The arrival of the monsoon season brings with it a mixed bag of emotions. While the refreshing rains provide relief from the scorching heat, they also usher in a host of health challenges. The increased humidity and waterlogged surroundings create ideal breeding grounds for disease-causing pathogens, leading to a spike in illnesses. In coastal regions like Mangaluru, these challenges are particularly pronounced due to the geographical location and proximity to water bodies.

Amidst this backdrop, Dr. Haroon Hussain, a renowned physician working at KMC Hospital in Mangaluru, provides valuable insights into the prevention and management of monsoon-related diseases. In a interview with Vartha Bharati, Dr. Haroon shared his expertise on the most common diseases that afflict the region during this season, stressing the importance of personal protection, special care for vulnerable populations, and the role of nutrition and hygiene in maintaining good health.

In this comprehensive interview, Dr. Haroon delves into the modes of transmission, key symptoms, and signs of prevalent diseases such as vector-borne infections like malaria, dengue, and chikungunya. He also highlights the risks associated with water contamination, leading to diseases like typhoid fever, stomach flu, and diarrhea. By raising awareness about these diseases, Dr. Haroon aims to empower individuals to identify early warning signs and seek prompt medical attention when necessary.

Excerpts from the interview with Dr. Haroon Hussain (MBBS, MD) on measures to prevent and reduce risks of diseases during monsoon:

Q. The arrival of monsoons aggravates several kinds of diseases. Which are the most common ones that you think people should be aware of, especially in coastal regions like Mangaluru?

Dr. Haroon: In this geographical location, the most frequently observed diseases are vector-borne diseases such as malaria and dengue. Additionally, we also come across chikungunya, which is spread by mosquitoes.

Q. What are the primary modes of transmission for these diseases?

Dr. Haroon: Vector-borne diseases are transmitted through the bite of insects like mosquitoes or fleas. Diseases can also spread due to water contamination, resulting in typhoid fever, stomach flu, and diarrhea.

Q. What are the key symptoms and signs that individuals should be aware of to identify these diseases?

Dr. Haroon: Each disease has its own set of symptoms, but fever is generally a common indication of infection. For instance, flu symptoms typically involve throat pain, difficulty in swallowing, sneezing, coughing, fever, body ache, and joint pain. Malaria and dengue can cause extreme sickness, with symptoms like low platelet count, bleeding, vomiting, and dehydration. Cholera manifests symptoms related to the digestive system, including watery diarrhea and severe dehydration.

Q. Which specific contagious diseases are expected to be of concern in our city during the monsoon season?

Dr. Haroon: Leptospirosis, locally known as "ili jvara" or rat fever, is one of the most common diseases in rain-ravaged areas. People can get infected by coming in contact with the urine of carriers of this disease, which are primarily rodents. Walking barefoot or having cuts and abrasions on the skin can increase the risk of transmission. This disease can be life-threatening, so it's important to wear footwear that prevents water from coming in contact with the feet, as rainwater and sewage water may be contaminated by the carriers of the disease.

Q. As viral fever is generally known to be self-limiting, when should people who are infected seek professional medical help?

Dr. Haroon: It is difficult to determine the infection without a proper diagnosis. It's always better to consult a doctor rather than presuming the illness. Infected individuals should watch out for red flag signs, such as extreme tiredness, changes in consciousness, blood in urine or stools, inability to eat, headache, and vomiting. People with underlying health conditions should not take any fever lightly and should seek immediate medical attention.

Q. How important is vaccination in preventing contagious diseases during the monsoon season? Should influenza vaccines and measles vaccines be taken during monsoon to prevent infection?

Dr. Haroon: Influenza vaccines are highly recommended, and I suggest consulting a medical expert before taking them. Additionally, pneumococcal and typhoid vaccines can also be considered, but not everyone requires them. Only individuals at high risk of severe manifestations of certain diseases should consider them after consulting with their doctor.

Q. What dietary measures will you suggest to boost immunity during monsoon?

Dr. Haroon: The most important ways to boost immunity are by drinking boiled and cooled water, consuming freshly cooked food while avoiding outside food, and washing fruits and vegetables thoroughly before eating. Practicing proper hand hygiene, avoiding crowded places, and following appropriate food handling and preparation practices are also vital in preventing the spread of infections.

