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India Encephalitis 2017: 1,228 fatalities

Scrab typhus encephalitis drug on ETC
Publish Date: Fri, 30 Jun 2017 01:07 AM (IST) | Updated Date: Fri, 30 Jun 2017 01:07 AM (IST)
Scrab typhus encephalitis drug on ETCScrab typhus encephalitis drug on ETC
Gorakhpur: Now at the health centers of the Gorakhpur and the Basti Mandal, which has attained Encephalitis Treatment Center
Gorakhpur: Now you will get the medicine of scrub typhus encephalitis on the health centers of the Gorakhpur and the Basti Mandals, which are in the category of Encephalitis Treatment Center. Instructions for providing dexycycline and azithromycin in these hospitals have been given to the CMO.

It is said that from July 3, a high level team of experts is going to visit these health centers. In patients of the team of Inphthitis, scrub typhus will also study the symptoms and treatment of bacteria.

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

What is scrub typhus

So far, in addition to the Japanese encephalitis and waterborne diseases caused by mosquitoes, scrub typhus bacteria have been confirmed in patients in large numbers.

This bacteria is found in the cephaler (a special type of lice found in the woods in the woods). In view of this, it has now been decided to give antibiotic azithromycin or dxycycline to all patients of Inphalitis.

In the districts of Uttar Pradesh, for the identification of AES (acute encephalitis syndrome) disease, India is being researched by the Government of India, USAID, CDC Atlanta, Nimhans Bangalore and National Institute of Virology Pune. Scratch typhus that has been diagnosed with insufflation in the blood test of AES patients has been identified. After this, the officials were told that all the patients arriving in hospitals should be treated using antibiotic azithromycin or dxycycline on priority basis. The same medicine should be given to AES patients too. If there is any further diagnosis of the disease, then the disease should be treated.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16282922.html

Comment: Scrub Typhus was linked to AES cases in Assam 2013-15 and in Uttar Pradesh in 2016. - Ro
Scrub Typhus Leading to Acute Encephalitis Syndrome, Assam, India
Acute Encephalitis Syndrome in Gorakhpur, Uttar Pradesh, India - Role of scrub typhus.
The Gorakhpur mystery New research promises to find the causes behind India's annual encephalitis outbreaks.
 
Death of one in encephalitis
Publish Date: Tue, 04 Jul 2017 01:04 AM (IST) | Updated Date: Tue, 04 Jul 2017 01:04 AM (IST)

In Gorakhpur, the process of recruitment of patients of Insefalitis has started and death has started. Past two
Gorakhpur

The recurrence of patients of Insefalitis in Purbachal has begun and a series of deaths has started. In the last two days, three new patients were admitted in the BRD Medical College, whereas the 12 year old Sudha died of Sant Kabirnagar. 13 patients admitted to Nehru Hospital are undergoing treatment.

There are only one patient for recruitment in Gorakhpur, Kushinagar and Santacirinagar. Since 1st January this year, 233 patients have been admitted to BRD Medical College, out of which 70 have died.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16304429.html
 
Jharkhand
Suspected cases of Japanese Encephalitis surface in Jamshedpur
JAMSHEDPUR July 3, 2017 , by Desk 0 Comments 50
Jamshedpur, July 3: After eight confirm cases of dengue were reported, fresh suspected cases of Japanese Encephalitis (JE) have surfaced in the city.

