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Outbreak Report – Scrub Typhus in Sikkim
Situation Report: 09.09.2004
DISEASE/ SYNDROME:
Scrub Typhus
DISEASE/ SYNDROME:
Scrub Typhus
DISTRICT & STATE: South Sikkim, Sikkim
DATE OF ONSET: 16 August 2004
REPORTED BY &
DATE OF REPORTING: State Nodal Officer of NSPCD, Sikkim
LOCATION: Jorethang Block,
South Sikkim
Current Situation:
As per the information received from the state nodal
officer of NSPCD (National Surveillance Programme for Communicable Diseases)
in Sikkim, a sudden increase in cases (1996 cases
& 1 death) of febrile illness has been reported from the Jorethang block of South Sikkim
district since 16.08.04. With the exception of 2 patients, all are >15
years of age and have presented with high fever, myalgia,
vomiting, hypotension (in 80% cases), generalized rash (in 50% cases), and
jaundice (in one patient). None them presented with hemorrhagic
manifestations or altered sensorium. State rapid
response team has investigated the episode. 15 peripheral smears collected
from these patients were negative for malarial parasite. Entomological
investigation is still being carried out.
Laboratory
Information:
Serum, blood samples for culture and water samples for
bacteriological analysis have been collected by the RRT. Preliminary
investigations will be performed at the NSPCD laboratory in Gangtok. It is also planned to refer the samples to NICD,
Delhi, if required.
CONTACT DETAILS
& LAST UPDATED:
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Name
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Contact
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Last updated
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Dr. Pramilla Giri, State Nodal Officer, NSPCD, Sikkim
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Tefaxl:03592-221822,
Mobile: 09832075175
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9 September 2004
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SOURCE: Government
of Sikkim via Office of the WHO Representative to
India
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