World Health Day Theme 2016-17

Halt the Rise, Beat Diabetes

YEAR 2016
Integrated Disease Surveillance Programme

BANASKANTHA

Weekly Alert # 35
Dt. 29.08.2016 to 04.09.2016
By

Dr. N K Garg (MBBS, PGDHM)

Epidemic Medical Officer &
District Surveillance Officer
Mr. P M Modh (BCA, MCA)
Dist. Data Manager

Knowledge is a Supreme Goal

Integrated Disease Surveillance Programme

3rd Floor, District Panchayat Building,
District Panchayat Banaskantha,
Palanpur: 385 001 (India - N. Gujarat)
Email-ID: idsp.health.banaskantha@gmail.com
Tel #: (02742) 253017, IDSP Toll Free #: 1075 or 1800 11 4377
(PRESEMTIVE) P - FORM
LAST 6 WEEK COMPARE YEAR 2016 WITH CURRENT WEEK 2015 & 2016 COMPARE
LAST 6 WEEK COMPARE YEAR 2016
2015
2016
DISEASE
WK 30
WK 31
WK 32
WK 33
WK 34
WK 35 TILLWK35 TILLWK35
Acute Diarrhoeal Disease
1682
1793
2022
1451
1352
1325
29453
34163
Bacillary Dysentery
18
18
21
19
17
22
302
397
Viral Hepatitis
11
7
10
1
4
8
256
249
Enteric Fever
302
424
212
414
368
341
6502
10268
Malaria
1093
1288
1242
1031
1224
1036
18713
23680
Dengue/ DHF / DSS
0
0
2
0
1
0
4
16
Chikungunya
0
0
0
0
0
0
0
0
Acute Encephalitis Syndrome
0
0
0
0
0
0
0
0
Meningitis
0
0
0
0
0
0
3
4
Measles
2
6
7
4
5
4
38
170
Diphtheria
0
0
0
0
0
0
0
0
Pertussis
0
0
0
0
0
0
0
4
ChickenPox
0
0
1
0
0
1
216
369
Pyrexia of Unknown Origin(PUO)
313
358
429
372
392
338
25556
11560
Acute Respiratory Infection (ARI) /
728
815
1059
1087
1023
998
42014
27805
Influenza Like illness (ILI)
Pneumonia
1
4
0
3
0
1
55
103
Leptospirosis
0
0
0
0
0
0
0
0
Acute Flaccid Paralysis < 15Years
0
0
1
0
1
0
12
21
Dog bite
411
358
324
309
329
319
15239
15906
Snake bite
26
13
8
24
6
13
347
314
Any other State Specific Disease
0
0
0
0
0
0
1
0
Unusual Syndromes
0
0
0
0
0
0
0
0
Total New OPD
57768
62968
70353
59835
56696
63480
1331220 1587296
(LABORATORY) L - FORM
LAST 6 WEEK COMPARE YEAR 2016 WITH CURRENT WEEK 2015 & 2016 COMPARE
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 30
0
0
0
0
19
0
0
0
0
0
0
21776
68
12

WK 31
0
0
0
0
18
0
0
0
0
0
0
16528
68
7

WK 32
0
0
0
0
26
0
0
0
0
0
0
19599
54
8

WK 33
0
0
0
0
13
0
0
0
0
0
0
13624
31
2

WK 34
1
0
0
0
12
0
0
0
0
0
0
18763
46
4

WK 35
0
0
0
0
18
0
0
0
0
0
0
17736
64
4

TILLWK35 TILLWK35
0
13
0
0
0
0
0
0
372
396
0
0
0
0
0
0
0
0
0
0
0
0
398894
493768
737
831
24
55

2016 Comparison with previous week

Number of cases
reported in week
34

Diseases

Number of cases
Percentage
Increase or
reported in week increase over last Decrease over last
35
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

1352
17
4
368
1224
0
0
0
0
5
0
0
0
392

1325
22
8
341
1036
0
0
0
0
4
0
0
1
338

-2.00
29.41
100.00
-7.34
-15.36

DECREASE
INCREASE
INCREASE
DECREASE
DECREASE

-20.00

DECREASE

-13.78

DECREASE

1023

998

-2.44

DECREASE

0
0
1
329
6
0
0

1
0
2
319
13
0
0

100.00
-3.04
116.67

INCREASE
DECREASE
INCREASE

Information on Lab confirm diagnosis

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.)

