Essay Sentence Outline

Subject: Dengue

Focused topic: The horror of Dengue

Thesis:Phases of Dengue and its complications can lead to life-threatening situation.

INTRODUCTION – MAJOR POINT 1

Topic sentence: The terrifying experience of the Lampara’s because of  Dengue.

Supporting detail 1a: Mrs. Irma (mother of the victim) was frighten seeing his son swelled, bled and vomited due to dengue. 

Supporting detail 1b: Sege Leo Lamparas (the victim) at the age of seven during his first encountered with dengue, stayed at the intensive care unit for four months.

Supporting detail 1c: Out of thirteen patients admitted like Serge case, none survived. 

Conclusion sentence: Dengue is a serious disease.

FIRST BODY PARAGRAPH – MAJOR POINT 2

Topic sentence: World Health Organization (2009) defined dengue as a mosquito-borne viral disease and is rapidly spreading in the world.

Supporting detail 2a: Incidence has increased 30-fold with increasing geographic expansion to new countries.

Supporting detail 2b: Dengue virus is the causative agent of dengue fever which is one of the most common significant emerging diseases to global public health.

Supporting detail 2c: There has been an unprecedented increase in the geographic range, incidence, and severity of infection.

SECOND BODY PARAGRAPH – MAJOR POINT 3

Topic sentence: As stated by the World Health Organization (2009), estimated 50 million dengue cases happen yearly and roughly 2.5 billion people populate countries prone to dengue.

Supporting detail 3a: Dengue disease is boundless and even Asia could not elude from its menace.

Supporting detail 3b: 1.8 billion or more than 70% of the population with Dengue worldwide is widespread at South-East Asia Region or the Pacific Region.

Supporting detail 3c: In 2004, the country’s first dengue outbreak betides at Bhutan and in 2005; Timor-Leste had a “high case-fatality rate” (3.55%).

THIRD BODY PARAGRAPH – MAJOR POINT 4

Topic sentence: The Philippines is one of the four countries in the Pacific Region with multiple dengue cases and deaths.

Supporting detail 4a: The amount of dengue cases in the Philippines together with Cambodia in 2008 existed in its highest peak compared to other nations in the Pacific region.

Supporting detail 4b: The Philippines Department of Health reported a sum of 59,943 dengue cases from January to September of last year (2014) and 10.47% of the overall cases came from Northern Mindanao.

Supporting detail 4c: This year (2015), dengue cases rise by 9.15% higher than 2014 during the same span of time.

FOURTH BODY PARAGRAPH – MAJOR POINT 5

Topic sentence: Dengue is channeled to humans by a bite of a mosquito.

Supporting detail 5a:The agent that disseminates the viruses that cause dengue is the Aedes aegypti mosquito.
Supporting detail 5b: The mosquitoes mainly obtain the virus while feeding on the blood of an affected person. (WHO, 2015)
Supporting detail 5c: These mosquitoes do not select its victim.
Concluding Sentence: The children, the young and even the elderly are not unassailable. These small insects impregnated our community with a malady that rise into a large amount of number.

FIFTH BODY PARAGRAPH – MAJOR POINT 6

Topic sentence: When infected with dengue virus, the illness begins abruptly and in patients with moderate and severe disease is followed by three phases – febrile, critical and recovery.

Supporting detail 6a: Febrile phase- Acute febrile stage usually lasts 2-7 days and patients typically develop a high-grade fever suddenly.

Supporting detail 6b: Critical phase - Instead of improving with the subsidence of high fever, patients with increase capillary permeability may manifest with warning signs, mostly as a result of plasma leakage.

Supporting detail 6c: The warning signs mark the beginning of the critical phrase and these patients become worse around this time when the fever decrease.

Supporting detail 6d: Recovery phase - A gradual reabsorption of fluid takes place in the following 48-72 hours.

SIX BODY PARAGRAPH – MAJOR POINT 7

Topic sentence: Dengue disease brings hardship to its patients and the anguish twofold especially when complications aggravate.

Supporting detail 7a: Serge Leo Lamparas’ experience at the age of seven when he had an air block in his throat due to dengue.

Supporting detail 7b: Arriving at the hospital, the doctor told them that it was too late; the problem was Serge’s airway. Medical practitioners of the hospital quickly did an operation to save Serge.

Supporting detail 7c: Mrs. Irma Lamparas frame of mind that time: “Kung grabi akong kaguol sa Dengue, mas grabi pa karun. The operation was 5-6 hours. Paggawas sa Doctor I thank him then the Doctor replied na ‘Unsay thank you ma’am? The more ka mahadlok ani kay airway na ni. 50-50 imong anak sa OR.’” (If I was worried about the dengue, now I’m a lot more terrified. The operation was 5-6 hours. When the doctor came out from the Operating room, I thank him. The doctor replied “why thank me ma’am? The more you should be frightened because it’s already the airway. Your son has a fifty-fifty chance of surviving.”)

SEVEN BODY PARAGRAPH – MAJOR POINT 8

Topic sentence: Many complications seen in dengue can be prevented if clinical team members are alert to the physiological problems of the three different phases.

Supporting detail 8a: Causes of complications in dengue include:

-          Missed diagnosis at the frontime

-          Inadequate monitoring and misinterpretation of vital signs

Supporting detail 8b: - Inadequate monitoring of fluid intake and urine output

-          Late recognition of shock leading to profound and/ or prolonged shock

Supporting detail 8c: - Late recognition of severe bleeding

-          Too much or too little intravenous fluids

Concluding sentence: These causes of complications can lead to life-threatening situation.

EIGHT BODY PARAGRAPH – MAJOR POINT 9

Topic sentence: Oroquieta City being known as the City of Good Life  wasn't spared from the holocaust of dengue.
Supporting detail 9a: In 2014, Misamis Occidental Provincial Hospital reported 100 dengue cases and as of November, this year, they already handled 135 cases.
Supporting detail9b: The numbers of cases are rising and one of the reasons why this is happening is becaise of the unsanitary environs.
Concluding sentence: No proper garbage disposals, grimy canals and denude stagnant water, these are prevailing scenarios that are blatant in our nation.

NINE BODY PARAGRAPH – MAJOR POINT 10

Topic sentence: An interview done by Ephraim Jericho Tabamo with Mr. Gary Lamparas, of the environmental sanitation department of the City Health of Oroquieta, elucidate the actions taken by the city to prevent Dengue.
Supporting detail 10a: Some of these actions are fogging, larva survey, clean up drive and school dengue brigade.
Supporting detail 10b: They also have programs like the 'Four S' (Search and destroy, Seek early consultation, Self-protection measure, Say yes to fogging when there is an outbreak)
Supporting detail 10c: For people to be informed about dengue, the City Health of Oroquieta notifies the residence through radio broadcasting, giving of leaflets and the IEC (information-education-communication) program.

CONCLUSION

Dengue is a serious disease and one's life can be taken away if not treated well, this disease is carried by small insects yet gives humanity a big burden. But as we come to think of it, dengue spreads because of mosquitoes infected with the virus and these mosquitoes breed in places with stagnant water in which, we disregard to clean. We are the ones who will ultimately suffer with this disease nevertheless, we take part in augmenting the root of it. In the end, we should take care with our environment because once we do; we are also taking care of ourselves.