The Government of AP needs to rethink its Infrastructure strategy in the light of current state p... more The Government of AP needs to rethink its Infrastructure strategy in the light of current state priority. Unless these are in line with state priorities, the strategies will not work and will perpetually be at cross purposes. The current direction taken by the state appears to point towards the development of rural infrastructure, such as irrigation facility and linkages. The paper attempts to assess the need for these linkages and evolve broad policies to be implemented by these strategies.
Objectives: The majority of patients admitted to our Infectious Disease Unit with vivax malaria p... more Objectives: The majority of patients admitted to our Infectious Disease Unit with vivax malaria present in the summer months llost return from Northern Pakistan where malaria transmission peaks during the monsoon months of July to September We reviewed cases to see whether time of presentation related to the time of travel or another factor Methods. Patients with Vivax malaria were identified, from notification slips between l/l/88 and 3 l/12/97. Results: 300 cases were identified with 176 returning from Northern Pakistan The median time from arrival in the UK to development of symptoms was 105 days (range O-1080 days). Of the latter I I2 (64%) presented between June and September but only 65 (37%) returned to the UK in these months. Those ireturning in winter months were more likely to develop clinical malaria in our summer Conclusions The time of presentation of vivax malaria in patients from Northern Pakistan returning to Birmingham does not relate purely to the timing oftravel. The majority of cases in Birmingham occur during the months of peak transmission in Pakistan Seasonal environmental factors may partly determine timing of clinical presentation,
The Government of AP needs to rethink its Infrastructure strategy in the light of current state p... more The Government of AP needs to rethink its Infrastructure strategy in the light of current state priority. Unless these are in line with state priorities, the strategies will not work and will perpetually be at cross purposes. The current direction taken by the state appears to point towards the development of rural infrastructure, such as irrigation facility and linkages. The paper attempts to assess the need for these linkages and evolve broad policies to be implemented by these strategies.
Objectives: The majority of patients admitted to our Infectious Disease Unit with vivax malaria p... more Objectives: The majority of patients admitted to our Infectious Disease Unit with vivax malaria present in the summer months llost return from Northern Pakistan where malaria transmission peaks during the monsoon months of July to September We reviewed cases to see whether time of presentation related to the time of travel or another factor Methods. Patients with Vivax malaria were identified, from notification slips between l/l/88 and 3 l/12/97. Results: 300 cases were identified with 176 returning from Northern Pakistan The median time from arrival in the UK to development of symptoms was 105 days (range O-1080 days). Of the latter I I2 (64%) presented between June and September but only 65 (37%) returned to the UK in these months. Those ireturning in winter months were more likely to develop clinical malaria in our summer Conclusions The time of presentation of vivax malaria in patients from Northern Pakistan returning to Birmingham does not relate purely to the timing oftravel. The majority of cases in Birmingham occur during the months of peak transmission in Pakistan Seasonal environmental factors may partly determine timing of clinical presentation,
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Papers by BHINDU.P Nair