India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

[alert]

http://timesofindia.indiatimes.com/city/lucknow/Hospitals-flooded-with-suspected-dengue-cases/articleshow/6702584.cms

LUCKNOW: Even as the suspected dengue patients continued to pour in in city hospitals on Wednesday, the health officials prayed for the early onset of the winters to save them from the disgrace of not being able to tackle the huge pressure. Many virus, including that of dengue, which are hyperactive during rainy season subdue as the temperature falls and atmosphere becomes dry.

The main reason for the sudden rise in dengue and other mosquito induced viral-diseases in city are water-filled pot holes on roads due to laying the sewer lines. The pools are breeding ground of mosquitoes. "I lodged a complaint with all authorities concerned regarding the water pool in front of my house but no action has been taken. As a result my two sons are suffering from dengue," said Dr Sharad Sharma, a CDRI scientist who lives in Sector-B, Mahanagar. Similar complaints were also received from Indiranagar, Aliganj, Nishatganj and other parts of the city.



Read more: Hospitals flooded with suspected dengue cases - The Times of India http://timesofindia.indiatimes.com/c...#ixzz11cWZ9IZU

[Arkanoid Legent]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Another suspected dengue death

LUCKNOW: Even as suspected dengue claimed yet another life in the city, the health officials remained in a denial mode. Sub-inspector Shiv Kumar Tiwari (45) died on Thursday in a private hospital where he was undergoing treatment for last several days. The police and treating hospital said that Tiwari died due to dengue but chief medical officer (CMO), Lucknow, Dr AK Shukla, denied all reports.

Tiwari was posted at Ghazipur police station. He is survived by wife, two sons and a daughter. Station officer Ghazipur Sanjai Rai, said that Tiwari was admitted to a hospital following the second attack of dengue last week.

http://timesofindia.indiatimes.com/city/lucknow/Another-suspected-dengue-death/articleshow/6709487.cms

[Ronan Kelly]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Other viruses also causing dengue like symptoms: Experts
Shailvee Sharda, TNN, Oct 8, 2010, 06.45am IST

LUCKNOW: Over 600 patients of viral fever are being treated by doctors at government hospitals daily. However, less than 20% fall in the categories of dengue, malaria or chikunguniya.

But platelet and white blood cell (WBC) count of about 15-20% patients is going down. Former head of civil hospital and expert in medicine, Dr H N Tripathi terms the condition as `fever and myalagia syndrome' (FMS). Myalagia, it may be noted, is a condition marked by acute muscle pain and cramps in the body. The remaining symptoms are of simple seasonal viral flu.

"The syndrome is marked by leucopenia (drop in the number of white blood cells), thromocytopenia (drop in the platelet count), altered liver function, retro-orbital pain (pain behind the eyes), chills and anorexia (nausea and loss of appetite). In some patients, the involvement of central nervous system is also seen. Death due to a similar condition has not been reported till now," added Dr Tripathi, who now works with a private hospital.

Senior consultants working in government hospitals of UP have also noted these symptoms in about 10% patients being reported in out-patient departments (OPDs). They believe that since the condition shares many characteristics with dengue symptoms, certain private hospitals are terming the patients as suffering from dengue, which is causing panic. Many private doctors also believe the same.

A senior member of Indian Medical Association, Dr P K Gupta, who is spearheading an awareness drive against infectious diseases, has a different view.

"There are chances of such patients being false negative cases of dengue (dengue virus present but not identified in the report due to use of old techniques)," he said adding that if the possibility of 'false negative' has been ruled out, then the condition may be placed in `other viral fevers' category.

Chief surveillance officer, integrated disease surveillance project, UP, Dr Purnima Srivastava admitted the such cases are prevailing. "But we need a very advance lab for detecting which virus was exactly causing the condition," she said.

When asked to comment, head of microbiology department, Sanjay Gandhi Post Graduate Institute Of Medical Sciences (SGPGIMS), T N Dhole said, "It may be a flabby or a rocio-virus. Chances are that the a variant of the two types could also be the cause of trouble."
He said that the lab at SGPGIMS is equipped to decipher the virus which is causing FMS but added that no one, neither the state health department nor patients themselves, have approached the department for the purpose.

