Jharkhand: Viral fever - chikungunya and dengue identified; "most common virus is influenza", 5 fatalities suspected; soldier dies of malaria around 100 others ill

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Archive Number 20110730.2297
Published Date 30-JUL-2011
Subject PRO/EDR> Undiagnosed febrile illness - India: (WB)

UNDIAGNOSED FEBRILE ILLNESS - INDIA: (WEST BENGAL)
**************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Fri 29 Jul 2011
Source: The Times of India [edited]
<http://articles.timesofindia.indiatimes.com/2011-07-29/ranchi/29828705_1_viral-fever-hospital-opd>


It seems that Jamshedpur city is in the grip of an unidentified virus,
as it has sent scores of people to hospitals with high fever in the
past 3 weeks. According to sources, about 30 000 people have been
diagnosed with this fever and the number is increasing every day. All
hospitals and nursing homes have been inundated with patients, while
doctors have been working overtime to bring the situation under
control.

District health officials have been running from one hospital to
another, overseeing diagnostic arrangements and advising authorities
about ways and means to increase accommodation. "The beds are full. In
some hospitals there's no space in the corridors also," said a
district health official. On an average, 500 patients are visiting the
OPD [out patient department] daily. "We have been advising patients to
take rest at home. Only those patients who need urgent attention are
being admitted," said S S Prasad, superintendent, MGM hospital.

--
Communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[There is very little information available in this report, other than
a very substantial number of febrile cases. A large number of
etiological agents could be responsible, but without additional
information about symptoms in addition to laboratory and other
diagnostic findings, it is not possible to hazard a guess as to what
pathogen might be involved. ProMED would appreciate receiving
additional information as it becomes available.

A HealthMap/ProMED-mail interactive map showing the location of
Jamshedpur in West Bengal state can be accessed at
<http://healthmap.org/r/14Bt>. - Mod.TY]

[alert]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

The article above has been edited; the original continues (suggesting one death in 30,000 cases?):

http://articles.timesofindia.indiatimes.com/2011-07-29/ranchi/29828705_1_viral-fever-hospital-opd

[such]

Such was the rush at the government railway hospital, that private doctors had to be summoned. "Despite the problems (shortage of doctors and beds) there's been no casualty," said district surveillance officer, Swaran Singh. He was replying to a query pertaining to the first "suspected" death due to viral fever in the city. Saraswati Kumari, a girl who resides in Moon City, Mango, died on Wednesday after three days of viral fever.

[alert]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

http://articles.timesofindia.indiatimes.com/2011-07-20/ranchi/29794224_1_viral-fever-dengue-malaria-cases

Special medical teams to tackle viral fever, dengue
TNN Jul 20, 2011, 12.39am ISTJAMSHEDPUR: The health department convened a meeting with officials on Tuesday to look into measures to check the rising cases of viral fever here. An isolated case of dengue was also reported from the district a couple of days back.

The meeting resolved to constitute multiple health teams that will visit vulnerable areas to oversee preventive measures and also launch awareness campaigns involving all the three notified area committees.

The Jamshedpur Notified Area Committee (JNAC), Mango Notified Area Committee, (MNAC) and Jugsalai Notified Area Committee, (JNAC) have been asked to intensify sanitation work.

The officials of the three notified area committees have been asked to intensify cleaning drives in their respective areas and seek the help of self-help groups and NGOs," said Swaran Singh, district nodal officer.

Hardayal Singh, a resident of Agrico, was identified as the first patient to suffer from dengue in the city. He has, however, recovered fully. Along with viral fever, malaria cases are also on the rise. The focus of the health department is largely the slums in the fringe areas of the city, informed a health official.

The MGM hospital is inundated with patients suffering from viral fever and malaria but because of shortage of beds, the hospital is not able to accommodate all patients.

"We cannot provide bed facility to all patients. We are, however, making alternative arrangements for them," said S S Prasad, superintendent, MGM hospital.

[Laidback Al]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

Map of the location of the city of Jamshedpur in eastern India.

[Ronan Kelly]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

Machine translated articles;

Died of viral and Jul 30, 11:42 pm

Jamshedpur, personal representative:
Vayalar spread fatal fever in the city is becoming a catastrophe. Mango resident after the death of Saraswati on Saturday once the disease took the lives of two people. One of the employees of Tata Steel and the other was a student of Caramel Junior College. School administration to be educated in the Class VIII student's name was Anurag Thakur. The students' examination in the school came after the killing was suffering from fever. The Merchant Mill of Tata Steel employee died in TMH V. Sudhakar Rao on Saturday. According to hospital management, on July 27 at 11 am the patient was admitted to the hospital. He then complained of fever and aches. Then the blood tests, ultrasound and almost all were examined, but all was normal. When his health deteriorated to the ICU (Intesiv care unit) was brought in, but inactive due to multiple organ failure, died on July 30. The stones and the chaos in their families had the ICU. The security personnel handled the situation.

http://in.jagran.yahoo.com/news/local/jharkhand/4_8_8097492_1.html

Jusco will check the water: Minister Jul 31, 01:10 am Jamshedpur, personal representative:

Water supply company is no guarantee that it will be pure water. Of viral fever spread like an epidemic, the state disaster management minister, Peter King said that a disease is characterized by water and upset stomach. Tata Steel or Jusco's water supplies, it is here that the river or lake. Now to see how the filter system is intact.

