THE HINDU
TIRUCHI, December 7, 2015
Roadside eateries cause havoc
C. Jaisankar
Tiruchi Corporation has not dealt with the issue with due importance

The failure of health authorities in checking the hygiene of roadside eateries in Tiruchi has raised concern among the people.
Similar to many other cities, Tiruchi is no exception to the mushrooming growth of roadside eateries. A section of unemployed youths and experienced “parotta” masters continue to set up roadside eateries in different places of the town. They invariably set up eateries at thickly populated places and busy commercial streets. Since it requires just a few foldable chairs and tables or rented carts, they find it convenient to set up eateries wherever they want.
A large number of roadside eateries are functioning in Central bus stand, Chathiram bus stand, Gandhi Market, Big Bazaar street, Singarathope, Chinthamani, Srirangam and Thiruvanaikoil. They run eateries in some of the upscale residential locations such as Thillai Nagar, K.K. Nagar, Cantonment and others as well. The number of eateries has reportedly doubled in the recent years thanks to the good patronage among the people, particularly poor, labourers, construction workers and load men. The eateries continue to spring up in and around Central Bus stand.
Besides roadside snack vendors, it is learnt that more than 300 roadside eateries and restaurants are functioning in Tiruchi. Several of them transact business only in the evening. Many of them function near clogged canals and garbage dumps. The vendors keep the cooked dishes uncovered. Moreover, dishes are prepared on pavements. The vendors and servers seem to be uncared for healthy and hygienic practices. Repeated use of oil, non-permitted colours and poor quality of water are some of the unhygienic practices followed by the eateries. The ongoing rain has compounded the issue. In spite of rain, many of them transact business in poor environment as usual.
M.A. Aleem, former Vice Principal of K.A.P.V. Medical College, Tiruchi, said that eating at unhygienic eateries and restaurants could lead to bacterial and viral infection. Cases of food poisoning had increased since the onset of monsoon season. Many of them had become sick after eating out at roadside eateries. Consumers blame the health and civic authorities for the issue. Though there are sufficient laws to ensure hygiene at roadside eateries, consumers rue that they have not been enforced properly.
Pointing out the role of civic authorities in ensuring hygienic in restaurants and road side eateries, they said that the Tiruchi Corporation has not dealt with the issue with due importance.

Monday, December 7, 2015
Sunday, December 6, 2015
Saturday, December 5, 2015
Flooding and communicable diseases- Preventive measures
Flooding and communicable diseases
Preventive measures
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
Communicable disease risks from flooding can be greatly reduced if the following WHO recommendations are followed.
Short-term measures
Chlorination of water
Ensuring uninterrupted provision of safe drinking water is the most important preventive measure to be implemented following flooding, in order to reduce the risk of outbreaks of water-borne diseases.
Free chlorine is the most widely and easily used, and the most affordable of the drinking water disinfectants. It is also highly effective against nearly all waterborne pathogens (except Cryptosporidium parvum oocysts and Mycobacteria species). At doses of a few mg/litre and contact times of about 30 minutes, free chlorine generally inactivates >99.99% of enteric bacteria and viruses.
For point-of-use or household water treatment, the most practical forms of free chlorine are liquid sodium hypochlorite, solid calcium hypochlorite and bleaching powder (chloride of lime; a mixture of calcium hydroxide, calcium chloride and calcium hypochlorite).
The amount of chlorine needed depends mainly on the concentration of organic matter in the water and has to be determined for each situation. After 30 minutes, the residual concentration of active chlorine in the water should be between 0.2-0.5 mg/l, which can be determined using a special test kit.
Vaccination against hepatitis A
The use of hepatitis A vaccines for mass immunization is not recommended.
Vaccination of high-risk groups, such as persons involved in the management of drinking water, waste water or sewage might be considered.
In case of an outbreak of hepatitis A consider immunization of contacts. The use of immunoglobulins is not recommended.
Diagnosis of acute hepatitis A is confirmed by anti-HAV IgM antibodies.
Malaria prevention
Insecticides: flooding does not necessarily lead to an immediate major increase in mosquito numbers, and there may still be time to implement preventive measures such as indoor residual spraying, or the retreatment/distribution of ITNs in areas where their use is well-known. This will also have an effect on other mosquito-borne diseases.
