DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 38th week (16th

22nd September) 2013

District wise disease alerts/outbreaks reported in the 38th 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 13

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

Nalgonda

i.

Fever

19

14/09/13

15/09/13

Under control

Andhra Pradesh

Ananthpur

ii.

Food Poisoning

12

19/09/13

22/09/13

Under control

Nalgonda

iii.

Fever

23

16/09/13

22/09/13

Under control

Nalbari Assam 2

iv.

Food Poisoning

94

21/09/13

22/09/13

Under control

Nagaon

v.

Food Poisoning

52

18/09/13

20/09/13

Under control

Cases of fever reported from Village Zunuthula, SC Thandarpally, PHC/ Block Gurrampode, District Nalgonda. Medical team investigated the outbreak. Active search for cases done. Temporary medical camps organized. Cases treated. All 19 blood smears collected, were negative for Malaria. Anti larval activities and fogging done. Health education regarding personal protective measures given. Cases of diarrhoea reported from Village & SC Kadavakallu, PHC Putlur, Block Tadipatri, District Ananthpur. District RRT investigated the outbreak. House to house survey done. Cases consumed food in local festival (rice and chicken). 3 water samples collected; result awaited. Health education given regarding safe food habits. Cases of fever reported from Village Beerelligudem, SC Pulipalpula, PHC & Block Munugode, District Nalgonda. District RRT investigated the outbreak. House to house fever survey done. One death occurred in 35yr old male. Temporary medical camps organized. Cases treated symptomatically. All 23 blood smears collected were negative for Malaria. Anti larval activities done. Health education given. Cases of loose motion, vomiting reported from Village Mahina, SC & PHC Dhamdama, Block Ghograpar, District Nalbari. District RRT investigated the outbreak. Cases consumed Prasad. Cases treated locally. Food sample and water sample collected; result awaited. IEC done. Cases of loose motion and vomiting reported from Village Mohkhuli, UHC Charikuti, District Nagaon. District RRT investigated the outbreak. Active search for cases done. Cases consumed food in social ceremony (Prasad). 21 cases treated at BP Civil Hospital. One death occurred in 11yr old female child. 2 water samples collected; result awaited. 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

3 Gujarat Panchmahal

vi.

Acute Diarrhoeal Disease

15/09/13

16/09/13

Under control

Jharkhand

West Singhbhum

vii.

Malaria

23 (lab confirmed cases)

17/09/13

22/09/13

Under control

Jammu and Kashmir

Baramulla

viii.

Mumps

10

16/09/13

18/09/13

Under control

Kolar Karnataka 6

ix.

Acute Diarrhoeal Disease

14

13/09/13

19/09/13

Under control

Gulbarga

x.

Scrub Typhus

13/09/13

21/09/13

Under surveillance

Cases of loose motion and vomiting reported from Village Shaktipura, SC Bakrol, PHC Jantral, Block Kalol, District Panchmahal. District RRT investigated the outbreak. House to house survey done. All cases treated. Stool samples collected; result awaited. Chlorination of water sources done. Health education given. Outbreak of fever with chills reported from Village Uisia, SC Lokesai, Block Barajmda, District West Singhbum. District RRT investigated the outbreak. House to house fever survey done by paramedical team. Cases treated symptomatically. Out of 232 blood smears collected, 23 smears were positive for P.falciparum. Anti-larval activities and spraying done. Health education given regarding personal protection measures. Cases of fever with swelling of parotid gland reported from Government Primary School Village Kalayban, PHC NTPHC Heevan, Block Sheeri, District Baramulla. Medical team investigated the outbreak. Affected cases were in age group 4-10 years. All cases treated. Health education given to parents and school authorities regarding isolation and early treatment of cases. Cases reported from Village D Guttahalli, PHC Alangoor, Block Mulbagal, District Kolar. Medical team investigated the outbreak. Temporary medical camps organized. All cases treated. Chlorination of water sources done. Health education given regarding safe drinking water and sanitation. Cases of fever with chills, myalgia, and headache reported from Village Kurikota, PHC Mahagoan, Block Gulbarga, District Gulbarga. Medical team investigated the outbreak. House to house survey done. All cases treated locally. 8 serum samples collected were negative for Dengue. Out of 8 serum samples collected, 4 serum samples were positive for Weil Felix test. 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

Koppal

xi.

Cholera

19

16/09/13

16/09/13

Under control

Koppal Karnataka

xii.

