India Encephalitis 2017: 1,228 fatalities

[Ronan Kelly]

Uttar Pradesh
CM: Lack of research made encephalitis major killer

TNN | Sep 17, 2017, 10:36 IST


LUCKNOW: Blaming lack of research for encephalitis becoming a major threat to lives of people in Uttar Pradesh, West Bengal and parts of Bihar, chief minister Aditya Nath Yogi asked director of SGPGIMS to send a research team to Gorakhpur to identify causes of the disease that manifests as brain fever.
The chief minister said, "Nobody paid due attention to the disease till 1977 and doctors kept dismissing it as an unknown killer disease. Had its causes been studied, we would have come a long way in its treatment." Yogi insisted SGPGIMS take up research in the eastern, central, western and Bundelk hand parts of the state to find out causes and treatment of the disease.
...
http://timesofindia.indiatimes.com/c...w/60717393.cms

Death of children in BRD is not new: CM Yogi

News18Hindi
Updated: September 16, 2017, 9:22 PM
Manmohan Ray,

Chief Minister Yogi Adityanath said at the death of innocent Muslims at Baba Raghav Das Medical College in Gorakhpur that this is not a new matter. CM said that he himself fought the battle of encephalitis from road to parliament. In the exclusive interview given to ETV / News18, Chief Minister Yogi Adityanath said, "Deaths are tragic. But it should not be politics. The media wrongly propagated this issue.

In our government, millions of children were vaccinated with encephalitis, but the media did not propagate this. "The

Chief Minister said that this is the first time that the number of deaths from encephalitis has decreased compared to the previous years. CM said that the deaths in BRD were linked to the lack of oxygen inadequate. The media wanted to make this issue sensational and she did the same.
...
https://hindi.news18.com/news/uttar-...n-1110298.html

Gorakhpur deaths: Police nab oxygen supplier in Deoria; all accused in FIR now arrested
More than 60 children, mostly infants, died within a week at the hospital last month. There were allegations that a disruption in oxygen supply - which occurred since the vendor hadn't been paid - had caused the deaths.

IndiaToday.in | Edited by Ganesh Kumar Radha Udayakumar
New Delhi, September 17, 2017 | UPDATED 10:57 IST

Manish Bhandari, the owner of a company (Pushpa Sales) that supplied oxygen to Gorakhpur's Baba Raghav Das (BRD) Medical College, has been arrested in Deoria, the news agency ANI reported.
...
http://indiatoday.intoday.in/story/g...1/1049744.html

Comment: The CM may not be aware of recent research showing that encephalitis patients have been linked with high rates of positivity for Scrub Typhus. I'm also happy to fact check his claim of reduced encephalitis deaths this year. See the post immediately before this - While fewer cases have been seen at BRD this year, the case fatality rate is within the range seen in the previous 6 years. For Uttar Pradesh as a whole, figures from NVBDCP are below.

Year // AES cases // AES deaths // JE Cases // JE deaths / Mortality rate
2017 // 1,842 // 213 / 128 / 4 to August 31 / 11.6%
2016 // 1,431 / 224 / 81 / 6 to August 31 / 15.7%
2015 // 1,027 / 135 / 56 / 4 to August 31 / 13.1%
2014// 1,098 / 228 / 36 / 5 to August 27 / 20.8%
2013// 977 / 199 / 69 / 6 to August 31 / 20.3%
2012// 1,429 / 228 / NA / NA to August 31 / 16.0%
2011// 1,071 / 150 / NA / NA to August 23 / 14.0%

The number of cases this year is much higher than usual, but the numbers of fatalities has remained about the same. As a result the cfr has dropped. Why have the numbers increased so much this year? Perhaps due to the inclusion of scrub typhus patients in the case definition? Who knows. Historically, most patients are referred to BRD but, this year, it seems like half of the cases are not making it there. That's unusual. Has UP suddenly improved primary care and is curing more patients before they deteriorate significantly? That is possible given that there should be a new treatment regimen in place for scrub typhus. There's no way of knowing the answer to this because I'm not at all sure that anybody is monitoring to see if the scrub typhus treatments are even being performed.

Another very real possibility is that parents are bringing their children home to die, rather than to BRD because of the ongoing exposure of the dysfunction of that hospital after the oxygen crisis in August. Any deaths at home would not be compiled in the official statistics.

