Lok Sabha Question No. 283 (STARRED), answered on 2017-08-04
Subject: Reappearance of Measles
Ministry: HEALTH AND FAMILY WELFARE
Asked by: (ADV.) JOICE GEORGE, M. B. RAJESH

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

## LOK SABHA STARRED QUESTION NO. 283 TO BE ANSWERED ON THE 4 TH AUGUST , 2017 REAPPEARANCE OF MEAS LES

## *283. ADV. JOICE GEORGE: SHRI M.B. RAJESH:

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

- (a) whether once eradicated measles has reportedly reappeared in various pa the country;
- (b) if so, the details thereof during the last ten years, State - wise including the steps taken by the Government in this regard;
- (c) whether many other countries have also reported the cases of measles; and
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( d) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 283* FOR 4 TH AUGUST , 2017

- (a) Measles  was  never  eradicated  from  the  country  and  measles  cases  hav continued to be reported from various parts of the country .
- (b) The State/UTs wise detail of number of measles cases reported in the las years is given at Annexure I .

The following steps have been taken by the Government to prevent measles :

1. Single dose measles vaccine (given at 9 - 12 months of a ge of child) was introduced across the country under the Universal Immunization Programm ( UIP)in 1985 .
2. The  second  dose  of  measles  vaccine ( given  at  16 - 24  months  of  age  of child) was introduced in 2010 in the Routine Immunization programme . In 14 States where evaluated coverage was less than/equal to 80%, second d of  measles  was  introduced  after  measles  campaign  in  2010 - 13  covering children from 9 months to less than 10 years. During this campaign abou crores children were vaccinated .
3. Intensification of both 1st and 2nd dose of measles vaccination coverag undertaken under Mission Indradhanush from the year 2015 .
4. To further reduce measles morbidity and mortality, Government has star Measles - Rubella( MR )vaccination campaign in a phased manner across the country,  covering  children  in  the  age  group  of  9  months  to  less  tha years . The  campaign  has  started  in  February  2017  from  five  states / UTs, namely,  Karnataka,  Tamil  Nadu,  Puducherry,  Goa  and  Lakshadweep  and vaccinated about 3.33 crores children during this campaign .Following the campaign, Measles - Rubella ( MR )vaccine has replaced two doses of measles vaccine provided in Routine Immunization programme in these states .
5. (c) Yes, many other countries have reported cases of measle s.
6. (d) The  detail  of  the  measles  cases  reported  from  other  countries,  as  per -UNICEF joint reporting format, is at Annexure II .

