WEEKLY OUTBREAK REPORT 1 | P a g e Disease Alerts/Outbreaks reported and responded to by States/UTs through Integrated Disease Surveillance Program (IDSP) (22nd April to 28th April 2019) th 17 Week District wise disease alerts/outbreaks reported in the 17th week 2019 17th Week 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 13

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

2 | P a g e th 1723 th Week District wise disease alerts/outbreaks reported in the 17 week 2019 17th Week Map

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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/SC Sood. District Arunachal Under RRT investigated the outbreak. House to house AR/PPM/2019/17/0415 Papumpare Chickenpox 06 00 26-04-19 27-04-19 survey done. All cases treated symptomatically. Pradesh Control Health education given regarding isolation of cases. Cases reported from Village New , SC Bhawlaguri, PHC Bongaigaon. District RRT investigated the outbreak. Active search of cases Food Under done. Cases consumed food (rice & mixture of AR/LHT/2019/17/0416 Bongaigaon 07 00 26-04-19 26-04-19 Poisoning Control Prawn & Pumpkin) in morning and presented symptoms with vomiting and loose motion. Cases treated at Bongaigaon CHC. Health education given regarding food hygiene and sanitation. Cases reported from Village Maharipara, SC Duni, PHC/Block Patharighat. District RRT investigated the outbreak. House to house survey done. 01 csf sample collected and sent to GMCH, Darrang Japanese Under AS/BON/2019/17/0417 Assam 01 01 22-04-19 28-04-19 was positive for JE (IgM ELISA). On (Mangaldoi) Encephalitis Surveillance death occurred in male child. Socio economic condition was poor and at the vicinity paddy fields were located. Health education given regarding personal protection measures. Cases reported from Village New Dhardhara, SC Nandipur, PHC Kachugaon, CHC Kachugaon. District RRT investigated the outbreak. Active search of cases done. Cases consumed food (wild Food Under mushroom) and presented symptoms with AS/KOK/2019/17/0418 Assam Kokrajhar 07 00 23-04-19 25-04-19 Poisoning Control vomiting and loose motion. 02 stool samples were collected and sent to DPHL, Kokrajhar; result awaited. Cases treated at Kachugaon CHC. Health education given regarding food hygiene and sanitation.

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Cases reported from Tea Estate Ananda, Village Line no-27, BPHC Boginodi. District RRT investigated the outbreak. Active search of cases Food Under done. Cases consumed food in dinner and AS/LKM/2019/17/0419 Assam Lakhimpur 04 01 26-04-19 28-04-19 presented symptoms with vomiting and loose Poisoning Control motion. 02 water samples were collected; result awaited. Cases treated symtomatically. Health education given regarding food hygiene and sanitation. Cases reported from Tea Estate Joyhing, BPHC Boginodi MPHC Seajuli. District RRT investigated the outbreak. House to house survey Acute Under done. 05 stool samples collected; result awaited. AS/LKM/2019/17/0420 Assam Lakhimpur Diarrheal 37 00 22-04-19 28-04-19 01 water sample collected; result awaited. All Control Disease cases treated symptomatically. Halogen tablets and ORS packets were distributed in the community. IEC done regarding safe drinking water and personal hygiene. Cases reported from Village Daoblipdisa, SC Bongkai, PHC/Block Langting. District RRT investigated the outbreak. Active search of cases Food Under done. Cases consumed food (wild mushroom) and AS/NCH/2019/17/0421 Assam Dima Hasao 02 01 22-04-19 26-04-19 presented symptoms with vomiting and loose Poisoning Control motion. One death occurred in female of age 32yrs. Cases treated at Haflong Civil Hospital. Health education given regarding food hygiene and sanitation. Cases reported from C.R.P.F.RAF-101 Camp, Silongani, , PHC Silongani Amtola MPHC, BPHC Buragohaithan. District RRT investigated the outbreak. House to house survey Acute Under done. 4 stool samples collected and sent to DPHL AS/NGO/2019/17/0422 Assam Nagaon Diarrheal 20 00 25-04-19 25-04-19 Nagaon were negative for enteropathongens. 2 Surveillance Disease water samples were collected and sent to DPHL Nagaon were not potable. All cases treated symptomatically. Health education given regarding personal hygiene, Hand hygiene practices and safe drinking water.

