DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 32nd week (5 to 11 August)

2013 District wise disease alerts/outbreaks reported in the 32nd week, 2013

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report (including NIL report) No. of States/ UTs submitted NIL outbreak report

31 18

INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Ananthapur Andhra Pradesh

i. Acute Disease

Diarrhoeal

34

05/08/13

11/08/13

Under surveillan ce

1.

Nalgonda

ii. Food Poisoning

42

08/08/13

11/08/13

Under control

Bilaspur

iii. Acute Disease

Diarrhoeal

43

07/08/13

08/08/13

Under control

Chhattisgarh 2.

Janjgir

iv. Acute Disease

Diarrhoeal

18

31/07/13

08/08/13

Under control

Cases of loose motion and vomiting reported from Village Komatikunta, SC GC Palli, PHC Putlur, District Ananthapur. District RRT investigated the outbreak. House to house survey done. People consumed water from bore wells. Poor sanitary conditions were observed in the village. Temporary medical camp organized. Cases treated. All 4 water samples collected were non potable. 4 stool samples were collected and sent to Govt. Medical College Ananthapur; result awaited. 2 deaths occurred in patients aged 65 and 70 years. Alternate supply of drinking water provided in the community. Chlorine tablets distributed. Health education given regarding safe drinking water, hygiene and sanitation. Cases of vomiting and abdominal pain reported from Bothalapallem UPS, Village Bothalapallem, SC Watchyathanda, PHC Damarcheria, District Nalgonda. District RRT investigated the outbreak and observed that the outbreak occurred due to consumption of spinach curry in mid day meal. Cases treated symptomatically. Food samples collected; result awaited. Health education given regarding food hygiene. Cases of diarrhoea and vomiting reported from Village Barpali, SC Bitkuli, Block Kota, District Bilaspur. Block health team investigated the outbreak. People consumed water from well. Temporary health camp organized. Cases treated. Stool sample collected; result awaited. Chlorine tablets distributed in the locality. Chlorination of water sources done. IEC activities done regarding safe drinking water. Cases of diarrhoea reported from Village Kalmidih, SC Bhotidih PHC Tathari, CHC Jaijaipur, District Janjgir. Block health team investigated the outbreak. Cases treated locally. Chlorine tablets distributed. Health education given. Cases of acute diarrhoea reported from Dindayal colony, Ward no 5, Raigarh Urban, District Raigarh. District RRT investigated the outbreak. House to house survey done. Temporary health camp organized, Cases treated symptomatically. Samples not collected. ORS packets and Chlorine tablets distributed. Chlorination of water sources done. Disinfection of surrounding done. Health education given regarding safe drinking water, hygiene and sanitation.

Raigarh

v. Acute Disease

Diarrhoeal

80

02/08/13

06/08/13

Under control

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Kutch

vi. Crimean Congo Haemorrhagic Fever

02/08/13

11/08/13

Under surveilla nce

Gujarat 3.

