Fever panic in Kerala: numbers and the reasons

The early onset of the monsoon has been accompanied by a rush of illnesses. On June 2 alone, 11,013 cases of fever were reported; on June 20, this number was 20,300. On June 2, 134 confirmed dengue cases were reported; on June 20, there were 933.

Written by Shaju Philip | Thiruvananthapuram | Updated: June 22, 2017 8:15 am
kerala fever, fever death, Kerala death, dengue, H1N1, hepatitis, malaria, Pinarayi Vijayan, indian express news, india news, latest news The official data show 12,32,541 confirmed cases of fever up to June 20 — 84% of all cases of communicable diseases. Fevers had led to 25 deaths in the state until Tuesday. (Representational image)

Kerala’s population is 3,33,87,677 as per Census 2011 – which means one in every 23 residents has been hit by a communicable disease this year.

How many people have been infected with, and died of viral fevers in Kerala this year? What sort of fevers are these?

As per official figures from the Kerala Health Department, 14,68,281 individuals have been afflicted with various communicable diseases until June 20 this year. These diseases — fever, dengue, malaria, leptospirosis, hepatitis (A and B), diarrhoea, chickenpox and H1N1 — had claimed 114 lives in the state up to June 20. Kerala’s population is 3,33,87,677 as per Census 2011 — which means one in every 23 residents has been hit by a communicable disease.

The official data show 12,32,541 confirmed cases of fever up to June 20 — 84% of all cases of communicable diseases. Fevers had led to 25 deaths in the state until Tuesday.

The deadliest infection has been H1N1, with 806 confirmed cases, but as many as 53 deaths — nearly half of all deaths. There have been 7,335 confirmed cases of dengue, with 13 deaths; the numbers for lepto are 660 and nine; for chickenpox, 18,046 and six.

Five individuals have died of hepatitis A and B (confirmed cases together, 782); diarrhoea has seen 2,04,926 confirmed incidents and two deaths, and malaria, which has reportedly returned to Kerala, has claimed one life out of 295 confirmed cases. There have been 1,538, 233, 41 and 33 cases of mumps, typhoid, chikungunya and measles respectively. No deaths have been reported from these diseases.

Health Department officials said the actual numbers for all diseases, particularly fever, would likely be higher, as all private hospitals do not furnish data, except in cases where deaths have occurred. The available data also do not capture patients treated by government doctors at their private clinics.

Are these numbers unusual for Kerala? And are they unusually high this year, and for this time of the year?

The early onset of the monsoon has been accompanied by a rush of illnesses. On June 2 alone, 11,013 cases of fever were reported; on June 20, this number was 20,300. On June 2, 134 confirmed dengue cases were reported; on June 20, there were 933. The daily report of cases of diarrhoea went from 1,500 on June 2 to 2,598 on June 20. June 12 saw a high of 18,638 cases of fever; the daily dengue count on that day was 163, and the diarrhoea count, 2,512.

H1N1 and dengue have been the two biggest concerns. The number of H1N1 cases has gone up alarmingly this year — to 53 deaths in six months from zero in all of 2016, and from only 24 confirmed cases in 2016 to 806 cases so far this year. But 2015 was bad — 900 confirmed cases and 89 deaths.

According to Dr Amar Fettle, Chief Nodal Officer, H1N1 Control Programme, Kerala, cases of infections were high across South India this year. The flu virus typically returns after a gap or one or two years.

Dengue has grown into a major threat in recent years. In the five years from 2006 to 2010, only 6,431 confirmed cases and 42 deaths were reported in Kerala. In 2015 and 2016, by contrast, 4,114 and 7,210 cases respectively were reported, with 29 and 13 deaths. This year, 7,335 dengue cases and 13 deaths have already been reported until June 20.

Capital Thiruvananthapuram has been a hub of dengue. Out of the 6,431 cases between 2006 and 2010, the capital district accounted for 3,399 — or more than half. In 2011, when the state reported 1,304 confirmed dengue cases, Thiruvananthapuram district had 865. In 2015, the district accounted for 991 cases and nine deaths; in 2016, it saw 2,158 cases and seven deaths.

Fever deaths too are higher this year — 25, the count until June 20, is already higher than the one for the whole year in 2016 (20). In 2015, 2014 and 2013, 26, 29 and 23 deaths respectively occurred from fever. Through the period 2013 to 2016, the number of confirmed cases in a year hovered between 29 lakh and 25 lakh — it is 12 lakh so far this year, and on course to reach the recent mean.

