WEEKLY OUTBREAK REPORT Disease Alerts/Outbreaks Reported and Responded to by States/Uts Through Integrated Disease Surveillance Program (IDSP)

WEEKLY OUTBREAK REPORT Disease Alerts/Outbreaks reported and responded to by States/UTs through Integrated Disease Surveillance Program (IDSP)

(25th February to 3rd March 2019) th th 9 Week District wise disease alerts/outbreaks reported in the 9 week 2019 9th Week Map

Reporting Status of States/UT’s

No. of States/UT’s Submitted outbreak report ( including NIL report)

No. of States/UT’s Submitted ‘NIL’ outbreak report

INTEGRATED DISEASE SURVEILLANCE PROGRAMME NATIONAL CENTRE FOR DISEASE CONTROL 22 Shamnath Marg, Civil Lines, Delhi-110054 Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in

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239 th Week District wise disease alerts/outbreaks reported in the 9th week 2019 9th Week Map

Disease alerts/outbreaks reported during this week (N=21) 12 11 10 8 6 4 3 2 2 2 1 1 1 1 1

No. of alerts/outbreaks ofNo. 0

Fever

Dengue

Measles

Chickenpox

Disease

Hepatitis

Food Poisoning Food

Suspected Viral Suspected

Acute Diarrheal Acute Viral Hepatitis A Hepatitis Viral

Disease/alerts Mumps Suspected

Disease wise no of outbreaks reported under IDSP during 2015-2019 till 9th wk of Every Year Jaundice Malaria Enteric Fever Cholera Rubella Viral Fever Chikungunya 2015 2016 2017 2018 2019 Mumps

Disease Dengue Fever with Rash Viral Hepatitis Acute Diarrheal… Food Poisoning Chickenpox

Measles

100 150 200 250 300 350 400

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Date of Name of Disease/ No. of No. of Date of Current Unique ID. Name of District Start of Comments/ Action Taken State/UT Illness Cases Deaths Reporting Status Outbreak Cases reported from Village Marrivalasa, SC Pathavalasa, PHC LV Palem K. Kotapadu Mandal. District RRT investigated the outbreak. House to house survey done. 10 Water samples Acute collected from the site and sent to the Regional Andhra Under Public Health Laboratory, Visakhapatnam for AP/VKP/2019/09/0212 Visakhapatnam Diarrheal 133 00 27-02-19 01-03-19 Pradesh Surveillance analysis. 3 Stool samples sent to the Disease Microbiology Department, AMC, and Visakhapatnam for testing, result awaited. Affected area is disinfected with the bleaching powder. Health education given. All cases treated symptomatically. Cases reported from Village Asraful Ul Um Hafiz o Arabic Madrasa, SC Khandakar Para, BPHC Nagaon, HI Bhella. District RRT investigated the outbreak. House to house survey done. All Food Under affected patient developed pain abdomen, AS/BPT/2019/09/0213 Assam Barpeta 14 00 27-02-19 28-02-19 vomiting, loose motion after consuming lunch on Poisoning Surveillance 26/02/2019, and also Dinner on the same day at Asraful Ul Um Hafiz o Arabic Madrasa. 02 water sample tested by H2S strip method and found satisfactory. Health camp organized in the school and all cases treated symptomatically.