Acute Diarrhoeal Disease

19

17/0913

17/09/13

Under control

Bangalore Urban

xiii.

Food Poisoning

31

19/09/13

19/09/13

Under control

Belgaum

xiv.

Food Poisoning

53

13/09/13

14/09/13

Under control

Kerala

Alappuzha

xv.

Food Poisoning

14

12/09/13

18/09/13

Under Control

Cases of loose motion and vomiting reported from Village Kilaratti Tanda, PHC Mudenoor, Block Kustagi, District Koppal. District RRT investigated the outbreak. Active search for cases done. Temporary medical camps organized. Symptomatic treatment given to cases. Out of 3 stool samples collected, 1 sample was positive for cholera. 1 water sample collected was not potable. ORS packets and Halogen tablets distributed. Health education given. Cases of diarrhoea reported from Village Huchnur, PHC Hoolgera, Block Kustagi, District Koppal, due to consumption of contaminated water (pipeline leakage). District RRT investigated the outbreak. All cases treated at local health centre. Out of 4 water samples collected, 2 samples were non potable. ORS packets and Halogen tablets distributed. Pipeline leakages repaired. Health education given regarding use of boiled water for drinking purposes and sanitation. Cases of loose motion and vomiting reported from Frazer town/Pulikeshi Nagar, East zone, BBMP, District Bangalore Urban. District RRT investigated the outbreak. Cases consumed sweet dish on Ganesh Visarjan. House to house search for cases done. All cases treated symptomatically. One stool sample was collected; result awaited. ORS packets were distributed. Health education given. Cases reported from Village/SC Soundala/Hebbal, PHC Nandgad, Block Khanapur, District Belgaum. District RRT investigated the outbreak. Cases consumed food in a social ceremony. All cases treated. 1 stool, vomitus and food samples (rice, mutton and sambhar) collected; result awaited. IEC done. Cases of vomiting and abdominal pain reported from village SC Mankottachira, PHC Edathua Block Chempumpuram District Alappuzha. District RRT investigated the outbreak. Cases consumed food (Toddy with pork, beef and chicken). All cases treated locally. Food samples collected; result awaited. 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

Alappuzha Kerala

xvi.

Chickenpox

17

13/09/13

18/09/13

Under Control

Wayanad`

xvii. Food Poisoning

40

19/09/13

22/09/13

Under Control

Madhya Pradesh

Ujjain

xviii. Food poisoning

150

19/09/13

19/09/13

Under Control

Akola

xix.

Fever

25

16/09/13

16/09/13

Under control

Under control Maharashtra 9 Gadhchiroli xx. Malaria? 12 1 17/09/13 21/09/13

xxi. Jalgaon

Viral Hepatitis A 12 0 13/09/13 16/09/13

Under control

Cases of fever with rash reported from SC/PHC Cherthala, Block Muhamma, District Alappuzha. District RRT investigated the outbreak. Active search for fever cases done in the affected area. Cases treated locally. Health education given regarding early treatment and isolation of cases. Cases of loose motion, vomiting, pain abdomen reported from Village Kottathara, SC Kurumbala, PHC Kottathara, Block Kalpetta, District Wayanad. Medical team investigated the outbreak. Cases consumed food in a community ceremony. Cases treated symptomatically. Health education given regarding food hygiene. Cases of pain abdomen and loose motion reported from Village Jandala, Block Badnagar, District Ujjain. District RRT investigated the outbreak. Cases consumed food in a social gathering on occasion of Haj and Chahallum. Cases treated at Civil Hospital. Food samples collected; result awaited. Health education given regarding food hygiene Cases of fever headache and joint pain reported from Village Karli, SC Jamati, PHC Murtizapur, District Akola. District RRT investigated the outbreak. Active search for cases done. Cases treated symptomatically. 3 serum samples collected; result awaited. Anti-larval activities and fogging done. IEC done. Cases of fever reported from Village Ragewahi, SC Koparalli, PHC Sundarnagar, Block Mulchera, District Gadhchiroli. Medical team investigated the outbreak. House to house fever survey done. Symptomatic treatment given to cases. Out of 12 blood smears collected, 1 sample was positive for P.vivax. Spraying done. IEC done. Cases reported from Village Sumthane, SC Indhave, PHC Shirsoda, Block Parola, District Jalgaon. Medical team investigated the outbreak. House to house survey done. People consumed well water. Medical camps organized. All cases treated. Out of 12 serum samples collected, 1 sample was positive for Hepatitis A. Chlorination of water sources done. 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

Maharashtra

Washim

xxii.

