India Encephalitis 2013; 1,312 fatalities

[Ronan Kelly]

Re: India Encephalitis 2013; 238 fatalities

28 diagnosed with Japanese Encephalitis in Assam
July 4, 2013 9:43 AM North East no comments

PTI
guwahati, JULY 3

Around 28 people have been diagnosed with Japanese Encephalitis (JE) in the state this year with the highest number of cases being reported from Sivasagar district. The disease has claimed around nine lives since January.
Of these 28 cases, Sivasagar reported six cases, Dhubri and Dibrugarh four cases each and Jorhat three cases. Kamrup (Metro), Kamrup (Rural), Nalbari and Lakhimpur districts reported two cases each, while Tinsukia, Golaghat and Nagaon reported one case each.
Out of the nine death cases, four were reported from Sivasagar, two from Lakhimpur and one each from Jorhat, Kamrup (Rural) and Dibrugarh districts.
...

http://www.thearunachalpioneer.in/north-east/2013/07/04/28-diagnosed-with-japanese-encephalitis-in-assam/

Using the figures published on July 27th above, this implies in the 338+ other cases of AES, which resulted in another 44 fatalities, no pathogen has been identified. - Ro

[Ronan Kelly]

Re: India Encephalitis 2013; 238 fatalities

AES cases decline, but experts wary of monsoon spurt (Uttar Pradesh)
SURBHI KHYATI : Lucknow, Thu Jul 04 2013, 04:24 hrs


Congress, BJP spar over Ishrat Jahan fake encounter chargesheet
Chief justice sworn in as Egypt's interim president as army ousts Morsi
Jet-Etihad Airways deal: Civil aviation minister Ajit Singh meets Sonia Gandhi
Over a fortnight after flash floods, relief material yet to reach many villages
Infiltration bid foiled along LoC in Poonch
Eastern Uttar Pradesh is witnessing a sharp fall in the number of cases of encephalitis ? which has killed over 4,000 children in the past seven years in the state.

The number of cases of acute encephalitis syndrome (AES) has reduced to less than half this year by the end of June as compared to last year; the number of deaths, too, has reduced to half. However, with the encephalitis season expected with the arrival of the monsoon, some experts allege that the correct number of cases of encephalitis is not reflected in government statistics.

As per the July 1 report of the health department, the number of AES cases in the state between January and June 2013 is 219, of which 53 are from Kushinagar, 40 from Deoria and 38 from Gorakhpur district. Sixty-three people have succumbed to the disease this year so far. Last year, the figure for the first six months was 539, with 107 deaths.
...

http://www.indianexpress.com/news/aes-cases-decline-but-experts-wary-of-monsoon-spurt/1137527/

(In post dated July 2nd, the number of fatalities was given at 73 not 63 - Ro)

[Ronan Kelly]

Re: India Encephalitis 2013; 238 fatalities

Encephalitis death toll rises
STAFF WRITER 19:59 HRS IST
Jorhat (Assam), July 4 (PTI) The death toll in encephalitis has gone up to nine in Jorhat district of Assam after a 65-year-old woman died today.
...

http://www.ptinews.com/news/3776294_Encephalitis-death-toll-rises

[Ronan Kelly]

Re: India Encephalitis 2013; 238 fatalities

Press Information Bureau
Government of India
Ministry of Women and Child Development
04-July-2013 17:17 IST
Smt. Krishna Tirath Presides over the First Meeting of National Mission Steering Group of ICDS

Honoraria of Anganwadi Workers of Mini Anganwadi Centers Increased to Rs. 2250/-

Smt. Krishna Tirath, Union Minister for Women and Child Development presided over the first meeting of National Mission Steering Group (NMSG) of the reconstructed ICDS, here today.

Designated as the Nodal Platform for Nutrition Coordination linked to the PM?s National Council on India?s Nutrition Challenges, the National ICDS Mission Steering Group re-affirmed the highest priority towards presenting and reducing maternal and child nutrition. Several states such as Gujarat, UP, MP, Rajasthan, Karnataka etc. have set up the State ICDS Missions and have taken several new initiatives to roll out the restructured ICDS with interventions such as Sneha Shivirs, construction of new Anganwadi Centres, ECCE etc.