Kutch

vii. Crimean Congo Haemorrhagic Fever

09/08/13

11/08/13

Under surveilla nce

Kulgam 4. Jammu and Kashmir

viii. Acute Disease

Diarrhoeal

81

03/08/13

05/08/13

Under control

Kupwara

ix. Acute Disease

Diarrhoeal

54

09/08/13

11/08/13

Under surveilla nce

Cases reported from Village Sukhpur, PHC Kodki, Block Bhuj, District Kutch. District RRT investigated the outbreak. A 28 year male was admitted in a private hospital in Bhuj on 02/08/13 with complaints of fever, headache and abdominal pain. Patient was referred to a private hospital in Ahmedabad on 04/08/13 for further treatment. He expired on 06/08/13. Patients serum sample tested positive for CCHF by Real Time RT-PCR in NIV, Pune. 5 more serum samples taken and sent to NIV, Pune tested negative for CCHF by Real Time RT-PCR. Entomological survey done. 20 cattle serum samples and 10 tick samples sent to NIV, Pune; result awaited. Control measures undertaken. Contacts have been kept under surveillance. Garbage removal and cleanliness drive undertaken in the village by Gram Panchayat. Anti-larval activities, fogging and insecticide spray done. Acarecidal treatment of cattle with Deltamethrin undertaken by Veterinary Department. Search for more cases continues. Case reported from Village Bidada, PHC Talwana, Block Mandvi, District Kutch. District RRT investigated the outbreak. A 48 year male admitted in a private hospital in Bhuj on 09/08/13 with complaints of fever, headache, diarrhoea. Patient was transferred to Rajkot on 11/08/13 for further treatment. Patient died on 13/08/13. Patients serum sample sent to NIV, Pune tested positive for CCHF by Real Time RT-PCR. Entomological survey done. 30 cattle serum samples sent to NIV, Pune; result awaited. Control measures undertaken. Contacts have been kept under surveillance. Garbage removal and cleanliness drive undertaken in the village by Gram Panchayat. Anti-larval activities, fogging and insecticide spray done. Acarecidal treatment of cattle with Deltamethrin undertaken by Veterinary Department. Search for more cases continues. Cases of loose motions with vomiting reported from Village/SC Lammer, Block D H Pora, District Kulgam. District RRT investigated the outbreak. House to house survey done. Cases treated symptomatically. Chlorination of water source done. 2 water samples collected; result awaited. Health education given. Cases of gastroenteritis reported from Village Singdona, Block Kralpora, District Kupwara. Medical team investigated the outbreak. 4 water samples collected and sent to PHL Srinagar; result awaited. All cases treated. Health education given.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Reasi

x. Acute Disease

Diarrhoeal

201

02/08/13

08/08/13

Under surveilla nce

Gulbarga

xi. Acute Disease

Diarrhoeal

21

05/08/13

06/08/13

Under control

Chikkaballapur

xii. Cholera?

24

06/08/13

06/08/13

Under control

Karnataka 5.

Koppal

xiii. Acute Disease

Diarrhoeal

27

05/08/13

05/08/13

Under control

Kolar

xiv. Fever

22

06/08/13

08/08/13

Under control

Outbreak of gastroenteritis reported from Village Sarhi, Block/District Reasi. Block Health team investigated the outbreak. House to house survey done by paramedical team. Population of the affected village was 3768. Temporary medical camp organized. Medicine and ORS packets given to cases. Samples not collected. Chlorine tablets distributed. Health education given regarding safe drinking water. Cases of gastroenteritis reported from Village Dongaon, PHC Allur K, Block Chittapurl, District Gulbarga. District RRT investigated the outbreak. House to house survey done. Cases treated locally. 5 water samples and 3 stool samples were collected; result awaited. Chlorination of water sources done. Halogen tablets and ORS packets distributed to local house holds. IEC activities undertaken regarding safe drinking water. Cases of loose motion, vomiting reported from Village Nalikadaripalli, Avalabetta, PHC Mandikal, Block/District Chikkaballapur. District RRT investigated the outbreak. House to house survey done. Cases treated at District Hospital. 1 stool sample collected which tested positive for cholera by culture. Chlorination of water sources done. Health education given regarding safe drinking water, hygiene and sanitation. Cases reported from Village Lakamapur, PHC Bannikoppa K, Block Yelburgal, District Koppal. District RRT investigated the outbreak. House to house survey done. Medicine and ORS packets given to cases. Out of 3 water samples collected, 1 sample was non potable. 3 stool samples collected; result awaited. Chlorination of water sources done. Halogen tablets distributed in the locality. IEC done regarding safe drinking water. Cases reported from Village Kadirenahalli, PHC Budikote, Block Bangarpet, District Kolar. District RRT investigated the outbreak. House to house fever survey done. Cases treated. 1 blood sample collected; result awaited. Anti-larval activities done. IEC done.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Chitradurga

xv. Dengue

14

03/08/13

08/08/13

Under control

Bagalkot

xvi. Acute Disease

Diarrhoeal

19

09/08/13

10/08/13

Under control

Sehore

xvii. Food Poisoning

14

06/08/13

07/08/13

Under control

6.

