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

th th th 27 week (30 June – 06 July ) 2014

District wise disease alerts/outbreaks reported in the Disease alerts/outbreaks reported during this week th 27 week, 2014 16 (n=48) 16 14 14 12 10 8 8 6 4 2 1 1 1 1 1 1 1 1 1 1 0 No. of alerts/outbreaksof No. Fever Rubella Malaria Dengue Anthrax Pertusis Measles Hepatitis Hepatitis A Disease Chikungunya Chinkungunya Food PoisoningFood Syndrome Acute DiarrhoealAcute

Acute Encepahalitis AcuteEncepahalitis Disease/alerts

Comparison of cummulative no. of disease alerts/outbreaks reported till the 27th week of 2011,2012,2013 & 2014

300 250 200 2011 2012 150 2013 2014 100 50 0 … … CCHF No. of of No.alerts/outbreaks Rubella Mumps Dengue Malaria Cholera Pertusis Anthrax Measles Kala Azar Kala Dysentery Meningitis Diphtheria Brucellosis Influenza B Influenza Chickenpox Chikungunya Trichinellosis Enteric Fever Leptospirosis ScrubTyphus Lyme Disease Lyme Gas Gas Poisoning Viral Hepatitis Viral Food Poisoning ViralFever/PUO Drug SideEffects Drug Influenza A H1N1 Influenza A H3N2 Alcohal Poisoning Acute Encephalitis

Reporting Status of States/UT’s Mushroom Poisoning Acute Flaccid ParalysisAcute Kyasanur Forest Disease Acute RespiratoryAcute Illness No. of States/UT’s Submitted outbreak report ( including NIL report) 35 Acute Diarrhoeal Disease No. of States/UT’s Submitted ‘NIL’ outbreak report 09 Disease/Illness ViralExanthemas (Multiple

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 outbrea k

Cases of vomiting, diarrhoea and abdominal pain reported from Kasturba Balika Vidyalam,Village /SC/PHC/Block V V Palem , District Prakasam. District RRT investigated the outbreak. Active search for cases done. Cases had consumed common food in a hostel mess. All cases treated Prakasam Food Poisoning 57 0 04/07/14 04/07/14 Under Control symptomatically. One food sample collected and sent to Regional Lab, Guntur; result awaited. One water Sample Collected and sent to District Public Health Lab, Ongole; result awaited. Health education given regarding food hygiene and sanitation.

Cases of vomiting and diarrhoea reported from Village Peddapongupalli,SC Varikasulapalli ,PHC/Block- PTM, District Chittoor. District RRT investigated the outbreak. Active search for cases done. Cases had consumed food in a social gathering. Three rectal Swabs collected & sent to Andhra Chittoor Food Poisoning 17 0 04/07/14 04/07/14 Under Control 1 SVIMS Tirupathi ; result awaited . One water sample Pradesh collected and sent to regional lab, Tirupathi for analysis; result awaited. Chlorination of water sources done. Chlorine tablets and ORS packets distributed. Health education given regarding food hygiene and sanitation. Cases of abdominal pain and vomiting reported from Village/Block Nadendla, District Guntur. District RRT investigated the outbreak. Cases occurred after consuming meals in hostel mess. The food items consisted of Rice, Dal Guntur Food Poisoning 18 0 05/07/14 05/07/14 Under Control and cabbage curry. All students were treated symptomatically. Chlorination of water sources done. ORS Packets distributed. Health education done about food and water hygiene. Cases reported from Village-Kondapuram Suraveedu(GP), PHC Edira, CHC Venkatapuram , District Khammam . District RRT investigated the outbreak. Cases occurred after Khammam Food Poisoning 09 01 02/07/14 02/07/14 Under Control consuming indigenous plant roots assuming it to be edible. All cases treated symptomatically. Roots were sent to state food lab, Nacharam; result awaited. Health education done about food poisoning.

