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Uttar Pradesh
Things like Muzaffarpur in Gorakhpur can not be created
Manoj Kumar Singh from
Gorakhpur, for BBC Hindi
6 July 2019
Sakshi, 28, daughter of 29-year-old Santosh Sahni, living in Sudarshan Gali of Azad Chowk in Gorakhpur city, has a fever with winter on 25 January. At Santosh intersection, he brought medicine from a private doctor. Two days later, in the evening the health of the witness was slightly improved. She ate a cake and tea too P. Sakshi liked the cake and Santosh often used to bring a cake for 14 rupees for daughter.
Santosh and his wife Ranjana were breathing relief after the daughter's health improved, but on the morning of 27th January the witness Papa ... Papa got upset saying.
Santosh-Ranjana saw that the witness first got diarrhea and then he started getting stroke. Santosh immediately took the witness to a private hospital with the help of his elder brother, where the BRD Medical College was referred after some treatment. In the medical college it was told that the witness is encephalitis. Within 24 hours after the recruitment to the medical college, the witness died.
Santosh is crying that he had to get up from the witness's sleep. Now runs to bite the house. Ranjana has forgotten to speak after the witness's death. It's always stupid.
Why is it so helpless in front of your dead children?
Image Copyrights MANOJ SINGH / BBC
Like witnesses, 24 people have died in BRD Medical College from Encephalitis (AES / JE) in the first week of January to July this year, mostly children.
Someone's name was Alia, Shrishti, Ragini, Shalini and someone else's Tilak, Vikas, Durgesh, Lucky, Deksh and Ankush. These children can not even see their 15th spring of life.
These children were admitted to BRD Medical College for treatment from Gorakhpur, Kushinagar, Deoria, Maharajganj, Santakbirnagar, Siddharthanagar, Basti, Azamgarh, Ghazipur and Balrampur.
The death of children from AES / JE in BRD Medical College has been going on since 1978. More than ten thousand children have died in four decades in the Nehru Practitioner of Medical College, established under the name of first Prime Minister Jawaharlal Nehru of the country's favorite uncle.
The surface area of children of encephalitis is almost identical. All are extremely poor workers. Santosh Sahni is the car driver. They have five brothers who live in a four-room house. A brother polishes paint in Bangalore and two brothers are Palmbar in Gorakhpur. A brother is a mechanic.
Santosh tells his house that parents are sleeping at the door because of having a small house. He applied for twice the prime minister's urban housing but he could not find accommodation.
Shrishti, a seven-year-old daughter of 39-year-old Subodh, a resident of Baroda, Gorakhpur, died on January 24 from Japanese Encephalitis.
Subodh is a mechanic in Delhi. Their monthly income is eight thousand rupees. When the daughter fell sick she was in Delhi. His wife Jitu kept on going round about government and private hospitals from Ghagasara to Gorakhpur.
Sricha's treatment for more than one month has not survived. He has been admitted to Medical College from 4th to 24th of January. 25-30 thousand rupees were spent due to treatment in private hospital.
Mother's pain - Hmar Babu is not talking anything anymore
'The body of the child had to fight for two hours'
Son died but father could not come from Dubai
The two-year-old part of the Mathahi village in Ramkola area was killed on 2 February by AES at the BRD Medical College. Part of father Satyanaben went to Dubai to earn two months ago Satyavan first used to work in the Aluminum factory in Ahmedabad. Some of the money went to Dubai to raise their income.
His wife Mike (Inherhi village near Padrauna) was about two year old children and a month old child. When the country was celebrating Republic Day on January 26, the degree fell ill. He had a fever, then diarrhea and jerk. She was shown in Padrauna by a private doctor who suspected of encephalitis.
Dakshina Nana Milk Nath Kushwaha said that we came to BRD Medical College directly about the child. Her health began to improve and it seemed that she would be 'fresh' in two or three days but suddenly the condition worsened and she died on 2 February.
