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
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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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 | Don&#039;t blame the litchi -T Jacob John    </title>
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-The Indian Express

Deaths in Muzaffarpur are due to chronic malnutrition 

Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis,..."/>
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-The Indian Express

Deaths in Muzaffarpur are due to chronic malnutrition 

Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis,..." />
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                            <div align="justify">-The Indian Express<br /><br /><em>Deaths in Muzaffarpur are due to chronic malnutrition <br /></em><br />Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis, encephalitis and encephalopathy. These three have clear-cut differences and very different treatments. Trained paediatricians know how to distinguish the three. If diagnostic criteria are not applied for various reasons, then the three are not distinguished by doctors. That is when an easy diagnostic term covering all three &mdash; &ldquo;acute encephalitis syndrome&rdquo; (AES) &mdash; becomes handy.<br /><br />Meningitis is most unlikely in large annual seasonal outbreaks. Encephalitis outbreaks in various parts of India are caused by the Japanese Encephalitis (JE) virus, transmitted by Culex mosquitos. The pre-monsoon months of April-May-June have low mosquito density so JE can also be readily excluded. JE occurs in other districts in Bihar, but not in Muzaffarpur, as the ecology is not conducive for Culex breeding.<br /><br />The disease description that one, only under-nourished children are affected; two, only children between two and 10 years are affected and three, the onset of convulsions and unconsciousness is always between 4 am and 7 am are clear pointers against any virus infection causing the disease. Viruses, including JE, do not respect nutritional status, age and diurnal rhythm.<br /><br />This inevitably leads us to conclude that the outbreak disease is encephalopathy. The early morning onset and frequent finding of low blood glucose level (hypoglycaemia) point to a biochemical disease related to glucose metabolism. Several hours after food intake (early morning) is when the body tends to develop hypoglycaemia. <br /><br />Please <a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" title="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/">click here</a> to read more.</div>                                                           
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    <br><a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" class="re" target="_blank">The Indian Express, 3 July, 2019, https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/</a><div class="clear"></div>
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Deaths in Muzaffarpur are due to chronic malnutrition 

Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis,..."/>
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                            <div align="justify">-The Indian Express<br /><br /><em>Deaths in Muzaffarpur are due to chronic malnutrition <br /></em><br />Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis, encephalitis and encephalopathy. These three have clear-cut differences and very different treatments. Trained paediatricians know how to distinguish the three. If diagnostic criteria are not applied for various reasons, then the three are not distinguished by doctors. That is when an easy diagnostic term covering all three &mdash; &ldquo;acute encephalitis syndrome&rdquo; (AES) &mdash; becomes handy.<br /><br />Meningitis is most unlikely in large annual seasonal outbreaks. Encephalitis outbreaks in various parts of India are caused by the Japanese Encephalitis (JE) virus, transmitted by Culex mosquitos. The pre-monsoon months of April-May-June have low mosquito density so JE can also be readily excluded. JE occurs in other districts in Bihar, but not in Muzaffarpur, as the ecology is not conducive for Culex breeding.<br /><br />The disease description that one, only under-nourished children are affected; two, only children between two and 10 years are affected and three, the onset of convulsions and unconsciousness is always between 4 am and 7 am are clear pointers against any virus infection causing the disease. Viruses, including JE, do not respect nutritional status, age and diurnal rhythm.<br /><br />This inevitably leads us to conclude that the outbreak disease is encephalopathy. The early morning onset and frequent finding of low blood glucose level (hypoglycaemia) point to a biochemical disease related to glucose metabolism. Several hours after food intake (early morning) is when the body tends to develop hypoglycaemia. <br /><br />Please <a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" title="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/">click here</a> to read more.</div>                                                           
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    <br><a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" class="re" target="_blank">The Indian Express, 3 July, 2019, https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/</a><div class="clear"></div>
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Deaths in Muzaffarpur are due to chronic malnutrition 

Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis,..."/>
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-The Indian Express