District officer for Integrated Disease Surveillance Programme ( IDSP), Sahir Pall said they got two blood samples of suspected Japanese encephalitis (JE) cases, which were sent to the microbiology department of MGM Medical College in Dimna. ? We got the samples from a local hospital which has been sent to the lab for a test. The report is expected in the next 72-hours,? he said.
...
http://www.avenuemail.in/jamshedpur/suspected-cases-japanese-encephalitis-surface-jamshedpur/110280/
 
[h=4]Volume 23, Number 8?August 2017[/h] [h=4]Research Letter[/h] [h=1]Scrub Typhus as a Cause of Acute Encephalitis Syndrome, Gorakhpur, Uttar Pradesh, India[/h] [h=4]On This Page[/h]
[h=4]Tables[/h]
[h=4]Technical Appendices[/h]
[h=4]Downloads[/h]

Mahima Mittal, Jeromie Wesley Vivian Thanagraj, Winsley Rose, Valsan Philip Verghese, C.P. Girish Kumar, Mahim Mittal, R. Sabarinathan, Vijay Bondre, Nivedita Gupta, and Manoj V. Murhekar
Author affiliations: BRD Medical College, Gorakhpur, India (Mahmia Mittal, Mahim Mittal); National Institute of Epidemiology, Chennai, India (J.W.V. Thanagraj, C.P. Girish Kumar, R. Sabarinathan, M.V. Murhekar); Christian Medical College, Vellore, India (W. Rose, V.P. Verghese); National Institute of Virology, Gorakhpur (V. Bondre); Indian Council of Medical Research, Delhi, India (N. Gupta)
Suggested citation for this article
[h=3]Abstract[/h] Outbreaks of acute encephalitis syndrome (AES) have been occurring in Gorakhpur Division, Uttar Pradesh, India, for several years. In 2016, we conducted a case?control study. Our findings revealed a high proportion of AES cases with Orientia tsutsugamushi IgM and IgG, indicating that scrub typhus is a cause of AES.

Outbreaks of acute encephalitis syndrome (AES) with high case-fatality rates have been occurring in Gorakhpur Division of Uttar Pradesh, India, since 1978 (1). AES predominantly affects children <15 years of age (2), and its etiology has remained largely unknown (3,4). Studies focusing on AES in the region have documented that cases with unknown etiology accounted for 41.6% of cases in 2011?2012 (5) and 59% in 2013?2014 (6).
Investigations conducted during the 2015 outbreak revealed scrub typhus IgM in >60% of AES cases (7). The absence of information about IgM positivity from the general population, and the probability of high background antibody levels in areas to which scrub typhus is endemic, led us to conduct an unmatched case?control study in which we compared IgM and IgG seropositivity for Orientia tsutsugamushi, the causative agent of scrub typhus, in AES patients and healthy controls.
We conducted the study during August 17?October 16, 2016. Children <15 years of age with AES admitted to the BRD Medical College in Gorakhpur during the study period were recruited to the study if their parents consented to a blood draw and they had siblings <15 years of age. We defined a case of AES as an acute onset of fever and change in mental status or new onset seizures, excluding febrile seizures (8), with cerebrospinal fluid pleocytosis (cell counts >5/mm3). Controls were healthy children <15 years of age residing in the home (sibling controls) or village (community controls) of AES case-patients. We interviewed mothers and caretakers for information on case-patients and controls.
We collected 2-mL blood samples from case-patients and controls and tested the samples for O. tsutsugamushi IgM and IgG using commercial ELISAs (Scrub Typhus Detect; InBios International Inc., Seattle, WA, USA). We considered an optical density value >0.5 to be a positive result (9). We compared IgM and IgG positivity among AES case-patients and their controls by calculating crude and adjusted odds ratios (ORs) with 95% CIs.
We enrolled 46 case-patients and 151 controls (69 sibling and 82 community controls) in the study. The median age was 5 (interquartile range 3?9) years for patients and 7 (interquartile range 4?10) years for controls. The case-patients and controls did not differ by age group or sex (Table). The mothers of 54 (35.8%) of the control children reported a history of fever in the past 6 months.

