DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 39th week (23rd

29th September) 2013 District wise disease alerts/outbreaks reported in the 39th week, 2013

REPORTING STATUS OF STATES/UTs No. of States /UTs submitted outbreak report (including NIL report) No. of States/ UTs submitted NIL outbreak report

33 16

INTEGRATED DISEASE SURVEILLANCE PROGRAMME, NATIONAL CENTRE FOR DISEASE CONTROL, DELHI Tel No. 23913148, Fax No. 23922677; www.idsp.nic.in

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Karimnagar 1 Andhra Pradesh

i.

Food Poisoning

12

21/09/13

29/09/13

Under control

Vizianagaram

ii. Acute Diarrhoeal Disease

17

25/09/13

29/09/13

Under control

Nalbari

iii. Fever

65

26/09/13

27/09/13

Under control

Assam Sonitpur iv. Acute Diarrhoeal Disease 225 0 24/09/13 26/09/13 Under surveilla nce

Araria

v. Acute Diarrhoeal Disease vi. Acute Diarrhoeal Disease

20

22/09/13

26/09/13

Under control

Cases of loose motion and vomiting reported from Village Katlagunta, SC Katlagunta, PHC Medipally, District Karimnagar. Medical team investigated the outbreak. Cases consumed food (Laddu) in a local festival. All cases treated locally. Health education given. Cases of gastroenteritis reported from Village Gopalpuram, PHC Bandaluppi, Block Parvathipuram, District Vizianagaram. Medical team investigated the outbreak. Active search for cases done. Medical camps organized. Cases treated. 4 water samples collected; result awaited. Health education given. Cases of fever, headache reported from Village Banekuchi, PHC Kamarkuchi, District Nalbari. Medical team investigated the outbreak. Active search for cases done. Temporary medical camps organized. Symptomatic treatment given to cases. Health education given. Cases of loose motion reported from Village & SC Uttar Ghahigaon, PHC Helem, Block Gohpur, District Sonitpur. District RRT investigated the outbreak. Active search for cases done. Population of the affected area is 1227. Temporary medical camps organized. Symptomatic treatment given to cases. 3 stool samples collected were negative for cholera culture. Chlorination of water sources done. ORS packets distributed. IEC done. Cases of loose motion and vomiting reported from Village Yadav Tola, SC Benga, PHC Sikti, District Araria. Block health team investigated the outbreak. Cases treated symptomatically. Health education given. Cases of diarrhoea reported from Villages Aaurahi, Fakirana, Block Kuseshwar Asthan Satighat, District Darbhanga. Medical team investigated the outbreak. Active search for cases done. Symptomatic treatment given to cases. Halogen tablets distributed. IEC done. Cases of loose motion and vomiting reported from Village Kasiona (Dhankar Tola), SC Sahaspur, PHC Rajnagar, District Madhubani. District RRT investigated the outbreak. House to house survey done. Temporary medical camp organized. Chlorination of water sources done. ORS packets distributed. IEC activities done regarding safe drinking water and hygiene.

Bihar 3

Darbhanga

20

28/08/13

23/09/13

Under control

Madhubani

vii. Acute Diarrhoeal Disease

34

18/09/13

23/09/13

Under control

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Chhattisgarh

Janjgir

viii. Food Poisoning

179

25/09/13

28/09/13

Under control

ix. Kheda Gujarat 5

Acute Diarrhoeal Disease

41

28/09/13

28/09/13

Under control

Vadodara

x. Food Poisoning

19

22/09/13

23/09/13

Under control

Haryana

Kurukshetra

xi. Cholera?

