Lok Sabha Question No. 83 (STARRED), answered on 2017-07-21
Subject: Vector Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. C. VENUGOPAL, PRITAM GOPINATH MUNDE

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

## LOK SABHA STARRED QUESTION NO. 83 TO BE ANSWERED ON THE 21 ST JULY, 2017 VECTOR BORNE DISEASE S

## *83. SHRI K.C. VENUGOPAL: DR. PRITAM GOPINATH MUNDE:

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

- (a) the number of cases of vector borne diseases and H1N1 etc. reported and in the country during the last three years and the current year, State/UT - wise  and  year -wise;
- (b)  whether  the  Government  has  taken  any  exclusive  measures  to  preven various epidemics particularly in monsoon season in various States including Kerala details thereof;
- (c) whether the Government proposes to take measures to ensure the availabil both in Government and Private hospitals to cope up with emergency situatio the details thereof;
- (d)  whether  the  Government  proposes  to  start  national programme  in  public  privat partnership mode for prevention/ eradication of such diseases and if so, the and
- (e) the corrective steps taken by the Government to stop regular outbreak of the funds allocated and released for the implementation of the programmes/schemes for purpose during the said period?

## ANSWER

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

(a)to (e

) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 83* FOR 21 ST JULY, 2017

- (a) The number of cases and deaths reported in the country during the last three years and the current year, State/UT-wise and year-wise for Malaria, Dengue,Chikungunya,  Japanese Encephalitis  (JE), Kala-azar and Lymphatic  Filariasis have  been  given  at Annexure-I  to  VI respectively. The number of cases and deaths in respect of H1N1 is at Annexure VII.
- (b) The Government has the following broad strategy for Vector Borne Diseases (VBDs) control in the country including Kerala:
1. Surveillance and case management
- Case detection (active and passive)- Intensified during high transmission period
- Sentinel surveillance
- Early diagnosis and complete treatment
2. Integrated Vector Management (IVM)
- Indoor residual spray (IRS)
- Anti-larval measures including source reduction
- Insecticide treated bed nets (ITNs) / Long-Lasting Insecticidal nets (LLINs)
3. Epidemic preparedness and rapid response.
4. Supportive interventions
- Capacity building& Training
- Intersectoral collaboration
- Information, Education & Communication (IEC)/ Behaviour change communication (BCC) activities
- Monitoring and evaluation (M & E)
- Operational research and applied field research

Other steps to combat and to avoid recurrence of epidemics of vector borne diseases (VBDs) are as follows:-

1. Regular  monitoring through  visits  of  central  team,  Regional  Office  of  Health  &  Family Welfare (RoHFW) teams and the reports received from the States and feedback to them accordingly.
2. Coordination  with Integrated  Disease  Surveillance  Programme  (IDSP) to  detect  Early Warning Signals i.e. any upsurge in fever cases or any reports of malaria outbreaks. Such reports are verified, followed up and managed accordingly.
3. Regular  monitoring  through  field visits of National  Vector  Borne  Disease  Control Programme (NVBDCP) officers/ consultants.
4. Issuing advisory to the States before the monsoon season to upscale their activities and make all the necessary preparations. 13 Advisories regarding Dengue and Chikungunya from HFM, Secretary (HFW), DGHS, Addl. Secy, JS Director, NVBDCP and other were issued.
5. Four review meetings with the States were held at the level of HFM and other officials of the Ministry/DGHS.
6. Five Video Conferences on vector borne diseases with the States were held at the level of Secretary (HFW) and NVBDCP.
7. Training of Trainers for clinicians were conducted on clinical management of Dengue in Lucknow and New Delhi.
8. Extensive  IEC  activities  viz.  observation  of  National  Dengue  Day,  Advertisement  in newspaper, TV discussions and audio-visual campaign(started from 6 th June, 2017 in  67 Satellite TV Channel, 96 Community Radio, 182 FM Radio, Doordarshan and  All India Radio.
9. Technical guidelines, Logistic support and Financial assistance
10. Dengue  & Chikungunya  are  diagnosed  and  managed  through  602 Sentinel  Site  Hospitals (SSHs) and 16 Apex Referral laboratories (ARLs), Japanese Encephalitis through 130 SSHs. The  Malaria  is  diagnosed  and  treated  upto  community  level  through  ASHA  to  all  health facilities throughout  the  country.  Kala-Azar  is  diagnosed and treated  upto  CHC/PHC  level. Lymphatic Filariasis is not an outbreak prone disease. Technical guidance, logistic support and financial assistance are provided.
11. Government has taken following steps to mitigate and contain the impact of H1N1:-
12.  Prior  to the  onset  of  Influenza  season,  the  situation  was  reviewed  by  the  Minister  for Health  and  Family  Welfare  on  13th  October,  2016, 9th  November,  2016  and  4th  July 2017.
13.  Additional Secretary, Ministry of Health and Family Welfare held a video conference on 20th February,  2017  with  the  Principal  Secretaries  and  other  senior  officers  of  the Department of Health of the States to review preparedness measures against Seasonal Influenza.
14.  12  laboratories  under  Integrated  Disease  Surveillance  Programme  (IDSP)  and  30 laboratories under Indian Council of Medical Research (ICMR) are providing diagnostic services for detection for Influenza virus to the states.
15.  Ministry of Health and Family Welfare has procured laboratory diagnostics (to test 20,000 samples) for the laboratories under IDSP and ICMR networks.
16.  Following National Guidelines on Seasonal Influenza have been prepared and circulated to all States/UTs :
17. o Guidelines for Providing Home Care
18. o Clinical Management Protocol for Seasonal Influenza
19. o Guidelines on Risk Categorization
20. o Guidelines  on  use  of  masks  for  health  care  workers,  patients  and  members  of public
21.  Vaccine  Guidance  including  composition  of  the  vaccine  is  issued  every  year.    For  the current season, the guidelines were updated on 25.4.2017 and provided to the States.
22.  Training Workshops attended by Directors of Health Services and Directors of Medical Education of States were organized at New Delhi on 24.11.2016 and 30.01.2017.
23.  Required quantities of Oseltamivir tablets and suspension for children, Personal Protective  Equipment  and  masks  are  made  available  by  Ministry  of  Health  and  Family Welfare as per the indents obtained from the States.
24.  To  ensure  wider  availability  and  accessibility  of  Oseltamivir,  the  drug  for  treatment  of Influenza,  has  been  put  in  Schedule  H1  (can  be  sold  by  all  licensed  chemist  under prescription) from Schedule X (wherein only certain selected Pharmacies were authorized to stock the medicine) on 22.06.2017.
25.  Central teams were also deployed to assist the States of Kerala, Gujarat, Maharashtra, Karnataka  and  Telangana  where  large  laboratory  confirmed  H1N1  cases  have  been reported in 2017.