Common symptoms among the 46 AES case-patients included seizures (69.6%), altered sensorium (52.2%), and vomiting (37%); physical examinations revealed hepatomegaly (43.4%), cervical or inguinal lymphadenopathy (39.1%), and periorbital edema (54.3%). Cerebrospinal fluid was clear in appearance in 43 of the patients we tested. Cell counts ranged from 5?100/mm3 in 41 (95.3%) and were >100/mm3 in 2 patients. Protein levels in fluid were <45 mg/dL in 8 patients, 46?100 mg/dL in 15, and >100 mg/dL in 20 patients. All AES case-patients were given intravenous azithromycin; 20 patients also received injected ceftriaxone. Eight patients died.
O. tsutsugamushi IgM was detected in 29 (63%) case-patients and IgG in 38 (82.6%). For controls, IgM was detected in 7 (4.6%) and IgG in 64 (42.4%) children. Of the 8 fatal cases, 6 patients had O. tsutsugamushi IgM and all had IgG. The distribution of optical density values for IgM and IgG among cases and controls are shown in the Appendix (Technical Appendix[PDF - 94 KB - 1 page]). Twenty-eight of the 29 IgM-positive cases and 6 of the 7 controls with IgM seroreactivity were also positive for IgG. Of the 7 controls with IgM seroreactivity, 3 had a history of febrile illness in the past 6 months.
The odds of IgM scrub typhus positivity were 35.1 (95% CI 13.4?92.3) times higher among AES case-patients than among controls; when adjusted for age, the odds were 29.9 (95% CI 9.6?92.9) times higher for case-patients. The odds of IgG positivity were 6.5 (2.8?14.8), times higher among AES case-patients than controls, and when adjusted for age, the odds were 3.8 (95% CI 1.4?10.9) times higher for case-patients. When analyzed separately, AES case-patients had higher odds for IgM positivity compared with sibling (OR 25.1, 95% 6.3?99.8) or community (OR 13.2, 95% 2.27?76.7) controls.
Our study had 1 main limitation: patients and controls were selected from the same village and shared the same environmental risk factors. Despite overmatching that underestimates the strength of association, the odds ratios for O. tsutsugamushi IgM and IgG positivity were significant. We concluded that the presence of higher levels of O. tsutsugamushi IgM and IgG among AES case-patients than among controls indicates a role for scrub typhus in the etiology of AES in Gorakhpur.

Dr. Mittal is the head of the Department of Pediatrics at BRD Medical College, Gorakhpur, India. Her research interests include central nervous system infections among children.


[h=3]Acknowledgments[/h] We thank the members of the expert group on Research-Cum-intervention project on AES/JE for their inputs on the study findings. We are grateful to Anita Mehta, S.K. Srivastava, and Bhoopendra Sharma for their cooperation. Thanks are also due to Mr. Karunakaran and Mr. Magesh for their technical support.
The study was funded from an extramural grant by the Indian Council of Medical Research, New Delhi.

