Denqu 2Ues

Vi1a he.aunwno1a fio v vuy

aLuAeb by Havi vinuy.
CQie euale aedt moAquito (Pd es Oe ype) ow hreed

taudi wader.
Aedes albobrchuy is in Jome Jou eut
a vectvr mam Couu es
4 utot pe

eue vin I
aectes equeuc'ally
tme Aevesu e

ike L.the , D , D)

Aong dhele lije m

gauis E one
s e Aee y þes
but may ufected by othe Auoty pes
OUndiuu Hated. evu
CRic eu ue eve
Rue heurrh agie fevee (DHF)
Aeue Ahouk Ayndwme (ns) Copucalins
Deugue eer
DHf Cmd DSS OCCwe M
o one
mdi vtduals ho Lue
Unuwn
deugue vinu
uotape amd ate he

Gejuut m
CTeajed upEuke ofvinuy by
Cell
eApre)i me autibody fc
T-cell achvatrom wrh Hecepbr aud uutrtased
esut aut
apt ay leak and dmeuuated yfo&ne Teleane, Causw
îuhravasudar Cocgulotio n
CUuulcal eau
tncubaion eeiod 2-1 daus
Oouh le buaje
do
RecovCun 2-3do
CRa Deugueever 8one br eak eve)
hig quacde eve
Yho os bi tal pCuclaMi)
B0ne Cud uusde bauw

s hauut VOuu hn

eveus& cLb doui nal

pa
eizt
Atened eMoru
Shoc
Riasr hee

leeduiy qu
pi ta
Malae
Heua tuua
Heo
aLci wahon

ConnGaus eve o uch brealk on 4h tsh

he ectelsceuce Jay
,
uall s-8dany
* Couupli (ahou

euque hae um or hagn d d A Ei uated

uava^la Coaquluhor
eugue Ahocu yudomne
Seveue Oqam mvolveueut
Veui cal OLuuiMion
4 echon
AuAechon oit S We eks oy
delivery
aone
CA al
igm) aud
Bod Aywpb
AYphusms
LTL
hnubou þeuia
1 Heuato cnt
TRB -
lons DI Xuid Shock

1 ALT 0
AST
TOusni4 uet tejE lo
Petehiae ocus
OCw u he
O Oh e abblood oreswe
uff ntated to a
pout.b/lo ydtolic ud di'astbe blood
bTeMune Cud
Ouud

Aque
Seuque Jeulo
Jeuoloy - NI rhq t teyt <sday
Ksdayi ech-
eho.
19m and tqUiv)
J
Tieaheut
Dmiid dinease 1-1om e, C e Vahve.
Modeuat e. or
dequeev
ig Uq diet
pcm
nhb ron t eveu eCondany e chi
on
-Bed e t
Platel e couttC
mon dey mau
Jevaue LO OOOo

Hol pitilij ah'on

Mau tais vitaly

EV uids

10/L0 1
onoobic Aubport Non -ad ulie Ppahui)
Loih 69
uh bioh
lutelat
oih bleedluug
the aus uion
OCCu)

Pack uorE Kec)

Lwusle Plaus wat
LCD ni nated Kge),
mravas ulor CoLguluon
Couzulation)

Cy veciþi tate
 Sexuuallyhausni ted AN echion M Caauy ed. b
baeteta manecd a) epen ona, a i dua

ec.
aheut
Tes Hany

Schandinm and hof Fmau 4* s dutihied.

T-palldm coa Caue
ypi is.
Wa) eumann
dejenbe. dtet
2fom
a) Aq tui'ned
Cong ei tal
Owsni ted by
Derua sausil ion Taeu m
mothe blehu hwu
PlacetOL
exualiy acqured ection
eioloqi cal ut
P
Teboneue pai
all du
du
eae r qpe) ey aae
#Muy be Come honie Dimoct
beatmeut
0pri mony Ayil
Phinlex ultte, Chanere Haj 2 3 weeks of wechon,
Ranh um mowtn, Aus Vagina hvøat
.TQuy uw ted
i/ected to heaty p yp lj
4-6coe ek O4apheaued.
 e condany Dypulo

. i namM not eated he

eo mouty ate De Condlory
O CCw

palu ol l i Ymutou mubrane.

