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

[Treyfish]

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

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

Mystery disease kills four more in Bihar

Patna, June 21 (IANS) Four more children have died of a mysterious disease in Bihar's Muzaffarpur district, taking the death toll to 32, officials said Tuesday.
The children died after reporting high fever followed by convulsions and unconsciousness.

Bihar Health Minister Ashwani Kumar Choubey told IANS that two expert teams will help identify the disease that had killed several children in last few days.

"It is not proper to term it encephalitis," Choubey said.

Locals termed the disease "chamki ki bimari" and said the symptoms were similar to encephalitis, a disease that causes inflammation of the brain.

Over three dozen children are undergoing treatment in hospitals.:tiphat:http://www.bihartimes.in/Newsbihar/2011/June/Newsbihar21June5.html

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Moved to here http://www.flutrackers.com/forum/showthread.php?p=412891#post412891

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Experts Analyzing 'Mysterious' Disease in Muzaffarpur




Monday, 20 June 2011 22:37

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Sick child admitted at a Muzaffarpur hospital on Monday.​

Patna: Alarmed by the growing cases of the so-called 'mysterious' disease in Muzaffarpur district that has claimed over two dozen lives of young children in the last ten days, a central team of experts from New Delhi is on its way to Bihar to examine the situation on the ground, it was learnt.

<!-- Fulltext --><!-- START: Modules Anywhere --><!-- END: Modules Anywhere -->Chief Minister Nitish Kumar, while talking to reporters on Monday, said that doctors from the Rajendra Memorial Research Institute (RMRI) in Patna and the National Institute of Virology (NIV) in Pune were analyzing the sample of blood taken from the victims' bodies and were hoping to come up with a treatment plan to avoid further loss of lives.
While health experts are reluctant to label the disease as the 'Japanese Encephalitis, the symptoms are eerily similar to it where inflicted patients, usually children, first develop high fever, followed by unconsciousness and hysteria due to inflammation of the brain.
Meanwhile, six more children experiencing similar symptoms were admitted in the Sri Krishna Memorial College and Hospital (SKMCH) on Monday.:tiphat:http://www.patnadaily.com/index.php...-in-muzaffarpur&catid=56:more-news&Itemid=236


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[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Bihar: Inseflaitis fever killed more than 12 children​

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Patna, 21 June 2011 | Updated: 12:58 IST​

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Disaster on children in Bihar have been broken.

.​

Inseflaitis in 6 districts of the state of the havoc. Hundreds of children The disease has struck. More than two dozen children have died so far. :tiphat:http://translate.google.com/transla...o=1&biw=819&bih=415&tbs=qdr:d,sbd:1&prmd=ivns

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

26 children die of mysterious disease in Bihar
<DL class="article-info clearfix"><DD class=create>

Monday, 20 June 2011 15:08​

Monday, 20 June 2011 15:08 </DD><DD class=createdby>

न्यूज़ डेस्क​

News Desk </DD></DL>
Making children victims of mysterious disease

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Muzaffarpur in Bihar from the mysterious disease has killed four children. The number of deaths from the disease has now reached 26.These four deaths occurred in the past 24 hours.
According to the 30 children are being treated in different hospitals.
The mysterious deaths of 22 children to Sunday's disease. Maximum age of children have died of disease six years. A team of malaria experts from the Institute of Patna sent to the area. Children die of diseases of the blood sample has been sent for tests. The state government has sought help from the Centre in this regard. Children children's fever in this disease, but is not responding to drugs. :tiphat:http://translate.google.com/transla...=X&tbo=1&biw=819&bih=415&tbs=rltm:1&prmd=ivns

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Unknown number of children dying from disease was 29
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18:33 HRS IST​

Muzaffarpur, June 21: Language: Muzaffarpur district of Bihar during the last twenty-four hours from unidentified disease with three deaths from the disease, the death toll reached 29, while 30 others still from the disease to suffer.

Government and hospital sources said two-unknown disease during the last twenty-four hours Krishna Medical College Hospital: Skemsiac and two-three children died in hospital while 30 others are still sick.

Suhtron said unknown disease during the last twenty-four hours in two-hospital and one child died Skemsiac.

The state's health minister Ashwini Choubey, confirmed the death of 24 children from the unknown disease while 22 others have admitted to suffering.

