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Dear Dr Bashaar.Vijay sir and Sanjay chaudhari

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Dr Bashaar had given a lot of information regarding the cause of PA

in the causation of liver damage.I also thank Vijay sir and Sanjay

chaudhari for presenting the status of VOD in India.

Dr.Santosh

-- In netrum , Vijaya Chaudhari <vijugmc@...> wrote:

>

>                      STATUS IN INDIA

>                               In

Kusmi block of Sarguja district in MP, during 1973 and again during

1976, an outbreak of rapidly developing ascites and jaundice was

reported among the Nagesia Tribals, knon as ENDEMIC ASCITES.

>          AGE: all age groups involved except infants.

>          SEX: Male =Female

>          ETIOLOGY: As per study conducted by National

Institute of Nutrition, Hyderabad ; local population subsist on

millet PANICUM MILIARE (locally known as GONDHLI) which gets

contaminated with weed seeds of CROTALARIA (locally known as

JHUNJHUNIA).

>         CHEMICAL ANALYSIS: of Jhunjhunia, found to contain

PYRROLIZIDINE ALKALOIDS which are hepatotoxins

>         PREVENTIVE MEASURES:

>           -- educating the people in affected areas about

the disease.

>           --  deweeding of Jhunjhunia plants which grow

along with staple.

>           -- simple sieving of millet at the household

level to remove the seeds of Jhunjhunia which are smaller than those

of the millet.

>

>

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>

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