Connect with us

Health

THE MINISTRY OF HEALTH AND HUMAN SERVICES ISSUES A DENGUE UPDATE  

Published

on

Providenciales, Turks and Caicos Islands, 4th January 2024 - Since the beginning of the dengue outbreak in the TCI, the MOH has identified 172 cases of dengue. These cases include cases confirmed through testing at the Caribbean Public Health Laboratory (90) as well as cases identified locally through the use of dengue rapid tests. The cases are distributed as follows:

167 Providenciales

5 Grand Turk

Dengue virus types were established for 76 out of the 90 laboratory confirmed cases. Seventy-four (74) laboratory confirmed cases were type 3 and 2 were type 2 Dengue. Type 3 dengue is associated with more severe disease.

A total of 18 persons with dengue have been hospitalized. There have been no reports of any dengue related deaths.

Age groups affected are primarily 20-59 years age group followed by 6-19 years. The most affected communities in Providenciales are Blue Hills followed by Five Cays.

A greater proportion of males, 60.5% (n=104) were detected with dengue when compared to females with 37.8% (n=65) (for the remainder, no gender was documented).

Dengue is a viral illness that spreads to people through the bite of an infected Aedes species (Ae. aegypti or Ae. albopictus) mosquito. These mosquitoes also spread zikachikungunya, and other viruses. The aedes aegypti mosquito is present in the Turks and Caicos Islands and is capable of spreading these diseases. The Aedes aegypti prefers to lay their eggs in artificial containers that contain water (drums, barrels and tires, mainly) in and around homes, schools and workplaces. It is essential that the general public remains vigilant for this disease as well as play their role in destroying potential mosquito breeding sites within homes, yards and communities.

  • 1 in 4: About one in four people infected with dengue will get sick.
  • For people who get sick with dengue, symptoms can be mild or severe.
  • Severe dengue can be life-threatening within a few hours and often requires care at a hospital.

Symptoms

  • Mild symptoms of dengue can be confused with other illnesses that cause fever, aches and pains, or a rash.
  • The most common symptom of dengue is fever (40°C/104°F) with any of the following:
    • Nausea, vomiting
    • Rash
    • Severe headache
    • Aches and pains (eye pain, typically behind the eyes, muscle, joint, or bone pain)
    • Any warning sign

 Symptoms of dengue typically last 2–7 days. Most people will recover after about a week.

 Individuals who are infected for the second time are at greater risk of severe dengue.

Severe dengue symptoms often come after the fever has gone away:

  • severe abdominal pain
  • persistent vomiting
  • rapid breathing
  • bleeding gums or nose 
  • fatigue
  • restlessness
  • blood in vomit or stool
  • being very thirsty
  • pale and cold skin
  • feeling weak.

 People with these severe symptoms should get care right away.

There is no specific treatment for dengue. If you suspect that you or your loved one has dengue, please see your healthcare provider so you can be tested and receive the necessary advice. Avoid taking non-steroidal anti-inflammatory drugs, like ibuprofen and aspirin.

Persons who are suspected to have dengue or have confirmed dengue should avoid further mosquito bites.

The Ministry of Health and Human Services continues to offer testing for dengue at no cost through the National Public Health Laboratory in partnership with the Caribbean Public Health Agency (CARPHA) as well as conducting vector control activities throughout the islands.

Prevention and control

The mosquitoes that spread dengue are active during the day. 

Lower the risk of getting dengue by protecting yourself from mosquito bites by using: 

  • clothes that cover as much of your body as possible
  • mosquito nets if sleeping during the day, ideally nets sprayed with insect repellent
  • mosquito repellents (containing DEET, Picaridin or IR3535) 
  • during the first week of infection, dengue virus is found in the blood of an infected person. If a mosquito bites the infected person, the mosquito becomes infected. The infected mosquito can spread the virus to other people through bites. Infected persons should therefore avoid being bitten.
  • use screens on windows and doors. Repair holes in screens to keep mosquitoes outdoors.
  • stop mosquitoes from laying eggs in or near water.
  • once a week, empty and scrub, turn over, cover, or throw out items that hold water, such as tires, buckets, planters, toys, pools, birdbaths, flowerpots, or trash containers.
  • check for water-holding containers both indoors and outdoors.
  • ensure tight coverage of water barrels, containers and water storage tanks

Response

The Ministry of Health and Human Services has been responding to the threat posed by dengue by;

