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Y YE EA AR R2 20 01 13 3

B BA AN NA AS SK KA AN NT TH HA A

WEEKLY ALERT NO. 24 Dt. 10.06.2013 TO 16.06.2013

By ,
D DR R.. M M.. H H.. T TR RIIV VE ED DII ( (I I//c c) )
((E E..M M..O O..))

M MR R.. P P.. M M.. M MO OD DH H ((M M..C C..A A..))

((D Da atta aM Ma an na ag ge err))

K KN NO OW WL LE ED DG GE EI IS SA AS SU UP PR RE EM ME EG GO OA AL L

INTEGRATED DISEASE SURVEILLANCE PROJECT

3rd Floor, District Panchayat Building, District Panchayat Banaskantha, Palanpur: 385 001 (India-N. Gujarat) Email-ID: idsp.health.banaskantha@gmail.com Tel No: (02742) 253017, IDSP Toll Free No: 1075 or 1800 11 4377

(PRESEMTIVE) P - FORM COMPARISION WITH PREVIOUS WEEK YEAR 2013 DISEASE Acute Diarrhoeal Disease Bacillary Dysentery Viral Hepatitis Enteric Fever Malaria Dengue/ DHF / DSS Chikungunya Acute Encephalitis Syndrome Meningitis Measles Diphtheria Pertussis ChickenPox Fever Unknown Origin(PUO) Acute Respiratory Infection (ARI) / Influenza Like illness (ILI) Pneumonia Leptospirosis Acute Flaccid Paralysis < 15Years Dog bite Snake bite Any other State Specific Disease Unusual Syndromes Total New OPD WK 17 637 18 5 83 703 0 0 0 0 1 0 0 4 1604 1357 8 0 2 372 8 0 0 24041 WK 18 676 19 6 123 728 0 6 0 0 2 0 0 3 1554 1435 1 0 0 423 7 0 0 25147 WK 19 658 25 3 75 696 0 3 0 0 1 0 0 6 1347 1327 8 0 0 386 9 0 0 24534 WK 20 694 18 9 91 634 0 2 0 0 3 0 0 2 1125 1135 1 0 1 366 7 0 0 21843 WK 21 692 26 4 96 754 0 0 0 0 0 0 0 3 1408 1241 1 0 1 377 8 0 0 22233 WK 22 813 27 7 128 892 0 1 0 0 2 1 0 3 1340 1300 0 0 0 406 9 0 0 23052 WK 23 706 19 9 109 968 0 0 0 0 0 0 0 1 1406 1278 2 0 1 343 13 0 0 24840 WK 24 730 12 9 124 1010 0 0 0 0 1 0 0 0 1235 1267 1 0 0 336 20 0 0 23305

(LABORATORY) L - FORM COMPARISION WITH PREVIOUS WEEK YEAR 2013 DISEASE Dengue/ DHF / DSS Chikungunya JE Meningococcal Meningitis Typhoid fever Diphtheria Cholera Shigella Dysentery Viral Hepatitis A Viral Hepatitis E Leptospirosis Malaria Malaria | PV Malaria | PF WK 17 0 0 0 0 14 0 0 0 0 0 0 8095 31 1 WK 18 0 0 0 0 15 0 0 0 0 0 0 9801 23 0 WK 19 0 0 0 0 20 0 0 0 0 0 0 7907 34 0 WK 20 0 0 0 0 18 0 0 0 0 0 0 10579 36 0 WK 21 0 0 0 0 12 0 0 0 0 0 0 8024 31 1 WK 22 0 0 0 0 12 0 0 0 0 0 0 9360 40 0 WK 23 0 0 0 0 20 0 0 0 0 0 0 10702 37 1 WK 24 0 0 0 0 10 0 0 0 0 0 0 11289 46 0

2012-13 Comparison with previous week Diseases

Number of cases Number of cases Percentage Increase or reported in week reported in week increase over last Decrease over last 23 24 week week

Information on Presumptive diagnosis

Acute Diarrhoeal Disease Bacillary Dysentery Viral Hepatitis Enteric Fever Malaria Dengue / DHF / DSS Chikungunya Acute Encephalitis Syndrome Meningitis Measles Diphtheria Pertussis Chicken Pox Fever of Unknown Origin (PUO) Acute Respiratory Infection (ARI) / Influenza Like Illness (ILI) Pneumonia Leptospirosis Acute Flaccid Paralysis < 15 Years Dog bite Snake bite Any other State Specific Disease Unusual Syndromes Dengue / DHF / DSS Chikungunya JE Meningococcal Meningitis Typhoid Fever Diphtheria Cholera Shigella Dysentery Viral Hepatitis A Viral Hepatitis E Leptospirosis Malaria(P.V.) Malaria(P.F.) 706 19 9 109 968 0 0 0 0 0 0 0 1 1406 1278 2 0 1 343 13 0 0 730 12 9 124 1010 0 0 0 0 1 0 0 0 1235 1267 1 0 0 336 20 0 0 0 0 0 0 10 0 0 0 0 0 0 46 0 3.40 -36.84 0.00 13.76 4.34 INCREASE DECREASE NO CHANGE INCREASE INCREASE

