डेंगू

deangoo
edij machchhar|200px|center
vivaran	'deangoo' ek janaleva sankramak gambhir rog hai. yah rog ek vayaras dvara hota hai, ise "den vayaras" kahate haian.
any nam	'deangi', 'deangoo bukhar', 'deangoo phivar', 'deangoo jvar' tatha 'haddi to d bukhar'
deangoo vayaras ke prakar	'den-1', 'den-2', 'den-3' aur 'den-4'
mukhy lakshan	mukhy tin lakshan haian- tivr bukhar jo doan, maansapeshiyoan aur sharir mean dard chi dachi dapan tatha sir dard
vahak	is rog ke vahak 'e dij machchhar' ki do prajatiyaan haian- 'edij ejipataee' tatha 'edij elbopektas'
vishesh	deangoo ki jaanch hetu rakt ke namoone 'rashtriy sanchari rog sansthan', dilli tatha 'rashtriy vishanu rog sansthan' pune bheje jate haian, vahian unaki jaanch hoti hai. ajakal jaanch hetu 'repid daignostik kit' bhi upalabdh haian.
any janakari	maleriya ki tarah deangoo bukhar bhi machchharoan ke katane se phailata hai. deangoo sabhi machchhar se nahian phailata. yah keval kuchh jati ke machchhar se hi phailata hai.

deangoo (aangrezi: Dengue) athava 'deangi' / 'deangoo bukhar' / 'deangoo phivar' / 'deangoo jvar' ek khataranak sankramak rog hai. am bhasha mean is bimari ko "haddi to d bukhar" kaha jata hai, kyoanki isake karan sharir v jo doan mean bahut dard hota hai. deangoo ke prati logoan mean jagarukata phailane tatha isake prati sachet rahane ke lie hi prativarsh '10 agast' ko 'deangoo nirodhak divas' manaya jata hai.

deangoo ke lakshan

deangoo ke mukhy lakshan haian- tivr bukhar, jo doan mean maansapeshiyoan mean aur sharir dard, chi dachi dapan tatha sir dard. yah e dij machchhar ke katane se hone vala ek tivr vayaral inphekshan hai. isase sharir ki samany kl aautiang (thakka jamana) ki prakriya avyavasthit ho jati hai. aisi avastha pletalet ke bahutayat mean nasht hone ke karan hoti hai. isase kabhi-kabhi ghatak roop mean sare sharir mean raktasrav hone lagata hai. yah ek aisi bimari hai jise mahamari ke roop mean dekha jata hai. vayaskoan ke muqabale, bachchoan mean is bimari ki tivrata adhik hoti hai. yah bimari yoorop mahadvip ko chho dakar poore vishv mean hoti hai tatha kafi logoan ko prabhavit karati hai. deangoo ki sthiti mean mrityudar lagabhag ek pratishat hai. yah barasat ke mausam mean tezi se phailata hai. apako ya apake p dosi ko agar deangoo bukhar ho jata hai, to isase bachane ke upay apanayean. sabase pahale raktajaanch karayean aur apane asapas machchharoan se suraksha ke upay apanayean. sadharanatah garmi ke mausam mean yah rog mahamari ka roop le leta hai jab machchharoan ki janasankhya apane charam sima par hoti hai. deangoo eshiya, afrika, dakshin tatha madhy amerika ke kee ushn tatha uposhn kshetroan mean hota hai.