61

29/09/13

29/09/13

Under control

Loharda Jharkhand 7 West Singhbum

xii. Acute Diarrhoeal Disease

10

20/09/13

26/09/13

Under control

xiii. Acute Diarrhoeal Disease

15

23/09/13

26/09/13

Under control

Cases of loose motion and vomiting reported from Village Nariyara, PHC Pirda section Mudpar, Block Malkharoda, District Janjgir. District RRT and Block health team investigated the outbreak. Cases consumed food in a social function. Temporary camp organized. Cases treated at local health centre. Food sample collected; result awaited. Health education given. Cases of diarrhoea reported from Village/SC Sandheli, PHC Pipalwada, Block Thasra, District Kheda. Medical team investigated the outbreak. Active search for cases done. Pipeline leakages were observed in the community. Clustering of cases was observed in the community. Cases treated symptomatically. 2 water samples collected were non potable. Pipeline leakage repaired. Chlorination of water sources done. Chlorine tablets distributed. Health education given regarding safe drinking water and sanitation. Cases of loose motion, vomiting and abdominal pain reported from Village Dhavat, PHC Methi, Block Karajan, District Vadodara. Medical team investigated the outbreak. House to house survey done. Cases consumed food (milk products) in a social ceremony. Cases treated. IEC done. Cases of diarrhoea reported from Anaj Mandi, CHC Ladwa District Kurukshetra. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the affected area. Health camp organized. All cases treated. Out of 4 stool samples collected, 1 stool sample was positive for Cholera culture. 5 water samples collected; result awaited. Pipeline leakages were repaired by Municipal Corporation. Alternate supple of drinking water provided. ORS packets and Halogen tablets distributed. IEC activities such as health talks were done regarding use of boiled water for drinking purpose, hand hygiene and sanitation. Cases of loose motion and vomiting reported from Village Kalu Toli, PHC Senha, District Loharda. District RRT investigated the outbreak. Active search for cases done. Cases treated locally. ORS packets and chlorine tablets distributed. Health education given regarding safe drinking water and sanitation Cases of diarrhoea reported from Village Ulidih, SC Chainpur, Block Chakradharpur, District West Singhbum. District RRT investigated the outbreak. House to house survey done. Temporary health camp organized. All cases treated. ORS packets and chlorine tablets distributed. IEC done.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Jammu and Kashmir

Bandipora

xiv. Mumps

16

26/09/13

26/09/13

Under control

Kolar

xv. Acute Diarrhoeal Disease

13

26/09/13

27/09/13

Under control

Koppal Karnataka 9 Hassan

xvi. Fever

30

20/09/13

27/09/13

Under control

xvii. Fever

52

24/09/13

28/09/13

Under control

Bijapur

xviii. Fever

23

25/09/13

26/09/13

Under control

10

Madhya Pradesh

Shahdol

xix.

Fever

25

24/09/13

26/09/13

Under control

Cases of fever with throat pain reported from Army Good Will School, District Bandipora. Medical team investigated the outbreak. All cases treated. Health education given regarding isolation of cases. Cases of diarrhoea reported from Village Vaanrahi, SC Mudhavadi, Block/District Kolar. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the village. All cases treated symptomatically. Pipeline leakages were repaired. Health education given regarding safe drinking water and sanitation. Cases of fever with joint pain reported from VillageTumarikoppa, PHC Hiregonnar, Block Kustagi, District Koppal. District RRT investigated the outbreak. House to house survey done. Temporary medical camps organized. Cases treated. 5 serum samples collected; result awaited. Entomological survey done. Source reduction activities done. Health education given. Cases of fever with joint pain reported from Village Ananduru, PHC Rudrapatna, Block Arkalgud, District Hassan. District RRT investigated the outbreak. House to house survey done. Temporary camps organized. Cases treated symptomatically. All 52 blood smears collected were negative for malaria. Entomological survey done. Source reduction activities done. Health education given. Cases of fever with joint pain reported from Village Hikkanaugutti, PHC Balaganur, Block Sindhgi, District Bijapur. District RRT investigated the outbreak. House to house survey done. Temporary medical camps organized. Cases treated symptomatically. 4 serum samples collected; result awaited. Entomological survey done. Source reduction activities done. Health education given. Cases of fever reported from Village Malaya, SHC Ghogri, PHC Rasmohini, Block Burhar, District Shahdol. Medical team investigated the outbreak. House to house fever survey done. Out of 25 blood smears collected 1 blood smear was positive for Malaria (P.faliciparum). One death occurred in 9 year old male child. Spraying done in the affected area. Health education given.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Shivpuri

xx. Acute Diarrhoeal Disease

37

26/09/13

26/09/13

Under control

Madhya Pradesh

Sheopur

xxi. Malaria?