Fever

28

12/09/13

20/09/13

Under control

Gurdaspur

xxiii. Cholera

22

17/09/13

20/09/13

Under control

Punjab 10

Ferozepur

xxiv. Diphtheria

14/09/13

18/09/13

Under surveillance

11

Uttarakhand

Tehri Garhwal

xxv.

Fever

10

20/09/13

22/90/13

Under control

Cases of fever reported from Village/ SC and PHC Kenwad, Block Risod, District Washim. District RRT investigated the outbreak. Medical team investigated the outbreak. House to house survey done. All cases treated. 3 serum samples collected; result awaited. Antilarval activity done. Health education given. Cases of diarrhoea was reported from Villages Kunda, Khesal, Gopalia, PHC Behrampur, District Gurdaspur. District RRT investigated the outbreak. House to house survey done. Cases treated at local health centre. Pipeline leakages observed in the community. 9 stool samples collected were positive for cholera. ORS packets and Chlorine tablets distributed. Pipeline leakages were repaired. Health education given regarding use of boiled water for drinking purposes and hygiene. Cases of fever, sore throat and swelling in neck reported from Village Danewala, Block Khuikhera, District Ferozepur. Medical team investigated the outbreak. House to house survey done. One death occurred in 10yr old male child. Affected cases were in 7-11yrs of age. Cases treated. Throat swab samples collected; result awaited. Immunization of unvaccinated children done in the affected area. IEC done regarding isolation of cases. Cases of fever with sore throat reported from Village Thalwalgaon, Block Jaunpur, District Tehri Garhwal. District RRT investigated the outbreak. House to house survey done. One death occurred in a 9yr old female child. Poor hygiene and sanitation was observed in the community. Medical camps organized. All cases treated locally. All 10 blood smears collected were negative for malaria. 4 blood samples collected and sent to VCSG Medical College; result awaited. 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

Uttarakhand

Haridwar

xxvi.

Dengue

50 (lab confirmed cases)

12/09/13

22/09/13

Under surveillance

12

Uttar Pradesh

Shravasti

xxvii. Acute Diarrhoeal Disease

25

11/09/13

21/09/13

Under control

Burdwan West Bengal 13

xxviii. Food Poisoning

46

19/09/13

19/09/13

Under control

Nadia

xxix.

Dengue

26

15/08/13

16/08/13

Under control

A total of 135 cases of fever with joint pain reported from urban areas of Haridwar City, Sivmurti Wali Gali, Irrigation Colony, BHEL, Shivalik Nagar, Jwalapur, District Haridwar. District RRT investigated the outbreak. Active search for cases done. All cases treated symptomatically. Out of 135 serum samples collected, 50 serum samples were positive for Dengue (IgM ELISA). Source reduction activities and fogging done in the affected area. IEC done. Cases of loose motions reported from Village Gilaula, Barawa, PHC Hergun, District Shravasti. District RRT and block health team investigated the outbreak. Active search for cases done. All cases treated symptomatically. Chlorination of water sources done. Chlorine tablets distributed. IEC done. Cases of loose motion, vomiting, pain abdomen reported from Village Akhina, SC Pahalanpur, Block Raina-II, Distrcit Burdwan. Block Health team investigated the outbreak. Symptomatic treatment given to cases. 3 rectal swabs collected were negative for cholera culture. IEC given regarding safe food habits and hygiene maintenance. Cases of fever with joint pain reported from Village Charpanpara, Block Shantipur, Distrcit Nadia. Block health team investigated the outbreak. Active search for cases done. Cases treated at local health centre. Out of 14 serum samples collected, 3 serum samples were positive for Dengue (IgM ELISA). Antilarval activities done. 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

North 24 Parganas

xxx.

