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The Gujarat government recently said that six children have died of suspected Chandipura virus (CHPV) infection in the state.
About Chandipura virus (CHPV)
- Chandipura Virus (CHPV) is a virus of the Rhabdoviridae family, which also includes other members such as the lyssavirus that causes rabies.
- Several species of sandflies like Phlebotomine sandflies and Phlebotomus papatasi, and some mosquito species such as Aedes aegypti (which is also the vector for dengue) are considered vectors of CHPV.
- The virus resides in the salivary gland of these insects, and can be transmitted to humans or other vertebrates like domestic animals through bites.
- The infection caused by the virus can then reach the central nervous system which can lead to encephalitis — inflammation of the active tissues of the brain.
What are the symptoms of CHPV infection?
- The CHPV infection presents initially with flu-like symptoms such as acute onset of fever, body ache, and headache.
- It may then progress to altered sensorium or seizures and encephalitis.
- Retrospective studies from India have also reported other symptoms such as respiratory distress, bleeding tendencies, or anaemia.
- The infection often progresses rapidly after encephalitis, which may then lead to mortality within 24-48 hours of hospitalisation, according to studies.
- Susceptibility has largely remained limited to children below 15 years.
How can the infection be managed?
- The infection can only be symptomatically managed as currently there is no specific antiretroviral therapy or vaccine available for treatment.
- As a result, it becomes crucial to manage brain inflammation to prevent mortality.
- Disease progression can be as rapid as a patient reporting high fever in the morning, and their kidneys or liver being affected by the evening.
- This makes it harder to manage the symptoms, according to several paediatricians.
Which are the worst affected regions in India?
- The CHPV infection was first isolated in 1965 while investigating a dengue/chikungunya outbreak in Maharashtra.
- However, one of the most significant outbreaks of the disease in India was seen in 2003-04 in states such as Maharashtra, northern Gujarat and Andhra Pradesh, with the three states reporting more than 300 deaths of children.
- The infection has largely remained endemic to the central part of India, where the population of CHPV infection-spreading sandflies and mosquitoes is higher.
Source: IE
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