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India Encephalitis 2018; 508 fatalities

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  • AES Death: WYD: Kavitha 25/F DOD 15.11.18,Porunnanoor
    http://dhs.kerala.gov.in/pdf2018/drcd_15112018.pdf

    Kerala has now reported 32 total cases of AES with 17 deaths. 5 cases, 2 fatal have tested positive for JE. 19 cases of Nipah with 18 fatalities (17 conf, 1 susp) have been reported this year.
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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    • Click image for larger version

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      http://nvbdcp.gov.in/WriteReadData/l...1542173591.pdf

      Comment: I remain skeptical of the numbers coming out of Uttar Pradesh. Up to June 29th 112 fatalities from 1,171 cases (9.6%) were reported. Since then 11 fatalities from 1,517 cases (0.73%). Media reports put the total number of deaths at a minimum of 156 and certainly indicate that many deaths are being classified as anything but AES.


      By my very incomplete count, 1 death from Chhattisgarh, 5 from Manipur, 18 total fatal cases have been reported in Kerala to November 16 in addition to 17 fatal cases due to Nipah, 7 from Madhya Pradesh, 2 from Maharashtra, 2 from Gujarat, 1 from Punjab, 5 from Uttarakhand, 6 from Tamil Nadu and 1 fatal case from Tripura.



      Thus the national toll is at a very minimum 506.

      By comparison the Health Management Information System (to October) is reporting 10,591 tests conducted for JE of which 1,216 have returned positive. Of those, 5,684 and 484 respectively were from Uttar Pradesh. The same report tallies 307 AES deaths & 140 JE deaths nationwide of which 16 AES and 83 JE come from UP. - Ro


      https://nrhm-mis.nic.in/hmisreports/...d_reports.aspx
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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      • Acute Encephalitis Syndrome 102 Female Alive November 10, 2018
        Time : 11:40 am
        City : BIJNOR
        Distt. : BIJNOUR
        State : UTTAR PRADESH
        Acute Encephalitis Syndrome 96 Male Alive November 10, 2018
        Time : 11:39 am
        City : BIJNOR
        Distt. : BIJNOUR
        State : UTTAR PRADESH
        Acute Encephalitis Syndrome 36 Female Alive October 27, 2018
        Time : 11:58 am
        City : BIJNOR
        Distt. : BIJNOUR
        State : UTTAR PRADESH
        ages are in months.
        http://idsurv.org/display-data.php
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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        • Interesting report from Gorakhpur, Uttar Pradesh;

          MOTHER,
          THEY ARE NOT COUNTING
          THE SMALLEST COFFINS
          Gorakhpur remains on sick list as the body blows keep coming.
          Despite the government's claims, children continue to die at Gorakhpur.
          BY ANIRUDDHA GHOSAL
          ...
          Sources at the ward maintained that from January till October 1, there have been a total of 218 deaths due to AES and JE, while 766 patients were admitted. Gorakhpur and Deoria accounted for more than half of the cases, while Gorakhpur has seen, at least, 36 deaths. A doctor, who didn’t wish to be named, said, “What is most worrying is that the mortality rate is very high at over 28 per cent. Last year, where there were a lot more deaths, this hovered at around 21 per cent.”

          The reason, a doctor claimed, was partly diagnosis. “This year, a lot of patients are being entered into the government’s records as suffering from Acute Febrile Illness (AFI), which, simply put, is high fever. So even if the patient dies of what is later found to be AES, the records don’t show that they had AES. This is a factor in the skewed numbers.”
          ...
          The numbers at the BRD Medical College are grim. As of September 1, the combined death toll of the neonatal intensive care unit (NICU) and the paediatric intensive care unit (PICU) was 1,637, with deaths at NICU accounting for 1,006 of these, said sources. Last year, for the same time period, this was at 1,812, with deaths at the NICU accounting for 1,101, said sources. In other words, the situation has improved from roughly 22 children dying every three days to 20 children dying every three days.
          ...
          The numbers at the BRD Medical College are grim. As of September 1, the combined death toll of the neonatal intensive care unit (NICU) and the paediatric intensive care unit (PICU) was 1,637, with deaths at NICU accounting for 1,006 of these, said sources. Last year, for the same time period, this was at 1,812, with deaths at the NICU accounting for 1,101, said sources. In other words, the situation has improved from roughly 22 children dying every three days to 20 children dying every three days.
          ...
          At the AES ward and the rest of Gorakhpur, posters and banners reiterate the government’s claims of vaccinating every single child for JE under its Dastak campaign. But sources in the paediatric and pathology departments pointed to a worrying trend: there have been 110 cases of JE till September, of which 23 were from Bihar. During the same period in 2017 this was at 83. Though the hospital officially denied this, sources said this indicated an increase of 24 per cent in the caseload.
          ...
          https://www.news18.com/news/immersiv...ld-deaths.html