The Mission Steering Group approved the increase in the honoraria of Anganwadi Workers of Mini Anganwadi Centers from Rs. 1500/- to Rs. 2250/-. This will benefit the workers of a total 1,16,000 sanctioned mini- AWCs in the country. The Mission Steering group also endorsed a major village contact initiative under ICDS restructuring to reposition AWC as a vibrant child- friendly ECD Centre belonging to women and the community. For this, fixed monthly Village ECCE days will now be observed in all AWCs across the country from 19th August, 2013. This will also take the proposed National ECCE policy to the village level.

In addition to this, NMSG reiterated the commitment to construct child-friendly Anganwadi Centres through the strengthened collaboration of Ministry of WCD with Ministry of Rural Development, Ministry of Minority Affairs, Ministry of Tribal Affairs and other Ministries and State Governments. NMSG appreciated the unique convergence initiative with MNREGA for AWC construction and provision of Cr?ches and Ministry of Health and Family Welfare such as the Mother and Child Protection Card (MCPC).

In the view of the imminent promulgation of National Food Security Ordinance, NMSG was exhorted to step up efforts to universalize maternity benefits especially to reach those of the most deprived communities through scaling up of the Indira Matritva Sahyog Yojana (IGMSY) linked to better health care. Besides, it also committed itself to intensify nutritional support to young children and pregnant and lactating mothers as per stipulations. NMSG also approved the action plan for Japanese Encephalitis/ Acquired Encephalitis (ES/AES) for 60 affected districts. This includes improved monitoring of feeding of children at the Anganwadi centers, special training to sensitise AWWs and their supervisers regarding the ES/AES and to provide additional THR to the under-nourished in the affected districts.

Speaking at the occasion, Smt. Krishna Tirath said that the Integrated Child Development Services (ICDS) Scheme is a flagship programme of Government of India for the holistic development of the children which was launched in 1975 to address health, nutrition and development needs of young children and pregnant and lactating mothers (P&L). Over the years the scheme has been expanded with a view to universalize the programme so as to reach the benefits to the door steps of children in small clusters. However, universalization of the scheme has also brought with it huge challenges in terms of resources as well as challenges of management, delivery of services with quality and standards. Smt. Tirath said that in order to get the effective implementation of the reconstructed scheme of ICDS, the Ministry of Women and Child Development is looking forward to receiving the valuable inputs form the state ministers and the experts from various fields. She also asked the state Governments to immediately constitute the requisite committees at State level, District level and Block level and also ensure convergence of all stakeholders at various levels so that the scheme is implemented as envisaged in the restructured and strengthened ICDS. Smt. Tirath expressed concern about the under nourishment of the young children which needs to be prevented and reduced by 10% points, enhancement of early development and learning outcomes in all children under 6 years of age, improvement of nutrition of girls and reduction of prevalence of anemia in young children by 1/5th which form the goals for the restructured ICDS. She stated that the restructured and strengthened ICDS is being implemented in Mission Mode with flexibility, similar to the schemes of Sarva Shiksha Abhiyan (SSA) and National Health Rural Mission (NHRM).

Smt. Tirath also stressed upon the special needs for management of severely and moderately underweight children. The scheme provides for community based approach for prevention and management of moderate and severe under nutrition through organisation of ?Sneha Shivirs? in selected areas where number of such children are high. The ANM/Doctor under the NRHM would be responsible for health check up of all underweight children reporting to ?Sneha Shivirs?, said the Minister.

The Minister stated that the Ministry of Women and Child Development has also initiating a multi sectoral programme to address the maternal and child malnutrition in selected 200 high burdened districts. This programme will bring together various national programmes through strong institutional and programmatic convergence at the State/District/Block and Village levels. This programme is being initiated on the recommendations made by the PM?s National Council on India?s Nutrition Challenges.

Ms. Nita Chowdhury, Secretary, WCD stated that with the universalisation of the ICDS scheme and the recent restructuring of the scheme, efforts are being made by the M/o WCD to make the scheme more effective by setting up sturdy structures and mechanisms of monitoring and supervising. The interaction with the members of the NMSG will help to deeply deliberate on various issues in this regard.

