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

29th week (13th July To 19th July) 2015

District wise disease alerts/outbreaks reported in the 29th week, 2015

Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 33 No. of States/UT’s Submitted ‘NIL’ outbreak report 14

INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in Date of Name of Name of No. of No. of Date of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Kasturba Gandhi Balika Vidyalaya , Pullareddypeta SC Andhra Under S.R. Palli, Block/PHC, Duvvur. District RRT investigated the outbreak. All 1. Kadapa i. Food Poisoning 33 00 16-07-15 20-07-15 the cases consumed uncooked and contaminated Bengal Gram. All cases Pradesh Control treated symptomatically. Bengal gram sample was sent for analysis; results awaited. Health education given. Cases reported from, Village/PHC Photlavalluru, CHC Kankitadu. District RRT investigated the outbreak. 140 blood samples were collected and sent to Andhra Microbiology Department, Siddhartha Medical College,Vijayawada;9 2. Krishna ii. Dengue Under Pradesh 140 00 15-07-15 20-07-15 Control samples tested positive for Dengue by IgM ELISA, no samples tested positive for malaria. All cases treated symptomatically. Health education given. Cases of acute onset vomiting and diarrhea reported from Village/ HSC Under 3. Bihar Muzzafarpur iii. Food Poisoning 49 00 13-07-15 15-07-15 Dharpur, PHC Minapur. District RRT investigated the outbreak. All cases Control had consumed mid-day meal consisting of and vegetables. All cases treated symptomatically. Health education given. Cases reported from Middle School, Village/HSC Chakandra, PHC/Block Under Chewara, District Shekhpura. District RRT investigated the outbreak. All the 4. Bihar Shekhpura iv. Food Poisoning 34 00 11-07-15 14-07-15 Surveillance cases were school children who consumed a common meal served at school. All cases treated symptomatically. Health education given.

v. Acute Cases of pain abdomen and nausea-vomiting reported from Village/PHC Under Morwa, Block Laskara, District Samastipur. District RRT investigated the 5. Bihar Samastipur Diarrheal 107 00 15-07-15 16-07-15 Surveillance outbreak. All the cases were school children who consumed a common meal Disease served at school. All cases treated symptomatically. Health education given. Case of fever with rash reported from Dholar, Ganchiwad area. District RRT investigated the outbreak. Majority of cases were above 5 years of age. All 05 Daman and Daman and Under serum samples sent to B.J. Medical College, Ahmadabad tested positive for 6. vi. Rubella Diu Diu 09 00 13-07-15 18-07-15 surveillance rubella by IgM ELISA.. 02 Throat and 02 urine samples sent to NIV Pune; both the samples tested negative for measles. All cases treated symptomatically. Health education given.

Cases reported from Village/SC Sureli, PHC Sunderpura, Block Umareth, District Anand. District RRT investigated the outbreak. House to house Under survey done. All cases consumed food and water in a religious function. 07 7. Gujarat Anand vii. Hepatitis E 10 00 11-07-15 13-07-15 Control blood samples sent at Infectious Disease Hospital, Baroda out of which 01sample tested positive for Hepatitis E and 1 case was found to be HEV positive at private hospital. All cases treated symptomatically. Health education given.

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

Cases reported from Village Bhatiyel, SC Agas, PHC Sihol Block Petlad, viii. Acute Under District Anand. District RRT investigated the outbreak. House to house 8. Gujarat Anand Diarrheal 49 00 15-07-15 16-07-15 survey done. Consumption of contaminated water, poor personal and Control Disease environmental hygiene could be the probable cause of the outbreak. 5 Stool samples collected and sent to DPHL Petlad; all samples tested negative for cholera culture. All cases treated symptomatically. Health education given.

45 year old male having high grade fever reported from Village Bhoringada, Under PHC Gundaran Block Liliya, District Amreli. District RRT investigated the 9. Gujarat Amreli ix. CCHF 01 00 15-07-15 15-07-15 Control outbreak. House to house survey done. 01 serum sample sent to NIV Pune, which was found to be positive for CCHF. Anti-tick measures have been taken. Health education given.

