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Dengue in St. Maarten....up or down???

  • Jan. 14th, 2008 at 9:30 AM






The discussion on dengue still rages on. People are concerned and they should be. Dengue is not some thing you want to have.
There have been very lengthy discussions of it on TTOL.

http://www.traveltalkonline.com/forums/showflat.php?Cat=0&Number=767452&page=0&fpart=1&vc=1

Israel from BVI has offered a lot of helpful information.
This is his blog.

http://woodshedenvironment.wordpress.com/

He gives a lot of up to date information on dengue throughout the Caribbean.

But let's talk about St. Maarten.
That's where I live.
Dengue on St. Maarten is what I want to know about. And I want to know what the government is doing to combat these mosquitoes.
Ah, but that is what is hard to find out.
To say that the reporting on the Dutch side is less than reliable is putting it mildly. And I am not sure about the French side either.

A recent article in The Daily Herald from 1/10/08 states that we are still on "pre-dengue alert", whatever that means.

http://thedailyherald.com/news/daily/k199/dengue199.html


It also states that as of the end of November, 18 lab cases of dengue have been confirmed.
Eighteen? Doesn't sound like many, does it?

Then on Saturday January 12, 2008, I read in the same paper that the French side has 110 suspected cases as of January but only 13 confirmed.

Are you asking the same question as I am? If they suspect 110 cases, how in the world are only 13 cases confirmed?
Is it that hard to confirm? I may be wrong but doesn't a simple blood test confirm dengue?
So are people not being referred for blood tests?

Couldn't the article read something like of 110 suspected cases, 97 were ruled out and 13 were confirmed.
Shouldn't everyone be sent for a blood test if there is dengue suspected?

I just don't quite get it!

The last article also stated that suspected cases were down but the epidemic is still on, which brings me to another question.

How can you have an epidemic on one side of the island but only a pre-epidemic on the other side?

I know. I know.. Different governments.......different ways of reporting and assessing.

I still wonder how much is really being done to fight off this damn mosquito.

Here she is.
Cute, isn't she?



Oh yea, one important thing. She only bites during the day. Her cousins are the ones out at night but they don't carry dengue.





Comments

( 8 comments — Leave a comment )
(Anonymous) wrote:
Jan. 14th, 2008 03:44 pm (UTC)
http://woodshedenvironment.wordpress.com
Barbara, you wrote "Then on Saturday January 18,2008..." Could you clarify that date before I carry your comments on my blog? And while you are at it, could you also put up the link for the article which talked about the Dengue Cases on Dutch St. Martin? Did it speak to 110 Suspected Cases since January 2007 or 2008?

Israel
[info]barcann wrote:
Jan. 14th, 2008 05:15 pm (UTC)
Re: http://woodshedenvironment.wordpress.com
hi Israel
I put up the link for the article on 1/10/2008.
the other one was also in The Daily Herald but I do not have an online link for it.
it was in Saturday's edition..1/12/2008...not the 18th.. sorry about that.. I'll change it on the blog...

Let me quote more from that later article, stated from Marigot, French sidde:
"The number of clinically suspected dengue cases went down in the last weeks of December 2007 and the first week of January, but there is no change to the current epidemic status on the French side, a report in St. Martin's Week stated.
The figure is estimated at 110 suspected cases as of the first week in January and 750 since the beginning of the epidemic in the second week of November.
Since the beginning of December the number of hospitalised cases has increased by 4, bringing the total up to 13 biologically confirmed hospitalised cases. The patients include 4 children and 9 adults, six of whom were in serious condition.
The predominant virus serotype since the rainy season has begun has been DEN-1. However, serotypes DEN-2 and DEN-4 are also circulating......
St, Barths has been in a pre-alert phase since mid-November and DEN-1 is the predominant serotype. 4 adults have been hospitalised there, 3 of whom were in serious condition, but no more biologically confirmed cases have been hospitalised since mid-December. 30 suspected cases were registered during the first week of January.
The committee of experts for infectious diseases plans to meet next week to assess the situation on both islands."



(Anonymous) wrote:
Jan. 14th, 2008 05:51 pm (UTC)
http://woodshedenvironment.wordpress.com
With the reproduction of the article Barbara, who needs a link. (Sheesh!)

Thanks much.