So, why is the incidence of, and deaths from diseases high this year?

Dr R L Saritha, Director of State Health Services, said the monsoon sees a spike in cases of fever every year. This year, cases of dengue and H1N1 are higher. After a drought there was a short spell of rain, which was followed by a return of dry days. Such a situation led to waterlogging, creating the perfect ground for mosquitoes, which are dengue vectors, to breed.

Public health analyst Dr B Padma Kumar said local governing bodies had failed to take pre-monsoon cleaning drives. Local bodies could have taken steps on waterlogging and mosquito breeding. Thiruvananthapuram’s dengue is mainly due to poor waste management, he said.

“Kerala is seeing an increasing incidence of both communicable and non-communicable diseases, Dr Padma Kumar said. People with lifestyle diseases are more vulnerable; a person with hypertension, for example, is at higher risk of contracting communicable diseases. The state’s growing population of the aged also makes it susceptible to disease outbreaks. The increasing risk of disease threatens the state’s health indicators, which are on a par with developed nations, he said.

What is happening in this situation now?

Health Minister K K Shylaja has said fever is now under control and the death rate has come down. The Health Department is equipped to address the situation, the Minister has said, but has also asked the people to join hands in a cleaning drive. On Wednesday, Chief Minister Pinarayi Vijayan announced a three-day mass cleaning programme across the state starting June 27. Politicians, officials, students, NGOs and the public will together remove garbage and clean public premises. An all-party meeting would be convened on June 23, Vijayan said.

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  1. E
    Employ Ment
    Jun 22, 2017 at 3:53 pm
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    Reply
    1. N
      nagesh
      Jun 22, 2017 at 2:11 pm
      Ye toe hona hi tha....Beef consumers will die a pitiable death...
      Reply
      1. D
        Dc
        Jun 22, 2017 at 4:03 pm
        Yes just like ur Hindu fellows died like dogs in USA
        Reply
      2. A
        Anad
        Jun 22, 2017 at 10:35 am
        Kerala is under siege from both from political inep ude and poor hygiene .The CPM govt is more interested in scoring better on their opponent by how much their cadre can kill RSS or BJP for one up manship .The do not have efficient minster is highly apparent in complete failure of administation. Health minstry is handled by a school drop out tailor turned self styled teacher Shailaja and what can you expect from her other than injecting venom in the mind of people. CM Pinarayi is more interested in photo shop by attending almost marathon inauguration of every sundry functions and talking rubbish .Yesterday he was inaugurating state Yoga function and was advising people not to the basic of yoga or respecting the author of yoga .Daily he is giving some rubbish to poison the mind of people.THe entire minstry is full of morons and goons injecting poison and the society is suffering of the collective consciousness with negative character. Keralite raise now
        Reply
        1. J
          Jemma Thomas
          Jun 22, 2017 at 5:27 am
          almost half of kerala population is filthy pigs. they eat dog meat, drink kerosene like alcohol and have very dirty relationship with their priest and imams. Bordor area have to be secured to isolate them completely from other parts of India. They already spread out around India like vermons and time to bundle them up and repatriate back to filthy state.
          Reply
          1. H
            Harsimrat
            Jun 22, 2017 at 11:14 am
            People of Kerala are the highest in human development index amongst all States of India including health, education as well as in hospitality they surpass any other Indian state. They contribute to GDP while working as highly skilled labor in other states and fetch foreign exchange while working abroad. As for sealing the beautiful state from rest of India, let me explain Kerala is the only state having the highest and rich diversity in terms of cultural, religious, ecological and geographical aspects. A flawed governance and morbid execution of state policies to maintain cleanliness and address health concerns can not be an excuse to blame and label the entire Kerala population as pigs. We shouldn't forget Kerala receives highest rainfall and lack of muni l preparedness or urban system failure can lead to any such catastrophe any where else too. And finally, please don't exploit this space provided for healthy debate, for other purposes such as this hate mongering.
            Reply
            1. M
              Maxmillan
              Jun 22, 2017 at 4:08 pm
              Jemma thomas, I think u have some psychiatric issues, please consult a psychiatric doctor..... or else tell others to put u in a chain.... better for the world.....
              Reply
              1. B
                Balagopal
                Jun 23, 2017 at 12:14 am
                I think you are a keralite. I guess this is a sarcasm post...
                Reply