DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) nd th th 2 week ( 6 -12 January 2014)

District wise disease alerts/outbreaks reported in the 2nd week, 2014

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report 34 (including NIL report) No. of States/ UTs submitted “NIL” outbreak report 23

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

Sl. Name of Name of District Disease/ Illness No. of No. of Date of Date of Current Comments/ Action taken No. State/UT Cases Deaths start of reporting Status outbreak Cases of diarrhoea reported from Villages Fatehput and Khagali, SC i. Acute Under Kaligang, PHC Nilambazar, District Karimganj. Medical team Karimganj 18 0 07/01/14 07/01/14 Diarrhoeal control investigated the outbreak. Active search for cases done. All cases Disease treated locally. Health education given. Cases of diarrhoea reported from Village Paschim Ozagaon, SC Assam Ozagaon, PHC Kharupetia, District Darrang. District RRT 1 investigated the outbreak. Active search for cases done. ii. Acute Symptomatic treatment given to cases. People consumed water from Under Darrang Diarrhoeal 9 2 02/01/14 10/01/14 tube well. 2 deaths occurred in 10 month and 11 month old children. control Disease 1 stool sample collected was negative for cholera culture. 4 water samples collected; result awaited. Chlorination of water sources done. Health education given regarding safe drinking water and sanitation. Cases of loose motion, vomiting, abdominal pain reported from MPPE School (Multi-Purpose Elementary School), SC Thugundram, PHC Thugundram, Block Nellore, District Chittoor. iii. Food Under Medical team investigated the outbreak. Cases had consumed food Chittoor 37 0 10/01/14 10/01/14 Poisoning control in a mid day meal. 2 water samples and food samples collected; result awaited. Temporary medical camps organized. Symptomatic Andhra treatment given to cases. Health education given regarding food Pradesh hygiene and sanitation. 2 Cases of diarrhoea reported from St Meenamma Govt. Girls Hostel Complex, Nellore Town, District Nellore. District RRT investigated the outbreak. Active search for cases done. Poor sanitary conditions iv. Acute Under were observed in the community. Temporary medical camp Nellore 32 0 07/01/14 07/01/14 Diarrhoeal control organized. Cases treated symptomatically. Alternate supply of Disease drinking water provided. Disinfection of the surroundings done. Chlorination of waters sources done. Health education given regarding safe drinking water and sanitation. Cases of loose motion and vomiting reported from Village v. Food Jogidadar, PHC Pirda, CHC Pithora, District Mahasamund. Medical Under 3 Chhattisgarh Mahasamund Poisoning 46 0 04/01/14 09/01/14 team investigated the outbreak. Cases consumed food in a social control ceremony. Cases treated locally. Health education given regarding food hygiene and sanitation.

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Sl. Name of Name of District Disease/ Illness No. of No. of Date of Date of Current Comments/ Action taken No. State/UT Cases Deaths start of reporting Status outbreak Cases of loose motion and vomiting reported from urban area of North Zone, UHC Colony, District Ahemdabad. Medical team investigated the outbreak. Active search for cases done. Drainage vi. Acute pipes were broken and leakages were observed. 7 water samples Under Ahmedabad Diarrhoeal 33 0 10/01/14 10/01/14 collected; result awaited. All cases treated symptomatically. control Disease Chlorination of water sources done. Chlorine tablets distributed in the community. Pipeline leakages repaired. Disinfection of the surrounding done. Health education given regarding safe water drinking and sanitation. 4 Gujarat An outbreak of food poisoning reported from a primary school in Village NaniNikola, PHC Simaliya, Block Goghamba, District Under Panchmahal 30 0 09/01/14 10/01/14 Panchmahal. District RRT investigated the outbreak. Cases control vii. Food consumed food. Cases treated at local health centre. Health Poisoning education given regarding food hygiene and sanitation. Cases of fever with rash reported from Ashramshala, Village Garvan, SC Dhanturi, PHC Balpur, District Tapi. Medical team Under Tapi 18 0 06/01/14 06/01/14 investigated the outbreak. Active search for cases done. Cases control viii. Chickenpox treated symptomatically. 18 serum samples collected; result awaited. Health education given regarding isolation of cases. Cases of loose motion and vomiting reported from Government Higher Primary School, Village Kadampur, PHC Doni, Block Under Kadampur, District Gadag. Medical team investigated the outbreak. Gadag 110 0 10/01/14 10/01/14 ix. Food control Cases consumed food. Symptomatic treatment given to cases. 4 Poisoning food samples and 1 water sample collected; result awaited. Health Karnataka education given regarding food hygiene and sanitation. 5 Cases of jaundice with pain abdomen, nausea, vomiting reported

from Village/PHC/Block Baragi, Block Gundalpet, District x. Viral Under Chamrajnagar. District RRT investigated the outbreak. Active Chamrajnagar 12 0 04/01/14 06/01/14 Hepatitis? surveillance search for cases done. Cases treated locally. Affected cases were children less than 15yr of age. Chlorination of water sources done. Health education given regarding safe drinking water and sanitation. Cases reported from Village/SC Alapadamba, PHC Kankol Alapadamba, Block , District . District RRT

Under investigated the outbreak. All cases had consumed food in a social 6 Kannur 176 0 10/01/14 11/01/14 xi. Food control ceremony. Water sample collected: result awaited. Medical camp Poisoning organized. All cases treated symptomatically. Health education given regarding food hygiene and sanitation.