[h=3]References[/h]
  • Mittal M, Kushwaha KP. AES: Clinical presentation and dilemmas in critical care management. J Commun Dis. 2014;46:50?6.
  • Ranjan P, Gore M, Selvaraju S, Kushwaha KP, Srivastava DK, Murhekar M. Changes in acute encephalitis syndrome incidence after introduction of Japanese encephalitis vaccine in a region of India. J Infect. 2014;69:200?2. DOIPubMed
  • Bhatt GC, Bondre VP, Sapkal GN, Sharma T, Kumar S, Gore MM, et al. Changing clinico-laboratory profile of encephalitis patients in the eastern Uttar Pradesh region of India. Trop Doct 2012;42:106e8. http://journals.sagepub.com/doi/pdf/10.1258/td.2011.110391
  • Joshi R, Kalantri SP, Reingold A, Colford JM Jr. Changing landscape of acute encephalitis syndrome in India: a systematic review. Natl Med J India. 2012;25:212?20.PubMed
  • Jain P, Jain A, Kumar A, Prakash S, Khan DN, Singh KP, et al. Epidemiology and etiology of acute encephalitis syndrome in North India. Jpn J Infect Dis. 2014;67:197?203. DOIPubMed
  • Gupta S, Shahi RK, Nigam P. Clinico-etiological profile and predictors of outcome in acute encephalitis syndrome in adults. International Journal of Scientific Study. 2016;3:78?83 http://www.ijss-sn.com/uploads/2/0/1/5/20153321/ijss_feb_oa16_2016.pdf.
  • Murhekar MV, Mittal M, Prakash JA, Pillai VM, Mittal M, Girish Kumar CP, et al. Acute encephalitis syndrome in Gorakhpur, Uttar Pradesh, India - Role of scrub typhus. J Infect. 2016;73:623?6. DOIPubMed
  • World Health Organization. Acute Encephalitis Syndrome. Japanese encephalitis surveillance standards. January 2006. From WHO-recommended standards for surveillance of selected vaccine-preventable diseases. WHO/V&B/03.01 [cited 2016 Oct 14]. http://apps.who.int/iris/bitstream/10665/68334/1/WHO_V-B_03.01_eng.pdf
  • Blacksell SD, Tanganuchitcharnchai A, Nawtaisong P, Kantipong P, Laongnualpanich A, Day NP, et al. Diagnostic accuracy of the InBios scrub typhus detect enzyme-linked immunoassay for the detection of IgM antibodies in northern Thailand. Clin Vaccine Immunol. 2015;23:148?54. DOIPubMed
[h=3]Table[/h]
[h=3]Technical Appendix[/h]
Suggested citation for this article: Mittal M, Thangaraj JWV, Rose W, Verghese VP, Girish Kumar CP, Mittal M, et al. Scrub typhus as a cause of acute encephalitis syndrome, Gorakhpur, Uttar Pradesh, India. Emerg Infect Dis. 2017 Aug [date cited]. https://doi.org/10.3201/eid2308.170025
DOI: 10.3201/eid2308.170025

https://wwwnc.cdc.gov/eid/article/23/8/17-0025_article
 
The case of the Japanese fever that was found in Chhattisgarh, the family of the child was not possessed of money ....
July 7, 2017 Encephalitis , sukma


Sukma This year, suspected cases of encephalitis i.e. Japanese fever have emerged in Sukma. An eight-year-old child of Kutiguda has shown signs of encephalitis in Sanjana's condition.

Sanjana was brought to Malkangiri for treatment Where the doctor immediately referred him to Jagdalpur. But if the poor mother could not afford to go to Jagdalpur then he came back to his village.

It is flowing between death and life. After the initiative of Lulluram.com, the department is preparing to send an ambulance.
https://lalluram.com/encephalitis-in-sukma/
 
Assam, Dibrugarh district
Twenty die of encephalitis

Avik Chakraborty
Dibrugarh, July 7:
...
Dibrugarh joint director of health services Udayan Kumar Baruah said, "Twenty encephalitis deaths have occurred since January 1. Another 140 persons have tested positive, of whom 27 are suffering from Japanese encephalitis and 113 from acute encephalitis syndrome. They are at various stages of recovery."
...
https://www.telegraphindia.com/1170708/jsp/northeast/story_160707.jsp

Comment: A patient cannot "test positive" for AES as it is a set of symptoms, not a pathogen. - Ro
 
Manipur
Woman dies of suspected Japanese encephalitis
08 July 2017

By A Staff Reporter

IMPHAL | July 7

Amidst apprehension of Dengue looming large in Churachandpur a women from the district died of suspected Japanese encephalitis on Thursday.

The victim, identified Eraigaliu (47) wife of Athuina Kamei of Majhuron Loktak Project, succumbed at Shija Hospitals and Research Institute.

According to reports Eraigaliu was evacuated to Shija on the morning of July 5 around 9.30 am following intense fever.

It has been informed that she was semi conscious when she was brought to the hospital.

Speaking to Imphal Free Press, the Medical Superintendent (MS) of Shija hospital, Jugindra Sorokhaibam, disclosed that when Eraigaliu was admitted her condition was very bad that she could not co-operate with the doctors attending on her.

