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Bihar: Unidentified disease kills 56 children - undetermined encephalitis - samples negative for JE, Nipah and Chandipura

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

http://timesofindia.indiatimes.com/...r-encephalitis-deaths/articleshow/8928481.cms

RJD slams govt for encephalitis deaths

PATNA: RJD has said it was unfortunate that state health minister was fiddling in Gujarat when the CM was visiting China, as a result of which there was nobody to take care of kids dying of encephalitis in different parts of Bihar. In Muzaffarpur alone, 27 kids have lost their lives but the state's health department was sleeping, the party said.

In a joint statement, RJD MP Ramkripal Yadav and national president of Yuva RJD Alok Mehta said that districts like Sheohar, East Champaran, Sitamarhi, Siwan and Gopalganj, apart from Muzaffarpur, are badly in grip of the disease. But, nobody was bothered even as the disease was taking a heavy toll.

They said the officials of the health department geared up and visited Muzaffarpur only after the CM arrived here from China tour. Despite the direction of the principal secretary of health department, neither any special ward was created in Shri Krishna Medical College and Hospital (SKMCH) nor any child specialist and paramedic was deputed there to take care of the kids, the RJD leaders said. Moreover, the government focused only on Muzaffarpur, whereas other districts are also badly affected by the disease.

The two leaders demanded that both the health minister and CM explain why was the government in deep slumber when the kids were dying in Bihar.
 
Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Source: http://www.hindustantimes.com/Myste...-Bihar-toll-28-in-a-week/Article1-711778.aspx

Mystery fever claims 13 more kids in Bihar, toll 28 in a week
HT Correspondent, Hindustan Times
Patna, June 20, 2011
First Published: 23:50 IST(20/6/2011)
Last Updated: 23:53 IST(20/6/2011)

With 13 more children dying in north Bihar in the past 24 hours due to a kind of fever whose causes are unknown, the death toll has gone up to 28 in the last one week. The official figure, however, is 22. As the Bihar health administration grapples with the crisis, the Union health ministry announc
ed that a central team of doctors would leave for Muzaffarpur on Tuesday.

The three-member team consists of Dr SK Jain, joint director of National Centre for Disease Control; BR Thapar, joint director of the National Vector Borne Disease Control Programme; and Dr IP Choudhary, senior specialist (paediatrics) at the Safdarjung Hospital.

?An Indian Council of Medical Research expert from the Rajendra Memorial Research Institute of Medical Sciences, Patna, who is already in the field with National Institute of Virology (Pune) team, would also coordinate with this central the team,? a health ministry official said.

Fifteen children had died in Muzaffarpur, 75 km from Patna, last week. The toll rose by 13 more on Monday, even as reports of more children being admitted to hospitals in Motihari, 100 km from Patna, streamed in.

Health minister Ashwini Kumar Choubey rubbished rumours that it was an outbreak of encephalitis, the disease that kills several children every year between May and July in the same geographical area.

Bihar principal secretary (health) Amarjit Sinha, who visited the Medical College Hospital, which has reported 12 of the 28 casualties, also claimed ?it was not encephalitis?.

Dr Sunil Kumar Shahi, deputy superintendent of the Shri Krishna Medical College, said, ?The symptoms include severe headache, high temperature, nausea and vomiting followed by comtaose conditions.?

Choubey said, ?Samples have been sent to laboratories in Pune and Kolkata.?
 
Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Encephalitis claimed three more lives of children


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Jun 19, 07:55 pm​
Jun 19, 07:55 pm


