Dengue Prevention through Siddha Medicine

Dengue and Its Prevention through Siddha Medicine

Dr. S. Merish, GSMC, Tirunelveli.

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www.drmerish.wordpress.com

Need to Know

• What is dengue fever

• Symptoms of dengue fever

• Characteristics of the

Aedes mosquito

• Life cycle of the Aedes

mosquito

• How the Aedes mosquito

transmit diseases

• How to prevent the

spread of dengue fever

• Evidence Based Siddha

Treatment regime

• Govt. Scheme and

facilities

• Tune your life with

Herbs

• Repellant awareness

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Differences

•D/w normal fever and dengue fever

•*whats the speciality of dengue fever

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Dengue

• Dengue fever, also know as breakbone fever, is an acute communicable disease caused by virus.

• Infectious agent: Dengue viruses

(categorize into Sero types 1,2,3,4)

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Is they loves the World?

Each year, an estimated 100 million cases of dengue fever occur worldwide.

Endemic in more than 100 tropical and subtropical countries

Pandemic began in South East Asia after WW II with subsequent global spread

Several epidemics since 1980s

Distribution is comparable to malaria

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Why it loves India…

• Construction activities

• Water storage practice

• Population movement

• Heavy rainfall

• Vector abundance

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Aedes aegypti D engue

Chikungunya [email protected]


Behaviors

• Female mosquitoes feed on human blood.

• They are most active 2 hours before sunset

(around 5pm to 6pm) and at around 8am to

9am.

• Where do they sting?

Outdoors and indoors.

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1-2 days

Stagnant water

Pupae

4-5 days

Life cycle of the Aedes Mosquito

Larvae Eggs

2-3 days

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Larva in a Cup

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MOSQUITO FEEDS/ ACQUIRES VIRUS VIRUS MULTIPLIES

8-12 DAYS

BITES UNINFECTED PERSON

AFTER 4-7 DAYS

INFECTED PERSON

DEVELOPS DENGUE FEVER

Man – Mosquito - Man

Not spread by contact

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•Classic type 1

•Severe DHF 2

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Symptoms

• Severe dizziness

• Loss of appetite

• Pain behind the eyes

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DENGUE HAEMORRHAGIC FEVER -Sympt

GIT Bleeding Hematemesis

Melena Hematuria

Increased menstrual

flow

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Vaccinations

No current dengue vaccine

Estimated availability in 5-10 years

Vaccine development is problematic as the vaccine must provide immunity to all 4 serotypes

Lack of dengue animal model

Live attenuated tetravalent vaccines under phase 2 trials

New approaches include infectious clone DNA and naked DNA vaccines

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TREATMENT

• Medical management of dengue is purely

supporti e, ith ai te a e of the ody’s fluid balance being the key objective, whether

via oral rehydration therapy, intravenous fluid

replacement, or in the worst-case scenario,

blood transfusion.

• it is not surprising that many have turned to

alternative therapies for relief.

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SIDDHA TREATMENT

• Nilavembu kudineer is

standing as the key

medicine

• Also used in

Chickunkunya Outbreak

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TREATMENT

• Nilavembu kudineer

• Adathodai Kudineer

• Papaya leaf juice

• For Childrens, Honey based

• Seenthil Kudineer

• BB pills etc

20 %

Platelet Count Increased in 158 Patients out

of 218

Platelet Count remains Same in 42 Patients

out of 218

Platelet Count Decreased in 18 Patients [email protected]


Madurai Govt. Rajaji Hospital

Courtesy: TNPGSDA

Cuddalore GH Reports

-Thanks to TNPGSDA

Cuddalore GH Reports

Courtesy: TNPGSDA

Herbs Increase PLC

1. Veppilai chooranam(Herbal powder)

The effect of A. indica leaf extract and pure Compound (Azadirachtin) on the replication of Dengue virus type-2 has also been reported.

(Parida et al , 2002)

2. Amukkara chooranam

(Ziauddin et al,1996)

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3. Amman Pachirisi

Karkam

According to Lopez, results of the study showed that the tawa-tawa extract was effective in increasing the platelet count

stimulation of platelet production in the bone marrow.

(Lopez et al 2011)

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Boosti g the patie t’s lood production

• Vallarai leaves(Centella asiatica) Juice with

Atimaduram,

Vasambu,

Jadikai,

Vaal mulagu -tail pepper

• nilavembu leaf powder for oral administration

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General antiviral properties

• One is cow or goat colostrum, which can be

drunk as often as desired. Colostrum is the

first se retio fro the a i al’s a ary glands before the milk comes out.

