Introduction
In Pakistan, seasonal and vector-borne viral infections remain a recurring public health concern. As of 2026, the most commonly observed viral illnesses include Dengue Fever, Seasonal Influenza, and occasional localized waves of COVID-19.
Patients frequently present with fever, body aches, fatigue, and respiratory or gastrointestinal symptoms, often making it difficult to differentiate between these conditions without proper evaluation. This article provides a professional clinical overview of the causes, disease progression, diagnosis, prevention strategies, and treatment approaches for these prevalent viral infections in Pakistan.
1. Dengue Fever
Causes
Dengue fever is caused by the dengue virus, a member of the Flaviviridae family. It is transmitted through the bite of an infected Aedes aegypti mosquito. The infection does not spread directly from person to person.
Dengue cases typically increase during and after the monsoon season due to stagnant water accumulation, which facilitates mosquito breeding.
Disease Progression
Dengue infection usually follows three phases:
1. Febrile Phase (Days 1–3)
Sudden high-grade fever
Severe body and joint pain
Headache (often retro-orbital)
Nausea and vomiting
2. Critical Phase (Days 4–6)
Platelet count may drop
Risk of plasma leakage
Possible bleeding manifestations
Risk of shock in severe cases
3. Recovery Phase
Gradual stabilization of platelet count
Improvement in appetite and strength
The critical phase requires careful monitoring, especially in high-risk patients.
Diagnosis
Complete Blood Count (CBC) to monitor platelet levels
Dengue NS1 antigen test (early detection)
Dengue IgM and IgG antibody testing
Early laboratory confirmation helps guide safe management and monitoring.
Prevention
Elimination of stagnant water sources
Use of mosquito repellents and protective clothing
Community-based vector control measures
Public awareness campaigns
Treatment
There is no specific antiviral therapy for dengue. Management is supportive and includes:
Adequate hydration (oral or intravenous fluids)
Paracetamol for fever and pain
Avoidance of non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin due to bleeding risk
Hospital monitoring in moderate to severe cases
2. Seasonal Influenza
Causes
Seasonal influenza is caused by Influenza A and Influenza B viruses. It spreads via respiratory droplets during coughing, sneezing, or close contact.
In Pakistan, flu cases commonly increase during the winter months.
Disease Progression
Incubation period: 1–4 days
Sudden onset of fever
Dry cough
Sore throat
Muscle aches and fatigue
Most individuals recover within 5–10 days. However, elderly individuals, pregnant women, children, and patients with chronic diseases are at higher risk for complications.
Diagnosis
Primarily clinical assessment
Rapid influenza diagnostic tests (when indicated)
Prevention
Annual influenza vaccination
Proper hand hygiene
Use of masks in crowded or high-risk environments
Avoiding close contact with infected individuals
Treatment
Rest and adequate fluid intake
Paracetamol for fever
Antiviral medications such as oseltamivir (in high-risk patients or early in the disease course, as prescribed by a physician)
3. COVID-19
Causes
COVID-19 is caused by the SARS-CoV-2 virus and spreads primarily through respiratory droplets and close contact.
Disease Progression
Mild cases: Fever, cough, sore throat, fatigue
Moderate cases: Pneumonia symptoms
Severe cases: Low oxygen levels, respiratory distress
While current waves tend to be milder compared to earlier years, vulnerable populations remain at risk.
Diagnosis
PCR testing (gold standard)
Rapid antigen testing
Prevention
Vaccination according to national guidelines
Mask usage during outbreaks
Isolation of symptomatic individuals
Hand hygiene
Treatment
Symptomatic management
Oxygen therapy in moderate to severe cases
Antiviral therapy in selected patients as per clinical guidelines
Summary
As of 2026, Dengue Fever and Seasonal Influenza are among the most frequently reported viral infections in Pakistan, with occasional localized COVID-19 activity. While most cases are mild and self-limiting, early recognition and proper monitoring are essential to prevent complications—particularly in dengue, where platelet levels may decline rapidly.
Conclusion
Viral infections remain a significant but manageable health challenge in Pakistan. Timely diagnosis, appropriate supportive care, and adherence to preventive measures significantly reduce morbidity and complications.
Patients are strongly advised to avoid self-medication, particularly with NSAIDs in suspected dengue cases, and to seek medical consultation if symptoms worsen or warning signs appear. Public health awareness and community cooperation remain critical in controlling seasonal outbreaks.
Frequently Asked Questions (FAQs)
1. Is every fever in Pakistan due to dengue?
No. Fever may result from various viral or bacterial infections. Laboratory testing is required for confirmation.
2. When should a patient seek emergency care?
Immediate medical attention is required if there is persistent vomiting, bleeding, severe weakness, breathing difficulty, or low oxygen levels.
3. Can dengue spread from person to person?
No. Dengue is transmitted through mosquito bites, not direct human contact.
4. Is the flu vaccine necessary every year?
Yes. Influenza viruses mutate frequently, making annual vaccination advisable, especially for high-risk groups.
5. Are COVID-19 cases still occurring in Pakistan?
Yes, though generally milder than previous waves, localized outbreaks still occur.
References
World Health Organization. Dengue and Severe Dengue. Available at: www.who.int
World Health Organization. Influenza (Seasonal). Available at: www.who.int
National Institutes of Health Pakistan. Infectious Disease Surveillance Reports. Available at: www.nih.org.pk
Centers for Disease Control and Prevention. COVID-19 Guidance. Available at: www.cdc.gov