Madhya Pradesh

Sidhi

xviii. Food Poisoning

11

03/08/13

06/08/13

Under control

Panna

xix. Acute disease

diarrheal

37

07/08/13

11/08/13

Under control

Maharashtra 7. Amravati xx. Fever 12 1 08/08/13 11/08/13

Under control

Cases of fever with arthralgia and myalgia reported from Village Vijapurar, PHC Vijapura K, Block/District Chitradurga. District RRT investigated the outbreak. Active search for fever cases done. Cases treated at local health centre. 5 blood smears collected were negative for malaria. 2 serum samples collected which tested positive for Dengue (IgM ELISA). Entomological survey revealed; HI 10.74, CI 18.7, BI 13. Control measures undertaken. Fogging done in the affected area. Cases of gastroenteritis reported from Village Somanakoppa, PHC Kulagericross, Block Badami, District Bagalkot. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the community. Cases treated at PHC Kulagericross. Out of 5 water samples collected, 1 sample was unfit for drinking purpose. Chlorination of water sources done. Health education given regarding safe drinking water. Cases of loose motion and vomiting reported from Village Chaper, Block Ashta, Distrcit Sehore. District RRT investigated the outbreak. Cases consumed food in a religious function. Cases were treated at Civil hospital. Food samples were collected and sent for laboratory examination; result awaited. Cases of diarrhea and vomiting reported from Village Pokhra, SC Pokhra, Block Sihawa, District Sidhi. District RRT investigated the outbreak. Cases consumed food (khichdi and pickles). ORS packets and Chlorine tablets distributed in the community. Health education given regarding safe food habits. Cases of diarrhea and vomiting reported from Villages Madayyan & Chijora, PHC Saleha, CHC Gunnour, Block Amanganj, District Panna. District RRT investigated the outbreak. All cases treated locally. Chlorination of water sources done. Health education given. Cases of fever reported from Village Wadegaon, SC Gadegaon, PHC Rajura Bazaar, Block Warud, District Amravati. Medical team investigated the outbreak. Active search for fever cases done. Csaes treated. All 12 blood slides collected tested negative for malaria. 7 serum samples collected; result awaited. Antilarval activities done. IEC done.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Dhule

xxi. Cholera?

69

05/08/13

08/08/13

Under control

Osmanabad

xxii. Acute Diarrhoeal Disease

16

03/08/13

07/08/13

Under control

8.

Mizoram

Lunglei

xxiii. Acute Diarrhoeal Disease

35

09/08/13

11/08/13

Under control

Dindigul

xxiv. Dengue?

28

02/08/13

06/08/13

Under control

Tamil Nadu 9.

Tiruvannamalai

xxv. Chikungunya

13

05/08/13

05/08/13

Under control

Cases of loose motion reported from Village/SC Nimzari, PHC Wadi, Block Shirpur, District Dhule. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the community. Cases treated symptomatically. Out of 12 stool samples collected, 1 sample was positive for cholera by culture. Chlorination of water sources done. Pipeline leakages were repaired. Health education given regarding safe drinking water. Cases reported from Village Lohara, SC Jewali(S), PHC Jewali, Block Lohara, District Osmanabad. Medical team investigated the outbreak. People consumed water from bore well. Temporary medical camp organized. Cases treated symptomatically. Chlorination of water sources done by health workers. Gram Panchayat was instructed for supply of safe drinking water in the community. Case of loose motion and vomiting reported from Village/SC Vanhne, Block/District Lunglei. Distrcit RRT investigated the outbreak. House to house survey done. Cases were treated. ORS packets were given to cases. All 3 stool samples collected were negative for cholera culture. Out of 5 water samples collected, 2 samples were non potable. Health education given regarding safe drinking water, hygiene and sanitation. Cases of fever, myalgia and body pain reported from Village/SC Sanarpatti, PHC Gopalpatti, Block Anjukulipatti, District Dindigul. Distrcit RRT investigated the outbreak. House to house survey done. Entomological survey done (HI 16, CI 9.7, BI 18 and Pupal index 4). 1 serum collected was positive for Dengue (IgM ELISA). All 28 blood smears collected were negative for malaria. Anti larval activites undertaken. Health education given. Cases of headache, fever, arthralgia reported from Village Athiyanur, SC Ammanampakkam, PHC Kovalai, District Tiruvannamalai. District RRT investigated the outbreak. House to house fever survey done. Cases treated symptomatically. 13 blood smears collected which tested negative for malaria. Out of 5 serum samples collected and sent to ZET Vellore, 3 samples were positive for Chikungunya (IgM ELISA). Entomological survey revealed; HI 9, CI 4.2, BI 13. Vectors Aedes aegypti and Aedes albopictus were identified in the affected area. Anti-larval activities using Temephos and Pyrethrum spray done.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

