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Chikungunya outbreak in New Delhi is sending alarms of caution in the national capital. Chikungunya, a mosquito-borne disease that affects mainly adults, may not be as deadly as its more notorious cousin dengue, but it merits the same urgency from doctors and patients
About Chikungunya Chikungunya was first reported in 1952, during an outbreak in southern Tanzania. It has now been identified in 60 countries including those in Asia, Africa, Europe, America and others. The word Chikungunya, derived from the Kimakonde language which is spoken by the indigenous people of southern Tanzania, itself means that which is contorted. It refers to the contorted position taken by people when they are affected by joint pain.
Symptoms Abrupt onset of fever and severe joint pain. There can be other symptoms such as muscle pain, headache, nausea, fatigue and rash – that is, small red spots all over the body. The joint pain can be severe and sometimes prolonged. The disease does not induce immunity by itself and can recur. Transmission It is transferred from human to human by mosquitoes. The females of Aedes Aegyptii and Aedes albopictus are the main species of mosquito that spread the disease. These mosquitoes bite through the day.
Diagnosis IgM titers – a way of measuring the rising level of, or concentration of, antibodies in the blood, which quantifies the body’s response to an active infection - are what are tested in the blood. More specifically, the blood test that doctors ask for is called the RT-PCR (Reverse Transcription Polymerase Chain Reaction) but it may not be available, so doctors test the drop in the number of leucocytes in the blood because of the viral infection. The blood tests are repeated and a constant watch is kept on the blood count. If it drops, it is better to be under medical observation. At this stage, the doctors’ guidance is crucial.
Treatment There is no vaccine for chikungunya. Treatment is mainly symptomatic – such as giving painkillers to relieve the joint pain – using no steroidal anti-inflammatory drugs which are not asprin-based. Drugs are mainly analgesics and antipyretics. The patient is advised to take fluids.
Preventive methods Avoid getting bitten by mosquitoes. Keep the surroundings clear of stagnant water or pools where mosquitoes can breed. Use mosquito nets and close windows in the evening to prevent mosquitoes from entering.
Difference with dengue Chikungunya can circulate with the help of monkeys, birds and cattle, but dengue spreads only through mosquitoes. While for dengue the symptoms subside in about 15 days, for Chikungunya the symptoms can prolong for 3-6 months. While Chikungunya’s main symptoms are high fever and excruciating joint pain, dengue manifests with high fever, drop in platelet count and rash.
By: Vishal ProfileResourcesReport error
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