          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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          • 22 NOVEMBER 2018 Last Updated at 7:56 PM | SOURCE: PTI
            Samajwadi Party MP demands 500-bed encephalitis ward be opened in Gorakhpur


            Gorakhpur (UP), Nov 22 Samajwadi Party MP Praveen Nishad demanded on Thursday that a 500-bed encephalitis ward be opened in the district as he submitted a memorandum asking the administration to ensure transparency in data of deaths due to the disease.

            SP members led by MP Nishad and party district president Prahlad Yadav marched from the BRD Medical College here to Commissioner's office and handed over a two-point memorandum addressed to the Governor.

            The MP said 98 per cent construction work of the 500-bed ward was completed during the previous Akhilesh Yadav regime but instead of opening it, the present government is focusing on construction of other encephalitis ward.
            ...
            https://www.outlookindia.com/newsscr...akhpur/1426294


            Twitter: @RonanKelly13
            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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            • From week 38 outbreak report: https://idsp.nic.in/WriteReadData/l892s/382018.pdf

              MN/UKH/2018/38/1272 Manipur Ukhrul Japanese
              Encephalitis 18 00 22-09-18 23-09-18 Under
              Control
              Cases reported from several areas of Lamlai
              Makha Leikai Imphal East District, Kaidem
              Leikai Khurai, Imphal East District, Near
              Limaram Water Fall, Bishnupur and Lumphou
              Kangpokpi Senapati District. District RRT
              investigated the outbreak. House to house
              survey done. Out of 18 blood samples collected
              and sent to State Referral lab JNIMS; 1 sample
              were positive for JE IgM ELISA. All cases
              treated symptomatically. Source reduction
              activities undertaken. Health education given.

              Week 39: https://idsp.nic.in/WriteReadData/l892s/392018.pdf

              AS/CCR/2018/39/1295 Assam Cachar Japanese
              Encephalitis 05 00 06-07-18 Under
              Control
              Cases reported from Village/SC Madhurbond, BPHC
              Lakhipur. District RRT investigated the outbreak. House to
              house survey done. All the 5 serum samples collected and
              tested at SMCH, Cachar were positive for JE (IgM ELISA).
              Fogging and source reduction activities undertaken in the
              affected areas. All cases treated symptomatically. Health
              education given.

              AS/GLP/2018/39/1298 Assam Goalpara
              Japanese
              Encephalitis 35 cases 01 fatality 09-08-18
              Under Surveillance
              Cases reported from several villages Pakhriguri, Makripori,
              Fofonga, Paharsingpara, Nayapara, Harimura, Dhaigaon,
              Rakshyasini, SC Godharbori, Rakshyasini, Dhaigaon, PHC
              Krishnai, Badahapur, Harimura, Block Mornai. District
              RRT investigated the outbreak. House to house survey done.
              Out of 35 serum samples collected and tested at GMCH,
              Guwahati and DPHL, Goalpara 18 samples were positive
              for JE (IgM ELISA). Death occurred in a 25 year old male.
              Fogging and source reduction activities undertaken in the
              affected areas. All cases treated symptomatically. Health
              education given.
              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

              Comment


              • Week 40 IDSP report: https://idsp.nic.in/WriteReadData/l892s/402018.pdf

                CT/SBT/2018/40/1327 Chhattisgarh Dantewada Japanese
                Encephalitis 01 case 01 fatality 30-09-18 04-10-18 Under
                Surveillance
                Case reported from Village Tilpara, SC
                Ganjenar, PHC Bacheli, Block Dantewada.
                District RRT investigated the outbreak. House
                to house survey done. Death occurred in 4yr old
                male child. Serum sample collected and sent to
                Baliram Kashyap Memorial Medical College,
                Jagdalpur was psotive for Je (IgM ELISA).
                Awareness regarding use of mosquito nets was
                done. Health education given.