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Cases reported from Village Agia College Campus, SC/PHC/Block Agia. District RRT investigated the outbreak. House to house survey done. Cases having symptoms with Vomiting, Nausea, abdominal Pain & passage of loose watery stool, malaise, headache vertigo etc. All the cases are between 19 to 21 years of age. As per information from Principal of Agia college students consumed raw Grams (Kabli & Local) during a sports program. After 1 (one) hour of consumption, some of the students were feeling Food Under uneasy, nausea, vomiting etc. On the next day AS/GLP/2019/09/0214 Assam Goalpara 107 00 25-02-19 01-03-19 almost all the students were suffering from loose Poisoning Surveillance motion, vomiting, abdominal pain, headache, vertigo, malaise etc. 01 Drinking Water sample collected by DRRT, Goalpara for MPN test in DPHL, Goalpara. Results awaited. 4 nos of stool samples are collected by DRRT, Goalpara for Culture & sensitivity test in DPHL, Goalpara. Results awaited. Symptomatic treatment given through medical Team from Agia BPHC on 28th & 29th Feb, 2019 at college campus. 3 nos of cases have been admitted at Civil Hospital, Goalpara for further treatment. IEC done for personal hygiene. Cases reported from Village/SC Kanipura, Vishwanagar Flat, UHC Haridas, Block Nadiad. Under District RRT investigated the outbreak. House to GJ/KHD/2019/09/0215 Gujarat Kheda Measles 02 01 28-02-19 03-03-19 house survey done. 01 serum sample sent to Surveillance BJMC Ahmedabad, result awaited. Symptomatic treatment & Vit-A Supplementation to all children.. Health education given. Cases reported from Ward no-18, Gouligalli, Taluka Dharwad, UPHC Purohit Nagar. District RRT investigated the outbreak. House to house survey done. Clustering of suspected cases of Under chicken pox reported in children in the age group KN/DHA/2019/09/0216 Karnataka Dharwad Chickenpox 05 00 26-02-19 28-02-19 Surveillance of 2- 17yrs. Cases presented with fever and rashes on face, trunk and extremities. 1 blood sample collected and found positive for Chicken pox by IgM ELISA. Symptomatic treatment and isolation done.

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Cases reported from Village Basavapatna, PHC/CHC Basavapattana, Taluk Channagiri. District RRT investigated the outbreak. House to house survey done. 02 Stool samples & 02 Water Food Under samples sent to DPHL Davangere; 2 Stool KN/DVA/2019/09/0217 Karnataka Davangere 38 00 25-02-19 27-02-19 Poisoning Surveillance samples – negative for entero pathogens after 72hrs of aerobic incubations and both water samples found potable. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village Honganuru, PHC/CHC Honganuru A, Honganuru B, Taluk Food Under Honganuru. District RRT investigated the KN/CMN/2019/09/0218 Karnataka Chamarajanagar 61 00 27-02-19 28-02-19 outbreak. Cases had history of consumption of poisoning Control food in a marriage ceremony after which they developed loose stools and vomiting. All cases treated. Health education given. Cases reported from Village Santhi Bhavan Sarvodaya Trust Punnapra. HSC SMC, PHC Punnapra South, Block Ambalappuzha. District Under RRT investigated the outbreak. All affected were KL/ALP/2019/09/0219 Kerala Alappuzha Chickenpox 35 00 03-02-19 27-02-19 inmates of this center and were mentally and Control physically challenged. Acyclovir tab given to all cases and were isolated. Health camp organized in the school and all cases treated symptomatically. Cases reported from Village Sita Colony (Dasara Chowk) and Subhash Nagar, Kolhapur Municipal Corporation. District RRT investigated the outbreak. House to house survey done. Entomological indices were HI-16.94, BI-22.03, Under CI.-12.14. 07 blood samples taken and found MH/KOP/2019/09/0220 Maharashtra Kolhapur Dengue 07 01 27-02-19 01-03-19 positive for Dengue by IgM ELISA at SSH, Surveillance CPRH, Kolhapur. Health Education given. Personal protection and environmental management of mosquitoes. All cases treated symptomatically. Source reduction activities undertaken. Death details : 45 years old male died due to dengue