2 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 outbrea k Cases reported from Village Kothagudem, PHC Janampeta, SC Duginipalli, District Khammam. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. Probable cause of outbreak Khammam Acute Diarrheal Disease 17 0 02/07/14 02/07/14 Under Control was contamination of drinking water due to pipeline leakage. One stool sample sent to KMC, ; result awaited. Chlorination of water sources done. IEC done regarding personal hygiene and safe drinking water. Cases reported from Village Pothireddypalli, SC Amsanpalli, PHC Kulcharam, District Medak. District RRT investigated the outbreak. House to house survey done. All cases treated Under symptomatically. A total of 32 blood smears tested negative Medak Fever 27 0 30/06/14 30/06/14 Surveillance for malaria in addition 08 serum samples sent for Dengue IgM ELISA; result awaited. Entomological survey done. Anti larval activities and fogging done in the affected area. IEC done regarding personal protective measures. Cases reported from Village Kothagudem, PHC Janampeta, SC Duginipalli, District Khammam. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. Probable cause of outbreak Mahabubnagar Acute Diarrheal Disease 21 01 29/06/14 30/06/14 Under Control was contamination of drinking water due to pipeline leakage. One stool sample sent to KMC, Warangal; result awaited. Chlorination of water sources done. Disinfection of surrounding done. IEC done regarding personal hygiene and safe drinking water. Cases of vomiting and abdominal pain reported from Village/ SC/ PHC/Block V.V.Palem, Nellore District. District RRT investigated the outbreak. Students became symptomatic after consuming food consisting of Pongal in school. All students treated symptomatically. One food Nellore Food Poisoning 57 0 04/07/14 04/07/14 Under Control sample sent to Regional Lab, Guntur; result awaited. Two water sample sent to District Public Health Lab, Ongole; result awaited. Chlorination of water sources done. ORS Packets distributed. Health education done about food and water hygiene.

Cases reported from Village Nagjhar, PHC Singhara, CHC Malkharoda, District Janjgir. District RRT investigated the outbreak. Active search for the cases done. All cases treated 2. Chhatisgarh 16 0 01/07/14 01/07/14 Under Control Janjgir Acute Diarrheal Disease symptomatically. Probable cause of outbreak was consumption of contaminated water. Water sources were chlorinated. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

3 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 outbrea k

Cases of diarrhoea and vomiting reported from Village Tangar, SC Salar, PHC Kanakbira, Block Sarangarh, District Raigarh. District RRT investigated the outbreak. Active search for the cases done. All cases treated symptomatically. Raigarh Acute Diarrheal Disease 23 0 30/06/14 30/06/14 Under Control Probable cause of outbreak is consumption of contaminated water. Disinfection of water sources done by chlorination. ORS and chlorine tablets were distributed for domestic use. IEC done regarding hygiene and sanitation.

Cases of diarrhoea and vomiting reported from Ravalvas, , UHC/Block Kheralu , District Mahesana. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. Probable 3. Mahesana Acute Diarrheal Disease 28 0 05/07/14 05/07/14 Under Control cause of outbreak is consumption of contaminated water. A total of 03 stool samples were tested and all of them were negative for cholera. Disinfection of water sources done. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Gujarat Cases reported from a boy’s hostel in Village / SC Gadat, PHC Jesingpur, Block Vyara, District Tapi. District RRT investigated the outbreak. Active search for cases done. Cases had consumed common food in hostel. All cases treated symptomatically. Poor sanitary condition was Tapi Food Poisoning 65 0 02/07/14 02/07/14 Under Control observed in the hostel kitchen. One sample each of vomitus and stool collected and sent for laboratory investigation; result of vomitus is awaited while stool sample was negative for enteropathogens. All 06 water samples tested were nonpotable. Chlorination of water sources done. IEC done regarding food hygiene and sanitation.

4 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 outbrea k

Cases reported from village Tikri and Dali, Sub centre Moviseri, Block Bagsaid, CHC- Gohar, District Mandi. Himachal Acute Diarrhoeal District RRT investigated the outbreak. All cases treated 4. Mandi Under control Pradesh Disease 39 0 30/06/14 06/07/14 symptomatically. Out of 02 water samples sent to DPHL, Mandi 01 water sample was non potable. Health education given regarding safe drinking water and sanitation.

Cases of fever reported from VillageKannamagaladodi, PHC Banikuppe, District Ramanagara. District RRT investigated the outbreak. House to house fever survey done. Ramanagara Fever 23 0 02/07/14 05/07/14 Under control A total of 5 serum samples collected; result awaited. All cases treated symptomatically. Fogging and anti larval control measure undertaken. Heath education done regarding personal protection.

