DENGUE FEVER
BURDEN HIGH IN THIRUVANANTHAPURAM
.As on
July 15, over 51 per cent of the total dengue case burden across the State can
be attributed to the district, which recorded 2,609 of the confirmed total of
5,063.Dengue incidence, which began to show an increase in April has continued
to maintain the increasing trend, with over 1,000 confirmed cases being
reported in the month of June alone.Dengue control activities too seem to have
lost momentum in the district, with small clusters of cases being reported from
many areas, indicating that rampant transmission and high vector density.
Health officials say vector-control activities such as source reduction is
still being carried out but the areas identified as hot spots, such as
Pallichal, Balaramapuram, and Vilappil, continue to generate dengue cases.“Vector
density studies show that the vector index has come down but our problem has
always been that the control activities are never sustained. As soon as dengue
cases go down or the political pressure over a mounting case burden is eased,
the pace of control activities also tends to go lax,” health officials say.
Fogging
is not effective during the rainy season but even otherwise, the authorities
could not get fogging done because of stiff public resistance over fears that
the chemicals released into the air could result in massive pollution.A couple
of local chikungunya outbreaks in parts of the city such as Vivekananda Nagar
in Kesavadasapuram and Kowdiar went unnoticed in the flood of dengue. About
30-odd cases have been reported so far this year.Public health experts say a
major chikungunya outbreak cannot be ruled out at some point because the
incriminating vector in this case, Aedes Aegypti, is the same vector which
transmits dengue. The district still has a sizeable population vulnerable to
chikungunya attack. Unlike Pathanamthitta or Alappuzha which have had major
outbreaks in the past, affecting the entire population, Thiruvananthapuram has
escaped so far even though chikungunya made its first Southern appearance at
Vizhinjam in 2006.The Rajiv Gandhi Centre for Biotechnology, which studied
nearly 600 blood samples from areas in the southern and northern parts of the
district bordering Tamil Nadu, has reported that all four dengue serotypes are
in circulation in the community and that nearly 45 per cent of the blood
samples collected from fever patients had tested positive for dengue. (Serotype
is a serologically distinguishable strain of a microorganism).
Prof. John Kurakar
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Prof John Kurakar