19GAN08-1_1308513329_m.jpg


Havoc on the eighth day

-​
- Two-seven, eight new patient recruitment, critical

-​
- City legislators reached the hospital, Health Minister today reviewed the arrangements will
Muzaffarpur, Casn: Encephalitis in the district is not to stop the havoc. The eighth day on Sunday 3 children Mitnsray little sage, and Subhash Kanti Skra the Bittu and seizing and killing the 8 children were admitted to hospitals. All children are struggling with life and death. Meanwhile, Suresh Sharma Nagar MLA, took stock of children admitted shooting the two-hospital treatment and advised the hospital management did not forget to exercise. Given the gravity of the situation and spoke to the health minister Ashwini Choubey exposed to commodity status.Be aware of the case on Monday will be the Health Minister, Mr Choubey. Mr. Choubey said to protect children on the phone a core government - leave nothing to chance. Pune sample was examine his report which will come on time. There will also be special ward for children in distress. :tiphat:http://translate.googleusercontent....1.html&usg=ALkJrhhKMuN1GC92ygrvAj7ZNW8F36htHw
 
Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Wait to report the death of three


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Jun 20, 12:57 am​



Muzaffarpur, the office's Encephalitis health agency's intention to avoid the havoc once again on the Sunday in question. Receive a report within twenty four hours of sample collection and the middle of three children who came to Patna on Saturday was Armai Unne sample collection team took the last breath. Recruitment Sudha Kumari, Soni Kumari and Little Miss family was inconsolable screaming from the hospital environment. If family members have alleged that the report might be appropriate treatment.

Useless to order
On the other hand the poor patient treatment in private clinics with the borrower, the return of their child dying. Poor medication, treatment costs and provide free ambulance service in case of referral of the health system is not far from layoffs. Civil hospital complex having no special help line to help the poor take up the patient nor the other is to get support
.
The doctor took a sample
The Skemsiac encephalitis in three patients dying child's life specialist Dr. Gopal Shankar Sahni, check your level of CSF made on Sunday.

The patient's spine out of three water test conducted by Dr. tolerate normal amounts of protein in the cell and found that these patients suspected of suffering from encephalitis is nil. Police who investigated the Meenapur 6-year-old daughter to bear the Manikpur village Premlal Kajal Kanti Kumari and admitted on Saturday, police arrested the five-year-old daughter of the village, Manoj Prasad Chaupar village of small and Bochan Police Shambhu Ram's two-year-old daughter, Queen is. Dr. Sahni has claimed that the investigation will help in the treatment.


:tiphat:http://translate.googleusercontent....1.html&usg=ALkJrhjJrWy223W7bdKl6HybdzR8KbbrxA
 
Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 26 children - Japanese Encephalitis (JE) suspected

Raise the cost of Encephalitis
Jun 20, 11:20 pm

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20BVA24-1_1308592820_m.jpg


Said Health Minister
-​
Research on the disease, investigating the case will be made
-​
Minister took stock of two-and Skemsiac
- Special Care Unit today Skemsiac
-​
Will open with the help of the Center for Viral Testing Lab
-​
Expert team from Delhi will take the children's blood sample
-​
Havoc continues, five and recruitment, a death

Muzaffarpur, Office report last week caused the deaths of two dozen children arrived to assess the health minister Ashwini Kumar Choubey illness Monday evening Skemsiac and suffering of children in two-hospital source of the chest and was stunned by flashing her mouth. His lips' doctor is a very critical situation. " Kala-azar in the Skemsiac, with suspected encephalitis and fever with the patient to treat kala-azar, he raged and expert team asking MPs suspended by Dr. CP Thakur, who - what is it? His answer was - should be no different. Dr. Thakur said the government hospital and private hospital, 42 patients in the 19-20, it should be concerned and to strengthen the system of treatment.

Team MLA Suresh Sharma, Veena Devi, Ramsurt opinion that questioned the system to hide the system of public hospitals, not just need to discuss openly. Legislators from the Health Minister stressed that the night should increase the number of physicians in the emergency, arrangements and additional building should be examined. Dr. DK Sinha, the principal demand of Skemsiac 15 Lab technician ordered to fill the post.
Armai Minister Dr. Pradip Das, director of the affected villages and led to the hospital and will check. Skemsiac expressed satisfaction with the treatment system and management appreciate and Kejriwal's team of doctors, he said the government will bear him children would be spending on treatment. He ordered CS remind the voucher system of payment collection.
Deputy Superintendent Dr. Sunil Royal Skemsiac of them, Dr. Kamlesh Tiwari Vibagdhyksh Medicines, infant disease expert Dr. Mohan, Dr. Gopal Shankar Sahni, etc. The Board was Dr. JP.
The burn is not to stop the destruction of suspected encephalitis.
सोम​
On Monday, five children suffering from the disease were admitted for treatment in which a child was killed in a two hospitals. 28 deaths in the last seven days have thrown the sensation.:tiphat:http://translate.googleusercontent....6.html&usg=ALkJrhj_0v4jp5ZzukvS_C9YKrxpU_tTtQ
 
Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Is Acyclovir standard treatment for JE?

http://timesofindia.indiatimes.com/...amples-sent-to-Mumbai/articleshow/8931413.cms

Child death toll 25, blood samples sent to Mumbai

MUZAFFARPUR: Twenty eight children have perished in the attack of suspected encephalitis in this district in the last 10 days with six more deaths and four fresh admissions in hospitals in the last 24 hours, according to reports gathered from local hospitals and the countryside. However, Civil Surgeon Dr Arjun Prasad Singh told TOI on Monday that only 25 children have died so far.

The administration of both Kejriwal Hospital and Sri Krishna Medical College and Hospital (SKMCH) claimed that 11 children have so far died at each hospital. But none of the two hospitals has any record of six more deaths outside the hospitals. The Civil Surgeon, however, claimed that only three children have died outside the hospitals.

Meanwhile, the paediatrics department head of Kejriwal Hospital, Dr Rajiv Kumar informed on Monday that the patients have started responding to an ant-viral drug Acyclovir and there is a chance of checking casualties. Out of 16 patients still admitted in Kejriwal Hospital, four to five children may be discharged in a day or two, he claimed.

The Kejriwal Hospital administrator, B B Giri informed that the hospital is sending blood samples of child patients to Mumbai-based laboratory of Ranbaxy Pharmaceuticals, to which this hospital is associated. The result of the test is expected soon. Presently, symptomatic treatment of children is going on here. Dr Rajiv Kumar and Giri claimed that altogether 42 children were admitted to their hospital. Of them, five patients were referred to government hospitals on guardians' preference, 11 were discharged after treatment and 15 are still undergoing treatment.

At SKMCH, no doctor was ready to divulge anything on record. However, its records showed that out of 20 admitted to the hospital since June 14, 11 have died and the others are still being treated.

-------------

http://timesofindia.indiatimes.com/...sit-Muzaffarpur-today/articleshow/8931418.cms

Central team to visit Muzaffarpur today

PATNA: Chief minister Nitish Kumar on Monday said that Union health minister Gulam Nabi Azad has accede to the state government's request to send a Central team to the state to examine the mysterious disease afflicting children at Muzaffarpur which has claimed over two dozen lives till date.

He said that the samples taken by the doctors of the Rajendra Memorial Research Institute (RMRI), Patna, have been sent to the National Institute of Virology (NIV), Pune, and the National Institute of Communicable Disease (NICD), Delhi, for test. He said that during May-June, this disease recurs in the same region since a long time, now the time is opportune to investigate the causes of the disease so that precious lives could be saved beforehand.
Earlier, Nitish, who returned to Patna on Sunday after his tour of China, held a meeting with the chief secretary and the principal secretary, health, to take stock of the situation. He also wrote a letter to Azad to send a Central team to the state.

The RMRI doctors visited Muzaffarpur on Saturday after deputy CM Sushil Kumar Modi instructed principal secretary, health, Amarjeet Sinha, to despatch specialized doctors to Muzaffarpur to treat the affected children.

The state government has so far denied the disease to be Japanese Encephalitis, a disease caused by mosquito bites, wild bird or domestic pigs in which the virus gets transmitted to human body. The disease is most prevalent in Southeast Asia. State health minister Ashwini Kumar Choubey had earlier termed it as an "unknown" disease. Sinha had earlier said that the cases detected did not seem to be Japanese Encephalitis as it affects people of all age group residing in a particular area whereas in this case only children have fallen ill.

