Pink eye outbreak in Pakistan | |
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Disease | Conjunctivitis (pink eye) |
Location | Pakistan |
First outbreak | Karachi |
Arrival date | September 2023 |
Confirmed cases | 86,133 in Punjab (as of September 2023) |
In September 2023, there was an occurrence of conjunctivitis, commonly referred to as pink eye, in multiple cities across Pakistan. The outbreak initially began in Karachi and subsequently extended to Lahore, eventually reaching Rawalpindi, Islamabad and Khyber Pakhtunkhwa. [1] [2]
As of September 2023, Punjab had reported a total of 86,133 cases of pink eye. Within a 24-hour span, Lahore saw an additional 85 new cases. At that time, the city's air quality worsened due to reduced rainfall in that year. Remarkably, the total number of cases had doubled since the previous month of August. [3] [4]
Amid the escalating cases, the Primary and Secondary Healthcare Department in Punjab took action by issuing a public advisory. This advisory outlined safety protocols, urging individuals to utilize hand sanitizer, refrain from touching their eyes without proper hand hygiene, and avoid using items that had come into contact with infected individuals. [5]
In response to the increasing case numbers, Mohsin Raza Naqvi, the interim Chief Minister of Punjab, declared a one-day holiday for all government schools. [6] Subsequently, the Punjab government extended this measure by directing both government and private schools to remain closed from Thursday through Sunday, aiming to curb the spread of the infection. [7]
Pink eye, or conjunctivitis, manifests through symptoms like redness, inflammation, painful eyes, and increased tearing. This viral disease spreads through respiratory droplets from coughing, sneezing, and hand-to-eye contact. [5] Treatment typically involves the use of eye drops, ointments, oral medication, and gentle water flushes to alleviate symptoms and promote recovery. [7]
Conjunctivitis, also known as pink eye or Madras eye, is inflammation of the outermost layer of the white part of the eye and the inner surface of the eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may occur. The affected eye may have increased tears or be "stuck shut" in the morning. Swelling of the white part of the eye may also occur. Itching is more common in cases due to allergies. Conjunctivitis can affect one or both eyes.
Blepharitis, sometimes known as granulated eyelids, is one of the most common ocular conditions characterized by inflammation, scaling, reddening, and crusting of the eyelid. This condition may also cause swelling, burning, itching, or a grainy sensation when introducing foreign objects or substances to the eye. Although blepharitis by itself is not sight-threatening, it can lead to permanent alterations of the eyelid margin. The primary cause is bacteria and inflammation from congested meibomian oil glands at the base of each eyelash. Other conditions may give rise to blepharitis, whether they be infectious or noninfectious, including, but not limited to, bacterial infections or allergies.
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A stye, also known as a hordeolum, is a bacterial infection of an oil gland in the eyelid. This results in a red tender bump at the edge of the eyelid. The outside or the inside of the eyelid can be affected.
Brazilian purpuric fever (BPF) is an illness of children caused by the bacterium Haemophilus influenzae biogroup aegyptius which is ultimately fatal due to sepsis. BPF was first recognized in the São Paulo state of Brazil in 1984. At this time, young children between the ages of 3 months and 10 years were contracting a strange illness which was characterized by high fever and purpuric lesions on the body. These cases were all fatal, and originally thought to be due to meningitis. It was not until the autopsies were conducted that the cause of these deaths was confirmed to be infection by H. influenzae aegyptius. Although BPF was thought to be confined to Brazil, other cases occurred in Australia and the United States during 1984–1990.
Adenovirus infection is a contagious viral disease, caused by adenoviruses, commonly resulting in a respiratory tract infection. Typical symptoms range from those of a common cold, such as nasal congestion, coryza and cough, to difficulty breathing as in pneumonia. Other general symptoms include fever, fatigue, muscle aches, headache, abdominal pain and swollen neck glands. Onset is usually two to fourteen days after exposure to the virus. A mild eye infection may occur on its own, combined with a sore throat and fever, or as a more severe adenoviral keratoconjunctivitis with a painful red eye, intolerance to light and discharge. Very young children may just have an earache. Adenovirus infection can present as a gastroenteritis with vomiting, diarrhoea and abdominal pain, with or without respiratory symptoms. However, some people have no symptoms.
Neonatal conjunctivitis is a form of conjunctivitis which affects newborn babies following birth. It is typically due to neonatal bacterial infection, although it can also be non-infectious. Infectious neonatal conjunctivitis is typically contracted during vaginal delivery from exposure to bacteria from the birth canal, most commonly Neisseria gonorrhoeae or Chlamydia trachomatis.
Cat flu is the common name for a feline upper respiratory disease, which can be caused by one or more possible pathogens:
Mycoplasma gallisepticum (MG) is a bacterium in the class Mollicutes and the family Mycoplasmataceae. It causes chronic respiratory disease (CRD) in chickens and infectious sinusitis in turkeys, chickens, game birds, pigeons, and passerine birds of all ages. Mycoplasma gallisepticum is a significant pathogen in poultry.
The 2009 swine flu pandemic was a global outbreak of a new strain of influenza A virus subtype H1N1, first identified in April 2009, termed Pandemic H1N1/09 virus by the World Health Organization (WHO) and colloquially called swine flu. The outbreak was first observed in Mexico, and quickly spread globally. On 11 June 2009, the WHO declared the outbreak to be a pandemic. The overwhelming majority of patients experienced mild symptoms, but some persons were in higher risk groups, such as those with asthma, diabetes, obesity, heart disease, who were pregnant or had a weakened immune system. In the rare severe cases, around 3–5 days after symptoms manifest, the sufferer's condition declines quickly, often to the point of respiratory failure.
Acute Haemmorrhagic Conjunctivitis is the inflammation of the conjunctiva of sudden onset. It presents as a reddening of the eye due to the infection of the conjunctiva. The conjunctiva is the thin transparent tissue that covers the eye from the Corneal limbus to the lid margin. Many conditions can lead to the inflammation of the conjunctiva. They include allergies, bacterial infection, viral infection etc. A common form of the condition that occurs every rainy season is the seasonal conjunctivitis popularly referred to as "Apollo" by West Africans because the reports of its first epidemic in Accra coincided with the Apollo 11 Moon landing. Every year prior to the rainy season in the country, various health warnings are given to remind citizens of the condition.
Dengue fever is an important infectious disease in Pakistan with increasingly frequent epidemics. Despite the efforts of the Government of Pakistan, especially in Punjab, the high cost of prevention has limited the ability of Pakistan to control epidemics. In Pakistan, in the summer of 2011, more than 300 people died of Dengue fever. The prevalence of the disease was over 14,000. The outbreaks occurred mostly in the Lahore area, Punjab, Pakistan.
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Acute hemorrhagic conjunctivitis (AHC) is a derivative of the highly contagious conjunctivitis virus, otherwise known as pink eye. Symptoms include excessively red, swollen eyes as well as subconjunctival hemorrhaging. Currently, there is no known treatment and patients are required to merely endure the symptoms while the virus runs its five- to seven-day course. While it was first identified in Ghana, the virus has now been seen in China, India, Egypt, Cuba, Singapore, Taiwan, Japan, Pakistan, Thailand, and the United States.
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