For the past 10 days, Uttarakhand has been fraught with danger. With large numbers of people stranded and thousands dead, the state is fearing an epidemic due to all the dead human and animal bodies lying everywhere. The rescue teams are busy with the living, there is no attention being paid to the dead. In this post, we shall discuss the possibility of epidemics spreading in such a situation and what precautions people handling the bodies should take.
Can dead bodies cause diseases?
While most people believe that dead bodies can cause a number of diseases this is not exactly true. While dead bodies do not spread diseases per se, the possibility of disease is possible only when the products of the decaying bodies leak intestinal contents and other bodily fluids into water sources like rivers. This can lead to diseases like gastroenteritis, cholera, typhoid, jaundice etc.
Another condition that has been known to occur in such situations is epidemic typhus. Caused by the larvae of fleas that are found on dead bodies, the disease is transmitted by this flea biting other people. The flea, carries the causative organism -- Rickettsia prowazekii which enters a person's body when they scratch the site of the bite. Symptoms of this disease include severe headaches, high fever, cough, rashes all over the body, muscle pain and cramping, chills and a sudden fall in blood pressure. In severe cases the patient will experience sensitivity to light, and delirium.
What are the dangers to people handling dead bodies?
While most casualties during a natural disaster happen because people either drown or are buried alive, they usually do not die of any contagious disease. That being said, the medical status of the dead are largely unknown. Therefore, people handling dead bodies are susceptible to contracting infections such as Hepatitis B and C , HIV, tuberculosis etc. This is mainly because the causative agents are usually virulent in dead bodies. These diseases are usually transmitted because of improper precautions taken while handling the dead.
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Although there are universal precautions (a set of rules to handle hazardous biomedical waste) in place, under such circumstances most don't have the required tools or training to follow them.
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Precautions rescuers should take:
While handling the dead, they should make sure they use medical grade gloves. It is important to realize that all individuals should use a new pair of gloves, and they should ideally not be reused .
Use a face mask. Along with protecting the rescuers from the intense stench of decaying bodies, it will also helps protect their mouth and throat from any splashes of blood or body fluids, during transportation of the bodies. Masks are also effective in protecting them from inhaling any disease causing bacterium.
They should wash their hands well before you eat or drink anything. This will help keep infections at bay, and good disinfectant soap will help get rid of the putrid odour.
Ensure the proper disposal of the gloves and masks after use.
If a rescuer hurts himself/herself during a rescue operations, they should make sure the wound is properly dressed. Preferably with waterproof bandages. They should ensure that they get the dressing changed as often as possible and make sure they are taken care of by a medical professional.
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