DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

th th th 16 Week (18 April 2016 To 24 April 2016) District wise disease alerts/outbreaks reported in the 16thWeek, 2015

16thwk Map

Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 32 No. of States/UT’s Submitted ‘NIL’ outbreak report 12

INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

16thWeek (18thApril 2016 To 24thApril 2016) District wise disease alerts/outbreaks reported in the 16thWeek, 2015

16thwk Graph

Disease alerts/outbreaks reported during this week (n=66) 20 20 17 18 16 14 12 10 8 8 6 4 3 4 2 2 2 2 1 1 1 1 1 1 2 0 No. of alerts/outbreaksof No. Rubella Mumps Dengue Cholera Malaria Anthrax Measles Jaundice Chickenpox Chikungunya Food Food Poisoning Acute Diarrheal… Acute Viral Hepatitis-E Viral Mushroom Poisoning Mushroom Disease/alerts Gastroenteritis Acute

Comparison of cumulative no. of disease alerts/outbreaks reported till the 16th Week of 2013, 2014 , 2015 2016

250 2013 2014 2015 2016 200 150 100 50 alerts/outbreaks 0 No. of No. CCHF Fever Rubella Malaria Mumps Dengue Cholera Anthrax Pertusis Typhoid Measles Diarrhea Jaundice Kala Azar Kala Dysentery Diphtheria Brucellosis Acute Acute Viral… Chickenpox Chikungunya Trichinellosis Enteric Fever Enteric Leptospirosis Scrub Typhus Scrub Lyme Disease Lyme Viral Hepatitis Viral Influenza (ARI) Influenza Food Food Poisoning Acute Acute Diarrheal… Fever Rash with Fever Influenza (h1n1) Influenza HSV Encephalitis HSV Acute Acute Diarrhoeal… Alcohol Poisoning Alcohol PAM Encephalitis PAM Acute Acute Encephalitis… Bacillary Dysentery Bacillary Pyrexia of unknown…of Pyrexia Mushroom Poisoning Mushroom Acute Acute Gastroenteritis Japanese Encephalitis Japanese Paederus Dermatitis /… Dermatitis Paederus Castor seed poisoning seed Castor Acute Jatropha curcas Acute Jatropha Disease/Illness Leishmaniasis Visceral Kyasanur Forest Disease Forest Kyasanur

Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Thummalapalem, Ibrahimpatnam Mandal. District RRT investigated the outbreak. House to house survey done. 02 Andhra Under Water samples collected and sent to IPM Lab, AP/KRS/2016/16/0841 Krishna Food Poisoning 109 00 22-04-16 24-04-16 Vijayawada; Result awaited. 11 Cooked food Pradesh Control samples and 21 Raw material samples sent to IPM Lab, Guntur; Result awaited. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Kumaranipathar, SC Dhansirimukh, BPHC Bokakhat. District RRT investigated the outbreak. House to house fever Under survey done.185 PBS examined and found AS/GLG/2016/16/0842 Assam Golaghat Malaria 03 02 14-04-16 22-04-16 negative for MP.02 Blood samples were positive Surveillance for malaria (01P.Falciparum and 01 P.Vivax). All cases treated locally. Source reduction activities undertaken. Health education given. Deceased were 14 and 18 years old females Cases reported from Village/SC Ultajan, BPHC AS/GLG/2016/16/0843 Morongi. District RRT investigated the outbreak. Mushroom Under Assam Golaghat 04 00 22-04-16 22-04-16 House to house survey done. 04 Stool samples Poisoning Surveillance collected and sent to DPL, Golaghat; Result awaited. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Boleswar, SC AS/KRG/2016/16/0844 Kaliganj, BPHC Nilam bazar. District RRT investigated the outbreak. House to house survey Acute Under done. Contaminated drinking water could be the Assam Karimganj Diarrheal 135 01 22-04-16 26-04-16 probable cause of the outbreak. 04 Stool samples Surveillance Disease collected and sent to Dept. of Microbiology, SMCH; Result awaited. All cases treated symptomatically. Health education given. Deceased was 45 years old female. Cases reported from Village Utrapatti Ratni, BH/JAH/2016/16/0845 PHC/Block Ratni Faridpur. District RRT Under investigated the outbreak. House to house survey Bihar Jahanabad Food Poisoning 19 00 15-04-16 18-04-16 done. All cases consumed Prasad (laddu). Majority Control of cases were in 01 to 05 years of age group. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village Phulwaria Kodasi, SC BH/JAM/2016/16/0846 Jagdishpur, PHC Sikandra. District RRT Bihar Jamui Chickenpox 51 00 18-04-16 20-04-16 Under investigated the outbreak. House to house survey done. Majority of cases were in 03 to 12 years of Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Surveillance age group. All cases treated symptomatically. Health education given.

