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 | The encephalitis challenge -Priyanka Chaturvedi &amp; Oommen C Kurian    </title>
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-The Hindu

There must be consensus among major political parties around vital issues like health

Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the..."/>
    <meta name="keywords" content="Acute Encephalitis Syndrome (AES),Japanese Encephalitis,National Rural Health Mission,Public Health"/>
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-The Hindu

There must be consensus among major political parties around vital issues like health

Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the..." />
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                            <div align="justify">-The Hindu<br /><br /><em>There must be consensus among major political parties around vital issues like health<br /></em><br />Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the U.P. Health Minister had addressed a consultation in Lucknow organised by the Observer Research Foundation. He admitted that U.P.&rsquo;s health system was in the &ldquo;ICU&rdquo;, and said he was trying hard to fix it. Only the local media reported this. It is a fact that U.P. has a problem: many of the children who died were being treated for acute encephalitis syndrome (AES), including Japanese encephalitis (JE).<br /><br />The BRD Medical College, with around 800 beds, provides tertiary health-care services to Gorakhpur and adjoining districts. It is the only tertiary hospital within a 300-km radius. On September 4, 2016, it was reported that 224 children had died of encephalitis in the hospital that year. This hardly made national news. The shocking fact is that if there was no alleged disruption of oxygen supply, the national media and policy experts would not be discussing Gorakhpur now.<br /><br /><em>Research findings<br /></em><br />In U.P., an outbreak of JE has occurred almost every year in four districts between 1978 and 2007, according to research published by the World Health Organisation. Various U.P. governments have set up special wards and set aside specialist doctors for treating the disease. Studies show that in Gorakhpur, incidence of JE has declined from 1.9 per 100,000 in 2010 to 0.5 per 100,000 in 2012, whereas the incidence of JE-negative AES, which is causing a majority of the deaths now, has remained relatively stable over the past five years.<br /><br />From 2006, the Central government has been conducting vaccination drives in endemic areas of JE. In 2011, the JE vaccine was included in the universal immunisation programme (UIP). While an indigenous vaccine was licensed in India in 2013, a Chinese variant was made part of the UIP because of cost considerations. Under the UIP, two doses of JE vaccine are administered to children. However, a study published in the Indian Journal of Medical Research showed that only three out of four children in Gorakhpur had received at least one dose of JE vaccine. The coverage of the second dose was low. Failure to administer the vaccine simultaneously with other vaccines was the most common reason for the lack of coverage and has led to many deaths. To expand coverage, adult JE vaccination was introduced in 2014 in high-burden districts of U.P.<br /><br />Mass awareness and door-to-door campaigns in districts severely affected by encephalitis, about the causes of the disease and ways of prevention, should be a priority. A study specific to Gorakhpur had suggested a possibility of faecal-oral transmission of the virus by contaminated drinking water. Sanitation, mosquito control, prevention of open defecation, and ensuring clean drinking water can help prevent an outbreak.<br /><br />The State government needs to allot maximum funds to those districts most affected by encephalitis. More infrastructure is required in Gorakhpur. Perhaps cost-effective PPP models could also be explored to not just reach out, but also conduct research. Some studies suggest that scrub typhus may have some role in JE-negative AES deaths in Gorakhpur; this needs to be looked into. All this has budget implications. Unfortunately, reports indicate that the Central government released only 68% of budgeted funds for communicable diseases, and an even smaller percentage was utilised. Shockingly, the spending capacity of the health system has proven to be a major bottleneck in U.P. Research shows that in 2015-16, U.P. could spend only 58% of the approved National Rural Health Mission budget.<br /><br />Please <a href="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true" title="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true" class="re" target="_blank">The Hindu, 19 September, 2017, http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true</a><div class="clear"></div>
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    <h1 class="cat-box-title">The encephalitis challenge -Priyanka Chaturvedi &amp; Oommen C Kurian</h1>
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                            <div align="justify">-The Hindu<br /><br /><em>There must be consensus among major political parties around vital issues like health<br /></em><br />Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the U.P. Health Minister had addressed a consultation in Lucknow organised by the Observer Research Foundation. He admitted that U.P.&rsquo;s health system was in the &ldquo;ICU&rdquo;, and said he was trying hard to fix it. Only the local media reported this. It is a fact that U.P. has a problem: many of the children who died were being treated for acute encephalitis syndrome (AES), including Japanese encephalitis (JE).<br /><br />The BRD Medical College, with around 800 beds, provides tertiary health-care services to Gorakhpur and adjoining districts. It is the only tertiary hospital within a 300-km radius. On September 4, 2016, it was reported that 224 children had died of encephalitis in the hospital that year. This hardly made national news. The shocking fact is that if there was no alleged disruption of oxygen supply, the national media and policy experts would not be discussing Gorakhpur now.<br /><br /><em>Research findings<br /></em><br />In U.P., an outbreak of JE has occurred almost every year in four districts between 1978 and 2007, according to research published by the World Health Organisation. Various U.P. governments have set up special wards and set aside specialist doctors for treating the disease. Studies show that in Gorakhpur, incidence of JE has declined from 1.9 per 100,000 in 2010 to 0.5 per 100,000 in 2012, whereas the incidence of JE-negative AES, which is causing a majority of the deaths now, has remained relatively stable over the past five years.<br /><br />From 2006, the Central government has been conducting vaccination drives in endemic areas of JE. In 2011, the JE vaccine was included in the universal immunisation programme (UIP). While an indigenous vaccine was licensed in India in 2013, a Chinese variant was made part of the UIP because of cost considerations. Under the UIP, two doses of JE vaccine are administered to children. However, a study published in the Indian Journal of Medical Research showed that only three out of four children in Gorakhpur had received at least one dose of JE vaccine. The coverage of the second dose was low. Failure to administer the vaccine simultaneously with other vaccines was the most common reason for the lack of coverage and has led to many deaths. To expand coverage, adult JE vaccination was introduced in 2014 in high-burden districts of U.P.<br /><br />Mass awareness and door-to-door campaigns in districts severely affected by encephalitis, about the causes of the disease and ways of prevention, should be a priority. A study specific to Gorakhpur had suggested a possibility of faecal-oral transmission of the virus by contaminated drinking water. Sanitation, mosquito control, prevention of open defecation, and ensuring clean drinking water can help prevent an outbreak.<br /><br />The State government needs to allot maximum funds to those districts most affected by encephalitis. More infrastructure is required in Gorakhpur. Perhaps cost-effective PPP models could also be explored to not just reach out, but also conduct research. Some studies suggest that scrub typhus may have some role in JE-negative AES deaths in Gorakhpur; this needs to be looked into. All this has budget implications. Unfortunately, reports indicate that the Central government released only 68% of budgeted funds for communicable diseases, and an even smaller percentage was utilised. Shockingly, the spending capacity of the health system has proven to be a major bottleneck in U.P. Research shows that in 2015-16, U.P. could spend only 58% of the approved National Rural Health Mission budget.<br /><br />Please <a href="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true" title="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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    <br><a href="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true" class="re" target="_blank">The Hindu, 19 September, 2017, http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true</a><div class="clear"></div>
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-The Hindu