  • the implementation of the Integrated Vector Management Plan throughout the islands with efforts to reduce mosquito breeding through the use of larvicide and fogging which only targets the adult mosquito population
  • vector control activities including premises inspections, have resulted in a reduction in some areas of mosquito breeding
  • the EHD has been working with stakeholders across sectors to address mosquito breeding including Tourism, Ports/Airports, Pest Control Operators, Schools, Hospitals, airlines etc.
  • visits were conducted to schools across the islands which included inspections and provision of educational talks to students about dengue and how they could help prevention efforts
  • public education/community engagement campaign has been ongoing utilizing public service announcements, radio interviews, social media and leaflets is ongoing to educate to general public about the critical role each person plays in reducing mosquito breeding through keeping the environment free of debris as well as avoiding mosquito bites, the importance of getting tested as well as education on the warning signs of dengue which would need early medical intervention. Additional information can be found on the Health Promotion and Advocacy Units Facebook page https://www.facebook.com/tcihealthpromotions/.
  • the Environmental Health Department has also been working closely with its regional and international stakeholders including PAHO (Pan American Health Organization), CARPHA (Caribbean Public Health Agency) and UK Health Security Agency (UKHSA). Through a number of technical visits including visits by Entomologists and training provided to Vector Control Unit staff, the response has been reviewed and refined.
  • material resources including chemicals have been procured and distributed across the islands
  • temporary vector control officers have been approved and have joined the team to support operations
  • community clean ups have been ongoing aimed at reducing mosquito breeding sites

All of these measures have seen a reduction in the number of persons presenting to health care facilities with symptoms of dengue.

There have however been recent rains which can result in mosquito breeding.

The public plays a key role in preventing the further spread of dengue and they are being urged to;

  • Ensure that water barrels and buckets are properly covered to prevent mosquito larvae,
  • Cover or properly dispose of old tires,
  • Properly dispose of all litter and waste. These overlooked breeding grounds perpetuate the cycle of dengue transmission.

Prevention through ensuring clean environments, sanitation, and public awareness, with active community involvement is crucial to supporting the Ministry’s response to dengue.

The public is also reminded to report any areas of standing water or mosquito breeding sites by contacting the Environmental Health Department for assistance on (649) 338 2143/2142.

Continue Reading

Health

Environmental Health Department Offers Tips for Preventing Rodent Infestations  

Published

on

Turks and Caicos, September 14, 2024 – The Environmental Health Department is calling on all residents and community members to take proactive steps to prevent rodent infestations in their homes and neighbourhoods. Rodents, such as rats and mice, are not only a nuisance but can also spread serious diseases and cause property damage. By following a few simple guidelines, we can work together to keep our community healthy and safe.

Here are some key steps residents can take to prevent rodent problems:

  1. Keep Areas Clean and Clutter-Free:Rodents thrive in cluttered environments. Regularly remove piles of trash, leaves, and debris from your yard. Pay attention to overgrown vegetation and make sure to trim it back, as it can provide hiding spots for rodents. Also, clean up fallen fruits from trees, which can attract rodents seeking food.
  2. Store Food Properly:Keep food items in sealed containers and ensure garbage bins have tight-fitting lids. Rodents are attracted to easily accessible food, so reducing food sources is essential.
  3. Eliminate Water Sources:Fix any leaks and remove standing water around your property. Rodents need water to survive, so by eliminating these water sources, you make your home less inviting to them.
  4. Seal Entry Points:Inspect your home for holes or cracks in walls, doors, windows, and foundations. Seal these openings to prevent rodents from finding their way inside. Even small gaps can be entry points, so thorough inspection and repair are necessary.

The Environmental Health Department urges residents to remain vigilant and report any signs of rodent activity. Common indicators include droppings, gnaw marks, and scratching noises. If you suspect a rodent infestation, contact a pest control professional or the Environmental Health Department for assistance.

By taking these simple steps, including maintaining tidy yards, managing food and water sources, and sealing potential entry points, residents can protect their homes and communities from rodent infestations.

For more information on rodent prevention or to report a rodent problem, please contact the Environmental Health Department at (649) 338-2143/2144. Let’s work together to create a healthier, safer community!

Continue Reading

Health

The Ministry of Health and Human Services Warns Public About Heat-Related Illnesses Amid Rising Temperatures

Published

on

Turks and Caicos, September 13, 2024 – With the summer heat intensifying, the Ministry of Health and Human Services is urging the public to take precautions against heat-related illnesses, which can pose serious health risks. Heat-related illnesses include conditions such as heat stroke, heat exhaustion, heat cramps, and heat rash. Vulnerable populations, such as young children, the elderly, and those with chronic medical conditions, are at increased risk.

Understanding Heat-Related Illnesses:

  1. Heat Stroke: A life-threatening condition where the body’s temperature rises above 103°F. Symptoms include confusion, hot and dry skin, rapid pulse, and loss of consciousness.
  2. Heat Exhaustion: Symptoms include heavy sweating, weakness, dizziness, nausea, and fainting. It can lead to heat stroke if not addressed promptly.
  3. Heat Cramps: Painful muscle spasms usually occurring in the legs or abdomen, often due to heavy sweating and loss of salt and water.
  4. Heat Rash: Skin irritation caused by excessive sweating, presenting as red clusters of small blisters.

