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Online edition of India's National Newspaper Thursday, October 11, 2001 |
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Health Ministry alerts State Govts.
By Our Special Correspondent
NEW DELHI, OCT. 10. The Union Health Ministry has issued an alert
to State Governments and all hospitals and health institutions
under its control over the possibility of biological warfare in
the wake of the U.S.-led air strikes against Afghanistan.
Listing the possible infectious agents such as anthrax, typhoid
and cholera, which could be used by terrorists, a circular issued
by the Ministry has asked the hospitals to reserve adequate
number of beds and to store sufficient quantities of vaccines,
antibiotics and antisera to meet any eventuality. The circular
assumes importance in the wake of reports of cases of anthrax in
the U.S. One person has already died of the infection in Florida.
There are three ways in which the infection could be contracted -
through a cut or abrasion on the skin, or through inhalation or
by consuming meat that had been contaminated by the bacteria that
causes the disease.
Infection that is contracted through inhalation is considered to
be the most lethal with a fatality rate of almost 100 per cent,
followed by infection through consumption of contaminated meat,
where the fatality rate is estimated at 25 per cent to 60 per
cent and that acquired through cuts in skin, where death is rare
if the patient gets proper treatment with antibiotics.
In a health update issued here today, Dr. K.K.Agarwal, Executive
Vice Chairman of the Heart Care Foundation of India, noted that
direct person to person spread of anthrax was extremely unlikely
and that vaccines were available to prevent it.
Immunisation consisted of three subcutaneous injections given two
weeks apart followed by three additional subcutaneous injections
given at six, 12 and 18 months. Annual booster injections of the
vaccine are recommended thereafter.
Symptoms of the disease usually occurred within seven days, but
varied depending on how the disease was contracted. The initial
symptoms in case of infection got through inhalation usually
resembles a common cold, which after several days progress to
severe breathing problems and then shock.
In the case of infection through consumption of contaminated
meat, on the other hand, the initial signs are nausea, loss of
appetite, vomitting and fever, which are then followed by
abdominal pain, vomitting of blood and severe diarrohea.
In the case of infection through skin, it begins as a raised
itchy bump on the skin that resembles an insect bite and within a
day or two develops into a vesicle and then a painless ulcer
usually one to three centimetres in diameter and with a
characteristic black necrotic (dying) area in the centre. Lymph
glands in the adjacent area may also swell, the update said.
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