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Cases reported from Village Mahanadi Vihar, Sikharpur, Ward No-47/46 CMC, Cuttack. District RRT investigated the outbreak. House to house survey done. 07 Nos of Water samples collected and sent to SBPL and found non Viral Under potable, 10 no of blood serum were collected and OR/CUT/2019/09/0221 Odisha Cuttack 17 00 25-02-19 26-02-19 Hepatitis A Control sent to Department of Microbiology SCB, MCH. And found positive for Hepatitis A Virus. District Epidemiologist along CMC health staff visits the affected area. IEC activities, distribution of ORS/Halazone done. All cases treated symptomatically. Health education given. Cases reported from Village/SC/GP Dumbaguda CHC/Block Dasamantpur. District RRT investigated the outbreak. House to house survey Food Under done. All cases presented with vomiting and OR/KPT/2019/09/0222 Odisha Koraput 44 00 25-02-19 26-02-19 Poisoning Control diarrhea after consumption of food in a ceremony. 2 water samples were taken and found unfit. Food samples could not be taken. Health education given. Cases reported from Village Ludhuriput, GP/Sc- Odiyapentha, Block/CHC Dasamantpur District RRT investigated the outbreak. House to house Food Under survey done. Water sample collected from stream OR/KPT/2019/09/0223 Odisha Koraput 09 00 28-02-19 03-03-19 water & three rectal swabs have been taken. 01 Poisoning Control Rectal swab Ecoli was grown, Water sample no organism grown. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village Nuagaon, SC Khireitangiri. CHC/Block Patna. District RRT investigated the outbreak. House to house survey done. Food Samples (Prepared Rice & Dal) and Water samples (02 no’s) collected from affected Food Under person’s house and nearest tube well. OR/KJR/2019/09/0224 Odisha Keonjhar 10 01 26-02-19 27-02-19 Poisoning Control Paramedical staff of the area has been detailed to conduct surveillance activities at the Village. Health camp organized in the school and all cases treated symptomatically. Tube well water sample found not suitable for Human consumption. Health education given.

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Cases reported from Village Simbli, CHC Kahnuwan. District RRT investigated the outbreak. House to house survey done. 05 Blood Smaples collected sent to Microbiology Lab, Suspected Under Civil Hospital Pathankot. Result awaited. School PB/GPR/2019/09/0225 Punjab Gurdaspur 08 00 27-02-19 27-02-19 teachers are instructed to send the affected Mumps Surveillance children on leave at least for 3-4 days. School staff and students are sensitized about the disease. House to house survey has been started in the village to locate more cases. All cases treated symptomatically. Health education given. Cases reported from Village Vellolai Government High School, HSC Vetrayankottai, PHC Solaikottai, Block Dharmapuri. District RRT Food Under investigated the outbreak. House to house survey TN/DMP/2019/09/0226 Tamil Nadu Dharmapuri 41 00 27-02-19 28-02-19 done. 1 Food sample sent to Forensic lab, Salem Poisoning Surveillance Result awaited. Discarded the remaining food safely. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village/HSC/PHC T.Meenachipuram, Block Sedapatti. District RRT investigated the outbreak. House to house survey done. 5 Serum samples sent to DPHL Madurai Result awaited. House to House Survey of Fever Under Cases done. Checked for Pipe Line Leakages. TN/MDR/2019/09/0227 Tamil Nadu Madurai Fever 46 00 26-02-19 27-02-19 OHT Cleaning & Chlorination done. IEC & IPC Control done. Fogging, Mass Cleaning & Disinfection done. Advised to drink boiled Water. Medical Team camp conducted. Disinfection of cattle sheds done. All Breeding sources destroyed. Fogging done. AL Work done. Nilavembu Kudineer distributed.

