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India Encephalitis 2019; 1,152 fatalities

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  • Uttar Pradesh
    Juvenile fever dies in Milak

    Publish Date: Wed, 13 Nov 2019 10:52 PM (IST)

    Jagran Correspondent, Milak: The teenager died of fever in Milak. Sahil Hussain's 14-year-old son Sahil Hussain, a resident of Muhalla Nasirabad, was studying in a junior high school in Nagar. He got high fever seven days ago. He was treated in a government hospital, but after the fever did not come down, the family admitted him to Ala Hazrat Hospital in Bareilly. He was referred to Mahajan Hospital. After referring to Narayan Hospital from Mahajan Hospital, he was admitted to Safdar Ganj in Delhi when his condition deteriorated during treatment. There was no benefit there, he was admitted to Delhi's GB Pant Hospital and was being treated. During treatment, the teenager died on Wednesday morning.

    A blood test of the deceased teenager during treatment in Delhi confirmed Japanese fever. On the death of Japanese fever, panic spread among other fever patients suffering in the city. PHC in-charge Dr. Mohit Rastogi said that he has no information about anyone suffering from Japanese fever. So far no such case has reached the government hospital. Let us tell you that in any hospital in which a person dies due to Japanese fever. The hospital immediately informs the Chief Medical Officer in this regard. So far no information has come from the CMO office from Delhi or any other hospital. Nevertheless, we are cautious and watch the developments.


    Blood slides of other fever victims in the area will be made and sent for examination. Free medicines will be distributed to fever victims. The body of Mitra Kishore was roused when he reached his house on Wednesday. The body of the student was taken to the cemetery in a hot environment and buried the body.

    On the other hand, doctors of the Health Department say that innocent people had died due to Japanese fever in cities of Northeast Uttar Pradesh like Gorakhpur etc. Cases of outbreak or death of Japanese fever in western Uttar Pradesh have not been heard in the light. The family of the deceased student is reported to have died of Japanese fever. The Health Department will investigate the matter.
    https://www.jagran.com/uttar-pradesh...-19754429.html
    Twitter: @RonanKelly13
    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

    Comment


    • Uttar Pradesh
      Is BRD College Hiding Encephalitis Cases by Creating New Illness Category?

      While the number of AES/JE patients has gone down, acute febrile illness patients have seen an alarming rise.
      Tarique Anwar 17 Nov 2019

      New Delhi: Is the Uttar Pradesh government’s claim that the number of patients suffering from Acute Encephalitis Syndrome (AES) and Japanese Encephalitis (JE) at Baba Raghav Das (BRD) Medical College in Gorakhpur has witnessed a sharp decline in the past two years a reality or an eyewash?

      Chief Minister Adityanath in August this year claimed to have reduced the number of AES/JE patients by 35% and deaths caused by the disease by 65%. In Gorakhpur division, officials claimed that AES/JE cases and deaths had decreased by more than 60% in the past two years.

      However, doctors in the college allege that the BRD administration is manipulating data, resulting in unrecorded acute encephalitis AES/JE patients. Even the unofficial data accessed by this reporter suggests so. A total of 331 patients — as per the data — have been found JE positive from January to November this year.
      ...
      Most of the children admitted under AFI category exhibit symptoms similar to encephalitis, yet are denied the AES number (which is assigned to AES patients to maintain a record), which shows a decrease in the number of encephalitis cases.

      There is, therefore, a growing fear that the actual number of encephalitis patients may be hidden by denying them an AES number and registering them under AFI category.

      More than 13% of JE cases have been found in AFI patients at BRD Medical College. This number is more than the number of patients found in AES. The finding of JE cases in AFI patients suggests that the actual number of encephalitis patients is being hidden.
      ...
      Documents accessed from BRD Medical College show that from January this year till date, of 492 cases of AES, 116 were found JE positive. Apart from this, a total of 1,563 AFI cases have been found in the same period in which 215 patients have been found JE positive.
      ...
      BRD Medical College Principal, Ganesh Kumar, has rejected any such data and reiterated the chief minister’s claim. “Around 87 patients of AES/JE had been admitted to the hospital in 2019, out of which 19 children died. In 2017, this number was recorded at 2,248, of which 512 had died while in 2018 the total number of footfall of AES/JE patients was at 1,047, with 166 deaths. In 2005, the worst in recent years, the disease had claimed the lives of more than 1,500 children.”.
      ...
      But sources in the hospital termed this as an eyewash. A doctor in the paediatric department said: “JE is generally accomplished by testing of CSF to detect virus-specific IgM antibodies. Categorising under the AFI category, instead of AES, the patients are denied proper diagnostic examination and medicine protocol. Several patients here have died here because of the JE, but records suggest they were suffering from AFI,” he said on condition of anonymity.
      ...
      https://www.newsclick.in/brd-college...lness-category


