Lok Sabha Question No. 121 (UNSTARRED), answered on 2018-02-02
Subject: Japanese Encephalitis (JE)
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAYAPATI SAMBASIVA RAO

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 121 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## JAPANESE ENCEPHALITI S (JE)

## 121. SHRI RAYAPATI SAMBASIVA RAO:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether as per media reports malnutrition among children add to the woes in cases pertaining to Japanese Encephalitis (JE) in Gorakhpur, if so, the reaction of the Government thereto;
- (b) whether the number of cases of Japanese Encephalitis has increased during recent years in the country;
- (c) if so, the details thereof, State/UTwise nd the r asons therefor;
- (d) the details of flagship schemes rolled out by the Government to control JE across the country; and
- (e)  the  other  schemes  being implemented  by  the  Government  and  the funds  allocated/spent during each of the last three years?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Undernutrition itself is important factor which determines the mortality and mor due to many communicable diseases including Japanese Encephalitis.  Keeping this fact in Government  of  India  has  included  Ministry  of  Woman  and  Chil d  Development  under  the comprehensive  Nation  Programme  for  Prevention  and  Control  of  Japanese  Encephalitis  (JE Acute Encephalitis Syndrome (AES) under which provision of dietary supplementation has be made for moderately and severely malnourished child ren in 60 priority districts of 5 states viz Assam, Bihar, Uttar Pradesh, Tamil Nadu, West Bengal.
- (b): Most of the states are showing declining trend in the number of JE cases in comparison to last year .  However,  due  to  involvement  of  newer  districts and  improvement  in  JE  diagnostic services, some states have reported higher number of JE cases in 2017.
- (c): State/UT -wise number of JE cases in last three years are given at Annexure -I

(d): Government of India has launched National Programme for Prevention and Control of JE/AES  for  60  priority  districts  in  five  high  endemic  states  of  Assam,  Bihar,  Uttar  P Tamil Nadu & West Bengal in 12 th five Year Plan Period underwhich following activities are carried out for control of JE:

- JE vaccination campaign is carried out in children (1 - 15 yrs) followed by introduction of routine immunization in children of new cohorts with 2 doses of vaccine, one at 9 m age and second at the age of 16 - 24 months of age.
- Adult JE vaccination in identified distric ts.
- Establishment of Pediatric Intensive Care Unit (PICU) in priority districts.
- Establishment of Physical Medicine Rehabilitation (PMR) identified Medical Colleges 5 states.
- Establishment of Sentinel sites where JE diagnostic kits are available free of cost.
- Strengthening of IEC/BCC activities.

In  addition  to  this  following  Ministries/Departments  have  been  roped  in  under National Programme for Prevention and Control of JE/AES:

1. Ministry  of Drinking  water  and  Sanitation:  For  provision  of  safe  drink ing  water  & sanitation in the identified districts.
2. Ministry of Social Justice & Empowerment: This Ministry is addressing the problem disabled children.
3. Ministry of Women & Child Development: This Ministry has been entrusted with the task of providing enriched nutrition to the moderately mal - nourished children and Take Home Ration for the beneficiaries.
4. Ministry of Housing and Urban Affaris : Tasked with providing safe water supplies in identified municipalities.
5. Ministry  of  Human  Resource  Development ( Education  Department):  Tasked  for preparation of special syllabus to be used in Districts Counseling Centers for d children.
6. The  National  Programme  is  aimed  at  Prevention  and  Control  of  Acute  Encephaliti Syndrome which includes Japanese Encephalitis.

(e): The  funds  are  released  to  State  Governments/  Union  Territories  for  prevention  a control of six Vector Borne Diseases (VBDs) including Japanese Encephalitis under Nation Vector Borne  Diseases Control  Programme of National Health Mi ssion. Integrated Disease Surveillance  Programme  (IDSP)  is  implemented  under  NHM  in  all  States/UTs  with  the objective to detect and respond to disease outbreaks due to epidemic prone diseases incl Japanese Encephalitis. To prevent the spread of such o utbreaks, under  IDSP States/UTs are provided  with  additional  manpower,  training  of  identified  Rapid  Response  Team  (RRT) members for outbreak investigations, strengthening of laboratories for detection of epi prone diseases, IT equipment for data entry , analysis and data transfer, and provision of funds for operationalization of the programme(Details  of funds released and expenditure report the States/UTs under IDSP is placed at Annexure -II).

