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

(24 Feb To 01 March 2020) th District wise disease alerts/outbreaks reported in the 9th week 2020 9 Week 04 Nov To 21 Oct 2018) 9th Week Map

Reporting Status of States/UT’s

No. of States/UT’s Submitted outbreak report ( including NIL report) 29

No. of States/UT’s Submitted ‘NIL’ outbreak report 10

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

908 1783620/2020/O/O IDSP-NCDC 2 | P a g e th 239 th Week District wise disease alerts/outbreaks reported in the 9 week 2020 9th Week Graph

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Date of Date of Name of Name of Disease/ No. of No. of Current Unique ID. Start of Reportin Comments/ Action Taken State/UT District Illness Cases Deaths Status Outbreak g

Cases reported from Village Amlaguri, SC Champabatti NSC, BPHC Sidli. District RRT investigated the outbreak. Active case search done. AS/CRG/2020/09/ Most cases gave history of travel to a Saralapara Assam Chirang Chickenpox 06 02 20-02-20 25-02-20 Under Control 0178 Village of Kokrajkhar District. A total of 05 serum samples collected and sent to GMCH, Guwahati Department Microbiology, result awaited. All cases treated. Health education given. Cases reported from Village Thanai Boroline Thanai TE, PHC/Block Lahoal. District RRT investigated the outbreak. Active case search done. The index case a 10 year old child presented with fever, yellowish discolouration of eyes, vomiting, AS/DBG/2020/09/ Under headache, loss of appetite, pain abdomen. A total of Assam Dibrugarh Hepatitis A 03 00 17-02-20 26-02-20 0179 Surveillance 02 blood samples collected and sent to AMCH Microbiology Department and found positive for Hepatitis A by IgM ELISA. A total of 02 water samples collected for H2S test and found fit for consumption.. All cases treated. Health education given. Cases reported from Village Kalayanpur, PHC/Block Naharani. District RRT investigated the outbreak. Active case search done. Cases presented AS/DBG/2020/09/ Food Under with headache, fever, diarrhea, pain abdomen and Assam Dibrugarh 15 00 26-02-20 28-02-20 0180 Poisoning Surveillance vomiting after consuming food in a social gathering. Water samples collected and sent to Public Health department, result awaited. All cases treated. Health education given. Cases reported from Titabor, BPHC Bojalkota, SC 2 no. Ajay Nagar. District RRT investigated the outbreak. Active case search done. Cases presented with fever, pain abdomen, generalized weakness and AS/JRT/2020/09/0 Suspected Under body ache. The health and hygiene in the affected Assam Jorhat 09 00 17-02-20 24-02-20 181 Typhoid Surveillance area was satisfactory. Most of the cases were below 15 years of age. A total of 03 blood samples collected and sent to Microbiology Department, JMCH, result awaited. All cases treated. Health education given.

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Cases reported from Padigaon, SC Raidongia, BPHC Dhalpur. District RRT investigated the outbreak. Active case search done. Cases presented with loose stools, pain abdomen and vomiting after AS/LKM/2020/09/ Food consuming food in a social gathering. A total of 03 Assam Lakhimpur 81 00 22-02-20 26-02-20 Under Control 0182 Poisoning rectal swab samples collected and showed growth of E. coli in all 03 samples. A total of 02 water samples were collected and were found unfit by MPN test. All cases treated. Health education given on hand hygiene and personal hygiene. Cases reported from Village/SC Monkhooshi, BPHC Hapjan. District RRT investigated the AS/TIN/2020/09/0 Under outbreak. Active cases search done. Cases presented Assam Tinsukia Chickenpox 25 00 22-02-20 29-02-20 with fever, headache and vesicular eruption. All 183 Surveillance cases belonged to the tea tribe community. The affected household had poor sanitation and hygiene. All cases treated. Health education given. Cases reported from Village Dharamjuli Jungle, SC Rajagarh, MPHC Pachim Patla, BPHC Khoirabari. District RRT investigated the outbreak. Active case AS/UAL/2020/09/ Under search done. Cases presented with fever with rash. Assam Udalguri Chickenpox 08 00 20-02-20 28-02-20 No travel history noted. The hygienic condition in 0184 Surveillance the affected area was found to be poor. A total of 03 serum samples were collected and sent to GMCH, Guwahati, result awaited. All cases treated. Health education given. Cases reported from Village Pakari, APHC Mandil, PHC Sikariya, Block Sadar. District RRT investigated the outbreak. Active case search conducted. Cases presented with fever, BH/JAH/2020/09/ papulovesicular rash. Male were more affected than Bihar Jahanabad Chickenpox 17 00 22-02-20 28-02-20 Under Control 0185 female. Most cases belonged to the age group 4-10 years. A total of 05 blood samples were collected and sent to PMCH, Patna, result awaited. All cases treated. Health education given on sanitation and hygiene. Cases reported from Village Khuparbunda (Aganvadi), SC Badda, PHC Khaidipada, Taluk AS/NAR/2020/09/ Food Under Dediyapada. District RRT investigated the outbreak. Gujarat Narmada 09 00 27-02-20 27-02-20 0186 Poisoning Surveillance Active case search done. Cases occurred probably due to consumption of contaminated milk. All cases treated. Health education given.

