Pacific Specialist Healthcare (PSH) has ramped up its efforts to combat the rising number of dengue fever cases, especially in the Western Division where the outbreak is becoming increasingly severe. The healthcare facility has enhanced its triage, inpatient care, and laboratory support services to effectively manage the situation. Dr. Ratu Vereniki Raiwalui, the Director of Anaesthesiology and Intensive Care Medicine, indicated that contributing factors to the outbreak include elevated temperatures and heavy rainfall, which create stagnant water conducive to mosquito breeding, particularly Aedes aegypti, the primary vector for the disease.
Dr. Raiwalui noted that urban and peri-urban areas are particularly susceptible due to the existing climate conditions. He highlighted that there has been a significant increase in dengue NS1 antigen positivity rates in patients aged 10 to 29 years, which correlates with a new serotype of the virus circulating in the population, leading to diminished immune protection.
To accommodate the surge in cases, PSH Hospitals has designated specific beds for dengue observation. Multidisciplinary teams, including specialists from various fields, are actively monitoring at-risk patients for signs such as abdominal pain, vomiting, and clinical deterioration. Dr. Raiwalui emphasized the importance of early detection of warning signs to facilitate timely medical intervention.
Diagnostic challenges also exist as dengue symptoms can resemble those of other diseases, such as leptospirosis and typhoid fever. As such, laboratory testing is crucial for accurate diagnosis to avoid unnecessary treatments. Patients with pre-existing conditions, including diabetes and heart disease, are particularly vulnerable and may experience more severe complications.
Furthermore, PSH Hospitals advises against the inappropriate use of over-the-counter anti-inflammatory medications like ibuprofen, which can increase bleeding risks in dengue patients. Paracetamol is recommended as a safer alternative for pain relief.
Community engagement is critical in preventing further spread, and PSH Hospitals is collaborating with local leaders and educational institutions to promote public awareness and effective behavioral changes. Simple preventive actions, such as clearing standing water, can significantly reduce mosquito breeding.
In light of the outbreak, the Ministry of Health and Medical Services has declared a national health emergency and is implementing comprehensive response protocols, including vector control efforts like fogging and larvicide application.
Despite the growing number of cases, PSH Hospitals reassures the public that they remain fully operational and committed to delivering quality care. Dr. Raiwalui conveyed a message of hope, stating that by working together as a community and following health recommendations, it is possible to manage and mitigate the impact of this outbreak effectively.
This situation emphasizes the importance of public health preparedness and community involvement in tackling mosquito-borne diseases, showcasing a proactive approach towards safeguarding public health amidst challenging environmental conditions.

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