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GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE
LOK SABHA
UNSTARRED QUESTION NO: 103
ANSWERED ON:  23.11.2005
JAPANESE ENCEPHALITIS
RAJNARAYAN BUDHOLIYA
SUSHEELA LAXMAN BANGARU
ASADUDDIN OWAISI
CHANDRABHAN BHAIYA SINGH
SHISHUPAL NATTHU PATLE
MUNSHIRAM
REWATI RAMAN SINGH
KAMLA PRASAD RAWAT
NARENDRA KUMAR KUSHWAHA
MAHA DEO RAO SHIWANKAR
Will the Minister of



HEALTH AND FAMILY WELFARE be pleased to state:-




(a) whether a number of children have died due to brain fever Japanese Encephalitis ( JE) that spread recently in various parts of the country;

(b) if so, the details thereof, State-wise ;

(c) whether many deaths took place due to non-availability of preventive vaccines;

(d) if so, whether the Union Government has made arrangements to provide the said vaccines to the State affected by the disease;

(e) whether the Union Government proposes to manufacture preventive vaccines to check the disease;

(f) if so, the time by which such vaccines are likely to become available;

(g) the measures taken or proposed to be taken by the Union Government to fight the disease; and

(h) the fund sanctioned/released to the affected States for the purpose?


ANSWER
THE MINISTER OF HEALTH & FAMILY WELFARE ( DR.ANBUMANI RAMADOSS)

(a) & (b): Yes, Sir. As per reports received from state health authorities, during the year 2005 upto 7.11.2005, 6171 cases and 1467 deaths due to suspected Japanese Encephalitis (JE) have been reported from 9 states in the country. The state wise cases & deaths for the last four years are given at Annexure-I.

(c) to (f): There is no specific treatment for JE and management of cases is carried out symptomatically. However, for prevention of disease, various public health measures such as control of mosquitoes, protection from mosquito bites by using mosquito net, protective clothing and keeping the pig - animal reservoir of JE away from human dwelling are advocated. Killed mouse brain JE vaccine is being manufactured in limited quantities at the Central Research Institute, Kasauli and supplied directly to the states by using state funds during 2005-06, the following quality JE vaccines has been supplied by CRI, Kasauli, Uttar Pradesh

(500000) Andhra Pradesh (20000), Tamil Nadu (18500), and miscellaneous (405).

Government of India is strengthening CRI, Kasauli to augment the capacity for manufacturing of JE vaccines.

(g) & (h): For effective prevention and control of JE and implementation of advance action plan to prevent any outbreak, the Directorate of National Vector Borne Disease Control Programme (NVBDCP), Government of India has been regularly monitoring the situation through the State Govts; convening review meetings; organizing trainings for capacity building; awareness campaigns for community involvement and field visits for supervision and monitoring. The Govt. of India also provides need-based assistance to the states and technical support for outbreak investigation and control.

The State Governments have been advised that in the endemic districts, anticipatory preparations should be made for timely availability of medicines, equipment and accessories as well as sufficient number of trained medical, nursing and paramedical personnel. The strategy for control includes strengthening the surveillance activities and integrated vector control, capacity building and Behaviour Change Communication.

During the current year, JE outbreak has been reported in eastern parts of Uttar Pradesh. The Government of India had provided insecticides, larvicides, fogging machines, drugs, ventilators, intravenous fluid etc. to UP state for the control of the outbreak. Details are annexed.
ANNEXURE-I
STATE-WISE CASES AND DEATHS DUR TO SUSPECTED JAPANESE ENCEPHALITIS


Sl.	Affected	2000		2001		2002		2003		2004(P)		2005(P)#
No.	States/UTs                                      
		  
			C	D	C	D	C	D	C	D	C	D	C	D

1 Andhra 343 72 33 4 22 3 329## 183## 7### 3 Pradesh
2 Assam 158 69 343 200 472 150 109 49 23 64 145 52
3 Bihar 77 19 48 11 8 1 6 2 85 28 192 64
4 Chandigarh 0 0 0 0 4 0 0 0 0 0
5 Delhi 0 0 0 0 1 0 12 5 17 0 2 0
6 Goa 15 3 6 2 11 0 0 0 0 0
7 Haryana 74 43 47 22 59 40 104 67 37 27
8 Karnataka 438 45 206 14 52 15 226 10 181 6 58 5
9 Kerala 164 2 128 5 0 0 17 2 9 1
10 Maharashtra 2# 0 126 1 119 16 475 115 22 0 60## 29##
11 Manipur 0 0 0 0 2 1 1 0 0 0 1 0
12 Punjab 0 0 0 0 10 2 0 0 0 0
13 TamilNadu 4 0 0 0 0 0 163 36 88 9 8 1

14 Uttar 1170 253 1005 199 604 133 1124 237 1030 228 5699 1315 Pradesh
15 West 148 50 119 21 301 105 2 1 3 1 6 1 Bengal
Grant 2593 556 2061 479 1765 466 2568 707 1714 367 6171 1467 Total




C = Cases D= Deaths #Cases as reported by respective states upto 7.11.2005 provisionally.

##= Viral encephalitis (31 Lab. Confirmed Cases and 4 Deaths due to JE were reported from the State

### = Lab. Confirmed Cases

Note #= State reported additional 80 cases for 2000 as suspected JE

= Including 417 cases and 99 Deaths from Bihar and 28 Cases 3 Death from Nepal and 1 case Nil Death from Madhya Pradesh


Annexure-2
Assistance given to U.P. Govt. for JE outbreak control:


Sl.No	Item						Quantity

1 Inj. Diazepam 2 ml. 10,000 2 Inj.Phenytoin Sodium 50mg/ml 10,000 3 Inj. Phenobarbitone 200mg. 2,60,000 4 IV Fluids NS 1,50,000 5 IV Dexstrose 10% 2,00,000 6 IV Fluids Ringer Lactate 50,000 7 IV Manitol 100 ml 10,000 8 IV Manitol 350ml 1,00,000 9. Inj. Ceftriaxone sodium 250 mg 10,000 10 Inj. Cefotaxim 2,50,000 11 Ing. Amoxycillin 250 mg 40,000 12 Inj. Paracetamol 40,000 13 Pediatric Cannula 10,000 14 Inj. Dexametasone 4 mg/ml 1,05,000 15 Ambu bags 54 16 Ventilators 20 17 Constant Voltage transformers 10 18 Hand held fogging machines 100 19 Elisa Reader with washer One 20 Semi-automated clinical chemical One analyzer 21 JE Diagnostic kits 20 22 Sterilized syringes 10,00,000 23 JE vaccine 5,00,000 24 Malathion Technical 100 MT 25 Malatrhion 25% wdp 2800 M.T 26 Fenthion 12000 lit. 27 Temophos 6000 lit 28 ynthetic pyrethroid 2200 lit. 29 Bed nets 4,20,000



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