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Sunday, 21 February 2016

Top 10 myths and facts about dengue

Some useful information on the viral fever and mosquitoes.

DENGUE is a constant threat and the number of reported cases has been steadily climbing.


Saturday, 20 February 2016

A total of 63,198 dengue cases were reported in Selangor last year. This year as at Feb 2, there are already 7,335 dengue cases in the state which is unusually high compared to previous years.
The Health Ministry, local governments, NGOs and residents associations are working closely to fight the spread dengue by having persistent awareness campaigns, fogging, premises inspection and holding gotong-royong.
To help paint a clearer picture about the disease, here are some facts and myths about dengue.
Dengue fever and dengue haemorrhagic fever
Facts
1 Dengue actually comes in not one, but two forms!
Filename : shutterstock_27.6abf1151029.original.jpg - To go with Superbug detected in Taiwan (published on 2010-10-04 21:33:32)
There are actually two variants of dengue. One is dengue fever (DF) and the other is dengue haemorrhagic fever (DHF), with the latter being more severe. The DHF variation symptoms include bleeding and occasional shocks that lead to death, mostly in children.
The symptoms of DF include sudden onset of high fever, severe headache, pain behind the eyes which worsens with eye movement, body aches, joint pains and nausea or vomiting.
In addition to the above, the symptoms of DHF include greater discomfort such as severe and continuous pain in abdomen; bleeding from the nose, mouth and gums or skin bruising; frequent vomiting with or without blood; black stool like tar; excessive thirst (dry mouth); pale, cold skin; restlessness or sleepiness.
2 Global burden of dengue
Filename : shutterstock_12.4c506105117.original.jpg - To go with Shorter people have bigger risk of heart disease (published on 2015-04-09 12:03:26)
Dengue is found in tropical and sub-tropical climates worldwide, mostly in urban and semi-urban areas. In 2015, an increase in the number of cases was reported in Brazil and several neighbouring countries.
The Pacific island countries of Fiji, Tonga and French Polynesia have continued to record high number of cases. Dengue is a leading cause of serious illness and death among children in some Asian and Latin American countries.
An estimated 500,000 people with severe dengue require hospitalisation each year, a large proportion of whom are children. About 2.5% of this figure eventually succumb to the disease.
3 Mosquitoes are mainly attracted to carbon dioxide and body heat
BLOOD LUST: An Aedes mosquito plunging its proboscis into a humans arm to feed on blood. This airborne pest is the cause of Dengue disease and takes only one day for its eggs to hatch and three days for it to reach to mature to begin its feeding and breeding cycle. Camera: Canon EOS5DmkIII, Lens: Canon MPE65 macro. Shutter speed: 1/200sec, Aperture: F11. Magnification: 3.5X. Starpix/SAM CHEONG.
According to CNN.com, carbon dioxide and heat are the biggest draws for mosquitoes. Scent can also play a role. Your sweat and other skin secretions can potentially attract more bites than another individual. Evidence suggests mosquitoes tend to prefer men over women, adults over children and larger people over smaller ones.
4 There is no specific medicine or immunisation available currently
You dont necessarily need to take multivitamins and supplements. (Fotolia)
Though at this point there is no specific drug to treat dengue, proper and early treatment can relieve the symptoms and prevent complications and death. If one or more signs of DHF are seen, the patient must be taken to the hospital immediately.
Give fluids to drink while transferring the patient to the hospital. There is also no vaccine to protect against dengue fever. The World Health Organisation provides technical advice and guidance to countries and private partners to support vaccine research and evaluation.
5 Aedes aegypti mosquitoes tend to bite people more during daytime
The sun is seen on the Kuala Lumpur skyline at dusk.AZHAR MAHFOF/The Star
The peak feeding time for these mosquitoes usually occurs around the early hours of the morning or evening just before dusk. People who prefer to go outdoors during these periods should be extra cautious.
MYTHS
Bananas
Some probably would have heard that consuming bananas during the night ultimately increases your chances of getting bitten by mosquitoes. Well, according to a study conducted by CNN in 2012, fruits, including bananas and garlic have actually been proven not to influence mosquito bites all that much.
7 They prefer women
Women do not get more susceptible to mosquito bites during their ovulation period.
Rumours of women being more susceptible to mosquito bites have also been one the myths many people believe in when it comes to getting bitten by one of these pesky insects. However, no studies have deemed this to be true. The theory suggested that women released more hormones, especially during the time of their ovulation; therefore, becoming more “attractive” to get bitten by the mosquitoes. However, no studies have been able to prove the truth behind this suggested theory.
8 Dark clothing attracts mosquitoes
Wearing dark colored clothing does not affect the outcome of getting bitten
Despite being a common myth among folks, in actuality, wearing black clothing does not equate to a person getting bitten nor being more susceptible from getting mosquito bites.
9 You cannot get dengue twice
Many have the misconception that once a person has suffered dengue fever before, it will not be able to recur. This statement is false as patients can in fact, get dengue more than once in their lifetime. Dengue is caused by a virus of four different strains. Therefore being infected once does not mean the person is unable to contract the virus again.
10 Transferred via physical contact
The belief that an infected person is able to transmit the virus through physical contact is false. Dengue is carried by a vector which is the Aedes aegypti mosquito. These mosquitoes spread the virus through biting an infected person.
Information source: World Health Organisation & CNN.com
http://www.thestar.com.my/metro/focus/2016/02/20/top-10-myths-and-facts-about-dengue-some-useful-information-on-the-viral-fever-and-mosquitoes/


