Madeira Island - Portugal - Dengue
12 October 2012 – 18 cases of dengue have recently been reported in Madeira Island and 191 probable cases were under investigation. Travelers going to Madeira Island should be given advice regarding protection against mosquito bites during the day such as the use of insect repellents, mosquito nets, mosquito coils, insecticide aerosol sprays, protective clothing, and use of screens or staying in air-conditioned environment when available. Physicians are advised to consider the possibility of dengue infection if patients returning from Madeira Island have the following symptoms: sudden onset of fever (within 7-14 days after the return), severe muscle, joint and bone pains as well as pain behind the eyes and sometimes macular skin rash. Severe dengue should also be suspected if haemorrhagic manifestations are present. If dengue is suspected, the use of paracetamol to bring down the fever is indicated. Aspirin and related non-steroidal anti-inflammatory drugs (NSAIs) such as ibuprofen should be avoided.
Further information is available in the International Travel and Health (ITH) publication www.who.int/ith and on the WHO dengue Webpage http://www.who.int/topics/dengue/en/ and Directorate-General of Health - Ministry of Health, Portugal http://www.dgs.pt/