Bihar: Unidentified disease kills 56 children - undetermined encephalitis - samples negative for JE, Nipah and Chandipura

[Ronan Kelly]

Mysterious disease kills 13 children in Bihar
Patna, June 18 (IANS)

Thirteen children have died of a mysterious disease in Bihar's Muzaffarpur district during the past five days, officials said Saturday. Of these, five children succumbed in the last 48 hours.


"In the last five days, a total of 13 children have died of a mysterious disease and over 50 children have been admitted to different hospitals," a district health official said.

A.P. Singh, district civil surgeon, told IANS on phone from Muzaffarpur that the cause of the deaths could not be ascertained till now.

"We cannot say what disease led to the death of the children here. The disease is yet to be identified. Whether it is encephalitis or some unknown disease, we can say only after medical reports come," he said.

The district administration has sounded a high alert to check the spread of the disease. The children reported high fever followed by bouts of unconsciousness and convulsions leading to their death.

Local people termed the mysterious disease as 'chamki ki bimari' and claimed that the symptoms are similar to that of encephalitis, a disease that causes inflammation of the brain.

Official sources in the state health department here said there was no facility to identify encephalitis in Bihar.

Alarmed by a likely outbreak of suspected encephalitis, the principal secretary of health department Amarjeet Sinha Friday visited Muzaffarpur to take appropriate steps for the children afflicted with the mysterious disease.

He said that a team of doctors from Patna will Saturday collect samples for further investigation.

http://www.deccanherald.com/content/169728/mysterious-disease-kills-13-children.html

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 13 children

Last year's Bihar threads had kala azar, measles, malaria and encephalitis.

http://www.flutrackers.com/forum/showthread.php?t=143985

http://www.flutrackers.com/forum/showthread.php?t=147570

So far this year, Bihar has not reported any encephalitis, 6000+ cases of kala-azar and 12 fatalities, 143 cases of malaria (to April), no dengue reported (to May). Chickenpox outbreaks have also occurred.

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 13 children

Hindi to English translation

Three dead, said Principal Secretary, Jun 18, 02:18 am
encephalitis-hit!

- Visits to Skemsiac, Patna by the Investigation Team will today

- Civil surgeon in the two-blood sample was stored

- The total of 13 killed, dozens Ilajrt

. Head of the infant preferred physician, Dr. Mohan, Dr. Kamlesh Tiwari Medicine Head and Principal Dr. DK Sinha, visited the ward with the baby expert Dr. Gopalshankr bear and children's health from other physicians, including Dr. J. Chambers received information about. Inspection of wards in the media were kept away.Saturday Patna Rajendra Memorial Research Inscut of the medical science and children suffering from the particular pathological investigation team will take the blood sample.The deaths of some children.Dr. Mohan said that the root of the disease in the dirt, village and poverty. Is non-existent disease in children living in the city.

Skemsiac here on Friday with the visiting General Secretary of the Civil Surgeon Dr. AP Singh, Nodal Officer Dr. Dineshwar Prasad, District Filaria Officer Dr. Suresh Sharma, Dr. NP Sinha, Dr. Kamalesh Sharma, Dr. RP Gupta, Dr. . Arvind Kumar, Dr. CP Verma, Dr. CSP Mishra, Dr. ID Singh, Dr. Bharatendu Kumar, Dr. hn Bhardwaj, Dr. AK Das, etc. are present. The team also spoke to the families of sick children. Meanwhile on Friday for treatment at the hospital reported the death of three children. Skemsiac two deaths and one death occurred in a two.

Additional Chief Medical Officer Dr. JP Ranjan team, District Malaria Officer Dr. Bhagirath Prasad, child specialist Dr. Vimlesh Kumar, District Filaria Officer Suresh Sharma, in charge of the Public Health Laboratory, Dr. Rajesh Kumar. Team members for a two Matrisdn reached half a dozen children's blood samples. Symptoms of malaria are found in a child. CAI team on a two hospitalized children - were suffering from diarrhea and hit stroke.

http://in.jagran.yahoo.com/news/local/bihar/4_4_7883943.html

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 13 children

Modi directive on mysterious disease
TNN | Jun 18, 2011, 07.20am IST

PATNA: Deputy CM Sushil Kumar Modi on Friday directed principal secretary, health, Amarjeet Sinha to send specialized doctors to Muzaffarpur to treat children of a mysterious disease detected in the district.

