Monday August 20, 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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President Ram Nath Kovind Pays His Condolences to Former UN Chief Kofi Annan

Annan was awarded the Nobel Peace Prize jointly with the UN in 2001 "for their work for a better organised and more peaceful world".

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India condoles former UN chief Kofi Annan's death.
India condoles former UN chief Kofi Annan's death. Flickr

India on Saturday condoled the death of former UN Secretary General and Nobel laureate Kofi Annan with President Ram Nath Kovind expressing his condolences to the former Ghanaian diplomat’s family and the UN community as a whole.

“Sorry to learn of the passing of former Secretary General of the United Nations Kofi Annan,” Kovind said on the Rashtrapati Bhavan Twitter handle.

“My condolences to his family and to the UN community,” he stated.

Annan, 80, died on Saturday in Switzerland after a short illness, with his wife and three children by his side.

“It is with immense sadness that the Annan family and the Kofi Annan Foundation announce that the former Secretary General of the UN and Nobel Peace Laureate, passed away peacefully on Saturday 18th August after a short illness,” his family said.

Kofi Annan
Annan was the first black African to take up the role of the world’s top diplomat, serving two terms from 1997 to 2006. Flickr

Annan was the first black African to take up the role of the world’s top diplomat, serving two terms from 1997 to 2006. He later served as the UN special envoy for Syria, leading efforts to find a peaceful solution to the conflict.

He also led a UN commission to investigate the Rohingya refugee crisis in Myanmar.

The Myanmar government led by Aung San Suu Kyi supported Annan’s recommendations on the crisis in the country’s Rakhine State.

Also Read: New AI Model to Identify the Risk of Heart Disease in Indians

Annan was awarded the Nobel Peace Prize jointly with the UN in 2001 “for their work for a better organised and more peaceful world”.

His tenure as the UN chief coincided with the Iraq war and the HIV/Aids pandemic. (IANS)