The per cent of patients testing positive for JE has not changed much this decade in spite of any vaccination campaigns. I suspect that many patients remain untested. - Ro

[Ronan Kelly]

Uttar Pradesh
24 children died in 48 hours in BRD
Publish Date: Tue, 19 Sep 2017 12:57 AM (IST) | Updated Date: Tue, 19 Sep 2017 12:57 AM (IST)


24 children died in BRD Medical College in the last 48 hours. These include recruitment of newborn ICUs 11 and 13 children admitted to PiedriTIC ICU. Of the 13 out of these, 7 were inpatient patients.

Among those who died of Incephalitis, two year old Ragini of Gorakhpur, two years of Aman, five and a half years old, Arjuna of one and a half years, 55 year old Kamawati, one year of Faizan of Kushinagar, 10 years of Amravati, two years of lotus of Siddhartha Nagar And 30-year-old Gayatri of Bihar. Those recruited are ten in Gorakhpur, six in Kushinagar, 11 from Deoria, two in Basti, Bihar and Santakbirnagar and one each from Siddhartha Nagar and Mau. A total of 1103 patients have been admitted from BRD Medical College till January 1 of which 235 have been killed. 133 patients admitted in Nehru Hospital are undergoing treatment.

By Jagran
http://www.jagran.com/uttar-pradesh/...-16731776.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 267. - Ro

[Ronan Kelly]

4 more kids die of encephalitis in Gorakhpur, toll rises to 243
Gorakhpur, Sept 20 (UNI) After deaths of four more children due to encephalitis in Baba Raghav Das Medical college here today, death toll rises to 243.
According to official sources, the children, who died belonged to Sidharthnagar, Gorakhpur, Maharajganj and Deoria districts.
Sources said that 1140 patients of encephalitis were admitted in BRD medical college since last January 1, 243 of them have been died due to decease till date. 25 new patients were admitted in hospital today, while 133 patients were getting treatment.
...
Read more at http://www.uniindia.com/4-more-kids-...B4Tex2F2ZwP.99

18 killed in 24 hours in BRD
Publish Date: Thu, 21 Sep 2017 01:24 AM (IST) | Updated Date: Thu, 21 Sep 2017 01:24 AM (IST)

Gorakhpur: 18 died in 24 hours in the Department of Pediatrics of the BRD Medical College. There were four infections in it. During this 25 new patients were admitted.

According to the Medical College representative, the deceased include Bholu (six) of Belipar of Gorakhpur, Mohini (four) of Soharhatangarh, Aftab of Maharajganj (3) and Asha of Tiwari of Deoria (35) and Asha (35). Those recruited include six in Saurashtra, two from Siddhartha Nagar, three from Deoria, three from Bihar, three from Sant Kabir Nagar, two from Maharajganj, one in Barabanki, three from Kushinagar.

It is reported that 243 patients suffering from infections have died due to medical college in January. So far 1140 patients have been admitted here this year. There are currently 133 patients suffering from Infephitis.

http://www.jagran.com/uttar-pradesh/gorakhpur-city-encephelitis-16742364.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 275. - Ro

[Ronan Kelly]

18 killed in 24 hours in BRD
Publish Date: Fri, 22 Sep 2017 01:54 AM (IST) | Updated Date: Fri, 22 Sep 2017 01:54 AM (IST)

Gorakhpur: 18 died in 24 hours in the Department of Pediatrics of the BRD Medical College. Five of them have died from encephalitis. During this 20 patients were admitted.

According to the Medical College representative, those who died of Incephalitis included Deewasi (nine), Suraj (five), Kushinagar's Deepraj (12), fraction (one) and Santakbirnagar (three) degrees. Those recruited include nine from Gorakhpur, two from Kushinagar, three from Dewaria and Maharajganj, one each from Bihar, Siddharthnagar and one from Patna. In the BRD Medical College, till date, 1160 patients suffering from Incepta have been admitted since January. Of these, 248 patients have died. At present, treatment of 138 patients is being carried out in the Insefhytis Ward of Nehru Hospital.

By Jagran

http://www.jagran.com/uttar-pradesh/gorakhpur-city-encephelitis-16747975.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 280. - Ro

[Ronan Kelly]

Uttar Pradesh
Swine Flu: This time the worst killers in ten years
Hindustan team, Lakhimpurakiri (Lakhimpur Kheri)
Last updated: September 21, 2017 5:13 PM


