Half a million people with severe dengue fever require hospitalisation each year.1
Risk areas for Dengue Fever
When bitten by mosquitoes carrying the virus. These mosquitoes can also carry other viruses such as Chikungunya, Yellow Fever and Zika.1
Over 100 countries, including Africa, the Americas, Eastern Mediterranean, South East Asia and the Western Pacific are affected (see map).2
This virus usually causes an infection which feels like severe flu. It should be suspected when you have a high fever with two or more of the following symptoms: severe headache, pain behind the eyes, muscle and joint pain, nausea, vomiting, swollen glands or a rash.1
Symptoms usually occur between 4 and 10 days after being bitten, and usually last for 2-7 days1. Therefore, you may start to feel ill when you are back home after your trip.1
In most cases, dengue is mild, and people recover in around a week. But in rare cases it can be life-threatening. In severe cases, it causes fluid to leak out of blood vessels which can lead to fluid accumulation in the lungs, and difficulty breathing. Dengue can also cause bleeding and organ failure.1
You can take the following precautions to help reduce your risk of infection:
- Visit your nearest convenient pharmacy or specialist travel health clinic for a risk assessment before your trip
- Take steps to avoid mosquito bites when mosquitoes are most active (during daylight and dusk hours)3
- Use a recommended insect repellent containing either 20% Picaridin (e.g Moskito Guard®), DEET, PMD or OLE, IR3535 or 2-undecanone3
- Wear appropriate clothing (e.g loose fitting long-sleeved clothes, long trousers, socks and shoes) to minimise exposed skin4
- Use mosquito nets if you are sleeping or resting in unscreened accommodation or sleeping outdoors during the day or night4
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* This list is not exhaustive and other travel health providers are available.
- World Health Organization. Fact sheets. Dengue and severe dengue. April 2019. Available online: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue (Last accessed April 2019)
- World Health Organization. Dengue, counties or areas at risk, 2013. Available online: http://gamapserver.who.int/mapLibrary/Files/Maps/Global_DengueTransmission_ITHRiskMap.png (Last accessed April 2019)
- Centers for Disease Control and Prevention. Yellow Book 2018. Chapter 2 The Pre-Travel Consultation. Counseling & Advice for Travelers. Protection against Mosquitoes, Ticks, & Other Arthropods. May 2017. Available online: https://wwwnc.cdc.gov/travel/yellowbook/2018/the-pre-travel-consultation/protection-against-mosquitoes-ticks-other-arthropods (Last accessed April 2019)
- Public Health England. Mosquito bite avoidance for travellers. August 2017. Available online: https://www.gov.uk/government/publications/mosquito-bite-avoidance-for-travellers (Last accessed April 2019)
UK-BOTB-1900028 June 2019