CURRENT CONTEXT: WHO released its first-ever integrated clinical guidelines for dengue, chikungunya, Zika, and yellow fever—mosquito-borne illnesses with overlapping symptoms and rising spread.
ABOUT ARBOVIRAL DISEASES:
- Transmission: Spread by Aedes
- Diseases Covered: Dengue, chikungunya, Zika, yellow fever.
- Global Risk: Over 6 billion people affected or at risk.
KEY GUIDELINES:
- Mild Cases:
- Use oral fluids; treat fever/pain with paracetamol or metamizole; avoid NSAIDs and corticosteroids.
- Severe Cases:
- Use intravenous crystalloid fluids; monitor capillary refill and shock response; avoid unnecessary platelet transfusions; consider IV N-acetylcysteine for yellow fever; experimental treatments only in research contexts.