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Data on AES related deaths in Bihar during May-June this year is fraught with confusion

ggest that there were several probable factors [including high prevalence of under-nutrition among the children from marginalized communities -- dalits, Extremely Backward Classes (EBCs) and muslims; Hypoglycaemic encephalopathy that triggered the death of undernourished children; poor hygiene and cleanliness; poor functioning of anganwadi centres under the Integrated Child Development Services scheme-ICDS; consumption of litchi that contains methylen

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Of Encephalitis, Litchis and Blood Sugar: Bihar's AES Outbreak Explained

en 2012 and 2015, different research groups from India and the US were able to determine that many of those diagnosed with AES – used as an umbrella term – had a specific condition called Hypoglycaemic encephalopathy. Encephalitis and encephalopathy sound the same because of their common root, enképhalos, Greek for ‘brain’, but otherwise play out differently different. As T. Jacob John, a retired professor of virology

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Averting deaths in Muzaffarpur -T Jacob John

lls below normal) is usually due to an overdose of insulin in children with diabetes. It is easily corrected with oral sugar or intravenous glucose. The easily available 5% glucose solution suffices. Hypoglycaemic encephalopathy, however, is different from simple hypoglycaemia. The disease pathway We found that the disease broke out during the months when litchi was harvested, i.e. April, May and June. Muzaffarpur is full of litchi orchards. The

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