      Comment: Once again allegations that the official encephalitis numbers from Uttar Pradesh are being manipulated for political reasons.
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • Did BRD Medical College hide the actual number of encephalitis patients?
        November 9, 2019 by Manoj Kumar Singh 1 min read

        Gorakhpur The reduction in the number of AES / JE (Acute Encephalitis Syndrome / Japanese Encephalitis) patients at BRD Medical College Gorakhpur has come from efforts by the government or due to data alteration. This question has been arising prominently for the last two years. Recently, after receiving data related to AFI (Acute Fibrillary Illness) patients at BRD Medical College, there is a growing fear that the actual number of encephalitis patients is being hidden.

        More than 13 percent of Japanese encephalitis cases have been found in AFI patients at BRD Medical College. This number is more than the number of patients found in AES.

        The finding of JE cases in AFI patients is evidence that the actual number of encephalitis patients is being hidden and on this basis claims are being made for the end of encephalitis.

        A few months ago, the Yogi government claimed to have reduced the number of AES / JE patients by 35 percent and deaths by 65 percent. In Gorakhpur division, the officials claimed that there was a reduction of more than 60 percent in AES / JE cases and deaths in two years.

        These claims were always viewed with suspicion but no firm evidence was available. It was also learned that since the year 2018, patients are being admitted under AES / JE as well as another disease AFI (Acute Fibrail Illness). Most of the children are in it and their symptoms are similar to encephalitis, yet they are being admitted to AFI by not giving the AES number. This shows a decrease in the number of encephalitis cases.

        It is also necessary to mention here that the name of acute febrile illness was not heard in BRD Medical College before 2018. Physicians or responsible people here never used this medical term.

        Ever since BRD Medical College started categorizing patients with AES as well as AFI, dramatic cases of encephalitis have started to appear.



        In AES / JE, the patient exhibits fever as well as signs of fainting, tremors, dementia, whereas in AFI the patient has a fever of more than 37.5 C. The fever may last for 2–14 days. Along with this, the patient may complain of headache, dizziness, chills, muscle and joint pain and weakness. Malaria, scrub typhus, dengue, chikungunya are the main factors in AFI. AFI patients do not have symptoms of tremors, fainting, or insanity that distinguish them from AES / JE.

        Documents found from BRD Medical College show that from January this year till date, there were 492 case reports of AES in which JE positives were 116. Apart from this, there were 1563 case reports of AFI in the same period in which 215 positive JE have been found.

        Regional Medical Research Center (RMRC) located in the BRD Medical College campus tested the samples of 29 AFI patients on seven and nine months of October and found five JE positives. Among these, 11 scrub typhus patients were also found. Similarly, in August 2019, a sample of 114 AFI patients tested 21 JE positive and 56 scrub typhus. Of these 143 patients, 92 i.e. 64 percent are children below 15 years of age.

        According to information received from reliable sources of BRD Medical College, 215 (13.7%) patients of JE have been found in 1563 cases of AFI in 11 months this year. In addition, more than 350 (22.37%) cases of scrub typhus, 50 (3.14%) of dengue and 100 (6.39%) of chikungunya have been found.

