Malaria outbreak in a non endemic tribal block of Balasore district, Orissa, India during summer season.

A focal outbreak of malaria at Sialimal sub-centre of Balasore district of Orissa was reported during the month of March, 2010. Three villages of the above block were affected. Regional Medical Research Centre, Bhubaneswar has conducted an entomological survey and a central clinic simultaneously, with door to door household survey to identify the fever cases. Within a span of 18 days around 172 fever cases were reported with Slide Positivity Rate (SPR) of 24.4% and Pf % of 81%. The malaria epidemiological data of the sub-centre area for last three years indicates that the area is non endemic for malaria (API was 0.81). Entomological survey revealed the presence of three known vectors of malaria i.e. Anopheles culicifacies, Anopheles annularis and Anopheles subpictus (local vector). Per Man Hour Density (PMHD) of these three species were 4.2, 2.8 and 10.8 respectively. Plasmodium falciparum sporozoites were detected in two An. culicifacies, in one An. annularis and in one An. subpictus. Larval density of Anopheline mosquitoes per dip ranged between 12 to 20. The vectors were found to be resistant to DDT but susceptible to synthetic pyrethroid. With this finding necessary remedial measures were taken by the government to curtail the transmission.

The economic loss due to treatment costs and work loss to individuals with chronic lymphatic filariasis in rural communities of Orissa, India.

This paper is based on 1 year round case control study to investigate the economic burden, in terms of treatment costs and loss of work to people affected with chronic lymphatic filariasis in rural communities of Orissa, Eastern India. Around three-fourths of the chronic patients have sought treatment for their condition and spent, on average an amount of INR 396 (approximately US$ 8.7) per year. The major component of the expenditure is the cost of medicines. The data on loss of work time due to chronic condition reveal that the total absenteeism to the work is significantly higher among chronic filariasis patients than controls. The total number of working hours spent per day by patients and controls are 4.94 and 6.06, respectively with a significant difference. The total absenteeism and the total number of working hours per day are influenced significantly by disease condition and other personal characteristics, namely age, sex and family type. The chronic patients lose a total of 68 days of work per year, which is equivalent to 19% of the total working time of the year. The present results show that the chronic conditions of lymphatic filariasis pose considerable burden on the patient, family and community.

Gel diffusion analysis of Anopheles bloodmeals from 12 malarious study villages of Orissa State, India.

In Orissa State, India, the double gel diffusion technique was used to analyze 97,405 bloodmeals of all fed anophelines that were caught during standardized monthly surveys in 12 malarious study villages, from 1982 through 1988. Anopheles culicifacies contributed the highest number of smears from the 19 Anopheles species recovered. It was observed that a pronounced predilection to take mixed bloodmeals attenuates the vector potential of the species concerned. Consequently, prevalences based only upon "pure" (unmixed) primate bloodmeals provide the most accurate way to assess the intensity of feeding contact that actually occurs between a given species and man. By this method, the ranking order is Anopheles fluviatilis, An. culicifacies and An. annularis (N); a sequence which concurs with current knowledge on the vector status of malaria mosquitoes in Orissa.

Gel diffusion determinations on feeding behaviour patterns of anophelines in Orissa State, India.

In 1981 Entomological Field Research Units were established in three districts of Orissa State, India, from which Anopheles bloodmeals were forwarded regularly for analysis to an Entomological Laboratory in Bhubaneswar. At the onset of 1982, the laboratory introduced a modified gel diffusion technique for determining the origin of mosquito bloodmeals and by the end of 1983, 22,300 smears had been processed and analyzed. The technique is relatively very simple, fast and inexpensive. The results are reproducible and the use of double controls (negative and positive) ensure a high degree of reliability.