karan

yah "deangoo" vayaras dvara hota hai ise "den vayaras" bhi kahate haian. deangoo vayaras char mukhy prakar ke hote haian, jaise ki den-1, den-2, den-3 aur den-4 (DEN-1, DEN-2, DEN-3, DEN-4). ye phlaivi vayaras gan tatha phleviviraid parivar ke hote haian, bahudha unhian kshetroan mean phailata hai jinamean maleriya phailata hai, kiantu maleriya se prithakata yah hai ki yah shahari kshetr mean phailata hai jinamean siangapur, taivan, indoneshiya, philipians, bharat tatha brazil bhi shamil hai, pratyek vishanu itana bhinn hota hai kisi ek se sankraman ke bad bhi any ke viruddh suraksha nahian milati hai, tatha jahaan yah mahamari roop mean phailata hai vahaan ek samay mean anek prakar ke vishanu sakriy ho sakate haian, ye ushn katibandhiy kshetr mean tatha afrika mean milate haian, ye char prakar ke nikatata se ju de [vishanu]] se hote haian. deangoo bukhar se pi dit rogi ke rakt mean deangoo vayaras kafi matra mean hota hai. deangoo bukhar se pi dit rogi ke rakt mean deangoo vishanu pravesh kar pletalet par akraman karata hai. pletalet sharir mean raktasrav rokane mean pramukh bhoomika nibhate haian. sharir mean pletalet ki sankhya chiantajanak star tak gir jati hai. isase asamany raktasrav ho sakata hai, jo ki cham di, amashay, aantroan aur sharir ke any randhroan se hota hai. ek chhoti chot lagane par bhi bahut tez raktasrav hone lagata hai, kyoanki rakt kl aaut (jamane) nahian ho pata. thumb|left|250px|deangoo ka vahak 'edij ejipataee'

prasar

maleriya ki tarah deangoo bukhar bhi machchharoan ke katane se phailata hai. deangoo sabhi machchhar se nahian phailata hai. yah keval kuchh jati ke machchhar se phailata hai. is rog ka vahak e dij machchhar ki do prajatiyaan haian- edij ejipataee (Aedes aegypti) tatha edij elbopektas ke nam se jane jate haian. jo kafi dhith v aur dussahasi machchhar haian aur din mean bhi katate haian. machchhar ke sharir mean ek bar vayaras ke pahuanchane ke pashchath yah poori zindagi bimari phailane mean samaksh hota hai. deangoo bukhar us machchhar ke katane se hota hai jisane pahale se hi kisi deangoo ke mariz ko kata hai. yah machchhar barasat ke mausam mean zyada phailate haian aur yah un jagahoan par tezi se phailate haian jahaan pani jama ho. deangoo ka vayaras svain phloo ki tarah sankramit vyakti ke sanpark mean ane se nahian phailata. yah machchhar ke madhyam se hi phailata hai. yah vayaras ek vyakti se doosare mean nahian phailata, agar kisi ko deangoo ki bimari hai, aur edij machchhar us mariz se khoon pita hai, to machchhar mean deangoo vayaras yukt khoon chala jata hai. phir jab ek saptah mean kisi svasth vyakti ko yah machchhar katata hai, to deangoo ka vayaras usamean chala jata hai. machchhar ko vektar (vector) kahate haian aur is prakar se phailane vale bimari ko vektar born diseez (vector borne disease) kahate haian. deangoo un logoan ko jaldi prabhavit karata hai jinaki rog pratirodhak kshamata kam hoti hai. yah bhi ho sakata hai ki deangoo bukhar ek hi vyakti ko kee bar ho jaye. lekin aisi sh‍thiti mean bukhar ke prakar bhinn hoange.

e dij machchhar

thumb|200px|e dij machchhar e dij mada machchhar saf pani mean ande deti hai, ande se ek ki da nikalata hai, jise larva kahate haian, larva se pyoopa banata hai evan phir machchhar ban jata hai. larva v pyoopa avastha pani mean rahate haian aur machchhar pani ke bahar rahata haian. ande se machchhar banane mean qarib ek saptah ka samay lagata haian. machchhar ka jivanakal qarib tin saptah ka hota hai. e dij machchhar kale rang ka hota hai, jis par safed dhabbe bane hote haian, ise taigar machchhar bhi kaha jata haian. khas bat yah hai ki deangoo phailane vala edij machchhar gande pani ki bajay saf pani mean panapata hai. ye machchhar aise svachchh pani mean jahaan kee dinoan se halachal n ho, us sthan par brid karate haian. pani ke purane taiankoan mean pani ki satah par b di sankhya mean larva dekhe ja sakate haian. jal sankay, machhali ke khule taiank, saf jhil adi, barasat aur badh mean mahamari ke b de srot hote haian tatha barasat mean gamaloan, koolaroan, pani ke dram, purane tyoob ya tayar, phoote matake janavaroan ke pine ki haud adi mean ekatrit hue pani mean yah machchhar zyada paya jata hai.

