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

20th week (11th May to 17th May) 2015

District wise disease alerts/outbreaks reported in the 20th week, 2015

Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 29

No. of States/UT’s Submitted ‘NIL’ outbreak report 7

INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in

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

Cases of fever with rash reported from Village Pashim Bhadragaon, SC Bidyur, PHC Boitamari, District Bongaingaon. District RRT i. Fever with Under investigated the outbreak. Only 4 cases were immunized. House to Bongaigaon 15 0 01-05-15 18-05-15 Rash Surveillance house case search done. Majority of cases were more than 05 years of age. Health camp organized in the area and all cases treated symptomatically. Isolation of cases advised and Vitamin A 1. Assam administered to all the cases. Health education given. Cases of loose stools reported from Village Joyhing TE SC Seajuli ii. Acute PHC Bogindodi, District Lakhimpur. District RRT investigated the Under outbreak.04 stool samples tested negative for any pathogens. 04 water Lakhimpur Diarrheal 21 0 16-05-15 19-05-15 Surveillance samples collected and sent to DPHL, Civil Hospital North Lakhimpur; Disease all were potable. All the cases treated symptomatically. Health education given.

Cases of loose motion reported from Village-Kuravapalli, SC- Eramireddygaripalli, Mandal/Block/PHC Pulicherla, CHNC Sadum District Chittoor. District RRT investigated the outbreak. 03 Rectal iii. Acute Swabs collected and sent to Microbiology Dept. SVMC, Tirupati. 04 Under Chittoor Diarrheal water samples collected and sent to Regional Public Health Lab, 23 0 10-05-15 17-05-15 Surveillance Disease Tirupati. Two water samples were found non potable for drinking Andhra purposes. All 3 rectal samples tested negative. All the cases treated 2. Pradesh symptomatically in a medical camp. Alternate water supply arranged during the outbreak. Health education given.

Cases of loose motion reported from Village Chennareddypalli, iv. Acute Mandal Podalakur, PHC Mohamadha Puram. District Nellore. District Under RRT investigated the outbreak. House to house survey done. All cases Nellore Diarrheal 32 0 12-05-15 17-05-15 Surveillance attended a function in the village where in the dinner they had Veg Disease Biryani, Colored Rice etc. All the cases treated symptomatically. Health education given. Cases of loose motion reported from Club Colony, Khonsa, District v. Acute Tirap. District RRT investigated the outbreak. House to house survey Arunachal Under done. Consumption of contaminated water after heavy rains in the 3. Tirap Diarrheal Pradesh 20 0 13-05-15 15-05-15 Surveillance area could be the probable cause of the outbreak. 20 stool samples Disease sent for Lab investigation; result awaited. All the cases treated symptomatically. Health education given.

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

vi. Food Under Cases of loose motion reported from Minapur, District Muzaffarpur Muzzafarpur District RRT investigated the outbreak. All the cases treated Poisoning 28 0 12-05-15 16-05-15 Surveillance symptomatically. Health education given.

Cases loose motion, vomiting and abdominal pain reported from Village Mallahtola Depura chowk, HSC Depura, PHC Benpatti, vii. Food Under Madhubani 70 0 13-05-15 14-05-15 District Madhubani. District RRT investigated the outbreak. House to 4. Bihar Surveillance Poisoning house survey done. All cases had history of consumption of food in a family function. All cases treated symptomatically. Health education regarding food hygiene and sanitation was given.

Cases reported from Village/SC Nagwa, PHC/Block Maner, District Under Patna. District RRT investigated the outbreak. District RRT Patna viii. Chickenpox 7 0 11-05-15 16-05-15 Surveillance investigated the outbreak. House to house search done. Majority of cases were in 05-10 years of age group. All cases treated symptomatically. Health education given. Cases of fever with rash reported from Burail (Sector-45). District Under RRT investigated the outbreak. Active search for cases done. All 05 5. Chandigarh Chandigarh ix. Measles samples tested at PGI Chandigarh, were found to be positive for 08 0 18-05-15 20-05-15 Surveillance measles IgM ELISA. All the cases treated symptomatically. Health education given. Cases of vomiting and loose stools reported from Mafat Nagar, Road No-10, Udhna zone, Surat Corporation, District Surat District RRT x. Food Under investigated the outbreak. Consumption of contaminated water could Surat be the probable cause of the outbreak.11 out of 24 water sample tested Poisoning 06 1 16-05-15 16-05-15 Surveillance at GMC Surat; were found to be non-potable. One case died due to the Gujarat condition. All the cases treated symptomatically. Health education 6. given.