-100.00 -12.16 -0.86 -50.00 -100.00 -2.04 53.85

DECREASE DECREASE DECREASE DECREASE DECREASE DECREASE INCREASE

Information on Lab confirm diagnosis

0 0 0 0 20 0 0 0 0 0 0 37 1
7237 0 0 0 0 991 41 55 809 1 0 0 0

-50.00

DECREASE

24.32 -100.00

INCREASE DECREASE

Information on Syndromic Diagnosis

Fever < 7 days (Only Fever) Fever < 7 days (With Rash) Fever < 7 days (With Bleeding) Fever < 7 days (With Daze or Semiunconsciousness) Fever more than 7 days Cough with or Without fever (< 3 weeks) Cough with or Without fever (> 3 weeks) Loose watery stool < 2 weeks (With Some / Much Dehydration) Loose watery stool < 2 weeks (With No Dehydration) Loose watery stool < 2 weeks (With blood) Jaundice < 4 Weeks Acute Flaccid Paralysis < 15 Years Age Unusual Syndrom leading to death or hospitlization 7287 0 0 0 0 1040 57 88 855 1 0 0 0 4.94 39.02 60.00 5.69 0.00 INCREASE INCREASE INCREASE INCREASE NO CHANGE 0.69 INCREASE

Early Warning Signal for outbreak

Vaccine Preventable Diseases Measles
BLOCK RU
PHC TADAV

Other Chicken Pox

BLOCK RU Cases

Pneumonia
BLOCK RU
G H PALANPUR

Water borne Deseases Viral Hepatitis Typhoid Fever

Cases
1

Cases
1

BLOCK RU
AMBAJI COTTAGE G H DEESA GANDHI LIN DEESA G H PALANPUR

Cases
5 2 1 1

BLOCK RU
AMBAJI COTTAGE PHC JEGOL G H DEESA G H PALANPUR

Cases
1 1 2 6

TOTAL

10

Malaria P Vivex
50 45 40 35
No of Cases

46 40 34 31 36 31 37

30 25 20 15 10 5 0 WK 15 WK 16 WK 17 WK 18 WK 19 WK 20 WK 21 WK 22 WK 23 WK 24 No of Week 17 23 23

Malaria P Falcipuram
1.2 1 1 1 1

0.8
No of Cases

0.6

0.4

0.2 0 0 WK 15 WK 16 WK 17 WK 18 WK 19 WK 20 WK 21 WK 22 WK 23 WK 24 No of Week 0 0 0 0 0 0

Acute Diarrhoeal Disease 2012 (including acute gastroenteritis)

813

2013

Bacillary Dysentery
35 35 27

2012 2013

706

692

730

694

657

694

900 800
NO OF CASES

722

30
NO OF CASES

26

27

649

632

25 18 20 15 10 5 0 WK 20 WK 21 WK 22 NO OF WEEK 12 16

700 600 500 400 300 200 100 0 WK 20 WK 21 WK 22 NO OF WEEK WK 23 WK 24

19

18 12

WK 23

WK 24

Typhoid Fever
Viral Hepatitis
9 9 9 8 7
NO OF CASES

2012

2013

2012

2013

20
9

20 18 16
NO OF CASES

18

7 5 4 3 2 3

14 12 10 8 6 4 2 0 1 5

12

12

12 10 7

6 5 4 3 2 1 0

WK 20

WK 21

WK 22 NO OF WEEK

WK 23

WK 24

WK 20

WK 21

WK 22 NO OF WEEK

WK 23

WK 24

Measles
3 3 2.5
NO OF CASES

2012

2013

Malaria P. Vivex

2012

2013

195 200 180

NO OF CASE S

176 137 118 100

160 140 120 100 80 60 40 20 0

2 1.5 1 0.5 0 WK 20 WK 21 WK 22 NO OF WEEK WK 23 WK 24 0 0 0 0 0 1 1 1

36

31

40

37

46

WK 20

WK 21

WK 22 NO OF WEEK

WK 23

WK 24

Acute Diarrheal Disease (including acute gastroenteritis): Intensive surveillance needed