sankramak kal

jis din deangoo vayaras se sankramit koee machchhar kisi vyakti ko katata hai to usake lagabhag 3-5 dinoan bad aise vyakti mean deangoo bukhar ke lakshan prakat ho sakate haian. yah sankramak kal 3-10 dinoan tak bhi ho sakata hai.

prakar

ek vyakti apane jivanakal mean sirf ek bar hi kisi khas prakar ke deangoo se sankramit hota hai. deangoo bukhar tin prakar ke hote haian tatha lakshan is bat par nirbhar kareange ki deangoo bukhar kis prakar hai-

• klasikal (sadharan) deangoo bukhar
• deangoo hॅmarejik bukhar (diecheph)
• deangoo sh aauk siandrom (dieses)

klasikal deangoo sadharan prakar ka deangoo hai, yah ek svayan thik hone vali bimari hai tatha isase mrityu nahian hoti hai agar isaka sahi upachar nahian hua to yah bukhar (1) deangoo hemorejik phivar, (2) deangoo sh aauk siandrom mean badal jata hai, jisase mariz ki jan bhi ja sakati hai. isalie yah pahachanana atyant mahattvapoorn hai ki bimari ka star ka kya hai. jab yah bimari ganbhir ho jata hai, to mariz mean vibhinn jagahoan se khoon bahane lagata hai isaka ilaj, aspatal mean turant hona chahiye.

lakshan

deangoo bukhar ke lakshan is bat par nirbhar karate haian ki bukhar kis prakar hai. deangoo ka ek se adhik lakshan hota hai. agar apako niche likhe huye lakshan mean se kuchh bhi hai, jo sadharan dava se thik nahian ho raha hai, to d aauktar se dikhane avashy jayean. samanyat: deangoo bukhar ke lakshan kuchh aise hote haian-

• deangoo bukhar hone par rogi ko achanak bina khaansi v jukam ke tatha thand v kapakanpi ke sath achanak tez bukhar chadhana. rogi ko har samay bukhar 103 se 105 digri tak bana rahata hai. deangoo bukhar do se char dinoan tak rahata hai. dava upachar par bhi kam n hona.

