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Category: Volume 06 Issue 03 March 2018
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Title: Incidence of Acute Undifferentiated Fevers – Kadapa District- Analytical Study

Authors: M. Satyanarayana Raju, M.S. Khaja Mohiddin

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.149

Abstract

Acute fevers mentioned in the core conditions of the Integrated Diseases Surveillance Project (IDSP) i.e.  Malaria, Dengue, ARI and typhoid are under regular surveillance in Kadapa district. Generally in any given year ten to eleven percent of the total out patients’ attendance consists of fevers. The medical officer is expected to examine the patients and make presumptive diagnosis basing on the clinical findings and advise the clinical laboratory tests for confirmation of diagnosis. The laboratories tests are basic in nature, conducted at the PHC level i.e. blood smear examination for malaria parasite, serological tests for rapid diagnosis of Dengue, Typhoid etc. Fevers were analyzed month wise, year wise and found that18 to 20 percent of the fevers did not show positive for basic tests conducted at PHC like blood smear examination for Malaria, Typhoid dot for enteric fevers, Rapid diagnostic tests for dengue etc and remain as( 2) undifferentiated fevers. When they were subjected to statistical analysis they start rising from the month of June just as seasonal fevers i.e. the other important observation was incidence of malaria and dengue were found to be low in kadapa district. (1)Though Andhra Pradesh falls under category 2 of the pre elimination phase, identification malaria cases is low in kadapa district (endemic for malaria) with many false negatives. Supporting the above observation incidence of malaria and (3) dengue are low in kadapa district though it is endemic for malaria. A thorough analysis is done to identify the causes of false negatives and to take rectification measures.

Keywords: Undifferentiated fevers, Dengue, Malaria, Kadapa.

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Corresponding Author

M. Satyanarayana Raju

Assistant Professor, Dept. of Community Medicine, GVP IHC & MT, Visakhapatnam, AP

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