
dengu bukhaar kaa prakop

aisaa maanaa jaataa haye kii dengu bukhaar duniya bhar mein ack saal mein 50 seey 10 karod logon koo 1-2 million jeevan key liye khatarnak sankramanon key saath sankramit kartaa haye. 1960 aur 2010 key beach isaki aavritti mein 30 gunaa kii naatakiya vriddhi hui. maanaa jaataa haye kii yeh vriddhi shaharikaran, jansankhya vriddhi, antarrashtriya yatra mein vriddhi aur vaishvik tapman mein vriddhi key sanyojan key kaaran hui haye. bhaugolik vitaran bhoomadhya rekha key aspas haye, jisamen asia aur prashant key sthaanik kshetron mein rahane vaale kull 2.5 karod logon mein seey 70 pratishat loga hain. prakop key dauran kaee sankramit logon kaa vishaanu pareekshan naheen kiya jaataa haye, isaliye unake sankraman chikungunya, donon kaa ack sahsankraman, yaa yahaan taka kii anya samaan virus key kaaran bhee hoe sakate hain.
haal hii mein prakop.
1779 mein iss bimari kii pehchaan aur namkaran key turant baad, 1780 key dashak mein asia, africa aur uttari america mein lagbhag ack saath pahali maanyata praapt dengu mahamari hui. 1950 key dashak mein dakshin poorv asia mein ack mahamari shuru hui, aur 1975 taka dengu raktasravi bukhaar (dee. aich. aff.) iss kshetra mein bachchon mein mrityu kaa ack pramukh kaaran bunn gayaa thaa. dee. aich. aff. kaa pahala mamla 1953 seey 1954 key aspas manila mein saamane aaya thaa. dengu bukhaar seey peedit ack chhote bachche koo aniyantrit roop seey khoon bahana shuru hoe gayaa thaa. anya bachche taba nae lakshan key shikaar hoe gaye. 1980 key dashak seey dengu kii mahamari adhik aam hoe gaee haye. 1990 key dashak key anta taka, dengu maleria key baad manushyon koo prabhaavit karane vaali sabse mahatvapurna machchar janit bimari thee, jisamen dengu bukhaar key lagbhag 4 karod mamle aur dengu raktasravi bukhaar key kaee laakh mamle they.
dengu bukhaar kaa mahatvapurna prakop harr paanch yaa chhah maheene mein hotaa haye. dengu key mamalon kii sankhya mein chakreeya vriddhi aur girawat koo una sabhi chaar upbhedon key liye ack alpakaalik cross-immunity key saath baatchit karane vaale mausami chakron kaa parinam maanaa jaataa haye jinhen dengu thaa. jaba bhee agali mausami choti aatee haye, taba jaba cross-immunity kharaab hoe jaati haye tou aabaadi sancharan key liye adhik samvedansheel hoti haye. iss prakaar samay key saath dengu virus key chaar alag-alag serotype aur bachche key janm yaa aapravaasan seey aprakaashit vyaktiyon kii upasthiti key kaaran pichhale prakopon key bavjood prabhaavit aabaadi mein badee sankhya mein atisamvedansheel loga baney rahate hain.
vahaan mahatvapurna saboot hain, joe mool roop seey aiss dwara sujhaae gaye hain.bee. 1970 key dashak mein, dengu raktasravi bukhaar una logon mein honey kii adhik sambhavana haye jinhen dengu bukhaar key chaar serotype mein seey ack seey dusare dwara maadhyamik sankraman hotaa haye. iss prakriya koo samajhaane key liye ack model koo antibody-nirbhar vriddhi (ade) key roop mein jaanaa jaataa haye, joe ack alag tanaav key saath ack maadhyamik sankraman key dauran grahan aur virian pratikriti koo badhaane kii anumati detaa haye. ack pratirakshaatmak ghatana key madhyam seey, jise mool pratijan paap key roop mein jaanaa jaataa haye, pratiraksha pranali majboot sankraman key liye paryaapt roop seey pratikriya karane mein saksham naheen haye, aur maadhyamik sankraman kaheen adhik gambhir hoe jaataa haye.
dengu key report kiye gaye mamle sabhi mamalon kaa cumm pratinidhitva karate hain jaba upa-naidaanik mamalon aur una mamalon key liye lekha hotaa haye jahaan rogi koo chikitsa upchaar praapt huaa thaa.
