prevention

Dengue cases in Mumbai highest in 6 years

MUMBAI: The number of dengue cases recorded in the city this year has been the highest in the last six years. However, the good news is that fatalities have declined significantly over the last three years.

According to figures recently released by the state, Mumbai has recorded 1,088 cases so far this year and four confirmed deaths. The last time dengue cases had crossed the 1,000mark was in 2012. Within the state too, the highest number of cases were reported from the city. Dengue infected 6,376 people and claimed 26 lives in Maharashtra between January 1 and November 21this year. Doctors say the increase in incidence is a reason for concern as it can lead to longer hospital stays, lost manhours and bigger hospital expenses. “Dengue causes mortality in merely 1%-3% of cases. It is the morbidity that needs to be looked into closely,” said infectious disease consultant Dr Om Srivastava. He said that patients this ye ar had complained of pro blems in resuming their routine lives long after they had recovered from the mosquitoborne illness.

A senior physician from KEM Hospital in Parel too added that patients came to the hospital three months after recovering from the disease with complaints of lethargy . “In a few cases, the symptoms had persisted from six weeks to three months,” the doctor said. Srivastava added that many patients fail to follow the post-recovery regimen like drinking water and taking adequate rest which prolong their suffering.

Source: Times Of India

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

School children work on project to fight dengue

BERHAMPUR: At a time when the state is grappling with dengue, students of MM High School, Girishola here have prepared a project to fight the disease.

The project has suggested plantation of marigold, lemon grass and podina (meant) sapling on open spaces of the villages and houses to drive away the mosquito species like aedes and anopheles responsible for diseases like dengue, malaria and chikungunya.

The project ‘Killer dengue in Girishola – a case study, remedy and solution’ has been prepared by five students of Class VIII with active guidance of the science teacher Raghunath Ghadei. It has been selected for National Children’s Science Congress (NCSC) to be held at Vidya Pratishthan’s Institute of Information Technology (VIIT), Baramati, in Maharashtra from December 27 to 31.

The project also suggested development of culture centres of dragonfly and Gambusia fish to prevent increase of mosquito population. “While we have experimented by planting the marigold herbs on the premises of our school, we came to know from the elder persons about the role of dragonfly to kill the small mosquitoes during the preparation of the project,” said P Veketesh, a student involved in the project.

The fragrance of the herbs of marigold, lemon grass and meant can prevent entry of mosquitoes to a particular area, said the guide of the project. Other students, who participated in the preparation of the project, are Rahul Moharana, Balaram Sahu, Asish Moharana and Shankar Pradhan while science supervisor Gopal Krushna Panda was actively involved in the experiments.

While a single dragonfly can eat over 30 mosquitoes a day, its larva also gulps the larva of mosquito, said Ghadei. Similarly the Gambusia fish also eats the larva of mosquito. The students of the high school mooted the project after 200 people were affected by dengue killing six persons in Girishola in July and August.

The team members toured the village and interacted with several victims to know their garbage disposal method. The village along Odisha-Andhra Pradesh border has no space for garbage disposal as the NH-16 passes in one side while railway track is on the other side. In other two sides, there are state highways. The school students along with villagers took 15 days to clean the garbage.

Times of India

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

Dengue cases grew by 63% in Maharashtra this year

The number of dengue cases in Maharashtra rose 63% between January and October this year compared to the same period last year. The number of deaths have remained the same, with 22 deaths in the comparative periods for 2015 and 2016.

Dengue is transmitted by the aedes aegypti-species of mosquito and has become a major public concern in the past two months, doctors said. A total of 5,653 cases were reported by the state epidemiology department this year as compared to 3,461 cases last year, with cases coming from cities like Mumbai, Kalyan-Dombivli, Pune and Nashik, said Dr Kanchan Jagtap , joint director of health services of the state.

“Every year, there is an increase in the number of dengue cases post monsoon. Moreover, the increase in construction sites have created an ideal environment for mosquito breeding,” she said.

Although the number of dengue cases has gone up, not everyone who is infected with the virus develops complications, said doctors. “Say out of 100 people infected with dengue, only 10 show complications such as a drop in blood pressure, severe drop in n platelet counts, ”said Dr Pradeep Shah, physician, Fortis Hospital, Mulund.

“Most of the patients who show complications are people who have had dengue in the past, young children, elderly and pregnant women. These are the vulnerable groups,” he said.

Doctors also said state data could be giving an incomplete picture of the dengue situation, because only those cases where the patient has tested positive for dengue infection using the ELISA (enzyme-linked immunosorbent assay) method of testing are counted as confirmed. “We treat so many patients who have all symptoms of dengue infection, but their blood test reports for ELISA test are negative. These numbers are not accounted for in the state’s data,” said Dr Altaf Patel, director of medicine Jaslok Hospital.

October 2016

Kalyan-Dombivali Municipal Corporation

Number of cases 63 number of deaths 5

Mira-Bhayander Municipal Corporation

Number of cases 33 number of deaths 2

Brihanmumbai Municipal Corporation

Number of cases 941 number of deaths 2

Source : Hindustantimes.com

Indonesians now have access to world’s first Dengue Vaccine

Each year an estimated 390 million dengue infections occur around the world, resulting in around 25,000 deaths annually worldwide. But those number may start to drop soon thanks to a new vaccine that has just been approved by the Indonesian government.

“The first dengue fever vaccine has been given the green light by the Drug and Food Monitoring Agency [BPOM] and is now available,” Cissy B. Kartasasmita, chairwoman of Immunization Task Force, the Indonesian Medical Association (IDI), said on Sunday as quoted by Tempo.

The vaccine, called Dengvaxia, has has been in development for 20 years by French pharmaceutical company Sanofi Pasteur. Since it was launched last year, it has been approved for use in seven countries and Indonesia is the second country in Asia in which the vaccine passed regulatory inspection. It has also been approved for use in Brazil, El Salvador, Costa Rica, Mexico, the Philippines and Paraguay.
According to a press release from Sanofi Pasteur, the vaccine has been tested through a clinical study program involving 40,000 children, adolescents and adults in 25 studies in 15 countries around the world. Efficacy analysis documented that the vaccine protects against 65.6% of symptomatic dengue disease caused by any of the four serotypes of the dengue virus in the study population from 9 – 16 years olds. In addition, the vaccines protection against severe dengue reached 93.2% and prevention of hospitalizations due to dengue reached 80.8%.

The important takeaway from that is that the vaccine has been proven to be most successful when applied to children 9-16 years old. It should also still be administered to those who have had dengue before, as there are actually four different strains of dengue and the vaccine protects against all of them.
Three doses of the virus need to be given in 6-month intervals and each dose currently costs Rp 900,000. Cissy said that the shots were not currently covered by the national healthcare program but that the plan was for them to eventually be incorporated into the government’s national immunization program.

Source: Coconut Jakarta