Sinha, while talking to TOI said, "Anything could be confirmed once the detail culture report comes out. The samples have been sent to the NIV, Pune, and NICD, Delhi, and reports are awaited." He said that a team from the NIV would come here on Tuesday along with the Central team which would examine the cases. Sinha further said that the RMRI would also be submitting its preliminary report on Tuesday. However, with a sigh of relief, he said now that it has stopped raining, no further case was detected on Monday. He put the official death toll figure to 22.

However, the locals have termed the mysterious disease in which the children affected have reported high fever, followed by unconsciousness and fits, as 'Chamki ki Bimari', similar to encephalitis, a disease that causes inflammation of the brain. More than three dozen children reportedly are undergoing treatment at different hospitals at Muzaffarpur.
 
Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Patna, June 20 (1ANS) The Bihar government voiced alarm after eight more children died in Muzaffarpur district, taking the toll from a mysterious disease sweeping the state to 28, officials said Monday.
:tiphat:http://www.bihartimes.in/Newsbihar/2011/June/Newsbihar20June5.html
 
Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Central team today in the city
<!-- Author Items Start --><!-- Author Items End -->

Three deaths, six new recruits

Mujffrpur: unknown diagnosis - on Tuesday to investigate the central team will visit Muzaffarpur. At the request of Chief Minister Nitish Kumar, Union Health and Family Welfare Ministry has decided to send the team.
Here, in Skemsiac a child, were killed on Monday, while two children died in Motipur. Six new children were admitted to hospitals. His condition is critical. The disease has so far killed 31 children.
.​
Meningitis in Pimsiac two children were killed, while three new children were admitted. The four-year-old Shahzad is Skra Muzaffarpur. State Health Minister Ashwini Kumar Choubey on Monday to inspect the hospitals.


Kumar had also requested
Chief Minister Nitish Kumar in Patna "in the court of public state program, said during the press conference has had talks with Union Health Minister Ghulam Nabi Azad.
.​
He is convinced that the central team is being sent, which will examine disease. The Chief Minister said that China reported the return of the disease, they call the Chief Secretary and Secretary of Health to review the position.
Muzaffarpur and around areas of several years, there is this unknown disease. The first prompt is being investigated.
.​
Health Department officials to collect samples for disease-specific probe Pune (Maharashtra) is being sent.Depth scientific investigation and analysis of the situation requires. Inseflaitis uproar locally is that it is Japanese.
Litchi production in areas that some say is the disease.

The disease was found in the Boston area. Health Department officials have Muzaffarpur. Doctors have been sent to. Based on the symptoms of the disease are treated.
RJD chief Lalu Prasad on Monday morning also met Union Health Minister Ghulam Nabi Azad. Said a senior official of the Ministry of Health and Family Welfare - The team has decided to send Mujffrpur. The team will leave Tuesday morning for Mujffrpur.

Health Minister, the baby has arrived Skemsiac ward, where the Nikkei, mascara and the Queen asked the families about the disease.
Infant Department Chair Dr. Mohan said the health minister is going to improve the condition of these children.
The minister met the families of children and treat them assured over. They come with kala-azar expert Dr CP Thakur, state BJP president and the health of the children examined. Minister Rajendra Memorial Research Institute of Medical Director Dr. Pradeep Das was led by a team of 11 doctors for six children's blood sample.
Team brought Dr. Rajaram Singh, Dr. Arun Kumar, Dr. Abdul Aziz and Dr. Ansari also examined the sick children. Skemsiac Kejriwal at the hospital after the Health Minister. He Rohan, Musrrat, Golu and inquired about the treatment of 16 children admitted with Neelu.
Child specialist Dr. Satyanarayana Choudhary informed the minister about the children. Secretary of Health Minister Raj Kumar Goenka Hospital Anailaisis the ABG machines, ventilators, said that the ventilation system. Minister MLA Suresh Sharma, Ramsurt Rai and Veena Devi was rushed to the hospital.

