DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 39th week (23rd – 29th September) 2013

District wise disease alerts/outbreaks reported in the 39th week, 2013

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report 33 (including NIL report) No. of States/ UTs submitted “NIL” outbreak report 16

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 Cases of loose motion and vomiting reported from Village Katlagunta, SC Katlagunta, PHC Medipally, District Karimnagar. Under Karimnagar i. Food Poisoning 12 0 21/09/13 29/09/13 Medical team investigated the outbreak. Cases consumed food control Andhra (Laddu) in a local festival. All cases treated locally. Health Pradesh education given. 1 Cases of gastroenteritis reported from Village Gopalpuram, PHC ii. Acute Bandaluppi, Block Parvathipuram, District Vizianagaram. Under Vizianagaram Diarrhoeal 17 0 25/09/13 29/09/13 Medical team investigated the outbreak. Active search for cases control Disease done. Medical camps organized. Cases treated. 4 water samples collected; result awaited. Health education given. Cases of fever, headache reported from Village Banekuchi, PHC Kamarkuchi, District Nalbari. Medical team investigated the Under Nalbari iii. Fever 65 0 26/09/13 27/09/13 outbreak. Active search for cases done. Temporary medical control camps organized. Symptomatic treatment given to cases. Health education given. 2 Assam Cases of loose motion reported from Village & SC Uttar Ghahigaon, PHC Helem, Block Gohpur, District Sonitpur. iv. Acute Under District RRT investigated the outbreak. Active search for cases Sonitpur Diarrhoeal 225 0 24/09/13 26/09/13 surveilla done. Population of the affected area is 1227. Temporary medical Disease nce camps organized. Symptomatic treatment given to cases. 3 stool samples collected were negative for cholera culture. Chlorination of water sources done. ORS packets distributed. IEC done. Cases of loose motion and vomiting reported from Village Yadav v. Acute Under Tola, SC Benga, PHC Sikti, District Araria. Block health team Araria Diarrhoeal 20 0 22/09/13 26/09/13 control investigated the outbreak. Cases treated symptomatically. Health Disease education given.

Cases of diarrhoea reported from Villages Aaurahi, Fakirana, vi. Acute Block Kuseshwar Asthan Satighat, District Darbhanga. Medical Bihar Under Darbhanga Diarrhoeal 20 0 28/08/13 23/09/13 team investigated the outbreak. Active search for cases done. 3 control Disease Symptomatic treatment given to cases. Halogen tablets distributed. IEC done. Cases of loose motion and vomiting reported from Village Kasiona (Dhankar Tola), SC Sahaspur, PHC Rajnagar, District vii. Acute Under Madhubani. District RRT investigated the outbreak. House to Madhubani Diarrhoeal 34 1 18/09/13 23/09/13 control house survey done. Temporary medical camp organized. Disease Chlorination of water sources done. ORS packets distributed. IEC activities done regarding safe drinking water and hygiene.

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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 and vomiting reported from Village Nariyara, PHC Pirda section Mudpar, Block Malkharoda, District viii. Food Under Janjgir. District RRT and Block health team investigated the 4 Janjgir 179 0 25/09/13 28/09/13 Poisoning control outbreak. Cases consumed food in a social function. Temporary camp organized. Cases treated at local health centre. Food sample collected; result awaited. Health education given. Cases of diarrhoea reported from Village/SC Sandheli, PHC Pipalwada, Block Thasra, District Kheda. Medical team investigated the outbreak. Active search for cases done. Pipeline ix. Acute leakages were observed in the community. Clustering of cases Under Kheda Diarrhoeal 41 0 28/09/13 28/09/13 was observed in the community. Cases treated symptomatically. control Disease 2 water samples collected were non potable. Pipeline leakage Gujarat repaired. Chlorination of water sources done. Chlorine tablets 5 distributed. Health education given regarding safe drinking water