There must be consensus among major political parties around vital issues like health

Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the..." />
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    <h1 class="cat-box-title">The encephalitis challenge -Priyanka Chaturvedi &amp; Oommen C Kurian</h1>
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                            <div align="justify">-The Hindu<br /><br /><em>There must be consensus among major political parties around vital issues like health<br /></em><br />Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the U.P. Health Minister had addressed a consultation in Lucknow organised by the Observer Research Foundation. He admitted that U.P.&rsquo;s health system was in the &ldquo;ICU&rdquo;, and said he was trying hard to fix it. Only the local media reported this. It is a fact that U.P. has a problem: many of the children who died were being treated for acute encephalitis syndrome (AES), including Japanese encephalitis (JE).<br /><br />The BRD Medical College, with around 800 beds, provides tertiary health-care services to Gorakhpur and adjoining districts. It is the only tertiary hospital within a 300-km radius. On September 4, 2016, it was reported that 224 children had died of encephalitis in the hospital that year. This hardly made national news. The shocking fact is that if there was no alleged disruption of oxygen supply, the national media and policy experts would not be discussing Gorakhpur now.<br /><br /><em>Research findings<br /></em><br />In U.P., an outbreak of JE has occurred almost every year in four districts between 1978 and 2007, according to research published by the World Health Organisation. Various U.P. governments have set up special wards and set aside specialist doctors for treating the disease. Studies show that in Gorakhpur, incidence of JE has declined from 1.9 per 100,000 in 2010 to 0.5 per 100,000 in 2012, whereas the incidence of JE-negative AES, which is causing a majority of the deaths now, has remained relatively stable over the past five years.<br /><br />From 2006, the Central government has been conducting vaccination drives in endemic areas of JE. In 2011, the JE vaccine was included in the universal immunisation programme (UIP). While an indigenous vaccine was licensed in India in 2013, a Chinese variant was made part of the UIP because of cost considerations. Under the UIP, two doses of JE vaccine are administered to children. However, a study published in the Indian Journal of Medical Research showed that only three out of four children in Gorakhpur had received at least one dose of JE vaccine. The coverage of the second dose was low. Failure to administer the vaccine simultaneously with other vaccines was the most common reason for the lack of coverage and has led to many deaths. To expand coverage, adult JE vaccination was introduced in 2014 in high-burden districts of U.P.<br /><br />Mass awareness and door-to-door campaigns in districts severely affected by encephalitis, about the causes of the disease and ways of prevention, should be a priority. A study specific to Gorakhpur had suggested a possibility of faecal-oral transmission of the virus by contaminated drinking water. Sanitation, mosquito control, prevention of open defecation, and ensuring clean drinking water can help prevent an outbreak.<br /><br />The State government needs to allot maximum funds to those districts most affected by encephalitis. More infrastructure is required in Gorakhpur. Perhaps cost-effective PPP models could also be explored to not just reach out, but also conduct research. Some studies suggest that scrub typhus may have some role in JE-negative AES deaths in Gorakhpur; this needs to be looked into. All this has budget implications. Unfortunately, reports indicate that the Central government released only 68% of budgeted funds for communicable diseases, and an even smaller percentage was utilised. Shockingly, the spending capacity of the health system has proven to be a major bottleneck in U.P. Research shows that in 2015-16, U.P. could spend only 58% of the approved National Rural Health Mission budget.<br /><br />Please <a href="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true" title="http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true">click here</a> to read more. <br /></div>                                                           
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Home हिन्दी

