India Encephalitis 2014 - 1,808 fatalities

[Ronan Kelly]

Re: India Encephalitis 2014 - 392 fatalities

Re: India Encephalitis 2014 - 392 fatalities

Encephalitis claims 15 lives in State
Staff Reporter
Assam
GUWAHATI, July 15 ? In all, 15 people have so far lost their lives due to
Japanese encephalitis (JE) all over the State. A Central team headed by the Joint Secretary Health, Government of India, arrived in the city today to assess the situation in the State.
Director, State Health Services Dr Binapani Basumatary told this newspaper here today that till yesterday four children in the age group of two years to 15 years, and eleven adults, lost their lives due to the disease, which does not have a curative treatment.

Owing to the preventive vaccination programme undertaken by the Health Department in the upper Assam districts, the outbreak of the disease could be contained substantially in these districts. Earlier, outbreak of the disease was high in these districts.
...
http://www.assamtribune.com/scripts/detailsnew.asp?id=jul1614/at055

Uttar Pradesh
Using fish to bait JE carrier mosquitoes
Subhash Mishra,TNN | Jul 16, 2014, 03.19 AM IST

LUCKNOW: To minimize the spread of Japanese encephalitis (JE), state health is using the Gambusia fish known to devour the larva of mosquitoes that spread the deadly disease. Japanese Encephalitis (JE) has claimed 20,000 lives and left many more crippled permanently in the last two decades.

Talking to the ToI, principal secretary medical and health department Arvind Kumar confirmed that nearly 3 lakh Gambusia fish had been dropped with the support of the fisheries department into hundreds of water bodies in the seven JE-affected districts of eastern UP. He said chemical methods like fogging and spraying to eliminate mosquitoes were not working so biological ways were being resorted to after their successful implementation in other states.
...
http://timesofindia.indiatimes.com/...E-carrier-mosquitoes/articleshow/38449061.cms

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 392 fatalities

Re: India Encephalitis 2014 - 392 fatalities

Encephalitis claims 29 lives in State (Assam)
Staff Reporter
GUWAHATI, July 16 ? The Japanese encephalitis (JE)-related death toll in the State has shot up to 29. The number of persons affected by this mosquito-borne disease, which is yet to have a curative treatment, has also shot up to 224 in the State.
Sources in the National Vector Borne Disease Control Programme (NVBDCP) unit of the State Health Directorate told this newspaper that this time the lower Assam districts of Barpeta, Kamrup, Kamrup (Metro), Nalbari and Darrang are mainly affected by the disease unlike in the previous years, when the upper Assam districts of Dibrugarh, Sivasagar, Jorhat and Golaghat were mainly affected by it.
...
http://www.assamtribune.com/scripts/detailsnew.asp?id=jul1714/at051

CM?s directive on Japanese encephalitis
Staff Reporter
GUWAHATI, July 16 ? Chief Minister Tarun Gogoi today asked Chief Secretary, Jitesh Khosla to direct the health authorities to gear up the vaccination drive in view of outbreak of Japanese encephalitis (JE) in some parts of the State, claiming some lives, said an official press release here.
The Chief Minister asked the Chief Secretary also to ensure regular flow of medicine to the hospitals and health centres where there are short supplies. He asked Khosla to keep a close watch on the situation and to report to him.
...
http://www.assamtribune.com/scripts/detailsnew.asp?id=jul1714/city051

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 406 fatalities

Re: India Encephalitis 2014 - 406 fatalities

Inseflaitis the death of another child
Publish Date: Wednesday, Jul 16,2014 09:17:14 PM | Updated Date: Wednesday, Jul 16,2014 09:17:37 PM

Gaya: Dialogue partners (the city) has Anugrah Narayan Magadh Medical College Hospital on Tuesday night in bear another child died from Inseflaitis. Bageshwari locality of the city belonged to the deceased. As of Tuesday morning, 6-year-old Miss Rhea Inseflaitis in Aanmsiac symptoms of the disease were admitted to the meeting. Doctors on duty to treat the child. But they could not survive for long. Rhea died late last night. Superintendent Dr. Sudhir Kumar Sinha confirmed dead by the Aanmsiac. AES RIA death of Mr. Sinha's disease. Please tell the Aanmsiac far in the death of 16 children and AES has Inseflaitis.
http://www.jagran.com/bihar/gaya-11480444.html

Post 127 above put the Gaya fatality toll at 12 on July 7. Two fatalities were reported July 13 (post 135). This latest report raises the Gaya toll to 16 indicating one other fatality during this period. This raises the Bihar state fatality toll to approximately 194. - Ro

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 408 fatalities

Re: India Encephalitis 2014 - 408 fatalities

Jharkhand

Suspects of Japanese Encephalitis surface, health department on toes
JAMSHEDPUR July 17, 2014 , by Desk No Comments 15


Jamshedpur : Japanese Encephalitis, (JE) the viral disease caused by a flavivirus that infects animals and humans are on the rise in the city. In the last 48 hours several cases of JE have come to the light forcing the health officials here to remain vigilant and pursue its cleaning drive on war-footing in the worst malaria affected areas.
...
According to the reports, three JE cases have come to the light but health officials are not ready to confirm the same, as yet. ?We are waiting for the records to reach civil surgeon?s office,? said an official when asked about the casualty toll.
...
http://www.avenuemail.in/jamshedpur...halitis-surface-health-department-toes/52017/

Increased suffering of the Japanese Inseflaitis
Publish Date: Wednesday, Jul 16,2014 06:51:48 PM | Updated Date: Wednesday, Jul 16,2014 06:51:49 PM

