84 outbreaks of Hepatitis A in last five years in Kerala State – are we resigning to fate?
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 3
Abstract
Several outbreaks of hepatitis A have been reported from Kerala State in recent years.1-10 Weekly reports of outbreaks retrieved from official website of Integrated Disease Surveillance Project showed that there were 84 outbreaks of hepatitis A reported from Kerala in the past five years.9 Many were explosive including more than 100 cases. As per the official figures, there were 22 deaths due to hepatitis A in last two years.A reporting of over 300,000 cases including 47 deaths associated with consumption of raw clams in Shanghai, China in 1988 represents an example of the magnitude of HAV infection in susceptible population. Community-wide outbreaks of HAV infection are often prolonged and difficult to control. Usually they persist for 6-18 months, until the pool of susceptible persons is exhausted. Same is the experience with hepatitis A outbreaks in Kerala. This scenario has to be faced by any community undergoing economic transitions and improving living standards. Many such countries with similar scenarios have formulated economically viable policies for control of the disease.
Authors and Affiliations
Sreelakshmi Mohandas K, Rakesh PS
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