Record swine flu has broken this time in the last ten years in District Kharihi of Terai. So far 11 patients have been confirmed this year. All the patients have been confirmed in the report from Lucknow. Swine flu patients include five people in the city. With this, 26 children in the district have died due to JE and AES so far. This time in Jill the swine flu is also being attacked. Five people of the city have been affected by this disease. At the same time, two in Isanagar, one in Behzam, one in Magalgun, one patient in the palia has been affected by swine flu. All patients are being treated in Lucknow. The Health Department has fed all the sufferers of Tammy Flu medicine. Along with that, people are being made aware about keeping awareness as well as with cleanliness. In addition to the six cases of Japanese encephalitis in the district, There have been 102 patients of AES. 26 of these children have died. In which six children from JE and 20 children from AES died. A child has become disabled. The victims of this swine flu were Satya Prakash Yadav Pipariya Rajapur, Genre Saxena Mishana, Rakesh Kumar Eesanagar, Chhanda Devi Kashinagar, Faizan Behezam, Ritu Soni Maglanganj, Pradeep Chaudhary Housing Development Colony, Jayachand Paliya, Pushpa Devi Issanagar, Shashiraj belongs to Ramnagar. Swine flu viruses are activated due to the changing weather and deterioration in temperature. Swine flu can happen to anyone. Swine flu is a disease spreading through influenza viruses found in pigs. Doctors believe that while there is no sunlight or light, swine flu viruses not only spread, but also attack people by becoming stronger. If symptoms appear, then immediate doctors should go to the doctor immediately after treatment. The health department has issued alerts regarding swine flu. Symptoms long fever, eyes have become red Throat damage, muscular pain, points to the symptoms of swine flu. Severe headache, coughing, Feeling weak is also a symptom of swine flu. Swine flu seems to be very cold. Provisions- Keep a hand or handkerchief in the mouth during a cough or spray. Can be rested for up to 2 months using a medicine named Enflo genom. - It is necessary to take this medicine every two months in the swine flu. -Some Ayurvedic remedies can prevent swine flu virus from growing. Just go to the patient wearing a mask. All infected diseases, including swine flu, can be avoided using guilloy, cardamom, and camphor, javitri, teak leaf, basil, turmeric etc.

http://www.livehindustan.com/uttar-pradesh/lakhimpur-khiri/story-swine-flu-this-is-the-worst-time-of-ten-years-1556531.html

[Ronan Kelly]

65 fever deaths in TN this year

TNN | Updated: Sep 21, 2017, 23:53 IST

CHENNAI: Fever deaths in Tamil Nadu touched 65, more than double the number of cases in 2016, raising concerns among public health experts across the state.
According to the directorate of public health, while 16 people died of H1N1, an equal number of them died due to dengue. Besides, there were 33 more deaths due to meningitis, encephalitis and leptospirosis. Around the same time last year, there were three dengue deaths and three H1N1 casualties.
...

http://timesofindia.indiatimes.com/city/chennai/65-fever-deaths-in-tn-this-year/articleshow/60786576.cms

Comment: To Aug 31 this year, Tamil Nadu has reported 659 cases of AES to the NVBDCP of which 22 were tested positive for JE. Astonishingly, not a single fatality has been recorded. The above article implies that some fatalities have in fact occurred that, for whatever reason, are not making it as far as the national statistics. - Ro

[Ronan Kelly]

From Week 33 IDSP report: http://idsp.nic.in/WriteReadData/l892s/332017.pdf

MG/WGH/2017/33/120 3
Meghalaya West Garo Hill Japanese
Encephalitis
05 cases 01 fatality 09-08-17 14-08-17
Under Surveillance
Cases reported from Village Under Darengre,
PHC SWGH Salasategre. Block WGH
Bairegrepara. District RRT investigated the
outbreak. House to house survey done. Out of
05serum samples collected sent to at District
Priority lab Tura, 03 samples were positive for JE
(IgM ELISA). Health camp organized and all
cases treated symptomatically. Health education
given.

From Week 34 IDSP report: http://idsp.nic.in/WriteReadData/l892s/342017.pdf

BH/ARW/2017/34/1227 Bihar Arwal
Herpes Simplex Encephalitis
01 case 01 fatality 17-08-17 23-08-17
Under Surveillance
Case reported from Village Narnia, SC/PHC
Manikpur, Block Kurtha. District RRT
investigated the outbreak. Case was 18 months old
male child, tested positive for HSV1 and 2 at
ANMCH, Gaya

MH/JLN/2017/34/1247 Maharashtra Jalna
Japanese Encephalitis
01 case 00 fatalities12-08-17 Under Surveillance
Case reported from Village/PHC Kumbhar Pimpalgaon, Block
Ghansawangi. District RRT investigated the outbreak. House
to house survey done. Out of 19 serum samples tested, 01
serum sample found positive for JE and all 05 blood samples
tested negative at Civil Hospital, Jalna. Case treated
symptomatically. Health education given

[Ronan Kelly]

Uttar Pradesh
Five deaths due to insufflation in BRD
Publish Date: Sat, 23 Sep 2017 01:58 AM (IST) | Updated Date: Sat, 23 Sep 2017 01:58 AM (IST)

Gorakhpur: Five deaths due to insufficiency in 24 hours in BRD Medical College During this 20 patients were admitted.