Cases reported from Village Parsa, HSC Bhaund, BH/JAM/2016/16/0847 PHC Khaira. District RRT investigated the Under outbreak. House to house survey done. All cases Bihar Jamui Food Poisoning 06 01 19-04-16 22-04-16 had consumed red meat. Majority of cases were in Surveillance 11 to 45 years of age group. All cases treated symptomatically. Health education given. Deceased was 14 year old female child Cases reported from Village Motipur, Pachurakhi. BH/MZP/2016/16/0848 District RRT investigated the outbreak. House to house survey done. Majority of cases were in 01 to Under Bihar Muzaffarpur Measles 26 04 14-04-16 21-04-16 07 years of age group. Out of 5 serum samples Control tested at PMCH, Patna, 2 were positive for IgM Measles. All cases treated symptomatically. Health education given. Deceased were 4 children between age group of 1-4 years. Cases reported from 2 villages, Village/SC/ BH/SWN/2016/16/0849 Panchyat /APHC Machkana Village/SC/ Panchyat Under /APHC Chhata, PHC Hussainganj. District RRT Bihar Siwan Chickenpox 30 00 19-04-16 20-04-16 Control investigated the outbreak. House to house survey done.All cases treated symptomatically. Health education given. Cases reported from Village Saraigarh, Murli BH/SUP/2016/16/0850 (Ward No-09). District RRT investigated the Under Bihar Food Poisoning 100 00 18-04-16 22-04-16 outbreak. House to house survey done. All cases Supaul Surveillance had consumed poori-sabzi in a social gathering..Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Chhatapur, BH/SUP/2016/16/0851 NanhiTola, Rampur. DistrictRRT investigated the Under Bihar Chickenpox 08 01 21-04-16 24-04-16 outbreak. House to house survey done.Majority of Supaul Surveillance affected cases were 5-35 years of age. All cases treated symptomatically. Health education given. Deceased was 6 year old female child Cases reported from Village Podidalha (Jayaswal CT/JAN/2016/16/0852 Para), SC Parsahinala, CHC Akaltara, PHC Under Podidalha. All cases had consumed ice candy from Chhattisgarh Janjgir Jaundice 12 00 17-04-16 22-04-16 Surveillance a local vendor. District RRT investigated the outbreak. House to house survey done. All cases treated symptomatically. Health education given. Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Swaman Nagar, GJ/BNS/2016/16/0853 SC/PHC Ratanpur, Talluka Palanpur. District RRT Under investigated the outbreak. House to house survey Gujarat Banaskantha Food Poisoning 43 00 18-04-16 18-04-16 done. All cases had consumed milk based Mava in Control a marriage ceremony. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village/SC/PHC Bhangor, GJ/JNR/2016/16/0854 Block Lalpur. District RRT investigated the outbreak. House to house survey done. Cases had Under consumed fruit custard in a social gathering. Gujarat Jamnagar Food Poisoning 09 00 23-04-16 25-04-16 Control Water samples collected and sent to Jamnagar water laboratory for testing found potable. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from 2 villages, Village Parabiya, GJ/KHD/2016/16/0855 SC Vanoda, PHC Menpura, and Village Baladha, SC Jargal, PHC Vanghroli, Block Galteshwar District RRT investigated the outbreak. House to

