India Encephalitis 2017: 1,228 fatalities

[Ronan Kelly]

Assam
State govt denies proposal for adult vaccination for JE in Kamrup (M)

Posted On :: Saturday 13th May 2017

By: Juthika Baruah
The season of Japanese Encephalitis (JE) has not yet started but the city has already witnessed one death from the disease due to the lackadaisical monitoring by the Guwahati Municipal Corporation even as the measures which mandatorily need to be taken in order to keep the city free of mosquitoes have not been taken by the concerned department.

One Rupa Devi (49) from Madhabdev Path (erstwhile VIP Road) died of Japanese Encephalitis. ?This year one case of JE has been reported from Kamrup (M). The virus comes from infected mosquitoes and therefore the government has started the immunization process for children. We have sent a proposal to the government to start the vaccination for adults as well but the government has denied the proposal for Kamrup (M) while it has been started in some of the districts in the state,? said Epidemiologist of Kamrup (M) under Joint Directorate of Health Services, Dr. PC Hazarika while speaking to G Plus.
...
33 cases of Acute Encephalitis Syndrome (AES) have been detected till 6th May out of which one case is of JE. AES is the syndrome which affects the brain and it can be due to JE, Dengue, Malaria or other disease which damage the brain.
...
http://www.guwahatiplus.com/page/ne...sal-for-adult-vaccination-for-je-in-kamrup-m-

 

[Ronan Kelly]

Assam
Early warning system to combat Japanese Encephalitis outbreak

TNN | Updated: May 17, 2017, 01.16 PM IST


GUWAHATI: A Japanese Encephalitis warning system, developed by scientist at the Regional Medical Research Centre in Dibrugarh, but lying dormant, is expected to be revived as part of a slew of measures to combat the disease in Assam.
A 'determined' state health department on Tuesday said it will go ahead with the preventive system through widespread campaigns and enhance efforts and resources to combat the scourge in vulnerable pockets of the state, especially in the backdrop of a rumour that JE vaccination causes infertility among students. On Monday, many schools in minority-dominated lower Assam were forced to shut down because of the rumours that had started circulating from Saturday.
The warning system was developed in collaboration with the North East Space Application Research Centre (NESAC). The early warning system could help save hundreds of lives by detecting the intensity of the outbreak and the rate of occurrence in vulnerable areas.
...
The warning system incorporates Remote Sensing and Geographic Information System (GIS), JE data from previous years along with meteorological data.
...
http://timesofindia.indiatimes.com/...ncephalitis-outbreak/articleshow/58713719.cms

 

[Ronan Kelly]

Assam
26 Dead in AES and JE in Assam This Year


May 16 2017 22:01

by Northeast Today


Twenty six people have lost their lives in Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) across Assam in this year.

Addressing a press conference on Tuesday, the principal secretary in the Health and Family Welfare Department Principal Samir Kumar Sinha said 252 cases of AES and 39 instances of JE have been reported so far in 2017 in Assam. Of them 17 people have died in AES and nine lost their lives in JE, he said adding the worst affected districts are Jorhat and Sivasagar.
...
https://www.northeasttoday.in/26-dead-in-aes-and-je-in-assam-this-year/

 

[Ronan Kelly]

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[Ronan Kelly]

Coffer for UP's mineral-rich regions

TNN | Updated: May 23, 2017, 11.07 AM IST
...
ODF villages: The chief minister on Monday set deadline for making UP open defecation-free (ODF) state by October 2018. He claimed the state government would ensure 1,685 villages in 30 districts are ODF by the end of year. He said a vaccination drive to check spread of Japanese encephalitis (JE) would be carried out in 38 affected districts between May 25 and June 10. Yogi said the government would also focus on checking acute encephalitis syndrome by maintaining cleanliness.
...
http://timesofindia.indiatimes.com/...mineral-rich-regions/articleshow/58801149.cms

Children will feel Jee's criticism
Sant Kabir NagarUpdated Mon, 22 May 2017 10:59 PM IST

Vaccination campaign will be run to protect the purvanchal from encephalitis. For this, every district has been set. Encephalitis vaccine will be applied to 1,04,447 of the children from one to 15 years of Santacirinagar district. The campaign in the district will begin on May 25 and will run till June 5. In the course of the campaign, health workers will complete the vaccination target by going from house to house. Simultaneously, vaccination work will also be done on CHC.

