{"title":"Which Indicator Should Be used to Monitor Malaria Elimination in India?","authors":"Arvind Nath","doi":"10.24321/2455.7048.202212","DOIUrl":"https://doi.org/10.24321/2455.7048.202212","url":null,"abstract":"The Annual Parasite Incidence (API) is currently being used by the National Vector Borne Disease Control Programme (NVBDCP) as an indicator to monitor malaria elimination efforts in states and union territories. This article is an attempt to find out how effective is the API as a tool to measure malaria elimination efforts in the country by reviewing documents published by the NVBDCP (for 2018 data) and National Statistical Office (for 2021 data) and by doing a web search. It was found that in the 2018 data set, there was no direct correlation between API and the number of malaria cases. Even in territories having low API, the number of malaria cases was high and in areas having high API, the number of malaria cases was low. From the 2021 data set, it was seen that the malaria problem was greatest in Chhattisgarh and least in Lakshadweep Islands. Thus, API by itself is not a useful indicator of malaria elimination efforts. Attention must also be paid to the actual number of malaria cases occurring in the state/ union territory, and at the present time, the focus must be on Chhattisgarh.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84562092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association of Self Perception of Pre-Mature Ageing and Human Constitution (Prakriti) - A Cross-Sectional Study","authors":"Rakesh Roushan","doi":"10.24321/2455.7048.202214","DOIUrl":"https://doi.org/10.24321/2455.7048.202214","url":null,"abstract":"Introduction: Premature ageing is a process associated with a progressive accumulation of deleterious changes over time, an impairment of physiologic functions, an increase in the risk of disease and death. In Ayurveda, all human beings are categorised into basic sub-seven types based on their constitution. Along with this, ageing can be accelerated by lifestyle choices and environmental conditions to which our genes are exposed. The primary objective of the cross-sectional analysis was to find the association between prakriti and self-perception of premature ageing. Methodology: For the present study, a total of 100 participants, who were found positive for self-perception of pre-mature ageing and were fulfilling the other inclusion criteria, were eligible. The analysis of self-perception of pre-mature ageing was done by using The Brief Ageing Perception Questionnaire (B-APQ). The assessment of prakriti was done with a validated Prakriti Analysis Pro forma prepared by the Central Council for Research in Ayurvedic Sciences (CCRAS), New Delhi, India. Result: The prevalence of self-perception of pre-mature ageing was maximum among vata prakriti (58, 58%) and minimum in kapha prakriti (18, 18%). A significant association of male and female participants was found with three questions of B-APQ by applying Fisher Exact test. No significant association was found between the group of vata, pitta and kapha dominant prakriti with individual B-APQ on applying independent-samples Kruskal-Wallis test. As per descriptive analysis, vata prakriti individuals were more vulnerable to the self-perception of premature ageing as per B-APQ while kapha prakriti was the least. The distribution of individual B-APQ was the same across all categories of prakriti.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82647030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"WHO Needs to Re-look at Animal Bite Wound Classification for Rabies Post Exposure Prophylaxis to Save People from Deadly Rabies!","authors":"O. Bharti","doi":"10.24321/2455.7048.202219","DOIUrl":"https://doi.org/10.24321/2455.7048.202219","url":null,"abstract":"Rabies is a deadly zoonotic disease that is largely caused by bites or scratches of an infected dog. WHO has defined wound classifications for taking decisions on Rabies Post Exposure Prophylaxis (PEP) after bites. Some experts have suggested a change in WHO classification to include another category IV in severe wounds. As we work in the rabies endemic country contributing the highest number of rabies deaths annually, we discuss what changes in Rabies PEP classification are actually required based on our clinical practice. We discuss here how the lives of victims of rabid animals were saved and what factors led to the failures of PEP. We also discuss why there is no need to expand existing wound classification to category IV and no need to use higher concentrations of RIG for severe wounds like those on the head and neck. We recommend omitting category II and keeping only categories I and III for wound classification for rabies PEP based on our clinical experience with rabid dog bites and scratches i.e. either there is exposure or no exposure using spirit test in doubtful abrasions without bleeding. Moreover, because the rabies virus attaches to the nerve at the site of the bite and there is no viraemia in rabies infection, therefore, to classify a scratch or abrasion with or without bleeding is not rational.