Gujarat Kheda Jaundice 26 00 19-04-16 19-04-16 house survey done. Contaminated water could be the probable cause of the outbreak. All 05 Serum Under samples tested from each village at DPHL Nadiad Control were found negative for IgM, HAV & HEV. All cases treated symptomatically. Health education given. Cases reported from Village Dardhaji Behnipora, JK/KWR/2016/16/0856 SC Dardhaji, PHC Behnipora, Block Villgam, Zachaldara. District RRT investigated the Jammu & Under outbreak. House to house survey done. Out of 07 Kupwara Measles 12 00 19-04-16 21-04-16 Kashmir Control Blood samples tested at Public Health Lab Barzulla Srinagar; 03 found to be positive for Ig M Measles. All cases treated symptomatically. Health education given. Cases reported from Village/NTPHC/Block JK/SHP/2016/16/0857 Pinjoora. District RRT investigated the outbreak. Jammu & Under Shopian Chickenpox 08 00 20-04-16 23-04-16 House to house survey done All cases were Kashmir Control reported in school children of age group 10-17 yrs studying in a Darululum school. All cases treated symptomatically. Health education given. Cases reported from Village Mareganahalli, KN/CKR/2016/16/0858 Under PHC/CHC Dibbur, Taluk Chickaballapura. District Karnataka Chikkaballapur Mumps 11 00 14-04-16 21-04-16 RRT investigated the outbreak. House to house Control survey done.03 Serum samples collected and sent to SIMS, Shivmogga, result awaited. All cases Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak treated symptomatically. Health education given.

Cases reported from Village Chikkabanavara, KN/HAS/2016/16/0859 PHC/CHC Banavara, Taluk Arasikere. District RRT investigated the outbreak. House to house Under survey done. All 05 Blood samples tested at Karnataka Hassan 38 00 17-04-16 18-04-16 Acute Control Referral Lab, HIMS, Hassan were negative for Gastroenteritis Typhoid. All 05 Water samples found non potable. All cases treated symptomatically. Health education given. Cases reported from Village Godachikonda, KN/HAV/2016/16/0860 PHC/CHC Hausabhavi, Taluk Hirekerur. District RRT investigated the outbreak. House to house Under survey done.All05 Serum samples were negative Karnataka Haveri Jaundice 30 00 19-04-16 20-04-16 Control for Hepatitis A infection. Out of 02 Water samples tested at KIMS Hubli; 01found non potable. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Hunsur Town, KN/MYS/2016/16/0861 PHC/CHC GH Hunsuru, Taluk Hunsuru. District RRT investigated the outbreak. House to house Under survey done. Out of 6 Stool samples tested at Karnataka Mysuru Cholera 30 00 17-04-16 19-04-16 MMC Mysuru, 3 were positive for Vibrio Cholera Control Ogawa and out of 02 Water samples tested at DPL, 01 found no-potable. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Sinduvalli, PHC/CHC KN/MYS/2016/16/0862 Kudlapura, Taluk Nanjangud. District RRT investigated the outbreak. House to house survey done. Contaminated drinking water could be the Under Karnataka Mysuru Cholera 22 00 19-04-16 20-04-16 probable cause of the outbreak. Out of 06 Stool Control samples tested at MMC, Mysuru, 4 were positive for Vibrio Cholera on culture.All 03 Water samples tested at DPL; were found potable. All cases treated symptomatically. Health education given. Cases reported from Hanuman Nagar, Dubai Galli, MH/MMB/2016/16/0863 Under Goregaon West. DistrictRRT investigated the Maharashtra Mumbai Food Poisoning 30 00 17-04-16 18-04-16 outbreak. House to house survey done.All cases Control had consumed an artificially flavored drink at a social function. Water sample result awaited. Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Health camp organizedand all cases treated symptomatically. Health education given.

