Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | Chikungunya, dengue on twin peaks -Abantika Ghosh    </title>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..."/>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..." />
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                            <div align="justify">-The Indian Express<br /><br /><em>At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.<br /></em><br />This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases of both diseases have sent alarm bells ringing and the &ldquo;season&rdquo; has only just begun.<br /><br />Chikungunya, which has never really been a big worry in the north, has struck Delhi strongly this year but doctors say the good news is that the current year&rsquo;s variant is actually curing much faster than in other years, when it would sometimes take months for the body ache to go away. Casualties this year have mostly been due to co-morbidities rather than the viral fever itself, doctors say.<br /><br />Until August 31, 2016, 12,255 cases of chikungunya have been reported in the country &ndash; a little less than half of what was reported in all of 2015. There have been 27,879 cases of dengue and 60 deaths because of dengue haemorrhagic fever. The year 2015 had seen 99,913 dengue cases with 220 deaths.<br /><br />Given the yearly furore that dengue creates in Delhi, doctors say it is a wonder how chikungunya, which has the same vectors, has remained largely a disease of the south &mdash; Karnataka accounts for over a third of all cases since 2010, and over two-third this year. Both diseases are spread by the Aedes aegypti mosquito, which is also associated with yellow fever and zika. Identified by white stripes on its legs, it is a day hunter as opposed to the malaria vector, Anopheles mosquito, which mostly bites at night.<br /><br />Doctors do not rule out the possibility of the disease having arrived in Delhi with people from outside the city. &ldquo;The chikungunya cases have taken us by surprise because it was mostly a disease of the south,&rdquo; says Dr S Chatterjee, medicine consultant at Indraprastha Apollo Hospital, while stressing there is no reason to panic. &ldquo;In fact, this year we are seeing patients stabilise much faster. The body ache that was known to persist for months comes to a tolerable level within 3-4 days. Also, it is actually a safer disease to have than dengue, unless there are co-morbidities.&rdquo;<br /><br />While the figures in themselves are worrisome enough, there are apprehensions that these may just be the tip of the iceberg. Although both diseases are notifiable, hospitals especially in case of dengue and chikungunya often do not perform the necessary confirmatory tests for these before starting treatment &mdash; confirmation of the nature of the virus is not essential for treatment. While this has no bearing on treatment outcomes, the overall national figures end up projecting the problem as a much smaller one than it really is. There are few studies on the extent of transmission of the diseases and none that deal with it at the national level.<br /><br />Some years ago, some researchers in Chennai did conduct a seroprevalence survey among 1,010 individuals aged five to 40 and living in 50 randomly selected spatial locations. They found a high number of the respondents seropositive to dengue. This is why they reported in PLOS Journal of July 2013: &ldquo;While only 1% of participants reported history of dengue and 20% of chikungunya, we found that 93% (95%CI 89-95%) of participants were seropositive to dengue virus, and 44% (95%CI 37-50%) to chikungunya. Age-specific seroprevalence was consistent with long-term, endemic circulation of dengue and suggestive of epidemic chikungunya transmission. Seropositivity to dengue and chikungunya were significantly correlated, even after adjusting for individual and household factors. We estimate that 23% of the susceptible population gets infected by dengue each year, corresponding to approximately 228,000 infections.&rdquo;<br /><br />It is interesting, though, that in a malaria-endemic country where the figures for that disease are far higher than those of dengue, chikungunya and a couple of other mosquito-borne diseases put together, it is these two diseases that get the most attention every year during the monsoon. This year has seen 4.71 lakh malaria cases so far, with 119 deaths.<br /><br />On the other hand, with reference to chikungunya, doctors in Delhi do not rule out the possibility that more cases are being reported because of availability of better diagnostic tests based on polymerase chain reaction to identify the nature of the organism.<br /><br />Though both dengue and chikungunya are notifiable, there was confusion initially about whether a case should be reported to local agencies merely on diagnosis or only when the patient is serious enough to be admitted in the hospital. That confusion was cleared recently when the Ministry of Health said any patient who tests positive for any of these diseases should be reported to the local agency regardless of hospitalisation status<br /><br />Please <a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" title="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" class="re" target="_blank">The Indian Express, 5 September, 2016, http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/</a><div class="clear"></div>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..."/>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..." />
