Hemorrhagic Fevers

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Viral hemorrhagic fevers (VHFs) are a group of infectious diseases that affect many systems of the body at the same time, affecting the body's ability to regulate itself. It may also cause damage to the blood vessels and an imbalance in the blood clotting process. Some types of hemorrhagic fever cause relatively mild illness, while others may cause severe, life-threatening illness. Symptoms vary according to the virus causing it, but it is often accompanied by internal or external bleeding, but this bleeding is rarely life-threatening. Viral hemorrhagic fevers are among the important public health emergencies of international concern as defined by the International Health Regulations (2009). They are characterized by sudden onset, muscle and joint pain, fever, hemorrhage, and shock, as a result of blood loss. In severe cases, the prominent symptom is bleeding from the orifices of internal organs. The most important viral hemorrhagic fevers in the Eastern Mediterranean Region are: yellow fever, Rift Valley fever, Dengue hemorrhagic fever, Crimean-Congo hemorrhagic fever, and Ebola hemorrhagic fever.<br />Viral fever is highly contagious, and it is one of the types of virus that is transmitted to a healthy person through biting insects or through the inheritance of animals, which comes infected with many symptoms, including bleeding at some time, exhaustion and severe fatigue, and the nervous system becomes defective with the occurrence of Some of the seizures, and severe dizziness in the head, and you must go to the competent authority when symptoms appear on you..<br />The Ministry of Health in the Republic of Iraq announced the emergence of new cases of hemorrhagic fever, which are viruses that infect humans that can be transmitted to him through insects or animals that are infected with them, through which the body is unable to resist it, and there is a break in the blood platelets. He also announced that the cases of blood clotting are almost non-existent and this affects his health, and there are three types of them, namely dengue, Ebola and yellow fever.<br />The diagnosis of hemorrhagic fever depends on the patient's medical history and whether or not the person has traveled to endemic areas. Then after a physical examination by the doctor, he may order blood tests that can also help in the diagnosis: Complete blood count (CBC): often indicates leukopenia and thrombocytopenia. Electrolyte disturbances: These include hypokalemia, hypocalcemia, hyponatremia, and elevated creatinine. Liver function: In hemorrhagic fever, an increase in liver function, such as transaminase, has been observed. Because of the risks associated with transmission, minimal laboratory tests necessary for diagnostic evaluation and patient care are performed.<br />The emergence and recurrence of viral hemorrhagic fevers is of increasing concern worldwide; It is associated with the occurrence of major epidemics with a high case fatality rate. Lack of timely laboratory diagnosis, functional epidemiological surveillance, inadequate infection control practices in health care facilities, and weak vector control programs can lead to prolonged outbreaks of VHF. In the past two decades, the Region has witnessed several large outbreaks of different viral viruses. So far, viral hemorrhagic fevers have been reported from more than 12 countries in the Region.<br />