(c): The  State  Governments  have  their  systems  in  place  to  meet emergency  situations  by providing  adequate  number of  medical  professionals.  Besides, Central  Government  also ensures the deputation of the teams with specialist doctors to guide and supervise the efforts of the State Government to help in reduction of  morbidity & mortality due to outbreaks of Vector Borne Diseases.

(d): There is no such proposal as on date.However, for malaria elimination, a Memorandum of Understanding (MoU) has been signed by State of Madhya Pradesh, ICMR and Sun Pharma. Another  MoU  has  been  signed  between  Govt.  of  Odisha  and  Tata  Trust.Under  Kala-azar elimination, CARE/ Bill&  Melinda  Gates  Foundation  (BMGF) are  providing  additional  human resource (at Block & district level), hand compression pumps and helping in implementation of strategies at village level. TheDepartment of International Development(DFID), United Kingdom (UK) supported  consortium  KalaCORE  is helping  in Quality  training  to  medical  officers  on treatment, provision of Ice lined Refrigerator (ILR) and door-to-door search of suspected Kalaazar cases.

(e): The  steps  taken  by  the  Government  to  stop  regular  outbreak  of  such  epidemics  are mentioned above in reply to part (b). The allocation and releases of funds by Government of India during last three years in respect of Vector Borne Diseases is given at Annexure VIII and in respect of IDSP is at Annexure IX .

## CASES AND DEATHS DUE TO MALARIA

| SN   | States / UTs      | 2014    | 2014   | 2015    | 2015   | 2016    | 2016   | 2017*   | 2017*   |
|------|-------------------|---------|--------|---------|--------|---------|--------|---------|---------|
| SN   | States / UTs      | Cases   | Deaths | Cases   | Deaths | Cases   | Deaths | Cases   | Deaths  |
| 1    | Andhra Pradesh    | 21077   | 0      | 25042   | 0      | 23613   | 0      | 6703    | 0       |
| 2    | Arunachal Pradesh | 6082    | 9      | 5088    | 7      | 3144    | 2      | 424     | 0       |
| 3    | Assam             | 14540   | 11     | 15557   | 4      | 7826    | 6      | 1570    | 0       |
| 4    | Bihar             | 2043    | 0      | 4006    | 1      | 5205    | 0      | 543     | 0       |
| 5    | Chhattisgarh      | 128993  | 53     | 144886  | 21     | 148220  | 61     | 37768   | 0       |
| 6    | Goa               | 824     | 0      | 651     | 1      | 742     | 0      | 92      | 0       |
| 7    | Gujarat           | 41608   | 16     | 41566   | 7      | 44783   | 6      | 7432    | 0       |
| 8    | Haryana           | 4485    | 1      | 9308    | 3      | 7866    | 0      | 411     | 0       |
| 9    | Himachal Pradesh  | 102     | 0      | 60      | 0      | 121     | 0      | 10      | 0       |
| 10   | Jammu & Kashmir   | 291     | 0      | 216     | 0      | 242     | 0      | 28      | 0       |
| 11   | Jharkhand         | 103735  | 8      | 104800  | 6      | 141414  | 15     | 34556   | 0       |
| 12   | Karnataka         | 14794   | 2      | 12445   | 0      | 11078   | 0      | 1653    | 0       |
| 13   | Kerala            | 1751    | 6      | 1549    | 4      | 1547    | 2      | 295     | 0       |
| 14   | Madhya Pradesh    | 96879   | 26     | 100597  | 24     | 69106   | 3      | 4452    | 0       |
| 15   | Maharashtra       | 53385   | 68     | 56603   | 59     | 23983   | 26     | 4563    | 1       |
| 16   | Manipur           | 145     | 0      | 216     | 0      | 122     | 0      | 15      | 0       |
| 17   | Meghalaya         | 39168   | 73     | 48603   | 79     | 35147   | 45     | 6248    | 1       |
| 18   | Mizoram           | 23145   | 31     | 28593   | 21     | 7583    | 9      | 1310    | 0       |
| 19   | Nagaland          | 1936    | 2      | 1527    | 3      | 828     | 0      | 117     | 0       |
| 20   | Orissa            | 395035  | 89     | 436850  | 80     | 449697  | 77     | 147286  | 7       |
| 21   | Punjab            | 1036    | 0      | 596     | 0      | 693     | 0      | 71      | 0       |
| 22   | Rajasthan         | 15118   | 4      | 11796   | 3      | 12741   | 5      | 798     | 0       |
| 23   | Sikkim            | 35      | 0      | 27      | 0      | 15      | 0      | 4       | 0       |
| 24   | Tamil Nadu        | 8729    | 0      | 5587    | 0      | 4341    | 0      | 1538    | 0       |
| 25   | Telangana*        | 5189    | 0      | 10951   | 4      | 3512    | 1      | 679     | 0       |
| 26   | Tripura           | 51240   | 96     | 32525   | 21     | 10546   | 14     | 1377    | 0       |
| 27   | Uttarakhand       | 1171    | 0      | 1466    | 0      | 961     | 0      | 91      | 0       |
| 28   | Uttar Pradesh     | 41612   | 0      | 42767   | 0      | 39238   | 0      | 4581    | 0       |
| 29   | West Bengal       | 26484   | 66     | 24208   | 34     | 35236   | 59     | 2578    | 8       |
| 30   | A & N Islands     | 557     | 0      | 409     | 0      | 485     | 0      | 126     | 0       |
| 31   | Chandigarh        | 114     | 0      | 152     | 1      | 157     | 0      | 17      | 0       |
| 32   | D & N Haveli      | 669     | 1      | 418     | 0      | 375     | 0      | 77      | 0       |
| 33   | Daman & Diu       | 56      | 0      | 84      | 0      | 48      | 0      | 11      | 0       |
| 34   | Delhi             | 98      | 0      | 54      | 0      | 31      | 0      | 28      | 0       |
| 35   | Lakshadweep       | 0       | 0      | 4       | 0      | 2       | 0      | 0       | 0       |
| 36   | Puducherry        | 79      | 0      | 54      | 1      | 76      | 0      | 14      | 0       |
|      | Total             | 1102205 | 562    | 1169261 | 384    | 1090724 | 331    | 267466  | 17      |