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Cases reported from Villages Siporia Botabari, Patiapukhuri 1, SC Teliagaon SC, Patia Pukhuri, BPHC Bihaguri. District RRT investigated the Acute outbreak. House to house survey done. 4 stool Sonitpur Under AS/SNT/2019/17/0423 Assam Diarrheal 22 00 22-04-19 28-04-19 samples collected and sent to DPHL Nagaon; () Surveillance Disease result awaited. Symptomatic treatment provided to all the cases. Health education given regarding personal hygiene, Hand hygiene practices and safe drinking water. Cases reported from Tea Estate Majbat, BPHC Orang Udalguri. District RRT investigated the Acute outbreak. House to house survey done. 02 water Under sample collected and sent to DPHL Darrang; AS/UAL/2019/17/0424 Assam Udalguri Diarrheal 52 00 26-04-19 26-04-19 Surveillance result awaited. All cases treated symptomatically Disease ORS packets were distributed in the community. IEC done regarding safe drinking water and personal hygiene. Cases reported from Village Salemapur, PHC Sikariya, Block Jehanabad. District RRT investigated the outbreak. Active search of cases Food Under done. All the cases consumed food in a marriage BH/JAH/2019/17/0425 Bihar Jahanabad 22 00 25-04-19 28-04-19 Poisoning Control ceremony and presented symptoms with loose motion and vomiting. Cases treated symptomatically. Health education given regarding food hygiene and sanitation. Cases reported from Village Chhatarbar, PHC/Block Pakribarawan. District RRT Under investigated the outbreak. House to house survey BH/NAW/2019/17/0426 Bihar Nawada Chickenpox 09 00 22-04-19 26-04-19 Control done. Affected children were in the age group between 3-7yrs. All cases treated symptomatically. Health education given. Cases reported from Village Kothar, SC Chardongri, Block Kawardha. District RRT investigated the outbreak. House to house survey Food Under done. Active search of cases done. All the cases CT/KAW/2019/17/0427 Chhattisgarh Kawardha 26 00 22-04-19 28-04-19 consumed food in a marriage ceremony and Poisoning Control presented symptoms with loose motion and vomiting. Cases treated symptomatically. Health education given regarding food hygiene and sanitation.

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Cases reported from Village/SC Napa, PHC Nepa, Block Borsad. District RRT investigated the outbreak. House to house survey done. Cases Food Under consumed food in a marriage ceremony. 01 food GJ/AND/2019/17/0428 Gujrat Anand 310 00 24-04-19 24-04-19 Poisoning Surveillance sample collected sent to Food Department Ahmedabad; result awaited. Cases treated symptomatically. Health education given regarding food hygiene and sanitation. Cases reported from Villages Karoha, Lakroh, Bal-Bihal, Lokhar, Kohra, SC Chakmoh VPO. Himanchal Under Chakmon, Kotla, SC Kathiana VPO- Paplah, SC HP/HPR/2019/17/0429 Hamirpur Jaundice? 12 00 26-04-19 28-04-19 Pairwin, CHC Bijhari, Block Barsar. District Pradesh Control RRT investigated the outbreak. House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Village Chhatri, Baryogi, PHC Chhatri, Block Janjehli. District RRT Acute investigated the outbreak. House to house survey Himanchal Under done. 04 water sample collected and sent to IPH HP/MAN/2019/17/0430 Mandi Diarrheal 74 00 23-04-19 24-04-19 Pradesh Surveillance Department; result awaited. All cases treated Disease symptomatically ORS packets were distributed in the community. IEC done regarding safe drinking water and personal hygiene. Cases reported from Villages Mohalla Prem Nagar Pharalwala Road and VPO Kaul, CHC Acute Kaul. District RRT investigated the outbreak. Under House to house survey done. 1 stool sample HR/KTL/2019/17/0431 Haryana Kaithal Diarrheal 28 00 26-04-19 28-04-19 Control collected ans sen to DPHL Karnal; result awaited. Disease 4 water samples collected for bacteriological examination; result awaited. All cases treated symptomatically. Health education given. Cases reported from Sankar Govt. Middle School Block Leh. District RRT investigated the Jammu And Under outbreak. House to house survey done. All cases JK/LDK/2019/17/0432 Leh (Ladakh) Mumps? 30 00 26-04-19 26-04-19 Kashmir Surveillance treated symptomatically. Health education regarding isolation of cases was imparted in the community.

