MANAGEMENT OF EPIDEMICS

INTRODUCTION

Epidemic diseases are diseases spreading rapidly and extensively by infection and affecting many individuals in an area or a population at the same time. Epidemics are commonly thought to involve out breaks of acute infectious diseases. Diseases and epidemics occur as a result of three factors, agent, host and environment. An understanding of the interaction between agent, host and environment is crucial for the selection of best approach to prevent or control the continuing spread of an epidemic (American Heritage Dictionaries).  

Historically Homoeopathy has been used in the treatment of diseases that occurred in the form of Epidemics, particularly in Europe and America in 19th century. Unlike conventional medicine, Homoeopathy, lays emphasis on treatment based on clinical presentation which usually varies from individual to individual along with mental / emotional and physical characteristic (attributes) of the individual. The therapy is not aimed at the causative virus or bacterium, but on enhancing immune response against the infective micro organism. 

GENUS EPIDEMICUS IN HOMOEOPATHY

Homoeopathic genus epidemicus (identified on the basis of common symptoms presented by a significant number of patients during an epidemic) is administered orally to people at risk of contracting infection.  It is repeatedly seen during endemics/epidemics that genus epidemicus prevents disease in people living in close proximity of the patients down with disease and also in the population living in the affected area. 

Genus epidemicus identified during an endemic/epidemic, proves to be specific for that endemic/epidemic only. As there is variation in the clinical presentation during epidemics occurring at different times and places, a genus epidemicus identified during the earlier endemics/epidemics of same disease may not be useful during subsequent epidemics in the same location and also epidemics in other places. Therefore, genus epidemicus is identified that is specific to an endemic/epidemic at a given time.  It has to be identified afresh based on the clinical presentation of the disease during an endemic/epidemic. 

For example, different homoeopathic medicines were used for the prevention during recent Chikungunya and Dengue endemics in different parts of the Country viz. Bryonia in Kottayam District and Eupatorium perf. in Calicut in Kerala, Eupatorium perf in Hyderabad, Rhus tox in Rajasthan, Ledum pal and Chamomilla in Chennai and other medicines at other places. 

Notwithstanding these facts some homoeopathic medicines prepared from specific microorganism(s) / disease products such as Influenzinum (prepared from flu viruses and available under the brand name of Dolivaxil – containing Infludenzinum  prepared from the latest strain of flu virus) and Oscillococcinum (prepared from liver and heart of a Barbary duck-a carrier of flu virus) are used as preventive, as well as for  treatment of flu for over 120 years in Europe and Americas. 

HOMOEOPATHY AND EPIDEMIC DISEASES: INDIAN SCENARIO

Homoeopathy has been successfully used, both as preventive and therapeutic intervention, in acute microbial infections that keep occurring now and then in endemic and epidemic form in different parts of the country. Notable among them are Japanese Encephalitis, Dengue, Measles, Meningitis, Jaundice, Gastro enteritis and Conjunctivitis. The Central Council for Research in Homoeopathy has also conducted studies during many endemics / epidemics during the last 10 yeas and also organized medical relief camps during natural calamities such as ravaging floods, cyclones and tsunami and managed incidental illnesses ranging from gastro-enteritis to pyrexia.  

Homoeopathy in Japanese Encephalitis

The Central Council for Research in Homoeopathy have provided treatment and preventive measures in the Japanese Encephalitis  endemic in Uttar Pradesh, West Bangal, Andhra Pradesh, and Delhi in 1984 and in Tripura, Gudivada (AP), Hyderabad (AP), Diphu (Assam), Basti (UP), and Gorakhpur (UP)in 1986, 1988, 1989, 1992 and 1999 respectively. Most of these studies were, however, confined to distribution of genus epidemicus among the people who lived in the affected areas. The Council had also established a Clinical Research Unit in Gorakhpur (UP) in 1997 exclusively to evaluate prophylactic role of Homoeopathic medicines in Japanese encephalitis (The Unit has been merged with Homoeopathic Drug Research Institute, Lucknow, UP). A study carried out in Oct-Nov. 1991 had shown usefulness of Belladonna, a Homoeopathic Medicine, in the prevention of Japanese Encephalitis. 

In 1999, a team of scientists from the Council carried out a study during the epidemic of Japanese Encephalitis at Gorakhpur District, Uttar Pradeh. Homoeopathic Medicine ‘Belladonna’ was identified as Genus Epidemicus. Single dose of Belladonna 200 was administered to 1, 71,273 persons in 62 villages. A follow up of 71,503 persons was done. None of them came down with Japanese Encephalitis. 

Japanese Encephalitis Epidemic of 2005

The Council had also undertaken a study during Japanese Encephalitis epidemic that affected some parts of Eastern Uttar Pradesh in 2005. Based on the clinical presentation of 30 cases of Japanese Encephalitis (22 at Civil Hospital and 8 cases at BRD Medical College, Hospital, Gorakhpur), including 15 women, Belladonna was again identified to be the Genus Epidemicus.  Belladonna in 200 potency two doses/day on three consecutive days was administered as preventive to the people living in the region affected by epidemic.

The team distributed/administered Belladonna to 30,161 people at Gorakhpur and 18,267 at Mahrajganj.  In addition, the team also distributed Belladonna to a population of 1,42,739 at Gorakhpur and 88,481 at Maharajganj through the village Pradhans.  The team also distributed Belladonna to 31,526 students of 83 schools at Gorakhpur and 15,241 at Maharajganj through their Head Masters. 

Follow up of the population which was given Belladonna as preventive was made.  One to one follow up covered 1,07,883 people, including children in 14 Villages in Gorakhpur District.  Follow up of 72,327 people who were provided Genus epidemicus by Village Pradhans was done through them.  Only three of the persons (2 at Gorakhpur and 1 at Maharajganj) who were administered Genus epidemicus contracted the infection and developed the disease. 

Chikungunya and Dengue Endemics-2006

The Central Council for Research in Homoeopathy and a number of individuals, State Government Health Departments and Non-Government Organizations have conducted medical relief Camps.  The Central Research Institute of the Council that is located at Kottayam, Kerala has undertaken a study with National Vector Borne Diseases Control Programme (NVBDCP), Central Research Institute of Ayurveda and Siddha (CRIAS) and Centre of Research in Medical Entomology (CRME) at Lakshadweep. 

 ACTIVITIES

This is the official website of  Central Council for Research in Homoeopathy (CCRH)