India 2011: Encephalitis fatalities, Total 1,541

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,177

Re: India 2011: Encephalitis fatalities, Total 1,177

Encephalitis claimed another life
Dec 20, 06:51 pm

Gorakhpur: has been a string of deaths from encephalitis in Purvanchal. In the last twenty-four hours in BRD Medical College, though not a new patient was admitted in Nehru Hospital, admitted to killing two-year good.
Still admitted to Nehru Hospital, 56 patients are being treated different wards. BRD Medical College from January this year until now have come to treat the 3275 patients of whom 618 have died.


http://in.jagran.yahoo.com/news/local/uttarpradesh/4_1_8655639.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,178

Re: India 2011: Encephalitis fatalities, Total 1,178

This allegation needs to be investigated. According to NVBDCP statistics http://nvbdcp.gov.in/je-cd.html, no cases of encephalitis have been reported in Madhya Pradesh in the past 5 years. Indore is located in the Southwest portion of MP making it very unlikely that these are out-of-state patients.

Indore: 140 encephalitis deaths fail to stir govt
Source: DNA | Last Updated 04:34(24/12/11)


Indore: Fourteen positive cases of Japanese encephalitis in New Delhi had put the health officials in the national capital on an overdrive prompting large-scale testing of humans and animals alike.

Over 140 people have died due to encephalitis at a government hospital in Indore in last eight months, but the Madhya Pradesh health officers are neither aware of the deaths, nor are in a position to negate possibilities of Japanese virus spread in the city.

The fears about spread of Japanese Encephalitis epidemic in Indore gains ground after test reports of laboratories in New Delhi claimed that 17 pigs were found infected with Japanese encephalitis virus. Delhi health minister AK Wadia had confirmed that several of the pigs were supplied from Indore.

Japanese encephalitis can easily spread from pigs to human beings.

As per the official records, an average 17 deaths have occurred in the MY Hospital every month since last eight months. In April and May each, 20 persons have died due to encephalitis.

?Majority of the deceased includes children. Though the data is yet to be analysed for the month of November, 2 children have died in this month also due to encephalitis,? said a hospital official on condition of anonymity.

The health department officials tried to shy away from the issue by claiming that the MY Hospital - an auxiliary medical facility of the MGM Medical College that comes under the medical education department ? had failed to inform them about the developments.
State director health services JN Kansotiya said, ?We have not been informed. MY Hospital comes under directorate of medical education.?

?If so many deaths have occurred due to a particular disease then its an issue of serious concern,? he added.

Medical College community medicine department head Dr Sanjay Dixit claimed that encephalitis may be of different kinds which leads to inflammation of brain cells, but both the Japanese and Cerebral encephalitis due to bacteria could break into an epidemic.

The office of joint director health serviceshad decided to put a check on vector-borne diseases, but no particular drive for containing encephalitis have been initiated yet. No blood sample testing of pigs have been carried out in the entire division.

Joint director health services Dr Sharad Pandit claimed that the magnitude of deaths due to encephalitis is alarming and that appropriate measures would be taken.

http://daily.bhaskar.com/article/MP...halitis-deaths-fail-to-stir-govt-2671571.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,178 - Report of 140 encephalitis fatalities at MY hospital Indore

Re: India 2011: Encephalitis fatalities, Total 1,178 - Report of 140 encephalitis fatalities at MY hospital Indore

A DNA report dated Dec 12 gives a figure of 67 encephalitis deaths from January to May at MY hospital. Most patients were below 15 years of age. The district malaria officer was quoted as saying that all patients must be from outside the district, as no encephalitis cases were diagnosed in the district.

http://www.dnasyndication.com/showarticlerss.aspx?nid=8Zcvg5qHrQ3zgcSiOAHGZQ==

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,178 - Report of 140 encephalitis fatalities at MY hospital Indore

Re: India 2011: Encephalitis fatalities, Total 1,178 - Report of 140 encephalitis fatalities at MY hospital Indore

A report from September;

Five patients die daily in MYH, says record
Source: DNA | Last Updated 02:31(26/09/11)


Indore: On an average five patients died everyday at the MY Hospital from January to May this year. Minor diseases accounted for a majority of the deaths.

MYH record says 751 patients, who were admitted at the MYH during the first five months of the year, could not return home. Nearly 50 percent of them died due to common diseases.

