Stiliko wrote: ↑Mon Jun 10, 2019 2:12 am
In the villages you see these everywhere, more often than not uncovered. Seems like an accelerant, no?


Sent from my iPhone using Tapatalk

Only if they aren't used regularly. Out in the wife's province they have 3 like in the photo, but the water gets used so quickly for showers and cleaning dishes that there would be little chance of breeding skeeters.

I suspect that the biggest issue is the plastic rubbish that is omnipresent.

Dengue fever kills 21 children in Cambodia so far this year: health minister
PHNOM PENH, June 20 (Xinhua) -- Cambodia's Health Minister Mam Bunheng said on Thursday that the country reported over 12,000 cases of dengue fever so far this year, and the dengue fever had claimed 21 children's lives.

The minister revealed the figures during his visit to the patients at a Kantha Bopha Hospital in Phnom Penh.

Bunheng also called on parents to send their ill children to health centers or state hospitals within 48 hours if they suspect that their kids are infected with a dengue virus.

The Kantha Bopha Foundation said in a statement on Wednesday that on Monday alone, 577 children, hospitalized in all five Kantha Bopha Children's Hospitals in Phnom Penh City and Siem Reap province, were tested positive for dengue virus.
http://www.china.org.cn/world/Off_the_W ... 905019.htm

Latest from the WHO:
Dengue Situation Update Number 568|May2019
Update on the Dengue situation in the Western Pacific Region

https://www.who.int/docs/default-source ... c80101d_14

Ministry: Dengue fever cases kill 24, see fivefold increase
Soth Koemsoeun | Publication date 28 June 2019
Twenty-four people have been killed by dengue fever in the first six months of this year – a fivefold increase on the same period last year when seven people died from the virus.

Huy Rekol, the director of the Ministry of Health’s National Centre for Parasitology, Entomology and Malaria Control, said that as of this weekend, there had been 13,000 cases of dengue this year, with 24 people having died in hospital after being brought in late and in serious conditions.

“This is a fivefold increase in dengue cases compared to last year. Only seven people died from the virus in 2018. This does not mean that dengue fever has broken out throughout Cambodia, it is only in the driest and wettest areas."

“None of the patients who received treatment within 24 hours after suffering from a high temperature died. The 24 people who did were all late in going to the hospital and were already in serious conditions, meaning that it was too late to save them,” Rekol said.

The escalation in dengue fever this year was due to a five- or six-year climatic cycle wherein a 1mm rise in rainfall meant an 11 per cent increase in the spread of the virus, he said.

Nhep Angkeabos, the director of the National Paediatric Hospital, said his institution had admitted an average of more than 300 dengue fever patients a day. As of Wednesday, the National Paediatric Hospital received 3,000 dengue fever patients, four of whom succumbed to the disease.
Full article: https://www.phnompenhpost.com/national/ ... d-increase

As of July 4, 2019, Kantha Bopha Children's Hospital in Phnom Penh has received 476,660 children for medical examination and treatment. 14,423 had serious dengue fever (up five times that of last year) and were hospitalized.
All over Cambodia, the medical professionals are working around the clock to deal with all the sick children affected by the dengue outbreak.
Health authorities call on every parent or guardian who see their children with fever, not eating, or vomiting, to immediately take them to health centers or referral hospitals. Leaving dengue untreated can cause the disease to develop to an advanced stage, which can be life-threatening for children.

Sihanoukville, Cambodia Breaking News: Sihanoukville Referral Hospital is suffering from severe overcrowding. Many patients are being treated for dengue. These photos were taken on the night of 12 July 2019.


Note that most of the people sleeping on the floors will be parents and relatives of the patients.
Photos Huy Bunleng

Looking for solutions to dengue:
Man-made solution for dengue
By Zhang Hui Source:Global Times Published: 2015-6-17
Scientists release infected male tiger mosquitoes to cut population
On March 12, Chinese scientists started to release 70,000 to 100,000 male mosquitoes twice each week on an island in South China's Guangdong Province. So far, they have released half a million.

Each time, scientists drove motor tricycles around the dozens of release areas, and released mosquitoes from several hundred small cages. Villagers frequently ask for mosquito cages to help scientists release them.

The male mosquitoes are infected with wolbachia bacteria, which after mating leads to eggs in female mosquitoes not hatching.

This is a trial launched by the Sun Yat-sen University-Michigan State University Joint Center of Vector Control for Tropical Disease to counter dengue fever by reducing the population of dengue-transmitting mosquitoes. It is the first such trial in China.

Dengue fever, a mosquito-borne viral infection, has put half of the world's population at risk. At present, the only method to control and prevent the spread of the dengue virus is to combat infected mosquitoes.

China is the fourth country getting approval by governments for the trial using infected male mosquitoes, after the US, Australia and Vietnam. The first location for testing was Shazai island in the Nansha district of Guangzhou.
Full article: http://www.globaltimes.cn/content/927627.shtml

Latest dengue figures for 2019 from the Health Ministry, from January to mid-July 2019:

July 18, 2019
More than 20,000 dengue fever cases recorded
The Health Ministry yesterday said there have been more than 20,000 cases of dengue fever, with 25 deaths, since January, but noted the situation is improving in some provinces.

Or Vandine, a ministry secretary of state, yesterday said that 21,130 people were affected by the disease between January and the first two weeks of this month, and 25 of them had died.

“The situation is improving in most of the provinces affected by dengue fever and they have not reported any new cases,” she said. “However, Prey Veng, Kratie, Siem Reap, Kampong Speu, Kandal, Kampot, Kep, Preah Vihear and Mondulkiri provinces are still reporting cases.”
https://www.khmertimeskh.com/50624939/m ... -recorded/

August 1, 2019
Number of dengue cases drop in Kingdom
The Health Ministry yesterday said the number of dengue fever cases in the Kingdom has dipped over the past two weeks.

