Is this Dengue vaccination a good idea?

[scubascuba3]

I haven't googled it but i vaguely remember you should only have this if you've had dengue already, but the images below don't mention that at all

[KannikaP]

1 hour ago, scubascuba3 said:

I haven't googled it but i vaguely remember you should only have this if you've had dengue already, but the images below don't mention that at all

No <deleted>. good for over 60s then.

[Polar Bear]

44 minutes ago, scubascuba3 said:

I haven't googled it but i vaguely remember you should only have this if you've had dengue already, but the images below don't mention that at all

 

 

That was the Dengvaxia vaccine, which was for kids that had been previously infected.
 

This will be the Qdenga, which is for adults whether they have been previously infected or not.
 

I don't know enough about it to say whether it's a good idea, but there does seem to be a lot of people going down with Dengue in Bangkok at the moment.  

[Polar Bear]

43 minutes ago, KannikaP said:

No 4..kin. good for over 60s then.

As far as I can see, it's not licenced for over 60s because there's no data, not because it's contraindicated. There's also no data on people with chronic illnesses. But then, they don't even have data on boosters yet, so I suppose it will all come through eventually. 

[Gaccha]

Looking into several detailed scientific reports on on this, it really is a good deal (the efficacy levels are far greater than the old 3-jabs vaccine) with the annoying factor that really they can only say it works for 18 months. But that price ain't bad.

 

Having got dengue last year, I rather like the idea of not getting it again.

 

Although, I just wish they would hurry up with the new shingles vaccine.

Edited September 13, 2023 by Gaccha

[Gaccha]

Mahidol clinic recommends against taking the new vaccine:

 

"For those who prefer a quick answer without any detail. Our answer is no. We DO NOT recommend the use of dengue vaccine in travelers (from non-dengue area) visiting Thailand. For those who live/work in Thailand (the expat), we also do not recommend."

 

Their reasoning, which I have to infer because they don't precisely summarise their overall judgement call, is that it is still unclear how effective it will be in the long term and also there simply isn't enough data on possible side effects.

 

Source.

Edited September 13, 2023 by Gaccha

[Polar Bear]

1 hour ago, Gaccha said:

Having got dengue last year, I rather like the idea of not getting it again.

 

 

Reinfection with a different strain significantly increases the risk of the most serious effects (haemorrhagic fever, organ failure, death). If I'd had it before, I'd get the vaccine.

[alien365]

I might take it next year as the high risk season usually runs until October.  I've had two bouts already, so I'm not keen on a third.

[Bangkok Barry]

19 hours ago, Polar Bear said:

That was the Dengvaxia vaccine, which was for kids that had been previously infected.
 

This will be the Qdenga, which is for adults whether they have been previously infected or not.
 

I don't know enough about it to say whether it's a good idea, but there does seem to be a lot of people going down with Dengue in Bangkok at the moment.  

Not only Bangkok. Someone I do business with has it. He said he thought his head was going to explode, and while in hospital he had to use a Zimmer frame to get to the toilet and his arms felt like he was carry heavy weights. Sounds like having the vaccine might not be a bad idea. Probably free at the local hospital. 

[ChipButty]

I suppose if you want it done then 5000 baht for the 2 injections is not bad, I saw a guy quote on here 9000 baht each, 

I had Dengue a few weeks ago, thats the 2nd time for me yep it's not funny, Im to old to get it done now, 

[TheFishman1]

Does anybody know if the new booster for the Covid new strain is available in Thailand?

[Sheryl]

43 minutes ago, TheFishman1 said:

Does anybody know if the new booster for the Covid new strain is available in Thailand?

What new booster / new strain do you mean?

 

The Omicron one that came out about a year ago is available here.

 

The one just approved by the US FDA this month is not yet available anywhere much less in Thailand. 

[placnx]

21 hours ago, Polar Bear said:

That was the Dengvaxia vaccine, which was for kids that had been previously infected.
 

This will be the Qdenga, which is for adults whether they have been previously infected or not.
 

I don't know enough about it to say whether it's a good idea, but there does seem to be a lot of people going down with Dengue in Bangkok at the moment.  

Qdenga is discussed in this link:

https://en.wikipedia.org/wiki/Dengue_vaccine

[Photoguy21]

4 strains of Dengue? Is that correct? I know there are 4 varieties of Malaria that make up Dengue. From what I have read Dengue is dangerous because of its make up. What works for one type of Malaria doesnt necessarily work for the other types.

[Andycoops]

Sadly a 12 year old girl died from Dengue 2 days ago, in my Isaan village, as far as I am aware there is no cure and no real vaccine available to combat Dengue, although I am aware work is ongoing but has been for years.

[scubascuba3]

4 minutes ago, Andycoops said:

as far as I am aware there is no cure and no real vaccine available to combat Dengue,

The opening post suggests there is a vaccine

[Polar Bear]

24 minutes ago, Photoguy21 said:

4 strains of Dengue? Is that correct? I know there are 4 varieties of Malaria that make up Dengue. From what I have read Dengue is dangerous because of its make up. What works for one type of Malaria doesnt necessarily work for the other types.

