DISEASE ALERTS/OUTBREAKS REPORTED AND RESPONDED TO BY STATES/UTs THROUGH INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) 35th week (26th

August 1st September) 2013 District wise disease alerts/outbreaks reported in the 35th 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

34 18

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

1.

Andhra Pradesh

Nalgonda

Fever

14

27/08/13

01/09/13

Under control

2.

Delhi

New Delhi

ii

Cholera

50

28/08/13

29/08/13

Under control

3.

Gujarat

Surat

iii Acute Diarrhoeal Disease

32

26/08/13

26/08/13

Under control

4.

Haryana

Yamuna Nagar

iv

Cholera?

133

28/08/13

01/09/13

Under surveilla nce

Cases reported from Village Veerlapalem, SC Mudhimaniky, PHC/Block Damarcherla, District Nalgonda. District RRT investigated the outbreak. Cases treated locally. 13 blood smears examined tested negative for malaria. Anti-larval activities done. IEC done. Cases of vomiting and diarrhoea reported from Indira Gandhi camp, Phase I, Loha Mandi, Naraina, District New Delhi, perhaps due to consumption of contaminated water. State/District RRT investigated the outbreak. Population of the affected area was 1500. People were of low socio economic status. Open defecation was observed in the affected jhuggi and jhopdi colony. All age groups affected. All cases treated locally. One death occurred in 45 yr old male. Out of 10 water samples collected, 3 samples were positive for cholera culture and 5 samples were positive for E. coli. All cases were advised to take treatment from Govt Dispensary. Open defecation was discouraged. ORS packets and Chlorine tablets made available at Govt Dispensary. People were advised to use boiled water for drinking purpose. IEC done. Cases of diarrhoea and vomiting reported from UHC Panas, Municipal corporation Surat, District Surat. District RRT investigated the outbreak. Active search for cases done. All cases treated. 2 water samples collected; result awaited. Chlorine tablets distributed. IEC done. Outbreak of loose motion reported from Village/SC Amadalpur, PHC Sabepur, Block Jagadhri, District Yamuna Nagar. District RRT investigated the outbreak. House to house survey done. Population of the affected area was 4921. Pipeline leakages were observed in the community. Temporary medical camp organized. Medicine and ORS packets given to cases. Out of 4 stool samples collected and sent to DPHL, Karnal, 1 sample was positive for cholera by culture. 10 water samples collected tested negative for residual chlorine (OT test). Further, 6 water samples collected for bacteriological testing; result awaited. Alternate supply of drinking water provided. Pipeline leakages repaired by PHED. Chlorine tablets distributed. Health talks done with local people regarding use of boiled water for drinking purpose, hygiene and sanitation.

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

v 5. Jharkhand Godda

Acute Diarrhoeal Disease

13

24/08/13

29/08/13

Under control

Jharkhand

West Singhbhum

vi

Acute Diarrhoeal Disease

16

26/08/13

30/08/13

Under control

Ganderbal Jammu & Kashmir

vii

Mumps

28

24/08/13

26/08/13

Under control

6.

viii Ganderbal

Acute Diarrhoeal Disease

60

24/08/13

28/08/13

Under control

Haveri Karnataka 7.