During the illness of truthful child in Dubai, and even after death, can not come home. Milk Nath says that we told them that the child's health is improving. That's why he did not come because there would be a lot of expenditure in the coming and going. After the death of the child, we told him what benefit from coming now, when his heart was not fragmented.
Government claims of a decrease in AES / JE
Government figures of last two years are showing the difference in the number of deaths and deaths in patients with this disease. Chief Minister Yogi Adityanath launched a second phase of communicable disease control campaign and knock-out operation in Lucknow on July 1, saying that within one year, the number of patients of AIDS (AES / JE) in 35% and 65 deaths in the disease There is a decrease of FSI.
Prior to this, State Health Minister Siddhartha Nath Singh also had similar claim.
Dr. Ganesh Kumar, Principal, BRD Medical College, points out that since January 1 this year 100 patients of Encephalitis were recruited, out of which 80 were saved but 20 died.
Dr. Pushkar Anand, Additional Director of Gorakhpur Division, said that in the last two years, the number of AES / JE cases and deaths has decreased by more than 60%.
The Yogi Sarkar claims that effective prevention of encephalitis has been possible due to the knock-out campaign, but many such facts are emerging, which can lead to a situation like glowing fever in Muzaffarpur in Bihar.
Knockup campaign
Yogi Sarkar has started a campaign called "Knock" from 2018 for the prevention of AES / JE after the August 10, 2017 oxygen scandal, which is run twice a year. Under this campaign, Asha and other health workers go home from house to house, give information about AWS (AES / JE), keep house and surroundings clean, JE vaccine, use safe drinking water and get sick There is a directive to motivate the immediate government to go to the nearest hospital.
It is also instructed that hope and health workers will provide information on each door and paste them on a sticker of the knockout campaign so that it is known that awareness campaign has been completed here.
In second consecutive year, the knock-in campaign is being run in 18 districts of Encephalitis affected state. Apart from this, campaign to make people aware of diseases like dengue, chikungunya, malaria, black-ozar, filariaria, as well as encephalitis, under communicable disease control campaign is going on this month.
Santosh, who lost his daughter, said in the conversation that before the daughter's death, no person from any government department came to inform him about the disease. After the daughter's death, the health department team came twice and was sprayed to kill mosquitoes around their house.
Subodh said that there was no health worker to tell about his illness in his house too. According to Milkdan Kushwaha, the health worker came to his house after the child's death. Nobody came before her.
These situations show that the drum is being hit by the awareness campaign, which is not very effective on the surface. A doctor attached to the Prevention of Infephalitis in the past said that the hope associated with the knock-in operation does not get any monetary relief for this work separately. They are already overwhelmed with excessive workload. Therefore it is not right to expect them to go from house to house to work for awareness.
Treatment system
Apart from the knock-out operation, the capacity of the Peak (Pediatric Intensive Care Unit) has been increased from 10 to 15 beds in the four districts of Gorakhpur Division - Gorakhpur, Deoria, Maharajganj, Kushinagar, to repair the treatment. Apart from this, a mini-peak of three-three beds has been made in eight CHC-PHC Chauri Chaura, Gagaha, Piproli, Rudrapur, Kaptanganj, Hata, Niwalol, Ratanpur in these districts. Apart from this, according to the arrangements already done, there are two-two-bed ETC (Encephalitis Treatment Center) established in Block Level Hospitals 104.
The number of beds has also increased in the BRD Medical College. Dr. Ganesh Kumar, the Principal of BRD, says in the voice that many medical colleges have a 500-bed hospital. There are 428 beds in our pediatric ward, 71 are ventilator.
After the oxygen scandal, a new ward was prepared on the second floor of the 100-bed encephalitis ward. Apart from this, one ward of the eye department has been converted to the ward of the children, which is the treatment of hemophilia and malnourished children. Epidemic Ward 12 has now been converted into General Ward and the ground floor of 100-bed encephalitis ward has been converted into an emergency. Dr. Ganesh Kumar also says that the burden of patients on BRD has been much lower than before.
