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Dengue fever: What you should know

Thanks to a warming planet and more urban areas, a new study finds that more people will be at risk from dengue by the end of the century. What is dengue virus and how can…

Each year, an estimated 400 million people are infected with dengue virus and about 100 million get sick. Outbreaks have occurred in Southeast Asia, the Western Pacific, the Eastern Mediterranean, the Americas, the Caribbean and Africa.

A new study from the London School of Hygiene & Tropical Medicine found climate change is having an impact on mosquito-borne diseases, like dengue and malaria. An estimated 8.4 billion people could be at risk by the end of the century as the world gets warmer and more urbanized.

If you are traveling to any of these regions, it is imperative to be informed about the disease and its risk.

Facts about Dengue Fever

Like malaria, the disease is transmitted through the bite of a mosquito. However, there are several key differences between the two diseases. 

“Dengue fever is a mosquito-transmitted illness, but it is viral, not parasitic. It is caused by a different mosquito than the type that causes malaria,” said Dr. Phil Seidenberg, associate medical director with Global Rescue.

Dengue-carrying mosquitos are more likely to bite during the daytime instead of at dusk and dawn, as the malaria-carrying insects do. Another difference: dengue-carrying mosquitos are even found in urban areas.

There are currently no medications that can be taken to prevent dengue fever, so mosquito prevention is critical. The CDC recommends using insect repellent, wearing long-sleeved shirts and long pants, and controlling mosquitoes inside and outside your home.

Dengue Symptoms

If you have contracted dengue, the illness will surface in approximately 4-7 days from the initial mosquito bite.

Seidenberg outlined the most common dengue fever symptoms, including:

  • Muscle or joint pain
  • Fever
  • Headaches (particularly behind the eyes)
  • Rash

Dengue Hemorrhagic Fever Symptoms

Those who develop a more severe form of dengue fever may also experience:

  • Bruising and bleeding (particularly at pressure points, such as around waistbands)
  • Nosebleeds
  • Gastrointestinal bleeding

“The more severe form of dengue fever is referred to as dengue hemorrhagic fever,” Seidenberg said.  “With the more severe form, the platelet count drops, people bleed, liver enzymes go up, and people get a lot sicker.” 

Adults are more at risk for dengue hemorrhagic fever than children, who often get much less sick once they’ve contracted the disease. Those who have been exposed to or have contracted dengue previously are much more at risk for this form of the infection. Seidenberg points out dengue hemorrhagic fever is not the same type as some of the African hemorrhagic fevers, such as Ebola.

Dengue Fever Treatment

Typical treatment for dengue fever includes treating the virus symptomatically, with hydration and Tylenol (not ibuprofen or aspirin) for normal cases. In the case of hemorrhagic dengue, patients should seek hospital care to be monitored and given fluids. Unfortunately, there is no way to treat the actual infection itself.

Statistics vary, but approximately 80% of those infected experience fever and flu-like symptoms following an incubation period of 3 to 14 days. These symptoms eventually resolve provided the patient rests and gets plenty of fluids. 

The remaining 20% of patients can become severely ill, with symptoms including very high fevers, rashes, vomiting, intermittent consciousness and bleeding. Fatality rates vary by country. In India, for example, 6% of dengue cases ended in death. With early detection and access to proper medical care, fatality rates are 1%.

If you’re traveling, check in with Global Rescue, review updated dengue information in our GRID travel intelligence system, and consult the CDC website for locations with high rates of dengue here. 

 

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Military Times Edge – Global Rescue Associate Director of Security Operations profiled in the Military…

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Global Rescue Provides Sponsorship Support to the Children’s Hospital at Dartmouth (ChaD)

Lebanon, N.H. – Global Rescue, a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals, announced its sponsorship support for the Children’s Hospital at Dartmouth…

Lebanon, N.H. – Global Rescue, a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals, announced its sponsorship support for the Children’s Hospital at Dartmouth (CHaD). The sponsorship includes support for the recent CHaD HERO Half Marathon and Relay event in which Global Rescue personnel participated.

CHaD is one of only 205 nationally recognized children’s hospitals and New Hampshire’s only comprehensive, full-service children’s hospital providing an extended system of care and advanced pediatric services. ChaD welcomes over 60,000 unique patients per year throughout 14 locations across Vermont and New Hampshire. The hospital fills a unique and critically important need in New England, offering care for children who need it with multi-specialty medical teams providing top-level care. CHaD works to create a sustainable health system that improves the lives of people in the communities they serve, for generations to come.

About Global Rescue

Global Rescue is a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals. Founded in partnership with Johns Hopkins Medicine, Global Rescue’s unique operational model provides best-in-class services that identify, monitor and respond to potential threats. Global Rescue has provided medical and security support to clients during every globally significant crisis of the last decade. Memberships start at $119 and entitle members to rescue and transport services to their home hospital of choice.

For more information, call +1-617-459-4200 or visit www.globalrescue.com.

