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The Integrated Disease Surveillance Project maintains a rolling 3-day disease report page. Many of these reports never make it to the weekly reports for whatever reason. Since the report page is constantly rolling over, these reports are then lost. While it would be a tall task to gather all of the reports, I've decided to collate some of what I think are the more important/interesting/fatal reports in this thread for two main reasons;
1. The 3-day reports give a much more immediate picture of outbreaks in India, and 2. I think a record of these outbreaks needs to be kept.
The Information as Published is often a little jumbled, but can be sorted into the following format;
State/ District/ Disease/Syndrome
/Area Affected(Block, PHC, Sub-center, Village /No of Cases /No of Deaths /Date of Outbreak /Date of Reporting(year/month/date/time) /Population of Affected Area /Salient epidemiological observations /Lab results /Control measures undertaken /Current Status /Any other information
BIHAR
GOPALGANJ
Provisional Typhoid Pritam Saah ka Tola Village- Ratan Chack (under Hathua PHC) 12 cases 2 fatalities 17/09/2011 2011-09-20 11:53:25 1000 First death was presumed to be due to Jaundice. Second death was doubtful. Patients were undergoing treatment at Sadar Hospital Siwan. All member of deceased family have been examined to ascertain the real cause of death. 97 Samples have been collected and Reports are awaited. Medical facility was provided by the Sadar Hospital, Siwan. Investigation Open
WEST CHAMPARAN (BETTIAH)
AFP Mainatar,Phc Mainatar,parari,Barwaparshauni 1 0 21/09/2011 2011-09-22 18:00:23 2050 Patient was maigrated from Nepal stool sample cpllacted by SMO Invesrigated by MO Investigation Open
AFP Anup Kumar,Male,5yrs,So Ramji Ptel VillagePost-Pirari,Block-Mainatar 1 0 19/09/2011 2011-09-23 15:12:45 2272 This patient comes for treatment in PHC Narkatiyagunj Two stool sample collacted by NPSP,Result Awaited Investigated By RRT with MO of PHC Investigation Open No any other case found in the same village.
SAMASTIPUR
AFP Rinki Kumari, Do Pappu Sahni, 2 Yrs, Rampur, Bishanpur, Bishanpur Bazar, Warishnagar 1 0 13/09/2011 2011-09-22 19:47:57 1500 Observation Start Lab Report Awaited. Investigated by Dr. Mahesh Prasad(MO Warishangar) & SMO, NPSP(WHO) Investigation Open
AFP Dilshad Ali, 4 Yrs, So -Md. Haider Ali, At-Milki, Dhanhar, Warishangar, Samastipur 1 0 12/09/2011 2011-09-22 19:49:50 2700 Observation Start Lab Result Awaited Investigated by Dr. Mahesh Prasad (MO Warishnagar) & SMO, NPSP(WHO) Investigation Open
AFP Rampur, Ward No. 13, Hasanpur, Samastipur 1 0 14/09/2011 2011-09-22 19:51:54 200 Reena Kumari, Do - Pankaj Mukhiya, 2 Yrs & Observation Start Lab Result Awaited Investigated by SMO,NPSP(WHO) & MO Hasanpur Investigation Open No
MAHARASHTRA
PUNE
Dengu Ambegaon,Phc-Nirgudsar,Sc-Pimpalgaon, 11 cases 1 fatality 27/08/2011 2011-09-20 11:02:07 4772 (1)Irregular water supply (2)Water Storage Habits (3)Increase mosquito density (4)10 Houses found positive for Aedes Larvae (5)It shows poor & irregular container surveillance (6)Bad Environmental conditions (stagnant rain water cattal sheds etc. Blood Smear - 11 Blood Sample - 6 send to NIV for Dengue Investigated by DMO,Rapid House to House fever survey and container survey,Fogging on 29082011 and 30082011 Abating,IEC activity (Gram Sabha,Hand Bills) Dry Day on 31082011 Investigation Open Under Control
Multiple single cases of leptospirosis being reported from Maharashtra including;
Sindhudurg (Kudal)
Leptospirosis Pavnai, Subcenter Phonda, PHC Phonda, Tal Kankavli 1 1 08/09/2011 2011-09-21 11:49:49 373 This is high risk area for leptospirosis because of heavy rainfall. Rice farming being main occupation & rice cutting is starting during this point in time. Agriculture workers work without wearing protective measures. Also no rodenticide measures active in the area with poor sanitation prevailing. (1) IGM Elisa test 1 positive out of 1 at CPR Kolhapur at 12.09.11 (2) Spot test 0 positive out of 0 Daily surveillance activities has been started in affected village.Adviced all persons to use gloves and gum boots while working in agriculture field.Mass publicity is being given to use personal protection like gloves & gum boot to prevent infection, use of soap to wash hands & legs after coming from outside.Chemoprophylaxis treatment given to high risk population.Handbills regarding leptospirosis have distributed , announcing through loudspeaker affected village daily , Health education by health workers, ASHA during their routine home visit . Investigation Open