xxvi. Viral Hepatitis A Bankura

25

01/08/13

02/08/13

Under control

xxvii. Acute Diarrhoeal Disease 10. West Bengal

57

01/08/13

05/08/13

Under control

xxviii. Acute Diarrhoeal Disease Purulia

47

08/08/13

08/08/13

Under control

xxix. Acute Diarrhoeal Disease

23

09/08/13

09/08/13

Under control

Cases of jaundice reported from Villages Krishnapur, Dolberia, Block Simlapal, District Bankura. State and District RRT investigated the outbreak. Out of 22 serum samples collected, 10 samples were positive for Hepatits A (IgM ELISA), 1 was positive for both Hepatitis A and E (IgM ELISA) and 1 serum sample was positive for Hepatitis E. 10 water smples collected were non potable. Open defecation was rampant in the affected area. Hygiene and sanitation was poor in the community. Disinfection of the surroundings done. IEC done regarding hygiene maintenance, hand washing practices, disposal of excreta and us eof boiled water for drinking purposes. Cases of loose motion and vomiting reported from Village Bhedua, SC Salboni, Block Kanchanpur, Distrcit Bankura. Distrcit RRT investigated the outbreak. 3 stool samples collected were negative for cholera culture. All cases treated locally. Chlorinationation of water sources done. Halogen and ORS tablets were distributed. IEC done regarding hygiene maintenance and sanitation. Cases of loose motion and vomiting reported from Village/SC Mutukura, Block Kotshila, District Purulia. Block health team investigated the outbreak. Active search of cases done. People consumed tube well water in the affected area. 2 stool samples collected; result awaited. 2 water samples were non potable. All cases treated symptomatically. Disinfection of the surroundings done. ORS packets distributed in the community. Health talks organized in the community. IEC leaflets regarding hygiene and sanitation distributed in the community. Cases of loose motion and vomiting reported from Village/SC Bartolia, Block Kotshila, District Purulia. Block health team investigated the outbreak. Active search of cases done. People consumed water from tube well. 4 stool samples collected; result awaited. All cases treated symptomatically. Disinfection of the surroundings done. ORS packets distributed in the community. Health talks organized in the community. IEC leaflets regarding hygiene and sanitation distributed in the community.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

xxx. Cholera?

13

31/07/13

31/07/13

Under control

North 24 Paraganas

xxxi. Acute Diarrhoeal Disease

131

02/08/13

05/08/13

Under control

Howrah

xxxii. Viral Hepatitis

18

10/08/13

11/08/13

Under control

Cases of loose motion and vomiting reported from Village Raherdaga, SC Shyampaur, Block Joypur, District Purulia. District RRT investigated the outbreak. Active search of cases done. People consumed tube well water in the affected area. 1 stool sample collected was positive for cholera culture. All cases treated symptomatically. Disinfection of the surroundings done. ORS packets distributed in the community. Health talks organized in the community. IEC leaflets regarding hygiene and sanitation distributed in the community. Cases of loose motion and vomiting reported from Village Narayanpur, Block Shibhati, Distrcit North 24 Pararganas, due to consumption of contaminated water (pipeline leakage). District RRT investigated the outbreak. Cases treated at Bashirhat Sub district Hospital. All 7 rectal swabs collected wer negative for cholea culture. ORS packets and halogen tablets were distributed. Alternate supply of drinking water provided. Pipeline repaired. Cases of jaundice reported from Village Biprannapara, Block Domjur, Distrcit Howrah. Block health team investigated the outbreak. 12 serum samples collected and sent to STM , Kolkata,; result awaited. Halogen tablets distributed. Disinfection of the surroundings done. IEC done regarding prevention and control of water borne diseases.

Sl. No

Name of State/UT

Name of District

1.

Assam

Cachar

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of acute encephalitis syndrome reported from BPHC Sonai, Dholai, Udharbond, Jalapur, Borkhola, District Cachar. District RRT investigated the outbreak. 24 Cases and 7 deaths occurred from 1st June to 11 August Under xxxiii. Japanese 24 7 01/06/13 2013. House to house survey done. All age groups have been affected. 24 surveillance Encephalitis serum samples were collected out of which 11 were JE positive (Ig M ELISA). And further out of 22 CSF samples collected 6 were positive for JE. Fogging done. IRS done. IEC activities conducted.

