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India Encephalitis 2018; 702 fatalities

From week 38 outbreak report: https://idsp.nic.in/WriteReadData/l892s/382018.pdf

MN/UKH/2018/38/1272 Manipur Ukhrul Japanese
Encephalitis 18 00 22-09-18 23-09-18 Under
Control
Cases reported from several areas of Lamlai
Makha Leikai Imphal East District, Kaidem
Leikai Khurai, Imphal East District, Near
Limaram Water Fall, Bishnupur and Lumphou
Kangpokpi Senapati District. District RRT
investigated the outbreak. House to house
survey done. Out of 18 blood samples collected
and sent to State Referral lab JNIMS; 1 sample
were positive for JE IgM ELISA. All cases
treated symptomatically. Source reduction
activities undertaken. Health education given.

Week 39: https://idsp.nic.in/WriteReadData/l892s/392018.pdf

AS/CCR/2018/39/1295 Assam Cachar Japanese
Encephalitis 05 00 06-07-18 Under
Control
Cases reported from Village/SC Madhurbond, BPHC
Lakhipur. District RRT investigated the outbreak. House to
house survey done. All the 5 serum samples collected and
tested at SMCH, Cachar were positive for JE (IgM ELISA).
Fogging and source reduction activities undertaken in the
affected areas. All cases treated symptomatically. Health
education given.

AS/GLP/2018/39/1298 Assam Goalpara
Japanese
Encephalitis 35 cases 01 fatality 09-08-18
Under Surveillance
Cases reported from several villages Pakhriguri, Makripori,
Fofonga, Paharsingpara, Nayapara, Harimura, Dhaigaon,
Rakshyasini, SC Godharbori, Rakshyasini, Dhaigaon, PHC
Krishnai, Badahapur, Harimura, Block Mornai. District
RRT investigated the outbreak. House to house survey done.
Out of 35 serum samples collected and tested at GMCH,
Guwahati and DPHL, Goalpara 18 samples were positive
for JE (IgM ELISA). Death occurred in a 25 year old male.
Fogging and source reduction activities undertaken in the
affected areas. All cases treated symptomatically. Health
education given.
 
Week 40 IDSP report: https://idsp.nic.in/WriteReadData/l892s/402018.pdf

CT/SBT/2018/40/1327 Chhattisgarh Dantewada Japanese
Encephalitis 01 case 01 fatality 30-09-18 04-10-18 Under
Surveillance
Case reported from Village Tilpara, SC
Ganjenar, PHC Bacheli, Block Dantewada.
District RRT investigated the outbreak. House
to house survey done. Death occurred in 4yr old
male child. Serum sample collected and sent to
Baliram Kashyap Memorial Medical College,
Jagdalpur was psotive for Je (IgM ELISA).
Awareness regarding use of mosquito nets was
done. Health education given.

Week 41 IDSP Report: https://idsp.nic.in/WriteReadData/l892s/412018.pdf

JH/GDA/2018/41/1352 Jharkhand Godda Japanese
Encephalitis 09 00 09-10-18 10-10-18 Under
Surveillance
Cases reported from Villages Boarijore,
Lohandia, Dakaita, Lalmatia. District RRT
investigated the outbreak. House to house
survey done. 5 blood samples collected and sent
to RIMS, Ranchi were positive for JE (IgM
ELISA). All cases treated symptomatically.
Fogging and source reduction activities
undertaken in the affected areas. Health
education given regarding use of mosquito bed
nets and personal protection measures.
 
Encephalitis.png
...
http://nvbdcp.gov.in/WriteReadData/l892s/20924647841544509054.pdf

Comment: I remain skeptical of the numbers coming out of Uttar Pradesh. Up to June 29th 112 fatalities from 1,171 cases (9.6%) were reported, 11 fatalities from 1,517 cases (0.73%) were tallied from July to October, then 23 deaths from 186 cases (12.3%) in the past month. Media reports put the total number of deaths at a minimum of 156 and certainly indicate that many deaths are being classified as anything but AES.


By my very incomplete count, 1 death from Chhattisgarh, 5 from Manipur, 18 total fatal cases have been reported in Kerala to November 16 in addition to 17 fatal cases due to Nipah, 7 from Madhya Pradesh, 2 from Maharashtra, 2 from Gujarat, 1 from Punjab, 5 from Uttarakhand, 6 from Tamil Nadu and 1 fatal case from Tripura.



Thus the national toll is at a very minimum 508.

