29Th Week, 2013

DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) th 29 week (15 -21 July) 2013

District wise disease alerts/outbreaks reported in the 29th week, 2013

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report 29 (including NIL report) No. of States/ UTs submitted “NIL” outbreak report 14

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 District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Outbreak of loose motion reported from SC Colony & BC Colony, Village Kotharamapuram, Block Athmakur, District Kurnool. District RRT investigated the outbreak. House to house survey done. Poor sanitary conditions were observed in the Under affected area. Temporary medical camp organized. Cases treated i. Acute Diarrhoeal Kurnool 50 1 19/07/13 21/07/13 surveilla symptomatically. 1 death occurred in a patient aged 45 years. 2 Disease nce water samples collected & sent to PHL, Kurnool were unsatisfactory for drinking purpose (H2S strip test). Chlorine tablets were distributed. Chlorination of water sources done. Health education given regarding safe drinking water, hygiene and sanitation. Andhra Cases of vomiting & pain abdomen reported from AP Model Pradesh 1. School, Village & SC Shantinagar, PHC Ananthagiri, Block Kodad, District Nalgonda due to consumption of contaminated

Under food (boiled egg and rice ) in mid day meal. District RRT Nalgonda ii. Food Poisoning 16 0 15/07/13 20/07/13 control investigated the outbreak. No separate room was present in the school for kitchen. Food was cooked under neem tree. Cases were treated at CHC Kodad. All cases recovered. Health education given regarding food hygiene. Cases of loose motion reported from Village Bompally Thanda, PHC Doma, District Rangareddy. Cases complained of loose Under motion after consuming rice and mutton. Temporary medical Rangareddy iii. Food Poisoning 22 0 17/07/13 21/07/13 control camp organized. Cases treated. No food sample was collected. Chlorination of water sources done. Health education given regarding safe food habit. Cases of loose motions, nausea, vomiting and pain abdomen reported from Villages Goroimari, Alikas and Goroimari, District Under Kamrup R. District RRT investigated the outbreak. House to 2. Assam Kamrup R iv. Food Poisoning 22 0 16/07/13 20/07/13 control house survey done. Cases had consumed Prasad (Bengal Gram) in a religious function. Cases treated at local health centre. 1 stool sample collected tested negative for cholera. IEC done. Cases of abdominal pain and giddiness reported from Utkramit Midddle School Village Noorchak, SC Noorchak Navtoli, PHC Bihar Madhubani Under Bisfi, District Madhubani after consuming mid day meal. District 3. v. Food Poisoning 7 0 17/07/13 17/07/13 control RRT investigated the outbreak. Cases were treated at PHC Bisfi.

Food sample collected by food inspector, Madhubani; result awaited.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases of loose motion reported from Village Basantpur, (Mahadalit tola), SC Karvandia, Block Sasaram, District Under Madhubani. Block health team investigated the outbreak. Cases vi. Food Poisoning 23 0 17/07/13 17/07/13 control consumed food in marriage ceremony of Gond Mahadalit community. Medicine and ORS packets given to cases. 8 cases treated at Sadar Hospital. Health education given. Outbreak of loose motion reported from Village Balirampur, (Ward No. 7), PHC Ujiyarpur, District Samastipur. District RRT/ Under Block health team investigated the outbreak. Poor hygienic Samastipur vii. Food Poisoning 33 1 12/07/13 17/07/13 control conditions were observed in the village. Cases consumed food (fish) in community festival. Temporary medical camp organized. Cases treated. Bihar Cases of vomiting, headache and unconsciousness among children after consuming mid day meal were reported from Navshrigit Prathmik Vidyalaya, Village Gandaman, near Dharmshati Bazar, Block/District Saran. District RRT investigated the outbreak. As per information, contaminated oil Under 21/22 was used for cooking vegetable for mid day meal. Organic Saran viii. Food Poisoning 38 22 16/07/13 surveilla July 2013 phosphorous was found to be mixed in food. Further lab tests are nce going on for final confirmation. All 38 cases were admitted in Sadar Hospital, Chapra/Saran in critical condition. Afterwards cases were referred to PMCH Patna. The detail of this outbreak was received from SSO Bihar. Investigation is still open. The matter is being investigated by State Authorities and Police. Outbreak of loose motion and vomiting reported from Village/SC Nari, Block Kurud, District Dhamtari. Block health team investigated the outbreak. House to house survey done. People ix. Acute Diarrhoeal Under consumed water from hand pump. Poor sanitary conditions were 4. Chhattisgarh Dhamtari 48 0 15/07/13 20/07/13 Disease control observed in the locality. Temporary medical camp organized. Cases treated. ORS packets and chlorine tablets distributed in the community. Health education given regarding safe drinking water, hygiene and sanitation. Cases of loose motions reported from Village/SC Boria, PHC Sinhol, Block Petlad, District Anand. District RRT investigated