## State/UTs wise details of JE cases in recent years:

| Sl. No.     | Affected States/ UTs   |   2015 |   2016 |   2017 (Provisional) |
|-------------|------------------------|--------|--------|----------------------|
| 1           | Andhra Pradesh         |      0 |      0 |                    1 |
| 2           | Arunachal Pradesh      |     32 |      0 |                    0 |
| 3           | Assam                  |    614 |    427 |                  612 |
| 4           | Bihar                  |     66 |    100 |                   70 |
| 5           | Delhi                  |      0 |      0 |                    0 |
| 6           | Goa                    |      0 |      1 |                    0 |
| 7           | Haryana                |      2 |      2 |                    4 |
| 8           | Jharkhand              |    116 |     47 |                   29 |
| 9           | Karnataka              |     27 |     11 |                   11 |
| 10          | Kerala                 |      2 |      2 |                    1 |
| 11          | Maharashtra            |      7 |     12 |                   27 |
| 12          | Manipur                |      6 |     47 |                  192 |
| 13          | Meghalaya              |     41 |     47 |                   35 |
| 14          | Nagaland               |      0 |      0 |                   10 |
| 15          | Odisha                 |     33 |    242 |                   79 |
| 16          | Punjab                 |      0 |      1 |                    1 |
| 17          | Tamil Nadu             |     53 |     51 |                  127 |
| 18          | Telengna               |      8 |      4 |                    6 |
| 19          | Tripura                |     28 |     98 |                   85 |
| 20          | Uttar Pradesh          |    351 |    410 |                  693 |
| 21          | Uttarakhand            |      2 |      0 |                    0 |
| 22          | West Bengal            |    342 |    174 |                  129 |
| Grand Total | Grand Total            |   1730 |   1676 |                 2112 |

## INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS OF STATE SOCIETIES

Dated 30/01/2018

(Rs. In Lacs)

