Wednesday, May 13, 2009

Notes From the Field : Chikungunya

Notes From the Field
- Nishant Ratnakar
Date: Monday, 11th May, 2009.
Place: D J Halli near Bangalore.




At a locality known as Moulana Compound:
"Have any health officials visited your locality since the outbreak?"
"No Sir. You are the first outsider to have stepped in here since we noticed the disease in our Compound"
That was the reply given to me by a resident of Moulana Compound at D J halli, Bangalore. Residents of this locality that houses around 60 to 70 families, say that at least one person in every house here shows symptoms of Chikungunya disease. "My four children also have developed Chikungunya" , says Waheeda who herself is recovering from Chikungunya. The families here live in typical matchbox like houses with most of them dependent on daily wages. Salaam, an auto driver, has not been able to earn his livelihood for over 8 days since he was affected by the disease. Most people including Salaam in entire D J Halli seem to be complaining about severe joint pains and high fever. Their mobility is restricted due to the joint pains.

Across DJ Halli:


"Any idea how Chikungunya spreads?"
"Sir, I think it spreads through air. See, it quickly spreads among relatives in the house and neighbors."
"Sir, there has been mixing of sewage and drinking water since longtime in our area. People are getting infected by drinking this contaminated water. Look, the color of water in this tumbler is almost grey."
"We don't know."
"I don't know."
"I saw on TV about disease spreading through pork in America. But we don't eat that meat."


It was a pity to know that most people on the streets of D J Halli have no clue about Chikungunya. The carrier of the virus that causes this disease is a mosquito. Very few people I met at DJ Halli actually were aware about it. As I walked along the main roads and gullies around DJ Halli looking for people showing symptoms of Chikungunya, I could spot stagnant water pools - the breeding ground for mosquitoes - almost everywhere. Nothing seems to have been done with regards to creating awareness about civic issue in these areas. The authorities have denied (at least when I was covering the story) the outbreak of Chikungunya in DJ Halli and have blame private doctors for creating what they termed as 'exaggerated news' about outbreak. The truth can only be revealed by time. But, if not Chikungunya, there is something spreading here. Everyone is showing same symptoms : High fever and severe joint pains.


At a local hospital near D J Halli:

A woman was being administered IV fluids. Her doctor says, "The blood tests revealed that her platelet count was low. This confirmed an infection and symptoms are of Chikungunya. the actual confirmatory tests of Chikungunya costs around 1500 rupees in any of the city labs. But, most people arriving here including this patient are not in a position to spend so much. Hence, based on the symptoms, the doctors start the treatment. The cost of medicine for the entire duration of treatment is also slightly expensive. Also, Chikungunya patient needs to rest a lot for speedy recovery. But some of the patients here are breadwinners of the family and are daily wage workers. So you can understand the situation I hope?"



I guess 'Right to good health' isn't covered under any of the fundamental rights provided by Indian constitution. But, don't the Directive principles of the State say that state should work towards reducing economic inequality as well as inequalities in status and opportunities. Sixty plus years since India became a free nation. how much have we achieved in reducing inequalities in access to health care? Do our political parties have this as a priority or even have a reference to this in their respective election manifestos?