DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 49th week (1st December to 7th December) 2014 District wise disease alerts/outbreaks reported in the 49th week, 2014 Reporting Status of States/UT’s No. of States/UT’s Submitted outbreak report ( including NIL report) 32 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 Comments/ Action Taken Name of Name of No. of No. of Date of Current S. No. Disease/ Illness Start of State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Bodamolladinne, SC Isukanuthapalli, PHC CTM,Mandal Madanapalle District Chittoor. District RRT investigated the outbreak. Out of 08 water samples collected and sent to Regional Public Health i. Acute Under Lab, Tirupati, only 02 samples were found to be potable. All Chittoor diarrheal 22 02 29/11/14 08/12/14 control 03 rectal swabs sent to SVIMS Tirupati tested negative for disease any pathogen. 02 females aged 16& 45 years died due to the condition. A medical camp was organized. Water tanks were Andhra 1. cleaned and water chlorinated. Health education given on Pradesh personal hygiene and environmental hygiene. Cases reported from Village Kotbarpally, SC Sangakalam, PHC Gingurthy, District Ranga Reddy. District RRT ii. Food Under investigated the outbreak All the cases had history of Ranga Reddy 19 0 05/12/14 09/12/14 poisoning control consumption of midday meal. Health education given on drinking water and personal hygiene. No human samples sent for testing. Cases reported from village Sisona, ward no. 04 Block Jokihat, District Araria. District RRT investigated the iii. Chicken Under outbreak. Cases presented with fever with rash, Coryza and 2. Bihar Araria 9 0 28/11/14 05/12/14 Pox control conjunctivitis. Majority of cases were in the 04 to 10 years age group. All cases treated symptomatically and isolation done. Health education given. Cases of fever with rash reported from Indiranagar, UHC Sec 24, District Gandhinagar.District. District RRT investigated the outbreak. Majority of cases belonged to 2-5 years of age Gujarat Under 3. Gandhinagar iv. Measles 8 0 26/11/14 02/12/14 group. No history of prior measles vaccination. A total of 05 control serum samples collected and sent to BJMC Ahmedabad out of which 04 were positive for Measles. Health education given in the area. 2 Date of Comments/ Action Taken Name of Name of No. of No. of Date of Current S. No. Disease/ Illness Start of State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Harijan Vas Faliyu of Village Pilol, SC Gujarat Bakrol, Block Kalol, District Panchmahal. District RRT v. Food Under investigated the outbreak. All the cases had history of Panchmahal 60 0 30/11/14 01/12/14 poisoning surveillance consumption of food in a religious ceremony. House to house survey done. All patients referred to CHC. Health education given in the area. No human samples sent for testing. Cases reported from Village Amarpur, SC/ PHC / Block / Meherma, District Godda. District RRT investigated the outbreak. A total of 05 serum samples were collected and sent Under 4. Jharkhand Godda vi. ?Measles 19 0 27/11/14 05/12/14 to Institute of serology, Kolkata for IgM, Result awaited. control Majority of cases were less than 06 years of age. All cases treated symptomatically. Health education regarding isolation of cases and immunization given. Cases reported from Village M G Thimmapura, PHC Negalur, Taluk Haveri, District Haveri. District RRT investigated the outbreak. Consumption of contaminated water could be the probable cause of outbreak. 02 stool samples collected and vii. Acute Under Haveri Diarrheal 15 0 30/11/14 03/12/14 sent to referral lab Shimoga, tested negative for cholera control Disease culture.02 water sample tested and found to be non potable. Chlorination of water source done. Alternate water supply provided & chlorine tablets distributed. Health education 5. Karnataka given. Cases of fever with joint pains reported from Village Megoor, PHC Holealur, Taluk Ron, and District Gadag. District RRT investigated the outbreak. 03 samples collected and sent to viii. Chikungun Under Gadag 39 0 02/12/14 04/12/14 sentinel lab NVBDCP Gadag. Out of which 01 was found to ya control be positive for chikungunya by IgM ELISA. Fever surveys done in the area.Source reduction measures were taken. Health education given 3 Date of Comments/ Action Taken Name of Name of No. of No. of Date of Current S. No. Disease/ Illness Start of State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Kambumala Tea Estate of Village/PHC Perya, Block Manathavady, District Wayanad. District RRT investigated the outbreak.All the cases had history of participation in a social ceremony. 