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 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 March 2016 the outbreak is still ongoing, and should continue without changes to Shimla's water system. According to official estimates 10 people have died and 1600 have developed the disease. Unofficial estimates put the number of infected at over 10,000, with half of the total families in Shimla having experienced infection. The cause of the outbreak is Hepatitis E contamination in Shimla's water supply, stemming from improperly