ix Acute Diarrhoeal Disease

24

01/09/13

01/09/13

Under control

Koppal

Food Poisoning

16

27/08/13

28/08/13

Under control

Cases of loose motion, pain in abdomen and vomiting reported from PHC Bengni Sark Tola and Nichu tola, PHC Susni, Block Sundarpahari, District Godda. District RRT team investigated the outbreak. Cases treated symptomatically. Health education given regarding personal hygiene in the community. Cases of diarrhoea and vomiting reported from Village Karanjo, Block Bandgaon, District West Singhbum. District RRT and block health team investigated the outbreak. Active search for cases done. 3 patients were treated at Sub Divisional Hospital, Chakradharpur. 3 water samples collected; result awaited. Medicine and ORS packets distributed. IEC done regarding safe drinking water, hygiene sanitation measures. Cases of fever with swelling of parotid gland reported from Govt Boys High School and Imamia Public School Dub, Block Wakura, District Ganderbal. District RRT investigated the outbreak. Active search for fever cases was done. Affected children were in the age group between 6 to 11 yrs. Isolation of cases done. Health education done. Cases of diarrhoea reported from Village Gujjer, Bela Tumina, District Ganderbal. Medical team investigated the outbreak. People practice open defecation. One death occurred in 65 year old female. 3 water samples collected; result awaited. Cass treated locally. Health education given regarding use of boiled water for drinking purpose, personal hygiene and sanitation. Cases of diarrhoea reported from Village Mavintop, PHC Kudupalli, Block Hirekerur, District Haveri. District RRT investigated the outbreak. Active search for cases done. All cases treated at CHC Ratihalli. 8 stool samples collected; result awaited. Chlorination of water sources done. Health education given. A food poisoning outbreak reported from BCM Hostel in Mangalore, Block Yelburga, District Koppal. Medical team investigated the outbreak. Cases presented with vomiting, abdomen pain and giddiness after consuming dinner served in the hostel. All case treated locally. 1 vomitus sample and 2 food samples collected; result awaited. Inspection of hostel kitchen done. Health education given to food handlers regarding safe food habits like preparation, storage, food handling techniques and sanitary improvements. Health education given to students regarding personal hygiene and sanitation.

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

Mysore

xi

Dengue

16

23/08/13

01/09/13

Under control

xii Fever Khandwa

29

24/08/13

29/08/13

Under control

xiii Fever

36

27/08/13

29/08/13

Under control

Khargone 8. Madhya Pradesh

xiv Acute Diarrhoeal Disease

100

27/08/13

31/08/13

Under control

Morena

xv Acute Diarrhoeal Disease

11

27/08/13

29/08/13

Under control

Sagar

xvi Food Poisoning

16

23/08/13

30/08/13

Under control

Vidisha

xvii Acute Diarrhoeal Disease

18

28/08/13

30/08/13

Under control

Cases of fever with joint pain reported from urban area of AIWC Mandi Mohalla, Mysore city, District Mysore. District RRT investigated the outbreak. House to hose fever survey done. All case treated symptomatically. Out of 5 serum samples collected, 4 samples were positive for Dengue (IgM ELISA). Entomological survey done. anti larval activities and fogging done. IEC done. Cases of fever reported from Village Dhanwani, Block /District Khandwa. District RRT investigated the outbreak. Active search of fever cases done. 29 blood smears collected; result awaited. All cases treated. Pyrethrum spray done in the affected area. Health education given regarding personal protection. Cases of fever reported from Village Baldua Dongari, PHC Jawar, Block Killod, District Khandwa. District RRT investigated the outbreak. House to house fever survey done. Entomological survey done. All cases treated symptomatically. Pyrethrum spray done. Health education given. Cases of loose motion and vomiting reported from Village Birul, PHC Bhikangaon, Block Bhikangaon, District Khargone. District RRT investigated the outbreak. Medical camps organized in the affected area. One death occurred in 80yr old male. Population of the village 1923. Water samples collected; result awaited. ORS packets and chlorine tablets distributed. Chlorination of water sources done. IEC done regarding safe drinking water. Cases of gastroenteritis reported from Village Ramje ka Pura, SC Mangrole, CHC Sabalgar, District Morena. Block health team investigated the outbreak. Both deceased were above 65 years of age. All cases treated at local health center. Chlorine tablets distributed. Health education given regarding safe drinking water. Cases reported from Aadiwasi Mohalla, Village Dewal, Block Agasod, District Sagar. Block health team investigated the outbreak. Cases consumed raw fish. All cases treated. Health education given. Cases of diarrhoea and vomiting reported from Yadav Mohalla, Village Bhilaya, SC Tyonda, District Vidisha. District RRT investigated the outbreak. Active search for cases done. Cases consumed water from hand pump. Water samples collected; result awaited. Symptomatic treatment given to cases. Health education given regarding safe drinking water and sanitation.

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

9.