4h torm
,
CA,
Mat ud ained
atche
pevtuoM o at petiteajue
Oun n bone aud jo ut

-ack ok yahuptw).
douunge byaú, heasct exual
dauage.
tiu not reatlo ast oqeuu noteel
Jtage,
Tenuhty upnile S to
Soqs Bo Symptvmms
ap) eau
paLaluyaib, blindne
oM o (oosdiuaion
natouy ypw
at e
neumoAp i l
 e pon euna
Non-ebonnua CCon mahry
erceniny)
dlon't uwe D0te
ndlomy
O VDRL (Treponeua pal d
Veneual dio cane ejeaulu l0b fejr Hewaadu uo or oy
apid Plasma Reageut e=
TPHA)
fant PR FuMone ut seponewua
Ab A bphtn t

*
TA ab) tat) .
uteld u vj top, Ceuvi cel Jwob So0 Ehefe
Diveet ideh Hahon
Seuolqice
aid
+ivet ulc cobio Tseponema
(deuhih carion Lm auhbodiey
O palliduw by dauk ed
eletect eanly
echon)
Diveet aauhqew dele ction teH

Nucleoide wlipcaton
techuquu (fP)
T
pri wamy Cund Dec
ypui
Beu 3athne. peur iln Oi 2-4
uUion Unit (LU)
inale doe.
eo loreeqpi
2-4-milon LU D inale dohe,
late at eutuplalu
2 ulUon
each dohe o 2-4 ui uon Onit 1wee k

days troil
-

O Ce
aone
eany 9yphii
o Ky CyUne uel
tebacycliv 2& do
Mubah'on
avq. hme b/ ecion rm
taud Ofhe yp l auol m
aud me
vt Ambtam
Co
aue koom o tB 9o
>1_day tbu

te
douys .Aupuali blood
euttu (wl be n e4atve duwa
ne4ative duuuka
tuisu
tuisiu
 /)iu Ce saus UuMon
uluahon 3we elts
tubaa) to me ze o
me
(theuy poaionab
the no Culuu
Owol tuay Va Dm
ce. o Ciu ca
3 go doys Jab deu uaui fes tato)

hm
ayt eut 4u Cu babon
e
68we euy

2 deLO nday Puas 2-Sr cLes nan

3 euh'amy
y7 aten e conolCny ypw U

4 at eut Abneuce. o Cliutcauitelhakeu)

Ponit ve euoloqi ceal .

Peu u li ole

Rorychcl'ne loo m Onally hoice clary or K dador

Tetiay Cline Stbo ma 0u 4 tes
daru or 28 dap
Ceoaxone m d Im/1v for lor+ days id a n
 letamus
am alute. Cou ww table,neuwo MuAuloy
ieoe Chatack suized by mwde i d i n uud
L Couhathon o voluukuny wwdes Buch ay
u Wuusded Mespinah nuwde no
Phamynaecal Mugde).
Repeeviov echion
he natuwal habi tate upund u fhe dot Cund duyt
he
Yhe bauU ae alyo wdls M me utestne
Oui malBuch Cat le hoashe o
ud excY eated
im
goat
goats he e
,/heep
theiraeces he pove Durvtve
Aurvive
PUuiod o D
i cabilhy
Not aus ui
ted D wsbn toto heujom.
hewbn
Mode o Mion hujon.
woumd Con tad
uaton
eted.owite
oiled oj mlecded. dnepina on Oou
Uwblical ond epas.
Juysical uisio
Middle eau aechon
m tubah'on bouiod

G-10da

1. Trouwmah'c tetauu
the Aaua COLus
C u s ee o

r ype auua
he
tekous . his teteuus may Helt m vial
07 Ven mmoh (ed woucls.

2Puey heua tetamy

he CLboshon Que
hus type otetmus LlowA he
abous. A pot bovhve Utesus more voua ab le

e q0uuiuatHon, mulhplf cation povea

etomu).
toqenic teta
tn Aom e Cade he easus may be aposal eury
Jome mattu'al l e peui L o a matcu Dhcs eads
to iubvduce the bautea i tne easo uuel tous e

Ooqeuic tetauus
t Ldio þafhfo teauuy
ft OCCu due b
ablophon O te ttuus toxi om
ute ual hact n m ome Case he bactauia luteuy
u the
uwcntopie haua
S Neo nakomwtetouu
u the mont Couubn
type. otebauus fhe
tetau oCtw due th echion wbtal
(Drd teu
jh 1 07 due oack. o
echut que dut Covd aeph
(utiug
Ccaleatuues
i S audont uu ldevt mle.)- duo h fatial w d
posm
Obiotnotdnus anchuin batkbeuckn oy Sbinal lnd
louk jod
Diulhy u Jwallowin
osttemnem
I i abiUhy
Heada che
fe ves
Jacy aulio
amohe evaluHon
H on (ollechion and
puupi cal eXauuaHo n

eeu te ol im Cmd
Aymh bn
Culuie of alveelor abscen

phevudion qnd Couho

Tetanus the best e vtut ed by duhv e
w Ww 3aHon Coih tekauus bad?d.
lwobre haution aue avar lable o Ctebve
wdzahon
DMomovalud Vactine
Plaui oy uid leotmal) bxoid
2 puuiied teau) vactiue fdsonbed
Coubtnecd Vacciue
DPT.Peukavalest VaCiut
 on val eut va cci
PuuFe tetau toxiod (adgo beedha lauqelu
Duplaut bla toavid be cauo. it mulate, a

he. Cud long eu laskiy uuiy pl

toaoid.
Done
chldnon
O.Sml lm ataqe S, 10,1m
m neq anaut Domen two CloMaae e co muued edl o
1 a eauly as poMible a1ftu Conkgmation