25

26/09/13

28/09/13

Under control

Nashik

xxii. Dengue

16

23/09/13

26/09/13

Under control

Raigad Maharashtra 11

xxiii. Fever

27

24/09/13

26/09/13

Under control

Cases of gastroenteritis reported from Village Manpura, Block Pichhore, District Shivpuri. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the village. One death occurred in 85 yr old female. All cases treated at local health centre. Stool samples and water samples collected; result awaited. Pipeline leakages were repaired. Chlorination of water sources was done. Health education given regarding safe drinking water and sanitation. Cases of fever reported from Village Makdawha Khurd, Block Baroda, District Sheopur. District RRT investigated the outbreak. Active search for cases done. Cases treated symptomatically. Out of 13 blood slides collected, 2 slides were positive for P. faliciparum. All 6 serum samples collected were negative for Dengue. Entomological survey done. Health education given. Cases of fever reported from Village Karsul, SC Lonawadi, PHC Palkhed, Block Niphad, District Nashik. Medical team investigated the outbreak. House to house fever survey done. Cases treated symptomatically. Out of 5 serum samples collected 3 serum samples were positive for Dengue (IgM ELISA). Entomological survey revealed: CI 2.6, HI 8, BI 9.6. Fogging and Abate application done. Health education given regarding personal protective measures. Cases of fever reported from Village Dahivali, PHC Sai, Block Mangaon, District Raigad. Distrcit RRT investigated the outbreak. Active search for fever cases done. All 27 blood smears collected were negative for malaria. Health education given. Cases of fever reported from Village Kakada, PHC Pathrot, Block Achalapur, District Amravati. District RRT investigated the outbreak. Active search for fever cases done. Cases treated symptomatically. People live in poor socioeconomic conditions. All 69 blood smears collected were negative for Malaria parasite. Entomological survey done. Antilarval activities and fogging done in the community. Health education given. Cases of fever reported from Village Vadjai, PHC Shirud, Block /District Dhule. District RRT investigated the outbreak. House to house fever survey done. Cases treated symptomatically. All 71 blood smears collected were negative for Malaria parasite. 6 serum samples collected; result awaited. Antilarval activities and fogging done. Health education given.