                Week 41 IDSP Report: https://idsp.nic.in/WriteReadData/l892s/412018.pdf

                JH/GDA/2018/41/1352 Jharkhand Godda Japanese
                Encephalitis 09 00 09-10-18 10-10-18 Under
                Surveillance
                Cases reported from Villages Boarijore,
                Lohandia, Dakaita, Lalmatia. District RRT
                investigated the outbreak. House to house
                survey done. 5 blood samples collected and sent
                to RIMS, Ranchi were positive for JE (IgM
                ELISA). All cases treated symptomatically.
                Fogging and source reduction activities
                undertaken in the affected areas. Health
                education given regarding use of mosquito bed
                nets and personal protection measures.

                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                Comment


                • Woman dies of Japanese Encephalitis in AMCH, Dibrugarh
                  December 7, 2018
                  A Correspondent

                  Joysagar: Ranju Konwar (47) of Betonibam gaon under Netaipukhuri Police Station area of Sivasagar district died on Wednesday night. Sources informed that the woman was suffering from Japanese Encephalitis and was undergoing treatment in AMCH, Dibrugarh since some days.
                  ...
                  https://www.sentinelassam.com/news/w...mch-dibrugarh/
                  Twitter: @RonanKelly13
                  The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                    ...
                    http://nvbdcp.gov.in/WriteReadData/l...1544509054.pdf

                    Comment: I remain skeptical of the numbers coming out of Uttar Pradesh. Up to June 29th 112 fatalities from 1,171 cases (9.6%) were reported, 11 fatalities from 1,517 cases (0.73%) were tallied from July to October, then 23 deaths from 186 cases (12.3%) in the past month. Media reports put the total number of deaths at a minimum of 156 and certainly indicate that many deaths are being classified as anything but AES.


                    By my very incomplete count, 1 death from Chhattisgarh, 5 from Manipur, 18 total fatal cases have been reported in Kerala to November 16 in addition to 17 fatal cases due to Nipah, 7 from Madhya Pradesh, 2 from Maharashtra, 2 from Gujarat, 1 from Punjab, 5 from Uttarakhand, 6 from Tamil Nadu and 1 fatal case from Tripura.



                    Thus the national toll is at a very minimum 508.

                    By comparison the Health Management Information System (to November) is reporting 18,474 tests conducted nationwide for JE of which 1,896 have returned positive. Of those, 12,802 and 1,056 respectively were from Uttar Pradesh. The same report tallies 356 AES deaths & 153 JE deaths nationwide of which 17 AES and 89 JE come from UP. - Ro


                    https://nrhm-mis.nic.in/hmisreports/...d_reports.aspx

                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                    Comment


                    • Odisha

                      Massive intervention helps curb Japanese Encephalitis in Malkangiri
                      A massive vaccination drive along with a series of interventions and awareness programmes have ensured zero deaths due to JE virus.


                      Published: 12th December 2018 09:36 AM | Last Updated: 12th December 2018 09:36 AM | A+A A-

                      MALKANGIRI: With massive intervention on multiple fronts, the district administration has finally been able to control Japanese Encephalitis (JE).The mosquito-borne disease caused by JE virus had claimed at least 34 lives in the Koya tribe dominated villages in 2016. Two years hence, with an all-out war declared against the disease by the district administration, its recurrence has been prevented. Of the 103 deaths reported in 2016, about 34 were due to Japanese Encephalitis (JE) while the remaining were caused by Acute Encephalitis Syndrome (AES). No deaths due to JE have been reported in the last two years.

                      Massive vaccination drive, multiple strategies, series of interventions and awareness programmes undertaken by the administration with the active participation of all ASHA, AWW, health workers and PRI members in the last two years has helped in controlling JE trend in the district, Malkangiri Collector Manish Agarwal said.
                      ...
                      http://www.newindianexpress.com/stat...e-1910457.html
                      Twitter: @RonanKelly13
                      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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                      • Comment - Interestingly, these cases have not been reported by the NVBDCP, see post 144 above. - Ro

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                        ...
                        https://timesofindia.indiatimes.com/...w/67099190.cms
                        Twitter: @RonanKelly13
                        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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