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India Encephalitis 2016, 1,376 fatalities

JE outbreak on, Dispur's reaction knee-jerk


Already 16 lives lost, Sivasagar worst hit district, Centre nixes Health department?s belated vaccination proposal

By Our Staff Reporter

Guwahati, June 21: The knee-jerk reaction of Assam government to yearly outbreaks of Japanese Encephalitis (JE) seems to go by the old saying ?Chor gole buddhi, boroxun gole jaapi?. This vain groping around for a preventive measure long after the incident has occurred, is true this year as well for JE.

Already 16 lives have been lost in the State as the JE outbreak season got going from May last. As usual, the State Health department is scrambling for vaccinating the adult population, with proposals sent recently to the Centre for vaccination drive in three districts.

However, the proposal has been nixed due to shortage of funds. The JE vaccine, after all, has to be imported from China.
...
Meanwhile, Acute Encephalitis Syndrome (AES), caused by a variety of viral, bacterial and other parasitical infections as well as chemicals and toxins, has also raised its head this year. Already 366 AES cases have been reported from different parts of the State. The number of AES deaths has risen to 49 by the latest count.
http://www.sentinelassam.com/mainne...0&id=271588&dtP=2016-06-22&ppr=1#.V2pmybgrKUk

Comment: In previous years, media reports from Assam have confused the issue as to whether the government reported JE positive figures were a subset of or in addition to the government reported number of AES cases. Until proven otherwise, I will treat the reported AES figures as the sum of JE confirmed and non-confirmed cases. - Ro
 
Assam

Five test positive for encephalitis

A Staff Reporter
Guwahati, June 22: Five persons have tested positive for Japanese encephalitis in Kamrup (metro) district so far while the number of acute encephalitis syndrome cases has reached 35. One person suffering from encephalitis has died.

Health officials, however, claimed the number of Japanese encephalitis and acute encephalitis syndrome cases in Kamrup (metro) are comparatively low compared to other districts. The disease is more prevalent in the Upper Assam districts.

According to the latest data, 72 cases of Japanese encephalitis and 391 cases of acute encephalitis syndrome have been detected in the state. While the total number deaths owing to acute encephalitis syndrome is 55, 17 people Japanese encephalitis patients have lost their lives.
...
http://www.telegraphindia.com/1160623/jsp/northeast/story_92727.jsp#.V2vClbgrKUk

Japanese encephalitis outburst in Tinsukia, claims life of a 12-year old businessman son
June 22, 2016
Rishu Kalantri

Tinsukia, June 22: Fingers were pointed on central government much hyped NRHM and state governments health system after a 12 year old child of a businessman here in Tinsukia town lost his battle for life at around 11.00 am at a private hospital at Dibrugarh on Wednesday due to encephalitis. Doctors diagnosed Mulund Birmiwal for acute encephalitis and also doubted that it can be a case of Japanese encephalitis (JE), the same is yet to be confirmed by the officials of the health department. However, in past one month, 5 cases of Japanese encephalitis has been detected in Tinsukia district out of which 2 youths below 15 - years died, out of which one Priya Orang was vaccinated with JE immunization. Hence, the probability of JE breakthrough cannot be ruled out.
...
http://www.eastern-today.com/entrie...-claims-life-of-a-12-year-old-businessman-son
 
AS/TIN/2016/18/1026 Assam Tinsukia JE 01 01 07-04-16 Under
Surveillance
Cases reported from Village Bogapani TE, Line no.2,
BPHC Hapjan. District RRT investigated the outbreak.
House to house survey done. Serum and CSF Samples
were collected and sent to Dept. of Microbiology, AMCH,
Dibrugarh; Result, found JE IgM ELISA positive for
Serum sample and CSF found to be Equivocal. All cases
treated symptomatically. Health education given

Week 18 outbreak report: http://www.idsp.nic.in/WriteReadData/l892s/72914162941466750136.pdf
 
[TABLE="class: display dataTable, border: 0, cellpadding: 0, cellspacing: 0, width: 852"]
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[TD="class: sorting_2, width: 9%, bgcolor: #FFE2E2"]
[/TD]
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[TD="width: 7%"]Male[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]June 25, 2016
Time : 5:07 pm[/TD]
[TD="width: 6%"]City : Bijnor
Distt. : BIJNOUR
State : UTTAR PRADESH[/TD]
[/TR]
[/TABLE]
http://idsurv.org/display-data.php

Bihar

Three dead of suspected encephalitis in Gaya in four days
Anil Kumar Ojha, Hindustan Times, Gaya | Updated: Jun 27, 2016 16:00 IST