He also directed the principal secretary to remain in constant touch with the Muzaffarpur district administration in this regard. Sinha, who earlier on Friday visited Muzaffarpur, briefed Modi about the disease.

Sinha said that the cases detected did not seem to be `Japanese encephalitis' as it affects people of all age group residing in a particular area whereas in this case only children have fallen ill. He informed Modi that a team of Rajendra Memorial Research Institute, Patna, doctors would visit Muzaffarpur on Saturday and collect samples which would be sent outside the state for investigation. Modi also directed the PMCH superintendent to arrange proper treatment of those injured in Forbesganj police firing.

http://timesofindia.indiatimes.com/city/patna/Modi-directive-on-mysterious-disease/articleshow/8895262.cms

[alert]

Re: Bihar: Mysterious disease kills 13 children

Heat stroke seems unlikely. If it is a non-JE encephalitis, Chandipura virus should be considered due to the high fatality rate and predominance of illness in children.

http://ibnlive.in.com/generalnewsfeed/news/12-children-die-of-mysterious-disease/729983.html

12 children die of mysterious disease
PTI | 02:06 AM,Jun 18,2011
Muzaffarpur, June 17 (PTI) At least 12 children have died of some unknown disease at two hospitals in Bihar's Muzaffarpur town during the past three days.State health department Principal Secretary Amarjeet Sinha, who visited Sri Kirishna Medical College and Hospital here, confirmed that five children died of mysterious disease during the past three days. Dr Ashok Kumar, the In-charge of Kejriwal Hospital, confirmed that seven children died of the unknown disease during hospitalisation during this period. More than 20 children still suffering from high fever were being treated at the two hospitals in the town, district officials said. When contacted, Sinha said the blood samples were being sent to a Patna Laboratory for examination and identify the cause of the disease. "We suspect that the children might be suffering from high fever due to heat stroke," Sinha said adding it was also being examined whether the children were afflicted with encephalitis. Sinha said a team of experts from Regional Medical Research Institute, Patna would be visiting the hospital here tomorrow to diagnose the case.

[Shiloh]

Re: Bihar: Mysterious disease kills 13 children

Source: http://www.deccanherald.com/content/...ephalitis.html

17 children die due to encephalitis in Bihar
Patna, June 18, DHNS:

At least 17 children are reported to have died in and around Muzaffapur district due to outbreak of encephalitis in the last four days.

While 12 children had died till Friday, five more casualties were reported from Sri Krishna Medical College and Hospital (SKMCH) and a private nursing home Kejriwal hospital on Saturday.

Health Secretary Amarjeet Sinha, who took stock of the situation at SKMCH, has alerted all the hospitals of the state, even though the outbreak of Japanese encephalitis is limited to Tirhut division in north Bihar. At least 33 more children have been admitted to different hospitals in Muzaffarpur with symptoms of high temperature and convulsion. Their blood samples have been collected for further investigation.

?Besides, a five-member team headed by Additional Chief Medical Officer (ACMO) Dr J P Ranjan has been constituted to prevent the spread of the disease,? said Civil Surgeon Dr A P Singh. A state-wide alert has been sounded by the health department.

[alert]

Re: Bihar: Mysterious disease kills 13 children

This is really unclear...is it heatstroke or viral encephalitis?

http://www.telegraphindia.com/1110619/jsp/bihar/story_14130084.jsp

Heat claims eight lives in Bihar
KHWAJA JAMAL

A team of specialist doctors from Regional Medical Institute in Patna examines a child at SKMCH in Muzaffarpur on Saturday. Picture by Prakash Kumar
Muzaffarpur, June 18: Eight children between three and seven years have died of heatstroke at various private hospitals, including one at Sri Krishna Medical College and Hospital (SKMCH), over the past four days.

The viral infection with symptoms of heavy bouts of fever and headache has gripped children in several areas in the district.