Minister's announcement
Skemsiac will open today in the special ward for children, providing ac
- All medical colleges in Bihar in a month will open Special Care Unit
- Will open in the state to identify disease Wayroloji Leboreti
- Ilakeka team of experts will visit sick children in the next 48 hours, 15 lab technicians in the restoration of Skemsiac will :tiphat:http://translate.google.com/transla...sl=auto&tl=en&u=http://www.prabhatkhabar.com/
 
Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

22 children die of mysterious disease in Bihar


Shoumojit Banerjee







Muzaffarpur/Patna: In an alarming outbreak of mild epidemic proportions, at least 22 children have died of an unknown seasonal disease in Bihar's Tirhut division, with the maximum number of deaths concentrated in and around the State's Muzaffarpur district.
Almost all the cases have been reported among children under 10 years and belonging to the backward sections.
The disease, to which doctors and health authorities have yet to pin a name, shows strong symptoms akin to a type of encephalitis. Health authorities, however, ruled out the possibility of Japanese encephalitis for want of symptomatic evidence.
?Usually one of the symptoms of Japanese encephalitis is the stiffening of the neck, which is absent in the cases here,? Amarjeet Sinha, Principal Secretary, Health, told The Hindu.
Eleven cases were reported from Muzaffarpur's Sri Krishna Memorial College and Hospital (SKMCH) in the last fortnight, while 10 deaths were reported from Kejriwal Matrisadan, a private clinic in the district.
Common symptoms
All the afflicted children were uniformly suffering from high fever, which gave way to convulsions and seizures, and were brought in a state of semi-consciousness. Some were reportedly in a dehydrated state owing to heat conditions in the area.
According to local doctors and health authorities, this alarming phenomenon has been recurring almost annually in this region and parts of eastern Uttar Pradesh, notably Gorakhpur district, since the 1980s.
Central team to be sent
New Delhi Special Correspondent writes:
The Centre has constituted a team to probe the outbreak the disease and it will leave for Bihar on Tuesday.:tiphat:http://www.hindu.com/2011/06/21/stories/2011062163682000.htm
 
Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 28 children - Japanese Encephalitis (JE) suspected

22 children die of mysterious disease in Bihar

According to local doctors and health authorities, this alarming phenomenon has been recurring almost annually in this region and parts of eastern Uttar Pradesh, notably Gorakhpur district, since the 1980s.

.:tiphat:http://www.hindu.com/2011/06/21/stories/2011062163682000.htm

Excellent find, Treyfish. Gorakhpur distirct in Uttar Pradesh is the location of the "AES" outbreaks that seem to kill hundreds of children every year, for which the cause is not fully clear. So this is apparently suspected to be the same illness.
 
Re: Bihar: Mysterious disease kills 31 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 31 children - Japanese Encephalitis (JE) suspected

:tiphat:we track it every year, this time it is a little different, no stiff necks and still unidentified.
 
Re: Bihar: Mysterious disease kills 31 children - Japanese Encephalitis (JE) suspected

Re: Bihar: Mysterious disease kills 31 children - Japanese Encephalitis (JE) suspected

http://www.deccanchronicle.com/channels/nation/north/encephalitis-toll-30-confusion-prevails-731

Encephalitis toll 30, confusion prevails
June 21, 2011 Correspondent Patna .aaa.Shareemailprint..Even as the number of children claimed by a suspected attack of encephalitis rose to 30 in Bihar on Monday, confusion prevailed over the causes of the disease that kills children by the scores in the state almost every summer.