Cases reported from Village Naragachha, SC OR/KPT/2016/16/0864 Pindapadar, Block Dasamantpur. District RRT Under investigated the outbreak. House to house survey Odisha Koraput Anthrax 07 00 18-04-16 22-04-16 done. Out of 5 sample tested at DPHL, Koraput Surveillance 1 was positive for Gram positive rods resembling Bacillus anthracis. All cases treated symptomatically. Health education given. Cases reported from Village Hirmimunda, SC OR/NAB/2016/16/0865 Anchalguma, Block Tentulikhunti. District RRT Under Odisha Nawarangpur Chickenpox 15 00 18-04-16 21-04-16 investigated the outbreak. House to house survey Surveillance done. Affected cases are 2 to 32 years of age All cases treated symptomatically. Health education given. Cases reported from Village Phatki (HarijanSahi), OR/NAB/2016/16/0866 SC Phatki, Block Chandahandi. District RRT investigated the outbreak. House to house survey Staphylococcal done. All cases had consumed food at a social Under gathering consisting of Rice, Dal, Veg Curry & Odisha Nawarangpur 19 00 19-04-16 21-04-16 Food Poisoning Control Chicken. 1 rectal swab tested and found no growth. Out of 4 samples tested 2 nos. found positive for Staphylococcus sps& 1 is positive for Micrococcus sps. All cases treated symptomatically. Health education given. Cases reported from Village GumtiKhurd. District PB/FKT/2016/16/0867 RRT investigated the outbreak. House to house Under survey done; Majority of cases were in 0 to 10 Punjab Faridkot Chickenpox 31 00 17-04-16 21-04-16 Surveillance years, 10 to 20 years, 20 to 30 years. Lab result; all cases clinically confirmed. All cases treated symptomatically. Health education given. Cases reported from Village Ukasi, SC Adoli, RJ/ALW/2016/16/0868 CHC Jatwada, BlockKherli. District RRT investigated the outbreak. House to house survey Under done. Out of 06 Serum samples tested at SMS Lab Rajasthan Alwar Dengue 35 00 21-04-16 26-04-16 Control Jaipur; 03 found Dengue IgM Elisa positive.35 PBS examined and found negative for PV/PF. All cases treated symptomatically. Source reduction activities undertaken. Health education given. Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Tyohari, SC Umrein, RJ/BHA/2016/16/0869 CHC Weir, Block Bhusawar. District RRT investigated the outbreak. House to house survey done. All 64 Blood slide collected and sent to Under Rajasthan Bharatpur Dengue 64 00 17-04-16 23-04-16 District Malaria Lab, Bharatpur; were found MP Control negative. Out of 07 Blood samples collected and sent to District Hospital Bharatpur; 04 Blood samples found positive for dengue. All cases treated symptomatically. Source reduction activities undertaken. Health education given. Cases reported from Ward no. 05 Kalu, PHC Kalu, RJ/BKN/2016/16/0870 Block Lunkarnsar. District RRT investigated the Acute outbreak. House to house survey done. Out of 9 Under stool samples examined at PBM, Bikaner, 4 were Rajasthan Bikaner Diarrheal 22 00 19-04-16 19-04-16 Control found positive for Shigellasonnei. All 03 Water Disease samples tested at PHED Lab Bikaner; were found potable. All cases treated symptomatically. Health education given. Cases reported from Village Kudawto Ki Dhani, RJ/JPR/2016/16/0871 PHC Itawa Bhopji, Block Govindgarh. District RRT investigated the outbreak. House to house Acute Under Rajasthan Jaipur 19 00 22-04-16 23-04-16 survey done. Samples of Dal, Bati, Churma, Oil, Gastroenteritis Control Chili Powder, Desi Ghee, Salt, Flour and Gram flour collected. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Semarpara, SC RJ/KAA/2016/16/0872 Mandakheda, PHC Fatehpur, Block Karauli. District RRT investigated the outbreak. House to Under house survey done. Samples of Dal, Bati, Churma, Rajasthan Karauli Food Poisoning 93 00 22-04-16 22-04-16 Control Oil, Chili Powder, Dhania powder Desi Ghee, Salt, Urad Dal, Chana Dal, Flour and Gram flour collected. All cases treated symptomatically. Health education given. Cases reported from Village Barsara Ki Dhani, VP RJ/SKR/2016/16/0873 Bagariyawas, Block Shrimadhopur. District RRT Under investigated the outbreak. House to house survey Rajasthan Sikar Food Poisoning 100 00 20-04-16 21-04-16 done.2 water samples tested at DPL Sikar found Control non potable.6 food samples sent to State Food Lab, result awaited. All cases treated symptomatically. Health education given. Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Vangaram, HSC TN/NGP/2016/16/0874 Kakkalani, PHC Thevur, Block Kilvelur. DistrictRRT investigated the outbreak. House to Under house survey done. All cases consumed damaged Tamil Nadu Nagapattinam Food Poisoning 08 00 22-04-16 25-04-16 packed food with improper storage at a local Surveillance religious ceremony. Majority of cases were above 14 years of age group.Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village/HSC Kananthankudi TN/TNJ/2016/16/0875 Keelaiyur, PHC Thondrampattu, Block Thanjavur Corporation. District RRT investigated the Under Tamil Nadu Thanjavur Food Poisoning 08 00 21-04-16 23-04-16 outbreak. House to house survey done. Majority of Control cases were in 05 to 10 yearsof age group. 01 Water sample tested at Thanjavur Medical College; was found potable. All cases treated symptomatically. Health education given. Cases reported from Village Parattai, HSC TN/TNJ/2016/16/0876 Agarathur, PHC Kothankudi, Block Kumbakonnam. District RRT investigated the outbreak. All affected cases had consumed Idly & Sambar at keelaparatai. Majority of cases were Under Tamil Nadu Thanjavur Food Poisoning 25 00 23-04-16 23-04-16 from above 14 years of age group. 01 Food sample Control tested at Thanjavur Medical College found to be negative for any enterogenic pathogens and 02 Water samples tested at District Public Health Lab, GH, Kumbalonam; were found to be potable. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village/HSC Siruganur, PHC TN/TPL/2016/16/0877 Pirahambi, Block Manachanallur. DistrictRRT investigated the outbreak. House to house survey Under done. Majority of cases were above 14 years of Tamil Nadu Tiruchirapalli Food Poisoning 28 00 21-04-16 21-04-16 age group. 03 Stool, 02 Water Samples collected Control and sent to Micro Biological Lab KAPV Medical College Trichy. Water samples found to be potable. All cases treated symptomatically. Health education given. Cases reported from Villages Bharjuriya & Lahi, UP/BBN/2016/16/0878 CHC/Block Barabanki. District RRT Under Bara-Banki Food Poisoning 77 00 19-04-16 23-04-16 investigated the outbreak. House to house survey Control done.All cases consumed stale food (Basi Khana) in a Marriage ceremony. Health camp organized in the school and all cases treated Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak symptomatically. Health education given.

