chikungunya

India unprepared for dengue, Chikungunya finds analysis.

India and other countries in South Asia are unprepared to address emerging vector-borne viral infections such as dengue and chikungunya, an analysis released by Centre for Disease Dynamics, Economics & Policy (CDDEP) on Wednesday revealed.

After examining vulnerability to emerging and growing infectious disease threats and the capacity to respond to outbreaks, the analysis finds the level of preparedness is inadequate to protect public health across the region.

The main burden of vector-borne viral infections in the South Asia region are dengue and chikungunya, while zika virus is also likely to emerge. Of the 390 million dengue infections that are estimated to occur annually worldwide, over 70 per cent occur in South Asia, the analysis noted. The report cites that in India, almost 95 per cent of adults by the age 40 have been infected with dengue virus, while 41 per cent have been infected with chikungunya.

At the heels of the report, JP Nadda, Union Minister for Health and Family Welfare, held a high level meeting to review the preparedness of the Ministry and central government hospitals for prevention and control of dengue and chikungunya in the country.

South Asia’s battles against viral diseases
Countries in South Asia region — Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka, is home to a significant proportion of the global burden of infectious disease. Of the 390 million dengue infections that occur annually worldwide, over 70 per cent occur in South Asia

Longstanding battles
Tuberculosis, HIV, malaria, dengue, chikungunya

Emerging infectious diseases
Zika, ebola, MERS-CoV, avian influenza, neuroleptospirosis and leptospirosis, anthrax.

Source:DNA

Dengue Claimed 179 Lives, no Death Due to Chikungunya: Government

Dengue has claimed 179 lives across the country this year while no death has been reported due to chikungunya, though it affected 21,000 people, the Rajya Sabha was told today.

“During 2016 (till November 13), a total number of 179 deaths due to dengue and no death due to chikungunya has been reported in the country.

“The number of positive cases for dengue and chikungunya in the country during 2016 (till November 13) are 90,277 and 21,094 respectively,” Health Minister J P Nadda said in a written reply.

He said the reason behind the steep increase in the number of cases are– water storage practices, poor solid waste management, construction activities, large migratory population, inadequate vector management and lack of protective immunity in the affected population.

Dengue claimed 33 lives in Uttar Pradesh, 28 in West Bengal and 22 in Maharashtra, he said. Replying to another question on the same issue, Minister State for Health Faggan Singh Kulaste said the government has taken measures for prevention and control of dengue and chikungunya in the country, including in Delhi.

He said technical guidelines for prevention and control, clinical management and vector control have been issued to states and UTs while periodic reviews have taken place.

Since January, 2016, 22 review meetings at the levels of Minister, secretary and others were held.

He said since January 12 advisories have been issued at the levels of Secretary (H&FW) and Additional Secretary while states were requested to declare dengue as notifiable disease.

“States were requested to curtail out of pocket expenditure by fixing the rate for testing at Rs 600,” he said.

He said dengue and chikungunya diagnosis is provided through 542 Sentinel Surveillance Hospitals (SSHs) and 15 Apex Referral laboratories (ARLs) identified across the country.

“First version draft of ‘Strategy and Plan of action for Effective Community Participation for Prevention and Control of Dengue’ has been uploaded. A user-friendly App ‘India Fights Dengue’ has been launched while National Dengue Day has been observed on May 16, 2016 throughout the country,” he said.

Source : Smartcooky

Cities account for 60% of state’s dengue casualties this year

MUMBAI: Around 60% of dengue deaths in the state this year have been reported from urban areas. An analysis of the confirmed cases by the state’s health department also revealed that nearly two-thirds of the positive cases were from the urban areas.

The Mumbai Metropolitan Region, Pune, Nashik and Aurangabad have reported nearly 70% of the 5,391 dengue cases this year. The state’s figures also show a 63% jump in dengue cases between January and October this year when compared with the corresponding period last year. Out of the 22 deaths this year, 13 have been reported from the urban areas.

