Re: India 2012: Encephalitis outbreaks, 100 deaths
2012 looks like being a very active year for encephalitis with officially 679 cases and unofficially 100 fatalities as of May 6th. In comparison 2011 had 289 cases and 54 fatalities at this time. 2010 had 252 cases and 49 fatalities. The post above shows some of the inept response by the local authorities. Delays have bedeviled the acquisition of new ventilator equipment at Nehru MCH. The latest estimate now is September.
In many cases, the encephalitis is suspected to be caused by one or more enteroviruses that seem to be found in poor quality water. Civil authorities still seem to be focused on mosquito-borne Japanese Encephalitis and as a result advocate fogging and JE vaccination. Other possible causes of encephalitis include measles, herpes, chickenpox and mumps.
Training for healthcare professionals is laudable, but needs to be followed up with adequate support for a healthcare infrastructure. We have had reports last year of three or more patients to a bed. Under those circumstances ventilator support when needed may not be available.
It would seem that nothing much has changed in India in the last year. 1,358 died in 2011. This year, children continue to die. Tamil Nadu has already reported as many deaths as in all of 2011. Last year we reached 100 fatalities on July 15th.
2012 looks like being a very active year for encephalitis with officially 679 cases and unofficially 100 fatalities as of May 6th. In comparison 2011 had 289 cases and 54 fatalities at this time. 2010 had 252 cases and 49 fatalities. The post above shows some of the inept response by the local authorities. Delays have bedeviled the acquisition of new ventilator equipment at Nehru MCH. The latest estimate now is September.
In many cases, the encephalitis is suspected to be caused by one or more enteroviruses that seem to be found in poor quality water. Civil authorities still seem to be focused on mosquito-borne Japanese Encephalitis and as a result advocate fogging and JE vaccination. Other possible causes of encephalitis include measles, herpes, chickenpox and mumps.
Training for healthcare professionals is laudable, but needs to be followed up with adequate support for a healthcare infrastructure. We have had reports last year of three or more patients to a bed. Under those circumstances ventilator support when needed may not be available.
It would seem that nothing much has changed in India in the last year. 1,358 died in 2011. This year, children continue to die. Tamil Nadu has already reported as many deaths as in all of 2011. Last year we reached 100 fatalities on July 15th.
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