* Provisional (Upto May, 2017)

## Annexure-I

## CASES AND DEATHS DUE TO DENGUE

| Sl. No.   | State             | 2014   | 2014   | 2015   | 2015   | 2016   | 2016   | 2017*   | 2017*   |
|-----------|-------------------|--------|--------|--------|--------|--------|--------|---------|---------|
| Sl. No.   | State             | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases   | Deaths  |
| 1         | Andhra Pradesh    | 1262   | 5      | 3159   | 2      | 3417   | 2      | 633     | 0       |
| 2         | Arunachal Pradesh | 27     | 0      | 1933   | 1      | 13     | 0      | 0       | 0       |
| 3         | Assam             | 85     | 0      | 1076   | 1      | 6157   | 4      | 104     | 0       |
| 4         | Bihar             | 297    | 0      | 1771   | 0      | 1912   | 0      | 2       | 0       |
| 5         | Chhattisgarh      | 440    | 9      | 384    | 1      | 356    | 0      | 25      | 0       |
| 6         | Goa               | 168    | 1      | 293    | 0      | 150    | 0      | 98      | 0       |
| 7         | Gujarat           | 2320   | 3      | 5590   | 9      | 8028   | 14     | 630     | 0       |
| 8         | Haryana           | 214    | 2      | 9921   | 13     | 2493   | 0      | 1       | 1       |
| 9         | Himachal Pradesh  | 2      | 0      | 19     | 1      | 322    | 0      | 2       | 0       |
| 10        | J & K             | 1      | 0      | 153    | 0      | 79     | 1      | 1       | 0       |
| 11        | Jharkhand         | 36     | 0      | 102    | 0      | 414    | 1      | 24      | 0       |
| 12        | Karnataka         | 3358   | 2      | 5077   | 9      | 6083   | 8      | 2193    | 0       |
| 13        | Kerala            | 2575   | 11     | 4075   | 25     | 7439   | 13     | 10377   | 18      |
| 14        | Madhya Pradesh    | 2131   | 13     | 2108   | 8      | 3150   | 12     | 42      | 0       |
| 15        | Meghalaya         | 0      | 0      | 13     | 0      | 172    | 0      | 3       | 0       |
| 16        | Maharashtra       | 8573   | 54     | 4936   | 23     | 6792   | 33     | 372     | 1       |
| 17        | Manipur           | 0      | 0      | 52     | 0      | 51     | 1      | 4       | 0       |
| 18        | Mizoram           | 19     | 0      | 43     | 0      | 580    | 0      | 24      | 0       |
| 19        | Nagaland          | 0      | 0      | 21     | 1      | 142    | 0      | 0       | 0       |
| 20        | Odisha            | 6433   | 9      | 2450   | 2      | 8380   | 11     | 102     | 0       |
| 21        | Punjab            | 472    | 8      | 14128  | 18     | 10439  | 15     | 8       | 0       |
| 22        | Rajasthan         | 1243   | 7      | 4043   | 7      | 5292   | 16     | 56      | 0       |
| 23        | Sikkim            | 5      | 0      | 21     | 0      | 82     | 0      | 18      | 0       |
| 24        | Tamil Nadu        | 2804   | 3      | 4535   | 12     | 2531   | 5      | 4407    | 1       |
| 25        | Tripura           | 6      | 0      | 40     | 0      | 102    | 0      | 48      | 0       |
| 26        | Telangana         | 704    | 1      | 1831   | 2      | 4037   | 4      | 258     | 0       |
| 27        | Uttar Pradesh     | 200    | 0      | 2892   | 9      | 15033  | 42     | 97      | 1       |
| 28        | Uttarakhand       | 106    | 0      | 1655   | 1      | 2146   | 4      | 0       | 0       |
| 29        | West Bengal       | 3934   | 4      | 8516   | 14     | 22865  | 45     | 469     | 0       |
| 30        | A&N Island        | 139    | 0      | 153    | 0      | 92     | 0      | 8       | 0       |
| 31        | Chandigarh        | 13     | 0      | 966    | 1      | 1246   | 0      | 16      | 0       |
| 32        | Delhi             | 995    | 3      | 15867  | 60     | 4431   | 10     | 109     | 0       |
| 33        | D&N Haveli        | 641    | 1      | 1154   | 0      | 4161   | 2      | 258     | 0       |
| 34        | Daman & Diu       | 46     | 0      | 165    | 0      | 89     | 0      | 2       | 0       |
| 35        | Puducherry        | 1322   | 1      | 771    | 0      | 490    | 2      | 273     | 0       |
| TOTAL     | TOTAL             | 40571  | 137    | 99913  | 220    | 129166 | 245    | 20664   | 22      |

* Provisional (Upto9 th July, 2017)

