@article{Bhattacharjee_Bhattacharjee_Bal_Pal_Niyogi_Sarkar_2010, title={Is <i>Vibrio fluvialis</i> Emerging As a Pathogen with Epidemic Potential in Coastal Region of Eastern India Following Cyclone <i>Aila</i>?}, volume={28}, url={https://www.banglajol.info/index.php/JHPN/article/view/6036}, DOI={10.3329/jhpn.v28i4.6036}, abstractNote={An isolated area with diarrhoea epidemic was explored at Pakhirala village of the Sundarbans, a coastal&lt;br /&gt;region of South 24 Parganas district of West Bengal, eastern India. The Pakhirala village was surrounded by&lt;br /&gt;other villages affected by a similar epidemic. The affected villages experienced this epidemic following the&lt;br /&gt;cyclone &lt;em&gt;Aila&lt;/em&gt;, which had hit the coastal region of the Sundarbans in eastern India. In Pakhirala, the situation&lt;br /&gt;was the worst. Within a span of six weeks (5 June&amp;ndash;20 July 2009), 3,529 (91.2%) of 3,871 residents were&lt;br /&gt;affected by watery diarrhoea. Of all the cases (n=3,529), 918 (26%) were affected by moderate to severe&lt;br /&gt;diarrhoea. In other villages, 28,550 (70%) of the 40,786 people were affected; of them, 3,997 (14%) had&lt;br /&gt;moderate to severe watery diarrhoea. The attack rate and the severity of the cases were significantly higher&lt;br /&gt;in Pakhirala village compared to other affected villages. The laboratory results revealed that &lt;em&gt;Vibrio fluvialis&lt;/em&gt;&lt;br /&gt;was the predominant pathogen in Pakhirala village (5 of 6 laboratory-confirmed organisms) whereas Vibrio&lt;br /&gt;cholerae O1 Ogawa was the predominant pathogen in other villages of Gosaba block (7 of 9 bacteriologically-&lt;br /&gt;confirmed organisms). This result indicates that &lt;em&gt;V. fluvialis&lt;/em&gt; behaves more aggressively than &lt;em&gt;V. cholerae&lt;/em&gt;&lt;br /&gt;O1 in an epidemic situation with a higher attack rate and a different clinical picture. An in-depth study is&lt;br /&gt;required to explore its pathogenicity in detail, geographical distribution, and possible control measures,&lt;br /&gt;including development of specific vaccine preparation and determination of its efficacy.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Key words: &lt;/strong&gt;Diarrhoea; Cyclone; Disasters, Natural; Vibrio cholerae; Vibrio fluvialis; India&lt;br /&gt;&lt;br /&gt;DOI: 10.3329/jhpn.v28i4.6037&lt;br /&gt;&lt;br /&gt;J HEALTH POPUL NUTR 2010 Aug 28(4):311-317&lt;br /&gt;}, number={4}, journal={Journal of Health, Population and Nutrition}, author={Bhattacharjee, Subhajit and Bhattacharjee, Sayantani and Bal, Baishali and Pal, Reshmi and Niyogi, Swapan Kumar and Sarkar, Kamalesh}, year={2010}, month={Sep.}, pages={311–317} }