1 | P a g e

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

13th Week 27th March 2017 To 2nd April 2017 District wise disease alerts/outbreaks reported in the 13th Week, 2016 13th wk Map

Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 31 No. of States/UT’s 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

2 | P a g e

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

th th nd 13 Week 27 March 2017 To 2 April 2017 District wise disease alerts/outbreaks reported in the 13th Week, 2016 13th wk Graph

Disease alerts/outbreaks reported during this week (n=39) 14 12 12 10 8 7 7 6 4 4 2 1 1 1 1 1 1 1 1 1 No. of alerts/outbreaks No. 0 Fever Dengue Shigella Measles Hepatitis A Hepatitis Chickenpox Chikungunya Enteric Fever Enteric Leptospirosis Food Poisoning Food Fever with with rash Fever Food Borne Illness Borne Food Disease/alerts

Acute Diarrheal Disease Diarrheal Acute

Comparison of cumulative no. of disease alerts/outbreaks reported till the 13th week of 2014, 2015 , 2016 2017 2017 2016 2015 2014 450 400 350 300 250 200 150

alerts/outbreaks 100 50 0 No. of No. CCHF CHPV Fever H1 N1 H1 Rubella Malaria Mumps Cholera Dengue Anthrax Pertusis Measles Diarrhea Jaundice Kala Azar Dysentery Shigellosis Diphtheria Brucellosis Viral Fever Chickenpox Chikungunya Trichinellosis Enteric Fever Enteric Leptospirosis Typhus Fever Typhus Scrub Typhus Scrub Lyme Lyme Disease Viral Viral Hepatitis Typhoid Fever Typhoid Influenza (ARI) Influenza Food Poisoning Food Influenza A & A B Influenza Fever with with Rash Fever Wild Mushroom Wild Influenza (h1n1) Influenza HSV Encephalitis HSV Drug Side Effects Drug Epidemic Dropsy Epidemic Epidemic Typhus Epidemic Cough with Fever Alcohol Poisoning Alcohol PAM Encephalitis PAM Viral Encephalistis Viral Acute Encephalitis… Acute Illness Food Borne Jatropha Jatropha Poisoning Bacillary Dysentery Bacillary Falciparum Malaria Falciparum Influenza illness like Influenza Methanol Methanol Poisoning Mushroom Poisoning Mushroom Acute Acute Gastroenteritis Japanese Encephalitis Japanese Paederus Dermatitis /… Dermatitis Paederus Acute Jatropha curcas Acute Jatropha poisoning Castor seed Hand Foot and and Mouth… Hand Foot Leishmaniasis Visceral Acute Flaccid Paralysis Acute Flaccid Upper respiratory Upper tract… respiratory AcuteDiarrheal Disease AcuteDiarrheal Kyasanur Forest Disease Forest Kyasanur Acute Respiratory Illness Acute Respiratory

Acute Diarrheal Disorder Acute Diarrheal Disease/Illness Chandipura Viral Disease Chandipura Acute Viral Conjunctivitis Acute Viral Pyrexia of unknown unknown origin of Pyrexia Salmonella Gastroenteritis Salmonella

3 | P a g e

No. Date of Date of Name of Disease/ No. of Current Unique ID. Name of District of Start of Comments/ Action Taken State/UT Illness Deaths Status Cases Outbreak Reporting