Various methods are being adopted to protect the purvanchal from encephalitis. Under this, cleanliness campaign is being started in village-village. Drugs etc. are being sprayed in the drains. Asha, ANM and Anganwadi workers have been trained for the cause. Under this, health workers will go to house-to-vaccination. State Chairperson of Family Welfare, AP Chaturvedi, while prescribing the goal of the district, has said that such children of one to 15 years who have previously been deprived of JE vaccination should be covered with vaccination by running a special campaign. The full report of this will be sent to the Directorate General.
http://www.amarujala.com/uttar-pradesh/sant-kabir-nagar/encephalitis-injection

 

[Ronan Kelly]

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[TD="width: 7%"] [/TD]
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[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]May 22, 2017
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[Ronan Kelly]

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[TD="width: 7%"] [/TD]
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[TD="width: 6%"]Alive[/TD]
[TD="width: 6%"]May 27, 2017
Time : 11:40 am[/TD]
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[Ronan Kelly]

Bihar

June 3, 2017 Muzaffarpur,
4 children die due to convulsion and fever at SKMCH
Dr K K Kaushik

Muzaffarpur : Four children, who were admitted to Paediatric ICU of Sri Krishna Medical College and Hospital (SKMCH), Muzaffarpur, after bouts of convulsion and fever, died on June 2, 2017. While three children died during day hours on June 2, one died in the same night during treatment.

Confirming their death, Head of Paediatric department, SKMCH, Arvind Kumar Singh, said they died within eight hours of getting convulsion and fever. Of these four children, one was from East Champaran while the remaining three were from Muzaffarpur district – two from Saraiya block and one from Paroo. One of the four deceased children had shown symptoms of Encephalitis. Their blood samples were sent to laboratory for test and the reports are awaited.
http://www.thespeedpost.com/4-childr...ever-at-skmch/

Muzaffarpur has seen periodic outbreaks of fatal encephalopathy due to toxicity linked to unripe litchi fruit (see for example post #3 earlier in this thread. These outbreaks usually occur in May/June. (see excerpt below)​ - Ro

"Our analyses indicate that the absence of an evening meal modified the association between litchi consumption and illness. Parents in affected villages report that during May and June, young children frequently spend their day eating litchis in the surrounding orchards; many return home in the evening uninterested in eating a meal. Skipping an evening meal is likely to result in night-time hypoglycaemia, particularly in young children who have limited hepatic glycogen reserves, which would normally trigger β-oxidation of fatty acids for energy production and gluconeogenesis.39, 40 However, in the setting of hypoglycin A/MCPG toxicity, fatty acid metabolism is disrupted and glucose synthesis is severely impaired,11, 12, 41 which can lead to the characteristic acute hypoglycaemia and encephalopathy of the outbreak illness. The association between illness and the absence of an evening meal could explain the early morning onset of symptoms noted in most patients, and supports recommendations to ensure that children receive a night-time meal throughout the outbreak period. The important interaction between litchi consumption and the absence of an evening meal also contributes toward an understanding of why only some children in Muzaffarpur develop this acute encephalopathy. Although litchi fruits are ubiquitous in the orchards surrounding the villages in rural Muzaffarpur, typically only one child in an entire village develops this acute illness. The synergistic combination of litchi consumption, a missed evening meal, and other potential factors such as poor nutritional status, eating a greater number of litchis, and as yet unidentified genetic differences might be needed to produce this illness."
http://thelancet.com/journals/langlo...035-9/fulltext


The investigation of the death of four children reached the CS, SKMCH
Muzaffarpur, Muzaffarpur
Last updated: June 3, 2017 6:35 PM



In the case of death of four children killed in Muzaffarpur, CS D. Lalita Singh on Saturday examined the SKMCH. During this he held a meeting with the doctors of the Department of Pediatric Disease. Know the causes of death On the instructions of DM Dharmendra Singh, the CS started investigation in the morning itself. He said that the AES has not been confirmed in any district except in Motihari. However, the SKMCH administration has been alerted even after this. PICU's condition is fine. During the investigation, an SDMCH Director of Pediatric Disease, Dr Brij Mohan informed that the deceased four children did not have JE AES disease. Three children were suffering from another illness. Because of this, they were infected with encephalopathy. On the spot, other officials including Dr. Jike Thakur were also present.
http://www.livehindustan.com/bihar/m...h-1122068.html

 

