posts.
All rights to articles of value authored by members posted on the forum belong to the respective authors. Re-using without the consent of the authors is prohibited. Due credit with links to original source should be given when quoting content from the forum.
This is an educational portal and not one that gives recommendations. Please obtain investment advises from a Registered Investment Advisor through a stock broker

Time is of essence in dealing with dengue:Expert, Recent deaths could be due to patients "coming in late" for treatment

Go down

Time is of essence in dealing with dengue:Expert, Recent deaths could be due to patients "coming in late" for treatment

Post by AjithR on Thu Jan 25, 2018 2:08 pm

A woman in the prime of life, a girl on the threshold of her teen years and a few more — all dead due to dengue, when the country is not even in the throes of an epidemic!

Why?

This is the question on the minds of many because Sri Lanka is lauded as one of the best countries in the clinical management of dengue, better even than Thailand and Singapore.

“Time is of essence in dealing with dengue,” says Negombo Hospital’s Consultant Paediatrician Dr. LakKumar Fernando who has much experience in curing patients badly-affected by this viral disease, reiterating that there are very simple measures that people with fever and doctors to whom they go to can take to prevent deaths.

To bring about zero-deaths in this current spread of Dengue Virus 2 (DENV2), Dr. Fernando who is the Clinical Head of the Centre for Clinical Management of Dengue and Dengue Haemorrhagic Fever, Negombo, recommends:



Towards the end of Day 1 of fever do a Dengue Antigen NS1 test. If it is positive, follow it up soon after, with a Full Blood Count (FBC).
Even if there is less fever, but if the patient is feeling very weak with lots of body-aches, it is advisable to do a Dengue Antigen NS1 test at the end of Day 1 and if positive, an FBC. He suggests that without drawing blood twice, a little extra blood could be drawn into an EDTA tube when doing the Dengue Antigen NS1 test so that if it is Positive, the FBC can be done immediately thereafter.
If the Dengue Antigen NS1 is Positive but the FBC counts are high (the platelets between 150,000 and 400,000), the person can stay at home but keep in touch with the doctor and repeat the FBC at the end of Day 2 of fever.
What the doctors need to know after another 24 hours is the rapidity with which the platelet count is coming down. If there is a rapid drop by Day 2, then the patient needs to go to the hospital for monitoring and management.


Stressing that he has found that these tests are necessary to bring down the deaths in dengue, he cites the example of a child who was found to be Positive in a Dengue Antigen NS1 test on Day 1, but had a good platelet count of 360,000.

“Don’t wait for another three days to check a second FBC because by that time if there is a rapid drop in platelets, the patient is in serious trouble,” says Dr. Fernando explaining that the very next day’s FBC of this child showed that the count was 220,000 platelets.

Realising that there was a steep drop in the platelets and the child may be going into the leaking stage fast, Dr. Fernando had advised the parents to admit the child to hospital the same evening. They had done so immediately and the next test soon after had shown a drastic drop in the platelets to 65,000. If the child remained at home, the consequences would have been disastrous.

He gives another example – on Day 1 of fever, a patient was found to be Dengue Antigen NS1 Positive and the platelets were 160,000. The testing on Day 2 had shown the platelet count to be 11,000 and it was found that the patient had begun leaking fluid 1½ days into the dengue infection, unlike the majority hit by dengue in whose case leaking begins on Day 3 and beyond.


Dr. LakKumar Fernando

To the query why there have been several deaths recently, Dr. Fernando says that the contributory factors could be patients “coming in late” and not seeking medical attention as soon as they were hit by fever. Even if they sought medical help, the doctors may have decided to keep them at home and treat them without realising that they would descend into fluid leakage quickly. By the time they were admitted to hospital it would have been too late.

“People may also not be so terrified of dengue as they were before, because the clinical management is good. A good indication of people not being too bothered about dengue is the fact that they are no longer taking precautions such as the use of mosquito repellent,” he points out.

Categorically, he says that there is nothing new in these dengue infections. It is DENV2 which has been prevalent throughout last year.

According to Dr. Fernando back in 2009, our death rate was 1% and now it is only 0.2% — a big drop in the number of deaths when compared to the number infected with dengue — because of good clinical management in hospitals.

This has brought about a sense of complacency and many feel it is acceptable but should not we go that extra bit, moving away from the classical way of doing tests only on Day 3, asks this dengue expert, stressing that if doing an extra test on Day 1 instead of Day 3 can make a difference between life and death, we should go ahead.

“Even one death is one too many,” adds Dr. Fernando.

Hot weather results in mosquitoes being produced faster
Mosquitoes are being produced faster because the weather is hot, according to Dr. LakKumar Fernando.“The incubation period when the larvae become adult mosquitoes is shorter due to the warm weather. If earlier, the incubation period was 10-12 days, now it may be about 4 days. The dengue mosquitoes also need only a drop of water to proliferate. The shorter incubation period, meanwhile, has resulted in the survival and life expectancy of these mosquitoes being longer, allowing them to bite more people,” explains Dr. Fernando.


Simple steps to follow
The simple principles that Dr. LakKumar Fernando asks people to follow are:
Seek medical advice and help early, as soon as you, your spouse, your child or your close relative get a fever.

Don’t take non-steroidal anti-inflammatory drugs (NSAIDs). This is because the first suspect if you are having fever should be dengue and NSAIDs will do more harm than good, if it is dengue.

Looking back at last year’s terrible dengue epidemic, he says there were about 185,000 cases and 450 deaths. He believes that the deaths could have been brought down to below 50 if the simple principles were followed.
http://www.sundaytimes.lk/180121/news/time-is-of-essence-in-dealing-with-dengueexpert-277962.html
avatar
AjithR

Posts : 255
Join date : 2014-09-15

Back to top Go down

Back to top


 
Permissions in this forum:
You cannot reply to topics in this forum