WARDHA
Maleria (PF) Dhamkund, Hinganghat 1 case 1 fatality 23/08/2011 2011-09-22 12:57:25 352 HI-8.2, CI-4.65, BI-8.2 positive for PF Investigated By RRT , Spraying activity completed in whole village , BS sample collected Investigation Closed nil
TAMIL NADU
DINDIGUL
Dengue Reddiarchatram, Sriramapuram, Sriramapuram, Thirumalairayapuram 6 cases 1 fatality 16/09/2011 2011-09-21 09:56:18 519 Fever, Myalgia, Headache, Cough 1 Serum Sample taken and sent to ZET, Dindigul. Found Positive for Dengue. 1. Fever Surveillance. 2. Anti larval activities (Source identification, reduction & treatment) 3. Anti adult measures 4. Treatment by Abate. 5. IEC Activities. 6. Upgrading the Environmental sanitation with the help of Town Panchayat sanitary workers. Investigated by RRT Investigation Open 1. Instructed to carry out Awareness campaign & Exhibition by utilizing School Students and Anganwadi workers. 2. As the General sanitation was very poor, advised the local bodies to eliminate the drainage blockage immediately and for proper disposal of garbage. 3. Through IEC activities, the public advised to use mosquito repellants, Nets, Personal care from mosquito bite. 4. Advised to permit the health worker to do indoor fogging in their dwellings. 5. All the nominated health informer instructed to inform if any fever like cases arising in the village
UTTAR PRADESH
UNNAO
HIGH GRADE FEVER Village-Rithnai, Block PHC-Achalganj, District-Unnao 20 cases 1 fatality 19/09/2011 2011-09-20 14:36:18 1215 All the patients were suffering from high grade fever. nil Team went to the village and following control measures have been taken:- No of wells disinfected:03 No of ORS packets distributed:03 No of Chlorine tablets distributed:250 No of blood smear preapared:24 Health education provided to the villagers. Investigation Open
FEVER Village-Pawai, Block PHC-Bichhiya, District-Unnao 5 cases 2 fatalities 17/09/2011 2011-09-20 14:38:29 1200 All the patients were suffering from fever travelled from Mumbai to the affected village nearly 20 days ago. They were taking treatment from a private hospital. Two of them died during treatment while other three are on treatment. nil Team went to the village and following control measures have been taken:- No of wells disinfected:25 No of ORS packets distributed:15 No of Chlorine tablets distributed:1000 No of blood smear preapared:51 Health education provided to the villagers. Investigation Open
FEVER Village-Sahrawan, Block PHC-Asoha, District-Unnao 24 cases 1 fatality 19/09/2011 2011-09-20 14:40:21 8000 All the patients were suffering from fever. Died patient was initially treated by a private doctor on 17.09.11 followed by treatment by another doctor on 18.09.11. nil Team went to the village and following control measures have been taken:- No of wells disinfected:2 No of ORS packets distributed:2 No of Chlorine tablets distributed:10 No of blood smear preapared:24 Health education provided to the villagers. Investigation Open
FEVER Village-Bhadin, Block PHC-Asoha, District-Unnao 30 cases 1 fatality 18/09/2011 2011-09-20 14:42:25 1500 All the patients were suffering from fever. nil Team went to the village and following control measures have been taken:- No of wells disinfected:46 No of ORS packets distributed:3 No of Chlorine tablets distributed:10 No of blood smear preapared:29 Health education provided to the villagers. Investigation Open
UNNAO
Diarrhoea Village-Munshiganj, Block CHC-Hasanganj, District-Unnao 7 cases 1 fatality 20/09/2011 2011-09-20 14:33:53 1500 All the patients were suffering from diarrhoea. nil Team went to the village and following control measures have been taken:- No of wells disinfected:17 No of ORS packets distributed:40 No of Chlorine tablets distributed:120 No of blood smear preapared:4 Health education provided to the villagers. Investigation Closed
1. The 3-day reports give a much more immediate picture of outbreaks in India, and 2. I think a record of these outbreaks needs to be kept.