[Ronan Kelly]

http://nvbdcp.gov.in/Doc/je-aes-cd-May17.pdf

Note that in this thread we have also reports of a confirmed fatal case of Encephalitis from Punjab and a fatal suspected case from Tamil Nadu. A recent media report gives the number of fatalities at BRD hospital in Uttar Pradesh as 60, including 3 in the past 3 days. http://www.patrika.com/news/gorakhpu...ormed-1594778/ - Ro

Comparison to previous years
Year: AES Cases / Deaths / JE Cases / Deaths
2016: 1,238 / 133 / 50 / 4 to May 31
2015: 1,059 / 113 / 49 / 6 to May 31
2014: 641 / 104 / 16 / 2 to May 31
2013: 230/ 53 / 7 / 0 to April 1 (the total number of fatalities was approximately 67 by May 31st, but no official report was released)
2012: 875/ 121 / NA / NA to May 31
2011: 539/ 65 / NA / NA to May 27

 

[Ronan Kelly]

Uttar Pradesh
Short of target, minister extends Japanese Encephalitis vaccination campaign

Yusra Husain | TNN | Jun 11, 2017, 10.31 PM IST

LUCKNOW: Falling short of completing the target of vaccinating 88 lakh children against Japanese Encephalitis (JE) by June 11 in 38 districts of the state, health minister Siddhartha Nath Singh on Sunday extended the campaign by another week.
The program that was launched on May 25 had on its last day covered around 78,30,000 children upto 15 years of age, reaching only 90% of the target on the last day.
...
http://timesofindia.indiatimes.com/...vaccination-campaign/articleshow/59098395.cms

 

[Ronan Kelly]

From Week 18 IDSP report: http://idsp.nic.in/WriteReadData/l892s/182017.pdf

AH/DBG/2017/18/0629 Assam Dibrugarh Japanese
Encephalitis 06 cases 02 fatalities 06-05-17 06-05-17 Under
Surveillance
Cases reported from several villages namely
Zaloni Tea Estate, Nauholia, Digholia,
Sungipathar, Duliajan, Kathalguri, SC Naohalia,
Chenibill, Wilton, Gajalbasti, Kathalguri. PHC
Tengakhat, District RRT investigated the
outbreak. House to house survey done. All the 05
CSF and 05 serum samples collected and sent to
Microbiology Deptt., AMCH, Dibrugarh were
positive for JE IgM ELISA. Two death occurred
in 65yr and 50yr old male. All cases treated
symptomatically. Health education given.

AS/JRT/2017/18/0660 Assam Jorhat Japanese
Encephalitis 07 cases 01 fatality 24-04-17 Under
Surveillance
Cases reported from several villages from several BPHC
Dhekorgorah BPHC Ratanpur Lahon BPHC Chenijan TE
BPHC Borhulla. BPHC Nakachari BPHC, Borline Kathalguri.
District RRT investigated the outbreak. House to house survey
done. All the 07 Serum samples collected and sent to JMCH;
were positive for JE IgM ELISA. All cases treated
symptomatically. Health education given.

 

[Ronan Kelly]

Uttar Pradesh
Death of one in encephalitis
Publish Date: Thu, 15 Jun 2017 01:28 AM (IST) | Updated Date: Thu, 15 Jun 2017 01:28 AM (IST)
Death of one in encephalitisDeath of one in encephalitis
In Gorakhpur BRD Medical College, the cycle of death has started from Incephalitis. Last twenty four hours
Gorakhpur

In the BRD Medical College, the process of death has started from Incephalitis. A patient was admitted in the last twenty four hours while Kushinagar's four year old girl died. Treatment of 14 patients admitted to Nehru Hospital Since 1 January this year, 192 patients have been admitted in Medical College, out of which 62 have died.

- See more at: http://www.jagran.com/uttar-pradesh/gorakhpur-city-16202030.html#sthash.mvse4iAa.dpuf

 

[Ronan Kelly]

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[TD="width: 6%"] [/TD]
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[TD="width: 6%"]June 17, 2017
Time : 11:23 am[/TD]
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Rajasthan
Suspected case of Japanese encephalitis in Pratapgarh

TNN | Jun 18, 2017, 10.15 AM IST


JAIPUR: Japanese encephalitis (JE) is alien to the state but a suspected case reported in Pratapgarh has given sleepless night to the health department officials.
A 10-year-old boy, resident of Daraganv of Dariyawad block of Pratapgarh district was brought to RNT Medical College with symptoms of JE. The doctors sent the samples to National Institute of Virology in Pune.
The boy tested positive for JE in a test of serum. But, he was tested negative for JE in cerebrospinal fluid (CSF) test.
...
http://timesofindia.indiatimes.com/...alitis-in-pratapgarh/articleshow/59197150.cms

