Jaundice management may involve treating infectious causes and stopping medication that could be contributing. Among newborns, depending on age and prematurity, a bilirubin greater than 4–21 mg/dL (68-360 µmol/L) may be treated with phototherapy or exchanged transfusion. The itchiness may be helped by draining the gallbladder or ursodeoxycholic acid. The word "jaundice" is from the French "jaunisse", meaning "yellow disease". The main sign of jaundice is a yellowish discoloration of the white area of the eye and the skin. Urine is dark in colour. Slight increases in serum bilirubin are best detected by examining the sclerae, which have a particular affinity
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