the outbreak. House to house survey done. Pipeline leakages x. Cholera Under were observed in the community. Cases treated at local health 5. Gujarat Anand 23 0 17/07/13 18/07/13 control centre. 2 stool samples collected which tested positive for cholera (O1 Ogawa). ORS packets and Chlorine tablets distributed in the

community. Health education given regarding safe drinking water.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases of pain abdomen, vomiting, loose motion reported from LG Hospital (Nursing students), AMC MOH, South Zone, Khokhra Ward, District Ahmedabad. District RRT investigated the outbreak. House to house survey done. Water supply in the affected area was through AMC pipeline which was stopped Under temporarily. Alternate supply of drinking water provided. Cases Ahmedabad xi. Acute Diarrhoeal 25 0 15/07/13 15/07/13 control were treated at LG Hospital. 3 stool samples collected; result Disease awaited. Out of 5 water samples collected, 4 samples tested positive for faecal coliform. Chlorination of water sources done.

Chlorine tablets & ORS packets distributed. A team from Municipal Corporation was sent to provide supply of safe drinking water in the affected area. Cases of loose motions & vomiting reported from Village Moramball, SC Ravaliya, PHC Chetersumba, Block Thasra, District Kheda due to consumption of contaminated water (pipeline leakage). District RRT and Block health team investigated the outbreak. House to house survey done. xii. Acute Diarrhoeal Under Clustering of cases of was found near the water pipe line leakage. Kheda Disease 14 0 17/07/13 17/07/13 control Cases were treated symptomatically. Pipeline leakages repaired. Gujarat ORS packets & chlorine tablets distributed in the locality. 2 stool samples collected which showed growth of no pathogen. 2 water samples collected were non potable (H2S strip test). Health education given regarding safe drinking water, hygiene and sanitation. Cases of loose motion & vomiting reported from madarsa students of DUFM educational & charitable trust, Village Naliya, Under Kutch xiii. Food Poisoning 20 0 19/07/13 19/07/13 PHC Tera, Block Abdasa-lakhpat, District Kutch. Block health control team investigated the outbreak. Cases were treated at CHC Naliya. Sample not collected. IEC done. Cases of loose motion, vomiting, nausea and pain abdomen reported from Village Achisara, PHC Simali, Block Shinor, District Vadodara. District RRT visited the affected area. House to house survey done. Cases presented with the above symptoms Under Vadodara xiv. Food Poisoning 18 0 15/07/13 15/07/13 after 6 hours of consuming milk item in lunch. Cases treated control symptomatically. 7 cases treated at CHC Motafofaliya. 1 water sample collected was unfit for drinking purpose (H2S strip test). Chlorination of water sources done. IEC activities undertaken regarding food hygiene.

Bangalore North, District Bangalore Urban. District RRT investigated the outbreak. House to house survey done. Patients xv. Acute Diarrhoeal Under treated at Epidemic Disease Hospital. Out of 6 water samples Bangalore Urban Disease 56 0 16/07/13 17/07/13 control collected, 2 samples tested positive for E. coli. Distribution of

ORS packets done in the affected area. Alternate supply of drinking water provided. Pipeline leakages were repaired by

Gram Panchyat. Health education given regarding use of boiled water for drinking purpose.

Cases of gastroenteritis reported from Villages Muttangi & Govind Thanda, PHC Nima, Block Humnabad, District Bidar.

District RRT investigated the outbreak. Medicine and ORS xvi. Acute Diarrhoeal Under packets given to cases. 2 stool samples collected which tested Bidar Disease 18 0 19/07/13 20/07/13 control negative for cholera. Chlorination of water sources done.

Disinfection of surrounding done. Health education given

regarding use of boiled water for drinking purpose, safe food habits and hygiene maintenance.

Cases of gastroenteritis reported from Village Devarhippargi, PHC Devarhippargi, Block Sindagi, District Bijapur. District Karnataka xvii. Acute Diarrhoeal Under RRT investigated the outbreak. House to house survey done. 1 6. Bijapur 10 0 18/07/13 19/07/13 Disease control stool sample collected which tested negative for cholera. Halogen

tablets & ORS packets distributed in the community. Health education given regarding safe drinking water.