Judging by the nature of her symptoms, the MS expressed his suspicion that the woman could be suffering from Japanese encephalitis.
...
http://www.ifp.co.in/item/1703-woman-dies-of-suspected-japanese-encephalitis
 
Uttar Pradesh
Two children die from brain fever in Hailat Hospital in Kanpur
Senior correspondent, Kanpur
Last updated: July 5, 2017 9:09 PM
Hallet's speaking children in the disease department.


Two children suffering from brain fever died in Hallet Hospital. The two children were admitted on Tuesday. 28 children with fever and gastrointitis have been admitted. According to doctors, patients are being taken into serious condition for patients with delayed treatment and diarrhea.
On Tuesday night, from eight o'clock till 8 o'clock on Wednesday, 28 children have been admitted to the Pediatric Hospital Halts Hospital. Doctors are shocked. According to doctors, it is difficult to handle such a large number of patients in a single day, therefore the number of junior doctors has been increased in the emergency. A consultant will also round after 10 o'clock. The children who died include Fatehpur resident Hadza (7) and Unnao Jaitapur Bangarammu resident Sonam (7) daughter Ram Chandra. Hadha had a lack of blood. There was also infection in the liver. Similarly, Sonam also has malaria with brain fever And there was a complaint of gastrointratis. Both were brought in a serious condition. Department
of Impact of Fluctuation in
Depression, Dr. Yashwant Rao says that the ups and downs of temperature are affecting those children who are malnourished or are already infected with any bacteria and viruses. Care should be taken especially to show the child to pediatricians as soon as fever rises. Hallet has a cure system for treatment. People come late in the late hours or in the whirlwind and damp squash. Yashwant Rao says that the ups and downs of temperature are affecting children who are malnourished or are already infected with any bacteria and viruses. Care should be taken especially to show the child to pediatricians as soon as fever rises. Hallet has a cure system for treatment. People come late in the late hours or in the whirlwind and damp squash. Yashwant Rao says that the ups and downs of temperature are affecting children who are malnourished or are already infected with any bacteria and viruses. Care should be taken especially to show the child to pediatricians as soon as fever rises. Hallet has a cure system for treatment. People come late in the late hours or in the whirlwind and damp squash.
http://www.livehindustan.com/uttar-...wo-children-die-from-brain-fever-1170760.html
 
Jharkhand
Kidney death in Rims from Japanese encephalitis
Chief reporter, Ranchi
Last updated: July 10, 2017 2:32 AM



Every year, the Japanese encephalitis has caused a knock in Jharkhand due to the death of thousands of people in the country. On Sunday, four years of Reshma died in Rims due to the disease. Reshma, daughter of Abrar, a resident of Sahadeva village in Patan police station area of ​​Palamu district, was admitted to Rims at 4:30 pm on Saturday evening. She was undergoing treatment under the care of pediatrician Dr Mini Rani Akhauri.
Abrar said that for three days Reshma was getting vomiting. He had a high fever too. The first treatment was done at the local level but when the fever was not properly, he brought the daughter to the rims. He died around 10 a.m. on Sunday morning. Dr. Akhauri told that this was his first case here.
...
http://www.livehindustan.com/jharkh...-rims-from-japanese-encephalitis-1177901.html
 
From Week 22 IDSP Report: http://idsp.nic.in/WriteReadData/l89...1499776651.pdf

AH/DBG/2017/22/0818 Assam Dibrugarh AES/JE 18 cases 03 fatalities 26-03-17 Under
Surveillance
Cases reported from several villages under PHC Naharani.
District RRT investigated the outbreak. House to house survey
done. Out of 15 CSF and 16 Serum samples tested at AMCH,
2 CSF and 2 Serum samples tested positive for JE IgM by
ELISA. All cases treated symptomatically. Source reduction
activities undertaken. Health education given. Deceased were
52/M,45/M and 30 /M.