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    <h1 class="cat-box-title">Chikungunya, dengue on twin peaks -Abantika Ghosh</h1>
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                            <div align="justify">-The Indian Express<br /><br /><em>At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.<br /></em><br />This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases of both diseases have sent alarm bells ringing and the &ldquo;season&rdquo; has only just begun.<br /><br />Chikungunya, which has never really been a big worry in the north, has struck Delhi strongly this year but doctors say the good news is that the current year&rsquo;s variant is actually curing much faster than in other years, when it would sometimes take months for the body ache to go away. Casualties this year have mostly been due to co-morbidities rather than the viral fever itself, doctors say.<br /><br />Until August 31, 2016, 12,255 cases of chikungunya have been reported in the country &ndash; a little less than half of what was reported in all of 2015. There have been 27,879 cases of dengue and 60 deaths because of dengue haemorrhagic fever. The year 2015 had seen 99,913 dengue cases with 220 deaths.<br /><br />Given the yearly furore that dengue creates in Delhi, doctors say it is a wonder how chikungunya, which has the same vectors, has remained largely a disease of the south &mdash; Karnataka accounts for over a third of all cases since 2010, and over two-third this year. Both diseases are spread by the Aedes aegypti mosquito, which is also associated with yellow fever and zika. Identified by white stripes on its legs, it is a day hunter as opposed to the malaria vector, Anopheles mosquito, which mostly bites at night.<br /><br />Doctors do not rule out the possibility of the disease having arrived in Delhi with people from outside the city. &ldquo;The chikungunya cases have taken us by surprise because it was mostly a disease of the south,&rdquo; says Dr S Chatterjee, medicine consultant at Indraprastha Apollo Hospital, while stressing there is no reason to panic. &ldquo;In fact, this year we are seeing patients stabilise much faster. The body ache that was known to persist for months comes to a tolerable level within 3-4 days. Also, it is actually a safer disease to have than dengue, unless there are co-morbidities.&rdquo;<br /><br />While the figures in themselves are worrisome enough, there are apprehensions that these may just be the tip of the iceberg. Although both diseases are notifiable, hospitals especially in case of dengue and chikungunya often do not perform the necessary confirmatory tests for these before starting treatment &mdash; confirmation of the nature of the virus is not essential for treatment. While this has no bearing on treatment outcomes, the overall national figures end up projecting the problem as a much smaller one than it really is. There are few studies on the extent of transmission of the diseases and none that deal with it at the national level.<br /><br />Some years ago, some researchers in Chennai did conduct a seroprevalence survey among 1,010 individuals aged five to 40 and living in 50 randomly selected spatial locations. They found a high number of the respondents seropositive to dengue. This is why they reported in PLOS Journal of July 2013: &ldquo;While only 1% of participants reported history of dengue and 20% of chikungunya, we found that 93% (95%CI 89-95%) of participants were seropositive to dengue virus, and 44% (95%CI 37-50%) to chikungunya. Age-specific seroprevalence was consistent with long-term, endemic circulation of dengue and suggestive of epidemic chikungunya transmission. Seropositivity to dengue and chikungunya were significantly correlated, even after adjusting for individual and household factors. We estimate that 23% of the susceptible population gets infected by dengue each year, corresponding to approximately 228,000 infections.&rdquo;<br /><br />It is interesting, though, that in a malaria-endemic country where the figures for that disease are far higher than those of dengue, chikungunya and a couple of other mosquito-borne diseases put together, it is these two diseases that get the most attention every year during the monsoon. This year has seen 4.71 lakh malaria cases so far, with 119 deaths.<br /><br />On the other hand, with reference to chikungunya, doctors in Delhi do not rule out the possibility that more cases are being reported because of availability of better diagnostic tests based on polymerase chain reaction to identify the nature of the organism.<br /><br />Though both dengue and chikungunya are notifiable, there was confusion initially about whether a case should be reported to local agencies merely on diagnosis or only when the patient is serious enough to be admitted in the hospital. That confusion was cleared recently when the Ministry of Health said any patient who tests positive for any of these diseases should be reported to the local agency regardless of hospitalisation status<br /><br />Please <a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" title="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" class="re" target="_blank">The Indian Express, 5 September, 2016, http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/</a><div class="clear"></div>
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        LATEST NEWS UPDATES | Chikungunya, dengue on twin peaks -Abantika Ghosh    </title>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..."/>
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-The Indian Express