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Sl. Name of Name of District Disease/ Illness No. of No. of Date of Date of Current Comments/ Action taken No. State/UT Cases Deaths start of reporting Status outbreak Cases reported from Village Kulathummal, PHC New Kattakkada, Block Vellanad, District Thiruvanathpuram. Medical team Thiruvanathpur Under 17 0 10/01/14 10/01/14 investigated the outbreak. Active search for cases done. Cases am xii. Food control consumed food during travel (school trip). All cases treated locally. Poisoning Health education given regarding food hygiene and sanitation. Cases of fever with rash reported from Village Rohana, SC Betala, PHC Betala Dewadi, Block Mohadi, District Bhandara. District Under Bhandara xiii. Chickenpox 14 0 08/01/14 08/01/14 RRT investigated the outbreak. Active search for cases done. 5 control serum samples collected; result awaited. Symptomatic treatment Maharashtra given to cases. Health education given regarding isolation of cases. 7 Cases of fever reported from Village Aaware, SC Kambare, PHC Aghai, Block Shahpur, District Thane. District RRT investigated the Under outbreak. House to house fever survey done. 7 serum samples Thane xiv. Fever 28 0 07/01/14 09/01/14 control collected; result awaited. All blood smears collected were negative for malaria. Entomological survey done. Vector control measures undertaken. Cases of diarrhoea reported from Village/SC/PHC Padmapur, CHC Badagada, Block Soruda, District Ganjam. Block Health team investigated the outbreak. Active search for cases done. Out of 5 Under xv. Cholera 42 0 01/01/14 12/01/14 rectal swabs collected, 1 sample was positive for cholera culture. control Cases treated locally. Disinfection of surrounding done. Chlorine tablets distributed. IEC activities regarding personal hygiene and safe drinking water done. Ganjam Cases of diarrhoea reported from Village Ranigaon, SC/PHC B.Baragaon, Block Purushottampur, District Ganjam. District RRT Odisha investigated the outbreak. House to house survey done. 1 rectal 8 Under xvi. Acute 24 0 01/01/14 12/01/14 swab was negative for cholera culture. 3 water samples collected; control Diarrhoeal result awaited. Cases treated symptomatically. Disinfection of Disease surrounding done. Chlorine tablets distributed. IEC activities regarding personal hygiene and safe drinking water done. Cases of nausea, vomiting, pain abdomen and dizziness reported from Chilika Nodal U.P. School Injanpur, SC/CHC Balugaon, Under Block Chilika, District Khordha. District RRT and Block health Khordha 22 0 06/01/14 09/01/14 xvii. Food control team investigated the outbreak. Cases consumed food in mid day Poisoning meal. Symptomatic treatment given to cases. Health education given regarding food hygiene and sanitation.

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Sl. Name of Name of District Disease/ Illness No. of No. of Date of Date of Current Comments/ Action taken No. State/UT Cases Deaths start of reporting Status outbreak Cases of vomiting and loose motion reported from Village Purangarad, Block Kadamtala, District North Tripura. District RRT investigated the outbreak. Cases consumed food in a religious Under 9 Tripura North Tripura xviii. Food 37 2 09/01/14 10/01/14 ceremony. 2 deaths occurred in 10yr old and 6 yr old children. control Poisoning Temporary medical camps organized. Symptomatic treatment given to cases. Health education given regarding food hygiene and sanitation.

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Sl. Name of Name of Disease/ Illness Cases Deaths Date of Current Comments/ Action taken No State/UT District start of Status outbreak An outbreak of food poisoning reported from Village Bansula, SC Arekel, PHC Basna, CHC Basna, District Mahasamund. Medical team 1 Chhattisgarh Mahasamund 140 0 14/12/14 Under control investigated the outbreak. Cases consumed food in a religious ceremony. xix. Food Temporary health camps organized. Symptomatic treatment given to Poisoning cases. Health education given regarding food hygiene and sanitation. Cases of fever reported from Village Jayparakashnagar SC Nanded PHC Khadakwasla Block Haveli, District Pune. District RRT investigated the outbreak. House to house survey done. Cases treated locally. Serum 2 Maharashtra Pune xx. Fever 14 0 23/12/13 Under control samples collected; result awaited. Entomological survey done. Anti larval activities and fogging done. Health education given regarding personal protection. Cases of fever with rash reported from Village Sallan Nagar, SC Usaita, CHC Binawar, Blok Salarpur, District Budaun. District RRT investigated 3 Uttar Pradesh Budaun xxi. Measles 18 0 15/12/13 Under control the outbreak. Active search for cases done. Affected children were less than 5yrs of age. Vitamin A solution given to cases. Health education given regarding isolation of cases. Cases of fever with rash reported from Dum Dum Correctional Home, North 24 South Dum Dum Municipality, District North 24 Parganas. District RRT 4 West Bengal xxii. Chickenpox 32 0 24/12/13 Under control Parganas investigated the outbreak. Active search for cases done. Symptomatic treatment given. Health education given regarding isolation of case.

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