Three people with symptoms of encephalitis have died at the Anugrah Narayan Magadh Medical College and Hospital (ANMCH) in Gaya in the last four days, and five others are being treated.
Confirming the three deaths, a senior doctor at ANMCH said the patients were brought to the hospital from remote areas in serious condition.
?If patients are brought to the health facility soon after they develop AES (acute encephalitis syndrome) symptoms, such as high fever and body ache, the chances of their survival are high. But delayed arrival only complicates the cases, which sometimes go beyond our control,? he said.
...
?All the three patients who died had tested negative for JE despite some symptoms of the disease. Other reports are still awaited, but we have taken it as cases of AES in view of initial symptoms,? Dr Sinha said.
...
http://www.hindustantimes.com/patna...n-four-days/story-1zciN14hv3bMMimvtmqDAP.html

Panel raps district over anti-virus drive

Khwaja Jamal in Muzaffarpur
An expert team from National Vector Borne Disease Control Programme, New Delhi, has expressed concern over the tardy pace in which immunisation drives against Japanese encephalitis are being carried out in the district.

National Vector Borne Disease Control Programme joint secretary Dr R.K. Das is leading the team along with epidemic intelligence officer Dr Janardhan Nayak. Eight cases of Japanese encephalitis (JE) have been reported in Muzaffarpur with another three in East Champaran district.

The team arrived on Saturday and visited Gangapur village on Sunday afternoon. They met Suraj Kumar (8) who was diagnosed with symptoms of JE twice within a span of 14 days. He was discharged from Shri Krishna Medical College and Hospital on June 24.
...
http://www.telegraphindia.com/1160627/jsp/bihar/story_93387.jsp#.V3EQMLgrKUk
 
Assam
Dist admn along with malaria dept taken up series of measures to check JE
June 28, 2016
N. Patnaik

Nagaon, June 28: Nagaon district health department and District Malaria department along with district administration have taken recently a series of measures like awareness meetings among common people, spray of DDT, fogging etc. to make people aware of the cause of Japanese Encephalitis so as to bring down the cases of this dreaded fever.

According to the health department, till last week 22 people have been affected by this fever among which 2 have died including a 5 year old child
...
http://www.eastern-today.com/entrie...ept-taken-up-series-of-measures-to-check-je-2

Maharashtra [TABLE="class: display dataTable, border: 0, cellpadding: 0, cellspacing: 0, width: 852"]
[TR="class: gradeX even, bgcolor: #FFEEEE"]
[TD="class: sorting_1, width: 9%, bgcolor: #FFD5D5"]Acute Encephalitis Syndrome[/TD]
[TD="class: sorting_2, width: 9%, bgcolor: #FFE2E2"]
[/TD]
[TD="width: 5%"]11 months[/TD]
[TD="width: 7%"]Male[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]June 28, 2016
Time : 8:03 pm[/TD]
[TD="width: 6%"]City : Ahmednagar
Distt. : AHMEDNAGAR
State : MAHARASHTRA[/TD]
[/TR]
[/TABLE]

http://idsurv.org/display-data.php
 
Bihar
Fresh encephalitis cases reported in Gaya district

Abdul Qadir | Jun 29, 2016, 10.58 PM IST

Gaya: Despite official claims of over two rounds of mass immunisation against encephalitis, fresh cases have been reported in the district. In the last round, about 14,82,887 children were officially immunised against the deadly disease, Mahadalaits being its most easy prey.
According to Anugrah Narain Magadh Medical College Hospital(ANNMCH) superintendent Dr Sudhir Kumar Sinha, till date five children have lost their lives. "Altogether 11 patients were admitted to the children's ward of the hospital with symptoms of the disease. Of the total 11 admitted patients, the disease was diagnosed in seven cases and investigation reports of the remaining four are awaited," said Dr Sinha.
...
http://timesofindia.indiatimes.com/...ted-in-Gaya-district/articleshow/52978917.cms

Indo-US conference on combating viral infections of brain

By IANS

Kolkata, June 29: Over 80 researchers from India and the US will discuss cutting edge research and exchange ideas in November in West Bengal to combat viral infections of the brain, against the backdrop of globalisation, immigration and the increasing incidences of such infections.

The 'Indo-US Symposium on Central Nervous System Virus Infection and its Therapy' will run from November 14-17 in Jalpaiguri in the hills of West Bengal.

