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Approximately 75 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

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  • #61
    Re: Approximately 68 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

    There is some idea of massive bacterial (strep/staph?) infections going on here as well. The rapid deaths might also indicate possible toxic exposures as well.



    Death marches in Khadra as experts quibble over cause Fri, Oct 29 05:42 AM
    Death has been on the rampage in Khadra, an otherwise quiet area on the Sitapur Road — hitting over 30 households in the last two weeks.

    Most have died of a viral fever, four deaths were reported in the last two days. In Lucknow, health authorities are busy denying that the virus concerned is dengue, even though reports by two teams of doctors — from the Centre and the state — say the dengue or a dengue-like fever is there in the area. Two medical camps have been running at two centers in Khadra for the last 10 days.

    According to the Chief Medical Officer, Dr AK Shukla, only 19 deaths have occurred in the area — though locals claim the figure is 32.

    Shukla also claims dengue is non-existent in the area, even though at least three people from Khadra tested positive for dengue according to the state health directorate's own data. "Not all the people who died had fever," he said. "Deaths are occurring due to infections caused by unhygienic conditions and cleanliness of the area is not the responsibility of the health department."

    A medical team from the Centre, however, said cases of dengue have been detected in the area. "Most of the samples taken from Khadra tested positive for dengue," said Dr AC Dhariwal, Director, National Vect or Borne Disease Control Programme, Department of Health and Family Welfare, New Delhi.

    A team from CSMMU, which had been investigating the cause of deaths in Khadra, has come to a similar conclusion.

    "Our team concluded that a majority of the 13 deaths we had been asked to review were because of dengue or a dengue-like virus," said Dr Kausar Usman, a member of the team. "There is a definite need to collect samples to know the exact organism causing the disease."

    The CMO's claims of infections, however, are borne out by the unhygienic environs in Khadra.

    Primarily an unauthorised slum, overflowing drains run past every doorstep here. The Lucknow Municipal Corporation (LMC) woke to the need of cleaning the choked drains after about 20 deaths. But the locals say the cleanliness drive is just an eyewash and usually, the LMC's sanitation workers are a rare sight.

    "After deaths began, they came to clean the drains," said Satish Nishad, brother of Sanjeet Nishad who died suffering from fever and vomiting on October 16.

    "Four days ago, a sanitation worker came and cleaned the area. I have not seen him again. We try to keep the area clean ourselves," said Padmavati Mishra, wife of Prakash Chandra Mishra, who died on Thursday morning at the CSMMU's Trauma Center with the same symptoms — fever and vomiting.

    Medical reports from the hospital said he was suffering from septicemia
    .

    "The cleaning of the drains was more of a pain. The sanitary workers left the muck on the roadside, causing a more unhygienic situation," said Bali Ram, who lost his three-and-a-half-year old granddaughter, Anushka, to the fever. "She was fine a day before. After the slime was removed from the drains, she became ill and died within a day, on October 24," said Ram.

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    • #62
      Re: Approximately 68 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

      Originally posted by alert View Post
      While one Chandra Prakash, orderly of Vidhan Sabha Speaker, died at CSM Medical University where he was admitted in a serious condition, another death took place in Gwari village where a chat vendor Babua died of fever. The district health authorities said that Prakash died of pneumonia and septicimia and Babua died following haemoptysis (vomiting blood).
      Actually, this article contains an interesting error. Haemoptysis is coughing up blood. Haematemesis is the term for vomitting blood. It is not clear (and may be important) which is the actual symptom here.

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      • #63
        Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

        This comment concerns me:

        Our team concluded that a majority of the 13 deaths we had been asked to review were because of dengue or a dengue-like virus," said Dr Kausar Usman, a member of the team. "There is a definite need to collect samples to know the exact organism causing the disease"


        It implies that the medical teams in the area are still diagnosing on symptomology or disease presentation rather than a definitive diagnostic test or isolation of the infectious agent. The sooner this is definitively determined the better.

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        • #64
          Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

          Even as suspected dengue fever claimed one more life in the city on Friday, thereby taking the toll to over 70 in last three months, the health author



          LUCKNOW: Even as suspected dengue fever claimed one more life in the city on Friday, thereby taking the toll to over 70 in last three months, the health authorities swung into action and conducted anti-larva spraying in Khadra locality from where maximum number of deaths have been reported so far. The Jal Sansthan is also doing `super-chlorination' of drinking water supply to Khadra to prevent water-borne diseases.

          One Siddhant (35), suffering fever and internal bleeding, died in Balrampur hospital where he was admitted in serious condition. Meanwhile, the health camp in Khadra referred eight serious patients to the hospitals. The dengue, said doctors, was on decline due to fall in temperature as the virus subdues in winters. The teams of doctors also visited Gwari village and Chinhat from where there were reports of dengue and fever.

