Often whenever there is a discussion of any virus-based disease, Kerala is definitely mentioned and the outbreak of many diseases is more in Kerala itself. Similar has happened in the case of coronavirus.
Kerala is a geographically important state located in the south of India, it is also important because it has more educated people than other states. The literacy percentage here is 94 percent. Apart from this, Kerala also attracts people towards it with its natural beauty. Apart from this, in the last few years, this province has been in a lot of discussion about natural disasters and vector-borne infectious disease problems.
It is believed that at least one member of the families living in Kerala is living in some other province of India or abroad and in such condition many experts believe that it is because of the people coming to this state from outside areas. Also, the possibilities of spreading infectious diseases, especially viral diseases, are relatively high here compared to other states of India.
Kerala remained in the headlines due to many diseases
According to Ahmedabad-based microbiologist Dr Deepak Acharya, if we look at the data of the last few years, it is known that in Kerala Nipah virus, Influenza, Hepatitis B, Respiratory syncytial virus, West Nile virus, Japanese encephalitis, Kyasanur forest disease virus, Coxsackie virus type Viral diseases such as B3, Chikungunya virus, Human adenovirus, Measles virus, Hepatitis A virus, Zika virus, Dengue virus, Leptospirosis (rat fever), Swine flu and Corona virus have knocked.
Nipah virus also surprised
When Nipah virus first knocked in Kerala, the eyes of the whole world were towards Kerala. This vector-borne RNA virus is spread by those particular species of bats that consume fruits. Nipah is a highly contagious viral disease that can be spread to other people through our saliva, urine or feces. In May 2018, the government health system was alerted after the virus was knocked down in the state of Kerala.
Kerala is also a victim of influenza
The knock of the influenza virus also troubled the government machinery in Kerala, where cases of avian influenza were reported, which affects humans as well as birds. There was also a lot of economic loss in Kerala due to this virus. Hepatitis B virus had also knocked in Kerala, according to the data of the Central Bureau of Health Intelligence, about 70 thousand cases of viral hepatitis have been recorded from the year to 2020 and due to this virus in this province in these 20 years. There have been 120 deaths. This DNA virus is the cause of sexually transmitted diseases.
Respiratory syncytial virus also havoc
The problem of bronchiolitis in children is attributed to respiratory syncytial virus, which was also reported in Kerala. According to a study conducted in Kerala, out of 130 patients with respiratory problems, 49 were found to be infected with respiratory syncytial virus. Two strains of this virus were reported in Kerala. West Nile virus, caused by female Culex mosquito, also knocked in Kerala in 2011. According to a report published in the Journal of Medical Virology (2016), several serological surveys in Kerala also found antibodies associated with acute encephalitis in the Alappuzha district, a disease caused by West Nile virus.
Human adenovirus also created a furore
A study published in the Indian Journal of Medical Research in 2017 also suggests that the side effects of Japanese encephalitis and West Nile virus lasted longer in patients who survived the pandemic. Similarly, in Wayanad and Mallapuram districts, Kyasanur Forests were seen to cause hemorrhagic fever and neurological disorders due to the daisy virus. Coxsackie virus type B3 has also been reported in children in many areas of Kerala, which sometimes causes hepatitis in children and sometimes leads to death or paralysis in their limbs. Chikungunya virus, Human adenovirus, Measles virus, Hepatitis A virus and Dengue have created a lot of furore in Kerala in the last decade.
Leptospirosis (rat fever) causes headache
Leptospirosis (rat fever) is still one of the biggest causes of death in the state of Kerala, with about 1000 cases being recorded every year. Reports of Zika virus being found also surprised many experts. Swine flu has also killed about 400 people in the last 20 years. Amidst these chronic epidemics, the first knock of SARS corona virus 2 in India occurred on 30 January 2020 in the state of Kerala and till now the orgy of corona virus has maintained its penetration in Kerala, the figures of 12 July 2021 show that the state is still There are more than 111000 corona active cases while more than 14600 deaths have taken place so far. Apart from all kinds of viral diseases, many bacterial diseases have also made Kerala cry from time to time.
After all, why is Kerala in the target of vector-borne diseases?
According to Dr Deepak Acharya, migration has been a major problem for Kerala. Whether there has been migration of people from many provinces of India to Kerala or people from Kerala have gone to other provinces of India and abroad, in both cases the possibilities of increasing infectious diseases cannot be ruled out due to the continuous movement of people. A clear indication of this is found by reading a research report published in the year 2018 in the Journal of Immigrants and Minority Health. According to this research report, vector-borne diseases malaria and filariasis have been seen in abundance in migrants of Kerala, and most of these migrants live in rural remote areas.
In recent years, weather disasters, especially floods, have troubled Kerala a lot. In the year 2018, the havoc of the floods that Kerala witnessed in the month of August was unimaginable. Heavy rains and then floods had pushed hundreds of people to death. In Alappuzha district, the first floods and after the floods, infectious diseases took the form of epidemics. Problems related to many viral and bacterial diseases were seen during that period.
Given the state’s population density (859 people per square kilometer) and the high number of elderly people (20 per cent over 65 years of age), medical experts have always warned that the reasons for recurrence of infectious diseases to be more prevalent. This can also be one of them.
– Unlike most regions or states of India, public health system issues in Kerala have been a primary and fundamental issue on the development agenda, yet lack of knowledge about health security among the poorer sections of rural areas and cities There is also a reason. Most of the poor are living in conditions where there is also a lack of health facilities and there are high chances of microbial infection due to drainage problems and stagnant water. The creation of frequent flooding conditions and stagnation of water creates an environment for vectors such as mosquitoes and other pests to flourish.
Kerala is an important state from the point of view of tourism. Record tourists came to Kerala in 2018 and 2019 and in terms of tourism, Kerala has overtaken all the states of India. In the year 2019, Kerala received 1.96 crore tourists in just one year, which was more than 17% compared to 2018. The huge tourist movement and the absence of any prompt mechanism for screening of any vector-borne infectious diseases can be the major factor in creating and worsening a problem.
After all what can be done?
It is necessary to give information about infectious diseases to the people living in remote areas and dense areas of cities so that every person presents his positive participation in the event of any epidemic. Public health check-up should be done in such areas by holding regular health camps. It is also necessary to closely monitor the movement of migrants and keep checking their health status from time to time.
Through a research article published in the Indian Journal of Tuberculosis in 2018, it explained how there is a shortage of trained health workers in Kerala, so it is imperative to strengthen the health infrastructure of Kerala and deploy trained health workers at the village level. Better health and safety related information should be made available to the people. Programs such as vaccination and immunization programs and pest control should be accelerated at the local level so that many vector-borne diseases can be controlled. It is also very important to have regular health screening of tourists, especially guests or migrants coming from abroad.
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