## Annexure 1

State -wise measles cases in the country in last ten years

| S . No   | States / UTs             | 2007         | 2008         | 2009         | 2010         | 2011   | 2012   | 2013   | 2014   |   2015 |   2016 |
|----------|--------------------------|--------------|--------------|--------------|--------------|--------|--------|--------|--------|--------|--------|
| 1        | Andaman &Nicobar Islands | 294 58       |              | 106          | 0            | 49     | 73     | 17     | 37     |     31 |     25 |
| 2        | Andhra Pradesh           | 1520         | 1165         | 1739         | 456          | 849    | 234    | 740    | 281    |     44 |    115 |
| 3        | Arunachal Pradesh        | not reported | 444          | 670          | 156          | 627    | 172    | 44     | 35     |     17 |    365 |
| 4        | Assam                    | 1527         | 839          | 10330        | 221          | 4692   | 1596   | 1516   | 507    |   1225 |   1382 |
| 5        | Bihar                    | not reported | not reported | not reported | not reported | 416    | 2772   | 520    | 141    |    339 |    370 |
| 6        | Chandigarh               | 26           | not reported | 12           | not reported | 16     | 11     | 3      | 4      |    105 |     78 |
| 7        | Chhattisgarh             | 193          | 110          | 105          | 89           | 98     | 482    | 139    | 7      |     32 |     62 |
| 8        | Dadra &Nagar Haveli      | 84           | 26           | 114          | 92           | 36     | 44     | 58     | 78     |    142 |     51 |
| 9        | Daman &Diu               | 0            | 0            | 2            | 1            | 2      | 1      | 1      | 14     |      0 |      0 |
| 10       | Delhi                    | 217          | 1542         | 757          | 1512         | 1089   | 1485   | 945    | 1875   |   1083 |   1460 |
| 11       | Goa                      | 34           | 58           | 22           | 40           | 19     | 59     | 59     | 72     |     28 |     14 |
| 12       | Gujarat                  | 549          | 431          | 599          | 433          | 683    | 123    | 241    | 823    |    790 |    940 |
| 13       | Haryana                  | 17           | 305          | 167          | 164          | 515    | 422    | 30     | 155    |    262 |    348 |
| 14       | Himachal Pradesh         | 584          | 355          | 553          | 630          | 573    | 221    | 155    | 267    |    928 |    461 |
| 15       | Jammu &Kashmir           | 1626         | 1005         | 4435         | 3131         | 3269   | 1935   | 1920   | 2840   |   2148 |   2071 |
| 16       | Jharkhand                | 1116         | 1952         | 993          | 994          | 1097   | 270    | 480    | 1019   |   1299 |    432 |
| 17       | Karnataka                | 2666         | 1353         | 2393         | 1112         | 811    | 1282   | 690    | 1116   |   1182 |    524 |
| 18       | Kerala                   | 2674         | 3422         | 3201         | 3340         | 1553   | 1094   | 1221   | 1257   |   1782 |   1425 |
| 19       | Lakshadweep              | 0            | 0            | 0            | 0            | 0      | 0      | 0      | 0      |      0 |      0 |
| 20       | Madhya Pradesh           | 1336         | 2272         | 1469         | 751          | 486    | 871    | 249    | 352    |    809 |    500 |
| 21       | Maharashtra              | 5766         | 4389         | 2104         | 3177         | 2528   | 1260   | 1474   | 2030   |   1888 |   1988 |
| 22       | Manipur                  | 831          | 640          | 312          | 469          | 711    | 257    | 429    | 232    |    419 |    314 |
| 23       | Meghalaya                | 342          | 554          | 1739         | 562          | 485    | 125    | 300    | 228    |    266 |   1010 |
| 24       | Mizoram                  | 62           | 308          | 628          | 432          | 239    | 165    | 43     | 123    |    759 |    654 |
| 25       | Nagaland                 | 445          | 1079         | 1885         | 2181         | 615    | 164    | 304    | 319    |     98 |     95 |
| 26       | Odisha                   | 831          | 7702         | 1229         | 939          | 1004   | 1085   | 468    | 583    |    808 |    581 |
| 27       | Puducherry               | 210          | 54           | 26           | 28           | 32     | 22     | 24     | 27     |     13 |      6 |
| 28       | Punjab                   | 51           | 89           | 49           | 28           | 42     | 2      | 1      | 1      |     32 |     16 |
| 29       | Rajasthan                | 307          | 752          | 240          | 420          | 326    | 542    | 147    | 294    |   1407 |    592 |
| 30       | Sikkim                   | 184          | 561          | 275          | 594          | 740    | 136    | 66     | 102    |    802 |    278 |
| 31       | Tamil Nadu               | 259          | 491          | 988          | 633          | 2582   | 623    | 328    | 499    |    405 |    251 |
| 32       | Telangana *              | -            | -            | -            | -            | -      | -      | -      | -      |     83 |     91 |
| 33       | Tripura                  | 299          | 304          | 290          | 674          | 670    | 256    | 65     | 452    |    702 |    174 |
| 34       | Uttar Pradesh            | 7109         | 1295         | 8204         | 1496         | 370    | 615    | 476    | 298    |   1801 |   1525 |
| 35       | Uttarakhand              | 54           | 783          | 120          | 907          | 38     | 111    | 90     | 382    |    311 |    272 |
| 36       | West Bengal              | 9931         | 9920         | 10432        | 5796         | 6372   | 4079   | 3236   | 3777   |   3521 |   3227 |
|          | Total                    | 41144        | 44258        | 56188        | 31458        | 33634  | 22589  | 16479  | 20227  |  25561 |  21697 |

* Telangana was part of Andhra Pradesh till 2014 . Source : CBHI / Monthly  Health  Condition  Reports  from  Directorate  of  Health  Services  of State / UT

Annexure II

Measles cases reported from WHO member countries

|   SNo | Member State                          |   Measles cases in 2016 |
|-------|---------------------------------------|-------------------------|
|     1 | Afghanistan                           |                     641 |
|     2 | Algeria                               |                      49 |
|     3 | Angola                                |                      51 |
|     4 | Argentina                             |                       0 |
|     5 | Armenia                               |                       2 |
|     6 | Australia                             |                      99 |
|     7 | Austria                               |                      28 |
|     8 | Azerbaijan                            |                       0 |
|     9 | Bangladesh                            |                    1067 |
|    10 | Belarus                               |                      29 |
|    11 | Belgium                               |                       5 |
|    12 | Benin                                 |                      98 |
|    13 | Bhutan                                |                      88 |
|    14 | Bosnia and Herzegovina                |                      45 |
|    15 | Botswana                              |                       2 |
|    16 | Brunei Darussalam                     |                       1 |
|    17 | Bulgaria                              |                       1 |
|    18 | Burkina Faso                          |                     223 |
|    19 | Burundi                               |                      16 |
|    20 | Cabo Verde                            |                       3 |
|    21 | Cambodia                              |                      56 |
|    22 | Cameroon                              |                     658 |
|    23 | Canada                                |                      11 |
|    24 | Central African Republic              |                     191 |
|    25 | Chad                                  |                     168 |
|    26 | China                                 |                   25584 |
|    27 | Congo                                 |                     304 |
|    28 | Côte d'Ivoire                         |                      54 |
|    29 | Croatia                               |                       4 |
|    30 | Cyprus                                |                       0 |
|    31 | Czech Republic                        |                       7 |
|    32 | Democratic People's Republic of Korea |                       7 |
|    33 | Democratic Republic of the Congo      |                    4860 |
|    34 | Denmark                               |                       3 |
|    35 | Ecuador                               |                       1 |
|    36 | Egypt                                 |                     218 |
|    37 | Equatorial Guinea                     |                    1683 |
|    38 | Eritrea                               |                      82 |
|    39 | Estonia                               |                       2 |
|    40 | Ethiopia                              |                    4568 |
|    41 | Fiji                                  |                       5 |
|    42 | Finland                               |                       5 |
|    43 | France                                |                      79 |
|    44 | Gabon                                 |                    1525 |
|    45 | Gambia                                |                      50 |
|    46 | Georgia                               |                      14 |
|    47 | Germany                               |                     328 |