## Annexure-II

## CASES DUE TO CHIKUNGUNYA

| Sl. No   | Name of the State   |   2014 |   2015 |   2016 |   2017 |
|----------|---------------------|--------|--------|--------|--------|
| 1        | Andhra Pradesh      |   1359 |    817 |    960 |    703 |
| 2        | Arunachal Pradesh   |      0 |     35 |    239 |     10 |
| 3        | Assam               |      0 |      0 |     40 |     12 |
| 4        | Bihar               |      0 |      3 |    566 |      2 |
| 5        | Goa                 |   1205 |    561 |    337 |    230 |
| 6        | Gujarat             |    574 |    406 |   3285 |   1916 |
| 7        | Haryana             |      3 |      1 |   5394 |      0 |
| 8        | J&K                 |      0 |      0 |      1 |      0 |
| 9        | Jharkhand           |     11 |     21 |     47 |      5 |
| 10       | Karnataka           |   6962 |  20763 |  15666 |   4468 |
| 11       | Kerala              |    272 |    175 |    129 |     65 |
| 12       | MadhyaPradesh       |    161 |     67 |   2280 |    163 |
| 13       | Meghalaya           |      0 |     78 |    360 |     18 |
| 14       | Maharashtra         |   1572 |    391 |   7570 |   2166 |
| 15       | Odisha              |     10 |     81 |     51 |      0 |
| 16       | Punjab              |      2 |    180 |   4407 |    440 |
| 17       | Rajasthan           |     50 |      7 |   2506 |    148 |
| 18       | Sikkim              |      0 |      0 |     30 |     29 |
| 19       | Tamil Nadu          |    543 |    329 |     86 |     44 |
| 20       | Telangana           |   1687 |   2067 |    611 |     71 |
| 21       | Tripura             |     34 |    180 |    311 |     99 |
| 22       | Uttar Pradesh       |      4 |      0 |   2458 |     48 |
| 23       | Uttarakhand         |      0 |      0 |     35 |      0 |
| 24       | West Bengal         |   1032 |   1013 |   1071 |    272 |
| 25       | A&N Island          |    161 |     68 |     18 |     23 |
| 26       | Chandigarh          |      0 |      1 |   2857 |    381 |
| 27       | Delhi               |      8 |     64 |  12279 |    161 |
| 28       | D&N Haveli          |      0 |      0 |      0 |      0 |
| 29       | Lakshadweep         |      0 |      0 |      0 |      0 |
| 30       | Puducherry          |    399 |    245 |    463 |    115 |
| Total    | Total               |  16049 |  27553 |  64057 |  11589 |

* Provisional (Upto9 th July, 2017) Note: No Death due to Chikungunya has been reported in the country.

## Annexure-III

## CASES AND DEATHS DUE TO AE/JES

| Sl. No.            | Affected States/ UTs   | 2014     | 2014    | 2014     | 2014         | 2015   | 2015   | 2015   | 2016   | 2016   | 2016   | 2016   | 2017   | 2017   | 2017   | 2017   |
|--------------------|------------------------|----------|---------|----------|--------------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
| Sl. No.            | Affected States/ UTs   | AES      | AES     | JE       | JE           | AES    | AES    | JE AES | JE AES |        |        | JE AES | JE AES |        |        | JE     |
| Sl. No.            | Affected States/ UTs   | Cases    | Deaths  | Cases    | Deaths Cases | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths |
| 1                  | Andhra Pradesh         | 31       | 0 0     | 0        | 50           | 0      | 0      | 0      | 4      | 0      | 0      | 0      | 0      | 0      | 0      | 0      |
| 2                  | Arunachal Pradesh      | 102      | 11 32   | 3        | 73           | 2      | 32     | 2      | 1      | 0      | 0      | 0      | 0      | 0      | 0      | 0      |
| 3                  | Assam                  | 2194 360 | 761     | 165      | 1409         | 260    | 614    | 135    | 1713   | 187    | 427    | 92     | 1174   | 90     | 331    | 46     |
| 4                  | Bihar                  | 1358     | 355 20  | 2        | 285          | 90     | 66     | 12     | 324    | 102    | 100    | 25     | 49     | 23     | 13     | 5      |
| 5                  | Delhi                  | 0        | 0 0     | 0        | 0            | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      |
| 6                  | Goa                    | 17       | 0       | 0        | 0            | 0      | 0      | 0      | 12     | 0      | 1      | 0      | 0      | 0      | 0      | 0      |
| 7                  | Haryana                | 6        | 0 1     | 1        | 2            | 0      | 2      | 0      | 2      | 0      | 2      | 0      | 0      | 0      | 0      | 0      |
| 8                  | Jharkhand              | 288      | 5 2 90  | 2        | 217          | 8      | 116    | 8      | 296    | 5      | 47     | 5      | 56     | 0      | 1      | 0      |
| 9                  | Karnataka              | 75       | 0 13    | 0        | 335          | 1      | 27     | 1      | 406    | 0      | 11     | 0      | 122    | 0      | 2      | 0      |
| 10                 | Kerala                 | 6        | 2 3     | 2        | 29           | 3      | 2      | 1      | 18     | 5      | 2      | 0      | 0      | 0      | 0      | 0      |
| 11                 | Maharashtra            | 0        | 0 0     | 0        | 51           | 0      | 7      | 0      | 70     | 1      | 12     | 1      | 1      | 0      | 1      | 0      |
| 12                 | Manipur                | 16       | 1       | 0        | 34           | 0      | 6      | 0      | 475    | 1      | 47     | 1      | 34     | 0      | 4      | 0      |
| 13                 | Meghalaya              | 212      | 0 3     | 3        | 174          | 8      | 41     | 8      | 164    | 4      | 47     | 4      | 0      | 0      | 0      | 0      |
| 14                 | Nagaland               | 20       | 72 1 6  | 0        | 10           | 1      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      | 0      |
| 15                 | Odisha                 | 0        | 0 0     | 0        | 660          | 2      | 33     | 2      | 1096   | 115    | 242    | 42     | 391    | 10     | 7      | 0      |
| 16                 | Punjab                 | 2        | 0 0     | 0        | 1            | 0      | 0      | 0      | 1      | 0      | 1      | 0      | 0      | 0      | 0      | 0      |
| 17                 | Tamil Nadu             | 346      | 4 36    | 3        | 847          | 0      | 53     | 0      | 859    | 3      | 51     | 0      | 500    | 0      | 16     | 0      |
| 18                 | Telengna               | 155      | 5 0     | 0        | 157          | 1      | 8      | 1      | 72     | 0      | 4      | 0      | 0      | 0      | 0      | 0      |
| 19                 | Tripura                | 323      | 0 14    | 0        | 459          | 4      | 28     | 4      | 380    | 1      | 98     | 1      | 0      | 0      | 0      | 0      |
| 20                 | Uttar Pradesh          | 3329     | 627 191 | 34       | 2894         | 479    | 351    | 42     | 3919   | 621    | 410    | 73     | 580    | 87     | 41     | 1      |
| 21                 | Uttarakhand            | 0        | 2       |          |              |        |        |        |        |        |        | 0      |        |        |        | 0      |
| 22                 | West                   | 2 2385   | 348     | 0 415 78 | 2 2165       | 0 351  | 2 342  | 0 75   | 0 1839 | 0 256  | 0 174  | 39     | 0 651  | 0 69   | 0 28   | 8      |
| Bengal Grand Total | Bengal Grand Total     | 10867    | 1719    | 1661 293 | 9854         | 1210   | 1730   | 291    | 11651  | 1301   | 1676   | 283    | 3558   | 279    | 444    | 60     |