Early detection: it is important to track weekly case numbers and provide laboratory-based diagnosis (perhaps only for a % of fever cases to track the slide/test positivity rate), to pick up the early stages of a malaria epidemic.
Free medical care: with artemisinin-based combination therapy should be provided when a falciparum malaria epidemic is confirmed, and an active search for fever cases may be necessary to reduce mortality in remote areas with reduced access to health care services.
Health education
Promote good hygienic practice.
Ensure safe food preparation techniques.
Ensure boiling or chlorination of water.
Vital importance of early diagnosis and treatment for malaria (within 24 hours of onset of fever).
Handling corpses
Burial is preferable to cremation in mass causalities and where identification of victims is not possible.
The mass management of human remains is often based on the false belief that they represent an epidemic hazard if not buried or burned immediately. Bodies should not be disposed of unceremoniously in mass graves and this does not constitute a public health a public health measure, violates important social norms and can waste scarce resources.
Families should have the opportunity to conduct culturally appropriate funerals and burials according to social custom.
Where customs vary, separate areas should be available for each social group to exercise their own traditions with dignity.
Where existing facilities such as graveyards or crematoria are inadequate, alternative locations or facilities should be provided.
The affected community should also have access to materials to meet the needs for culturally acceptable funeral pyres and other funeral rites.
For workers that routinely handle corpses
Graveyards should be at least 30m from groundwater sources used for drinking water
The bottom of any grave must be at least 1.5m above the water table with a 0.7m unsaturated zone. Surface water from graveyards must not enter inhabited areas.
Ensure universal precautions for blood and body fluids
Ensure use and correct disposal of gloves (no re-use)
Ensure use of body bags
Ensure hand-washing with soap after handling bodies and before eating
Ensure disinfection of vehicles and equipment
Bodies do not need to be disinfected before disposal (except in case of cholera)
Vaccinate workers against hepatitis B
Long term measures
Legislative/administrative issues
Create Disaster-Preparedness Programmes and Early Warning Systems.
Improve surveillance on a local, national, international and global level.
Promote tap-water quality regulation and monitoring.
Enforce high standards of hygiene.
Technical issues
Improve water treatment and sanitation.
Keep infectious disease control programmes active and efficient.
Preventive measures
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
Communicable disease risks from flooding can be greatly reduced if the following WHO recommendations are followed.
Short-term measures
Chlorination of water
Ensuring uninterrupted provision of safe drinking water is the most important preventive measure to be implemented following flooding, in order to reduce the risk of outbreaks of water-borne diseases.
Free chlorine is the most widely and easily used, and the most affordable of the drinking water disinfectants. It is also highly effective against nearly all waterborne pathogens (except Cryptosporidium parvum oocysts and Mycobacteria species). At doses of a few mg/litre and contact times of about 30 minutes, free chlorine generally inactivates >99.99% of enteric bacteria and viruses.
For point-of-use or household water treatment, the most practical forms of free chlorine are liquid sodium hypochlorite, solid calcium hypochlorite and bleaching powder (chloride of lime; a mixture of calcium hydroxide, calcium chloride and calcium hypochlorite).
The amount of chlorine needed depends mainly on the concentration of organic matter in the water and has to be determined for each situation. After 30 minutes, the residual concentration of active chlorine in the water should be between 0.2-0.5 mg/l, which can be determined using a special test kit.
Vaccination against hepatitis A
The use of hepatitis A vaccines for mass immunization is not recommended.
Vaccination of high-risk groups, such as persons involved in the management of drinking water, waste water or sewage might be considered.
In case of an outbreak of hepatitis A consider immunization of contacts. The use of immunoglobulins is not recommended.
Diagnosis of acute hepatitis A is confirmed by anti-HAV IgM antibodies.
Malaria prevention
Insecticides: flooding does not necessarily lead to an immediate major increase in mosquito numbers, and there may still be time to implement preventive measures such as indoor residual spraying, or the retreatment/distribution of ITNs in areas where their use is well-known. This will also have an effect on other mosquito-borne diseases.
Early detection: it is important to track weekly case numbers and provide laboratory-based diagnosis (perhaps only for a % of fever cases to track the slide/test positivity rate), to pick up the early stages of a malaria epidemic.