"Lots of people die from meningitis and Japanese encephalitis, West Nile viral infection and other viral infections of the brain. Many harbour viruses in the brain and we may not even know about it," organiser Jayasri Das Sarma, a scientist at the Indian Institute of Science Education and Research (IISER), Kolkata, told IANS.
...
http://www.thesouthasiantimes.info/...l_infections_of_brain-137069-Sci-Tech-42.html
 
From Week 21 IDSP Report: http://idsp.nic.in/index4.php?lang=1&level=0&linkid=406&lid=3689

BH/MZP/2016/21/1191 Bihar Muzaffarpur
AES 05 cases 01 fatality 21-05-16 30-05-16 Under
Control
Cases reported from several Blocks Paroo,
kudhani & Boochan.. District RRT investigated
the outbreak. House to house survey done. 5
serum samples collected and sent to SKMCH
(Microbiologist Dept.) Muzaffarpur; result
awaited. One death occurred in 2.5yr old female
child. All cases treated symptomatically. Health
education given.
 
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[TR="class: gradeX odd, bgcolor: #FFDDDD"]
[TD="class: sorting_1, width: 9%, bgcolor: #FFC4C4"]Acute Encephalitis Syndrome[/TD]
[TD="class: sorting_2, width: 9%, bgcolor: #FFD1D1"]
[/TD]
[TD="width: 5%"]6 months[/TD]
[TD="width: 7%"]Male[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]July 2, 2016
Time : 4:52 pm[/TD]
[TD="width: 6%"]City : Bijnor
Distt. : BIJNOUR
State : UTTAR PRADESH[/TD]
[/TR]
[TR="class: gradeX even, bgcolor: #FFEEEE"]
[TD="class: sorting_1, width: 9%, bgcolor: #FFD5D5"]Acute Encephalitis Syndrome[/TD]
[TD="class: sorting_2, width: 9%, bgcolor: #FFE2E2"]
[/TD]
[TD="width: 5%"]30 months[/TD]
[TD="width: 7%"]Female[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]July 2, 2016
Time : 4:52 pm[/TD]
[TD="width: 6%"]City : Bijnor
Distt. : BIJNOUR
State : UTTAR PRADESH
[/TD]
[/TR]
[/TABLE]
http://idsurv.org/display-data.php
 
Bihar

Japanese encephalitis in the eight deaths, the Health Department team arrived
Edited By Rajneesh K Jha on Saturday, July 2nd, 2016
8-died-from-encephalitis-in-gaya
The July 2, in Bihar's Gaya district, mysterious Japanese Encephalitis (JE) The death toll from the disease to eight the number of children has increased in the condition of four others do not see any significant improvement. Hospital medical superintendent Dr Anugrah Narayan Magadha. Sudhir Kumar Sinha said here today hospitalized on Friday in order to cure another child died. 08 out of 12 children have been admitted so far has killed.
...
http://www.liveaaryaavart.com/2016/07/8-died-from-encephalitis-in-gaya.html
 
http://nvbdcp.gov.in/Doc/je-aes-cd-June16.pdf
Encephalitis.png


3 additional deaths were reported from Gaya in Bihar today.

Given a cfr of around 15% it is odd that the 461 cases reported from Odisha, Tamil Nadu and Tripura have not resulted in a single recorded fatality while 468 cases from Assam have resulted in 62 deaths. A case of under reported deaths or a different disease? - Ro.
 
Last edited:
Bihar

Expert teams to probe kids' deaths

Alok Kumar
Gaya, July 2: A 28-member team of the health department will arrive in Gaya in a couple of days to conduct a survey of the areas from where as many as eight children have died since June 25.
... At ANMCH, 12 children in the age group of two to 10 years have been admitted since June 23 out of which eight died. Among the children who have died include five from Gaya, two from Nawada and one from Aurangabad district.
None among the children admitted at ANMCH have tested positive for Japanese encephalitis (JE) after pathological tests were conducted at the microbiology department of the medical college here.
http://www.telegraphindia.com/1160703/jsp/bihar/story_94543.jsp#.V3l_qbgrKUk

 
Assam
Retired teacher dies of JE, four others undergoing treatment

From a Correspondent
NAGAON (HAIBORGAON), June 14: A retired female teacher died of Japanese Encephalitis (JE) in Nagaon district and four other persons are under treatment in Gauhati Medical College and Hospital (GMCH).
...
http://www.sentinelassam.com/state2/story.php?sec=2&subsec=7&id=270768&dtP=2016-07-04&ppr=1

West Bengal

Rainy season is increasing mosquito bites
Soumitra Kundu
Siliguri on July 5, 016, 033326

