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

20th Week (14th May To 20th May 2018) District wise disease alerts/outbreaks reported in the 20th week 2018 20th week Map

Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 33 No. of States/UT’s Submitted ‘NIL’ outbreak report 17

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

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

20th Week (14th May To 20th May 2018) District wise disease alerts/outbreaks reported in the 20th week 2018 20th week Graph

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Date of Name of No. of No. of Date of Current Unique ID. Name of District Disease/ Illness Start of Comments/ Action Taken State/UT Cases Deaths Reporting Status Outbreak Cases reported from Village Balikaria, SC Lokhopur, PHC Chamata, BPHC Chamata. Acute District RRT investigated the outbreak. House Under to house survey done. 03 Drinking water and AS/NLB/2018/20/653 Assam Nalbari Diarrheal 08 00 19-05-18 19-05-18 Surveillance 01 stool samples sent to DPHL Nalbari; result Diseases awaited. All cases treated symptomatically. Health education given on personal hygiene and hand-washing practices. Cases reported from Village Bhutpara, Alisinga, Ward No-1, Balisia, SC Polashbosti, Mijibari, Balisia, CHC/PHC Dhekiajuli. Under District RRT investigated the outbreak. House AS/SNT/2018/20/654 Assam Sonitpur Typhoid 09 00 12-05-18 17-05-18 Surveillance to house survey done. 12 Water samples collected for MPN test; results awaited. All cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from Village Phuhurabari, & Khusurabarii, PHC Udalguri, SC Batabarii. District RRT investigated the Under outbreak. House to house survey done. 08 AS/UAL/2018/20/655 Assam Udalguri Chicken Pox 17 00 14-05-18 17-05-18 serum samples sent to DPHL Kamrup Metro Surveillance for Chicken pox ELISA; Result awaited. All cases treated symptomatically. Community educated on personal hygiene, isolation of cases and intake of plenty of fluids. Cases of fever with rash reported from Village Rasulpur, Rupwara & Khalilpu. SC Bhatauna, Repura & Borwara, PHC/Block Marwan. Under District RRT investigated the outbreak. House BH/MZP/2018/20/656 Muzaffarpur Chickenpox 24 00 18-05-18 19-05-18 Control to house survey done. All cases treated symptomatically. Cases were educated about personal hygiene practices and isolation of cases. Cases of fever with rash reported from Village Under Islampur, Ward No.-18. Sadar Block, Supaul. BH/SUP/2018/20/657 Bihar Supaul Measles 06 00 18-05-18 20-05-18 District RRT investigated the outbreak. House Control to house survey done. All cases treated symptomatically. Health education given.

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Cases of fever with rash reported from Village Mahagama, Koljhara, Sahpur, Beldiha. District RRT investigated the outbreak. House to house Under survey done. 05 Blood samples sent to Institute JH/GDA/2018/20/658 Jharkhand Godda Measles 09 00 14-05-18 17-05-18 of Serology, Kolkata for IgM Elisa Measles; Surveillance result awaited. All cases treated symptomatically. Community educated on the prognosis of disease, mode of transmission, prevention and control practices. Cases of vomiting with loose stools reported from Village Kodarma, PHC Masnodih, Block Simaria. Mid day meal consumption in Govt Food Under middle School Simariya was the likely cause of JH/KOE/2018/20/659 Jharkhand Koderma 26 00 19-05-18 19-05-18 outbreak. District RRT investigated the Poisoning Surveillance outbreak. House to house survey done. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases of loose stools and vomiting reported from Village Sirmarg Manzmoh Block Qazigund. District RRT investigated the outbreak. 02 water samples (01 tap water sample and 01 reservoir water sample) and 02 Jammu And Acute Under stool samples sent for analysis to IDSP JK/KLM/2018/20/660 Kulgam 22 00 14-05-18 16-05-18 Kashmir Gastroenteritis Surveillance Provincial Lab RFPTC Barzulla Srinagar; both water samples were unsatisfactory. Culture of stool samples shown normal flora. All cases treated symptomatically. Health education given on personal hygiene and hand washing practices. Cases of fever with rash reported from Village Abhama, NTPHC Abhama Block Rajpora. District RRT investigated the outbreak. House to house survey done. 05 Blood Samples Jammu And Under collected and sent to PHL Barzulla for analysis; JK/PWM/2018/20/661 Pulwama Measles 09 00 14-05-18 16-05-18 Kashmir Surveillance 03 samples were positive for Measles IgM Elisa. All cases treated symptomatically. Isolation of cases advised. Health Education imparted on spread of disease and its preventive measures to the community.