          According to Jal Sansthan, the tests of water sample conducted in Khadra locality have been found to be fit for drinking after chlorination exercise. The same exercise was carried out in Gwari village. An executive engineer of the Jal Sansthan said that some vested interests are trying to shift the pubic focus from the real problem in Khadra by alleging that water supplied in the locality is contaminated.




          Read more: Anti-larva spraying done in Khadra - The Times of India http://timesofindia.indiatimes.com/c...#ixzz13nDyCQKZ

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          • #65
            Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue



            SP team visits Khadra
            October 31, 2010 2:52:30 AM

            Pioneer News Service | Lucknow

            A team of Samajwadi Party leaders on Saturday visited Khadra, the Uttar Pradesh capital?s locality worst-hit by the dengue epidemic and demanded `5 lakh compensation to the families of the residents who died of dengue fever.

            The SP team, led by Leader of Opposition in Assembly Shivpal Singh Yadav, met families where dengue deaths were reported in the past two months and said the State administration was neglecting the common people as streets were full of filth and no fogging had been done in the affected areas.

            Seeing SP leaders in the area, locals gathered in large number and told them that instead of providing medical treatment to patients the local administration was more concerned about displaying low number of dengue deaths in the area.

            The SP team ? including State party chief Akhilesh Yadav, State general secretary Omprakash Singh and UP spokesman Rajendra Chaudhary ? told reporters that several people complained to them that patients were still being denied admission to Government hospitals.

            Demanding dismissal of Urban Development Minister and Health Minister, the SP leaders said that both of them had failed in discharging their duties, which led to the large number of deaths due to the epidemic engulfing large areas of UP.

            The epidemic has been caused by the utter laxity of the State Government in providing basic facilities like sanitation and hygiene, pure drinking water and timely medical attention.

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            • #66
              Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue



              Dengue fever cases are declining in Lucknow with the drop in temperatures. Comparatively less number of fever cases were reported in the hospitals on Saturday.No death was reported. In Khadra where maximum number of people have died so far reported only one dengue case. Dengue has claimed over 70 lives in the city in last three months

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              • #67
                Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                Detailed weather history for Lucknow here;
                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                • #68
                  Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                  The reporting here is very vague - is the one case of low platlets the one dengue case from the first paragraph? Has dengue virus been actually confirmed in that case, or is the low platlet count presumed confirmation of dengue? Are the two cases even related? Are all 57 people whose blood was taken ill with fever?

                  Dengue fever is on decline in the city with the drop in temperatures. Comparatively less number of fever cases were reported in the hospitals on Satur



                  LUCKNOW: Dengue fever is on decline in the city with the drop in temperatures. Comparatively less number of fever cases were reported in the hospitals on Saturday. Even Khadra, where maximum number of people have died in the city so far, reported only one case of dengue. However, there were number of complaints about slow pace of cleanliness drive and anti-larva spraying in the city. Cases have also come to the fore where people are cooperating with the authorities.

                  Fever cases have reduced in the outpatient door facilities of the three major government hospitals in the city. The demand of platelets at the blood bank also came down. Health authorities conducted platelet count test of 57 people in the Khadra locality where over 20 people have died in last three months. Of 57, only in one case, Wahid (18), platelet counts were found to be less than 10,000. The patient was admitted to the Balrampur hospital. However, his family members refused to donate blood in exchange of platelets, creating a difficult situation for the doctors.



                  Read more: With drop in temperatures, dengue on decline - The Times of India http://timesofindia.indiatimes.com/c...#ixzz13ulItsUe

                  ----------

                  Even as civic, administration and health authorities finally turn focus on Khadra where a maximum number of deaths have been reported due to disease o



                  LUCKNOW: Seven years old Muskan along with other girls of her age assembled at Shaheed Smarak on October 14 to celebrate Navratri in a special way organised by All India Democratic Women Association. "Hum betiyan aayee hain, nai khusiyaan layen hain", the girls chanted with placards in their hands, communicating that the real worship of Goddess Durga would be to give the girls their due in the society by stopping female feoticide and by providing good education and upbringing as given to the boys in the family.

                  Muskan's smile caught attention of all and sundry. Nobody had the even the slightest of inclination that within ten days, the little bubbly girl will fall victim to dengue, the virus which has claimed over 70 lives in the city so far.