"We need samples to conduct tests and find out the troubling virus, but no one is thinking in these terms. Probably, the authorities are waiting for things to worsen so that they may act," said Dr Dhole.

About prevention and treatment, the experts said it is best to visit a doctor if high fever is accompanied by severe head and body ache, pain behind the eyes and loss of appetite. "The condition is self-limiting but care needs to be taken," said one of them.

The experts warned against self medication, especially use of analgesics, for it may lead to a further dip in the platelet count.



Read more: Other viruses also causing dengue like symptoms: Experts - The Times of India http://timesofindia.indiatimes.com/c...#ixzz11lKFFtbu

[Anne]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

http://www.stanford.edu/group/virus/toga/2005/stacyrociocard.htm

Rocio virus is a single-stranded positive-sense RNA virus that has so far only been identified in Brazil. Rocio virus is a member of the Flaviviridae viral family, which includes other viruses such as Japanese encephalitis virus, Yellow fever virus and West Nile virus. Morphologically the Rocio virus is icosahedral and enveloped.

Offenses:

Attacks: Rocio virus can be transmitted to humans via two kinds of mosquito vectors, Psorophora ferox and Aedes scapularis. The mosquitos transfer the virus from wild birds, which are the virus? natural hosts. Rocio virus tends to infect males of working age in rural Brazil in highest numbers but the most severe cases of Rocio virus infection occur in children and elderly patients.

Outcome: The initial symptoms of a Rocio virus infection include headaches, vomiting, conjunctivitis, pharyngitis and abdominal distention. Central nervous system symptoms including severe encephalitis may develop later. Infection with Rocio virus can be fatal and 20% of survivors experience permanent neurological damage.
Speed: Rocio virus has an incubation period of 7-15 days in humans. Death can occur within 5 days of the onset of symptoms.

http://www.european-virus-archive.com/Portal/produit.php?ref=126&id_rubrique=1

BSL 3 category




<table border="0" cellpadding="0" cellspacing="0"><tbody><tr><td>
</td> <td>
</td> <td>
</td> <td></td> <td>
</td> <td>
</td> <td>
</td> <td></td> <td>
</td> <td>
</td> <td>
</td> <td>
</td> <td></td> <td>
</td> <td>
</td> <td>
</td> <td>
</td> <td></td> <td>
</td> <td></td> <td>
</td> <td>
</td> </tr> </tbody></table> <textarea name="message" id="vB_Editor_001_textarea" rows="10" cols="60" style="display: none; width: 540px; height: 250px;" tabindex="1" dir="ltr"></textarea>

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

The reference to "flabby" virus in RoRo's post above might be a misunderstanding by the reporter of "flavivirus".

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

http://timesofindia.indiatimes.com/city/lucknow/Another-suspected-dengue-death/articleshow/6709487.cms

LUCKNOW: Even as suspected dengue claimed yet another life in the city, the health officials remained in a denial mode. Sub-inspector Shiv Kumar Tiwari (45) died on Thursday in a private hospital where he was undergoing treatment for last several days. The police and treating hospital said that Tiwari died due to dengue but chief medical officer (CMO), Lucknow, Dr AK Shukla, denied all reports.

Tiwari was posted at Ghazipur police station. He is survived by wife, two sons and a daughter. Station officer Ghazipur Sanjai Rai, said that Tiwari was admitted to a hospital following the second attack of dengue last week. "Tiwari was put on the ventilator by the doctors as his condition was serious. But he could not survive. We were told that blood had collected in his stomach due to haemorrhage which led to heart attack and death," he said. CMO Dr Anil Shukla, however, denied that Tiwari died of dengue. A team led by Dr Shukla visited the hospital after receiving the news of Tiwari's death. Later, he told TOI that the police officer was admitted on October 5 with high fever and low platelet count of 30,000. "But the tests (igm and igg) done did not confirm dengue.