By comparison the Health Management Information System (to November) is reporting 18,474 tests conducted nationwide for JE of which 1,896 have returned positive. Of those, 12,802 and 1,056 respectively were from Uttar Pradesh. The same report tallies 356 AES deaths & 153 JE deaths nationwide of which 17 AES and 89 JE come from UP. - Ro


https://nrhm-mis.nic.in/hmisreports/frmstandard_reports.aspx
 
Odisha

Massive intervention helps curb Japanese Encephalitis in Malkangiri
A massive vaccination drive along with a series of interventions and awareness programmes have ensured zero deaths due to JE virus.


Published: 12th December 2018 09:36 AM | Last Updated: 12th December 2018 09:36 AM | A+A A-

MALKANGIRI: With massive intervention on multiple fronts, the district administration has finally been able to control Japanese Encephalitis (JE).The mosquito-borne disease caused by JE virus had claimed at least 34 lives in the Koya tribe dominated villages in 2016. Two years hence, with an all-out war declared against the disease by the district administration, its recurrence has been prevented. Of the 103 deaths reported in 2016, about 34 were due to Japanese Encephalitis (JE) while the remaining were caused by Acute Encephalitis Syndrome (AES). No deaths due to JE have been reported in the last two years.

Massive vaccination drive, multiple strategies, series of interventions and awareness programmes undertaken by the administration with the active participation of all ASHA, AWW, health workers and PRI members in the last two years has helped in controlling JE trend in the district, Malkangiri Collector Manish Agarwal said.
...
http://www.newindianexpress.com/sta...ssive-intervention-helps-curb-je-1910457.html
 
Week 42 IDSP report: https://idsp.nic.in/WriteReadData/l892s/422018.pdf

CT/SBT/2018/42/1372 Chhattisgarh Dantewada Japanese
Encephalitis 04 cases 01 fatality 15-10-18 20-10-18 Under
Surveillance
Cases reported from Village Kankipara, SC
Marenda, PHC Marenda, Block Kuwakonda.
District RRT investigated the outbreak. House
to house survey done. Domestic pigs were
found in the households. Death occurred in 3yr
old male child. Out of 4 serum sample collected
and sent to Baliram Kashyap Memorial Medical
College, Jagdalpur 3 samples were positive for
JE (IgM ELISA). Community was advised to
keep all the pigs on the far flung places and use
the LLIN Mosquito Nets. Source reduction
activities undertaken. Health education given

UA/UDH/2018/42/1382 Uttarakhand Udham Singh
Nagar
Japanese
Encephalitis 15 00 21-08-18 21-10-18 Under
Con [sic - the report is incomplete - Ro]

Comment - The NVBDCP does not include a line for Chhattisgarh, but the Health Management Information System (to November) is reporting 50 JE tests & 6 positives with no deaths from AES or JE.
 
Congress walks out of Uttar Pradesh Assembly over Gorakhpur encephalitis deaths
Congress Legislature Party leader Ajay Kumar had sought to know the number of deaths due to Japanese Encephalitis and Acute Encephalitis Syndrome.


Published: 21st December 2018 02:44 PM | Last Updated: 21st December 2018 02:44 PM | A+A A-

LUCKNOW: The Congress walked out of the Uttar Pradesh Assembly on Friday, alleging that the state government had imposed an "emergency" in BRD Medical College to hide actual figures of encephalitis deaths in Gorakhpur from the media.

The matter was raised during the Question Hour by Congress Legislature Party (CLP) leader Ajay Kumar Lallu. He sought to know the number of deaths due to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES).

Responding to him, Health Minister Siddharth Nath Singh claimed that compared to previous years, encephalitis cases and deaths have come down due to the government's sustained efforts.

"Due to training and awareness, the encephalitis cases and deaths have come down. In the budget, for the first time Rs 20 crore was earmarked for the awareness drive and people from all walks (of life) were associated with the campaign due to which we got success in containing the disease," he said.

Lallu, however, claimed that in Gorakhpur alone scores of people had died due to encephalitis.
...
http://www.newindianexpress.com/nat...er-gorakhpur-encephalitis-deaths-1914639.html
 
Encephalitis.png
...
http://nvbdcp.gov.in/WriteReadData/l892s/25510462041546326501.pdf

Comment: I remain skeptical of the numbers coming out of Uttar Pradesh. Up to June 29th 112 fatalities from 1,171 cases (9.6%) were reported, 11 fatalities from 1,517 cases (0.73%) were tallied from July to October, then 107 deaths from 392 cases (27.3%) in the past two months. The overall cfr for the year is 7.5%. Media reports indicate that many deaths are being classified as anything but AES.


