Jaundice Vitamin D production. Bilirubin count is lowered through bowel movements and urination, so frequent and effective feedings are especially important. Yellow discoloration of the skin, especially on the palms and the soles, but not of the sclera or inside the mouth is due to carotenemia—a harmless condition. Jaundice itself is not a disease, but rather a sign of one of many possible underlying pathological processes that occur at some point along the normal physiological pathway of the metabolism of bilirubin in blood. When red blood cells have completed their life span of approximately 120 days, or when they are damaged,
Shimla jaundice outbreak filtered sewage released into the Ashwani Khud river system. The Hepatitis E virus, commonly contracted from faecal matter, attacks the liver of infected individuals thereby causing jaundice. Contaminated water finds its way into the city's water supply schemes, located downstream from the sewage treatment plants. The problem is exasperated in winter months, when less rainfall leads to less water volume, and therefore higher concentration of the virus. Shimla jaundice outbreak The Shimla jaundice outbreak is an outbreak of jaundice in the North Indian town of Shimla. The first reported cases of jaundice in Shimla began in December 2015. As of