ABSTRACT
Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with the manifestation ranging from mild symptoms to serious disease with or complication or death. The objective of this study was to study epidemiology and clinical profile of scrub typhus outbreak in a tertiary care centre of central India.Methods: Present study is a record based retrospective study enrolling 173 confirmed positive cases with ELISA test during the period from 1st August to 31st December 2018.Results: Maximum number of the cases 94 (54.3%) had occurred in September 2019. Majority of the female 94(54.3%) were Ig M positive for scrub typhus. Maximum cases 134 (77.5%) were from rural area. Most common symptoms were fever 170 (98.3%), followed by fever with chills 65 (37.6%), breathlessness 49 (28.3%), cough 35 (20.2%), and 28 (16.2%) each with altered sensorium and headache. Mortality was recorded in 30 (173%) and amongst them 10 (34.5%) and 4 (13.8%) cases had ARDS and septicaemia as complication respectively.Conclusions: This study shows that majority of the cases occurred in the month of September 2018 with female preponderance. Most of the residence were from rural areas with common presenting symptoms as fever or fever with chills followed by breathlessness, cough and altered sensorium and headache.
ABSTRACT
Background: Occupational injuries are matter of consideration and purport to be raising cost directly like in illnesses and accidents, loss of employment, disability and loss of productivity and subsequently to families and Society. However, there is paucity of studies to elucidate the state of affairs in most of the part of India. The Present study dictates the prevalence of injury and associated factors among Bridge Construction workers in urban area of Mumbai. Objectives are (1) to study prevalence of injury among bridge construction workers, (2) to identify the factors related to such occupational injuries. Methods: A cross-sectional study was conducted among bridge construction workers in urban area of Mumbai from August 2017 to December 2017. Sample size was 150 by convenient method sampling which were selected randomly.Results: The prevalence of injury among Bridge making was 25.7% in past 3 months. Factors like not using protective devices, smoking, tobacco chewing, lack of sleep, work experience were factors associated with suffering.Conclusions: In the study dictating construction workers health and safety in an urban area of Mumbai, where higher prevalence of injury (25.7%) reported in bridge workers in an urban area of Mumbai. If intense mediation are not established then work absenteeism, drooping of work output, occupation related ailments, disabilities and casualties would remain in existence a major problem among construction workers .Therefore programmes to alleviation the load exhibited by construction related injuries should focus on work safety training, monitoring of health and substance abuse in work area.