Cholera

190

22/09/13

22/09/13

Under control

West Bengal

North 24 Parganas

xxxi. Acute Diarrhoeal Disease

36

17/09/13

21/09/13

Under control

Cases of loose motion, abdominal pain and vomiting reported from Village Arjunpur, Rajarhat Gopalpur Municipality, District 24 Parganas, due to consumption of contaminated water (pipeline leakage). District RRT investigated the outbreak. Active search for cases done. All cases treated locally. One death occurred in 5yr old male child. Out of 4 stool samples collected, 3 stool samples were positive for cholera (01 Ogawa). 3 water samples collected; result awaited. Pipeline leakage repaired. Chlorine tablets and ORS packets distributed. Health education given. Cases of loose motion and abdominal pain reported from Village PIFA Kantakhal (Madarasapara), Block Bashirhat I, District 24 Parganas. District RRT and block health team investigated the outbreak. House to house survey done. Pipeline leakages were observed in the community. Medical camps organized. Cases treated symptomatically. 2 water samples and 6 stool samples collected; result awaited. Halogen tablets and ORS packets distributed. Chlorination of water sources done. Health education given regarding personal hygiene and sanitation.

Sl. No

Name of State/UT

Name of District

1.

Arunachal Pradesh

West Kameng

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, headache, cough, malaise reported from Villages Angkaling, Denzi and Samphung, Block Kalaktang, Under District West Kameng. District RRT investigated the outbreak. Active 9 0 02/09/13 xxxii. Scrub Typhus surveillance search for cases done. Cases were clustered in the locality. Blood samples collected; result awaited. Capsule Doxycycline given to all affected persons.

Sl. No

Name of State/UT

Name of District

2.

Bihar

Madhubani

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of loose motion and vomiting reported from Village Tirhuta, xxxiii. Acute PHC Babubarhi, District Madhubani. Block health team investigated Diarrhoeal 25 0 09/09/13 Under control the outbreak. Active search for cases done. Cases treated Diseases symptomatically. Health education given. xxxiv. Acute Diarrhoeal Disease Under control 32 0 08/09/13 Cases of diarrhoea reported from Village Bhattipara, PHC/District Bastar. District RRT investigated the outbreak. House to house survey done. Medical camps organized. All cases treated. Chlorine tablets distributed. Health education given. A total of 1345 cases and 2 deaths due to Dengue reported from Delhi during 11th July to 23rd September 2013. Majorly affected zones were Rohini, Najafgarh, Civil lines, Narela. Honble Health Minister GNCT Delhi organized review meetings in Delhi. Nodal officers appointed for hospital and other civic agencies to monitor the situation. Outdoor and indoor fogging done. All preventive measures are being taken both at the State and District level. Residents Welfare Associations have been activated to prevent the breeding in and around their houses. IEC done. Cases of fever with body ache reported from Village Samba, SC Vijaypur, PHC Purmandal, Distrcit Samba. Medical team investigated the outbreak. Active search for cases done. All cases treated locally. Serum samples collected; result awaited. Anti larval activities and fogging done. Health education given. Cases of fever reported from Village Katheel Dangu, PHC/Block Majalta, District Udhampur. District RRT investigated the outbreak. House to house fever survey done. Temporary medical camp organized. Cases treated. Out of 76 blood samples collected, 28 samples were positive for Widal test. Chlorine tablets distributed in the community. Health education given regarding use of boiled water for drinking purposes and sanitation. Cases reported from Village/SC Manoor/Kotathattu, PHC Kota, District Udupi. District RRT investigated the outbreak. Cases presented with fever, blisters in oral mucosa, palm and sole. Affected cases were children below 5 years of age. Cases treated symptomatically.

3.

Chhattisgarh

Bastar

1345 4. Delhi North District and South District xxxv. Dengue (lab confir med cases) 2 11/07/13 Under surveillance

Samba Jammu and Kashmir

xxxvi. Fever

13

01//09/13

Under control

5.

Udhampur

xxxvii. Fever

76

03/09/13

Under control

6.

Karnataka

Udupi

xxxviii. Hand Foot and Mouth Disease

06/09/13

Under control

Sl. No

Name of State/UT

Name of District

Amravati

Maharashtra 7. Chandrapur

Chandrapur

Chandrapur

Maharashtra

Gondia

Washim

8.