Q. As children are most prone to contagious diseases, what extra measures should be considered?

Dr. Haroon: Parents should ensure that their kids carry a proper umbrella and preferably send an extra pair of clothes in case they get wet in the rain. It's better if children wear covered clothing and waterproof footwear. Furthermore, children should be taught proper handwashing techniques, and if they exhibit any symptoms, they should not be sent to school to prevent the spread of infection.

Q. As malaria is endemic in Mangaluru, what are the countermeasures to be taken to keep ourselves safe?

Dr. Haroon: : To prevent mosquito bites, personal protection measures should be followed, including wearing covered clothing. Special care must be given to vulnerable populations such as children and the elderly. It's crucial to eliminate any mosquito breeding sources near your house. Coming together as a community and volunteering to solve the issue or informing the civic authorities can make a significant difference.

End of excerpts

Dr. Haroon Hussain's insights and recommendations on preventive measures during the monsoon season are invaluable for individuals and communities in coastal regions like Mangaluru. As we enter this season, it is crucial to be aware of the common diseases and their modes of transmission. By following Dr. Haroon's advice on personal protection, hygiene practices, and nutrition, we can significantly reduce the risks of infections.

The COVID-19 pandemic has taught us the importance of preparedness, and Dr. Haroon emphasizes this lesson in the context of monsoon-related diseases. His call for community engagement and volunteering to tackle disease outbreaks resonates strongly, underscoring the collective responsibility we have in safeguarding public health.

By being proactive, seeking medical attention when needed, and following vaccination recommendations, we can mitigate the impact of contagious diseases.

In conclusion, Dr. Haroon Hussain's expertise and recommendations serve as a guide for individuals, families, and communities to stay healthy and prevent disease outbreaks during the monsoon season. Let us heed his advice, adopt preventive measures, and work together to make this monsoon a season of good health and well-being for all.

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Palghar (PTI): A 26-year-old pregnant woman from Maharashtra's Palghar district died while being taken to hospital in an ambulance which was not equipped with oxygen and other necessary facilities, authorities said on Wednesday.

Palghar's Civil Surgeon Dr Ramdas Marad said the health department has repeatedly raised concerns with authorities about the lack of specialised ambulances in the region.

The woman, who was in labour pain, was brought to a rural hospital here in a critical state on Tuesday evening.

"If she had come earlier, we could have saved her," the health official said.

Palghar Lok Sabha member Dr Hemant Savara said the health department should take necessary action into the matter and ambulance services should have adequate facilities.

Pinki Dongarkar, resident of Sarni village, went into labour on Tuesday evening.

Her family immediately rushed her to Kasa rural hospital, but due to the critical nature of her condition, the staff there referred her to neighbouring Silvassa city (in the Union territory of Dadra and Nagar Haveli and Daman and Diu) for further medical attention.

However, despite frantic attempts by her family to secure an ambulance equipped with oxygen and necessary medical facilities through the '108' emergency service, their requests went unanswered, a health official said.

They were eventually provided with a regular ambulance by the Kasa rural hospital.

While en route to Silvassa, the woman succumbed to complications and the foetus also did not survive, health officials confirmed.

Dr Marad said the woman was brought to the Kasa rural hospital in a critical state.

According to him, the woman suffered from a condition called Intrauterine Fetal Death (IUFD), where the foetus died in the womb. The exact time of the foetal death could not be determined.

Upon arrival at the hospital, the woman was semi-conscious and showed signs of severe infection.

On issues with the 108 emergency ambulance services, which are privately operated, Dr Marad said the ambulance might have been unavailable due to high demand.

The health department has repeatedly raised concerns with authorities about the lack of specialised ambulances in the region, he said.

Talking to PTI, Palghar BJP MP Savara said, "This is a very sad incident. The health department should take necessary action in this connection. Also, such an incident should not happen in future for this reason."

"The ambulance services should have adequate oxygen and cardiac support facilities. Also, a doctor is required to accompany the patient. I will follow it up with the government," he said.

CPI (M) leader Vinod Nikole, the newly-elected assembly member from Dahanu in Palghar, said he had raised the issue in the House during his last term, but no action was taken.

He criticised the government over "indifference" towards improving healthcare facilities, particularly in tribal areas, and accused the state of prioritising other programmes, such as the Ladki Bahin Yojana, over the urgent needs of healthcare in rural regions.