With the rise in mercury, mosquitoes start nesting in the corners of the house. Contaminated or standing water is their favorite breeding ground. In summers, the use of coolers in practically every household becomes a favorable space for mosquitoes. And with these growing number of mosquitoes, comes the much-talked about diseases: Dengue and Chikungunya. Moreover, with no vaccine or medicine to prevent them and reports of hospitals packed with patients, the only key to prevention is awareness.
Both Chikungunya and Dengue are fevers caused by the same mosquito bite and show similar symptoms. Mostly both are treated as a case of mistaken identity until correlated with the laboratory findings. Both viral infections are spread by Aedes mosquito bite, having almost similar manifestations so, it becomes quite difficult to differentiate between the two fevers. This article will throw light on their differences and similarities in terms of symptoms, treatment, and prevention of both.
Symptoms of Chikungunya
Those bitten by the infected mosquito generally show symptoms within 2-12 days, which is also called the incubation period. Mosquitoes causing Chikungunya generally bite during the day. Symptoms include
High-grade fever more than 102. Fever occurs as the body raises its temperature in an attempt to kill the infectious agent
Severe joint pains in feet, ankle, wrists and hands with mild swelling as the virus destroys cells in the muscles and joints
Severe back pain
A headache with photophobia
Muscle pain with fatigue
Skin maculopapular rash that appears in the first 48 hours of symptoms generally on the trunk, hands, and feet.
Eye pain with conjunctivitis
Non-fatal but can lead to body pains for several months and years.
To investigate an ELISA assay can be used to measure the levels of immunoglobin to identify the chikungunya virus. Results are sent within 2-3 days.
Symptoms of Dengue
This viral disease is transmitted to human bodies through the bite of female Aedes mosquitoes and from an infected human to another, in cases of blood transfusion. The dengue causing mosquitoes usually bite during the night. Symptoms usually begin to show 4-6 days after infection and last for up to 10 days and may include:
Sudden high fever without any prior underlying infection. Fever can go as high as 103- 104. Fever may come down rapidly within 2 to 4 days, with severe sweating
Pain behind the eye and increases with eye movement
Fatigue with feeling of prostration
Rash which generally appears within 48 hours mainly on face and limbs
Mild bleeding either from the nose or from gums
Enlarged lymph nodes in the neck and groin
Decreased heart rate, also known as tachycardiaLow blood pressure
Can be fatal if the symptoms are not controlled by regular monitoring
The platelet count is investigated regularly to see the level of damage
To investigate ELISA test is performed for detection of antibodies to dengue virus
Treatment of Chikungunya and Dengue
As both these viral infections are caused by the same mosquito, their clinical manifestations are quite similar, therefore, several times they both are mistaken. The line of treatment is very similar to both other than the treatment of the different symptoms shown by the infections.
It needs medical supervision and sometimes hospitalization as well to control the symptoms such as bleeding in dengue and regular monitoring of the platelet levels is required in dengue. Treatment is mainly symptomatic and may include:
Rest in the acute stage of the disease. The patients are prone to dehydration and therefore, are advised to increase their fluid intake
Relief of pain and fever by acetaminophen (paracetamol) or ibuprofen, but not in the first three days. Since both the diseases have similar symptoms, giving any kind of medicines, including painkillers in the first two-three days is fatal. It could lead to bleeding, in some cases.
Chloroquine may be used for prolonged joint pains.
Home remedies for Chikungunya and Dengue
Home remedies can be tried once relief is achieved from medication.
Consume ginger tea, green tea which can help relieve inflammation.
Apply an ice pack wrapped in a small hand towel over the joint for a while to reduce inflammation and pain
Steeping neem leaves and then drinking the subsequent brew has been shown to increase both blood platelet count and white blood cell count, two of the most dangerous side effects of the virus.
Papaya leaves are widely known as being a natural cure for dengue fever. The complex mix of nutrients and organic compounds in papayas can cause a rise in your platelet count
Prevention from Chikungunya and Dengue
Prevention of any disease is better than its cure, but prevention of such diseases is certainly difficult. Unlike many diseases, there are no vaccines. The only prevention available for both of these diseases is prevention from mosquito bites.
Various methods can be implemented to reduce the risk of mosquito bites like:
Do not allow water accumulation in and around your house
Stagnant waste materials to be removed regularly
DDT sprays to kill insects
When weather permits, wear long-sleeved shirts and long pants
Using eucalyptus oil to reduce mosquitoes in the surroundings
Applying mosquito repellent creams
If you use both sunscreen and insect repellent, apply the sunscreen first and then the repellent
Just follow the tips of healthy and clean living and avoid mosquito bites to stay safe from these viral diseases.