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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