Cases reported from Village Pahtiya & Malkiyana, UP/BBN/2016/16/0879 CHC Satrikh, Block Harakh. District RRT Acute Under investigated the outbreak. House to house survey Uttar Pradesh Bara-Banki Diarrhoeal 67 00 17-04-16 23-04-16 done. Contaminated water could be the probable Control Disease cause of the outbreak. All 06 Samples tested with OT test were found to be positive. All cases treated symptomatically. Health education given. Cases reported from Village Nai Basti Peer batwan UP/BBN/2016/16/0880 Under Urban. DistrictRRT investigated the outbreak. Uttar Pradesh Bara-Banki Food Poisoning 24 00 22-04-16 23-04-16 House to house survey done.All cases consumed Control stale food in a social function. All cases treated symptomatically. Health education given. Cases reported from Village Nasirpur, PHC/Block UP/BBN/2016/16/0881 Under . District RRT investigated the outbreak. Uttar Pradesh Bara-Banki Chickenpox 15 00 20-04-16 23-04-16 Control House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Village Dhamina, SC Korami, UP/CKH/2016/16/0882 Block Barahani. District RRT investigated the outbreak. House to house survey done. Age group Under of affected cases were: Uttar Pradesh Chandauli Chickenpox 21 00 16-04-16 18-04-16 0-5 5-12 >12 years Surveillance No of 0 8 13 cases All cases treated symptomatically. Health education given. Cases reported from Village Patti & Tilakpur, UP/LKW/2016/16/0883 Under PHC Mahona, CHC Itaunja. District RRT Uttar Pradesh Lucknow Chickenpox 21 00 18-04-16 20-04-16 investigated the outbreak. House to house survey Control done. All cases treated symptomatically. Health education given. Cases reported from Village Jabrauli, CHC UP/LKW/2016/16/0884 Under Mohanlalganj. District RRT investigated the Uttar Pradesh Lucknow Food Poisoning 20 00 18-04-16 20-04-16 Control outbreak. House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Sub Urban areas of Block- UA/NAI/2016/16/0885 Under Ramnagar. District RRT investigated the outbreak. Uttarakhand Nainital Hepatitis E 20 00 24-04-16 25-04-16 House to house survey done. All 05 Blood samples Surveillance tested at GMC Haldwani; found positive for HEV IgM ELISA. All cases treated symptomatically. Date of Name of Name of No. of No. of Date of Current Unique I D. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Chlorination of water sources done in coordination with Jan Sansthan.. Health education given.

