Showing posts with label vaccinations. Show all posts
Showing posts with label vaccinations. Show all posts

OF MOSQUITOS, DENGUE & CITRONELLA

The latest buzz word all over Delhi is "dengue."  It seems everyone has it, just recovered from it, or is fearful that they have it.  

Transmitted by mosquitos who bit an infected person, who then in turn bites a healthy person, its symptoms include high fever, severe headaches and body/joint aches that can last up to 10 days.  A person's platelet count can be horribly affected, requiring that the platelet levels be checked daily to monitor whether transfusions are needed.

The above photo shows our daily "prescription" of hopeful dengue fighting choices.  

All-Out (plug-ins, much like what you might be used to that would dispense air freshener)

Odomos (a very pleasant mosquito repellant cream, that as long as the contents are potent as they are supposed to be, is very very effective), 

Good Ole' Off from the United States (we keep a can in the car for pre-drop-off spray downs before school)

Hit (a "good smelling" outdoor spray, also used for inside when we want to pre-treat a room before bedtime) and 

Bees Wax Balm - which I swear by.


I found this article interesting (from Bloomberg) ::

Delhi's Richest Areas Hit By Dengue as City Prepares for Games

Delhi’s Richest Areas Hit By Dengue  
What makes southern New Delhi more susceptible than the slums and crowded settlements in the north is its continual supply of fresh water.

The tree-lined neighborhoods where New Delhi’s executives and entrepreneurs live have become prime breeding grounds for a deadly scourge.

A dengue outbreak in the city has been concentrated in areas with rooftop tanks, lotus ponds and flowerbeds as mosquitoes lay their eggs in the standing water, doctors say.

India’s health ministry confirmed 1,438 cases of dengue in a city more commonly afflicted by diseases endemic to the poor such as malaria, tuberculosis and diarrhea. The outbreak may be fueled by the city’s $4.6 billion preparations for next month’s Commonwealth Games, as the heaviest monsoon in 15 years leaves pools of water at construction sites.

“In Delhi, dengue is a disease that spreads best in the kind of neighborhoods that only the upper-middle class and rich live in,” said Sandeep Budhiraja, a doctor at the city’s Max Institute of Medicine. “I’ve treated at least five CEOs this week alone.” 

Symptoms
Dengue causes sudden fever, severe headaches, and muscle and joint aches lasting up to 10 days, according to the WHO. It can trigger a potentially fatal drop in white blood cells and platelets, leading to excessive bleeding.
The disease is spread by female mosquitoes. The insects contract the virus when biting an infected person, and then they transmit it when feeding on a healthy person. 

About 3 percent of cases are fatal, according to the Centers for Disease Control and Prevention in Atlanta. Indian newspapers reported as many as five deaths in the latest outbreak. The health ministry told Bloomberg News it didn’t have any data on fatalities.

Budhiraja and other doctors said the health ministry’s number of cases likely was too low. He said he has seen 1,500 cases in his hospital alone since July.
“And this is just the beginning of September,” he said. “Just wait for a few weeks.” 

What makes southern New Delhi more susceptible than the slums and crowded settlements in the north is its continual supply of fresh water. Bloomberg News contacted eight hospitals in the southern part of the city, and doctors and spokesmen estimated a combined 2,442 cases of dengue. Seven hospitals contacted by Bloomberg News in the northern part of the city estimated a combined 923 cases.

“Unlike for other diseases, as tropical countries become wealthier, dengue does not tend to decrease in incidence,” said Peter Ryan, head of the mosquito control laboratory at the Queensland Institute of Medical Research in Australia. “Instead, the problem often exacerbates.”

New Delhi’s efforts to spruce itself up before the Commonwealth Games starting Oct. 3 also are creating favorable breeding conditions for mosquitoes carrying dengue. Government preparations for the 71-country sporting event include digging new subway routes, refurbishing or building from scratch 20 stadiums, and rebuilding roads and bridges.

