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Dr K K Aggarwal

Some tips from HCFI

By Dr K K Aggarwal
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  • Eat light food as the GI system cannot digest heavy food.
  • Do not eat leafy vegetables without washing or boiling as they may be contaminated with eggs of round worms. Beware of eating snacks at some outside stall.
  • Beware of electrical shock in this season as the coolers without earthing can leak electricity.
  • Do not walk barefoot as most worms can come out and cause infection.
  • Do not keep wet clothes and leather without drying them properly as they may attract fungus.
  • With each shower of rain, the BP may fluctuate so medications must be revisited.
  • Do not play in stagnant water as rat urine mixed with rain water may lead to leptospirosis (fever with jaundice).
  • Do not let water accumulate in the house or surrounding areas to avoid breeding of mosquitoes.
  • Drink only boiled or safe water as there are more chances of diarrhea, jaundice, and typhoid in this season.

Fever in children

By Dr K K Aggarwal
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  • Do not ignore fever in children.
  • Fever with cough and cold means viral sore throat.
  • Fever with chills and rigor may be due to malaria.
  • Fever with severe headache and pain behind the eyes may be dengue.
  • If a child has fever with urinary symptoms, the child needs further investigations.
  • Do not ignore fever with jaundice.
  • Do not give aspirin to children for fever.
  • Immediately lower the temperature if the fever is more than 104°F.
  • If fever is associated with altered behavior, then immediately contact the doctor.
  • Tepid water sponging is better than sponging with cold and ice water.
  • In heat stroke, cold water sponging can lower the temperature if anti-fever medication is not working.
  • Do not ignore if body temperature is low.
  • If body temperature is less than 95°F, immediately warm the child using blankets and other measures.
  • Paracetamol is the safest medicine for children in fever.

Hepatitis A, E and typhoid are the hygiene markers of a city

By Dr K K Aggarwal
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It is diseases such as jaundice with hepatitis A in children and E in adults, typhoid, cholera and gastroenteritis that reflect the hygiene status of a city and not the occurrence of dengue and malaria.

Food and water–borne diseases can be eradicated by the following public awareness formula: When in doubt follow the principle, “heat it, boil it, cook it, peel it or forget it”. This means that in an unhygienic environment, one can eat an orange or a banana but not a tomato or apple. Other steps are:

  1. Do not eat salad that has been left open for more than 2 hours even if it is washed properly.
  2. Do not take cooked food that has been left on the table for more than 2 hours.
  3. Vegetables grown under the ground or over the surface of the ground should be washed properly before eating them raw. They may be the biggest source of worm infection in the brain, a condition called neurocysticercosis.
  4. Boiled water is the safest water to drink.
  5. Ice made from unhygienic water can be the source of most water–borne diseases.

It is our duty to keep our home and city as clean as possible. We must regard our city as our extended home, a garden as our farmhouse and roads as are our personal walking tracks.

Water Hygiene

By Dr K K Aggarwal
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Safe water is an essential commodity for prevention of most water and food-borne diseases like diarrhea, typhoid and jaundice. These diseases are 100% preventable. All of them can be lethal if not prevented, diagnosed or treated in time. Transmission of parasitic infections can also occur with contaminated water. Here are a few tips:

• Travelers should avoid consuming tap water.

• Avoid ice made from tap water.

• Avoid any food rinsed in tap water.

• Chlorination kills most bacterial and viral pathogens.

• Chlorination does not kill giardia or amoeba cysts.

• Chlorination does not kill Cryptosporidium.

• Boiled/Treated/Bottled water is safe.

• Carbonated drinks, wine and drinks made with boiled water are safe.

• Freezing does not kill organisms that cause diarrhea. Ice in drinks is not safe unless it has been made from adequately boiled or filtered water.

• Alcohol does not sterilize water or the ice. Mixed drinks may still be contaminated.

• Hot tea and coffee are the best alternates to boiled water. • Bottled drinks should be requested without ice and should be drunk from the bottle with a straw rather than with a glass.

• Boiling water for 3 minutes followed by cooling to room temperature will kill bacterial parasites.

• Adding two drops of 5% sodium hydrochloride (bleach) to quarter of water (1 liter) will kill most bacteria in 30 minutes.

After the intense summer heat, the arrival of monsoon is a cause of much cheer, but it also brings along a whole lot diseases. Monsoon reduces the immunity of the body.

The most common diseases in the monsoon are malaria, dengue, Chikungunya, jaundice including gastrointestinal infections like typhoid and cholera. Viral infections like cold and cough also make their presence felt.

Chikungunya patients, classically, have joint pains that are relieved by flexing the limbs. Dengue, if not adequately managed, can be fatal in 1 to 4 percent of cases but chikungunya, though not fatal, can cause chronic debilitating joint pains that may last for years. Dengue management involves fluid resuscitation and not platelet resuscitation. Mortality can be reduced if enough fluids are given. The mortality period usually starts when the fever subsides. Inappropriate use of anti fever medicines can precipitate bleeding in dengue patients. Read more