2nd One- monm

ate 1t do Aage
Pu healy M div iduals hould be n
mwzed once
a eau
inale doage a/te CL au Ludut o1
Jurqey
DPT Vaccine
Cau be
Mi 2ecd. lorh PT Va Ctln e to
bDHettomree disaje diph eua Pevtumis eu
tehaus
Douge Cud Koute

0 S ml deeb Luhausuular Chese. Quel oute quaolrat

O &hgu out 6th,10 Oud 14h cek.
A boo)tese dodage o DPT 9i ve at aqu o to
2t woulk),
 le oAy (Haust'p dweane)
*

3 (Hawseup disvane) i a. Chmuie ioulouaius

dudease
ajechuly u i ud pheui phtual. hes ves CLL
COtused by
mytohatt todum Aeae,Jlow quo0 ytobadesuhw
ccoveued. by D neshased rmauer Ho e m &7 3.

lepowy is a chmwe
decthiouw dineae. 4 t wLai ul
ett he pheui þhtal neivous ypt ew, t alyo
Fhe u wwcles b
ye, bon, teste Oud utewal U3qaud
1t d aldo nown as
Hawem') diease".
Ceuuahve aget
yco batesei u leprae Ou Qud
at ba citli
+ouLce o ection
Mulh ba ltony laes
D 7d
abusQud
ue bOvd
b0rd eul
eroatou e CUe
uogt
euluie
Co u y.
*mode ol hau) uiwion
yplet ueciom
Piatct Coutalt
*mubahon eLLi'od
Ciw caleahue
Qwe the Caadiual eatwe O he b u y
Follo u

H e pgmtuted bat chey

paual oi fokal AoM oCutaueow Jeusahion he

aecded auea.

Ded euLce. O hcekened mesve.

ba h u u the k
eeuce o aud- Fut
m egu.

* Clsihah'on odtniy
he udia d a i f cab'on (1981) he tta

Clai cakion mdi au lepmy moua on

Huid k hmt ivosaa t a jamgh) . me i u t a

pey aue a lwA:-

mdebey mineut tpe

Phis tyhe duote knon e Caes Cwih one ox wo
pop'meutal atdhes aue Aeen coith dehut e deuory

paameut me lejions ue batiolosically neqahve.

2 ubtu Culoid. type

y p e deuotes hone Cadeu btrm Wo omare w

denecJeion , tu'ch mau be pat or hed

mhed

pobmeuted. Qnel
aMesthehe. he Jsions 094

bacio lo tally negaf

BBordexliue chype
i s ype dtuoted ho)e Ca oim o WL 0 mOr
LOSfon,ich nay be ld Oy e d ypoprneut
hoco euson
,
pop meut aed auo
iuhain meLct 03 luM. fhe bact
Ui tivity thee gita esuiolo
tyion i Vaýable. toi
41 mout toeakmeut
ualy grty v lepon matd us
Lype .
(lewnmatous Aupe-
uis Lype deuvtes fhoe Cases wim dihuse Aufltrahon,
hany , Dmcoth, ymmef di but e
cally lsion.
hee esions Rue
bucteuiologi Lall bove-
p)hve -

Pue ne dypa
uis ype deustes
hone Caes
how) nesve Au Volveue ut
emy o i
out do not hav e C
Jeion on he i 1These Caje aue
mc4ahu bacteziologi caully

ragond CLeucat madoe by tuclivg

i
adiuas a

Na)a Jmease n olepmy and duppoxtes by

Sluu m eau deecting Qtd fat bacilu Sit tiu
deteching
meas O lepu dy istoleg
Blood udie
bio biOhAy
ieu Se
o
apidFasa heive fuicketug

yu jhodeuo f atu exauu

 Co
10olaon o pabeut
pe ebon BO VaC cuoution
Qno
* TDeatm eut
CooHo)
(D malibacitloy epo &y
amet
A peusbn having 6 0? Dhu esions Cund fos
mos e
han mod e neo ve eueut folloi ng

Aougp eqimen uivemp 12 monh-

on a)Rifa pi cn toomq once atuou Cudeu/upeuuisio)
Dapone -sDma daily (9«)
c)Clofaziui SO wug o nce
theu SO g
wouth
(upeuias
pe ca Qu omex douy ())
( pauci baciloy lebmay
A eubon havin I-S u desion aud 07 0uly one
nexve MMvOlvemeut.

fo lo wig
uasLu cgimew i u e
kO6moum
a) R faupici tvo m one
CLout (up UiAel)
6) Dap0me sb
mg daibp (oet).