Cases reported from Village Wadwala, SC Kaniyal, PHC Gogajipura, Block Kathlal, and District Kheda. District RRT investigated the xi. Food Under Kheda 54 0 11-05-15 12-05-15 outbreak. Cases occurred after 4-5 hours of consumption of food Poisoning Surveillance (Mewa Preparation) in a marriage ceremony. House to house survey

done. Medical camp organized and all cases were treated symptomatically. Health education given.

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

Cases reported from Village Kakadveri, Taluka Kheargam, PHC Toranvera, SC Kakadveri, District Navsari. District RRT investigated xii. Acute Under the outbreak. House to house survey done. All the cases consumed Navsari Diarrheal 45 0 11-05-15 12-05-15 food (roti, dal, sabjiand, rice) in a marriage ceremony. 2 stool and 2 Control Disease water samples tested. MGG Hospital and both the stool samples were found negative any pathogenic organisms. Both the water samples were found to be non-potable. All cases treated symptomatically. Health education given.

Cases of pain, abdomen, vomiting and diarrhea reported from Village Kotda, Mathsar, PHC Lambadiya, Taluka Poshina, District xiii. Food Under Sabarkantha. District RRT investigated the outbreak. All the cases Gujarat Sabarkantha 102 0 08-05-15 13-05-15 Poisoning Surveillance consumed Prasad in a religious ceremony (Badha Function). 01 stool samples collected and tested at DPHL was found negative for any pathogen. Medical camp organized in the area and all cases treated symptomatically. Health education given.

Cases reported from Village Abhara, Block Handod, Karjan, District xiv. Acute Under Vadodara. District RRT investigated the outbreak. House to house Vadodara Diarrheal 10 0 10-05-15 12-05-15 survey done. Consumption of contaminated water could be the Control Disease probable cause of the outbreak. Chlorination done. One water sample sent to Govt. lab was found to be potable. All the cases were treated symptomatically. Health education given. Cases of fever with rash reported from village Kalinjar, SC Bajhera PHC Ujina, District Mewat. District RRT investigated the outbreak. Under Active search for cases done. Majority of cases were less than 10 7. Haryana Mewat xv. Measles 06 0 06-05-15 18-05-15 Surveillance years of age. All 05 samples tested at SMS Jaipur; results were found to be positive for measles IgM ELISA. . All the cases treated symptomatically. Health education given.

Cases reported from Village Meherma, Thakurgangti, Chanda, Mahuarana, District Godda. District RRT investigated the outbreak. xvi. Fever with Under 8. Godda 8 0 16-05-15 18-05-15 Active search for cases done. Blood samples taken and sent to Rash Surveillance Institute of Serology Kolkata; result awaited. All cases treated symptomatically and vitamin A supplementation given. Health education regarding isolation of cases and personal hygiene given.

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

Cases of nausea, vomiting and loose stools reported from Girls Hostel of Medical College, Ranchi, District Ranchi. District RRT Jharkhand xvii. Food Under Ranchi 28 0 10-05-15 11-05-15 investigated the outbreak. All the cases consumed food in hostel Poisoning Control mess. A total of 03 stool samples collected and sent to Medical College Ranchi; result awaited. All cases treated symptomatically. Health education given.

Cases reported from Village Kataribeda/HSC Rajabasa, CHC /Block Thethaitanger, District Simdega. District RRT investigated the xviii. Food Under Simdega 3 2 08-05-15 12-05-15 outbreak. All 3 cases had consumed meat of the function cooked one Jharkhand Surveillance Poisoning day before. Medical camp organized in the area and all cases treated symptomatically. Health awareness camps organized on food hygiene and sanitation.

Cases reported from Village Kollur, PHC Chandrappa circle, Taluk Under South Bangalore, District Bangalore Urban. District RRT investigated Bangalore xix. Fever 09 0 14-05-15 15-05-15 urban Surveillance the outbreak. House to house search done. 04 serum samples sent for lab investigation; result awaited. All cases treated symptomatically. Health education given.