Cases reported from Village Bizra Ghosh para, SC WB/NDA2016/16/0886 Bizra, GP Birohi, Block Haringhata. District RRT Under investigated the outbreak. House to house survey West Bengal Nadia Food Poisoning 40 00 18-04-16 19-04-16 Surveillance done. All cases consumed Prasad of Chura, dahi and fruits at a local religious function. All cases treated symptomatically. Health education given.

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Name of Name of Disease/ No. of No. of Date of Start of Current Unique I D. Comments/ Action Taken State/UT District Illness Cases Deaths Outbreak Status Cases reported from Village/HSC Pirhinda, PHC BH/JAM/2016/16/0887 Under Jhajha. District RRT investigated the outbreak. Bihar Jamui Chickenpox 09 01 10-04-16 House to house survey done. Majority of cases Surveillance were in 08 to 21 years of age group. All cases treated symptomatically. Health education given. Cases reported from Village Sagarpur BH/MBN/2016/16/0888 (Paswantola), HSC Sagarpur, PHC Pandaul. Under Bihar Madhubani Chickenpox 17 00 09-04-16 District RRT investigated the outbreak. House to Surveillance house survey done. Majority of cases were below 15 years of age. All cases treated symptomatically. Health education given. Cases reported from Naya Tola, Village BH/MZP/2016/16/0889 Mohabbatpur, Laloo Chapra, Block Paroo. Bihar Muzaffarpur Chickenpox 23 00 12-04-16 Under Control DistrictRRT investigated the outbreak.Affected cases are 0-25 years of age. All cases treated symptomatically. Health education given. Cases reported from Village Barkagaon, PHC/ BH/MZP/2016/16/0890 Block Marwan. DistrictRRT investigated the outbreak. House to house survey done. Majority Bihar Muzaffarpur Chickenpox 14 00 10-04-16 Under Control of cases were in 05 to 35 years of age group. All cases treated symptomatically. Health education given. DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Name of Name of Disease/ No. of No. of Date of Start of Current Unique I D. Comments/ Action Taken State/UT District Illness Cases Deaths Outbreak Status Cases reported from Village Madarpur, SC Dumri, PHC/Block Punpun. District RRT Acute investigated the outbreak. House to house survey BH/PTN/2016/16/0891 Bihar Patna Diarrheal 38 00 12-04-16 Under Control done.All 3 Stool samples collected and sent for Disease analysis to PMCH, Patna were found positive for E. Coli and Klebsiella. All cases treated symptomatically. Health education given. Cases reported from Village Banda Pipardih, CHC/ Block Nauhatta. District RRT investigated Under the outbreak. House to house survey done. BH/RHT/2016/16/0892 Bihar Rohtas Measles 25 00 08-04-16 Affected cases are 2-10 years of age. Out of 10 Surveillance serum samples tested at PMCH Patna, 6 were positive for IgM Measles. All cases treated symptomatically. Health education given. Cases reported from Village Vidyaoatubagar, Marwa Gopalpur, Subhanipur, Paswan Tola. District RRT investigated the outbreak. House to BH/SMP/2016/16/0893 house survey done. Majority of cases were in 06 Bihar Chickenpox 41 01 04-04-16 Under Control to 10 years of age group. Out of 5 Blood Samastipur samples tested at PMCH, Patna, 4 were found positive for VZV IgM. All cases treated symptomatically. Health education given. Deceased was 30 year old adult male. Cases reported from Village/SC Loharsi, CHC CT/JAN/2016/16/0894 Pamgarh, Kharod. District RRT investigated the Chhattisgar Under Janjgir Chickenpox 21 00 08-04-16 outbreak. House to house survey done. Blood h Surveillance