Yet the lack of doctors remains a big problem. Over 30% of regular practitioners in Gorakhpur and adjoining districts are vacant with the most affected by encephalitis. Especially the severe shortage of pediatricians.
In one of the eight hospitals, mini-picas have been made, there has been deployment of one pediatric one, but it is difficult to operate mini peak for 24 hours with the help of a chicken. Deficiency of Pediatric Diseases In the CHC-PHC, encephalitis is weakening the treatment system.
The National Human Rights Commission dissatisfied with the report given by the UP Health Department in the ongoing hearings on this issue has sought clarification on the issue of doctors and drinking water issues. Still, the number of patients admitted in CHC-PHC is very small.
The absence of the case of Japanese encephalitis
In the knock-out campaign, children are also encouraged to vaccinate Japanese Encephalitis (JE) vaccine. However, since 2013, the vaccine of Japanese encephalitis has been included in regular vaccination, but for the vaccine vaccinated children are often campaigned for which claims of 100% success have been made.
Regarding regular vaccines and special inoculation campaigns, the cases of JE are not decreasing. In the first six months of this year, Jeera has received 20 patients in 100 encephalitis patients and it has broken seven years old record.
In the first year 2011, 26 cases of JE came out in six months from January to June. After this, there is no one in 2012, one in 2013 and 2014, 11 in 2015, 4 in 2017, 7 in 2017 and 4 in 2018, but this year JE's total encephalitis will be 20% in cases Worry Should be the subject but it is being ignored.
In the year 2018, till January to September, there were 110 cases of JE in BRD Medical College in nine months. Increasing the case of JE means that there is a shortage of immunization campaign.
Encephalitis in the urban area
Increasing number of encephalitis patients in Gorakhpur city has raised a new concern. It was believed that this disease is more in villages but in year 2018, 25 cases of encephalitis in the urban area of Gorakhpur.
In urban areas, Humayumpur, Bakshipur, Southern Betiyaahata, Geeta Vatika, Dairy Colony, Gorakhnath, Chilampur, State Communication House, Lachipur, North Jatpur, Old Gorakhpur, TP Nagar, Amuratiya, Nizampur, Tiwarpur, Jamianagar, Shivpura Sahabarganj, Mirzapur Pachaparva, RPF Colony , Cases of encephalitis have been reported in Rajendra Nagar Western, Bhairoganj.
These are areas where drinking water is being supplied from the pipeline. It has also been seen that the situation of dirt and irrigation in the encephalitis affected urban area is very bad.
Malnutrition, drinking water
Now the number of toilets has increased in the villages compared to earlier, but the problem of waterlogging, mosquito outbreaks and pure drinking water is still intact.
The condition of water supply from the pipeline in the encephalitis affected areas is still pathetic. The main source of drinking water in the encephalitis affected villages is the native hand pump.
India marka handpumps are less in number and are poor in number. People in many villages are forced to buy water jars to drink.
Encephalitis is directly related to malnutrition. Children with malnourished are first infected with AES and JE infection. According to NHFS-4 figures, in UP, 46% of children below the age of five are underweight and 39.5% are underweight.
Malaria is very high in children in Maharajganj, Kushinagar, Deoria, Gorakhpur, Santakbirnagar, Bahraich, Shravasti etc. and these districts are also most affected by encephalitis. Measures for malnutrition in these districts have proven inadequate yet.
Figures of JE AES of BRD Medical College show that this disease has been showing its radar form every three to four years. From 2000 to 2004, 8-10 districts, including Gorakhpur, had very short cases, but suddenly in 2005, the number of deaths from this disease crossed 1500.
After this, cases were reduced for three years but then the number of patients increased in 2009, 2010 and 2011. Since then, the deficiency started coming down again. It has also been observed that the number of its patients has been decreasing and decreasing even with less rainfall.
Therefore, it may prove to be the only mistake to believe in the success of the decline in the figures in two years, like that in Muzaffarpur in Bihar, in the shining fever.