State Health Minister Ashwini Kumar Choubey and kala-azar disease specialist yesterday, former Union Health Minister Dr CP Thakur had visited Muzaffarpur. On his return to Patna, he said addressing reporters here that the unknown disease to examine the causes of the seven-member team from Delhi and Pune has reached Patna today.

The visit to China from Muzaffarpur in Bihar Chief Minister Nitish Kumar to return to this mysterious disease spread concern with the health authorities held a meeting at his residence last June 19.

Chief of the Union Health Minister of the dreaded disease and intensive testing was a request to the Central team in Bihar.
:tiphat:http://translate.google.com/transla...=X&tbo=1&biw=819&bih=415&tbs=rltm:1&prmd=ivns

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Muzaffarpur. Muzaffarpur in Bihar in a certain way in the last four days, his fever has created havoc. Since the mysterious fever has killed 32 children. 6 dozen children in the hospital while battling life and death.


In fact the last four days in hospital in Muzaffarpur Kejriwal four dozen children are enrolled. One - two dozen children in other Government hospitals are waging a war of life and death.The temperature is just above the neck. The Just - C delay is deadly. To investigate the disease there is no system in Muzaffarpur.

The disease has also sought a report on the state government.

:tiphat:http://khabar.ibnlive.in.com/news/55082/3/21

 

[Treyfish]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

The medical team will investigate the unknown disease


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Patna / Muzaffarpur. Different districts of Bihar state capital Patna, including the continued menace of the unknown disease. Only in Muzaffarpur district, 30 deaths from this disease is unknown. Meanwhile on Tuesday, Delhi and Pune, the diagnosis of the medical team is expected to Bihar.
State Health Department official, according to the National Institute to investigate the unknown disease Virolaji [NIV], Pune and Delhi A team of doctors will Bihar. Motihari in Bihar to the disease and is reported to be a child's death. The state Health Minister Ashwini Kumar Choubey and the Bharatiya Janata Party [BJP] Dah CP Thakur, state president of the Sri Krishna Medical College Muzaffarpur children who visited the hospital and physicians met and instructed officials to many.
According to Dr. Mohan, chairman of the hospital's infant disease, the disease like encephalitis. He said that the disease is high fever and the child becomes unconscious. Has a splitting headache and body stiffness. The Chief Minister Nitish Kumar said on Monday that it was too long illness May - June of the have been around this area. Based on the symptoms being treated. Can save many lives, the lives of some people is no escape.
The suffering of children's blood sample NIV, Pune has been sent for tests. In the same season last year 35 children died from the unknown disease, while 50 children were killed in 2009. State Health Department official said on Monday that the state bear all of the medical college hospitals and district hospitals have been alert:tiphat:http://translate.googleusercontent....5.html&usg=ALkJrhgoPVmLukF1S4V7d2RhiC08kMKM9w

 

[alert]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

BJP is a political party and has made errant disease claims in the past, and this one is not exactly clear (A "white" germ? And what do mosquitoes have to do with it?) so this should be taken with a grain of salt.

Nevertheless, at least two different toxic plants have been associated with "AES" cases in the past, so if there is a history of eating litchi or something that looks like litchi, it should be investigated.

http://timesofindia.indiatimes.com/...inked-to-child-deaths/articleshow/8943915.cms

Is litchi linked to child deaths?
TNN | Jun 22, 2011, 07.22am IST

PATNA: The state government has geared up to combat the mysterious disease which has claimed lives of 25 children so far in Muzzafarpur district.

Throwing light on the causes of disease, BJP state president and kala azar expert Dr C P Thakur said the disease recur every year at the end of litchi season in Muzaffarpur. He said a white small germ is found in litchi fruit and this is a case for research whether the disease is co-related to it. He further said DDT spray would kill the culex mosquito which would prevent transmission of the virus.

Principal secretary, health, Amarjeet Sinha said whatever the disease is -- Japanese encephalitis, acute encephalitis syndrome (AES) or other viral disease -- the treatment process currently underway would remain the same.

He said the team from NIV, Pune, and the Central team which had gone to Muzaffarpur would also collect samples of local animals to identify the cause of the disease for which the department of forest has been approached.

Sinha said the government has decided to provide testing kits to diagnose Japanese encephalitis to all the six government medical colleges in the state. A virology lab at the Patna Medical College and Hospital (PMCH) would also be set up, he said, adding a neo-natal intensive care unit ( ICU) would also be established at Muzaffarpur this fiscal year.