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Cases reported from Village Shaherav (Tarshal), SC Shaherav, PHC Poicha, Taluk. District RRT GJ/NAR/2020/09/ Jatropha Under investigated the outbreak. Active case search done. Gujarat Narmada 06 00 27-02-20 28-02-20 All 06 were children and gave history of consuming 0187 Poisoning Surveillance rattan jyot seeds while playing and developed pain abdomen, vomiting and diarrhea.. All cases treated. Health education given. Cases reported from Village Sonadhani (Santhal Tola), HSC Barmashiya, CHC Littipara, Block JH/PAK/2020/09/ Jharkhan Under Littipara. District RRT investigated the outbreak. Chickenpox 28 00 17-02-20 29-02-20 House to house survey conducted. A total of 07 0188 d Surveillance blood samples collected and sent to RIMS Ranchi, result awaited. All cases treated. Health education given. Cases reported from Poreyahat Devdand, Shyamlaltuddu Memorial Middle School Chorbad. JH/GDA/2020/09/ Jharkhan Food District RRT investigated the outbreak. Cases Godda 14 00 02-03-20 03-03-20 Under Control 0189 d Poisoning presented with pain abdomen, headache, nausea after consuming puffed rice with ghugni. All cases treated. Health education given. Cases reported from Village Jangiburu, HSC Mahaburu, CHC Manjhari. District RRT investigated the outbreak. Cases presented with JH/WSI/2020/09/0 Jharkhan West Under fever and maculopapular rash. All cases were below Chickenpox 32 00 25-02-20 28-02-20 190 d Singhbhum Surveillance 20 years of age. A total of 05 blood samples collected and sent to DPHL Sadar Chaibasa, result awaited. All cases isolated and treated. Health education given. Cases reported from Village Nagavalli, SC Nallur Acute Mole, PHC Nagavalli. District RRT investigated the KN/CMN/2020/09 Karnatak Chamarajana outbreak. Active case search conducted. All cases Diarrheal 10 00 11-02-20 24-02-20 Under Control /0191 a gar treated. Chlorination of overhead tanks done in the Disease affected area. Health education given on hand and water hygiene.