Cases of loose stools reported from Village/PHC Alipore, Taluka Chikhli District Navsari. District RRT investigated the outbreak. House to house x. Acute Under survey done. Consumption of contaminated water could be the probable 10. Gujarat Navsari Diarrheal 21 00 14-07-15 15-07-15 cause of the outbreak. Out of 3 water samples tested at DPHL Navsari, 2 Control Disease samples were found to be non potable. 02 stool samples tested at DPHL Navsari were found to be negative for cholera culture. All cases treated symptomatically. Chlorination done. ORS packets distributed in the affected area. Health education given.

Cases of loose stools reported from Village/PHC Gadat, Taluka Gandevi. District RRT investigated the outbreak. Leakages in drinking water pipeline xi. Acute Under were observed in the community. Consumption of contaminated water could 11. Gujarat Navsari Diarrheal 26 00 12-07-15 14-07-15 be the probable cause of the outbreak. All 3 water samples tested at DPHL Control Disease Navsari were found to be non potable and 2 stool samples tested at DPHL Navsari were found to be negative for cholera culture. All cases treated symptomatically. Chlorination done. ORS packets distributed in the affected area. Health education given. Cases of loose stools and vomiting reported from Village/SC Khajuri xii. Food Under Gundala, PHC Amarnagar Taluk Jetpur, District Rajkot. District RRT 12. Gujarat Rajkot 91 00 10-07-15 13-07-15 Poisoning Control investigated the outbreak. House to house survey done. All cases treated symptomatically. Health education given. Cases reported from Village Chenaera, Block Billawar, District Kathua xiii. Acute Jammu & Under District RRT investigated the outbreak. House to house survey done. 13. Kathua Diarrheal 152 00 Consumption of contaminated water could be the probable cause of the Kashmir 15-07-15 27-07-15 Control Disease outbreak.4 water samples sent to PHE department Basohli; result awaited. All cases treated symptomatically. Chlorination done. Health education given.

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Date of Name of Name of No. of No. of Date of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Chitta, PHC Mannalli, Taluk Bidar. District xiv. Acute Under RRT investigated the outbreak. Consumption of contaminated water could be 14. Bidar Diarrheal 20 00 15-07-15 16-07-15 the probable cause of the outbreak.02 stool samples and 11 water samples Control Disease collected out of which 2 water samples were found to be non portable. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Islampur,SC Ammanaghatta, PHC /Taluk Under Gubbi, District Tumkur. District RRT investigated the outbreak. House to 15. Karnataka Tumkur xv. Fever 12 00 12-07-15 15-07-15 Control house fever survey done. Blood samples sent District Laboratory; results awaited. All cases treated symptomatically. Health education given. Cases of fever with rash reported from Village Jannat Nagar ward no. 20, Under PHC Madarmaddi, Taluk Dharwad. District RRT investigated the outbreak. 2 16. Karnataka Dharwad xvi. Measles? 07 00 14-07-15 14-07-15 serum samples sent to KIMS, Hubli and 5 serum samples sent to NIMHANS; Control result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Guddadamadapura, PHC Tadakanahalli, Taluk xvii. Acute Hirekerur, District Haveri. District RRT investigated the outbreak. Under Consumption of contaminated water could be the probable cause of the 17. Karnataka Haveri Diarrheal 43 00 12-07-15 15-07-15 Control outbreak.4 stool samples and 1 serum collected and sent to District Disease Laboratory;result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village and PHC Idapnur, Taluk and District Raichur. District RRT investigated the outbreak. Leakages in drinking water pipeline xviii. Acute Under were observed in the community. Consumption of contaminated water from 18. Karnataka Raichur Diarrheal 26 00 08-07-15 11-07-15 bore well could be the probable cause of the outbreak. 2 stool samples and Control Disease 01 water sample sent to VIMS Bellari; water sample was found to be non potable and stool samples result is awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Hesarur, PHC Kadakol, Taluk Savanur, District xix. Acute Haveri. District RRT investigated the outbreak. Leakages in drinking water Under 19. Karnataka Haveri Diarrheal 14 00 12-07-15 15-07-15 pipeline were observed in the community. Consumption of contaminated Control water could be the probable cause of the outbreak. 2 stool samples collected Disease and sent to District Laboratory; result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from HSC Parauthiyara, PHC Veliyam, Block Nedumancavu (Vellnalloore), District Kollam. District RRT investigated the outbreak. All xx. Food Under cases consumed food in a marriage party. 2 water samples collected and sent 20. Kerala Kollam 188 00 14-07-15 15-07-15 to PH laboratory, Kollam. 9 food samples collected and handed over to food Poisoning Surveillance safety officer. 01 stool sample collected and sent to PH Lab Kollam; result awaited. All cases treated symptomatically. Chlorination done. Health education given.

