KANPUR, Uttar Pradesh: Post-Monsoon disease outbreaks 2010 - 400+ fatalities - Dengue, malaria, H1N1, others suspected

[Ronan Kelly]

24 more fall ill in Gharua Khera
TNN, Aug 14, 2010, 08.43pm IST

KANPUR: Twenty-four other villagers of Gharua Khera, Bidhnu block, complained of fever on Saturday. However, the district health authorities ruled out the possibilities of malaria on the basis of the blood test reports of patients collected on Friday, when 54 villagers had gone down with fever.

"The blood reports of patients tested yesterday were negative and the apprehensions regarding the fever being malarial were thus ruled out. We have got the blood samples cross-checked twice," informed chief medical officer (CMO) Ashok Mishra. He claimed fogging was also done in the village on Saturday as a preventive measure.

One villager was sent to the UHM hospital after he fainted in the village on Friday night. "Medical check-ups and tests were done to rule out possibility of other types of fever, like dengu. Fortunately, all his tests were negative. He was thus discharged on Saturday after being kept under observation for a day," The CMO informed.

However, more persons are falling ill in the village. On this, the CMO said: "It was a mere coincidence that two deaths were reported from the same village. We have conducted blood tests. People should stop worrying. It is not anything major, just seasonal fever."



Read more: 24 more fall ill in Gharua Khera - Kanpur - City - The Times of India http://timesofindia.indiatimes.com/c...#ixzz0wcYUMhLA

[Ronan Kelly]

Kanpur, Uttar Pradesh: Post-Monsoon disease outbreaks 2010 - 292 fatalities - Dengue, malaria, H1N1, others suspected

11 die due to viral, malaria and dengue fever in Kanpur

STAFF WRITER 15:14 HRS IST
Kanpur, Sep 19 (PTI) At least 11 people died and over 36 others were affected due to viral, malaria and dengue fever here, officials said here today.

The deaths have been reported since yesterday in nearly eight villages under Rajpur and Amraudha blocks where medical teams have been stationed, District Magistrate, Ramabai Nagar, Saroj Tiwari said here.

However, authorities do not have adequate facilities to detect dengue cases.

"We have to send the samples to Lucknow, 150 kms from here. The test report takes at least three to four days to come," he said.

http://ptinews.com/news/965007_11-die-due-to-viral--malaria-and-dengue-fever-in-Kanpur

[alert]

Ramabainagar, Uttar Pradesh: 85 die of mystery fever

http://hisz.rsoe.hu/alertmap/woalert_read.php?glide=EH-20100919-27871-IND

The mystery fever continues to stalk Ramabainagar district as it claimed five more lives, including that of the village head of Amraudha block, on Sunday. Three minors were also among the victims. Over 85 deaths have been reported from the district in the past few days. Chief medical officer Lajjaram said, "We have been conducting inspections in the affected villages where cases of viral fever are being reported. If the fever is not treated in time, it may result in further complications." He added that medical teams have been deployed in the affected villages. "But the villagers are not maintaining proper hygiene," said Lajjaram.

[alert]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

No symptomatic description is provided, but the deaths do appear to be scattered.

http://timesofindia.indiatimes.com/city/kanpur/Mystery-fever-claims-5-more-lives/articleshow/6587377.cms

KANPUR: The mystery fever continues to stalk Ramabainagar district as it claimed five more lives, including that of the village head of Amraudha block, on Sunday. Three minors were also among the victims.

Over 85 deaths have been reported from the district in the past few days.

The deceased are Gulab Singh (35), village head of Amraudha block; Deepu (8), a resident of Haraira Majra Rampur; Payal (8), a resident of Chintamau, Rajpur; Vijay Pal (35) of Nariha Akbarpur and Chotu (6) of Rura.

Chief medical officer Lajjaram said, "We have been conducting inspections in the affected villages where cases of viral fever are being reported. If the fever is not treated in time, it may result in further complications."

