Dengue outbreak - cancel visit to India with baby and child

#1 Sep 26th, 2015, 02:23
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  • Iris G is offline
#1
Hello,
We are due to go to Punjab (Phagwara) with our children (4years and 5 months) in the second week of October. We were not planning to travel just to stay at their grandparents house in a rural village. Today my father in law called us to warn us that there are cases of dengue in the nearby town and 3 people have died from it so far. We clearly made a mistake choosing to go in the dengue peak season but this was due to the age of our baby (being exlusively breastfed) to avoid other risks. I bought a few mosquito nets to protect the baby and a repellant that can be used from 3 months onwards and anti mosquito patches.
We will bring lots of rehydration salts and infant paracetamol.
I'm actually more worried that we will have an accident on the way to and from the airport then getting dengue. (I have never been bitten on previous visits trips to India were I used a natural repellent) We thought we will review the situation and see how the cases quantify over the next week. Any thoughts on this?
#2 Sep 26th, 2015, 02:44
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#2
There is no outbreak,
Don't make unnecessary fuss about it.



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#3 Sep 26th, 2015, 03:34
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With dengue, it is the second infection (with a different strain) that causes severe symptoms. The chance of even one infection is quite small (there is no epidemic); and so it is extremely unlikely that a non-resident would catch two different strains of dengue during a short visit.
#4 Sep 26th, 2015, 03:53
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Quote:
There is no outbreak,
Hmmm... it seems there is, but I'm looking at newspapers, so yes, it might all be nonsense. Your city seems to be one of the worst affected.

This makes interesting reading: Delhi’s Dengue Outbreak Signals a Breakdown of Common Civic Sensibilities.

I feel a bit like I'm scaremongering, posting it here, because it is not my intention to put Iris off her trip, but one of the things I took away from the article is the reminder that there is always Dengue. But it isn't my intention to say, hey, it's fine, either, particularly with children involved.

Quote:
I bought a few mosquito nets to protect the baby and a repellant that can be used from 3 months onwards and anti mosquito patches.
Please note that the mossie that spreads dengue is a day-flying species. But you need to protect against the night ones too anyway.

Quote:
We will bring lots of rehydration salts and infant paracetamol.
Available here, but there is no harm in having some ready to hand. Please note that there are some medicines that must not be taken if dengue is suspected: ibuprofen is one, I think aspirin is another --- but I do not pretend to offer medical advice, especially for children. This is something for you to research and talk to a doc about.

Mind you, I have one qualification for talking about Dengue: I've had it!

It would be nice if you could talk to a tropical medicine specialist, but, I suppose (unless you're rich and can simply knock on the door at a private hospital) hey, NHS --- and your local GP is probably the best you can do. Dengue is just one of the things to talk about.

Quote:
Originally Posted by RPG With dengue, it is the second infection (with a different strain) that causes severe symptoms. The chance of even one infection is quite small (there is no epidemic); and so it is extremely unlikely that a non-resident would catch two different strains of dengue during a short visit.
Dengue can be anything from symptomless to fatal. I'm assuming that my attack, as in, first I know about, was the first, and it was not the most ill I have ever been, but it was far from fun, for a whole month or more. Worse than most flu. But not life-threatening, no. Not even hospital bad. In fact I thought the rash must be some new allergy!

Quote:
it is extremely unlikely that a non-resident would catch two different strains of dengue during a short visit.
There must be some statistical relationship between exposure and risk, but also: it only takes one mosquito.

Still, on the whole, I agree with you, but I'm still not saying to Iris, hey, just come.
~
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#5 Sep 26th, 2015, 04:05
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Quote:
Originally Posted by Nick-H View Post Dengue can be anything from symptomless to fatal. I'm assuming that my attack, as in, first I know about, was the first
No, it was not the first. You can read about how this works on the interwebs.
#6 Sep 26th, 2015, 04:10
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#6
Well, only two more strains to go, then. If I survive them I can laugh at Dengue!

But I'm still in doubt that they symptoms I had could not have been first-time dengue. It's a while since I read it up. Probably it was back then when I'd just had it.

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