Dr. Syeda Hameed, Member (WCD), Planning Commission, Smt. Ranjana Bhagel, Minister (WCD) from Madhya Pradesh, Dr (Col) Dhaniram Shandil, Minister (WCD) from Himachal Pradesh other experts from various fields and senior officers from the member States and line Ministries were also present at the occasion.

****


MV

http://pib.nic.in/newsite/PrintRelease.aspx?relid=97027

[Ronan Kelly]

Re: India Encephalitis 2013; 238 fatalities

Bihar Muzaffarpur xxv. Acute Encephalitis
Syndrome
124 (Cases reported from Muzaffarpur)
32 (Deaths reported from Muzaffarpur)
06/04/13
Under surveilla nce
From 6th April 2013 to 24th June 2013, a total of 261 cases and 88 deaths due
to Acute Encephalitis Syndrome were reported in Bihar. Worst affected
Districts were Muzaffarpur (124 cases/32 deaths), East Champaran (24 cases/
10 deaths), Patna (20 cases/10 deaths). 142 cases were in the age group below
4 years and 77 cases were in the age group 5- 9 years. Case fatality rate due to
AES is 34%. NCDC is investigating the aetiology of AES in Muzaffarpur.

http://www.idsp.nic.in/idsp/IDSP/resource_idsp.jsp (week 25 2013)

[Ronan Kelly]

Re: India Encephalitis 2013; 245 fatalities

JE and AES claim lives

From our Staff Reporter

DIBRUGARH, July 5:
...

Nineteen children were admitted in the medical college here from various parts of Upper Assam with symptoms of enchephalitis last month and four of them, Sunil Munda of Sivasagar, Bharati Gowala of Jamira, Bulbul Dang of Dodhia and Anil Bhumij of Duliagaon in Dibrugarh, succumbed to it. Two children are currently undergoing treatment. Blood tests of eight children showed no presence of enchephalitis virus. During this period, 70 adults were admitted in AMCH of whom 38 died. However, all the death did not happen due to JE.

Meanwhile, the number is bound to be much more if one takes into account the patients admitted in private nursing homes. According to the Joint Director of Health Services of Dibrugarh district, revealed that 76 persons have been affected by AES in the blocks of Khowang, Barbarua, Lahoal, Panitola, Tengakhat and Nahoroni while 16 have been diagnosed with JE. The patients who died due to AES and JE in the district in June, numbered 18 and 4 respectively.
...

http://www.sentinelassam.com/state1/story.php?sec=2&subsec=2&id=164113&dtP=2013-07-06&ppr=1#164113

[Ronan Kelly]

Re: India Encephalitis 2013; 245 fatalities

Killer disease claims 21 Bihar kids in 6 weeks
HT Correspondent , Hindustan Times Muzaffarpur, June 07, 2013
First Published: 22:59 IST(7/6/2013) | Last Updated: 00:15 IST(8/6/2013)

Twenty one children have died of acute encephalitis syndrome (AES) in the Muzaffarpur district of north Bihar since April 21. The ?killer? disease, officials recalled, claimed the lives of 264 children last year.


Though more than 2,000 children have fallen prey to this disease in the last two decade, the only thing known is that it breaks out during the May-June period every year.
...

http://www.hindustantimes.com/India-news/Bihar/Killer-disease-claims-21-Bihar-kids-in-6-weeks/Article1-1072706.aspx

Poor quality report from the Hindustan Times - fails to present the full picture. The most recent official report (see post 65 above) gives the toll in Bihar as 88 deaths from 261 cases to June 24th. - Ro

[Ronan Kelly]

Re: India Encephalitis 2013; 245 fatalities

http://nvbdcp.gov.in/Doc/je-aes-cd-June13.pdf

My latest count for fatalities in Bihar is 88. There has also been one fatal case reported from Karnataka, and four suspected Chandipura fatalities reported from Gujarat. All told, 293 total fatalities to date.