        Research conducted on 1564 AFI patients in five states - Asom, Bihar, Chhattisgarh, Maharashtra, Andhra Pradesh, Tamil Nadu in 2011-12 - showed that 17 percent malaria, 16 percent dengue, 10 percent scrub typhus and 6 percent chikungunya Belonged to

        The research conducted so far found very few JE positives in AFI patients tested, but finding more than 13% JE positive in AFI patients in BRD Medical College is raising serious questions.
        http://gorakhpurnewsline.com/did-brd...itis-patients/
        Twitter: @RonanKelly13
        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

        Comment


        • Uttar Pradesh
          In more than half of encephalitis patients, the cause is 'unknown', doctors sweat to solve the problem
          Publish Date: Mon, 18 Nov 2019 07:38 AM (IST)

          Lucknow, JNN. There was undoubtedly a havoc in the state of encephalitis. The system of treatment has also improved. Pediatric Intensive Care Units (PICUs) have been made up to the CHC level, but accurate screening of the disease is pushing the situation back. The situation is that more than half of the patients have not been found to be the cause of encephalitis. Therefore, the column is being completed by mentioning 'unknown' in the report.

          In fact, the central government first declared 20 districts of UP affected by encephalitis. At the same time, in the communicable diseases department of the state government, 38 districts in the year 2017 and eight more districts in the year 2018 were covered under encephalitis. In such a situation, treatment arrangements were improved in these districts. PICUs were opened at CHC to provide locally to acute patients with acute encephalitis syndrome (AES) and Japanese encephalitis (JE). Pediatricians here were trained at KGMU, PGI and Dufferin Hospital. Its meaningful results were also achieved, but in many patients in the lab, doctors are still unable to find the true cause of the disease.

          How will the disease be eradicated: Encephalitis was investigated in other microbiology labs of the state including KGMU. Samples of 1,795 AES patients have been received since January. Among them, 699 confirmed the causes of encephalitis. In the remaining patients, the doctors have written the reason unknown.


          Most scrubtifus

          A total of 1795 AES patients were reported by Saturday. Scrubtiferous bacteria were found in 285 of these patients. Japanese encephalitis was detected in 199, chikungunya in 39, dengue in 65, typhoid bacteria in 17. Apart from this, herpes was found in three patients, leptospira in one, measles in three patients and more than one cause of disease in 87 patients. In the remaining patients, the cause of the disease was written unknown.

          Posted By: Anurag Gupta
          https://www.jagran.com/uttar-pradesh...-19767548.html
          Twitter: @RonanKelly13
          The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

          Comment


          • National
            From the latest NHM report to October (report date Nov 16); (+change since October 12 report)

            22,281 tests for JE (+2,785) of which 2,899 (+210) were positive. Andhra Pradesh 0 positive from 4 test (+3), Arunachal Pradesh (165 (=)/255 (+2)), Assam (2,010 (+74) /9,847(+511)), Bihar (0/13 (+13)), Chandigarh (0/55 (unchanged)), Chhattisgarh (1 (+1)/31 (+9)), Delhi (0/3 (+2)), Goa (0/3 (unch)), Karnataka (1 (=) /174(+43)), Kerala (0/24(+1)), Madhya Pradesh (0 (-14)/0) , Maharashtra (18 (+1) / 44 (+8)), Manipur (111 (=)/264 (=)), Meghalaya (169 (+26) /508 (+113)), Nagaland (15 (unch) /75 (unch)), Odisha (20 (+1) /85 (+23)), Tamil Nadu (6 (+3) /126 (+38)), Tripura (179 (+64) /1,491 (+475)), Uttar Pradesh (83 (+27) /7,597 (+1,141)), West Bengal (121 (+27) /1,682 (+553))

            422 (+42) AES deaths distributed as follows; Andaman and Nicobar Islands (1 (unchanged)), Andhra Pradesh (4 (unch)), Arunachal Pradesh (2 (unchanged)), Assam (131 (+1)), Bihar (4 (=)), Chandigarh (37 (unchanged)), D&NH (1 (unchanged)), Gujarat (9 (unch)), Haryana (3 (+1)), Karnataka (23 (+7)), Kerala (3 (unch), Madhya Pradesh (6 (-4)), Maharashtra (61 (+12)), Meghalaya (10 (+2)), Odisha (7 (unch)), Rajasthan (43 (+7)), Tamil Nadu (16 (+4)), Telangana (10 (+5)), Uttar Pradesh (6 (+1)), West Bengal (49 (+6))

