The Pale Horseman
The Pale Horseman is ‘Saddled-Up’! Dengue Fever Is Soaring Worldwide. Here’s What to Know—and How to Stay Protected. 5,500 (5) People Have Died so far in 2023. 50% (5) of the World is at Risk of Catching Dengue.
Koh Ewe Wed, December 13, 2023 at 11:23 AM CST TIME
Governments and public health experts around the world are sounding the alarm about the record-high spread of one of the most notorious—and incurable—diseases, which about half the world is at risk of catching: dengue.
The mosquito-borne virus has a long history in warm climates but is now also emerging in regions where it had been generally unheard of—such as in Europe and parts of the U.S. By early December, there had already been more than five million dengue infections worldwide this year—a dramatic increase from some 500,000 cases in 2000—recorded across at least 80 countries and territories. More than 5,500 people have died so far in 2023, according to Save the Children.
In October, California announced its first case of locally-transmitted dengue virus. In March, dengue was found in Sudan’s capital Khartoum for the first time in the city’s record, putting its already underfunded healthcare system under serious strain. Meanwhile, in countries where dengue was already endemic, this year has seen the virus spread at an unprecedented scale. Amid the worst outbreak in Bangladesh’s history, dengue cases were reported in all 64 of the country’s districts, and by mid-November the disease had infected 291,832 people and killed 1,476. Peru’s health minister, who in June declared a state of emergency in most parts of the country to deal with a raging dengue outbreak, resigned the same month as infections and deaths continued to mount.
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A risk assessment report published Tuesday by the Pan-American Health Organization noted that the “lack of robust dengue surveillance and management systems raises concerns about potential undetected cases or unrecorded travel movements that could contribute to unnoticed disease spread.” There is currently no antiviral treatment for dengue, though the symptoms can usually be managed with medicine. Here’s what to know about the disease—and how to keep yourself safe.
What are the symptoms of dengue fever?
The symptoms experienced by those infected with dengue can vary widely: up to 80% of dengue cases are asymptomatic, and while some infections may trigger only flu-like symptoms, more serious cases can result in internal bleeding that could lead to death. Some of the more common symptoms of dengue infections include high fever, nausea, vomiting, and severe muscle and joint pain—the latter of which is how the disease earned the nickname “breakbone fever.” When detected early and with access to medical care, the mortality rate of dengue is less than 1%—though that figure rises to 2-5% for severe dengue cases. If left untreated, however, the mortality rate of dengue can reach 20%.
How does dengue spread and why is it on the rise?
Dengue is typically spread through infected female Aedes aegypti (Egyptian tiger) mosquitoes that thrive in stagnant water, passing from one person to another through mosquito bites. The disease can also be transmitted from pregnant women to their babies, and, in rare cases, through blood transfusions, organ transplants, or needle injuries. The disease, which has long been a public health concern in Asia and Latin America, has seen an uptick attributed in part to the resurgence of global travel after the COVID pandemic. This year’s El Niño weather phenomenon, which contributes to warmer temperatures, is also believed to have exacerbated dengue outbreaks in tropical countries.
Amid rising global temperatures due to climate change that have made more parts of the world suitable for Aedes aegypti mosquitoes to breed, experts are increasingly warning about the threat dengue is set to pose to the southern parts of the U.S. and Europe, as well as new regions in Africa. Researchers have also pointed to the impact of urbanization on dengue transmission.
Besides simply increasing population density, the expansion of informal urban settlements with no access to plumbing networks has fostered among stagnant stored water and exposed litter prime breeding and feeding grounds for Aedes aegypti mosquitoes, which are already well-adapted to urban environments. Battling the record surge in dengue cases, health care systems across the world are being tested in unprecedented ways—some buckling under overwhelming demand, as experts raise concerns about the human costs of poor governmental dengue responses. Public anxiety and anger is also mounting: in September, opposition party members in India staged a public protest in Kolkata criticizing the government’s response to dengue.
What are authorities around the world doing to combat dengue?
Fumigation remains one of the oldest and most widely used methods to kill mosquitoes around the world. However, mosquito fogging is seeing waning effectiveness. Despite decades of chemical control, researchers warn, dengue outbreaks have intensified as mosquitoes develop resistance to chemical compounds. An innovative effort led by the World Mosquito Program, currently being tested in over a dozen countries, aims to fight mosquito-borne viruses with mosquitoes. Under the program, authorities release special mosquitoes bred to carry a bacteria called Wolbachia, which blocks the transmission of viruses that cause dengue, zika, and yellow fever.However, not all are welcoming of the ambitious plan. When Indonesian authorities announced the release of 200 million Wolbachia-carrying mosquitoes in Bali, the plan was met with vehement opposition from both experts and locals, who had little trust in the results of a small-scale pilot study held in another Indonesian city and were worried that Bali residents would be made “lab rats.”