* Provisional (Upto 16 th July, 2017)

## Annexure-IV

## CASES AND DEATHS DUE TO KALA AZAR

| Sl. No   | Affected States   | 2014   | 2014   | 2015   | 2015   | 2016   | 2016   | 2017**   | 2017**   |
|----------|-------------------|--------|--------|--------|--------|--------|--------|----------|----------|
| Sl. No   | Affected States   | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases    | Deaths   |
| 1        | Bihar             | 7615   | 10     | 6517   | 5      | 4773   | 0      | 1858     | 0        |
| 2        | Jharkhand         | 937    | 0      | 1262   | 0      | 1185   | 0      | 453      | 0        |
| 3        | West Bengal       | 668    | 1      | 576    | 0      | 179    | 0      | 47       | 0        |
| 4        | Uttar Pradesh     | 11     | 0      | 131    | 0      | 107    | 0      | 49       | 0        |
| 5        | Uttarakhand       | 4      | 0      | 3      | 0      | 2      | 0      | 2        | 0        |
| 6        | Assam             | 1      | 0      | 1      | 0      | 0      | 0      | 0        | 0        |
| 7        | Sikkim            | 5      | 0      | 5      | 0      | 1      | 0      | 0        | 0        |
| 8        | Kerala            | 0      | 0      | 4      | 0      | 0      | 0      | 0        | 0        |
| 9        | Punjab*           | 0      | 0      | 1      | 0      | 0      | 0      | 0        | 0        |
| Total    | Total             | 9241   | 11     | 8500   | 5      | 6247   | 0      | 2409     | 0        |

## Annexure-V

## Annexure-VI

## LINE LISTING OF CLINICALLY MANIFESTED CASES OF LYMPHATIC FILARIASIS

| S.N.   | LF endemic States   |    2014 |    2015 |    2016 |    2017 |
|--------|---------------------|---------|---------|---------|---------|
| 1      | Andhra Pradesh      |   90019 |   90423 |   90423 |   90423 |
| 2      | Telangana           |   58525 |   57423 |   66691 |   66691 |
| 3      | Assam               |    2044 |    2189 |    2189 |    2189 |
| 4      | Bihar               |  389972 |  389972 |  389972 |  390265 |
| 5      | Chhattisgarh        |   13921 |   13921 |   15429 |   15429 |
| 6      | Goa                 |     118 |     199 |     199 |     199 |
| 7      | Gujarat             |    6529 |    7153 |    7153 |    7397 |
| 8      | Jharkhand           |  138122 |  164837 |  164838 |  166068 |
| 9      | Karnataka           |   17819 |   19654 |   19654 |   19674 |
| 10     | Kerala              |   16471 |   18462 |   18462 |   18462 |
| 11     | Madhya Pradesh      |    8597 |    9926 |    9926 |    9926 |
| 12     | Maharashtra         |   69348 |   74542 |   74542 |   74542 |
| 13     | Orissa              |  116997 |  116997 |  116997 |  116997 |
| 14     | Tamil Nadu          |   59131 |   59131 |   59131 |   59325 |
| 15     | Uttar Pradesh       |  128191 |  125099 |  125099 |  128224 |
| 16     | West Bengal         |   95407 |   96562 |   97364 |   97364 |
| 17     | A&N Islands         |     194 |     194 |     194 |     194 |
| 18     | D & N Haveli        |     118 |     118 |     118 |     118 |
| 19     | Daman & Diu         |     136 |     136 |     136 |     136 |
| 20     | Lakshadweep         |     254 |     254 |     254 |     254 |
| 21     | Pondicherry         |    1304 |    1304 |    1304 |    1304 |
|        | Total               | 1213217 | 1248496 | 1260075 | 1265181 |

Note: No Death due to Lymphatic Filariasis has been reported in the country.