Dialogue partners, Jamshedpur: City Japanese Inseflaitis (JE) of the victims is rising. JE also confirmed on Wednesday that a victim. The patient is a resident of Sonari. Tata main hospital is going to treat sufferers. Filariasis Officer Dr. AK Lal said Tuesday that the three victims ranging investigation of the sample was sent to the Department of Microbiology at the MGM College. JE was confirmed to be a victim. The two reports have turned out negative. Dr. AK Lal said Mackintosh tackle diseases is being conscious people by the health department. Japanese people Inseflaitis, Chikungunya, dengue, malaria and other diseases need to be mindful of.
http://www.jagran.com/jharkhand/jamshedpur-11479663.html

Bengal
NBMCH reports more ?encephalitis? deaths
The Statesman17 Jul 2014 |

STATESMAN NEWS SERVICE
Siliguri, 16 July
As more patients suffering from fever flock the North Bengal Medical College and Hospital (NBMCH) here, doctors today said the 25 patients who died in the past few days all had ?encephalitis syndrome.?
Two more patients died of acute ?encephalitis syndrome? this morning, taking the toll to four persons in the past 24 hours.
According to sources, some children died of the same disease in the past two weeks and around 10 are undergoing treatment in the pediatrics ward.
?The number of fever patients is growing and they are pouring in from different districts in north Bengal and Assam. We are trying to provide the best treatment to the patients. More than 25 patients have died of encephalitis syndrome, while 13 cases have been diagnosed as Japanese encephalitis, which killed one of the patients,? said NBMCH superintendent Dr Amarendranath Sarkar.
...
http://www.thestatesman.net/news/66046-nbmch-reports-more-encephalitis-deaths.html

Assam
Japanese Encephalitis assumes an endemic proportion at Sipajhar

Posted on 16-07-2014 | 05:13:19 IST | DY365 Bureau

Guwahati: Japanese Encephalitis is assuming an endemic proportion in different areas of Sipajhar and Nalbari. In Sipajhar five persons were already died. On Tuesday another person one Najmal Hussain of Muslimghopa village was also died in Guwahati Medical College hospital. It is also reported that two other person of the same village are now under treatment for the disease. ....rn
http://www.dy365.in/news/details.php?aID=30556&subC=0#.U8epZfldV8E

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 408 fatalities

Re: India Encephalitis 2014 - 408 fatalities

With the inclusion of this latest outbreak, this brings the total number of fatalities in West Bengal to 112 so far this year - 274 cases, 37 fatalities (7 and 1 positive for JE) were reported to May 31st (see post 57). IDSP reported 73 cases, 35 fatal from Malda between June 5th and 22nd (WNV, Chandipura, JE all negative). http://idsp.nic.in/idsp/IDSP/25th_wk14.pdf and now;

Suspected encephalitis: Toll rises to 40 in Bengal
India's News.Net Thursday 17th July, 2014
Six more people have died of suspected encephalitis at the North Bengal Medical College and Hospital (NBMCH) here since Tuesday, taking the toll to 40 in the past 15 days, health officials said Thursday.

"Six more people have died in the past 48 hours, taking the toll to 40 in the past 15 days," NBMCH principal Anup Kumar Roy said. More than 50 people are still undergoing treatment at the facility, he added.
Roy, however, said of the 40 dead, so far only two people have been confirmed with Japanese encephalitis.
Meanwhile NBMCH superintendent Amarendranath Sarkar admitted that at least 55 people have died in the hospital alone of suspected encephalitis in the past two months.
...
- See more at: http://www.indiasnews.net/index.php/sid/223865007/scat/701ee96610c884a6#sthash.p0eXtAHB.dpuf

Dakshin Dinajpur
Acute Encephalitis syndrome
16 cases 1 fatal 23/06/14 24/06/14 Under Control
Cases reported from Balurghat, Kumarganj & Hili, District
Dakshin Dinajpur. RRT investigated the outbreak. 4 serum
samples collected and sent to NBMC Siliguri; JE negative,
3 CSF samples collected and sent to STM Kolkata;
Negative for JE. IEC done.
Week 26 IDSP report http://idsp.nic.in/idsp/IDSP/rcntobrk.pdf

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 418 fatalities

Re: India Encephalitis 2014 - 418 fatalities

Jharkhand
Health department issues alert, three cases of Japanese Encephalitis confirmed
JAMSHEDPUR July 17, 2014 , by Desk


Jamshedpur : East Singhbhum health department has issued high alert in the district in view of influx of the viral diseases across the district.

Sources went on to inform that three positive cases of Japanese Encephalitis in the last 24 hours have prompted the health department to issue an alert for vector borne diseases in the district.
...
http://www.avenuemail.in/jamshedpur...-cases-japanese-encephalitis-confirmed/52145/