Pathological and viral experts from Regional Medical Institute (RMI), Patna — Dr Naresh Kumar Singh, Dr Alok Ranjan and Dr J Pande, Patna, inspected SKMCH this afternoon and collected blood and stool samples of other children admitted in SKMCH for further investigation. The doctors held talks with SKMCH doctors and assessed the line of treatment.

On Friday evening, a team of health officials led by principal secretary of health department Amarjit Sinha inspected SKMCH and took stock of the situation. Sinha inspected all the wards of the hospital and interacted with attendants of the ailing children admitted into the children’s ward.

SKMCH superintendent Dr G.K. Thakur told The Telegraph several children who complained of heatstrokes have been admitted for treatment. He was surprised at the commotion by private medical practitioners over children falling prey to heatstroke.

The superintendent ruled out the symptoms in the children being those of encephalitis or Japanese encephalitis.

“So far none of the children have been admitted in the SKMCH on the suspicion of encephalitis or Japanese encephalitis. Four children have been admitted after being diagnosed with heatstroke,” he said.

The administrator of Kejriwal Maternity Clinic, V. V. Giri, said 15 children who complained of heatstrokes were admitted during a span of three days. However, he hastened to add that three cases were referred to the SKMCH in view of their falling health. Five deaths have been reported from the Kejriwal Maternity Clinic in a couple of days.

Civil surgeon-cum-chief medical officer Dr A.P. Singh has constituted a four-member team of doctors of the sadar hospital headed by Dr J.P. Ranjan to examine the symptoms of the children admitted there and interact with private doctors engaged in treating the ailing children at the Kejriwal Maternity Clinic situated in Juran Chhapra locality of the town.

Singh said he has alerted the medical officers of primary health centres in the district to collect blood samples of the children admitted there following complaints of high bouts of fever, headache and dehydration.

Children from Kudhani, Mushahri, Minapur, Kanti blocks in the district have fallen prey to heatstrokes over the past few days.

Singh has asked the medical officers of the primary health centres to make a round of the affected villages for on-the-spot examination and inspection. This could help in diagnosing the illness and disease that struck the rural children, the civil surgeon said.

Health principal secretary Amarjit Kumar Sinha, however, turned down the viral epidemic as a case of encephalitis or Japanese encephalitis. He said doctors at SKMCH were at work to treat the ailing children from the countryside areas.

[alert]

Re: Bihar: Mysterious disease kills 13 children

http://indiatoday.intoday.in/site/story/bihar-mysterious-disease-kills-14-children/1/142025.html

Mysterious disease kills 14 children in Bihar


Giridhar Jha | Patna, June 19, 2011 | Updated 10:29 IST

A mystery disease has gripped Muzaffarpur and its adjoining districts in North Bihar and has killed 14 children in the past week.

Suspected to be Japanese encephalitis, the disease has struck several villages in the area, with more than 50 children under the age of six undergoing treatment at different hospitals. There is as yet no unanimity among local doctors about the exact cause of the deaths - some doctors attribute them to heatstroke - because of the lack of facilities to confirm an encephalitis outbreak.

The alarmed state government on Saturday sent a team of experts from Patna's Rajendra Memorial Research Institute (RMRI) to examine the affected children and collect their blood samples. These would be sent outside the state for verification of the disease. Deputy CM Sushil Kumar Modi directed the principal secretary (health), Amarjeet Sinha, to personally monitor the situation through the district administration and make arrangements for the treatment of the ailing kids.

Muzaffarpur civil surgeon Dr A.P. Singh has, meanwhile, constituted a fivemember medical team headed by additional chief medical officer Dr J.P. Ranjan to examine children. Singh said the children were being treated for heatstroke and that nothing could be said until the blood sample results were out.

The doctors said the children were suffering from fever, vomiting, diarrhoea, loss of consciousness and convulsions. Last year, as many as 20 deaths were reported from the same area with similar symptoms. The government had sent the patients' blood samples to Pune for verification of encephalitis, but the report is still awaited.

