Monday, November 23, 2009

THE JAPANESE ENCEPHALITIS QUIZ






DAY 3

AN EPIDEMIOLOGICAL AND ENTOMOLOGICAL INVESTIGATION IN PROGRESS
TO ESTABLISH THE CAUSE OF DEATHS IN TWO CASES WHERE SYMPTOMS OF FEVER, HEADACHE, CONVULSIONS AND VOMITING WERE PRESENT

Findings :

a. All animals and birds responsibe for harboring the virus are located in the area
b. culex larvae are found in the circular canal

Actions Taken : NIL

Actions that should have been taken ?

a. JE serological tests of blood from animal and bird sources
b. JE serological tests of blood from suspected as well as nonfebrile human cases
c. Clearing of the waterways of debris, depositions and water hyacynths, thereby ensuring free flow of water
d. providing protective netting along the banks to prevent garbage disposal in the waterways
e. If possible, cementing either banks with steps leading to the water level
f. Anti-larval spray throughout the length of the canal, using a water vehicle at intervals of 14 days
g. Release of guppy/gambusia fish in the waterways
h. For surface drains - desilting, release of larvivorous fish, anti-larval spray at 14 days interval

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