Cases of fever reported from Baragi colony of Village Deshipura PHC Baragi, Block Gundlupet, District Chamarajanagar. District

RRT investigated the outbreak. All cases treated Under Chamarajanagar xviii. Dengue? 30 0 12/07/13 16/07/13 symptomatically. Out of 2 serum samples collected and sent to control MMC Mysore, 1 sample was positive for Dengue (IgM ELISA). Source reduction activities done. IEC activities regarding vector

control measures done at schools and Baragi colony area. Cases of loose motion and vomiting reported from Village &

xix. Food Poisoning Under PHC Margankunte, Block Bagepalli, District Chikballapur. Block Chikballapur 22 0 16/07/13 17/07/13 control health team investigated the outbreak. Active search for cases

done. Cases consumed food in a function. All cases treated. Cases of fever reported from Village Doddakamaballi, SC Neelagirihalliunder, PHC Andersonpoint, Block Bangarpet, Under Kolar xx. Fever 20 0 18/07/13 19/07/13 District Kolar. Medical team investigated the outbreak. House to control house fever survey done. Symptomatic treatment given to cases. Source reduction activities done.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases of jaundice were reported from Bibikeri, Shivaji Road, Pullikesh Road, Mandi Mohalla of urban area of Mysore city, Under District Mysore. Medical team investigated the outbreak. Out of Mysore xxi. Viral Hepatitis E 12 0 12/07/13 21/07/13 surveilla 8 blood samples collected, 6 samples were positive for Hepatitis nce E (IgM ELISA). Cases treated at Government Ayurvedic college, Mysore. Chlorination of water sources done. Health education Karnataka given regarding control of water borne disease. Cases of gastroenteritis reported from Village Mungal, SC Badihal, PHC Malhar, District Yadgir, due to consumption of xxii. Acute Diarrhoeal Under contaminated water (pipeline leakage). District RRT investigated Yadgir Disease 16 0 10/07/13 21/07/13 control the outbreak. Cases treated locally. 8 water samples collected;

result awaited. Chlorination of water sources done. Health education given. Cases of loose motion and vomiting reported from Saket Nagar xxiii. Mushroom (jhuggi basti), Bhopal city, District Bhopal. Cases were from two families who consumed mushrooms collected from nearby forest. Poisoning Under Bhopal 11 0 12/07/13 16/07/13 Cases were of low socioeconomic status living in poor sanitary control conditions. Cases treated at J.P. Hospital. Health education given regarding non consumption of wild mushrooms in the affected area. Cases of vomiting, loose motions with fever reported from xxiv. Acute Diarrhoeal Village Tiwari Kheda, SC Panagar, Block Majhgawa, District Jabalpur. District RRT investigated the outbreak. House to house Disease Under Jabalpur 23 0 21/07/13 21/07/13 survey done. People consumed water from hand pump. Cases control Madhya treated symptomatically. Chlorine tablets distributed. Health 7. Pradesh education given regarding safe drinking water, hygiene and sanitation.

Cases of fever reported from Village Bhalsawa, PHC Jawar, Block & District Khandwa. District RRT investigated the outbreak. House to house fever survey done. Stagnant rain water Under Khandwa xxv. Fever 30 0 18/07/13 19/07/13 & poor sanitary conditions were observed in the affected area. control All cases treated. 30 blood slides collected which tested negative for malaria. Health education given regarding personal hygiene, safe drinking water & sanitation. xxvi. Acute Diarrhoeal Cases of loose motions reported from Village Nandaura, CHC Pohari, District Shivpuri. District RRT and Block combat team Disease Under Shivpuri 12 0 16/07/13 19/07/13 investigated the outbreak. People consumed water from hand control pump. Cases treated locally. Chlorination of water sources done. Health education given regarding safe drinking water.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases of fever, vomiting & loose motions reported from Village Taoghara, CHC Dhanora, District Seoni. District RRT xxvii. Acute investigated the outbreak. House to house survey done. People Diarrhoeal Disease Under consumed water from well. Temporary medical camp organized. Seoni 53 1 18/07/13 21/07/13 control Cases treated symptomatically. 1 death occurred in a 70 years old