Block
AMIRGADH DANTA DEODAR DHANERA KANKREJ PALANPUR WAV

WK20
41 72 54 51 54 180 58

W K2 1
43 62 47 78 66 151 52

W K2 2
39 86 49 156 70 158 53

W K2 3
32 83 52 67 50 157 35

W K2 4
36 99 58 68 71 142 50

Bacillary Dysentery: Intensive surveillance needed

Block
DEODAR VADGAM

WK20
0 1

W K2 1
0 1

W K2 2
0 0

W K2 3
0 0

W K2 4
1 2

Acute Viral Hepatitis: Intensive surveillance needed

Block
DANTA

WK20
4

W K2 1
0

W K2 2
0

W K2 3
4

W K2 4
5

Pyrexia of Unknown Origin (PUO): Intensive surveillance needed

Block
AMIRGADH PALANPUR

WK20
38 119

W K2 1
42 106

W K2 2
37 136

W K2 3
31 129

W K2 4
37 139

Acute Respiratory Infection (ARI / ILI): Intensive surveillance needed

Block
DEODAR DHANERA KANKREJ VADGAM

WK20
53 227 55 165

W K2 1
120 138 134 180

W K2 2
159 211 103 171

W K2 3
87 113 142 158

W K2 4
176 114 173 193

Malaria P. Vivex: Intensive surveillance needed

Block
DANTA DEESA DEODAR KANKREJ WAV

WK20
3 7 1 5 11

W K2 1
9 7 0 6 2

W K2 2
8 4 0 2 9

W K2 3
6 1 1 0 6

W K2 4
11 4 2 3 14

Information of Outbreaks Reported till Week No. 24, Year 2013

No.
1.

Date of Reporting
16.05.2013

Districts
BANASKANTHA

Diseases
FOOD POISONING ACUTE DIARRHOEAL DISEASE (INCLUDING ACUTE GASTROENTERITIS)

Cases
142

Remarks
CONTAMINATED FOOD IS THE CAUSE OF THIS FOOD POISONING CONTAMINATED WATER TAKEN BY AFFECTED PERSON AND THE CAUSE OF THIS ACUTE DIARRHOEAL DISEASE (INCLUDING ACUTE GASTROENTERITIS). WATER SAMPLE TAKEN 03 RESULT 3 POSITIVE STOOL SAMPLE TAKEN 03 RESULT 3 E-COLI ISOLATED

2.

29.05.2013

BANASKANTHA

150

Information of Action Taken Report in Banaskantha District

No. Issue raised in IDSP Alert
142 CASES OF FOOD POISONING IN BLOCK PALANPUR, PHC MADANA, SUBCENTER MADANA, VILLAGE SARIPADIYA VAS MADANAPALANPUR

WK No

District/State

Action taken in Brief

CDHO, EMO & MO VISITED, TREATMENT STARTED AFFECTED CASES ADMITTED IN HOSPITAL & GET TREATMENT. HEALTH EDUCATION GIVEN TO COMMUNIITY PERSON REGARDIING HYGENIC FOOD. CONTAMINATED FOOD TAKEN BY AFFECTED PERSON DIST. EPIDEMIOLOGIST & BLOCK RRT HAD VISITED IN AFFECTED AREA. IN AFFECTED AREA SERVEILLANCE ACTIVITY STARTED TO FIND CASES AND CAUSE OF THIS EPIDEMIC. WATER QUALITY MONITORING FOR SUPER CLORINATION STARTED IN ALL WATER TANKS SEARCHED FOR ANY PIPELINE LIKEGES HOUSE TO HOUSE ORS & TABLET CHLORINE DISTRIBUTION STARTED IEC FOR PERSONAL HYGINE.

1.

21

BANASKANTHA

2.

150 CASES OF ACUTE DIARRHOEAL DISEASE (INCLUDING ACUTE GASTROENTERITIS) IN BLOCK DHANERA, PHC JADIYA, SUB CENTER DHANERA -1, DHANERA -2, VILLAGE DHANERA CITY

22

BANASKANTHA

Copy Submitted with Respect to :

1. 2. 3. 4. 5. 6. Honorable Collecter & District Magistrate Sir Send Honorable DDO Sir Send Honorable Mamalatdars Sir, TDOs Sir, Chief Officers Sir Send Honorable IDSP State Nodal Officer Send Honorable CDHO Sir, RCHO Sir, ADHO Sir, EMO Sir, DMO Sir, QAMO Sir Send All BHOs & Medical Officers (PHC, CHC, GVT HOSP, TRUST HOSP) Send