We will talk with the Health Department in this regard that the reason the disease spread so fast, it can be done for prevention. The minister expressed concern over the fact that hospitals and drug stores have been suffering from a fever over branded drugs. He talked with the Health Department would be made in its supply as soon as possible.

http://in.jagran.yahoo.com/news/local/jharkhand/4_8_8097925.html

Pollution of the disturbed situation, the churning Jul 31, 01:10 am Jamshedpur: pollution is responsible for viral fever spread across town. MGM Medical College team on Saturday visited the Department of Health Chief Medical Officer under the leadership of Professor Dr. Swaran Singh and Dr. Amitabh Chandra Maikrobayloji Akhouri the long discussion on the causes of the illness came during the conclusion. Place on a large scale for disease prevention and health check-up camps providing a sprinkling of drugs has been decided. The team responsible for the viral has sent blood samples to identify viral. The report will be received from Monday until Tuesday.

Memorandum to the civil surgeon

(Nanda 26)

With 02 North Bagbedha committee - along with eight other bodies to prevent the spread of the disease on Saturday Bagbedha panchayat submitted a memorandum to the civil surgeon's office. The Sido - Kanhu free medical camps in the ground, and spray bleaching powder in all the panchayats in the massive cleanup campaign Nine bodies were requested.

http://in.jagran.yahoo.com/news/local/jharkhand/4_8_8097959.html

[Ronan Kelly]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

Will investigate the death Raghunath Rao Aug 01, 12:30 am

V. Sudhakar Rao of Tata Steel Merchant Mill Department staff will investigate the death from viral fever. Raghunath Pandey, chairman of Tata Workers' Union after they return from Mumbai said that Rao will examine how the death occurred. In what circumstances brought them, that not all the necessary tests, the doctors care or not enough? After their families are dissatisfied with treatment, it must be some reason. Family is supposed to give correct information. However, Sudhakar Rao, Sunday noon-12 pm Bhuiyandih Bernig was cremated at the pier. Tata Workers' Union on the occasion the Vice-President M. Bhaskara Rao and Rao Piels Merchant Mill Committee members were present, including peer. said Sudhakar Rao's daughter was getting married in October, which was preparing. Meanwhile, they were returned to Calcutta by his son admission in engineering. He fell ill just come from. He said his health was extremely poor in spite of the TMH to admit they had to struggle. Moreover, they did not see a senior doctor. The day he died, his blood pressure was very low. They need ventilation, but could not be admitted to the ICU or CCU. Hospital management said it has filled all the beds, were killed in just the same.

http://in.jagran.yahoo.com/news/local/jharkhand/4_8_8102838.html

[Laidback Al]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

from BMJ 1955

Jamshedpur Fever
M. V. Chari and T. V. Swamy
<cite>The British Medical Journal</cite>
Vol. 2, No. 4951 (Nov. 26, 1955), pp. 1298-1303
(article consists of 6 pages)
Published by: BMJ Publishing Group
Stable URL: http://www.jstor.org/stable/20333634

full article available at: http://www.ncbi.nlm.nih.gov/pmc/arti...981610/?page=1

Jane

[alert]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

from BMJ 1955

Jamshedpur Fever
M. V. Chari and T. V. Swamy
<cite>The British Medical Journal</cite>
Vol. 2, No. 4951 (Nov. 26, 1955), pp. 1298-1303
(article consists of 6 pages)
Published by: BMJ Publishing Group
Stable URL: http://www.jstor.org/stable/20333634

full article available at: http://www.ncbi.nlm.nih.gov/pmc/arti...981610/?page=1

Jane

That really is a phenomenal find. It isn't clear what may have caused those illnesses, but the article in detail describes a severe illness with a CFR of >10&#37; and neurological manifestations (and possible laboratory evidence of a WNV-like virus - page 1303 of article), something very different than what is reported this time.

Whatever etiology was responsible for that outbreak should be considered for some of the other "AES" outbreaks elsewhere in India.

[sharon sanders]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

I think we do not know enough from the above press reports to compare to the 1955 outbreak.

[sharon sanders]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

machine translation -

from July 15 -

Child's death, in hospital furore


Jamshedpur. On Thursday, after the death of a child during treatment by family members have pitched noises. Are told that the emergency Sanjeet Kumar (13 years) was admitted for treatment, but lost his leg due to the negligence of doctors.



