1 | Page DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 20th Week (14th May To 20th May 2018) District wise disease alerts/outbreaks reported in the 20th week 2018 20th week Map 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 17 INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in 2 | Page DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 20th Week (14th May To 20th May 2018) District wise disease alerts/outbreaks reported in the 20th week 2018 th 20 week Graph 3 | Page Date of Name of No. of No. of Date of Current Unique ID. Name of District Disease/ Illness Start of Comments/ Action Taken State/UT Cases Deaths Reporting Status Outbreak Cases reported from Village Balikaria, SC Lokhopur, PHC Chamata, BPHC Chamata. Acute District RRT investigated the outbreak. House Under to house survey done. 03 Drinking water and AS/NLB/2018/20/653 Assam Nalbari Diarrheal 08 00 19-05-18 19-05-18 Surveillance 01 stool samples sent to DPHL Nalbari; result Diseases awaited. All cases treated symptomatically. Health education given on personal hygiene and hand-washing practices. Cases reported from Village Bhutpara, Alisinga, Ward No-1, Balisia, SC Polashbosti, Mijibari, Balisia, CHC/PHC Dhekiajuli. Under District RRT investigated the outbreak. House AS/SNT/2018/20/654 Assam Sonitpur Typhoid 09 00 12-05-18 17-05-18 Surveillance to house survey done. 12 Water samples collected for MPN test; results awaited. All cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from Village Phuhurabari, & Khusurabarii, PHC Udalguri, SC Batabarii. District RRT investigated the Under outbreak. House to house survey done. 08 AS/UAL/2018/20/655 Assam Udalguri Chicken Pox 17 00 14-05-18 17-05-18 serum samples sent to DPHL Kamrup Metro Surveillance for Chicken pox ELISA; Result awaited. All cases treated symptomatically. Community educated on personal hygiene, isolation of cases and intake of plenty of fluids. Cases of fever with rash reported from Village Rasulpur, Rupwara & Khalilpu. SC Bhatauna, Repura & Borwara, PHC/Block Marwan. Under District RRT investigated the outbreak. House BH/MZP/2018/20/656 Bihar Muzaffarpur Chickenpox 24 00 18-05-18 19-05-18 Control to house survey done. All cases treated symptomatically. Cases were educated about personal hygiene practices and isolation of cases. Cases of fever with rash reported from Village Under Islampur, Ward No.-18. Sadar Block, Supaul. BH/SUP/2018/20/657 Bihar Supaul Measles 06 00 18-05-18 20-05-18 District RRT investigated the outbreak. House Control to house survey done. All cases treated symptomatically. Health education given. 4 | Page Cases of fever with rash reported from Village Mahagama, Koljhara, Sahpur, Beldiha. District RRT investigated the outbreak. House to house Under survey done. 05 Blood samples sent to Institute JH/GDA/2018/20/658 Jharkhand Godda Measles 09 00 14-05-18 17-05-18 of Serology, Kolkata for IgM Elisa Measles; Surveillance result awaited. All cases treated symptomatically. Community educated on the prognosis of disease, mode of transmission, prevention and control practices. Cases of vomiting with loose stools reported from Village Kodarma, PHC Masnodih, Block Simaria. Mid day meal consumption in Govt Food Under middle School Simariya was the likely cause of JH/KOE/2018/20/659 Jharkhand Koderma 26 00 19-05-18 19-05-18 outbreak. District RRT investigated the Poisoning Surveillance outbreak. House to house survey done. Health camp organized in the school and all cases treated symptomatically. Health education given. Cases of loose stools and vomiting reported from Village Sirmarg Manzmoh Block Qazigund. District RRT investigated the outbreak. 02 water samples (01 tap water sample and 01 reservoir water sample) and 02 Jammu And Acute Under stool samples sent for analysis to IDSP JK/KLM/2018/20/660 Kulgam 22 00 14-05-18 16-05-18 Kashmir Gastroenteritis Surveillance Provincial Lab RFPTC Barzulla Srinagar; both water samples were unsatisfactory. Culture of stool samples shown normal flora. All cases treated symptomatically. Health education given on personal hygiene and hand washing practices. Cases of fever with rash reported from Village Abhama, NTPHC Abhama Block Rajpora. District RRT investigated the outbreak. House to house survey done. 05 Blood Samples Jammu And Under collected and sent to PHL Barzulla for analysis; JK/PWM/2018/20/661 Pulwama Measles 09 00 14-05-18 16-05-18 Kashmir Surveillance 03 samples were positive for Measles IgM Elisa. All cases treated symptomatically. Isolation of cases advised. Health Education imparted on spread of disease and its preventive measures to the community. 