 

[Ronan Kelly]

Uttar Pradesh
Death of one in encephalitis
Publish Date: Sun, 18 Jun 2017 02:31 AM (IST) | Updated Date: Sun, 18 Jun 2017 02:31 AM (IST)
Death of one in encephalitisDeath of one in encephalitis
In Gorakhpur, the recruitment of patients of Inseflitis and death of the patients is increasing. Past
Gorakhpur

Recurrence of Inseflitis patients in Purvanchal and the series of deaths are increasing. In the last twenty four hours, six new patients were admitted in the BRD Medical College, whereas Aditya of Deoria died.

Among the recruits, there are two patients of Kushinagar and each of the settlements, Maharajganj, Gorakhpur and Mau. 16 patients admitted to Nehru Hospital are undergoing treatment. Since last one January, 202 patients have been admitted to BRD Medical College, out of which 63 have died.

- See more at: http://www.jagran.com/uttar-pradesh/gorakhpur-city-16219329.html#sthash.KIZt1kuR.dpuf

 

[Ronan Kelly]

Acute Encephalitis Syndrome scare stalks Odisha
By Hemant Kumar Rout | Express News Service | Published: 19th June 2017 07:23 AM |
Last Updated: 19th June 2017 07:23 AM | A+A A- |

BHUBANESWAR: Acute Encephalitis Syndrome (AES) has come back to haunt the State health administration. It has affected 313 persons, mostly children, and claimed 10 lives in Odisha till end of May this year.

While three deaths have been reported from Khurda district and two from Balasore, one each has died in Kendrapara, Jajpur, Nayagarh, Puri and Sambalpur.
As per the statistics available with the directorate of National Vector Borne Disease Control Programme (NVBDCP), no death has been reported in Japanese Encephalitis (JE) though of 313 AES cases diagnosed so far, two have been found to be JE positive.
...
After spurt in AES and JE cases last year, 10 sentinel laboratories were set up in the State for immediate diagnosis of blood samples. These laboratories have been provided JE kits supplied by Pune-based National Institute of Virology.

The Health authorities have also planned to train all treating paediatric specialists to deal with encephalitis cases. They will be imparted training at AIIMS next month.
Last year, of 1,096 AES cases, 115 persons died of AES and 42 children died of JE. Most of the cases were reported from Malkangiri district. Along with Malkangiri, mass vaccination was carried out in Mayurbhanj, Keonjhar and Jajpur districts in campaign mode.
Meanwhile, the State Government has written to the Centre for vaccination in rest 13 districts which have reported AES cases in the past.
http://www.newindianexpress.com/sta...tis-syndrome-scare-stalks-odisha-1618361.html

 

[Ronan Kelly]

Maharashtra
ONE JAPANESE ENCEPHALITIS CASE GETS STATE ON ITS TOES
By Vicky Pathare, Pune Mirror | Jun 22, 2017, 02.30 AM IST
One Japanese Encephalitis case gets state on its toes

On June 10, a couple from Kondhwa rushed their 10-month-old infant to a hospital after vomiting bouts, constant cough and noticeable abnormal behaviour. Suspecting that the kid might have contracted Japanese Encephalitis (JE) ? an infection that corrodes brain cells ? the doctors sent his blood samples to National Institute of Virology (NIV), which confirmed their suspicion. The diagnosis, a first in the city and second in the state, has got government officials on their toes.

The state epidemiology cell and Pune Municipal Corporation (PMC) epidemiology cell have been keeping a close watch on the situation to ensure that it does not go out of control.

Inamdar Multispecialty Hospital in Kondhwa communicated the diagnosis to the civic officials after the 10- month-old infant?s week-long struggle in the intensive care unit. After NIV?s confirmation, the doctors conveyed results t that showed severe inflammation of brain caused Japanese B Encephalitis Virus that is transmitted by the bite of infected Culvex Vishnui mosquito. The baby is currently stable and out of danger. He has been shifted to the general ward.
...
http://punemirror.indiatimes.com/pu...ts-state-on-its-toes/articleshow/59260060.cms

 

[Ronan Kelly]

AS/GLG/2017/20/0734 Assam Golaghat
Japanese Encephalitis 18 cases 00 01-05-17
Under Surveillance
Cases reported from All BPHC. District RRT investigated the
outbreak. House to house survey done. Out of 15 serum
samples and 1 CSF sample collected and sent to DPL, IDSP,
Golaghat and 3 serum samples and 1 CSF sample collected and
tested at JMCH, Jorhat, 2 serum samples were positive for JE
IgM by ELISA. All cases treated symptomatically. Source
reduction activities undertaken. Health education given.