The Information as Published is often a little jumbled, but can be sorted into the following format;
State/ District/ Disease/Syndrome
/Area Affected(Block, PHC, Sub-center, Village /No of Cases /No of Deaths /Date of Outbreak /Date of Reporting(year/month/date/time) /Population of Affected Area /Salient epidemiological observations /Lab results /Control measures undertaken /Current Status /Any other information
BIHAR
GOPALGANJ
Provisional Typhoid Pritam Saah ka Tola Village- Ratan Chack (under Hathua PHC) 12 cases 2 fatalities 17/09/2011 2011-09-20 11:53:25 1000 First death was presumed to be due to Jaundice. Second death was doubtful. Patients were undergoing treatment at Sadar Hospital Siwan. All member of deceased family have been examined to ascertain the real cause of death. 97 Samples have been collected and Reports are awaited. Medical facility was provided by the Sadar Hospital, Siwan. Investigation Open
WEST CHAMPARAN (BETTIAH)
AFP Mainatar,Phc Mainatar,parari,Barwaparshauni 1 0 21/09/2011 2011-09-22 18:00:23 2050 Patient was maigrated from Nepal stool sample cpllacted by SMO Invesrigated by MO Investigation Open
AFP Anup Kumar,Male,5yrs,So Ramji Ptel VillagePost-Pirari,Block-Mainatar 1 0 19/09/2011 2011-09-23 15:12:45 2272 This patient comes for treatment in PHC Narkatiyagunj Two stool sample collacted by NPSP,Result Awaited Investigated By RRT with MO of PHC Investigation Open No any other case found in the same village.
SAMASTIPUR
AFP Rinki Kumari, Do Pappu Sahni, 2 Yrs, Rampur, Bishanpur, Bishanpur Bazar, Warishnagar 1 0 13/09/2011 2011-09-22 19:47:57 1500 Observation Start Lab Report Awaited. Investigated by Dr. Mahesh Prasad(MO Warishangar) & SMO, NPSP(WHO) Investigation Open
AFP Dilshad Ali, 4 Yrs, So -Md. Haider Ali, At-Milki, Dhanhar, Warishangar, Samastipur 1 0 12/09/2011 2011-09-22 19:49:50 2700 Observation Start Lab Result Awaited Investigated by Dr. Mahesh Prasad (MO Warishnagar) & SMO, NPSP(WHO) Investigation Open
AFP Rampur, Ward No. 13, Hasanpur, Samastipur 1 0 14/09/2011 2011-09-22 19:51:54 200 Reena Kumari, Do - Pankaj Mukhiya, 2 Yrs & Observation Start Lab Result Awaited Investigated by SMO,NPSP(WHO) & MO Hasanpur Investigation Open No
MAHARASHTRA
PUNE
Dengu Ambegaon,Phc-Nirgudsar,Sc-Pimpalgaon, 11 cases 1 fatality 27/08/2011 2011-09-20 11:02:07 4772 (1)Irregular water supply (2)Water Storage Habits (3)Increase mosquito density (4)10 Houses found positive for Aedes Larvae (5)It shows poor & irregular container surveillance (6)Bad Environmental conditions (stagnant rain water cattal sheds etc. Blood Smear - 11 Blood Sample - 6 send to NIV for Dengue Investigated by DMO,Rapid House to House fever survey and container survey,Fogging on 29082011 and 30082011 Abating,IEC activity (Gram Sabha,Hand Bills) Dry Day on 31082011 Investigation Open Under Control
Multiple single cases of leptospirosis being reported from Maharashtra including;
Sindhudurg (Kudal)
Leptospirosis Pavnai, Subcenter Phonda, PHC Phonda, Tal Kankavli 1 1 08/09/2011 2011-09-21 11:49:49 373 This is high risk area for leptospirosis because of heavy rainfall. Rice farming being main occupation & rice cutting is starting during this point in time. Agriculture workers work without wearing protective measures. Also no rodenticide measures active in the area with poor sanitation prevailing. (1) IGM Elisa test 1 positive out of 1 at CPR Kolhapur at 12.09.11 (2) Spot test 0 positive out of 0 Daily surveillance activities has been started in affected village.Adviced all persons to use gloves and gum boots while working in agriculture field.Mass publicity is being given to use personal protection like gloves & gum boot to prevent infection, use of soap to wash hands & legs after coming from outside.Chemoprophylaxis treatment given to high risk population.Handbills regarding leptospirosis have distributed , announcing through loudspeaker affected village daily , Health education by health workers, ASHA during their routine home visit . Investigation Open