“Construction sites with tarpaulin that collect rainwater, pipes lying around, lift shafts or even buckets are perfect for dengue,” said Scott Ritchie, a medical entomologist at the Tropical Public Health Unit in Cairns, Australia.
Fear of dengue infections prompted the United Kingdom, Canada, Australia and New Zealand to issue travel advisories to its athletes competing in the games and ask them to wear protective clothing and use mosquito repellants.

Greater Kailash Enclave resident Anjum Khan, 19, her skin pale and her breathing shallow, sat in a hospital room waiting to be discharged after a week of receiving platelet transfusions and painkillers for dengue. The fashion-school student switched hospitals twice because they ran out to platelets.
“I am not sure where I caught it,” Anjum said as her mother packed her belongings. “It was very painful.”

Travel Clinic

We have one of the most painful (literally) items on our to-do list CHECKED OFF!

I lucked out and was referred to a VERY nearby Travel Clinic and got all of the information I needed over the phone for the initial consultation.

I was told to visit the clinic, with immunization records in hand (preferably without children, to expedite the consultation).  They would then have me fill out "some paperwork" and then the doctor would visit with me about what vaccinations were needed and which were recommended.

Yesterday morning, Mia and I visited the Travel Clinic, immunization records in hand with the intention of getting the consultation 'out of the way.'

First off, know that if you ever need the services of a Travel Clinic, they will charge you for this consultation.  You will be required to fill out about an hour's worth of paperwork (or maybe 15 minutes for each person, since I had four people to accomodate?).

After paying $180.00 for the privilege of filling out paperwork, I realized that we no longer had any time to visit with the doctor for the vaccination recommendation since Tony would soon be off of the bus.

Home to get Tony off of the bus after feeling very defeated for not getting much of anything accomplished.

Then, after an afternoon of VERY crabby children, I decided .... why keep the crabiness to myself?  Why not share their griping and whining with the Travel Clinic?  At worst, they would expedite the process of recommending vaccinations, and then administering shots because they wanted the crabbiness out of their office!  Brilliant plan, I thought!

So we loaded up and headed - all three kiddos and I - to the Travel Clinic. 

20 minutes later, we started the process of obtaining weights, temperatures, blood pressure stats, and I gave a review of allergies, any medical problems to note and normal eating habits.

Then the doctor came in, who spoke with a Russian accent (very hard to understand) and started going over the options - Japanese Encypha-something-or-other-that-I-can't-spell .... Hepatitis A, Typhoid, Polio, Cholera, Meningitis, etc. 

I think that at this point, I was realizing that this MIGHT not have been the most brilliant plan.    The crabbies and I had now been in the office for about an hour and still no vaccination recommendation had begun.

I'll spare you the details.  It was ALOT of shots, alot of crying, wailing and thrashing about.  The kids each got 2 shots and I got 4.  Let me tell you, these are no flu shots.

Typhoid feels like hot lava coursing through your veins, and in the other arm, Hepatitis A reminded me of ice shooting up into my shoulder.  Poor babies ... if I was hurting during the process, I know THEY were!

Lessons learned?

  • Take someone with you to the Travel Clinic to help keep little ones occupied during the wait
  • Promise McDonalds after their experience.  If you're lucky, you'll get away with a simple Happy Meal for the young ones and an extra large order of fries for the teenager.
  • Be meticulous in obtaining your immunization records BEFORE ever stepping foot in the Travel Clinic
  • Try to find a Travel Clinic associated with a pediatric office or urgent care.  MUCH nicer than our previous experience (prior to Africa) at the Health Department!
  • Take your OWN bandaids ... nothing says "feel better lovey" than bandaids with colors, cartoon characters and barbie dolls!
  • Be aware that you'll have to pay out the nose for these vaccinations!  Our bill was over $800 (for the four of us, which actually wasn't TOO bad) and will not be covered by any insurance.  This amount doesn't include the prescriptions for anti-malaria medication (oral).
  • Pre-dose everyone with Motrin/Aspirin to take a bit of the edge off of the soreness factor.  It's nearing 24 hours later and I still am unable to lift my arms above shoulder level, let alone pick anything up.
  • Finally?  Be grateful that even though the shots hurt like hades, that you are able to receive vaccinations in the first place!

CNN.com