thumb|250px|left|deangoo bukhar ke lakshan

• rogi ke sir ke agale hisse mean tez dard hota hai, aankh ke pichhale bhag mean dard hota hai, kamar, maansapeshiyoan tatha jo doan mean dard hona.
• atyadhik kamazori lagana, bhookh mean behad kami tatha ji mitalana.
• muanh ka svad kharab hona, pet kharab ho jana, usamean dard hona, ulti-dast ki shikayat hona.
• gale mean halka sa dard hona, halki khaansi v gale mean kharash hona.
• blad preshar ka samany se bahut kam ho jana. nirantar chakkar ana.
• rogi behad duahkhi v bimar mahasoos karata hai. roshani se chi dachi dahat hona.
• sharir par lal-gulabi chakate (raish / raishez) ban jate haian jo sabase pahale pairoan par, phir chhati par tatha kabhi-kabhi sare sharir par phail jate haian. chehare, gardan tatha chhati par visarit danoan ki tarah ke dadore ho sakate haian. bad mean ye dadore aur bhi spasht ho jate haian. hath pair mean chakatte hona, visheshakar dabe bhagoan mean, khoon bahana ya khoon ke chakatte hona, sharir ke ubhare chakattoan se khoon risata hai. sharir par dane is bukhar mean do bar bhi dikhaee de sakate haian. pahali bar shuroo ke do-tin dinoan mean aur doosari bar chhathe ya satavean din. is bukhar ka mariz qarib 15 dinoan mean poori tarah thik hota hai. yah bukhar bachchoan v b di ayu ke logoan mean zyada khataranak hota hai.
• ek saptah tak rogi ko pasina, dast, nakasir (nak se khoon ana) ane lagati hai. agar yah bukhar zyada badh jata hai to rogi ke kan mean dard aur soojan tatha pheph doan mean soojan a jati hai.
• ganbhir rogiyoan mean pahale keval vaman phir taja rakt ya k aauphi ke rang ka vaman hota hai. mal bhi gahara bhoora ya kala hota hai. sath-sath masoo doan se athava aantoan se raktastrav ka hona athava khoon mean pletalets ka kam hona lakshan paye jayean to yah ganbhir prakar ka deangoo bukhar ho sakata hai jo ghatak ho sakata hai. isamean tatkal ilaj lena chahie.
• himoraijik raktasrav ke samay ke lakshan kuchh is prakar haian- jvar bahut tez ho jata hai, lagatar pet mean tez dard rahana, tvacha than di, pili v chipachipi hona, rogi ke chehare aur hath-pairoan par lal dane ho jate haian. himoraijik deangoo hone par sharir ke andarooni aangoan se khoon ane lagata hai. nak, muanh v mal ke raste khoon ata hai jisase kee bar rogi behosh ho jata hai. khoon ke bina ya khoon ke sath bar-bar ulti, niand ke sath vyakulata, lagatar chillana, adhik pyas ka lagana ya muanh ka bar-bar sookhana adi lakshan paida ho jate haian. himoraijik deangoo adhik khataranak hota hai aur deangoo bukhar sadharan bukhar se kafi milata-julata hota hai. rakt ki kami ho jati hai, thrombosatopeniya ho jata hai, kuchh mamaloan deangoo praghat ki dasha [deangoo shok siandrom] a jati hai jisamean mrityu dar bahut ooanchi hoti hai. thumb|200px|left|deangoo vayaras
• kuchh mamaloan mean lakshan halke hote haian jaise- chakate na p dana, jisake chalate ise ianphlooeanja ka prakop man liya jata hai ya koee any vishanu sankraman, yadi koee vyakti prabhavit kshetr se aya ho aur ise navin kshetr mean le gaya ho to bimari ki pahachan hi nahian ho pati hai rogi yah rog keval machchhar ya rakt ke dvara doosare ko de sakata hai vah bhi keval tab jab vah rog grast ho.

pahachan

deangoo ki pahachan pray in lakshanoan ke adhar par daktar karate haian, bahut ooancha jvar jisaka koee any sthaniy karan samajh nahian aye, sare sharir pe chakate p d jana, rakt mean pletaletas ki sankhya kam ho jana.

• vishv svasthay sangathan ne deangoo haimarej jvar ki paribhasha 1975 mean di thi, isake char mapak hai jo avashy poore hone chahie-

1. jvar, bledar ki samasya, lagatar sir dard, chakkar ana, bhookh na lagana
2. raktastrav ki pravritti [tornakvit parikshan sakaratmak ana, khud b khud chhil jana, nak, kan se, tika lagane ke sthan se khoon risana, khooni dast lagana aur khoon ki ulti ana]
3. khoon mean pletaletas ki sankhya kam hona (pratighan semi rakt mean <100,000 se kam hona)
4. plajma risav hone ke sakshy milana (hemotrokrit mean 20% se zyada vriddhi ya himatrokrit mean 20% se zyada giravat)

• deangoo sh aauk siandrom ko paribhashit kiya gaya hai-

1. kamazor nabj chalana
2. nabj ka dabav kam hona (20 mimi ech.ji dabav se kam)
3. thand, vyagrata
siroloji tatha polimar chen rikshan ke adhyayan upalabdh hai jinake adhar par deangoo ki pushti ki ja sakati hai yadi chikitsak lakshan pakar isaka sandeh vyakt kare.

