Publications by authors named "Rina Tilak"

Article Synopsis
  • Lyme borreliosis represents a significant public health issue in India, with limited understanding of its prevalence and insufficient data on its epidemiology, prompting a study in Sikkim and Arunachal Pradesh to assess seropositivity.
  • The study enrolled 793 participants and utilized the NovaLisa™ Lyme Borrelia IgG ELISA kit for qualitative detection of IgG antibodies, revealing a seroprevalence of 3.7%, with varying rates between the two states (4.1% in Arunachal Pradesh and 2.3% in Sikkim).
  • The findings indicate that Sikkim is a newly identified endemic area for Lyme disease, and no direct link was found between Lyme-related symptoms and Ig
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Background & Objectives: There is a need to evaluate novel techniques for dengue control in India. Several formulations of pyriproxyfen have been assessed for efficacy and duration of action. Pyriproxyfen is also used as a microencapsulated ready-to-use formulation against the Aedes vector.

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India is perilously poised on the threshold of an explosion of infectious diseases, some of which have witnessed re-emergence while others await apposite opportunity to do so. The State of West Bengal is uniquely positioned with its innate geographical vulnerabilities that favour outbreaks of a host of infectious diseases. The northern districts of this State are well known endemic areas for many outbreak prone communicable diseases like malaria, Japanese encephalitis, scrub typhus, dengue and kala-azar.

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Background: Major determinant of dengue incidence is interaction between ecology, vector bionomics, and social factors.

Objectives: The objective of the study is to find out bio-eco-social determinants of Aedes breeding.

Methods: Background, household, entomological, and knowledge, attitude, and practice (KAP) surveys were undertaken post- and premonsoon showers from May to June 2016 in urban and rural practice area of medical college.

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Background: Increasing rate of vector transmission of dengue has led to the exponential rise in the mortality and morbidity scales in the past five years. There are various natural and synthetic chemical agents available commercially as potent larvicides, but they are either highly toxic, difficult to obtain, have a high manufacturing cost, or show cross-resistance, hence do not suffice as ideal larvicides. The objective was to screen aqueous extracts of , and for larvicidal activity against .

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Scrub typhus has struck back, albeit with renewed vigour, impacting areas with previously known endemicity as also impressing newer expanses. It is not surprising, therefore, that Scrub typhus has emerged as a leading cause of public health concern globally as well as in India, but are we ready to take on the challenge? Over the last decade, there has been a global increase in the number of outbreaks of Scrub typhus, be it the military occupied areas or the civil population at large. The innumerable outbreaks of Scrub typhus, although disconcerting, have nonetheless contributed phenomenally towards better understanding of the dynamics of scrub typhus.

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Background: The global resurgence of rickettsial diseases and their potential to impact the fitness of military personnel and inflict widespread casualties amongst civil populations has emerged as a major cause of public health concern. Absence of surveillance system, lack of awareness amongst medical fraternity to rickettsial activity along with the difficulty in diagnosis because of their protean clinical manifestations are reasons for the outbreaks of these diseases.

Objectives: To determine rickettsial activity amongst rodents and study vector diversity, abundance and their distribution to enable mapping of rickettsial hotspots.

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Zika virus (ZIKV), a relative newcomer from the flavivirus group that includes dengue, Japanese encepahalitis and yellow fever, is one of the emerging pathogens that is fast transcending geographical boundaries. It is a vector-borne disease transmitted by the same Aedes aegypti and Aedes albopictus, which cause dengue and chikungunya. In addition to the vector-mediated transmission of Zika fever, probable human-to-human transmission through exchange of body fluids, including sexual and perinatal transmission and through blood transfusion, makes containment of this new entity more challenging.

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Background: Following a suspected outbreak of scrub typhus in Kurseong, Darjeeling, the Armed Forces Medical College, Pune was requested by the National Institute of Epidemiology and the State authorities to undertake investigation of the ongoing scrub typhus outbreak and suggest containment measures.