 

[alert]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

JE is appearing less likely, so perhaps another AES etiology is responsible.

http://timesofindia.indiatimes.com/...encephalitis-in-Bihar/articleshow/8943783.cms

NIV rules out Japanese encephalitis in Bihar
Umesh IsalkarUmesh Isalkar, TNN | Jun 22, 2011, 12.47am IST

PUNE: The National Institute of Virology (NIV) has ruled out Japanese encephalitis (JE) as the cause of 22 children's death in Bihar saying that JE is a typical post-monsoon phenomenon.

"It is a virus other than JE which is infecting children's brains (encephalitis) and claiming lives in Bihar. JE is usually seen when the monsoon is over.

A seven-member team from the NIV, headed by a senior epidemiologist, has been sent to Bihar on Tuesday to get samples for testing. The cause will soon be out," A C Mishra, director of NIV, told TOI on Tuesday.

Asked whether the NIV has received blood samples, as reported in some newspapers, Mishra said, "We have not received any blood samples so far. We are likely to get the samples today evening. Doctors are giving symptomatic treatment to the patients."

The NIV team will coordinate with experts from the ICMR's Rajendra Memorial Research Institute of Medical Sciences, Patna, who are already in the field," Mishra said.

Bihar chief minister Nitish Kumar has asked the Centre to send its team to Muzaffarpur, Sheohar and adjoining districts following the deaths of 22 children because of a disease suspected to be encephalitis.

Bihar's principal health secretary Amarjit Sinha said that the victims were in the age-group of two-and-a-half to six years. Symptoms of the mysterious disease are high fever and excessive dehydration.

The Union government has constituted a team to probe the outbreak of the disease.

The team comprises S K Jain, joint director, National Centre for Disease Control ( Delhi); B R Thapar, entomologist from the National Vector Borne Disease Control Programme, Delhi; and I P Choudhary, senior specialist (paediatrics), Safdarjung Hospital.

Meanwhile, four more deaths were reported from Muzaffarpur district on Monday taking the toll to 26. Three children died at Kejriwal hospital, while another died at Sri Krishna Medical College Hospital.

Around 30 children were still being treated at two hospitals in the district.

 

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 32 children - undetermined encephalitis suspected

I'm not sure how NIV can rule out JE without samples!

Toll in Bihar mystery fever climbs to 33
Press Trust Of India
Posted on Jun 22, 2011 at 03:05pm IST Share

Bihar fever Muzaffarpur: Three more children have died due to a mysterious fever in Bihar's Muzaffarpur district, taking the toll to 33.

A Central team, meanwhile, took blood samples of the patients to ascertain the cause of the deaths.

Two children died at Kejriwal Hospital here, while another died at Srikrishna Medical College Hospital (SKMCH) between yesterday and today, official sources said.

Fifteen children were still undergoing treatment at the two hospitals, they said.

A seven-member Central team from National Institute of Virology, Pune and ICMI, New Delhi, comprising experts including Union Health Ministry Joint Director S K Jain, B R Thappa and I P Choudhary visited the SKMCH this morning and took the blood samples of children affected by the disease.

Jain said that the blood samples would be sent to specialised virology labs in Pune and New Delhi and the examination report would be made available within a fortnight. He said the team had advised the SKMCH authorities to shift the children afflicted with the disease to air-conditioned ward of the hospital.

Asked if the children were suffering from encephalitis, he said, "We won't be able to tell you at present".

http://ibnlive.in.com/news/toll-in-bihar-mystery-fever-climbs-to-33/161733-3.html

 

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 33 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 33 children - undetermined encephalitis suspected

Mystery disease kills three more in Bihar


Patna, June 22 (IANS) Three more children have died of a mysterious disease in Bihar, taking the toll to 35, officials said Wednesday.

Two children died after contracting high fever followed by convulsions and unconsciousness in Muzaffarpur district late Tuesday while another died Wednesday.

Locals have termed the disease as ?chamki ki bimari? and said the symptoms were similar to encephalitis ? a disease that causes inflammation of the brain.

Health Minister Ashwani Kumar Choubey said experts were in the process of identifying the disease and it was ?not proper to term it encephalitis?.

Two expert teams ? one from Pune-based National Institute of Virology and another from the union health ministry ? visited a hospital in Muzaffarpur Tuesday where dozens of children are undergoing treatment.

?Both teams, along with local health officials, will also visit the villages where the children have died,? Gopal Shankar Shahni, a doctor at the Sri Krishna Medical College and Hospital (SKMCH) in Muzaffarpur, told IANS on telephone.