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Date of Name of Name of No. of No. of Date of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases of vomiting, loose stool and abdominal pain reported from Village/ HSC Kottarakkara, PHC/Block Nedumancavu, District Kollam. xxi. Food Under District RRT investigated the outbreak. All cases consumed food in the 21. Kerala Kollam 10 00 14-07-15 16-07-15 Poisoning Surveillance hostel. 01water sample collected from the water source of the hostel and sent for analysis to PH Lab Kollam; result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from LMS Hostel Palayam, HSC/PHC/Block CORP, District Trivandrum. District RRT investigated the outbreak. Consumption of xxii. Food Under contaminated food and water supplied in the hostel could be the probable 22. Kerala Trivandrum 18 00 13-07-15 21-07-15 Poisoning Control cause of the outbreak. Water and food samples sent for analysis; results awaited.All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Gram Saktali, SC Anarad, Block Teesgaon. District RRT investigated the outbreak. House to house survey done. Consumption of Madhya Under 23. Dhaar xxiii. Jaundice 12 00 10-07-15 15-07-15 contaminated water from tube well could be the probable cause of the Pradesh Surveillance outbreak. 08 out of 16 water samples tested at PHE Laboratory were found to be non potable. All cases treated symptomatically. Chlorination done. Health education given.

xxiv. Acute Cases reported from Girls Hostel, Kardawad Badi, PHC Pitoli,Block Madhya Under 24. Jhabua Diarrheal 47 00 13-07-15 13-07-15 Kalyanpura. District RRT investigated the outbreak. Consumption of Pradesh Surveillance contaminated water could be the probable cause of the outbreak. All cases Disease treated symptomatically. Chlorination done. Health education given. Cases reported from Village Tapran PHC Hardua Khamariya,Block Pawaj District Panna. House to house survey done. District RRT investigated the Madhya Under outbreak. 04 out of 5 blood sample tested at GMC Bhopal were found to be 25. Panna xxv. Measles 11 02 11-07-15 13-07-15 Pradesh Surveillance positive for measles IgM ELISA. All the cases were in 2 to 10 year age group. Two female children aged 2 years and 08 years died due to the condition.All cases treated symptomatically. Health education given. Cases reported from Chunkakra Block Pichore. District RRT investigated the outbreak. House to house survey done. District RRT investigated the Madhya Under 26. Shivpuri xxvi. Measles 06 00 16-07-15 16-07-15 outbreak. All 5 blood sample tested at GMC Bhopal were found to be Pradesh Surveillance positive for measles IgM ELISA. All the cases were in 3 to 07 year age group. All cases treated symptomatically. Health education given. All cases treated symptomatically. Health education given. Cases reported from Village/SC Chokhewada, PHC Kasansur Block Ettapalli, Under District Gadchiroli. District RRT investigated the outbreak 15 Blood smears 27. Gadhchiroli xxvii. Malaria 37 01 09-07-15 14-07-15 examined at PHC Kasansur,out of which 3 blood smears were found to be Surveillance positive for P. falciparum. All cases treated locally. Source reduction activities were undertaken. Health education given.