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 418 fatalities

Re: India Encephalitis 2014 - 418 fatalities

Bengal
‘Encephalitis’ kills four more at NBMCH
The Statesman 18 Jul 2014 |

STATESMAN NEWS SERVICE
Siliguri, 17 July
...
The around 30 patients who died in the past few days all had the ‘encephalitis syndrome,' according to NBMCH sources.
The latest victims have been identified as Alia Khatun, 55, of Batabari in Jalpaiguri district, Sukhday Das, 55, of Jalpaiguri, Anubala Roy of NJP station area in Siliguri, and Jarina Khatun of Raiganj, NBMCH medical superintendent Dr Amarendranath Sarkar said. The fresh deaths have taken the toll to six persons in the past 24 hours.
Around 11 children are undergoing treatment
in the pediatric ward at present.
"Around 28 children were admitted with the encephalitis syndrome around two weeks ago. But now the number of cases has gone down. At present, 11 children are admitted here, some of them in the ICU," said the head of the department of pediatrics at the NBMCH, Dr Mridula Chatterjee.
...
The NBMCH today received encephalitis testing kits from the National Institute of Virology, Pune.
"We received two boxes of kits today. Each box has 96 kits, and we have sought five more such boxes.
...
http://www.thestatesman.net/news/66261--encephalitis-kills-four-more-at-nbmch.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 418 fatalities

Re: India Encephalitis 2014 - 418 fatalities

Assam
172 cases of AES, 2 positive for JE and 9 fatalities were reported from Assam to May 31st by the NVBDCP. There seems to have been a massive jump in cases & fatalities since then. It is unclear whether the AES totals in the following reports include JE positives in the total. For example the first report indicates 3 JE deaths in Sivasagar, the second gives a figure of 17 AES deaths in that district. - Ro


Japanese Encephalitis grips Assam, kills 31
TNN | Jul 18, 2014, 10.56 AM IST
Japanese Encephalitis Virus (JEV) in various parts of the state following the onset of the monsoon. Epidemiologists and officials cite a recent increase in the swine population to be a major reason for the rapid spread of JE in the region.

Of 27 districts in Assam, 22 are experiencing the JEV outbreak. Lower Assam is the worst affected and Barpeta accounts for 41 positive cases and a death toll of five already. JE is a disease with a high mortality rate.
...
Diagnosis of this disease in rural areas of Assam is difficult because only 13 districts out of 27 have proper laboratory facilities required to detect the virus.

The Darrang district has recorded four deaths out of 16 cases of JEV infected patients, Kamrup (rural) has detected four deaths of 31 cases, Sivasagar reported three deaths, Nalbari found four deaths out of 18 confirmed cases, and Kokrajhar reported two deaths out of four confirmed cases. However, Kamrup (metro) has recorded 30 cases of JEV infected people with no casualty as of now. "People do not heed to what we try to make them aware of," said an official at the health department.
...
The total reported number of people with Japanese Encephalitis in Assam is 224 out of which 31 have succumbed to the fatal disease.
...
http://timesofindia.indiatimes.com/...grips-Assam-kills-31/articleshow/38596995.cms

Encephalitis kills 139 in Assam, Gogoi directs Chief Secretary to monitor situation

Friday July 18th, 2014

At least 139 people died due to Japanese encephalitis and acute encephalitis syndrome (AES) in Assam since January this year.

Another 224 positive cases of Japanese encephalitis were detected during the period, health department sources said.

In Barpeta district five persons died due to Japanese encephalitis. 17 persons died due to acute encephalitis syndrome (AES) in Sivsagar district.
...
http://www.newstimeassam.co.in/newsupdates/index.php?aID=1488#.U8j1o_ldV8F

Uttar Pradesh
Volume 20, Number 8—August 2014

Letter

Decline in Japanese Encephalitis, Kushinagar District, Uttar Pradesh, India


To the Editor: Kakkar et al. recently concluded that the low-quality surveillance data on acute encephalitis syndrome (AES)/Japanese encephalitis (JE) in Kushinagar District, India, provide little evidence to support development of prevention and control measures and to estimate the effect of interventions (1). Analysis of the surveillance data, however, does provide evidence supporting the effect of an ongoing intervention (i.e., JE vaccination).

In accordance with the surveillance protocol, cerebrospinal fluid and serum samples from AES patients admitted to the Baba Raghav Das Medical College (Gorakhpur, India) are tested for IgM against JE at the field laboratory of National Institute of Virology (NIV) at Gorakhpur (2). The samples are tested by using the ELISA developed by NIV Pune (Pune, India), which has a specificity of 85% (range 77%–95%) and sensitivity of 71% (range 71%–75%) (3). Patients with samples negative for JE are considered to have JE-negative AES.

Thumbnail of Annual incidence of Japanese encephalitis (JE) and JE-negative acute encephalitis syndrome (AES), Kushinagar District, Uttar Pradesh, India, 2008–2012.
Figure. Annual incidence of Japanese encephalitis (JE) and JE-negative acute encephalitis syndrome (AES), Kushinagar District, Uttar Pradesh, India, 2008–2012.

We obtained the line-list of AES patients from the NIV laboratory at Gorakhpur for 2008–2012. Analysis of the surveillance data indicated that 251 (8.2%, range 4%–14.7%) of the 3,047 AES patients from Kushinagar were positive for JE IgM and therefore considered to be JE case-patients. JE incidence per 100,000 persons in the district declined from 2.3 cases in 2010 to 0.81 in 2011 to 0.58 in 2012 (Figure). The decline in JE incidence since 2010 could be a consequence of JE vaccination activities in Kushinagar. In 2010, a mass vaccination campaign with 1 dose of JE vaccine (SA 14–14–2 strain) was conducted among children 1–15 years of age. Subsequently, the vaccine was introduced into the childhood vaccination program as a 1-dose strategy in 2011 and a 2-dose strategy in 2013. Unfortunately, information about evaluated coverage of JE vaccine is not available from the district. On the other hand, the average annual incidence of JE-negative AES during the same period was 16 cases per 100,000 persons (95% CI 14.8–17.2), and this incidence has remained relatively stable since 2008.

