| Username |
Post |
| Biswo |
Posted
on 01-Jul-02 10:26 PM
After the worst massacre of Romanovs in 1917, which incidentally was matched by
our Shah's massacre last year,Bolshevic started their own mission in Russia. One of
those missions was to stem the information, and to disseminate sponsored news.
One of those acts is portrayed in Dr Zhivago, a film based on the novel of same
name by Nobel laureate Boris Pasternak, when Dr Zhivago goes back to his wife's
house, he finds that most of the people were dying of starvation. He was stopped
from telling truth in what was one of the most memorable scene of the film!
Chitwan is unfortunately being ruled by that Bolshevik mentality right now. Around
200 cases ofa lethal disease, some suggest it to be typhoid but it definitely is more
than that, were recorded and people who would otherwise want to die in Devighat
got a clammy floor of woebegone Mahendra Chikitsalaya to die in. But nobody is
telling what the disease is.
This is wrong with us. People in authority arbitrarily decide that they should hold
some information. (Like Deuba on Sen), chief of Mahendra Hospital Dr Govinda
Ojha is also not willing to give any information on supposed lab results from KTM
or from Bangkok. Don't we Nepali at least deserve to know what our brethrens
are dying of?
I also resent the wrong info given first. They blamed Maoists "living near the mountain
in Jugedi Khola" for excreting in the river and making the water pathogenic. First
of all, that info sounds ludicrous. Rather than near Jugedi khola, Maoists live near
Jutpani, Shaktikhor and Madi.Second,if they yet don't know the nature of disease,
how can they blame supposed rebels hiding in Jugedi Khola for the disease? If
there are really those rebels, then they are guilty of some bigger disease,
not that typhoid. Wrong information is as harmful as withholding of information.
Hope this posting won't be rejected:-)
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| ? |
Posted
on 01-Jul-02 11:46 PM
biswo
i dont see much conspiracy there ( i dont buy some of ur argument). I am still looking for the links that give the detail of the disease. In nepal most of the pathological labs look for the presence of some common parasites, their eggs or cysts. Since this looks like a viral disease, there is not much people can do other than try to find out the source of infection. Pertaining to the direct impact on intestinal system, it is a strong possibllity that its being transmitted thru food or water. Now epidemiologist should do a field study and collect samples. If it is thru fecal contamination, the water sample would show the presence of some fecal indicators like coliform bacteria which inhabit human intestine and are distinct from other bacteria.
Viral disease takes long to diagnose, unless its a common and well designated one. Each year different viruses and mutant forms are reported with an entire new out look in terms of vector( the living host which carries virus), genetic make up and pathogenecity. It takes a couple of weeks to successfully grow them, provided we have the slighest hint about their nature. Direct microscopy is possible with electron microscope only. The other common way is to measure the serum immuno globulin level against a particular(unique) antigen the virus carries. This is also very ambiguous if it is cross reactive or sometimes impossible when we do not know which family it belongs to. Our lab in Nepal , unfortunately, lack all these three means employed for viral detection. Since most of the viral diseases are either self subsiding or fatal or latent( inappparent, that is subclinical), developing countries resources are only spent on prevention ( eg vaccination, sanitation) of these disease rather than cure and diagnosis. yehi ho third world ko pida, aajalai yetti
prashna-chinha
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| Biswo |
Posted
on 02-Jul-02 10:45 AM
?ji,
Thanks for illuminating technical aspects of the problem, which I was, expectedly,
unaware of. But the key question I was raising was based on a story by a
vernacular daily in nepalnews(I couldn't find the link for now) in which it was
reported that the hospital chief 'le aru bibaran dina inkaar garnu bhayo'. What?
Is it Bolshevik regime or what? It was my question.
You have written that to establish fecal contamination of water, and the epidemic
thus spreading takes time, yet we all know that the first day the problem was
reported in media, there was a report that such contamination near Jugedi
Khola by the Maoists hunkered down there.I had hard time buying that
explanation. I still don't believe that.
I hope this is not something that can't be contained. And I hope the hospital
chief gives whatever he knows to media. People deserve to know what's going
on.
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| ? |
Posted
on 02-Jul-02 11:28 AM
biswo wrote:
But the key question I was raising was based on a story by a
vernacular daily in nepalnews(I couldn't find the link for now) in which it was
reported that the hospital chief 'le aru bibaran dina inkaar garnu bhayo'.
