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Online edition of India's National Newspaper Thursday, September 06, 2001 |
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Southern States
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Ideal breeding ground in water-starved city
By Ramya Kannan
CHENNAI, SEPT. 5. Even as water-starved Chennai residents save
every drop available, they are also providing the best breeding
grounds for Aedes aegypti, `dengue' causing mosquito.
Unwittingly, the city is creating an atmosphere `conducive' to
the breeding of the mosquito, carrying the virus which caused an
alarming number of deaths in north India in the past.
Storing water in pots, buckets, tubs and small tanks has become
the order of the day. Epidemiological studies have established
that Aedes aegypti, day-biting mosquito, breeds in temporarily
stored clear water. Though the rainy season is the ideal time for
breeding, Chennai, in spite of drought, seems to present the
vector with an equally comfortable breeding ground.
The season begins with July and goes on till December-end,
according to paediatricians. This is the period when the disease
is at its virulent best, they say. ``The index of suspicion must
be high'', say the paediatricians at the Kanchi Kamakoti CHILDS
Trust Hospital. It will be safe for parents and paediatricians to
suspect and test for dengue, even with the onset of fever.
The severest symptom is the leaking of blood vessels, noticed as
a rash. When a patient moves into shock, the blood pressure will
drop precipitously and the vital organs will stop functioning
leading to death, if there is no proper intervention.
Prevention is more significant, especially as there is no cure
for dengue and the only treatment is supportive - administering
fluids and monitoring the functioning of the vital organs.
Besides, the cost involved is extremely high. The average cost of
platelets, an important input, is Rs. 600 per unit. ``We are
paying not less than Rs. 3,500 per day for medicines, blood
components and hospital charges'', say the relatives of a
10-year-old boy suffering from dengue.
Though Corporation and Health department sources acknowledge that
there are cases reported, they say the incidence is not
unnatural. Mr. Syed Munir Hoda, Health Secretary, said no
`abnormal' increase was reported. In the Institute of Child
Health, 124 cases were detected as `positive' dengue last year
and 28 dengue positive cases were reported this year (till
August).
At the King Institute, where blood samples are tested, an average
of 10-12 cases test positive every month. August accounted for
12. ``The number of cases in CHILDS Trust is much more,'' the
paediatricians say. The number of dengue cases reported at the
hospital since July is 19. And there are three months to go
before the dengue season ends.
Dr. P. Srinivasan of the Jeevan Blood Bank says that from August
15 this year to September 5, there was demand for platelets
almost everyday. Almost the entire demand was from paediatric
hospitals, mostly for viral haemorrhagic fever.
Keeping water containers closed and using mosquito repelling
methods are advocated for prevention.
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