2002 kii garmiyon key dauran riyo dee janeiro mein ack gambhir prakop huaa thaa jisamen 288,245 mamle saamane aae they. 20 march, 2008 koo riyo dee janeiro raajya key swaasthya sachiv, sergio corts ney ghoshana kii kii raajya mein teen maheene seey bhee cumm samay mein dengu key 23,555 mamle darj kiye gaye hain, jinamen 30 mautein shamil hain. court ney kahaa, "main ise ack mahamari key roop mein dekh rhaa huun kyonki mamalon kii sankhya bahut adhik haye."sanghiya swaasthya mantri, jose gomes temporo ney bhee ghoshana kii kii vaha sthiti kaa jawab dene key liye ack panel banaa rahey hain. riyo dee janeiro shahar key mahapour seasure miyaa ney iss baat seey incar kiya kii chinta kaa gambhir kaaran thaa, yeh kahate hue kii mamalon kii ghatana vaastav mein farwari kii shuruat mein charam seey cumm hoe rahee thee. 3 aprail, 2008 taka, darj kiye gaye mamalon kii sankhya badhkar 55,000 hoe gaee 
singapur mein, dengu kaa sabse buraa prakop vartamaan mein hoe rhaa haye. 2 octuber 2020 taka, 33,500 seey adhik pusht mamle they, aur cumm seey cumm 29 mautein huin. yeh aankada singapur key pahale key sabse kharaab dengu bukhaar key prakop kii sankhya seey adhik hoe gayaa haye.
dengu bukhaar ushnakatibandhiya kshetron mein vyaapak roop seey paaya jaataa haye, jisamen dakshini sanyukt raajya america, uttari argentine, uttari australia, bangladesh, barbados, bolivia, bellies, brazil, kambodiya, columbia, costa rica, cuba, dominican ganarajya, french polynesia, gwadelope, alvador, grenade, gwatemala, gayana, haiti, honduras, bhaarat, indoneshiya, jamaika, laos, malaysia, melanesia, maxico, micronesia, nikaragua, pakistan, panama, paraguay, phillippeans, puerto rico, samoa, paschimi saudi arab, singapur, srilanka, surinam, thyland, tobaida aur tobaida shamil hain.
puerto rico mein 2010 key prakop key parinamswarup 5382 sankramanon kii pushti hui aur 20 mautein huin. francisi carribean mein paas key gwadelope aur martinic bhee prabhaavit hueh pratyek dweep mein 40000 seey adhik naidaanik mamalon key liye chikitsa sahaayata kii aavashyakta thee (prakop agast 2010 mein charam parr thaa aur vyaavhaarik roop seey octuber taka samaapt hoe gayaa thaa). sent key francisi/dutch dweep mein kaafee sankhya mein mamle darj kiye gaye they.martin/sint martin bhee, jahan dengu sthaanik haye. pakistan mein 5000 seey adhik pusht sankramanon aur 31 kii mrityu darr key saath ack prakop huaa thaa. pramukh paschimi florida mein 2009 aur 2010 dengu key prakop 2005 texas (25 mamle) aur 2001 havaai (122 mamle) key prakop key samaan hain, joe sthaaniya roop seey americi mitty parr baney rahey they aur sthaaniya kshetron seey lautane vaale yaatriyon kaa parinam naheen they.
dengu-sthaanik kshetron mein aaney vaale americi agantuk aur agantuk sanyukt raajya mein dengu virus key pravesh key liye ack sambhaavit maarg prastut karna jaari rakhenge aur una aabaadi koo sankramit karenge joe kaee dashakon seey virus key sampark mein naheen aaee hain. swaasthya jokhimon aur sanyukt raajya america mein teji seey badhati lagaton kii nigrani naheen kii gaee, binaa teekaakaran aur roga leey jaane vaale yaatriyon, kanuni aur avaidh, parr haal hii mein vichaar kiya gayaa haye.
