An epidemiological study of fever outbreak in Aurangabad, Maharashtra, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20161366Keywords:
Dengue, Fever, OutbreakAbstract
Background: Dengue fever is caused by an Arbovirus and spread by Aedes mosquitoes. Severity of disease ranges from Dengue haemorrhagic fever to dengue shock syndrome, which making it life threatening disease; hence an important public health concern. All the serotypes; Dengue 1- 4 have been isolated in India. Since 1st evidence of dengue fever in 1956 from Vellore district of Tamilnadu, India. Objective of the study was to study epidemiological factors associated with fever outbreak.
Methodology: All fever cases admitted at Government Medical College and Hospital Aurangabad during month of July and August from Aurangabad city was included in the study and 8 death cases during fever outbreak were studied in detail. Hospital records of all admitted fever cases were studied. Secondary data from Aurangabad Municipal Corporation and meteorological department were used to study serological and entomological parameters.
Results: Fever outbreak was Dengue fever. Out of 308 cases studied in GMCH Aurangabad, 56 cases were NS1 positive. Maximum dengue cases (41%) were found in 11 to 20 year age group. Males were proportionally more affected (66%). HUDCO and CIDCO Area were most affected area (37.5%). Total 8 death cases out of 56 diagnosed cases were due to Dengue haemorrhagic fever/Dengue shock syndrome. Rainy season with increased breading of Aedes mosquito is responsible for spread of Dengue.
Conclusion: Inter-sectorial coordination shall be improved, for water management and constructions in the city, to eliminate mosquitoes breeding sites. Aurangabad municipal corporation shall work together to improve public health care at Aurangabad. There is need of strengthening of disease surveillance system by notification of infectious diseases, establishment of peripheral health centers of municipal corporation of Aurangabad and orientation of medical officers in national integrated vector borne disease control programme. Monitoring committee comprising of experts from Medical colleges, Public Health services and administration of municipal corporation of Aurangabad shall be established to monitor control measures for various infectious diseases.
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