BRIDGETOWN, Barbados, CMC – The Caribbean Public Health Agency (CARPHA) has called on health officials across the region to prepare for the possibility of a severe outbreak of the mosquito-borne Dengue Fever.In a statement Thursday, CARPHA said the last major regional outbreak of Dengue occurred in 2009. “Since then, the Region has experienced two large outbreaks of mosquito-borne diseases, Chikungunya in 2014 and Zika in 2016, which are unlikely to reoccur soon.”The regional agency also said that “Disease modeling predicts that another regional outbreak of Dengue may occur in the near future,” adding that last year, Latin America showed an increase in the number of Dengue cases. Jamaica’s outbreak elevates concernCARPHA has also pointed to the recent outbreak of Dengue in Jamaica, saying that it has elevated the level of concern in other Caribbean islands. “The Caribbean Public Health Agency (CARPHA) is therefore advising countries to implement enhanced measures to reduce mosquito breeding and prevent the spread of disease.”Dengue is a flu-like illness that affects infants, young children and adults. Symptoms typically begin four to ten days after infection, and include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. This illness can evolve to severe dengue, characterized by potentially deadly complications, such as internal hemorrhaging, intense and continuous abdominal pain or tenderness and persistent vomiting. In some cases, Dengue may be severe and cause death.Dengue and other mosquito-borne diseases threaten health, tourism, social and economic development, and a collaborative effort is required to reduce the spread of disease. Dengue remains a global health problem and like Zika and Chikungunya, there is no specific treatment for the disease. The Aedes aegypti mosquito vector, which spreads Dengue, is present in all Caribbean territories.Preventative measures similar to those for Zika The measures used for controlling the spread of Dengue are the same as those for Zika and Chikungunya as these diseases are also transmitted by the Aedes aegypti mosquito. With the arrival of the rainy season within a few months, mosquito control and awareness activities need to be intensified. Caribbean Ministries of Health are advised to – Increase health promotion messages to prevent mosquitos biting and breeding; combine efforts with communities to eliminate mosquito breeding sites; intensify vector surveillance and control and disseminate appropriate clinical care and treatment guidelinesThe agency says that the most effective way to avoid becoming ill from viruses spread by mosquitoes is to prevent mosquito bites. Research carried out by CARPHA and the Pan American Health Organization/World Health Organization (PAHO/WHO) show that drums and tires are the main mosquito breeding sources in our countries.“We all need to clean up our surroundings. The two most important things to manage mosquito populations in our Caribbean countries are to manage water storage drums and tanks, and properly dispose of used vehicle tyres to prevent mosquitoes breeding,” states Dr C. James Hospedales, Executive Director of CARPHA.
his journey through Europe the following season could not have started in a better way. The Liverpool, champion of the two previous editions, was his first rival. As in local tournaments, the Forest was victorious and that served as a mood boost to go through phases. AEK, Grasshopper and Colonia were falling down and the Malmö waited in the final.The final of that 1978 European Cup, which obviously Nottingham won (1-0) may be the less prestigious of all that have been disputed. This is so much so that if Malmö had won that title, would be the swedish club the protagonist of this chapter of the serial Surprise Champions. But for win finals you have to play them And for this, you have to get there. And Nottingham did it. In two years the Robin Hood City Club had gone from fight for promotion First to win the most important title of the continent.The logical would be to think that after that, the clock would touch twelve and the story would end. But Clough had one last trick. The victory in the European Cup gave the Forest access to play the European Super Cup, in which they beat the Barcelona (2-1), and the automatic pass to the European Cup the following year as current champion. And the Forest did what seemed impossible: managed to revalidate the title, this time at the Santiago Bernabéu and against Hamburg, which had Kevin Keegan in their ranks, twice awarded the Ballon d’Or.With that consecutive European double, the Nottingham went down in history as the first team to have more European Cups than their country’s leagues and entered the select club of teams that have more than one Orejona, who now has eleven members: Madrid (13), Milan (7), Liverpool (6), Barça and Bayern (5) Ajax (4), Inter (3) and Juventus, Benfica and Porto (2), in addition to Forest.Clough remained at Nottingham front 18 seasons, in which the club also won two others League Cups. In season 92-93, the sale of Sheringham, the star of the team, and his problems with alcohol, they led the team to a decline that never came out. The Forest dropped and Clough left the club at the end of the season.. Today, Nottingham is the only champion in Europe, not counting the disappeared Steaua, than does not play in the First Division of his country, indeed, it came to be at the beginning of the century in the Third. And is that after the big party, Cinderella never found her shoe again. In its first season in Primera, Clough, with a team of veterans, promising youngsters and players ruled out by other teams, won the league. And with solvency, seven points from the then very powerful Liverpool. What’s more, it was 42 games unbeaten in the league, a record that was valid until 2004, when it was beaten by Arsene Wenger’s ‘The Invincibles’ Arsenal. In addition, that same season they won the League Cup. A historic double for a newly promoted. The comparisons with Leicester who won the Premier in 2016 are unavoidable. But unlike the foxes, Nottingham was not diluted, but quite the opposite: enlarged a legend in such a way that it can hardly be repeated, if not impossible. In football, Cinderella has a name: the Nottingham Forest. And also him Fairy Godmother: Brian Clough. This legendary English coach came to modest East Midlands club in january 1975, when he was a member of the English Second Division, after three seasons before would have led to Derby County to conquer the league. That was a decision that in its day was considered very surprising. In his third season at the helm of the Forest (1976-77), he promoted to FirstAnd that’s when the miracle happened. The pumpkin became a float, the rags, in a gala dress, and the humble maid, in a fairy tale princess.And it is that in late 70s Liverpool had proclaimed itself as the new king of europe. The club net lived the one that to this day continues to be his time of greatest glory, conquering in those years five leagues and two European Cups consecutively in 1977 and 1978 (he would achieve two more in the following six years). But Nottingham sneaked in his party and made all eyes turn to him.