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Authors’ response

J. Narain,A. Dhariwal,C. Macintyre

Published 2017 in The Indian journal of medical research

ABSTRACT

The issues raised by Cherian particularly relating to the clinical presentation, case definition and causes of mortality are valid. And our editorial1 does sufficiently reflect the complex nature of the problem and that there are no easy and readily available solutions. The interest shown by the contributor on a health problem which is deeply troublesome for the country is however, appreciated. It is clear that the cases are generally seen in areas which are economically disadvantaged and remote rural communities, with rudimentary health infrastructure at the primary care level. Clinical management guidelines have already been developed including the protocol to be used for attending to respiratory distress and supported by establishing Paediatric Intensive Care Units (PICU) in high burden districts (http://www.nvbdcp.gov.in/Doc/JE-AESPrevention-Control(NPPCJA).pdf).

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