KFDV

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KYASANUR FOREST DISEASE (KFD)

Introduction
Kyasanur Forest disease (KFD) is caused by Kyasanur

Forest disease virus (KFDV), a member of the virus family Flaviviridae. KFDV was identified in 1957 when it was isolated from a sick monkey from the Kyasanur Forest in Karnataka (formerly Mysore) State, India. Since then, between 400-500 humans cases per year have been reported. KFDV can cause epizootics with high fatality in primates.

The disease was named after the forest

area where it was first discovered as Kyasanur Forest Disease (KFD) and the virus was named as KFD virus.

ETIOLOGY
.KFD is a febrile disease associated with haemorrhage caused by an ARBOVIRUS FLAVIVIRUS.
KFD virus is member of group-B togavirus. Belong to

russian spring summer encephalitis(RSSE) group of virus

TRANSMISSION
Transmission to humans may occur after a tick

(HAEMOPHYSALIS SPINIGERE) bite or contact with an infected animal, most importantly a sick or recently dead monkey. No person-to-person transmission has been described.

Epidemiology

The number of human cases occurring each year varied from 40 to ~1000 with a mortality rate of 4 to15 percent. All age groups are affected, but the incidence in very young children is low, males are more susceptible than females KFD epizootics in monkeys are also a regular Feature in the area, 2,442 monkey Deaths were recorded from 1957 to 1975

The number of human cases shows a rising trend over the last 5 years. KFD is mainly seasonal and most cases occur during inter monsoon period that is from December to June. The ecological imbalance caused by the clearing of natural patch of forest may have result in the outbreak of the diseases.

CLINICAL SIGNS
After an incubation period of 3-8 days, the symptoms of

KFD begin suddenly with chills, fever, and headache. Severe muscle pain with vomiting, gastrointestinal symptoms and bleeding problems may occur 3-4 days after initial symptom onset. Patients may experience abnormally low blood pressure, and low platelet, red blood cell, and white blood cell counts BIPHASIC FEVER The estimated case-fatality rate is from 3 to 5% for KFD.

Diagnosis
Diagnosis can be made in the early stage of illness by

molecular detection by PCR or virus isolation from blood. Later, serologic testing using enzyme-linked immunosorbent serologic assay (ELISA) can be performed.

Diagnosis of KFD could be arrived at by isolation of

the virus from acute serum by inoculation of the suckling mice.

Treatment
There is no specific treatment for KFD, but early

hospitalization and supportive therapy is important. Supportive therapy includes the maintenance of hydration and the usual precautions for patients with bleeding disorders.

prevention
Additional preventative measures include insect

repellents and wearing protective clothing in areas where ticks are endemic. Tick repellents such as DEET, DMP, DBP provide 90-100% protection against tick bite.

vaccination
NIV has developed an inactivated chick

embryo tissue culture vaccine against KFD. This vaccine evokes neutralizing antibodies response in about 70% of the vaccinated persons. The technology has been transferred to the Karnataka Public Health Department for production and vaccination.

references
Elements of veterinary public health

A.T.SHERIKAR V.N.BACHHIT D.C.THAPIYAL

Thank you
SUBMITTED BY; SAURABH TIWARI TV/2011-058

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