Israel
(Anonymous) wrote:
Jan. 17th, 2008 07:30 pm (UTC)
Dengue
Hi Barbara, I think there are many more cases of dengue that goes unreported here on sxm. When people get sick, they just go to bed and never see a doctor. Why?. Partly because people pretty much know what they have got and partly the cost of seeing a doctor to report what you know you already have, many dont have insurance and $40-$45 just for a consult is a lot of money to some. When I got ill with dengue 3 years ago I stayed in bed for 7 days, losing 10 lbs. I was weak for 2 weeks after as well. All I drank was sips of water and a few bits of dry bread. I never saw a doctor, I had no insurance and little money. If government really wants the true figures they should make it so people dont have to pay out of their pocket to give it to them.
Steph the artist.
[info]barcann wrote:
Jan. 18th, 2008 02:33 pm (UTC)
Re: Dengue
HI Steph
I think you are exactly right..many cases just like yours go unreported.
However, anyone working for a business here is insured by SVB and can get diagnosed with no expense.
Being an artist and working on your own and having no insurance is a different issue.
(Anonymous) wrote:
Jan. 17th, 2008 11:29 pm (UTC)
And...
I forgot to add, another $50-60 for a blood test, money paid out when you know you are going to be losing money by being off work. Plus, I am not talking about me, but many low income people rent homes, homes that do not come with screens ect andwhere people are less likely to be spending money on creams and lotions and sprays to keep mosquitoes at bay.
[info]barcann wrote:
Jan. 18th, 2008 02:35 pm (UTC)
Re: And...
Steph. as I said earlier, low income people here are all insured by SVB, if they are employed.
living without screens is something many do however.
(Anonymous) wrote:
Feb. 10th, 2009 10:17 pm (UTC)
How to control the mosquitos and why the outburst
The mosquito problem has been on the rise for quite awhile. When i was in St.Maarten working with the P.M.I.A. a program was written for economical stimulation and environmental protection. This project mentioned a good control for insect nuisances in the island of St.Maarten by natural means. These means may also be one step in the control of the mosquitoes and midges in the pond area as of recent. While midges problem is a bit more complicated scenario; there are other controls more effective than adding salt that are cheaper and long term. Mosquitoes like other animals and insects each belong to a part of a food web which means that these organism provide food for another organism when the feeding organisms(predators) are removed there is abundance of prey and no preying organism. This has helped trigger the out breaks in the island.

Traditional in ST.Maarten bat caves were documented and protected but much of this information has been lost over the years and deemed irrelevant. Bats consume about 2000 mosquitoes in one night while also contributing as an indicator of the natural health of the environment as when pollution increases bats and amphibians are the first organisms to leave a area. Some caves like the ones found in pelican have been destroyed by improper management of island resources which could be managed for additional income. The price of lack of knowledge and love of money by development has beared some ugly fruit in my home land. The revenue created by managing these areas would have helped with the new incentive of the Rastafarian foundation and many small farmers on the island for healthy food production as well. Guano being one of the by products of bats which some feed on fruit as well is one of the most expensive and fertile fertilizers.

Bats and amphibians are some are most sensitive animals to noise(a form of pollution), chemicals and pollutants. These organisms die and move on webs are disturbed more information on these can be found in the readers and journals of nature. The system used to monitor impacts of development in ST.Maarten and the affects have been ignored for quite some time.

Better information of biology and control pesticides be used in my country should be taught in open seminars to increase public awareness of how to naturally respect and control outbreaks and why they are caused.

I cannot put all the information i would like due fact that I am writing from the Campus of the F.I.U University while on vacation as I ran into this blog. My studies are in the Netherlands and the covers these problems in Sustainable Tourism. This post is not meant to discourage anyone who is trying to make ST.Maarten the paradise that I remembered when I leave but to help them.

Please feel free to contact me at Darkrain1347@gmail.com if more information is needed as I only posted part of the solution as past discussion of articles for helping St.Maarten was not heeded and used not in the benefit of my people of SXM. The midge control information please feel free to contact me as i will write a next company that I am looking to do my stage at for additional information on this problem.Thank you for reading

"Lets Keep St.Maarten friendly beautiful paradise for everyone who calls it home."

additional information
Rachael Freeman Long, s.d., Use of Bats to Enhance Insect Pest Control, University of California extension
http://alfalfa.ucdavis.edu/+symposium/proceedings/1995/95-92.pdf
( 8 comments — Leave a comment )

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