According to the Medical College representative, the deceased include Foolmati (65 years) of Bihar, Bihar addressless (seven years), Kushinagar's Golu (four years), the joy of the Campfireganj of Gorakhpur (one year), Sigra of Siddharthnagar (six years) Are there. Those recruited include four from Gorakhpur, two from Siddhartha Nagar, five from Deoria, two from Basti, two from Maharajganj, five patients from Kushinagar.

Since January, 253 patients suffering from infections in medical college have died. So far this year 1180 patients have been admitted for treatment. At present, 140 patients are undergoing treatment in Insefalitis Ward.

By Jagran

http://www.jagran.com/uttar-pradesh/gorakhpur-city-encephelitis-16753584.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 285. - Ro

[Ronan Kelly]

Uttar Pradesh
14 children died in 24 hours in BRD
Publish Date: Sun, 24 Sep 2017 01:12 AM (IST) | Updated Date: Sun, 24 Sep 2017 01:12 AM (IST)

Gorakhpur

14 children died in 24 hours in BRD Medical College Among them, ten were born in the newborn ICU while four were admitted to the Piedri Medical ICU. One of these four children was suffering from encephalitis.

Among those who died of Incephalitis, nine-year-old Dilip of Sivan Bihar and 24-year-old Shehnaz of Kushinagar are included. Those recruited are Kushinagar's four, Deoria and Siddharthnagar, two in Bihar, three from Bihar and one each from Gorakhpur, Balrampur, Maharajganj and Ballia. There are 137 patients of recruitment infections in different wards. As many as 1195 patients have been admitted since January this year, out of which 255 have died.

By Jagran
Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 287. - Ro

[Ronan Kelly]

Bihar
Alarm bells as Jap Encephalitis surfaces in persons vaccinated against the disease
Patna district epidemologist Prashant Kumar confirmed two persons vaccinated against JE earlier had been detected with the affliction and one of them, a girl child, had already died from the disease.

INDIA Updated: Sep 24, 2017 18:38 IST
Binod Dubey
Hindustan Times, Patna

Even as the recalcitrant dengue and chikungunia viruses have continued attacking the people in Bihar, the detection of fresh cases of Japanese encephalitis (JE) has added to the worries of the health planners and doctors in the state.

What has disturbed doctors the most that even persons who have been immunised against the JE virus, have been afflicted by the life threatening disease. Two such cases have been detected in Patna district, of which one patient succumbed to the vector-borne infection.

Confirming the development, district epidemologist Prashant Kumar told HT on Sunday that two JE patients ? one each from Maner and Masaurhi in Patna district- had already been immunized against the Japanese encephalitis virus. The afflicted girl child from Masaurhi later died of the disease, he added.
...

http://www.hindustantimes.com/india-news/alarm-bells-as-jap-encephalitis-surfaces-in-persons-vaccinated-against-the-disease/story-fK1zeiKC86JayeQhVFJpDO.html

[Ronan Kelly]

Uttar Pradesh
11 deaths in two days from [encephalitis]
Publish Date: Tue, Sep 26, 2017 01:06 AM (IST) | Updated Date: Tue, 26 Sep 2017 01:06 AM (IST)

Gorakhpur: There is a continuation of deaths due to Insefitis in Purvanchal. In the last two days, 31 new patients were admitted in the BRD Medical College and 11 others died. 129 patients admitted to Nehru Hospital are undergoing treatment.

Those who have died, three years of Kushinagar's Pritam, three years of ideal, four years of Golu, two-and-a-half year old Shivangi, 15 years old Suraj, four years of Sant Kobirnagar, Rajan, 21 year old Anushka, 15 year old Pawan of Maharajganj, one and a half Radhika of the year and Anjali, 11, and Anmol, five years of Bihar.

During this 31 new patients were recruited. Among them are seven-seven in Gorakhpur and Kushinagar, four in Deoria, Siddharthanagar, Santakbirnagar and Maharajganj and three-three settlements and one patient of Mau. Since January 1 this year, 1226 patients have been admitted in Medical College, out of which 265 have been killed.