Deaths in Muzaffarpur are due to chronic malnutrition 

Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis,..." />
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    <h1 class="cat-box-title">Don&#039;t blame the litchi -T Jacob John</h1>
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                            <div align="justify">-The Indian Express<br /><br /><em>Deaths in Muzaffarpur are due to chronic malnutrition <br /></em><br />Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis, encephalitis and encephalopathy. These three have clear-cut differences and very different treatments. Trained paediatricians know how to distinguish the three. If diagnostic criteria are not applied for various reasons, then the three are not distinguished by doctors. That is when an easy diagnostic term covering all three &mdash; &ldquo;acute encephalitis syndrome&rdquo; (AES) &mdash; becomes handy.<br /><br />Meningitis is most unlikely in large annual seasonal outbreaks. Encephalitis outbreaks in various parts of India are caused by the Japanese Encephalitis (JE) virus, transmitted by Culex mosquitos. The pre-monsoon months of April-May-June have low mosquito density so JE can also be readily excluded. JE occurs in other districts in Bihar, but not in Muzaffarpur, as the ecology is not conducive for Culex breeding.<br /><br />The disease description that one, only under-nourished children are affected; two, only children between two and 10 years are affected and three, the onset of convulsions and unconsciousness is always between 4 am and 7 am are clear pointers against any virus infection causing the disease. Viruses, including JE, do not respect nutritional status, age and diurnal rhythm.<br /><br />This inevitably leads us to conclude that the outbreak disease is encephalopathy. The early morning onset and frequent finding of low blood glucose level (hypoglycaemia) point to a biochemical disease related to glucose metabolism. Several hours after food intake (early morning) is when the body tends to develop hypoglycaemia. <br /><br />Please <a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" title="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/">click here</a> to read more.</div>                                                           
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    <br><a href="https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/" class="re" target="_blank">The Indian Express, 3 July, 2019, https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/</a><div class="clear"></div>
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                   title="Acute Encephalitis Syndrome">
                    Acute Encephalitis Syndrome                </a>
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                    AES                </a>
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                    Low Blood Sugar                </a>
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Don't blame the litchi -T Jacob John

Published on Jul 4, 2019   Modified on Jul 4, 2019

-The Indian Express Deaths in Muzaffarpur are due to chronic malnutrition Muzaffarpur in Bihar is famous for litchis and infamous for children dying due to annual seasonal brain disease outbreaks. The common brain diseases in children with high mortality are meningitis, encephalitis and encephalopathy. These three have clear-cut differences and very different treatments. Trained paediatricians know how to distinguish the three. If diagnostic criteria are not applied for various reasons, then the three are not distinguished by doctors. That is when an easy diagnostic term covering all three — “acute encephalitis syndrome” (AES) — becomes handy. Meningitis is most unlikely in large annual seasonal outbreaks. Encephalitis outbreaks in various parts of India are caused by the Japanese Encephalitis (JE) virus, transmitted by Culex mosquitos. The pre-monsoon months of April-May-June have low mosquito density so JE can also be readily excluded. JE occurs in other districts in Bihar, but not in Muzaffarpur, as the ecology is not conducive for Culex breeding. The disease description that one, only under-nourished children are affected; two, only children between two and 10 years are affected and three, the onset of convulsions and unconsciousness is always between 4 am and 7 am are clear pointers against any virus infection causing the disease. Viruses, including JE, do not respect nutritional status, age and diurnal rhythm. This inevitably leads us to conclude that the outbreak disease is encephalopathy. The early morning onset and frequent finding of low blood glucose level (hypoglycaemia) point to a biochemical disease related to glucose metabolism. Several hours after food intake (early morning) is when the body tends to develop hypoglycaemia. Please click here to read more.

The Indian Express, 3 July, 2019, https://indianexpress.com/article/opinion/columns/aes-outbreak-death-toll-bihar-muzaffarpur-5811732/

Tagged with: Acute Encephalitis Syndrome AES Low Blood Sugar hypoglycaemia Hypoglycaemic encephalopathy Under-nutrition Right to Food Food Security Muzaffarpur

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