            342 (+40) JE deaths distributed as follows; Andhra Pradesh 6 (+3), Arunachal Pradesh (1 (unch)), Assam (64 (+1)), Bihar (6 (=)), Chhattisgarh (0(-2)), Daman & Diu (1(unchanged)), Gujarat (5 (unch), Karnataka (22 (+19)), Kerala (7 (unchanged)), Madhya Pradesh (0(-6)), Maharashtra (9 (=)), Meghalaya (2 (+1)), Nagaland (2 (unch)), Odisha (111 (unchanged)), Rajasthan (69 (+24)), Uttar Pradesh (36 (=)), West Bengal (1 (unchanged)).

            https://nrhm-mis.nic.in/hmisreports/...d_reports.aspx
            https://nrhm-mis.nic.in/HMISReports/...jyIx6yiy4Q3foi


            Comment: Bihar has reported 212 total AES deaths (157 in Muzaffarpur & 55 in other districts), Assam has reported 2,603 cases of AES of which 631 tested positive for JE and 345 deaths (154 JE+ve) to Sep 30. There have also been reports of 6 deaths from Manipur , 3 deaths in Jharkhand, 14 total fatalities in Meghalaya, 51 in Uttar Pradesh, 65 in West Bengal and 1 in Uttarakhand, bringing the national toll to at least 1,152. These numbers should not be considered as complete - Ro
            Twitter: @RonanKelly13
            The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

            Comment


            • Child falls ill after double dose of JE vaccine in Odisha
              A child was taken ill after being allegedly administered double dose of Japanese Encephalitis (JE) vaccine in Badgaon village within Balikuda police limits.


              Published: 26th November 2019 11:44 AM | Last Updated: 26th November 2019 11:44 AM
              ...
              The district administration has launched 20-day vaccination drive to combat Japanese Encephalitis in the district. It has been targeted to vaccinate 2,64,033 children aged between one and 15 during the campaign which started from November 11 and will continue till December 10.
              ...
              https://www.newindianexpress.com/sta...a-2067244.html
              Twitter: @RonanKelly13
              The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

              Comment


              • AS/KRG/2019/39/1236 Assam Karimganj
                Acute
                Encephalitis
                Syndrome
                01 case 01fatality 23-09-19 25-09-19 Under
                Control
                Cases reported from Laxmicharan
                Road,Karimganj town, Girishganj BPHC. District
                RRT investigated the outbreak. State and District
                NVBDCP officials were informed. The deceased
                was 72 year old
                presented with fever, headache
                and altered mental status, had associated comorbid conditions like heart disease, diabetes and
                hypertension. Serum sample was collected and
                was positive for Japanese Encephalitis. The CSF
                sample was negative for Japanese Encephalitis.
                The latest reports of the deceased revealed patient
                died of bacterial meningitis. All cases were treated
                symptomatically. Fogging was done by NVBDCP.
                Health education given.
                Week 39 IDSP report: https://idsp.nic.in/WriteReadData/l8...1574835379.pdf

                JH/WSI/2019/39/1243 Jharkhand West Singhbhum
                Japanese
                Encephalitis
                04 00 25-09-19 28-09-19 Under
                Surveillance
                Cases reported from Village Kera, HSC Kera,
                CHC CKP. District RRT investigated the outbreak.
                State and District NVBDCP officials were
                informed. Case presented symptoms of fever with
                altered sensorium. A total of 04 samples collected
                and tested at MGM Medical college, Jamshedpur
                all were positive for Japanese Encephalitis. Active
                case search done. All cases were treated
                symptomatically. Health education given.


                Week 39 IDSP report: https://idsp.nic.in/WriteReadData/l8...1574835379.pdf
                Twitter: @RonanKelly13
                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                Comment


                • Uttar Pradesh
                  Student Suffering From Encephalitis Dies During Treatment
                  Kasturba Gandhi girl child student dies
                  Varanasi BureauVaranasi Bureau Updated Sat, 30 Nov 2019 11:30 PM IST

