India Encephalitis 2017: 1,228 fatalities

[Ronan Kelly]

Report of the deaths of 2 children following JE vaccination in Basti District Uttar Pradesh. The district has seen 106 cases of AES with 13 fatalities this year.

https://www.patrika.com/basti-news/two-children-death-from-encephalitis-in-basti-1861069/

Even after the vaccine, the death of two children from Japanese Encephalitis
Published 30-Sep-2017 09:47 IST
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District Hospital, Bastislum. In the district, the woes of acute encephalitis syndrome (AES) and Japanese encephalitis (je) are not decreasing. The number of infections of infections is increasing steadily. The department is continuously campaigning for awareness and rescue. The shocking thing is that even after the injection of JE, two have died. If this matter came into the discussion then the Health Department could come in.

Anesthesia disease in the Purvanchal, which has become a curse, is becoming a havoc with children. In the district, AES, JE, Dengue, Scrub Typhus disease spread. Increasing number of patients every day Of the 139 patients, 16 patients have died due to these diseases, while some are undergoing treatment. Even if the team of Health Department is taking inhibitory action in the affected village, its effect is not visible.

does not have the activation of the health department after the motorcycle rider runda , two died due to 13 deaths from AES. JE patients increased to 18, in which 2 died. Covering JE with vaccine This is confirmed by the CMO in the conversation. Number of dengue patients also reached 20 So far a death has been confirmed.

Two dozen patients of the scrub typhus have been found, while 3 deaths have been confirmed. CMO JLM Kushwaha said that insaflitis is constantly monitoring the affected villages. In addition to anti-larva perfusion, necessary medicines have been distributed. As far as the JE vaccine is concerned, two people are expected to die, so it is being investigated.

http://hindi.eenaduindia.com/State/UttarPradesh/2017/09/30095211/Encephalitis-death-in-basti.vpf

[Ronan Kelly]

SCRUB TYPHUS
A shadow that kills

By Namita Kohli | From issue dated October 08, 2017

...
In Gorakhpur, no one knew why the kids were dying. It was 2014, and various explanations were doing the rounds. None was convincing enough, though. In August that year, at a meeting of the Indian Council of Medical Research to deliberate on the matter, it was decided that Dr G. Arunkumar, a virologist, and his team from the Manipal Centre for Virus Research, Manipal University, would be roped in to investigate the 'mystery' fever.
...
By mid-August 2014, Arunkumar and his team had reached Gorakhpur. ?We found that these cases did not display symptoms of JE,? he said. ?Besides the fever, their liver and heart were affected, too.? This, he said, was unlike JE, which affects the brain. ?The enteroviruses explanation was also ruled out because while those viruses may or may not affect the heart, they usually don't affect the liver,? he said.
...
Out of 250 cases, 62 per cent had tested positive for scrub typhus, and only 3 per cent for JEV.
...
While the death of infants at the hospital cannot be termed as due to scrub typhus, there is enough confusion each year, said Arunkumar. ?At the BRD College all febrile [fever] illnesses get clubbed under AES. AES is only a clinical term, it is not a diagnosis,? he said. ?And that is where the problem in Gorakhpur lies. Most of these cases get mixed up, causing confusion, and every year, the story repeats itself.?
...
Also, after we alerted the authorities of the ground situation in Gorakhpur, they haven't taken enough action.? Unless better diagnostic labs are set up at community health centres and district hospitals, and doctors and even patients vulnerable to the disease are made aware, a disease that can be treated easily will continue to confound doctors. And each year, Gorakhpur will continue to battle a 'mystery' fever.
http://www.theweek.in/health/more/a-...hat-kills.html

[Ronan Kelly]

I haven't see anyone else following up on BRD hospital in Gorakhpur to examine its fatality figures in September. Promed had issued an RFI asking for information on the proportion of deaths caused by encephalitis at the hospital.

From Sep 1-Sep 28, 95 patients at the hospital died of encephalitis.
The Jagran frequently (but not every day!) gives daily tallies of deaths at the hospital. These reports account for 67 encephalitis deaths (71% of all encephalitis deaths). These reports also tally 340 total child deaths at the hospital. It seems that encephalitis deaths make up about 20% of the total reported deaths at the hospital. Assuming these proportions remain the same, the hospital saw around 480 deaths of children in total between Sep 1-28.