Nearby in Singapore, where the Wolbachia project is in full swing, environmental agency personnel conduct regular inspections of homes and other sites to check for potential mosquito breeding grounds and collect water samples for laboratory tests. Owners of premises that are found to have mosquito breeding may be fined or imprisoned. Singapore also tracks dengue clusters emerging in the city-state. A similar initiative is run by Boston Children’s Hospital to track global reports of dengue cases in the media, and researchers in London announced earlier this month the world’s first “dengue dashboard” to model and predict the spread of the disease across the world, which is expected to launch next year. “We need local plans to fight dengue—at village and city level—and with the involvement of communities,” said Yasir Arafat, a health advisor at Save the Children, in a statement spotlighting the danger of this year’s dengue infections. “Funding needs to better anticipate extreme weather and climate shocks to manage the risk and not just the crisis.”
How can you protect yourself against dengue?
With scientists anticipating dengue to reach places that have not been acquainted with the disease, governments around the world have been sharing best practices to prevent the spread of dengue. These include using insect repellent, wearing long-sleeved shirts and long pants, using insect screens on windows and doors, and performing regular checks in your home for stagnant water.
There are currently two dengue vaccines commercially available: Qdenga, which is recommended by the World Health Organization for children aged six to 16 or those living in places with high risk of dengue transmission, and Dengvaxia, which is recommended by the U.S. Centers for Disease Control and Prevention for children aged nine to 16 who have had previous dengue infection. (The world’s first dengue vaccination program, launched in the Philippines in 2016, however, was found to increase the severity of the disease for recipients of Dengvaxia who were later infected with dengue, resulting in decreased confidence in all vaccines in the country.)
For those who have been infected with dengue, the WHO recommends drinking plenty of liquids, getting adequate rest, avoiding using non-steroidal anti-inflammatory drugs like ibuprofen and aspirin—instead, opt for paracetamol for pain relief—and seeking medical attention if you experience any severe symptoms.
Millions infected with dengue this year in new record as hotter temperatures cause virus to flare. Record 5million cases expected this year.
Story by By DÁNICA COTO, Associated Press
SAN JUAN, Puerto Rico (AP) — Dengue is sweeping across the Western Hemisphere in numbers not seen since record-keeping began more than four decades ago, with experts warning that rising temperatures and rapid urbanization are accelerating the pace of infections. A record more than 4 million cases have been reported throughout the Americas and Caribbean so far this year, surpassing a previous record set in 2019, with officials from the Bahamas to Brazil warning of crowded clinics and new infections daily. More than 2,000 deaths in that region also have been reported.
“This year is the year we’ve been seeing the most dengue in recorded history,” said Thais dos Santos, adviser on surveillance and control of arboviral diseases with the Pan American Health Organization, the regional office of the World Health Organization in the Americas. She noted that record keeping began in 1980. “Vector borne diseases, especially these diseases that are transmitted by mosquitoes … provide us a really good sentinel of what is happening with climate change.” Poor sanitation and a lack of robust health systems have contributed to a rise in cases, but experts say droughts and floods linked to climate change are causing greater transmission of the virus, with stored water and heavy rains attracting mosquitoes.
Dr. Gabriela Paz-Bailey, chief of the dengue branch for the U.S. Centers for Disease Control and Prevention in Puerto Rico, noted that higher temperatures also are extending the mosquito’s habitat and helping the virus develop faster inside the mosquito, leading to higher viral loads and higher probability of transmission. “These infections are a symptom of some big underlying trends happening in the world,” Dr. Jeremy Farrar, chief scientist of the World Health Organization, said in an interview. “Climate change is seemingly so difficult to address, and so many countries are now becoming urbanized, I can see dengue and the other diseases…becoming increasingly frequent and increasingly complex to deal with.” Dos Santos said officials are seeing “lots of new things” as dengue spikes, including record temperatures, extended seasons and the spread of dengue farther north and south than usual. California, for example, reported its first two locally-acquired dengue cases this year, and Florida 138 such cases — a record for the state. Last year, Florida reported 65 cases, Paz-Bailey said.
This year’s Northern Hemisphere summer was the hottest ever, with August some 1.5 degrees Celsius (2.7 degrees Fahrenheit) warmer than pre-industrial averages. And so far, 2023 is the second hottest year on record, according to Copernicus, the European climate service. Worldwide, more than 4.5 million cases of dengue had been reported as of early November, with more than 4,000 deaths reported in 80 countries. Farrar believes that a global record set in 2019 of 5.2 million cases could be surpassed this year. “Dengue is something that the Americas need to be increasingly concerned about, but it’s almost a global phenomenon now,” he said.