male patient. Chlorination of water sources done in the Madhya community. Chlorine tablets distributed. Health education given Pradesh regarding safe drinking water. Cases of fever reported from Village Patha, SC Kreshar Tapariya, Amola Colony 2-3-4, CHC Karera, District Shivpuri. District Under RRT and Block health team investigated the outbreak. Active Shivpuri xxviii. Fever 101 0 18/07/13 20/07/13 control search for fever cases done. Health camp organized. Cases treated. 73 blood slides collected which tested negative for malaria. Anti-larval activities done. Outbreak reported from Village Kasturabai Aadivasi Primary & secondary Ashramshala, SC Sukwad, PHC Nardana, Block 38 Shinkheda, District Dhule. District RRT investigated the outbreak. Affected cases were students who consumed water (6 lab Under from bore well. Cases treated at local health centre. All 6 stool Dhule xxix. Cholera 0 15/07/13 17/07/13 confir control samples collected, tested positive for V. cholerae. 3 water med samples collected were non potable. Inspection for pipeline cases) leakages done. Chlorination of water sources done. Health education given regarding safe drinking water, hygiene and sanitation. Cases of fever with rash reported from Village Ghosali, SC Maharashtra Mokhada 2, PHC/Block Mokhada, District Thane. District RRT 8. investigated the outbreak. Active search for fever cases done. Under Thane xxx. Measles 14 0 10/07/13 18/07/13 Cases treated symptomatically. Vitamin A solution given to control cases. Cases were in age group 8-10 years. Blood samples collected and sent to NIV Pune; result awaited. Health education given regarding isolation of cases. Cases of fever with body ache reported from Village Roadpali Budhawada, PHC Wawanje, Block Panvel, District Raigad. District RRT investigated the outbreak. Entomological survey xxxi. Dengue/Chikung Under revealed HI 2.2, BI 2.2, CI 0.5. House to house fever survey Raigad 20 0 14/07/13 19/07/13 unya? control done. Cases treated. Out of 10 serum samples collected sent to JJ hospital, 1 sample was positive for Dengue and 1 for Chikungunya. Application of abate and fogging done in the affected area.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases of fever with joint pain reported from Village Dabha, SC Lohta Purv, PHC Shiradhon, Block Kaliam. District Osmanabad. District RRT investigated the outbreak. House to house fever Under Osmanabad xxxii. Chikungunya 30 0 15/07/13 19/07/13 survey done. Entomological survey revealed; HI >10. All 30 control blood smears collected tested negative for malaria. All 5 serum samples collected tested positive for Chikungunya (IgM ELISA). Anti larval activities done. IEC done. Outbreak of gastroenteritis reported from Village Dhabe, SC Maharashtra Mhasave, PHC Shelave, Block Parola, District Jalgaon. District RRT investigated the outbreak. House to house survey done. People consumed water from well and hand pump. Temporary medical camp organized. Cases treated symptomatically. Out of 7 Under xxxiii. ?Cholera stool samples collected and sent to GMC Aurangabad, 1 sample Jalgaon 67 1 10/07/13 19/07/13 surveilla was positive for V. cholerae & 1 sample for Shigella. Out of 6 nce water samples collected, 5 samples were non potable. 1 death occurred in a 10 year old female patient. Chlorination of water sources done. Instruction given to gram panchayat about regular chlorination of wells. Health education regarding safe drinking water. An outbreak of food poisoning reported from Village Ralayta, PHC Phulikala, Block Shahpura, District Bhilwara. Block RRT investigated the outbreak. Cases presented symptoms of swelling Under of lips, lesions in the mouth and unconsciousness after eating Bhilwara xxxiv. Food Poisoning 40 0 15/07/13 17/07/13 control prasad (Mishri) in a Katha programme. Prasad (Mishri) was mixed with Fitkari (Alum) and was distributed in the community. Rajasthan Cases were treated at SAT hospital, Shahpura. All cases 9. recovered.

Cases of loose motion and vomiting reported from Village Dundlod, Block Navalgarh, District Jhunjhunu. District RRT xxxv. Acute Under investigated the outbreak. House to house survey done. Jhunjhunu Diarrhoeal Disease 25 0 13/07/13 14/07/13 control Temporary medical camp organized in the affected area. 25 cases

were treated in the camp. 5 water samples collected; result awaited. Chlorination of water sources done. Outbreak of food poisoning reported from NLC Girls Higher Secondary School in Neyveli Lignite Corporation area, Block

Kurinjipadi, District Cuddalore. District RRT investigated the Under outbreak. 300 students consumed Mid day meal of which 172 10. Tamil Nadu Cuddalore xxxvi. Food Poisoning 172 0 18/07/13 19/07/13 control children presented symptoms of vomiting, stomach pain and headache. 12 cases were admitted in NLC General Hospital.