Sl. No

Name of State/UT

Name of District

2.

Chhattisgarh

Raigarh

Surendranagar

Gujarat 3.

Patan

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of loose motions reported from Village Gatadih, SC Khamhardih, PHC Hirri, Block Sarangarh, District Raigarh. Block health team Under xxxiv. Acute 25 0 30/07/13 investigated the outbreak. Door to door visit done by health workers. control Diarrhoeal Disease Probable cause of outbreak was contaminated water. Medicine and ORS packets given to cases. Health education given. Case reported from Village Dharmasala, PHC Dhandhalpur, Block Sayala, District Surendranagar. District RRT investigated the outbreak. Population of the affected area was 1787. A 55 year old male with complaints of high grade fever, headache and gastritis admitted in PDU, Medical College Hospital, Rajkot on 27/07/13 and expired on 31/07/13. Patient tested positive for CCHF by Real Time RT-PCR in NIV, Pune. 8 more serum xxxv. Crimean samples were collected and sent to NIV, Pune, which tested negative for Under Congo 1 1 27/07/13 CCHF by Real Time RT-PCR. Entomological survey done. 14 cattle surveillance Haemorrhagic serum samples and 4 pools of ticks sent to NIV, Pune which tested Fever negative for CCHFV. Control measures undertaken. Monitoring of contacts of the confirmed case is being undertaken. Garbage removal and cleanliness drive undertaken in the village by Gram Panchayat. Anti-larval activities, fogging and insecticide spray done. Acarecidal treatment of cattle with Deltamethrin undertaken by Veterinary Department. Search for more cases continues. Cases reported from Village Undara, PHC Sampra, District Patan. District RRT investigated the outbreak. Population of the affected area was 4343. A 68 year female admitted in a private hospital in Patan on 11/07/13 with complaints of fever, headache and abdominal pain. Patient was referred to BJMC, Ahmedabad on 18/07/13 for further treatment. She died on 20/07/13. Another patient (7 year male) developed fever, nausea, vomiting and headache on 16/07/13 and admitted in Dharpur Medical College, xxxvi. Crimean Patan. Patient recovered. Both cases tested positive for CCHF in NIV, Under Congo 2 1 11/07/13 Pune by Real Time RT-PCR. 8 more serum samples were collected and surveillance Haemorrhagic sent to NIV, Pune, which tested negative for CCHF by Real Time RTFever PCR. Entomological survey done. 35 cattle serum samples and 67 pools of ticks sent to NIV, Pune which tested negative for CCHFV. Control measures undertaken. Contacts under surveillance. Garbage removal and cleanliness drive undertaken in the village by Gram Panchayat. Anti-larval activities, fogging and insecticide spray done. Acarecidal treatment of cattle with Deltamethrin undertaken by Veterinary Department. Search for more cases continues.

Sl. No

Name of State/UT

Name of District

Shahdol Madhya Pradesh

4.

Sidhi

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of gastroenteritis reported from Village Nogava, SC Ghogari ,PHC Rasmohini, Block Burhar District Shahdol, due to consumption of Under xxxvii. Acute 25 2 27/07/13 contaminated water (tube well). District RRT investigated the outbreak. control Diarrhoeal Disease Medical camps organized. All cases treated. Chlorination of water sources done. Health education given regarding safe drinking water. Cases of fever reported from Village Bodatola, SC Ghogari, PHC Rasmohini, Block Burhar, District Shahdol. District RRT investigated the Under outbreak. House to house fever survey done. Cases treated xxxviii. Fever 70 0 27/07/13 control symptomatically. Out of 70 blood slides collected, 1slide was positive for malaria. Cases of fever with chills reported from Villages Bhuimad, Devari 627 Semara, Rundha & Keslar, PHC Bhuimad, CHC Kusmi, District Sidhi. Under District RRT investigated the outbreak. Active search of fever cases done. 0 23/07/13 xxxix. Malaria (156 lab control Cases treated. Out of 627 blood smears examined, 9 smears were positive confirmed) for PV and 147 positive for PF. Antilarval activity and fogging done. Outbreak reported from Village Ashram Shala Borgaon, SC Borgaon PHC Salva, Block Dharangaon, Distrcit Jalgaon. Medical team investigated the outbreak. House to house survey done. Medical camp organized in the affected area. Out of 20 blood samples collected, 9 were positive for Widal test. All 31 blood smears were negative for malaria parasite. Chlorination of water sources done. Health education given regarding safe drinking water, hygiene and sanitation. Outbreak reported from Village Vishnapur Jalgaon, SC Virwade, PHC Gorgavale, Block Chopda, District Jalgaon. District RRT investigated the outbreak. House to house survey done. Clustering of cases occurred in southern part of the village. People used water from bore well. Poor sanitary conditions were observed. Temporary medical camp organized. Cases treated. Out of 5 stool samples collected and sent to GMC Aurangabad, 3 samples were positive for cholera by culture. Chlorination of water sources done. Health education given. Cases reported from Village Ashramshala Borgaon, SC Borgaon, PHC Salva, Block Dharangaon, District Jalgaon. District RRT investigated the outbreak. House to house fever survey done. Temporary medical camp organized. Cases treated. All 31 blood smears collected tested negative for malaria. Out of 5 serum samples collected and sent to GMC Aurangabad, 2 samples were positive for Dengue (IgM ELISA).