1
0
0
0
12
0
0
0
0
0
0
46
4

0
0
0
0
18
0
0
0
0
0
0
64
4

-100.00

DECREASE

50.00

INCREASE

39.13
0.00

INCREASE
NO CHANGE

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)

10314
0
0

10867
0
0

5.36

INCREASE

3
1641
113

1
1754
142

-66.67
6.89
25.66

DECREASE
INCREASE
INCREASE

163

152

-6.75

DECREASE

1700

1688

-0.71

DECREASE

Loose watery stool < 2 weeks (With blood)

Jaundice < 4 Weeks

Acute Flaccid Paralysis < 15 Years Age
Unusual Syndrom leading to death or
hospitlization

0
0

0
0

Early Warning Signal for outbreak

Vaccine Preventable
Diseases
Measles

Other
Chicken Pox

Cases

TALLUKA RU
PHC KUCHAWADA
G H PALANPUR

1
1

CHC CHANDISAR

TOTAL

TALLUKA RU
CHC CHANDISAR

Water borne Deseases

Pneumonia

Cases
1

Viral Hepatitis
Cases

TALLUKA RU
G H PALANPUR

Typhoid Fever
Cases

TALLUKA RU
GANDHI LIN DEESA
G H PALANPUR

2
6

Cases

TALLUKA RU
CHC CHANDISAR
G H PALANPUR

1
7

CHC BHILADI
CHC BHABHAR

7
3

18

Malaria P Vivex
80
68

68
64

70
54

No of Cases

60

46

50
37
40
30

24

25

WK 26

WK 27

34

31

20
10
0
WK 28

WK 29

WK 30

WK 31

WK 32

WK 33

WK 34

WK 35

WK 34

WK 35

No of Week

Malaria P Falcipuram
14
12
12
10
No of Cases

8
7

8
6
4

2
1

2
0

WK 26

WK 27

0
WK 28

WK 29

WK 30

WK 31

No of Week

WK 32

WK 33

Acute Diarrhoeal Disease

(including acute gastroenteritis)

2016

21
19
18

20
1325

1128

1182

1352

1451

932

1500

2015

22

25

1238

2000

Bacillary Dysentery

2016

2022
1425

1793

2500

2015

18

17

16

17

13
15
10

1000

500

0
WK 31

WK 32

WK 33

WK 34

WK 31

WK 35

Viral Hepatitis

2015

WK 32

WK 33

WK 34

WK 35

Measles

2016

2015

2016

7
17
18

16

14
12
10
8

10
7
6

9
8

WK 31

WK 32

WK 34

WK 35

0
WK 31

WK 32

WK 33

WK 34

WK 35

Malaria P. Vivex

2015

WK 33

Typhoid Fever

2016

2015

148
160

30

140
103

120

25

103

17 18

18

100

20

68

64

55 54

80

15

46

60
40

26

31

13

12

10

18

12

20
0

WK 31

WK 32

WK 33

WK 34

WK 35

WK 31

WK 32

WK 33

WK 34

WK 35

2016

Acute Diarrhoeal Disease: Intensive surveillance needed

Talluka
DANTA
KANKREJ
PALANPUR
VADGAM
SUIGAM
DANTIWADA
BHABHAR

WK 31

WK 32

WK 33

WK 34

WK 35

145
109
276
162
25
33
100

241
93
272
170
26
38
61

184
49
237
96
28
36
52

150
69
218
87
23
31
42

171
76
220
94
23
38
62

Bacillary Dysentery: Intensive surveillance needed

Talluka
AMIRGADH
DANTA
DEESA
DHANERA
VADGAM
LAKHANI

WK 31

WK 32

WK 33

WK 34

WK 35

4
0
3
1
0
1

2
5
0
0
2
1

2
3
2
0
1
1

1
2
1
0
1
1

4
4
1
1
1
6

Viral Hepatitis: Intensive surveillance needed

Talluka
DEESA
PALANPUR

WK 31

WK 32

WK 33

WK 34

WK 35

3
4

5
5

1
0

2
2

2
6

Pyrexia of Unknown Origin (PUO): Intensive surveillance needed

Talluka
AMIRGADH
KANKREJ
PALANPUR
THARAD
LAKHANI
BHABHAR

WK 31

WK 32

WK 33

WK 34

WK 35

4
4
50
40
3
49

9
1
65
22
3
39

2
2
60
41
6
28

3
0
38
41
0
32

5
29
46
53
5
41

Acute Respiratory Infection (ARI) Influenza like Illness (ILI): Intensive surveillance needed

