Guest guest Posted September 22, 2006 Report Share Posted September 22, 2006 *http://cities.expressindia.com/fullstory.php?newsid=201657* *Expert's poser: chikungunya or CCHF?* *Vivek Vijayapalan*<http://www.expressindia.com/about/feedback.html?mailto=easwaran@exp\ ressindia.com> *Ahmedabad, September 17:* After chikungunya, a new scare. What many thought was the disease spread by the aedis aegypti mosquito may actually have been undetected cases of Congo-Crimean Haemorrhagic Fever (CCHF). The symptoms are similar to chikungunya, thus there are more chances that the fever would not have been diagnosed correctly, says Dr Jeram Parmar, a consultant for Centre of Management of Health Services at the Indian Institute of Management. Cases of CCHF are found in eastern and southern Europe, Central Asia, Middle East and the Indian sub-continent. The virus jumps from animal to humans through infected blood, ticks or fleas. [image: Advertisement] <http://banners.expressindia.com/adsnew/adclick.php?bannerid=2057 & zoneid=470 & sou\ rce= & dest=https%3A%2F%2Fwww.online.citibank.co.in%2Fportal%2Fcitiinforms.jsp%3Ff\ orm_id%3DfrmRcaEnglish%26Site%3DExpressindia%26Creative%3Dblow%26Section%3DROS%2\ 6Agency_Code%3DDBS%26Campaign_Code%3DRCAO%26Product_Code%3DRCA%26eOfferCode%3DIE\ XBL300>Parmar claims that deaths, thought to be caused by chikungunya, may have been due to CCHF. According to Parmar, " Case fatality is more common in CCHF. Chikungunya is a self-limiting disease, which means people don't die due to it and recover in a few days. Hence, there might have been several CCHF cases gone undetected. " Parmar also says that sudden outbreak of the disease has been mainly reported in areas like Khanpur, Mirzapur, Jamalpur and Gomtipur. He says, " Cases of chikungunya have been mainly reported from areas where slaughter houses exist and where people come in constant contact with animals. CCHF is contracted through ticks and so it becomes necessary to find out whether people living in these areas are suffering from chikungunya or CCHF. " Jeram Parmar who has worked with the Government of Fujairah (UAE) as a senior public health specialist in 1998, says, " My observations are based on the experiences that I had in Fujairah where I detected cases of CCHF at animal skin export houses where workers contracted the disease. " Parmar has also worked for the Vadodara Municipal Corporation as a malaria officer in 1981. He says, " Although the diagnosis made by the AMC in most cases cannot be ruled out, I feel that there is too much concentration on mosquito-borne diseases whereas it is necessary to concentrate on the tick-borne disease too. " " Civic bodies should create awareness about the disease and repellents like DEET (Diethyl Toluamide Derivatives). People working in abattoirs should be asked to wear protective clothing. " Quote Link to comment Share on other sites More sharing options...
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