## CASES AND DEATHS DUE TO INFLUENZA A (H1N1)

| S. No.   | States/UTs         | 2014   | 2014   | 2015   | 2015   | 2016   | 2016   | 2017**       | 2017**             |
|----------|--------------------|--------|--------|--------|--------|--------|--------|--------------|--------------------|
| S. No.   | States/UTs         | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | (As on Cases | 16.07.2017) Deaths |
| 1        | Andaman & Nicobar  | 0      | 0      | 4      | 0      | 0      | 0      | 2            | 1                  |
| 2        | Andhra Pradesh     | 10     | 5      | 258    | 36     | 12     | 5      | 375          | 13                 |
| 3        | Arunachal Pradesh  | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0                  |
| 4        | Assam              | 0      | 0      | 31     | 4      | 0      | 0      | 117          | 2                  |
| 5        | Bihar              | 0      | 0      | 352    | 6      | 0      | 0      | 1            | 0                  |
| 6        | Chandigarh         | 0      | 0      | 23     | 7      | 6      | 0      | 3            | 0                  |
| 7        | Chhattisgarh       | 0      | 0      | 239    | 53     | 6      | 4      | 11           | 2                  |
| 8        | Dadra & Nagar      | 0      | 0      | 26     | 6      | 1      | 0      | 0            | 0                  |
| 9        | Haveli Daman & Diu | 0      | 0      | 5      | 1      | 0      | 0      | 0            | 0                  |
| 10       | Delhi              | 38     | 1      | 4307   | 12     | 193    | 7      | 278          | 4                  |
| 11       | Goa                | 1      | 1      | 193    | 19     | 6      | 0      | 65           | 4                  |
| 12       | Gujarat            | 157    | 55     | 7180   | 517    | 411    | 55     | 339          | 81                 |
| 13       | Haryana            | 5      | 0      | 433    | 58     | 68     | 5      | 21           | 0                  |
| 14       | Himachal Pradesh   | 0      | 0      | 123    | 27     | 14     | 5      | 34           | 6                  |
| 15       | Jammu & Kashmir    | 0      | 0      | 495    | 20     | 2      | 0      | 11           | 0                  |
| 16       | Jharkhand          | 0      | 0      | 16     | 6      | 1      | 1      | 11           | 0                  |
| 17       | Karnataka          | 303    | 33     | 3565   | 94     | 110    | 0      | 2480         | 15                 |
| 18       | Kerala             | 62     | 15     | 928    | 76     | 23     | 1      | 1169         | 66                 |
| 19       | Lakshadweep        | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0                  |
| 20       | Madhya Pradesh     | 17     | 9      | 2445   | 367    | 38     | 12     | 9            | 4                  |
| 21       | Maharashtra        | 115    | 43     | 8583   | 905    | 82     | 26     | 2738         | 303                |
| 22       | Manipur            | 0      | 0      | 5      | 2      | 0      | 0      | 1            | 0                  |
| 23       | Meghalaya          | 0      | 0      | 1      | 0      | 0      | 0      | 0            | 0                  |
| 24       | Mizoram            | 0      | 0      | 4      | 0      | 0      | 0      | 0            | 0                  |
| 25       | Nagaland           | 0      | 0      | 4      | 0      | 0      | 0      | 0            | 0                  |
| 26       | Odisha             | 0      | 0      | 76     | 13     | 1      | 0      | 7            | 1                  |
| 27       | Pondicherry        | 0      | 0      | 57     | 4      | 1      | 0      | 161          | 9                  |
| 28       | Punjab             | 27     | 6      | 300    | 61     | 177    | 64     | 21           | 6                  |
| 29       | Rajastshan         | 64     | 34     | 6858   | 472    | 197    | 43     | 412          | 59                 |
| 30       | Sikkim             | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0                  |
| 31       | Tamil Nadu         | 58     | 8      | 898    | 29     | 122    | 2      | 2908         | 15                 |
| 32       | Telangana*         | 78     | 8      | 2956   | 100    | 166    | 12     | 1450         | 17                 |
| 33       | Tripura            | 0      | 0      | 0      | 0      | 0      | 0      | 39           | 0                  |
| 34       | Uttarakhand        | 0      | 0      | 105    | 15     | 20     | 5      | 21           | 5                  |
| 35       | Uttar Pradesh      | 2      | 0      | 1578   | 50     | 122    | 16     | 43           | 3                  |
| 36       | West Bengal        | 0      | 0      | 544    | 30     | 7      | 2      | 461          | 16                 |
|          | Cumulative Total   | 937    | 218    | 42592  | 2990   | 1786   | 265    | 13188        | 632                |

