Cholera Cases in Pindi Hospital, Fatal Brain eating Ameba (Naegleria) cases in Karachi and Tear gas

shaikh

Minister (2k+ posts)
Ours is a strange health planning , lately two patients have tested positive for Cholera in Rawalpindi , as the link below shows.

Two patients test positive for cholera in Rawalpindi

Rawalpindi: The National Institute of Health (NIH), Islamabad, has tested at least two child patients positive for cholera, a highly contagious and fatal disease if not treated well in time while result in another case of a three-month-old child is yet to be finalised by the NIH.

The three patients, including 6-year old Abdullah Nawaz, 4-year old Anaya and 3-months old Rozi Marker, have been undergoing treatment here at the Paediatrics Department of Benazir Bhutto Hospital (BBH) in the town. The NIH tested vibrio cholera positive in stool samples of Abdullah and Anaya on Monday while the result in the third case is being awaited.

The appearance of cholera cases in Rawalpindi is being termed as a great threat by a number of health experts as the infectious disease has a much higher mortality rate as compared to gastroenteritis or diarrhoea and its spread is also much rapid.

The confirmation of two cases of cholera from the BBH should not be taken as non-serious as the disease can be termed as ten times more severe and serious in nature as compared to normal gastroenteritis or diarrhoea, said Associate Professor of Paediatrics at Rawalpindi Medical University Dr. Tariq Saeed when contacted by ‘The News’ on Tuesday.He added that cholera causes rapid loss of fluid and its patient needs immediate hospitalization because the water loss in the body can be fatal if not treated well in time. Cholera may be termed as 10 times more life threatening as compared to normal diarrhoea and dehydration, he said.

The major symptom of cholera is heavy watery diarrhoea with much rapid loss of fluid, said Professor Tariq.Studies reveal that in cholera, the watery motion resembles that of rice water and dehydration is much rapid as compared to diarrhoea. Such a patient should immediately be given treatment with antibiotics, intravenous fluids and ORS.Professor Tariq said that a patient of cholera must be taken immediately to the nearest healthcare facility for treatment and management as delay in reporting may cause death.

Studies reveal that nearly 60 per cent of untreated patients die of the disease. Cholera is an acute infectious disease caused by the bacterium Vibrio cholera that lives and multiplies its colonies in the small intestine. Massive watery diarrhoea is the major symptom of the infectious disease that results in dehydration. Such dramatic water loss, if left untreated, causing severe dehydration leads to thickening of blood, circulatory collapse (shock) and death. Studies reveal that a good number of cholera victims die six hours after onset of symptoms if not treated in time.

When asked, Professor Tariq said the transmission of cholera is through oral-faecal route and it spreads much rapidly in the community however its incidence can be avoided by using safe water (boiled water) both by adults and children for drinking and by avoiding unhygienic conditions. To avoid cholera, people must have a clean and functioning lavatory and should avoid open defecation on ground, in or near water sources, he said.

Medical Superintendent at BBH Dr. Arshad Ali Sabir, when contacted by ‘The News’ on Tuesday said after confirmation of two cases of cholera, the hospital has arranged isolation rooms both at paeds and medicine departments for keeping child and adult patients of the highly contagious disease in isolation. He added the child patients who have been tested positive for cholera are stable and their condition is improving at the paeds department.

Source

Then some more patients have died from Brain eating Naegleria in Karachi , another water born issue , as in the link below

and our administrators are busy beating doctors as shown in link below

Brain-eating bug claims fourth victim in city

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A woman in Karachi died of meningitis caused by the dreaded microorganism Naegleria fowleri, raising the year’s total death toll due to the brain-eating bug to four in the city, it was learnt on Tuesday.

“Amina Saleem, 48, and a resident of the Karimabad area of District Central, died this Sunday at a private hospital due to meningitis caused by N fowleri,” the Sindh government’s focal person for Naegleria fowleri, Dr Zafar Mehdi, told The News.He said the woman had been suffering from extreme headaches, nausea and drowsiness for some days, adding that she was taken to the Patel Hospital in Gulshan-e-Iqbal on Saturday when her condition worsened. “Within 24 hours of her admission to the hospital, she succumbed to the deadly infection.”