samples collected and sent for lab analysis. All cases treated symptomatically. Health education given. Cases reported from Village Balasinor. District RRT investigated the outbreak. House to house survey done. Cause of outbreak is probably, GJ/MIS/2016/16/0895 sewer pipeline leakage. Out of the 12 serum Viral Under Samples tested, 8 were found positive for anti Gujarat Mahisagar 348 00 10-04-16 Hepatitis-E Surveillance HEV IgM by ELISA. Out of the 18 Water samples tested at Balasinortaluka water lab, 12 were found to be non-potable. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from UHC Visipara. District RRT investigated the outbreak. House to house Gujarat Morbi Measles 25 00 28-03-16 Under Control survey done. 05 Serum and 02 Throat swab GJ/MRB/2016/16/0896 samples collected and sent to B.J. Medical college, Ahmedabad; Result, 04 Measles found DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Name of Name of Disease/ No. of No. of Date of Start of Current Unique I D. Comments/ Action Taken State/UT District Illness Cases Deaths Outbreak Status positive and 01 Rubella found positive, Result of throat swab sample awaited. All cases treated symptomatically. Health education given. Cases reported from Village Tala, CHC/Block Shahnagar. District RRT investigated the Madhya Under outbreak. House to house survey done. Out of 5 MP/PNA/2016/16/0897 Panna Measles 39 00 12-04-16 sample tested at Gandhi Medical College Pradesh Surveillance Bhopal, One was positive for IgM Measles. All cases treated symptomatically. Health education given. Cases reported from Village/SC Nande, PHC Mutha, Block Mulshi. District RRT investigated the outbreak. House to house survey done.All MH/PNE/2016/16/0898 Maharashtr Food cases consumed food items prepared from milk, Pune 114 00 11-04-16 Under Control a Poisoning most commonly Rabadi. 01 Stool sample collected and sent to SPHL Lab, Pune. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village Katekarwadi Gharadhvadi, PHC Yewati. District RRT investigated the outbreak. House to house survey MH/STA/2016/16/0899 done. Increased Larval density observed. Out of Maharashtr Under 07 Blood samples tested 06 found positive for Satara Chikungunya 07 00 04-04-16 a Surveillance Chikungunya. All cases treated symptomatically. Health education given. Active Fever surveillance was carried out. Emptying, Drying water tanks & containers, Cleaning and covering done. Cases reported from Village Arniya Chowhan, RJ/BHL/2016/16/0900 PHC Kothiya, Block Shahpura. District RRT investigated the outbreak. House to house survey Food done. Wheat flour sample taken cand sent to Rajasthan Bhilwara 37 00 13-04-16 Under Control Ajmer Lab, Red Chili Powder, Groundnut oil Poisoning sent to Forensic Lab Ajmer, 02 Water samples tested at PHED lab, Bhilwara; were found potable. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village/SC Harendi, PHC/Block Usawan. District RRT investigated Uttar Suspected Under the outbreak. House to house survey done. UP/BUD/2016/16/0901 Budaun 17 00 27-03-16 Majority of cases were in 01 to 05 years, 05 to Pradesh Measles Surveillance 10 years and above 10 years of age group. 05 Blood samples collected and sent to SGPGI Lucknow; Result awaited. All cases treated DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Name of Name of Disease/ No. of No. of Date of Start of Current Unique I D. Comments/ Action Taken State/UT District Illness Cases Deaths Outbreak Status symptomatically. Health education given.