I'll keep an eye out for any official reports.
-Ro

[Ronan Kelly]

Report in the Patrika putting the number of child deaths in September at BRD, Gorakhpur as 433 (compared to 372 last year) of whom 247 are described as newborns aged less than 1 month old.

https://www.patrika.com/gorakhpur-news/851-children-death-in-brd-medical-college-1-1870309/

[Ronan Kelly]

Manipur
MN/CHR/2017/30/1119 Imphal West JE 171 cases 00 fatalities 02-06-17 Under
Surveillance
38 Cases were reported from District Imphal West in 30th week.
Cases have increased to 171 in current week. Out of 54 blood
samples tested at SRL JNIMS Manipur, 09 found positive for
JE. All cases treated symptomatically. Health education given.

From week 35 IDSP report: http://idsp.nic.in/WriteReadData/l892s/352017.pdf

Comment: Manipur has reported 911 cases with 11 fatalities to the NVBDCP by Aug 30. Of those 172 cases, 11 fatal tested positive for JE. - Ro

[Ronan Kelly]

TAMIL NADU
Constable dies of ?brain fever?
SPECIAL CORRESPONDENT OCTOBER 03, 2017 20:13 IST
UPDATED: OCTOBER 03, 2017 20:13 IST

MADURAI

A police constable, S. Thangasamy (28) of Uzhakudi in Virudhunagar district, died of ?brain fever? at a private hospital here on Tuesday.

The constable, attached to Tamil Nadu Special Police (TSP) battalion in Manimuthur in Tirunelveli district, got married only on September 15, police said.

He had joined the police force as a volunteer of Youth Brigade and was subsequently recruited for the TSP in 2015.
...

http://www.thehindu.com/news/national/tamil-nadu/constable-dies-of-brain-fever-madurai/article19791565.ece

[Ronan Kelly]

Gorakhpur: BRD data reveals drop in death rate in Aug, Sept this year
Death of 418 children in August and 433 in September 2017 during treatment at BRD medical college in Gorakhpur are far less as compared to the deaths in the corresponding months in the previous years.

LUCKNOW Updated: Oct 04, 2017 15:16 IST
Abdul Jadid

Hindustan Times, Gorakhpur

Death of 418 children in August and 433 in September 2017 during treatment at BRD medical college in Gorakhpur are far less as compared to the deaths in the corresponding months in the previous years, reveals hospital data.

BRD medical college was in the news over the death of 30 children due to alleged disruption in oxygen supply on August 10 and 11.

The official data shows that the number of casualties dropped sharply in both August and September this year as compared to previous years. Last year, the total no of deaths in September was 601. In September 2014, and 2015 the hospital reported 563 and 635 deaths.

The September figure includes 186 deaths from encephalitis, the annual killer in East UP. Of the total deaths in September this year, 57 deaths have occurred in 96 hours between August 28 and September 1.
...

http://www.hindustantimes.com/lucknow/gorakhpur-brd-data-reveals-drop-in-death-rate-in-aug-sept-this-year/story-ADDv8BURKOEjsolcfiJikN.html

Comment: The figure of 186 Encephalitis deaths in September is not consistent with figures being reported from the Jagran which counts 95 Encephalitis deaths from Sep 1-28. I'm not sure why deaths from late August are included in September's tally. - Ro

[Ronan Kelly]

14 dead in 24 hours in BRD
Publish Date: Wed, 04 Oct 2017 10:01 PM (IST) | Updated Date: Wed, 04 Oct 2017 10:01 PM (IST)

Gorakhpur

In 14 hours, 14 died in BRD Medical College in the last 24 hours. Of these, nine were admitted to Newborn ICU while five were in the Pediatric ICU. In the pediatric ICU, there were three infections in the dying mosquitoes. Two adults died from Insefhytitis. The five people who died from the disease include Kanhaiya, five years of Gorakhpur, 12 year old Shilpi of Deoria, eight years of Manisha of Siddhartha Nagar, 30 years of Madhusudan of Bihar and 50 years of Shani Devi of the settlement. During this time 23 new patients of Insefitis were admitted. These include eight of Gorakhpur, three of Deoria, six in Kushinagar, two in Bihar and Basti and one each from Maharajganj and Siddhartha Nagar. 135 patients are being treated in Nehru Hospital. Since January this year, 1391 patients have been admitted in the BRD Medical College, out of which 135 have been admitted.