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 13 children

Encephalitis alert in Bihar: 18 dead in 2 weeks
NDTV Correspondent, Updated: June 19, 2011 10:32 IST



Muzaffarpur: Encephalitis has claimed the life of 18 children so far in Bihar's Muzaffarpur district over the last two weeks.

Alarmed by the situation, the Bihar government dispatched the health secretary to the Shri Krishna Medical College and Hospital.

Blood samples have been collected from four children who are said to be in a serious condition.

Another 30 children have been admitted to the same hospital.


The Bihar government has said they are taking all possible measures to address the situation, including constant monitoring and supply of medicines.




Read more at: http://www.ndtv.com/article/india/en...eeks-113271?cp

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 13 children

22 children die of mystery disease in Bihar

STAFF WRITER 15:23 HRS IST
Muzaffarpur, Jun 19 (PTI) At least 22 children below the age of six years have died and 35 others hospitalised due to a mystery disease during the past one week in Bihar's Muzaffarpur district, officials said.

While four children died at the Sri Krishna Medical College and Hospital (SKMCH), three others died at Kejriwal hospital in Muzaffarpur town, they said.

SKMCH Paediatrician Dr Braj Mohan confirmed the death of four children at the hospital since yesterday.

"While four children have died since yesterday, 20 others are still being treated at the hospital," he said.

Superintendent of Kejriwal hospital Dr Bibi Giri said three children below the age of six years died due to suspected encephalitis at the hospital during the past 24 hours and 15 others have been admitted for treatment.

The state health department has sent a team of experts from Patna to the district.

http://ptinews.com/news/1692125_22-children-die-of-mystery-disease-in-Bihar

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 22 children

Death incidents of children at Bihar to unknown disease is on the rise
19 June 2011 No Comment

Bihar?s Muzaffarpur district encountered about 20 deaths of children below the age of six and at least 50 children were so far hospitalized for the unknown disease.
It is learnt that four children died at Sri Krishna Medical College and Hospital and others died at Kejriwal hospital, Muzaffarpur.

Dr. Braj Mohan of SKMCH said that another twenty children are under treatment at the hospital.

The death caused by the unknown disease has high fever, unconsciousness and convulsions and eventually leading to death.

The cause behind the disease is not known so far and medical experts said that the disease resembling the symptoms of encephalitis-an inflammation of the brain.

Kejriwal hospital is still now receiving new cases with the unknown disease.
State health department had sent a medical team and they have collected blood samples from children and returned to Patna for evaluation.

Blood samples are also being sent to Pune for examination of the blood.
Muzaffarpur Malaria Officer Dr Bhagirathi Prasad said, ?It is unfortunate that the cause of the deaths could not be ascertained till date.?

The principal secretary of health department Amarjeet Sinha on Friday visited Muzaffarpur to take stock of the situation.

http://myhealthbowl.com/latest-health-news/death-incidents-of-children-at-bihar-to-unknown-disease-is-on-the-rise/

The highlighted description above mirrors a description from the 2009 outbreak;
"The children reported high fever followed by bouts of unconsciousness and convulsion leading to their death.

Local people termed the mysterious disease as 'Chamki ki Bimari' and claimed that the symptoms tally with encephalitis."

http://www.hindustantimes.com/12-children-die-of-mysterious-disease/Article1-555188.aspx

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 22 children

Seven more children die of mysterious illness in Bihar
Indo-Asian News Service
Patna, June 19, 2011First Published: 15:10 IST(19/6/2011)
Last Updated: 15:11 IST(19/6/2011)

Seven more children have died of a mysterious disease in Bihar's Muzaffarpur district taking the death toll to 20, officials said on Sunday. The children reported high fever, followed by bouts of unconsciousness and convulsions, leading to their death. Local people termed the mysterious disease as ' chamki ki bimari' and claimed that the symptoms are similar to encephalitis, a disease that causes inflammation of the brain.

Health officials however, are still unable to identify the disease.

"In the last twenty four hours, seven more children died due to a mysterious disease at two hospitals in Muzaffarpur. Till now twenty children have died of the disease and over 50 children have been admitted to different hospitals in the last six days," a district health official said.

Bihar health minister Ashwani Kumar Chaubey on Sunday said that government was serious to take care of children suffering from the unknown disease.