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Cases reported from SC/PHC Gurugunta, Block Linsugur. District RRT investigated the outbreak. State and District NVBDCP officials were informed. House to house survey conducted. High mosquito KN/RCR/2020/09/ Karnatak density with huge number of breeding sites Raichur Chikungunya 06 00 24-02-20 24-02-20 Under Control 0192 a observed. A total of 06 blood serum samples collected and sent to DSL Raichur, of this 01 sample was found positive for Chikungunya by IgM ELISA. All cases treated. Fogging done in the affected area. Health education given. Cases reported from Village Vellamunda, HSC Palayana, PHC Vellamunda, Block Manathavady. Acute District RRT investigated the outbreak. House to KL/WYN/2020/09 Under house survey conducted. Cases presented with loose Kerala Wayanad Diarrheal 47 00 21-02-20 26-02-20 /0193 Surveillance stools and pain abdomen. A total of 05 stool samples Disease collected and sent to MCVR, result awaited. All cases treated. Medical camp organized in the affected area. Health education given. Cases reported from Village Pirewadi, Akola Lohsar Joharwadi Malewadi Dangewadi, Taluk Pathardi. District RRT investigated the outbreak. House to MH/AMN/2020/0 Maharash Suspected house survey conducted. Cases presented with fever Ahmednagar 08 00 17-02-20 27-02-20 Under Control with rash. All cases gave history of measles 9/0194 tra Measles vaccination. A total of 05 serum samples collected and sent to Haffkine Lab, Mumbai, result awaited. All cases treated. Vitamin A given to cases. Health education given. Cases reported from Padve Dhangar, SC Kalane, PHC Morgaon, Taluk Dodamarg. District RRT Kyassanur investigated the outbreak. State and District MH/SIN/2020/09/ Maharash Under NVBDCP officials were informed. The deceased Sindudurng Forest 02 01 17-02-20 24-02-20 0195 tra (Kudal) Surveillance was a 70y/M. A total of 07 samples collected and Disease sent to NIV Pune result awaited. All cases treated. Larvicidal measures and tick control measures undertaken. Health education given. Cases reported from SC Sateli Bhedashi, PHC Sateli Bhedashi, Taluk Dodamarg. District RRT Acute investigated the outbreak. House to house survey MH/SIN/2020/09/ Maharash Sindudurng Under conducted. A total of 06 water samples collected Diarrheal 49 00 22-02-20 25-02-20 0196 tra (Kudal) Surveillance and sent to Lab Sawantwadi, result awaited. A total Disease of 03 stool samples collected and sent to DPHL, result awaited. All cases treated. Water supply from contaminated well stopped. Health education given.

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Cases reported from Asthagram Trust Rahimpura MP/KHR/2020/09 Madhya Under Block Khargone. District RRT investigated the Khargon Chickenpox 51 00 12-02-20 25-02-20 outbreak. Active case search done. Most cases were /0197 Pradesh Surveillance below 14 years of age. All cases treated. Health education given.

Cases reported from Village Gyanoday Vidyalay Boys Hostel Jhiriya Rewa Urban. District RRT investigated the outbreak. Active case search MP/RWA/2020/09 Madhya Food Under conducted. Cases presented with nausea, pain Rewa 15 00 21-02-20 24-02-20 /0198 Pradesh Poisoning Surveillance abdomen and loose stools after consuming food from a common place. Water samples collected and sent to PHE and food sample collected, result awaited. All cases treated. Health education given. Cases reported from Dhab Ki Talai, SHC Auchapura, Block Vijaypur. District RRT MP/SHY/2020/09/ Madhya Sheopur- BHC investigated the outbreak. Active case search done. 06 00 25-02-20 26-02-20 Under Control It was found that there was accidental mixing of 0199 Pradesh Kalan poisoning small amount of BHC powder in wheat flour which was used to make chapatti. All cases treated. Health education given.

Cases reported from Village Konagittim, SC Gasuapara, PHC Sibbari, Block Gasuapara. District MG/SGH/2020/09 Meghalay South Garo Under Chickenpox 08 00 27-02-20 02-03-20 RRT investigated the outbreak. House to house /0200 a Hills Surveillance survey conducted. Cases presented with fever with rash. All cases treated. Health education given.

Cases reported from Village Pratapur (Hamlet- Bhagbanpur), SC Pratapur, CHC Iswarpur, Block Oupada. District RRT investigated the outbreak. OR/BSR/2020/09/ Food Active case search conducted. Cases presented loose Odisha Balasore 21 00 27-02-20 27-02-20 Under Control stools and pain abdomen after consuming food in a 0201 Poisoning social gathering. All cases treated. ORS packets and Halogen tablets distributed in the affected area. Health education given on food hygiene and hand- washing.

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Cases reported from Village Khalamuhani, GP Debhog, CHC/Block Baliapal. District RRT investigated the outbreak. Active case search OR/BSR/2020/09/ Food conducted. Cases presented with vomiting, pain Odisha Balasore 09 00 01-03-20 03-03-20 Under Control 0202 Poisoning abdomen, headache and loose stools after consuming non- veg food. All cases treated. ORS and Halogen tablets distributed in the affected area. Health education given. Cases reported from Banabhuin Govt High school, Village Banabhuin, CHC Berhampur, Block Nilgiri. District RRT investigated the outbreak. Active case OR/BSR/2020/09/ Food search conducted. Cases presented with vomiting, Odisha Balasore 30 00 01-03-20 03-03-20 Under Control 0203 Poisoning pain abdomen, headache and loose stools after consuming food. All cases were treated. ORS packets and Halogen tablets were distributed in the affected area. Health education given.