Materials And Methods: The epidemic team undertook clinical, entomological and serological studies to understand the local disease pattern and delineate high risk areas, host diversity by rodent trapping using Sherman traps, mite fauna diversity, abundance and vector species identification by phase contrast microscopy for preparation of electronic database and rodent and human serological studies by Weil Felix and PCR.

Results: The results indicate no association of scrub typhus with age and sex (P=0.

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Background & Objectives: Houseflies are one of the major pest problems worldwide. The current housefly control strategy in the country hinges on the use of Dichlorvos as a housefly larvicide and pyrethrum spray in kitchens/dining areas. The present study was undertaken to evaluate the newer housefly control options in the wake of concerns about human toxicity of Dichlorvos and its continued use in public health.

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Use of insecticide treated bednets in prevention of malaria is a widely propagated global strategy, however, its use has been reported to be influenced and limited by many variables especially gender bias. A cross sectional field epidemiological study was conducted in a rural setting with two outcome variables, 'Bednet use'(primary outcome variable) and 'Women's Decision Making Power' which were studied in reference to various predictor variables. Analysis reveals a significant effect on the primary outcome variable 'Bednet use' of the predictor variables- age, occupation, bednet purchase decision, women's decision making power, husband's education and knowledge about malaria and its prevention.

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Background And Objectives: Resistance amongst cockroaches has been reported to most of the spray insecticides. Imidacloprid gel baits, which can be selectively applied at the infested and potential harborages sites have been found effective in control of cockroach infestation in some laboratory studies but very few field studies are available. This study was therefore undertaken to evaluate the efficacy of imidacloprid gel bait in the control of German cockroaches (Blatella germanica) in field.

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Background And Objectives: A field trial was carried out in cookhouses in an urban area to evaluate the efficacy of synthetic pyrethroid (0.02% deltamethrin + 0.13% allethrin) and propoxur aerosols (2%) in the control of German cockroaches (Blatella germanica).

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Background & Objectives: Resistance to organophosphorous and carbamate insecticides amongst German cockroaches is widely reported. Cyphenothrin EC, a new synthetic pyrethroid was evaluated in cookhouses in an urban area, with the aim of exploring alternate control option against the German cockroach Blatella germanica.

Methods: Three cookhouses were selected by simple random sampling method, two for treatment and one as control.

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Background: The surveillance of Dengue vector - Aedes aegypti, is routinely done by using ovitraps (a dark container filled with water and a wooden paddle/towel cloth provided as a oviposition substrate), which indicates the extent of Aedes activity in an area.

Method: The study evaluated the oviposition responses of laboratory bred gravid Aedes aegypti to commonly available household substances by use of ovitrap method.

Results: Oviposition avoidance or deterrence was exhibited by gravid Aedes to ovitraps baited with salt, fenugreek, vinegar, lime juice, hibiscus leaves, radish and curry leaves, whereas positive oviposition response was noticed to waters from conspecific (of the same species) larvae and cumin seeds baited ovitraps.

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A field trial for comparative evaluation of chemicals Fipronil gel, Propoxur spray and bait was carried out. The results in the Fipronil treated area indicate a reduction of 89%, 100% and 98% in cockroach infestation by days 7, 30 and 60, whereas the reduction in Propoxur spray treated area during the same period was 88%, 91% and 87% respectively. Propoxur bait was not found to be effective in reducing the cockroach infestation; rather a build up of the cockroach infestation was noticed in the treated site.

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A field based epidemiological study was undertaken to assess the potential of transmission of scrub typhus in the sylvatic and transitional (fringe) areas at ten different locations around Pune. Parameters studied included rodent trapping and identification, entomological parameters, immunological studies on rodent sera, and rodent organ impression smears. The study revealed that Rattus r rufescence, Rattus meltada, Suncus murinus and Rattus blanfordi were the predominant sylvatic rodent species.

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