AS/SBS/2017/22/0820 Assam Sibsagar AES/JE 24 cases 03 fatalities 14-01-17 Under
Surveillance
Cases reported from Village Morabazar, PHC Demow, Block
Patsaku. District RRT investigated the outbreak. House to
house survey done. Out of 38 Serum Samples tested at DPHL
Sivasagar, 18 tested positive for JE IgM by ELISA. All cases
treated symptomatically. Source reduction activities
undertaken. Health education given. Deceased were 16/F,
12/M and 31/M

MH/BNR/2017/22/0827 Maharashtra Bhandara Japanese
Encephalitis
03 cases 01 fatality10-05-17 Under
Control
Cases reported from Village Narvha, Block Bhandara, SC
Kharshi, PHC Lakhani. District RRT investigated the outbreak.
House to house survey done. Out of 06 Serum Samples tested
at IGMC Nagpur for JE and Chandipura virus, 2 found positive
for JE test. All cases treated symptomatically. Health education
given.
 
Manipur
Five Dengue, four Japanese Encephalitis cases confirmed
12 July 2017

By A Staff Reporter

IMPHAL | July 11
...
Meanwhile, blood samples from another four cases of suspected Japanese Encephalitis (JE) taken from patients undergoing treatment at Shija Hospitals are also confirmed to be positive.

In the meantime, the test result of a woman who died at Shija hospital on July 6 of suspected JE turned out to be negative.

Of the four patients who were tested positive of JE, two have been discharged from the hospital after having recovered, while the remaining two are still undergoing treatment at the hospital.
...
http://www.ifp.co.in/item/1810-five-dengue-four-japanese-encephalitis-cases-confirmed
 
Uttar Pradesh

Two more deaths from encephalitis
Publish Date: Thu, 13 Jul 2017 01:13 AM (IST) | Updated Date: Thu, 13 Jul 2017 01:13 AM (IST)
Two more deaths from encephalitisTwo more deaths from encephalitisGorakhpur: Inhalation of Inphalitus in the eastern region along with rain has started to accelerate. In the last twenty four hours BR
Gorakhpur: Inhalation of Inphalitus in the eastern region along with rain has started to accelerate. In the last twenty four hours, three new patients were admitted in the BRD Medical College and two others died. 19 patients admitted to Nehru Hospital are undergoing treatment.

The two people who died include five-year-old Ashwini of Deoria and two years of Shiva's Shiva Kumari. Among the recruits, there are only one patient in Gorakhpur, Deoria and Bihar. Since January this year, 260 patients have been admitted to BRD Medical College, out of which 79 have died.

By Jagran
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16357301.html
 
Bihar
Encephalitis, malaria in Gaya

Abdul Qadir | TNN | Jul 13, 2017, 01:00 AM IST

Gaya: With at least eight suspected and one confirmed case of Japanese Encephalitis (JE) as well as malaria outbreak reported from different areas, Gaya district's health delivery system has again been put to test.
According to Anugrah Narain Memorial Medical College and Hospital (ANMMCH) superintendent S K Sinha, microbiology report has confirmed one JE positive case, admitted to the hospital.
"Seven other suspected cases of encephalitis have been reported in the ANMMCH. Three of the suspected cases are attributed to Acute Encephalitis Syndrome (AES) of unknown variety. Treatment and investigation facilities are available in the hospital," Dr Sinha claimed and added samples were being sent to a Patna lab for further confirmation and detailed analysis.
...
http://timesofindia.indiatimes.com/city/patna/encephalitis-malaria-in-gaya/articleshow/59567876.cms
 
Uttar Pradesh
Posted at: Jul 13 2017 4:15PM

Three kids die of Encephalitis in Gorakhpur

Gorakhpur, Jul 13 (UNI) Three more kids died of Encephalitis at Baba Raghavdas Medical College Hospital, commonly known as Gorakhpur Medical College Hospital here today, increasing the death toll due to the fatal disease, to 80.
...
Read more at http://www.uniindia.com/three-kids-d...6yMOTiUYbym.99
 