Things like Muzaffarpur in Gorakhpur can not be created
Manoj Kumar Singh from
Gorakhpur, for BBC Hindi
6 July 2019
Sakshi, 28, daughter of 29-year-old Santosh Sahni, living in Sudarshan Gali of Azad Chowk in Gorakhpur city, has a fever with winter on 25 January. At Santosh intersection, he brought medicine from a private doctor. Two days later, in the evening the health of the witness was slightly improved. She ate a cake and tea too P. Sakshi liked the cake and Santosh often used to bring a cake for 14 rupees for daughter.
Santosh and his wife Ranjana were breathing relief after the daughter's health improved, but on the morning of 27th January the witness Papa ... Papa got upset saying.
Santosh-Ranjana saw that the witness first got diarrhea and then he started getting stroke. Santosh immediately took the witness to a private hospital with the help of his elder brother, where the BRD Medical College was referred after some treatment. In the medical college it was told that the witness is encephalitis. Within 24 hours after the recruitment to the medical college, the witness died.
Santosh is crying that he had to get up from the witness's sleep. Now runs to bite the house. Ranjana has forgotten to speak after the witness's death. It's always stupid.
Why is it so helpless in front of your dead children?
Image Copyrights MANOJ SINGH / BBC
Like witnesses, 24 people have died in BRD Medical College from Encephalitis (AES / JE) in the first week of January to July this year, mostly children.
Someone's name was Alia, Shrishti, Ragini, Shalini and someone else's Tilak, Vikas, Durgesh, Lucky, Deksh and Ankush. These children can not even see their 15th spring of life.
These children were admitted to BRD Medical College for treatment from Gorakhpur, Kushinagar, Deoria, Maharajganj, Santakbirnagar, Siddharthanagar, Basti, Azamgarh, Ghazipur and Balrampur.
The death of children from AES / JE in BRD Medical College has been going on since 1978. More than ten thousand children have died in four decades in the Nehru Practitioner of Medical College, established under the name of first Prime Minister Jawaharlal Nehru of the country's favorite uncle.
The surface area of children of encephalitis is almost identical. All are extremely poor workers. Santosh Sahni is the car driver. They have five brothers who live in a four-room house. A brother polishes paint in Bangalore and two brothers are Palmbar in Gorakhpur. A brother is a mechanic.
Santosh tells his house that parents are sleeping at the door because of having a small house. He applied for twice the prime minister's urban housing but he could not find accommodation.
Shrishti, a seven-year-old daughter of 39-year-old Subodh, a resident of Baroda, Gorakhpur, died on January 24 from Japanese Encephalitis.
Subodh is a mechanic in Delhi. Their monthly income is eight thousand rupees. When the daughter fell sick she was in Delhi. His wife Jitu kept on going round about government and private hospitals from Ghagasara to Gorakhpur.
Sricha's treatment for more than one month has not survived. He has been admitted to Medical College from 4th to 24th of January. 25-30 thousand rupees were spent due to treatment in private hospital.
Mother's pain - Hmar Babu is not talking anything anymore
'The body of the child had to fight for two hours'
Son died but father could not come from Dubai
The two-year-old part of the Mathahi village in Ramkola area was killed on 2 February by AES at the BRD Medical College. Part of father Satyanaben went to Dubai to earn two months ago Satyavan first used to work in the Aluminum factory in Ahmedabad. Some of the money went to Dubai to raise their income.
His wife Mike (Inherhi village near Padrauna) was about two year old children and a month old child. When the country was celebrating Republic Day on January 26, the degree fell ill. He had a fever, then diarrhea and jerk. She was shown in Padrauna by a private doctor who suspected of encephalitis.
Dakshina Nana Milk Nath Kushwaha said that we came to BRD Medical College directly about the child. Her health began to improve and it seemed that she would be 'fresh' in two or three days but suddenly the condition worsened and she died on 2 February.