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Cases of fever with rash reported from Govt. Middle School Zangli Kupwara, Block Kupwara. District RRT investigated the Jammu And Under outbreak. House to house survey done. Health JK/KWR/2018/20/662 Kupwara Chickenpox 17 00 21-05-18 21-05-18 education given to population about the disease Kashmir Control and its preventive measures. School authorities were advised to isolate cases and monitor hygiene of children. All cases treated symptomatically. Health education given. Cases of loose stools with abdominal pain reported from Village Chowki Thanda and Royila thanda, PHC/CHC Basavana Sangolgi, Taluk Aland. District RRT investigated the Acute outbreak. House to house survey done. Stool Under sample collected were negative for V. Cholera KN/GUL/2018/20/663 Karnataka Kalaburagi Diarrheal 39 00 16-05-18 17-05-18 Control culture. 14 Water samples were non potable. Diseases All cases treated symptomatically. Chlorine tablets distributed in community. Community educated on drinking boiled and cooled water. Super-chlorination of drinking water sources done.

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Cluster of 3 cases of Viral encephalitis reported from Block Perambra, PHC- Chengaroth. The unusual event started with death of a 26 yr male, clinically diagnosed as viral encephalitis at Medical College Hospital. Two weeks later 2 members of the same family reported with similar symptoms, rapidly progressed and died while on treatment, at a private tertiary care hospital. On subsequent days 6 more persons succumbed to similar symptoms, including a staff nurse of the taluk hospital, involved in treatment of the second case. All the affected cases were found to have close contact with a Nipah Viral Under confirmed case/death. District RRT team along KL/KOZ/2018/20/664 Kerela Kozikohode 09 07 04-05-18 05-05-18 with the central team of NCDC investigated the Encephalitis Surveillance outbreak. House to house active case search and contact tracing was done. Serum and CSF samples were sent to MCVR Manipal & NIV Pune. Nipah Virus Encephalitis PCR test was confirmed positive for initial three cases and therafter many more. Isolation points identified and infection control protocol strengthened. Adequate quantity of PPE and other logistics ensured in the district. Burial protocols issued. Home quarantine for the contacts and hospitalized observation for all symptomatic implemented. Medical camps conducted in the area for disease awareness and reducing panic. Cases of fever reported from Village Washi, SC Pargaon, PHC Shendi, Block Tandulwadi. District RRT investigated the outbreak. House Under to house survey done. Blood & serum sample MH/OSM/2018/20/665 Maharashtra Osmanabad Dengue 11 00 11-05-18 15-05-18 sent to Sentinel center, Beed for IgM Elisa; 04 Surveillance samples positive for Dengue. Source reduction and anti-larval surveys done. All cases treated symptomatically. Health education given on personal protection measures.

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Cases of vomiting with loose stools reported from Village Kherdi, Panwadi (Pisai PHC). District RRT investigated the outbreak. House Food Under to house survey done. Symptomatic Treatment MH/RTG/2018/20/666 Maharashtra Ratnagiri 20 00 18-05-18 19-05-18 Poisoning Surveillance of cases at SDH Dapoli. Health camp organized in the school and all cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from Village Dhorera (SC Magarda) PHC Agra, CHC Vijaypur, Block Vijaypur. District RRT Madhya Suspected Under investigated the outbreak. House to house MP/SHY/2018/20/667 Sheopur-Kalan 09 00 15-05-18 16-05-18 Pradesh Measles Surveillance survey done. All cases treated symptomatically. Vaccination status of cases was not known. Vitamin A administration done and isolation advised to cases. Cases reported from Village Pakhao, CHC Sagolmang, Block Sawongbung. District RRT investigated the outbreak. House to housesurvey done. State RRT investigated the Under outbreak. 14 people were bitten by same dog. MN/MNP/2018/20/668 Manipur East Imphal Dog Bite 14 01 19-05-18 21-05-18 The dog has been killed and no samples could Control be collected. The rabies case eventually died on the same day. All the 14 cases are undergoing 5-dose regime of PEP. No other report of suspected rabies case in the area. Immunization of eligible dogs done by Veterinary Deptt. Cases of vomiting with loose stools reported from Village Taliudar (Kuliapada), SC Taliudar, PHC Kushang, Block Loisingha. District RRT investigated the outbreak. House to house survey done. Outbreak was possibly Food Under due to consumption of mela prasad. Food OR/BAG/2018/20/669 Odisha Bolangir 81 00 13-05-18 15-05-18 Poisoning Surveillance (PRASAD) samples taken by Food Safety Officer, Balangir. 02 Water Samples sent to DPHL, Balangir for investigation, MPN test; all were negative. Health camp organized in the school and all cases treated symptomatically. Relevant health education given.