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Cases reported from Village Mangalamadaguvarapalli, PHC/CHC Shivapura, Taluk Bagepalli. District RRT investigated the Food Under outbreak. Active search of cases done. All cases KN/CKR/2019/17/0433 Karnataka Chickaballapura 22 00 21-04-19 23-04-19 consumed food and presented symptoms with Poisoning Control vomiting and loose motion. Out of 4 water samples collected and sent to PHI, Bangalore; 1 sample was non potable. All cases treated symptomatically. Health education given. Cases reported from Village Mustur, PHC/CHC Masarakal, Taluk Deodurga. District RRT investigated the outbreak. House to house survey Under done. Out of 5 blood sample collected and sent to KN/RCR/2019/17/0434 Karnataka Raichur Dengue 07 00 24-04-19 26-04-19 Control VIMS Ballari; 2 samples were found positive Dengue (IgM ELISA). All cases treated symptomatically. Source reduction activities undertaken. Health education given. Cases reported from Village Chinappanahalli, PHC/CHC Tharur, Taluk Sira. District RRT investigated the outbreak. Active search of cases done. All cases consumed food in a religious Under ceremony and presented symptoms with vomiting KN/TUM/2019/17/0435 Karnataka Tumkur Shigellosis 140 00 27-04-19 28-04-19 Control and loose motion. Out of 7 stool samples sent to DPHL Tumkur; 5 samples were positive for shigella dysenterie. All cases treated symptomatically. Health education given regarding personal hygiene and sanitation. Cases reported from Village Talangara, SC/PHC Urban PHC Kasaragod, Block Muliyar. District RRT investigated the outbreak. House to house Viral Under survey done. All 2 blood samples collected and KL/KAS/2019/17/0436 Kerala Kasaragod 16 00 26-04-19 27-04-19 Hepatitis A Control sent GH Kasargod were positive for Hepatitis A (IgM ELISA). All cases treated symptomatically. Chlorination of water sources done. Health education given.

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Cases reported from Village Baladmung Holi Faliya, SC Baldmung, Block Jobat. District RRT investigated the outbreak. Active search of cases done. All cases consumed food in a marriage Madhya Food Under ceremony and presented symptoms with vomiting MP/ARR/2019/17/0437 Alirajpur 82 01 26-04-19 27-04-19 Pradesh Poisoning Control and loose motion. 5 stool samples collected and sent to MGM Medical College, Indore were negative for enteropathogens. All cases treated symptomatically. Health education given regarding personal hygiene and sanitation. Cases reported from District Jail. District RRT Madhya Under investigated the outbreak. Active search of cases MP/CTP/2019/17/0438 Chhatarpur Chickenpox 05 00 24-04-19 28-04-19 Pradesh Control done. All cases treated symptomatically. Health education given. Cases reported from Village Botalama, SC Bengitangi, CHC Batalama, Block Begunia. District RRT investigated the outbreak. House to house survey done. All cases consumed food in a Khurda Food Under OR/KHU/2019/17/0439 Odisha 08 00 27-04-19 27-04-19 marriage ceremony and presented symptoms with (Bhuvaneshwar) Poisoning Control vomiting and loose motion. 3 water samples collected; result awaited. All cases treated symptomatically. Health education given regarding personal hygiene and sanitation. Cases reported from Govt. Primary School, Golia, Block Possi, Taluk Garhshanker. District RRT Under investigated the outbreak. Active search of cases PB/HRP/2019/17/0440 Punjab Hoshiarpur Measles? 08 00 26-04-19 27-04-19 Control done. 08 blood samples collected; result awaited. All cases treated symptomatically. Health education given. Cases reported from Village Ageti, Block Bhadson, Tehsil Nabha. District RRT investigated the outbreak. House to house survey Under done. 7 blood samples were collected & sent to PB/PTL/2019/17/0441 Punjab Patiala Mumps? 07 00 25-04-19 26-04-19 Control DPHL, Patiala; results awaited. Medical camp organized at Subsidiary Health Center Ageti and affected cases were quarantined. All cases treated symptomatically. Health education given.

