Impact of residual insecticidal spray on the incidence of Japanese encephalitis.
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Animals↗
Biomedical subjects
M V Narasimham
Publications and source records attributed to M V Narasimham.
Comparative efficacy of chloroquine and amodiaquine in Plasmodium falciparum strain of north-eastern India.
The present study describes the comparative efficacy of chloroquine and amodiaquine in two different presumptive therapy areas of north eastern India. The study recorded insignificant differences in respect of Mean Parasite Clearance Time (MPCT) of sensitive cases, MPCT and Mean Parasite Recrudescence Time (MPRT) of RI resistant cases and recrudescence rate in chloroquine and amodiaquine therapy areas. It is concluded that amodiaquine is not a superior drug as compared to chloroquine. In the chloroquine resistance area, Plasmodium falciparum developed cross resistance to amodiaquine and this phenomenon appears to be unidirectional. However, amodiaquine may help to slow-down the rate of precipitation of higher grade of resistance.
Amodiaquine↗
Present perspectives of malaria transmission in Boko area of Assam.
A longitudinal study on malaria transmission was conducted from January 1984 to December 1988 in three villages in Boko PHC of Assam, where indoor residual DDT spray was withdrawn during the period of study. Anopheline fauna comprising of 19 species was identified and their seasonal density estimated. Anopheles philippinensis was the predominant species followed by An. minimus. The principal role of An. minimus in the transmission of malaria and predilection for indoor resting in this area was clearly evident. Though An. dirus and An. fluviatilis were found in low density, sporozoite infection was detected in them along with An. minimus. The high malaria incidence predominantly with Plasmodium falciparum was closely related to sporozoite infection in the vectors and their densities. The biting cycle of An. minimus was maximum in the first half of the night.
Animals↗
Malaria transmission in Nagaland, India. Part-I--Anophelines and their seasonality.
A longitudinal study on malaria transmission was conducted from January 1983 to December 1988 in two villages of Dimapur PHC in Nagaland. A diverse anopheline fauna comprising of 23 species was identified including three species viz. An. aitkeni, An. bengalensis and An. insulaeflorum which were observed in larval stages only. An. vagus was the predominant species followed by An. philippinensis, An. culicifacies and An. minimus. An. minimus though maintained relatively high density throughout the year manifested two peaks in June and October. An. fluviatilis and An. dirus though found in relatively low density their seasonal prevalence was suggestive of a post-monsoon and monsoon species respectively.
Animals↗
A longitudinal study to monitor chloroquine-resistant P. falciparum malaria in Bokajan and Manja PHC areas of Karbi Anglong District, Assam.
In-vivo as well as in-vitro studies were carried out at regular intervals from 1979 to 1988 to monitor chloroquine resistance in P. falciparum in Bokajan and Manja PHC of Karbi Anglong district, Assam. The results showed no significant change in resistance status in the area. Intensified antivector measures, withdrawal of chloroquine pressure and prompt detection and treatment of P. falciparum cases with alternative drugs helped bring down the higher grades of resistant parasites by 1984, which however could not be maintained. The results of in-vitro tests correlated well with those of in-vivo tests. The Karbis seemed to have better immunity against the strain of P. falciparum than the non-Karbis residing in the area. However, there was no difference in the rate of sensitive and resistant cases detected amongst the two groups.
Animals↗
Importance of mean parasite clearance time and recrudescence time and their role in gradation of Plasmodium falciparum resistance.
The present paper describes the relationship of Mean Parasite Clearance Time (MPCT) and Mean Parasite Recrudescence Time (MPRT) in the epidemiology of Plasmodium falciparum. The role of MPCT in grading the resistance of an area has been discussed. Further, MPRT revealed a positive correlationship with the percentage of RI resistant cases, and showed an increase with age. The ratio of MPRT/MPCT is an indicator of stability status of the resistance.
Adolescent↗
Critical appraisal of entomological data of Madhya Pradesh for 1991 and its relevance to the National Malaria Eradication Programme.
Entomological data generated in five entomological zones, of Madhya Pradesh State during 1991 including, Bhopal, Bilaspur, Gwalior, Indore and Raipur were analyzed. The entomological parameters that were studied included per man hour (pmh) density, abdominal physiology and parity status. The inferences were related to i) resting behaviour (exophily/endophily) ii) duration of indoor resting period of mosquitoes iii) man-vector contact iv) efficacy of residual insecticide and v) vulnerability of the area to focal malaria outbreaks. The data chiefly pertains to the putative malaria vector Anopheles culicifacies in all the five zones under study. The studies have brought out that A. culicifacies, traditionally endophilic and endophagic, has demonstrated radical departure in its resting and feeding behaviour. In Gwalior zone the species shows high preference for exophily. In Bhopal and Indore zones there is differential resting behaviour with respect to season. The species shows, for most part of the year exophily but is also endophilic during post monsoon period. In Bilaspur zone the species shows marked exophily and endophagy. Irrigation practices seem to have affected the mosquito population density patterns in these regions as brought out in Indore and Bilaspur zone, where high density pattern is observed between November and February. These findings have obvious implications in selecting the appropriate intervention methods and the period of spray in areas where residual spray is the method of choice for interruption of transmission.
