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Expert?s poser: chikungunya or CCHF in Ahmedabad ??

Snowy Owl

Retired in 2010, In Memoriam
<TABLE class=tborder id=post31727 cellSpacing=1 cellPadding=6 width="100%" align=center border=0><TBODY><TR vAlign=top><TD colSpan=3>[FONT=Arial, Helvetica, sans-serif]Expert?s poser: chikungunya or CCHF?[/FONT]</TD></TR>
http://cities.expressindia.com/fulls...?newsid=201657

<TR vAlign=top><TD colSpan=3 height=10></TD></TR><TR vAlign=top><TD colSpan=3>Vivek Vijayapalan</TD></TR><TR vAlign=top><TD colSpan=3 height=10></TD></TR><TR vAlign=top><TD colSpan=3>
[FONT=Arial, Helvetica, sans-serif]Ahmedabad, September 17:[/FONT]

[FONT=Arial, Helvetica, sans-serif]After chikungunya, a new scare. What many thought was the disease spread by the aedis aegypti mosquito may actually have been undetected cases of Congo-Crimean Haemorrhagic Fever (CCHF). [/FONT]

[FONT=Arial, Helvetica, sans-serif]The symptoms are similar to chikungunya, thus there are more chances that the fever would not have been diagnosed correctly, says Dr Jeram Parmar, a consultant for Centre of Management of Health Services at the Indian Institute of Management. [/FONT]
[FONT=Arial, Helvetica, sans-serif]Cases of CCHF are found in eastern and southern Europe, Central Asia, Middle East and the Indian sub-continent. [/FONT]

[FONT=Arial, Helvetica, sans-serif]The virus jumps from animal to humans through infected blood, ticks or fleas. [/FONT]

<TR vAlign=top><TD colSpan=3>[FONT=Arial, Helvetica, sans-serif]Parmar claims that deaths, thought to be caused by chikungunya, may have been due to CCHF. [/FONT]

[FONT=Arial, Helvetica, sans-serif]According to Parmar, ?Case fatality is more common in CCHF. Chikungunya is a self-limiting disease, which means people don?t die due to it and recover in a few days. Hence, there might have been several CCHF cases gone undetected.? [/FONT]

[FONT=Arial, Helvetica, sans-serif]Parmar also says that sudden outbreak of the disease has been mainly reported in areas like Khanpur, Mirzapur, Jamalpur and Gomtipur. [/FONT]

[FONT=Arial, Helvetica, sans-serif]He says, ?Cases of chikungunya have been mainly reported from areas where slaughter houses exist and where people come in constant contact with animals. [/FONT]

[FONT=Arial, Helvetica, sans-serif]CCHF is contracted through ticks and so it becomes necessary to find out whether people living in these areas are suffering from chikungunya or CCHF.? [/FONT]

[FONT=Arial, Helvetica, sans-serif]Jeram Parmar who has worked with the Government of Fujairah (UAE) as a senior public health specialist in 1998, says, ?My observations are based on the experiences that I had in Fujairah where I detected cases of CCHF at animal skin export houses where workers contracted the disease.? [/FONT]

[FONT=Arial, Helvetica, sans-serif]Parmar has also worked for the Vadodara Municipal Corporation as a malaria officer in 1981. [/FONT]

[FONT=Arial, Helvetica, sans-serif]He says, ?Although the diagnosis made by the AMC in most cases cannot be ruled out, I feel that there is too much concentration on mosquito-borne diseases whereas it is necessary to concentrate on the tick-borne disease too.? [/FONT]

[FONT=Arial, Helvetica, sans-serif]?Civic bodies should create awareness about the disease and repellents like DEET (Diethyl Toluamide Derivatives). People working in abattoirs should be asked to wear protective clothing.?[/FONT]</TD></TR></TBODY></TABLE>
 
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