Cases reported from Village Panipara, SC Under Dhuparguri, BPHC Hajo. District RRT AS/KMR/2017/13/0410 Assam Kamrup Chickenpox 24 00 24-03-17 31-03-17 investigated the outbreak. House to house survey Surveillance done. All cases treated symptomatically. Health education given. Cases reported from Village Paschim, PHC Under Aurahi, Block Forbisganj. District RRT BH/ARA/2017/13/0411 Bihar Araria Chickenpox 82 00 23-03-17 30-03-17 investigated the outbreak. House to house survey Surveillance done. All cases treated symptomatically. Health education given. Cases reported from 2 villages of Block/PHC Baheri. Details are as follows: Affected Village PHC/Block Cases Fever with Under age group BH/DBA/2017/13/0412 Bihar Darbhanga 26 00 23-03-17 30-03-17 Paghari, Baheri 15 2-13 years Rash Control Rupoliya 11 1-28 years District RRT investigated the outbreak. House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Village Mahuda, SC Uchchabhitthi, PHC Pahariya, CHC Baloda. Food Under CT/JAN/2017/13/0413 Chhattisgarh Janjgir 96 00 25-03-17 27-03-17 District RRT investigated the outbreak. House to Poisoning Control house survey done. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Para Kalmiduggu, SHSC Darri, PHC Gopalpur, Block Katghora. Food Under District RRT investigated the outbreak. House to CT/KOR/2017/13/0414 Chhattisgarh Korba 135 00 24-03-17 30-03-17 house survey done. Water sample tested at PHE Poisoning Control Dept. Korba; found potable. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases reported from Village Chhala, SC/PHC Under Pratiya, Block Gandhinagar. District RRT GJ/GAN/2017/13/0415 Gujarat Gandhinagar Chickenpox 45 00 02-04-17 02-04-17 investigated the outbreak. House to house survey Control done. All cases treated symptomatically. Health education given.

4 | P a g e

Cases reported from Village Parsa, Block Mahagama. District RRT investigated the Under outbreak. House to house survey done.5 Blood JH/GDA/2017/13/0416 Jharkhand Godda Measles 14 00 27-03-17 28-03-17 Surveillance samples collected and sent to Institute of Serology, Kolkata; Result awaited. All cases treated symptomatically. Health education given. Cases reported from Village Haaligeri, PHC/CHC Kakanur, Taluk Badami. District RRT Under investigated the outbreak. House to house survey KN/BGK/2017/13/0417 Karnataka Bagalkot Chickenpox 36 00 29-03-17 30-03-17 done. Out of 07 Serum samples tested at Mysore Control Medical College; 5 found positive for IgM Varicella. All cases treated symptomatically. Health education given. Cases reported from PHC Payipra, Block Acute Pandapily. District RRT investigated the outbreak. Under House to house survey done. 02 Water samples KL/ERN/2017/13/0418 Kerala Ernakulam Diarrheal 35 00 27-03-17 04-04-17 Surveillance collected and sent to Regional Analytical Lab, Disease Kakkanad; result awaited. All cases treated symptomatically. Health education given. Cases reported from CRPF Training campVillage/HSC Pallippuran, PHC Andoorkkonam, Block Puthenthope. District RRT investigated the outbreak. House to house survey Thiruvananthapura Food Under done. Out of 3 food samples & one water sample KL/THI/2017/13/0419 Kerala 209 00 01-04-17 04-04-17 m Poisoning Control tested at Analytical Lab Trivandrum, Fish curry sample found contaminated with pathogenic microorganism E coli and Staphylococcus aureus. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village/PHC Thondernad & Kanhirangad, HSC Korome, Block Manathavady. District RRT investigated the outbreak. House to house survey done. Out of 10 Blood samples, 3 Under KL/WYN/2017/13/0420 Kerala Wayanad Hepatitis A 23 00 30-03-17 30-3-17 found positive for Hepatitis A IgM and out of 3 Control water samples tested, one found non potable at Manipal Wayanad Lab. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Ward no.1 Trilokpuri Colony, Madhya Under SHC/PHC/Block Ashoknagar. District RRT MP/ASH/2017/13/0421 Ashok Nagar Chickenpox 19 00 29-03-17 30-03-17 investigated the outbreak. House to house survey Pradesh Control done. All cases treated symptomatically. Health education given.

