Dengue Fever in Philippines

Media reported982 dengue fever cases in Pangasinan province from 1 January 2018 to 2 April 2018. This compares to the 348 dengue fever cases recorded during the same period last year (2017). Urdaneta City recorded the highest number of dengue cases in the province with 119, followed by Binmaley (65), Mangaldan (55), Asingan (50), Sta. Barbara (48), San Carlos City (47), Lingayen (47), Bolinao (45), Binalonan (36) and Bayambang (32). There have been 4 deaths so far this year (2018) compared to 3 deaths last year (2017).

Advice for Travellers

Dengue is the second most common identified cause of febrile illness in returning travellers and the number of cases in travellers continues to increase. All travellers to endemic regions are potentially at risk of dengue fever and should be aware of this infection. Prevention relies on avoiding mosquito bites.

Aedes mosquitoes are particularly persistent and aggressive and bite between dawn and dusk.

Methods of bite avoidance include:

• Wearing long, loose, lightly coloured clothing to cover up the skin during the day.

• The use of insect repellent containing DEET applied to any exposed skin between dawn and dusk.

• When sunscreen and DEET are used together, DEET should be applied after sunscreen. The effectiveness of repellent reduces more rapidly than sunscreen, therefore, repellent may have to be reapplied on top of sunscreen.

• The use of permethrin, impregnated mosquito nets protects against early morning bites and should also be used when sleeping during the day.

• The use of air conditioning if available and/or mesh screening of windows and doors.

• Eradication of mosquito breeding sites around accommodation/home (e.g. open containers, old tyres or flower pots that may collect water).

Vaccine

There is no vaccine against dengue fever licensed in the UK.

At present the World Health Organisation (WHO) is trialling several candidate vaccines against dengue fever.

For further information see Dengue Fever.