Amravati

xxiv. Fever

69

19/09/13

23/09/13

Under control

Dhule

xxv. Fever

71

23/09/13

24/09/13

Under control

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Solapur

xxvi. Fever

19

18/09/13

19/09/13

Under control

12

Odisha

Bargarh

xxvii. Acute Diarrhoeal Disease xxviii. Acute Diarrhoeal Disease

17

26/09/13

28/09/13

Under control

Cases of fever reported from Village/SC/PHC Piliv, Block Malshiras, District Solapur. District RRT investigated the outbreak. House to house fever survey done. All cases treated. All 19 blood smears collected were negative for Malaria. 5 serum samples collected and sent to DPHL Solapur; result awaited. IEC done. Cases of diarrhoea reported from Village & SC Kharmunda, Block Bijapur, District Bargarh. Medical team investigated the outbreak. Temporary medical camps organized. Cases treated. No samples collected. Health education given. Cases of loose motion, vomiting reported from Village Tetelkhunti, SC Palsada, Block Paikmal, District Bargarh. Medical team investigated the outbreak. Temporary medical camps organized. Cases treated. No samples collected. Health education given. Cases of food poisoning reported from Village Kumala, SC Taranga, Block Chhaatobar, District Deogarh. Block health team investigated the outbreak. Cases consumed food. All cases treated locally. Cases of loose motion, vomiting and abdominal pain reported from Village Oilmadu, Block Pottangi, District Koraput. District RRT and Block health team investigated the outbreak. Cases consumed food (stale meat of dead cattle). 4 rectal swabs and 2 water samples collected; result awaited. IEC done regarding safe food habits and hygiene. Cases of loose motion, vomiting and abdominal pain reported from Village Gajabadi, Block Bandhugaon, District Koraput. District RRT and Block health team investigated the outbreak. Cases consumed food (mushroom, bamboo shoot). Deceased were 20 year old female and 62 year old female of the same family. 4 water samples collected; result awaited. IEC done regarding safe food habits and hygiene. Cases of fever with rash reported from Villages H. Bahadapalli and G.Goadapalli, SC Kanoka, Block Khallikote, District Ganjam. District RRT investigated the outbreak. Active search for cases done. Symptomatic treatment given to cases. 10 serum samples collected; result awaited. Vitamin A solution administered to all children below 5 years of age. Health education given to parents and villagers regarding isolation of cases.

Bargarh

11

24/09/13

25/09/13

Under control

Deogarh

xxix. Food Poisoning

58

20/09/13

24/09/13

Under Control

Koraput Odisha

xxx. Food Poisoning

39

24/09/13

27/09/13

Under Control

Koraput

xxxi. Food Poisoning

11

20/09/13

25/09/13

Under Control

Ganjam

xxxii. Measles

48

22/09/13

28/09/13

Under control

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Rayagada

xxxiii. Measles

21

19/09/13

26/09/13

Under control

13

Punjab

Mohali

xxxiv. Food Poisoning

14

26/09/13

27/09/13

Under control

Tiruvannamalai

xxxv. Fever

15

24/09/13

25/09/13

Under control

Tamil Nadu 14

Viluppuram

xxxvi. Fever

54

22/09/13

26/09/13

Under control

Madurai

xxxvii. Dengue & Chikungunya

12

26/09/13

26/09/13

Under control

Cases of fever with rash reported from Village Pitadang, SC Purikona, Block Bissamcuttack, District Rayagada. District Ganjam. District RRT investigated the outbreak. Active search for cases done. Symptomatic treatment given to cases. Vitamin A solution administered to all cases. Health education given regarding isolation of cases. Cases of loose motion and vomiting reported from Barbeque Nation Restaurant in urban area of Mohali City, District Mohali. Medical team investigated the outbreak. Cases consumed snacks in the restaurant. 3 patients were treated at PGIMER, Chandigarh. 3 food samples collected; result awaited. Cases of fever, myalgia reported from Village Ladavaram, PHC Padagam, Block Kalasapakkam, District Tiruvannamalai. District RRT investigated the outbreak. House to house survey done. All cases treated locally. Entomological survey done (HI 4, CI 6, BI 4). All 15 blood smears collected were negative for Malaria. 4 serum samples collected, result awaited. Anti larval activities and fogging done. Vector control measures undertaken. IEC done. Cases of fever, myalgia and arthralgia reported from Village, Kilapalayam, PHC Kalamarudur, BlockThirunavalur, District Viluppuram. District RRT investigated the outbreak. Active search of cases done. All cases treated locally. Entomological survey done (HI 4, CI 6, BI 4). All 54 blood smears collected were negative for Malaria. 4 serum samples collected, result awaited. Anti larval activities and fogging done. Cases of fever with arthralgia reported from Village Mondikondu, PHC Uthappanaicknoor, Block Doddappanaicknoor, District Madurai. District RRT investigated the outbreak. Active search for fever cases done. Cases treated symptomatically. Out of 5 serum samples collected, 3 samples were positive for Dengue and Chikungunya (IgM ELISA). Antilarval activities and fogging done. Health education given regarding vector control measures.