Cases of loose motion reported from Village Honnati, Block Ranebennur, District Haveri. Medical team investigated 5. Haveri Food Poisoning 115 0 04/07/14 05/07/14 Under control the outbreak. Cases consumed food in a social ceremony. All cases treated symptomatically. Heath education given regarding safe drinking water and food hygiene.

Cases of fever with joint pain reported from Village Ramapur, PHC Adargunchi, Block Hubli, District Dharwad. Medical team investigated the outbreak. House to Dharwad Fever 26 0 05/07/14 05/07/14 Under control house survey done. All cases treated symptomatically. A total of 18 blood samples collected; result awaited. Vector control measures undertaken. Heath education given regarding personal protection.

5 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 outbrea k

Cases of jaundice reported from Village Panikode, SC Kodiyathur, Block Cheruvady, District Kozhikode. Medical team investigated the outbreak. House to house survey done. Medical camps organized. All cases treated. Out of 49 serum Under 6. Kozhikode Hepatitis A 60 0 28/06/14 02/07/13 samples collected 14 serum samples showed raised bilirubin surveillance level. A total of 08 serum samples were tested and positive for Hepatitis A by IgM ELISA. Chlorination of waters sources done. Health education given regarding safe drinking water and sanitation.

Cases reported from Village / SC Kingoan, PHC Ganori, Block Fulambri, District . District RRT investigated the outbreak. Active search for cases done. Pipeline leakages were observed in the community. All cases Under treated symptomatically. A total of 03 water samples sent for Aurangabad Acute Diarrheal Disease 78 0 03/07/14 03/07/14 Surveillance laboratory investigation; 01 found nonpotable. A total of 05 stool samples were also tested; negative for cholera by culture. Disinfection of water sources done. ORS and 7. chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Cases of abdominal pain and vomiting reported from Village Muruli, SC Jewali, PHC Sondhabhi, Block, . District . District RRT investigated the outbreak. Food poisoning 85 0 01/07/14 01/07/14 Under Control Yavatmal Active search for cases done. Cases had consumed common food in mid day meal. All cases treated symptomatically. Five food sample sent for laboratory investigation; result awaited. IEC done regarding food hygiene and sanitation.

Cases reported from urban area of District Agar. District Madhya RRT investigated the outbreak. All cases had history of 8. Agar Food poisoning 51 0 03/07/14 03/07/14 Under Control Pradesh eating samosa at a vendor. Active search for cases done. All cases treated symptomatically. IEC done regarding food and water hygiene and sanitation.

6 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 outbrea k

Cases of diarrhoea reported from Village Ali Khurd, PHC Badud, CHC / Block Barwaha, District Khargon. District RRT investigated the outbreak. Active search for cases Under done. All cases treated symptomatically. Probable cause of Khargone Acute Diarrheal Disease 36 0 04/07/14 04/07/14 Surveillance outbreak is consumption of contaminated water. Water sample sent for laboratory investigation; result awaited. Disinfection of water sources done. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Case of diarrhoea and vomiting reported from Milkman colony, Mahamandir, Sardapura, Jodhpur city, District Jodhpur. District RRT investigated the outbreak. Active search for cases done. Cases had consumed common food 9. Rajasthan Jodhpur Food Poisoning 23 0 03/07/14 03/07/14 Under Control from a common food outlet. Three stool samples sent to Microbiology Lab, SN Medical college, Jodhpur; Positive for Sp Citrobacter. Two food samples sent; result awaited. IEC done regarding food hygiene and sanitation.

Cases of diarrhoea and abdominal pain reported from MPTY-Bodinayakanur Ward-9 Street - Mathuraiveeran & Agasthiar, District Theni. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. A total of 2 water samples 10. Theni Acute Diarrheal Disease 10 0 02/07/14 02/07/14 Under Control and 4 rectal swab sent for laboratory investigation to DPHL Theni; rectal swabs were negative for any pathogenic organisms, water samples were potable. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

7 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 outbrea k

Cases reported from Village Usilampatty, HSC F. Keelaiyur, PHC Annsmpatty, Block Manaparai, District . District RRT investigated the outbreak. House to house survey done. All cases treated symptomatically. Out of 05 Tiruchirappall Chikungunya Under control serum samples tested at KAPV Medical college, 02 samples i 19 0 02/07/14 06/07/14 positive for Chikungunya (IgM ELISA), Entomological survey done. Anti larval activities and fogging done in the affected area. IEC done regarding personal protective measures.