Countries like Bangladesh are seeing a record number of cases and deaths. The government in the South Asian country has reported more than 313,700 cases and more than 1,600 deaths, the majority of them occurring within three days of hospitalization, according to published data. The mosquito that carries dengue also has been identified in 22 European countries, with local spread of the disease seen in France, Italy and Spain. In August, the central African country of Chad reported its first-ever dengue outbreak.
Dengue affects some 129 countries, with roughly half the world’s population at risk, according to the World Health Organization. The virus is transmitted mainly by infected female Aedes aegypti mosquitoes, which bites hosts to obtain protein for its eggs. The virus can cause crushing headaches, fever, vomiting, a rash and other symptoms. While most infected people don’t get symptoms, severe cases can lead to plasma leakage and death. What’s worse, experts say, repeated infections means a higher risk of developing severe dengue. While the mosquito that carries dengue also spreads chikungunya and the Zika virus, there is less circulation of the other two viruses because of past immunity, Paz-Bailey said, adding that it’s very rare for a mosquito to carry two viruses at once.
In January, the World Health Organization warned that dengue poses a pandemic threat and is the world’s fastest spreading mosquito-borne disease. While there are vaccines and specially bred mosquitoes containing a bacteria called Wolbachia to fight dengue, there are no specific treatments for the virus once someone becomes infected. It’s unclear how many countries, if any, have requested vaccines from manufacturers, but the Pan American Health Organization said its immunization technical advisory group recently met to talk about dengue vaccines and would publish recommendations once they’re finalized. The Americas broke the previous regional record for dengue earlier this year, with Brazil, Argentina, Paraguay and Peru reporting the most cases worldwide. Peru declared a state of emergency in some areas after reporting a historic number of cases.
The Caribbean also is battling a surge in cases, with the region reporting a 15% increase in confirmed cases by early October compared with the same period last year, according to the Caribbean Public Health Agency. Officials on the French Caribbean islands of Guadeloupe and Martinique declared an epidemic in August that is still ongoing. Martinique, for example, is reporting an average of 800 cases a week on the island of some 394,000 inhabitants. Meanwhile, Jamaica and the Bahamas declared an outbreak in September followed by Barbados in October. “The associated risks and ripple effects must not be underestimated as outbreaks of dengue and other mosquito-borne diseases … pose a significant threat to health, tourism, as well as social and economic development,” the Caribbean Public Health Agency said in a statement. Impoverished countries struggle the most with dengue, with poor sanitation creating fertile breeding grounds for infected mosquitoes, a lack of air conditioning and screened windows allowing the insects to roam freely and rickety health systems groaning under a growing caseload.
Farrar, chief scientist for the World Health Organization, said dengue is very difficult to treat in part because patients often delay in seeking medical care and because the virus can progress so quickly. Caring for patients is tricky because staff must ensure they receive the correct amount of fluid, which requires a lot of time and monitoring, he said. “Imagine that you have a thousand people like that requiring all that delicate clinical care. It can very quickly overwhelm a system,” he said. Claude Burton, a 70-year-old retiree who lives in Jamaica, knows first-hand about the strain on medical facilities. Last month, he began to feel increasingly worse until he finally visited a doctor.
After testing positive, he took a taxi for an hourlong ride from Ocho Rios to Kingston after the doctor advised he be hospitalized. The first hospital he visited turned him away, with staff telling him no beds were available. Then at the second hospital he went to, Burton spent two nights in a wheelchair until a bed freed up. “I was really bad,” he recalled, adding that he had blood in his urine and ended up spending four nights at the hospital. Dr. Georgiana Gordon-Strachan, director of the Tropical Metabolism Research Unit at the University of the West Indies in Jamaica, said the island’s summer of 2023 provided the perfect conditions for its newest outbreak.
“Heat is one of the drivers of dengue fever,” she said.
Most worrisome is that the second strain of dengue — the most severe out of all four — is the dominant one currently circulating in Jamaica, she said. To fight the virus, trucks are rumbling across Jamaica, Barbados and other Caribbean islands and fogging areas with a product that contains small amounts of insecticide. Health officials also keep urging people to discard old tires, plastic containers and other recipients that collect rainwater, as well as to sleep with netting over their beds and wear pants and long-sleeved shirts. “It’s really important that we talk more proactively about dengue since it’s becoming such an important public health threat,” Paz-Bailey said.
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Mark of the Beast. The Beast Who Requires a ‘MARK.’ (7) The Infrared Vaccination QR Code SMART MARK.
Through the Holy Spirit, Jesus Christ testifies who is he is and his offer of salvation for mankind, through the forgiveness of their sins, the shedding of his blood and his resurrection. Through the Holy Spirit, Jesus communicates (witnesses) the who, what, where, when, why and how of mankind’s salvation. This is known as the gospel of Jesus Christ. Once again, seven (7) references regarding the Holy Spirit witnessing to Christ denotes God’s divine purpose and plan.