and sanitation. Cases of loose motion, vomiting and abdominal pain reported from Village Dhavat, PHC Methi, Block Karajan, District x. Food Under Vadodara 19 0 22/09/13 23/09/13 Vadodara. Medical team investigated the outbreak. House to Poisoning control house survey done. Cases consumed food (milk products) in a social ceremony. Cases treated. IEC done. Cases of diarrhoea reported from Anaj Mandi, CHC Ladwa District Kurukshetra. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the affected area. Health camp organized. All cases treated. Out of 4 stool samples collected, 1 stool sample was positive for Under 6 Haryana Kurukshetra xi. Cholera? 61 0 29/09/13 29/09/13 Cholera culture. 5 water samples collected; result awaited. control Pipeline leakages were repaired by Municipal Corporation. Alternate supple of drinking water provided. ORS packets and Halogen tablets distributed. IEC activities such as health talks were done regarding use of boiled water for drinking purpose, hand hygiene and sanitation. Cases of loose motion and vomiting reported from Village Kalu xii. Acute Toli, PHC Senha, District Loharda. District RRT investigated Under Loharda Diarrhoeal 10 0 20/09/13 26/09/13 the outbreak. Active search for cases done. Cases treated locally. control Disease ORS packets and chlorine tablets distributed. Health education Jharkhand given regarding safe drinking water and sanitation 7 Cases of diarrhoea reported from Village Ulidih, SC Chainpur, xiii. Acute Block Chakradharpur, District West Singhbum. District RRT Under West Singhbum Diarrhoeal 15 0 23/09/13 26/09/13 investigated the outbreak. House to house survey done. control Disease Temporary health camp organized. All cases treated. ORS packets and chlorine tablets distributed. IEC done.

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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 throat pain reported from Army Good Will Jammu and Under School, District Bandipora. Medical team investigated the 8 Bandipora xiv. Mumps 16 0 26/09/13 26/09/13 Kashmir control outbreak. All cases treated. Health education given regarding isolation of cases. Cases of diarrhoea reported from Village Vaanrahi, SC Mudhavadi, Block/District Kolar. District RRT investigated the xv. Acute Under outbreak. House to house survey done. Pipeline leakages were Kolar Diarrhoeal 13 0 26/09/13 27/09/13 control observed in the village. All cases treated symptomatically. Disease Pipeline leakages were repaired. Health education given regarding safe drinking water and sanitation. Cases of fever with joint pain reported from VillageTumarikoppa, PHC Hiregonnar, Block Kustagi, District Under Koppal. District RRT investigated the outbreak. House to house Koppal xvi. Fever 30 0 20/09/13 27/09/13 control survey done. Temporary medical camps organized. Cases treated. 5 serum samples collected; result awaited. Entomological survey done. Source reduction activities done. Health education given. 9 Cases of fever with joint pain reported from Village Ananduru, PHC Rudrapatna, Block Arkalgud, District Hassan. District RRT investigated the outbreak. House to house survey done. Under Hassan xvii. Fever 52 0 24/09/13 28/09/13 Temporary camps organized. Cases treated symptomatically. All control 52 blood smears collected were negative for malaria. Entomological survey done. Source reduction activities done. Health education given. Cases of fever with joint pain reported from Village Hikkanaugutti, PHC Balaganur, Block Sindhgi, District Bijapur. District RRT investigated the outbreak. House to house survey Under Bijapur xviii. Fever 23 0 25/09/13 26/09/13 done. Temporary medical camps organized. Cases treated control symptomatically. 4 serum samples collected; result awaited. Entomological survey done. Source reduction activities done. Health education given. Cases of fever reported from Village Malaya, SHC Ghogri, PHC Rasmohini, Block Burhar, District Shahdol. Medical team Madhya Under investigated the outbreak. House to house fever survey done. Out 10 Shahdol xix. Fever 25 1 24/09/13 26/09/13 Pradesh control of 25 blood smears collected 1 blood smear was positive for Malaria (P.faliciparum). One death occurred in 9 year old male child. Spraying done in the affected area. Health education given.