He added that medical teams have been deployed in the affected villages. "But the villagers are not maintaining proper hygiene," said Lajjaram.


Read more: Mystery fever claims 5 more lives - The Times of India http://timesofindia.indiatimes.com/c...#ixzz1010mCwQc

[alert]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

http://timesofindia.indiatimes.com/Mystery-fever/rawnewsbytopic/keyid-425742.cms

mystery fever Ten more persons including a village head died due to mystery fever in Ramabainagar, Kanpur Dehat during the past twenty four hours.
By Faiz Rahman Siddiqui, Kanpur 1 day ago via email

http://timesofindia.indiatimes.com/r...6579995.cmsTen more persons including a village head died due to mystery fever in Ramabainagar, Kanpur Dehat during the past twenty four hours.- Real Time News - Times of India
mystery fever Even as the threat to peoples lives from `mysterious' fever in Ramabainagar district persists with 7 fresh deaths reported during the past 24 hours in various villages of the district, yet, the government machinery remains apathetic and the total death toll due to mysterious infections during the past few days in the district has reached 69.

By Faiz Rahman Siddiqui, Kanpur 3 days ago via email

[alert]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

This is likely the same outbreak as:

http://www.flutrackers.com/forum/showthread.php?p=371774#post371774

Edit: I moved this post to this thread (#1)

[alert]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

http://timesofindia.indiatimes.com/city/kanpur/Mystery-over-fever-continues/articleshow/6568300.cms

KANPUR: "The doctors at the district hospital are not admitting the patients saying that beds are full. Our loved ones are dying in front of us. We are born to die, not to live," said Santu of Akbarpur block of Ramabai Nagar district, who lost his twelve-year-old daughter Meera due to mysterious fever on Thursday morning.


Even as the threat to the lives of the people from `mysterious' fever in persists with seven fresh deaths reported during the past 24 hours in various villages, yet the government machinery remains apathetic and the total death toll during the past few days in the district has reached 69.

The gloomy picture continues despite the health minister and four MLAs, including three of the ruling Bahujan Samaj Party and one of Samajwadi Party representing this constituency. They appear to be least bothered about the scenario despite the fact that out of 69 deaths nearly 50 per cent were dalits.

The mounting casualty, the mystery behind the `killer' virus and the failure of the official machinery in diagnosing the cases amply testify to the failure of the health ministry in ensuring public health.

There are 25 PHCs and 12 CHCs in the district. But hundreds of patients are queuing up every day at the 70-bedded district hospital of Ramabai Nagar (Kanpur Dehat) as most of these PHCs and CHCs remain mostly closed.


Villagers of Naseerpur complained that they have not seen the PHC functioning since the past six months. Lack of staff and facilities had made the PHCs unreliable in the village dominated by dalits. Though one pharmacist and and a nurse each have been deployed at these PHCs but they hardly visit these health centres, rued villagers.

"Jab se ye bimari phaili hai, tab hi se ye samne wali dispensary band hai," said Abdullah, pointing his finger towards the PHC located at Bara village, where his neighbour's 14-year-old son Karna succumbed to killer disease on Thursday.

Villagers said that despite repeated complaints to the administration regarding the poor state of cleanliness nothing had been done. They complained that water too was not clean.

"Villagers are getting affected easily and repeatedly due to the unhygienic living conditions. They don't have safe drinking water," said a health official at the Ramabai Nagar district hospital.

While medical experts continue to solve the mystery over the fever which has spread panic, the death toll has been steadily mounting and continues to rage the region.


With seven more deaths reported from the district in the past 24 hours, the number of deaths rose to 69 whereas it is feared that many more may have succumbed in little-known far off places.

The dead include Kudrat Khan (18) of Rajpur, Shanker Katiyar (64) of Naseerpur, Yaseen (35) of Aurauli Sheikh, Major Singh (12) of Chaura, Meera (12) of Akbarpur, Karna (14) of Baragaon and Farhan (8 months) of Rajpur. The baffling disease has been stalking the region since the past one-and-a-half month.

