20Th Week, 2013

DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) th 20 week (13 to 19 May) 2013

District wise disease alerts/outbreaks reported in the 20th week, 2013

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report 28 (including NIL report) No. of States/ UTs submitted “NIL” outbreak report 13

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 Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Cases of vomiting, loose motion and abdominal pain reported from Village Enugonda (J.J.R. Garden Function Hall), PHC Mandal, District Mahabubnagar due to consumption of sweet (Kaddu Kheer) at cradle ceremony. District RRT investigated the Under Mahabubnagar i. Food Poisoning 124 0 13/05/13 17/05/13 outbreak. Temporary medical camp organized in the locality. control Cases treated symptomatically and at Govt. hospital. All cases recovered. 6 food samples and 2 stool samples collected; result awaited. Health education given to function hall management 1. regarding food hygiene. Andhra Cases of loose motion and vomiting reported from Village Pradesh Devaraju Gattu, PHC/Block Pedaaraveedu, District Prakasam due to consumption of contaminated water (pipeline leakage). ii. Acute Diarrhoeal Under District RRT investigated the outbreak. Medical camp organized Prakasam 22 0 17/05/13 19/05/13 Disease control in the locality. Cases treated. ORS packets and chlorine tablets distributed in the community. 1 water sample collected; result awaited. Chlorination of water sources done. Pipeline leakages repaired. Health education given regarding safe drinking water. Cases reported from District Bongaigaon, PHC/Block Manikpur, Villages Kumarpara & Jagannath para. Cases developed loose motion and vomiting after consumption of Prasad (Bengal gram) Under Bongaigaon iii. Food Poisoning 43 0 14/05/13 17/05/13 in family function. District RRT investigated the outbreak. Cases control treated locally. 33 cases treated at local health centre. All cases recovered. Food samples collected and sent to state public health laboratory, Guwahati; result awaited. Health education given. Cases reported from District Darrang, PHC’s Kharupetia & Jaljali, SC’s Dhula & Mudoibari, Villages Hirapara, Bezpara, Sainalpara, Kerimeri. District RRT investigated the outbreak. All Under cases developed loose motion, vomiting, pain abdomen and mild Darrang iv. Food Poisoning 102 0 12/05/13 15/05/13 control fever after consumption of Prasad in family function. Cases 2. Assam treated locally. 92 cases treated at Civil Hospital. All cases recovered. 3 stool samples collected; result awaited. Health education given. Cases of vomiting, abdominal pain and dizziness reported from Village Rajgarh Dahjan, SC Milanpur, PHC Dhalpur, District Lakhimpur. District RRT investigated the outbreak. Active search for cases done. Symptoms occurred after 2-3 hours of v. Mushroom Under Lakhimpur 5 0 13/05/13 18/05/13 consumption of wild mushrooms. Affected cases belong to two Poisoning control different families but had consumed mushrooms from the same place. Cases treated at local health centre. Health education given regarding non consumption of wild mushrooms in the affected area.

Sl. Name of Name of Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Cases of vomiting and loose motion reported from District Udalguri, Block/PHC Udalguri, SC Kapurpura, Village Chandana. District RRT investigated the outbreak. House to house survey done. All cases belonged to tea estate in tribal area vi. Acute Diarrhoeal Under Assam Udalguri 27 1 16/05/13 19/05/13 with people living in unhygienic condition. Main source of water Disease control in the area was well. Cases treated symptomatically. ORS packets and medicines were given to cases. 2 stool samples collected; result awaited. Chlorination of water sources done. Health education given regarding safe drinking water. Outbreak of loose motion, vomiting and abdominal pain reported from Village Saripada vas Madanagadh, PHC/Block Madana, Under District Banaskantha. District RRT investigated the outbreak. Banaskantha vii. Food Poisoning 142 0 16/05/13 16/05/13 control House to house survey done. People consumed food in marriage function. Temporary medical camp established in the locality. Cases treated. All cases recovered. IEC done. Cases of loose motion reported from Area Zolor (ward-9), UHC Palitana, Block Palitana, District Bhavnagar. District RRT investigated the outbreak. House to house survey done. Cases viii. Acute Diarrhoeal Under treated. Out of 18 water samples collected, 10 samples tested Bhavnagar 22 0 14/05/13 16/05/13 Disease control negative for residual chlorine. 1 stool sample collected and sent 3. Gujarat to Govt. Medical college Bhavnagar. Result Awaited. Chlorine tablets distributed in the community. IEC done regarding safe drinking water. Cases of Jaundice,dark urine, anorexia, malaise, fatigue reported from lady pillar area, UHC/Block Nadiad, District Kheda. District RRT investigated the outbreak. House to house survey done. People lived in poor sanitary condition. Cases treated Under Kheda ix. Viral Hepatitis E 19 0 15/05/13 15/05/13 locally. 2 serum samples collected which tested positive for control Hepatitis E (IgM ELISA). Chlorination of water sources done. Inspection of pipeline leakages done by Nagar Palika. Health education given regarding safe drinking water, hygiene and sanitation. Cases of fever with pustular rashes reported from Sanjay colony (E block), Faridabad urban area, District Faridabad. District RRT Under 4. Haryana Faridabad x. Chickenpox 9 0 13/05/13 19/05/13 visited the affected area. House to house fever survey done. All control cases treated. Age group of cases was 4 months to 9 years. IEC done regarding isolation of cases.