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Cases of loose stools with abdominal pain reported from Village Paldi Vas, PHC Bhatana, Acute Block Reodar. District RRT investigated the Under outbreak. House to house survey done. 08 RJ/SRH/2018/20/670 Rajasthan Sirohi Diarrheal 61 00 19-05-18 19-05-18 Control Blood samples and 04 stool samples taken. E Diseases coli found in stool and water sample. All cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from Village Palia(Harijan Basti), PHC/Block Mardah. Under District RRT investigated the outbreak. House UP/GHP/2018/20/671 Uttar Pradesh Ghazipur Chickenpox 10 00 17-05-18 17-05-18 to house survey done. 05 males of age group 6 Control to 12 years and 05 females of age group 7 to 19 years were affected. All cases treated symptomatically. Health education given. Cases of abdominal pain with loose stools reported from Village Bari Dubey, PHC Vijaypur, Block Chanbey. District RRT investigated the outbreak. House to house survey done. Cases reported consumption of Food Under contaminated food in a marriage party. UP/MRZ/2018/20/672 Uttar Pradesh Mirzapur 15 00 13-05-18 18-05-18 Poisoning Control Majority of cases were in 0-5years age of group. Health camp organized in the school and all cases treated symptomatically. Health education on chlorination of water source has been done. Chlorine tablets and ORS packets distributed in the community. Cases of fever reported from Village Nauli, Block Jakholi. District RRT investigated the outbreak. House to house fever survey done. Under 10 blood samples sent to IDSP Referral Lab, UA/RDP/2018/20/673 Uttarakhand Rudrapyag Typhoid 15 00 17-05-18 20-05-18 Surveillance GMC Srinagar. Out of this, 9 tested positive by Typhidot. Symptomatic treatment of all cases. Health education given for maintaining personal hygiene and isolation of cases.

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Cases reported from Village Sankarpur Pascim para, Sankarpur, Old Ramna Hariharpara. District RRT investigated the outbreak. House to house survey done. Cases complained of Suspected Under blackish hemorrhagic blister with ulcers in WB/MRS/2018/20/674 West Bengal Murshidabad 12 00 15-05-18 17-05-18 Anthrax Control finger and palm. Cattle skin and blood samples collected; result awaited. Cattle vaccination being done. Medical camp conducted and cases treated symptomatically. Relevant 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 Cases of fever with altered sensorium reported from district. District RRT investigated the outbreak. House to house fever survey done. 38 CSF and 49 serum samples were examined Japanese Under by Microbiology Deptt., Assam Medical College and AS/DBG/2018/20/675 Assam Dibrugarh 17 02 03-01-18 Hospital (AMCH), Dibrugarh for JE IgM ELISA test; 17 Encephalitis Surveillance cases were JE positive. 776 Malarial Blood Slides collected for AES/JE cases; result awaited. Health camp organized in the school and all cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from district. District RRT investigated the outbreak. House to house survey done. S No. Place Cases/Deaths 1 Village Kata Mushehar Toli, PHC 05/00 Under Piro Bihar Bhojpur Measles 05 00 13-03-18 2 Village Ibraham Nagar, Aamir 13/00 Control BH/BHJ/2018/20/676 Tola, Ara Urban. 3 Village Mohanpur,Karari mohallah,Sader block Ara. Serum samples collected; report awaited. All cases treated symptomatically. Isolation and Vitamin A advised to cases.