Cases reported from PU Middle school Village Karattai, HSC Karattai, PHC Uppuvelure, District Villupuram. . District RRT investigated the outbreak. Active case search done. Symptomatic treatment given to all cases. Cases Villupuram Food Poisoning Under control consumed food in the hostel mess. Lizard was found in the 75 0 30/06/14 06/07/14 food served. A total of 02 food samples sent, no enteric pathogens found. One water sample sent to DPHL found tested non potable. Health Education given regarding food hygiene, safe drinking water and sanitation.

Cases reported from Village Pulikurichi, HSC P.Thottiyankulam, PHC Kalloorani, Block Thiruchuli, District Virudhunagar. District RRT investigated the outbreak. House to house survey done. All cases treated Virudhunagar Chinkungunya Under Control symptomatically. Out of 04 serum samples tested at ZET 15 0 03/07/14 06/07/14 Virudhunagar, 01 samples positive for Chikungunya (IgM ELISA). Entomological survey done. Anti larval activities and fogging done in the affected area. IEC done regarding personal protective measures.

8 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 outbrea k

Cases of diarrhea and abdominal pain reported from Village / SC PHC Thammampatti, Block , District Salem. Cases occurred after consuming food in mid day meal. All students treated symptomatically. One water Under sample and 02 rectal swab sent to DPHL Salem; water Salem Food poisoning 64 0 03/07/14 06/06/14 Control sample nonpotable, rectal swab showed presence of Serratia and Pseudomonas. Three food samples sent; positive for Citrobacter and E Coli. Chlorination of water sources done. ORS Packets distributed. Health education done about food and water hygiene.

Cases reported from Village Sundarpur , PHCBithrichainpur, CHC Faridpur, District Bareilly. District RRT investigated Uttar Under 11. Bareilly Acute Diarrheal Disease 11 0 30/06/14 30/06/14 the outbreak. Active search for cases done. All cases treated Pradesh Surveillance symptomatically. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Cases reported from Village Duni Jajut, Block Gangolihat, District Pithorgarh. District RRT investigated the outbreak. Active search for cases done. All cases treated 12. Uttarakhand Pithorgarh Acute Diarrheal Disease Under Control 60 0 01/07/14 05/07/14 symptomatically. One water samples sent to Jal Sansthan; result awaited. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Cases reported from Village Pahara, SC/ GP Baidyanathpur, Block Khatra , District Bankura. District RRT investigated the outbreak. Active search for cases done. All cases treated Under symptomatically. Two rectal swabs sent to Department of 13. West Bengal Bankura Acute Diarrheal Disease 23 0 03/07/14 04/07/14 Surveillance Microbiology, Bankura; result awaited. Six water samples sent to PHED; result awaited. Chlorination of water sources done.Health education given regarding food hygiene and sanitation.

9 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 outbrea k

Cases reported from Village Dubrajpur, SC Radhamohanpur, GP Supur , Block Khatra , District Bankura. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. Probable source of outbreak Under Bankura Acute Diarrheal Disease was drinking of contaminated water. Three rectal swabs sent 30 0 06/07/14 06/07/14 Surveillance to Department of Microbiology, Bankura; result awaited. Two water samples sent to PHED; result awaited. Chlorination of water sources done. Health education given regarding food hygiene and sanitation.

Under Surveillance Cases of abdominal pain,vomiting and loose motion reported from Village Harindanga, Block Krishnagar -II, Nowapara I, District Nadia. District RRT investigated the outbreak. Active search for cases done. All cases treated Nadia Acute Diarrheal Disease 69 0 02/07/14 06/07/14 symptomatically. Cases consumed food in marriage ceremony. Three stool samples sent to NICED, ; result awaited. ORS and chlorine tablets were distributed. IEC done regarding hygiene and sanitation.