Click on Healthwise for more articles

See also:

http://healthticket.blogspot.my/2016/02/a-vaccine-against-dengue.html

http://healthticket.blogspot.my/2016/02/papaya-leaf-juice-can-help-in-recovery.html

http://healthticket.blogspot.my/2015/03/gm-mosquito-project-shelved.html

http://healthticket.blogspot.my/2014/09/first-vaccine-for-dengue-fever-shows.html

http://healthticket.blogspot.my/2014/05/brazil-2014-world-cup-dengue-fever-risk.html

http://healthticket.blogspot.my/2014/04/alternative-treatments-for-dengue-fever.html

http://healthticket.blogspot.my/2014/02/dengue-fever-seek-treatment-if-you.html

http://healthticket.blogspot.my/2014/02/the-dengue-menace.html

http://healthticket.blogspot.my/2014/02/keep-aedes-away-with-garlic-lemongrass.html

http://healthticket.blogspot.my/2014/02/anti-mosquito-plant-selling-like-hot.html

http://healthticket.blogspot.my/2011/11/dengue-fever.html

Oesophageal Cancer: Symptoms and Treatment

Commonly seen among the elderly, oesophageal cancer is often diagnosed at the advanced stage, when it causes difficulty in swallowing.

Pain, pressure or a burning sensation at the chest level could be a sign of early-stage oesophageal cancer.

The oesophagus is the tube that carries food from your throat to your stomach. It is also known as the food pipe or gullet.

In Singapore, oesophageal cancer was the 9th most frequent cause of cancer deaths in men, according to the Singapore Cancer Registry (2008-2012). Oesophageal cancer affects more men than women and is more common among the elderly.

“If you have increasing trouble swallowing solid foods or liquids or find that food is frequently getting stuck in your chest when eating, you should see a doctor to rule out any malignant growth in the oesophagus,” says Dr Matthew Ng,Division of Medical Oncology, National Cancer Centre Singapore (NCCS), a member of the SingHealth group.

Symptoms of oesophageal cancer

Early-stage oesophageal cancer is usually asymptomatic but as it progresses, the following signs and symptoms may appear:
  • Difficulty swallowing both solid foods and liquids (dysphagia)
  • Regurgitation of food and saliva
  • Persistent cough and hoarseness
  • Unintended weight loss
  • Indigestion and heartburn
  • Pain, pressure or burning sensation at the chest level

Risk factors for oesophageal cancer

The main risk factors for oesophageal cancer are:
  • Obesity
  • Smoking and
  • Heavy drinking
Barrett’s oesophagus, a complication from chronic acid reflux, can also increase the risk of oesophageal cancer. Patients with this should undergo regular surveillance by endoscopes.
In addition, some studies have found a link between processed meat intake and oesophageal cancer, but the evidence is not yet conclusive.