                  A resident of Nandakhera near Bulaki Adda, Muskan is not the only one from whom dengue snuffed out the life in last 15 days. Anjum (18) was to be married on October 30. Excited as any girl would be in such a situation, she was looking forward to a happy married life. But she died on October 15 from high fever which struck all of a sudden. She was admitted to a private hospital following vomiting and high fever but could not be saved. While the entire district administration, civic authorities and the health department is focusing on Khadra where maximum number of dengue deaths have taken place in last 15 days, there are over three dozen places like Khadra in the city where people are living in hellish conditions. Nandakhera is one of them.

                  Just walk into Nandakhera and you will find choked drains, piles of garbage, filth, faeces and unhygienic conditions all around. Pratima, a local, said that there is at least one fever patient in every house in the locality. Besides Muskan and Anjum, a homeguard Chandrika also succumbed to dengue after sudden fever and vomiting, she said. People claimed that they have lodged a number of complaints with the Lucknow Municipal Corporation and office of the chief medical officer but nobody paid attention to their plea. "You are coming here when deaths have taken places but we live with garbage, foul smell, stray animals and diseases all the year round," said Meher, another local. The situation in neighbouring Bhadeva locality was no different than Nandakhera.

                  Ismailganj locality in Indiranagar is also battling with the perpetual problem of poverty, garbage, filth, choked drains and unhygienic living conditions. Here also, every house has at least one patient. Kalawati was tested positive for dengue and got treatment in Ram Manohar Lohia Hospital. Chhaya's son is suffering from fever for last 15 days. People showed how back flow from drains fills their houses with water full of filth and insects. It not only contaminates the environment and drinking water, the foul smell is unbearable. The LMC and health officials are on the dock for not discharging their duties properly but people are also to be blamed as they have converted empty plots in the area into garbage dumping grounds without bothering that it would be fatal for them.

                  The situation was similar in number of colonies and localities on Sitapur Road, Hardoi Road, Sultanpur Road, Telibagh, Khurramnagar, Aliganj and Old City areas. The common complaint everywhere was that there has been no anti-larva spraying or fogging or cleaning in their localities of years. They said that authorities react only after disease outbreak and that too when media highlights the problem, otherwise all requests fall on the deaf ears of the authorities. People also complained about apathy of corporators whom they have elected. Ideally, the corporators should be raising issues of the people with the LMC and ensure cleanliness, hygienic conditions and supply of pure drinking water in their respective areas. But people are left to fend for themselves.

                  Read more: More Khadras here - The Times of India http://timesofindia.indiatimes.com/c...#ixzz13umCXEDf

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                  • #69
                    Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                    Hindi to English translation
                    Two of fever death Oct 31, 08:31 pm
                    Ahsnganj Dallyganj Sarony the many ill

                    Lucknow, October 31 (Sansu) Akdra only improve the odds were still in the ward on Saturday Rasul step dengue in a woman and a child were killed Dallyganj. Senatar both in trauma treatment was going on. Dallyganj While many people are suffering from fever. No government is no get your treatment in private hospitals. Local residents alleged that despite Akdra disease outbreaks so clear here - no attention is being paid to cleanliness. Increased and the consequent outbreak of mosquito diseases are spreading.

                    Step Rasool ward living Maya Devi (33) Saturday in the Trauma Senatar died during treatment. Meanwhile, the Sarony Ahsnganj Dallyganj neighborhood Saturday mo. Afzal's 10-year-old daughter Ycha Senatar died in the trauma due to dengue. Also many people are sick in the neighborhood. They find anything and where residents 494/25, 494/10 resident Aktiza (22), Faisal (12), Reshma (32), Sanjay Gupta (30), Mo. Ssema (26), Ujeiafa (9) is seriously ill. Some of these patients, some of the public is being treated in private hospitals. Sivaakant Mishra, M.. Hashim, Mohd. Wasim alleged that the drains in the neighborhood are Bjbza. Never have fogging. Due to this outbreak of mosquitoes and diseases are spreading.
                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                    • #70
                      Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                      First case of chikungunya confirmed in state
                      Posted: Mon Nov 01 2010, 07:06 hrs
                      Lucknow:

                      The first case of chikungunya, a vector-borne disease caused by the same mosquitoes which carry dengue virus, in the state has been reported from Lucknow. A patient from Shyama Prasad Mukherjee Civil Hospital, Apoorva, has tested positive for chikungunya. This is the first case of the disease in the state in last two years. The report came from the samples collected by the central team of doctors who had come to review the dengue situation in the state last week. The samples were sent to National Center for Disease Control, New Delhi for testing and the reports were sent to the state government on Friday. ?Though this is the first case in the state, we will be taking more samples from the area where this case has been detected, and if the virus is found to be spreading in the state, immediate steps will be taken to control the disease,? said Dr SP Ram, Director General, Health and Family Welfare.

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

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                      • #71
                        Re: Approximately 70 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                        Suspected dengue claimed one more life in the city on Sunday, taking the toll to over 75 in the last three months.