With the isolation of enteroviruses from JE-negative AES patients, waterborne transmission has been hypothesized, and the focus of intervention has shifted toward improving sanitation and water quality. However, enteroviruses were detected only in a small proportion of AES patients. Although the quality of AES surveillance needs to be improved, as Kakkar et al. suggested (1), further studies are needed to understand the etiology of JE-negative AES in the district and the risk factors for transmission. These studies might include systematically investigating patients and environmental samples for enteroviral and other etiologic agents.

Prashant Ranjan, Milind Gore, Sriram Selvaraju, K.P. Kushwaha, D.K. Srivastava, and Manoj MurhekarComments to Author
Author affiliations: Indian Council of Medical Research, Chennai, India (P. Ranjan, S. Selvaraju, M. Murhekar); Indian Council of Medical Research, Gorakhpur, India (M. Gore); Baba Raghav Das Medical Collage, Gorakhpur (K.P. Kushwaha, D.K. Srivastava)
References

Kakkar M, Rogawski ET, Abbas SS, Chaturvedi S, Dhole TN, Hossain SS, Acute encephalitis syndrome surveillance, Kushinagar District, Uttar Pradesh, India, 2011–2012. Emerg Infect Dis. 2013;19:1361–7 . DOIPubMed
Directorate of National Vector Borne Diseases Control Programme. Guidelines for surveillance of acute encephalitis syndrome (with special reference to Japanese encephalitis) [cited 2013 Sep 11]. http://www.nvbdcp.gov.in/Doc/AES guidelines.pdf
World Health Organization Regional Office for Southeast Asia. Fourth bi-regional meeting on the control of Japanese encephalitis. Report of the meeting Bangkok, Thailand, 7–8 June 2009 [cited 2013 Aug 15]. http://www.wpro.who.int/immunization/documents/docs/JEBiregionalMeetingJune2009final.pdf
Figure

Figure. Annual incidence of Japanese encephalitis (JE) and JE-negative acute encephalitis syndrome (AES), Kushinagar District, Uttar Pradesh, India, 2008–2012.
Suggested citation for this article: Ranjan P, Gore M, Selvaraju S, Kushwaha KP, Srivastava DK, et al. Decline in Japanese encephalitis, Kushinagar District, Uttar Pradesh, India [letter]. Emerg Infect Dis [Internet]. 2014 Aug [date cited]. http://dx.doi.org/10.3201/eid2008.131403

DOI: 10.3201/eid2008.131403

http://wwwnc.cdc.gov/eid/article/20/8/13-1403_article

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 528 fatalities

Re: India Encephalitis 2014 - 528 fatalities

Bihar - Does not include any fatalities from Gaya or other districts - some of which, like last year, have tested positive for JE - Ro


Ministry of Health and Family Welfare18-July, 2014 16:11 IST
Deaths of Children due to Encephalitis

Deaths of children due to encephalitis have been recently reported from Muzaffarpur, East Chaparan, Sitamarhi, Vaishali, Sheohar, Samastipur and West Champaran district of Bihar. Till 14.7.2014 a total of 156 deaths have been reported from Muzaffarpur and the adjoining districts. District wise details of children deaths due to encephalitis are given below:


Sl.No // District // Deaths
1 // Muzaffarpur // 87
2 // East Chaparan // 35
3 // Sitamarhi // 19
4 // Vaishali // 6
5 // Sheohar // 2
6 // Samastipur // 6
7 // West Champaran // 1

Total 156

To identify the Japanese Encephalitis, there are 7 sentinel surveillance sites established in the state of Bihar at the behest of NVBDCP which are supported by supply of JE kits from the Govt. of India to test the samples of Encephalitis cases for detection of Japanese Encephalitis cases. As per report, no JE case was detected till 14.7.2014.

Steps taken by the Centre:-
(i) Government of India has launched a multipronged strategy for 5 high burden states including Bihar under which 60 districts in the country have been identified and Muzaffarpur is one of the identified districts among 15 districts of Bihar. Following ministries have been roped in :
• Ministry of Health & Family Welfare
• Ministry of Drinking Water Supply & Sanitation
• Ministry of Women & Child Development
• Ministry of Social Justice & Empowerment
• Ministry of Housing Urban Poverty & Alleviation

(ii) Workshop/Meeting of SPOs of 9 JE endemic states including Bihar was held at Delhi on 7-8th, 2011 Feb for formulating an Action Plan for prevention and control JE/AES.
(iii) 6 district in the state have been covered under JE vaccination from 2007 – 2010. During 2012 special vaccination campaign was carried out in Gaya. JE vaccination in campaign mode was also carried out in Aurangabad during 2012.
(iv) Government is also taking help of experts from CDC Atlanta USA, NCDC, Delhi, NIV Pune RMRI, Patna to prevent the JE/AES.
(v) Total 14 and 12 JE MAC- ELISA test kits have been supplied free of cost to the state during 2012 and 2013 respectively. In 2014, total 19 kits have been supplied till 30.6.2014.
(vi) To establish definite clinic-epidemiological linkage to identify source of infection for Acute Encephalitis Syndrome (AES) in district Muzaffarpur, a team from NCDC and NVDBCP visited Muzaffarpur w.e.f. 25.5.2014 respectively till date.

(vii) Hon’ble HFM visited Muzaffarpur w.e.f. 20th – 22nd June, 2014 along with Director NVBDCP to review the control measures taken by the state.

