Dr. A.T. Senthil
Kumar, lecturer, Vinayaga Mission’s Homoeopathy Medical College,
Salem is a reputed academician and practitioner. Here he presents the
vector prevention for Chikun gunya fever.
causative agent of Chikungunya fever, a rare form of viral fever was 1st
isolated in Tanzania in 1952. It is caused by Arbo viruses mainly due
to Alpha viruses. The infective female Aedes Egypti mosquito transmits
the disease from one person to another.
fever has been prevalent in Africa. Chikungunya is a native African word
for the disease in which the patient lies “doubled-up” due
to severe joint pains.
- 1952 Tanzania
- 1963 India
- 1964 Bangkok
- 1999 Malaysia - Port Klang
- 2005 French Island of Reunion
- Nov & Dec 2005 India – Andrapradesh, Karnataka
- March & Apr 2006 India – Maharastra
- July 2006 India – Tamilnadu – South Districts & Salem
female mosquito lays eggs in artificial accumulations of water like overhead
tanks, flower vases, rubber tyres, metal drum, shallow wells, sewage disposal
etc., in and around homes. The male mosquitoes never bite, they subsist
on plant juices. The adult females require a blood meal, once in 2-3 days,
for the development of eggs. The females bite chiefly during the daytime
(mid morning peak biting time: 0800-1300 hours and mid-afternoon peak
biting time: 1500-1700 hours). Persons who stay indoors during the daytime
are vulnerable to mosquito bites since female Aedes mosquitoes prefer
to rest indoors in dark places.
Preventing Mosquito Breeding
household level : Drying out all water containers on a fixed
day, each week eliminates mosquito breeding. Removal of junk prevents
accumulation of water during rains. Fitting lids and screens at all openings
in water containers will deny access of the female mosquito to water.
At community level : When applied on collections of stagnant
water, mineral oils (diesel, kerosene, used engine oil, etc.) spread and
form a thin film, which cuts off the air supply and suffocates the larvae
and pupae. However, mineral oils make water unfit for drinking and may
be lethal to other aquatic life. Many larvicides (chemicals that kill
mosquito larvae) are available.
· Measures For Personal Protection
of windows and doors with metal gauze meshes prevents entry of adult mosquitoes
into human dwellings.
Repellents are commercially available as creams or lotions for application
on the skin of exposed areas of the body. Repellent-impregnated coils,
liquids or mats slowly vaporize the chemical. Rural communities traditionally
use the smoke from dried twigs and leaves of the ‘neem’ tree
as a mosquito repellent.
control of Aedes egypti mosquitoes is the only available modality for
preventing Chikungunya fever since no preventive vaccine or medication
is available so far.
pinicola 30 – I have used frequently for Chikungunya fever with
Headache and joint pain in wrist joint, knee joint and ankle joint it
gives a good result and I have used Eupatorium perfoliatum, Rhustox, Variolinium,
Thuja, Bryonia and Apis. mel, in few cases of Chikungunya.
Important rubrics that can
be selected based on symptom totality (Synthesis Repertory)
1. EXTREMITIES PAIN fever during
2. FEVER CHILLINESS with
3. HEAD PAIN heat during
4. STOMACH VOMITING heat during
5. GENERALS WEAKNESS fever during
6. Extremities- Inflammation. Joints
7. Back Pain fever during
Nat.mur – 12/6
Eupt – 12/5
Puls – 11/6