http://www.jagran.com/uttar-pradesh/gorakhpur-city-medical-college-16810349.html

[Ronan Kelly]

17 killed in 24 hours in BRD
Publish Date: Thu, 05 Oct 2017 01:34 AM (IST) | Updated Date: Thu, 05 Oct 2017 01:34 AM (IST)

Gorakhpur

17 died in the past 24 hours in Baba Raghavdas Medical College. This includes recruitment of 11 newborn ICUs and 6 Innocent recruitment in Pediatric ICU. In these six, two children died from Incephalitis.

Among those who died of Incephalitis include Deoria's six-year Aman and four-year development of Bihar. During this 25 new patients were recruited. Among them, there are nine patients from Gorakhpur, four each from Maharajganj, Kusinagar and Deoria, two in Sant Kabirnagar and one each from Siddhartha Nagar and Gonda. 144 patients admitted to Nehru Hospital are undergoing treatment. Since January this year, 1416 patients of INSephalitas have been admitted in BRD Medical College, out of which 298 have died.

http://www.jagran.com/uttar-pradesh/gorakhpur-city-health-16811711.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 330. The Jagran reported 182 deaths at BRD to Aug 31 meaning that 116 deaths occurred between Sep 1 and Oct 4.- Ro

[Ronan Kelly]

15 dead in 24 hours in BRD
Publish Date: Fri, 06 Oct 2017 01:31 AM (IST) | Updated Date: Fri, 06 Oct 2017 01:31 AM (IST)
15 dead in 24 hours in BRD15 dead in 24 hours in BRD15 killed in the last 24 hours in Gorakhpur BRD Medical College. 11 children in
Gorakhpur

In the last 24 hours, 15 nurses died in the BRD Medical College. 11 children died in the newborn ICU while four died in the pediatric ICU. All four children were suffering from InSphealitis.

Among those who died of Incephalitis, six years of Gorakhpur's Alok, Sumit from Gondia, six-year-old Mujaffar and eight-year-old Mujaffar and 32-year-old Manju Devi and six-and-six-year-old Dhiraj of Bihar are included. Among the 19 new patients recruited are six in Gorakhpur, two in Deoria and Siddharthnagar, four in Kushinagar, two in Gonda and one each from Sant Kabir Nagar, Gonda and Bihar. Treatment of 142 patients admitted in Nehru Hospital Since January this year, 1435 patients have been admitted to BRD Medical College, out of which 303 have died.

By Jagran

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 335. - Ro

[Ronan Kelly]

Kerala
AES Death: PKD: Kakki , 54/M, D.o.D: 30.9.17, Sholiyur
http://dhs.kerala.gov.in/docs/transf...d_05102017.pdf

This is the 4th fatal case of AES reported in Kerala this year. - Ro

[Ronan Kelly]

Uttar Pradesh
Death of a young man with brain fever
Hindustan team, Moradabad
Last updated: October 5, 2017 8:30 PM
Death of a young man with brain fever


The youth died due to brain fever in Ruppur village of Thana area. The news of death caused a lot of chaos in the family. The villagers have raised the demand for cleanliness in the village.
On Thursday, JainulAvedeen, a resident of Ruppur village, died of brain fever. Jainul Avedi was having fever for a week. Karin was treating the youth with the doctors of the village. When the health of the young man got worse then he took his personal physician to Moradabad. When the doctor examined the young man, then the brain was confirmed to have brain fever. The family said that during treatment, the blood from the nose and mouth of the young man came and he died. From the news of death the young man's mother Sarvari fell unconscious. Father officers fall into the ground after being gobbled up. The family got angry. The deceased was the eldest of five sisters. He had studied Maulvi On the other hand, villagers say that there was no cleaning in the village for a long time. The spread of dirty water drains on the streets is spreading the disease. The village also gave Rabil Pasha the baby, the fever also has a fever.

http://www.livehindustan.com/uttar-pradesh/moradabad/story-death-of-a-young-man-with-brain-fever-1582406.html

[Ronan Kelly]

Uttar Pradesh
Encephalitis has taken five more lives
Publish Date: Sat, 07 Oct 2017 12:55 AM (IST) | Updated Date: Sat, 07 Oct 2017 12:55 AM (IST)

Gorakhpur:

In the BRD Medical College, there is no mention of the deaths due to infections caused by Insefalitis. During the last 24 hours, five more patients died in the medical college. Three patients died of Insefhytis Ward and two patients died in Medicine Ward. The number of people who died this year has increased to 308 this year.

