Disease which is not found in India, is

UPPSC 2017

Community Health Nursing

Hard

Appeared in: UPPSC 2017

Explanation

Yellow fever is a viral hemorrhagic disease transmitted by infected mosquitoes, but its endemic zones are restricted to tropical areas of Africa and the Americas.
India is not a yellow fever-endemic country.
The Government of India has robust public health policies to prevent the introduction of the disease.
These policies include mandatory yellow fever vaccination for travelers from endemic countries and quarantine for non-vaccinated individuals, which has successfully kept India free from the disease.

Option A: German measles (Rubella) is a vaccine-preventable disease that is found in India. The Measles-Rubella (MR) vaccine is a key component of India's Universal Immunization Programme to eliminate these diseases.
Option B: Japanese encephalitis is a mosquito-borne viral encephalitis that is endemic in several states of India, including Assam, Bihar, and Uttar Pradesh. It causes significant morbidity and mortality, especially among children.
Option C: Leptospirosis is a bacterial zoonotic disease that is prevalent in India, particularly in coastal states like Kerala, Maharashtra, and Gujarat. Its incidence often peaks during the monsoon season due to flooding and exposure to contaminated water.

Clinical Relevance

Nursing practice connection: Knowing Geographical distribution of communicable diseases and public health surveillance in India helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
This highlights the critical importance of taking a detailed travel history when a patient presents with fever and other non-specific symptoms.
It underscores the success of India's port health and quarantine regulations in preventing the introduction of dangerous exotic diseases like Yellow Fever.
A nurse's role includes being aware of vaccination requirements for international travel and educating the public about them.

How to Approach the Question

First, carefully read the question and identify the negative keyword 'not'. The goal is to find the disease that is absent in India.
Evaluate each option based on your knowledge of communicable diseases prevalent in the Indian subcontinent.
Consider German measles: Recall that the MR (Measles-Rubella) vaccine is widely administered in India, implying the disease is a public health concern here.
Consider Japanese encephalitis: Recall news of outbreaks, especially in states like Uttar Pradesh and Assam. This disease is well-known in India.
Consider Leptospirosis: Remember its association with monsoons and flooding in urban and rural areas of India.
Consider Yellow fever: Recall that this disease is primarily associated with Africa and South America and that there are strict travel vaccination rules for it in India.

Concept Tested & Keywords

Concept Tested: Geographical distribution of communicable diseases and public health surveillance in India.
Stem keywords: Disease, not found, India
Lead-in keywords: not
Negative lead-in flag: Question is negatively framed (NOT)

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