Kin demand action against doctors and nurses were responsible.Sanjeet at seven in the morning to master the attack was admitted to the emergency ward.

But the other side of the hospital three days the baby in the Bisti register is written to the high fever. But the family that the child is suffering from a fever on Wednesday night.

Sanjeet is suffering, not the senior doctor

Bhubaneswar, the father of the deceased Sanjeet Sanjeet Pandit said Wednesday night was a sudden high fever. A febrile on arrival Thursday morning at seven she was admitted to MGM. Emergency junior doctors put her into the water and have a needle. 11 hours did not reduce fever. The nurse gave him a needle. Then he began to suffer. Family time - time when seniors are requested to call the doctor, but they did not. The foam was less than 12 hours and died from his mouth.

Siproproksin had high fever and was so Parasitamol. Death of the child's autopsy is being conducted to learn. ""
Dr SS Prasad, Superintendent, MGM

http://www.bhaskar.com/article/jha-baby-deid-in-jamshedpur-2265127.html?ZX3-UPD=

[Ronan Kelly]

Re: Jamshedpur: Very large number of unindentified febrile illnesses

Dengue stings fevered district
- RAF asked to bust breeding grounds for mosquitoes
ANIMESH BISOEE

Civil surgeon Vibha Sharan (left) at the meeting in Jamshedpur on Tuesday. Picture by Bhola Prasad
Jamshedpur, Aug. 2: Worry is keeping pace with rising temperatures in East Singhbhum, with dengue giving the viral outbreak in and around Jamshedpur its deadly edge.

Among 32 blood samples of viral fever patients sent separately to three of the most reputable research centres in India dealing with specialised diseases, eight chikungunya and two dengue cases have been detected.

A report from the School of Tropical Medicine, Calcutta, which arrived this evening, showed that out of 10 blood samples sent by the district health department, two were confirmed cases of dengue and three of chikungunya.

A report from National Communicable Disease Centre, New Delhi, which came last evening, but whose contents were divulged today, said of the 10 samples, three had tested positive for chikungunya.


...

http://telegraphindia.com/1110803/jsp/jharkhand/story_14326702.jsp

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Re: Jamshedpur: Very large number of febrile illnesses - chikungunya and dengue identified

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Archive Number 20110804.2353
Published Date 04-AUG-2011
Subject PRO/EDR> Chikungunya (19): India (JH) conf.

CHIKUNGUNYA (19): INDIA (JHARKHAND) CONFIRMED
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A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Tue 2 Aug 2011
Source: The Telegraph [edited]
<http://telegraphindia.com/1110803/jsp/jharkhand/story_14326702.jsp>


Among 32 blood samples of viral fever patients [taken] in and around
Jamshedpur [Jharkhand state] and sent separately to 3 of the most
reputable research centres in India dealing with specialised diseases,
8 chikungunya cases have been detected.

A report from the School of Tropical Medicine, Calcutta, which arrived
this evening [2 Aug 2011], showed that out of 10 blood samples sent by
the district health department, 3 were confirmed chikungunya cases. A
report from National Communicable Disease Centre, New Delhi, which
came last evening [1 Aug 2011], but whose contents were divulged
today, said of the 10 samples, 3 had tested positive for chikungunya
[virus].

The Telegraph carried a report today on Tata Main Hospital's (TMH)
initiative, which had sent 12 samples to National Institute of
Virology, Pune. [Of these,] 2 were confirmed cases of chikungunya.

Meanwhile, the health department sent state assistant malaria officer
KK Lal and state entomologist Sagya Singh to MGM hospital and TMH.
They held talks with civil surgeon Vibha Sharan. "The only silver
lining is that the number of viral fever cases is down by 10-12 per
cent," said Lal.

The Union health ministry will send a 4-member fact-finding team from
the Pune institute -- research scientist Yogesh Kumar Gaurav,
technical assistants Gopal Krishnan and P More and attendant NR Khond
-- to visit TMH and MGM hospital tomorrow [3 Aug 2011]. The district
health department has been asked to keep ready a list of viral fever
patients.

The report from Calcutta arrived at the office of additional chief
medical officer (East Singhbhum), Swarn Singh, also district
surveillance officer of integrated disease surveillance project. He
contacted ADM (law and order) Vijay Kumar Singh, who relayed the news
to DC [deputy commissioner] Himani Pande.

[Byline: Animesh Bisoee]

--
Communicated by:
Ronan Kelly
for FluTrackers.com
<ronankelly@comcast.net>

[The 29 Jul 2011 edition of The Times of India
(<http://articles.timesofindia.indiatimes.com/2011-07-29/ranchi/29828705_1_viral-fever-hospital-opd>)
reported this outbreak as due to an unidentified virus. A physician
living in London reported that family members living in Jamshedpur in
the state of Jharkhand were suffering from chikungunya virus
infections. ProMED-mail posted a request for information (see archive
no 20110723.22230 and it is now clear that it is a mixed chikungunya
and dengue virus outbreak. The details are provided above.