Encephalitis
To reduce the risk of acute encephalitis syndrome or [AES] adults and children in different districts of North Bengal have been inoculated. Twenty people have already died this year and beyond.
Jalpaiguri and Darjeeling districts in the number of deaths. So far this year, the two districts by 7 [AES] died. At the beginning of July with fever, convulsions are starting to increase the number of patients in the medical region. Viral fever on the flat area adjacent to Siliguri and a lot of people. Every day more patients to be treated in hospital in North Bengal Medical and Siliguri district. Chopra was admitted to hospital with fever, convulsions Siliguri dasaparara basirauddinake residents. He was hospitalized for three days in Islampur. Tarikul complaint basirababura brother, his grandfather was Islampur hospital Friday holiday. He fell back spasm fever took a nursing home in Siliguri hakimaparara family. From there, they are advised, for the time being admitted to the hospital to Siliguri. They came to the hospital as the patients. The patient is saline. Oxygen is necessary for asthma.
Sen. fever last night, Siliguri Siliguri sukantanagara colony prince was admitted to the district hospital. Tomorrow resident was admitted to the pamcakelaguri Trinath Sharma. Trinathababu said, '' a terrible fever, body feels weak. Vomiting, leg, hand and foot pain. '' Rajakumarababu the family, has been repeatedly fever. With leg pain.

Siliguri District Hospital Patients Welfare Association chairman rudranatha Bhattacharya said, "This year, we have not seen much yet dengi or malaria infection. After a [JE] adult immunization since last year the number of patients has decreased this year. However, the treatment has been provided. Siliguri district hospital has a blood test. '' He said there is a viral fever in the hospital treatment of all. Hasapatalerai North Bengal Medical College and is a source of 131 people so far this year, the North Bengal Medical College and Hospital, [JE] bacteria (sic) in the blood of 14 people matched by a blood test. Blood samples from different hospitals and nursing homes in the northern and seribra spinal fluid samples was known. Last year, more than 630 samples of the medical region of the patient's body a hundred and fifty [JE} milechila germs. However, in the past few years, the month of July and August were the highest in the northern region [AES] and [JE] infection that doctors said.
http://www.anandabazar.com/district/...ngal-1.427373#
 
Rajasthan
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[TD="class: sorting_2, width: 9%, bgcolor: #FFE2E2"] [/TD]
[TD="width: 5%"]72 months[/TD]
[TD="width: 7%"]Male[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]July 7, 2016
Time : 6:52 pm[/TD]
[TD="width: 6%"]City : BARMER
Distt. : BARMER
State : RAJASTHAN[/TD]
[/TR]
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​http://idsurv.org/display-data.php
 
Bihar

Gaya.png
http://www.jagran.com/bihar/gaya-14279515.html

Encephalitis responsible for thousands of deaths in Bihar successfully treated in Paras Patna
Home? News & Media? Encephalitis responsible for thousands of deaths in Bihar successfully treated in Paras Patna

ENCEPHALITIS RESPONSIBLE FOR THOUSANDS OF DEATHS IN BIHAR SUCCESSFULLY TREATED IN PARAS PATNA
JUN 21, 2016NO COMMENTS
45 yr old Subhash Kumar, a farmer from Samastipur, was brought to the hospital emergency unit with high fever. His reports from a local hospital highlighted that he was suffering from persistant fever for the last 1 week. Dr. Abhishek, Consultant Neurology found that the patient was having hallucinations was talking on irrelevant topics. He was also having episodes of unconsciousness and seizures (Fits). Subhash also had rigidity in the neck and decreased movement in the left side of the body. The CT scan showed spots in the brain but it was not conclusive. The pattern of brain involvement in the MRI scan looked similar to Herpes virus encephalitis, which is a common type of viral infection that causes brain fever and is responsible for high mortality.

The neuro care team at Paras Institute of Neurosciences, Patna confirmed the diagnosis with a lumbar puncture which confirmed herpes virus infection. He was started on anti-viral drug (Acyclovir). After 7 days of ICU care, anti-viral medication, specialized uninterrupted care, the patient starting showing signs of improvement.

Encephalitis 1

After a stay of 2 weeks the patient started to eat food orally and was fit for discharge. According to Dr Abhishek, Consultant Neurology, Paras Patna, ?Encephalitis is a major issue in Bihar. Herpes as well as non-herpes encephalitis are common here. The signs and symptoms usually get misdiagnosed as brain stroke, status epileptics/seizure (fits) disorder, simple fever or unconsciousness due to other infection resulting in delayed treatment; which can further complicate the situation. We want to spread awareness in the public that if they have fever, headache with consciousness in the form of irrelevant talk, hallucination or unconsciousness with or without seizure they should immediately come to a super specialty hospital, where all facilities are available.?