Maharashtra

Amravati

xviii Fever

35

22/08/13

28/08/13

Under control

Jalgaon Maharashtra

xix Dengue

104

27/08/13

31/08/13

Under control

Yavatmal

xx Fever

10

26/08/13

29/08/13

Under control

Cases of fever reported from Village Manimpur, SC Pala, PHC Hiwarkhed, Block Morshi, District Amravati. District RRT investigated the outbreak. House to house fever survey done. Cases treated. All 35 blood smears collected tested negative for malaria. Anti-larval activities done. IEC done. Cases of fever with joint pain reported from Urban areas of Jalgaon city, District Jalgoan. District RRT investigated the outbreak. House to house fever survey done. Entomological survey revealed HI 2.6, CI 1.5, BI 3.2. All 104 blood smears tested negative for malaria parasite. Out of 13 serum samples collected 10 samples were positive for Dengue (IgM ELISA). Fogging and anti larval activities done. IEC done. Cases of fever reported from Village Bori Mahal, SC Bori Mahal, PHC Nanza, Block Kalamb, District Yavatmal. Medical team investigated the outbreak. House to house fever survey done. 7 serum samples collected; result awaited. Antilarval activities done. Cases of diarrhoea reported from Dashmesh Nagar and Azadnagar Colony, Balongi, District Mohali. Medical team investigated the outbreak. House to house survey done. Out of 7 stool samples collected, 1 sample found positive for cholera culture. ORS packets and chlorine tablets distributed. Health education given regarding use of boiled water for drinking purposes hygiene and sanitation. Cases reported from town Rangpo and Singtam, Golipar, Manpari basti, IBM/Rangpo, Fatak line, District East Sikkim. District RRT investigated the outbreak. Cases treated. Out of 103 serum samples collected 20 serum samples were positive for Dengue (NS1 Ag, IgM ELISA). Fogging done in the affected areas. IEC done. Cases reported from Village North Konjankollai & Konda Irruppu, SC Kanjankollai, PHC Ayyangudi, Block Kattumannarkoil, District Cuddalore. District RRT investigated the outbreak. People consumed food in religious function. Cases treated at local health centre. All cases recovered. 1 food sample collected; result awaited. Health education given.

10.

Punjab

Mohali

xxi Cholera?

46

29/08/13

31/08/13

Under control

11.

Sikkim

East Sikkim

xxii Dengue

103

22/08/13

01/09/13

Under control

Tamil Nadu 12. Cuddalore

xxiii

Food Poisoning

48

21/08/13

22/08/13

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

Peramballur

xxiv Food Poisoning

27

21/08/13

21/08/13

Under control

Peramballur

xxv Food Poisoning

23

29/08/13

29/08/13

Under control

Namakkal

xxvi Leptospirosis

14

22/08/13

23/08/13

Under control

Tamil Nadu Thoothukudi xxvii Dengue 12 0 23/08/13 29/08/13 Under control

Virudhunagar

xxviii Chiku ngunya

18

26/08/13

27/08/13

Under control

Tiruvarur

xxixAcute Diarrhoeal Disease

19

28/08/13

01/09/13

Under control

Cases of nausea, vomiting, diarrhoea, pain abdomen reported from Village Veeracholapuram & Vanavanallur, SC Veeracholapuram, PHC Ulkottai, Block Jayakondam, District Peramballur. District RRT investigated the outbreak. People consumed food in community function. Cases treated locally. 2 stool samples collected; result awaited. Health education given. Cases reported from Meenakshi Ramaswamy Polytechnic College, SC Thatanur, PHC T. Pottakollai, District Peramballur. District RRT investigated the outbreak. Cases consumed breakfast and presented symptoms with vomiting and loose motion. 2 water samples collected; result awaited. Disinfection of the cooking room done. Health education given. Cases of fever, vomiting, diarrhoea, abdominal pain, yellow coloured urine reported from Village Mamundi Agraharam, SC Mamundi, PHC Palamedu, Block Mallasa udram, District Namakkal. District RRT investigated the outbreak. House to house survey done. Temporary medical camp organized. Cases treated locally. Out of 7 serum samples collected, 3 samples were positive for Leptospirosis (IgM ELISA). Chlorination of water sources done. Cases reported from Village Thermal Nagar, SC Harbour, PHC Lurghammapuram, District Thoothukudi. District RRT investigated the outbreak. House to house fever survey done. All 3 serum samples collected were positive for Dengue (IgM ELISA). Vector control measures done. IEC done. Cases of fever with headache, malaise reported from Village Ettakkapatti, SC Ethirkottai, PHC Kallamanaic Kenpatti, Block /District Virudhunagar. District RRT investigated the outbreak. House to house fever survey done. Out of 4 serum samples collected 2 serum samples were positive for Chikungunya. Antilarval activities and fogging done. Health education given. Cases of gastroenteritis reported from Village Painganadu SC Painganadu, PHC Thlayamangalam, District Tiruvarur. District RRT investigated the outbreak. All cases treated locally. Disinfection of the surroundings done. ORS packets distributed. Chlorination of over head tanks done. Health education given regarding safe drinking water, hygiene and sanitation.