Of the dead, 67 succumbed to tuberculosis. Viral diseases like infective hepatitis and encephalitis are among the bigger killers, claiming 67 and 73 lives respective in the five months. The gastroenteritis patients were admitted in a large number but none died due to the disease. A total 708 patients suffering from gastroenteritis were admitted.

"Fast life and fast food culture of the city life, coupled with unhygienic food, is the basic reason behind large numbers of gastroenteritis patients," said Dr Anita Kushawaha of MYH medicine department.

http://daily.bhaskar.com/article/MP-IND-five-patients-die-daily-in-myh-says-record-2459054.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,318 - Report of 140 encephalitis fatalities at MY hospital Indore

Re: India 2011: Encephalitis fatalities, Total 1,318 - Report of 140 encephalitis fatalities at MY hospital Indore

Encephaltis toll in Uttar Pradesh at 641
Gorakhpur, Dec 26 : Four more children died due to deadly disease of Japanese Encephalitis (JE) at B R D Medical college, Gorakhpur taking the toll to 641 in eastern parts of Uttar Pradesh during this year.


The children who died during the past 24 hours included one each from Deoria, Maharajganj, Kushinagar and Mau, the official sources said.

A total of 3749 patients had been admitted to B R D Medical college since January 1 this year, out of which 641 died this year.

...

http://www.newkerala.com/news/2011/worldnews-134469.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,342

Re: India 2011: Encephalitis fatalities, Total 1,342

Encephalitis toll climbs to 643 in eastern UP
Last Updated: Friday, December 30, 2011, 12:11

Gorakhpur: Encephalitis has claimed the lives of two children, taking the death toll in the viral infection in eastern Uttar Pradesh to 643 this year.


The two children died in the last two days, Additional director (health) Diwakar Prasad today said.


...

PTI

http://zeenews.india.com/news/uttar...-toll-climbs-to-643-in-eastern-up_749500.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,344

Re: India 2011: Encephalitis fatalities, Total 1,344

Cold wave in Bihar ends encephalitis epidemic
Submitted by admin4 on 27 December 2011 - 3:58pm
India News
By IANS,

Patna : The cold wave sweeping across Bihar has proved to be a blessing in disguise for the authorities trying to control an epidemic of Japanese encephalitis in Gaya district as no fresh case has been reported in the last ten days, officials Tuesday said.

...



The first encephalitis-related death in the district this year was reported on Aug 23. Since then, the disease claimed the lives of 93 children in Gaya in a span of four months. The children who died reported high fever, followed by bouts of unconsciousness and convulsions. Most of the children belonged to poor families. Over two dozen children are still battling for their lives.

...

Three and a half months ago, 55 children died in Bihar's Muzaffarpur district but the state government is yet to confirm these as encephalitis deaths.

http://twocircles.net/2011dec27/cold_wave_bihar_ends_encephalitis_epidemic.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,344

Re: India 2011: Encephalitis fatalities, Total 1,344

Encephalitis claimed two more lives
Dec 30, 10:55 pm

Gorakhpur: encephalitis in eastern Uttar Pradesh is not to stop the havoc. In the last 24 hours 2 new patient admitted to BRD Medical College, while 2 were killed. Among those killed in the 5-year-old Krishna and Deoria Ghazipur district includes 8 years younger. Still in various wards of Medical College, 39 patients are being treated.

http://in.jagran.yahoo.com/news/local/uttarpradesh/4_1_8703743.html

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,344

Re: India 2011: Encephalitis fatalities, Total 1,344

Latest official figures released (Jan 5) including all of 2011.

State -- Cases (change since Dec 1) -- Fatalities (change since Dec 1)

Andhra Pradesh -- 73 (14) -- 1 (-)
Assam -- 1319 (-) -- 250 (-)
Bihar -- 821 (-)-- 197 (-)
Goa -- 53 (-) -- 1 (-)
Haryana -- 76 (56) -- 14 (7)
Karnataka -- 146 (-) -- 0 (-)
Kerala -- 88 (-)-- 6 (-)
Maharashtra -- 4 (-)-- 3 (-)
Manipur -- 11 (-) -- 0 (-)
Nagaland -- 44 (-) -- 6 (-)
Tamil Nadu -- 691 (+189) -- 21 (6)
Uttar Pradesh -- 3490 (+127)-- 579 (+41)
West Bengal -- 714 (125) -- 40 (-)
Total -- 7,838 (+701) -- 1,137 (+73)
http://nvbdcp.gov.in/je-cd.html

