Outbreak Of Jaundice In Rural School Children: An Epidemiological Investigation
DOI:
https://doi.org/10.3126/ajms.v3i3.7743Keywords:
Hepatitis A, outbreaks, incidence, sanitationAbstract
Background: Viral hepatitis is a major public health problem in India and epidemiology of viral hepatitis is going to changing as outbreaks of hepatitis A are being reported with increased frequency, in the pediatric age group as well.
Objective: To study the time, place, and person distribution of hepatitis A infection in rural school population & to find the source of infection in the study area.
Methodology: Community based survey was conducted among the school population of village Kalawade district Satara of state Maharashtra during July-August 2011 by interview and clinical examination utilizing pre-designed semi-structured proforma. Data collected by investigation team was compiled and presented into frequency, percentage & chi-square test was applied to know the statistical association.
Results: Out of 400 school children, 32 suffered from Hepatitis A viral infection with overall attack rate 8% involving 25 males & 7 females showed statistical significant association (p < 0.05). Index case was detected on 20th July 2011 while maximum no. of cases i.e. 11 cases were detected during 3rd week of outbreak with a median incubation period 21 days. Majority of patients, 96.8% & 81.2% were presented with dark yellow colored urine and yellowish discoloration of sclera. Out of 32 patients, 68.5% cases were from private high school with water supply from bore well while 31.5% cases from anganwadies & primary school with a water supply from gram panchayat well. However, water supply source to private high school was found contaminated.
Conclusion: An outbreak of Hepatitis A reported in school children mainly due to consumption of contaminated bore well water.
Asian Journal of Medical Science, Volume-3 No-3 (2012), Page -20-26
DOI: http://dx.doi.org/10.3126/ajms.v3i3.7743Downloads
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).