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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 gastroenteritis reported from Village Manpura, Block Pichhore, District Shivpuri. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were xx. Acute Under observed in the village. One death occurred in 85 yr old female. Shivpuri Diarrhoeal 37 1 26/09/13 26/09/13 control All cases treated at local health centre. Stool samples and water Disease samples collected; result awaited. Pipeline leakages were repaired. Chlorination of water sources was done. Health education given regarding safe drinking water and sanitation. Cases of fever reported from Village Makdawha Khurd, Block Baroda, District Sheopur. District RRT investigated the outbreak. Madhya Under Active search for cases done. Cases treated symptomatically. Out Sheopur xxi. Malaria? 25 0 26/09/13 28/09/13 Pradesh control of 13 blood slides collected, 2 slides were positive for P. faliciparum. All 6 serum samples collected were negative for Dengue. Entomological survey done. Health education given. Cases of fever reported from Village Karsul, SC Lonawadi, PHC Palkhed, Block Niphad, District . Medical team investigated the outbreak. House to house fever survey done. Under Cases treated symptomatically. Out of 5 serum samples collected Nashik xxii. Dengue 16 0 23/09/13 26/09/13 control 3 serum samples were positive for Dengue (IgM ELISA). Entomological survey revealed: CI 2.6, HI 8, BI 9.6. Fogging and Abate application done. Health education given regarding personal protective measures. Cases of fever reported from Village Dahivali, PHC Sai, Block Under Mangaon, District Raigad. Distrcit RRT investigated the Raigad xxiii. Fever 27 0 24/09/13 26/09/13 control outbreak. Active search for fever cases done. All 27 blood smears collected were negative for malaria. Health education given. 11 Cases of fever reported from Village Kakada, PHC Pathrot, Block Achalapur, District . District RRT investigated the outbreak. Active search for fever cases done. Cases treated Under Amravati xxiv. Fever 69 1 19/09/13 23/09/13 symptomatically. People live in poor socioeconomic conditions. control All 69 blood smears collected were negative for Malaria parasite. Entomological survey done. Antilarval activities and fogging done in the community. Health education given. Cases of fever reported from Village Vadjai, PHC Shirud, Block /District . District RRT investigated the outbreak. House to Under house fever survey done. Cases treated symptomatically. All 71 Dhule xxv. Fever 71 1 23/09/13 24/09/13 control blood smears collected were negative for Malaria parasite. 6 serum samples collected; result awaited. Antilarval activities and fogging done. Health education given.

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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 reported from Village/SC/PHC Piliv, Block Malshiras, District . District RRT investigated the Under outbreak. House to house fever survey done. All cases treated. Solapur xxvi. Fever 19 0 18/09/13 19/09/13 control All 19 blood smears collected were negative for Malaria. 5 serum samples collected and sent to DPHL Solapur; result awaited. IEC done. Cases of diarrhoea reported from Village & SC Kharmunda, xxvii. Acute Under Block Bijapur, District Bargarh. Medical team investigated the 12 Bargarh Diarrhoeal 17 0 26/09/13 28/09/13 control outbreak. Temporary medical camps organized. Cases treated. Disease No samples collected. Health education given.

Cases of loose motion, vomiting reported from Village xxviii. Acute Tetelkhunti, SC Palsada, Block Paikmal, District Bargarh. Under Bargarh Diarrhoeal 11 0 24/09/13 25/09/13 Medical team investigated the outbreak. Temporary medical control Disease camps organized. Cases treated. No samples collected. Health education given. Cases of food poisoning reported from Village Kumala, SC xxix. Food Under Taranga, Block Chhaatobar, District Deogarh. Block health team Deogarh 58 0 20/09/13 24/09/13 Poisoning Control investigated the outbreak. Cases consumed food. All cases treated locally. Cases of loose motion, vomiting and abdominal pain reported from Village Oilmadu, Block Pottangi, District . District xxx. Food Under RRT and Block health team investigated the outbreak. Cases Koraput 39 3 24/09/13 27/09/13 Poisoning Control consumed food (stale meat of dead cattle). 4 rectal swabs and 2 Odisha water samples collected; result awaited. IEC done regarding safe food habits and hygiene. Cases of loose motion, vomiting and abdominal pain reported from Village Gajabadi, Block Bandhugaon, District Koraput. District RRT and Block health team investigated the outbreak. xxxi. Food Under Koraput 11 2 20/09/13 25/09/13 Cases consumed food (mushroom, bamboo shoot). Deceased Poisoning Control were 20 year old female and 62 year old female of the same family. 4 water samples collected; result awaited. IEC done regarding safe food habits and hygiene. Cases of fever with rash reported from Villages H. Bahadapalli and G.Goadapalli, SC Kanoka, Block Khallikote, District Ganjam. District RRT investigated the outbreak. Active search Under for cases done. Symptomatic treatment given to cases. 10 serum Ganjam xxxii. Measles 48 0 22/09/13 28/09/13 control samples collected; result awaited. Vitamin A solution administered to all children below 5 years of age. Health education given to parents and villagers regarding isolation of cases.

