Lok Sabha Question No. 214 (UNSTARRED), answered on 2017-12-15
Subject: Inquiries into Dengue Deaths
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BAIJAYANT "JAY" PANDA

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

LOK SABHA UNSTARRED QUESTION NO. 214 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## INQUIRIES INTO DENGU E DEATHS

## 214. SHRI BAIJAYANT JAY PANDA:

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

- (a) the steps taken by the Government to fight the menace of dengue in the country and progress made in this regard;
- (b) the outcome of the measures taken by the Government to fight deng ue; and
- (c) the findings of the inquiries ordered into the deaths caused by dengue, especially in Delhi, in September 2015?

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

- (a): Government of India ( GoI) has taken the following measures for prevention and control of Dengue and Chikungunya in the country during 2017:
- Provided Technical Guidelines on

(i) prevention and control (ii) case management and (iii) effective community partic to the Stat es for adoption and implementation. These Guidelines are uploaded on Nationa Vector Borne Disease Control Programme (NVBDCP) website www.nvbdcp.gov.in .

- Periodic reviews were done at the higher level and advisories were issued from time to time. During  2017  (till  date),  12  review  meetings,  2  video - conferences  were  held  and  18 advisories were issued.
- States were requested to make Dengue a notifiable disease. Till date, 18 States viz. Andhra Pradesh,Chandigarh,  D&N  Ha veli,  Delhi,  Goa,  Himachal  Pradesh,  Karnataka,  Kerala, Maharashtra,  Manipur,  Odisha,  Punjab,  Sikkim,  Tamil  Nadu,  Tripura,  Uttrakhand,  Utt Pradesh and West Bengal have declared dengue a notifiable disease.
- Free Diagnosis of Dengue is provided through 609 Sentinel Surveillance Hospitals (SS and 16 Apex Referral laboratories (ARLs) identified across the country.
- Kit  Supply:  In  2017  (till  Nov),  GoI  has  supplied  7371Dengue IgM  kitsand  2075 ChikungunyaIgMkits (1  kit  =96  tests)    across  the  country  through  National  Institute Virology (NIV), Pune.
- Four Regional Training Workshops on Dengue &Chikungunya case management organized at Lucknow (12 - 14 June), Delhi (27 - 28 June), Kolkata (28 - 29 July) & Bengaluru (7 - 8 Sept) 2017.
- Sensitization of Corporators of the Delhi Municipal Corporations.
- Central  Teams  visit  to  the  States - Kerala  (January,  June  &  July),  Karnataka  (August), Gujarat (January), West Bengal (January), Puducherry (October), Tamil Nadu (October) a An dhra Pradesh (October).
- Focused IEC activities carried out for Dengue during 2017:
-  'National Dengue Day' observed on 16 th May across the country.
-  Participated  in  the MTNL  Perfect  Health  Mela  from  4 th to  8 th October,  2017 and  4 th Vibrant India and Meri Dilli Utsav for generating community awareness.
-  Newspaper advertisement on 16 th May, 17 th September, 24 th September, 30 th September and 8 th October.
-  Television and Radio:
- i.IEC  campaign  on  AIR,  233  FM  channels,  96  community  radio  and  in  68  satellite channels &Doordarshan.
- ii.Officers from Ministry, DGHS & NVBDCP participated on various programmes in Lok Sabha TV and Doordarshan from time to time.

Funds are provided by Govt. of India to the States for prevention and control of borne diseases (includ ing Dengue) to implement the public health activities.

(b): The outcome of the measures taken by the Government to fight dengue is as under: -

- Case detection has been improved due to better surveillance through increased numbe identified Sentinel Surveillance Hospitals (SSHs) to 609 in 2017 from 110 in 2007.
- For Capacity building of the Doctors on case management, 4 trainings of the master tr were conducted in 2017 for imparting training to the State and District level Doct improve case management and avert deaths.

Though the number of cases has increased, however, due to early detection of cases and better case management, the Case Fatality Rate (CFR) sustained below 1% (0.2%) in 2017.

(c): As per the information submitted by Directorate of Health Services, GNCT, Delhi, dur September 2015, tw o deaths due to dengue were inquired in Delhi. Details are as below:

1. Abinash Raut S/o Sh. Laxmi Chandra Raut, 7 yrs, R/o Lado Sarai, New Delhi expired o 8th September, 2015 in Batra Hospital. As per the case history provided by Pt. M Mohan  Malviya  Hospital,  Malviya  Nagar,  New  Delhi,  the  patient  was  examined  and treated  at  Bhagwati  Hopsital  (5thSept,2015),  Akash  Hospital,  Malviya  Nagar  (7 Sept,2015),  Max  Hospital  Saket  (7thSept,2015),  Saket  City  Hospital  (7thSept,201 Sama Hospital (7th Sept,2015), Mool chand Hospital (7th Sept, 2015) and Batra Hospital (7th Sept,2015).In this case, the cause of death was assigned as Dengue Shock Syndr with multi organ failure.
2. Santosh  Kumar  S/o  Upender  Behra,  24  yrs,  R/o  H.No.  299,  Samay  Pur  Badli,  Delhi expire d  on  15.09.2015  in  Hindu  Rao  Hospital.  In  this  case,  the  cause  of  death assigned as cerebral malaria/Algid malaria/ Plasmodium falciparum positiv (complicated Malaria) with multi - organ failure.