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82816631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Prevalence and Risk factors of Stress among College-going Students of Giridih, Jharkhand: A Cross-sectional Study","authors":"Prerna Sonthalia","doi":"10.24321/2455.7048.202216","DOIUrl":"https://doi.org/10.24321/2455.7048.202216","url":null,"abstract":"Background: According to the National Mental Health Survey (NMHS) 2015-16 among individuals 18 years or above in twelve Indian cities, mental disorders contributed to a significant load of morbidity and disability. A total prevalence for neurotic and stress-related disorders was identified to be 6.2% for Jharkhand. This compromised psychological health of students precipitates the form of multiple mental health disorders including stress. This study aims to determine the prevalence of stress and explores various factors associated with it. Methods: A college-based cross-sectional study was conducted online on Google forms in degree colleges offering three or more three-year program courses in the Giridih district of Jharkhand. The study participants were 236 college students in between 18-30 years of age. This included the Perceived Stress Scale and captured various independent factors. Results: The prevalence of stress among college-going students in Giridih, Jharkhand was estimated at 5% for low stress, 89% for moderate stress and 6% for high stress. Factors such as sleeping in free time, reading in free time, social media or television or gaming in free time and close family members with a history of depression were found to be associated with stress. Conclusion: This study documents the high prevalence of stress in college-going students and explores the various factors that could possibly be the reason for stress in students. Identification of such factors is important for students to pave a progressive future pathway to achieve overall good physical, mental as well as psychological health.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89182006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Review of Antimicrobial Surveillance Networks Across the Globe","authors":"A. Bahl","doi":"10.24321/2455.7048.202213","DOIUrl":"https://doi.org/10.24321/2455.7048.202213","url":null,"abstract":"Introduction: Antimicrobial Resistance (AMR) poses a global public health threat with a wide gap between the knowledge and mechanism of resistance acquired by the pathogens. This increasing hazard of AMR has been recognized by the different geographical regions and responded to by implementing tough restrictions and AMR strengthening AMR surveillance systems for monitoring and prediction. Methodology: We searched data using National and International databases of different geographical AMR surveillance networks and extracted information from them. Results: In India, AMR surveillance reported fluoroquinolones and Aminoglycosides as the major group against which microbes develop resistance followed by Cephalosporins and Carbapenem whereas the WHO European Region, EU/EEA noted decreasing trend of AMR during 2016-2020 for several bacteria although an increasing trend was reported for Carbapenem-resistance in Klebsiella pneumoniae and represents region’s most serious concern. Conclusion: India currently has two independent AMR surveillance networks, whereas the European Surveillance system presents a trajectory of resistance data based on consumption data.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90604415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Status of Malaria in the W.H.O. Western Pacific Region","authors":"Arvind Nath","doi":"10.24321/2455.7048.202211","DOIUrl":"https://doi.org/10.24321/2455.7048.202211","url":null,"abstract":"Objective: The objective of this paper is to present a birds-eye view of the Malaria situation in the W.H.O. Western Pacific Region. Methods: The methods included online searches related to Malaria for each country such as from W.H.O., World Bank and journal articles as well as national program documents.Findings: Twenty-eight countries, territories, and areas (American Samoa, Australia, Brunei Darussalam, China, Cook Islands, Fiji, French Polynesia, Guam, Hong Kong SAR, Japan, Kiribati, Macao SAR, Marshall Islands, Federated States of Micronesia, Mongolia, Nauru, New Caledonia, New Zealand, Niue, Northern Mariana Islands, Palau, Pitcairn Islands, Samoa, Singapore, Tokelau, Tonga, Tuvalu, and Wallis and Futuna) are free of indigenous Malaria while the remaining nine (Cambodia, Lao People’s Democratic Republic, Malaysia, Papua New Guinea, Philippines, Republic of Korea, Solomon Islands, Vanuatu and Viet Nam) are progressing towards that target. Conclusion: Cambodia and Malaysia are most likely to receive a certification for Malaria elimination in the immediate future.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"139 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77990820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Status of Malaria in the WHO South-East Asia Region","authors":"Arvind Nath","doi":"10.24321/2455.7048.202220","DOIUrl":"https://doi.org/10.24321/2455.7048.202220","url":null,"abstract":"The WHO South-East Asia Region includes the following eleven countries: Bangladesh, Bhutan, the Democratic People’s Republic (DPR) of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand, and Timor-Leste. Malaria has a varied distribution in each of these countries. While two of them, Maldives, and Sri Lanka, have been certified by the WHO to be free of malaria, the remaining countries are still progressing towards that target. The aim of this article is to present the status of the disease in those countries and their progress towards the elimination target.