I'm not sure what you mean. There are 5 (or 6 depending how you split them) strains of malaria parasites, and 2 of them are responsible for most of the infections in humans. There are 4 strains of the dengue virus (DenV-1 to DenV-4). DenV-2 used to be the most common and also the most serious, but 3 & 4 infections have been increasing. Infection with one strain of dengue offers little or no protection against the others, so you can catch it naturally 4 times. Subsequent infections are always a higher risk than the first, regardless of which strains are mixed. 

The Qdenga was initially based on DenV-2. It offers the best protection against that strain, but has reasonable protection against the others as well. 

[Photoguy21]

2 minutes ago, Polar Bear said:

I'm not sure what you mean. There are 5 (or 6 depending how you split them) strains of malaria parasites, and 2 of them are responsible for most of the infections in humans. There are 4 strains of the dengue virus (DenV-1 to DenV-4). DenV-2 used to be the most common and also the most serious, but 3 & 4 infections have been increasing. Infection with one strain of dengue offers little or no protection against the others, so you can catch it naturally 4 times. Subsequent infections are always a higher risk than the first, regardless of which strains are mixed. 

The Qdenga was initially based on DenV-2. It offers the best protection against that strain, but has reasonable protection against the others as well. 

Dengue is made up of a combination or other Malaria viruses which, apparently until now, has been very hard to treat.

[Sticky Rice Balls]

21 hours ago, JimTripper said:

. I don’t where you got that from.

Truth Social

[Sticky Rice Balls]

dengue..no fun at all.......been there done that..ugh

[Sticky Rice Balls]

12 minutes ago, Andycoops said:

Sadly a 12 year old girl died from Dengue 2 days ago, in my Isaan village, as far as I am aware there is no cure and no real vaccine available to combat Dengue, although I am aware work is ongoing but has been for years.

i wound up in the hospital for 4 days from it..

[Polar Bear]

1 minute ago, Photoguy21 said:

Dengue is made up of a combination or other Malaria viruses which, apparently until now, has been very hard to treat.

Malaria is a parasite not a virus. Dengue is a virus. They are not related, and it's possible to be infected with both, even simultaneously. There's no real treatment for dengue, just treating the symptoms while you suffer through it.  
 

[Photoguy21]

5 minutes ago, Polar Bear said:

Malaria is a parasite not a virus. Dengue is a virus. They are not related, and it's possible to be infected with both, even simultaneously. There's no real treatment for dengue, just treating the symptoms while you suffer through it.  
 

Hate to disillusion you but Dengue is caused by mosquitos

[Polar Bear]

3 minutes ago, Photoguy21 said:

Hate to disillusion you but Dengue is caused by mosquitos

Perhaps we are just talking past each other ????

Malaria and dengue are both transmitted by mosquitoes. You get malaria after being bitten by a parasite infected female Anopheles mosquito. While they are biting you, they also transmit the parasite (Plasmodium) into your blood. You get dengue after being bitten by a virus infected Aedes mosquito. The dengue virus is present in the mosquitoes saliva, and gets injected into your blood when they bite you. 

It's a two-way street. If you are infected with either malaria or dengue and the right species of mosquito bites you, you can infect the mosquito, allowing it to infect other people later on. 

[ChipButty]

25 minutes ago, Sticky Rice Balls said:

i wound up in the hospital for 4 days from it..

The first time I was in hospital I was one day away from being shipped off to ICU, This second time which was a few weeks ago I stayed home, it was different symptoms the first time I was being sick all the time but not this time not even once, 

[placnx]

23 minutes ago, Photoguy21 said:

Hate to disillusion you but Dengue is caused by mosquitos

The vector in both cases is mosquitoes - different species, but the diseases are caused by a virus for Dengue and a parasite for Malaria.

[Jelli]

Is it made by Pfizer, Biontec or Moderna? I'd say not.

 

I've had it twice. First was under protected and unaware (Pattaya city). Second , took precautions but it got me. That was serious.

 

I won't take any vaccine for the rest of my life.

[Jelli]

16 minutes ago, Polar Bear said:

two-way street.

Not in practice. You get dengue you go to hospital where there are no mosquitoes and you get yourself healed up. For those suffering on at home I'm sure they are cloistered away on a bed with a mosquito net at the very least.

 

Well what you're saying is true I think this applies far more too other animals and in particular mammals rather than humans. Your proposition is entirely theoretical

[Polar Bear]

2 minutes ago, Jelli said:

Is it made by Pfizer, Biontec or Moderna? I'd say not.

 

 

The Qdenga vaccine was developed here in Thailand at Mahidol.

[Polar Bear]

3 minutes ago, Jelli said:

Not in practice. You get dengue you go to hospital where there are no mosquitoes and you get yourself healed up. For those suffering on at home I'm sure they are cloistered away on a bed with a mosquito net at the very least.

 

Well what you're saying is true I think this applies far more too other animals and in particular mammals rather than humans. Your proposition is entirely theoretical

The dengue infection cycle is primarily mosquito>human>mosquito>human etc. It is zoonotic, but as far as I know, bats are the only other animals to get acute infections. We are the main hosts. 

 

https://www.nature.com/scitable/topicpage/dengue-transmission-22399758/

Also, first infections with dengue are often mild. A lot of people don't even know they had it (which is why you need a blood test before getting Dengvaxia). The vast majority will not end up in hospital. Subsequent infections are a different matter.