Overview

On the occasion of a research visit to Thailand in my capacity as a member of the governing board of the South Asia Institute of the University of Heidelberg, I saw for the first time the severe clinical picture of dengue with haemorrhagic symptoms among Thai children. This visit had been made possible by Profes­ sor Dr. med. Dr. rer. nat. Ouay Ketusinh of Bangkok, to whom I wish to express my sincere thanks in this place. In 1972 the German medical literature - the periodical Medizinische Klinik, vol. 87, pp. 152-56, to be precise - had drawn attention to this new phenomenon in the disease panorama of South East Asia, indicating a change in dengue fever from being a relatively benign tropical dis­ ease to a form having serious clinical and epidemiological ramifications. During the ten years following my first publication the new clinical picture, described as ""dengue haemorrhagic fever"", has become a standard component in the Thailand's system of notifiable diseases. So too, the World Health Orga­ nization publishes regular reports in its Weekly Records. On March 30/31, 1981, its Regional Office for South East Asia convened a special conference in New Delhi, thus emphasizing the significance of the diffusion of this new clini­ cal picture in the states of South East Asia.

Full Product Details

Author:   Hella Wellmer ,  Helmut J. Jusatz ,  J.A. Hellen ,  I.F. Hellen
Publisher:   Springer-Verlag Berlin and Heidelberg GmbH & Co. KG
Imprint:   Springer-Verlag Berlin and Heidelberg GmbH & Co. K
Edition:   Softcover reprint of the original 1st ed. 1983
Volume:   1983 / 1983
Dimensions:   Width: 17.00cm , Height: 0.30cm , Length: 24.40cm
Weight:   0.135kg
ISBN:  

9783642691546

ISBN 10:   3642691544
Pages:   42
Publication Date:   19 November 2011
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
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Table of Contents

1 Introduction.- 1.1 The Virus.- 1.2 The Clinical Picture.- 1.3 Therapy and Prophylaxis.- 2 Thailand.- 2.1 Natural Regionalization.- 2.2 The Climate.- 2.3 Vector Ecology and Human Settlement.- 3 The Dengue Haemorrhagic Fever Situation in Thailand until 1970..- 4 Study Findings.- 4.1 Material and Methods.- 4.2 The Incidence.- 4.3 The Endemic Area.- 4.4 Dengue Haemorrhagic Fever and the Main Transport Routes.- 4.5 Dengue Haemorrhagic Fever and the Urban Population.- 4.6 Density of Physicians and Incidence.- 4.7 Seasonality.- 5 Conclusions.- Acknowledgement.- References.- Appendix: Morbidity Notification Card.- Notification Changing Card.- Text Map 1. Dengue haemorrhagic fever, 1954–1981.- Text Map 2. Thailand. Natural regions (According to Asanachinda, P.: Economic Geography of Thailand. Bangkok 1971 (in Thai) and other authors).- Text Map 3. Dengue haemorrhagic fever hospitalization 1962-1964 in 9 health districts (According to Avril, 1972, cit. after Halstead, 1969).- Text Map 4. Railways and onset of epidemic spread of dengue haemorrhagic fever.- Text Map 5. Urban population and dengue haemorrhagic fever (Population after Sternstein 1976).

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