1 disambar 2008 koo australia key queensland key ushnakatibandhiya uttar mein sthit cairn mein dengu bukhaar kaa prakop ghoshit kiya gayaa thaa. 3 march 2009 taka 152,137 kii aavaasiya aabaadi mein dengu bukhaar key 503 pusht mamle they. baad mein prakop koo padosi shaharon aur kasbon key townville (prakop 5 janwari 2009 ghoshit kiya gayaa), port dugglus (prakop 6 farwari 2009), yarabah (19 farwari 2009), injino (24 farwari 2009), insfel (27 farwari 2009) aur rockhampton (10 march 2009) ghoshit kiya gayaa. iss kshetra mein dengu key prakaar ack, dou, teen aur chaar hue hain. 4 march, 2009 koo, raani key swaasthya ney pushti kii thee kii ack bujurg mahila kii mrityu carron mein dengu bukhaar seey hui thee, joe pichhale saal mahamari shuru honey key baad seey pahali maut thee. bayaan mein kahaa gayaa haye kii halanki mahila koo anya swaasthya samasyaaen theen, lekin vaha dengu key liye sakaratmak pareekshan kii aur bimari ney shayed usaki mrityu mein yogdan diyaa.
2009 kii shuruat mein bolivia mein ack mahamari fail gaee, jisamen 18 logon kii maut hoe gaee aur 31,000 loga sankramit hoe gaye.
2009 mein, argentine mein, dengu key prakop koo chaako, catamarca, salta, jujuy aur corrients key uttari praanton mein ghoshit kiya gayaa thaa, jisamen swaasthya mantralaya dwara 11 aprail, 2009 taka 9673 seey adhik mamle darj kiye gaye they. prabhaavit kshetron key kuchh yaatriyon ney bukhaar koo dakshin mein buenos air taka faila diyaa haye. argentine mein mahamari koo niyantrit karane key pramukh prayaas isake vector (adies machchar) koo prajanan seey rokane parr kendrit hain. logon koo sabhi sambhaavit jall jalashayon koo sookhane key liye kahakar ise sambodhit kiya jaataa haye jahan seey machchar fail sakate hain (joe kii anya deshon mein, jise "descacharrado" key roop mein jaanaa jaataa haye). dengu bukhaar kii roktham key baare mein soochana abhiyaan they aur machharon kii aabaadi koo niyantrit karane key liye sarkaar keetnashakon kaa upayog curr rahee haye.
dakshin asiai deshon mein seey ack srilanka abhee bhee iss samasya seey atyadhik peedit haye.
2002 mein easter dweep parr serotype denve-1 key kaaran ack prakop huaa. baad mein 2006-2007 aur 2008,2009 aur 2011 mein prakop hue, samay key saath isaki matra mein kamee aaee. report kiye gaye mamalon mein purushah mahila anupaat lagbhag 1:1 thaa aur sankraman mein ausat ayu donon lingon mein 31.38 ± 18.37 thee.
2010.
kaee avikasit kshetron mein, "adhikaariyon key paas dengu key mamalon kaa pataa lagaane key liye paryaapt suvidhaaen naheen hain."vishesh roop seey, phillippeans mein jahaan rogi dengu key ilaaj key liye aspatalon key badale mein jadee-bootiyon kii dawa lete hain, mrityu darr anya prabhaavit kshetron kii tulanaa mein saankhyikiya roop seey kaheen adhik haye. jaise-jaise kaee mamle report naheen kiye jaate hain, yahaan uchch aankade jaruri naheen kii ack badey prakop kaa sanket dein. 2010 mein, akele lattin america ney 15 laakh mamalon kii kull sankhya darj kii.