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Security Management – Global Rescue CEO Dan Richards interviewed by Security Management Magazine regarding business…

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Bloomberg BNA – Act proactively to address workforce Ebola concerns, notes Global Rescue CEO Dan…

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National Geographic – Global Rescue membership highlighted as essential for trekkers

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Close call in the Canadian Rockies: Global Rescue conducts a Field Rescue and evacuation

Global Rescue member Steven Huskey was on a hunting trip to the Canadian Rockies when suddenly things went very, very wrong.

Steven Huskey

Global Rescue member Steven Huskey was on a hunting trip to the Canadian Rockies when suddenly things went very, very wrong.

“During a steep, snowy descent through the Canadian Rockies in pursuit of an elusive Big Horn sheep, I found myself sliding down the mountain toward a cliff. As I went over the edge, I instinctively grabbed for a sapling.  It was like a made-for-TV-movie.”

With help from Global Rescue, Huskey lived to tell the tale of his ordeal.

 “[As I fell,] the momentum of my weight and my pack dislocated my right shoulder, breaking the socket and tearing pretty much every tendon and ligament including my bicep. After finishing the descent with my arm duct-taped to my body and an extremely agonizing horseback ride to camp, I was able to call Global Rescue on the satellite phone,” said Huskey.

The Global Rescue operations team launched into action, making plans for a field rescue and evacuation to transport Huskey to a hospital to receive medical care. With significant snowfall forecast for the following two days, the helicopter rescue was set for the first break in the weather.

“First, they worked with my guide to ensure I was stable and gave him warning signs to monitor. Second and most impressive, they coordinated with my fiancée, the local medical personnel, the outfitter, the aircraft as well as the Royal Canadian Mounted Police and other local authorities,” said Huskey. “The snow and terrain prevented a ground rescue team from reaching my location, so as soon as the weather broke, Global Rescue had a helicopter en route. Their coordination and persistence was impressive.”

The helicopter transported Huskey to the hospital, where he was evaluated, admitted, and treated for his right shoulder dislocation. Global Rescue’s paramedics kept in contact with him throughout his ordeal to ensure he was receiving proper care until he was discharged.

Huskey’s advice: “If you are a back country adventurer, your Global Rescue membership should be at the very top of your packing list.”

 

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Travel Weekly – Global Rescue CEO Dan Richards shares insights on Ebola and travel

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NECN (New England Cable News) – Girding for an “Ebola Rescue” — Featuring Global Rescue…

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The latest update on Ebola

According to the latest update by the World Health Organization (WHO) on 5 October, a total of 8,033 (probable, confirmed, and suspected) cases and 3,865 deaths from the Ebola virus have been documented in Guinea,…

According to the latest update by the World Health Organization (WHO) on 5 October, a total of 8,033 (probable, confirmed, and suspected) cases and 3,865 deaths from the Ebola virus have been documented in Guinea, Liberia, and Sierra Leone. Some cases have also been reported in Nigeria and Senegal.

Late September yielded the first case imported to a non-African country, after a Liberian national traveled to Dallas, Texas.  He succumbed to the virus on 8 October in Dallas. Most recently, a healthcare worker in Madrid, Spain, contracted the illness while caring for an infected patient transported to Spain for treatment.  Both the U.S. and Spain cases did engage in contact with the public while symptomatic, and intense contact-tracing efforts were enacted by both nations. 

In recent months, authorities in multiple nations have introduced a wide range of preventative measures in response to the deteriorating Ebola outbreak, including border closures, flight bans, and stricter screenings at country gateways. Individual airlines have also implemented their own restrictions.

U.S. authorities announced on 8 October that travelers from Guinea, Liberia, Nigeria, and Sierra Leone will undergo mandatory screenings for the Ebola virus at certain domestic airports. The measures will include questionnaires as well as temperature scans. The checks will be implemented at New York City’s John F. Kennedy International Airport (JFK), Washington D.C.’s Dulles International Airport (IAD), Chicago’s O’Hare International Airport (ORD), Atlanta’s Hartsfield-Jackson International Airport (ATL), and New Jersey’s Newark Liberty International Airport (EWR).

Global Rescue has air assets in Africa to perform air ambulance evacuations. Response time depends upon many factors, including weather, local asset availability, location, and local laws. However, we can and will assist in supporting our members with any and all services that are medically appropriate, and which fall within the guidelines of the incident and destination countries regarding quarantine and infectious disease transportation.  Global Rescue will provide these services within the capabilities of our air providers, and the medical resources available locally, regionally, and at the member’s destination.  For members with Ebola or suspected Ebola, Global Rescue will transport pursuant to all required quarantine and infection control procedures and restrictions, which may delay or prevent transport.