Principal Secretary (Health) Amarjeet Sinha said the experts would also collect samples of animals to identify the cause of the disease.

Over three dozen children are being treated in hospitals in Muzaffarpur, Motihari and Patna.

http://www.inewsone.com/2011/06/22/mystery-disease-kills-three-more-in-bihar/58020

 

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 33 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 33 children - undetermined encephalitis suspected

Suspected encephalitis kills 36 children in Bihar
June 22, 2011 16:28 IST

Suspected mosquito-borne encephalitis has killed 36 children in Bihar in last one week, but state government is yet to identify the disease and its health officials are still guessing to diagnose it.



20 children died at Sri Krishna Medical College and Hospital in Muzaffarpur followed by 10 in Kejriwal Hospital in Muzaffarpur. One died at private clinic in Motihari and two at Patna Medical College and Hospital in Patna. Besides,four children died in different villages in Muzaffarpur.

"Ten children died in last 48 hours at SKMCH and Kejriwal hospitals in Muzaffarpur. With this death toll of children rose to 36," a health official said.

After three dozen children died, mostly belonging to poorest of the poor families in Muzaffarpur, Motihari, Gopalganj and Patna districts, state government decided to identify the villages affected and carry out intensive spraying of DDT to kill mosquitoes, which are responsible for the suspected disease.

Bihar health minister Ashwani Kumar Choubey told rediff.com in Patna on Wednesday that health officials have been directed to start spraying DDT in villages. "All such villages from where children died due to mysterious disease and children have been admitted in hospitals will be identified to spray DDT," Choubey said.

It must be recalled that it was Choubey who described heat-stroke as the cause of the deaths four days ago.

Till date the state government has not confirmed officially the real cause behind these deaths. Doctors in Muzaffarpur treating children in different hospitals suggest that the symptoms are similar to encephalitis.
Even state BJP president Dr C P Thakur, a renowned Kalaazar expert, disclosed that test result of one of the four blood samples conducted by Patna-based Rajendra Memorial Research Institute, has confirmed encephalitis.

But Principal Health Secretary Amarjeet Sinha said that disease was not diagnosed and test samples of blood would be sent to the National Institute of Virology in Pune for confirmation.


"Even though the disease had not been diagnosed, the government was providing symptomatic treatment to the patients," Sinha said.

Choubey has made it clear that state government is serious to handle the situation. "We will bear expenses of all patients undergoing treatment and teams of doctors will visit villages to provide immunisation and proper treatment," he said.


Nearly 40 children still suffering from high fever are being treated at the SKMCH and other hospitals including private clinics in Muzaffarpur. "Some new patients complaining of high fever, severe headache, vomiting were admitted to the hospital in the last 24 hours," a staff of SKMCH said.

Dr A K Singh, civil surgeon, Muzaffarpur, denied that encephalitis had claimed the lives of the children, but admitted that the symptoms were similar.


"Medical authorities have collected samples which have been sent for tests in virology laboratories at Pune and Kolkata [ Images ]. The medical reports were still awaited," Singh said.

...

M I Khan in Patna

http://www.rediff.com/news/report/suspected-encephalitis-kills-36-children-in-bihar/20110622.htm

 

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Kids death: Govt caught napping
Nishant SinhaNishant Sinha, TNN | Jun 22, 2011, 10.54pm IST

PATNA:

...

The question that begs an answer is why the government did not take any concrete measure to prevent the recurrence of the disease when deaths were being reported in the region year after year? Hundreds of children have died of the disease in the region since 2005, yet the government has failed to identify the disease. Why? What is more callous on the part of the government is that the test reports of samples of last year's patients, sent to NIV, Pune, are yet to be obtained by it.

Health minister Ashwini Kumar Choubey said, "Due to reasons unknown, the government did not receive the reports and findings of the last year's samples." He, however, claimed the government is making all-out effort to prevent the disease from spreading further.

Former Union health minister and state BJP president Dr C P Thakur said, "Nothing can be done now this year, but we will see that from next year, vaccines are administered to children so that they do not fall prey to the disease." He, however, admitted that there was no unit in the state to manufacture encephalitis vaccine.

However, will vaccines be effective in preventing recurrence of the disease? Says principal secretary, health, Amarjeet Sinha, "Even in Gorakhpur region of Uttar Pradesh, where incidence of encephalitis is greater than any other region in eastern India, vaccines have proved ineffective in preventing the occurrence of the disease."