Sl. No.

Name of State/UT

Name of District

Disease/ Illness

No. of Cases

No. of Deaths

Date of start of outbreak

Date of Current reporting Status

Comments/ Action taken

Bankura West Bengal 15

xxxviii. Acute Diarrhoeal Disease

80

25/09/13

28/09/13

Under control

Purulia

xxxix. Acute Diarrhoeal Disease

17

23/09/13

23/09/13

Under control

South 24 Parganas West Bengal

xl. Food Poisoning

80

24/09/13

24/09/13

Under control

Jalpaiguri

xli.

Food Poisoning

142

23/09/13

23/09/13

Under control

Cases of loose motion reported from Village Kelebola, SC Junbedia, Block Kanchanpur, District Bankura. District RRT and Block health team investigated the outbreak. Active search for cases done. People used pond water for daily activities. Symptomatic treatment given to all cases. 3 rectal swabs collected were negative for cholera culture. 6 water samples collected were non potable. Chlorination of water sources done. ORS packets and Chlorine tablets distributed. IEC done regarding safe drinking water and sanitation. Cases reported from Village Karadih, SC Kuki, Block Jhalda I, District Purulia. Block health team investigated the outbreak. Active search for cases done. Open defecation and poor hygiene conditions observed in the community. 2 stool samples collected; result awaited. Cases treated locally. ORS packets distributed. Chlorination of water sources done. IEC leaflets distributed regarding safe water drinking and sanitation. Cases of nausea, abdominal pain and vomiting reported from Krishnanagar High School, Village Sagar Krishnanagar, Block Sagar, District south 24 Parganas. Block health team investigated the outbreak. Cases consumed Mid-day meals. Cases treated locally. 7 food samples collected; result awaited. Health education given. Cases of loose motion and vomiting reported from Village Jateshwar Bazar, SC Jateshwar II, Block Falakata, District Jalpaiguri. Block health team investigated the outbreak. Cases consumed ice cream. All cases treated. IEC done.

Sl. No

Name of State/UT

Name of District

1.

Bihar

Darbhanga

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of diarrhoea reported from Village Samila, Block Keoti, District xlii. Acute Darbhanga. Medical team investigated the outbreak. Cases treated Diarrhoeal 33 0 10/09/13 Under control locally. Halogen tablets distributed. IEC done. Disease

Sl. No

Name of State/UT

Name of District

2.

Gujarat

Banaskantha

Beed Maharashtra 3.

Amravati

Jalgaon Maharashtra

Satara

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of fever with joint pain reported from Village Rah, PHC Luvanakalash, Block Tharad, District Banaskantha. District RRT 6 0 17/09/13 Under control investigated the outbreak. Active search for cases done. All cases xliii. Dengue treated locally. All 6 serum samples collected were positive for Dengue (IgM ELISA). Antilarval activity and Fogging done. IEC done. Cases of fever reported from Village Georai, PHC Chavanwadi, Block Patoda, District Beed. District RRT investigated the outbreak. Medical team investigated the outbreak. House to house survey done. 14 0 17/09/13 Under control Temporary health camp organized. All cases treated. Out of 5 serum xliv. Dengue samples collected, 3 serum samples were positive for Dengue(IgM ELISA). Entomological survey done. Antilarval activity done. Health education given. Cases of fever reported from Village Fattepur, PHC Amner, Block Warud, District Amravati. District RRT investigated the outbreak. House to house fever survey done. Cases treated locally. Cases were 27 1 08/09/13 Under control migrated laborers. All 27 blood smears collected were negative for xlv. Fever Malaria parasite. Entomological survey done. Dry day observed in the community. Application of antilarvicide such Temiphos done in the community. Fogging done. Health education given. Cases of diarrhoea reported from Village Parsade, PHC Savkhedasim, Block Yaval, District Jalgaon. District RRT investigated the outbreak. House to house survey done. Pipeline leakages were observed in the community. Cases treated symptomatically. Out of 9 stool samples 9 0 11/09/13 Under control xlvi. Cholera collected, 4 samples were positive for cholera culture. Chlorination of water sources done. Alternate supply of drinking water provided in the community. Pipeline leakages were repaired. Health education given regarding safe drinking water. Cases of loose motion and vomiting reported from Village Apshinge, PHC Rahimatpur, Block Koregaon, District Satara, due to consumption of contaminated water (pipeline leakage). District RRT xlvii. Acute investigated the outbreak. Active search for cases done. All cases 25 0 16/09/13 Under control Diarrhoeal treated at local health centre. 6 water samples collected; result awaited. Disease Chlorination of water sources done. Pipeline leakages were repaired. Chlorine tablets distributed. Health education given regarding use of boiled water for drinking purpose and personal hygiene.

