More on the viral fever that grips Kerala

Pakarchapani (known as chikungunya, dengue fever or viral fever in medical parlance) is gaining further momentum in Kerala. Ever since its outbreak about three months ago, it cut a swathe across southern parts of Kerala, affecting thousands of people. In an informative article titled “The long term damage to Kerala’s health” in The Hindu dated 2/8/2007, Mr. Vinod Thomas (Senior Vice President, Independent Evaluation Group, The World Bank) wrote that that chikungunya and dengue are transmitted by a particular breed of mosquitoes. He writes: “These two diseases are transmitted by the aedes species of mosquito, which breeds in small water collections in and around the house. Furthermore, thanks to rubber plantations, parts of Kerala have become endemic to the dengue, as rain water collect in the containers used for harvesting rubber sap.” He advocates for measures to eliminate the mosquito-breeding areas in around the house and in rubber plantations. He also criticizes government for not taking adequate steps for preventing further damage and suggests private-public joint effort to improve health status of Kerala. (Who cares, one may ask. Our ministers, politicians, and media are busy deciphering the phrases uttered by a good-looking guy called Farish Aboobakar in a recent television interview. He is pitted against none other than the chief minister V.S. Achuthanandan.)

The fever affects the joints initially. One person affected by the fever recounted his experience: ‘At first, I felt pain on my right hand, near elbow. Soon it happened on left hand also. Slowly the pain goes up and reaches the shoulders. When it reached the shoulder, body temperature also went up. I felt like I have severe fever. I vomited twice while going to the hospital. There was a large crowd at the hospital. By that time, I felt pain on every joint in my body. After some thirty minutes, finally I was able to see the doctor. I had trouble even getting up and when walked, my legs began to collapse. It was a terrible experience.”

Different hospitals are offering different modes of treatment. Generally there are two types: 1. medicine through an injection (parenterally) and 2. without an injection, i.e., only oral medicine. Consensus among affected people here is that in the first method, the fever will be subdued quickly, but side effects like recurrent joint pain will remain, while in the second method, the fever will be subdued slowly, but will not have any side effects. People will take whatever the doctor prescribes because the pain drives them to a state of utter helplessness.

There are some precautionary medicines available too. One Ayurveda medicine is particularly popular: ‘Viluadi gulika” and “Indukantham kazhayam” of Kottackal Aryavaidysala. One word of caution though. These are very bitter in taste so that some people may find it hard to swallow.