Sl. Name of Name of Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Cases of fever with maculopapular rash, cough, coryza and conjunctivitis reported from Village Indernard, PHC Watengoo Block Qazigund, District Kulgam. District RRT investigated the Jammu and Under 5. Kulgam xi. Measles 8 0 10/05/13 13/05/13 outbreak. Cases treated symptomatically. Cases were in age Kashmir control group 9 months to 8 years. Vitamin A solution given to cases. 4 serum samples collected which tested positive for Measles (IgM ELISA). IEC done regarding isolation of cases. Cases of fever with vesicular rash reported from Village/SC Chanda, PHC/Block Meherma, District Godda. Medical team Under xii. Chickenpox 17 0 10/05/13 14/05/13 investigated the outbreak. Active search for fever cases done. control Cases treated symptomatically. IEC activities done regarding

isolation of cases. 6. Jharkhand Godda Outbreak of fever with rash and coryza reported from Village Mandaltola, SC Bhagaiya, PHC/Block Meherma, District Godda. Under xiii. Measles 45 0 10/05/13 14/05/13 District RRT investigated the outbreak. Symptomatic treatment control given to cases. 5 serum samples collected; result awaited. IEC done regarding isolation of cases. Outbreak reported from Village Bumangonda, CHC Arekera, Block Devdurga, District Raichur. District RRT investigated the outbreak. House to house fever survey done. Cases treated at Under Raichur xiv. Fever 40 1 12/05/13 15/05/13 temporary health camp established in the locality. All 19 blood control smears examined tested negative for malaria. 19 serum samples collected which tested negative for Dengue. Anti-larval activities done. Cases reported from Village Chikmole, PHC Doddmole, Block Hardhanahalli, District Chamarajanagar. District RRT investigated the outbreak. Cases treated at local health centre. Chamarajanaga xv. Acute Diarrhoeal Under 17 0 15/05/13 17/05/13 Out of 5 water samples collected, 1 sample was not potable. r Disease control Karnataka Chlorination of water sources done by Gram Panchayat. Health 7. education given regarding use of boiled water for drinking purpose. Outbreak of loose motion reported from Village Nadibevuru, PHC Nandibevuru, Block Harapanahalli, District Davangere. District RRT investigated the outbreak. House to house survey done to identify new cases. Cases treated locally. 4 stool samples xvi. Acute Diarrhoeal Under Davangere 27 0 08/05/13 10/05/13 collected which tested negative for cholera. Out of 4 water Disease control samples collected, 2 samples were non potable. Chlorine tablets distributed in the community. Chlorination of water sources done by Gram Panchayat and inspection for pipeline leakages done. IEC done regarding safe drinking water.

