red flags and recommendations

Simultaneous circulation places the health system on alert and toughens control and prevention actions, taking into account that there is a risk that the same person may acquire both pathologies, according to the Health Surveillance report.

He points out that, although both diseases share some symptoms, they urge health personnel to consider both dengue and COVID-19 in the differential diagnosis of cases of acute febrile illness.

Most people with dengue and COVID-19 become mildly ill and can recover at home, symptoms generally last a few days, and they tend to feel better after a week.

Likewise, they can cause serious disease and even present complications and a fatal outcome. However, the clinical management of both diseases in severe conditions is quite different and often requires hospital care.


With dengue, the affected person may present incoercible vomiting, mucosal bleeding, respiratory distress, lethargy, restlessness, postural hypotension. In this critical phase the warning signs can appear and generate a rapid clinical deterioration that can occur within 48 hours after the defervescence (between 3 and 7 days after the onset of fever).

Whereas with COVID-19, shortness of breath, chest pain or pressure, confusion, inability to wake up or stay awake, bluish lips or face manifests.


To prevent the proliferation of dengue, they urge to continue with the elimination of breeding sites and use protection barriers to avoid mosquito bites.

With COVID-19 they ask to continue with the use of a mask, keep physical distance and sanitize hands.

In case of fever or any other discomfort, it is urged to go to the nearest health service, complying with the health protocol.