5 | P a g e

Cases reported from Village Khukadi Khapa, Sub Health Center/ PHC Sarra, CHC/Block Multai. Madhya Under District RRT investigated the outbreak. House to MP/BTU/2017/13/0422 Betul Chickenpox 12 00 27-03-17 28-03-17 house survey done. Food samples collected and Pradesh Control sent for testing to Food and drug department Bhopal (microbiology), result awaited. All cases treated symptomatically. Health education given. Cases reported from ward no.19, Gayanoday Girls Hostel, Anand Nagar, Hoshangabad. District RRT Madhya Under MP/HSN/2017/13/0423 Hoshangabad Chickenpox 15 00 27-03-17 01-04-17 investigated the outbreak. House to house survey Pradesh Surveillance done. All affected were females between 10-14 years of age. All cases treated symptomatically. Health education given. Cases reported from Chandan Nagar. District RRT investigated the outbreak. House to house survey Madhya Food Under done. Food samples collected and sent for testing MP/INR/2017/13/0424 Indore 27 00 26-03-17 01-04-17 to Food and drug department Bhopal Pradesh Poisoning Control (microbiology), result awaited. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from AP Magdum Mala, Nimshirgaon, PHC Danoli, TalShirol. District RRT investigated the outbreak. House to house Food Under survey done. All cases had consumed common MH/KOP/2017/13/0425 Maharashtra Kolhapur 20 00 25-03-17 27-03-17 meal at a social function. Meal contained Shira, Poisoning Control sabzi and masala bhath. 3Food samples collected and sent to NIV Pune; Result awaited. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Raowal, PHC Dhianpur. District Gurdaspur. RRT investigated Acute the outbreak. House to house survey done. All 03 Under Stool samples tested at Govt. Medical College, PB/GPR/2017/13/0426 Punjab Gurdaspur Diarrheal 57 00 01-04-17 02-04-17 Control Amritsar, found negative for enteric pathogens.10 Disease Water samples collected and sent to SPHL Lab, Sec 11, Chandigarh, result awaited. All cases treated symptomatically. Health education given.

6 | P a g e

Cases reported from colony Giaspura LIG Flats, Block/CHC Sahnewal. District Ludhiana. RRT Under investigated the outbreak. House to house survey PB/LDH/2017/13/0427 Punjab Ludhiana Measles 07 00 30-03-17 30-03-17 done. Out of 5 blood samples tested at PGIMER Control Chandigarh, 2 found positive for measles. All cases treated symptomatically. Health education given. Cases reported from Christian College of Nursing Girls Hostel, Ambilikai, HSC Ambilikai, PHC K. Keeranur, Block Oddachatram. District RRT Food Borne Under investigated the outbreak. House to house survey TN/DDG/2017/13/0428 Tamil Nadu Dindigul 104 00 31-03-17 31-03-17 done. Out of 02 Water samples tested, 01 found Illness Control non potable and 01 Stool sample tested negative for Salmonella, Shigella, and Cholera at DPHL Dindigul. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Kurichi/Pudhu Colony, HSC Kuruchi, PHC Belur, Block Acute Under Valapadi. District RRT investigated the outbreak. TN/SLM/2017/13/0429 Tamil Nadu Salem Diarrheal 14 00 27-03-17 03-04-17 House to house survey done. All 05 Water sample Control Disease tested at DPHL Mettur; found non-potable. All cases treated symptomatically. Health education given. Cases reported from Village/HSC Allikuzhi, PHC Katchur, Block Poondi. District RRT investigated Under the outbreak. House to house survey done. 16 TN/TVL/2017/13/0430 Tamil Nadu Tiruvallur Fever 16 00 23-03-17 03-04-17 Control Smear sample collected and sent to PHC Katchur & KIPM; Result awaited. All cases treated symptomatically. Health education given. Cases reported from Village Manjampatti, HSC Kulasekaranallur, PHC/Block Thiruchuli. District RRT investigated the outbreak. House to house Under TN/VIR/2017/13/0431 Tamil Nadu Virudhunagar Dengue 42 00 28-03-17 28-03-17 survey done. All 03 Serum samples tested at Surveillance DPHL Virudhunagar; found positive for Dengue. All cases treated symptomatically. Source reduction activities undertaken. Health education given. Cases reported from Aawasi Bidhalay Madauganj Uttar Under Dhanpura Shikohabad. District RRT investigated UP/FRJ/2017/13/0432 Firozabad Chickenpox 15 00 24-03-17 30-03-17 the outbreak. House to house survey done. All Pradesh Surveillance cases treated symptomatically. Health education given.