Again, while Dr Thakur said that the disease, in all probability encephalitis, if not Japanese Encephalitis, could be checked by killing Culex mosquitoes, the prime source of the disease, principal secretary, health, said the earlier teams which had visited the region did not found Culex mosquitoes in the region. Then what are the causes behind the disease?

Fortunately, no fresh cases of the disease have been reported in the last 24 hours, though much of the credit for the same should go to stoppage of rain. Dr Thakur has proposed to study the co-relation, if any, between litchis and the disease, as the disease recurs every year at the end of litchi season and that litchi contains a small white germ.

The teams of NIV, Pune and NICD, Delhi have collected samples from patients and reports will take at least 10 days to come. One has to keep the fingers crossed till then.

http://timesofindia.indiatimes.com/city/patna/Kids-death-Govt-caught-napping/articleshow/8955267.cms

 

[Treyfish]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Bihar: Connect with unexplained fever since the death of 50 innocent Patna
22, 2011,18:41
All children die by age 2 years to 10 years. East Champaran and Gopalganj districts of the disease's outbreak. National Institute Wayroloji in Pune Dr. BB Tendle said patients' blood samples and only after the disease will be known.

Muzaffarpur, East Champaran and Gopalganj of the 76 children admitted to the civil hospitals in the undisclosed illness. The officials said they Madikl College Hospital in Muzaffarpur, 18 children have been killed.
Died of unknown illness in private hospitals, he said the children have no information about the department.

Swasthyamntri said the cause of the disease have not yet been made on the basis of symptoms and patients being treated. The National Institute Wayraloji and the National Institute of Infectious Muzaffarpur doctors at various hospitals in Delhi today visited the sick children's blood samples collected for examination today.

The Bihar Government to deal with this disease to deal with the expenses have gearing. Research on this disease for a skilled team of doctors has been formed and is being investigated.


[ English summary
Three more children have died due to a mysterious fever in Bihar's Muzaffarpur district, taking the toll to at least 50.:tiphat:http://thatshindi.oneindia.in/news/2011/06/22/toll-bihar-mystery-fever-death-50-aid0129.html
http://translate.google.com/translate?hl=en&sl=hi&u=http://webloz.org/2011/06/22/%25E0%25A4%25AC%25E0%25A4%25BF%25E0%25A4%25B9%25E0%25A4%25BE%25E0%25A4%25B0-%25E0%25A4%25B0%25E0%25A4%25B9%25E0%25A4%25B8%25E0%25A5%258D%25E2%2580%258D%25E0%25A4%25AF%25E0%25A4%25AE%25E0%25A4%25AF-%25E0%25A4%25AC%25E0%25A5%2581%25E0%25A4%2596%25E0%25A4%25BE%25E0%25A4%25B0-%25E0%25A4%25B8%25E0%25A5%2587-%25E0%25A4%2585/&ei=dWcCTp61C8jOgAfbmITmDQ&sa=X&oi=translate&ct=result&resnum=4&ved=0CD0Q7gEwAw&prev=/search%3Fq%3D%25E0%25A4%25B0%25E0%25A4%25B9%25E0%25A4%25B8%25E0%25A5%258D%25E0%25A4%25AF%25E0%25A4%25AE%25E0%25A4%25AF%2B%25E0%25A4%25AC%25E0%25A5%2580%25E0%25A4%25AE%25E0%25A4%25BE%25E0%25A4%25B0%25E0%25A5%2580%26hl%3Den%26client%3Dnews%26sa%3DX%26tbo%3D1%26biw%3D819%26bih%3D368%26tbs%3Drltm:1%26prmd%3Divns

 

[Ronan Kelly]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

34 deaths, fever still a mystery
Santosh Singh

Posted: Thu Jun 23 2011, 00:20 hrs
Patna:
Even as the toll reached 34 on Wednesday, there is still confusion over the mystery disease that has gripped Muzaffarpur and its surrounding districts. While Bihar doctors diagnosed the disease as encephalitis, the National Institute of Virology, Pune, has tested all blood samples negative for the suspected disease.

At Sri Krishna Medical College Hospital, Muzaffarpur, a girl died on Wednesday, taking the toll there to 11. Nineteen are admitted with similar complaints.


All 34 victims belonged to below poverty line families living in suburban Muzaffarpur, Minapur, Kanti, Sitamarhi and in rural areas of adjoining Sheohar and Motihari districts.