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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 rash reported from Village Pitadang, SC Purikona, Block Bissamcuttack, District Rayagada. District Under Ganjam. District RRT investigated the outbreak. Active search Rayagada xxxiii. Measles 21 0 19/09/13 26/09/13 control for cases done. Symptomatic treatment given to cases. Vitamin A solution administered to all cases. Health education given regarding isolation of cases. Cases of loose motion and vomiting reported from Barbeque Nation Restaurant in urban area of Mohali City, District Mohali. xxxiv. Food Under 13 Punjab Mohali 14 0 26/09/13 27/09/13 Medical team investigated the outbreak. Cases consumed snacks Poisoning control in the restaurant. 3 patients were treated at PGIMER, Chandigarh. 3 food samples collected; result awaited. Cases of fever, myalgia reported from Village Ladavaram, PHC Padagam, Block Kalasapakkam, District Tiruvannamalai. District RRT investigated the outbreak. House to house survey done. All Under Tiruvannamalai xxxv. Fever 15 0 24/09/13 25/09/13 cases treated locally. Entomological survey done (HI 4, CI 6, BI control 4). All 15 blood smears collected were negative for Malaria. 4 serum samples collected, result awaited. Anti larval activities and fogging done. Vector control measures undertaken. IEC done. Cases of fever, myalgia and arthralgia reported from Village, Kilapalayam, PHC Kalamarudur, BlockThirunavalur, District Viluppuram. District RRT investigated the outbreak. Active Tamil Nadu Under Viluppuram xxxvi. Fever 54 0 22/09/13 26/09/13 search of cases done. All cases treated locally. Entomological 14 control survey done (HI 4, CI 6, BI 4). All 54 blood smears collected

were negative for Malaria. 4 serum samples collected, result awaited. Anti larval activities and fogging done. Cases of fever with arthralgia reported from Village Mondikondu, PHC Uthappanaicknoor, Block Doddappanaicknoor, District Madurai. District RRT investigated xxxvii. Dengue & Under the outbreak. Active search for fever cases done. Cases treated Madurai 12 0 26/09/13 26/09/13 Chikungunya control symptomatically. Out of 5 serum samples collected, 3 samples were positive for Dengue and Chikungunya (IgM ELISA). Antilarval activities and fogging done. Health education given regarding vector control measures.

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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 Kelebola, SC Junbedia, Block Kanchanpur, District Bankura. District RRT and Block health team investigated the outbreak. Active search for xxxviii. Acute cases done. People used pond water for daily activities. Under Bankura Diarrhoeal 80 0 25/09/13 28/09/13 Symptomatic treatment given to all cases. 3 rectal swabs control Disease collected were negative for cholera culture. 6 water samples collected were non potable. Chlorination of water sources done. West Bengal ORS packets and Chlorine tablets distributed. IEC done 15 regarding safe drinking water and sanitation.

Cases reported from Village Karadih, SC Kuki, Block Jhalda –I, District Purulia. Block health team investigated the outbreak. xxxix. Acute Active search for cases done. Open defecation and poor hygiene Under Purulia Diarrhoeal 17 0 23/09/13 23/09/13 conditions observed in the community. 2 stool samples collected; control Disease result awaited. Cases treated locally. ORS packets distributed. Chlorination of water sources done. IEC leaflets distributed regarding safe water drinking and sanitation. Cases of nausea, abdominal pain and vomiting reported from Under Krishnanagar High School, Village Sagar Krishnanagar, Block South 24 xl. Food control Sagar, District south 24 Parganas. Block health team investigated 80 0 24/09/13 24/09/13 Parganas Poisoning the outbreak. Cases consumed Mid-day meals. Cases treated West Bengal locally. 7 food samples collected; result awaited. Health education given. Cases of loose motion and vomiting reported from Village Under Jateshwar Bazar, SC Jateshwar II, Block Falakata, District xli. Food Jalpaiguri 142 0 23/09/13 23/09/13 control Jalpaiguri. Block health team investigated the outbreak. Cases Poisoning consumed ice cream. All cases treated. IEC done.

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 diarrhoea reported from Village Samila, Block Keoti, District xlii. Acute Darbhanga. Medical team investigated the outbreak. Cases treated 1. Bihar Darbhanga Diarrhoeal 33 0 10/09/13 Under control locally. Halogen tablets distributed. IEC done. Disease

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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 fever with joint pain reported from Village Rah, PHC Luvanakalash, Block Tharad, District Banaskantha. District RRT 2. Gujarat Banaskantha xliii. Dengue 6 0 17/09/13 Under control investigated the outbreak. Active search for cases done. All cases treated locally. All 6 serum samples collected were positive for Dengue (IgM ELISA). Antilarval activity and Fogging done. IEC done. Cases of fever reported from Village Georai, PHC Chavanwadi, Block Patoda, District Beed. District RRT investigated the outbreak. Medical team investigated the outbreak. House to house survey done. Beed xliv. Dengue 14 0 17/09/13 Under control Temporary health camp organized. All cases treated. Out of 5 serum samples collected, 3 serum samples were positive for Dengue(IgM ELISA). Entomological survey done. Antilarval activity done. Health Maharashtra education given. 3. Cases of fever reported from Village Fattepur, PHC Amner, Block