WARDHA
Maleria (PF) Dhamkund, Hinganghat 1 case 1 fatality 23/08/2011 2011-09-22 12:57:25 352 HI-8.2, CI-4.65, BI-8.2 positive for PF Investigated By RRT , Spraying activity completed in whole village , BS sample collected Investigation Closed nil
TAMIL NADU
DINDIGUL
Dengue Reddiarchatram, Sriramapuram, Sriramapuram, Thirumalairayapuram 6 cases 1 fatality 16/09/2011 2011-09-21 09:56:18 519 Fever, Myalgia, Headache, Cough 1 Serum Sample taken and sent to ZET, Dindigul. Found Positive for Dengue. 1. Fever Surveillance. 2. Anti larval activities (Source identification, reduction & treatment) 3. Anti adult measures 4. Treatment by Abate. 5. IEC Activities. 6. Upgrading the Environmental sanitation with the help of Town Panchayat sanitary workers. Investigated by RRT Investigation Open 1. Instructed to carry out Awareness campaign & Exhibition by utilizing School Students and Anganwadi workers. 2. As the General sanitation was very poor, advised the local bodies to eliminate the drainage blockage immediately and for proper disposal of garbage. 3. Through IEC activities, the public advised to use mosquito repellants, Nets, Personal care from mosquito bite. 4. Advised to permit the health worker to do indoor fogging in their dwellings. 5. All the nominated health informer instructed to inform if any fever like cases arising in the village
UTTAR PRADESH
UNNAO
HIGH GRADE FEVER Village-Rithnai, Block PHC-Achalganj, District-Unnao 20 cases 1 fatality 19/09/2011 2011-09-20 14:36:18 1215 All the patients were suffering from high grade fever. nil Team went to the village and following control measures have been taken:- No of wells disinfected:03 No of ORS packets distributed:03 No of Chlorine tablets distributed:250 No of blood smear preapared:24 Health education provided to the villagers. Investigation Open
FEVER Village-Pawai, Block PHC-Bichhiya, District-Unnao 5 cases 2 fatalities 17/09/2011 2011-09-20 14:38:29 1200 All the patients were suffering from fever travelled from Mumbai to the affected village nearly 20 days ago. They were taking treatment from a private hospital. Two of them died during treatment while other three are on treatment. nil Team went to the village and following control measures have been taken:- No of wells disinfected:25 No of ORS packets distributed:15 No of Chlorine tablets distributed:1000 No of blood smear preapared:51 Health education provided to the villagers. Investigation Open
FEVER Village-Sahrawan, Block PHC-Asoha, District-Unnao 24 cases 1 fatality 19/09/2011 2011-09-20 14:40:21 8000 All the patients were suffering from fever. Died patient was initially treated by a private doctor on 17.09.11 followed by treatment by another doctor on 18.09.11. nil Team went to the village and following control measures have been taken:- No of wells disinfected:2 No of ORS packets distributed:2 No of Chlorine tablets distributed:10 No of blood smear preapared:24 Health education provided to the villagers. Investigation Open
FEVER Village-Bhadin, Block PHC-Asoha, District-Unnao 30 cases 1 fatality 18/09/2011 2011-09-20 14:42:25 1500 All the patients were suffering from fever. nil Team went to the village and following control measures have been taken:- No of wells disinfected:46 No of ORS packets distributed:3 No of Chlorine tablets distributed:10 No of blood smear preapared:29 Health education provided to the villagers. Investigation Open
UNNAO
Diarrhoea Village-Munshiganj, Block CHC-Hasanganj, District-Unnao 7 cases 1 fatality 20/09/2011 2011-09-20 14:33:53 1500 All the patients were suffering from diarrhoea. nil Team went to the village and following control measures have been taken:- No of wells disinfected:17 No of ORS packets distributed:40 No of Chlorine tablets distributed:120 No of blood smear preapared:4 Health education provided to the villagers. Investigation Closed
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