[Ronan Kelly]

Re: India Encephalitis 2013; 293 fatalities

After a couple of deaths, the awareness drive (Karnataka)

M.T. SHIVA KUMAR
The spread of two vector-borne diseases ? Japanese Encephalitis and dengue ? has become a cause of concern for the medical fraternity and for residents in Mandya district.
...
While dengue commonly haunts the patients, Japanese Encephalitis has hit the district this year. A 13-year-old girl, Afreen Banu, succumbed to it in Machchi Bazaar near Ganjam in Srirangapatna on July 9.
...
Surveillance

With the rural areas of the district recording more cases of dengue and JE, the Health Department has stepped up its follow-up surveillance. It has established a tent-hospital in Machchi Bazaar where Afreen Banu succumbed to JE.

The designated health personnel of the department were asked to conduct door-to-door visits in Machchi Bazaar. They have visited all 1,826 residences and recorded the health condition of more than 10,000 people.
...

http://www.thehindu.com/todays-paper/tp-features/tp-districtplus/after-a-couple-of-deaths-the-awareness-drive/article4909640.ece

[Ronan Kelly]

Re: India Encephalitis 2013; 294 fatalities

Giuseppe. A wealth of information in this article. Interested parties should read it in full. One point that stood out to me is that after several years of investigation, testing for pesticide residue, other toxins & water quality does not seem to have been completed. - Ro

As Mystery Illness Stalks Its Young, India Intensifies Search for a Killer

By GARDINER HARRIS
Published: July 13, 2013

MUZAFFARPUR, India

...
All doctors know is that the illness is a form of brain swelling, or encephalitis, but that is a huge category, covering a wide spectrum of diseases. Doctors have tested for known causes of brain swelling, including meningitis and Japanese encephalitis, but the tests almost always come back negative. India?s top health officials say the disease, known officially as acute encephalitis syndrome, has them stumped.
...
Dr. Chauhan hopes to change that. With help from the Centers for Disease Control and Prevention in Atlanta, he started a program this year to train an elite cadre of disease sleuths, part of a recently organized Epidemic Intelligence Service in India that he hopes will eventually undertake the investigations of India?s estimated 1,500 epidemics.
...
Dr. Chauhan?s team has been given a rustic guesthouse next to a hospital here. There is no air-conditioning, the beds sag and the electricity is fitful. But there is an urgency to the doctors? work. They gather almost every night in a small dining room to update crude posters with information about each case and debate their theories. A new virus, an old bacteria, litchis, alcoholic tree sap, heat, pesticides, rats, bats and sand flies are among the suspected causes.
...

http://www.nytimes.com/2013/07/14/world/africa/as-mystery-illness-stalks-its-young-india-intensifies-search-for-a-killer.html?pagewanted=1&_r=1&partner=rss&emc=rss

[Ronan Kelly]

Re: India Encephalitis 2013; 294 fatalities

Sunday , July 14 , 2013 |
...
Encephalitis

Jorhat (Assam): Tulsi Bora, 60, of Tekela Gaon here, died of Japanese encephalitis on Friday night.

http://www.telegraphindia.com/1130714/jsp/northeast/story_17113848.jsp#.UeKUStKw58M

[Ronan Kelly]

Re: India Encephalitis 2013; 295 fatalities

Tripura warns for outbreak of Japanese encephalitis

Agartala | Tuesday, Jul 16 2013 IST



Tripura govt has issued warning for possible outbreak of dreaded disease Japanese encephalitis in some remote pockets of the state over past fortnight, Health Minister Tapan Chakraborty said here today. He said Japanese encephalitis, a mosquito-borne disease in seven patients have been diagnosed positive so far and urged the people to maintain a close watch and contact the nearest health center in cases of prolonged fever or other suspicious symptoms.
...

http://news.webindia123.com/news/Articles/India/20130716/2225944.html

[Ronan Kelly]

Re: India Encephalitis 2013; 295 fatalities

From week 27 2013 outbreak report http://www.idsp.nic.in/idsp/IDSP/resource_idsp.jsp

ASSAM
Jorhat xxxiii AES /JE 42 cases 15 fatalities 5/1/13 Under surveillance
Cases reported from PHC Baghchung, Kakojan, Titabor, Nakachari, solmora,
Bhogamukh, Kumaklabari, Urban area of District Jorhat. All age groups are
affected, Mmass blood slide collection done in the district. Out of 42
CSF/Serum samples sent to AMCH, Dibrugarh & JMCH, Jorhat, 17 samples
were found positive for JE. Awareness camp held in the affected area.
Fogging done.

