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Amid a spike in <keyword id="64895" type="General" weightage="20" keywordseo="Dengue-cases" source="Orion">dengue cases</keyword> in the national capital, many people down with viral infection are exhibiting "overlapping symptoms" of COVID-19 and the vector-borne disease, leaving both patients and doctors perplexed about the exact diagnosis. Cases of vector-borne diseases are usually reported between July and November, sometimes stretching till mid-December. Its symptoms include high fever, headache, rash and muscle and joint pain, which are quite similar to that of COVID-19 which also includes fever or chills, muscle or body aches, fatigue and headache among others. In such a situation it has become difficult to ascertain whether a person suffering from fever, body ache and headache is <keyword id="8764262" type="General" weightage="100" keywordseo="covid" source="Orion">Covid</keyword> positive or not, doctors said. "Covid cases are declining right now, but the virus is still there. I am still seeing Covid cases in my OPD. In the last 3-4 days, two cases were detected in OPD and one later in an ICU. However, on an average, dengue infection is on rise right now," said Dr Suranjit Chatterjee, a senior consultant at <keyword id="56368" type="General" weightage="50" keywordseo="apollo-hospitals" source="Orion">Apollo Hospitals</keyword>. "There are a few overlapping symptoms when it comes to both dengue and Covid, such as fever, bodyache and headache, and in such cases diagnosis cannot be that black and white. So, we are prescribing both Covid and dengue test to ascertain the exact infection. In fact, in some cases, even malaria and typhoid tests are also being done," he said. However, if a patient is suffering more from sore throat and cough and their fever is not very high, then Covid infection is more probable. So, a dengue test is not being prescribed in cases "where we can differentiate from the nature of symptoms," Chatterjee added. Doctors at many government and private hospitals are reporting a rise in footfall in OPDs after a continuous spike in dengue cases in <keyword id="66" type="General" weightage="50" keywordseo="delhi" source="Orion">Delhi</keyword> in the past two weeks. Most of the patients are complaining of fever, cough, sore throat and body ache or headache or both. Lok Nayak Jai Prakash (LNJP) Hospital - Delhi government's largest hospital and the main COVID-19 facility - is also reporting dengue cases with some of the patients being admitted after their platelets level had fallen beyond the normal range. Dengue fever can result in a drop in white blood cell and platelet counts. The normal platelet count in the body ranges from 1.5 to 4 lacs, which can go down to as low as 20,000 to 40,000 in the case of dengue patients. "Yes, rising dengue cases are making diagnosis difficult now. Earlier, we would analyse symptoms and Covid test would be prescribed if they had fever or other matching symptoms. Now not only patients, but even doctors are confused about the exact ailment due to their overlapping symptoms," a senior doctor at the hospital said. Over 520 dengue cases have been reported in Delhi this year till September 21, as per the data shared by the Municipal Corporation of Delhi (MCD). According to a report released by the civic body on September 26, as many as 281 cases have been reported this month alone till September 21. The spurt in dengue cases in the national capital has come after Delhi was lashed by incessant rains recently. 106 cases of malaria and 20 cases of chikungunya have also been reported this year in Delhi in the same period, the report said. Of the 525 total cases recorded till September 21 this year, 75 were reported in August, which is the highest number of dengue cases logged between January 1 to September 21 since 2017, when the corresponding figure was 1,807. Malaria, dengue and chikungunya are accompanied by high-grade fever and, therefore, doctors feel that people might think that they have contracted COVID-19, or even vice-versa. Chatterjee said many people are reluctant to get the COVID-19 test done, fearing they will have to go in isolation as they want to "go on with their lives". "So, given the slump in daily Covid cases in Delhi and rise in dengue cases, many are assuming that if they have fever or sore throat or body ache, it is either regular viral infection or something else, but not Covid. But, it could be Covid too, as the coronavirus is still amidst us," he cautioned and urged people to get themselves tested for Covid too if symptoms persist. At many workplaces, employees continue to work despite having cough, cold or sore throat, while earlier when the <keyword id="8785701" type="General" weightage="20" keywordseo="Covid-19-cases" source="Orion">COVID-19 cases</keyword> were on the rise, it would have been a strict no-no with an option of a 'work from home' regimen given to them, doctors said. "But, I would urge people to not assume any kind of fever as a regular flu, if their symptoms are prolonged and intense, consult a doctor," Chatterjee added. SEE ALSO: <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/science/space/news/nasa-pushes-back-artemis-i-moon-mission-launch-to-november/articleshow/94596902.cms">NASA pushes back Artemis I Moon mission launch to November</a> <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/business/telecom/news/sterlite-technologies-launches-optical-solution-for-5g-rollout/articleshow/94598884.cms">Sterlite Technologies launches optical solution for 5G rollout</a>

