Comprehensive rural epilepsy surveillance programme in Uttarakhand state of India

Goel, Divya; Agarwal, Alka; Dhanai, JS; Semval, V D; Mehrotra, Vinit; Saxena, Vrinda; B, Maithili

doi:10.4103/0028-3886.53274

Cited by 31 publications

(21 citation statements)

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“…6 prevalence in India was found out to be 2.27 per 1000 population in North Indian study. 7 while it was 3.28-5.7/1,000 in South India. 8 Recurrence of febrile seizure ranges from 21-43% in different studies.…”

Section: Introductionmentioning

confidence: 89%

Risk Factors for Recurrence of Febrile Seizures in Children Aged Between 6 Months to 5 Years of Age Admitted to Dr. Punjabrao Deshmukh Medical College, Amravati

Rane¹,

Nistane²,

Barabde³

et al. 2015

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Febrile seizures (FS) occur in 2% to 5% of all children and are most common convulsive event in children younger than 60 month. Recurrence of FS ranges from 21-43% in different studies and are associated with various risk factors like age of onset of 1 st episode of FS less than 1 year, duration and grade of fever, parental consanguinity, family history of FS and epilepsy, male gender and complex FS as initial seizure. AIMS AND OBJECTIVE: The purpose of this study was to evaluate the risk factors and their association for recurrences of febrile seizures in children aged between 6 months to 5 years of age. MATERIALS & METHODS:The study design was prospective observational study in which 63 children (6 months to 5 years) presenting with the first episode of FS to Dr. Punjabrao Deshmukh Medical College, Amravati between 1 st November 2013 to 31 st October 2014 were enrolled in the study. These subjects were followed up for a period of 1 year from the date of 1 st episode of FS. RESULTS: In present study 46 out of 63 subjects had recurrence of FS. Male: female ratio in the recurrence group was 0.76:1. Family history of FS and epilepsy was present in 34.9% and 12.6% respectively. Total 67.34% subjects with simple FS and 92.85% with complex FS had recurrence. 69.69% subjects had FS within 24 hours of onset of fever. Parental consanguinity was found in 14 (22.2%) subjects with p value of 0.013. No association between the number of risk factors and recurrence was found. 22 (34.9%) out of total 63 subjects were on intermittent FS prophylaxis during the febrile illness and 15 subjects still had recurrence of FS and hence no significant association between recurrence of FS and intermittent prophylaxis for FS was seen. CONCLUSION: Parental consanguinity and age less than one year for 1 st episode of FS were the only significant risk factors indentified for the recurrence of FS. Age of onset of 1 st episode of FS less than 1 year, duration of fever, grade of fever, family history of FS and epilepsy, male gender and complex febrile seizure as initial seizure were not found to be significantly associated with recurrence of FS. No significant association between the numbers of risk factors and recurrence of FS was found. Prescribing prophylaxis for FS statistically did not show any benefit in decreasing the frequency nor completely stop the recurrences of FS.

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Section: Introductionmentioning

confidence: 89%

Risk Factors for Recurrence of Febrile Seizures in Children Aged Between 6 Months to 5 Years of Age Admitted to Dr. Punjabrao Deshmukh Medical College, Amravati

Rane¹,

Nistane²,

Barabde³

et al. 2015

jemds

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“…[3689] The age-adjusted prevalence ratio of active epilepsy in Kerala is 4.7 per 1000 population. [10] Methodological differences in prevalence estimation, such as variations in defining the epilepsy, failure to exclude pseudo-seizures, syncope, and other mimickers of epilepsy, and missed cases because of concealment may influence the exact prevalence.…”

Section: Descriptive Epidemiology and Treatment Gapmentioning

confidence: 99%

Epilepsy: Indian perspective

Santhosh

Sinha

Satishchandra

2014

Ann Indian Acad Neurol

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There are 50 million people living with epilepsy worldwide, and most of them reside in developing countries. About 10 million persons with epilepsy are there in India. Many people with active epilepsy do not receive appropriate treatment for their condition, leading to large treatment gap. The lack of knowledge of antiepileptic drugs, poverty, cultural beliefs, stigma, poor health infrastructure, and shortage of trained professionals contribute for the treatment gap. Infectious diseases play an important role in seizures and long-term burden causing both new-onset epilepsy and status epilepticus. Proper education and appropriate health care services can make tremendous change in a country like India. There have been many original researches in various aspects of epilepsy across India. Some of the geographically specific epilepsies occur only in certain regions of our country which have been highlighted by authors. Even the pre-surgical evaluation and epilepsy surgery in patients with drug-resistant epilepsy is available in many centers in our country. This article attempts to provide a complete preview of epilepsy in India.

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“…We have stared our comprehensive rural epilepsy surveillance program (CRESP) in year 2007. [2] Under this program we first planned to get the KAP study in this region. Findings of this study will provide the base for our strategy regarding epilepsy awareness programme in this region.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitude and practice of epilepsy in Uttarakhand, India

Goel¹,

Dhanai²,

Agarwal³

et al. 2011

Ann Indian Acad Neurol

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Objectives:This study was conducted to find out knowledge, attitude and practice (KAP) of epilepsy among 12th-class students in Uttarakhand state. Secondly data of Uttarakhand was compared with KAP study from other parts of the country.Materials and Methods:All 12th-class students studying in six schools of randomly selected 36 villages in Chakrata block of Dehradun district of Uttarakhand state were provided a printed questionnaire having answer as “yes or no”. This questionnaire used was used previously by various authors and validated for KAP analysis. These filled questionnaires were collected by village health workers and medical officer.Results:This study conducted on 219, 12th-class students revealed that epilepsy was heard by 98%, 74.9% thought epilepsy a mental disease and 4.8% believed that it is contagious. Negative attitude showed as nearly 2/3rd students stated that epilepsy is hindrance in marriage and occupation. Nearly 41% would use onion or shoe for terminating seizure attack. Ayurvedic treatment was preferred over allopathic drugs.Conclusions:Study on 12th-class students of Uttarakhand revealed poor knowledge, attitude and practice for epilepsy and needs special education program to dispel these misconceptions.

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Comprehensive rural epilepsy surveillance programme in Uttarakhand state of India

Cited by 31 publications

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Risk Factors for Recurrence of Febrile Seizures in Children Aged Between 6 Months to 5 Years of Age Admitted to Dr. Punjabrao Deshmukh Medical College, Amravati

Risk Factors for Recurrence of Febrile Seizures in Children Aged Between 6 Months to 5 Years of Age Admitted to Dr. Punjabrao Deshmukh Medical College, Amravati

Epilepsy: Indian perspective

Knowledge, attitude and practice of epilepsy in Uttarakhand, India

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