(viii) The vaccination for JE was carried out in Nov-Dec, 2013. Special campaign for JE vaccination was carried out in Muzaffarpur, Vaishali, Nalanda, Samstipur, East Chaparan, Bhojpur, Nawada and Patna on 22nd – 23rd June 2014 to cover missed out children.

During 2012-13 an amount of Rs. 6.84 crore has been released for strengthening District Hospitals and Medical College in Gaya and Muzaffarpur respectively. However during 2013-14 total Rs.16.88 core were released to Bihar for implementation of prevention and control strategy for JE/AES.

Steps taken by the Govt. of Bihar:-
1. Printed IEC materials were given to ASHA and Anganwadi workers for Door to Door distribution under AES awareness activity
2. ASHAs and Anganwadis worker were entrusted with the responsibility of identifying fever of recent onset and early referral to nearest health institution.
3. MOs (MBBS) from other district APHCs were deployed at all block PHCs of Muzaffarpur under improved surveillance activities and at SKMCH to provide care to the admitted patients.
4. Extra ambulances were deployed from other districts at block PHCs for early and timely referral to SKMCH/Kejriwal Hospital.
5. State Health administration setup mobile medical units to pick up the patients from interiors of the village and onward transfer to the hospital.
6. Specialist and Super Specialist Doctors from Patna Medical College were visiting SKMCH to treat admitted cases in Pediatric ICU.
7. Patients of suspected encephalitis cases were tested using JE ELISA kit and treated at SKMCH Muzaffarpur. The kits were made available by Dte. NVBDCP.
8. For treatment of Encephalitis cases, Pediatrics Deptt. of SKMCH & district Hospital Muzaffarpur were strengthened by establishing a separate ICU & encephalitis ward to ensure immediate treatment and the line listing of the cases.
9. All essential lifesaving medicine for treatment of the cases was made available at Medical College (SKMCH) Muzaffarpur.
10. For intensive care of Encephalitis patients additional trained pediatrician and nurses (para-Medical staff) were posted.
11. All the Medical Officers In-charge of Primary Health Centres were instructed for carrying out active surveillance in their areas & surrounding villages for detecting suspected encephalitis patients.
12. All the ASHAs were appraised on necessary prevention & control measures to be taken in the villages such as use safe drinking water, sanitation toilet etc.
13. The ambulances for transportation of serious patients to the nearest Medical institution were made available.
14. Wide publicity was made in the villages towards prevention and control of encephalitis through district information & publicity officers.
15. All the affected villages where the cases were reported, fogging operations were carried by using technical Malathion vector control measures.
16. Special campaign started by involving PRI (Panchayati Raj) members for prevention & control of encephalitis diseases, instructions issued to all in the matter.
17. The district BDC (Block Development Committee) meeting was called for awareness campaign in the area.
18. In Municipal corporation, Muzaffarpur, sanitation campaign started by spraying the bleaching powder.
19. The special attention was given by the Village Sanitation Health Committee for maintaining cleanliness in the villages.

20. The line listing of the patients of suspected JE cases was prepared from all the PHC, districts private Nursing Home etc.
21. The monitoring and supervision was done by the Hon’ble Health Minister of Bihar, Principal Secretary (Health), Director in chief of state, Deputy CMO Malaria and Assistant Director of Kala-azar.


The Health Minister stated this in a written reply in the Lok Sabha here today.

*****

MV/BK


(Release ID :106956)
http://pib.nic.in/newsite/erelease.aspx?relid=106956

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 528 fatalities

Re: India Encephalitis 2014 - 528 fatalities

4 more suspected encephalitis deaths at the North Bengal Medical College and Hospital (NBMCH)


Siliguri, July 18, 2014:
...
NBMCH superintendent Amarendranath Sarkar said in the last 16 days, 44 people have died at the hospital because of acute encephalitis syndrome, while at least 32 people are still undergoing treatment at the facility.

http://www.newswala.com/India-Natio...Medical-College-and-Hospital-NBMCH-68557.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 532 fatalities

Re: India Encephalitis 2014 - 532 fatalities

47 people die of Japanese encephalitis in Bengal
PTI Siliguri, July 19, 2014
First Published: 14:38 IST(19/7/2014) | Last Updated: 14:45 IST(19/7/2014)

A total of 47 people have died of Japanese encephalitis in the last 11 days in North Bengal Medical College and Hospital, a top health official said.

"So far 47 patients have died of Japanese encephalitis in the last 11 days in the hospital. These patients coming from Siliguri and nearby districts of north Bengal were admitted with symptoms of encephalitis," Dr Amarendranath Sarkar, superintendent of North Bengal Medical College and Hospital said.

Another 36 patients have been admitted in the hospital and the condition of ten of them has been critical, he said.
...
http://www.hindustantimes.com/india...-encephalitis-in-bengal/article1-1242248.aspx


Uttar Pradesh
Rain brings killer water-borne acute encephalitis syndrome
Arjumand Bano,TNN | Jul 19, 2014, 01.16 PM IST

GORAKHPUR: Heavy monsoon rain has revived the fear of acute encephalitis syndrome (AES) in the region. More than 96 children out of the 287 admitted to BRD Medical College since January have died of AES and experts warn that if preventive measures arte not taken immediately, the disease may assume menacing form in the rainy season.

AES is water borne disease, which is 100% preventable with safe drinking water, proper sanitation and maintenance of hygienic conditions. Most of victims belong to rural areas, which are in pathetic condition and lack safe drinking water and sanitation facility.