During an anti-dengue campaign in Phnom Penh’s Sen Sok district, Health Minister Mam Bun Heng said that there were 3,933 cases in the third week of this month compared with 4,769 the week before.

He stressed that the situation in the Kingdom is now under control, but urged the public and relevant authorities to be vigilant and step up efforts to eliminate breeding grounds of mosquitos, which transmit the disease.

“According to estimates, dengue fever cases will continue to decline further in the future,” Mr Bun Heng said. “Cases have declined in almost all provinces, except for Kratie province where there is a slight spike in cases.”

He noted that the number of cases in the capital and Preah Vihear, Kandal, Kampong Cham, and Tboung Khmum provinces have either remained constant or have dropped slightly.

Mr Bun Heng added that the death rate from the dengue fever cases in the Kingdom is 0.1 percent which is low compared with most other countries affected by the disease.

He urged all citizens, especially parents and guardians, to continue to pay more attention to cleaning the environment around their houses and make sure there is no stagnant water, in which mosquitoes can breed.

Mr Bun Heng also cautioned against allowing puddles to form at construction sites and improper storage of discarded tyres which can collect water.

He also urged the relevant authorities to continue disseminating information about the disease to the community, especially in schools and monasteries, noting that this year’s anti-dengue campaign was themed “End Dengue: Starts with Me”.
https://www.khmertimeskh.com/50629241/n ... n-kingdom/

What is dengue, and why is it so widespread?
The mosquito-borne illness has infected large numbers of people worldwide, particularly in Asia
ByJenny Vaughan
Dubbed “breakbone fever,” dengue is one of the world’s leading mosquito-borne illnesses and infects tens of millions across the globe annually, especially in Southeast Asia.

About half of the planet’s population live in at-risk areas, mainly in Asia, Latin America and Africa.

Outbreaks have ravaged Southeast Asia this year, infecting hundreds of thousands, killing hundreds and crippling health care systems as governments struggle to contain the untreatable virus.

Record numbers of cases have been recorded in Thailand and neighboring Cambodia, where statistics on the number of people contracting dengue are notoriously unreliable.

In rural Cambodia, many cases go unreported or are only treated at local clinics, while records are only kept at government-run medical facilities.

So what is dengue, how does it spread and how can it be contained?

Dengue is transmitted mainly by the Aedes Aegypti mosquito, which thrives in densely-populated tropical climates and breeds in stagnant pools of water.

The mosquitoes pick up the virus from infected humans – even asymptomatic ones – and pass it along to other people through bites.

Infections have steadily climbed across the globe since the 1970s due to rising temperatures and irregular monsoon rains linked to climate change, which allow for ideal mosquito breeding conditions.

Dengue is mostly found in crowded areas, and breakneck urbanization across the globe has helped the virus thrive, especially in fast-growing mega-cities like Manila, Rio de Janeiro, Ho Chi Minh City and Tegucigalpa.

A massive boom in international travel and trade has also expanded dengue’s footprint, allowing the virus to be carried across the globe in a matter of hours and unleashed in new communities.

Experts say the widespread adoption of plastic is also to blame – storage containers, discarded takeout boxes, backyard pools, plant pots and cooking urns all collect water – a problem made worse during dry spells.

“When you have a drought, people collect water in containers. That is one place the dengue mosquito loves to breed,” said Gawrie Loku Galappaththy, a dengue specialist with the World Health Organization in the Philippines.

Its grim nickname comes from the disease’s intense flu-like symptoms: severe headache, pain behind the eyes, full-body aches, high fever, nausea, vomiting, swollen glands or rash.

It’s most serious – and deadly – in children, especially young girls, although scientists don’t know why.

Contracting one of dengue’s four strains gives immunity only to that particular one – which is why adults in endemic areas are often safe because they’ve likely had it before.

But later picking up a different strain, called a serotype, usually causes a worse infection than the first time.

With no known treatment for dengue, doctors can only help to ease the virus’ brutal symptoms, which can last weeks and often renders patients completely immobile.
https://www.asiatimes.com/2019/09/artic ... idespread/

A very bad year for dengue.

In Cambodia, It’s a Bad Year for Dengue Fever
By Sun Narin
September 22, 2019 04:33 AM


KRAYEA COMMUNE, KAMPONG THOM PROVINCE, CAMBODIA — The babies are crying, coughing as they vomit.
Each parent holds one of the 8-month-old twins. Their daughters tested positive for the potentially lethal and almost always painful dengue fever.

Lang Chanthoeun says she doesn’t have money yet to get treatment for Pheak Sonisa and Pheak Somatha. “I tried to borrow money from relatives but they didn’t have any,” she said.

“Last night, I couldn’t sleep,” said the 35-year-old mother of six who lives in a poor rural area of Cambodia’s Kampong Thom province on the central lowlands of the Mekong River. The local rubber plantations in the province’s Santuk district shelter mosquitos, making it a center of this year’s dengue outbreak.

A regular cycle of dengue

Huy Rekol, director of Cambodia’s National Centre for Parasitology, Entomology and Malaria Control, which is part of the Ministry of Health, said this year’s serious outbreak is part of “a regular cycle of every five to six years or 10 to 12 years” in tropical Asia.

In Cambodia, hard hit during the rainy season that began in May and will not end until October, the treatment for dengue fever can be an enormous burden for poor villagers, who, like Lang Chanthoeun cannot find the money for blood tests and, if found needed, treatment. Some go into debt rather than see family members suffer.
https://www.voanews.com/east-asia-pacif ... ngue-fever