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Cases reported from Village Veeralampatti, HSC S.Kottaipatti, PHC/Block Sedapatti. District RRT investigated the outbreak. House to house survey done. 1 water sample and 5 serum samples sent to DPHL Madurai Result awaited. House to House Survey of Fever Cases done. Checked for Pipe Under Line Leakages. OHT Cleaning & Chlorination TN/MDR/2019/09/0228 Tamil Nadu Madurai Fever 21 00 26-02-19 27-02-19 done. IEC & IPC done. Fogging, Mass Cleaning Surveillance & Disinfection done. Advised to drink boiled Water. Medical Team camp conducted. Disinfection of cattle sheds done. All Breeding sources destroyed. Fogging done. AL Work done. Nilavembu Kudineer distributed. Mass Cleaning done. Area under surveillance. All cases treated symptomatically. Health education given. Cases reported from Village Thunikinoothala Thanda, SC Nellikal, PHC Peddavoora. District RRT investigated the outbreak. House to house survey done. 12 Blood sera samples collected for Under Dengue and Chikungunya test, Samples sent to TL/NLN/2019/09/0229 Telangana Nalgonda Dengue 59 00 26-02-19 03-03-19 IPM Lab. Narayanaguda, Hyderabad 09 found Control positive for Dengue and 03 for Chikungunya. District Malaria Team Conducted fogging in entire village. Medical All cases treated symptomatically. Source reduction activities undertaken. Health education given. Cases reported from Village Purba Bardhaman/ Burdwan-1/Ramchandrapur/Chotobaloon. District RRT investigated the outbreak. House to house survey done. 3 rectal swabs have been collected and sent to BMC&H, and all found positive for Food Under Vibrio Parahaemolyticus. Block RRT members WB/BWN/2019/09/0230 West Bengal Burdwan 127 00 06-03-19 06-03-19 have visited the village and investigated the Poisoning Surveillance outbreak. Medical Camp organized in the village. Symptomatic treatments were given to cases. IEC has been done regarding safe food handling and maintenance of hygiene. Other students have been kept under surveillance. All cases treated symptomatically. Health education given.

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Cases reported from Village – Gaza, SC-Gaza, GP- Gaza Paoli, Block- Budge Budge-II. District RRT investigated the outbreak. House to house survey done. 4 stool samples (rectal swab) collected on 26.02.19 (Night) and sent to Food Under IPGME& R on 28.02.19, no Enteropathogen WB/SPG/2019/09/0231 West Bengal South Parganas 52 00 25-02-19 26-02-19 isolated. Food sample (Khichuri) collected and Poisoning Control sent to PH Lab, Result awaited. Block RRT visited the affected area Active case search done. Medical camp organized. Anti Diarrheal medicine distributed. IEC done and health education imparted. Health camp organized in the school and all cases treated symptomatically.

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE

Date of Name of No. of No. of Current Unique ID. Name of District Disease/ Illness Start Comments/ Action Taken State/UT Cases Deaths Status Outbreak Cases reported from Village Thrikkovilvattom, HSC Under Mylapore, PHC Thrikkovilvattom, SC/Block Mylapore / ward KN/DVA/2019/09/0232 Kerala Kollam Chickenpox 15 00 20-02-19 19 / Travancore College of Nursing hostel. District RRT Surveillance investigated the outbreak. Cases were reported in 2nd year BSc nursing students. All cases treated and isolated.

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Cases reported from MES international school, Village Pattambi Municipality, HSC Panthackal Parambu, Sankaramangalam, PHC Ongallur, Vilayur, Muthuthala, Kulukkallor, Block Koppam. District RRT investigated the outbreak. Cases had history of consumption of food in a school function. Samples from 3 water sources sent for Suspected Under bacteriological analysis to Regional Diagnostic Centre, KN/DVA/2019/09/0233 Kerala Palakkad 45 00 18-02-19 District hospital Palakkad. 5 Blood serum samples for Viral Viral Hepatitis Surveillance Hepatitis by ELISA were taken, result awaited. District RRT visited the site. Super Chlorination done at all water sources in the school and also distributed chlorine tablet. Advised to drink boiled water, other IEC activities being continued. Information given to school authority for proper management of drinking water. All cases treated symptomatically. Health education given. Cases reported from Village/GP Kudheikela, /SC Ulsurei School: Ulsurei Govt. Girls High School, Lahunipara, CHC/Block Lahunipara. District RRT investigated the outbreak. House to house survey done. 02 water sample & 02 Food Under stool samples collected & sent to DPHL, Sundargarh, 05 H2S KN/DVA/2019/09/0234 Odisha Sundargarh 15 00 22-02-19 Poisoning Control test has been done. In 02 stool samples E coli was grown. Awareness among the school about hand washing, use of ORS, Personal Hygiene, group meeting done, Contact doses given. Health camp organized in the school and all cases treated symptomatically. Health education given.

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