Dr Ritu Sahai said: "AES is entro-viral in nature and passes into human being through contaminated water and unhygienic surroundings. Children up to age group of 15 are susceptible to this deadly disease. It is 100% preventable." AES becomes horrifying in monsoon, she warned.
...
http://timesofindia.indiatimes.com/...ncephalitis-syndrome/articleshow/38668310.cms

Assam
Japanese Encephalitis claims 35 in Assam

Saturday July 19th, 2014

At least 35 persons lost their life due to Japanese Encephalitis across the State so far in this year. Official sources said that 24 districts have witnessed the outbreak of Japanese Encephalitis.

139 people died due to Japanese encephalitis and acute encephalitis syndrome (AES) in Assam since January this year.

Health officials also said that 276 confirmed Japanese Encephalitis positive cases have been detected in the State as of now.
...
http://www.newstimeassam.co.in/newsupdates/index_wc2014.php?aID=1497#.U8o84PldV8F


Comment - these most recent fatalities bring the national toll to 552 encephalitis deaths to date this year. In comparison, by July 19th 2013, 298 fatalities had been reported; 559 in 2012; 116 in 2011. - Ro

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 552 fatalities

Re: India Encephalitis 2014 - 552 fatalities

Bengal
Situation not alarming: Deb
The Statesman20 Jul 2014 |

‘health officials to check encephalitis’
statesman news service
SILIGURI, 19 JULY: The north Bengal development minister Mr Gautam Deb, after visiting North Bengal Medical College and Hospital, today said health officials of seven districts have been alerted to combat the present Encephalitis menace.
...
The minister claimed that the MRI machine at the hospital, which was non-functional a few days ago, is now functioning properly and another CT scan machine would be installed at NBMCH soon.
NBMCH Medical Superintendent, Mr Amarendranath Sarkar said that more than 40 patients have died of acute Encephalitis syndrome till
date. “Of them 13 persons died of Japanese Encephalitis,” said Dr Sarkar.
...
http://www.thestatesman.net/news/66611-situation-not-alarming-deb.html

Encephalitis deaths in Bengal rises to 47

Sun, Jul 20 2014 14:27 IST |

Siliguri, July 20
Two more people died of encephalitis here, taking the death count in West Bengal to 47 in the past 18 days, officials said Sunday. Two patients admitted to the North Bengal Medical College and Hospital (NBMCH) died since Saturday night, the facility's superintendent Amarendranath Sarkar said.
...
Sarkar said this year 320 patients have so far been admitted to the NBMCH with Acute Encephalitis Syndrome. Of them, at least 80 have died. The figure includes 15 who died of confirmed cases of Japanese Encephalitis.
...

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 552 fatalities

Re: India Encephalitis 2014 - 552 fatalities

Bihar
Two AES nine children admitted suffering
Publish Date: Sunday, Jul 20,2014 01:00:18 AM | Updated Date: Sunday, Jul 20,2014 01:00:49 AM

Jasn, Muzaffarpur: Skemsiac Sindrom the Piaisiu cell acute encephalitis (AES) with two patients suffering from various diseases were recruited nine children. The AES is suffering Jitu Kumar, Shalu Kumar. While suffering from Menenjaitis smile, Kumari and Om Kumar is Sonny. While tinsel fever Rekha Kumari, Anil Kumar, Amit Kumar Shorty and suffering. This is Piaisiu room full houses. These twenty-four hours at room physician for serious children's attendance has increased trouble. AES baby syndrome Head Dr. Brij Mohan said the reduction in number of victims has been deputed to the doctor. Physicians currently available to support children being treated properly.
http://www.jagran.com/bihar/muzaffarpur-11489332.html

Uttar Pradesh
Of child deaths from meningitis
Publish Date: Sunday, Jul 20,2014 01:16:16 AM | Updated Date: Sunday, Jul 20,2014 01:16:50 AM

Ptnagat, Gorakhpur: Budhnpura area resident Amarjit Singh Yadav on Friday night, his eight-year-old son died of meningitis. Was in the hospital for treatment of innocent Mhow.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-11489693.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 553 fatalities

Re: India Encephalitis 2014 - 553 fatalities

49 people die of Japanese encephalitis in Bengal
...
"So far 49 patients have died of Japanese encephalitis in the last 12 days in the hospital. Another 41 patients have been admitted in the hospital and the condition of eight of them has been critical," Dr Amarendranath Sarkar, Superintendent of North Bengal Medical College and Hospital said.
http://www.ptinews.com/news/4941264_49-people-die-of-Japanese-encephalitis-in-Bengal.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 555 fatalities

Re: India Encephalitis 2014 - 555 fatalities

Six more succumb, Encephalitis toll in Bengal crosses 50
IANS | Siliguri July 20, 2014 Last Updated at 20:16 IST

With six more people dying of encephalitis here since Saturday night, the vector-borne disease has claimed altogether 51 lives in northern West Bengal over the past 18 days, health officials said Sunday.

Six patients admitted to the North Bengal Medical College and Hospital (NBMCH) died between Saturday night and Sunday evening, the facility's assistant Superintendent Rajiv Basu said.

Superintendent Amarendranath Sarkar said 40 others are still undergoing treatment at NBMCH.
...
http://www.business-standard.com/ar...toll-in-bengal-crosses-50-114072000619_1.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 557 fatalities

Re: India Encephalitis 2014 - 557 fatalities

Via @Crof

July 20, 2014

India: Six more encephalitis deaths in West Bengal
...
The Indian media may be confused about encephalitis; they've certainly confused me over the years.

