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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
1
|
| pubmed:dateCreated |
1991-9-10
|
| pubmed:abstractText |
An out break of acute bacillary dysentery in a village called Dhamasin in Hooghly district of West Bengal was investigated during March 1984. Forty seven percent of families were affected. A total of 91 cases and 2 deaths occurred amongst 937 people giving an over all attack rate of 9.7% and a case fatality rate of 2.2 percent. Highest attack rate (22.7%) was observed in below one year age group. Multiple drug resistant Shigella dysentery type 1 strains were isolated for the first time from 6 out of 22 cases sampled at the domiciliary level. The organism was never isolated earlier during last ten years of surveillance in the infectious Diseases Hospital, Calcutta. Identification of nature of this outbreak and it's causative agent helped to realise the potentiality of extensive spread and paved the way for further investigations. Public health authorities were buffled as the rapid spread of the disease throughout the entire state of West Bengal could not be contained in spite of instituting all probable control measures on war footing.
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| pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/ANTIBIOTICS,
http://linkedlifedata.com/resource/pubmed/keyword/Asia,
http://linkedlifedata.com/resource/pubmed/keyword/Bacterial And Fungal...,
http://linkedlifedata.com/resource/pubmed/keyword/DRUGS,
http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors,
http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries,
http://linkedlifedata.com/resource/pubmed/keyword/Diarrhea, Infantile,
http://linkedlifedata.com/resource/pubmed/keyword/Diarrhea--etiology,
http://linkedlifedata.com/resource/pubmed/keyword/Diseases,
http://linkedlifedata.com/resource/pubmed/keyword/ENVIRONMENT,
http://linkedlifedata.com/resource/pubmed/keyword/EPIDEMICS,
http://linkedlifedata.com/resource/pubmed/keyword/Epidemiologic Methods,
http://linkedlifedata.com/resource/pubmed/keyword/HEALTH SURVEYS,
http://linkedlifedata.com/resource/pubmed/keyword/Health,
http://linkedlifedata.com/resource/pubmed/keyword/INDIA,
http://linkedlifedata.com/resource/pubmed/keyword/Infections,
http://linkedlifedata.com/resource/pubmed/keyword/Methodological Studies,
http://linkedlifedata.com/resource/pubmed/keyword/Mortality,
http://linkedlifedata.com/resource/pubmed/keyword/Natural Resources,
http://linkedlifedata.com/resource/pubmed/keyword/Population,
http://linkedlifedata.com/resource/pubmed/keyword/Population Dynamics,
http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology,
http://linkedlifedata.com/resource/pubmed/keyword/Southern Asia,
http://linkedlifedata.com/resource/pubmed/keyword/Treatment,
http://linkedlifedata.com/resource/pubmed/keyword/WATER SUPPLY
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0019-557X
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
34
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
15-9
|
| pubmed:dateRevised |
2004-11-17
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| pubmed:otherAbstract |
PIP: In March 1984, epidemiologists investigated an outbreak of acute bacillary dynsentery (February 17-March 29) in Dhamasin village in Hooghly district in West Bengal, India. 47% of all families had at least 1 case. Secondary cases occurred in 14 families. Further a family of 10 family had 7 members fall ill. 91 of 937 people in Dhamasin acquired dysentery (attack rate=9.7%). Children 12 months old suffered more than other age groups (attack rate=22.7%) and incidence fell with age. The overall case fatality rate was 2.2%. Number of stools ranged from 10-70/day. Unqualified local allopathic doctors or private practitioners treated most cases with at least 1 antibiotic. Local health authorities did not begin control measures until March 20. They treated all cases with oral rehydration solution and enteroquinol and thalazol. Laboratory personnel isolated Shigella dysenteriae, especially type 1, in 31.8% of the 22 stool samples. The next highest isolation rate (27.3%) was for S. shigae. All S. dysenteriae type 1 isolates demonstrated resistance to ampicillin, tetracycline, streptomycin, chloramphenicol, and co-trimoxazole. They were sensitive to nalidixic acid, gentamicin, and kanamycin, however. The investigators concluded that S. dynsenteriae was responsible for the epidemic. The index case brought it into the village and it spread due to poor sanitation facilities, improper disposal of feces, and indiscriminate defecation. In addition, village was experiencing a scarcity of drinking and domestic water. Moreover flies which transmit Shigella were abundant. The low infective dose required to induce illness further exacerbated the situation since event the best precautions could not prevent transmission.
|
| pubmed:meshHeading |
pubmed-meshheading:2101383-Acute Disease,
pubmed-meshheading:2101383-Adolescent,
pubmed-meshheading:2101383-Child,
pubmed-meshheading:2101383-Child, Preschool,
pubmed-meshheading:2101383-Disease Outbreaks,
pubmed-meshheading:2101383-Drug Resistance, Microbial,
pubmed-meshheading:2101383-Dysentery, Bacillary,
pubmed-meshheading:2101383-Female,
pubmed-meshheading:2101383-Humans,
pubmed-meshheading:2101383-India,
pubmed-meshheading:2101383-Infant,
pubmed-meshheading:2101383-Infant, Newborn,
pubmed-meshheading:2101383-Male,
pubmed-meshheading:2101383-Rural Population,
pubmed-meshheading:2101383-Shigella dysenteriae
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| pubmed:articleTitle |
Multidrug resistant epidemic shigellosis in a village in west Bengal, 1984.
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| pubmed:affiliation |
National Institute of Cholera and Enteric Diseases, Calcutta.
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| pubmed:publicationType |
Journal Article
|