Lok Sabha Question No. 2827 (UNSTARRED), answered on 2016-12-02
Subject: Japanese Encephalitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMA CHANDRA HANSDAH, ANURAG SINGH THAKUR

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

## LOK SABHA UNSTARRED QUESTION NO. 2827 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## JAPANESE ENCEPHALITI S

## 2827. SHRI RAMA CHANDRA HANSDAH: SHRI ANURAG SINGH THAKUR:

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

- (a) the districts prone to the Japanese Encephalitis (JE) and Acute Encephalitis Syndrome and number of cases and deaths reported in the country during the last three years and the current year, State/ UT -wise;
- (b)  whether  the  Government  proposes  to  launch  any  vaccination  programme  against  the diseases and if so, the details thereof; and
- (c) the steps taken/proposed by the Government for effective diagnosis, surveillance trea and prevention and eradication of JE and AES in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a) :  As per the reports submitted by the States/UTs,  257 districts are affected by JE districts are  affected by AES. Statements indicating State/UT - wise,number  of  JE  and  AES cases  and  deaths  reported  during  the  last  three  years  and  the  current  year , are  at A nnexure-I & II.

(b):

- AES  is  caused  by  various  reasons  like  bacteria,  virus  etc.  of  which  only  JE  is  v preventable disease, for which vaccination is provided.
- As  on  date,  o ut  of  216  endemic  districts,  198  have  been  covered  under  JE  vaccinatio campaign in 1 - 5 years children. The campaign is followed by two doses of JE vaccine und Routine Immunization (at 9 - 12  months  and  16 -24 months) to cover the new cohort under Universa l Immunization Programme (UIP) since 2006 .
- Adult JE vaccination has been completed in 5 districts of Assam and selected blocks districts of UP and 9 districts of West Bengal. More Blocks have been identified for A vaccination campaign (>15 - 65 years) in the States of West Bengal and Assam.

Contd……

(c):

- A multi - pronged strategy has been adopted under the National Programme for Prevention and Control of JE/AES approved by the cabinet on 18.10.2012 in sixty high priority distric States of Assam, Bihar,

Tamil Nadu, Uttar Pradesh and West Bengal with the participation of Ministry of He & Family Welfare, Ministry of D rinking Water & Sanitation, Ministry of Housing & Urban Poverty Alleviation, Ministry of Social Justice & Empowerment, Ministry of Women &Child Development and Ministry of Human Resource Development (Department of School Education &  Literacy).  The  Major  co mponents  under  the  Programme  include  strengthening  of  JE/AES surveillance by establishing sentinel laboratories, reduction in case fatality rate by es of Pediatric Intensive Care Unit (ICU) at district level in 60 high burdened districts ty building  in  critical  case  management,  JE  vaccination,  supply  of  safe  drinking  w establishment  of  Physical  Medicine  and  Rehabilitation  Department  in  10  identified  med college of five states.

- Number of Sentinel sites increased from 51 in 2005 to 130 at present.
- Apex Referral Laboratories increased from 12 to 15.
- Out of 216 endemic districts, 197 districts covered under JE vaccination campaign in - 15 years children.
- Adult JE vaccination completed in 5 districts of Assam and selected blocks of 7 districts of UP  and  9  districts  of  West  Bengal.  More  Blocks  have  been  identified  for  Adult vaccination campaign (>15 - 65 years) in the States of West Bengal and Assam.
- Till date funds released for 42 Pediatric Intensive Care Unit (PICU).
- Funds have b een released for 10 Physical Medicine Rehabilitation (PMR).

…………..

## Annexure-I

## State wise Number of JE Case (C) and Death (D) - 2013 to 2016 (till 27.11.2016)

|                             |                        |                  | Year   | Year   | Year   | Year   | Year   | Year   | Year                     | Year                     |
|-----------------------------|------------------------|------------------|--------|--------|--------|--------|--------|--------|--------------------------|--------------------------|
| Sl. No                      | States/ UTs            | No. of Districts | 2013   | 2013   | 2014   | 2014   | 2015   | 2015   | 2016 (P) till 27.11.2016 | 2016 (P) till 27.11.2016 |
|                             |                        |                  | C      | D      | C      | D      | C      | D      | C                        | D                        |
| 1 Andhra                    |                        | 1                | 7      | 3      | 0      | 0      | 0      | 0      | 0                        | 0                        |
| Pradesh 2 Arunachal Pradesh | 11                     |                  | 0      | 0      | 32     | 3      | 32     | 2      | 0                        | 0                        |
| 3 Assam                     | 28                     |                  | 495    | 134    | 761    | 165    | 614    | 135    | 416                      | 85                       |
| 4 Bihar                     | 23                     |                  | 14     | 0      | 20     | 2      | 66     | 12     | 82                       | 20                       |
| 5 Delhi                     | 8                      |                  | 0      | 0      | 0      | 0      | 1      | 0      | 0                        | 0                        |
| 6 Goa                       | 2                      |                  | 3      | 1      | 0      | 0      | 0      | 0      | 1                        | 0                        |
| 7 Haryana                   | 5                      |                  | 2      | 0      | 5      | 1      | 2      | 0      | 2                        | 0                        |
| 8                           | Jharkhand              | 16               | 89     | 5      | 90     | 2      | 116    | 8      | 43                       | 5                        |
| 9                           |                        | 16               | 2      | 0      | 13     | 0      | 27     | 1      | 1                        | 0                        |
| Karnataka Kerala            |                        | 7                | 2      | 0      | 3      | 2      | 2      | 1      | 2                        | 0                        |
| 10 11                       | Maharashtra            | 3                | 0      | 0      | 0      | 0      | 7      | 0      | 4                        | 0                        |
| 12                          | Manipur                | 8                | 0      | 0      | 1      | 0      | 6      | 0      | 44                       | 1                        |
| 13 Meghalaya                |                        | 8                | 0      | 0      | 72     | 3      | 41     | 8      | 34                       | 4                        |
| 14 Nagaland                 |                        | 8                | 4      | 0      | 6      | 0      | 0      | 0      | 0                        | 0                        |
| 15 Odisha                   |                        | 15               | 0      | 0      | 0      | 0      | 33     | 2      | 221                      | 39                       |
| 16 Punjab                   |                        | 2                | 0      | 0      | 0      | 0      | 0      | 0      | 1                        | 0                        |
| 17 Tamil Nadu               |                        | 28               | 33     | 0      | 36     | 3      | 53     | 0      | 36                       | 0                        |
| 18 Telangana                |                        | 7                | 0      | 0      | 0      | 0      | 8      | 1      | 4                        | 0                        |
| 19 Tripura                  | 8                      |                  | 14     | 0      | 14     | 0      | 28     | 4      | 77                       | 1                        |
| 20 Uttar Pradesh            |                        | 32               | 281    | 47     | 191    | 34     | 351    | 42     | 353                      | 68                       |
| 21                          |                        | 1                | 0      | 0      | 2      | 0      | 2      | 0      | 0                        | 0                        |
| 22                          | Uttrakhand West Bengal | 20               | 140    | 12     | 415    | 78     | 342    | 75     | 153                      | 33                       |
| Grand Total                 | Grand Total            | 257              | 1086   | 202    | 1661   | 293    | 1731   | 291    | 1474                     | 256                      |