Chief Minister Nitish Kumar said two high-level teams had come to Bihar and experts would “find out a concerted plan to deal with this disease, reported from Tirhut region during this time of the year”. Health Minister Ashwini Kumar Choubey, however, is unable to explain what this mystery disease is all about. On the other hand, Bihar BJP state president and former Union health minister Dr C P Thakur attributed the deaths to encephalitis, characterised by high or mild fever, convulsion, unconsciousness and froth from mouth.

The health ministry has now decided to send more blood samples to NIV and Rajendra Memorial Research Institute of Medical Sciences, Patna. A seven-member NIV team has been collecting blood samples from two Muzaffarpur hospitals that reported maximum number of patients and deaths. The state government, under attack from the Opposition for not being able to deal with the crisis, has even announced to set up a virology institute in Patna.


Principal Secretary, Health, Amarjit Sinha said all victims were in the age group of two-and-a-half to eight years. “Symptoms of the disease in most cases are high fever, excessive dehydration and unconsciousness. Patients are being given anti-viral, antibiotics and even anti-malaria treatment in some cases on the advice of Safdarjung Hospital senior paediatrician I P Choudhary,” said Sinha, adding that tests of more blood samples and cerebral spinal fluid would help diagnose the disease.


Doctors at Kejriwal Matri Sadan (a private hospital) of Muzaffarpur that admitted 52 children and reported 13 deaths in the last 12 days, said all patients were aged below eight years. Dr Rajiv Kumar of the hospital said: “Most children brought here might well have bitten by mosquitoes as they are without clothes most of the time. All of them are malnourished an have low immunity because of weak economic background.”


He said though comprehensive tests were done, meningitis was not detected in any case. Dr Kumar also ruled out gastro-intestinal problems. He, however, attributed some of the deaths to late medical attention, saying parents of the sick children took them to quacks first.


http://www.indianexpress.com/news/34-deaths-fever-still-a-mystery/807344/0

 

[Treyfish]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Tablets instead of syrup advice


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Jun 23, 01:58 am​

Jun 23, 01:58 am

-​

Staff to run the machine again - time to be given training
- The early treatment to patients more quickly Cure

-​

Ventilator support was found, could have saved lives: doctors
Muzaffarpur, Office News: Encephalitis Kejriwal investigation team arrived at the hospital, medical experts and patients to assess the ongoing medication treatment, suggesting its emphasis on change. Advised to Fenotoain tablet instead of syrup. If the treatment at the time and the skills to be collaborating in the treatment will cure the patient quickly. Kejriwal's physician, Dr. Rajiv Kumar, Dr. SN Chaudhary and Dr. Ashok Kumar suggested that the syrup from the syrup of good tablet different - different amounts at which the dose is due. Kejriwal said that the foil and the doctors can not find support Bentinetr patient with high fever. This feature is not even in government hospitals. The team said the hospital alert system needs to improve its treatment. Investigation in every patient to check Patholaji common question on the investigation, he said Patholaji alteration should be doing.

The disease killed the most giving children need to be more sensitive to the test. BB Giri said that the administrator of two-encephalitis, and 11 days before the report of the investigation is not expensive. The report goes on until the disease is good enough to break. Lab testing is so Bayrl It would be helpful in Bihar. :tiphat:http://translate.googleusercontent....7.html&usg=ALkJrhggf07kpUCPvfVWZswW-DGnxEzZIA

 

[Treyfish]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Says 44 children dead :tiphat:http://translate.google.com/translate?js=n&prev=_t&hl=en&ie=UTF-8&layout=2&eotf=1&sl=auto&tl=en&u=http%3A%2F%2Fwww.khaskhabar.com%2F

 

[Treyfish]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

NIV receives blood samples from Bihar

| Jun 23, 2011, 06.12am IST
PUNE: The Pune-based National Institute of Virology (NIV) received four samples of blood, urine and fluid surrounding the brain and spine of children infected with a viral infection from Bihar on Wednesday. Twenty-six children have died of a mysterious illness in Muzaffarpur, Sheohar and adjoining districts of Bihar in the last few days. The children were all in the age group of two-and-a-half to six years.

"Prima facie, these are cases that fall under Acute Encephalitis Syndrome (AES), characterised by inflammation of the brain. Fatalities in AES are very high. Globally, the cause in 40 to 50 per cent of encephalitis cases is never ascertained. The Chandipura virus, which occurred in Nagpur, also caused similar illness and fatality," A C Mishra, director of NIV told TOI.