| 48    | Ghana                            | 455     |
|-------|----------------------------------|---------|
| 49    | Greece                           | 0       |
| 50    | Guinea                           | 334     |
| 51    | Hungary                          | 0       |
| 52    | Iceland                          | 1       |
| 53    | Indonesia                        | 7204    |
| 54    | Iran (Islamic Republic of)       | 175     |
| 55    | Iraq                             | 39      |
| 56    | Ireland                          | 43      |
| 57    | Israel                           | 10      |
| 58    | Italy                            | 864     |
| 59    | Japan                            | 157     |
| 60    | Kazakhstan                       | 106     |
| 61    | Kenya                            | 124     |
| 62    | Kuwait                           | 166     |
| 63    | Kyrgyzstan                       | 0       |
| 64    | Lao People's Democratic Republic | 8       |
| 65    | Lebanon                          | 44      |
| 66    | Lesotho                          | 15      |
| 67    | Liberia                          | 400     |
| 68    | Libya                            | 28      |
| 69    | Lithuania                        | 22      |
| 70    | Luxembourg                       | 0       |
| 71    | Madagascar                       | 17      |
| 72    | Malawi                           | 4       |
| 73    | Malaysia                         | 1587    |
| 74    | Maldives                         | 0       |
| 75    | Mali                             | 109     |
| 76    | Mauritania                       | 17      |
| 77    | Mongolia                         | 28710   |
| 78    | Morocco                          | 191     |
| 79    | Mozambique                       | 130     |
| 80    | Myanmar                          | 266     |
| 81    | Namibia                          | 42      |
| 82    | Nepal Netherlands                | 267     |
| 83    |                                  | 6       |
| 84    | New Zealand                      | 104     |
| 85    | Niger                            | 770     |
| 86    | Nigeria                          | 17581   |
| 87    | Oman                             | 153     |
| 88    | Pakistan                         | 5214    |
| 89    | Philippines                      | 647     |
| 90    | Poland                           | 138     |
| 91    | Portugal                         | 0       |
| 92    | Qatar                            | 30      |
| 93    | Republic of Korea                | 18      |
| 94    | Romania                          | 2432    |
| 95    | Russian Federation               | 178     |
| 96    | Rwanda                           | 59      |
| 97 98 | Saudi Arabia Senegal             | 321 243 |
| 99    | Serbia                           | 14      |
| 100   | Sierra Leone                     | 198     |

|   101 | Singapore                                            |   157 |
|-------|------------------------------------------------------|-------|
|   102 | Slovakia                                             |     0 |
|   103 | Slovenia                                             |     1 |
|   104 | Solomon Islands                                      |     1 |
|   105 | Somalia                                              |    28 |
|   106 | South Africa                                         |    24 |
|   107 | South Sudan                                          |   902 |
|   108 | Spain                                                |    38 |
|   109 | Sri Lanka                                            |   112 |
|   110 | Sudan                                                |  1767 |
|   111 | Swaziland                                            |     1 |
|   112 | Sweden                                               |     3 |
|   113 | Switzerland                                          |    66 |
|   114 | Syrian Arab Republic                                 |    66 |
|   115 | Tajikistan                                           |    52 |
|   116 | Thailand                                             |  1007 |
|   117 | Timor-Leste                                          |    13 |
|   118 | Togo                                                 |   153 |
|   119 | Tunisia                                              |     8 |
|   120 | Turkey                                               |     9 |
|   121 | Uganda                                               |   252 |
|   122 | Ukraine                                              |    90 |
|   123 | United Arab Emirates                                 |   318 |
|   124 | United Kingdom of Great Britain and Northern Ireland |   571 |
|   125 | United Republic of Tanzania                          |   100 |
|   126 | United States of America                             |    80 |
|   127 | Uzbekistan                                           |     1 |
|   128 | Viet Nam                                             |   520 |
|   129 | Yemen                                                |   143 |
|   130 | Zambia                                               |     5 |
|   131 | Zimbabwe                                             |     2 |

Source : WHO -UNICEF joint reporting format (JRF) NR: not reported measles cases in JRF