samples collected which tested negative for cholera. Health education given regarding safe drinking water. Gulbarga Cases of gastroenteritis reported from Village/PHC Bhusnur, xix. Acute Diarrhoeal Block Aland, District Gulbarga. District RRT investigated the Disease Under outbreak. House to house survey done. Cases treated locally. 29 0 16/05/13 19/05/13 control Chlorine tablets were distributed in the community. 9 water Karnataka samples collected; result awaited. IEC done regarding safe drinking water, hygiene and sanitation. Cases of fever with arthralgia and myalgia reported from Village Gudanahalli, PHC Huladenhalli, Block Malur, District Kolar. Medical team investigated the outbreak. House to house fever Under xx. Dengue 16 0 12/05/13 15/05/13 survey done. Cases treated symptomatically. 3 cases treated at control Govt. Hospital. 2 serum samples collected which tested positive for Dengue (NS1 Antigen). Anti-larval activities and fogging done. IEC done. Kolar Cases of fever with body ache reported from Village Kondasandra, PHC Holur, Block/District Kolar. Medical team Under investigated the outbreak. House to house fever survey done. xxi. Dengue 21 0 11/05/13 18/05/13 control Cases treated. Out of 3 serum samples collected, 1 sample was positive for Dengue (IgM ELISA). Entomological survey revealed; HI 12.5%. Anti-larval activities and fogging done. Cases of fever with body pain reported from Village Mosarahalla, PHC Sagare, Block HD Kote, District Mysore. Under District RRT investigated the outbreak. Cases were treated at Mysore xxii. Dengue 24 0 10/05/13 19/05/13 control PHC Sagare and GH HD Kote. Out of 10 serum samples collected, 2 samples were positive for Dengue (IgM ELISA). Fogging done in the affected area.

Sl. Name of Name of Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Cases of gastroenteritis reported from Village Putnalli, PHC Jade, Block Soraba, District Shimoga. District RRT investigated the outbreak. House to house survey done. Cases treated at CHC xxiii. Acute Diarrhoeal Under Shimoga 32 0 14/05/13 15/05/13 Soraba and GH Shikaripur. Chlorine tablets distributed in the Disease control community. Chlorination of water sources done by Gram Panchayat. All 8 water samples collected were non potable. Health education given regarding safe drinking water. Cases of loose motion reported from Village/PHC Koulur, Block /District Yadgir. District RRT investigated the outbreak. House Karnataka xxiv. Acute Diarrhoeal Under to house survey done. Cases treated locally. Chlorine tablets 19 0 12/05/13 19/05/13 Disease control were distributed in the community. Medicine and ORS packets given to cases. Out of 4 water samples collected, 1 sample was non potable. IEC done regarding safe drinking water. Yadgir Cases of loose motion reported from Village Mubdol, PHC Gogi, Block Shahapur, District Yadgir District RRT investigated the xxv. Acute Diarrhoeal Under 18 0 16/05/13 19/05/13 outbreak. House to house survey done. Cases treated locally. Disease control Chlorination of water sources done. 3 water samples collected out of which 1 sample was non potable. Cases of loose motion reported from Village Gangerua tola, SC Banki, PHC Bandol, Block Gopalganj, District Seoni. District RRT and Block health team investigated the outbreak. Water Madhya xxvi. Acute Diarrhoeal Under samples collected; result awaited. People consumed water from 8. Seoni 83 0 16/05/13 17/05/13 Pradesh Disease control well. Temporary medical camp organized in the locality. Cases treated. Medicine and ORS packets given to cases. Chlorine tablets were distributed. Chlorination of water sources done. IEC done regarding safe drinking water. Cases reported from Village Kundane, SC Kundane, PHC Kheda, Block/District Dhule. District RRT investigated the outbreak. Under House to house fever survey done. Temporary medical camp Dhule xxvii. Fever 80 0 08/05/13 14/05/13 control organized. Cases treated. All 80 blood smears collected tested negative for malaria. 10 serum samples collected and sent to GMC Dhule. Result awaited. Anti-larval activities done. 9. Cases of loose motion reported from Village Bornar, SC Bornar, Maharashtra PHC Mhasawad, Block/District Jalgaon. Block health team investigated the outbreak. House to house survey done. Leakages xxviii. Acute Under Jalgaon 32 0 16/05/13 17/05/13 in water supply pipeline were observed. Cases treated Diarrhoeal Disease control symptomatically. ORS packets given to cases. Pipeline leakages were repaired. Health education given regarding safe drinking water.

