Pazare, posted at a health centre in Cheetah camp, Govandi, became the second doctor of a civic hospital to die this year of an ailment, contracted at work. The BMC is yet to include his death in the official toll that has gone up from from five in 2012 to 11 this year.
The resident doctor's primary duty at the urban health centre in Cheetah camp, Govandi, ironically was to diagnose ailments such as dengue and malaria, and refer patients to a tertiary centre for advanced care. Aedes egypti mosquito, which transmits dengue, is known to be a day biter.
City physicians are unanimous that the actual count of both dengue cases and deaths would be much higher. This year there were 927 cases compared to 2012's 1,008.
Pazare was admitted to the hospital on Saturday though he had symptoms such as fever since the previous Thursday. By this time, he had started bleeding from his gums. Soon, his platelet count plummeted to a critically low range of 19,000 (normal 1.5-4 lakh per microlitre). He was given four transfusions but he succumbed before completing the fifth one.
Senior doctors at the hospital were certain that his sickle cell anaemia disease had a role to play in the quick progression of dengue. The hospital had no prior knowledge of the disorder and suspect that Pazare was also unaware of the disorder he was born with.
Dean Dr Ramesh Bharmal said, "The sickle cell disease made it difficult to stop internal bleeding. Multiple CT scans performed on Pazare showed signs of infarction (tissue death caused by lack of oxygen). He was very critical at the end and had to be put on ventilator."
Pazare used to stay in the doctors' quarters in Girgaum where a thorough check for breeding spots will be carried out. The hospital did not have any other medical students suffering from dengue, Bharmal claimed. This was also the second death of a medical staffer from Nair Hospital, the first one being that of a nurse who died of tuberculosis in June. Pazare body will be taken to his hometown on Wednesday.
Though dengue remained a nagging worry throughout the year, it was malaria that retained its position of being the top killer, claiming 25 lives and affecting nearly 10,000 people. H1N1 remained under control taking one life and affecting 77 people.
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