Monthly Communicable Disease Surveillance Report (Summary of reporting % for P, L, S included)

Transcription

1 Integrated Diseases Surveillance Project Monthly Communicable Disease Surveillance Report Monthly Communicable Disease Surveillance Report (Summary of reporting % for P, L, S included) MONTH: APRIL 2014 Prepared by: State Surveillance Unit, IDSP State Health Society, Bihar 1

2 LETTER OF TRANSMITTAL MONTH: APR 2014 The monthly communicable disease surveillance report contains an early source of infectious disease surveillance data for Bihar. These data are important for monitoring early trends of notifiable infectious diseases and for targeting prevention and control efforts. Early detection is essential to the control of emerging, reemerging, and novel infectious diseases. Containing the spread of such a disease in a profoundly interconnected world requires active vigilance for signs of an outbreak, rapid recognition of its presence, and diagnosis of its microbial cause, as well as strategies and resources for an appropriate and efficient response. The purpose of this document is to summarize important information to data users who should know about the report to facilitate proper analysis and interpretation. This report comprises compilation, analysis and interpretation of data reported under Integrated Disease Surveillance Project (IDSP), Bihar. The diseases reportable may increase or decrease over time. These data are subject to change, reflecting recent entry of information received from reporting sources. The report contains interpretation of monthly communicable disease trend, outbreak analysis as well as reporting percentage of Presumptive (P), Laboratory (L) and Syndromic (S) forms through which the data on diseases are reported. Analysis and interpretations on above have been done both at State and District level for decentralized control efforts. The report is expected to generate Early Warning Signals (EWS) of impending disease outbreaks and help in early preparedness for control and management of communicable diseases in the State. It is also expected to provide help to all the SPOs & DPOs involved in Disease Control Programme and other Officials, institutions etc involved in disease surveillance and its control. The Action Points for control and management of various diseases have been attached as Annexure with this Monthly Report for ready reference and to plan for subsequent interventions in case of any unusual increase in the number of cases/outbreaks if any. Data contained within this monthly report is based on information recorded under IDSP as on 30th April Majority of the diseases reported in P and L forms show declining trend in April when compared to March But the incidence of Acute Diarrhoea, Viral Hepatitis, Meningitis, Measles, Snake bite, unusual syndromes, Kala-azar, HIV & Filaria as reported in P form; Typhoid and Diphtheria as reported in L form and Fever<7 days with rash as reported in S form is more in April. The rising trends of these diseases have to be closely monitored & appropriate action should be undertaken accordingly. In Apr 2014, total 24 outbreaks involving 382 cases were reported in Bihar. Out of these outbreaks, 19 outbreaks of Chicken Pox involving 251 cases were reported from 11 districts viz: Begusarai, Jahahnabad, Kishanganj, Madhubani, Madhepura, Munger, Nalanda, Sitamarhi, Vaishali & Patna.2 outbreaks of Measles involving 23 cases were reported from 2 districts viz: Samastipur and Sheohar. Besides these, 1 outbreak of Acute Diarrhoea involving 60 cases was reported from Nawada and 2 outbreaks of Food Poisoning involving 48 cases were reported from Saran and Supaul. The districts are expected to keep a close eye on the trend of above diseases, especially on Chicken Pox, Measles and AES. Outbreak & Self preventive measures for various diseases have been incorporated in Summer, Monsoon & Winter Alerts. Soft copies of all these documents along with Action Points for control and management of various diseases can be downloaded from state website: societybihar.org Hope that the report helps attaining political and public support to promote healthier lives among citizens of Bihar. (Anand Kishor) Secretary Health-Cum-Executive Director 2

3 APR MONTHLY COMMUNICABLE DISEASE SURVEILLANCE REPORT (IDSP) Data contained within this monthly report is based on information reported by DSU (IDSP), Bihar as on 30 th April 2014 in prescribed Presumptive, Laboratory and Syndromic forms Objective: The basic objective behind the compilation of Monthly Communicable Disease Surveillance Report is to keep an eye on diseases that show rising trend and take appropriate measures promptly for their control and management. A detailed guideline on actions/interventions to be taken on any unusual increase in disease incidence and outbreaks has been attached as enclosure with this document. Soft copies of this document can be downloaded from website: Reference: The report has been compiled & interpreted by Dr. Ragini Mishra (State Epidemiologist, IDSP, State Health Society, Bihar). Any suggestions and feedback can be mailed on ragini330@gmail.com Table of contents 1. Key reportable disease trend (State level) summary in Apr 2014 Pg Outbreak summary, Apr 2014 Pg 5 3. Data tables Pg 6 4. State & District wise monthly disease trends Pg Outbreak Analysis (Apr 2014) Pg District wise average monthly reporting % of P, L, S forms Pg Annexure (SHEET A-Z & A'-B'') 3