Sl. Name of Name of Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Outbreak of loose motion, vomiting reported from Village/SC Chawandia kalan, PHC Gawardi, Block Riyan, District Nagaur. People consumed food (Dal Bati, Churama, Raita) in social Under 10. Rajasthan Nagaur xxix. Food Poisoning 150 0 09/05/13 13/05/13 function. District RRT investigated the outbreak. House to house control survey done. Temporary medical camp organized in the locality. Cases treated symptomatically. 2 food samples of Bati churama collected; result awaited. IEC done. Cases of loose motion reported from Village Dhargaon, PHC Makha, District East Sikkim. District RRT investigated the outbreak. Cases treated on house to house visit. All 4 stool xxx. Acute Diarrhoeal Under 11. Sikkim East Sikkim 42 0 13/05/13 19/05/13 samples collected showed growth of no pathogen. All 4 water Disease control samples collected were non potable. Chlorine tablets were distributed in the community. IEC activities undertaken regarding safe drinking water. Cases of fever with vesicular rash reported from Villages Ibrahimpur, Abidpur, Bhagwantpur (adjoining areas), Block Under 12. Uttarakhand Haridwar xxxi. Chickenpox 20 0 16/05/13 18/05/13 Bahadarabad, District Haridwar. District RRT investigated the control outbreak. House to house fever survey done. Symptomatic treatment given to cases. IEC done regarding isolation of cases. Cases of loose motion and vomiting reported from Village Uttarsonakhali, SC Uttar Mokamberia, Block Basanti, District xxxii. Acute Under Bankura. Block health team investigated the outbreak. People Bankura 37 0 14/05/13 14/05/13 Diarrhoeal Disease control practice open defecation. Treatment of cases done on house to house visit. Disinfection of surrounding done. Chlorine tablets distributed. IEC done. Cases reported from Sunshine school, Kurseong Municipality, District Darjeeling. Cases presented with loose motion and xxxiii. Food Under vomiting. Medical team investigated the outbreak. Cases Darjeeling 13 0 19/05/13 19/05/13 13. Poisoning control consumed food from hostel mess. Cases treated locally and at Govt. Hospital Kurseong. Health education given regarding safe West Bengal food habits. Cases reported from Village/SC Akuni, Block Chanditala, District Hooghly. Medical team investigated the outbreak. House to house survey done. Cases treated. 3 rectal swab samples xxxiv. Acute Under Hooghly 39 0 15/05/13 18/05/13 collected and sent to NICED Kolkata; result awaited. Diarrhoeal Disease control Chlorination of water sources done. ORS packets and Chlorine tablets were distributed in the affected area. IEC activities undertaken regarding safe drinking water, hygiene and sanitation.

Sl. Name of Name of Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT District of Deaths start of reporting Status Cases outbreak Cases of nausea, vomiting, loose motion and pain abdomen reported from Villages Sirirampur Puturia, Mirzapur, SC Bellari, Block Shyampur I, District Howrah. District RRT investigated xxxv. Food Under Howrah 88 0 15/05/13 16/05/13 the outbreak. People consumed stale food Prasad (Chira, ghee, Poisoning control fruits) in a religious function. Temporary health camp organized in the locality. All cases treated. Health education given regarding food hygiene. West Bengal Cases of loose watery stools reported from Village Akuni para, SC Akuni, PHC Aniya, Block Chanditala-1, District Malda. Block health team investigated the outbreak. House to house xxxvi. Acute Under Malda 24 0 15/05/13 18/05/13 survey done. Cases treated locally. 3 rectal swab samples Diarrhoeal Disease control collected; result awaited. Disinfection of surrounding done. ORS packets and Chlorine tablets distributed. IEC activities undertaken regarding safe drinking water, 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 Cases reported from Village Sunyapahad, SC Komatikunta, PHC Neradecherla, District Nalgonda. District RRT investigated the outbreak. House to house fever survey done. Cases treated at local health centre. 18 Under Andhra blood smears collected which tested negative for malaria. 20 serum samples 1. Nalgonda xxxvii. Fever 53 3 03/05/13 surveilla Pradesh collected which tested negative for Dengue. Epidemiological investigation nce. revealed that village is situated close to cement factory which releases lot of dust, vibration and sound. 2 deaths occurred in patients with fever and haemorrhagic manifestations. Anti-larval activities done.

