Karnataka fixes ₹300 price cap on dengue tests under ...

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Amid a surge in dengue cases in Karnataka, the State government on Wednesday fixed a price cap of &#;300 each on Dengue Elisa NS1 antigen and Dengue Elisa IgM antibody tests in private hospitals and diagnostic laboratories. For a rapid card screening test (NS1, IgM and IgG antibodies), the government has fixed a price of &#;250. 

Currently, the cost of diagnostic tests in private hospitals ranges from &#;750 to &#;1,500.

The enzyme-linked immunosorbent assay (Elisa) is an immunological assay commonly used to measure antibodies, antigens, proteins and glycoproteins in biological samples. The rates have been fixed under the Karnataka Epidemic Diseases Act, , and a Government Order on the price cap was issued on Wednesday.

Health Minister Dinesh Gundu Rao, who held a coordination meeting to chalk out dengue control measures with officials from BBMP, Health, and Rural Development and Panchayat Raj (RDPR) departments on Tuesday, had said a notification on the price cap will be issued on Wednesday.

Following this, a rate fixation committee was set up and the committee held a meeting with representatives of private hospitals and diagnostic laboratories on Wednesday. The committee recommended a price cap of &#;300 each for Elisa NS1 test and Elisa IgM test and &#;250 for a rapid test.

Dengue has been on the rise in the State with 6,390 cases and six deaths reported this year so far.

Mixed response

The response from private healthcare providers has been mixed. Some hospitals have expressed concerns about the financial implications of the price cap, while others have welcomed the move as a necessary step to ensure public health.

Private Hospitals and Nursing Homes Association (PHANA) said the price cap is unreasonable. PHANA president Govindaiah Yatheesh said the association has requested the government to keep the dengue test price at &#;800. &#;In , the price cap was fixed at &#;500 and nine years later without taking into consideration inflation and other allied aspects, the government has announced &#;300 price cap. This is unreasonable as the cost of dengue test kits itself is around &#;450, apart from the manpower,&#; Dr. Yatheesh told The Hindu.

H.M. Venkatappa, Managing Director of Kanva Diagnostics, said the price cap will only dilute the quality of tests. &#;While the price fixed for the rapid test is reasonable, it is not feasible for us to do the Elisa tests at &#;300 each,&#; he said.

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What is a dengue fever test?

Dengue fever is a viral infection spread to people through bites from infected mosquitos. You can't catch the virus from a person who is sick with dengue fever.

A dengue fever test checks a sample of your blood to see if you have the virus. The test is used if you have symptoms of dengue fever and have been in an area where mosquitos carry the virus.

The dengue virus is most common in parts of the world with tropical and subtropical climates, including:

• South and Central America
• The Caribbean, including Puerto Rico and the U.S. Virgin Islands
• Asia
• The Middle East
• The Pacific Islands
• Africa

Outbreaks of dengue fever are rare in the U.S. mainland. But small outbreaks have been reported in parts of Florida and Texas.

Most people who get the dengue virus won't become sick. People who do get sick may have mild to severe symptoms that usually begin four to ten days after a bite from an infected mosquito. The most common symptom is a sudden high fever. There is no specific medicine that can cure or treat dengue fever, but most people will recover after about a week.

Some people who get sick with dengue will develop severe dengue disease. Severe dengue can cause internal bleeding and shock, which can be life-threatening.

Infants and pregnant women have a higher risk for developing severe dengue. The risk is also higher for people who have had dengue and then get it again. That's why it's so important to get a dengue fever test if you have symptoms after being in an area where the virus is common.

There are two main types of dengue fever blood tests:

• Antibody tests check your blood sample for proteins, called antibodies, that your immune system makes to fight viruses and other germs. Your body needs time to make specific antibodies to fight dengue. So, these tests are most accurate when they are done four days or more after your symptoms begin.
• Molecular tests look for genetic material from the dengue virus in your blood sample. A PCR test (polymerase chain reaction) is a type of molecular test that's used to check for dengue. These tests can be done during the first seven days after your symptoms begin. Tests done later than that may not have accurate results.

One type of PCR test can check for dengue along with two other viruses that mosquitos carry. These viruses, chikungunya and zika, are common in the same places as the dengue virus, and they cause similar symptoms. Your provider can order this test from your state or local public health department.

Other names: dengue virus antibody, dengue virus by PCR

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