Ronan Kelly alertly pointed out that Jamshedpur is in Jharkhand state
and not in West Bengal as reported when this outbreak was posted as
undiagnosed in ProMED-mail archive no 20110730.2297.

A HealthMap/ProMED-mail interactive map of India showing the location
of Jamshedpur in Jharkhand state can be accessed at
<http://healthmap.org/r/14Bt>. - Mod.TY]

[Ronan Kelly]

Re: Jamshedpur: Very large number of febrile illnesses - chikungunya and dengue identified

Viral fever menace hits state capital
Jaideep DeoghariaJaideep Deogharia, TNN | Aug 5, 2011, 07.04AM IST

RANCHI: With viral fever taking on a near epidemic proportion here, hospitals and nursing homes are overflowing with patients. To add to the woes is the strike by contract doctors. With nearly 400 doctors going on mass leave since July 18, patients in the periphery have no option but to rush to private clinics in cities and district hospitals.

...

A doctor of clinical pathology at Apollo Hospital here, Bikas Kumar, said every month they are getting dengue cases. "The most common virus in Jharkhand is influenza but as the virus is short lived (about three days) it is cured by the time the patient decides to go for a pathological test," he said.

He said, other forms of viruses like parbo, herpis, NS1 (for dengue) are also reported occasionally. "We conduct serological tests to confirm the nature of the virus but during a general blood test for the total count and differential count of white blood cells, one can say with certain if the patient has been attacked by a virus," said Kumar.

http://timesofindia.indiatimes.com/city/ranchi/Viral-fever-menace-hits-state-capital/articleshow/9488843.cms

Viral fever cases rise in Ranchi hospitals
The number of patients diagnosed with common viral fever is rising in the city hospitals.
Around 22 children have been admitted at Rajendra Institute of Medical Sciences (RIMS) diagnosed with regular viral fever. Paramilitary personnel?s have set up tents to tackle the viral outbreak in Jamshedpur. All the leading hospitals and nursing homes in the district are experiencing heavy rush of viral fever patients from last several days.

http://ranchiexpress.com/108425.php

[Ronan Kelly]

Re: Jamshedpur: Very large number of febrile illnesses - chikungunya and dengue identified; &quot;most common virus is influenza&quot;

Machine translated;

Two died of viral fever and diarrhea Aug 06, 01:01
Jamshedpur, Education News: Viral fever and diarrhea lives to the killer and went into the cheek of time. Mahatma Gandhi Medical College Hospital Friday afternoon, just two women were killed at intervals of half an hour. Kdma, Pinki Kumari Bhatia township resident Friday morning complaining of fever and joint pain was admitted to the MGM. His age was nearly 26 years, the 34-year-old resident of New Baradwari Caterpillar was admitted after complaining of vomiting and diarrhea. At intervals of half an hour at noon, killing both. Pinky's husband's name and CATERPILLAR Ananda Yogeshwavr husband's name is said to be bull. Both were admitted to the hospital emergency ward.

Viral death

July 27: Muse

July 30: Anurag Thakur

V. Sudhakar Rao

August 1: Sardar Hrvansh Singh

August 5: Pinky Kumari

The Department of Health so far not confirmed any cases of viral is death.

Hospitalized

MGM Hospital

OPD: 156, admitted: 32

Telco hospital: 13

----------------- -----------------

"Place to deal with viral fever have been installed at the health camp. Drugs are being sprayed. Things are normal. "

Dr. Vibha Asylum

Civil Surgeon, East Singhbhum

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[Ronan Kelly]

Re: Jamshedpur: Very large number of febrile illnesses - chikungunya and dengue identified; &quot;most common virus is influenza&quot;, 5 fatalities suspected

CRPF jawan dies of viral fever
PTI | 10:08 PM,Aug 21,2011
Jamshedpur (Jharkhand), Aug 21 (PTI) One CRPF jawan died of viral fever today while about a hundred personnel were suffering from viral or malaria fever as a fresh batch of security forces replaced them to continue the fortnight-long anti-Maoist operation in Saranda forest of West Singhbhum district, senior police officials said."Upendra Saini, who was admitted to Nuamundi hospital and then Tata Main hospital following viral fever died on way to Rajendra Institute of Medical Sciences in Ranchi," Inspector General of Police (Operation-CRPF) D K Pandey told PTI.About a hundred other jawans are suffering either from viral or malaria, he said,

...

http://ibnlive.in.com/generalnewsfeed/news/crpf-jawan-dies-of-viral-fever/796121.html