Assam
Japanese encephalitis claims 41 in Assam

- Most deaths in Sivasagar, followed by Jorhat and Dibrugarh
Rajiv Konwar
Guwahati, July 13: Altogether 41 people in Assam have lost their lives to Japanese encephalitis.
Data provided by the National Vector Borne Disease Control Programme says till yesterday, Sivasagar in Upper Assam recorded the highest number (12) of JE death cases followed by Jorhat (11) and Dibrugarh (8). Besides, three persons died each in Tinsukia and Lakhimpur and one each in Kamrup (metro), Kamrup, Golaghat and Dhemaji.
...
There are 236 reported cases of JE in 18 districts of the state. The highest number of cases have been reported from Tinsukia and Jorhat (56 each) followed by Sivasagar (41), Dhemaji (37), Dibrugarh (33), Golaghat (28) and Lakhimpur (18).
....
In simultaneous outbreaks of what public health experts call acute encephalitis syndrome (AES), 83 people died this year and 1,079 have been affected.
...
https://www.telegraphindia.com/1170714/jsp/northeast/story_161794.jsp

Comment: Encephalitis reporting in Assam has always been confused. I believe that the JE numbers being reported here are a subset of the AES numbers, not in addition to. Unfortunately it is impossible to check at this point since the NVBDCP has not updated its web page since June 2. - Ro
 
Uttar Pradesh
Scrub typhus virus with 60 percent AES patients
Publish Date: Sat, 15 Jul 2017 10:38 PM (IST) | Updated Date: Sat, 15 Jul 2017 10:38 PM (IST)
Gorakhpur: Scientists of the Indian Council of Medical Research (ICMR)
Gorakhpur:

Scientists of the Indian Council of Medical Research (ICMR) discussed in detail about the causes of AES during a doctor-scientific dialogue held at the National Institute of Virology in the BRD Medical College campus on Friday. He told that the acute encephalitis syndrome i.e. AES is no longer absurd. 60% of AES patients have symptoms of scrub typhus virus.

Dr. Nivedita Gupta, a scientist of ICMR, said that the biggest problem in the treatment of infections of the patients of Inseflitis was the identification of the virus. 80% of acute encephalitis syndrome (AES) patients were not aware of the cause of the disease. But in the last two years it has had a great success during research. In the research study, 60% of AES patients have symptoms of scrub detection of stroke. During the dialogue, the President of the Department of Pediatrics of BRD, Mahima Mittal also supported it. Dr. Mahima gave a presentation on the basis of the reports of blood samples of patients admitted for the last two years. He said that the report of blood samples of patients was astonishing. The scrub typhus virus was found not only in children but also in adults. During this time Dr. N. VP Bondre presented a figure of the past decade. He said that so far this year, 240 samples of blood samples of 240 patients were checked in the NIV. The shocking thing is that in this seven scans titanium viruses were found in Japanese encephalitis and seven patients' blood samples. In the dialogue, Commissioner Anil Kumar, Medical College Principal Prof. Apart from Dr. Rajeev Mishra, AD Health Dr. Pushkar Anand, Dr. Manoj Murehkar, Dr. Ashok Pandey, Dr. Kafil Khan and CMO of Gorakhpur, Deoria, Maharajganj and Kushinagar etc. were present. Dr. GM Gupte, Chief Scientist, ICMR presided over and thanked Dr. P.P. Bondre. In addition to Dr. Kafeel Khan, CMO of Gorakhpur, Deoria, Maharajganj and Kushinagar etc. are present. Dr. GM Gupte, Chief Scientist, ICMR presided over and thanked Dr. P.P. Bondre. In addition to Dr. Kafeel Khan, CMO of Gorakhpur, Deoria, Maharajganj and Kushinagar etc. are present. Dr. GM Gupte, Chief Scientist, ICMR presided over and thanked Dr. P.P. Bondre.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16373914.html