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Date of Name of Name of No. of No. of Date of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village/ SC Kothali, PHC Ruikheda, Taluka Muktainagaon. District RRT investigated the outbreak. Leakages in drinking xxviii. Acute water pipeline were observed in the community. Consumption of Under contaminated water could be the probable cause of the outbreak. All 5 water 28. Maharashtra Jalgaon Diarrheal 107 00 12-07-15 14-07-15 Surveillance samples sent for bacteriological examination were found to be non potable Disease for drinking purposes.5 stool samples send to GMC Aurangabad tested negative for cholera culture. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Navegaon, SC/PHC Nirpur, Block Baglan. xxix. Acute District RRT investigated the outbreak. House to house survey done. Under 29. Maharashtra Diarrheal 71 00 13-07-15 14-07-15 Consumption of contaminated water could be the probable cause of the Surveillance outbreak. 2 Water samples sent to District Public Health Laboratory Nashik; Disease result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases reported from Village Angapur Tarf, Block /District Satara. District xxx. Acute Under RRT investigated the outbreak. House to house survey done. Consumption of 30. Maharashtra Satara Diarrheal 56 00 13-07-15 14-07-15 contaminated water could be the probable cause of the outbreak. 4 Water Surveillance Disease samples and 2 stool samples sent to District Laboratory; result awaited. All cases treated symptomatically. Chlorination done. Health education given. Cases of blister on hand and legs reported from Village Badlipondi, GP Under Malibelgaon, SC S. Pujariput, Block Nandapur, District . District 31. Koraput xxxi. Anthrax? 04 00 16-07-15 16-07-15 RRT investigated the outbreak. House to house survey done. All the cases Surveillance handled the dead cow and consumed its meat. No lab samples collected .All cases treated symptomatically. Health education given. Cases reported from Village Nangaldhara, SC Jharkusumi, Block Under Kosagumuda. District RRT investigated the outbreak. House to house survey 32. Odisha xxxii. Measles 17 00 12-07-15 20-07-15 Control done. All 05 Blood samples tested positive for measles IgM ELISA. All cases treated symptomatically. Health education given. Cases reported from Village Mahavir Ka Purva, Block Mahanagar. District xxxiii. Acute RRT investigated the outbreak. House to house survey done. Consumption of Uttar Under 33. Lucknow Diarrheal 17 00 11-07-15 14-07-15 contaminated water could be the probable cause of the outbreak. Water Pradesh Surveillance samples were sent to Regional Health laboratory Lucknow; result awaited. Disease All cases treated symptomatically. Chlorination done. Health education given. Case of vomiting, abdominal pain and loose stools reported from Village Kharbagan, GP Majdia, Municipality Taldaha, Block Krishanganj, SD Sadar, West xxxiv. Food Under District Nadia. District RRT investigated the outbreak. All cases consumed 34. Nadia 12 00 15-07-15 15-07-15 Bengal Poisoning Surveillance food (rice, curry fish) in a religious ceremony. 2 stool samples collected and sent to NICED, Beleghata; results awaited. All cases treated symptomatically. Health education given.

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Date of Name of Name of No. of No. of Date of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Jorul, Municipality Sagrai, Block Khandokosh. xxxv. Acute West Under District RRT investigated the outbreak. House to house survey done. 35. Bardhaman Diarrheal 12 00 15-07-15 16-07-15 Consumption of contaminated water could be the probable cause of the Bengal Surveillance Disease outbreak.1 rectal swab sent to BMCH, tested negative for cholera culture. All cases treated symptomatically. Chlorination done. Health education given.