Chief medical officer Lajja Ram, however, blamed water-logged areas and self-medication and wrong treatment by quacks for the deaths. The health authorities said the fever could have been caused due to unhygienic conditions in the village. But they say that nothing can be said precisely until investigations are conducted in all the cases.


Talking to TOI, the CMO failed to name the disease responsible for the deaths. However, over the denial of admission of patients, he said, "We are diagnosing and referring them to other hospitals including LLR at Kanpur and SGPGI in Lucknow." He said that preliminary reports revealed that the villagers were approaching quacks for treatment. People should approach the hospital and avoid self-medication.

Another senior officer said that since the fever gripped the region, nearly 21 doctors had been stationed in the region.

He said the health authorities were providing medicines and motivating the villagers to protect them from the fever.

According to doctors in the district hospital, the cause of deaths was yet to be ascertained.

[Ronan Kelly]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

An article from August, probably unrelated to this outbreak, but indicative of healthcare in the region;

Shortage of syringes to administer anti-rabies vaccine
TNN, Aug 26, 2010, 10.19pm IST

KANPUR: The district hospital and primary health centres (PHCs) across Ramabai Nagar face acute shortage of syringes to administer anti-rabies vaccine. Sources say the shortage has existed since the past couple of months.

As a result, doctors have to ask patients to purchase disposable syringes from the private medical shops.

The anti-rabies vaccine is administered in case of dog bites, besides also to patients bitten by jackals, monkeys, foxes, cats and even for rat and bat bites. If the course is not started in time, the patient dies a painful death within 48-72 hours of the bite, experts point out.

And without syringes, doctors are unable to administer injection to persons who come from far-flung areas like Akbarpur, Rasoolabad and Sikandara. The PHCs at these places are running short of syringes.

"The PHC at Akbarpur is facing shortage of syringes. Many a times, we have to return or bribe class IV staff for syringes," said Narendra Yadav, a resident of Akbarpur.

On an average 50-60 dog-bite victims visit Ramabai Nagar district hospital daily. Since June, the doctors have been asking the victims to bring syringes for rabies injection.

The patients are being asked to wait as the doctors are on round. They stand in a long queue outside the rabies unit for hours. "As soon as turn comes, we are asked to go and purchase a syringe. It means to stand in the queue again. They should place a notice that the victims should bring syringes," another victim said.

However, a doctor of the hospital said: "It's not our fault. At times, the patients themselves manages syringes from the medicine shops located outside the hospital due to the fear of contracting AIDS or other killer diseases."

In the anti-rabies unit being run by a single doctor and a pharmacist, a limited quantity of syringes are available. "We are running short of syringes," said a pharmacist.

Chief medical officer VK Pandey said: "I don't think the unit is running short of syringes. Anti-rabies unit always has ample syringes. There may have been a temporary shortage."

Written complaints have been placed before the health officials. The only hope for the hundreds of dog-bite victims is the promise made by the authorities to look into the matter.

Sunil Katiyar, a resident of Sikandara had come to the hospital to get an anti-rabies injection administered on July 31. He had been asked by the pharmacist of the anti-rabies unit to bring a syringe. There was no other way for him but to purchase a syringe from outside. "Many a times I saw the hospital staff refilling the same syringe and administering to several persons," he added. The staff even refuse to administer vaccine if they are checked.

A local physician said a group of class IV employees sold medicines and injections to medical stores.

http://timesofindia.indiatimes.com/city/kanpur/Shortage-of-syringes-to-administer-anti-rabies-vaccine/articleshow/6440967.cms#ixzz101519AcX

[alert]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

http://timesofindia.indiatimes.com/city/kanpur/Five-more-fall-prey-to-mystery-fever/articleshow/6594790.cms

Five more fall prey to mystery fever
TNN, Sep 20, 2010, 10.07pm IST
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KANPUR: While four kids, including a three-month old infant, suspected to be suffering from `mysterious fever' died in Khamaila, Barauli and Shahjahanpur villages in Ramabainagar district, a 60-year-old woman, a resident of Phattepur Derapur, died at the district hospital here on Monday.