A day after the admission, patient's platelet count increased to 70,000. Hence, it is not a death due to dengue," he added. When asked about the cause of death, Dr Shukla said that Tiwari was suffering from `severe metabolic acidosis', a condition wherein acid and alkaline level in human body is disturbed which leads to organ failure. "In Tiwari's case, he suffered a heart attack at 4 am on Thursday but it was managed. However, the police officer suffered another severe heart attack at around 9.30 am. This time doctors were not able to revive the patient," explained Dr Shukla.

However, the treating doctor, Dr HN Tripathi, when contacted, told toi that Tiwari died of Dengue Shock Syndrome (DSS). The DSS is the acute state of dengue in which a patient suffers haemorrhage due to low platelet count. Dr Tripathi said that DSS was responsible for the severe metabolic acidosis and septicimea in the patient leading to cardiac arrest and death. But health officials did not accept the `observations' of the expert doctors on Tiwari's death.

While Dr Shukla did not revealed the "real cause" of Tiwari's death, health officials also claimed that so far only 261 confirmed dengue cases and one dengue death has been reported from all over the state. However, going by the figures available in various government hospitals in the city, over 100 dengue patients are undergoing treatment at present and an equal number are in private hospitals. Dengue deaths are said to be over two dozen.

While health officials tried to water down the dengue menace, over three dozen more suspected dengue cases were reported in the city. People were panic struck because of the spurt in the cases and lack of preventive measures by the health officials and the Lucknow Municipal Corporation. The increase in the suspected dengue cases is also resulting in panic buying of platelets from the state blood bank at Chhatrapati Shahuji Maharaj Medical University.

Interestingly, the health officials held private doctors responsible for the dengue panic. They said that dengue is confirmed only through PCR and ELISA reader test but private clinics are conducting platelet count test. Platelets can decrease in other viral infections and due to intake of strong anti-biotics also. However, officials could not explain the gap between the number of confirmed dengue patients (over 200) in the city hospital and their count (261).

Significantly, while the three major government hospitals -- Balrampur, Shyama Prasad Mukherjee and Ram Manohar Lohia -- are witnessing a heavy turn out of fever cases, of which 20% are said to be suffering from dengue, there is only one testing centre at the health directorate. The testing centre is heavily overloaded leading to delay in delivery of test reports and treatment, resulting in widespread confusion, chaos and panic among the people.



Read more: Another suspected dengue death - The Times of India http://timesofindia.indiatimes.com/c...#ixzz11lnVfEMu

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

http://www.medindia.net/news/Suspected-Dengue-Cases-Rise-Alarmingly-in-UP-75070-1.htm

Hospitals in Lucknow are filled with patients suspected of having dengue, leading doctors to hope for an early onset of the winter season.

In Lucknow, pot-holes on roads are filled up with sewage water and rain water and are breeding grounds for dengue mosquitoes. "I lodged a complaint with all authorities concerned regarding the water pool in front of my house but no action has been taken. As a result my two sons are suffering from dengue," said Dr Sharad Sharma, a CDRI scientist.


A doctor at Shyama Prasad Mukherjee Hospital said that they were dealing with at least 200 cases of suspected dengue every day and that it was proving difficult to tackle such a high volume.

Dr AK Shukla, chief medical officer, Lucknow, said that most cases were of viral fever and that just 200 confirmed cases of dengue had been reported from UP so far.



Read more: Suspected Dengue Cases Rise Alarmingly in UP http://www.medindia.net/news/Suspect...#ixzz11loBSCiy

[Arkanoid Legent]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Dengue claims another life, toll reaches 3

LUCKNOW: Even as suspected dengue cases continue to pour in from across the city, the disease claimed one more life on Friday, taking the toll in the city to over three.

Mismanagement prevailed at government hospitals because out-patient-department (OPD) services were available only till noon due to half-working day.

The blood bank at Chhatrapati Shahuji Maharaj Medical University decided to put restrictions on the purchase of platelets to prevent 'panic buying'. But health officials maintained that the situation is under control as the fogging is being done, and so there is no need for people to panic.