7 | P a g e

Cases reported from Village/SC Balua, PHC Chilh. District RRT investigated the outbreak. House to house survey done. Age group of the Uttar Suspected Under affected cases were: UP/MRZ/2017/13/0433 Mirzapur 12 00 04-03-17 27-03-17 Age group 0-5 5-10 10-15 Pradesh Measles Control No of cases 01 10 01 Lab samples collected and sent to SGPGI Lucknow, result awaited. All cases treated symptomatically. Health education given. Cases reported from Villages , Najirpur, Nadai, Banshati, Harua, Dahina, Amarpur GP Ahiran, Harua, Banshabati, Block I. DistrictRRT investigated the outbreak. House to house survey done. All cases had consumed meal Food Under containing sweetmeat, Biryani and Chicken. 01 WB/MRS/2017/13/0434 255 00 26-03-17 27-03-17 Poisoning Control Food sample collected and sent to CCL, Kolkata, result awaited.01 Vomit sample tested at STM, Kolkata; found positive for growth of Klebsiella pneumonia, Growth of Enterococus species on culture. Health camp organized and all cases treated symptomatically. Health education given. Cases reported from Village Nawbad, SC Banagram, GP Rasapunja Block-TM. District RRT investigated the outbreak. House to house survey done. 10 Food samples tested and found Food Under positive for serious food safety concerns at Sate WB/SPG/2017/13/0435 West Bengal South 24 Parganas 222 00 03-04-17 03-04-17 Food Lab, Office of Public Analyst Food and Poisoning Control Water. Out of 02 Vomit samples, 1 positive for Growth of Staph aureus and 03 rectal swabs found negative for enteric pathogens at STM, Kolkata. Health camp organized and all cases treated symptomatically. Health education given

8 | P a g e

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE No. Date of Name of Disease/ of No. of Current Unique ID. Name of District Start of Comments/ Action Taken State/UT Illness Case Deaths Status Outbreak s Cases reported from Village Nagaon, SC Putahulia, BPHC Lahoal. District RRT investigated the outbreak. House to house Under survey done. Rectal swab showed growth of Shigella flexneri AS/DBG/2017/13/0436 Assam Dibrugarh Shigella 30 00 22-03-17 Surveillance type II and 02 Water samples tested potable at AMCH, Dibrugarh All cases treated symptomatically. Health education given. Cases reported from Village Changmai Baruah Pathar, SC Acute Bamunia, PHC/Block Panitola. District RRT investigated the Under AS/DBG/2017/13/0437 Assam Dibrugarh Diarrheal 08 01 14-03-17 outbreak. House to house survey done. 01 Rectal swab tested at Control Assam Medical College and Hospital Dibrugarh, found negative Disease for enteric pathogen. All cases treated symptomatically. Health education given. Cases reported from Village Nagrahi, PHC/Block Raniganj. Under BH/ARA/2017/13/0438 Bihar Araria Chickenpox 50 00 15-03-17 District RRT investigated the outbreak. House to house survey Surveillance done. All cases treated symptomatically. Health education given. Cases reported from Village Bariyarpur Basti, Block/PHC Under Bariyarpur. District RRT investigated the outbreak. House to BH/MNG/2017/13/0439 Bihar Munger Chickenpox 13 00 20-03-17 house survey done. Out of 04 serum samples tested at PMCH Control Patna; 2 found positive for Varicella IgM. All cases treated symptomatically. Health education given. Cases reported from SC/PHC Mekhadi, Block Mangrol. District Chikunguny Under RRT investigated the outbreak. House to house survey done. All GJ/JGH/2017/13/0440 Gujarat Junagarh 22 00 20-03-17 05 Serum sample tested at DPHL Junagadh; found positive for a Control Chikungunya. All cases treated symptomatically. Health education given. Cases reported from UHC Sikka, Block Jamnagar. District RRT investigated the outbreak. House to house survey done. Age group of affected cases were: Under Age group (in years) 0-1 2-5 6-15 >15 GJ/JNR/2017/13/0441 Gujarat Jamnagar Measles 22 00 10-03-17 Control No of cases 01 10 10 01 All 05 Serum samples tested at BJMC, Ahmedabad; found positive for Measles. All cases treated symptomatically. Health education given.