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88305876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self-Care and Preventive Measures of Coronavirus: Evidence from India","authors":"R. Bala","doi":"10.24321/2455.7048.202205","DOIUrl":"https://doi.org/10.24321/2455.7048.202205","url":null,"abstract":"Introduction: Coronavirus cases increased across countries so quickly, and in response, no country was ready to handle it. India is the most populous country; inadequate healthcare infrastructure and lack of insurance coverage were the main concerns. Here, self-care and preventive measure is the only option to deal with the pandemic and such virus. Objective: To analyze the awareness about the self-care and preventive measures for Coronavirus in India. Methods: This study analyses the self-care and preventive measures taken against the Coronavirus by the people in India. The study collected the data of 517 Indian respondents through the questionnaire (i.e., based on a convenience sampling technique). The statistical tools used frequency, percentage, and correlation. Results: Most respondents reported the Coronavirus infection causes symptoms like cough, fever, shortness of breath, stomachache, sore throat, and cold (i.e., 86.3, 87.8, 81.4, 88.4, 77.4, and 72.0 percent of respondents, respectively). Most of the respondents agreed that wearing masks (77.2 percent), gloves (66.9 percent), and hand hygiene (88.8 percent) could prevent the spreading of the virus. Conclusion: The findings concluded that most people were aware of self-care and preventive measures and Coronavirus symptoms. Social media acted as the fastest route to make people more aware of information dissemination which prevented pandemics’ outbursts.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"66 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83898026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Safety Profile of COVID-19 Vaccination among Adolescents in India - An Initial Experience","authors":"Ravindra Nath","doi":"10.24321/2455.7048.202208","DOIUrl":"https://doi.org/10.24321/2455.7048.202208","url":null,"abstract":"Introduction: The government of India announced a nationwide mass vaccination drive for adolescents 15-17 years of age from 3rd January 2022. This announcement was considered a welcome measure by public health experts to increase vaccination coverage throughout the nation. This study was undertaken to understand the safety profile of COVID-19 vaccination among initial adolescent recipients. Methodology: The first 500 such beneficiaries (adolescents of age 15- 18 years) who received COVAXIN were identified. All the vaccination beneficiaries were prospectively taken in the study. These children were telephonically called and assessed for AEFI occurring up to 2 weeks. Results: Among the first 500 beneficiaries vaccinated over the first week of the vaccination drive, 68 (only 13.6%) subjects developed an AEFI. These AEFI were all after the first dose of the vaccine. Conclusion: Our initial experience is that COVAXIN is a relatively safe vaccine in adolescents with the majority of AEFI being mild. It is necessary for documentation and knowledge of the AEFI profile as this will help decrease vaccine hesitancy and promote acceptance.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75426461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lessons Learnt from a Pneumonia Outbreak in a Naval Training Establishment","authors":"Sundeep Bhandari","doi":"10.24321/2455.7048.202204","DOIUrl":"https://doi.org/10.24321/2455.7048.202204","url":null,"abstract":"Introduction: In August 2014, an unusually large number of cases of pneumonia was reported from amongst Naval Recruits in a Naval Training Establishment by the co-located Indian Naval Hospital Ship. Material and Methods: The study was descriptive observational (retrospective) in nature, which was carried out at Indian Naval Training Establishment and Indian Naval Hospital Ship. The following information was collected: (a) Batch-wise comparison of data of recruits at Indian Naval Training establishment (where two major batches undergo training every year) was done for the occurrence year (2014) and the preceding 03 years i.e 2011, 2012 and 2013. Further, data on cases of pneumonia was collected from Indian Naval Hospital Ship as recorded by the hospital for last 03 years (2011, 2012 & 2013) and the year 2014, using an epidemiological format. Results: (a) Overcrowding. (b) Confirmation of existence of Outbreak. (c) Distribution of cases as per symptomatology and X-ray findings. (d) Manmade overcrowding, physical and psychological stress of military training exposes non-immune persons to several pathogens. The study confirms overcrowding with per capita standard for floor space and air space being 5 sqm and 18 m 3. The recommended distance between two adjacent beds is 1.8m 1 Infact, they were even below the standard of 4 sqm recommended by WHO 4. A positive Correlation is known to exist between overcrowding and incidence of pneumonia 5. Conclusion: Batch-wise comparison of cases and incidence of LRTI/ Pneumonia confirmed the outbreak. Further, there were no cases of Pneumonia amongst training staff (officers & sailors) and other civilian in adjoining areas. Consequent to increase in induction pattern at Naval Training Establishment, coupled with absence of accompanying increase. Consequently, analysis of living conditions established that overcrowding existed in dormitories, dining areas and all facilities related to training.","PeriodicalId":89674,"journal":{"name":"Epidemiology Research International","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76640712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}