Matim (30), a resident of Nakkhas, died due to dengue at a private hospital in Tudiaganj. Matim was admitted with dengue shock syndrome on Thursday. The doctors initially could not diagnose the disease and experimented with different medicines as the patient was complaining of acute pain in the abdomen.

http://timesofindia.indiatimes.com/city/lucknow/Dengue-claims-another-life-toll-reaches-3/articleshow/6715974.cms

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Dengue claims another life, toll reaches 3


Matim (30), a resident of Nakkhas, died due to dengue at a private hospital in Tudiaganj. Matim was admitted with dengue shock syndrome on Thursday. The doctors initially could not diagnose the disease and experimented with different medicines as the patient was complaining of acute pain in the abdomen.

http://timesofindia.indiatimes.com/c...ow/6715974.cms

This article confirms the undiagnosed death in pst #6 is due to dengue shock syndrome. Post #6 indicates that the acute pain in the stomach was likely the result of hemorraging into his stomach.

[Arkanoid Legent]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Dengue claims 4 more, rush for for platelets at hospitals

LUCKNOW: Even as dengue claimed four more lives on Wednesday, over two dozen new suspected cases were admitted in various government and private hospitals.

While the blood bank in CSM Medical University (CSMMU) saw a mad rush of people for platelets, principal secretary, health, Pradeep Shukla inspected health facilities at Shyama Prasad Mukherjee and Ram Manohar Lohia hospitals and warned of strict action if any laxity is reported in treatment of the patients.

On the other hand civic authorities and health department claimed that anti-mosquito spray is being done in entire city and number of suspected dengue cases are on decline. With the fall in temperature the dengue virus is also likely to subdue by the last week of October.

While three deaths were reported from the SGPGI, one died on way to the hospital. In SGPGI, dengue snuffed the life out of Dilip Mishra from Rae Bareli, Akash Shukla from Kannauj and Vijay Gupta from Lucknow. Dharmendra Yadav (35), an employee at fire station in Hazratganj, had gone to his native village where he was infected and hospitalised in a local hospital from where he was referred to Lucknow but died on way. All the four patients who died due to dengue were also suffering from various other complications like diabetes and kidney ailment which aggravated due to the infection.

http://timesofindia.indiatimes.com/city/lucknow/Dengue-claims-4-more-rush-for-for-platelets-at-hospitals/articleshow/6744609.cms

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

http://timesofindia.indiatimes.com/city/lucknow/Dengue-claims-4-more-rush-for-for-platelets-at-hospitals/articleshow/6744609.cms

LUCKNOW: Even as dengue claimed four more lives on Wednesday, over two dozen new suspected cases were admitted in various government and private hospitals.

While the blood bank in CSM Medical University (CSMMU) saw a mad rush of people for platelets, principal secretary, health, Pradeep Shukla inspected health facilities at Shyama Prasad Mukherjee and Ram Manohar Lohia hospitals and warned of strict action if any laxity is reported in treatment of the patients.

On the other hand civic authorities and health department claimed that anti-mosquito spray is being done in entire city and number of suspected dengue cases are on decline. With the fall in temperature the dengue virus is also likely to subdue by the last week of October.

While three deaths were reported from the SGPGI, one died on way to the hospital. In SGPGI, dengue snuffed the life out of Dilip Mishra from Rae Bareli, Akash Shukla from Kannauj and Vijay Gupta from Lucknow. Dharmendra Yadav (35), an employee at fire station in Hazratganj, had gone to his native village where he was infected and hospitalised in a local hospital from where he was referred to Lucknow but died on way. All the four patients who died due to dengue were also suffering from various other complications like diabetes and kidney ailment which aggravated due to the infection.

With this total number of deaths due to dengue in the city reached six and over 20 in the state. However, health officials have not confirmed any death due to dengue so far. Doctors said that people should not panic as dengue can be prevented. The disease can also be managed if reported in time. The fatality rate is less than 5%.

But panic struck family members continued to throng the blood bank at CSMMU for platelets. The platelets transfusion is done when its count in blood goes down below 20,000.

Though CSMMU is giving platelets to family members of patients who produce medical documents certifying that the platelet count is below 20,000, private clinics continued to refer platelet transfusion even if the count was over 50,000. Towards the evening, the blood bank saw some ugly scenes when people came to blows to reach the counter before others. On an average, the bank is selling over 200 platelet units daily.

