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By NewsDesk  @infectiousdiseasenews

The Myanmar Ministry of Health and Sport recently released the latest numbers on dengue fever in the country and they are reporting 23,203 cases through Nov. 23 this year.

Burma map
Myanmar Image/CIA

In addition, 123 dengue related deaths have been recorded. According to an Eleven Myanmar report, Myanmar sees over 10,000 cases and about 60 deaths on an annual basis.

During the first 11 months, the largest outbreaks were reported in Kachin state, Yangon, Ayeyarwady, Mandalay and Sagaing regions.

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Dengue is a viral infection transmitted by the bite of an infected mosquito. There are four closely related but antigenically different serotypes of the virus that can cause dengue (DEN1, DEN 2, DEN 3, DEN 4).

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Dengue Fever (DF) – marked by an onset of sudden high fever, severe headache, pain behind the eyes, and pain in muscles and joints. Some may also have a rash and varying degree of bleeding from various parts of the body (including nose, mouth and gums or skin bruising).Dengue has a wide spectrum of infection outcome (asymptomatic to symptomatic). Symptomatic illness can vary from dengue fever (DF) to the more serious dengue hemorrhagic fever (DHF).

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Dengue Hemorrhagic Fever (DHF) – is a more severe form, seen only in a small proportion of those infected. DHF is a stereotypic illness characterized by 3 phases; febrile phase with high continuous fever usually lasting for less than 7 days; critical phase (plasma leaking) lasting 1-2 days usually apparent when fever comes down, leading to shock if not detected and treated early; convalescence phase lasting 2-5 days with improvement of appetite, bradycardia (slow heart rate), convalescent rash (white patches in red background), often accompanied by generalized itching (more intense in palms and soles), and diuresis (increase urine output).