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DNA India
21 August 2010

Experts from global non–profit organisation Medecins Sans Frontieres (Doctors Without Borders) have been roped in to combat unprecedented outbreak
Govt Seeks Help Of Foreign NGO To Battle Malaria Menace
Mumbai is battling record levels of malaria infection, health officials said on Friday, with the number in the first half of the year matching the total figure of 2009.

Authorities in the city have drafted in experts from Medecins Sans Frontieres (Doctors Without Borders) to tackle an outbreak which has seen nearly 4,000 cases this month alone, with the most virulent form of the potential killer having struck 10 to 15%.

"It’s an exceptional year. We are definitely seeing a rise in cases. It is a record number," said Dr Daksha Shah, Brihanmumbai Municipal Corporation’s (BMC) assistant health officer in charge of epidemiology.

The first six months of this year saw more than 14,700 cases in Mumbai – nearly as many as for the whole of 2009 – while a sharp rise in patients since the start of the monsoon in July has left hospitals struggling to cope.

Malaria, which causes fever, headaches and vomiting, is caused by a parasite transmitted via mosquito bites. If untreated, it can quickly become life–threatening by disrupting the blood supply to vital organs, according to the World Health Organization (WHO).

Since August 1, over 3,800 people have tested positive – mostly for the non–lethal vivax strain – and there have been 28 deaths, according to figures released on Friday by the BMC. Medecins Sans Frontieres teams working on an HIV treatment scheme in the city are providing 1,00,000 diagnostic kits and 3,700 treatment kits to 64 health centres. They will also train health workers to identify and treat the disease.

The group’s project co–ordinator in Mumbai said in a statement: "It is crucial that health staff gives a correct diagnosis so that patients can be treated appropriately.

"The diagnostic tests that we provide are reliable, easy to use and require just one drop of blood to give results."

Outbreaks of malaria and water–borne diseases are common in some areas of overcrowded Mumbai, which is home to an estimated 18 million people, more than half of them in slums.

AC Dhariwal, director of the National Vector Borne Diseases Control Programme, had quoted as saying last month that Mumbai had the highest number of malaria cases and deaths among India’s big cities. Public health officials have expressed concern that Mumbai’s many construction sites have become a haven for mosquitoes that spread the disease because they breed around stagnant water.

They suggested that 2,00,000 construction workers, many of them migrants who sleep on site, are at risk of infection.

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