Sometimes it's encephalitis. Sometimes it's Japanese encephalitis. Sometimes it's acute encephalitis syndrome. But reports rarely distinguish one from another, and never define "encephalitis" much beyond "a disease that results in inflammation of the brain." Often mosquitoes are blamed, but (in contrast to campaigns against malaria, dengue and chikungunya) I rarely see any indication that anti-mosquito campaigns are under way. At most, some half-hearted vaccination programs are reported, with unknown effect.

Nor do we ever see any national numbers for this ill-defined affliction. This report is just for West Bengal; numbers are different for Bihar and Uttar Pradesh, two distinct states well to the northwest of West Bengal. The Indian Ministry of Health and Family Welfare can give you 41 items if you search for "encephalitis," but not one of them appears to be a current surveillance report, whether national or state by state.

Some media reports have mentioned that many children contracting some version of encephalitis are very poor or of the Dalit caste (once referred to as "untouchables"). This may explain the lack of a coherent surveillance program, much less a serious effort to eradicate the disease at the source.

When India is making money as a medical-tourism destination, it seems strange that its federal and state governments deal so ineffectively with a disease they can't even be bothered to define.
http://crofsblogs.typepad.com/h5n1/2014/07/india-six-more-encephalitis-deaths-in-west-bengal.html

Comment - The quality of reporting from the Indian media with regard to Encephalitis is, in general, appallingly poor. Rarely if ever, is there an attempt to provide background information or context for these outbreaks. The reports are often isolated to one locality and one event, cut off from previous years, what's happening in other localities and the current research. The medical point man is most often a local doctor or the District Medical Officer. Involvement of State or National Co-ordination seems haphazard and minimalist. Often the outbreaks are politicized. As a result, the information provided to media is often lacking in any sort of overall awareness of the situation.

4 days ago, Assam was reporting a total of 29 Japanese Encephalitis deaths. It took another 48 hours to discover that the AES death toll was in fact 139 and that the confirmed JE deaths were a small subset. On the 18th of July, The Health Minister provided data on 156 Encephalitis deaths from 7 Districts in Bihar - I have to ask why were other districts, such as Gaya & Patna, not included? Counting those deaths, the State toll is approximately 194. In the current Bengal outbreak, 51 have died at North Bengal Medical College & Hospital. But at least 30 other deaths occurred there earlier this year prior to May 31st. It took 12 days for the media to find that connection. An additional 35 fatalities were also reported from Malda in June. My current tally of Encephalitis fatalities in West Bengal this year is 121 of which 15 have been positive for JE.

Today - I read an article that suggests that testing for JE is not being performed in every case in Bengal. Similarly a report published last year http://wwwnc.cdc.gov/eid/article/19/9/12-1855_article provided damning evidence of inadequate case record keeping in Uttar Pradesh. In some cases, test results could not be matched back to a particular patient, vaccination records were incomplete etc.

My own feeling is that these outbreaks that we call "Encephalitis" have multiple causes. In outbreaks where the ages are varied and include children and adults, it seems that some JE positives are found within a few days. This seems to be the case in Assam, Gaya in Bihar and in the current Jalpaiguri outbreak in West Bengal. This does not mean that the rest were not JE as we just do not know what the testing regime is. There are other outbreaks, though, where the patients are the predominantly children and these seem rarely to result in positive JE samples. This seems to have been the case in Muzaffarpur and in Malda this year. Uttar Pradesh has reported around 300 cases of Encephalitis this year, but no JE positives.

What causes the AES in these cases - maybe enteroviruses in dirty water, maybe toxins in plants, maybe something else. But the outbreaks all seem to have certain factors in common - they affect the poor, often malnourished, who lack access to adequate water and adequate nutrition. Whatever the trigger for the AES outbreaks, the massive mortality is likely brought about by poverty. The dirty secret is that India's infrastructure has failed these people. Unless and until they gain access to simple things like clean water, adequate healthcare & plentiful and varied food, these outbreaks will continue to kill. By continually treating this as an unsolved medical mystery, steps that could improve the overall quality of life are not being taken.

This thread will try to have the most complete picture using national statistics from the NVBDCP http://nvbdcp.gov.in/je-new.html , the IDSP weekly reports http://idsp.nic.in/, various media reports and any relevant research. You can also backtrack to previous years by using the link in the first post.

My Current AES Fatality Toll
Bihar: 194
Assam: 139
West Bengal: 121
Uttar Pradesh: 97
Tamil Nadu & Kerala: 2 each
Gujarat, Jharkhand & Rajasthan: 1 each

Total: 558

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 558 fatalities

Re: India Encephalitis 2014 - 558 fatalities

Assam (TV Report)
Encephalitis threat looms over Assam
Encephalitis syndrome threat looms large over in Assam, while experts have sounded alert due to significant rise in number of cases reported that have been tested positive. The deadly disease is gradually taking a toll in Guwahati city since the month of June and has resulted in death of four people so far.
...
http://video.in.msn.com/watch/video...om=&utm_source=twitterfeed&utm_medium=twitter

Assam Encephalitis Toll Reaches 43

By NorthEastToday

Japanese encephalitis has so far claimed 43 lives in Assam. The total number of confirmed Japanese encephalitis cases in the state has reached 311, while the total number of people detected with acute encephalitis syndrome is 934.

...
According to available data, Jorhat has so far reported nine cases of acute encephalitis syndrome, six cases of Japanese encephalitis and three deaths this year.