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Date of Name of Name of No. of No. of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Status Outbreak Cases of fever with rash reported from Village Gabindapur, SC Karbala Block Agaj, Under 1. Assam Goalpara xxxvi. Measles? 21 00 02-06-15 District Goalpara. District RRT investigated the outbreak. House to house survey done. Control Majority of cases were less than 5 years of age. Vit A was administered to all the affected cases. All cases treated symptomatically. Health education given. Case reported from all blocks of District Nalbari. District RRT investigated the outbreak. xxxvii. Japanese Under House to house survey done. Out of 27 samples collected and tested at GMCH, 17 were 2. Assam Nalbari 17 04 24-06-15 positive for JE IgM ELISA. 02 females and 02 males died due to the condition. All cases Encephalitis Surveillance treated symptomatically. Fogging done in the area. Source reduction activities undertaken. Health education given. Case reported from all blocks of District Tinsukhia. District RRT investigated the xxxviii. Japanese Under 3. Assam Tinsukhia 21 00 20-06-15 outbreak. House to house survey done. Out of 51 samples collected and tested at AMCH Encephalitis Surveillance Dibrugarh, 21 were positive for JE IgM ELISA. All cases treated symptomatically. Fogging done in the area. Source reduction activities undertaken. Health education given. Cases of Loose watery Stool with vomiting reported from ward No-03 Village xxxix. Acute Under Kakaharwa, Panchayat Malharia, PHC Baisee, District Purnea. District RRT investigated 4. Bihar Purnia Diarrheal 17 00 02-07-15 the outbreak. House to house survey done. Consumption of contaminated water could be Control Disease the probable cause of the outbreak. All cases treated symptomatically. Chlorination done. Health education given. Cases reported Village , SC/PHC Mandhar Block Dharsiwa. District RRT xl. Acute investigated the outbreak. House to house survey done. Leakages in drinking water Under pipeline were observed in the community. Consumption of contaminated water could be 5. Raipur Diarrheal 208 00 07-07-15 Surveillance the probable cause of the outbreak. Stool samples collected and sent to the Medical Disease College, Raipur and water samples are collected & sent to PHE department; result awaited. All cases treated symptomatically. Chlorination done. Health education given.

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DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Date of Name of Name of No. of No. of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Status Outbreak Cases of fever with rash reported from Satsang Colony, Wazirpur Industrial Area. District Under RRT investigated the outbreak. House to house survey done. Majority of cases were less 6. Delhi North -West xli. Measles 08 00 18-06-15 than 09 years of age.06 Blood samples were collected and sent to NCDC, Delhi out of Surveillance which 05 samples tested positive for measles and 01 sample tested positive for rubella IgM ELISA. All cases treated symptomatically. Health education given. Cases reported from Village Paroya, PHC Derol, Block Khedbrahma, District xlii. Acute Under Sabarkantha. District RRT investigated the outbreak. House to house survey done. 7. Gujarat Sabarkantha Diarrheal 16 00 03-07-15 Leakages in drinking water pipeline were observed in the community. Consumption of Surveillance Disease contaminated water could be the probable cause of the outbreak. All cases treated symptomatically. Chlorination done. Health education given. Cases of fever with rash reported from Village Bhawali, SC Hangola, Block JMB Bhatta, Under District Panchkula. District RRT investigated the outbreak. Out of 5 blood samples tested 8. Haryana Panchkula xliii. Measles 05 00 10-06-15 Control at PGIMER Chandigarh 4 samples were found to be positive for Measles IgM ELISA. All cases treated symptomatically. Chlorination done. Health education given. 474 Cases and 50 deaths were reported from all districts of Kerala since 01st January th th Kozhikode, 2015 up to 26 week 2015 ending on 28 June 2015. A fresh spurt of cases was observed xliv. Seasonal th Mallapuram, Under since 27 week 2015from Kozhikode,Mallapuram, Thrissur and Kannur districts. State 9. Kerala Influenza 599 55 and district RRTs are continuing the surveillance in the affected areas. A total of 2172 Thrissur and 01-01-15 surveillance A(H1N1) patients were screened since 01st January 2015, out of which 599 patients tested positive Kannur for H1N1 at central/state authorized laboratories. All cases are being treated symptomatically. Health education is being given. Cases reported From Village/SC Paradh, PHC Walsawangi, Block Bhokardan, District xlv. Acute Under Jalna. District RRT investigated the outbreak. House to house survey done. Consumption 10. Maharashtra Jalna Diarrheal 97 00 07-07-15 of contaminated water could be the probable cause of the outbreak.04 Water samples and Surveillance Disease 6 stool samples sent to DPHL Jalna; result awaited. All cases treated symptomatically. Chlorination done. Health education given. 5304 Cases and 542 deaths were reported from BMC (Brihan Mumbai Mahanagar BMC,Pune, Corporation),Pune, ,Akola Latur,Aurangabad Nashik,Kolhapur and Thane circles Nagpur, since 01st January 2015 up to 26th week 2015 ending on 28th June 201. A fresh spurt of Latur,Auran xlvi. Seasonal 5392 th Under cases was observed since 27 week 2015from BMC, Thane and Pune circles. State and 11. Maharashtra gabad Influenza 550 01-01-15 surveillance district RRTs are continuing the surveillance in the affected areas. 824492 patients were Nashik,Kolh A(H1N1) screened since 01st January 2015, out of which 5392 patients tested positive for H1N1 at apur,Akola central/state authorized laboratories. All cases are being treated symptomatically. Health and Thane education is being given.

