紧急提醒：基孔肯雅热禁用这种常见药！

Core Viewpoint - The article emphasizes the importance of recognizing and differentiating between dengue fever and chikungunya, both transmitted by mosquitoes, and provides guidance on symptoms, management, and prevention strategies [2][16]. Group 1: Disease Differentiation - Dengue fever and chikungunya are both transmitted by Aedes mosquitoes, but they exhibit distinct symptoms and risks [2][16]. - Typical symptoms of dengue include sudden high fever lasting 2-7 days, severe headaches, muscle and joint pain, and potential bleeding [3]. - Chikungunya typically presents with high fever above 39°C, joint pain that can last for months, and a shorter fever duration [3]. Group 2: Management Guidelines - For fever above 39°C, it is crucial to manage temperature actively, avoiding aspirin due to its potential to worsen dengue bleeding and chikungunya joint damage, with acetaminophen recommended instead [5]. - Hydration is essential, with a daily intake of at least 2000 milliliters, and intravenous fluids may be necessary if vomiting prevents oral intake [6]. - Isolation and protective measures are vital during the first five days of illness to prevent mosquito bites and further transmission [8]. Group 3: Prevention Strategies - Effective prevention involves eliminating standing water where mosquitoes breed, with recommendations to regularly clean and empty containers that can hold water [10][11]. - Personal protection includes using mosquito nets, repellents, and wearing light-colored clothing to reduce mosquito attraction [12][13]. - Travelers to endemic areas should carry mosquito repellent and monitor their health for 12 days post-return, seeking medical attention if symptoms arise [15][16].