At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.

This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases..." />
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                            <div align="justify">-The Indian Express<br /><br /><em>At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south.<br /></em><br />This year&rsquo;s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases of both diseases have sent alarm bells ringing and the &ldquo;season&rdquo; has only just begun.<br /><br />Chikungunya, which has never really been a big worry in the north, has struck Delhi strongly this year but doctors say the good news is that the current year&rsquo;s variant is actually curing much faster than in other years, when it would sometimes take months for the body ache to go away. Casualties this year have mostly been due to co-morbidities rather than the viral fever itself, doctors say.<br /><br />Until August 31, 2016, 12,255 cases of chikungunya have been reported in the country &ndash; a little less than half of what was reported in all of 2015. There have been 27,879 cases of dengue and 60 deaths because of dengue haemorrhagic fever. The year 2015 had seen 99,913 dengue cases with 220 deaths.<br /><br />Given the yearly furore that dengue creates in Delhi, doctors say it is a wonder how chikungunya, which has the same vectors, has remained largely a disease of the south &mdash; Karnataka accounts for over a third of all cases since 2010, and over two-third this year. Both diseases are spread by the Aedes aegypti mosquito, which is also associated with yellow fever and zika. Identified by white stripes on its legs, it is a day hunter as opposed to the malaria vector, Anopheles mosquito, which mostly bites at night.<br /><br />Doctors do not rule out the possibility of the disease having arrived in Delhi with people from outside the city. &ldquo;The chikungunya cases have taken us by surprise because it was mostly a disease of the south,&rdquo; says Dr S Chatterjee, medicine consultant at Indraprastha Apollo Hospital, while stressing there is no reason to panic. &ldquo;In fact, this year we are seeing patients stabilise much faster. The body ache that was known to persist for months comes to a tolerable level within 3-4 days. Also, it is actually a safer disease to have than dengue, unless there are co-morbidities.&rdquo;<br /><br />While the figures in themselves are worrisome enough, there are apprehensions that these may just be the tip of the iceberg. Although both diseases are notifiable, hospitals especially in case of dengue and chikungunya often do not perform the necessary confirmatory tests for these before starting treatment &mdash; confirmation of the nature of the virus is not essential for treatment. While this has no bearing on treatment outcomes, the overall national figures end up projecting the problem as a much smaller one than it really is. There are few studies on the extent of transmission of the diseases and none that deal with it at the national level.<br /><br />Some years ago, some researchers in Chennai did conduct a seroprevalence survey among 1,010 individuals aged five to 40 and living in 50 randomly selected spatial locations. They found a high number of the respondents seropositive to dengue. This is why they reported in PLOS Journal of July 2013: &ldquo;While only 1% of participants reported history of dengue and 20% of chikungunya, we found that 93% (95%CI 89-95%) of participants were seropositive to dengue virus, and 44% (95%CI 37-50%) to chikungunya. Age-specific seroprevalence was consistent with long-term, endemic circulation of dengue and suggestive of epidemic chikungunya transmission. Seropositivity to dengue and chikungunya were significantly correlated, even after adjusting for individual and household factors. We estimate that 23% of the susceptible population gets infected by dengue each year, corresponding to approximately 228,000 infections.&rdquo;<br /><br />It is interesting, though, that in a malaria-endemic country where the figures for that disease are far higher than those of dengue, chikungunya and a couple of other mosquito-borne diseases put together, it is these two diseases that get the most attention every year during the monsoon. This year has seen 4.71 lakh malaria cases so far, with 119 deaths.<br /><br />On the other hand, with reference to chikungunya, doctors in Delhi do not rule out the possibility that more cases are being reported because of availability of better diagnostic tests based on polymerase chain reaction to identify the nature of the organism.<br /><br />Though both dengue and chikungunya are notifiable, there was confusion initially about whether a case should be reported to local agencies merely on diagnosis or only when the patient is serious enough to be admitted in the hospital. That confusion was cleared recently when the Ministry of Health said any patient who tests positive for any of these diseases should be reported to the local agency regardless of hospitalisation status<br /><br />Please <a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" title="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/" class="re" target="_blank">The Indian Express, 5 September, 2016, http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/</a><div class="clear"></div>
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Home हिन्दी