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 Cases reported from District Kokrajhar, PHC/Block Gossaigaon, Kasturba Gandhi Balika Vidayalaya Hostel. District RRT investigated the outbreak. All Under 2. Assam Kokrajhar xxxviii. Fever 22 0 04/05/13 cases had fever with cough. All cases treated. Most of the cases were below control 15 years of age. All 22 blood smears collected tested negative for malaria. Health education given. Cases of fever with vesicular rash reported from Village Baghauni, PHC Under /Block Baheri, District Darbhanga. Medical team investigated the outbreak. Darbhanga xxxix. Chickenpox 10 0 03/05/13 control Cases treated symptomatically. Health education given regarding isolation of cases. Cases of fever with chills reported from Villages Madhuban Dariyapur, Hatia, Tilawaria, Rangnath Pahari, Majhgain, Magina, Koshalpur, Sepahi, Dasrathpur, Rarodhi, Baghail, Banversa, Bhimbandh, Jatatari, PHC Hawli Under Kharagpur, District Munger. District RRT investigated the outbreak. Mass Munger xl. Malaria 53 0 29/04/13 3. Bihar control fever survey done in the affected area. Cases treated locally. Out of 262 blood smears collected, 36 smears tested positive for P. falciparum and 17 for P. vivax. Fogging done in the affected area. IEC done regarding personal protection. Cases of fever with rash reported from Village Husena, SC Bhairo, PHC Bhoop, Block Dumra, District Sitamarhi. Medical team investigated the Under Sitamarhi xli. Measles 10 0 03/05/13 outbreak. House to house survey done. Cases were of low socioeconomic control status living in overcrowded locality. Cases treated symptomatically. Health education given regarding isolation of cases. Cases reported from Village Hergam, SC Sirhama, Block Bijbehara, District Anantnag. District RRT investigated the outbreak. People consumed food in Jammu and Under 4. Anantnag xlii. Food Poisoning 35 0 04/05/13 marriage party. Cases treated at local health centre. All cases recovered. IEC Kashmir control done.

Cases of fever with rash reported from Village/PHC Hospet, Block Hospet, District Bellary. Medical team investigated the outbreak. House to house fever survey done. Cases belong to poor socioeconomic status residing in Under xliii. Measles 21 0 15/04/13 overcrowded locality. Cases treated symptomatically. Vitamin A solution control given to cases. Immunization of unvaccinated children done. All 5 serum Karnataka samples collected tested positive for Measles (IgM ELISA). IEC done 5. regarding isolation of cases. Bellary Cases of fever with rash reported from Village S. Basapura, PHC Thorangal, Block Sandur, District Bellary. Medical team investigated the outbreak. Under House to house survey done. Cases treated. Out of 5 serum samples collected xliv. Measles 19 0 14/04/13 control and sent to NIV Bangalore, 4 samples were positive for Measles (IgM ELISA). Vitamin A solution given to cases. Immunization of unvaccinated children done. Health education given regarding isolation of cases.

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 Cases reported from Village/PHC Brims, Block/District Bidar. Medical team investigated the outbreak. Cases treated at local health centre. 12 serum Under Bidar xlv. Mumps 12 0 05/03/13 samples collected; result awaited. All cases were isolated and advised to control cover nose and mouth while sneezing and coughing. Cases were advised to maintain personal hygiene. Cases of loose motion and vomiting reported from Village Mukadahalli, PHC Maleyur, Block Harave, District Chamarajanagar. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed Chamarajanaga xlvi. Acute Diarrhoeal Under 17 1 03/05/13 in the community. Cases treated symptomatically. ORS packets given to r Disease control cases. 2 water samples collected were non potable. Chlorination of water sources done. Pipeline leakages repaired. Health education given regarding use of boiled water for drinking purpose. Cases of loose motion and vomiting reported from Village/PHC Hadadi, District Davangere. Medical team investigated the outbreak. House to house Under Karnataka Davangere xlvii. Food Poisoning 12 0 06/05/13 survey done. Cases consumed sambhar and laddu in birthday party. Cases control treated locally. 2 stool samples collected which showed growth of no pathogens. Health education given regarding safe food habits. Cases of fever with joint pain reported from Village Sasalu, PHC Honnudike, Block/District Tumkur. District RRT investigated the outbreak. House to xlviii. Chikunguny Under house fever survey done. Cases treated symptomatically. All 25 blood smears Tumkur 25 0 27/04/13 a control collected tested negative for malaria. 5 serum samples collected which tested positive for Chikungunya (IgM ELISA). Anti-larval activities and fogging done in the affected area. IEC done. Cases of fever with arthralgia and myalgia reported from Village Arangaon PHC Walki, Block/District Ahmednagar. District RRT investigated the Under Ahmednagar xlix. Dengue 13 0 23/04/13 outbreak. Active search for fever cases done. Cases treated at local health control centre. Out of 3 serum samples collected, 2 samples were positive for Dengue (IgM ELISA). Anti-larval activities and fogging done. IEC done. Cases of fever with chills reported from Village Kistayapalli, SC Korla, PHC