upachar

thumb|250px|vishv mean deangoo upachar ka mukhy tarika sahayak chikitsa dena hi hai, yadi rogi ko sadharan deangoo bukhar hai to usaka upachar v dekhabhal ghar par bhi ki ja sakati hai tatha yah bimari svayan hi ek se do haphtoan mean thik ho jati hai. chooanki yah svayan thik hone vala rog hai isalie keval lakshanik upachar hi chahie. deangoo ki shanka hone par, apane daktar ko dikhalayean. kuchh dava is prakar se hai-

• khoob sara aram karean.
• mukh se taral dete rahana kyoanki anyatha jal ki kami ho sakati hai, nasoan se bhi taral diya ja sakata hai.
• bukhar ke liye perasitamol (paracetamol) ya esitaaminophen (acetaminophen) le sakate haian.
• rogi ko selisilet, disprin, esprin (aspirin) ya gairasteraid davaean kabhi na dean. yah apako nuqasan pahuancha sakata hai, jaise- khoon ki bimari.
• yadi bukhar 102 digri pharenahait se adhik hai to bukhar ko kam karane ke lie haidrotherepi (jal chikitsa) karean.
• samany roop se bhojan dena jari rakhean. bukhar ki sthiti mean sharir ko adhik bhojan ki avashyakata hoti hai.
• sandehaspad rogiyoan ki rakt pariksha karane par pletalet ki kam sakhya payi jati hai. himoglobin samany ho sakata hai. rakt ka blidiang aur kl aautiang samay lanba ho sakata hai.
• deangoo ka sahi nidan rakt pariksha mean vayaral eantijan ki upasthiti se hota hai. deangoo ki sahayatmak chikitsa ki jati hai. is vayaras ka koee eelaj nahian hai. nasht hue pletalet ki poorti ke lie pletalet ka transaphyoojan, rakt aur b di matra mean antashira dvara drav diya jata hai. maleriya aur any inphekshan ki rokatham ke lie atirikt eantibayotik diya jata hai. yah nivaranopachar hota hai aur hamesha isaki avashyakata nahian hoti.
• deangoo ki jaanch hetu rakt ke namoone rashtriy sanchari rog sansthan, dilli tatha rashtriy vishanu rog sansthan pune bheje jate haian, vahian unaki jaanch hoti haian. ajakal jaanch hetu repid daignostik kit bhi upalabdh ho rahe haian.
• bukhar hone par tatkal chikitsak se sampark kiya jana chahiye. deangoo bukhar ek vayaras ki vajah se hota hai evan vayaras ka vartaman mean koee ilaj nahian nikalata hai, n hi is bimari ke abhi tak tike ijad hue haian, isalie mariz mean bimari ke jo-jo lakshan dikhaee dete haian, usi ke anusar mariz ko upachar kiya jata hai. samanyat: 80 se 90 pratishat mariz 5 se 7 dinoan mean svasth ho jate haian. yadi hemorejik deangoo phivar hota hai to vah ghatak ho sakata hai. isake ek bar se zyada hone ki sanbhavana rahati hai at: savadhani baratean.