By Jagran

http://www.jagran.com/uttar-pradesh/gorakhpur-city-11-deaths-in-two-days-from-insufflation-16769437.html

Comment: 255 deaths were reported at BRD to Sep 24. These 11 deaths would raise the toll to 266. I'm not sure why the number quoted is one lower. An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 297. - Ro

[Ronan Kelly]

16 killed in 24 hours in BRD
Publish Date: Wed, 27 Sep 2017 01:59 AM (IST) | Updated Date: Wed, 27 Sep 2017 01:59 AM (IST)

Gorakhpur

In the last 24 hours, 16 more innocent people died in BRD Medical College. Of these, eight children were admitted to newborn ICU while eight were in the pediatric ICU. The patients recruited in the PICU were two patients of Insephalitis.

These include the one-and-half year old Arshad of Gorakhpur and seven-year-old Lakshmina of Kushinagar. Those recruited during this period, there are two patients in Gorakhpur and Deoria, five from Kushinagar, four in Maharajganj and one each from Sant Kabir Nagar, Gonda, Bihar and Siddhartha Nagar. Still, 119 patients admitted in different wards are undergoing treatment. Since January this year, 1243 patients have been admitted to BRD Medical College, out of which 267 have died.

By Jagran

http://www.jagran.com/uttar-pradesh/gorakhpur-city-medical-college-16775176.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 299. - Ro

[Ronan Kelly]

12 dead in 24 hours in BRD
Publish Date: Thu, 28 Sep 2017 01:32 AM (IST) | Updated Date: Thu, 28 Sep 2017 01:32 AM (IST)

Gorakhpur

In 12 hours, 12 died in BRD Medical College in the last 24 hours. Of these, six children were admitted to newborn ICU while six others were admitted to Piedraic ICU. The PICUs had three infections in patients with three infections. [3 patients with encephalitis - Ro]

These included six years of Aastha of Basti, Kushinagar's twelve-year-old Aarti and nine-year-old Kishan of Deoria. During this, 25 new patients of INSaphylites were admitted. These include five of Gorakhpur, seven in Deoria, four in Maharajganj, three from Kushinagar and Basti, two in Bihar and one in Siddhartha Nagar. 131 patients admitted in Nehru Hospital are undergoing treatment. Since January this year, 1268 patients have been admitted to BRD Medical College, out of which 270 have been killed.

http://www.jagran.com/uttar-pradesh/gorakhpur-city-medical-college-16780135.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 302. - Ro

[Ronan Kelly]

Comparing Encephalitis numbers at BRD to previous years:
Year // Cases // Fatalities // Mortality Rate // Date
2017 // 1,268 // 270 // 21.3% // Sep 28
2016 // 1,168 // 306 // 26.2% // Sep 27
2015 // 1,150 // 234 // 20.3% // Sep 27
2014 // 1,355 // 381 // 28.1% // Sep 27
2013 // 1,527 // 309 // 20.2% // Sep 28
2012 // 1,757 // 343 // 19.5% // Sep 28
2011 // 1,989 // 289 // 14.5% // Sep 27
2010 // 2,354 // 361 // 15.3% // Sep 28

A lower proportion of Uttar Pradesh's cases than usual is being admitted to BRD. Of those admitted, the case fatality rate is within the range seen this decade. I'm not seeing any improvement in outcomes this year. - Ro

[Ronan Kelly]

16 killed in 24 hours in BRD
Publish Date: Fri, 29 Sep 2017 02:19 (IST) | Updated Date: Fri, 29 Sep 2017 02:19 AM (IST)

Gorakhpur

In the past 24 hours, 16 victims of BRD Medical College were killed. There were seven deaths in the newborn ICU while nine children died in pediatric ICU. Four of those who died in the PICU were suffering from encephalitis.

These include seven years old Rashtrapati of Kushinagar, Shivkumar of 16 years of Gorakhpur, Kumkum of seven years of Siddhartha Nagar and eight years of Raj of Maharajganj. During this 27 new patients were recruited. These include four of Gorakhpur, five of Siddhartha Nagar, four in Deoria, two in Maharajganj, seven in Kushinagar, three from Bihar and one each from Balrampur and Gonda. Nehru Hospital has been treating 142 patients. As many as 1295 patients have been admitted from BRD Medical College till January 1 of which 274 have been killed.

By Jagran

http://www.jagran.com/uttar-pradesh/gorakhpur-city-health-16785840.html

Comment: An additional 32 encephalitis fatalities have occurred at facilities other than BRD bringing the state toll to 306. - Ro