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Cases reported from Village Vanagiri, HSC Vanagiri East, PHC Poompuhar, Block Sirkali. District RRT investigated the outbreak. House to house survey done. All cases consumed food Food Under (stick ice cream) and presented symptoms with TN/NGP/2019/17/0442 Tamil Nadu Nagapttinam 144 00 22-04-19 28-04-19 Poisoning Control vomiting and loose motion. 5 stick ice cream samples collected and sent to FSO, Nagapattinam; result awaited. Chlorination of water sources done. All cases treated symptomatically. Health education given. Case reported from Village Amaikulam, HSC Marapalam, UPHC Nelliyalam, Block Gudalur. Kyasanur Under District RRT investigated the outbreak. House to TN/UDM/2019/17/0443 Tamil Nadu The Nilgris Forest 01 00 27-04-19 27-04-19 house survey done. 1 serum sample collected sent Surveillance Disease to MCVR Gudalur GH; was positive for KFD Positive. Symptomatic treatment given. Health education given. Cases reported from Village Chaukiya, Uttar Under Sahabuddinpur, CHC Subhakar, Block Ghazipur. UP/GHP/2019/17/0444 Ghazipur Chickenpox 16 00 24-04-19 28-04-19 District RRT investigated the outbreak. House to Pradesh Control house survey done. All cases treated symptomatically. Health education given. Cases reported from Village Sariya, CHC Uttar Under Subhakarpu, Block Haipur. District RRT UP/GHP/2019/17/0445 Ghazipur Chickenpox 05 00 24-04-19 28-04-19 investigated the outbreak. House to house survey Pradesh Control done. All cases treated symptomatically. Health education given. Cases reported from Village Garhi, CHC Zamaniya, Block Ghazipur. District RRT Uttar Food Under investigated the outbreak. Active search of cases UP/GHP/2019/17/0446 Ghazipur 20 00 24-04-19 28-04-19 done. All cases consumed food in a social Pradesh Poisoning Control ceremony and presented symptoms with vomiting and loose motion. All cases treated symptomatically. Health education given. Cases reported from Village Phoolwariya, SC Uskabazar Second, PHC/Block Uskabazar. Uttar Under District RRT investigated the outbreak. House to UP/SID/2019/17/0447 Siddharth Nagar Chickenpox 15 00 23-04-19 27-04-19 Pradesh Surveillance house survey done. All cases treated symptomatically. IEC activities undertaken regarding isolation and early treatment of cases.

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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 Madakthara, SC Ponganamkadu, PHC Madakathara, Block Vilvattom. District RRT investigated the outbreak. House to house survey done. All Viral Under the cases consumed welcome drink in a marriage ceremony. 4 KL/TRC/2019/17/0448 Kerala Thrissur 21 00 17-04-19 Hepatitis? Control water samples collected and sent to the Microbiology lab MCH; result awaited. 2 blood sample collected and sent to DMOH lab; result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Khermaida, sunyana' BhojPura, CHC Kathumar, Block Kherli. District RRT investigated the Food Under outbreak. Active search of cases done. All cases consumed RJ/ALW/2019/17/0449 Rajasthan Alwar 227 00 12-04-19 Poisoning Control food in marriage ceremony and presented symptoms with vomiting and loose motion. ORS packets distributed. All cases treated symptomatically. Health education given. Cases reported from Village Danpur Manpuri, PHC Danpur, Block Choti Sarwan. District RRT investigated the outbreak. Food Under Active search of cases done. All cases consumed food and RJ/BWR/2019/17/0450 Rajasthan Banswara 33 02 07-04-19 presented symptoms with vomiting and loose motion. ORS Poisoning Control packets distributed. 2 food samples, 1 water sample, 1 stool sample and 1 vomitus sample were collected; result awaited. All cases treated symptomatically. Health education given. Cases reported from CHC Khatoli. District RRT investigated the outbreak. House to house survey done. Bore well leakage and contaminated water pits were observed. Community used Viral Hepatitis Under bore well water for drinking purposes. 10 blood samples RJ/KOT/2019/17/0451 Rajasthan Kota 26 00 01-04-19 collected and sent to MBS (Central Lab) were positive for E Surveillance Hepatitis E (IgM ELISA). All cases treated symptomatically. Chlorination of water sources done. Borewell was repaired and chlorinated; water supply was restored. Health education given regarding safe drinking water and personal hygiene.