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Epidemiology
of Gastroenteritis in
Andhra Pradesh |
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GE
incidence in AP |
Case
Fatality rate of GE |
High
Incidence district in AP |
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The figure
below shows gastroenteritis incidence in the state
over the past decade (1991 - 2000). There is a gradual
decrease in incidence except for the spurt of
incidence in years 1993 and again in 1998. |
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Case
fatality rate tells us how effective is the management
of gastroenteritis once it occurs. In other words CFR
teels us how sucessful is the household in recognising
gastroenteritis and giving oral rehydration, how
successful are our health workers in early management
of gastroenteritis and how well our hospital teams are
doing in management of severe gastrenteritis cases.
Since we have very highly effective technology to
manage gastroenteritis cases, the case fatality should
be low. The sheet anchor of gastroenteritis management
is giving fluids at home, oral rehydration solution,
and management of fluid balance in hospitals. |
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There is a
decline in GE incidence and related case fatality in
the last two years. This decline in case fatality rate
would suggest that health education efforts to promote
oral rehydration and hospital management of
gastroenteritis cases is having some impact. However,
the absolute level of CFR, even after the recent
reduction is not acceptable. As mentioned earlier
gastroenteritis is a treatable condition. With
appropriate management, almost every gastroentetitis
patient should recover. But we are still left with a
case fatality of about 1%. In other words 1 out of
every 100 gastroenteritis patients is dying. Quite
clearly, the health education efforts need to be
further intensified, healtyh worker skills in early
management of diarrhoea needs to improve and hospitals
must strictly follow practice guidelines. |
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There was an
increase in case fatality in 1998. This again suggest
that we have not been able to consolidate skills for
effective management of gastroeneteritis at different
levels. |
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The
following figures shows district wise gastroenteritis
incidence for the past decade. Six districts fall
under high incidence districts, seven in medium
incidence and ten districts in low incidence districts |
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GE Manual by IHS gives you the complete Picture.
For details contact: ihs@ihs.org.in
Updated by
Ravindra Vemula |
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>> |
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