Zhinganur, Block Sironcha, District Gadchiroli. Medical team investigated Under Maharashtra Gadchiroli l. Malaria 13 0 04/04/13 the outbreak. House to house fever survey done. Cases treated locally. Out of 6. control 43 blood smears collected, 13 smears were positive for P.falciparum. Fogging done in affected area. IEC done regarding personal protection. Cases of fever with rash reported from Village Majarewadi, SC Sindhikalegaon, Block Karla, District Jalna. District RRT investigated the Under Jalna li. Measles 42 0 02/05/13 outbreak. House to house fever survey done. Cases treated symptomatically. control 5 serum samples collected and sent to NIV Pune; result awaited. Health education given regarding isolation of cases.

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 Cases of fever with vesicular rash reported from Villages Rapkhona & Kutuli Under (adjoining areas), Block Jemadeipentha, District Rayagada. Medical team 7. Odisha Rayagada lii. Chickenpox 20 0 11/04/13 control investigated the outbreak. Active search for fever cases done. Cases treated locally. IEC done regarding isolation of cases. Outbreak of fever reported from Village Govindpura, PHC Donda, Block J.Patan, District Jhalawar. Block health team investigated the outbreak. Under House to house fever survey done. Temporary medical camp organized in the 8. Rajasthan Jhalawar liii. Fever 172 0 06/05/13 surveilla locality. Cases treated locally. All 172 blood smears collected, tested negative nce for malaria. 3 serum samples collected which tested negative for Dengue. Anti-larval activities and Pyrethrum spray done in the affected area. IEC done. Cases of loose watery stools and vomiting reported from Village Potrakhali, SC Satiakhali, PHC Chunakhali, Block Basanti, District Bankura. District RRT and Block health team investigated the outbreak. House to house survey Under Bankura liv. Cholera 70 0 07/05/13 done. People consumed water from tube well. Symptomatic treatment given control to cases. Out of 3 stool samples collected, 1 sample was positive for cholera by culture. Chlorination of water sources done. Health education given regarding safe drinking water. Cases of fever with rash reported from Village Kadamtola , SC Gangaprasad, Under Block Kaliachak II, District Malda. District RRT investigated the outbreak. Malda lv. Measles 104 2 05/05/13 surveilla House to house fever survey done. Population of the affected area was 6643. 9. West Bengal nce Cases treated symptomatically. 5 serum samples collected; result awaited. Health education given regarding isolation of cases. Cases of nausea, vomiting, abdominal pain reported from Villages Gourdaha, Mohinirgher, Kumarb, Mondalpara, Srikrishnapur, Gonchur, SC’s Chatuipara, Ghutiarysarif, Block Canning, District South 24 Parganas. Under District RRT and Block health team investigated the outbreak. House to South 24 lvi. Alcohol Poisoning 188 11 04/05/13 surveilla house survey done. All cases consumed country liquor. Temporary medical Parganas nce camp organized in the affected area. Cases treated symptomatically. 3 cases treated at CNMCH and Canning SDH. Majority of cases who died were chronic alcoholics. 2 corpse were sent for post mortem. IEC activities undertaken regarding hazards of alcohol consumption.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS

Sl. Name of Name of Disease/ Illness No. No. of Date of Current Comments/ Action taken No State/UT District of Deaths start of Status Cases outbreak An outbreak of measles (39 cases) was reported from Villages Nagpara, Kaibartapara, Kumarpara, Ramboni, SC Napara, Block Kashipur, District Purulia Under th 1. West Bengal Purulia Rubella 67 0 31/03/13 in 14th week (ending on 7th April 2013). Further 28 cases occurred till 19 May control 2013. Out of 5 serum samples collected, 4 samples were positive for Rubella (IgM ELISA).