According to health officials, N fowleri has killed 46 people across Sindh since 2011. Meanwhile, a recent study by some Pakistani experts at the University of Dammam in Saudi Arabia and the University of Karachi found that between 2008 and 2015, 110 people in Sindh died due to primary amoebic meningoencephalitis (PAM) caused by N fowleri.Published in the Archives of Pharmacy Practices last year, the study found that the highest number of cases was reported in 2012 when 22 people in Pakistan died of the water-borne infection.

The researchers said majority of the N fowleri deaths in the country between 2008 and 2015 occurred in the month of July. The mean temperature of the month was between 35°C and 39°C, while majority of the cases were reported in Karachi.Saudi Arabia-based Pakistani specialists said that no individual who contracted the disease was able to survive, adding that adults between the ages of 26 and 45 years were the most affected. All of the deaths occurred in the Muslim community, concluded the study.

“In the beginning, PAM-related deaths occurred mainly in males,” says the study. “However, female deaths have also been reported recently. Cross tabulating the variable of year with patient age group revealed that individuals from all ages ... were reported dead due to the pathogen.”The study by foreign experts further revealed that chlorination of the municipality water supply in Karachi was below the World Health Organisation recommended level of 0.5 parts per million (ppm).

Data of 913 water samples taken from different parts of the city in 2012 reported 201 water samples to have chlorination below 0.5ppm. In 2014, another 2,094 water samples were drawn across the city and reported low chlorination. The subsequent year also reported similar results.On the other hand, leading water technologist and expert Dr Ahsan Siddiqui said that due to deteriorating water supply lines in Karachi and other issues, chlorinated water does not reach the consumers.

He advised the people to clean their underground and overhead water tanks as well as to use liquid bleach regularly. “It is found that N fowleri remains present in the layer of mud in the water tanks ... and whenever it finds favourable temperatures, it activates.”
He said 10 drops of liquid bleach killed all the pathogens and microorganisms in one cubic feet of water containing 28 litres, reiterating the need for regular cleaning of underground and overhead water tanks to get rid of N fowleri colonies.


Source


LAHORE: The YDA staged a protest rally in the provincial metropolis Tuesday. As soon as the young doctors started moving towards the GOR-I, the police baton-charged the doctors, used water cannon and tear-gassed them to prevent their entry into the high-security zone. The young doctors also tried to scuffle with the police just to ‘play victim’ after being tortured, but the police acted wisely and didn’t beat the protesters. However, the police managed to push them back on Jail Road.
The long march and call for closure of hospitals by leaders of Young Doctors Association (YDA), Punjab, turned counterproductive that showed cracks within its ranks as majority of young doctors didn’t respond to their desperate calls to suspend treatment services in hospitals.

“Majority of young doctors has thwarted YDA leadership’s attempt to disrupt healthcare services in hospitals especially as they themselves are facing corruption, interference in administrative matters of hospitals and other charges,” said a young doctor of the Mayo Hospital, where young doctors completely alienated themselves from the YDA’s long march and continued discharging their duties in the hospital.

Earlier, YDA leadership and activists, especially from other districts than those from hospitals from Lahore, gathered in Services Hospital Tuesday noon and started marching towards Punjab Institute of Cardiology to enter GOR-I.
The young doctors were carrying banners and placards, inscribed with their demands, and shouting slogans against the Punjab government and Secretary Specialised Healthcare and Medical Education (SHC&ME) Department, which also caused traffic jam on Jail Road.

“We want Secretary of SHC&ME Najam Ahmad Shah, who is a non-medical professional, to be replaced with a doctor, who will have a better understanding of the intricacies of the health sector in the province.

https://www.thenews.com.pk/print/22...testing-doctors-from-entering-GOR-1-in-Lahore
 
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HamzaAfzal

MPA (400+ posts)
Pakistan Healthcare system is so weak and unorganized that It creates problems instead of providing them relief. There are so many best hospitals in Pakistan which provides quality health care treatment but if main source doctors go on strike then these hospitals become useless and in the end Patients suffers.
 

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