bachav

thumb|300px|deangoo se bachav deangoo se bachav ka sabase prabhavi tarika machchharoan ki abadi par kaboo karana hai. isake lie ya larva par niyantran karean ya vayask machchharoan ki abadi par. machchhar ek chhota-sa jiv hai parantu yah maleriya, deangoo aur chikanaguniya jaisi ganbhir bimariyaan phaila sakata hai. maleriya ka machchhar gande pani mean panapata hai isake viparit deangoo ke machchhar saph, ikatthe pani mean panapate haian, deangoo se bachane ke lie sabase zaroori hai machchharoan se bachana jinase ki deangoo ka vayaras phailata hai. machchhar pani mean aanda dekar aur machchhar phailate haian. yah jivanachakr qarib 1 haphte mean poora hota hai. isaka matalab hai ki, agar koee rokane ka upay n kiya gaya to har haphta, machchhar ki tadad dauguna hoti jaegi. isase machchharoan se phailane vale bimariyaan bhi adhik hoangi. deangoo ko rokane ke liye apako apane ghar aur mohalle mean machchhar ko kam karana hoga. ye machchhar apake ghar ke aandar aur as-pas jama huye pani mean paida hote haian. machchharoan ke paida hone se rokane ke liye aise kshetr jahaan deangoo phail raha hai, vahaan pani ko jama na hone dean. apane ghar ke aandar aur as-pas kahian pani ko jama n hone dean. as-pas ke gaddhoan, s dakoan ko jahaan pani jama ho sakata hai, bhar dean. kachare, anupayogi samanoan ko hata dean athava nasht kar dean. eyar koolar, dram, phooladan, paudhoan ke gamaloan, pakshiyoan ke nahane ke sthan har saptah khali karake sukhaean. kuean, talaboan, pani ke b de pool mean machchharoan ka larva khane vale gamabooshiya machhali chho dean. barasat mean ya aise kshetroan mean jahaan machchhar hoan vahaan machchharoan se bachane ka har sanbhav prayas karean. ap jis kshetr mean rah rahe haian vahaan machchhar adhik haian to maskito ripeleant ka prayog zaroor karean. apane ghar, bachchoan ke skool aur a aauphis ki saf saphaee par bhi nazar rakhean. nali ko bahata rahana chahiye. deangoo ka machchhar din ke samay hi katata hai isalie din mean apane apako machchharoan se bachaean. barasat ke samay phul bahoan vali shart aur joote zaroor pahanean. machchharoan ke katane se bachane ke lie kee upay kiye ja sakate haian, jaise safed ya halke ranga ka poore baanh vale kapade़ pahane, jisase ki ap apane sharir ko poore tarah se dhak sakean, sote samay jahaan adhik machchhar haian, vahaan rat ko kitanashak upacharit machchharadani ka upayog karean. kabhi-kabhar machchhar marane vale dava un jagahoan par machchhar par asar nahian karata hai, nim ki patti ka dhuana ghar mean kar sakate haian, khi daki aur daravaze mean jali laga kar rakhana chahiye. dopahar ke bad, khi daki aur daravaze ko band rakhean, ki machchhar ka ana-jana kam ho. koee bhi baratan mean khule mean pani n jamane dean. bataran ko khali karake rakhean ya ulat kar rakhean. agar ap kisi baratan, balti, dram, ityadi mean pani jama karake rakhate haian, to use dhak kar rakhean. agar kisi chiz mean pani rakhate haian, to use sabun aur pani se dho liya karean, ki us mean se machchhar ka aanda ko hataya ja sake. apane mohalle ke logoan ko bhi machchhar ko phailane se rokane ke liye protsahit karean. apane nagar nigam dvara machchhar marane vala dava chhi dakayean. barasat ke mausam mean aur chaukasi baratean. ek naya tarika mesosaklopas namak jaliy kit jo larva bhakshi hai ko ruke jal mean dal dena hai, yah behad prabhavi, sasta tatha paryavaran mitr vidhi hai isake viruddh machchhar kabhi pratirodhak kshamata hasil nahian kar sakate hai kiantu is hetu samudayik bhagidari sakriy roop se chahie.