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

Villupuram

xxx Acute Diarrhoeal Disease

36

26/08/13

26/08/13

Under control

Tamil Nadu

Namakkal

xxxi Food Poisoning

16

30/08/13

31/08/13

Under control

Bageshwar

xxxii Viral Hepatitis A & E

27/08/13

01/09/13

Under control

Uttarakhand 13.

xxxiii Uttarkashi

Acute Diarrhoeal Disease

26

01/09/13

01/09/13

Under control

West Bengal 14.

Purulia

xxxiv Measl es

16

26/08/13

26/08/13

Under control

Cases of loose motion and vomiting reported from University College of Engineering-Tindivanam at Melpakkam, SC Neikuppir, PHC Saram, District Villupuram. District RRT investigated the outbreak. Cases treated symptomatically. 2 stool samples collected were negative for cholera culture. Chlorination of water sources done. Cases presenting with giddiness, headache and abdominal pain reported from Students Hostel run by WORD an NGO in Village Porasaplalayam, SC Kadaphalli, PHC & Block Ernapuram, District Namakkal. District RRT investigated the outbreak. 3 food samples and 1 water sample collected; result awaited Medical camps organized in the affected area. All cases were treated at GH, Namakkal. Health education given. Cases of fever, malaise, loss of apetite, nausea, yellow coloured urine reported from Village/SC Pinglo, Block Garur, District Bageshwar. Medical team investigated the outbreak. People consumed water from natural sources. Cases treated symptomatically. Out of 6 serum samples collected, 3 serum samples were positive for Hepatitis A & E and 2 samples were positive for Hepatitis A (IgM ELISA). Water samples collected tested positive for faecal coliform. Chlorine tablets distributed in the community. Health education given regarding safe food/drinking water, hygiene and sanitation. Cases of loose motion and vomiting reported from Village Godin, PHC Damta, Block Naugaon, District Uttarkashi due to consumption of contaminated water (pipeline leakage). District RRT investigated the outbreak. House to house survey done. Cases treated at PHC Damta. 2 stool samples collected which showed growth of no pathogen. Chlorination of water sources done. Chlorine tablets and ORS packets distributed. Health education given regarding safe drinking water, hygiene and sanitation. Cases of fever with maculopapular rash reported from Village Pathardia, SC Katankeyari, Block Kashipur, District Purulia. Block medical team investigated the outbreak. Active search for cases done. Cases were less than 13 years of age. Vit A given to all cases. IEC done regarding isolation of cases.

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

xxxv

Acute Diarrhoeal Disease

20

26/08/13

27/08/13

Under control

North 24 Paraganas

xxxvi

Acute Diarrhoeal Disease

37

27/08/13

27/08/13

Under control

Under control Murshidabad West Bengal xxxvii Suspec ted Anthrax?? 7 0 24/08/13 28/08/13

North 24 Paraganas

xxxviii Acute Diarrhoeal Disease

72

26/08/13

27/08/13

Under control

xxxix Bankura

Acute Diarrhoeal Disease

149

30/08/13

31/08/13

Under control

Cases of diarrhoea reported from Village Ketya, SC Rampur, Block Kashipur, Block Kotshila, District Purulia. Block medical team investigated the outbreak. Active search for cases done. People consumed water from tube well. Open defecation is rampant. 1 stool sample collected ; result awaited. Disinfection of the surrounding done. ORS packets distributed. IEC done through leaflets regarding personal hygien and safe drinking water. Cases of loose motion, vomiting reported from Village Khidirpur, SC Durgapur, Block Basirhat-I, District North 24 Paraganas. Block health team investigated the outbreak. Medical camps organized in the community. ORS packets and Halogen tablets distributed in the community. Health talks done in the community. Gram Pradhan sensitized regarding chlorination of water sources. Cases reported from Village Natungram, PHC Batidanga, Block Kandi, District Murshidabad. District RRT and Block health team investigated the outbreak. Population at risk is 200. Active search for cases done in the affected area. Cases were treated symptomatically. 2 skin smears (human) examined at DPL which were negative for Anthrax bacilli. 2 swabs (human sample) collected were negative for Anthrax bacilli. IEC done regarding handling of contaminated articles, their proper disposal and personal hygiene. Cases of loose motion, vomiting reported from Sukhchar ward 3, Panihati Municipality, District North 24 Paraganas. Block health team investigated the outbreak. All cases treated locally. ORS packets and Halogen tablets distributed in the community. Health education given safe drinking water and personal hygiene. Cases of diarrhoea reported from Village Kumardanga, SC Ondagram, Block Onda, District Bankura. Block health team investigated the outbreak. Active search for cases done. 5 Water samples collected, result awaited. Cases treated locally. ORS packets and halogen tablets distributed in the community. IEC activities regarding personal hygiene and sanitation.

