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25401 - MOSQUITO LAUGHS AT MAN Dr A.K.AVASARALA MBBS M.D...

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MOSQUITO LAUGHS AT MAN Dr . A.K.AVASARALA MBBS, M.D. PROFESSOR & HEAD DEPT OF COMMUNITY MEDICINE & EPIDEMIOLOGY PRATHIMA INSTITUTE OF MEDICAL SCIENCES, KARIMNAGAR, A.P.. INDIA: +91505417 [email protected]
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War in India Since 1953 , we are fighting with DDT and other insecticides Changing the spraying policies Spending millions of rupees in each five year plans STIILL ,WE ARE NOT ABLE TO WIN THE MOSQUITO –WHY?
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Battle Ground Mosquito army Anopheles species Culex species Aedes Mansonoides Human Army Africans Indians Asians Mexicans Americans Europeans
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Strengths of the Armies Mosquito brain is of doubtful size Resistance development Man’s foolishness Man is having brains Gambusia fish DDT, Pyrethrum, Abate, Malathion etc Mosquito nets, repellents
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Damages due to war 1.Malaria 2.Filariasis 3.Dengue 4.Dengue hemorrhagic fever 5.Japanese encephalitis 6.Chikungunya fever 7.Yellow fever 8.West Nile fever 9.Viral arthritis 10.Rift Valley fever
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Malaria Anopheles mosquito Malaria patient In 100 countries 300-500 million cases/year World 1.1 to 2.7 million deaths per year Africa deaths 961000 SEAR countries 53000 India 20000
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Filariasis Culex mosquito Filarial scrotum Filarial leg 120 millions in 73 countries SEAR countries 31 millions clinical cases, 60 millions mf carriers India 45 prevalence millions , incidence 6 millions per year
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Dengue fever Culex mosquito Patient 20-30 million cases annually in SEAR countries DHF 200000 cases
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Chikungunya India is reeling under epidemic at present. All states are reporting cases
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Aedes Yellow fever in African countries
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ECONOMIC LOSSES Sinton’s statement that “ There is no sector in India that is not affected by malaria” is still true. All sectors, agricultural, industrial, educational are affected. Malaria has lessened the gross domestic product of the nation and there by its all-round development.
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War strategies analysis Why mosquito is winning? Who is to be blamed? What should be our next steps?
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Why mosquito is winning the war?
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INDIA’S INHERENT VULNERABILITY India favouring mosquitoes with its overpopulated urban areas unplanned urban slums vast, poor, illiterate rural population inaccessible , illiterate, superstitious, tribal communities unsafe irrigational projects and industries public with poor and callous health consciousness
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Poor urban town planning Indian towns are increasing in size and population at the cost of environmental safety. Bad town planning without sanitary disposal of solid and liquid wastes from dwellings is leading to breeding of mosquitoes.
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