Sl. No

Name of State/UT

Name of District

4.

Rajasthan

Jaipur Alwar, Dausa, Karauli and districts

5.

West Bengal

Cooch Behar

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of fever with chills, myalgia and headache reported from District Jaipur Alwar, Karauli, Dausa and several Districts of Rajasthan. 357 District RRT investigated the outbreak. A total of 357 cases and 8 (lab Under deaths were reported during 31st July to 30 September 2013. Majorly xlviii. Scrub confir 8 28/08/13 surveillance affected district were Jaipur (110 cases, 3 deaths), Alwar (79 cases, 1 Typhus med death), Karauli (51 cases), Dausa (48 cases, 4 deaths), Bharatpur cases) (27cases). All cases treated. Medical teams sent for treatment of cases. Health education given. Cases of loose motion, vomiting and pain abdomen reported from Village Gosaiganj Colony, SC Jiranpur, Block CoochBehar I, District 50 0 10/09/13 Under control CoochBehar. District RRT investigated the outbreak. Active search for xlix. Food cases done. Cases consumed Prasad in a social ceremony. All cases Poisoning treated. Health education given.

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Sl. No Name of State/UT Name of District Disease/ Illness No. of Cases No. of Deaths Date of start of outbreak Current Status Comments/ Action taken A total of 1345 cases and 2 deaths due to Dengue reported from Delhi in 38th week (week ending 22nd September 2013). Further, 770 cases and 1 death occurred during 23rd to 29th September 2013. Total cases since January are 2124. Majorly affected zones were Rohini, Najafgarh, Civil lines, Narela. Outdoor and indoor fogging done. All preventive measures are being taken. Residents Welfare Associations have been activated to prevent the breeding in and around their houses. IEC done.

1.

Delhi

North, South and other District

i.

Dengue

2115

11/07/13

Under surveilla nce

10

FOLLOW UP OF DISEASE OUTBREAKS OF PREVIOUS WEEKS Sl. No Name of State/UT Name of District Disease/ Illness No. of Cases No. of Deaths Date of start of outbreak Current Status Comments/ Action taken

Akola Maharashtra 2. Amravati

ii. Fever

54

16/09/13

Under surveilla nce

iii. Fever

89

08/09/13

Under surveilla nce

A total of 25 cases and 1 death of fever headache and joint pain reported from Village Karli, SC Jamati, PHC Murtizapur, District Akola in 38th week (week ending 22nd September). Further 29 cases occurred from 23rd to 29th September 2013. 3 serum samples collected; result awaited. Anti-larval activities and fogging done. IEC done. A total of 58 cases and 1 death of fever reported from Village/SC Jarud, PHC Rajura Bazaar, Block Warud, District Amravati in 38th week (week ending 22nd September). Further, 31 cases occurred during 23rd to 29th September 2013. 13 serum samples collected; result awaited. Anti-larval activities and fogging done. IEC done.

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