Meanwhile, the Apheresis machine in the CSMMU blood bank also started functioning with donors coming forward to donate platelets. The Apheresis is a technology in which the blood of a donor is passed through an apparatus that separates platelets and returns the remainder to the circulation. Hence, a person can donate platelets without any loss of blood in his or her body. Ten units of platelets were donated by a donor on Wednesday for his friend whose situation is critical. The platelet is the component which helps in clotting of blood. Hence, platelet transfusion is recommended to a person suffering from haemorrhage.

"The blood of the donor is tested for various infections before putting him or her on Apheresis," said Dr Tulika Chandra, in-charge of CSMMU blood bank.

While in CSMMU and SGPGI the cost of a unit of platelet for an indoor patient is Rs 50 and for an outsider Rs 400, a private hospital in Indiranagar is selling a platelet up to Rs 8,000 per unit. Doctors at the CSMMU blood bank said that they also cross checked before giving platelets to a person with the treating doctor in case of doubt. There is always a possibility of people producing fake pathology reports to get platelets at low cost from the blood bank and then sell it in black market.

Presently, only four medical education institutions aided by the state government have blood separators which can produce platelets -- SGPGI and CSMMU in Lucknow and medical colleges of Kanpur and Varanasi. The shelf life of a platelet unit is only around five days.


Read more: Dengue claims 4 more, rush for for platelets at hospitals - The Times of India http://timesofindia.indiatimes.com/c...#ixzz12LfyptNq

[Ronan Kelly]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Girl dies of dengue
Press Trust Of India
Lucknow, October 15, 2010First Published: 12:27 IST(15/10/2010)
Last Updated: 12:31 IST(15/10/2010)
A teenaged girl died due to dengue at a private hospital, where she was undergoing treatment, officials said here on Friday. Shalini (14), a resident of Madiyon area, died on Thursday, they said. Three persons had died of the vector-borne disease on October 13 at Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGIMS).

Meanwhile, over a dozen fresh cases of dengue like symptoms were reported from different government hospitals in the city.

http://www.hindustantimes.com/rssfeed/lucknow/Girl-dies-of-dengue/Article1-613249.aspx

[alert]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

http://www.ptinews.com/news/1060165_Dengue-outbreak--UP-CM-orders-special-sanitation-drive

Dengue outbreak: UP CM orders special sanitation drive

--------------------------------------------------------------------------------
Advertisement
Share Print E-mail Comment[ - ] Text [ + ]STAFF WRITER 20:59 HRS IST
Lucknow, Oct 24 (PTI) Uttar Pradesh Chief Minister Mayawati today directed officials to launch a special sanitation drive in the cities following several cases of dengue and viral fever.

"During a high-level meeting held this evening to review dengue and fever situation the Chief Minister directed the officials to ensure proper sanitation and to improve quality of water supply," an official spokesman said here.

The chief minister also directed that a comprehensive sanitation plan should be chalked out and if required private workers should be hired in this regard.

A team of 100 officials should be deployed to monitor sanitation services in Lucknow and action should be taken against staff concerned if any laxity was detected, she said.

The CM also said the campaign would continue for two months under the supervision of the district magistrates and it would be reviewed twice a month by her principal secretary.

[Vibrant62]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

From reading this set of reports, and others within other related threads it sounds as if a diagnosis of dengue is being made predominantly on aetiology rather than specific ELISA tests, and there is no doubt that dengue is a problem here - but whether it accounts for all the cases that are being seen is another question.

Given the restrictions in availability of testing and high case loads, if this is predominantly a mosquito bourne problem i.e malaria or dengue, we should see falls in cases as the weather cools and with increased attention to garbage clearance and road sweeping over the coming days/ weeks.

If however the situation does not abate -or start to- with these events, then we need to be considering something else as a causative agent.

Thanks to alert and RoRo for tracking the news from this area so efficiently

[sharon sanders]

Re: India - Lucknow, Uttar Pradesh: Hospitals overloaded with dengue and suspected dengue patients

Thank you to Anne, alert, RoRo, Arkanoid Legent, Vibrant62 for all the news and analysis.