Overlapping symptoms of dengue, Covid-19 confusing in many cases, say doctors

<ul><li>It highlighted that the states or districts where the cases were low may witness a high number of cases.</li><li>Delhi, Maharashtra and Uttar Pradesh may ideally see a dip in the number of COVID-19 cases or at least may not be hit as badly as the previous wave.</li><li>The major reason behind this could be strong immunity acquired post-vaccination, which can decrease the number of symptomatic cases in every state.</li></ul>The possibility of a third wave of COVID-19 projected to hit the country any time between September and October could likely be less severe than the previous wave in May-June, which devastated the whole country, according to the Indian Council of Medical Research (<keyword id="6364396" type="General" weightage="20" keywordseo="icmr" source="Orion">ICMR</keyword>). A study backed by ICMR and Imperial College of London’s CHROMIC model predicts that Delhi, Maharashtra and Uttar Pradesh may ideally see a dip in the number of COVID-19 cases or at least may not be hit as badly as the previous wave. The major reason behind this could be strong immunity acquired post-vaccination, which can decrease the number of symptomatic cases in every state. Dr. Samiran Panda, ICMR’s epidemiology and communicable disease (ECD) head said, as <a href="https://timesofindia.indiatimes.com/city/pune/third-wave-likely-to-be-less-severe-says-icmr/articleshow/85749273.cms">quoted</a> by The Times of India, “Nobody can predict the third wave for the whole country. It will now make sense only if district or state-specific data are used for specific projections. The wave may rear its head only if states remove restrictions prematurely.” He further said that the third wave is likely to arrive only when there is a decline in natural or vaccination boosted immunities, a new and more dangerous variant takes birth like Delta variant or there is a relaxation in the states without following appropriate COVID behaviour or people refraining themselves from getting the vaccine shots. Dr. Panda also highlighted that the states or districts where the cases were low may witness a high number of cases, whereas states/districts that reported a high number of cases may hit with a low number of cases during the third wave. He further strongly urged the states to not allow mass gatherings. “Intensified vaccination and following COVID protocols is the only way ahead”, he added. SEE ALSO: <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/india/news/bengal-districts-alipurduar-coochbehar-south-dinajpur-birbhum-purulia-and-jhargram-have-not-reported-any-covid-19-deaths-in-last-one-month/articleshow/85757746.cms">Bengal districts Alipurduar, Coochbehar, South Dinajpur, Birbhum, Purulia and Jhargram have not reported any COVID-19 deaths in last one month</a> <a target="_blank" class="c-link c-message_attachment__title_link" href="https://www.businessinsider.in/tech/mobile/news/iphone-13-could-support-satellite-connectivity-allowing-users-to-make-calls-without-cell-signal/articleshow/85757478.cms">iPhone 13 could support satellite connectivity, allowing users to make calls without cell signal</a>

ICMR predicts third wave of COVID-19 to be less severe than the second wave — Delhi, Maharashtra and Uttar Pradesh may see a decline

<ul class="summary-list"><li><keyword id="3658" type="COUNTRY" weightage="60" keywordseo="India">India</keyword> reported a record number of COVID-19 cases for the fifth straight day on Monday.</li><li>Gravediggers are burying 35 to 40 bodies every day at Delhi's largest <keyword id="29199" type="PERSON" weightage="60" keywordseo="muslim">Muslim</keyword> <keyword id="166769" type="ORGANIZATION" weightage="60" keywordseo="cemetery">cemetery</keyword>, the caretaker told us.</li><li>The burial ground is running out of space, with only about 110 spaces left for COVID victims.</li></ul>

Delhi's largest Muslim cemetery is running out of space as India's COVID-19 death toll reaches a record high

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Overlapping symptoms of dengue, Covid-19 confusing in many cases, say doctors

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ICMR predicts third wave of COVID-19 to be less severe than the second wave — Delhi, Maharashtra and Uttar Pradesh may see a decline

Vaamanaa Sethi

Delhi's largest Muslim cemetery is running out of space as India's COVID-19 death toll reaches a record high

Havovi Cooper,Bhat Burhan,Ada…

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