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Public Health / Sanitation

11 migrant workers at construction site in Pimpri-Chinchwad Municipal Corporation test positive for malaria

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The Times of India   22.08.2012

11 migrant workers at construction site in Pimpri-Chinchwad Municipal Corporation test positive for malaria

PUNE: Eleven migrant workers at a construction site in Pimple Saudagar recently tested positive for malaria bringing to fore the need for conducting intensive screening of workers and initiating measures to prevent the spread of the mosquito-borne infection at such sites.The spate of incidents came to light when the 11 workers complained of fever with chills and were admitted to a civic hospital a week ago. On August 13, their blood tests revealed that they were all suffering from malaria.

The civic health officials initiated intense surveillance activities in the surrounding area soon after."This is the first such outbreak in Pimpri-Chinchwad where a large number of people living in a cluster have contracted the infection and tested positive for malaria," said Milind Jawale, medical officer of the Pimpri-Chinchwad Municipal Corporation (PCMC)."Between August 13 and 21, we tested 92 blood samples of people living nearby to rule out the presence of malarial parasites among them.

Barring the 11 people, no one tested positive for malaria there," Jawale said.The malaria menace could be checked if the authorities focus on controlling the outbreak of the disease at construction sites, rather than just its treatment, say experts."We do screen workers at construction sites on a regular basis. Besides, we have given directives to builders on how they should ward off malarial infection by initiating certain precautionary measures. They have been asked to spray anti-malaria powder at sites with stagnant water, close the lids on water containers and use anti-malarial oil in waste water to prevent mosquito breeding," Jawale said.Asked whether builders follow the precautionary measures, he said, "They do follow the precautionary measures. Also, our field workers who visit construction sites keep taking stock of the situation and suggest measures, wherever needed.

Most builders initiate pest control measures and even hire private doctors' services to periodically examine the workers and their families.""In the case of this outbreak, one of the migrant workers had gone to his native place in Chhattisgarh. He returned with fever and chills on August 12. Soon after, the others living at the construction site also started complaining of fever with chills. The builder himself took all the 13 people who had taken ill to a civic hospital for treatment. Eleven tested positive for malaria from among them," Jawale addedUnclean conditions at construction sites can cause outbreak of malaria. With the weather being conducive to mosquito breeding, the civic health officials have intensified their surveillance activities to check transmission of the malarial parasite. Between June and August (till date), the PCMC has reported 76 cases of malaria.

Last Updated on Wednesday, 22 August 2012 10:26
 

Killer mosquito changes breeding grounds

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The Times of India   22.08.2012

Killer mosquito changes breeding grounds

KOLKATA: Preventing dengue attacks is becoming increasingly difficult, thanks to the Aedes Aegypti mosquito's ability to adapt to circumstances. A recent study by the Kolkata Municipal Corporation's (KMC) entomology department has revealed that the deadly mosquito — associated with both dengue and yellow fever — has changed its life-cycle in a major way, leading to severe concern among experts trying to combat the disease. While some believe this has happened due to mutation in the insects' genes, experts like Amiya Kumar Hati, former director of the School of Tropical Medicine in Kolkata, say that it has simply changed its behaviour to match the environment.

"Till recently, we knew that the Aedes Aegypti bred in stagnant water tanks inside bathrooms, under refrigerators (where water collects after decompression) or in small pots in the house where sunlight doesn't reach. But the recent study has revealed that this variety of mosquito is now breeding in open spaces along with the malaria-causing Anopheles. This may have happened due to rapid urbanization and changes in the environment," said Debasis Biswas, chief entomologist, KMC.

It seems that the Aedes Aegypti has turned 'photophilic' from 'photophobic', making it harder to trace. A photophobic organism prefers darkness while a photophilic one needs light. As a result, the dengue-causing mosquito is now breeding in water accumulated in old tyres, open water tanks and rooftops. These are the places where people never searched for its larvae till now.

In the 1930s, when malaria was endemic in Kolkata, the city was much greener and the concentration of Aedes Aegypti was much lesser compared to what it is today. The Aedes Albopictus variety — which breeds in trees — was much more common. The dengue vector started to increase in numbers as urbanization spread. Today, this variety is also breeding in water that accumulates on the streets after the rains, which used to be the domain for the Anopheles earlier.

"All this while, the KMC was trying to spread awareness among residents not to store water in their homes. Now, it seems that this was of little help. The Aedes Aegypti clearly got more aggressive and this led to mutation of its genes. The Anopheles is less harmful as it is a 'nervous' feeder. It continues to consume blood from a single person till its stomach is full. Normally, it doesn't bite more than a single person during one feeding. The Aedes Aegypti targets many people and consumes a small portion of blood from each," Biswas explained.

As a result, the number of cases of malaria has shown a clear decline while those of dengue have actually gone up. Between January and July, 2011, there were 726 cases of falciparum malaria in the KMC area. In 2012, in the same period, this figure dropped to 105. On the contrary, the number of dengue cases has risen from 60 in 2011 to 480 in 2012. Of the 480 cases, 180 people have been detected with the deadly haemorrhagic variety.

"A few days ago, we found Aedes Aegypti larvae in a bamboo pole used as a fence outside a school in Rajabazar. Earlier, we couldn't have imagined that this mosquito could have bred in only half a cm of water. We are certainly concerned," another expert said.

While MMiC (health) Atin Ghosh pointed out that malaria and dengue cases are on the rise worldwide, Hati said that even the Aedes Albopictus has made a comeback and is responsible for the rise in the number of cases.


Last Updated on Wednesday, 22 August 2012 10:02
 

HC restrains BBMP from renewing toilet contracts

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Deccan Herald      22.08.2012

HC restrains BBMP from renewing toilet contracts

Bangalore:  The High Court on Tuesday restrained the Bruhat Bangalore Mahanagara Palike (BBMP) from renewing the contracts to maintain Nirmala toilets in the City.

Recognising the lack of proper maintenance of the public urinals in the City, the Division Bench of Chief Justice Vikramajit Sen and Justice Aravind Kumar on Tuesday pulled up the BBMP and directed them to maintain their own public toilets before evincing interest in giving the contracts to their own personnel to maintain Nirmala toilets.

“You have missed the bus. If any organisation is ready to take up the maintenance, give it to them,” directed the Bench.

The petitioner, R Lakshmi Prasad, in his submission had stated that software giant, Infosys, had constructed 126 toilets in various localities and entrusted the management of the same to a private company. After the expiry of licence, the BBMP without calling for fresh tenders had handed it over to people who are either employees of BBMP or members of the Palike Employees Association.

Stating that it is against the law, the petitioner submitted that these toilets are now maintained badly and sought directions to the respondents.

During the hearing, when the BBMP submitted that only some of the employees who are on the verge of retirement, will be given the contract to maintain the toilets, the Chief Justice said, “It is someone who will construct and you are making money out of it.”

When the counsel for BBMP tried to say that it is on their land the toilets have been constructed, the Chief Justice said, “They have done what you have not done.” The Bench then questioned the petitioners why can’t they consider Sulabh International for maintenance of the toilets and directed to implead them in the petition.

Last Updated on Wednesday, 22 August 2012 05:29
 


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