Having just landed in the UK after a dream holiday in Bali, Debra Morgan was exhausted, but she put this down to the 18-hour flight.
The mother of three returned to bed, using her mobile to call her husband Owen, 53, an aircraft engineer, who was downstairs, to ask for a hot water bottle as she was too weak to walk. In 2023, there were 634 dengue cases reported in returning holidaymakers across England, Wales and Northern Ireland. This compares with 448 in 2022 and an average of 505 each year in the five years between 2015 and 2019.
The fever is often accompanied by severe headache and pain behind the eyes, muscle and joint pain, nausea, vomiting, abdominal pain and loss of appetite.However, around 5 per cent of patients, like Debra, will develop severe dengue with more extreme versions of the symptoms — which can include 'breakbone fever', which can bring severe joint pain and haemorrhage —and while this is rare among holidaymakers, it can be fatal.
'It is also seen in those with certain underlying conditions including asthma, diabetes, obesity, high blood pressure, kidney disease, bleeding disorders and in those taking anticoagulant medication.' 'Aedes aegypti, is now established in Cyprus, around the Black Sea and in the outermost region of Madeira,' says Dr Veal.'In southern Europe, more precisely in Italy, France, eastern Spain and on the east coast of the Adriatic Sea, the mosquito is established and is gradually spreading to the northern latitudes of Europe.
Sleeping under an insecticide-treated bed net is not thought to be as effective for preventing dengue, as the Aedes mosquito, unlike other types, also bites people during the day. During the night, Debra recalls being bitten by mosquitoes. 'I could feel them all over my arms and legs, even though I'd used spray.'
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