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FORT MYERS, Fla. – Dengue Disease has recently been in the news and reclassified by the World Health Organization. Here to tell you everything you need to know about Dengue is Dr. Annette St. Pierre-MacKoul. WHO’s reclassification of Dengue: Dengue without Warning Signs replaces Dengue Fever = outpatient treatment Dengue with Warning Signs replaces Dengue Hemorrhagic Fever =inpatient treatment Severe Dengue replaces Dengue Shock = ICU treatment Dengue: Mosquito-transmitted viral disease Major public health problem worldwide Symptoms: fever, life-threatening syndromes Fluid loss / plasma leakage in lungs, hypotensive shock Hemorrhagic manifestations, low platelets and increased hematocrit Increased incidence in last 3 decades No vaccine or specific treatments Phases of Disease: Febrile Phase: 1-3 days High fever Severe headache Facial flushing Transient macular or maculopapular rash Retro-orbital pain Intense arthragias / myalgias Critical Phase: day 4-6 Fever comes down Plasma leakage occurs Shock Abdominal pain Increase in hematocrit / drop in platelets Mucosal bleeding Ascites / liver enlargement Vomiting and restlessness / lethargy Recovery Phase: day 7- 10 Reabsorption of fluid leakage Takes 48-72 hours Increased diuresis Stabilization of hematocrit and platelets Development of itchy, red rash Low heart rate Concerns of Dengue: Rapidly spreading mosquito-bourne viral disease in the world Public Health Hazard: Caribbean, Central America, Brazil, East Asia, Africa Recent outbreaks: South Florida, Texas, and Hawaii Recognize disease and give supportive treatment