Bihar: Death toll in AES outbreak climbs to 163; Muzaffarpur, Vaishali worst-hit districts

Source:-zeenews.india.com

The death toll in Acute Encephalitis Syndrome (AES) outbreak in Bihar climbed to 163 lives on Friday, leaving the state in despair. 

Muzaffarpur: The death toll in Acute Encephalitis Syndrome (AES) outbreak in Bihar climbed to 163 lives on Friday, leaving the state in despair. 

Muzaffarpur was the worst-affected district with 126 fatalities. Two more children, admitted to the district’s Sri Krishna Medical College and Hospital (SKMCH) died, earlier on Friday. 

In Vaishali’s Lalganj area, another child lost the battle to the viral disease, taking the death toll to 18. At least nine children with AES symptoms are admitted to the district’s Sadar Hospital and are receiving treatment in the special ward.

Another six children lost their lives in Begusarai district, five in Samastipur, two each in Motihari, Patna and Bettiah and one each in Bhagalpur and Gopalganj.

Taking cognizance of the alarming health situation prevailing in the state, Minister of State for Home Affairs Nityanand Rai announced that all 17 BJP MPs in Bihar will build a Pediatric Intensive Care Unit (PICU) in their districts. He took responsibility to get PICU constructed in Samastipur district. On June 19, the MoS issued Rs 25 lakh from Members of Parliament Local Area Development (MPLAD) fund for the construction of the PICUs. 

On Tuesday, Chief Minister Nitish Kumar visited Muzaffarpur and held a meeting with officials to review the situation, but refused to answer any questions on the health crisis.

The state health department deputed additional medical officers, child specialists and nurses from other districts to Muzaffarpur to help the health officials in the district.

AES is a viral disease which causes mild flu-like symptoms such as high fever, convulsions, and headache

In Bihar, doctors treat patients on floor as hospital tries to cope with rush

Source:hindustantimes.com

So chock-a-block are the wards at Muzaffarpur’s Sri Krishna Medical College Hospital with patients suffering from Acute Encephalitis Syndrome (AES) that doctors are being forced to treat children on the floor.

At least 43 of the 50 deaths due to AES in Bihar have taken place at this hospital, with Muzaffarpur being the epicentre of the outbreak. Ten other districts have also been affected.

Sri Krishna hospital medical superintendent Sunil Kumar Shahi said, “We have an in-patient bed strength of only 610 whereas the number of patients admitted to our hospital is around 876. We do not refuse any patient, so we put mattresses to treat them on the floor.”

To cope with the rush of patients, the superintendent has converted all 20 beds of the intensive care unit (ICU) into paediatric intensive care units (PICU).

“If we come across patients, who need to be admitted to ICU, we will admit them in the coronary care unit (CCU). Against 14 existing beds at our PICU, I have converted all our 20 ICU beds into PICU, taking the number of beds in PICU up to 34,” Shahi said.

“Given the disease burden, even the central team which is here has suggested increasing the number of PICU beds to 100,” he added.

The government has ensured the availability of all drugs free of cost to AES patients. Sri Krishna hospital is also providing food to patients as well as their attendants. “Though we are not supposed to provide food to patients in PICU, on the advice of health minister Mangal Pandey and principal secretary, health, Sanjay Kumar, I am supplying milk, supplements, fruit, bread and eggs to all AES patients and their attendants on humanitarian grounds,” said Shahi.

The parents of some children being treated at the hospital are satisfied with the facilities provided. Some of them, including Md Aslam Madan Sahni, Ram Bharos Thakur and Gayatri Devi, are hoping the hospital will start supplying diapers free of cost too.

Octogenarian with ruptured heart undergoes ‘high-risk’ cardiac surgery: Hospital

Source: health.economictimes.indiatimes.com

New Delhi: An 83-year-old Delhi man who suffered a heart rupture has got a new lease of life after undergoing a “high-risk” surgery at a hospital near here during which his heart was put on a special support device for almost two hours, doctors said.

The patient, N S Mehra, a retired businessman from Preet Vihar in East Delhi, “had suffered a massive heart attack due to sudden blockage of the main artery supply in the heart, leading to the death of the heart muscle causing a heart rupture,” Max hospital said in a statement Tuesday.

The six-hour open-heart surgery was performed recently by a team of doctors at a private hospital in Vaishali, hospital authorities said.

Heart diseases claim a significant number of lives in India across a wide range of demographic profiles. Men are known to be at a “higher risk” in comparison to women and with age and pre-existing co-morbidities, complexities go up, it said.

“The patient had a history of hypertension and had suffered a massive heart attack due to instantaneous blockage leading to a hole in the wall of left ventricle. And his heart was beating at double the normal rate when he was brought to the hospital,” the statement said.

Mehra was brought to the Max Super Speciality Hospital in Vaishali on a ventilator.

“The patient was put on a heart-lung machine and his heart was arrested for almost two hours,” the hospital claimed.

“The rupture was repaired through double suturing also known as ‘double-layered repair’ using a small part from synthetic materials or PTFE (polytetrafluoroethylene) and pericardium (the outer the membrane enclosing the heart),” said Gaurav Mahajan, Principal Consultant and Head – cardiothoracic and vascular surgery, at the hospital.

In majority of heart rupture cases, patients are unable to reach the hospital in a treatable condition as the condition deteriorates at a life threatening rate, he said.

“A highly complex open heart surgery was performed by a multidisciplinary team of doctors, including cardiac surgeons, physicians, anaesthetists, nurses and perfusionists. After a week of surgery care and observation, Mehra was discharged with a positive prognosis,” Mahajan said.