Animals↗
Residues of chlorinated hydrocarbon insecticides in human blood from Jaipur (India).
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Adult↗
Malaria transmission during post-spray period of pirimiphos-methyl in Arunachal Pradesh.
Observations made for a period of four years from 1985 to 1988 on post-spray impact of pirimiphos-methyl (25 per cent Wp) on malaria vectors in Tirap district of Arunachal Pradesh showed that a low density (0.0 to 0.02 PMH) of Anopheles dirus was maintained in the areas sprayed with the insecticide at the dosages of 1 and 2 g/m2 from 1981 to 1984. The post-spray data (1985 to 1988) showed a reduction of 62.5 to 62.8 per cent in SPR, 55.6 to 64.7 per cent in SRF and 72.3 to 75.5 per cent decline in API as compared to baseline data of 1980 in areas sprayed with pirimiphos methyl.
Animals↗
Epidemic of malaria in Barmer district (Thar desert) of Rajasthan during 1990.
Barmer district of Rajasthan in Thar desert and hitherto a hypoendemic area for malaria came in the grip of a severe malaria epidemic during 1990. The epidemic occurred as an aftermath of floods, preceded by normal rains during 1988 and 1989 after a prolonged drought phase. The epidemic was spread over the whole district including Barmer town. Annual Parasite Incidence (API) and Annual falciparum Incidence (AFI) for the district touched record figures of 17.20 and 5.83 respectively while for the Barmer town they were 36.5 and 14.0 respectively. Out of the eight PHCs, Baitu PHC was the worst affected where the two indices touched all-time high figures of 55.3 and 19.6 per cent respectively. A total of 122 infants were reported positive for malaria, of which 103 were contributed by Baitu PHC alone. Eighty per cent infant positivity was spread over September and November, indicating a high rate of transmission. A total of 47 deaths due to cerebral malaria were reported. However, in view of the high infectivity among infants and paediatric groups there was a strong possibility of deaths among these groups which could not be verified. Entomological findings revealed that a sudden increase in An. culicifacies densities due to extensive breeding potential, as a sequel to floods, activated the transmission, which was maintained at a low level by An. stephensi, predominant in this desert region. Other factors which contributed to the intensity and extent of epidemic were the return of drought-migrated population from malarious areas, low cattle density, malaria non-immune population, inadequate and poor spray coverage and delayed radical treatment. Insecticide adult susceptibility tests revealed a high degree of resistance in An. stephensi against DDT and dieldrin.
Adolescent↗
Problem of antimalarial drug resistance in Plasmodium falciparum in Mizoram.
Studies conducted in Mizoram during 1981 to 1990 have shown areas with increasing RIII level of chloroquine resistance. These foci need urgent liquidation. Sulfalene-pyrimethamine drug combination was found suitable for treatment of P. falciparum cases in these areas with only 5.3 per cent cases showing RI level of Plasmodium response. Quinine combined with sulfalene-pyrimethamine showed 100 per cent success. Amodiaquine however was similar in response to chloroquine though the mean parasite clearance time with amodiaquine was slightly better.
Animals↗
Management of admitted malaria cases in four major hospitals of Delhi: a case study.
A hospital-based retrospective case study of admitted patients was undertaken in four major hospitals of Delhi during 1991, with a view to assessing (i) recording and reporting system of malaria cases, (ii) diagnostic criteria being followed, (iii) management of complicated and severe malaria cases, and (iv) availability of life-saving antimalarials. The study showed that none of the hospitals either followed the international coding system for recording or adopted the National Malaria Eradication Programme guidelines for diagnostic criteria malaria, i.e. by blood smear examination. Diagnosis of malaria in three out of four hospitals was not preceded by blood examination in all cases. Only 55% of the 283 clinically suspected malaria cases were screened for malaria parasite with overall positivity of 20.14 per cent and of 38.25 per cent in examined cases. Age and sex break-up indicated that males suffered more and 65 per cent of the patients belonged to 16-40 years' age groups as compared to 38.4 per cent population falling in this age group according to 1981 census. Out of 263 recovered study cases, 13 per cent came from adjoining states while this percentage went up to 35 per cent (7 out of 20 cases) in the case of malaria deaths. Over 80 per cent of the clinically suspected cases presented with signs and symptoms of fever or fever with rigour, chills or vomiting. In 38 per cent of the cases there was a definite time lag in reporting of the cases to hospitals but most of the cases (91 per cent) were administered antimalarials within 24 h of admission.(ABSTRACT TRUNCATED AT 250 WORDS)
Adolescent↗
Gel diffusion analysis of Anopheles bloodmeals from 12 malarious study villages of Orissa State, India.