He adds, ?Paras Patna has specialized clinical protocols to investigate and treat Encephalitis and is supported with the best radiology and pathology department. It is our endeavor to raise awareness about this fatal disease and prevent mortality with early detection and timely treatment.?

http://www.parashospitals.com/new/e...in-bihar-successfully-treated-in-paras-patna/
 
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[TD="width: 7%"]Female[/TD]
[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]July 9, 2016
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[TD="width: 6%"]City : Bijnor
Distt. : BIJNOUR
State : UTTAR PRADESH[/TD]
[/TR]
[/TABLE]
http://idsurv.org/display-data.php

Bihar

AES strikes Gaya district, claims 13 lives in fortnight

Gaya | Saturday, Jul 9 2016 IST


Acute Encephalitis Syndrome (AES) has claimed lives of 13 children during the last fortnight in Gaya district of Bihar. Gaya`s Anugraha Naryan Magadh Medical College and Hospital Superintendent Sudhir Kumar Sinha said here today that altogether 19 children suffering from AES were admitted to his hospital during the last 15 days and 19 [sic] of them had died so far.
...
He said the deceased were in the age group of 3 to 8.
...
http://news.webindia123.com/news/Articles/India/20160709/2896235.html

Odisha

Dengue onslaught on, Minister visits hospitals
By Express News Service Published: 09th July 2016 06:24 AM Last Updated: 09th July 2016 06:24 AM
...
Keonjhar CDMO Kabindra Prasad Sahoo said of 824 blood samples tested so far, 325 have turned out positive [for Dengue]. ?On Friday, of 85 samples, 29 were found with dengue virus,? he said refuting the report of two death cases due to the disease.

He said Sukramani Sandilya (40) of Barbil had died of encephalitis, an acute inflammation of the brain, on Thursday and Ratani Karua (60) died of renal failure on Friday.

Though Sandilya tested positive [for Dengue], he was discharged from the hospital after treatment. Similarly, Karua was suffering from diarrhoea when admitted and later, she developed symptoms of renal failure, Dr Sahu claimed.
...
http://www.newindianexpress.com/sta...isits-hospitals/2016/07/09/article3520732.ece
 
Karnataka

Bangalore
Japanese encephalitis and the city had to!

Home, Jul 09, 2016, 5:37 PM IST


In denghi is bothersome during the rainy season, along with the deadly virus to infect the problem cikungunyadantaha "Japanese
encephalitis" EIGHT YEARS quietly into the city, is widely haradalarambhiside.

Infection Japanese encephalitis has killed two children in the last month. Monsoon rains in the city of
rain, the infection is spreading widely. Doddavarigu spreading this infection often occurs in children.
The time has come to light spreading mostly for children age 2-5.
...
Japanese encephalitis killed two children in the hospital vanivilas infection, infected, many children arrive
for treatment. Indira Gandhi Children's Hospital, the prevalence of children cikitsegolagagilla hospital
director Dr. Bennakappa Asha said. However, according to Japanese Encephalitis-infected treatment in hospital sources said.
...


Read more at http://www.udayavani.com/kannada/new...DiH3U4fsSGW.99
 
9 cases of Japanese Encephalitis reported in Kamrup (M)
Posted On :: Monday 11th July 2016

The state witnessed 127 positive cases of Japanese Encephalitis resulting in 38 deaths with upper Assam being the most vulnerable
By: Juthika Baruah
Kamrup (M) has reported 9 positive cases of Japanese Encephalitis (JE) while the state has witnessed 127 numbers of cases with 38 deaths. Upper Assam has been the most vulnerable.

22 districts in the state have reported positive cases of JE and districts like Nagaon, Sivasagar and Dibrugarh are more vulnerable. ?This is the season that paddy grows in the fields. Therefore the mosquitoes increase in this season and there is no system to make the areas mosquito free. Fogging is done in many places and Impregnation Treated Bed Net (ITBN) has also been distributed to the people so that the cases do not increase. The people should also be aware about keeping the surroundings clean and hygienic. Unhealthy and unhygienic environment is the reason for the increase of mosquitoes,? said B.C. Bhagabati, State Surveillance Officer, IDSP, National Health Mission while speaking to G Plus.
...

http://g-plus.in/page/news-9-cases-of-japanese-encephalitis-reported-in-kamrup-m-

Comment: Assam reported 83 cases of Japanese Encephalitis with 21 fatalities to June 30. This is a significant increase for the past 11 days. Assam also reported an additional 385 cases & 41 deaths which were either untested or tested negative for JE to June 30. Historically in Assam confirmed JE deaths reflect 30-50% of total Encephalitis deaths.
 
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