 

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2014 Junior Worlds Skicross team member Nico Monforte thanks Global Rescue

In April 2014, Nico Monforte was warming up for the freestyle Junior World Championships with the U.S. Ski Team in Valmalenco, Italy.  After a fall, Nico hurt his shoulder and suffered severe fractures to his left…

Nico Monforte, 2014 Junior Worlds Skicross team member

In April 2014, Nico Monforte was warming up for the freestyle Junior World Championships with the U.S. Ski Team in Valmalenco, Italy.  After a fall, Nico hurt his shoulder and suffered severe fractures to his left tibia and fibula. Nico wrote to thank Global Rescue for assistance during his ordeal:

“While I was in the hospital in Sondrio, Italy, the U.S. Ski Team doctors called Global Rescue to assist in locating a better facility for surgery and care. Global Rescue aided in my transfer to a hospital in St. Moritz, Switzerland, and oversaw the rest of my medical needs and travel home.

“Since the first call was placed in Italy to Global Rescue, there were nothing but positive and helpful interactions. The Global Rescue critical care specialists were always informed and up-to-date concerning my situation, putting my medical needs at the forefront of every call. When my mom, Johanna Monforte, placed a call from back in California to try to coordinate a trip to see me in the hospital, she was immediately linked with the Global Rescue specialist who was working on my case. The specialist updated my mom and made her feel comfortable with the situation. Throughout the whole experience, the Global Rescue team made me feel that I was where I needed to be, and that everything was being done to the highest of standards to ensure a full recovery.

“I am very happy with the whole experience dealing with Global Rescue. The services provided by Global Rescue helped me get to a facility that could cope with the severity of my injuries. Currently my health is good. My recovery is on track and the doctors are happy with my progress. I am a long way from 100 percent, but am progressing every day and headed in the right direction. We are shooting for a return to snow in December and I’m hoping to return to competition late next season.

“I would highly recommend Global Rescue to any of my friends and family, or to anyone who is traveling. The services I received from Global Rescue helped get me the care I needed to make a full recovery. I am proud to be a member of the U.S. Skicross team and couldn’t be happier with the Global Rescue partnership with the United States Ski Association. 

“Thanks again for all your help!”

Cheers, Nico    

 

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Global Rescue Launches Travel Risk and Crisis Management Program for Tour Operators

Boston, Mass., and Killarney, Ireland (Adventure Travel World Summit) – Global Rescue, a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals, today introduced the…

Boston, Mass., and Killarney, Ireland (Adventure Travel World Summit) – Global Rescue, a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals, today introduced the Global Rescue Travel Risk and Crisis Management (TRCM) program for tour operators. The industry’s most comprehensive TRCM solution, it provides critical pre-planning and assistance, ensuring the highest likelihood of preventing emergencies and having positive outcomes in an emergency.

Tour operators who fail to meet their Duty of Care requirements to travelers – disclosing potential hazards and providing reasonable support during emergencies – face significant liability. When something goes wrong on a trip, tour operators and their owners, employees and third-party providers are often sued. Many businesses are not able to survive the aftermath. Lawsuits of this nature are on the rise and awards are frequently worth millions of dollars.

“The liability is real,” said Global Rescue CEO and founder Daniel L. Richards. “Tour operators who ignore their Duty of Care obligations to travelers do so at their own peril. Our TRCM program helps operators be proactive and to prepare for potential threats to travelers rather than just react to an emergency and face the consequences.”

Recent lawsuits:

  • In 2007, a teenager on a school-sponsored trip to China fell ill with an insect-borne disease that was contracted on a hike. She permanently lost her ability to speak, many of her fine motor skills and some of her cognitive capacity. After years of litigation, a jury in 2013 awarded the family $41.7 million because the trip leaders failed to: 1) warn that the students would be hiking in an area where insect-borne diseases were prevalent; 2) advise the students to use repellant and wear proper clothing when hiking; 3) recognize the early symptoms of the disease and take action; and because 4) they did not have proper protocols in place for handling medical emergencies. (Munn vs. Hotchkiss.)
  • In 2014, a Canadian tour operator and its owner were sued for $700,000 after two of its clients were drugged in their tent on Mount Kilimanjaro and then robbed of their cash, gear and passports. The plaintiffs decided to litigate because the tour operator did not have any protocols in place to handle this type of emergency. (Lewis vs. Berg Adventures International Inc.)
  • Multiple hotel groups and a travel agency were involved in multi-year litigation beginning in 2009 after a guest went into cardiac arrest and hotel employees failed to respond appropriately. Medical personnel arrived over 40 minutes after the guest went into cardiac arrest. The guest was first transported to a medical center, then to a regional hospital and finally airlifted to a hospital in Miami where he was pronounced dead. For tour operators, the Global Rescue TRCM program helps decrease financial exposure and mitigate organizational liability by reducing potential litigation and possible reputational damage. Tour operators will achieve higher levels of traveler safety by reducing the likelihood of injury and death.

About Global Rescue

Global Rescue is a worldwide provider of integrated medical, security, intelligence, travel risk management and crisis response services to corporations, governments and individuals. Founded in partnership with Johns Hopkins Medicine, Global Rescue’s unique operational model provides best-in-class services that identify, monitor and respond to potential threats. Global Rescue has provided medical and security support to clients during every globally significant crisis of the last decade. Memberships start at $119 and entitle members to rescue and transport services to their home hospital of choice.

For more information, call +1-617-459-4200 or visit www.globalrescue.com.