Chikungunya Virus - Dominican republic under alert

[bronzeallspice]

MA, i get the drift one does not believe until one has it. yet i still do not go with mass hysteria. i recommend visitors to use precautions but here at home i do not have screens, no mosquito nets and no air con. i always sit out of the range of a fan, i spray myself with repellent occasionally, i sometimes burn mosquito coil and have garden fumigated. yet i never had neither dengue not chikungunya.

today's DL also reports the number of suspected cases is going down:
Hospitales reciben menos casos de chikungunya - DiarioLibre.com

Did you read the entire article as to why there is a decline? It is talking about a decline in hospital
visits because people are opting instead to take aceptaminophen at home once they are told that
there is no vaccine available.

Just because less people are going to hospitals does not mean a decline
in the virus.

 

[IslandDreaming]

I have merged the two threads - please do not start additional threads on Chickungunya [or any other topic, if one already exists]. Ask your questions in the existing thread.

Glad you just posted that, thought I had lost my mind. Saw a thread about ChikV in Punta Cana with three posts than when I strated reading the third post it said 700 and something more

 

[Cdn_Gringo]

I have read the thread in Living about the virus but ... In general regarding PC village, Cap Cana, Bavaro ... How bad does virus seem to be here? How contagious? Thanks for info?

ChickV is not contagious in the classic sense. It all depends on whether an infected mosquito happens to occupy the same space you do and decides to draw blood. If an infected mozzy bites you, the chances of you getting the disease is quite high. It only takes one bite.

 

[IslandDreaming]

MA, i get the drift one does not believe until one has it. yet i still do not go with mass hysteria. i recommend visitors to use precautions but here at home i do not have screens, no mosquito nets and no air con. i always sit out of the range of a fan, i spray myself with repellent occasionally, i sometimes burn mosquito coil and have garden fumigated. yet i never had neither dengue not chikungunya.

today's DL also reports the number of suspected cases is going down:
Hospitales reciben menos casos de chikungunya - DiarioLibre.com

DV*
Your husband travels over the entire country for work doesn?t he? I would think he would get a good idea is the prevalence of ChikV is increasing or decreasing simply by the number of infected people in each area he frequents

 

[Contango]

DV*
Your husband travels over the entire country for work doesn’t he? I would think he would get a good idea is the prevalence of ChikV is increasing or decreasing simply by the number of infected people in each area he frequents

or time spent in the Cabanas..

 

[dv8]

Your husband travels over the entire country for work doesn?t he? I would think he would get a good idea is the prevalence of ChikV is increasing or decreasing simply by the number of infected people in each area he frequents

he never talked to me about this. not sure he would have noticed, he goes from one location to the next and spends most of the time driving. supplies are not affected, thou.

 

[jimmythegreek]

Here is a good article that provides a good chart with statistics (whether accurate or not) with numbers by country:

350,000 Chikungunya Cases In Americas - Business Insider

It seems to show a rate of 1.859 per 100 people or 1,859 per 100,000 on average as the infection rate.

That's the issue at hand-these are merely the reported cases whereas there are most likely many-many unreported cases out there. So it could by 50 for every 100-we don't know. Also, we are not even sure it is Dengue or Chikungunya without extensive testing of the pathogen in question.

 

[jimmythegreek]

Did you open the link? Lab referencia claims to do anti body test.

Yes, thanks for the info. It looks like ImG should be able to identify the anti-bodies after the 8 day period. I am going to give them a call to confirm. It's strange that they would have the memory test for anti-bodies and Amadita does not.

 

[Mauricio]

Yes, thanks for the info. It looks like ImG should be able to identify the anti-bodies after the 8 day period. I am going to give them a call to confirm. It's strange that they would have the memory test for anti-bodies and Amadita does not.

Yes, but even though amadita seems the most professional lab, several doctors now have I heard saying lab referencia is better, more accurate results and apparently giving the service in this case as well.

 

[donP]

Chikungunya Song

Dance to it while you still can.... :bunny:


[video=youtube;aIPv7awK0uw]http://www.youtube.com/watch?v=aIPv7awK0uw[/video]



donP

 

[mountainannie]

why all the concern over lab testing? why do it if there is no medicine? i think that the symptoms of chichi are distinct enough from dengue to tell.

Simple Clinical and Laboratory Predictors of Chikungunya versus Dengue Infections in Adults
Differences between DF, DHF and chikungunya at presentation are shown in figure 1 (results over the course of hospitalization are similar and not presented). Not all chikungunya patients were febrile, although all dengue cases were. Statistically significantly more chikungunya patients had myalgia or arthralgia, and fewer had a sore throat, cough (for DF), nausea, vomiting, diarrhea, abdominal pain, anorexia or tachycardia than patients with DF or DHF."

this study says

Dengue and chikungunya are co-circulating vector-borne diseases with substantial overlap in clinical presentations. It is important to differentiate between them during first presentation as their management, especially for dengue hemorrhagic fever (DHF), is different."

the only difference in management is that for dengue they say no aspirin or ibprophen.. whereas in chichi ibroprophen is the first line.. so say the CDC, UK health and Singapore health.