While the death toll in Muzaffarpur rose to 27, two children died at a Patna hospital and one at Motihari, indicating that the disease, still being largely described here as mysterious and a result of the rising summer heat, could be spreading outside its familiar striking ground of Muzaffarpur district. The number of similarly sick children getting admitted to hospitals in various towns across Bihar grew to about 55 on Monday.
A concerned chief minister Nitish Kumar stressed the need for ascertaining the causes of the disease so as to enable effective treatment and said a Central team of health experts would shortly arrive from Delhi following his request to Union health minister Ghulam Nabi Azad. But Mr Kumar became irritated when he found journalists? questions about the state government?s response a bit more probing. In a mildly chiding tone, he said: ?Are you (journalists) experts on everything? If you all become medical experts, then doctors will push aside their medical degrees?.
Bihar health minister Ashwini Choubey cut short his tour of Gujarat and rushed to Muzaffarpur along with state BJP chief and well-known medical doctor C.P. Thakur on Monday. Dr Thakur, a former Union health minister, is a known authority on kala-azar. Both he and Mr Choubey, however, said it would be premature to call the current disease encephalitis.
In June 2010, suspected encephalitis killed about 35 children in Muzaffarpur district in a week. A frightening spread of encephalitis and cerebral malaria together had killed 103 children across Bihar between July and October 2009.
.
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Official figures for AES/JE and malaria in Bihar since 2007. It would seem that many of the outbreaks we have reported in past years remain undiagnosed. Last year we documented at least 20 encephalitis deaths - http://www.flutrackers.com/forum/showthread.php?t=147570 ;

AES/JE
Year -- Cases--Fatalities
2007--336--164
2008--203--45
2009--325--95
2010--50--7
2011 --0--0

Malaria
Year -- Cases -- Pf -- Fatalities
2007 --1535--735--1
2008--2541 --1712 --0
2009--3255-- 2408-- 21
2010(P)--1203-- 643 --3
2011 (to April)--143-- 42 --0
http://nvbdcp.gov.in/
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

This story is now being picked up internationally;

21 June 2011 Last updated at 06:29 ET
At least 28 children in India's Bihar state have died in the past week from an unidentified illness, officials say.

Officials said that all of the children were between two and eight years. They died in Muzaffarpur town, 80kms (50 miles) from the state capital, Patna.

Bihar Health Minister Ashwani Choubey told the BBC that a team of doctors from Delhi is visiting Muzaffarpur on Tuesday to diagnose the disease.

Local doctors say the symptoms are similar to Japanese encephalitis.

But, they say, an important symptom of Japanese encephalitis is a stiffening of the neck, which is absent from the Bihar cases.


On Sunday, Bihar Chief Minister Nitish Kumar told reporters that the disease had not been identified yet.

"Without identifying the disease how can we say what is killing the children there? The local doctors are giving treatment only on the basis of symptoms," he said.

Officials said blood samples of some of the ill children have been sent to the National Institute of Virology in Pune and National Institute of Communicable Diseases in Delhi for test and identification.

Meanwhile, local TV channels say a number of sick children are being admitted to hospitals across northern Bihar.
http://www.bbc.co.uk/news/world-south-asia-13852963
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Hindi to English translation

Encephalitis: ongoing havoc, one dead, five recruitment Jun 20, 07:24 pm - two-treatment in the atmosphere during the sad death of baby

- PHC in charge requested the report, Health Minister took stock

Muzaffarpur, Casn: in the district not to stop the scourge of hepatitis is suspected. 28 deaths in the last seven days have thrown the sensation. Suman's treatment of MOOSHAHARY after the death of his mother and father, Prince Sbujia Devi Mahato's economy. Back from the hospital doctors and staff Bndhakr Dandhs.Civil Hospital has been formed in the special ward baby syndrome expert Dr. Vimlesh Kumar made the charge. The two-hospital Meenapur Bahadurpur Nusrat, Kanti Lskripur Vikram, Shbajpur the Golu, Rohan Kumar of Dwarikapur Skra Ahiapur the Neelu Kumari and is being treated. Miss Nikki of the Mustfapur in Skemsiac being treated. Skemsiac the Deputy Superintendent Dr. Sunil Kumar Shahi, 6 children are being treated in the ward. Here visitors can get free treatment with the drugs free. 15 of 24 patients still in hospital deaths. In which 13 of 42 patients enrolled in two-hospital deaths. Infant disease specialists preferred physician, Dr. Arun Shah, Dr. Rajiv Kumar and Dr. BN Tiwari, Dr. JP Mandal, Dr. Gopal Shankar Sahni said, will reduce the number of patients due to cool weather. He suggested that parents keep the naked child in the changing seasons.