xl. Fever

31

30/07/13

Under control

Maharashtra Jalgaon 5. xli. Cholera 40 0 29/07/13 Under control

xlii. Dengue

31

30/07/13

Under control

10

Sl. No

Name of State/UT

Name of District

Nagpur

Thane

6.

West Bengal

West Medinapur

7.

Tripura

Gomati & several districts

8.

Uttarakhand

Almora

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of fever reported from Village Singarkheda, PHC Sawaergaon, Block Narkhed, District Nagpur. Medical team investigated the outbreak. Under 12 0 17/07/13 Active search for fever cases done. Cases treated locally. Out of 6 blood xliii. Dengue control samples collected, 3 samples were positive for Dengue (NS1 Antigen). Temephos application and fogging done. IEC done. Cases reported from Village Nalpada, Thane Corporation, District Thane. Medical team investigated the outbreak. House to house fever survey Under done. Cases treated at local health centre. All 39 blood smears examined xliv. Fever 39 1 21/07/13 control tested negative for malaria. Entomological survey revealed; HI 2.7, CI 2.9, BI 5.5. Cases of diarrhoea reported from Village Kismat Angua, SC Balbandighi, Under Block Midnapore, Distrcit West Medinapur. District RRT investigated the xlv. Acute 59 0 30/07/13 control outbreak. House to house survey done. Cases treated locally. Chlorination Diarrhoeal Disease of water sources done. ORS packets distributed. Cases of Japanese Encephalitis reported from 5 districts of Tripura. Districts JE positive cases (1June- 21 July) Gomati 4 South Tripura 3 West Tripura 3 14 (lab Under xlvi. Japanese Khowai 3 0 01/06/13 confirmed) control Encephalitis Sephaijala 1 A total of 181 serum samples collected and tested at Agartala Government Medical College. 14 were positive for JE (IgM ELISA). Out of 14 serum samples positive for JE, 8 serum samples were sent to NCDC which were confirmed positive for JE (IgM ELISA). Control measures undertaken. Fogging done in the affected areas. IEC done. Cases of jaundice reported from Village Chhani, Keduanar, SC Bhanoli, Block Dhualadevi, District Almora. District RRT investigated the cases. People consumed water from natural sources. 5 blood samples were collected and sent to Sushila Tiwari Medical College Haldwani which xlvii. Viral Hepatitis Under 5 0 25/07/13 control tested positive for Hepatitis A (IgM ELISA). 2 water samples collected A which tested positive for faecal coliforms. Chlorine tablets were distributed in the community. IEC done regarding use of boiled water for drinking purpose.

11

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Sl. No Name of State/UT Name of District Disease/ Illness No. of Cases 39 No. of Deaths Date of start of outbreak 25/07/13 Current Status Comments/ Action taken A fever outbreak (29 cases) was reported in the previous week (ending on 4th August 2013) from Village/SC Ambadi, PHC Vajreshwari, Block Bhiwandi, District Thane. Further, 10 cases and 1 death occurred till 11/08/13. 7 serum samples collected and sent to Civil Hospital Thane; result awaited.

1.

Maharashtra

Thane

Fever

Under control

12