Free medical care: with artemisinin-based combination therapy should be provided when a falciparum malaria epidemic is confirmed, and an active search for fever cases may be necessary to reduce mortality in remote areas with reduced access to health care services.
Health education
Promote good hygienic practice.
Ensure safe food preparation techniques.
Ensure boiling or chlorination of water.
Vital importance of early diagnosis and treatment for malaria (within 24 hours of onset of fever).
Handling corpses
Burial is preferable to cremation in mass causalities and where identification of victims is not possible.
The mass management of human remains is often based on the false belief that they represent an epidemic hazard if not buried or burned immediately. Bodies should not be disposed of unceremoniously in mass graves and this does not constitute a public health a public health measure, violates important social norms and can waste scarce resources.
Families should have the opportunity to conduct culturally appropriate funerals and burials according to social custom.
Where customs vary, separate areas should be available for each social group to exercise their own traditions with dignity.
Where existing facilities such as graveyards or crematoria are inadequate, alternative locations or facilities should be provided.
The affected community should also have access to materials to meet the needs for culturally acceptable funeral pyres and other funeral rites.
For workers that routinely handle corpses
Graveyards should be at least 30m from groundwater sources used for drinking water
The bottom of any grave must be at least 1.5m above the water table with a 0.7m unsaturated zone. Surface water from graveyards must not enter inhabited areas.
Ensure universal precautions for blood and body fluids
Ensure use and correct disposal of gloves (no re-use)
Ensure use of body bags
Ensure hand-washing with soap after handling bodies and before eating
Ensure disinfection of vehicles and equipment
Bodies do not need to be disinfected before disposal (except in case of cholera)
Vaccinate workers against hepatitis B
Long term measures
Legislative/administrative issues
Create Disaster-Preparedness Programmes and Early Warning Systems.
Improve surveillance on a local, national, international and global level.
Promote tap-water quality regulation and monitoring.
Enforce high standards of hygiene.
Technical issues
Improve water treatment and sanitation.
Keep infectious disease control programmes active and efficient.
Thursday, December 3, 2015
Rain and Flood Related Health Issues: Prevention is better than Cure-DOs and DON'Ts
Rain and Flood Related Health Issues: Prevention is better than Cure-
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
Rain and Flood Related Health Issues: Prevention is better than Cure-DOs and DON'Ts
Rain and Flood Related Health Issues: Prevention is better than Cure-
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
Rain and Flood Related Health Issues: Prevention is better than Cure-
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
DOs and DON'Ts
Dr M A Aleem
Former Vice Principal
KAPV Govt Medical College and MGM Govt Hospital
Trichy
There are some common monsoon diseases – some are easily treated, while a few can be life threatening.
Monsoon Season not only refresh every living being after dealing with the sizzling heat of summers but even brings diseases along with it. Due to warn, wet and humid climate, Skin infections become common during the Monsoons. A few Tips how to prevent from Monsoon Diseases.
Malaria:
This is the most common disease that catches you in the rainy season. This disease is spread by Female Anopheles mosquito. Since, there is a problem of water logging during the rainy season, mosquitoes get conducive conditions to bread. This is the most dangerous disease in India with highest number of deaths credited to it. Fever at regular intervals, bouts of shivering, muscle pain and weakness are the symptoms that a patient shows while suffering from Malaria.
Prevention:
Since this disease is spread by mosquitoes, so mosquitos’ repellents and net should be used to prevent it. Make sure that water does not stagnate in your area as mosquitoes breed in stagnant water.
ABCD prevention of Malaria:
Awareness of risk of Malaria
Bite Prevention
Antimalarial medication – Chemoprophylaxis (taking antimalarial
Prompt Diagnosis and treatment.
Cholera:
Cholera is another deadly disease. The bacterium that causes cholera is usually found in food or water contaminated. Also poor hygienic conditions help this disease to spread.
Normally spreads in places with poor sanitation facilities. Severe diarrhoeas with water stools is the most common symptom of cholera. There could also be vomiting with immediate water loose and muscle cramps.
Prevention:
It always wise to get vaccinated as it lasts secures you for almost six months.
Wash hands with soap and water frequently.
Drink only safe water including bottled water or boil water. Hot beverages are generally safe, as are canned or bottled drinks, but wipe the outside before you open them.
Eat food that’s completely cooked and hot and avoid street food vendor food.