Cases of pain abdomen and vomiting reported from Village/PHC xx. Food Under Yalagi Taluk Shorapur District Yadgiri. District RRT investigated the Yadgiri 30 0 16-05-15 17-05-15 Poisoning Surveillance outbreak. All cases consumed food served in a religious ceremony. 04 water samples sent for lab investigation; result awaited. All cases 9. Karnataka treated symptomatically. Health education given.

Cases of pain abdomen and vomiting reported from Village Under Pashupathihal PHC Saunshi, Taluk Kundagol, District Dharwad. Dharwad xxi. Fever 31 0 13-05-15 17-05-15 Surveillance District RRT investigated the outbreak. 5 serum samples sent to KIMS Hubly; result awaited. All cases treated symptomatically. Health education given.

Cases reported from Village/PHC Julapalya, Taluk Bagepalli, District Under Chikabalapur xxii. Fever 13 0 10-05-15 12-05-15 Chikabalapura. District RRT investigated the outbreak. 02 samples Surveillance sent for lab investigation; result awaited. All cases treated symptomatically. Health education given.

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

Cases of vomiting, pain abdomen and loose stools reported from Village Dahegaon, PHC Palaskhed, Block Chandur, District xxiii. Food Under Amravati 31 0 12-05-15 13-05-15 Amravati. District RRT investigated the outbreak. House to house Control Poisoning survey done All cases had consumed food in a marriage ceremony. Maharashtra Meal consisted of Toor Dal, potato, brinjal, aamti, Chapati, Rice and boondi. All cases treated symptomatically. Health education given.

Cases reported from Village Mendhepathar, PHC Karcharisawanga, xxiv. Acute Taluka Katol, District Nagpur. District RRT investigated the outbreak. 10. Under Nagpur Diarrheal 45 0 07-05-15 14-05-15 Consumption of contaminated water could be the probable cause of Control the outbreak. 02 stool samples collected and sent to Public Health Lab Disease Nagpur and both the samples were found to be negative for Cholera culture. All cases treated symptomatically.

Cases of vomiting and loose stools reported from Village Kathodaa, Maharashtra xxv. Food Under PHC Mahsola, Block Arni, District Yavatmal. District RRT Yavatmal 17 0 09-05-15 14-05-15 Poisoning Control investigated the outbreak. All cases consumed stale rice and meat during a function. All cases treated symptomatically. Health education given.

xxvi. Acute Cases reported from Village Kabri, PHC Pipalzopa, Block Under Bhagwanpura, District Khargon. District RRT investigated the Khargon Diarrheal 15 0 13-05-15 15-05-15 Surveillance outbreak. Water samples were collected for testing; result awaited. Disease Chlorination done. Medical camp organized and all cases treated symptomatically. Health education given. Madhya 11. Pradesh Cases reported from Village Tabalpani, SC Tabalpani, Block Ghughri, and District Mandla. District RRT investigated the outbreak. Rapid Under fever survey done in the area. House to house survey done. A total of Mandla xxvii. Malaria 16 0 11-05-15 13-05-15 Surveillance 86 blood smears were examined out of which 16 smears found positive for Malaria (9 PF, 3PV, 4 Mix). Anti larval activities done. Focal spray done. All cases treated symptomatically. Health education given.

Cases of fever with rash reported from Village Bhindran, CHC Under Longowal, District Sangrur. District RRT investigated the outbreak.03 12. Punjab Sangrur xxviii. Measles 4 0 14-05-15 14-05-15 Control samples sent to GMC Patiala out of which 02 were found to be positive for measles IgM ELISA. All cases treated symptomatically. Health education given.

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

Cases reported from Ishwar colony of Jalandhar city, District xxix. Viral Jalandhar. District RRT investigated the outbreak. House to House Under survey done. 12 samples sent to GMC Amritsar, 5 were positive for Jalandhar Hepatitis 38 0 11-05-15 15-05-15 Control Hepatitis E IgM ELISA. All 3 water samples tested at CH Jalandhar E were found to be potable for drinking purpose. All cases treated symptomatically. Chlorination done. Alternate source of water supply was arranged during the outbreak. Health education given.

