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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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Updated by Ravindra Vemula |
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Go to Fact sheets page |
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