Rajasthan

Sawai Madhopur

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of fever reported from Village/SC Jarud, PHC Rajura Bazaar, Block Warud, District Amravati. District RRT investigated the outbreak. House to house fever survey done. All cases treated. All 58 58 1 08/09/13 Under control blood smears collected were negative for Malaria. 3 serum samples xxxix. Fever collected; result awaited. Entomological survey done. Dry day observed in the community. Anti-larval activities and fogging done. IEC done. Cases of fever reported from Village Kudeswari, PHC Mudza, Block Under control Brahmpuri, District Chandrapur. Medical team investigated the 18 0 26/08/13 xl. Fever outbreak. Active search for fever cases done. All cases treated locally. Entomological survey done. Cases of fever reported from Village Usarparchek, PHC Pathari, Under control District Chandrapur. Medical team investigated the outbreak. House to 14 0 28/08/13 xli. Fever house fever survey done. Cases treated symptomatically. Entomological survey done. Cases of fever reported from Village Sawargaon, PHC Wadhona, Under control Block Nagbhid, District Chandrapur. Medical team investigated the 12 0 03/09/13 xlii. Fever outbreak. House to house fever survey done. Symptomatic treatment given to cases. Entomological survey done. Health education given. Cases of diarrhoea, vomiting and abdominal pain reported from Under control Village & SC Navegaon, PHC Dhabepawani, Block Arjunimor, District Gondia. Medical team investigated the outbreak. House to 10 0 07/09/13 xliii. Cholera house survey done. Cases treated locally. Out of 5 stool samples collected, 1 sample was positive for Cholera. Chlorination of water sources done. IEC done regarding safe drinking water and sanitation. Cases of fever reported from Village Adgaon, PHC Kokalgaon, Block Tondgaon, District Washim. District RRT investigated the outbreak. 12 1 06/09/13 Under control Medical team investigated the outbreak. Active search for cases done. xliv. Fever All cases treated symptomatically. 5 serum samples collected; result awaited. Antilarval activity done. Health education given. Cases of vomiting and diarrhoea reported from Village /SC Peelwa Nadi, PHC Malarna Dungar, Block Bonli, District Sawai Madhopur. Medical team investigated the outbreak. House to house survey done. 17 1 09/09/13 Under control xlv. Food Poisoning Cases consumed contaminated food. Cases treated. 4 food samples and 4 water samples collected; result awaited. Health education given regarding safe food habits and sanitation.

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Sl. No

Name of State/UT

Name of District

Jaipur

9.

Tamil Nadu

Thiruvannam alai

10.

West Bengal

Birbhum

Birbhum West Bengal

Purulia

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Deaths Date of Current Comments/ Action taken start of Status outbreak Cases of vomiting and loose motion reported from Govt Middle School, Khada ki Dhani, Navrangapur, Viratnagar, District Jaipur. Medical team investigated the outbreak. Cases consumed Khichadi in 31 0 02/09/13 Under control xlvi. Food Poisoning Mid day meal. Cases treated at local health centers. Food samples collected; result awaited. Health education given regarding safe food habits and sanitation. Cases of fever with body ache reported from Village, Veppurchekkudi, PHC Malamanjanur, Block Thandrampattu, District Thiruvannamalai. District RRT investigated the outbreak. House to house survey done. 11 0 04/09/13 Under control All cases treated locally. Entomological survey done (HI 4.8, CI 2.7, xlvii. Fever BI 5.8). All 11 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 loose motion, vomiting reported from Village/SC Bonagram, Block Nanoor, District Birbhum. District RRT and Block Health team investigated the outbreak. Active search for cases done. People used xlviii. Acute 69 0 09/09/13 Under control pond water for daily activities. Poor sanitation and environmental Diarrhoeal condition observed in the community. Symptomatic treatment given to Disease cases. 4 rectal swabs collected were negative for cholera culture. ORS packets and Halogen tablets distributed. IEC done. Cases of loose motion and vomitting reported from Villages Murarai, Dhitora, Bhadiswar, Block Murarai-I, Distrcit Birbhum, due to consumption of contaminated water (pipeline leakage). District RRT and Block Health team investigated the outbreak. House to house fever xlix. Acute survey done. Temporary medical camps organized. Symptomatic 261 2 04/09/13 Under control Diarrhoeal treatment given to cases. Two deaths occurred in 55yr old female and Disease 60 yr old male. All 4 rectal swabs collected, were negative for cholera culture. Disinfection of the surroundings done. ORS packets distributed. Health education given regarding safe drinking water and personal hygiene. Cases reported from Village & SC Vosko, Block Neturia, District Under control Purulia. Block health team investigated the outbreak. Active search for cases done. Open defecation, poor sanitary conditions were observed in the community. Out of 2 stool samples collected, one stool sample was 17 0 06/09/13 l. Cholera positive for cholera. ORS packets and halogen tablets distributed. Chlorination of water sources done. Health education given regarding safe drinking water and sanitation.

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