"Around five years ago, a similar outbreak was reported from Bihar. We had collected samples during that time but the disease-causing agent could not be detected," said Mishra. "This happens not only in India but across the world. In 40 % to 50 % of encephalitis cases, the agent is not known. This is because the technology for detecting the disease-causing agent is still not advanced enough.

"We have twice used frontline diagnostic methods in testing the samples we received, but we could not detect the agent. Efforts are on but we need some time. We hope to find out the cause this time," Mishra said.

Tuesday the NIV had ruled out Japanese encephalitis (JE) as the cause of the children's deaths.


The mysterious illness is largely seen in children living near the lychee gardens in the affected districts of Bihar. The lychee fruit ripens when the summer is ending and the monsoon is about set in. We are looking to see if there is any connection. Our seven-member team that has gone to the affected districts are also taking samples of animals and insects from the adjoining areas of the affected districts in Bihar," Mishra said.

AES, including JE, is reported mainly from Assam, Bihar, Karnataka, Tamil Nadu and Uttar Pradesh, which have approximately 80% of cases and deaths with a case fatality rate of 20 to 25 %. Specific antiviral drugs for AES are not available and the cases are managed symptomatically, states the official website of the national vector-borne disease control programme (NVDCP) of the Government of India.

Clinically, a case of AES is defined as a person of any age, at any time of year, with the acute onset of fever and a change in mental status (including symptoms such as confusion, disorientation, coma, or inability to talk.

Other early clinical findings may include an increase in irritability, somnolence or abnormal behaviour greater than that seen with usual febrile illness. :tiphat:http://timesofindia.indiatimes.com/...od-samples-from-Bihar/articleshow/8955928.cms

 

[alert]

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

Re: Bihar: Mysterious disease kills 36 children - undetermined encephalitis suspected

http://timesofindia.indiatimes.com/...confirms-central-team/articleshow/8956481.cms

It's encephalitis, confirms central team
Priti Nath JhaPriti Nath Jha, TNN | Jun 23, 2011, 04.58am IST

MUZAFFARPUR: " Its is definitely encephalitis. Only the type of the virus of the disease is to be identified now," said the senior most member of the three-member central team from Union health ministry and associate professor in paediatrics department of Safdarjung Hospital, New Delhi, Dr I P Chaudhary, while talking to mediapersons here on Wednesday.

After examining all the three child patients at SK Medical College and Hospital and 17 others at Kejriwal Hospital, Chaudhary said, "The disease is not at all bacterial, but it is viral. Every symptom of the disease is matching with those of encephalitis. However, technically speaking, the conclusive finding would be clear only after the official receipt of the results of blood samples."

The three-member central team consisting of besides Dr Chaudhary, the joint director in Union public health department, Dr S K Jain, who headed the team, and Dr Thakkar, also visited two adjacent villages including Kolhua Paigambarpur under Kanti block and Tiwary Tola under Mushahari block on Wednesday and found the children suffering from anaemia and malnutrition.

A two-member team from Indian Institute of Virology, Pune, headed by Dr Tandle and consisting of Dr C D Raut said the team needed the permission of the district administration and parents of some dead children to take out brain tissues from dead patients to determine a definite line of treatment. The team will stay here for some more days to minutely examine the patients, according to Dr N Kinjalk, one of the members of Bihar State Commission for Protection of Child Rights.

A third team, consisting of the state commission headed by Nisha Jha, also visited SKMCH, Kejriwal Hospital and Sadar Hospital on Wednesday and expressed shock at the closure of children's ward at Sadar Hospital at this crucial juncture. The commission has decided to recommend to the government the creation of awareness among the people not to delay in providing medical aid to children in case of high fever and convulsion. "Early treatment can save the life of the child," said Jha at a press conference later on. The team has also decided to advise the government to ensure that the children's ward is not overcrowded as was seen on Wednesday.

Meanwhile, two patients died at Kejriwal Hospital and one at SKMCH on Wednesday, bringing the official figure of children dying from suspected encephalitis till Wednesday afternoon to 29. On the other hand, unofficial sources claimed 37 deaths till Wednesday afternoon. There were only three patients at SKMCH on the day as the hospital administration had discharged many ailing children on Monday on hearing the news of the arrival of the central team. Four of the discharged patients were admitted to Kejriwal (private) hospital later on.