Cases of abdominal pain, vomiting and loose motion reported from Village Baikuntha sarak-Thakupara, SC Dogachi, PHC Krishnagar-I, Block Krishnagar Sadar. District RRT investigated the outbreak. Active search for Nadia Food Poisoning Under Control 17 0 02/07/14 02/07/14 cases done. Cases had consumed common food in a marriage ceremony. All cases treated symptomatically. Three rectal swabs sent to NICED ,Kolkata ; result awaited. Health education given regarding food hygiene and sanitation

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DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE

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

Cases of fever reported from Village Kakochang, Haldibari, Siljuri, BPHC Bokaghat, District Golaghat. District RRT investigated the Under outbreak. House to house survey in the area was done. Cases treated 14. Assam Golaghat Malaria 11 0 11/06/14 Surveillance symptomatically. A total of 2948 blood smears tested; out of which 11 were positive for malaria (Plasmodium falciparum). Anti larval activities and fogging done in the affected area. IEC done regarding personal protective measures.

Cases of fever reported from urban area of Lakshmi Chiragnagar, Municipal Corporation, Hardasnagar, District Thane. Medical team Under investigated the outbreak. House to house fever survey done. All the 46 Thane Fever 72 1 05/06/14 surveillance blood smears collected were negative for malaria. Fogging and anti larval control measure undertaken. Heath education done regarding personal protection.

Cases of fever reported from Village Kuranvasti, SC Mungase, PHC Sonaj, Block , District . Medical team investigated the outbreak. House to house fever survey done. All 4 serum samples 15. Maharashtra Nashik Fever 12 1 13/06/14 Under control collected were negative for Dengue (Ig M ELISA). All the 12 blood smears collected were negative for malaria. Entomological survey done. Fogging and anti larval control measure undertaken. Heath education done regarding personal protection.

Cases of fever reported from Village/ SC /PHC Pangaon, Block Barshi, District Nashik. Medical team investigated the outbreak. House to house Fever 62 0 24/06/14 Under control fever survey done. A total of 62 blood samples collected; result awaited. Entomological survey done. Fogging and anti larval control measure undertaken. Heath education done regarding personal protection.

11 Cases of fever reported from Village Jhamjhiri, Mandwa, PHC Sehra, District Betul. District RRT investigated the outbreak. Madhya House to house survey done. All cases treated symptomatically. A total of 16. Betul Dengue 06 01 27/06/14 Under Control Pradesh 09 serum samples were tested for Dengue out of which 06 were positive by IgM ELISA. One sample tested positive for Dengue by IgM ELISA. Entomological survey done. Anti larval activities and fogging done in the affected area. IEC done regarding personal protective measures.

Cases of diarrhea reported from Village Rajpur, SC Ankorada, Block Digapahandi, District Ganjam. District RRT investigated the outbreak. Acute Diarrhoeal Ganjam Under Control Active case search done. Symptomatic treatment given to all cases. Disease 15 0 28/06/14 Chlorine tablets distributed. IEC done regarding personal hygiene and safe drinking water.

Cases of diarrhea reported from Village Ambagoan, SC Molabhanja, Block Sanakhemundi, District Ganjam. District RRT investigated the outbreak. Active case search done. Symptomatic treatment given to all Acute Diarrhoeal Ganjam Under Control cases. Probable cause of outbreak was contamination of drinking water. Disease 28 0 20/06/14 One rectal swab sent to MKCG MCH Behrampur; no pathogenic growth 17. was observed. Chlorine tablets distributed. IEC done regarding personal hygiene and safe drinking water.

Cases reported from Village Bisarabandha, SC/GP Bhitaragada, CHC/ Block Laxmipur, District . District RRT investigated the outbreak. Active case search done. Symptomatic treatment given to all Under cases and contacts. Villagers handled and consumed dead cattle on Koraput Anthrax? 11 01 18/06/14 Surveillance 14/06/14 following which they developed symptoms. One sample tested positive by gram stain for Anthrax. Veterinary department informed to take appropriate actions. IEC done in the village regarding consumption and handling of dead cattle.

Cases of fever, running nose, cough and cold reported from Ward Banneswarpur , Municipality Barbaloon, Block Bhatara, District Burdwan. Block RRT investigated the outbreak. Active search for cases 18. West Bengal Burdwan Fever Under Control done. All cases treated symptomatically. Thirty four blood smears were 35 0 26/06/14 negative for malaria. All 10 blood samples sent for Dengue IgM ELISA to BMCH were tested negative. Health education given on adequate fluid intake.