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

Birbhum

xl Acute Diarrhoeal Diseases

68

23/08/13

25/08/13

Under Control

Hooghly

xli Acute Diarrhoeal Disease

29

29/08/13

30/08/13

Under control

Paschim Medinipur West Bengal

xlii Acute Diarrhoeal Disease

11

29/08/13

30/08/13

Under control

Paschim Medinipur

xliii Acute Diarrhoeal Disease

71

21/08/13

27/08/13

Under control

Cases of diarrhoea reported from Village Pariharpur, SC Matpalsa, Block Sainthia, District Birbhum. Block health team investigated the outbreak. House to house survey done. Cases treated symptomatically. 4 rectal swabs collected were negative for cholera culture. Medicine and ORS packets distributed. Health education given regarding safe drinking water and hygiene. Cases of loose motion reported from Village Birati, Santarapala, Block Arambagh, District Hooghly. Block health team investigated the outbreak. Active search for cases done. 3 rectal swabs collected were negative for cholera culture. Distribution of ORS packets, chlorine tablets and medicines done in the affected area. IEC activities regarding safe food and dinking water, hygienic practices and sanitation done. Cases of loose motion reported from Village Kankasai, SC Barbasi, Block Kharagpur II, District Paschim Medinipur. District RRT investigated the outbreak. 2 water samples and 2 rectal swabs collected; result awaited. Open defecation was observed in the affected area. .Chlorination of water sources done. Distribution of ORS packets, Halogen tablets done in the affected area. IEC activities done. Cases of loose motion reported from Rabindrapally KGP Municipality, District Paschim Medinipur, due to consumption of contaminated water (pipeline leakage). Block health team investigated the outbreak. Water samples were collected; result awaited. Cases treated symptomatically. Chlorine tablets distributed.

Sl. No

Name of State/UT

Name of District

1.

Andhra Pradesh

Nalgonda

2.

Assam

Kamrup M

3.

Bihar

Jamui

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Death Date of Current Comments/ Action taken s start of Status outbreak Cases reported from Village/SC Kasaram, PHC Kasarabad, Block Suryapet, District Nalgonda. District RRT investigated the outbreak. House to house survey done. Approximately 15-50 sheep were affected and 20 deaths Under occurred in the affected area. 4 serum samples (human) collected from xliv Suspected 4 0 15/08/13 surveilla suspected cases; result awaited. Vaccination of sheep done by Veterinary Anthrax nce Officer in the affected area. Control measures undertaken. IEC done regarding personal hygiene. People advised to keep burial place away from the village. Surveillance is going on by health & veterinary staff. Cases of fever, body ache and headache reported from Hatigarh (East Zone), Lakhiminagar, Panjabari (Capital Zone), Maligaon (West Zone), Guwahati 130 city, District Kamrup M. District RRT investigated the outbreak. House to Under (lab surveilla house fever survey done. Cases treated at GMCH and other hospitals in xlv Dengue 0 26/07/13 confirm nce Guwahati. Out of 327 serum samples collected and tested at GMCH ed) Guwahati, 130 samples were positive for Dengue (IgM ELISA). Fogging done in the affected areas. IEC activities undertaken. Cases of diarrhoea reported from Village Pujhar tola, SC Nawada, Block/District Jamui. District RRT investigated the outbreak. House to house survey done. People consumed water from well and hand pump. Temporary xlvi Acute Under 20 2 18/08/13 medical camp organized. All cases treated symptomatically. Two death Diarrhoeal control occurred in 30 yr and 8yr females. Chlorine tablets and ORS packets and Disease medicines distributed in the locality. Chlorination of water sources done. IEC done regarding personal hygiene and safe food habit.