During the illness of truthful child in Dubai, and even after death, can not come home. Milk Nath says that we told them that the child's health is improving. That's why he did not come because there would be a lot of expenditure in the coming and going. After the death of the child, we told him what benefit from coming now, when his heart was not fragmented.
Government claims of a decrease in AES / JE
Government figures of last two years are showing the difference in the number of deaths and deaths in patients with this disease. Chief Minister Yogi Adityanath launched a second phase of communicable disease control campaign and knock-out operation in Lucknow on July 1, saying that within one year, the number of patients of AIDS (AES / JE) in 35% and 65 deaths in the disease There is a decrease of FSI.
Prior to this, State Health Minister Siddhartha Nath Singh also had similar claim.
Dr. Ganesh Kumar, Principal, BRD Medical College, points out that since January 1 this year 100 patients of Encephalitis were recruited, out of which 80 were saved but 20 died.
Dr. Pushkar Anand, Additional Director of Gorakhpur Division, said that in the last two years, the number of AES / JE cases and deaths has decreased by more than 60%.
The Yogi Sarkar claims that effective prevention of encephalitis has been possible due to the knock-out campaign, but many such facts are emerging, which can lead to a situation like glowing fever in Muzaffarpur in Bihar.
Knockup campaign
Yogi Sarkar has started a campaign called "Knock" from 2018 for the prevention of AES / JE after the August 10, 2017 oxygen scandal, which is run twice a year. Under this campaign, Asha and other health workers go home from house to house, give information about AWS (AES / JE), keep house and surroundings clean, JE vaccine, use safe drinking water and get sick There is a directive to motivate the immediate government to go to the nearest hospital.
It is also instructed that hope and health workers will provide information on each door and paste them on a sticker of the knockout campaign so that it is known that awareness campaign has been completed here.
In second consecutive year, the knock-in campaign is being run in 18 districts of Encephalitis affected state. Apart from this, campaign to make people aware of diseases like dengue, chikungunya, malaria, black-ozar, filariaria, as well as encephalitis, under communicable disease control campaign is going on this month.
Santosh, who lost his daughter, said in the conversation that before the daughter's death, no person from any government department came to inform him about the disease. After the daughter's death, the health department team came twice and was sprayed to kill mosquitoes around their house.
Subodh said that there was no health worker to tell about his illness in his house too. According to Milkdan Kushwaha, the health worker came to his house after the child's death. Nobody came before her.
These situations show that the drum is being hit by the awareness campaign, which is not very effective on the surface. A doctor attached to the Prevention of Infephalitis in the past said that the hope associated with the knock-in operation does not get any monetary relief for this work separately. They are already overwhelmed with excessive workload. Therefore it is not right to expect them to go from house to house to work for awareness.
Treatment system
Apart from the knock-out operation, the capacity of the Peak (Pediatric Intensive Care Unit) has been increased from 10 to 15 beds in the four districts of Gorakhpur Division - Gorakhpur, Deoria, Maharajganj, Kushinagar, to repair the treatment. Apart from this, a mini-peak of three-three beds has been made in eight CHC-PHC Chauri Chaura, Gagaha, Piproli, Rudrapur, Kaptanganj, Hata, Niwalol, Ratanpur in these districts. Apart from this, according to the arrangements already done, there are two-two-bed ETC (Encephalitis Treatment Center) established in Block Level Hospitals 104.
The number of beds has also increased in the BRD Medical College. Dr. Ganesh Kumar, the Principal of BRD, says in the voice that many medical colleges have a 500-bed hospital. There are 428 beds in our pediatric ward, 71 are ventilator.
After the oxygen scandal, a new ward was prepared on the second floor of the 100-bed encephalitis ward. Apart from this, one ward of the eye department has been converted to the ward of the children, which is the treatment of hemophilia and malnourished children. Epidemic Ward 12 has now been converted into General Ward and the ground floor of 100-bed encephalitis ward has been converted into an emergency. Dr. Ganesh Kumar also says that the burden of patients on BRD has been much lower than before.