Meanwhile, nearly 750 persons, who are reported to be suffering from the same `killer' disease, are yet to receive any kind of medical treatment.

The sources further informed that the victims -- identified as Tabassum (4), Mateen (2), Arjun (3) and Shyamji (three-month) and Prahlad Singh (60), -- suffering from acute fever had died and about-a-dozen new suspected cases of mysterious fever were reported from the district hospital on Monday.


The situation is worse in the remote villages of Kanpur Dehat which have reported the maximum number of patients on account of the mysterious fever. "Neither doctors nor essential life saving drugs are available at the primary health centres, depicting the sorry state of affairs in the health department," said Amar Singh, a resident of Muktapur village.

The team of medical experts did not examine the patients. They just referred them to the district hospital, he added.

The health officials said that the test for confirming the disease could not be conducted on these two kids, as their condition was very critical. They however further claimed that the two died due to viral fever.

Meanwhile, director general, health, SP Ram, however, said that he had already visited few affected villages along with CMO Dr Lajjaram and slides of blood of children and others who were down with fever and samples of water were being taken.

The CMO told TOI that the health department had already started taking precautionary measures following the rise in the number of patients.

[sharon sanders]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever

Sending to ProMed.

[Ronan Kelly]

Re: Ramabainagar, Uttar Pradesh: 85 die of mystery fever, 750 reportedly ill

UP villages in grip of water-borne diseases, 42 die

STAFF WRITER 15:31 HRS IST
Ramabai Nagar (UP), Sep 25 (PTI) At least 42 people died of viral fever, malaria and dengue in over 82 villages in the district in the last one month, officials said here today.

Of the 82 villages affected by the water-borne diseases, 42 are worst-hit, District Magistrate Saroj Tiwari said.

The DM said the district authorities are taking all measures to control the diseases widely spread in the area and have rushed medical staff and medicines in the affected villages.

He said all the patients are being tested for malaria and the Chief Medical Officer has also been directed to buy the dengue testing kit.

All those patients who are in serious condition are being shifted to hospitals in Kanpur.

http://ptinews.com/news/982157_UP-villages-in-grip-of-water-borne-diseases--42-die

[alert]

Re: Ramabainagar, Uttar Pradesh: mystery fever outbreak - Malaria confirmed, dengue, encephalitis and others suspected

See (or merge) the thread below. Apparently malaria is confirmed, and encephalitis is suspect as well.

http://www.flutrackers.com/forum/showthread.php?p=372842#post372842

[Ronan Kelly]

Re: Ramabainagar, Uttar Pradesh: mystery fever outbreak - Dengue, malaria, others suspected

http://maps.google.com/maps/ms?hl=en&ie=UTF8&source=embed&msa=0&msid=103642886302639248478.00049132a5d810ac678b7&z=7

Open the map up a bit to see the other points. Here's some of what we've been tracking in this area;
Mainpuri: 8 deaths due to mystery fever. http://www.flutrackers.com/forum/sho...d.php?t=152916
Kanpur: This thread - multiple illnesses.
Nepalgunj, Nepal: Suspected swine flu Sep 21. http://www.flutrackers.com/forum/sho...d.php?p=372263 (#11)
Farrukhabad: Confirmed H1N1 death Aug 29. http://www.flutrackers.com/forum/sho...d.php?p=371025 (#37)
Moradabad: 7 confirmed Inf B fatalities Aug 28. http://www.flutrackers.com/forum/sho...d.php?t=151719
Meerut: 4 suspected Dengue deaths Sep 7. http://www.flutrackers.com/forum/sho...d.php?t=152158
Gwalior, MP: Confirmed H1N1 fatalities Aug 23,24, Sep 17,19. http://www.flutrackers.com/forum/sho...=136722&page=2
Delhi: Dengue, H1N1, etc....
Allahabad: 4 H1N1 cases in Aug, Sep.