The encephalitis challenge -Priyanka Chaturvedi & Oommen C Kurian

Published on Sep 19, 2017   Modified on Sep 19, 2017

-The Hindu There must be consensus among major political parties around vital issues like health Barely a month before the deaths of children in Gorakhpur in Uttar Pradesh, allegedly due to the disruption of oxygen supply in the BRD Medical College, the U.P. Health Minister had addressed a consultation in Lucknow organised by the Observer Research Foundation. He admitted that U.P.’s health system was in the “ICU”, and said he was trying hard to fix it. Only the local media reported this. It is a fact that U.P. has a problem: many of the children who died were being treated for acute encephalitis syndrome (AES), including Japanese encephalitis (JE). The BRD Medical College, with around 800 beds, provides tertiary health-care services to Gorakhpur and adjoining districts. It is the only tertiary hospital within a 300-km radius. On September 4, 2016, it was reported that 224 children had died of encephalitis in the hospital that year. This hardly made national news. The shocking fact is that if there was no alleged disruption of oxygen supply, the national media and policy experts would not be discussing Gorakhpur now. Research findings In U.P., an outbreak of JE has occurred almost every year in four districts between 1978 and 2007, according to research published by the World Health Organisation. Various U.P. governments have set up special wards and set aside specialist doctors for treating the disease. Studies show that in Gorakhpur, incidence of JE has declined from 1.9 per 100,000 in 2010 to 0.5 per 100,000 in 2012, whereas the incidence of JE-negative AES, which is causing a majority of the deaths now, has remained relatively stable over the past five years. From 2006, the Central government has been conducting vaccination drives in endemic areas of JE. In 2011, the JE vaccine was included in the universal immunisation programme (UIP). While an indigenous vaccine was licensed in India in 2013, a Chinese variant was made part of the UIP because of cost considerations. Under the UIP, two doses of JE vaccine are administered to children. However, a study published in the Indian Journal of Medical Research showed that only three out of four children in Gorakhpur had received at least one dose of JE vaccine. The coverage of the second dose was low. Failure to administer the vaccine simultaneously with other vaccines was the most common reason for the lack of coverage and has led to many deaths. To expand coverage, adult JE vaccination was introduced in 2014 in high-burden districts of U.P. Mass awareness and door-to-door campaigns in districts severely affected by encephalitis, about the causes of the disease and ways of prevention, should be a priority. A study specific to Gorakhpur had suggested a possibility of faecal-oral transmission of the virus by contaminated drinking water. Sanitation, mosquito control, prevention of open defecation, and ensuring clean drinking water can help prevent an outbreak. The State government needs to allot maximum funds to those districts most affected by encephalitis. More infrastructure is required in Gorakhpur. Perhaps cost-effective PPP models could also be explored to not just reach out, but also conduct research. Some studies suggest that scrub typhus may have some role in JE-negative AES deaths in Gorakhpur; this needs to be looked into. All this has budget implications. Unfortunately, reports indicate that the Central government released only 68% of budgeted funds for communicable diseases, and an even smaller percentage was utilised. Shockingly, the spending capacity of the health system has proven to be a major bottleneck in U.P. Research shows that in 2015-16, U.P. could spend only 58% of the approved National Rural Health Mission budget. Please click here to read more.

The Hindu, 19 September, 2017, http://www.thehindu.com/opinion/op-ed/the-encephalitis-challenge/article19710503.ece?homepage=true

Tagged with: Acute Encephalitis Syndrome (AES) Japanese Encephalitis National Rural Health Mission Public Health

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