Yet the lack of doctors remains a big problem. Over 30% of regular practitioners in Gorakhpur and adjoining districts are vacant with the most affected by encephalitis. Especially the severe shortage of pediatricians.
In one of the eight hospitals, mini-picas have been made, there has been deployment of one pediatric one, but it is difficult to operate mini peak for 24 hours with the help of a chicken. Deficiency of Pediatric Diseases In the CHC-PHC, encephalitis is weakening the treatment system.
The National Human Rights Commission dissatisfied with the report given by the UP Health Department in the ongoing hearings on this issue has sought clarification on the issue of doctors and drinking water issues. Still, the number of patients admitted in CHC-PHC is very small.
The absence of the case of Japanese encephalitis
In the knock-out campaign, children are also encouraged to vaccinate Japanese Encephalitis (JE) vaccine. However, since 2013, the vaccine of Japanese encephalitis has been included in regular vaccination, but for the vaccine vaccinated children are often campaigned for which claims of 100% success have been made.
Regarding regular vaccines and special inoculation campaigns, the cases of JE are not decreasing. In the first six months of this year, Jeera has received 20 patients in 100 encephalitis patients and it has broken seven years old record.
In the first year 2011, 26 cases of JE came out in six months from January to June. After this, there is no one in 2012, one in 2013 and 2014, 11 in 2015, 4 in 2017, 7 in 2017 and 4 in 2018, but this year JE's total encephalitis will be 20% in cases Worry Should be the subject but it is being ignored.
In the year 2018, till January to September, there were 110 cases of JE in BRD Medical College in nine months. Increasing the case of JE means that there is a shortage of immunization campaign.
Encephalitis in the urban area
Increasing number of encephalitis patients in Gorakhpur city has raised a new concern. It was believed that this disease is more in villages but in year 2018, 25 cases of encephalitis in the urban area of Gorakhpur.
In urban areas, Humayumpur, Bakshipur, Southern Betiyaahata, Geeta Vatika, Dairy Colony, Gorakhnath, Chilampur, State Communication House, Lachipur, North Jatpur, Old Gorakhpur, TP Nagar, Amuratiya, Nizampur, Tiwarpur, Jamianagar, Shivpura Sahabarganj, Mirzapur Pachaparva, RPF Colony , Cases of encephalitis have been reported in Rajendra Nagar Western, Bhairoganj.
These are areas where drinking water is being supplied from the pipeline. It has also been seen that the situation of dirt and irrigation in the encephalitis affected urban area is very bad.
Malnutrition, drinking water
Now the number of toilets has increased in the villages compared to earlier, but the problem of waterlogging, mosquito outbreaks and pure drinking water is still intact.
The condition of water supply from the pipeline in the encephalitis affected areas is still pathetic. The main source of drinking water in the encephalitis affected villages is the native hand pump.
India marka handpumps are less in number and are poor in number. People in many villages are forced to buy water jars to drink.
Encephalitis is directly related to malnutrition. Children with malnourished are first infected with AES and JE infection. According to NHFS-4 figures, in UP, 46% of children below the age of five are underweight and 39.5% are underweight.
Malaria is very high in children in Maharajganj, Kushinagar, Deoria, Gorakhpur, Santakbirnagar, Bahraich, Shravasti etc. and these districts are also most affected by encephalitis. Measures for malnutrition in these districts have proven inadequate yet.
Figures of JE AES of BRD Medical College show that this disease has been showing its radar form every three to four years. From 2000 to 2004, 8-10 districts, including Gorakhpur, had very short cases, but suddenly in 2005, the number of deaths from this disease crossed 1500.
After this, cases were reduced for three years but then the number of patients increased in 2009, 2010 and 2011. Since then, the deficiency started coming down again. It has also been observed that the number of its patients has been decreasing and decreasing even with less rainfall.
Therefore, it may prove to be the only mistake to believe in the success of the decline in the figures in two years, like that in Muzaffarpur in Bihar, in the shining fever.
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