Talluka
AMIRGADH
DANTA
DEESA
KANKREJ
WAV
SUIGAM
DANTIWADA
BHABHAR

WK 31

WK 32

WK 33

WK 34

WK 35

2
32
170
16
68
5
4
55

4
21
274
9
81
4
5
48

5
55
294
4
91
9
5
42

4
31
230
7
63
4
3
39

4
42
231
43
70
6
5
60

Typhoid Fever (L Form) : Intensive surveillance needed

Talluka
PALANPUR
BHABHAR

WK 31

WK 32

WK 33

WK 34

WK 35

1
1

12
0

5
0

2
1

8
3

Malaria | P. Vivex (L Form) : Intensive surveillance needed

Talluka
AMIRGADH
DANTA
DEESA
DEODAR
DHANERA
PALANPUR
VADGAM
THARAD
WAV
SUIGAM
LAKHANI

WK 31

WK 32

WK 33

WK 34

WK 35

2
41
4
0
0
4
1
1
1
0
2

5
25
3
0
0
12
1
0
1
0
0

1
6
3
0
1
12
0
0
1
2
1

4
5
4
1
0
12
1
1
8
1
0

6
11
4
2
1
12
3
2
16
3
1

Information of Outbreaks Reported till Week # 35, Year 2016

#

Date of
Reporting

Districts

Diseases

Cases

12.02.2016

BANASKANTHA
BANASKANTHA

VIRAL HEPATITIS B

05.03.2016

BANASKANTHA

MEASLES

37

10.03.2016

BANASKANTHA

MEASLES

07.04.2016

BANASKANTHA

DIARRHOEAL DISEASE

16

18.04.2016

BANASKANTHA

FOOD POISONING

43

29.04.2016

BANASKANTHA

FOOD
FOOD POISONING

85

29.04.2016

BANASKANTHA

FOOD POISONING

93

03.05.2016

BANASKANTHA

FOOD POISONING

209

20.05.2016
20.05.2016

BANASKANTHA

FOOD POISONING

91

10

23.05.2016

BANASKANTHA

MEASLES

12

11

31.05.2016
31.05.2016

BANASKANTHA

MEASLES

12

10.06.2016

BANASKANTHA

DIARRHOEAL DISEASE

77

13

15.07.2016

BANASKANTHA

MEASLES

16

14

25.07.2016

BANASKANTHA

DIARRHOEAL DISEASE

194

Remarks
TWO PATIENT DIED HAVING C/O JAUNDICE
AND DIAGNOSED AS A HbsAg +VE WITH
HEPATIC ENCEPHALOPATHY. ONE ANOTHER
PATIENT UNDER TREATMENT HAVING C/O
JAUNDICE AND A HbsAg +VE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED, TREATMENT & VIT. -A GIVEN
& IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED,
STARTED, TREATMENT & VIT. -A GIVEN
& IEC DONE.
POOR QUALITY
QUALITY OF DRINKING WATER &
IRREGULAR CHLORINATION.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED & TREATMENT GIVEN.
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED & TREATMENT GIVEN.
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED & TREATMENT
TREATMENT GIVEN.
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED & TREATMENT GIVEN.
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED & TREATMENT GIVEN.
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED,
STARTED, TREATMENT & VIT. -A GIVEN
& IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED, TREATMENT & VIT. -A GIVEN
& IEC DONE.
POOR QUALITY OF DRINKING WATER &
IRREGULAR CHLORINATION.
ACTIVE SEARCHING OF CASES OF SIMILLAR
ILLNESS STARTED, TREATMENT & VIT. -A GIVEN
& IEC DONE.
POOR QUALITY OF DRINKING WATER &
IRREGULAR CHLORINATION.
CHLORINATION.