5 | Page Cases of fever with rash reported from Govt. Middle School Zangli Kupwara, Block Kupwara. District RRT investigated the Jammu And Under outbreak. House to house survey done. Health JK/KWR/2018/20/662 Kupwara Chickenpox 17 00 21-05-18 21-05-18 education given to population about the disease Kashmir Control and its preventive measures. School authorities were advised to isolate cases and monitor hygiene of children. All cases treated symptomatically. Health education given. Cases of loose stools with abdominal pain reported from Village Chowki Thanda and Royila thanda, PHC/CHC Basavana Sangolgi, Taluk Aland. District RRT investigated the Acute outbreak. House to house survey done. Stool Under sample collected were negative for V. Cholera KN/GUL/2018/20/663 Karnataka Kalaburagi Diarrheal 39 00 16-05-18 17-05-18 Control culture. 14 Water samples were non potable. Diseases All cases treated symptomatically. Chlorine tablets distributed in community. Community educated on drinking boiled and cooled water. Super-chlorination of drinking water sources done. 6 | Page Cluster of 3 cases of Viral encephalitis reported from Block Perambra, PHC- Chengaroth. The unusual event started with death of a 26 yr male, clinically diagnosed as viral encephalitis at Medical College Hospital. Two weeks later 2 members of the same family reported with similar symptoms, rapidly progressed and died while on treatment, at a private tertiary care hospital. On subsequent days 6 more persons succumbed to similar symptoms, including a staff nurse of the taluk hospital, involved in treatment of the second case. All the affected cases were found to have close contact with a Nipah Viral Under confirmed case/death. District RRT team along KL/KOZ/2018/20/664 Kerela Kozikohode 09 07 04-05-18 05-05-18 with the central team of NCDC investigated the Encephalitis Surveillance outbreak. House to house active case search and contact tracing was done. Serum and CSF samples were sent to MCVR Manipal & NIV Pune. Nipah Virus Encephalitis PCR test was confirmed positive for initial three cases and therafter many more. Isolation points identified and infection control protocol strengthened. Adequate quantity of PPE and other logistics ensured in the district. Burial protocols issued. Home quarantine for the contacts and hospitalized observation for all symptomatic implemented. Medical camps conducted in the area for disease awareness and reducing panic. Cases of fever reported from Village Washi, SC Pargaon, PHC Shendi, Block Tandulwadi. District RRT investigated the outbreak. House Under to house survey done. Blood & serum sample MH/OSM/2018/20/665 Maharashtra Osmanabad Dengue 11 00 11-05-18 15-05-18 sent to Sentinel center, Beed for IgM Elisa; 04 Surveillance samples positive for Dengue. Source reduction and anti-larval surveys done. All cases treated symptomatically. Health education given on personal protection measures. 7 | Page Cases of vomiting with loose stools reported from Village Kherdi, Panwadi (Pisai PHC). District RRT investigated the outbreak. House Food Under to house survey done. Symptomatic Treatment MH/RTG/2018/20/666 Maharashtra Ratnagiri 20 00 18-05-18 19-05-18 Poisoning Surveillance of cases at SDH Dapoli. Health camp organized in the school and all cases treated symptomatically. Relevant health education given. Cases of fever with rash reported from Village Dhorera (SC Magarda) PHC Agra, CHC Vijaypur, Block Vijaypur. District RRT Madhya Suspected Under investigated the outbreak. House to house MP/SHY/2018/20/667 Sheopur-Kalan 09 00 15-05-18 16-05-18 Pradesh Measles Surveillance survey done. All cases treated symptomatically. Vaccination status of cases was not known. Vitamin A administration done and isolation advised to cases. Cases reported from Village Pakhao, CHC Sagolmang, Block Sawongbung. District RRT investigated the outbreak. House to housesurvey done. State RRT investigated the Under outbreak. 14 people were bitten by same dog. MN/MNP/2018/20/668 Manipur East Imphal Dog Bite 14 01 19-05-18 21-05-18 The dog has been killed and no samples could Control be collected. The rabies case eventually died on the same day. All the 14 cases are undergoing 5-dose regime of PEP. No other report of suspected rabies case in the area. Immunization of eligible dogs done by Veterinary Deptt. Cases of vomiting with loose stools reported from Village Taliudar (Kuliapada), SC Taliudar, PHC Kushang, Block Loisingha. District RRT investigated the outbreak. House to house survey done. Outbreak was possibly Food Under due to consumption of mela prasad. Food OR/BAG/2018/20/669 Odisha Bolangir 81 00 13-05-18 15-05-18 Poisoning Surveillance (PRASAD) samples taken by Food Safety Officer, Balangir. 02 Water Samples sent to DPHL, Balangir for investigation, MPN test; all were negative. Health camp organized in the school and all cases treated symptomatically. Relevant health education given. 8 | Page Cases of loose stools with abdominal pain reported from Village Paldi Vas, PHC Bhatana, Acute Block Reodar.