shahari evan gramin kshetr ke gharoan mean ajakal pani ka sanchay karane ki pravritti hone se akasar sabhi vyakti gharoan mean pani kantenar mean 5-7 din se zyada rakhane lage haian. ye kantenar haian- simeant ki tanki, plastik ki tanki, pani ka haud, naand mataka, gharoan mean rakhe huai phooladan, jisamean akasar pani plaant lagate haian, pashuoan ke pani pine ke sthan, tayar, toote, phoote saman, jinamean barish ka pani jama hota rahata hai, aisi jagahoan par e dij machchhar paida hote haian. akasar yah dekhate haian ki ye kantenar dhanke hue nahian rahate haian, jisase inamean machchhar paida hote rahate haian, yadi ham in kantenar mean bhare hue pani ko gaur se dekhean to inamean kuchh ki de larva oopar niche chalate hue dikhaee dete haian, ye hi ki de machchhar banate haian. ab hamean jnat haian ki ki doan se machchhar banate haian aur machchhar se deangoo bimari phailati hai to in ki doan ka nash karana bahut zaroori hai. larva pani mean rahate haian, isaliye in sabhi kantenar mean se pratyek saptah mean ek bar pani nikal dena chahie aur saf karake phir se pani bharana chahie. in sabhi kantenar ko is prakar se dhakakar rakhana chahie ki inamean machchhar pravesh nahian kar sakean aur ande nahian de sakean. ye ki de spasht dikhaee dete haian, isalie inhean chay ki chhanni se bhi nikala ja sakata hai. ye ki de pani se bahar nikalane ke bad svat: mar jate haian. is prakar ka abhiyan apane ghar mean chalakar machchharoan ki utpatti rokata hai. kerosin mean milakar chhi dakane se machchhar nasht hote haian, jo svasthy karyakartaoan ke pas upalabdh hai.

sanbhavit vishanu rodhi upay
pit jvar ki vaiksin ek sanbandhit phlaivi vayaras ke viruddh hai use deangoo ke viruddh parivartit roop mean prayog karane ki salah di jati hai kiantu is sambandh mean koee vistrit adhyayan nahian kiya gaya hai. arjentina ke ek vaijnanik samooh ne 2006 mean vishanu ke prajanan tarike ko khoj nikala hai jisake chalate asha ki jati hai ki usake viruddh prabhavi aushadhi khoj nikali jayegi.

deangoo mahamari

deangoo ka pratham mahamari roopen hamala ek sath eshiya, aphrika, uttari amerika mean ek sath 1780 ke lagabhag hua tha, is rog ko 1779 mean pahachana tatha nam diya gaya tha, 1950 ke dashak mean yah dakshin poorv eshiya yah nirantar mahamari roop mean phailana shuroo hua tatha 1975 tak deangoo hemarej jvar in deshoan mean bal mrityu ka pradhan karan ban gaya hai. 1990 ke dashak tak deangoo maleriya ke pashchath machchharoan dvara phailane vala doosara sabase b da rog ban gaya jisase sal bhar mean 40 miliyan log sankramit hote haian vahian deangoo haimarej jvar ke bhi hazaroan mamale samane ate haian. faravari, 2002 mean hi jab riyo-di-jenero mean deangoo ke prasar hua to 10 lakh log isaki chapet mean a gaye the jisase 16 log mar gaye. march, 2008 tak bhi is shahar mean dasha bahut achchhi nahian thi keval 3 mah mean 23,555 mamale aur 30 mautean huee thian, lagabhag har paanch se chhah sal mean deangoo ka b da prakop hota hai aisa isaliye hota hai ki varshik chakr jo is rog ke ate haian vo rogiyoan ko kuchh samay hetu pratirodh kshamata de deta hai jaise ki chikanaguniya ke mamaloan mean hota hai, jab yah pratirodh kshamata samapt ho jati hai to log rog ke prati phir se sanvedanashil ho jate haian, phir deangoo ke char prakar ke vayaras hote haian, isake alava naye log janasankhya mean janm ya pravas ke jarie ju d jate haian. 1970 ke bad se es.bi. helsatid ne ek adhyayan dvara siddh kar diya hai ki deangoo haimarej jvar un rogiyoan ko zyada hota hai jo dvitiyak sankraman se grast hue ho jo ki prathamik sankraman se bhinn prakar ke vayaras se hota hai. yadyapi is dharana ko thik se samajha nahian ja saka hai keval kuchh m aaudal hai jo isake bare mean mat vyakt karate haian, is dasha ko paramasankraman ki dasha kahate haian. siangapur mean prativarsh is rog ke 4000-5000 mamale samane ate haian yadyapi am dharana yah hai ki bahut se mamale chhupe rah jate haian.

panne ki pragati avastha

adhar

prarambhik

madhyamik

poornata

shodh

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sanbandhit lekh

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