| Sl. No.      | States/UTs             | Release by GOI   | Release by GOI   | Release by GOI   | Release by GOI   | Expenditure by States/ UT for IDSP   | Expenditure by States/ UT for IDSP   | Expenditure by States/ UT for IDSP   | Expenditure by States/ UT for IDSP   |
|--------------|------------------------|------------------|------------------|------------------|------------------|--------------------------------------|--------------------------------------|--------------------------------------|--------------------------------------|
| Sl. No.      | States/UTs             | 2014-15          | 2015-16          | 2016-17          | 2017-18*         | 2014-15                              | 2015-16                              | 2016-17**                            | 2017- 18***                          |
| 1            | Andhra Pradesh         | 122.48           | 112.50           | 163.00           | 136.00           | 140.83                               | 186.99                               | 213.31                               | 80.93                                |
| 2            | Gujarat                | 400.00           | 325.00           | 400.00           | 300.00           | 549.25                               | 656.39                               | 510.73                               | 303.29                               |
| 3            | Karnataka              | 270.50           | 300.00           | 490.00           | 350.00           | 374.59                               | 425.13                               | 460.51                               | 135.70                               |
| 4            | Maharashtra            | 280.00           | 225.00           | 240.00           | 225.00           | 248.59                               | 240.49                               | 188.56                               | 49.38                                |
| 5            | Punjab                 | 168.75           | 325.92           | 400.00           | 250.00           | 281.94                               | 375.94                               | 590.88                               | 276.92                               |
| 6            | Rajasthan              | 325.00           | 325.00           | 400.00           | 350.00           | 328.44                               | 477.72                               | 703.29                               | 184.30                               |
| 7            | Tamil Nadu             | 325.00           | 350.00           | 440.00           | 300.00           | 401.18                               | 499.91                               | 620.70                               | 130.64                               |
| 8            | Uttarakhand            | 45.00            | 200.00           | 187.50           | 135.00           | 172.73                               | 214.87                               | 117.95                               |                                      |
| 9            | West Bengal            | 250.00           | 200.00           | 200.00           | 150.00           | 182.70                               | 215.90                               | 283.46                               | 76.59                                |
| 10           | Andaman & Nic. Islands | 9.00             | 5.25             | 0.00             | 30.00            | 12.91                                | 24.19                                | 11.08                                | 11.98                                |
| 11           | Bihar                  | 200.00           | 210.00           | 172.50           | 180.00           | 263.63                               | 272.24                               | 230.62                               | 62.92                                |
| 12           | Chandigarh             | 40.00            | 23.25            | 40.00            | 46.00            | 28.33                                | 41.06                                | 44.93                                | 19.62                                |
| 13           | Chhattisgarh           | 60.00            | 200.00           | 150.00           | 105.00           | 134.84                               | 155.35                               | 114.10                               | 65.56                                |
| 14           | Dadra &N. Haveli       | 21.00            | 32.17            | 17.50            | 38.00            | 27.80                                | 43.13                                | 27.34                                | 2.89                                 |
| 15           | Daman &Diu             | 6.01             | 50.00            | 17.50            | 38.00            | 24.75                                | 33.70                                | 40.77                                | 15.48                                |
| 16           | Delhi                  | 56.25            | 105.00           | 75.00            | 136.00           | 93.87                                | 79.99                                | 78.88                                | 8.33                                 |
| 17           | Goa                    | 45.00            | 40.00            | 37.50            | 20.00            | 43.80                                | 43.91                                | 49.59                                | 20.82                                |
| 18           | Haryana                | 150.00           | 180.00           | 150.00           | 135.00           | 178.65                               | 150.02                               | 164.64                               | 35.00                                |
| 19           | Himachal               | 70.00            | 70.00            | 60.00            | 68.00            | 62.91                                | 64.22                                | 58.25                                | 37.45                                |
| 20           | Pradesh J&K            | 127.50           | 250.00           | 250.00           | 195.00           | 128.74                               | 226.95                               | 167.04                               | 62.67                                |
| 21           | Jharkhand              | 112.50           | 220.00           | 100.00           | 100.00           | 120.66                               | 183.45                               | 148.13                               | 76.49                                |
| 22           | Kerala                 | 101.25           | 150.00           | 200.00           | 135.00           | 130.14                               | 130.07                               | 148.34                               | 59.27                                |
| 23           | Lakshadweep            |                  |                  |                  | 5.00             | 2.63                                 | 1.09                                 | 4.62                                 | 0.00                                 |
| 24           | Madhya Pr.             | 350.00           | 300.00           | 225.00           | 180.00           | 364.60                               | 399.12                               | 258.64                               | 115.14                               |
| 25           | Orissa                 | 350.00           | 325.00           | 150.00           | 0.00             | 297.76                               | 351.82                               | 360.84                               | 80.93                                |
| 26           | Puducherry             | 70.00            | 65.00            | 75.00            | 75.00            | 61.26                                | 74.93                                | 70.76                                | 23.09                                |
| 27           | Uttar Pradesh          | 300.00           | 300.00           | 337.50           | 300.00           | 479.91                               | 536.60                               | 562.38                               | 296.18                               |
| 28           | Telangana              | 87.53            | 125.00           | 105.00           | 117.00           | 128.35                               | 160.09                               | 196.20                               | 102.98                               |
| 29           | Arunachal Pr.          | 152.24           | 220.00           | 203.00           | 189.00           | 129.57                               | 273.96                               | 227.66                               | 66.70                                |
| 30           | Assam                  | 206.25           | 404.00           | 341.00           | 278.00           | 305.12                               | 398.19                               | 396.55                               | 272.61                               |
| 31           | Manipur                | 96.25            | 75.00            | 75.00            | 68.00            | 87.95                                | 94.40                                | 67.27                                | 40.43                                |
| 32           | Meghalaya              | 45.00            | 100.00           | 52.50            | 65.00            | 39.60                                | 76.95                                | 83.49                                | 73.36                                |
| 33           | Mizoram                | 97.50            | 100.00           | 67.50            | 68.00            | 80.23                                | 96.05                                | 99.35                                | 61.26                                |
| 34           | Nagaland               | 120.00           | 150.00           | 105.00           | 115.00           | 108.38                               | 192.37                               | 229.90                               | 18.07                                |
| 35           | Sikkim                 | 50.00            | 40.00            | 37.50            | 50.00            | 48.92                                | 45.45                                | 46.35                                | 24.40                                |
| 36           | Tripura                | 50.00            | 40.00            | 37.50            | 34.00            | 44.81                                | 39.78                                | 29.65                                | 40.02                                |
| Sub          | Total OTNE             | 4,342.77         | 5,014.09         | 5,083.00         | 4,099.00         | 5,265.79                             | 6,265.27                             | 6,426.54                             | 2,334.55                             |
| Sub Total NE | Sub Total NE           | 817.24           | 1,129.00         | 919.00           | 867.00           | 844.58                               | 1,217.15                             | 1,180.22                             | 596.85                               |
| Grand Total  | Grand Total            | 5160.01          | 6143.09          | 6002.00          | 4966.00          | 6110.37                              | 7482.42                              | 7606.76                              | 2931.40                              |