{"id":37448,"date":"2016-09-27T14:53:22","date_gmt":"2016-09-27T13:53:22","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=37448"},"modified":"2016-09-27T14:53:22","modified_gmt":"2016-09-27T13:53:22","slug":"pradip-kharya-delhis-chikungunya-outbreak","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/27\/pradip-kharya-delhis-chikungunya-outbreak\/","title":{"rendered":"Pradip Kharya: Delhi&#8217;s chikungunya outbreak"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-37457\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/09\/photo-1-1-150x150.jpg\" alt=\"photo-1-1\" width=\"150\" height=\"150\" \/>In 2006 India experienced one of its worse chikungunya\u00a0outbreaks, when <a href=\"http:\/\/www.who.int\/csr\/don\/2006_10_17\/en\/\">more than 1.5m cases<\/a>\u00a0were reported. The current outbreak in Delhi has claimed at least\u00a0<a href=\"http:\/\/www.thehindu.com\/news\/cities\/Delhi\/chikungunya-deaths-rise-to-15\/article9119595.ece\">15 lives<\/a> so far, and the city&#8217;s hospitals are overloaded because of demand from neighbouring states such as\u00a0Rajsthan, Uttar Pradesh, and Haryana.<!--more--><\/p>\n<p>This mosquito-transmitted alphavirus causes acute fever and acute and chronic musculoskeletal pain along with rashes in humans. The mosquito <em><a href=\"https:\/\/en.wikipedia.org\/wiki\/Aedes_aegypti\">Aedes aegypti<\/a><\/em>, (<a href=\"http:\/\/www.hindustantimes.com\/delhi\/chikungunya-and-dengue-what-you-must-know-about-symptoms-diagnosis-treatment\/story-ChxUZOKsiHFPHbZqMuwHRL.html\">which also spreads dengue fever<\/a>) breeds in clean stagnant water and takes eight to ten days to mature from larvae.<\/p>\n<p>Last week <a href=\"http:\/\/indianexpress.com\/article\/india\/india-news-india\/chikungunya-deaths-toll-rises-to-10-in-delhi-five-deaths-in-apollo\/\">the government announced<\/a> an additional 1000 beds for fever patients and a helpline number. The beds will be provided in the three nodal hospitals for vector-borne diseases\u2014<a href=\"http:\/\/www.rajivgandhisuperspecialityhospital.org\/\">Rajiv Gandhi Super Speciality Hospital<\/a>, <a href=\"http:\/\/www.jsshs.org\/\">Janakpuri Super Speciality Hospital<\/a> and <a href=\"http:\/\/delhi.gov.in\/wps\/wcm\/connect\/DoIT_Health\/health\/home\/hospitals\/deep+chand+bandhu+hospital\">Deep Chand Bandhu Hospital<\/a>.<\/p>\n<p>The outbreak in India&#8217;s capital <a href=\"http:\/\/www.ndtv.com\/delhi-news\/chikungunya-outbreak-in-delhi-worst-in-last-six-years-officials-1460234\">is the worst in six years<\/a>, with more than 1,000 people affected by September 10. The last time the number of affected people reached the three-figure mark was in 2011.<\/p>\n<p>But hospitals still don&#8217;t have uniform guidelines for treating chikungunya, with patients being prescribed antibiotics without chikungunya being investigated. Cases are being\u00a0under reported because there are not enough testing centres in Delhi.<\/p>\n<p>The cost of lab tests is rising. Even private hospitals are \u00a0feeling the pressure with inadequate infrastructure to support growing numbers of patients, and the situation is made worse by a sudden rise in seasonal cases of both\u00a0dengue and chikungunya. There is no uniform provision of health education about\u00a0prevention and primary treatment.<\/p>\n<p>Healthcare providers have told citizens to empty and clean all vessels which hold clean water at least once a week to break the life cycle of the mosquito.<\/p>\n<p>Delhi&#8217;s municipal council has accused hospitals of reporting cases late. Why are its staff not checking homes to see if their advice is being followed?<\/p>\n<p>Now, however, is not the\u00a0time to turn this outbreak into a political debate. The government should focus its attention on trying to reach people to help prevent the situation that happened after the 2006 epidemic, where many chikungunya patients were left with\u00a0residual joint pain.<\/p>\n<p><strong>Pradip\u00a0Kharya<\/strong>\u00a0MD is a lecturer in community medicine at the Government Medical College, Kannauj, India.<\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2006 India experienced one of its worse chikungunya\u00a0outbreaks, when more than 1.5m cases\u00a0were reported. The current outbreak in Delhi has claimed at least\u00a015 lives so far, and the city&#8217;s [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/27\/pradip-kharya-delhis-chikungunya-outbreak\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223,447],"tags":[],"class_list":["post-37448","post","type-post","status-publish","format-standard","hentry","category-guest-bloggers","category-india"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pradip Kharya: Delhi&#039;s chikungunya outbreak - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/27\/pradip-kharya-delhis-chikungunya-outbreak\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pradip Kharya: Delhi&#039;s chikungunya outbreak - The BMJ\" \/>\n<meta property=\"og:description\" content=\"In 2006 India experienced one of its worse chikungunya\u00a0outbreaks, when more than 1.5m cases\u00a0were reported. The current outbreak in Delhi has claimed at least\u00a015 lives so far, and the city&#8217;s [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2016\/09\/27\/pradip-kharya-delhis-chikungunya-outbreak\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-09-27T13:53:22+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/09\/photo-1-1-150x150.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Pradip Kharya: Delhi&#8217;s chikungunya outbreak\",\"datePublished\":\"2016-09-27T13:53:22+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/\"},\"wordCount\":378,\"commentCount\":2,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2016\\\/09\\\/photo-1-1-150x150.jpg\",\"articleSection\":[\"Guest writers\",\"South Asia\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2016\\\/09\\\/27\\\/pradip-kharya-delhis-chikungunya-outbreak\\\/\",\"name\":\"Pradip Kharya: Delhi's chikungunya outbreak - 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