PMID- 22561622
OWN - NLM
STAT- MEDLINE
DCOM- 20121030
LR  - 20211021
IS  - 0971-5916 (Print)
IS  - 0971-5916 (Linking)
VI  - 135
IP  - 3
DP  - 2012 Mar
TI  - Retrospective study of chikungunya outbreak in urban areas of India.
PG  - 351-8
AB  - BACKGROUND & OBJECTIVES: A retrospective study on chikungunya outbreak in India 
      in five States viz. Delhi, Madhya Pradesh, Orissa, Maharashtra and Kerala was 
      conducted in 2007-2008 to know the distribution and determinants of chikungunya 
      fever outbreak in India. METHODS: On the basis of high and low incidence of 
      chikungunya fever, two districts from each State and two wards from the selected 
      district were taken for random selection of 1000 households from 10 districts and 
      5 States. Semi-structured questionnaires were administered to individuals, 
      patients, qualified health professionals and to stakeholders for collecting 
      information. RESULTS: The educational background and occupation of the 
      respondents showed variations across the study States. Only in high incidence 
      ward of Maharashtra, water storage period for 3-6 days and emptying, drying of 
      water containers on weekly basis was noted. The study through knowledge, 
      attitude, belief, practice (KABP) obtained individual's perception of chikungunya 
      fever, its prevention and control. Patients' expenditure on treatment was mainly 
      recorded less than Rs 500 across study States. Health facility survey obtained an 
      overview of the capacity of local health facilities. Stakeholders' perception 
      regarding chikungunya fever was also noted. INTERPRETATION & CONCLUSIONS: The 
      study revealed differences in awareness of chikungunya, cause of the disease, 
      vector responsible, mode of transmission, biting time and elimination of breeding 
      of mosquitoes statistically significant among high and low incidence wards of all 
      the States. Expenditure on treatment was independent of economically active 
      status and loss of man-days across all the States. Education and occupation did 
      not have any relation with emptying/drying of water containers in high incidence 
      wards. Strengthening of surveillance, information, education and communication 
      (IEC) activities along with case management facilities may be provided by the 
      State health department for prevention of chikungunya outbreaks in future. 
      Stakeholders should be more involved in outbreak management and future planning.
FAU - Nagpal, B N
AU  - Nagpal BN
AD  - National Institute of Malaria Research, ICMR, New Delhi, India.
FAU - Saxena, Rekha
AU  - Saxena R
FAU - Srivastava, Aruna
AU  - Srivastava A
FAU - Singh, Neeru
AU  - Singh N
FAU - Ghosh, S K
AU  - Ghosh SK
FAU - Sharma, S K
AU  - Sharma SK
FAU - Kumar, Ashwani
AU  - Kumar A
FAU - Kumar, Hemant
AU  - Kumar H
FAU - Sharma, Alok Suman
AU  - Sharma AS
FAU - Chand, S K
AU  - Chand SK
FAU - Ojha, V P
AU  - Ojha VP
FAU - Mohanty, S S
AU  - Mohanty SS
FAU - Mohanty, A K
AU  - Mohanty AK
FAU - Dasgupta, R K
AU  - Dasgupta RK
FAU - Dhillon, G P S
AU  - Dhillon GP
FAU - Dash, A P
AU  - Dash AP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - India
TA  - Indian J Med Res
JT  - The Indian journal of medical research
JID - 0374701
SB  - IM
MH  - Alphavirus Infections/*epidemiology/virology
MH  - Chikungunya Fever
MH  - Chikungunya virus/*isolation & purification
MH  - *Disease Outbreaks
MH  - Humans
MH  - Incidence
MH  - India/epidemiology
MH  - Retrospective Studies
MH  - Urban Population
PMC - PMC3361872
EDAT- 2012/05/09 06:00
MHDA- 2012/10/31 06:00
PMCR- 2012/03/01
CRDT- 2012/05/08 06:00
PHST- 2012/05/08 06:00 [entrez]
PHST- 2012/05/09 06:00 [pubmed]
PHST- 2012/10/31 06:00 [medline]
PHST- 2012/03/01 00:00 [pmc-release]
AID - IndianJMedRes_2012_135_3_351_95617 [pii]
AID - IJMR-135-351 [pii]
PST - ppublish
SO  - Indian J Med Res. 2012 Mar;135(3):351-8.