01 stool sample collected ix. Food Under 6. Kerala Wayanad 18 0 28/11/14 07/12/14 and sent to medical college Kozhikode tested negative for poisoning control cholera culture. 01 water sample sent to Kerala water authority found to be non potable Medical camp organized in the area and all the cases treated symptomatically. Health education given. Cases reported from Village Aroda, CHC Mundi, Block Punasa, District Khandwa. District RRT investigated the outbreak. Aedes larva found in water along with adult aedes mosquito in houses. 35 blood smears were examined, and all x. Chikungun Under Khandwa 35 0 04/12/14 06/12/14 were negative for malaria.04 Serum samples were collected ya control and sent to MGM Medical college Indore out of which 03 samples found to be positive for chikungunya by IgM ELISA.Temephos applied to water bodies and indoor spraying 7. with pyrethrum done. Health education given. Cases reported from Village Mojwadi Dhana, CHC/Block Madhya Khalwa, District Khandwa. District RRT investigated the Pradesh outbreak.27 blood smears were examined, all were found Under Khandwa xi. Malaria 27 0 01/12/14 01/12/14 positive for malaria. 26 Tested positive for P Falciparum and control 01 for P Vivax. Focal spraying with DDT done. Health education given regarding source reduction & personal protection. 4 Date of Comments/ Action Taken Name of Name of No. of No. of Date of Current S. No. Disease/ Illness Start of State/UT District Cases Deaths Reporting Status Outbreak Cases reported from Village Tiladia, Block Nasrullaganj, District Sehore. District RRT investigated the outbreak. Consumption of water from a contaminated well could be the xii. Acute Under probable cause of the outbreak. One water sample from the Sehore diarrheal 10 0 30/11/14 01/12/14 surveillance well taken and sent to PHE department, found to be non disease potable. Chlorination of the well done, alternate water supply arranged. Health education given on safe drinking water practices. Madhya Cases reported from Village Hayderganj, Block Shyampur, Pradesh District Sehore. District RRT investigated the outbreak. Aedes larva found in some houses. 50 Blood smears examined, all xiii. Chikungun Under Sehore 50 0 04/12/14 05/12/14 slides were negative for malaria. 05 serum samples collected ya control and sent to DMO Bhopal, out of which 03 were found to be positive for Chikungunya. Health education given to the people in the affected area. Cases of fever with rash reported from a hostel in Navapur Urban, District Nandurbar. District RRT investigated the outbreak. All the cases were from same hostel. A total of 09 Under 8. Maharashtra Nandurbar xiv. Measles 15 0 27/11/14 02/12/14 serums sent to NIV Pune and all were to be found positive for surveillance Measles. All the cases were isolated. Outbreak response immunization started. All cases were provided with Vitamin A. Health education given in the area. 5 Date of Comments/ Action Taken Name of Name of No. of No. of Date of Current S. No. Disease/ Illness Start of State/UT District Cases Deaths Reporting Status Outbreak Cases of loose stools with blood reported from Government Sevashrama High School, GP Panchada, Block Laxmipur, District Koraput. District RRT investigated the outbreak. The probable source of infection was consumption of water from a Under 9. Odisha Koraput xv. Dysentery 0 30/11/14 03/12/14 nearby open dug well. All the cases were treated 37 control symptomatically. Well water was tested by H2S test which was non potable and OT test showed low chlorination. Disinfection of well and the tanks done. No human samples were sent. Cases reported from 27 Colonies of Sodala area of Jaipur City. District RRT investigated the outbreak. People of all ages are affected. All the cases occurred within a period of 2-3 days and presented with yellow discoloration skin, sclera and urine. A total of 63 blood samples were tested at SMS Hospital out xvi. Hepatitis A Under Jaipur 79 0 02/12/14 02/12/14 of which 48 were positive for Hepatitis E and 01 for Hepatitis & E control A. 27 water samples were tested at Jaipuria Hospital and all were found to be potable. House to house surveillance done in the area. Medical camps organized in the affected areas. Health education regarding safe drinking water practices was Rajasthan given. 10. Cases reported from Ginnani area of Bikaner city, District Bikaner. All the cases had history of developing diarrhea; vomiting and abdominal pain after drinking contaminated water. A total of 02 stool samples and 01 vomitus sample xvii. Acute Under taken and sent to SPMC Deptt Bikaner and E coli were Bikaner diarrheal 17 0 04/12/14 05/12/14 control isolated from stool while vomitus contained no pathogenic disease organism.