Food samples were collected and sent to Kings Institute Guindy, Chennai and DPHL Cuddalore. IEC done.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Outbreak reported from Village Thiranipalayam, SC Ootathur, PHC Alunthalaippur, Block Trichy Corporation, District Tiruchirappalli. District RRT investigated the outbreak. All 3 Under Tiruchirappalli xxxvii. Cholera 13 0 17/07/13 18/07/13 stool samples collected and sent to KAPV medical college were control positive for cholera by culture. Chlorination of water sources done. Health education given regarding safe drinking water, Tamil Nadu hygiene and sanitation. Cases of loose motions, nausea, vomiting and pain abdomen reported from Village Annukudi, SC Uthamathanapuram, PHC Under Tiruvarur xxxviii. Food Poisoning 11 0 19/07/13 21/07/13 Enamkiliyur, Block Valangaiman, District Tiruvarur. District control RRT investigated the outbreak. All cases consumed mango pieces in the dinner. Cases reported from Village and SC Keelaputhaneri, PHC Vallanad, District Thoothukudi. District RRT investigated the outbreak. 15 blood smears collected which tested negative for malaria. Out of the 6 serum samples collected, 5 samples were Under Thoothukudi xxxix. Leptospirosis 27 0 10/07/13 19/07/13 positive for Leptospirosis and one for Dengue. Chlorination of control water sources done. Health education given regarding not to use contaminated water for drinking and bathing purposes. Capsule Doxycycline given both prophylactic and therapeutic dose to all affected persons. Cases of loose motions reported from Village Bhusehara, SC Malautha, CHC Harpalpur, District Hardoi. District RRT & Block health team investigated the outbreak. House to house Uttar Under 11. Hardoi xl. Food Poisoning 14 0 15/07/13 19/07/13 survey done. Cases consumed food in marriage function Pradesh control organized in village Bhusehara on 16-07-2013. Cases were treated at CHC Harpalpur. All cases recovered. Health education given. Cases of jaundice reported from Village Rudwa, Block Pokhari, District Chamoli. District RRT investigated the outbreak. Active house to house search for cases done. All cases were below 12 years of age. All cases treated symptomatically. Out of 9 serum Uttarakhand samples collected and sent to Srinagar Medical College, 8 12. Under Chamoli xli. Viral Hepatitis A 10 0 11/07/13 21/07/13 samples were positive for Hepatitis A. 5 water samples collected control which tested negative for residual chlorine. Chlorination of water sources done. Chlorine tablets distributed. Health education regarding drinking of boiled water, personal hygiene with emphasis on hand washing and avoidance of indiscriminate defecation particularly near water source given.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Cases reported from Village Swari Gwas, Block Augustamani, District Rudraprayag. District RRT investigated the outbreak. Active search for cases done. All cases were below 12 years of age. All cases treated symptomatically. Out of 5 serum samples Under were collected, 4 samples were positive for Hepatitis A (IgM Rudraprayag xlii. Viral Hepatitis A 9 0 11/07/13 21/07/13 control ELISA). All 5 water samples collected were non potable. Chlorination of water sources done. Chlorine tablets distributed. Health education about drinking boiled water, personal hygiene with emphasis on hand washing and avoidance of indiscriminate defecation particularly near water source given. Outbreak of loose motion and vomiting reported from Villages Tabageria, Domgeria, Majuria, Dhandangra, Beldoba, Dogachia, Parulia, Jagannathpur, Block Keshpur, District Paschim xliii. Acute Diarrhoeal Paschim Under Medinipur. District RRT investigated the outbreak. Leakage of Disease 92 0 15/07/13 20/07/13 Medinipur control pipelines was observed in the affected area which led to water

