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Multi-state Diphtheria outbreaks; 15 fatalities

Ronan Kelly

Retired 2020
GJ
/BNS/2019/4
3/1386 Gujarat Banaskantha Diphtheria 47 cases 08 fatalities 22-10-9 22-10-19 Under
Surveillance
Cases of fever with throat pain reported from 7
talukas of Banaskantha. State & District RRT
investigated the outbreak. House to House survey
done. A total of 47 cases were reported from the
following Talukas; Dhanera (29 cases), Deesa (8
cases), Palanpur (4 cases), Amirgadh (2 cases),
Tharad (2 cases), Bhabhar (1case), Lakhani (1
case). A total of 24 cases were admitted since 16th
September 2019. Age wise distribution of cases
and deaths
Age group; Cases; Deaths
0-2yrs; 5; 1
3-5yrs; 14; 1
6-10yrs; 22; 6
11-15ys; 5; 0
>15yrs; 1;0
Total 47; 8
Out of 24 throat swabs were collected; 3 samples
were positive for C.diphtheriae culture. Out of 28
cases 23 cases were not immunized for Pentavalent 3
rd dose and DPT booster. All the cases treated as
per standard guidelines. Case management and
chemoprophylaxis as per guidelines were given to
all close contacts of house members and school
staff. Vaccination of Dt/dT were given to less than
15yr of age group children in the community.
Instructed to maintain adequate storage and supply
of Anti Diphtheria serum (ADS) as per guidelines.
Health education given.


KL
/ERN/2019/43/1420 Kerala Ernakulum Diphtheria 01 case 01 fatality 18
-10
-19 Under
Control
Cases reported from Village Kottuvally, PHC Koonammavu,
Block Ezhikkara. District RRT investigated the outbreak.
House to house survey done. Screeing done in migrant camp;
102 migrants screened. Deceased was a 16 year old male
migrant from Assam, presented with fever, headache, throat
pain, difficulty in swallowing food, vomiting and bull neck. A
grayish patch seen on the soft palate extending to the posterior
pharyngeal wall. A single throat swab collected and sent to
State Public Health Lab, Thiruvanathapuram; found positive
for Corynebactrium diphtheria by culture and PCR.
Prophylaxis given to contacts and close contacts of the
deceased. Td vaccination given to hospital staff and migrants.
Health education given

UP/KAJ/2019/43/1430 Uttar
Pradesh
Kannauj
Suspected
Diphtheria 11 cases 06 fatalities 25-08-19 Under
Surveillance
Cases reported from Village Terajakit, Soolanpur, Amarauli,
Chiyasar, Sausarapur, Banpura, Narayanpur, Perarikheda, SC
Terajakit, Bhaisiyapur, Chiyasar, Sausarapur, Madhiya, Rohli,
CHC Gursahaiganj, Talgram, Gugrapur, Jalalabad, Block
Talgram, Gugrapur, Jalalabad, Talgram. District RRT
investigated the outbreak. All cases were not immunized
against diphtheria. A total of 07 samples collected and sent to
KGMU Lucknow. All cases were treated symptomatically.
Azithromycin given to patients suffering from acute tonsillitis
by organizing a medical camp. Immunization session
organized. Health education given.

Week 43 IDSP report:
https://idsp.nic.in/WriteReadData/l8...1577708329.pdf
 
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