Avoid sushi, as well as raw or improperly cooked fish or seafood of any kind.
Stick to fruits and vegetables that you can peel yourself.
Be wary of dairy foods including ice cream, which is often contaminated and unpasteurized milk.
Typhoid:
Typhoid is a water-borne disease, and is very common during monsoon seasons. It is caused by S typtic bacteria, which is transmitted through consuming contaminated water and food. The worst part of that the infection of this disease can remain in the gall bladder of the patient even after it is cured. Most common symptom of this disease is prolonged fever, severe pain in abdomen and headache also indicate towards this disease.
Prevention:
This is highly communicable disease so that patient should be isolated from the rest of the family. Getting Homoeo treatment helps. The patients should get high intake of fluid to prevent dehydration. Precautions should continue even after apparent recovery.
Viral Fever:
Viral disease is a common disease all over the world, but during monsoon it’s more prevalent. Constant sneezing, sore throat and fever are the common symptoms of this disease.
Prevention:
The easiest way is to avoid getting yourself wet in rain. The best home made remedy is a glass of hot turmeric milk. Gargles with warm water give relief to your sore throat. If things don’t improve then it is always better to see a doctor.
Gastrointestinal Infection:
Unpleasant disease during monsoon is Stomach Infections such as gastroenteritis, which causes severe vomiting and diarrhea. In gastroenteritis, stomach and intestines are irritated and inflamed. The cause is typically a viral or bacterial infection.
Prevention:
Wash your hands thoroughly after using the bathroom or changing diapers to prevent stomach infection.
Do not eat or drink foods or liquids that might be contaminated.
Thoroughly were fruits, vegetables which have been kept in the open for a while.
Keep your cutting board clean and keep separate cutting board for meat and vegetables.
Every day drink a lot of water to stay well hydrated and ensure that the water is clean and filtered.
Avoid consuming food that is spicy and rich in sugar.
Dengue -
Mosquitoes are always a problem for us. When a mosquito bites a person infected by dengue virus, the virus enters the mosquito. When the infected
mosquito then bites another person, the virus enters that person's bloodstream. Anopheles mosquito, dengue fever is caused by tiger mosquito.
Prevention:
Mosquito bed could be used when the room is not air-conditioned.
Aerosol and liquid spray has to be applied directly to the mosquito foe effective
killing i.e. . Household pesticides.
Wear long-sleeved clothes and long trousers when going outdoors. Bodies could be protected from mosquito bite by applying insect repellent on clothes and exposed part of the body especially when you travel to Dengue fever.
Chikungunya:
Chikungunya is transmitted by the bite of infected Aedes albopictus mosquitoes. These mosquitoes breed in the stagnated water and bite during bright daylight.
Prevention:
Use air conditioning or window / door screens to keep mosquitoes outside. If you are not able to protect yourself from mosquitoes inside your home or hotel, sleep under a mosquito bed net.
Wear long - sleeved shirts and long pants.
Use insect repellents.
You can use Sunscreen and insect repellent, apply the sunscreen first and then repellent.
“Insect Repellent Use Safety”
Jaundice:
Jaundice, is a yellowish tinge to the skin and sclerae (the white part of the eye) that is caused by hyperbilirubinemia (an excess of bilirubin in the blood).
Body fluids may also be yellow. The color of the skin and sclerae varies depending on levels of bilirubin; mildly elevated levels display yellow skin and sclerae, while highly elevated levels display brown.
Prevention:
Vaccines for hepatitis (hepatitis A, hepatitis B)
Avoid heavy alcohol use
Take medications which prevent malaria before travelling to high-risk regions.
Avoid potentially contaminated food/water and maintain good hygiene
Leptospirosis:
Leptospirosis is a fairly uncommon bacterial infection caused by a strain of Leptospirosis. It is most commonly transmitted from animals to human. It is often transmitted by animal urine or water containing animal urine coming into contact with breaks in the skin the eyes, mouth, nose or vagina
Prevention:
At work - If you have an occupation where you come into contact with animals sources of contaminated water, such as farming or working with sewers or drains, wear adequate protective clothing. This could include waterproof gloves and boots, goggles and a mask.
