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FrontPage arrow The News arrow Health arrow Dengue Outbreak Is Urban Based
Dengue Outbreak Is Urban Based PDF Print E-mail
Written by Pio Sioa   
Saturday, 23 August 2008


A senior official of the Public Health Division of the Ministry of Health, Mr. Sinei Fili


The outbreak of dengue fever is confined mostly to Apia.
A senior official of the Public Health Division of the Ministry of Health, Mr. Sinei Fili, pin pointed the infected area to Newsline yesterday, since the outbreak was officially declared on Wednesday.
“We have no confirmed reasons yet for the outbreak occurring around Apia, but the rural villages are normally kept much cleaner than the town area,” Public Health Principal Officer, Sini Fili speculated.
“Mosquitoes breeding sites are traditionally found in areas where empty bottles, cans, unused tyres and other trash that stores water are found.
“Rural villages are often involved in beautification competitions so they keep their surroundings relatively clean, that could explain why dengue has broken out in Apia.”
There is concern however that the outbreak will easily reach the villages with people traveling freely into Apia and back.
The Health Chief Executive Officer, Tapuimatagi Ms. Palanitina Toelupe, could not immediately confirm the last outbreak of dengue fever in the country.
She did learn of an increase in 2005 but not an outbreak.
“When the number of infected people increases beyond 20-50, the situation then becomes an outbreak like we have now,” Tapuimatagi explained.
The Ministry of Health confirmed a total of 37 dengue fever cases confirmed from laboratory tests in New Zealand and Australia.
There are 144 other cases that have already been clinically diagnosed, meaning that the people involved have all the symptoms of the disease but remains to be tested in the lab to officially confirm it.
“The indications so far points to the number of infected cases continuing to increase but we have to wait until the end of this month to be in a position to know more, ”CEO Tapuimatagi says.
She is keen as well to learn if the outbreak has any links to the recent Pacific Arts Festival in American Samoa, where an outbreak of dengue fever was declared earlier.
A contingent from Apia went across to the territory to take part in the festival, and the Ministry of Health is eager to confirm if any brought contracted the dengue virus at the time.
“Dengue fever is a problem throughout the region, it has been in the increase in Samoa but not up to the outbreak levels.”
CEO Tapuimatagi holds responsible the fasting changing lifestyle in Apia for the increased risks of dengue fever, among other infectious diseases that can be related to mosquitoes.
“Tins and bottles lying around the place are common in the town area where people eat from tinned food or drink from bottles they end up throwing away for the mosquitoes to breed, where the water has pooled.
‘People have to learn to be responsible for their own health.”
 “We have to be proactive and clean up around our home surroundings so we can better protect ourselves against these diseases.
“People should stop depending on medical treatment because it will only add financial and other responsibility burdens on everyone – individuals, families, doctors, nurses, Ministry of Health and the Government.”





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Comments (2)Add Comment
response to dengue
written by monica, August 23, 2008
Pio, (Is your favourite phrase quote :"To be or not to be?")

I thank Tupuimatagi for his frank remarks about what's causing the spread of dengue in and around Apia. And the need to be vigilante in getting rid of potential breeding places for mosquiotes. I am reminded of the dengue outbreak in the mid 1970's in Samoa when a massive mosquito killing campaign was carried out. The spray smelled awful I seem to remember that there were several dengue fatalities. We dont want a repeat of that dreadful dengue outbreak do we? Tupuimatagi's advice therefore in getting rid of potential breeding places for mosquitoes, must be followed. The good doctor gives us food for thought with his statement that our changing lifestyle is contributing to the spread of dengue.

I just want to offer some information which was gathered in the course of news gathering on this side of Samoa. A member of the Samoa delegation to the Arts Festival had not fully overcome dengue fever when he arrived here. His condition worsened and he was admitted to the LBJ Hospital for a few days. Fortunately he did recover and was well when the group returned home. He was one of two people from the group who were admitted to the LBJ. The Epedimiology division of the Health Departmetn here says a performer from PNG was also treated at the local hospital for dengue fever.

Anyone who has had dengue will tell you that it's not a pleasant experience. A family member describes it this way: It's like you are dead but not dead enough that you can still feel the pain. The advisory that's circulating in health circles in the region with the latest outbreak says Samoa has four confirmed cases of hemorraghic dengue fever...the kind that can kill. Lets kill dengue before it kills us.

PREVENTIVE MEDICINE IS THE KEY
written by Jemin, August 26, 2008
Dengue fever is nothing new in Samoa. This disease comes and goes as long as we have the breeding places for the Aedes egypti mosquitoes. These mosquitoes are attracted to stagnant water found in places mentioned above. I think preventive medicine is the key to combating dengue fever. Let's promote cleanliness in Apia as the first step for prventing dengue fever in Samoa.

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