Dibrugarh xxxv AES/JE 89 cases 18 fatalities 17/1/13 Under surveillance
Cases of AES reported from Block PHC Naharani, Tengakhat, Lahowal,
Khowang, Barbaruah & Panitola, District Dibrugarh. Medical team from
respective PHC visited affected areas. CSF and serum samples were tested at
Microbiology Deptt, AMCH, Dibrugarh. Out of 89 cases, 26 cases were
found positive for JE. Fogging and larvicidal activities done. IEC given.

Sibsagar xxxvii AES/JE 43 cases 17 fatalities 29/1/13 Under surveillance
Cases had fever with seizure, neck rigidity and mental disorientation from
Demow, Geleky, Gaurisagar, Kaloogaon, Khelua, Mora Bajar, Patsaku,
Sapekhati, District Sibsagar All age groups were affected. Out of 43
CSF/Serum samples tested at AMCH Dibrugarh 13 cases were found positive
for JE. First and second round of DDT spray done. Fogging done. Insecticide
Treated Bed Nets (ITBN) distributed .Awareness camp organized.

Tinsukia xxxviii AES/JE 41 cases 10 fatalities 17/6/13 Under surveillance
Cases reported from all over the area of District Tinsukia (PHC Hapjan, PHC
Kakopather, PHC Ketetong). Out of 41 CSF /serum samples tested at AMCH
Dibrugarh 8 cases were found positive for JE. Focal spray in and around 2
KM of affected houses done. Larvicidal activities done.

Lakhimpur xxxix AES/JE 15 cases 8 fatalities 2/3/13 Under surveillance
Cases reported from PHCs Dhalpur. Bihpuria, Nowboicha, Boginodi, North
Lakhimpur, Urban centre of Lakhimpur, District Lakhimpur. Cases belong to
all age groups. Out of 15 CSF/Serum samples tested 3 were found positive for
JE. Focal DDT spraying done in the affected area. Fogging done. ITBN
distributed in the affected area.

[Ronan Kelly]

Re: India Encephalitis 2013; 295 fatalities

NCPCR to hold public hearing on Japanese Encephalitis in Gorakhpur (Uttar Pradesh)

PTI

Taking serious note of the death of over 550 children in Gorakhpur in 2012 due to Japanese Encephalitis, the National Commission for Protection of Child Rights (NCPCR) will hold there a public hearing next month for the first time.

According to NCPCR member Yogesh Dube, the State and district administration?s failure to implement the directives of the Commission has prompted to hold a public hearing.

Moreover, despite a Rs. 4,000 crore (Rs40 billion = $680 million - Ro) package being given by the Central government to the State to fight encephalitis, the State administration has no record of where the entire amount was spent.
...
The Commission visited Gorakhpur recently to take stock of situation and to check the preparedness of the administration including health department and discovered severe flaws in water and sanitation facilities.

The entire area was dirty and bounded by unhygienic surroundings. Several drains were full and water logging was common throughout. No fogging took place ever and safe drinking water was not available, it said.
...

http://www.thehindu.com/news/national/other-states/ncpcr-to-hold-public-hearing-on-japanese-encephalitis-in-gorakhpur/article4921006.ece

[Ronan Kelly]

Re: India Encephalitis 2013; 295 fatalities

TV News Report - Worth bearing in mind that of the 220 cases of Acute Encephalitis Syndrome reported to July 3rd in Uttar Pradesh, not one was reported positive for Japanese Encephalitis. But that does not stop the misinformation. - Ro


66 kids succumb to encephalitis in UP

Japanese Encephalitis, a mosquito-borne disease, has claimed at least 66 lives - all infants and children in Gorakhpur, Uttar Pradesh this year. Hundreds of children continue to battle the disease in the city and while the Centre has allocated thousands of crores of Rupees to combat the disease, on ground the funds seem to have not reached those who need it the most.

http://www.timesnow.tv/66-kids-succumb-to-encephalitis/videoshow/4432382.cms