 Prevention Tips

  1. Stay Hydrated: Drink plenty of fluids, especially water. Limit alcohol and caffeine, which can dehydrate you.
  2. Stay Cool: Spend time in air-conditioned environments.
  3. Dress Appropriately: Wear lightweight, light-coloured, and loose-fitting clothing. Use hats and sunscreen when outdoors.
  4. Limit Outdoor Activities: Limit strenuous activities during the hottest parts of the day, typically between 10 a.m. and 4 p.m. Plan outdoor events for the cooler morning or evening hours. Take frequent breaks in the shade or indoors if you must be outside.
  5. Check on Vulnerable Individuals: Ensure that family members, friends, and neighbours, especially those who are elderly or have health conditions, are staying cool and hydrated.

If someone shows signs of heat-related illness:

  1. Move them to a cooler environment
  2. Apply cool, wet cloths to their body or have them take a cool bath.
  3. Offer sips of water if they are conscious.
  4. Call 911 immediately if you suspect heat stroke.

The Minister of Health and Human Services, Honourable Shaun D. Malcolm, commented, “We want to ensure that everyone stays safe during these extreme heat conditions. By taking simple preventive measures, we can reduce the risk of heat-related illnesses. Our goal is to inform and protect the community, especially our most vulnerable members.

Continue Reading

Health

Ministry of Health and Human Services Reports Outbreak of Gastroenteritis in Grand Turk  

Published

on

Turks and Caicos, September 12, 2024 – The Ministry of Health and Human Services (MoHHS) reports an outbreak of gastroenteritis affecting the island of Grand Turk. Gastroenteritis (GE), which causes diarrhoea and or vomiting,  can be triggered by viral or bacterial infections resulting in inflammation of the stomach and intestines. These infections can spread easily from person to person by direct contact, contact with contaminated food or water, or contact with contaminated surfaces/objects. Some people (usually the very young or elderly) are very vulnerable and may require hospital admission due to dehydration. It is, therefore, essential to drink plenty of fluids during the illness to avoid dehydration.

The public health team has been actively responding since initial reports and, to date, has done a number of inspections and provided advice. A number of school-aged children from various schools, along with their close contacts have been affected. The Ministry of Education has been apprised of the situation, and the MoHHS is working closely with its education partners to mitigate further spread.

Gastroenteritis can commonly occur in school and nursery settings and may be caused by viruses such as norovirus or, more rarely, by food poisoning. Symptoms commonly include:

  • vomiting (often sudden in onset)
  • diarrhoea
  • both diarrhoea and vomiting
  • tiredness
  • fever
  • nausea (feeling sick)
  • aching muscles
  • stomach pain
  • headache

 Symptoms may begin one to two days after infection and typically resolve in one to three days.

 Recommendations:

  1. Practising proper hand hygiene at all timesis essential to prevent the spread of GE and other communicable diseases.

Children should be supervised and encouraged to wash their hands before eating, drinking, and after using the toilet.

Hand washing with liquid soap and warm water should be done frequently for at least 20 seconds.

Paper towels should be used for drying hands, and a wastepaper bin should be provided for disposal.

Persons looking after ill loved ones should pay particular attention to proper hand hygiene to prevent getting sick.

Alcohol gel can be used in addition to soap and water.

  1. Handle and prepare food safely. Before preparing and eating your food:

Carefully wash fruits and vegetables well.

Clean and sanitise kitchen utensils, cutting boards, counters, and surfaces routinely.

  1. Practice proper cleaning and disinfection, particularly of frequently touched surfaces.

Surfaces and touch points (taps, toilet flush handles, door handles, light switches) should be cleaned and disinfected with a bleach-based cleaner.

Use detergents and bleach solutions in accordance with the manufacturer’s instructions to clean these surfaces regularly.

  1. If you or your child is sick, you should not go to school/work and not return until at least 48 hours after the symptoms have resolved without medication.
  2. Ensure that you or your child is properly hydrated.Avoid dehydration by offering an oral rehydration solution gradually.
  3. Seek medical attentionif your child:
  • Becomes unusually drowsy
  • Vomits frequently or vomits blood
  • Has bloody diarrhoea
  • Shows signs of dehydration, such as dry mouth and skin, marked thirst, sunken eyes, or crying without tears. In an infant, be alert to the soft spot on the top of the head becoming sunken and to diapers that remain dry for more than three hours
  • Is an infant and has a fever
  • Is older than three months of age and has a fever of 102 Fahrenheit (39 degrees Celsius) or more

The Ministry of Health and Human Services will continue heightened surveillance for gastroenteritis and take necessary actions to mitigate against further cases.

For additional information, please call 649-338-5469 or visit the Ministry of Health and Human Services Facebook page at https://www.facebook.com/tciministryofhealth/.

Continue Reading

FIND US ON FACEBOOK

TRENDING