Cases of fever reported from Village Sorsen, CHC Mirjapur, Block Anta, District Baran. District RRT investigated the case. Under Entomological survey done.CI 13.50, BI 28.9, HI 17.30. All 75 blood Baran xxx. Dengue 202 01 14-05-15 14-05-15 Surveillance smears were examined, were negative for malaria parasite.34 out of Rajasthan 61 serum samples tested at Kota medical College were found to be positive for dengue IgM ELISA. One 65 year old male died due to the 13. condition. All cases treated symptomatically. Health education given.

Cases of vomiting and loose motion reported from Salvi Mohalla, Village/PHC Utharda, Block Salumber, District Udaipur. District RRT xxxi. Food Under Rajasthan Udaipur 96 0 16-05-15 16-05-15 investigated the outbreak.02 water samples collected and sent to Control Poisoning Satellite Hospital Udaipur; both the samples were found to be non- potable for drinking purposes. All cases treated symptomatically. Health education given.

Cases reported from Village/SC Jarkhor, Block/District Chandauli. Under District RRT investigated the outbreak. House to house survey done. Chandauli xxxii. Chickenpox 11 0 12-05-15 15-05-15 Control Majority of cases were in 3-16 year age group. Vitamin A distributed to all the susceptible children and all the cases treated symptomatically. Health education given.

Cases reported from Village Poochi, Block Gursarai, District Jhansi. Under District RRT investigated the outbreak. A total of 06 serum samples 14. Uttar Pradesh Jhansi xxxiii. Measles? 30 0 12-05-15 13-05-15 Control were collected and sent to SGPGI Lucknow; result awaited. All cases treated. All cases were between 1-10 years of age. Vitamin A given to all susceptible children. Health education given.

Cases reported from Village Padra, Block Bangra, District Jhansi. Under District RRT investigated the outbreak. A total of 05 serum samples Jhansi xxxiv. Measles? 17 0 15-05-15 16-05-15 Control were collected and sent to SGPGI Lucknow; result awaited. All cases treated. All cases were between 1-10 years of age. Vitamin A given to all susceptible children. Health education given.

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

Cases of fever with rash reported from Paramshakti Wathtaliya Sevakendra Hostel Village Nala, Block Guptkashi, District xxxv. Fever with Under Rudraprayag. District RRT investigated the outbreak. Majority of Rudraprayag 08 0 12-05-15 14-05-15 Rash Surveillance cases were in 6-10 years age group. 05 blood samples collected and sent to VCGS Medical College, Srinagar, Pauri Garhwal. All samples tested negative for Measles All cases treated symptomatically. Health 15. Uttarakhand education given.

Cases of fever reported from Village Ranshi, Block Ukhimath, xxxvi. Enteric Under District Rudraprayag. District RRT investigated the outbreak. A total Rudraprayag 30 0 13-05-15 16-05-15 fever? Control of 04 blood samples tested at SAD Rudraprayag were found to be positive for Typhoid by Typhi dot. All cases treated symptomatically. Health education given.

Cases reported from Chotobaloon, Kurmun, District Burdwan. District xxxvii. Acute Under RRT investigated the outbreak. Majority of cases were adults 2 rectal Burdwan Diarrheal 38 0 14-05-15 15-05-15 swabs were collected and 03 water samples sent to DPHL Both the Surveillance Disease rectal swab cultures tested negative for any pathogen. All the water samples were non potable. All cases treated symptomatically. Disinfection of water done. Health education given.

Cases reported from Paschim Gopalpara, Gatista, Mangolkote, District xxxviii. Acute Under Burdwan. District RRT investigated the outbreak. Food samples Burdwan Diarrheal 145 0 15-05-15 16-05-15 consisting of sweets collected and sent to BMCH, 2 rectal swabs Control Disease collected and sent to BMCH. Culture showed absence of bacteriological growth. Medical camp organized in the area and all cases treated symptomatically. Health education given. 16.

Cases reported from Village Baroua, GP Satgachia-2, Block Memari- xxxix. Acute II, District Burdwan. District RRT investigated the outbreak. All cases Under were adults. Consumption of contaminated water could be the Burdwan Diarrheal 44 0 18-05-15 19-05-15 Surveillance probable cause of the outbreak. A total of 3 rectal swabs and 03 water Disease samples collected and sent to DPHL; all samples tested negative for West Bengal any pathogen.. All cases treated symptomatically. Disinfection of water done. Health education given.