Changed encephalitis treatment techniques
Publish Date: Sat, 15 Jul 2017 10:38 PM (IST) | Updated Date: Sat, 15 Jul 2017 10:38 PM (IST)

Gorakhpur: After discussing the encephalitis in the NIV auditorium present in the BRD Medical College campus, scientists of the Indian Council of Research told the doctors associated with the Indian Medical Association to make changes in the treatment of encephalitis. Dr Syed Gupta, senior scientist, ASMR, at the seminar organized at Bank Road, Hotel Vivek, told the doctors that the technique of treatment of Insefalitis has changed after ABS patients received symptoms of scrub typhus bacteria. Slowly, the problem of this disease has started resolving. That day is not far when the mystery of this disease will be completely exhausted. On this occasion, District Magistrate Rajiv Routale, Principal of BRD Medical College Prof. Rajiv Mishra, Dr. Nivedita Gupta etc. were present.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16373922.html

Three more inescapes by Inseflitis
Publish Date: Sat, 15 Jul 2017 10:38 PM (IST) | Updated Date: Sat, 15 Jul 2017 10:38 PM (IST)
Three more inescapes by InseflitisThree more inescapes by InseflitisGorakhpur: During the 24 hours in the Encephalitis Ward of the BRD Medical College, three more flies from this disease
Gorakhpur:

During the 24 hours in the INSFLITIS Ward of the BRD Medical College, three more victims died of this disease. Among the dead, two children are Gorakhpur and one child is from Deoria district. In this, 83 infeited patients have died during this treatment in medical college this year so far.

Among the innocent victims, Nikhil (1 year) of Navyapur Badhalganj, Ranjit Maurya of Gola Gorakhpur (4 years) and Riya Kumari of Bhatni Devaria (7 years) is included. A patient of Gorakhpur was admitted and admitted to the Insepholitis ward during 24 hours. Till this year, 261 patients of INSephalitis have come to the medical college for treatment. 13 Infealthy patients are still undergoing treatment in the ward.
http://www.jagran.com/uttar-pradesh/gorakhpur-city-16373966.html

Comment: To July 15 of last year, BRD hospital in Gorakhpur had seen 287 patients with 80 fatalities. This year 261 patients with 83 fatalities. It seems that, so far, the treatment changes have not improved patient outcomes. Time will tell. - Ro
 
Odisha

Now, encephalitis No.1 killer in Odisha

Sunday, 16 July 2017 | SANJEEV KUMAR PATRO | BHUBANESWAR | in Bhubaneswar
...
Significantly, Odisha had hit the national headlines last year for serial child deaths in Malkangiri, and which also had a political toll on the ruling BJD when it lost to the BJP in the panchayat polls. Data for 2017 reveals continuance of the trend as till May end Odisha has reported a total of over 510 encephalitis cases and the death burden for the same period stood at over 60.
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https://www.dailypioneer.com/state-editions//now-encephalitis-no1-killer-in-odisha.html

Comment: To July 9th, Odisha has reported 391 cases of AES with 10 fatalities & 7 cases of JE to the NVBDCP. It seems like the true burden is significantly higher. - Ro

Encephalitis.webp
http://nvbdcp.gov.in/Doc/je-aes-cd-9July.pdf

Comment: Media reports have increased the number of fatalities in Assam to 83, Odisha to 60 and Uttar Pradesh to 85. Manipur, Punjab, Tamil Nadu, Jharkhand & Maharashtra have all reported 1 fatality each in reports in this thread. In total this amounts to 318 fatalities so far this year. - Ro


NVBDCP figures from previous years:
Year // AES cases // AES deaths // JE Cases // JE deaths
2016 // 2,199 / 240 / 180 / 26 to June 30
2015 // 1,310 / 143 / 92 / 11 to June 30
2014 // 1,642 / 279 / 22 / 4 to July 3
2013 // 1,221 / 261 / 85 / 24 to July 3
2012 // 2,260 / 458 / NA / NA to June 30
2011 // 917 / 87 / NA / NA to July 5
 
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