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DENGUE time bomb ticks with the onset of monsoon !



['Travel, urbanisation have led to 50-fold rise in DENGUE cases']



Constant travelling and rapid urbanisation of rural areas have contributed to a nearly 50-fold increase in dengue cases over the last 50 years, say experts.

Aedes aegypti was known to be the vector of urban areas and Aedes albopictus was responsible for the disease in rural and suburban areas. However, in recent times this division has blurred, because people move about a lot these days. This has led to a nearly 50-fold increase in dengue cases," study of  the School of Tropical Medicine in Kolkata  reveals.

According to the World Health Organisation (WHO), over 2.5 billion people - more than 40 percent of the world's population - are now at risk from dengue, which is a viral disease spread by mosquitoes of the genus Aedes, principally A. aegypti.

WHO currently estimates there may be 50-100 million dengue infections worldwide every year.
In West Bengal such outbreaks occurred at intervals of 18 to 20 years. But now the outbreaks have become frequent. 

This year, till Friday (21st Sept. 2012) seven people have died, while 2,033 people were afflicted with dengue in West Bengal. While in Odhisa, Dengue has killed one more person, taking the toll of the disease in the state over the last two months to four.So far, 575 positive dengue cases have been reported in Odisha this year. Even Delhi is not far behind. The cases of the mosquito-borne disease in the national capital that assumed epidemic proportions in 2006 and 2010 have suddenly increased over the last month. The three corporations - North, South and East - together claim only 34 people have tested positive for dengue in 2012. However, figures from just a few private hospitals show that more than 400 people have been infected. A Max Hospitals spokesperson reported receiving 20 dengue patients over the last two days.

"Now the outbreaks occur every five to six years. This is mainly because of the constant travelling from one country or city to another. Dengue is a communicable disease and this further spreads the disease," Shyamalendu Chatterjee of the city's Indian Council of Medical Research (ICMR) Virus unit told.
Construction work, a consequence of urbanisation and development of rural areas, is indirectly responsible for the spread of the disease.

The mosquitoes responsible breed in fresh water and the larvae thrive in it. Construction work requires a lot of water and any small puddle of fresh water at the building sites favours their growth.
Endemic to Kolkata, isolated incidents of dengue occur throughout the year but with the onset of monsoon, dengue cases rise progressively.

It peaks in September and the declining phase continues till end of November.

The dengue virus (DENV) has four forms or serotypes and infection with one of the four strains usually produces immunity to that strain but does not provide protection against the other strains.

So if a population has been affected by a particular serotype previously, then it will develop immunity to it. But during the next outbreak if the strain responsible is different, then it spreads rapidly, because there is no previous immunity to it.

A new dimension that has been put under the scanner by the virus unit is the dynamics between the chikungunya and dengue viruses.Both the viruses are harboured by the same mosquito, A.aegypti. It has been observed that when chikungunya prevailed post 2006, dengue decreased. And as of 2010, dengue dominated chikungunya. It is nature's way of avenging.

People are destroying nature in their efforts to better their lives and this has upset the balance. It is getting its revenge in this way.

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