By my very incomplete count, 2 deaths from Chhattisgarh, 5 from Manipur, 18 total fatal cases have been reported in Kerala to Dec 31 in addition to 17 fatal cases due to Nipah, 7 from Madhya Pradesh, 2 from Maharashtra, 2 from Gujarat, 1 from Punjab, 5 from Uttarakhand, 6 from Tamil Nadu and 1 fatal case from Tripura.



Thus the national toll is at a very minimum 658.

By comparison the Health Management Information System (to December) is reporting 19,179 tests conducted nationwide for JE of which 1,866 (lower than the November figure - sigh) have returned positive. Of those, 12,802 and 1,056 respectively were from Uttar Pradesh (which is the same as the November figures). The same report tallies 402 AES deaths & 153 JE deaths nationwide of which 17 AES and 89 JE come from UP (same as November). - Ro


https://nrhm-mis.nic.in/hmisreports/...d_reports.aspx
 
From Week 49 IDSP report: https://idsp.nic.in/WriteReadData/l892s/492018.pdf

MG/JTH/2018/49/1560 Meghalaya Jaintia Hills
Japanese
Encephalitis 42 cases 06 fatalities 02-08-18 Under
Surveillance
Cases reported from Village Thadlaskein Block Laskein
Block. District RRT investigated the outbreak. House to
house survey done. Males affected more than females More
number of cases seen in age group 0-15 years Most of the
cases were unvaccinated or with unknown vaccination
status. IEC done. Field investigation and Entomological
Study done from 30-10-18 to 21-11-8 at Nartiang
(Umladang village) and Namdong (Ringkyrtein, Tamu,
Krem Myrsiang village). 42 Samples (Serum CSF) Positive
so far based on test reports received from Civil Hospital
Shillong and NEIGRIHMS, Shillong. All cases treated
symptomatically. Health education given
 
Encephalitis deaths drop by 66% in East UP in 2018
While a big vaccination drive was launched for JE, a massive sanitation and information campaign was launched this year to check cases of AES, which has no vaccine.
By Aman Sharma, ET Bureau

NEW DELHI: In some relief to the Yogi Adityanath government, deaths due to encephalitis dropped in the 14 most-affected East Uttar Pradesh districts by over 66% last year from 2017 when such deaths had dominated the headlines.

UP?s Health Minister Sidharth Nath Singh informed the UP assembly in a written answer on Monday that 187 people died due to encephalitis in 2018 against 553 such deaths in 2017. The number of encephalitis cases reported in 14 districts of East UP also dropped from ..

Read more at:
//economictimes.indiatimes.com/articleshow/68051563.cms?utm_source=twitter_web&utm_medium=social&utm_campaign=socialsharebuttons&utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst
 
some other finds....

BRD Medical College, 268 people died of encephalitis in 10 months
December 2, 2018 by Gorakhpur News Line 1 min read
BRD Medical College Gorakhpur
Gorakhpur Despite all the claims of the government, Uttar Pradesh Khaskar from Encephalitis (JE / AES) is not able to curb the death of children in Purvanchal. At BRD Medical College, 268 people have died in 10 months from January to October this year.

According to data received from January 1 to October 31, 948 encephalitis patients were admitted to BRD Medical College during this period, in which 268 died. The patients admitted here are from Gorakhpur, Maharajganj, Kushinagar, Deoria, Basti, Siddharthnagar, Santakbirnagar, Mau, Gonda, Ghazipur, Balrampur, Ballia, Azamgarh, besides Bihar and Nepal.

The number of encephalitis patients has decreased compared to the last four years but the death rate is much higher this year. The death rate this year is 28.27 per cent as compared to 28.15 in 2014, 25.33 in 2015, 26.16 in 2016 and 22.69 per cent in 2017.

Analyzing the data of encephalitis patients admitted to BRD Medical College from January 1 to October 31, it is found that the district most affected by encephalitis is Gorakhpur. So far this year, there are 256 cases of Gorakhpur alone in 948 cases of encephalitis reported in BRD Medical College. That means 27 percent of the total patients. Four districts of Gorakhpur division - Gorakhpur, Deoria, Kushinagar and Maharajganj, are the most affected by encephalitis. In BRD Medical College, the number of patients from these four districts is more than 64 percent. Apart from this, a large number of encephalitis patients are coming from BRD Medical College from Bihar as well. By October, 101 patients with encephalitis were admitted to BRD Medical College from Bihar.
http://gorakhpurnewsline.com/brd-me...700265&usg=ALkJrhjy7kgt5e7Jyif7KDEeGOSXi_ucFQ
 
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