2011.
phillippeans mein dengu key mamle kii sankhya 2011 kii pahali timahi mein pichhale varsh kii tulanaa mein lagbhag 5 pratishat adhik thee, jisamen 18,885 mamle aur 115 mautein huin. 2011 key liye 16 aprail taka, brazil mein 39 mauton key saath lagbhag 56,882 mamle darj kiye gaye hain, 27,000 mamalon aur 31 mauton key saath paraguay.
ack ullekhaniya mamla trinidad aur tobago kii pahali mahila pradhaan mantri, kamala parsad-bisesar kaa thaa, jinhen agast 2011 mein dengu bukhaar kaa pataa chalaa thaa, jisase judvaan dweep ganarajya parr mahamari kii sambhavana kii jaanch shuru hui.
2012 mein madira dweep ney 1080 pusht mamalon key saath dengu key apane pahale prakop kaa anubhav kiya.
thyland mein janwari seey 16 octuber, 2012 taka dengu bukhaar key lagbhag 52,008 mamle darj kiye gaye, jisamen 50 mautein huin.
2013.
2013 mein kaee deshon mein dengu key record prakop kii soochana mileeh brazil (2012 mein dohri mautein), singapur aur thyland (20 varshon mein sabse kharaab). saine pedro sulaa, honduras ney dengu koo 'apatkal kii sthiti' ghoshit curr diyaa, aur madhya america mein 2008 key baad seey iska sabse buraa prakop huaa. polynesia ney chikungunya aur jeeka virus key saath-saath prakopon kii ack 'abhootpoorv' shrinkhala kaa anubhav kiya.
kewal 7 hafton mein, brazil mein dengu key lagbhag 205,000 mamle saamane aae, joe ack record haye. peru mein, march 2013 taka lagbhag 400 mamle saamane aae hain; unamen seey dou ghaatak they. 2013 kii shuruat seey, paragve mein dengu bukhaar seey 35 logon kii maut hoe gaee haye aur lagbhag 70,000 abhee bhee sankramit hain. juuna taka, thyland mein 150,000 loga isake saath neeche aae hain, 50 mautein hui hain, aur laao mein kuchh 44 mautein aur 11,000 mamle, singapur mein 14,000 mamle hain, lekin kewal 6 mautein, malaysia mein 22 mautein aur 10,500 mamle hain, jabaki phillippeans mein 42,500 mamle hain, jisamen lagbhag 200 mautein hui hain.
2014.
2013 kii tulanaa mein 2013 mein teen gunaa honey key baad, 2013 kii tulanaa mein 2014 taka malaysia mein dengu seey honey vaali mauton mein teen gunaa vriddhi hui haye.
2014 kii shuruat mein phillippeans mein aae toofaan haiyan key kaaran, machharon key prajanan aur kshetra key aspas mahamari paida karane key kaaran ruke hue paani aur bhaari barish parr lagaatar najar rakhee jaa rahee haye.
tokyo mein yoyogi park dengu bukhaar leey jaane vaale machharon key liye ack prajanan sthal bunn gayaa. 2 sitambar koo, japani swaasthya mantralaya ney pushti kii kii 34 loga sankramit hue they.
ack adhyayan kaa daavaa haye kii bhaarat mein salana 60 laakh dengu key mamle saamane naheen aatey hain, jabaki chean key guangdong mein pichhale saal kii tulanaa mein 15 gunaa vriddhi hui haye aur machharon kii sankhya mein 5 gunaa vriddhi ney samanya roop seey prabhaavit kshetra koo chaunka diyaa haye. isi tarah iss saal taiwan mein bhee mamalon mein 10 gunaa vriddhi hui.
2015.
2015 mein taiwan mein dengu kaa prakop dekhaa gayaa.
lagbhag sabhi ushnakatibandhiya kshetron mein prakop tej hoe gayaa, jisamen sthaaniya seema, mautein aur mamle nae uchch star parr darj kiye gaye, america mein 20 laakh lakshanaatmak mamle darj kiye gaye. ushnakatibandhiya/uposhnakatibandhiya asia mein, lagbhag sabhi deshon ney visfotak vriddhi kii soochana dee thee. ack apavaad key saath, chean kaa caseload pichhale varsh key dasaven seey bhee cumm hoe gayaa haye kyonki badey paimaane parr nasbandi machharon kii rihaai hui haye.
