Sunday Times (Sri Lanka)

Dengue patients flock to Negombo Hospital

Dengue management centre main draw; Medical staff stretched to their limits

- By Kumudini Hettiarach­chi

Full-up -- Negombo General Hospital is overflowin­g with dengue patients.

With a dengue explosion in the country, which will send the disease numbers sky-rocketing this year, suspected dengue patients, both adults and children, are streaming into the Negombo Hospital, the Sunday Times found on a visit on Friday.

Not only are the 17 beds in the Centre for the Clinical Management of Dengue and Dengue Haemorrhag­ic Fever occupied with both adults and children but also 30 of the 63 beds in the female medical ward and 40 of the 63 beds in the male medical ward are occupied. Half of the 60 cots in the two units of the paediatric ward are also accommodat­ing children suspected to be afflicted by this virus.

Doctors and nurses are stretched to their limits but they are battling on, we found, while patient admission numbers are so high that there are two patients on a bed. The throng to get ultrasound scanning to check for leakage of fluid which would be a sign that the patient is going into the critical phase of Dengue Haemorrhag­ic Fever (DHF) is growing each day, while the blood tests needed to keep track of the platelet count and haematocri­t are mounting.

Patients are drawn to the Negombo Hospital because of its record of treatment, especially after the setting up of the Dengue Centre under the direction of Consultant Paediatric­ian Dr. LakKumar Fernando, with the other Conusltant Paediatric­ian Dr. Anura Jayasinghe and Consultant Physicians Dr. Suresh Mendis and Dr. Champa Dharmasena and staff working in tandem to ensure that any dengue patient who walks into the hospital will go home after recovery.

Pointing out that the Negombo Hospital’s catchment area seems to be Negombo as well as a large number of other areas including the Colombo District the North Western Province Medical Superinten­dent Dr. Champa Aluthweera told the Sunday Times that her staff including those in the Radiology Department were carrying out a Herculean task. They are going about their work to save lives, enduring long hours and staff shortages, without a murmur.

Commending Health Services Director-General Dr. Palitha Mahipala for paying a visit to see the situation himself on the night of November 4, she said that the very next day he sent 45 student nurses to ease the burden of the nursing staff, 10 beds and an ultrasound scanner.

“We have been assured of continuing support from the Health Ministry to meet the challenge of treating such a large number of dengue patients,” added Dr. Aluthweera.

At the Dengue Centre, a little brother and sister are in beds next to each other, while their mother has been discharged only on Friday morning.

“This family is from Wennappuwa,” a relative said. When asked about their plight, the relative said that although they kept their home and environs clean and free of mosquito breeding places, there is a land close-by with many teak trees. “The large teak leaves on the ground are ideal breeding spots during the intermitte­nt rains,” she added.

The centre and other wards with dengue patients seem like a battle-ground. The Consultant­s and their juniors are busy while the nurses rush around checking how much fluid is being given both intravenou­sly and orally to patients, measuring urine output and sending people for scanning. All the while, more patients are streaming in.

The answer to this dengue crisis is to control the mosquito, not when an epidemic stares the country in the face but throughout the year.

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