                        LUCKNOW: Suspected dengue claimed one more life in the city on Sunday, taking the toll to over 75 in the last three months.

                        A 10-year-old girl, Yaksha, died during treatment at the CSM Medical University's trauma centre
                        .

                        A resident of Daliganj, the girl was referred from a private hospital to the trauma centre.

                        Meanwhile, the arrival of suspected dengue patients in the hospitals has declined, but the threat of the virus is still prevailing.

                        Over a dozen patients were admitted to the trauma centre. Some of the patients were - Alam, Urwa, Raees, Sanjay, Reshma and Khatija.

                        People from Ismailganj, Gomtinagar and Khadara were also hospitalised in various hospitals. They complained about slow progress of cleaning in some localities.



                        Read more: Suspected dengue patient dies - The Times of India http://timesofindia.indiatimes.com/c...#ixzz1449jgpIP

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                        • #72
                          Re: Approximately 75 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                          From today's ProMED dengue/DHF report (based on older numbers):



                          India (Lucknow), 28 Oct 2010: according to health department
                          officials in Lucknow, 4 more persons, including a 3-year-old girl,
                          died of suspected dengue taking the death toll to 61 in the state.

                          Comment


                          • #73
                            Re: Approximately 75 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                            The tough stand taken by the Lucknow bench of the Allahabad high court on prevention and treatment of dengue has exposed how successive governments in



                            LUCKNOW: The tough stand taken by the Lucknow bench of the Allahabad high court on prevention and treatment of dengue has exposed how successive governments in the state have neglected public health. A glaring example of government apathy is the malaria prevention division of the health department.

                            The division's job is to check mosquito-borne diseases. The Lucknow unit of this division is still working on the assessment done in 1970, whereas city's population and area has increased five times in the last 30 years, which explains why dengue and viral fever acquired epidemic proportions in the city this year, killing over 75 people and leaving thousands ill in the past three months.

                            The high court on October 27, while taking cognizance of the large number of dengue deaths, had directed the state health department to provide figures of dengue and viral fever patients admitted in the city hospitals in monsoon and post-monsoon season. The HC order directed Lucknow's chief medical officer (CMO) Dr AK Shukla to ensure anti-larva spraying with immediate effect in the city and submit the action taken report on October 2. The court also directed the CMO to submit information on the present status of infrastructure and what was further required. Significantly, a day before the HC hearing, a reality check done by the TOI revealed that the district malaria division itself was gasping for breath.

                            The division is working with the staff strength and budget sanctioned in 1970 when Lucknow's population was around 12 lakh. It has crossed 40 lakh in 2010. Similarly, the urban area, which in 1970 was 72.50 sq km, is now over 480.50 sq km.


                            Read more: Armed with 70's data, health dept takes on malaria - The Times of India http://timesofindia.indiatimes.com/c...#ixzz144lNPbkU

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                            • #74
                              Re: Approximately 75 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue

                              Dengue claims five more lives in Uttar Pradesh
                              Abhay Kumar , 10-Nov-2010 01:37:42 PM

                              Lucknow: Claiming five more lives, suspected dengue deaths were reported from Khadra locality of the city taking the toll to 25, health department sources informed.

                              Phagulal Maurya (60), Sunderlal (45), Munna (21), Maikulal (70) and Rampal (50) died yesterday after they complained of high fever and dengue like symptoms, they said.

                              The Khadra locality is in news for the past one month after a number of deaths were reported from the area.

                              At least two dozen people of the locality have died due to dengue, high fever and other diseases.

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

                              Comment


                              • #75
                                Re: Approximately 75 deaths due to mystery fever in Lucknow district, Uttar Pradesh - possibly dengue



                                10 more deaths trigger panic in KhadraLarger | Smaller Express News Service
                                Tags : death, Lucknow Municipal Corporation
                                Posted: Thu Nov 11 2010, 04:47 hrs

                                Sudden death of around 10 more people in the last three days has again caused panic in the Khadra area of the city. Khadra was in the news last month after more than 30 people having complaints of vomiting and fever died within 15 days.



                                The deaths had forced the Lucknow Municipal Corporation to start cleanliness drive in the area as the Health department started medical camps.



                                However, after the deaths stopped by October-end, the cleanliness drive also ended bringing the sanitation situation in Khadra, primarily a slum area, back to square one. The residents of the area are concerned again as in the last few days some 10 more people having complaints of vomiting and fever have died, including four who died on Wednesday.



                                “As the deaths stopped, so did the sanitation work,” said Suresh Kumar, a resident of the area, whose landlord died on October 27 after suffering from fever and vomiting. One medical camp again started yesterday, he said.

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