9 | P a g e

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE No. Date of Name of Disease/ of No. of Current Unique ID. Name of District Start of Comments/ Action Taken State/UT Illness Case Deaths Status Outbreak s Cases reported from Village Ness area, PHC Padana, Block Lalpur. District RRT investigated the outbreak. House to house survey done. Under Age group (in years) 2-5 6-15 GJ/JNR/2017/13/0442 Gujarat Jamnagar Measles 08 00 02-03-17 Control No of cases 01 07 All 05 Serum samples collected and sent to BJMC, Ahmedabad; found positive for Measles. All cases treated symptomatically. Health education given. Cases reported from Village Tarasawanga, CHC Sahur, Block MH/WDH/2017/13/044 Maharashtr Under Ashti. District RRT investigated the outbreak. House to house Wardha Leptospirosis 26 00 22-03-17 survey done. All 06 Serum samples tested at MGIMS Sewagram 3 a Control found positive for Leptospirosis. All cases treated symptomatically. Health education given. Cases reported from Village/SC Taragram, CHC Sanamosigam, Under OR/NAB/2017/13/0444 Odisha Nawarangpur Chickenpox 18 00 18-03-17 Block Nabarangpur. District RRT investigated the outbreak. Control House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Village/CHC Akbarpur, Block Malakhera. District RRT investigated the outbreak. House to house survey Suspected done. Age of cases ranges from 4 to 45 yrs. All 5 Culture Under samples were negative. One sample on widal tube test found RJ/ALW/2017/13/0445 Rajasthan Alwar Enteric 133 00 21-03-17 Surveillance positive for enteric fever and 2 were suggestive of enteric fever Fever due to rising titer. Out of 5 water samples tested by H2S test, 3 were found non potable.All cases treated symptomatically. Health education given. Cases reported from Hamdardnagar-B (Urban area), Uttar Under MohallaJamalpur. District RRT investigated the outbreak. UP/ALI/2017/13/0446 Aligarh Measles 30 00 18-03-17 House to house survey done. Out of 03 Blood samples tested at Pradesh Control SGPGI, Lucknow, 2 tested positive for Measles. All cases treated symptomatically. Health education given. Cases reported from Village Gaderi Khurd, SC Lauaar, Uttar Suspected Under CHC/Block Belkharnath. District RRT investigated the UP/PRT/2017/13/0447 Pratapgarh 09 00 14-03-17 outbreak. House to house survey done. 05 Blood sample Pradesh Measles Surveillance collected and sent to SGPGI Lucknow; Result awaited. All cases treated symptomatically. Health education given.

10 | P a g e

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE No. Date of Name of Disease/ of No. of Current Unique ID. Name of District Start of Comments/ Action Taken State/UT Illness Case Deaths Status Outbreak s Cases reported from Ward no 13, Indira Abas Colony, Under Raghunathpur Municipality. District RRT investigated the WB/PRL/2017/13/0448 West Bengal Purulia Chickenpox 26 00 21-03-17 outbreak. House to house survey done. Majority of cases are 10- Surveillance 19 years of age. All cases treated symptomatically. Health education given.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Date of No. of No. of Current Unique ID. Name of District Disease/ Illness Start of Comments/ Action Taken Cases Deaths Status Outbreak 3 Cases were reported from Village Tikarpada GPSC Murkar, CHC/Block Dasamantpur. 7 more cases reported from anothr village Mundajhola of same GPSC. District RRT investigated Suspected Under OR/KPT/2017/12/0406 Koraput 07 00 Nil the outbreak. House to house survey done. All 05 Samples Anthrax Surveillance tested at DHH, Koraput were positive for gram positive rods resembling B.anthracis. All cases treated symptomatically. Health education given. 51 Cases were reported from Village Krishnanagar, GP Under Hrishipur, Block Habibpur. Majority of cases were less than WB/MLD/2017/12/0409 Malda Rubella 53 00 07-03-17 Surveillance 10 years of age. Cases have now increased to 53. All cases treated symptomatically. Health education given.

11 | P a g e