Cases reported from Durlabh Nagar And Kang Mohalla, Samrala. District RRT investigated the outbreak. Active case search conducted. A total of PB/LDH/2020/09/ Viral Under Punjab Ludhiana 10 00 24-02-20 24-02-20 04 blood samples collected and sent to DPHL, 0204 Hepatitis Surveillance Ludhiana. A total of 05 water samples collected result awaited. All cases treated. Chlorine pellets distributed in the affected area. Health education given.

TN/TNJ/2020/09/ Tamil Cases reported from Village Vivekananda School, Thanjavur Chickenpox 09 00 25-02-20 01-03-20 Under Control HSC Thirulogi, PHC Thugili. District RRT 0205 Nadu investigated the outbreak. All cases treated. Health education given.

Cases reported from HSC Odhapai, PHC Katchur, Block Poondi. District RRT investigated the outbreak. Active case search conducted. A dead TN/TVL/2020/09/ Tamil Food Under Thiruvallur 45 00 25-02-20 25-02-20 lizard was found in the lentil soup served. Cases 0206 Nadu poisoning Surveillance presented with vomiting after consuming the soup. A total of 03 water samples collected and sent to DPHL, Thiruvallur was found to be non potable. All cases treated. Health education given.

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Cases reported from Village Churamanpur (Jhoriya), Post Dullahpur, CHC Jakhniya, Block Jaknia. UP/GHP/2020/09/ Uttar Under District RRT investigated the outbreak. Active case Ghazipur Chickenpox 12 00 25-02-20 25-02-20 search conducted. Cases presented with fever, 0207 Pradesh Control cough, cold and rash. Most cases belonged to the age group 5-14 years. All cases treated. Health education given. Cases reported from Village Basantipur, Block Gadarpur. District RRT investigated the outbreak. UA/UDH/2020/09/ Uttarkhan Food Active case search done. Most cases belonged to the U S Nagar 98 00 24-02-20 01-03-20 Under Control 01208 d Poisoning age group 20-30 years. A total of 03 food samples collected and sent to Rudrapur Lab, result awaited. All cases treated. Health education given. Cases reported from Village Parbelia. - Parbelia 8 no. Colony and Amdanga 3 no. Colony (ECL Colony), SC Parbelia, Block Neturia. District RRT investigated the outbreak. Active case search done. Drinking water source which was contaminated may have been the source of infection. Men and women Acute WB/PRL/2020/09/ West Under both were affected. A total of 02 rectal samples Purulia Diarrhoeal 68 00 27-02-20 28-02-20 collected and sent to BSMCH showed growth of 0209 Bengal Surveillance Disease normal commensal. A single water sample collected and tested at PHE was found to be contaminated with TC and E.coli. All cases treated. Halazone tablets were distributed in the affected area. Instructions given to clean drinking water source and chlorinate drinking water regularly. Health education given. Case reported from Village Mathilakom, HSC Perijanam, PHC/Block Mathilakam. District RRT investigated the outbreak. Case gave history of Follow Under travel from Wuhan, China. She left from the 1. Kerala Thrissur COVID-19 01 00 27-01-20 up Surveillance affected country 23-1-20 and reached Cochin, Kerala 25-01-20. A total of 95 contacts were traced all are asymptomatic and negative for COVID 19. Case treated. Health education given.

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Case reported from Village Ajanur, HSC FWC Madiyan, PHC Ajanur, Block Periya. District RRT investigated the outbreak. Case was a 23 year old Follow Under male who had travelled from Wuhan, China. A total 2. Kerala Kasaragod COVID-19 01 00 03-02-20 of 162 contacts traced, all are negative for COVID- up Surveillance 19. Health education given on personal hygiene. Awareness created using mass media and social media networks. Cases treated. Awareness sessions arranged in schools. Cases reported from Village Thamarakulam, HSC FWC Pachakkadu, PHC Thamarakulam, Block Chunakara. District RRT investigated the outbreak. Follow Under Fever surveillance done. The case traveled along 3. Kerala Alappuzha COVID-19 01 00 24-01-20 with a friend on 23-01-20 took a taxi from college to up Surveillance Wuhan Airport. A total of 67 contacts were traced. Primary contacts isolated and their samples sent to NIV, Pune were reported as negative for COVID- 19. Cases treated. Health education given.

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

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