## Annexure-VIII

## ALLOCATION AND RELEASES UNDER NVBDCP DURING 2013-14 TO 2017-18

| S N   | States/UTs         | 2013-14    | 2013-14     | 2014-15    | 2014-15   | 2015-16    | 2015-16   | 2016-17    | 2016-17   | 2017-18     | 2017-18   |
|-------|--------------------|------------|-------------|------------|-----------|------------|-----------|------------|-----------|-------------|-----------|
| S N   | States/UTs         | Allocation | Releases    | Allocation | Releases  | Allocation | Releases  | Allocation | Releases  | Allocation  | Release*  |
| 1     | Andhra Pradesh     | 2316.32    | 650.01      | 2510.00    | 767.24    | 864.20     | 864.20    | 728.00     | 881.83    | 909.95      | 91.21     |
| 2     | Arunachal Pradesh  | 1876.65    | 1016.31     | 1291.00    | 1166.76   | 1364.27    | 1364.27   | 1183.00    | 1319.93   | 1183.00     | 0.00      |
| 3     | Assam              | 5168.19    | 3813.45     | 3036.00    | 2673.04   | 3260.14    | 3260.14   | 2395.10    | 1835.00   | 2335.10     | 0.00      |
| 4     | Bihar              | 6038.31    | 4633.44     | 4800.00    | 11474.32  | 9695.23    | 9695.23   | 3534.00    | 3742.14   | 3673.50     | 0.00      |
| 5     | Chhattisgarh       | 2999.22    | 1150.42     | 2990.00    | 1343.50   | 561.92     | 561.92    | 908.00     | 3585.03   | 3364.50     | 1805.42   |
| 6     | Goa                | 125.81     | 55.87       | 128.00     | 90.75     | 47.50      | 47.50     | 102.00     | 48.50     | 106.76      | 0.00      |
| 7     | Gujarat            | 1612.71    | 736.94      | 2380.00    | 1198.20   | 1159.71    | 1159.71   | 1100.00    | 1135.95   | 1259.00     | 578.73    |
| 8     | Haryana            | 203.50     | 87.49       | 363.00     | 247.50    | 255.00     | 255.00    | 200.00     | 0.00      | 0.00        | 0.00      |
| 9     | Himachal Pradesh   | 120.55     | 54.01       | 140.00     | 99.75     | 0.00       | 0.00      | 26.00      | 0.00      | 0.00        | 0.00      |
| 10    | J & K              | 110.33     | 76.11       | 155.00     | 89.86     | 91.23      | 91.23     | 94.20      | 71.12     | 99.62       | 43.00     |
| 11    | Jharkhand          | 3836.09    | 1161.29     | 4139.50    | 3162.25   | 5349.94    | 5349.94   | 3390.00    | 3306.42   | 3370.91     | 1705.63   |
| 12    | Karnataka          | 1630.66    | 796.39      | 2320.00    | 1810.28   | 1843.60    | 1843.60   | 1759.00    | 1415.59   | 970.06      | 210.30    |
| 13    | Kerala             | 745.56     | 642.94      | 1007.00    | 720.75    | 726.00     | 726.00    | 644.00     | 540.41    | 509.41      | 0.00      |
| 14    | Madhya Pradesh     | 2053.50    | 877.79      | 2390.00    | 1796.91   | 2150.64    | 2150.64   | 2118.00    | 1943.95   | 1657.15     | 595.23    |
| 15    | Maharashtra        | 1557.04    | 817.05      | 2187.00    | 648.41    | 652.84     | 652.84    | 1320.00    | 820.47    | 705.80      | 633.98    |
| 16    | Manipur            | 1007.41    | 211.63      | 1091.00    | 907.06    | 979.13     | 979.13    | 1005.00    | 604.65    | 905.00      | 0.00      |
| 17    | Meghalaya          | 1146.96    | 445.54      | 1162.00    | 935.43    | 1108.89    | 1108.89   | 915.00     | 514.06    | 864.00      | 0.00      |
| 18    | Mizoram            | 1398.49    | 614.19      | 1248.00    | 1199.04   | 1392.69    | 1392.69   | 1104.00    | 934.25    | 1364.00     | 0.00      |
| 19    | Nagaland           | 1678.25    | 439.32      | 1533.00    | 1108.92   | 1314.78    | 1314.78   | 1117.00    | 432.63    | 1117.00     | 0.00      |
| 20    | Orissa             | 4603.18    | 2483.66     | 5170.00    | 2086.05   | 4425.32    | 4425.32   | 10037.00   | 8053.58   | 10177.00    | 2133.71   |
| 21    | Punjab             | 296.00     | 53.94       | 550.00     | 409.31    | 509.29     | 509.29    | 402.00     | 461.99    | 1038.63     | 0.00      |
| 22    | Rajasthan          | 652.67     | 578.36      | 990.00     | 1404.50   | 2146.16    | 2146.16   | 2180.80    | 784.75    | 1388.65     | 00.21     |
| 23    | Sikkim             | 50.00      | 27.36       | 70.00      | 51.93     | 58.90      | 58.90     | 90.90      | 22.00     | 41.90       | 0.00      |
| 24    | Tamil Nadu         | 1971.75    | 1971.75     | 2250.00    | 1561.50   | 1594.00    | 1594.00   | 1409.00    | 1379.00   | 1410.55     | 0.00      |
| 25    | Telangana          |            |             |            | 429.00    | 701.47     | 701.47    | 685.00     | 671.76    | 628.33      | 49.25     |
| 26    | Tripura            | 1779.88    | 735.34      | 1459.00    | 1353.85   | 2182.72    | 2182.72   | 1617.00    | 793.07    | 1617.00     | 0.00      |
| 27    | Uttar Pradesh      | 3469.29    | 2694.72     | 3905.50    | 3808.50   | 1783.67    | 1783.67   | 3650.00    | 2971.57   | 3343.80     | 373.39    |
| 28    | Uttarakhand        | 117.50     | 0.71        | 125.00     | 127.32    | 127.14     | 127.14    | 266.00     | 156.94    | 249.38      | 0.00      |
| 29    | West Bengal        | 3381.03    | 3057.17     | 3500.00    | 1709.53   | 1645.85    | 1645.85   | 1910.00    | 1688.59   | 1600.00     | 2.86      |
| 30    | Delhi              | 309.50     | 232.12      | 584.00     | 444.00    | 19.00      | 19.00     | 169.00     | 0.00      | 168.17      | 0.00      |
| 31    | Pudducherry        | 53.87      | 7.73        | 56.00      | 39.81     | 108.25     | 108.25    | 51.00      | 85.22     | 51.83       | 0.00      |
| 32    | A&N Islands        | 537.20     | 556.32      | 250.00     | 187.08    | 611.31     | 611.31    | 349.00     | 304.56    | 341.02      | 0.00      |
| 33    | Chandigarh         | 75.50      |             | 96.00      | 56.25     | 79.49      | 79.49     | 77.00      | 146.15    |             | 0.00      |
| 34    | D & N              | 79.44      | 63.19 50.74 | 98.00      | 90.50     | 96.00      | 96.00     | 107.00     | 100.66    | 85.00 99.60 | 0.00      |
| 35    | Haveli Daman & Diu | 54.49      | 23.56       | 72.00      | 62.50     | 68.00      | 68.00     | 71.00      | 35.50     | 70.60       | 0.00      |
| 36    | Lakshadwe ep       | 43.15      | 6.93        | 54.00      | 0.95      | 47.00      | 47.00     | 36.00      | 18.00     | 43.78       | 0.00      |
|       | Total              | 53100.00   | 30823.79    | 54100.00   | 45262.55  | 49021.28   | 49021.28  | 46750.00   | 40805.27  | 46750.00    | 8222.92   |