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Cases of vomiting with loose stools reported from Village Bharauli, PHC Piro. District RRT investigated the outbreak. House to house survey done. Contaminated food served Food Under during the marriage ceremony was the possible cause of BH/BHJ/2018/20/677 Bihar Bhojpur 85 00 08-05-18 outbreak. Health camp organized in the school and all cases Poisoning Control treated symptomatically. ORS and medicines were distributed in the community. Community was educated to adopt personal hygiene measures and avoid consumption of stale food. Cases of fever with rash reported from Village Dumariya, SC Rasidpur, Block/PHC Khajauli. District RRT investigated the outbreak. House to house survey done. All cases were in age group between 07 Months to 16 years and Under the most affected age group was between 6- 10 year. 05 BH/MBN/2018/20/678/ Bihar Madhubani Measles 30 02 02-04-18 serum sample and one urine sample sent to PMCH, Patna for Surveillance laboratory confirmation; result awaited. Temporary medical camp organized and cases treated symptomatically. IEC Activity done regarding personal hygiene and isolation of cases. Health camp organized in the school and all cases treated symptomatically. Cases of fever with rash reported from Village Manora musahri purbi, Block- Patedhi Belsar. District RRT investigated the outbreak. House to house survey done. Most Under of the cases were of age group 4-10 years. 02 serum samples BH/VSH/2018/20/679 Bihar Measles 08 00 06-05-18 Surveillance sent to PMCH, Patna; Result Awaited. All cases treated symptomatically. Vitamin-A was administered and IEC activities undertaken regarding isolation of cases. Special round of Measles immunization done in the area. Cases of Jaundice reported from Village Darri Road Korba, Ratakhar, Patel Para, Talab Para, Ramsagarpara, Mission Road. SHC Ramsagarpara, Block Urban Health, UPHC Dhodhipara. District RRT investigated the outbreak. House to house survey done. 69 Cases of jaundice were suspected Viral Hepatitis Under in the community. 60 Blood Samples and 04 Water Samples CT/KOR/2018/20/680 Chhatisgarh Korba 33 00 07-05-18 E Surveillance sent to CIMS Bilaspur; 33 samples were positive for viral Hepatitis E and all water samples were nonpotable. All cases were treated symptomatically. Community made aware of personal hygiene practices and consumption of clean drinking water. Chlorine tablets distributed in the affected area.

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Cases of fever with rash reported from Village Jhajhapara and Ranibahal SC Ranibahal CHC Sadar block Dumka. District RRT investigated the outbreak. House to house Under survey done. 04 blood samples sent to RIMS Ranchi for JH/DMK/2018/20/681 Jharkhand Dumka Chicken pox 30 00 27-04-18 Surveillance confirmation of VZV IgM ELISA; 03 reported positive. All cases treated symptomatically. Community was made aware of mode of transmission of disease and need for vaccination and isolation. Cases of fever with rash reported from Village Ajad Basti, PHC-Haldipokhar, HSC-Haldipokhar Block-Potka, East Suspected Under Singhbhum. District RRT investigated the outbreak. House JH/ESI/2018/20/682 Jharkhand East Singhbhum 21 00 15-03-18 to house survey done. 05 serum samples sent to Institute of Measles Surveillance Serology, Kolkata; Results pending. All cases treated symptomatically. Cases advised isolation and Vit A therapeutic doses. Cases of fever with rash reported from Village Babu Jhuti (Latar Tola) HSC Ganpura CHC Pakuria Block Pakuria. Suspected Under District RRT investigated the outbreak. House to house JH/PAK/2018/20/683 Jharkhand Pakur 07 00 30-04-18 survey done. 05 blood samples sent to Institute of Serology Measles Surveillance Kolkata for Measles IgM Elisa; Result Awaited. All cases treated symptomatically. Vit A was administered and cases advised isolation. Cases of fever with rash reported from Village Gomiyadih, SC-Jojohotu, CHC-Kuchai. District RRT investigated the Saraikela Suspected Under outbreak. House to house survey done. 05 serum samples JH/SAK/2018/20/684 Jharkhand 08 00 08-05-18 sent to Institute of Serology Lab, Kolkata; Result awaited. Kharsawan Measles Surveillance District RRT investigated the outbreak. All cases treated symptomatically. Health education given for isolation of cases and administration of Vit A. Cases reported from. District RRT investigated the outbreak. House to house survey done. Health camp organized in the school and cases treated symptomatically. Health education given. Acute Under S No Place Cases MH/LTR/2018/20/685 Maharashtra Latur Diarrheal 120 00 21-04-18 1 Village Nelwad, HSC Karola, PHC 20 Control Diseases Belkunda, Taluk .Nilanga 2 Village/SC Malegaon K. PHC Aurad 32 SH. Taluk Nilang. 3 Village Udgir, PHC Devarjan, HSC 68 Dawangaon, Block Chighali