                  Night Ankita Gond daughter of Kasturba Gandhi Residential Girls School in Ratasad Kalan, Ratsad Kalan, resident of Jayaprakash Gond, daughter of Japrakash Gond, died on Friday while undergoing treatment at Gorakhpur Medical College. She was suffering from meningitis. The family accused the school administration of not caring for Ankita. While the warden described the allegations as baseless.
                  After coming home with Ankita's body, the family blamed the school administration and informed the police on Saturday. Ankita's parents allege that her daughter was not being taken care of properly by the school management. For this reason, his daughter fell seriously ill and when she became disabled, she was sent home from school. SO Gadwar Anil Chand Tiwari, who reached the spot on the complaint, took information about the complaint from Smita Tiwari, warden of Kasturba Girls School. During this time he also inspected the mess. On the family's demand, the police sent Ankita's body to the district hospital for post-mortem. In this regard, the school's warden Smita Tiwari said that the allegations being made against the school are baseless. Ankita did not come to school regularly. On November 8, her mother Nirmala Devi came here and took her away with her, since then she was away from school.
                  https://www.amarujala.com/uttar-prad...mpaign=rssfeed

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

                  Comment



                  • Uttar Pradesh
                    Youth suffering from encephalitis dies in Jaipur
                    Hindustan Team, Etah
                    Last updated: Mon, 02 Dec 2019 11:11 PM IST

                    The young man from the district died of a fever in a Jaipur hospital during treatment. On Monday, when the dead man's body reached village Shiv Singhpur, there was chaos in the family. Family members say that the youth could not escape even after undergoing treatment in Etah, Agra and Jaipur.

                    24-year-old Trimal Kumar son Soran Singh, a resident of Shiv Singhpur village near the city, had high fever at home eight days ago. When the fever came, the family admitted him to a private doctor. Whereupon two days later, the doctor advised to go to Agra, stating a meningitis. After that, the family reached Agra with a sick young man named Trimal. The condition of the youth did not improve even after two days of treatment and investigation in Agra. He also asked Agra to take the young man elsewhere. After which the family reached Jaipur with the ailing Trimal Kumar. Trimal Kumar died on Sunday afternoon while undergoing treatment at a Jaipur hospital.

                    The family arrived in the village on Monday afternoon with the dead body of Trimal Kumar. There was chaos as soon as the dead body arrived in the village. The relatives of the deceased youth say that he went from Etah to Jaipur for treatment of fever. Even after that, he could not save the sick young man.

                    https://www.livehindustan.com/uttar-...n-2879554.html
                    Twitter: @RonanKelly13
                    The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                    Comment


                    • Kerala
                      JE Death: KLM: Amal 11/M DoD 3.12.2019,Melila
                      http://dhs.kerala.gov.in/pdf2019/drcd_03122019.pdf
                      Twitter: @RonanKelly13
                      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                      Comment


                      • Uttar Pradesh
                        ICU ward overload from fever patients, one innocent killed

                        Hindustan team, Maharajganj
                        Last updated: Fri, 06 Dec 2019 12:05 AM IST

                        The outbreak of viral fever has increased with cold. Most innocent people are suffering from this disease. This has caused the district hospital's encephalitis ICU to be overloaded. Two-two innocent people are being treated on one bed. During treatment, one innocent died on Thursday morning. Doctors fear him of acute encephalitis syndrome (AES). Here, due to increase in fever patients, the health department has become worried due to the possibility of encephalitis. The CMO has issued instructions to medical officers in charge to do fever trekking of every fever victim.

                        A 15-bed encephalitis ICU ward is operated in the district hospital for acute fever of fever and encephalitis. Of this, a five-bed encephalitis ICU in a separate chamber for potential encephalitis victims has been secured. Children suffering from fever, dengue, chikungunya etc. are admitted to the ten-bed encephalitis ICU. Here, fever patients have increased as the cold has increased for a week. On Thursday, 21 children suffering from fever were admitted to the ten-bed encephalitis ICU. Out of these, Awadhraj (6 years) resident of Dubauli died during treatment.

                        Dr. Rakesh Srivastava of Encephalitis ICU said that the serum has been sent to sample pathology for examination. It will be reported on Friday. Avadhraj was having a shock with high fever. Depending on the symptom, he is suspected of acute encephalitis syndrome (AES).
                        https://www.livehindustan.com/uttar-...d-2885333.html
                        Twitter: @RonanKelly13
                        The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

                        Comment

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