2015 key anta mein havaai dweepon mein dengu dikhaai diyaa, jisamen saal key anta taka cumm seey cumm 190 mamalon kii pushti hui. adhikansh mamle havaai ("badey dweep") key dweep parr darj kiye gaye they.
2016.
argentine ney janwari 2016 key anta mein dengu bukhaar kaa prakop darj kiya, jisamen 24 mein seey 13 praant prabhaavit hue.
thyland mein, adhikaariyon ney anuman lagaaya kii 2016 mein utane hii mamle saamane aae, jitane 1978 mein ack badey prakop key dauran hue, joe abb taka kaa sabse badaa mamla haye. varsh kii shuruat seey march taka, 8,000 seey adhik mamle saamane aae they, jabaki 2015 mein isi avadhi mein 4,000 seey adhik mamle saamane aae they.
2017.
maee aur juuna 2017 mein bhaarat key keral raajya mein dengu bukhaar key prakop key kaaran 16 juuna taka 6808 pusht sankraman aur 13 mautein hui theen.
srilanka mein, 2017 mein 180,000 mamle darj kiye gaye they. adhikansh mamle paschimi praant seey saamane aae they. 2017 key 20 saptah key dauran dengu key sabse adhik mamle saamane aae. srilanka key swaasthya adhikaariyon ney chetavani dee kii desh dengu mahamari kaa saamana curr rhaa haye aur cumm seey cumm 301 rogiyon kii maut hoe gaee haye.
2019.
aprail 2019 seey bangladesh mein dengu bukhaar key prakop key kaaran 18,484 sankramit mareej hue hain aur 57 logon kii maut hoe gaee haye.
600 logon key marane aur 150,000 seey adhik mamalon kii soochana key baad phillippeans mein dengu kii mahamari ghoshit kii gaee haye.
2019 kii garmiyon mein mahasagar mein ack prakop kii pushti hui thee. marshel dweepon mein 276 mamle aur ack maut kii soochana millie, jisake parinamswarup sarkaar ney eb aur majuro key shahari kendron key beach baahari dweepon kii yatra roque dee. palaau, micronesia key sanghiya raajyon, cook dweepon, tuvalu aur phillippeans mein bhee prakop kii soochana millie thee.
disambar 2018 key anta mein, ack vyakti jiska haal hii mein koee yatra itihas naheen thaa, oman mein dengu bukhaar key liye sakaratmak pareekshan kiya. aisaa maanaa jaataa haye kii "adies agypti" machchar, joe kathit taur parr muscut key kuchh hisson mein dekhaa gayaa thaa, oman key kuchh hisson mein dengu bukhaar key prakop kaa kaaran haye. aprail 2019 taka kewal 343 sandigdh mamalon aur 59 pusht mamalon key saath prakop koo aasaani seey niyantrit kiya gayaa thaa.
mexico mein 41,505 mamle aur 191 mautein darj kii gaeen, jisamen sabse adhik sankraman (11,727) aur mautein (49) zalisco raajya mein hui hain.
2020.
janwari 2019 aur march 2020 key beach lattin america mein dengu bukhaar key mamle saamane aae hain; 1,530 logon kii maut hoe gaee haye. sabse adhik darr vaale deshon mein nikaragua (2,271 mamle prati 100,000 nivasi), bellies (1,021), honduras (995.5), aur ell salvador (375) hain. bolivia mein 7,700 mamle darj kiye gaye hain. mexico mein 24,313 mamle aur 79 mautein huin; zalisco raajya ney sabse adhik sankhya (5,362 mamle aur 20 mautein) darj kii, isake baad tabasco (9 mautein) aur michoakan (2,517 mamle) they.
swaasthya adhikaariyon ney chetavani dee haye kii covid-19 mahamari seey nipatane key prayason seey dengu seey nipatane key prayason mein baadha aaee haye. brazil mein dengu key cumm seey cumm 11 laakh mamle aur bimari seey lagbhag 400 mautein hui hain, jahaan 3.1 laakh seey adhik covid-19 sankraman hain.