[Ronan Kelly]

Re: Ramabainagar, Uttar Pradesh: mystery fever outbreak - Dengue, malaria, others suspected

IDSP is also reporting a measles outbreak in the region

UTTAR PRADESH
LAKHIMPUR KHERI
Measels Vill. Ambupur Subcenter Ambupur PHC Phardhan 3 0 07/09/2010 24/09/2010 2500 rashes with fever. Nil 03 Patient treated IEC Given. Investigation Open No

http://idsp.nic.in/idsp/newreport/DOB/Disease_outbreak_3day_report.jsp

[Ronan Kelly]

Re: Ramabainagar, Uttar Pradesh: mystery fever outbreak - Dengue, malaria, others suspected

A large part of this area is also suffering heavy rains and flooding.

Uttar Pradesh battles flood fury as 68 more die
PTI

AP Villagers wade through floodwaters in Bareily in Uttar Pradesh. File photo
Flood fury claimed 68 more lives in Uttar Pradesh even as the deluge situation in most parts of northern India today eased with water level of major rivers receding due to absence of rains.

With fresh casualties reported from Basti, Kannauj, Bijnore, Moradabad and Lakhimpur Kheri districts since yesterday, the death toll rose to 380 in Uttar Pradesh this monsoon season since June.

The flood situation continued to remain grim in the western region of the state, especially in Bijnore, Badaun and Shahjahanpur.

Relief and rescue works were on at a war footing in Bahraich, Pilibhit, Sitapur, Deoria, Gonda , Rampur , Shahjahanpur, Mathura, Bareilly, Saharanpur and Kanshiram Nagar districts.
Ganga was maintaining an upward trend all through from Fatehgarh to Allahabad and from Mirzapur to Ballia, flowing above the danger mark at Fatehgarh, Kannauj and Kanpur dehat.

Ram Ganga was flowing above the danger mark at Moradabad, affecting 217 villages, and Shahjahanpur where 260 villages were worst-hit.

Yamuna was flowing above the danger mark at Mathura and Mavi, while Sharda has crossed the red mark at Palia Kalan (Kheri) and Shardanagar. Ghaghra was above the danger level at Ayodhya and Ballia and almost touching the red mark at Elgin Bridge (Barabanki) because of discharge of water at Bahraich.

However, the State received very little rainfall today.

Several areas in Delhi remained inundated even as the water level in Yamuna river receded, although it continued to flow well above the danger mark.

The water level in Yamuna was at 206.14 metres at 9 am this morning. It is, however, still flowing well above the danger mark of 204.83 metres.

The Inter-State Bus Terminal at Kashmiri Gate has been partially submerged and operations there were affected as waters entered inside the complex.

Haryana meanwhile released another 83,000 cusecs of water. The flood situation in parts of Haryana and Punjab eased with the water inflow in Yamuna and Sutlej rivers decreasing considerably due to absence of rainfall in both the states.

The water level in flood-hit areas of Yamunanagar, Ambala, Karnal, Kurukshetra, Kaithal, Panipat, Sonepat, Jhajjar, Rohtak, Palwal, Bhiwani, Ferozepur, Patiala, Ropar and Ludhiana districts of the twin agrarian states was fast receding and returning back to Yamuna and Sutlej, which were flowing above danger levels for the past few days.

Meanwhile, the effort to plug the 300-feet breach in Yamuna near Lal Ghat at Tajewala in Yamunanagar by the Army is on.

After over two months of rains, the south-west monsoon appeared to be showing signs of withdrawal over Rajasthan.

Weather remained dry in the state in the absence of rains. Bikaner recorded a maximum temperature of 37 deg C, while Jaipur was at a high of 32.8 deg C.

http://www.thehindu.com/news/national/article793198.ece