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Tripura: 129 die of malaria, diarrhea, and viral fever

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  • Tripura: 129 die of malaria, diarrhea, and viral fever

    Here is the original report, which I believe is in an Indian source (I know Tripura is a state in India, and Agartala is its capital):



    Malaria, enteritis turn worse in hilly Tripura
    Agartala, Jul 30 : Gastroenteritis and malaria have taken a turn for the worse in tribal dominated remote hamlets under Chawmanu rural administrative block of Dhalai district in North Tripura with five deaths reported.





    The death toll in diarrhoea, viral fever and malaria has reached 129 so far this year in the area. Viral fever and enteritis have also been reported from urban pockets.

    Officials here today said seven special medical teams from the district headquarters had been dispatched to the affected hamlets with necessary medical aids.

    Medicine, saline and instant malaria parasite testing kits were sent from Agartala while seven more doctors were posted in various primary health centres in the area in the past one month to contain the situation, said a top health official.

    He, however, pointed out that scanty rainfall and humid weather were the main reasons for spread of the diseases in hilly locations.

    The entire Dhalai district had already been identified as malaria prone and become drug resistant.

    Spraying of DDT, use of instant diagnostic kits in high malaria prone areas besides, distribution of 1,15,000 medicated nets and fogging machines were on.

    Alarmed at the increasing incidences of deaths due to malaria, the Tripura National Vector Borne Disease Control Programme (NVBDC) had conducted a comprehensive study in malaria prone areas on effectiveness of conventional medicines for malaria treatment.

    The Central Drug Research Institute (CDRI) categorised the state as Chloroquine (malaria drug) resistant three years back and Salpha Pyramethamine Combination, second-generation anti-malaria drugs had been prescribed for the patients.

    The Plasmodium Falciparum (PF) component present in malaria affected patients and Chloroquine had become inactive for long-sufferers. New chemoprophylaxis drugs had been supplied as an immediate measure, said health officials.


    --UNI

    -----------------

    That report seems to be the basis for this ProMED post, which places the outbreak in Myanmar (although the blue text is befuddling):



    Archive Number 20110730.2290
    Published Date 30-JUL-2011
    Subject PRO/EDR> Malaria - Myanmar: (Tripura Agartala)

    MALARIA - MYANMAR: (TRIPURA AGARTALA)
    *************************************
    A ProMED-mail post
    <http://www.promedmail.org>
    ProMED-mail is a program of the
    International Society for Infectious Diseases
    <http://www.isid.org>

    Date: Sat 30 Jul 2011
    Source: NewKerala.com [edited]
    <http://www.newkerala.com/news/2011/worldnews-38544.html>


    Malaria turn worse in hilly Tripura Agartala
    --------------------------------------------
    Malaria has taken a turn for the worse in tribal dominated remote
    hamlets under Chawmanu rural administrative block of Dhalai district
    in North Tripura with 5 deaths reported. The death toll in diarrhoea,
    viral fever and malaria has reached 129 so far this year in the area.


    Officials here today said 7 special medical teams from the district
    headquarters had been dispatched to the affected hamlets with
    necessary medical aids.

    Medicine, saline and instant malaria parasite testing kits were sent
    from Agartala while 7 more doctors were posted in various primary
    health centres in the area in the past one month to contain the
    situation, said a top health official. He, however, pointed out that
    scanty rainfall and humid weather were the main reasons for spread of
    the diseases in hilly locations.

    The entire Dhalai district had already been identified as malaria
    prone and become drug resistant. Spraying of DDT, use of instant
    diagnostic kits in high malaria prone areas besides, distribution of
    115 000 medicated nets and fogging machines were on.

    Alarmed at the increasing incidences of deaths due to malaria, the
    Tripura National Vector Borne Disease Control Programme (NVBDC) had
    conducted a comprehensive study in malaria prone areas on
    effectiveness of conventional medicines for malaria treatment.

    The Central Drug Research Institute (CDRI) categorised the state as
    Chloroquine (malaria drug) resistant 3 years back and Salpha
    Pyramethamine Combination, 2nd-generation anti-malaria drugs had been
    prescribed for the patients.

    The Plasmodium falciparum (PF) component present in malaria affected
    patients and Chloroquine had become inactive for long-sufferers. New
    chemoprophylaxis drugs had been supplied as an immediate measure, said
    health officials.

    --
    Communicated by:
    ProMED-mail
    <promed@promedmail.org>

    [Malaria is endemic in Myanmar with approximately 1 million suspected
    cases in 2010 (World Malaria Report 2010
    (http://www.who.int/malaria/world_mal...10_annex7a.pdf).
    Tripura Agartala is located in the western part of Myanmar not far
    from Assam and Bangladesh
    . HealthMap location:
    <http://healthmap.org/r/15Lj> - Mod.EP]


    --------

    And to further muddy the water, HealthMap has taken the ProMED post and pinned it below, labelling it as Myanmar, but with a pin location in Tripura, India.


  • #2
    Re: 129 die of malaria, diarrhea, and viral fever - location of outbreak not clear - India or Myanmar?

    A very similar outbreak occurred in Tripura, India, last year with over 100 unexplained fatalities:

    Comment


    • #3
      Re: 129 die of malaria, diarrhea, and viral fever - location of outbreak not clear - India or Myanmar?

      alert is correct.

      Tripura is a state in the eastern portion of India and is almost completely surrounded by Bangladesh. See map below.

      Perhaps the Pro-MED moderator was confused and meant to say that this area of India is sandwiched between Bangladesh and Myanmar. The HealthMap error needs to be corrected.

      Click image for larger version

Name:	Tripura 20110730.jpg
Views:	1
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ID:	656432

      Comment


      • #4
        Re: 129 die of malaria, diarrhea, and viral fever - location of outbreak not clear - India or Myanmar?

        Dry spell brings in diarrohea, malaria in rural Dhalai
        By Our Correspondent
        Agartala, Jul 30, 2011 : With the dry spell sweeping the hilly regions diarrohea and viral fever has took serious turn in rural parts of Dhalai district .

        Dhalai Health Official sources said, already six people including women and child died since last five days.

        On July 28 last, one child and one teen ager with four women died at West Govindabari in Chawmanu under Longtarai Valley Sub Division. Death toll is likely to increase as many as 40-60 patients are still admitted in Chawmanu and Longtarai Valley Hospital.

        ?Diarrhea and viral fever are found among the admitted patients after diagnosis?, said officials from the District Medical Office, Dhalai on Saturday over telephone.

        Beside this, malaria is another problem among them.

        ?The beds of Chawmanu hospital are full of patients?, said Longtorai Valley Sub Divisional health officials. The official added that ?the situation may turn grave if the scarcity of drinking water continues?.

        ?So far I learnt two villagers died in Longtarai Valley Sub Division during last three-four days?, said Sub Divisional Magistrate U. Mog over telephone. ?We are organizing regular health camps with preventive medicine in the interior parts?, he added.


        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • #5
          Re: Tripura: 129 die of malaria, diarrhea, and viral fever

          See also this thread which suggests the outbreak stretches back to April.
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • #6
            Re: Tripura: 129 die of malaria, diarrhea, and viral fever

            The following correction has been issued (but much of the rest of the post is now illegible as a result of some kind of mechanical error).



            [snip]

            Archive Number 20110801.2319
            Published Date 01-AUG-2011
            Subject PRO/EDR> Malaria - Myanmar: (Tripura Agartala) corr.


            *****[The location of this outbreak is India, not Myanmar -- so the comment
            and most of the see also references are irrelevant and have been omitted
            below. ProMED regrets the error
            .]

            Comment

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