•

• The other is Turmeric, which can be added to

the patie t’s food or ilk.

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Prevention

• Personal

• Environmental

• Biological

• Chemical

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Personal

Clothing to reduce

exposed skin

Insect repellent especially

in early morning, late

afternoon. Bed netting

important

Mosquito repellants(non

pyrethroid based) coils,

sanitation measures

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30

Control the Spread of

Dengue Fever

Prevent the patient from being bitten by mosquitoes.

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31

Prevention of

Mosquito Bites

Install mosquito nets to doors and windows so that mosquitoes can’t get in.

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Environmental

Reduced vector breeding sites

Solid waste management

Public education

Empty water containers and cut weed/tall

grass

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Man made Aedes farms

Water storage tank or

cistern

Drums

Flower vase filled with

water

Potted plants with

saucers

Roof gutters

Discarded food and

drink containers

Used tyres

Discarded large

appliances

Discarded buckets

Rubber collection

shells

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Man made Aedes farms

Animal water container

Air coolers

Water coolers

Discarded tins

Window gutters

Tender cocunut shells

Plastic covers used for covering fruits in the trees

Air conditioners

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Water storage tank

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Discarded Drums, buckets

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Flower Vase

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43

Elimination of Mosquitoes

Ditches should be free from blockage.

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Natural Aedes farms

Tree holes

Rock holes

Leaf axils

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Tree holes

Tree hole harbouring Aedes

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Plantain leaf axil

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Young minds are trained to identify the enemy

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Tyre sliced (cross section) and used as indicator for an automobile workshop at

a location in NH 7A

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Prevention

Biological:

Target larval stage of Aedes in large water storage containers

Larvivorous fish (Gambusia), endotoxin producing bacteria (Bacillus), copepod crustaceans (mesocyclops)

Chemical:

Thermal fogging-malathion,pyrethrum

Insecticide treatment of water containers

Space spraying (thermal fogs)

Indoor space spraying(2% pyrethrum), organo-phosphorus compounds

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‘’Fogging’’ as an emergency operation to knock down

adult mosquitoes

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Fogging into residences infested with the enemy

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Indoor fogging

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55

Protect Yourself against

Dengue Fever

As yet, there is no effective vaccine against dengue fever. Therefore, the best prevention is to avoid being bitten by mosquitoes by paying attention to the following:

•Avoid staying in dark, outdoor places such as brushwood, pavilions or the shade of a tree during the hours when Aedes albopictus is active.

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57

The school is an ideal setting for health promotion.

Targets: all staff, students and parents. • Enhance their understanding of mosquito-borne

diseases.

• Raise their awareness of dengue fever and evaluate the risks of it.

• Encourage members of the whole school to play an active part in mosquito elimination.

• Eliminate black spots of mosquito breeding.

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Long Term Effects of Coils

• Pyrethroids: Inhalation: coughing, wheezing, shortness of breath, runny or stuffy nose, chest pain, or difficulty breathing.

• Skin contact: rash, itching, or blisters.

• Long term effects:

disrupts the endocrine system by mimicking the female hormone, estrogen, thus causing excessive estrogen levels in females. In human males,

its estrogenizing (feminizing) effects include lowered sperm counts. In both, it can lead to the abnormal growth of breast tissue, leading to development of breasts in males and cancerous breast tissue in both male and females.

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Long Term Effects of Coils

• Neurotoxic effects include: tremors, incoordination, elevated body temperature, increased aggressive behavior, and disruption of learning. Laboratory tests suggest that permethrin is more acutely toxic to children than to adults.

• Other: A known carcinogen. There is evidence that pyrethroids harm the thyroid gland. Causes chromosomal damage in hamsters and mice; deformities in amphibians; blood abnormalities in birds.

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Toxicological Effects Of Some Mosquito

Coils Brands In Experimental Rats

• The smoke from the coils produced significant

increase (P < 0.05) in the levels of total protein, total

albumin, bilirubin and blood urea nitrogen when

animals were exposed to smoke for 14 days.

• ALT, AST. the increase in liver enzyme activities could

be due to early liver damage. - Abubakar et al,

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HERBAL COILS

Other

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Separate fumes

• Neem oil

• Sukku nari pul

• Neem leaf Fumigation

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CONTRIBUTIONS

www.tamilnadu.com www.mavudu.com

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Dengue Prevention through Siddha Medicine

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