The district administration has sounded a high alert to check the spread of the disease.

Muzaffarpur Malaria Officer Dr Bhagirathi Prasad said, "It is unfortunate that the cause of the deaths could not be ascertained till date."

Prasad said a three member team of experts from Patna visited hospitals in Muzaffarpur Saturday to collect blood samples for test but it was a blunder.

"The team visited Muzaffarpur without courier agent to keep collected blood samples. It is nothing but a blunder," he said.

AP Singh, the district civil surgeon earlier said, "We cannot say what disease led to the death of the children here. The disease is yet to be identified. Whether it is encephalitis or some unknown disease, we can say only after medical reports come."

Official sources in the state health department here said there was no facility to identify encephalitis in Bihar.

The principal secretary of health department Amarjeet Sinha on Friday visited Muzaffarpur to take stock of the situation.

http://www.hindustantimes.com/Seven-more-children-die-of-mysterious-illness-in-Bihar/Article1-711254.aspx

[alert]

Re: Bihar: Mysterious disease kills 22 children

This is a recurring situation this time of year in Bihar. Here is the 2010 outbreak thread:

http://www.flutrackers.com/forum/showthread.php?t=147570

and the 2006 one as well:

http://www.flutrackers.com/forum/showthread.php?t=7288

This is certainly an encephalitis outbreak, but which virus is responsible (JE? Chandipura? Nipah? Some other "AES" virus?) remains unclear.

[alert]

Re: Bihar: Undetermined encephalitis kills 22 children

http://www.ndtv.com/article/india/encephalitis-alert-in-bihar-17-dead-in-2-weeks-113271

Encephalitis alert in Bihar: 17 dead in 2 weeks
NDTV Correspondent, Updated: June 19, 2011 17:46 IST


Muzaffarpur: Encephalitis has claimed the life of 17 children so far in Bihar's Muzaffarpur district over the last two weeks.

Alarmed by the situation, the Bihar government dispatched the health secretary to the Shri Krishna Medical College and Hospital.

Blood samples have been collected from four children who are said to be in a serious condition.

Another 30 children have been admitted to the same hospital.


The Bihar government has said they are taking all possible measures to address the situation, including constant monitoring and supply of medicines.





Read more at: http://www.ndtv.com/article/india/en...eeks-113271?cp

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 22 children

Hindi to English translation

The five deaths from encephalitis Jun 18, 10:41 pm Suggest
Havoc on

- Patna team reached the blood and the CCS sample

- East Champaran Mehsi devastated family to bear the Harihar

- Be alert to the civil surgeon in charge of all PHC

Muzaffarpur, Casn: havoc continues in the district of suspected encephalitis. On Saturday, killing five children suffer from it. The two-Skemsiac three and two children died during the treatment. Sahil's Rajvadha MOOSHAHARY dead children, of Silut Mniari Amarjit, Mjulia Paru's Nargis, Meenapur include the Nikkei and stone.

The health department's principal secretary Amarjeet Sinha, Rajendra Memorial Research Institute of Medical Science on the direction of Dr. Krishna Pandey led the team reached the Skemsiac and two-hospital blood sample collection and CSS. The samples will be sent to the Pune team members. Encephalitis there will know only after the report or not.

Meanwhile, residents of East Champaran district, Harihar Mehsi Amwa havoc as encephalitis has to bear.Here, the special ward has been opened in Civil hospital. Civil Surgeon Dr. AP Singh said that all the PHCs have been alert to charge.

Patients admitted to hospital in Muzaffarpur district still rose Chainpur Madhuban, Pokrara saraya unique, peer Mnshahi Anshu Kumar, Paru Mirzapur ideal, of Haripur Meenapur Kisar Gaus, Gangapur MOOSHAHARY Amwa resident of peace in the East Champaran Mehsi Bhukl and Sipi Miss and Miss Queen Skemsiac, including Subhash Kumar and younger.

with drinking plenty of water - around the house with clean - is advised to keep clean. When the foil is added to the hospital immediately.

http://in.jagran.yahoo.com/news/local/bihar/4_4_7887633.html