Types of oesophageal cancer

There are two main types of oesophageal cancer:
  • Adenocarcinoma, which affects the lower oesophagus. Obesity and Barrett’s oesophagus are major risk factors.
     
  • Squamous cell carcinoma, which usually affects the upper and middle oesophagus. Smoking and heavy drinking are major risk factors.

Diagnosis of oesophageal cancer

Doctors may perform the following tests to diagnose oesophageal cancer:
  • EndoscopyA 30-minute procedure in which the doctor inserts an endoscope (a fiber-optic tube with a tiny camera lens) through the mouth and down the oesophagus. The doctor can check for cancerous growths and take samples of suspicious tissues for further analysis.
  • Computed tomography (CT)CT scans of the abdomen and chest can confirm whether cancer has spread to the liver or lungs for example.
  • Barium testThis test involves swallowing a thick liquid containing barium (an inorganic compound) which coats the lining of the oesophagus to allow the taking of x-ray images.


Treatment for oesophageal cancer

Treatment options depend on the cancer stage.

For oesophageal cancer which has not spread to distant organs, surgery offers the best chance of a cure. For very early-stage oesophageal cancer, the tumour can be removed by endoscope instead. During surgery, the tumour and surrounding lymph nodes are removed. Sometimes the upper part of the stomach may be removed as well. In some patients, chemotherapy and radiotherapy before surgery may help improve outcomes further.

“In patients who are not fit for surgery but whose cancer remains localised, we may recommend a combination of chemotherapy and radiotherapy,” says Dr Ng.

For oesophageal cancer that has spread to distant organs, treatment is aimed at symptom relief and prolonging life. Chemotherapy may help to slow the cancer growth. Radiotherapy on its own can shrink the tumour and help improve swallowing.

If the tumour is causing difficulty in swallowing, a metal stent can be inserted to keep the oesophagus open. Alternatively, a feeding tube can be placed from the nose, along the oesophagus and into the stomach to provide nutrition.

Alternate US spelling: esophageal cancer, esophagus

Article contributed by the Division of Medical Oncology at:

National Cancer Centre Singapore (NCCS)


Ref. R14


 HealthXchange 
 

Useful Links


Singapore Hospitals and National Specialty Centres:

  
   

Outram Road, Singapore 169608
General Enquiries Tel:+65 6222 3322
Outpatient Appointments Tel:+65 6321 4377
  Email:appointments@sgh.com.sg
International Enquiries Tel:+65 6326 5656
  Email:ims@sgh.com.sg
 

100 Bukit Timah Road, Singapore 229899
General Enquiries Tel:+65 6225 5554
Central Appointments Tel:+65 6294 4050
  Email:centralappt@kkh.com.sg
International Enquiries Tel:+65 6394 8888
  Email:international@kkh.com.sg
   

11 Hospital Drive, Singapore 169610
General Enquiries Tel:+65 6436 8000
Appointment Scheduling Tel:+65 6436 8088
  Email:nil
International Enquiries Tel:+65 6236 9433
  Email:fps@nccs.com.sg
 

5 Second Hospital Avenue, Singapore 168938
General Enquiries Tel:+65 6324 8802
Appointments Tel:+65 6324 8802
  Email:appointment@ndc.com.sg
International Enquiries Tel:+65 6326 5656
  Email:ims@singhealth.com.sg
   

5 Hospital Drive, Singapore 169609
General Enquiries Tel:+65 6704 8000
Outpatient Appointment Tel:+65 6704 2000
  Email:central.appt@nhcs.com.sg
International Enquiries Tel:+65 6844 9000
  Email:ims@nhcs.com.sg
 

11 Jalan Tan Tock Seng, Singapore 308433
General Enquiries Tel:+65 6357 7153
Appointment Tel:+65 6357 7095
  Email:Nil
International Enquiries Tel:+65 6326 5656
  Email:ims@singhealth.com.sg
   

11 Third Hospital Avenue, Singapore 168751
General Enquiries Tel:+65 6227 7255
Appointment Tel:+65 6227 7266
  Email:Nil
International Enquiries Tel:+65 6100 9393
  Email:ips@snec.com.sg
 