As you are aware, we in Nepal can not gracefully say "i dont know" when we really dont know. Being a hospital "hakim saab/doctor saab" if he said he dint know what was causing diarrhoea, what would people think of him? Moreover there could be some conflicting lab reports( very common phenomenon) which put our doctor saab in fix.
However. if they have some reports from an authentic lab, it has to be made public without causing unnecessary panic. amen to ur concern biswo-ji.
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| independent verification |
Posted
on 02-Jul-02 11:37 AM
how about dropping a couple hundred rups back home to pay for independent lab analyses of some of the folk suffering from this condition. that'd blow the lid off pretty conclusively, hoina? isn't that what localities and private citizens do when they think their gov'ts aren't transparent/accountable enough? do an erin brockovich and get yer own answers...that is, if it really matters enough to you in the first place.
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| Biswo |
Posted
on 02-Jul-02 01:28 PM
Dear IVji,
Your suggestion is right, but I don't think I am going to do it. Not everybody can be
Erin Brockovich:-)
?ji, the concern is whether Aulo(I don't know its English) was reemerged. It was one
of the rumours floating around in Chitwan, and that made me very anxious. It was
reported in Foreign Affairs last year that in case of reemergence of those
supposedly eradicated diseases,medication is extremely difficult. Even USA doesn't
have sufficient stock of medicines.Foreing Affairs discussed the issue in terms of
bioterrorism, however.
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| Bhenda |
Posted
on 02-Jul-02 02:02 PM
I think Aulo is Malariya.
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| Biswo |
Posted
on 02-Jul-02 02:20 PM
Bheda, it can't be. Aulo ta uhile eradicate bhaisakeko ho. Malayria ajhai jiudai chha.
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| LamjungKunchha |
Posted
on 02-Jul-02 03:52 PM
Biswoji
I don't think Maleria was ever eradicated. My understanding is Maleria is aulo. I knew few people when I lived in Lamjung, who suffered maleria.
Small Pox was eradicated but what I have heard is it has shown its ugly head in some distant area but I don't how much of a true rumour it is.
Tourists are still recommended to take Malerial Pill before they embark on the journey to Nepal. I doubt Maleria has been eradicated.
Hope this help clear some water
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| i know |
Posted
on 02-Jul-02 04:13 PM
i am thinking doing that the aulo must being the mailarea. bad advice i think it is to advice to the phorens all must being eating the auntee-mailarea peels before nepali ghomne doing. damn mefloquine (lariam) rots yer brain! it's that antibiotic-resistant tb that's scary.
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| Mr_P |
Posted
on 02-Jul-02 11:17 PM
Small pox was definately eradicated. There is rewards for one who brings new cases of "Bifar" to the health authorities. I think it was declared eradicated around late 70s.
I doubt about malaria. Nepal government still has Aulo Unmulan Karyakram... they used to come to spray DDT to our homes until late 80's.
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| Biswo |
Posted
on 03-Jul-02 08:19 AM
Yea, looks like Malaria and Aulo are same. So, Aulo Unmulan is still not
quite successful. Thanks for correcting me , posters.
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| kk |
Posted
on 03-Jul-02 09:38 AM
Two die of Malaria in Kanchanchur
KOL Report
KATHMANDU, July 3 – At least two people have died in western Kanchanpur district due to Malaria as several hundred more people are at risk from the disease, reports said Wednesday.
The official RSS news agency quoted District Public Health Office (DPHO) as saying the most affected areas were Domilla and Pahariya in Krishnapur VDC, Phuleli, Guda and Baldadi in Jhalari VDC and Triuga and Daiki VDCS where as many as two people per family had been infected by the disease.
The DPHO says blood test carried out revealed mostly PF strain of the disease and had mobilized health workers to its prevent further spread.
The two persons who died of the disease were a 15-year-old girl and a 51 year-old-man in Krishnapur VDC.
Meanwhile, the government says it has taken step to control the spread of typhoid and malaria first seen in the country nearly a month ago.
A statement issued by the Ministry of Health Wednesday said teams of medical experts had identified the infected people in Chitwan and were taking steps to control and eliminate the epidemic.