Among the dead, most of the patients were from Kushinagar. Anas, Pawan and Gulaba devi were killed there. Inpatient patients of other districts were involved in the feudalism of Payal and Deoria of Gorakhpur. During the last 24 hours, 15 new infections were admitted to the Medical College. Those recruited include seven in Gorakhpur, three from Deoria, two in Siddhartha Nagar and one each from Kushinagar, Bihar and Mau. Till this year 1450 INSEFLITS patients have come to the medical college for treatment. Of these, 134 patients are still undergoing treatment.

By Jagran

Comment: An additional 33 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 341. - Ro

[Ronan Kelly]

Tamil Nadu
3 children, 20-yr-old woman die of fever in CMCH

TNN | Oct 7, 2017, 00:13 IST

Coimbatore: Three children and a 20-year-old woman died of fever at Coimbatore Medical College Hospital (CMCH) through Thursday evening and into the wee hours of Friday. While one of the children was from Alandur in Coimbatore, the other three patients were from Tirupur.
The hospital records showed that six-year-old Priyahasini from Alandur died of acute encephalitis. She was admitted on October 3 with fever and died on October 5 at 8.15 pm, when her condition deteriorated to sepsis and finally respiratory failure.
...
The other patients, 20-year-old Vanishree, 10-year-old Karanya and eight-year-old Sathyavathi hailed from Tirupur. Karanya, who was suffering from meningo encephalitis, was admitted on September 23 and died on Thursday evening, said hospital officials. Vanishree, who was shifted from Dharapuram Government Hospital at 7.27 pm on Thursday, died around 12.15am on Friday again of encephalitis. Sathyavathy's death was attributed to hypotension shock after viral fever.
...

https://timesofindia.indiatimes.com/city/coimbatore/3-children-20-yr-old-woman-die-of-fever-in-cmch/articleshow/60977811.cms

Comment: Tamil Nadu has reported 659 cases of AES, but not a single fatality to Aug 28. It will be illustrative to see if the deaths mentioned above ever get included in official figures. - Ro

Odisha
Fear of death hunts Malkangiri again, four children die of "mystery" disease

News Odisha
Malkangiri: The Naveen Patnaik government does not have learnt adequately from the recurrent occurrence of Japanese Encephalitis (JE) an Acute Encephalitis Syndrome (AES) that kill a number of infants in the tribal dominated Malkangiri district almost every year.

Located at a distance of around 650 km from Odisha capital Bhubaneswar, the tribal dominated Malkangiri which lost at least 102 due to the outbreak of Japanese Encephalitis and AES in 2016 has lost four children in the last four days.

Though the state health department is yet to confirm if the children were victims of JE, AES or any other form of encephalitis caused by viral or bacterial infections, - the recurrence of the disease has triggered panic among the local people.
...

http://newsodisha.in/content-details/Fear-of-death-hunts-Malkangiri-again-four-children-die-of-mystery-disease-5599

[Ronan Kelly]

Uttar Pradesh

16 killed in 24 hours in BRD
Publish Date: Sun, 08 Oct 2017 01:48 AM (IST) | Updated Date: Sun, 08 Oct 2017 01:48 AM (IST)

Gorakhpur

In the past 24 hours, 16 victims of BRD Medical College were killed. Out of this, 10 deaths occurred in the newborn ICU while six were in the pediatric ICU. One of these six children was suffering from encephalitis.

Among those who died of Incephalitis, the two-year Amikas of the settlement and Srikanth, 38, of Maharajganj are included. During this 20 new patients of Insefitis were admitted. Among them, Deoria has six, two in Kushinagar, five in Bihar, four in Maharajganj and one each from Gorakhpur, Basti and Balrampur. There are 130 patients recruited in different wards of Nehru Hospital. Since January this year, 1470 patients have been admitted to BRD Medical College, out of which 310 have been killed.

By Jagran

Comment: An additional 33 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 343. - Ro