http://in.jagran.yahoo.com/news/local/bihar/4_4_7894317.html
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

http://www.promedmail.org/pls/apex/..._BACK_PAGE,F2400_P1001_PUB_MAIL_ID:1000,89016

Archive Number 20110621.1896
Published Date 21-JUN-2011
Subject PRO/EDR> Japanese encephalitis - India: (BR) susp, RFI

JAPANESE ENCEPHALITIS - INDIA: (BIHAR) SUSPECTED, REQUEST FOR
INFORMATION
*************************************************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

Date: Mon 20 Jun 2011
Source: The Hindu [edited]
<http://www.thehindu.com/health/policy-and-issues/article2120247.ece>


The Centre [National Centre for Disease Control? - Mod.SH] has
constituted a team to probe the outbreak of suspected Japanese
encephalitis [JE] in Muzaffarnagar district of Bihar that has resulted
in the death of 26 children. The team comprises Dr SK Jain, joint
director, National Centre for Disease Control (Delhi), BR Thapar,
entomologist from the National Vector Borne Disease Control Programme,
Delhi; and IP Choudhary, senior specialist (paediatrics), Safdarjung
Hospital. An expert from the Rajendra Memorial Research Institute of
Medical Sciences, Patna, who is already in the field with the National
Institute of Virology, Pune team, will also coordinate with the
central team. The team will leave for Bihar on Tuesday [21 Jun 2011].

In Muzaffarpur district, 4 more deaths were reported from the
"unknown disease" on Monday [20 Jun 2011] taking the toll to 26. The
disease has now been identified as Japanese encephalitis, which is
common in Uttar Pradesh during this season. 3 children died at
Kejriwal hospital, and another died at Sri Krishna Medical College
Hospital in Muzaffarpur in the past 24 hours. Around 30 children are
still being treated at the 2 hospitals.

The state health department has sent a team of experts from Regional
Malaria Research Institute (RMRI) in Patna to the district. The team
has collected the blood samples which have been sent to a specialised
laboratory in Pune for examination.

[byline: Aarti Dhar]

--
communicated by:
HealthMap Alerts via ProMED-mail
<promed@promedmail.org>

[This report is not clear about the diagnosis. It begins by stating
that JE virus infection was suspected, but later states that, "the
disease has now been identified as Japanese encephalitis".

The identification of JE virus as the etiological agent involved in
these cases is presumably the result of laboratory tests on the sera
of 4 patients submitted to the laboratory last week (see ProMED-mail
archive no 20110619.1879). It would be of interest to know which tests
were used and what their specific results were. It would also be of
interest to know if these patients, or others in the population, had
been vaccinated for JE virus.

A HealthMap/ProMED-mail interactive map of Muzaffarpur, Bihar, India
can be accessed at <http://healthmap.org/r/01v2>. - Mod.TY]
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

http://www.thehindu.com/news/national/article2124114.ece

Mystery disease on the wane in Muzaffarpur
Shoumojit Banerjee
Share ? print ? T+ No child has been hospitalised in the past 24 hours

Authorities in Muzaffarpur district said on Tuesday that all the children hospitalised with symptoms of encephalitis were showing signs of recovery. They said the mystery disease had so far claimed the lives of 24 children in the district and adjoining areas.

Addressing a press conference, Bharatiya Janata Party president and noted physician Dr. C.P. Thakur said the seasonal disease showed ?clinical symptoms of encephalitis.?

Dr. Thakur and Bihar Health Minister Ashwani Kumar Chaubey visited the Sri Krishna Memorial College and Hospital in Muzaffarpur on Monday evening.

Recovery
Doctors at the SKMCH told The Hindu that most of the children were showing signs of recovery and only a couple of patients remained to be discharged.

?No child had been admitted to the SKMCH in the past 24 hours,' said Dr. Braj Mohan, acting Superintendent of the hospital.