4 1. Key Reported Disease trend: Monthly trend of diseases (on the basis of Monthly trend of diseases (on the basis of presumptive surveillance) LAB surveillance) Sl No Disease Mar-14 Apr-14 Trend Sl No Disease Mar-14 Apr-14 Trend Acute Diarrhoea Bacillary Dysentery Viral Hepatitis Dengue Chikungunya 0 0 Monthly Trend of diseases (on the basis of Syndromic surveillance) Sl No Disease Mar-14 Apr-14 Trend 1 FEVER<7 DAYS WITH BLEEDING Enteric fever Malaria Dengue 9 1 Chikungunya 0 1 AES Meningitis Measles Diphtheria Pertussis Chicken Pox Fever of Unknown Origin (PUO) ARI Pneumonia Leptospirosis AFP Dog bite JE Meningococcal Meningitis Typhoid Diphtheria Cholera Shigella Vir Hep A Vir Hep E Leptospirosis Malaria Pv Malaria Pf COUGH WITH OR WITHOUT FEVER(<3 WEEKS) 3 COUGH WITH OR WITHOUT FEVER(>3 WEEKS) 4 5 LOOSE WATERY STOOL(<2 WEEKS) WITH SOME/MUCH DEHYDRATION LOOSE WATERY STOOL(<2 WEEKS) WITH NO DEHYDRATION 6 LOOSE WATERY STOOL(<2 WEEKS) WITH BLOOD JAUNDICE <4 WEEKS AFP LESS THAN 15 YEARS AGE UNUSUAL SYMPTOM LEADING TO DEATH OR HOSPITLIZATION FEVER<7 DAYS ONLY FEVER Snake bite Unusual syndrome Kala-azar TB Kala-azar TB HIV FEVER<7 DAYS WITH RASH 12 FEVER<7 DAYS WITH DAZE OR SEMIUNCONSCIOUSNESS HIV Filaria Filaria FEVER >7 DAYS

5 Note* declining trend rising trend Constant Note: The above summary is based after analyzing disease trend at State level. However, district wise variance in disease trend is seen which have been interpreted in subsequent pages. Districts are accordingly required to go through the report and undertake subsequent action for control and management of diseases that show a rising trend. Due to greater file size, only graphical representation of diseases trend have been incorporated in this report. Annexure containing data can be downloaded from website: 3. Outbreaks Summary of Outbreaks in April 2014 in Bihar Disease outbreak District No of outbreaks Total No of Cases Total No of Deaths Chicken Pox Begusarai Chicken Pox Jahanabad Chicken Pox Kishanganj Chicken Pox Madhubani Chicken Pox Madhepura Chicken Pox Munger Chicken Pox Nalanda Chicken Pox Sitamarhi Chicken Pox Vaishali Chicken Pox Patna Chicken Pox Sheikhpura Measles Sheohar Measles Samastipur Acute Diarhoea Nawada Food Poisoning Saran Food Poisoning Supaul TOTAL

6 4. Data Table: National Disease Surveillance Data, IDSP, Mar 2014 Current Year ¹ Previous year Disease (P form) Apr 2014 Cases Cumulative total Jan 13- Apr 2014 Apr 2013 Cases Cumulative total since Jan-Apr 2013 Acute Diarrhoeal Disease Bacillary Dysentery Viral Hepatitis Enteric fever Malaria Dengue Chikungunya AES Meningitis Measles Diphtheria Pertussis CHK Pox PUO ARI Pneumonia Leptospirosis AFP Dog bite Snake bite Unusual syndrome Kala-azar TB HIV Filaria Disease (L form) Dengue Chikungunya JE Meningococcal Meningitis Typhoid Diphtheria Cholera Shigella Vir Hep A Vir Hep E Leptospirosis Malaria Pv Malaria Pf Kala-azar TB HIV Filaria *NA=Not Available

7 Trend of Diseases based on Presumptive Surveillance (State level) 7

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10 Trend of Diseases based on Laboratory Surveillance (State wise analysis) 10

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12 Trend of Diseases based on Syndromic Surveillance (State level Analysis) 12

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14 District wise trend of Diseases based on Presumptive Surveillance (District wise analysis) 14

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40 District wise trend of Diseases on the basis of Laboratory Surveillance 40

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58 District wise trend of Diseases/Illnesses on the basis of Syndromic Surveillance (District Wise Analysis) 58

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72 OUTBREAK ANALYSIS 72

73 GRAPHICAL REPRESENTATION OF OUTBREAKS BY TYPES REPORTED & RESPONDED BY THE DISTRICTS (in April 2014) 73

74 MONTHLY AVERAGE REPORTING PERCENTAGE OF P,L & S FORMS UNDER IDSP 74

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76 76 SNo District DISTRICT WISE & MONTH WISE AVG REPORTING % OF P, L & S FORMS (IDSP) IN BIHAR IN 2014 FORM-P FORM-P FORM-P FORM-P FORM-L FORM-L FORM-L FORM-L FORM-S FORM-S FORM-S FORM-S Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Avg Blocks Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % Reporting % (Feb) (Mar) (Apr) (Jan) (Feb) (Mar) (Apr) (Jan) (Feb) (Mar) (Apr) Avg Blocks Reporting % (Jan) District Wise Monthly Average Reporting Percentage for P, L & S forms, Bihar for Months Jan to Apr ARARIA AURANGABAD ARWAL BANKA BEGUSARAI BHABHUA BHAGALPUR BHOJPUR BUXAR DARBHANGA GOPALGANJ GAYA JAHANABAD JAMUI KHAGARIA KISHANGANJ KATIHAR LAKHISARAI MADHUBANI MADHEPURA MUNGER MUZAFFARPUR NAWADA NALANDA W.CHAMPARAN PATNA E.CHAMPARAN PURNIA ROHTAS SAHARSA SHEKHPURA SHEOHAR SITAMARHI SAMASTIPUR SARAN SUPAUL SIWAN VAISHALI TOTAL