Sunday February 18, 2018

The outbreak of Leptospirosis with monsoon: Symptoms and precautions

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monsoon water logging

Dr. J.K. Bhutani

Come monsoons and the outbreaks of Leptospirosis, a zoonotic disease are reported from coastal districts Maharashtra.
Leptospirosis is primarily a contagious disease of animals, occasionally infecting humans. It is caused by pathogenic Spirochete of the genus Leptospira, a type of bacteria that traditionally consist of two species L. interrogans and L. biflexa.

How does it spread?

The domestic animals carry the microorganisms and therefore act as carriers of the leptospires. Together the rodents and the cattle excrete large number of organisms in their urine and thus are responsible for the contamination of large and small water bodies.

In monsoons the water logged areas force the rodent population to abandon their burrows and contaminate the stagnant water by their urine. The farmers and agricultural labourers working in the water logged contaminated fields catch the infection if they move in with abraded or cut skin.

Clinical Symptoms of Leptosirosis

The common symptoms are: fever, muscle pains, conjunctival haemorrhage, headache, pulmonary and renal hemorrhagic complications.

The patients are often misdiagnosed as malaria, dengue hemorrhagic fever, viral hepatitis etc. The clinical suspicion must be reported to the medical specialist soon for proper diagnosis with the laboratory aids.

Weil’s syndrome, is the more severe form of leptospirosis having more severe course with jaundice, oliguria and haemorrhagic complications

How to prevent the outbreak?

Elimination of water logging, ensuring proper drainage of rainwater and control of the rodents will prevent the outbreak of leptospirosis. These measures are typically taken by the civic bodies but at individual level the following measures will be of help:

  1. Do not move in stagnant water without proper rain boots and covered skin especially if you have cut or abraded skin.
  1. Wash the exposed skin immediately after coming from the water soaked area.
  1. On doctor’s recommendation, one may take antibiotic Doxycycline 200 milligram once a week for the period of 6-8 weeks. This is prophylactic (preventive) in nature. On the same line, doxycycline may be given to agricultural workers (example: paddy field workers, canal cleaning workers in endemic areas) from where large number of cases have been reported like in Mumbai, now a days.

JK1

Dr J.K. Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self healing powers of human organism.
You can follow him at https://twitter.com/drjkbhutani

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RSS’ call to re-mould Indian Constitution

RSS chief Mohan Bhagwat says that the Army takes six to seven months to train its soldiers, the RSS can get its cadres ready for battle in two to three days

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The Sangh Parivar, better known as the Rashtriya Swayam Sewak Sangh (RSS) celebrated the 125th anniversary of the song in 2002
The Sangh Parivar, better known as the Rashtriya Swayam Sewak Sangh (RSS) celebrated the 125th anniversary of the song in 2002. Wikimedia Commons
  • RSS (Rashtriya Swayamsevak Sangh) is a is an Indian right-wing
  • RSS chief Mohan Bhagwat expressed his views on Indian Army’s preparation in his speech to RSS workers in Muzaffarpur in Bihar
  • Kiren Rijiju said if the Constitution permits, RSS can go ahead with its interference in military matters.

The Rashtriya Swayamsevak Sangh wants to re-mould the Indian State with a military which adheres to Hindutva, the Communist Party of India-Marxist (CPI-M) has said.

This is the message that emerges from RSS chief Mohan Bhagwat’s speech to RSS workers in Muzaffarpur in Bihar that while the Army takes six to seven months to train its soldiers, the RSS can get its cadres ready for battle in two to three days, the CPI-M said.

“This remark has drawn widespread condemnation, with the main criticism being that the RSS chief had insulted the Indian army by claiming that the RSS can do a better job than the Army in training soldiers,” an editorial in the CPI-M journal “People’s Democracy,” said.

Also Read: Story 20 Amazing Facts About Indian Navy That Everyone Should Know

“While this criticism is valid, the intent of these remarks is much more serious,” it said. “The statement has revealed a vital aspect of the RSS outlook about the Army and the militarization of society.”

The editorial said: “What the RSS wants in the re-moulding of the Indian State is armed forces which adhere to Hindutva. For Bhagwat, the soldier in the Indian Army and the Swayamsevak of the RSS are on the same footing.

RSS support Hindus
RSS world’s largest organisation promote Hindutva.

“Under the present Indian Constitution, such an integration of the Army and the RSS is not possible.

Also Read: All you want to know about the ranks of Indian Army

That is why, both the RSS clarification and the defence put out by (Minister of State for home) Kiren Rijiju makes this qualification that if the Constitution permits, the RSS can go ahead with its interference in military matters.

“The implication is ominous: a re-worked Constitution should enable this to happen.”