In His Service,
Night Watchman
Paul Rolland
Night Watchman Ministries
Make Your (7) Decision for Christ NOW!!!!!!! Time is Up!!!!!!!
Jesus Christ’s Offer of Salvation:
The ABCs (7) of Salvation through Jesus Christ (the Lamb)
A. (7) Admit/Acknowledge/Accept that you are sinner. Ask (7) God’s forgiveness and repent of your sins.
. . . “For all have sinned, and come short of the glory of God.” (Romans 3:23).
. . . “As it is written, There is none righteous, no, not one.” (Romans 3:10).
. . . “If we say that we have no sin, we deceive ourselves, and the truth is not in us.” (1 John 1:8).
B. Believe Jesus is Lord. Believe that (7) Jesus Christ is who He claimed to (7) be; that He was both fully God (7) and fully man and that we are (7) saved through His death, burial, and resurrection. (7) Put your trust in Him as your (7) only hope of salvation. Become a son (7) or daughter of God by receiving Christ. (7777777) 7×7
. . . “That whosoever believeth in him should not perish, but have eternal life. For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. For God sent not his son into the world to condemn the world; but that the world through him might be saved. (John 3:15-17). For whosoever shall call upon the name of the Lord shall be saved.” (Romans 10:13).
C. Call upon His name, Confess (7) with your heart and with your lips (7) that Jesus is your Lord and Savior.
. . . “That if thou shalt confess with thy mouth the Lord Jesus, and shalt believe in thine heart that God hath raised him from the dead, thou shalt be saved. For with the heart man believeth unto righteousness; and with the mouth confession is made unto salvation.” (Romans 10:9-10).
. . . “If we say that we have no sin, we deceive ourselves, and the truth is not in us. If we confess our sins, he is faithful and just to forgive us our sins, and to cleanse us from all unrighteousness. If we say that we have not sinned, we make him a liar, and his word is not in us.” (John 1:8-10).
. . . “And he is the propitiation for our sins: and not for ours only, but also for the sins of the whole world. (John 2:2).
. . . “In this was manifested the love of god toward us, because that God sent his only begotten Son into the world, that we might live through him. And we have seen and do testify that the Father sent the Son to be the Saviour of the world. Whosoever shall confess that Jesus is the Son of God, God dwelleth in him, and he in God.” (1 John 4:9, 14-15).
. . . “But God commendeth his love toward us, in that, while we were yet sinners, Christ died for us. Much more then, being now justified by his blood, we shall be saved from wrath through him. For if, when we were enemies, we were reconciled to God by the death of his Son, much more, being reconciled, we shall be saved by his life.” (Romans 5:8-10).
. . . “For the wages of sin is death; but the gift of God is eternal life through Jesus Christ our Lord.” (Romans 6:23).
. . . “Jesus saith unto them, I am the way, the truth, and the life, no man cometh unto the Father, but by me.” (John 14:6).
. . . “For I am not ashamed of the gospel of Christ: for it is the power of God unto salvation to everyone that believeth.” (Romans 1:16).
. . . “Neither is there salvation in any other: for there is none other name under heaven given among men, whereby we must be saved.” (Acts: 4:12).
. . . “Who will have all men to be saved, and to come unto the knowledge of the truth for there is one God, and one mediator between God and men, the man Christ Jesus.” (1 Timothy 2:4-6).
. . . “For God did not appoint us to suffer wrath but to receive salvation through our Lord Jesus Christ.” (1 Thessalonians 5:9).
. . . “But as many as received him, to them gave the power to become the sons of God, even to them that believe on his name.” (John 1:12).
True Church / Bride of Christ Spared from God’s Wrath:
Romans 5:8-10. “But God commendeth his love toward us, in that, while we were yet sinners, Christ died for us. Much more then, being now justified by his blood, we shall be saved from wrath through him. For if, when we were enemies, we were reconciled to God by the death of his Son, much more, being reconciled, we shall be saved by his life.”
Romans 12:19. Dearly beloved, avenge not yourselves, but rather give place unto wrath: for it is written, Vengeance is mine; I will repay, saith the Lord.
1 Thessalonians 1:10. And to wait for his Son from heaven, whom he raised from the dead, even Jesus, which delivered us from the wrath to come.
1 Thessalonians 5:9. For God hath not appointed us to wrath, but to obtain salvation by our Lord Jesus Christ,
Romans 8:35. Who shall separate us from the love of Christ? shall tribulation, or distress, or persecution, or famine, or nakedness, or peril, or sword?
Jeremiah 30:7. Alas! for that day is great, so that none is like it: it is even the time of Jacob’s trouble, but he shall be saved out of it.
Revelation 3:10 Because thou hast kept the word of my patience, I also will keep thee from the hour of temptation, which shall come upon all the world, to try them that dwell upon the earth.