Sunday, 18 January 2015

Why Ebola is not a National Emergency in India?

1. As per an article in The Washington Post, by Paul Farmer dated 16 January 2015 not a single American has died of Ebola; the majority of Europeans infected have survived; a Cuban survivor is already back.

2. Across West Africa, 70 percent of those afflicted die. And that figure applies only to the sick who receive care at treatment centers: More than 90 percent of those who stay home perish.

3. What kills most Ebola patients is a massive loss of the body’s vital fluids — up to 10 liters of day — along with proteins and electrolytes, primarily through vomiting and diarrhea. Same is true for dengue and any other hgic fever.

4. The statement "there is no cure for Ebola or other hemorrhagic viruses" is not true as most will survive with fluid resuscitation. Answer is timely better intravenous access and intraosseous needles, which can infuse large volumes of fluid when patients arrive at clinics so dehydrated that it’s difficult to find a vein.

5. Improving care means introducing capacity to monitor electrolytes and maintain fluid loss.

6. In India it has taken over a decade that the treatment of dengue shock syndrome is not platelet resuscitation but fluid resuscitation and that to massive fluid resuscitation.

7. In India no one should die of dengue or Ebola if timely supportive fluid care is given which is available even in remotest of remote area.

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