General consideration

• Dengue in the South-East Asia and Western Pacific Regions of WHO
• The general distribution of dengue fever and/of dengue hemorrhagic fever 1975-1976
• Global reports of dengue and dengue hemorrhagic fever 1956-1995
• Dengue outbreaks in the Americas
• Dengue in the African and eastern Mediterranean Regions
• Economic impact of dengue
• Characteristic of DHF outbreaks
• Transmission of dengue viruses
• The virus
• The vectors
• Approximate actual and potential distribution of Aedes aegypti
• The host
• Pathology

Clinical diagnosis

• DF
• Observed frequency of findings in classical DF and Chikungunya
• DHF
• Non-specific constitutional symptoms observed in haemorrhagic fever patients with dengue and chikungunya infections
• DSS
• Laboratory findings
• Complications and unusual manifestations
• Case definition for DF
• Case definition for DHF
• Tourniquet test
• Case definition for DSS
• Guidance for diagnosis of DHF/DSS
• Grading severity of DHF (grade-IV)
• Criteria for differential diagnosis of DHF and chikungunya fever
• Management of dengue and DHF
  • General considerations
  • Treatment regimen
  • Type of fluid
• Management of shock
  • Replacement of plasma loss
  • Continued replacement of further plasma loss
  • Correction of electrolyte and metabolic disturbances
  • Sedative
  • Oxygen therapy
  • Blood transfusion
  • Essential laboratory tests
  • Evaluation of patient's condition

Management of patients with unusual manifestations
Criteria for discharging inpatients