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DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Date of Name of Name of No. of No. of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Status Outbreak Cases reported from Village Movad, CHC Amla . District RRT investigated the outbreak. Madhya Under House to house fever survey done. 297 blood slides examined out of which 26 slides 12. Betul xlvii. Malaria 40 00 03-07-15 tested positive for Malaria (P.Falciparum), 07 slides tested positive for Malaria (P.Vivax), Pradesh Surveillance and 7 slides were positive for mixed infection (both P. F &P.V). All cases treated locally. Source reduction activities under taken. Health education given. Cases reported from Village Padampur, SC NAC Area, Block Rajborasambar, District Under . District RRT investigated the outbreak. House to house survey done. Majority of 13. Odisha Bargarh xlviii. Jaundice 21 00 05-07-15 Control cases were in adult age group. 5 serum samples tested at VSS Medical College, Burla; result awaited. All cases treated symptomatically. Health education given. Cases reported from Village Dubra Ostakuli, SC Bubra, Block Para, District Purulia. District RRT investigated the outbreak. House to house survey done. Consumption of xlix. Acute West Under contaminated water could be the probable cause of the outbreak. Majority of cases were in 14. Purulia Diarrheal 23 00 15-05-15 adult age group. 2 water sample and 2 stool sample collected and sent to BS Medical Bengal Control Disease College Bankura.; both the water samples were found be non-potable. Both the stool samples tested negative for cholera culture. All cases treated symptomatically. Health education given. Cases of fever with rash reported from Village Milik, SC Durgapur Padri, PHC Issanagar, Uttar Lakhimpur Under 15. l. Measles? 09 00 28-06-15 District Lakhimpuri Kheri. District RRT investigated the outbreak. House to house survey pradesh Kheri Control done. All the cases were in 1-10 years age group. All cases treated symptomatically. Health education given.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Date of Name of Name of No. of No. of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Status Outbreak 21 Cases reported in 26th week ending on 28th June 2015, further 9 more cases reported in 29th week from Village Simni,Jabor, Uparjabar, SC Pandra, Block Jhalda. District RRT West Under investigated the outbreak. House to house fever survey done.317 blood slides were 1. Purulia i. Malaria 30 00 23-06-15 examined out of which 19 slides tested positive for Malaria (P.Falciparum), 08 slides Bengal surveillance tested positive for Malaria (P.Vivax), and 3 slides were positive for mixed infection (both P. F &P.V). All cases treated symptomatically. Source reduction activities undertaken. Health education given.

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FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Date of Name of Name of No. of No. of Current S. N. Disease/ Illness Start of Comments/ Action Taken State/UT District Cases Deaths Status Outbreak 31 Cases reported in 27th week ending on 05th July 2015, further 58 more cases reported th ii. Acute in 29 week from Village Indiranagar, UHC/Block Prantij, District Sabarkantha. District Under RRT investigated the outbreak. Consumption of contaminated water could be the probable 2. Gujarat Sabarkantha Diarrheal 89 00 29-06-15 Surveillance cause of the outbreak. 07 stool samples were taken and sent to DPHL Himmatnagar; result Disease awaited. All cases treated symptomatically. Water sources were chlorinated. Health education given.

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