Information of Action Taken Report in Banaskantha District

#

Issue raised in IDSP Alert

4 CASES WITH 2 DEATH OF VIRAL HEPATITIS

B IN TALLUKA DANERA, PHC KHIMMAT,
SUB CENTER SILASANA, VILLAGE
CHHINDIWADI

10

11

12

13

14

37 CASES OF MEASLES
MEASLES IN TALLUKA DANTA,
PHC KANSA, SUB CENTER RATANPUR,
VILLAGE RATANPUR
08 CASES OF MEASLES IN TALLUKA DEESA,
PHC URBAN DEESA, SUB CENTER URBAN
DEESA,
DEESA, VILLAGE URBAN WARD 6 & 10
16 CASES WITH 1 DEATH OF DIARRHOEAL
DISEASE IN TALLUKA DEESA, PHC URBAN
DEESA, SUB CENTER URBAN DEESA, VILLAGE
INDIRANAGAR
INDIRANAGAR WARD 1
43 CASES OF FOOD POISONING IN TALLUKA
PALANPUR, PHC RATANPUR,
RATANPUR, SUB CENTER
RATANPUR, VILLAGE SWAMANNAGR
85 CASES OF FOOD POISONING IN TALLUKA
DEESA, PHC LORWADA, SUB CENTER
CENTER
BHILADI - 1, VILLAGE JUNI BHILADI
93 CASES OF FOOD POISONING IN TALLUKA
BHABHAR, PHC KULAWA, SUB CENTER
CENTER
BARWALA, VILLAGE BHODALIYA
209 CASES OF FOOD POISONING IN
TALLUKA PALANPUR, PHC URBAN 2, SUB
CENTER URBAN 2, VILLAGE NAGORIVAS
91 CASES OF FOOD POISONING IN TALLUKA
BHABHAR, PHC KUWALA, SUB CENTER
MERA, VILLAGE
VILLAGE MERA
12 CASES OF MEASLES IN TALLUKA DEESA,
PHC ZERADA & DAVAS, SUB CENTER SARAT
& RANPUR (U), VILLAGE
VILLAGE PECHHADAL &
RANPUR
6 CASES OF MEASLES IN TALLUKA DHANERA,
DHANERA,
PHC NENAVA, SUB CENTER NENAVA 2,
2,
VILLAGE KHAPAROL
14 CASES OF DIARRHOEAL DISEASE IN
TALLUKA DEESA, UHC DEESA, SUB CENTER
URBAN DEESA, VILLAGE LODHAWAS
(GAVADI)
5 CASES OF MEASLES IN TALLUKA THARAD,
THARAD,
PHC KHODA, SUB CENTER VALADAR,
VALADAR,
VILLAGE VALADAR
66 CASES OF DIARRHOEAL
DIARRHOEAL DISEASE IN
TALLUKA PALANPUR,
PALANPUR, UHC PALANPUR, SUB
CENTER KOT VISTAR,
VISTAR, VILLAGE KOT VISTAR

WK #

District

Action taken in Brief

06

BANASKANTHA

CDHO, EMO & APM VISITED, TREATMENT STARTED

AFFECTED CASES ADMITTED IN HOSPITAL & GET
TREATMENT. ACTIIVE SEARCHIING OF CASES OF SIIMIILLAR
IILLNESS STARTED, SAFE WATER SUPPLY & REGULAR
CHLORIINATIION & IEC DONE.

09

BANASKANTHA

TRIBLE POPPULATION, HARD TO REACH AREA, ILLITERACY, AND

POOR COMPLIANCE ABOUT IMMUNISATION.

10

BANASKANTHA

URBAN POPPULATION, HARD TO REACH AREA, ILLITERACY, AND

POOR COMPLIANCE ABOUT IMMUNISATION.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.SAMPLE OF WATER & STOOL
TAKEN.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.
ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &
TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.

14

BANASKANTHA

16

BANASKANTHA

17

BANASKANTHA

17

BANASKANTHA

18

BANASKANTHA

20

BANASKANTHA

21

BANASKANTHA

EXTRIMALY HARD TO REACH AREA, ILLITERACY, POOOR

COMPLIANCE ABOUT IMMUNISATION.

22

BANASKANTHA

EXTRIMALY HARD TO REACH AREA, ILLITERACY, POOOR

COMPLIANCE ABOUT IMMUNISATION.

23

BANASKANTHA

ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &

TREATMENT GIVEN. CHLORINE
CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION & IEC DONE.SAMPLE OF WATER & STOOL
TAKEN.

27

BANASKANTHA

EXTRIMALY HARD TO REACH AREA, ILLITERACY, POOOR

COMPLIANCE ABOUT IMMUNISATION.

BANASKANTHA

ACTIVE SEARCHING OF CASES OF SIMILLAR ILLNESS STARTED &

TREATMENT GIVEN. CHLORINE TABLET & ORS DISTRIBUTED.
CHLORINATION
CHLORINATION & IEC DONE.SAMPLE OF WATER & STOOL
TAKEN.

30

Copy Submitted with Respect to :

1.
2.
3.
4.
5.
6.
7.

Honorable Collecter & District Magistrate Sir Send

Honorable DDO Sir Send
Honorable SDM Sir All 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 THOs & Medical Officers (PHC, CHC, GVT HOSP, TRUST HOSP) Send