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Cases of loose stools with vomiting reported from Village Umra Tanda. PHC Ashta, Taluk Mahur. District RRT Acute investigated the outbreak. House to house survey done. Under Samples from water supply system were taken; 2 from draw MH/NAN/2018/20/686 Maharashtra Nanded Diarrheal 56 00 26-04-18 Control well and 1 from bore well; result awaited. Health camp Diseases organized in the school and all cases treated symptomatically. Water chlorination advised in the community. Cases of fever reported from Village Duberewadi (Krishnanagar), SC Dubere, PHC Thangaon, Block Sinner. District RRT investigated the outbreak. House to house Under survey done. 66 Blood Slides checked for malarial parasite MH/NAS/2018/20/687 Maharashtra Nashik Chikungunya 66 00 17-04-18 were negative. 05 Serum samples sent to NIV were positive Control for Dengue and 05 were positive for chikungunya. All cases treated symptomatically. Source reduction and antilarval measures were implemented. Health education on personal protective measures was given to the community. Cases of fever with rash reported from Village Itarsi Urban, SC Ojjha basti, PHC Civil hospital Itarsi. District RRT Madhya Under investigated the outbreak. House to house survey done. 05 MP/HSN/2018/20/688 Hoshangabad Measles 15 00 04-05-18 blood samples and 02 urine samples sent to Gandhi Medical Pradesh Control College Bhopal; result awaited. Vaccination and Vitamin A supplementation done. All cases treated symptomatically. Relevant health education given. Cases of fever with rash reported. District RRT investigated the outbreak. House to house survey done. S No. Place Cases/Deaths 1 Village/SC Sirtaul, CHC Bilsi, 44/00 Block Ambiyapur. Under 2 Village/SC Wazeerganj 1st, 12/00 UP/BUD/2018/20/689 Uttar Pradesh Budaun Measles 81 00 12-04-18 Ward No-04, CHC Wazeerganj, Surveillance Block Wazeerganj,. 3 Village/SC Mohalla Number: 5, 25/01 CHC Bilsi, Block Ambiyapur. 05 Blood Samples collected and sent for investigation. Symptomatic treatment, health education and Vit-A supplementation given to cases.

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Cases of fever with rash reported from Village/SC Gauri Jagdish, CHC/Block Dudhi. District RRT investigated the outbreak. House to house survey done. S No. Age group No. of cases 1 0 to 5 Years 13 Under 2 5-10 Years 3 UP/KSN/2018/20/690 Uttar Pradesh Khushi Nagar Measles 18 00 02-04-18 3 Above 10 years 2 Surveillance Vaccination history; 13 cases received 2 dose of Measles vaccine, 3 cases receive 1 dose of Measles vaccine and 2 cases had no history of vaccination. 05 serum samples sent to SGPGI Lucknow; result awaited. Isolation of cases, administration of Vitamin A and IEC on disease awareness and prevention done. Cases of fever with rash reported from Village Kulhipur, SC Kulhipur, CHC Mandhata, Block Mandhata. District RRT Under investigated the outbreak. House to house survey done. 05 UP/PRT/2018/20/691 Uttar Pradesh Pratapgarh Measles 06 00 18-04-18 Surveillance serum samples collected and sent to SGPGI Lucknow; result awaited. All cases treated symptomatically. Health education given regarding personal hygiene and isolation. Cases of fever with rash reported from Village Jagdishpur (tola-Bhahorijot), SC Ghrwashpur, PHC Naugarh, Block Naugarh. District RRT investigated the outbreak. House to house survey done. Most of the cases belonged to age 05-07 Under years. No case was immunized for Measles. 05 serum UP/SID/2018/20/692 Uttar Pradesh Siddharth Nagar Measles 05 00 09-05-18 Surveillance samples sent to SGPGI Lucknow; result awaited. All cases treated symptomatically. IEC activities undertaken regarding isolation and early treatment of cases. Vitamin A solution given to effected cases.