10

Sl. No

Name of State/UT

Name of District

4.

Gujarat

Amreli

5.

Jammu & Kashmir

Bandipora

6.

Karnataka

Kolar

Koppal

Karnataka Chitradurga

Gulbarga

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Death Date of Current Comments/ Action taken s start of Status outbreak Case reported from Village Lathi, District Amreli. District RRT investigated the outbreak. Population of the affected area was 20886. A 45 year female xlvii Crimean admitted in PDU, Medical College, Rajkot on 15/08/13 with complaints of - Congo fever and gastritis. Patient expired on 18/08/13. Serum sample sent to NIV, Under Haemorr Pune tested positive for CCHF by Real Time RT-PCR. A total of 20 cattle 1 0 15/08/13 surveillan serum samples and 40 pool of hard ticks sample have been collected and sent hagic ce to NIV, Pune; result awaited. Garbage removal and cleanliness drive fever undertaken in the village by Gram Panchayat. Antilarval activity, fogging (CCHF) and insecticide spray. Veterinary Dept has undertaken Acarecidal treatment on cattle with Deltametrhrin. Search for cases is being done. Cases of fever reported from Village Inderkoot, Block Sumbai, District Bandipora. Medical team investigated the outbreak. Open defecation was Under 20 0 19/08/13 rampant in the community. 8 blood samples collected were positive for widal. xlviii Fever control Water samples collected; result awaited. Health education regarding proper sanitation and safe drinking water imparted. Cases of fever with joint pain reported from Village/SC Kadirenahalli, PHC Budikote, Block Bangarpet, District Kolar. District RRT investigated the Under 44 0 06/08/13 outbreak. Case treated symptomatically. 2 serum samples collected were xlix Dengue control positive for Dengue (NS1 Antigen). Entomological survey done. Source reduction activities done. Health education given. Cases of gastroenteritis reported from Village Komalapur, PHC Bannikoppa, Hirebommanal, Block Yelburgi, District Koppal, due to consumption of contaminated water (pipeline leakage). District RRT investigated the outbreak. Case treated locally. Out of 3 stool samples collected, 2 samples Under 31 0 11/08/13 were positive for cholera (ogawa). Out of 3 water samples collected, 2 water l Cholera control samples were non potable. Chlorination of water sources done. Pipeline leakages were repaired. Alternate drinking water supply provided. Halogen tablets and ORS packets distributed in the community. Health education given regarding safe drinking water and personal hygiene. Cases of fever reported from Village Rangaiahnauru, SC Annivala, PHC Mallappanahalli, Block Hosadurga, District Chitradurga. District RRT Under 100 0 20/08/13 investigated the outbreak. House to house fever survey done. All case treated li Fever control symptomatically. 15 blood smears collected; result awaited. 15 serum samples collected; result awaited. Health education given. Cases of loose motion and vomiting reported from Village Sirur G, PHC Khajuri, Block Aland, District Gulbarga. Medical team investigated the lii Acute outbreak. House to house survey done. All cases treated locally. Out of 11 Under 27 0 20/08/13 Diarrhoeal control water samples collected, 9 samples were non potable. Chlorination of water Disease sources done. Halogen tablets and ORS packets distributed in the community. IEC done regarding safe drinking water and sanitation. 11

Sl. No

Name of State/UT

Name of District

7.