Head Office: 167 Jalan Bukit Merah, Tower 5, #15-10, Singapore 150167
General Enquiries Tel:+65 6236 4800
  Email:singhealthpolyclinics@singhealth.com.sg
   
 
   


Hospice Organisations:

Singapore Hospice Council Tel: (65) 6256 2677
http://www.singaporehospice.org.sg/
Support Groups:

New Mothers' Support Group Singapore
http://www.nmsg-singapore.com/

Breastfeeding Mothers' Support Group Singapore
http://www.breastfeeding.org.sg/

Nasopharyngeal or Nose Cancer Support Group
http://www.healthxchange.com.sg/aboutus/Pages/NPC-Online-Support-Group.aspx
National Societies and Committees:

Singapore Heart Foundation
http://www.myheart.org.sg/

Singapore Cancer Society
http://www.singaporecancersociety.org.sg/

The Diabetic Society of Singapore
http://www.diabetes.org.sg/

Breast Cancer Foundation Singapore
http://www.bcf.org.sg/

Osteoporosis Society Singapore
http://www.osteoporosissoc.org.sg/

Parkinson Society Singapore
http://parkinson.server281.com/

Singapore National Stroke Association
http://www.snsa.org.sg


Singapore Government Sites:

Health Sciences Authority (HSA)
http://www.hsa.gov.sg/

Ministry of Health (MOH)
http://www.moh.gov.sg/

National Immunisation Registry (NIR)
http://www.nir.hpb.gov.sg/

Health Promotion Board
http://www.hpb.gov.sg/

Central Provident Fund (CPF)
http://mycpf.cpf.gov.sg/



Click on Healthwise for more articles

Saturday, 20 February 2016

Doctor's Diary: Taking prescribed drugs indefinitely can have unknown consequences

The dangers of polypharmacy, a recurring theme in this column, are prodigiously compounded, observes retired Professor of Cardiology Desmond Julian, by the current practice of prescribing drugs indefinitely, “even though their long-term safety and efficacy are unknown” – as he knows only too well from personal experience.

Polypharmacy
The dangers of polypharmacy CREDIT: ALAMY

 


7 DECEMBER 2015 • 7:00AM

Long-term safety of drugs for life

The dangers of polypharmacy, a recurring theme in this column, are prodigiously compounded, observes retired Professor of Cardiology Desmond Julian, by the current practice of prescribing drugs indefinitely, “even though their long-term safety and efficacy are unknown” – as he knows only too well from personal experience.

Following a heart attack in his early seventies, Professor Julian commenced the currently recommended quartet of “preventive” drugs: statins, aspirin, Ace inhibitors and betablockers. These were initially well tolerated but after a decade of taking the Ace inhibitor Ramipril he developed the distressing, if well recognised, side effect of an intractable cough.

Several years later he had an episode of internal bleeding from the stomach caused by his daily aspirin. Most recently his beta blocker has resulted in two separate, potentially lethal, complications of a profound fall in blood pressure on exertion and slowing of the heart rate (sinoatrial block). “These could have been fatal had immediate help not been available,” he notes. 
 
Aspirin CREDIT: ALAMY

Two separate issues are at stake here. The first is the “gap of knowledge” (to put it mildly) between the evidence for the short and long-term effects of the use of these drugs. They will over a period of five years modestly reduce the risk of a further heart attack but no one has the slightest clue whether they continue to do so over decades.

Next, it is highly likely that medicines prescribed in late middle age will cause problems later on, and for several obvious reasons, notably an age-related decline in their “clearance” by the liver and kidneys and altered sensitivity to their action.

The scale of adverse effects caused by this (so far) unchallenged routine of prescribing these drugs “for life” could be readily resolved by a “discontinuation” trial - comparing the outcome in those who stop them after an appropriate interval with those who continue taking them. Meanwhile common sense would suggest that, given Professor Julian’s experience, those who do opt out will be doing themselves a favour.
http://www.telegraph.co.uk/wellbeing/doctors-diary/doctors-diary-taking-prescribed-drugs-indefinitely-can-have-unkn/