AS/JRT/2017/20/0735 Assam Jorhat Japanese
Encephalitis 26 cases 02 fatalities 07-02-17 Under Surveillance
Cases reported from Village Chutiabari. SC Jalukonibari SD.
BPHC Baghchung. District RRT investigated the outbreak.
House to house survey done. Out of 08 CSF and 25 serum
samples tested at JMCH, Jorhat; 20 samples (CSF=5, Serum =
15) found positive for JE IgM by ELISA. All cases treated
symptomatically. Source reduction activities undertaken.
Health education given. Deceased were 60 year old Female and
19 years old male.

AS/JRT/2017/18/0660 Jorhat
Japanese Encephalitis 33 cases 03 fatalities 24-04-17
Under Surveillance
7 cases with one death were reported in week 18th. 26 more
cases and 2 deaths reported from Villages Chutiabari
Rongaihabigaon, Tehelsinghnagar, Puroniline, New Toklai
Panbari T.E, Dhekorgorah, No. 1 Bhurakola Gaon,
Baghargaon, Cheleng Chapori, Chenijan T.E, Dhekjakhowa
Gaon, Garajan Tiniali, Borline Kathalguri T.E. SC/PHC
Jalukonibari SD,BPHC Baghchung, Tamulbari SC,
Dhekorgorah MPHC, Puronimati SHC, Ratanpur Lahon
MPHC, Malapindha SC, Kakojan BPHC, Dhekiakhowa SC,
Borhulla CHC, Nakachari BPHC.08 CSF and 25serum samples
collected and sent to JMCH, Jorhat. 20 samples (CSF=5,
Serum = 15) found positive for JE IgM by ELISA. All cases
treated symptomatically. Source reduction activities
undertaken. Health education given

From week 20 IDSP report: http://idsp.nic.in/WriteReadData/l892s/202017.pdf

 

[Ronan Kelly]

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[TD="width: 7%"] [/TD]
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State : UTTAR PRADESH[/TD]
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[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
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[TD="width: 6%"]June 24, 2017
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[TD="width: 7%"] [/TD]
[TD="width: 6%"] [/TD]
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[TD="width: 6%"]June 24, 2017
Time : 11:31 am[/TD]
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[Ronan Kelly]

Three of the deaths of encephalitis
Publish Date: Sun, 25 Jun 2017 01:13 AM (IST) | Updated Date: Sun, 25 Jun 2017 01:13 AM (IST)

Three of the deaths of encephalitisThree of the deaths of encephalitis
Envelope in the Gorakhpur Puravucha is getting wrecked. In the last 24 hours, BRD Medical College
Gorakhpur

Infeiture of Insefitis is getting stronger in the eastern region. In the last 24 hours, a patient was admitted to the BRD Medical College, while three died during treatment. 19 patients admitted to Nehru Hospital are undergoing treatment.

Among the three innocent people who died were Manjit, 16, Manpreet of Gopalganj, Imashad, two and a half years of Gorakhpur and six years old Sikander of Balrampur.

Since January this year, 215 patients have been admitted to BRD Medical College, out of which 66 have died.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16256796.html

 

[Ronan Kelly]

Uttar Pradesh

Three of the deaths of encephalitis
Publish Date: Wed, 28 Jun 2017 01:40 AM (IST) | Updated Date: Wed, 28 Jun 2017 01:40 AM (IST)
Three of the deaths of encephalitisThree of the deaths of encephalitis
In Gorakhpur, the death toll from Incephalitis continues. In the last three days, BRD Medical Age
Gorakhpur

There is a continuation of deaths from Insepflitis in Purbachal. In the last three days, seven new patients were admitted in the BRD Medical College and three others died. 18 patients admitted to Nehru Hospital are undergoing treatment

The three people who died were Jyoti of 17 years of ghetto, four years of Gorakhpur and 4 years old Anok of Sant Kobirnagar. Since January this year, 222 patients have been admitted to BRD Medical College, out of which 69 have died.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16272257.html