Cases reported from 2 villages, Village/SC Negura, and Village Machiyakala, Block RRT investigated the outbreak. House to house survey done. Age group of affected cases were: UP/CKH/2016/16/0902 0-5 5-12 >12 years Uttar Under Chandauli Chickenpox 33 00 01-04-16 Village 3 9 8 Pradesh Surveillance Machiyakala

Village 6 5 2 Negura All cases treated symptomatically. Health education given. Cases reported from Village Dumra, GP WB/MDN/2016/16/0903 Kakharda, Block Sahid Matangini. District RRT West Purba Under investigated the outbreak. House to house survey Rubella 27 00 03-04-16 done. All 05 Serum samples tested at Institute of Bengal Medinipur Surveillance Serology were positive for IgM Rubella. All cases treated symptomatically. Health education given. Cases reported from Village/SC Kudagara, WB/PRL/2016/16/0904 West Under Block Arsha. District RRT investigated the Purulia Chickenpox 17 00 03-04-16 outbreak. House to house survey done. Majority Bengal Surveillance of cases are above 15 years of age. All cases treated symptomatically. Health education given. Cases reported from Village Hariyani, WB/WDN/2016/16/0905 GP/SC/Block Lodhan. District RRT investigated West the outbreak. House to house survey done. Out Uttar Dinajpur Measles 44 00 21-02-16 Under Control of 07 Blood samples tested at Institute of Bengal Serology, Kolkata, 05 Samples found positive for Measles IgM. All cases treated symptomatically. Health education given. Cases reported from Village Nimtala, SC WB/WDN/2016/16/0906 Anantapur, GP/Block Raiganj. District RRT West investigated the outbreak. House to house survey Uttar Dinajpur Measles 32 00 10-02-16 Under Control done. Out of 06 Blood samples tested at Institute Bengal of Serology, Kolkata, 05 samples found positive for Measles IgM. All cases treated symptomatically. Health education given.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS No. of No. of Date of Start Current Unique I.D. Disease/ Illness Comments/ Action Taken Cases Deaths of Outbreak Status Cases reported from 4 PHCs, Punnekkad, Neriyamangalam, Kadavur and Dengue Under Paingottor of Block Kothamangalam. Out of 40 serum samples tested, 14 have been KL/ERN/2016/14/0771 140 00 23-02-16 Surveillance positive for Dengue by IgM ELISA.Affected areas have Rubber, pineapple and cocoa plantations.

Rubella Under Out of 07 Blood, 02 Urine and 02 Throat Swab samples collected; Result, 07 Serum WB/SPG/2016/10/0529 111 00 01-02-16 samples found positive for Rubella IgM. All cases treated symptomatically. Health Surveillance education given.

Cholera Under WB/NCP/2016/13/0675 870 00 26-03-16 Cases reported have increased from 776 in week 13 to 870 in week 16. Surveillance