Madhya Pradesh

Bhind

Chandrapur

Maharashtra 8. Chandrapur

Chandrapur

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Death Date of Current Comments/ Action taken s start of Status outbreak Cases of fever with joint pain reported from Village Kamanpura, PHC Under Amayan, Block Mehgaon, District Bhind. District RRT investigated the 73 0 20/08/13 outbreak. House to house fever survey done. 9 serum samples collected; liii Fever control result awaited. Source reduction activity using temephos done. Health education given. Cases reported from Village Kawathi, SC Chekthanewasana, PHC Under Navegaonmore, Block Pombhurna, District Chandrapur. District RRT 35 0 27/06/13 liv Fever investigated the outbreak. Cases treated at GH Chandrapur. Serum samples control collected; result awaited. Control measures undertaken. Cases reported from Village Gondsawa, PHC Vahad, Block Saoli, District Under Chandrapur. Medical team investigated the outbreak. Active search for fever 36 0 12/08/13 lv Fever cases done. Temporary medical camp organized. Cases treated control symptomatically. IEC done. Cases reported from Village Petgaon, PHC Chichpali, Block/District Under Chandrapur. Medical team investigated the outbreak. Cases treated locally. 35 0 03/08/13 lvi Fever Health education given. control Cases of fever with arthralgia and myalgia reported from Village/SC Patonda, Block Chopda, District Jalgaon. District RRT investigated the outbreak. House to house fever survey done. People practice water storage. Cases treated. 28 blood smears collected tested negative for malaria. Out of 5 serum samples collected and sent to GMC Dhule, 2 samples were positive for Dengue (IgM ELISA). Application of abate and fogging done. IEC done. Cases reported from Village Kolhapurrao, SC Rohini, PHC Gaul, Block Deoli, District Wardha. District RRT investigated the outbreak. House to house fever survey done by paramedical team. Temporary medical camp organized. Cases treated symptomatically. Out of 70 blood smears collected, 7 smears were positive for P. vivax. Entomological survey done. Anti-larval activities and fogging done. Cases of fever reported from Village/SC Chichambhar, PHC Mop, Block Risod, District Washim. District RRT investigated the outbreak. Temporary medical camp organized. Cases treated. All 53 blood smears examined tested negative for malaria. 5 serum samples collected and sent to GMC, Akola; result awaited. Anti-larval activities using Temiphos and fogging done. IEC done.

Jalgaon

lvii

Dengue

28

20/08/13

Under control

70 Maharashtra Wardha lviii Malaria (7 lab confirm ed) 0 04/07/13 Under control

Washim

lix

Fever

53

19/08/13

Under surveilla nce

12

Sl. No

Name of State/UT

Name of District

9.

Tamil Nadu

Peramballur

DISEASE OUTBREAKS OF PREVIOUS WEEKS REPORTED LATE Disease/ Illness Cases Death Date of Current Comments/ Action taken s start of Status outbreak Outbreak of diarrhoea, vomiting reported from Kunnam Govt. Higher Secondary School, SC/PHC Kunnam, Block Veppur, District Peramballur. District RRT investigated the outbreak. Affected cases were children who Under lx Food 117 0 19/08/13 consumed sambhar, rice, egg prepared from school kitchen. Cases treated control Poisoning symptomatically. Inspection of school kitchen done. Food samples collected; result awaited. Chlorination of water sources done. Health education given regarding safe food habits, hygiene and sanitation.

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

1.

Andhra Pradesh

Medak

Cholera?

201

16/08/13

Under surveilla nce

2.

Bihar

Rohtas, Bhabhua

Dengue

971 (lab confirm ed)

28/07/13

Under surveilla nce

An outbreak of loose motion and vomiting (93 cases, 3 deaths) was reported in previous week (ending on 25th August, 2013) from Village Ranzole, PHC Malchelma, Block Zaheerabad, District Medak. Further, from 26th August to 1st September, 2013, 108 cases occurred. Out of 5 stool samples collected, 1 sample was positive for cholera by culture. From 7th June to 25th August 2013, 348 cases of dengue were reported from Bihar. Most of the cases were from Districts Rohtas and Bhabhua. In District Rohtas, majority of the cases were reported from Block Kochas. Further, 623 cases occurred from 26th August to 1st September 2013.

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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

3.

Gujarat

Amreli

Crimean-Congo Haemorrhagic Fever (CCHF)

10

23/06/13

Under control

13 suspected cases and 5 deaths due to CCHF were reported from Village Kariyana, Taluka Babra, District Amreli in 28th week (ending on 14th July 2013). Now the State has revised the case definition and lab confirmed case had been considered as case of CCHF. Henceforth, the State has reduced CCHF cases to 10 cases and 2 deaths.

Koppal 4. Karnataka Cholera 75 0 06/08/13

Under control

36 cases of loose motion and vomiting reported in 33rd week (ending 18th August, 2013), from Village/PHC Hirebommanal, Block Koppal, District Koppal. Further 39 cases occurred from 19th August to 1st September, 2013. 2 stool samples collected tested positive for cholera by culture.

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