Based on epidemiological investigations, doctors conclude it is not a bacterial, viral, protozoan, or zoonotic disease. The only remaining possibility is of toxins.
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00:00Basically, jab se ye incident start huye, I am Dr. Suja Kadri, head of the department
00:09of community medicine and epidemiologist. So, medical college was given the responsibility
00:15of doing the surveillance of this area since the beginning of the incident and simultaneously
00:21to give an expert opinion, do a detailed epidemiological investigation to rule out what is the probable
00:28cause of this death. So, once we started our investigation under our worthy principal professor
00:34Dr. A. S. Bhatia sir, we made a team of healthcare people where I was heading the team and we
00:42went to the area. So, jo hamara epidemiological investigation hota hai, there are different
00:48steps involved in the epidemiological investigation. Toh humne active surveillance kiya, humne
00:53passive surveillance kiya, humne clinical features dekhe, jo cases the, jinn ke deaths
00:58ki, humne verbal autopsies ki, humne food ke parameters dekhe, unka water dekha, unka
01:04sanitation dekha, unka hygiene dekha, unke housing condition dekhi, unki environment
01:09dekhi. Aur as of preliminary investigation, as of now humne epidemiological finding hai,
01:16wo iss netijay pe ponchi hai aur jo humare paas reports available hai, it is not a bacterial,
01:23it is not a viral, it is not a protozoa, it is not a zoonotic disease. Why I am saying
01:28this as an expert because the preliminary reports which are available with us from the
01:33premier institutes shows no virus, no bacteria, no protozoa, no zoonotic disease in the samples
01:41of the patients. So, only left is that is toxin. So, only one thing which is left after
01:48ruling out bacteria, viral, protozoa, zoonotic disease, jo epidemiologist ka focus jaata
01:55wo toxin pe jaata hai. Toh jab humne toxin ko humne shortlist kiya, fir humne as epidemiology
02:03humne patients ke signs and symptoms ko dekha. Aur fir humne dekha probable toxin kya ho
02:09sakta hai. That means jo humari epidemiological finding hai as the epidemiologist, the clinical
02:15features of the patients and the epidemiological study, it coincides with the availability
02:22of a toxin. Ab yeh toxin kya hota hai? Toxin ka jo main route of transmission hota hai,
02:27wo ingestion hota hai. Aur uske others bhi hote hain, toxin agar haath lagane se, toxin
02:35haath lagane se, yeh ingestion se ho sakta hai. Toh humari final diagnosis hai, yeh
02:41hai ki yeh toxin hai, aur yeh toxin ingest kiya jaata hai. Ab it's a matter of debate
02:46whether it is accidental or it is deliberate that the district administration is into it.