In Orissa State, India, the double gel diffusion technique was used to analyze 97,405 bloodmeals of all fed anophelines that were caught during standardized monthly surveys in 12 malarious study villages, from 1982 through 1988. Anopheles culicifacies contributed the highest number of smears from the 19 Anopheles species recovered. It was observed that a pronounced predilection to take mixed bloodmeals attenuates the vector potential of the species concerned. Consequently, prevalences based only upon "pure" (unmixed) primate bloodmeals provide the most accurate way to assess the intensity of feeding contact that actually occurs between a given species and man. By this method, the ranking order is Anopheles fluviatilis, An. culicifacies and An. annularis (N); a sequence which concurs with current knowledge on the vector status of malaria mosquitoes in Orissa.
Animals↗
Deterioration of DDT 50 per cent water dispersible powder packed in hessian bags during storage.
One hundred seventeen samples of DDT 50% WP received from field where supplies were effected, were tested during 1988-89 for suspensibility without accelerated storage treatment (ATS) as per ISI specifications and compared with their suspensibilities after ATS obtained during the initial testing to know the stability status of the insecticide during transit and tropical storage in the field when packed in hessian bags. Out of 117 samples tested 95 (81.2 per cent) failed and only 22 (18.8 per cent) passed the test for suspensibility indicating deterioration of the formulation in the field.
DDT↗
Evaluation of Ayush-64 for blood schizontocidal activity against rodent and simian malaria parasites.
Ayush-64, a new herbal antimalarial drug developed by the Central Council for Ayurveda and Siddha, was evaluated for direct parasiticidal action against P. berghei and P. yoelii nigeriensis in swiss mice and P. cynomolgi B and P. knowlesi in rhesus monkeys. No blood schizontocidal activity could be demonstrated against any of the four malaria parasites.
Animals↗
Evaluation of training programme.
Resurgence of malaria in the country during seventies and subsequent implementation of Modified Plan of Operation (MPO) through Primary Health Care (PHC) system highlighted the urgent need for short term courses for PHC medical officers and clinicians at the periphery. In pursuance of these objectives. Dte. of National Malaria Eradication Programme (NMEP) laid down series of "Orientation Courses" for medical officers of PHCs and "Workshops" in management of severe and complicated malaria for physicians, paediatricians and pathologists in hospitals/teaching institutions. While there exist standard methods for evaluation of institutional courses, for peripheral short term courses, a new method i.e. "Retrospective assessment at the work sites of the participants" was followed for evaluation of the above mentioned two types of courses. The findings were revealing in as much as, besides being highly successful, medical officers of PHCs who so far did not consider them as part of the programme, then onward aligned themselves as an integral part of the campaign. These courses helped them in updating with knowledge viz. concept of malaria control, passive case detection, dosages and choice of drugs, treatment schedules particularly in pregnancy and significance of quinine and primaquine therapy. Assessment of workshops for clinicians, provided the forum for first ever interaction between clinicians and the programme in the country. The workshops provided an update with current advances/researches in the treatment of severe and complicated cases of malaria. These were considered highly beneficial, as it cleared many doubts about pathological processes and clinical manifestations including induced by drugs. The study also highlighted the deficiencies in the delivery process by the faculty.
Education, Medical, Continuing↗
Residues of DDT and its metabolite in blood of exposed factory workers and their correlation with ill health symptoms.
The residue levels of DDE, op1--DDT and pp1--DDT of the factory workers exposed to DDT formulations having temporary clinical symptoms and of those without any such symptoms did not show any significant difference in their values suggestive of no direct correlation between insecticide residues and ill health symptoms. The average residue values of DDT (mg/litre) and its metabolite DDE (mg/litre) in exposed workers were 0.8634 +/- 0.1529 and 0.2106 +/- 0.0458 respectively while in unexposed control subjects 0.0826 +/- 0.0238 and 0.0278 +/- 0.0040. Total DDT residue in blood in exposed workers is more than 10 times higher than the same in unexposed control.
Adult↗
Efficacy of a low dose oral quinine therapy in Plasmodium falciparum cases of Assam, Meghalaya and Arunachal Pradesh in India.
A low dose oral quinine schedule with 1050 mg in two divided doses daily for five days was tried for treatment of Plasmodium falciparum cases in Assam, Meghalaya and Arunachal Pradesh, in areas where resistance to chloroquine was confirmed. The drug schedule was found effective in 76.92 per cent cases. The treatment was also found effective in 45.55 per cent of the known chloroquine resistant P. falciparum cases. The drug in this low dose was well tolerated and clinical response was quick.
Administration, Oral↗