Here, everyone is told to take only the Acetominophin because discerning the difference between the two is difficult.

but the Tylenol. paracetemol.. is NOT an anti inflammatory, which is recommended for chichi.

*if you take my advice and take ibuprophen as I am doing and die from dengue, you cannot hold me or my heirs responsible.

 

[bronzeallspice]

why all the concern over lab testing? why do it if there is no medicine? i think that the symptoms of chichi are distinct enough from dengue to tell.

Simple Clinical and Laboratory Predictors of Chikungunya versus Dengue Infections in Adults
Differences between DF, DHF and chikungunya at presentation are shown in figure 1 (results over the course of hospitalization are similar and not presented). Not all chikungunya patients were febrile, although all dengue cases were. Statistically significantly more chikungunya patients had myalgia or arthralgia, and fewer had a sore throat, cough (for DF), nausea, vomiting, diarrhea, abdominal pain, anorexia or tachycardia than patients with DF or DHF."

this study says

Dengue and chikungunya are co-circulating vector-borne diseases with substantial overlap in clinical presentations. It is important to differentiate between them during first presentation as their management, especially for dengue hemorrhagic fever (DHF), is different."

the only difference in management is that for dengue they say no aspirin or ibprophen.. whereas in chichi ibroprophen is the first line.. so say the CDC, UK health and Singapore health.

Here, everyone is told to take only the Acetominophin because discerning the difference between the two is difficult.

but the Tylenol. paracetemol.. is NOT an anti inflammatory, which is recommended for chichi.

*if you take my advice and take ibuprophen as I am doing and die from dengue, you cannot hold me or my heirs responsible.

This is why testing is so important to know if the person is infected with the CHIKV or Dengue fever.

With one you can take ibuprophen and with the other you cannot. So the reason is obvious, for
management purposes.

And what if a person is infected with both? :ermm:

 

[mountainannie]

does NOT matter here they will tell you to take parectemol. Have a French friend whose daughter tested positive for chichi,, told parecetomol. When I said to her I was taking Ibrophen she said oh no... you are not supposed to.

So the testing will not make any difference here

they will tell you to take acetomenophin/ parecetomol and drink fluids and rest.

 

[IslandDreaming]

I keep seeing parecetomol. Is that same thing as Tylenol (Acetaminophen)

 

[Cdn_Gringo]

I keep seeing parecetomol. Is that same thing as Tylenol (Acetaminophen)

Yes it is.

 

[Salsafan]

So far I understand the effect of ibuprofein and paracetamol overlap much. Ibuprofein is (a little) more for inflammation, paracetamol more for pain. One can even take them simultaneously. Ibuprofein is segregated thru kidneys, paracetamol thru liver, so one must watch out not to harm them. Of course one must take into account other deseases and medicines one uses.

 

[dv8]

more news today. even thou some hospitals register less case the virus is expanding geographically with cibao being hit the hardest: Se elevan a 251,880 los casos sospechosos de chikungunya - DiarioLibre.com

note the numbers: (...) durante la semana n?mero 27, los casos sospechosos ascienden a 251,880, un incremento de 33,491 nuevos casos sospechosos, y una tasa de incidencia acumulada de 2,427 casos por cada 100,000 habitantes.
Los casos confirmados totalizan 71, diseminados en 19 provincias del territorio nacional.

the discrepancy between the number of "suspected" and "confirmed"? astonishing.

 

[mountainannie]

ibubrophen and aspirin are anti inflamatory.. they reduce inflamation. thus.. pain .. in the joints. They are in the class called Non Steriod Anti Inflamator NSAI. Acetominophen does not have anti inflamation characteristics. Anti-inflammatory - Wikipedia, the free encyclopedia

 

[bronzeallspice]

ibubrophen and aspirin are anti inflamatory.. they reduce inflamation. thus.. pain .. in the joints. They are in the class called Non Steriod Anti Inflamator NSAI. Acetominophen does not have anti inflamation characteristics. Anti-inflammatory - Wikipedia, the free encyclopedia

Correct. That's why people who are infected are in such excruciating pain. Acetominophen
will not help with the inflammation or swelling.

 

[jbars]

Correct. That's why people who are infected are in such excruciating pain. Acetominophen
will not help with the inflammation or swelling.[/QUOT


Acetaminophen is used to reduce the fevers experienced. Ibuprofen is for pain and swelling.