Patients started thronging government hospitals and private clinics in the district since the first week of June, with cases coming in from adjoining districts such as Sitamarhi, Sheohar and different pockets and blocks of Muzaffarpur.
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

The bolded sentences are included in the page translation at http://translate.googleusercontent....8.html&usg=ALkJrhip0PNElc1FcrMGOrrLF81Q0bf51Q, but get omitted when the original is copied and pasted into google translate.

Hindi to English translation

The team arrived, will visit villages Jun 22, 02:49 am
- including a joint team of Delhi, Pune and Patna experts and officials

- Skemsiac serum and blood sample taken from a child, seven-day report claims

- Two-one, died in the recruitment, hiring four new cases

Muzaffarpur, Office report: district, suspected encephalitis in the last eight days, the children are constantly on the death of Government is the color shown. On Tuesday, the central and state of the United team who went on a tour of the district have begun to arrive.Team expert in the National Institute of Virology in Pune and Dr. CG Raut, led by Dr. BB Tandle Tekineshianon five lab blood and serum of a child in the Skemsiac sample collection. He came to Patna Health Deputy Director of the Ministry of Health led by Dr. Aman Jain SK, Safdarjung Hospital, infant specialist, Dr. BR Thapar, Dr. IP Chowdhury Prisdn list of victims meeting with the district health managers and their directed to provide a map of the town until dawn. The children were killed in their villages and the team will study the environment. With the taking of samples of mosquitoes indoors will also see that the child which lived among animals. Patholaji Medical Officer Dr. BNR Das Armarai team that will be reported within seven days. Have tested too early without encephalitis. The symptoms are being treated at. Meanwhile, the suspected illness on Tuesday, another child died while enrolled in two-two-three new patients were admitted.The Skemsiac a new patient was admitted in the late evening. Ilajrt already have two children here. Superintendent Dr. Sunil royal Skemsiac charge on arrival at the team, the team received child specialist Dr. Gopalshankr face. The team also visited the hospital in Pune on Wednesday said Kejriwal.

http://in.jagran.yahoo.com/news/local/bihar/4_4_7903248.html
 
Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 31 children - undetermined encephalitis suspected

Mystery disease keeps state guessing
OUR CORRESPONDENT

Patna, June 21: The death toll resulting from the spread of the mysterious disease in Muzaffarpur has gone up to 24 today and the total number of children suffering from the disease has been ascertained at 66 in Bihar since the first case was reported on June 14. However, initial reports have been negative for encephalitis and health department would be bearing all medical expenses for the treatment of the patients hit by the disease, the health department said today. Besides, individual intensive care unit has been put up at Sri Krishna Medical College Hospital (SKMCH) for treating the patients. Today, a team of National Institute of Virology (NIV), Pune arrived in Patna to collect the culture samples from the affected children. The health department has also proposed establishment of a viral laboratory in the state. ?The initial tests on blood samples collected by Rajendra Memorial Research Institute (RMRI) team from the children suffering from this disease have reported negative for encephalitis. Last year, too, some deaths occurred during this period and samples were sent to NIV, Pune. While the initial reports indicated negative for encephalitis, however, the final finding could not be furnished because of some reservations expressed by NIV regarding collection of samples. Thus, this year NIV team itself has come for blood collection and the respective report is expected to be furnished within 190 days,? said Ashwini Kumar Choubey, state health minister.The disease, which is still not given a name by the state health department, has spread in seven places in Muzaffarpur including Kanti, Sankara, Bochaha, Mushari, Pary, Meenapur and Kudhani. Children between the age- group of 8 and 14 years are prone to this disease. Total 42 patients have been admitted to Kejriwal maternity clinic till date, among which 10 children have died. Another 24 patients have been admitted to SKMCH wherein 12 among them could not survive. However, health department officials claimed that the admission of children suffering from this disease has come down lately. The health department has issued some preventive measures to be adopted by the people in the affected regions. ?Starting today, a team of antamology from RMRI and local civil surgeons of the affected regions have started marking the houses or villages, which have come with children suffering from this disease. Around 50 such houses would be fogged. DDT and melathinine would also be spread in the areas,? said Choubey.
http://telegraphindia.com/1110622/jsp/bihar/story_14143277.jsp
 
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