Diarrheal Epidemic Grips Ghallour Sub-centre, Jawalamukhi Block, Kangra District, Himachal Pradesh, India
|Nikhil Gupta S*|
|District Program Officer, CMO office, Kangra, Dharamshala, HP, India|
|Corresponding Author :||Nikhil Gupta S
District Program Officer
CMO office, Kangra
Dharamshala, HP, India
E-mail: [email protected]
|Received January 12, 2015; Accepted January 24, 2015; Published January 26, 2015|
|Citation: Nikhil Gupta S (2015) Diarrheal Epidemic Grips Ghallour Sub-centre, Jawalamukhi Block, Kangra District, Himachal Pradesh, India. Fam Med Med Sci Res 4:157. doi:10.4172/2327-4972.1000157|
|Copyright: © 2015 Nikhil Gupta S. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Background: On 31st August, 2014, eighty cases of the gastroenteritis were reported in Ghallour sub-centre area. We investigated the outbreak to identify the source, propose control and preventive measures.
Materials and methods: We defined a case as occurrence of three or more watery stools with or without vomiting, w.e.f 27 January, till 2nd Feb2014 in residents of Ghallour sub-centre area of Jawalamukhi Block. We hypothesized it as a water borne outbreak. We determined age and sex specific attack rate. We collected information about personal history on age, sex, residence, and date of onset of symptom from case patient and established line list. We collected 9 stool samples/rectal swabs from the cases; 3 pre and 4 post chlorination water samples and sent them for microbiological testing. We mapped water supply pipelines of the area and reviewed water chlorination record.
Results: We identified 390 cases. The overall attack rate was 8% with range of 1.3% to 36%. The cases patients were reported from all age groups and both the genders with the youngest student; 1 year old to the oldest one as 88 years. Two thirds of the cases reported vomiting with some complaining of pain abdomen. Villages like Jathman, Khattni, Rajol Patta, Kohara has 100% case patients of loose motions while villages like Dhroli, (100%), Sasan (63%) and Ghallour (50%) etc have combined symptoms of loose motions and vomiting. No fatality was reported. Escherichia coli was detected in the samples from water samples. Records of chlorination were not properly maintained.
Conclusion/recommendation: The outbreak was caused due to contamination of water at the source in Jolly Khad. Regular treatment of the water needs to be done right at the source before being lifted.