Chikungunya, dengue on twin peaks -Abantika Ghosh

Published on Sep 5, 2016   Modified on Sep 5, 2016

-The Indian Express At simultaneous zeniths of their cycles this monsoon, chikungunya appears mild but causes a scare by spreading beyond the south. This year’s robust monsoon has come at a price: a zenith in the dengue and chikungunya cycles. Spiralling cases of both diseases have sent alarm bells ringing and the “season” has only just begun. Chikungunya, which has never really been a big worry in the north, has struck Delhi strongly this year but doctors say the good news is that the current year’s variant is actually curing much faster than in other years, when it would sometimes take months for the body ache to go away. Casualties this year have mostly been due to co-morbidities rather than the viral fever itself, doctors say. Until August 31, 2016, 12,255 cases of chikungunya have been reported in the country – a little less than half of what was reported in all of 2015. There have been 27,879 cases of dengue and 60 deaths because of dengue haemorrhagic fever. The year 2015 had seen 99,913 dengue cases with 220 deaths. Given the yearly furore that dengue creates in Delhi, doctors say it is a wonder how chikungunya, which has the same vectors, has remained largely a disease of the south — Karnataka accounts for over a third of all cases since 2010, and over two-third this year. Both diseases are spread by the Aedes aegypti mosquito, which is also associated with yellow fever and zika. Identified by white stripes on its legs, it is a day hunter as opposed to the malaria vector, Anopheles mosquito, which mostly bites at night. Doctors do not rule out the possibility of the disease having arrived in Delhi with people from outside the city. “The chikungunya cases have taken us by surprise because it was mostly a disease of the south,” says Dr S Chatterjee, medicine consultant at Indraprastha Apollo Hospital, while stressing there is no reason to panic. “In fact, this year we are seeing patients stabilise much faster. The body ache that was known to persist for months comes to a tolerable level within 3-4 days. Also, it is actually a safer disease to have than dengue, unless there are co-morbidities.” While the figures in themselves are worrisome enough, there are apprehensions that these may just be the tip of the iceberg. Although both diseases are notifiable, hospitals especially in case of dengue and chikungunya often do not perform the necessary confirmatory tests for these before starting treatment — confirmation of the nature of the virus is not essential for treatment. While this has no bearing on treatment outcomes, the overall national figures end up projecting the problem as a much smaller one than it really is. There are few studies on the extent of transmission of the diseases and none that deal with it at the national level. Some years ago, some researchers in Chennai did conduct a seroprevalence survey among 1,010 individuals aged five to 40 and living in 50 randomly selected spatial locations. They found a high number of the respondents seropositive to dengue. This is why they reported in PLOS Journal of July 2013: “While only 1% of participants reported history of dengue and 20% of chikungunya, we found that 93% (95%CI 89-95%) of participants were seropositive to dengue virus, and 44% (95%CI 37-50%) to chikungunya. Age-specific seroprevalence was consistent with long-term, endemic circulation of dengue and suggestive of epidemic chikungunya transmission. Seropositivity to dengue and chikungunya were significantly correlated, even after adjusting for individual and household factors. We estimate that 23% of the susceptible population gets infected by dengue each year, corresponding to approximately 228,000 infections.” It is interesting, though, that in a malaria-endemic country where the figures for that disease are far higher than those of dengue, chikungunya and a couple of other mosquito-borne diseases put together, it is these two diseases that get the most attention every year during the monsoon. This year has seen 4.71 lakh malaria cases so far, with 119 deaths. On the other hand, with reference to chikungunya, doctors in Delhi do not rule out the possibility that more cases are being reported because of availability of better diagnostic tests based on polymerase chain reaction to identify the nature of the organism. Though both dengue and chikungunya are notifiable, there was confusion initially about whether a case should be reported to local agencies merely on diagnosis or only when the patient is serious enough to be admitted in the hospital. That confusion was cleared recently when the Ministry of Health said any patient who tests positive for any of these diseases should be reported to the local agency regardless of hospitalisation status Please click here to read more.

The Indian Express, 5 September, 2016, http://indianexpress.com/article/india/india-news-india/chikungunya-dengue-rise-hospitals-symptoms-medicine-3013730/

Tagged with: Chikungunya dengue Public Health

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