A central team sent to Firozabad in Uttar Pradesh to investigate the cause of a fever outbreak and deaths among children has found that most cases are from dengue, with some cases from scrub typhus and leptospirosis.
Firozabad district has recorded 51 deaths, mostly children, and hundreds of hospitalizations in more than two weeks, and the viral fever has now spread to neighboring Mathura and Mainpuri districts.
Based on the observations of the central team, Health Minister Rajesh Bhushan recommended in a letter to the Chief Secretary of Uttar Pradesh that all fever patients be screened for dengue, malaria, scrub typhus and leptospirosis.
Firozabad: With the death of one more person in the last 24 hours, the total number of deaths from dengue and viral fever has risen to 51, says medical director Dinesh Kumar Premi pic.twitter.com/mPcyfPtM9q
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Mr. Bhushan stressed the need to strengthen the ELISA-based testing facilities and suggested continuing the febrile screening and vector control activities under a microplan submitted by the central team.
He also recommended strengthening surveillance with the implementation of the Integrated Health Information Platform (IHIP) in the district in coordination with the central surveillance unit of the National Center for Disease Control (NCDC) and that entomological activities be strengthened and continued according to the National Vector Borne Disease Control Program (NVBDCP) standard guidelines and SOPs.
He also recommended expanding the isolation beds and admission facilities in the district hospital of Firozabad and neighboring districts and organizing a brief reorientation of all doctors in primary and community health centers.
The services of infectious disease experts from King George’s Medical University and similar institutions may be used for this purpose.
“You may recall that a central team made up of officials from the National Center for Disease Control (NCDC) and the National Vector Borne Disease Control Program (NVBDCP) was sent to Firozabad to investigate the cause of fever outbreaks and child deaths and determine appropriate The central team has found that most cases are due to dengue fever, while a few are due to typhoid and leptospirosis,” Bhushan said in the letter.
He further proposed to intensify the information activities of the district administration.
The NCDC has stationed two Epidemic Intelligence (EIS) officers in the district for a period of 14 days and they will assist the district in bolstering the response to the outbreak, Mr Bhushan said.
A district official had said more than 100 people had been admitted to the district hospital with a fever on Sunday. The hospital had more than 400 patients on Sunday, the official added.