contamination. All 7 water samples collected were non potable. Pipelines were repaired and chlorination of water sources done in the affected area. Health education given. Cases of loose motion with mucus and vomiting with some dehydration reported from Village & SC Labanga, Block xliv. Acute Diarrhoeal Baduria, District North 24 Parganas. District RRT investigated North 24 Under Disease 39 0 12/07/13 21/07/13 the outbreak. Cases treated symptomatically. Out of 7 rectal Parganas control swabs cultured, 1 was found positive for Shigella, 1 for 13. West Bengal Salmonella typhi and rest for commensals. Halogen tablets and ORS packets distributed in the affected area. Cases of loose motion with vomiting and fever reported from Village Uttar Thakurchak, SC North Thakurchak, PHC Gordawani Block Joynagar District South 24 Parganas due to South 24 xlv. Food Poisoning Under 72 0 17/07/13 17/07/13 consumption of chola and fruits in Iftar Party. District RRT Parganas control investigated the outbreak. All 2 stool samples collected were negative for cholera. Medicine given to cases. IEC done and health education imparted. Outbreak reported from Village Sirsita, SC Bansanka, Block xlvi. Acute Diarrhoeal Bansanka, District Birbhum. Block RRT investigated the Under Birbhum Disease 34 1 11/07/13 15/07/13 outbreak. Community used contaminated pond water and poor control sanitation condition observed in the community. 2 rectal swab samples collected which showed growth of no pathogen.

Sl. Name of Name of District Disease/ Illness No. No. of Date of Date of Current Comments/ Action taken No. State/UT of Deaths start of reporting Status Cases outbreak Outbreak of loose watery stool with vomiting reported from Villages Adibasipara, Hattala, Itagarh, SC Mohipalpur, xlvii. Acute Diarrhoeal PHC/Block Balagarh, District Hooghly. District RRT Under Hooghly Disease 24 0 20/07/13 21/07/13 investigated the outbreak. 4 rectal swabs collected, result control awaited. ORS packets and chlorine tablets distributed in the affected area. IEC done regarding safe food and drinking water, hygiene practices 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 of high fever, headache, with cough followed by diarrhoea, vomiting in

children and adults were reported from Manigong circle on 11th July 2013.

On 13th July, District RRT investigated the outbreak. Manigong town & 16

villages were affected out of which majorly affected villages were Karle,

Hemi, Pullom, Sajegong, Gapur, Papikrung, Yorkodom, Ganglong, Pasang,

Ruku and Remang of PHC Manigong, District West Siang. Population of the

affected area was 4125. House to house survey was done. The affected area xlviii. Acute Under was of tribal population. People consumed water from stream and ground Arunachal Diarrhoeal Disease and West Siang 200 2 27/06/13 surveilla water. Open latrines were present. There was lack of sanitary and sewage Pradesh Respiratory Tract nce disposal facilities. A medical camp was held at PHC Manigong from 14th to Infection 1. 16th July. A total of 110 cases of acute gastroenteritis and 90 cases of

respiratory tract infection were treated at PHC Manigong. Children in the age

group 1 month to 10 years were mostly affected. 2 deaths occurred in children ?? Viral Infection of age 2 months and 8 years who were suffering from fever and respiratory

tract infection related complications. IEC done regarding personal hygiene,

sanitation, handling of food and feeding of infant and children were conveyed

to the parents.

Cases of fever with vesicular rash reported from Sree Ramakrishna Ashram Thulasitheertham Hostel, Village/SC/PHC Kayamkulam, Block Muthukulam, District Alappuzha. Medical team investigated the outbreak. Active search for Under Alappuzha xlix. Chickenpox 12 0 06/07/13 fever cases done. The index case was reported on 06/07/13 who shared the control same dormitory with other cases who developed similar symptoms later. Kerala Cases treated symptomatically. Health education given regarding isolation of 2. cases.

Cases reported from Eeswaravattaram area, Village/SC/ PHC Pudunagaram, Block Koduvayur, District Palakkad. District RRT investigated the outbreak. Under Palakkad l. Dengue 18 0 28/06/13 Active search for fever cases done. Temporary medical camp organized. control Cases treated. Out of 18 serum samples collected, 4 samples were positive for Dengue (IgM ELISA). Source reduction activities done. Cases of loose motion and vomiting reported from Village & SC Thenkadapanthangal, PHC Musiri, Block Walaja, District Vellore. Medical Tamil Nadu 3. li. Acute Diarrhoeal Under team investigated the outbreak. Active search for cases done. 9 cases treated Vellore 15 0 09/07/13 Disease control at Walaja General hospital and 5 were treated at SMH hospital. Out of 3 stool

samples collected, 1 sample was positive for cholera by hanging drop method. Chlorination of water sources done.

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 Dengue (173 cases) was reported in 28th week (ending on 14th July Under 2013) from Village Dighnala, PHC Andal GP, Block Ondal Pan, District Burdwan. 1. West Bengal Burdwan Dengue 305 0 27/06/13 surveilla Further, 132 cases occurred till 21st July 2013. Out of 13 serum samples collected, nce 4 samples were positive for Dengue. Further, 5 serum samples collected; result awaited.