Travelling abroad -
If you are travelling to parts of the world where leptospirosis is widespread, you may wish to limit your exposure to freshwater sources, such as
rivers, ponds or lakes. If you are unable to avoid these, you should ensure you wear adequate protective clothing. You should also only drink sealed bottled water or fresh water that has been boiled. Try to minimise your exposure to animal urine by avoiding areas where animals may have urinated.Never touch a dead animal with your bare hands.
Animal vaccination - At the moment, there isn't a vaccine that protects humans from leptospirosis, but it is possible to vaccinate cattle, dogs and some other animals. If you think you may be at risk of contracting leptospirosis from one of your animals, you may want to consider getting them vaccinated.
PREVENTION OF WATER BORNE DISEASES IN RAINY SEASON-
DOs and DON'Ts
With the onset of monsoon come water-borne diseases. Gastroenteritis, Jaundice, Typhoid Fever, Cholera and Diarrhea are some very common water-borne diseases in rainy seasons. To be in the pink of health, it is important to take necessary precautions against these diseases. To do this, individuals and their family members should keep the following in mind :
DO's
· Nails should be cut short once every three days.
· Only filtered / branded bottle water should be consumed.
· Wash hands properly with soap and water before consuming food.
· If a person does not have a water purification system, he/she should drink water after boiling and cooling it .
· If a person is suffering from loose motions, he/she should immediately see a Doctor and drink ORS (Oral Re-hydration Solution) to prevent dehydration.
· ORS should be continued till loose motions stops.
· If a person is suffering from vomiting, he/she should not eat/drink anything, otherwise the frequency of vomiting will increase which will cause further water loss and electrolyte imbalance. Doctor should be consulted immediately.
· The expiry date of all packed eatables / drinks should always be checked before consumption.
· Drinking water container should be washed everyday.
· Only warm and fresh cooked food should be consumed.
· Plenty of water and fluids should be consumed before stepping out in the heat.
DONT'S
· Consumption of water, milkshakes and fruit juices from roadside vendors should be avoided.
· Avoid eating cut fruits, Chat and food material from roadside Vendors.
· Oily and spicy food should be avoided.
· Half cooked / pre-cooked / refrigerated food should not be consumed.
· Leaving home/office empty stomach should be avoided.
· Avoid sharing utensils while consuming food.
· Do not bite nails with the help of teeth.
· Do not expose food and beverages to flies.
· Never do self-medication. Neither take medicines directly from chemist shop. Medicines should always be taken after getting proper advice from a qualified doctor.
Friday, November 27, 2015
No Clinical Knowledge No Confidence in Clinical Practice. Aleem M A.BMJ 2015;351:h6321
Views & Reviews
No Holds Barred
Margaret McCartney: Why less confidence may be a good thing
BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h6321 (Published 25 November 2015)
Cite this as: BMJ 2015;351:h6321
Rapid response
Re: Margaret McCartney: Why less confidence may be a good thing
No Clinical Knowledge No Confidence in Clinical Practice
Before a drug is going to be prescribed to a patient a doctor should know the details of that drug dosage, its usage, its side effects, adverse effect in a particular age and gender including transgender. Then only will doctors get the confidence to prescribe and fulfill the patients need. So without proper pharmacological knowledge and the patient's history and the expected complication with hormone replacement therapy we may not give a excellent health care. So guidelines are important along with regular updates to get confidence in clinical practice.
Competing interests: No competing interests
27 November 2015
M A Aleem
Neurologist
ABC hospital
Annamalainagar Trichy 620018 Tamilnadu India
No Holds Barred
Margaret McCartney: Why less confidence may be a good thing
BMJ 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h6321 (Published 25 November 2015)
Cite this as: BMJ 2015;351:h6321
Rapid response
Re: Margaret McCartney: Why less confidence may be a good thing
No Clinical Knowledge No Confidence in Clinical Practice
Before a drug is going to be prescribed to a patient a doctor should know the details of that drug dosage, its usage, its side effects, adverse effect in a particular age and gender including transgender. Then only will doctors get the confidence to prescribe and fulfill the patients need. So without proper pharmacological knowledge and the patient's history and the expected complication with hormone replacement therapy we may not give a excellent health care. So guidelines are important along with regular updates to get confidence in clinical practice.
Competing interests: No competing interests
27 November 2015
M A Aleem
Neurologist
ABC hospital
Annamalainagar Trichy 620018 Tamilnadu India
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