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Stomach Flu Outbreak In India: What Is Acute Diarrheal Disease?

Stomach Flu Outbreak In India: As of December 22, 2024, the country has recorded over 1,000 outbreaks of acute diarrheal disease, marking a record high.

Stomach Flu Outbreak In India: What Is Acute Diarrheal Disease?

Stomach Flu Outbreak In India: What Is Acute Diarrheal Disease

India is currently experiencing a significant surge in stomach flu cases, medically referred to as acute diarrheal disease (ADD). As of December 22, 2024, the country has recorded over 1,000 outbreaks of ADD, marking a record high. This alarming trend underscores the need for public awareness about the causes, symptoms, prevention, and treatment of ADD.

What is Acute Diarrheal Disease?

Acute diarrheal disease is characterised by the rapid onset of frequent, watery stools, often accompanied by abdominal cramps, nausea, and vomiting. ADD condition can lead to severe dehydration, posing significant health risks, especially to children under five years old. In India, acute diarrheal disease remains a leading cause of child mortality and morbidity.



Causes of Acute Diarrheal Disease

Acute diarrheal disease (ADD) is primarily caused by infections from various pathogens. These pathogens are often transmitted through contaminated food and water sources, inadequate sanitation, and poor hygiene practices.



1. Bacterial Infections

Pathogens such as Shigella and Salmonella are responsible for about 60% of diarrheal cases in India.

2. Viral Infections

Viruses like rotavirus and adenovirus are significant contributors to ADD. A study identified adenovirus as a prominent pathogen causing diarrhea in India.

3. Parasitic Infections

Parasites such as Entamoeba histolytica can cause amoebiasis, leading to severe diarrhea.

Stomach flu outbreak and health risks of acute diarrheal disease

The recent surge in ADD cases has been linked to several factors. These incidents highlight the severe health risks of acute diarrheal disease and the importance of prompt medical attention.

1. Waterborne Outbreaks

In Devli Karad village, Maharashtra, an acute gastroenteritis outbreak affected 22.6% of the population, primarily adolescents and adults. The investigation identified rotavirus B in both patients and the local drinking water source.

2. Neurological Complications

In Pune, over 180 confirmed cases of Guillain-Barré Syndrome (GBS) have been reported since January 2025. GBS is a rare neurological disorder that can follow gastrointestinal infections, leading to muscle weakness and paralysis.

Prevention strategies for acute diarrheal disease

Preventing acute diarrheal disease (ADD) involves a multifaceted approach.

1. Improved Sanitation and Hygiene

Regular handwashing with soap, especially before meals and after using the restroom, can significantly reduce infection rates.

2. Access to Clean Water

Ensuring the availability of safe drinking water is crucial. Boiling water or using water purifiers can help eliminate pathogens.

3. Vaccination

Vaccines against pathogens like rotavirus can prevent severe diarrheal episodes in children. Additionally, Bharat Biotech's development of an oral cholera vaccine aims to address global shortages and curb outbreaks.

4. Food Safety Measures

Proper cooking, storage, and handling of food can prevent contamination. Avoiding street food and ensuring fruits and vegetables are thoroughly washed can also reduce risks.

Treatment and management of acute diarrheal disease

Public health measures focusing on sanitation, access to clean water, vaccination, and education about hygiene practices are vital in combating this issue. Immediate treatment focuses on rehydration to replace lost fluids and electrolytes.

1. Oral Rehydration Solutions (ORS)

A balanced mixture of salts and sugars dissolved in clean water can effectively combat dehydration.

2. Zinc Supplementation

The World Health Organisation recommends zinc supplements for children with diarrhea to reduce the duration and severity of episodes.

3. Medical Intervention

Severe cases may require intravenous fluids and antibiotics, especially when bacterial infections are confirmed. It's essential to consult healthcare professionals for appropriate diagnosis and treatment.

The current stomach flu outbreak in India serves as a stark reminder of the ongoing challenges posed by acute diarrheal diseases. Individuals are encouraged to remain vigilant, adopt preventive measures, and seek prompt medical care when symptoms arise to mitigate the impact of acute diarrheal disease (ADD) on public health.


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