Ro's Note: The official figures do not include many fatalities listed in the IDSP weekly reports, the IDSP three day rolling reports and in media reports from hospital records. Information in this thread suggests that the number of fatalities in Uttar Pradesh reached 645 in 2011. Maharashtra recorded 14 fatalities, and Bihar had a total of 200. There are several states that recorded fatalities, but for whatever reason these are also not included in the official total;
Karnataka 2
Jharkhand 12
Uttarakhand 1
Chhattisgarh 4
Rajasthan 1
In addition MY hospital in Indore, Madhya Pradesh recorded at least 140 encephalitis fatalities of which the State is, apparantly, unaware.

Counting all these other fatalities, all sourced in this thread, brings the 2011 encephalitis toll to at least 1,358.

Even comparing just NVBDCP figures to previous years, encephalitis fatalities in 2011 are 45% higher than the average of the previous 4 years (2007-2010).
Case numbers are 78% higher than the 4 year average, and almost double what they were in 2007 and 2008.

Andhra Pradesh, Assam, Bihar, Delhi, Jharkhand, Kerala, Nagaland, Tamil Nadu and West Bengal achieved 5 year highs in number of cases.

Assam, Bihar, Jharkhand, Kerala, Nagaland, Tamil Nadu, Uttar Pradesh and West Bengal all reached or matched 5 year highs in the number of fatalities.

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,358

Re: India 2011: Encephalitis fatalities, Total 1,358

Revised figures for 2011 from the NVBDCP raise the total number of cases to 9,463 and the number of fatalities to 1,350. These figures still do not take into account many of the deaths mentioned in the post immediately above, most notably the 140 fatalities recorded at MY Hospital, Indore, Madhya Pradesh.


http://nvbdcp.gov.in/Doc/je-aes-cd-2012.pdf

 

[Ronan Kelly]

Re: India 2011: Encephalitis fatalities, Total 1,541

West Nile Encephalitis Outbreak in Kerala, India, 2011
B. Anukumaremail addressemail address, Gajanan N. Sapkalemail address, Babasheb V. Tandaleemail address, R. Balasubramanianemail address, Daya Gangaleemail address
Received 11 April 2014; received in revised form 29 May 2014; accepted 2 June 2014. published online 09 June 2014.
Accepted Manuscript



?Outbreak of acute encephalitis syndrome with unusal features.

?The outbreak was detected by JE and WN Mac ELISA and Neutralization test.

?West Nile virus was isolated from the clinical samples.

?The virus belongs to lineage I and closely related to Russian strain.

?First report of isolation of WNV from Kerala state.

Abstract
Background
An outbreak of acute encephalitis syndrome (AES) was reported in Kerala in India in May 2011. The outbreak features were unusual in terms of seasonality, geographical distribution, age group, and clinical manifestations in comparison to the epidemiological features of Japanese Encephalitis.

Objective
To detect the etiology of the acute encephalitis syndrome outbreak.

Study design: Investigation of outbreak was undertaken by collection of brief clinical history and epidemiological details along with the specimens for viral diagnosis. The serum/CSF samples (patients=208) received from the sentinel hospitals were subjected to IgM capture ELISA and RT-PCR specific for Japanese encephalitis (JE) virus and West Nile virus (WNV). The JE/WN IgM positive samples were further tested by serum neutralization assay for the presence of JE and WNV specific neutralizing antibody.

Result
Most of the affected patients were aged above 15 years. No spatial clustering of the disease was noticed. Cases were observed in premonsoon and early monsoon season and in JE non-endemic area of Kerala. A total of 47 patient samples were positive for in-house JE IgM capture ELISA and WNV IgM capture ELISA. Serum neutralization assay result revealed that 32 of 42 (76.19%) sera were positive for WNV neutralization antibodies. WNV was isolated from a clinical specimen. Phylogenetic analysis of WNV envelope gene revealed 99% homology with Russian Lineage 1 WNV.

Conclusion
West Nile virus (WNV) etiology was confirmed by virus isolation and detection of virus specific antibody from clinical specimen. Phylogenetic analysis grouped the current strain in lineage I West Nile virus.

http://www.journalofclinicalvirology.com/article/S1386-6532(14)00217-0/abstract