Case Studies

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Mar 7

Case Study: 'New Life of Dil Bahadur'

In my career, I have performed many laboratory tests for the diagnosis of the diseases. This is a usual part of my job. However, recently a patient’s condition compelled me to think how they suffer more due to lack of proper diagnosis of the disease. Dil Bahadur, 20 years, a migrant worker from Dailekh district used to work as a cook in Indian state of Gujrat for last 7 years. He was enjoying his job and living well. Two years ago, he suddenly fell sick with symptoms of fever, convulsions & headache. He visited many hospitals in Gujrat for his diagnosis and treatment. He spent his hard earned money for his treatment but his condition did not improve. Eventually, he had to quit his job and had to return home to live with his family at Dailekh. There was no improvement in his health condition, even after repeated medical checkups and treatments. He was rather suspected to be suffering from HIV by his family members and neighbors. He felt stigmatized by his neighbors and was compelled to migrate with his family to other place. Consequently, he moved to Birendranagar Municipality, ward no. 20, and lived in a rented room with his wife and children. However, being the bread winner of the family and family members to take care of, he had no choice but to work in India again to support them. Despite his poor health condition, Dil Bahadur went to India again for employment in May 2015.  Later that year in December 2015, he returned back to Nepal with severe ill health condition. His family took him to private and public hospitals where he was treated for nothing else than ‘gastritis’ and sent home with medicines. His health condition working as a migrant worker suggested for HIV infection and was also investigated for HIV infection. Though the HIV test results were negative, his poor health condition persisted. As a neighbor I came to know about his condition from his wife. He was suffering from 'unknown' condition!  I am very aware about Malaria infection, as it is among the very common diseases our migrant workers suffer from. I suspected of Malaria, TB and Kala-azar looking at the symptoms and history he presented. I motivated him to come to DPHO for the tests which he could get it done for free. Finally, in February 29, 2016 he was diagnosed with PV Malaria and treated as per the National malaria treatment protocol. After years of suffering, he is now cured from malaria. I heard that he went to India to work again, in a good health condition to support his family. (Translated version) By Deepika Dhakal, Lab Assistant, DPHO, Surkhet

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News & Update

Jan 1

Update on Diarrhoea Outbreak in Dadeldhura District

Diarrhoea Sign and Symptoms: Loose rice watery stool 15-20 episodes associated with nausea, vomiting & abdominal pain. Affected area: Parshuram Municipality- 8 (Gairi gaun, Sano khola & Gupte gada, 3 villages) Approximately 70 houses in those 3 villages Onset: 29 Shrawan 2076 (14 August 2019) - Total 81 cases of diarrhea were treated till date (1 referred to Seti Zonal Hospital and currently the case is stable condition) - Cases were treated at Jamurani birthing center and Jogbuda Hospital since the onset - Health team from Health Office, Provincial Health Directorate along with the required logistics were mobilized to the affected area on 30 Shrawan 2076 - Local RRT also mobilized - Cases are in decreasing trend (Today only 4 new cases out of which currently, one admitted and is under IV) - Out of 2 stool samples collected one is vibrio cholera positive from Dadeldhura Hospital, Dadeldhura - The positive sample is planned to be brought to NPHL, Teku for re confirmation

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Update on Diarrhoea Outbreak in Dadeldhura District

Jan 1

डेंगु रोग सम्वन्धी विभिन्न स्थानीय तहबाट प्राप्त जानकारी

मिति: २०७६/०४/२२ जिल्लाः सुनसरी विरामीको संख्या धरान उप–महानगरपालिकामा अधिकतम रहेको । मिति २०७६/०१/३० गते देखि हाल सम्म डेंगुका विरामी संख्या: २,८०३ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान , खोजी गरी लार्भा नष्ट गर्ने कार्यहरु नियमित रुपमा संचालन भईरहेको । जिल्ला: कास्की मिति २०७६/०४/१४ गते पोखरा महानगरपालिका वडा नं. ८ शिबालय पहिलो डेंगु विरामी देखा परेको । हालसम्म डेंगुका विरामी संख्या: १८ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान, खोजी गरी लार्भा नष्ट गर्ने कार्य आजदेखि सुरु गरेको । जिल्ला: मकवानपुर मिति २०७६/०४/११ गते हेटौडा उप-महानगरपालिका वडा नं.४ मा डेंगु विरामी देखा परेको । हालसम्म डेंगुका विरामी संख्या: ३८ जना रहेको । मृत्यु कसैको नभएको । विरामीहरुको विभिन्न अस्पतालहरुमा उपचार भएको । नियमित रुपमा डेंगु रोग नियन्त्रण तथा बच्ने उपायहरुबारे सूचना प्रवाह भईरहेको । लामखुट्टेको बासस्थान, खोजी गरी लार्भा नष्ट गर्ने कार्य नियमित रुपमा संचालन भईरहेको । श्रोत: स्वास्थ्य संयोजक धरान उप–महानगरपालिका, रामबाबु यादव; RRT फोकल पर्सन यम बराल, स्वास्थ्य कार्यालय  कास्की; स्वास्थ्य संयोजक हेटौडा उप–महानगरपालिका सुपेन्द्र कार्की । Yearly Dengue Status

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डेंगु रोग सम्वन्धी विभिन्न स्थानीय तहबाट प्राप्त जानकारी

Jan 1

Dengue, Kala-azar and Malaria Trend

Click here or download to get 3 years trend of Dengue, Kala-azar and Malaria.

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Dengue, Kala-azar and Malaria Trend