12 Cases of fever, cough and headache reported from Village Nigra, GP Nasratpur, Block Purbasthal-I, District Burdwan. Block RRT investigated Under Control the outbreak. Active search for cases done. All cases treated Burdwan Fever 62 0 26/06/14 symptomatically. Thirty blood smears were negative for malaria. Health education given on adequate fluid intake.

Cases of abdominal pain, vomiting and loose motion reported from Village Gourberia, GP Shilberia, Block Hanskhali , Ramnagar-II, District Nadia.District RRT investigated the outbreak. Active search for cases Food Poisoning Under Control Nadia 38 0 23/06/14 done. Cases had consumed common food in a social ceremony. All cases treated symptomatically. One water sample found non potable. One vomitus sample sent to NICED, Kolkata; result awaited. Health education given regarding food hygiene and sanitation.

Cases of fever with rash reported from Nursing Training Centre, /Municipality District Purulia. District RRT investigated the outbreak. Under Control House to house survey done. Cases treated symptomatically. Out of 07 Purulia Rubella 16 0 05/06/14 Serum samples tested 03 samples were tested positive for Rubella (IgM ELISA). Health education given regarding isolation of cases.

Cases of fever with rash reported from Village Panchukuda, SC Adabona, District Purulia. District RRT investigated the outbreak. House to house Under survey done. Cases treated symptomatically. Majority of cases were Purulia Measles 22 0 22/05/14 Surveillance children. Out of 22 children only 05 children were vaccinated. Six Serum samples tested positive for Measles by IgM ELISA. Health education given regarding isolation of cases.

Cases reported from Village Sundarkhali, Sub centre Bhidapani, Block Okhalkanda, District Nainital. District RRT investigated the outbreak. Cases presented with cough and whoop. The clinical diagnosis was made 19. Uttarakhand Nainital Pertusis? 05/06/20 Under Control 53 0 14 by MoIC. Active search for cases done. All cases treated symptomatically. Five serum samples sent to NCDC, Delhi; result awaited. IEC done regarding isolation of cases.

13 Cases of fever with convulsions reported from Balurghat,Kumarganj and Hilli. District RRT investigated the outbreak. Active search for cases Acute Encepahalitis Under done. Cases treated symptomatically. Four serum samples sent to NBMC, 20. West Bengal Balurghat Syndrome 17 01 23/06/14 Surveillance Siliguri for JE tested negative. Three CSF and serum samples sent to STM, Kolkata; result awaited. Health education given regarding proper hydration of cases.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS

Sl. No Name of Name of District Disease/ Illness No. of No. of Date of Current Comments/ Action taken State/UT Cases Deaths start of Status outbreak

A total of 14 cases were reported in 26th week. Further 05 cases were reported in 27th week (week ending 06th July 2014). District Under RRT investigated the outbreak. All cases treated symptomatically. Lakshadweep Surveill All cases are Dengue positive by Rapid test for Dengue. All cases Kavarati Island Dengue 19 0 30/06/14 0607/14 ance are referred to Govt Hospital, Cochin for evaluation and treatment. Anti larval activities and fogging were done in the affected area. IEC done regarding personal protective measures against mosquito bite.

Under Cases of fever reported from entire Dhalai District,North& South Control Tripura District, Gomati District , West Tripura District and North Khowai. District. District RRT investigated the outbreak. House to Tripura Dhalai Malaria 06/07/1 house survey done. 9117 samples positive for malaria, more than 9117 60 25/05/14 4 96% Plasmodium falciparum positive. Health camps conducted. Temporary set up opened for indoor patients.DDT spraying done. Health education given regarding personal protective measures.

Cases reported from Village Bhounti, SC Deval, Block Naugaon, District Uttarkashi. A total of 03 cases were reported in 25th week. Under Further 04 cases have been reported in 27th week (week ending Uttarakhand 21/06/1 Surveilla 06July 2014). 01 death occurred due to the condition. All cases Uttarkashi Measles 07 01 16/06/14 4 nce treated symptomatically. Vitamin A prophylaxis was given to all cases. Six serum samples tested positive for Measles by IgM ELISA. IEC done regarding isolation of cases.

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