Cases reported from Village Dahiya, GP Ektepur, Block Balagarh, and Under District Hooghly. District RRT investigated the outbreak. A total of 02 Hooghly xl. Cholera 32 0 17-05-15 18-05-15 Surveillance stool samples collected and sent to NICED Kolkata. One stool sample found positive for Cholera. All cases treated. Chlorination of water done. Health education given.

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

Cases reported from Village Inchura, GP Dhobapara, Block Balagarh, Under and District Hooghly. District RRT investigated the outbreak. A total Hooghly xli. Cholera 29 0 11-05-15 12-05-15 of 02 stool samples collected and sent to NICED Kolkata. 2 water Surveillance samples sent to BDO water testing lab. One stool sample found positive for Cholera. All cases treated symptomatically. Chlorination of water done. Health education given.

Cases reported from Village/SC Kusumba, Block Rampurhat, District xlii. Acute Birbhum. District RRT investigated the outbreak. Consumption of Under Birbhum Diarrheal 77 0 12-05-15 17-05-15 contaminated pond water could be the probable cause of the outbreak. Surveillance Disease A total of 03 rectal swabs collected and sent to BMCH for lab investigation, all 03 cultures were found to be negative for any pathogen.

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, body pain and vesicular eruptions reported from Village/SC Pakribari, PHC/Block/ District Udalguri. District RRT investigated the outbreak. Under Udalguri xliii. Chickenpox 9 1 22-04-15 Majority of cases are in 5-15 years of age group. Sanitary condition of the area Control was very poor. Health camp organized in the area and all cases treated symptomatically. One 07 year old male child died due to the condition. Health 1. Assam education given. Cases of fever with rash reported from Village Boleshwar, Ratanpur, Khudrakandi, & Daybasena PHC Kaliganj, District Karimganj . District RRT Under investigated the outbreak. Only 11 cases were immunized. Majority of the cases Karimganj xliv. Measles 80 0 07-04-15 Surveillance were in 2-5 years age group. 05 samples sent to GMCH virology deptt.and found all 5 cases are positive for measles. All the cases treated symptomatically. Health education given.

Under Cases of fever with rash,cough, cold and conjunctivitis reported from Village 2. Muzaffarpur xlv. Chickenpox 93 0 04-05-15 Harser Balua Ghosaut Tola, HSC Balua, PHC Minapur, District Muzaffarpur. Control District RRT investigated the outbreak. House to house case search done. All cases treated stymptomatically. 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 loose motion reported from Village Bhikhanpur Saif , HSC Chainpur xlvi. Food Under Wajid, Block/PHC Kudhani, District Muzaffarpur. District RRT investigated the Muzzafarpur Bihar Poisoning 180 0 19-04-15 Surveillance outbreak. Majority of cases consumed common food (mutton and rice). All the cases treated symptomatically. Health education given.

Under Cases reported from Village Noniyari, HSC Basipatti, PHC Madhepur, District Madhubani xlvii. Chickenpox 7 0 21-04-15 Madhubani. District RRT investigated the outbreak. Majority of cases were in Surveillance 16-32 years of age group. All the cases treated symptomatically. Health education given.

Cases reported from Village Patlapur, SC Hawaspur, PHC Danapur, Block Under Danapur, and District Patna. District RRT investigated the outbreak. House to Patna xlviii. Chickenpox 46 0 04-05-15 Control house search done. Majority of cases were in 05-10 years of age group. Blood samples were collected and tested by ELISA at PMCH and found reactive. All the cases treated symptomatically. Health education given.

xlix. Acute Cases reported from Village Podi, PHC Salkhan section Godhana, CHC Under Janjgir Diarrheal 11 0 03-05-15 Nawagarh, District Janjgir. District RRT investigated the outbreak House to house Surveillance Disease case search done in the area. Health camp organized in the area and all cases treated symptomatically. Chlorine tablets distributed. Health education given. 3. Chattisgarh

Under Cases of fever with rash reported from Village Sevai & village Jagmahant Section Janjgir l. Chickenpox 23 0 19-04-15 PHC Seoni, CHC Nawagarh, District Janjgir. District RRT investigated the control outbreak. House to house survey done. Medical camp organized in the area and all the cases treated symptomatically. Health education given.

