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Online edition of India's National Newspaper Thursday, May 24, 2001 |
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Southern States
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Weil's disease: authorities maintain a bold face
By Our Staff Reporter
KOTTAYAM, MAY 23. With the Chief Minister, Mr. A.K. Antony,
himself, pulling up top officials, the district and health
authorities who were in a long slumber over the increasing
incidence of leptospyrosis in the district, suddenly jumped into
action with an assurance that all was well on the administrative
and health fronts, to face the challenge.
They will now commence an awareness campaign by distributing
50,000 copies of leaflets containing possible precautions and
also call a meeting of medical practitioners to train them on the
ways and means to fight the epidemic, the District Collector, Mr.
B.S. Mavoji, the director of health services, Dr. V.K. Rajan and
Dr. Asha Thomas, additional secretary, Health, told presspersons,
here today.
According to them, 86 suspected cases had been reported during
the past six months and out of this, 11 died. At present, at
least 28 persons are undergoing treatment at the three government
hospitals, viz., the Kottayam Medical College Hospital, Kottayam
district hospital and Changanassery taluk hospital. The condition
of three persons at the Medical College hospital is serious, they
said.
The Collector said financial assistance of Rs.10,000 each would
be extended to the nearest relatives of those who had died of
leptospyrosis, while Rs.500 each would be given to the 28 persons
who have been admitted to the public sector hospitals.
The authorities who had refused to even confirm the deaths caused
by leptospyrosis till the other day, were now at pains to explain
as to how fast they had acted. The Collector pointed out how he
had got a call from the Chief Minister at 8-30 a.m. and how he
had already initiated steps to fight the epidemic. They also
provided details regarding incidence of leptospyrosis - over
2,400 last year and nearly 1,500 cases during the past six
months, all through the State.
Presspersons were told that lack of laboratory facilities would
never be a hindrance to dispensing effective control measures, as
medical practitioners have been told to start antibiotics at an
early stage itself, if a person arrives with symptoms akin to
that of leptospyrosis. They also contested the argument that
there was a high rate of mortality as the real magnitude of
incidence of leptospyrosis in the State has not been ascertained,
mostly because of non-cooperation from the private sector, who
refuse to provide the data. About 10 per cent mortality rate is
common and one cannot say the State has exceeded this rate, they
said. However, they admitted that there were lapses in the
follow-up action after the outbreak of the epidemic last year.
Even as the authorities staged a face saving exercise to satisfy
their higher-ups, it appears that the real issues related to the
increasing incidence of rat fever is given low priority. Rat
fever, being directly related to the issue of hygiene and
sanitation and direct attack on the rodent population, it is not
sure how far the attempt to fight the epidemic through medical
strategies alone, would succeed. Press conferences like today's
have been an almost annual feature in the district for the past
few years and the `strategies' had a natural demise with the
epidemic subsiding naturally.
The experience of the past few years show that till now there had
been no concerted effort on the part of the authorities to act at
the grassroots level with the full involvement of the panchayat
raj institutions. A concerted effort to reduce the rodent
population which needs involvement of the people at the grass-
roots level, setting up necessary laboratory facilities for early
detection of the disease and constant vigil on the part of the
authorities to provide people with timely warning are still
lacking.
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