India: Elevated dengue fever activity statewide in Uttar Pradesh through November

Event

Health officials continue to report an increase in dengue fever activity in Uttar Pradesh State, where more than 18,000 cases (5,666 confirmed) were reported Jan. 1-Oct. 28. Data representing dengue fever activity for 2021 and 2020 was unavailable; however, in 2019, authorities identified 5,724 cases over a similar period. Official data indicates that transmission continues to increase week-over-week. Prayagraj District is most affected, followed by Lucknow, Jaunpur, and Ayodhya. This report represents the complete data available as of Nov. 2.

Context

Dengue fever is considered a year-round and nationwide risk in India, with the highest risk typically June-September. Authorities reported approximately 177,695 cases nationwide in 2021 and 32,796 cases in 2020.

A dengue fever vaccine is available in some countries. It is only recommended for individuals with a history of dengue infection and in a country with high dengue fever burden. Dengue fever transmission happens through the bite of infected mosquitoes. Symptoms of dengue fever include a sudden onset of fever and at least one of the following: severe headache, severe pain behind the eyes, muscle and/or joint pain, rash, easy bruising, and/or nose or gum bleeding. Symptoms typically appear 5-7 days after being bitten, but can also develop up to 10 days after exposure. Dengue fever can progress to a more severe form known as dengue hemorrhagic fever (DHF). DHF can be fatal if it is not recognized and treated in a timely manner.

Advice

If you have been previously infected with dengue fever, consult with your physician regarding vaccination. Avoid mosquito bites and remove standing water to reduce the number of biting mosquitoes. Seek medical attention if symptoms develop within two weeks of being in affected areas. Do not use aspirin or ibuprofen products if dengue fever is suspected, as these could exacerbate bleeding tendencies associated with the disease.