Sharp rise in dengue cases put strains on country’s fragile healthcare system

The series of dengue patients and fatalities continues to spike across the country this year too with hospitals struggling to invent treatment to the growing series of patients as a result of insufficient facilities.

Consultants anxiety that the dengue location also can aggravate in October when the hospitals and clinics are already overwhelmed with dengue patients.

Till 22 September, the death toll from the mosquito-borne illness stood at 131 with 24,034 cases.

Two months motivate, experts warned in regards to the risk of extreme dengue outbreak in September, but there had been no visible efforts from the authorities concerned. Recount is growing amongst folks as October is at risk of analysis even worse dengue location.

Visiting Dhaka Clinical College and Mugda Clinical College and Clinical institution, it changed into once chanced on that these hospitals had been struggling to accommodate the dengue patients and constructing extra beds within the corridors to invent treatment.

Talking to UNB some physicians on the hospitals talked about the brand new month is seeing a genuine form bigger in dengue cases when put next to previous months.

Over 2,800 patients had been admitted to the 2 hospitals in August whereas some 2,500 patients hold already been hospitalised this month—with eight days light supreme.

Many patients had been admitted in extreme condition, exhibiting signs corresponding to low blood stress, extra than one organ dysfunctions, vomiting and lethargy, they talked about.

Recent rainfall and waterlogging is at risk of be the cause within the motivate of the surge in dengue patients. Physicians teach that many patients are being hospitalized with extreme symptom of Dengue, in particular shock syndrome.

What DGHS, experts teach

In accordance with the Directorate General of Successfully being Companies and products (DGHS), the series of dengue cases is growing when put next to previous months, with 55% of patients hospitalized exterior Dhaka.

Moreover, negligence is additionally blamed for rising deaths. Without providing primary treatment at upazila properly being complexes, patients are referred to other hospitals unnecessarily, exacerbating the crisis.

Dr Mushtaq Ahmed, an adviser to the Institute of Epidemiology, Illness Get hold of a watch on and Examine (IEDCR), talked about as the series of dengue patients rises, the death toll will proportionally form bigger, noting that the causes for which 2023 witnessed the most realistic deaths hold no longer been resolved.

He emphasized the need for decentralization of medical care, as patients with less dangers are on the entire kept on the city hospitals unnecessarily as one more of providing care at upazila or local hospitals, hanging traces on the finest treatment of extreme patients.

Prof Kabirul Bashar, a Zoology Division trainer of Jahangirnagar College, addressed that the primary healthcare facilities on the upazila level must be successfully equipped to address dengue patients as one more of transferring them to district or divisional hospitals, which also can lengthen primary treatment.

To successfully administration dengue, he entreated for proof-essentially based integrated mosquito administration recommendations and a shift from a job-oriented to a provider-oriented mindset amongst responsible businesses.

“Underneath hotspot administration, break packages must be performed within 200 meters of homes the place there are dengue patients. Flying Aedes mosquitoes and larvae must be destroyed.”the knowledgeable suggested.

Anti-mosquito drives in capital

DSCC Administrator Dr. Mohd Sher Ali informed UNB that following the directives from Native Executive Adviser AF Hassan Arif, instructions had been given to all concerned to be certain that ‘coordinated and good implementation of mosquito administration activities’ in Dhaka South and North City Companies.

He, on the opposite hand, talked about they are enforcing primary activities with due significance to abolish the breeding places of Aedes mosquitoes.

DSCC Chief Executive Officer Md Mizanur Rahman talked about, “Our properly being department and extinguish administration department hold started conducting special cleanliness and mosquito administration activities within the areas the place the prevalence of Aedes mosquitoes is excessive. Thru this, we are in a position to be ready to lower the spread of dengue illness. “

DNCC Administrator Md Mahmudul Hasan talked about the sources the place Aedes larvae can grow must be cleaned and destroyed alongside spraying insecticides many times to govern dengue.

The monitoring team consisting of officials of diverse departments is successfully supervising the activities performed in every intention. College students and other voters want to be eager, he talked about.

“Our staffers clear the atmosphere of the house and spray medicines. But it completely is just not any longer that it is doubtless you’ll perchance perchance perchance be also imagine for our staff to work indoors. So it be primary to retain your homes clear. Refrigerators, ACs, flower tubs, unused tires, coconut shells, beginning packets of chips, diverse forms of beginning containers, rooftops or every other places must be kept free from stagnant water,” he added.

On September 19, the DNCC launched a week-prolonged special mosquito eradication programme across all wards, which is ready to continue except September 25. Every ward has been divided into sub-blocks for centered inspections to title and abolish mosquito breeding grounds.