Cases reported from Village Manirampur, HSC Rahaspur, CHC Pakur, District Under Pakur. District RRT investigated the outbreak. Active case search done. Majority 4. Jharkhand Pakur li. Measles 28 0 14-04-15 of cases were in 0-5 year age group. All 05 blood samples tested at Institute of Surveillance Serology Kolkata were found to be positive for measles IgM ELISA. Vitamin A given to cases and all the cases were treated symptomatically. Health education done.

Cases of fever reported from Village Neelaswaram, PHC Mukkom, Block

Under Kunamangalam, District Kozhikode. District RRT investigated the outbreak. 5. Kozhikode lii. Dengue 11 0 21-04-15 Surveillance House to house survey done 21 samples collected, and out of which 11 were Kerala found to be positive for dengue IgM ELISA. All cases treated symptomatically. 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 reported from Village Kumbazha , SC Pathanamthitta Under Municipality, Block Elanthoor, District Pathanamthitta. District RRT investigated Pathanamthitta liii. Dengue 10 0 21-04-15 Surveillance the outbreak. House to house survey done.10 samples collected out which 02 samples were found to be positive for dengue IgM ELISA. All cases treated symptomatically. Health education given.

liv. Acute Cases reported from Village Thanegaon, SC Chikhali, PHC Sukadi Dakram, Under Block Tirora, District Gondia. District RRT investigated the outbreak. Cases 6. Maharashtra Gondia Diarrheal 35 0 04-05-15 Control occurred after attending a marriage ceremony. 02 water and 05 stool samples Disease collected and tested at DPHL Gondia for cholera; result awaited. All cases treated. Chlorination done .House to house search done.

lv. Chickenpo Under Cases of fever with rash reported from Village Jalaigre, SC/CHC Karukol, Block 7. Meghalaya Garo Hills 41 0 15-04-15 x Control Baghmara, District Garo Hills. All cases were between 1-17 years of age. All cases treated symptomatically. Health education given.

Cases reported from Kaiyaan Mohalla, Block Muzzafarpur Nawashar, District lvi. Viral Under SBS Nagar . District RRT investigated the outbreak. House to House survey 8. Punjab SBS Nagar Hepatitis 7 0 1-05-15 done. All the cases were using the same water supply. All 07 blood sample tested Control A at CMC Ludhiana were found to be positive for Hepatitis A IgM ELISA. 5 water samples sent to State Public Health Lab Chandigarh; result awaited. Cases treated symptomatically. Health education given.

Cases of fever and rash reported from Village Dzongu, PHC Passingdong, Under Mangan area of District North Sikkim. District RRT investigated the outbreak. 9. Sikkim North Sikkim lvii. Measles 40 0 04-05-15 Surveillance Majority of the cases were above 10 years of age. 18 out of 20 blood samples tested at NCDC Delhi were found to be positive for Measles IgM ELISA. All cases treated and vitamin A given. Health education given.

Under Cases reported from Naushahra, Bhinga, Bhinga, Rani, District Shravasti. District 10. Uttar Pradesh Shravasti lviii. Measles 11 0 01-05-15 RRT investigated the outbreak. House to house survey done. Majority of cases Control were in 1-5 years age group. All cases treated symptomatically. 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 reported from Village Taranagar, GP-Kurkuba, Block-Galsi II, District lix. Acute Burdwan. District RRT investigated the outbreak. Consumption of contaminated Under water from the village pond could be the probable cause of outbreak. 2 rectal 11. West Bengal Burdwan Diarrheal 19 0 22-04-15 Control swabs were collected and 04 water samples sent to DPHL. Both the rectal swab Disease cultures tested negative for any pathogen. All the water samples were non potable. RRT visited the area. All cases treated symptomatically. Disinfection of water done. 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

30 Cases of loose stools were reported in 18th week ending on 03rd May 2015, further 82 more cases reported in 20th week ending on 17 May 2015 from i. Acute Village/SC/PHC Bolundra, Block Modasa, District Arvalli. . District RRT Under investigated the outbreak. Consumption of contaminated water due to leakages in 1. Gujarat Arvalli Diarrheal 112 0 01-05-15 Surveillance drinking water pipeline could be the probable cause of the outbreak.06 stool Disease samples and 10 water samples taken and sent to Himmat Nagar Civil Hospita. All 06 stool samples were found to be negative for cholera culture. All 10 water samples were found to be non-potable. All cases were treated symptomatically. Health education given.

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