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Dengue Overwhelms Hospitals

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    Posted: October 10 2015 at 3:31pm

Desperate Families in Delhi as Dengue Overwhelms Hospitals

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Patients await for routine check-up as they lie under a mosquito net inside a dengue ward of a government hospital, on September 19, 2015 in New Delhi, India.
Arun Sharma | Hindustan Times | Getty Images
Patients await for routine check-up as they lie under a mosquito net inside a dengue ward of a government hospital, on September 19, 2015 in New Delhi, India.

Four days after Manoj Sharma's 6-year-old son first fell ill with dengue fever, a mosquito-borne disease rampant in urban India, his body showed signs of shock: a plunging platelet count, vomiting and labored breathing. At 2 a.m. on Sept. 13, Mr. Sharma suffered a shock of his own, learning that the private clinic that had given his son a vital platelet transfusion — with a $182 bill — lacked the resources to provide further treatment.

He spent the next three hours ferrying his wife and son on the back of his scooter to different hospitals that he said were unable, because of overcrowding, to treat the boy.

Finally, the nonprofit Holy Family Hospital admitted his son, Aman, who spent several hours in the intensive care unit but ultimately died. All told, Mr. Sharma had taken his son to five hospitals in six days, secured two platelet transfusions and a stay in an intensive care unit, paying about 70,000 rupees — around $1,100 — with loans from his mother and brother.

"I was numb," Mr. Sharma said. "He died before my eyes."

During the annual dengue season, roughly from August to November, stories like Aman's circulate through the city. The dengue outbreak in Delhi appears to be the worst in years — as of Thursday, more than 9,000 registered cases and 30 deaths, the highest numbers since 2006. The stories have a depressing sameness, describing families looking for lifesaving treatment left on their own to navigate a dizzying array of public and private providers.

In September, news reports told of the parents of a 7-year-old dengue victim in Delhi who jumped to their deaths from their fourth-story apartment after reportedly being turned away from five private hospitals. After that, the government demanded an explanation for the five hospitals' actions and announced a series of compliance measures — a 600 rupee ceiling for lab tests, about $9, an increase in available beds until November and a request not to turn away serious dengue patients.

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Experts, however, say privatized health care is only part of the problem, and reflects the shortcomings of an overburdened public system and the inadequacy of the government's preventive measures.

"The health infrastructure hasn't expanded as much as the population has expanded," said A. Venkat Raman, a professor of management studies at the University of Delhi, who specializes in health care. Nevertheless, he said, the recent cases could have been avoided if there was a process of referrals at public hospitals so that patients could be directed to the hospitals, private or public, where they could receive treatment.

New Delhi hospitals have been inundated by patients this season, in what officials and experts called a public panic over dengue, fanned by the news reports.

In a ward filled with patients waiting for dengue test results at the government-run Safdarjung Hospital in South Delhi last month, there were two patients for almost every bed and few doctors or nurses. Electric lamps to kill mosquitoes had been installed in an effort to try to prevent the spread of the infection. When a single doctor entered the ward, he affixed an IV to a semiconscious patient, then quickly disappeared.

In another building, a ward overflowed with confirmed dengue patients, many of whom were forced to camp out on sheets in the corridor. One of those patients, Somkala Kumar, 23, who contracted dengue last month, had come to the hospital with a dangerously low platelet count. It took a day for her to be transferred to the ward, where she was now awaiting treatment. Her arms and legs were covered with red spots, a sign of hemorrhage.

"The doctor who comes only occasionally does not come to each person personally," said her husband, Vinod Kumar. "She just comes and talks to everyone at large. They do not listen or even check as to whether my wife has these red spots."

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Though care at private hospitals is often preferable when available, the costs at for-profit treatment facilities can be exorbitant for poor families. Even at that, experts say, for-profit hospitals are reluctant to take on dengue cases because of the low profit margins associated with widespread diseases.

Mr. Raman said he did not believe "the people who have invested in private hospitals are waiting to treat the people with dengue, malaria or typhoid."

He added, "My gut feeling would be if dengue is a public health kind of epidemic or a public health kind of menace, public hospitals should be the first ones to be called."

Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.🖖

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On top of that they have swine flu problems!


With 810 H1N1 deaths in India this year, swine flu set to challenge the healthcare system once again

It is the season of viral infections and swine flu and dengue are on a rise. After dengue, swine flu is all set to challenge the health care system in the country.

Pune has always been the hotspot of swine flu infections and the government always has a tough time managing it and preventing its spread to other parts of the state. As of now, three people have already succumbed to the virus- one each in Latur, Pune and Kolhapur and the condition 19 other are critical and on the ventilator. 17 of these 19 patients are from Pune alone, said the report in the Times Of India.

The total number of cases in Maharashtra so far has reached 8,241 and 810 people have died due to the virus. However, health officials are blaming the extended rainy season for the prevalence of the virus. The cold and moist conditions help the virus to thrive. Another thing that helps the virus spread is the number of festivals in this season. During festivals like Navratri, people tend to mingle in large groups and hence the infections spread easily from one person to another. Here are 10 facts about swine flu you should know.

Last year too, the number of swine flu cases saw a steep rise in this season. However, the government was ill-equipped to tackle the disease and curb its spread. Lack of enough medicines, lack of hospital infrastructure including hospital beds and doctors to attend the patients, the government found it difficult to control the disease. The awareness drives too aren’t robust enough to educate people on how to prevent the disease. All these factors contribute to the rampant spread of the disease. Read in detail how does swine flu spread?

Hopefully, the government learns from its previous mistakes and takes right steps at the right time to contain the spread of H1N1.

http://www.thehealthsite.com/news/with-810-deaths-in-the-country-this-year-swine-flu-set-to-challenge-the-healthcare-system-once-again-po1015/
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