Warud, District Amravati. District RRT investigated the outbreak. House to house fever survey done. Cases treated locally. Cases were Amravati xlv. Fever 27 1 08/09/13 Under control migrated laborers. All 27 blood smears collected were negative for Malaria parasite. Entomological survey done. Dry day observed in the community. Application of antilarvicide such Temiphos done in the community. Fogging done. Health education given. Cases of diarrhoea reported from Village Parsade, PHC Savkhedasim, Block Yaval, District . District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the community. Cases treated symptomatically. Out of 9 stool samples Jalgaon xlvi. Cholera 9 0 11/09/13 Under control collected, 4 samples were positive for cholera culture. Chlorination of water sources done. Alternate supply of drinking water provided in the community. Pipeline leakages were repaired. Health education given Maharashtra regarding safe drinking water.

Cases of loose motion and vomiting reported from Village Apshinge,

PHC Rahimatpur, Block , District , due to consumption of contaminated water (pipeline leakage). District RRT xlvii. Acute investigated the outbreak. Active search for cases done. All cases Satara Diarrhoeal 25 0 16/09/13 Under control treated at local health centre. 6 water samples collected; result awaited. Disease Chlorination of water sources done. Pipeline leakages were repaired. Chlorine tablets distributed. Health education given regarding use of boiled water for drinking purpose and personal hygiene.

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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 fever with chills, myalgia and headache reported from District Alwar, Karauli, Dausa and several Districts of Rajasthan. 357 District RRT investigated the outbreak. A total of 357 cases and 8 Jaipur Alwar, (lab xlviii. Scrub Under deaths were reported during 31st July to 30 September 2013. Majorly 4. Rajasthan Dausa, Karauli confir 8 28/08/13 Typhus surveillance affected district were Jaipur (110 cases, 3 deaths), Alwar (79 cases, 1 and districts med death), Karauli (51 cases), Dausa (48 cases, 4 deaths), Bharatpur cases) (27cases). All cases treated. Medical teams sent for treatment of cases. Health education given. Cases of loose motion, vomiting and pain abdomen reported from Village Gosaiganj Colony, SC Jiranpur, Block CoochBehar –I, District 5. West Bengal Cooch Behar 50 0 10/09/13 Under control CoochBehar. District RRT investigated the outbreak. Active search for xlix. Food cases done. Cases consumed Prasad in a social ceremony. All cases Poisoning treated. Health education given.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS

Sl. Name of Name of District Disease/ Illness No. of No. of Date of Current Comments/ Action taken No State/UT Cases Deaths start of Status outbreak A total of 1345 cases and 2 deaths due to Dengue reported from Delhi in 38th week (week ending 22nd September 2013). Further, 770 cases and 1 death Under occurred during 23rd to 29th September 2013. Total cases since January are 2124. North, South and 1. Delhi i. Dengue 2115 3 11/07/13 surveilla Majorly affected zones were Rohini, Najafgarh, Civil lines, Narela. Outdoor and other District nce indoor fogging done. All preventive measures are being taken. Residents Welfare Associations have been activated to prevent the breeding in and around their houses. IEC done.

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FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS

Sl. Name of Name of District Disease/ Illness No. of No. of Date of Current Comments/ Action taken No State/UT Cases Deaths start of Status outbreak A total of 25 cases and 1 death of fever headache and joint pain reported from Under Village Karli, SC Jamati, PHC Murtizapur, District in 38th week (week Akola ii. Fever 54 1 16/09/13 surveilla ending 22nd September). Further 29 cases occurred from 23rd to 29th September nce 2013. 3 serum samples collected; result awaited. Anti-larval activities and Maharashtra fogging done. IEC done. 2. A total of 58 cases and 1 death of fever reported from Village/SC Jarud, PHC

Under Rajura Bazaar, Block , District Amravati in 38th week (week ending 22nd Amravati iii. Fever 89 1 08/09/13 surveilla September). Further, 31 cases occurred during 23rd to 29th September 2013. 13 nce serum samples collected; result awaited. Anti-larval activities and fogging done. IEC done.

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