Golaghat has recorded 48 cases of acute encephalitis syndrome, seven cases of Japanese encephalitis and five deaths so far. Altogether 15 Japanese encephalitis cases and three deaths have been reported in Sivasagar. Kamrup (metro) has reported 30 cases of Japanese encephalitis with no deaths. The total number of acute encephalitis syndrome cases in Dibrugrah is 50, while the total number of Japanese encephalitis cases is nine with one death. Sonitpur has recorded 19 cases of Japanese encephalitis with two deaths.
...
http://www.northeasttoday.in/news.php?news=assam-encephalitis-toll-reaches-43

Encephalitis claims more lives in Nalbari

From our Correspondent

NALBARI, July 20: The death toll from encephalitis continues to rise in Nalbari district, with five people dying recently of this dreaded disease. So far, encephalitis has claimed 10 lives in the district.

The five persons who succumbed to the disease recently have been identified as Sarola Baro (Narowa), Anisur Rahman, Jadav Deka (Barmurikona), Biren Talukdar (Gamarmuri) and Bhagaban Nath (Doulasal). According to the Health Department sources, blood was collected from 41,513 people who were suffering from fever. Out of these, 14 people were found to be suffering from encephalitis while 13 were suffering from malaria.
...
http://www.sentinelassam.com/state2/story.php?sec=2&subsec=14&id=198452&dtP=2014-07-21&ppr=1

West Bengal

Encephalitis Toll Climbs to 52 in West Bengal
All India | Press Trust of India | Updated: July 21, 2014 13:19 IST

Siliguri: With the death of three patients in North Bengal Medical College and Hospital in Siliguri, the encephalitis toll in West Bengal rose to 52 today.
...
Of the 52 deceased persons, 17 died of Japanese Encephalitis and 47 patients were still being treated in the hospital since July 15th, Mr Sarkar said.
...
http://www.ndtv.com/article/india/encephalitis-toll-climbs-to-52-in-west-bengal-562181

Livelihood hits fight against encephalitis in Jalpaiguri
Subhro Niyogi & Pinak Priya Bhattacharya,TNN | Jul 21, 2014, 07.00 AM IST

JALPAIGURI: In Jalpaiguri town, it is not about who will bell the cat but who will tie the noose around its pigs.

Every monsoon, pigs and mosquitoes in this sleepy town at the gateway to the picturesque Dooars join forces to produce a killer virus: encephalitis. Get rid of the pigs and the seasonal outbreak can be capped. But then, who will drive them out?

Harijan Bustee, situated near Jalpaiguri station, is the breeding ground of pigs that play host to the encephalitis virus every monsoon. Transmitted to humans through mosquitoes, the virus leads to scores of deaths.
...
http://timesofindia.indiatimes.com/...alitis-in-Jalpaiguri/articleshow/38776100.cms

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 559 fatalities

Re: India Encephalitis 2014 - 559 fatalities

The young man's death from meningitis
Publish Date: Sunday, Jul 20,2014 06:00:46 PM | Updated Date: Sunday, Jul 20,2014 06:00:45 PM


Rae, News Reporter: When the weather changes that were threatening infectious diseases. When the day came an increase in the number of patients in the district hospital is visible. Not only patients suffering from infectious diseases is often seen breaking point at the district hospital.
According to information Arvind (35) son Sarju resident Mtrmpur, Sloan had been ill for several days. The family was getting his treatment from a nearby doctor. The investigation revealed that she is suffering from brain fever. District Hospital on Sunday, the young man died during treatment. Alarmed at death between families is chaos.
http://www.jagran.com/uttar-pradesh/raebareli-11490030.html

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 560 fatalities

Re: India Encephalitis 2014 - 560 fatalities

Bengal

60 die due to encephalitis, situation alarming in North Bengal

Monday, 21 July 2014 - 5:35pm IST | Place: Siliguri (WB) | Agency: PTI


A total 60 people have died of encephalitis in North Bengal Medical College and Hospital here and the situation in the seven north Bengal districts was 'alarming', West Bengal Health Services director Biswaranjan Satpathy said on Monday. Satpathy, who held a meeting of chief medical officers health in north Bengal during the day, said the 60 affected by the disease had died in the period between July 7 and Sunday and a total 344 people from the area have been affected.

The situation had assumed 'alarming proportions' as 24 of the 60 dead had fallen prey to Japanese encephalitis, which is considered an upper limit, he said. The medical college does not have facilities to test other forms of encephalitis. Jalpaiguri district was the worst hit and Dhupguri and Moynaguri rural areas the most affected because of the large number of piggeries from where Japanese encephalitis spread.
...
http://www.dnaindia.com/india/repor...998?utm_source=twitterfeed&utm_medium=twitter

 

[Ronan Kelly]

Re: India Encephalitis 2014 - 568 fatalities

Re: India Encephalitis 2014 - 568 fatalities

West Bengal
DarjeelingTimes.com - Darjeeling News
11 mins ?
102 Dead So Far Due to Encephalitis in North Bengal


102 persons have died of the acute encephalitis syndrome (AES) in the seven districts of north Bengal so far this year. Most of the patients who have died have suffered from a variant Japanese encephalitis (JE), and the rate of death from JE this year has been described as being abnormally high than the usual rate and as compared at the national level.
...
Reportedly 344 cases of AES have been detected since January 2014 and of them, 83 have been diagnosed as JE. Of them, 21 persons died of JE, while of the 344 cases, 261 were termed as AES, and 81 persons died of this. Five more persons died of the AES in the North Bengal Medical College and Hospital (NBMCH) yesterday.
...
https://www.facebook.com/DarjeelingTimes/posts/865054920189004