Mumbai alone has reported nearly 1,000 cases and four confirmed cases. However, more than 10,000 people have been hospitalised during monsoon for suspected dengue or similar illnesses. Speaking to TOI, head of the directorate of health services Dr Satish Pawar said, “It is particularly worrying because only 40% of our population resides in the urban areas. But, we have found out that construction activities are not the sole reason for the growing incidence of dengue. In certain cases where dengue had become complicated, doctors have used aggressive treatment where it was not required. Some of these hospitals were in big cities”.

Pawar added that the state has drawn up uniform treatment protocols and even trained doctors but the indiscriminate use of platelets continues to be an issue. The BMC had, in an analysis last year, found out that the use of platelets rose by 14-15% during months when dengue peaked in the city. This year, however, the situation was much better. A civic official said the use of platelets during dengue was closely monitored. “This year, there was no unusual demand for platelets,” the official said.

Times of India

Here are some important facts about Dengue and Chikungunya

In a recent report, the MCD has confirmed as many as 2,711 dengue cases till October 8 as the situation remains critical.

New Delhi: Dengue and chikungunya have struck fear in Delhi so much that the health graph of the city has registered a steep rise in these cases of late.

In a recent report, the MCD has confirmed as many as 2,711 dengue cases till October 8 as the situation remains critical across the country.

With these vector-borne diseases, characterised by high fever and severe pain in the joints, taking their toll on our lives, experts have listed down some of the misconceptions about them that have been setting off false alarm bells around the country and undermining the efforts to curb and control these ailments.

1. Dengue and chikungunya mosquitoes breed in dirty water: This is the most common misconception associated with dengue and chikungunya. It is not just dirty water that mosquitoes can lay eggs in; clean water that has been stagnant for over five days can also often act as the best breeding ground for Aedes aegypti, the yellow fever mosquito. Discarded tyres and tubes, empty flower pots, water stored in drums and water collected under refrigerators after defrosting can all be potential breeding havens for mosquitoes.

2. Having dengue once means it will not occur again: There are four different types of dengue viruses namely DEN 1, 2, 3 and 4. Being affected by one of the four types offers no protection against other strains, which means much like common flu, dengue can be contracted multiple times by a patient over the course of his/her lifetime.

3. Antibiotics are needed to treat dengue and chikungunya: So far, there is no vaccine that can immunise human beings against these diseases but vaccine for dengue will be coming soon. Nearly 75 percent of dengue cases are curable just by properly dispensing oral fluids and providing proper care and treatment to patients. Only prevention and control of mosquitoes can ensure long-term protection against these diseases.

4. Low platelet count does not always mean dengue: People tend to associate low platelet count with dengue. While it is a good indicator to find out if a patient is suffering from dengue or not, a common cold and viral fever can also bring down your platelet count. There are several other viral infections which can result in a low platelet count; people diagnosed with blood-related diseases, anaemia, severe infections and immunological disorders are bound to have fewer platelets in their blood.

5. Using insecticide sprays is enough to kill mosquitoes: While sprays and fumigation can prove beneficial in curbing the mosquito population to a great extent, using only insecticides cannot ensure 100 percent safety against mosquitoes. The main reason for this is mosquitoes get killed but eggs and larvae don’t get killed. It is equally important to keep your surroundings clean and tidy. Vectors are born in stagnant water accumulated in coolers, air conditioners, pots, ornamental plants, fountains, water tanks, bird feeders, etc. Hence, it is important to maintain hygiene in and around the house, and not allow water to accumulate anywhere.

6. Chikungunya will lead to joint deformity: While symptoms of chikungunya include joint pain and muscle pain, and can closely mimic rheumatoid arthritis or other rheumatologic diseases, the vector-borne disease cannot deform your joints. Most patients recover fully but in some cases, the joint pains may persist for weeks or months.

Given the rapid rise in the number of reported cases of dengue and chikungunya, it is essential for every individual to contribute in the fight against these deadly diseases and to keep India healthy and illness-free. Accurate information, coupled with proper preventative measures, can play a major role in achieving this aim and ensure a tomorrow free from the threat of dengue and chikungunya.

Source: Deccan Chronicle News