## Annexure-II

## State wise Number of AES Case (C) and Death (D) - 2013 to 2016 (till 27.11.2016)

|             |                   |                  | Year   | Year   | Year   | Year   | Year   | Year   | Year                     | Year                     |
|-------------|-------------------|------------------|--------|--------|--------|--------|--------|--------|--------------------------|--------------------------|
| Sl. No      | States/ UTs       | No. of Districts | 2013   | 2013   | 2014   | 2014   | 2015   | 2015   | 2016 (P) till 27.11.2016 | 2016 (P) till 27.11.2016 |
|             |                   |                  | C      | D      | C      | D      | C      | D      | C                        | D                        |
| 1           | Andhra Pradesh    | 13               | 345    | 3      | 31     | 0      | 50     | 0      | 4                        | 0                        |
| 2           | Arunachal Pradesh | 17               | 0      | 0      | 102    | 11     | 73     | 2      | 1                        | 0                        |
| 3           | Assam             | 28               | 1388   | 272    | 2194   | 360    | 1409   | 260    | 1668                     | 183                      |
| 4           | Bihar             | 40               | 417    | 143    | 1358   | 355    | 285    | 90     | 269                      | 90                       |
| 5           | Delhi             | 8                | 0      | 0      | 0      | 0      | 1      | 0      | 0                        | 0                        |
| 6           | Goa               | 2                | 48     | 1      | 17     | 0      | 0      | 0      | 12                       | 0                        |
| 7           | Haryana           | 14               | 2      | 0      | 6      | 1      | 2      | 0      | 2                        | 0                        |
| 8           | Jharkhand         | 24               | 270    | 5      | 288    | 2      | 217    | 8      | 288                      | 5                        |
| 9           | Karnataka         | 32               | 162    | 0      | 75     | 0      | 335    | 1      | 193                      | 0                        |
| 10          | Kerala            | 14               | 53     | 6      | 6      | 2      | 29     | 3      | 13                       | 3                        |
| 11          | Maharashtra       | 27               | 0      | 0      | 0      | 0      | 51     | 0      | 28                       | 0                        |
| 12          | Manipur           | 10               | 1      | 0      | 16     | 0      | 34     | 0      | 437                      | 1                        |
| 13          | Meghalaya         | 11               | 0      | 0      | 212    | 3      | 174    | 8      | 89                       | 4                        |
| 14          | Nagaland          | 12               | 20     | 0      | 20     | 1      | 10     | 1      | 0                        | 0                        |
| 15          | Odisha            | 30               | 0      | 0      | 0      | 0      | 660    | 2      | 960                      | 106                      |
| 16          | Punjab            | 22               | 0      | 0      | 2      | 0      | 1      | 0      | 1                        | 0                        |
| 17          | Tamil Nadu        | 44               | 77     | 8      | 346    | 4      | 847    | 0      | 624                      | 2                        |
| 18          | Telangana         | 10               | 0      | 0      | 155    | 5      | 157    | 1      | 57                       | 0                        |
| 19          | Tripura           | 8                | 211    | 0      | 323    | 0      | 459    | 4      | 306                      | 1                        |
| 20          | Uttar Pradesh     | 43               | 3096   | 609    | 3329   | 627    | 2894   | 479    | 3599                     | 569                      |
| 21          | Uttrakhand        | 13               | 0      | 0      | 2      | 0      | 2      | 0      | 0                        | 0                        |
| 22          | West Bengal       | 20               | 1735   | 226    | 2385   | 348    | 2165   | 351    | 1601                     | 235                      |
| Grand Total | Grand Total       | 442              | 7825   | 1273   | 10867  | 1719   | 9855   | 1210   | 10152                    | 1199                     |