Similar medical teams along with medical supplies had been sent to Kanchanpur district also, the ministry said. (rk)
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| Biswo |
Posted
on 03-Jul-02 10:11 AM
In summer, there are bound to be a lot of swamps of rainy waters in Terai, which are main breeding ground for mosquitos.No wonder we see cases of malaria so often. I think I have not seen any (surprise) patient of malaria in Tandi, but that doesn't mean there are not any.
Since money is not more worthy than the health of people, I think it is important that our municipalities spend money on health improvement projects rather than stacking it in bank (Yea, Tandi does). And while the government, which spends liberally and rightfully in education (alas, the poor result of government schools in SLC this year raises question on such spendings!), needs to focus on health too. I remember reading cases of death from as simple diseases as diarrhea so often in Kantipur, and it is so sad.
Hope doctors sahibs in ministry of health will do something, in Kanchanpur too, of course!
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| KTM Post |
Posted
on 04-Jul-02 10:20 PM
No malaria in Chitwan : Experts
Post Report
KATHMANDU, July 4
A team of experts sent to Chitwan district by the Ministry of Health to investigate a mysterious illness has presented its findings, ruling out malaria as the culprit as was initially reported.
In its report presented to the Ministry, the team asserted that it found no cases of malaria in Chitwan district in the thousands of blood samples tested and analysed. Instead, 186 blood samples were found to be infected with typhoid.
The mysterious illness, that reached near epidemic proportions in Chitwan since May 24, was widely believed to be malarial in nature. Local doctors in Chitwan however could not concretely identify the disease, prompting the Ministry to despatch a medical team.
The report of the team issued here clearly states that there were no cases of Malaria in Chitwan but had found 186 cases of typhoid. With a total of 3058 cases of fever in Bharatpur Hospital and 2259 cases in Medical college Bharatpur in Chitwan, 55 percent of the patients were found to be below 14 years of age, the report states.
In a press statement issued today by the Health Ministry, it is mentioned that of the 647 blood samples tested, 186 were found to harbour the typhoid-causing bacteria. The team found no malarial cases.
Further, the team had brought 22 blood culture and 10 drinking water samples to be tested at National Public Health Laboratory in Kathmandu, in which only 10 blood samples and two water sample were stated to have the typhoid bacteria.
A committee has been formed under the chairmanship of district development committee in Chitwan with various government and non-government, national and international organisations in order to develop need-based health programs. At the same time, to rejuvenate the services of the district hospital, a five member committee is being formed under the chairmanship of medical superintendent, the Ministry said.
Similarly, in Kathmandu, out of 28 people who had fever, only 6 people were reported to have typhoid bacteria after a blood test. The report from the laboratory showed no results of people suffering from Malaria.
The Ministry had furthermore sent the blood sample of 100 people to OFRIMS in Bangkok for further tests.
Meanwhile, while malaria has been ruled out in Chitwan, it has been detected in Kanchanpur district. The Ministry statement said that 1700 cases of malaria has already been reported in the district this year. Last year, the number of malarial cases in Kanchanpur was 2600. The Ministry said it had sent a team of experts, medical supplies and equipment to Kanchanpur to deal with the cases.
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| Biswo |
Posted
on 05-Jul-02 08:29 AM
With at least three hospitals, at least two more undergoing construction, and a few
more nursing homes, Chitwan still seems to be incapable of agnosing whether the
disease is typhoid or malaria, if I understand the news correctly.
(It is really sad.)
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| news |
Posted
on 12-Jul-02 09:16 AM
Fever in Chitwan was Typhoid: Foreign Experts
Research findings carried out by native and foreign experts have revealed that the epidemic that broke out in the form of fever in Chitwan two months back was 揟yphoid?
After the local medical experts failed to address the problem of recurring fever in patients, four Thai experts and two Nepali experts from the Armed Force Research Institute Of Medical Sciences, Thailand were invited by the Nepali health officials to look into the matter.
The team of experts collected the blood samples of 98 patients, stool samples of 10 patients along with 14 water samples from Ward No: 14 of Bharatpur Municipality and sent it to Bangkok for laboratory examinations two weeks back.
The findings of the blood culture carried out have revealed that the blood of the patients contained 34 Salmonella Typhi. The report has clearly stated that the blood samples did not contain any Malaria.
Initially there was widespread confusion whether the fever that broke out in Chitwan was Malaria or Typhoid. nepalnews.com am July 12
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