Tuesday February 19, 2019
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Dengue death: Sisodia orders enquiry

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Manish Sisodia

New Delhi: Delhi Deputy Chief Minister Manish Sisodia ordered a magisterial inquiry on Tuesday, into the alleged refusal by some private hospitals in the national capital to admit a seven-year-old boy suffering from dengue.

photo credit: www.ndtv.com
photo credit: www.ndtv.com

The inquiry would go into the refusal by five private hospitals to admit Avinash Rout, whose death was followed by the tragic suicide of his parents, a statement from the Delhi government said.

Sisodia instructed the divisional commissioner of Delhi to depute the local sub-divisional magistrate to conduct the probe and submit a report to the Delhi government within seven days, the statement added.

The director general of health services has already issued show cause notices to five private hospitals of South Delhi – Moolchand Khairati Ram Hospital, Max Superspeciality Hospital in Saket, Akash Arogya Mandir in Malviya Nagar, Saket City Hospital and Irene Hospital in Kalkaji – under the provisions of the Delhi Nursing Homes Registration Act, 1953, it added.

The statement said Sisodia directed it to be ascertained in the probe that when there were specific instructions issued to all hospitals of Delhi — whether government or private — that patients suffering from dengue should not be denied admission in hospitals citing lack of beds, then why and how the treatment was denied to the boy.

The inquiry should cover the responsibility of hospitals, particularly those concerned with admissions and treatment, it added.

The deputy chief minister also directed that the probe should recommend specific remedial actions to prevent recurrence of such tragic incidents.

(IANS)

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20 Genes That Can Predict Severity of Dengue Identified

The genes could serve as a basis for a targeted therapy for dengue, Einav said - but that's far on the horizon

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Researchers, including one of an Indian-origin, have identified 20 genes that can predict an individual’s likelihood of developing a severe form of dengue fever with about 80 per cent accuracy.

The team from Standford University in the US, identified a gene-expression pattern that predicts which people infected with dengue — a mosquito-borne virus that can cause fever and joint pain, among other symptoms — are at highest risk for developing a severe form of the illness.

Every year, between 200 million and 400 million people in tropical and subtropical regions of the world contract dengue fever, and about 500,000 of those cases are fatal.

For the most part, people with the disease recover after receiving some fluids and a few days’ rest, said Purvesh Khatri, Associate Professor at the varsity.

“But there’s a smaller subset of patients who get severe dengue, and right now we don’t know how to tell the difference,” Khatri said.

Aedes
Dengue is transmitted by the bite of the Aedes mosquito that typically attacks during day time. Pixabay

Anywhere from 5 to 20 per cent of dengue cases will advance to severe.

Currently, to diagnose severe dengue the doctors wait to observe specific symptoms and results of laboratory tests that typically emerge in the late stages of the disease.

“These practices are not nearly sensitive or accurate enough, and some patients end up admitted to the hospital unnecessarily, while others are discharged prematurely,” said Shirit Einav, Associate Professor.

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The new set of genes, reported in the Cell Reports journal, can help identify predictive biomarkers that can help doctors reliably gauge the likelihood of severe dengue in patients who are newly symptomatic and use that information to provide more accurate care to help guide therapeutic clinical studies and, in the future, to guide treatment decisions.

The genes could serve as a basis for a targeted therapy for dengue, Einav said – but that’s far on the horizon. (IANS)