## INTEGRATED DISEASE SURVEILLANCE PROGRAMME SUMMARY OF FINANCIAL STATUS

| Sl. No.   | States/UTs                | Allocation   | Allocation   | Allocation   | Allocation   | Release       | Release       | Release   | Release   |
|-----------|---------------------------|--------------|--------------|--------------|--------------|---------------|---------------|-----------|-----------|
| Sl. No.   | States/UTs                | 2014-15      | 2015-16      | 2016-17      | 2017-18      | 2014-15       | 2015-16       | 2016-17   | 2017-18** |
| 1         | Andhra Pradesh            | 280.00       | 150.00       | 146.00       | 150.00       | 122.48        | 112.50        | 163.00    | NR        |
| 2         | Gujarat                   | 400.00       | 325.00       | 350.00       | 400.00       | 400.00        | 325.00        | 400.00    | 270.00    |
| 3         | Karnataka                 | 300.00       | 200.00       | 320.00       | 350.00       | 270.50        | 300.00        | 490.00    | 236.00    |
| 4         | Maharashtra               | 280.00       | 300.00       | 320.00       | 250.00       | 280.00        | 225.00        | 240.00    | NR        |
| 5         | Punjab                    | 225.00       | 230.00       | 210.00       | 250.00       | 168.75        | 325.92        | 400.00    | NR        |
| 6         | Rajasthan                 | 325.00       | 325.00       | 350.00       | 350.00       | 325.00        | 325.00        | 400.00    | NR        |
| 7         | Tamil Nadu                | 325.00       | 305.00       | 440.00       | 300.00       | 325.00        | 350.00        | 440.00    | NR        |
| 8         | Uttarakhand               | 60.00        | 200.00       | 250.00       | 200.00       | 45.00         | 200.00        | 187.50    | NR        |
| 9         | West Bengal               | 225.00       | 200.00       | 200.00       | 200.00       | 250.00        | 200.00        | 200.00    | NR        |
| 10        | Andaman & Nicobar Islands | 12.00        | 7.00         | 25.00        | 40.00        | 9.00          | 5.25          | 18.75     | NR        |
| 11        | Bihar                     | 200.00       | 210.00       | 230.00       | 200.00       | 200.00        | 210.00        | 172.50    | NR        |
| 12        | Chandigarh                | 40.00        | 31.00        | 40.00        | 50.00        | 40.00         | 23.25         | 40.00     | NR        |
| 13        | Chhattisgarh              | 60.00        | 200.00       | 200.00       | 105.00       | 60.00         | 200.00        | 150.00    | NR        |
| 14        | Dadra & N. Haveli         | 28.00        | 27.00        | 35.00        | 50.00        | 21.00         | 32.17         | 17.50     | NR        |
| 15        | Daman & Diu               | 30.00        | 32.00        | 35.00        | 50.00        | 6.01          | 50.00         | 17.50     | NR        |
| 16        | Delhi                     | 75.00        | 85.00        | 100.00       | 150.00       | 56.25         | 105.00        | 75.00     | NR        |
| 17        | Goa                       | 60.00        | 40.00        | 50.00        | 40.00        | 45.00         | 40.00         | 37.50     | NR        |
| 18        | Haryana                   | 200.00       | 180.00       | 200.00       | 180.00       | 150.00        | 180.00        | 150.00    | NR        |
| 19        | Himachal Pradesh          | 70.00        | 70.00        | 80.00        | 90.00        | 70.00         | 70.00         | 60.00     | 40.00     |
| 20        | J&K                       | 170.00       | 200.00       | 250.00       | 260.00       | 127.50        | 250.00        | 250.00    | 176.00    |
| 21        | Jharkhand                 | 150.00       | 200.00       | 200.00       | 200.00       | 112.50        | 220.00        | 100.00    | NR        |
| 22        | Kerala                    | 135.00       | 150.00       | 170.00       | 180.00       | 101.25        | 150.00        | 200.00    | NR        |
| 23        | Lakshadweep*              | 10.00        | 3.00         | 5.00         | 10.00        | -             | -             | -         | NR        |
| 24        | Madhya Pradesh            | 350.00       | 300.00       | 300.00       | 200.00       | 350.00        | 300.00        | 225.00    | NR        |
| 25        | Orissa                    | 350.00       | 325.00       | 300.00       | 150.00       | 350.00        | 325.00        | 150.00    | NR        |
| 26        | Puducherry                | 70.00        | 65.00        | 50.00        | 100.00       | 70.00         | 65.00         | 75.00     | NR        |
| 27        | Uttar Pradesh             | 400.00       | 300.00       | 450.00       | 400.00       | 300.00        | 300.00        | 337.50    | NR        |
| 28        | Telangana                 | 0.00         | 125.00       | 140.00       | 130.00       | 87.53         | 125.00        | 105.00    | NR        |
| 29        | Arunachal Pradesh         | 210.00       | 220.00       | 203.00       | 280.00       | 152.24        | 220.00        | 203.00    | NR        |
| 30        | Assam                     | 250.00       | 350.00       | 250.00       | 370.00       | 206.25        | 404.00        | 341.00    | NR        |
| 31        | Manipur                   | 70.00        | 100.00       | 100.00       | 100.00       | 96.25         | 75.00         | 75.00     | NR        |
| 32        | Meghalaya                 | 60.00        | 100.00       | 70.00        | 80.00        | 45.00         | 100.00        | 52.50     | NR        |
| 33        | Mizoram                   | 90.00        | 100.00       | 90.00        | 100.00       | 97.50         | 100.00        | 67.50     | NR        |
| 34        | Nagaland                  | 150.00       | 150.00       | 140.00       | 170.00       | 120.00        | 150.00        | 105.00    | NR        |
| 35        | Sikkim                    | 50.00        | 40.00        | 50.00        | 50.00        | 50.00         | 40.00         | 37.50     | NR        |
| 36        | Tripura                   | 40.00        | 40.00        | 50.00        | 50.00        |               |               | 37.50     | NR        |
|           | Grand Total               | 5750.00      | 5885.00      | 6399.00      | 6235.00      | 50.00 5160.01 | 40.00 6143.09 | 6020.75   | 722.00    |

NR - Funds not released yet or in process.

(Rs. In Lacs)