Breakthrough Treatment of “Dengue Viral Infection” The Report on the Dengue Viral Epidemic of 2011 in Province of Punjab Pakistan.

Abstract

The present paper aimed to overcome the Viral Pathology in the emerging Dengue Virus Epidemic. Since 2010 it is a second epidemic of dengue Fever (DF) and dengue Hemorrhagic fever (DHF) that has claimed over 300 lives in the Punjab area. There has been no set treatment protocol other than the World Health Organization (WHO) guidelines to treat this viral infection. Many physicians tried to follow the same and achieved some degree of success but unfortunately mismanagement of Dengue inflicted patients led to a high mortality. Malaysian physicians reported to have modified the WHO protocol to fit the needs of the local epidemic in 2009. However; the mainstay of the treatment was the balance of fluid dynamics of the patient's body. Unfortunately, the depleting platelets counts have been a media promoted scare of the dengue fever and dengue hemorrhage fever. The depleting Platelets count is not the only indication of the DF and DHF. However, its drastic reduction below 150,000 is the leading cause of bleeding (Internal & External) and eventual death. To date, the Pathophysiology that causes the symptoms of DF & DHF and the neurological deficits have been very poorly understood. Therefore, the treatment protocol presented by the WHO and the local medical practioners has been deemed partial or insufficient. Great number of patients has been seen with the recurrence of the dengue fever or incomplete treatment or the extensive dengue infection leading to bleeding, neurological deficit or directly comatose and death. Ever changing patient admission guidelines also led to the high risk of patient mortality. Therefore, the treatment protocol designed by us has successfully addressed the DF & DHF challenged patient population most effectively, resulting into no platelets transfusion and zero patient mortality. This unique project entertained 1298 patients from the greater community of city of Lahore. Majority of patients were seen as a direct visit to the UCH Dengue clinic, and many were received as a referral from other hospitals.