Lok Sabha Question No. 13 (STARRED), answered on 2017-12-15
Subject: Hidden Dengue Cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ADVOCATE NARENDRA KESHAV SAWAIKAR

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

## LOK SABHA STARRED QUESTION NO. 13 TO BE ANSWERED ON THE 15 TH DECEMBER, 2017 HIDDEN DENGUE CASES

## *13. ADV. NARENDRA KESHAV SAWAIKAR:

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

- (a) the details of the dengue cases detected during the last three years, S -wise;
- (b) whether the Government has launched a pilot project to track hidden de cases and if so, the details thereof ;
- (c) whether the Government has received any report on the said project and the details thereof; and
- (d)  whether  the  Indian  Council  of  Medical  Research  (ICMR)  has  opined  th dengue cases detected over the years are just the tip of the iceberg and if so, the reaction of the Government thereto?

## 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. 13* FOR 15 TH DECEMBER, 2017

- (a):As per the reports submitted by States/ UTs, Dengue cases reported during three years and in 2017 (till 30 th November) are as under:

| Year   |   2014 |   2015 |   2016 |   2017 (till 30 th Nov) |
|--------|--------|--------|--------|-------------------------|
| Cases  |  40571 |  99913 | 129166 |                  150482 |

A statement showing state - wise Dengue cases and deaths reported during the last three years and the current year (till November) in the country is Annexed .

- (b) & (c):    As  per  the  information  received  from  Indian  Council  of  Medi Research  (ICMR),  a  multi - centric  study  has  been  initiated  to  estimate  the  se -prevalence of dengue virus infection in India with the main objective to es age  specific  sero - p eval ence  of  dengue  virus  infection  in  different  geographi regions/states. This, in turn, will enable the Government to take a policy on introduction of dengue vaccine into the country. The study is being coord by ICMR -National Institute of Ep idemiology, Chennai.

The multi - centric cross - sectional study to be conducted in five differen geographical  regions  (three  States  will  be  selected  from  each  region  by random  sampling)  of  the  country  in  three  different  age  groups:  5 - 8  years,  9 - 17 years  &  18 - 45  years.  A  total  of  10,000  samples  will  be  collected  from  all groups and will be tested for Dengue IgG antibodies.

## Details of States and participating sites:

## Geographic Region 1:

Maharashtra : ICMR

-National Institute of Virology, Pune

Madhya Pradesh:  ICMR

- National  Institute  for  Research  in  Tribal  Health

Jabalpur

Rajasthan: ICMR - Desert Medical Research Centre, Jodhpur

## Geographic Region 2:

Punjab: Post Graduate Institute of Medical Education & Research, Chandigarh

Delhi: ICMR - National Ma laria Research Institute, Delhi

Uttar Pradesh: King George Medical University, Lucknow

## Geographic Region 3:

Tamil Nadu: National Institute of Epidemiology, Chennai

Telangana: National Institute of Epidemiology, Chennai

Karnataka: National Institute of Tr aditional Medicine, Belagavi

## Geographic Region 4:

Bihar: Rajendra Memorial Research Institute of Medical Sciences, Patna

West Bengal: National Institute of Cholera and Enteric Diseases, Kolkata

Odisha: Regional Medical Research Centre, Bhubaneshwar

## Geographic Region 5:

Assam,  Tripura  and  Meghalaya:  Regional  Medical  Research  Centre - North  East, Dibrugarh and National Institute of Epidemiology, Chennai.

The study has already been initiated and completed in two districts of Tamil The study is expe ct d to be completed at all sites within the next six months. results will be available by May - June 2018.

(d): ICMR has not submitted any such report.

## Annexure

| State - wise Dengue cases in the country during last 3 years and in current   | State - wise Dengue cases in the country during last 3 years and in current   |   State - wise Dengue cases in the country during last 3 years and in current |   State - wise Dengue cases in the country during last 3 years and in current | State - wise Dengue cases in the country during last 3 years and in current   | State - wise Dengue cases in the country during last 3 years and in current   |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| Sl. No.                                                                       | State                                                                         |                                                                          2014 |                                                                          2015 | 2016                                                                          | 2017 (Prov till 30 th Nov)                                                    |
| 1                                                                             | Andhra Pd.                                                                    |                                                                          1262 |                                                                          3159 | 3417                                                                          | 4381                                                                          |
| 2                                                                             | Arunachal Pd.                                                                 |                                                                            27 |                                                                          1933 | 13                                                                            | 15                                                                            |
| 3                                                                             | Assam                                                                         |                                                                            85 |                                                                          1076 | 6157                                                                          | 4346                                                                          |
| 4                                                                             | Bihar                                                                         |                                                                           297 |                                                                          1771 | 1912                                                                          | 1804                                                                          |
| 5                                                                             | Chhattisgarh                                                                  |                                                                           440 |                                                                           384 | 356                                                                           | 388                                                                           |
| 6                                                                             | Goa                                                                           |                                                                           168 |                                                                           293 | 150                                                                           | 234                                                                           |
| 7                                                                             | Gujarat                                                                       |                                                                          2320 |                                                                          5590 | 8028                                                                          | 4420                                                                          |
| 8                                                                             | Haryana                                                                       |                                                                           214 |                                                                          9921 | 2493                                                                          | 4333                                                                          |
| 9                                                                             | Himachal Pd.                                                                  |                                                                             2 |                                                                            19 | 322                                                                           | 442                                                                           |
| 10                                                                            | J & K                                                                         |                                                                             1 |                                                                           153 | 79                                                                            | 403                                                                           |
| 11                                                                            | Jharkhand                                                                     |                                                                            36 |                                                                           102 | 414                                                                           | 689                                                                           |
| 12                                                                            | Karnataka                                                                     |                                                                          3358 |                                                                          5077 | 6083                                                                          | 16342                                                                         |
| 13                                                                            | Kerala                                                                        |                                                                          2575 |                                                                          4075 | 7439                                                                          | 19694                                                                         |
| 14                                                                            | Madhya Pd.                                                                    |                                                                          2131 |                                                                          2108 | 3150                                                                          | 2566                                                                          |
| 15                                                                            | Meghalaya                                                                     |                                                                             0 |                                                                            13 | 172                                                                           | 40                                                                            |
| 16                                                                            | Maharashtra                                                                   |                                                                          8573 |                                                                          4936 | 6792                                                                          | 6894                                                                          |
| 17                                                                            | Manipur                                                                       |                                                                             0 |                                                                            52 | 51                                                                            | 187                                                                           |
| 18                                                                            | Mizoram                                                                       |                                                                            19 |                                                                            43 | 580                                                                           | 107                                                                           |
| 19                                                                            | Nagaland                                                                      |                                                                             0 |                                                                            21 | 142                                                                           | 191                                                                           |
| 20                                                                            | Odisha                                                                        |                                                                          6433 |                                                                          2450 | 8380                                                                          | 4055                                                                          |
| 21                                                                            | Punjab                                                                        |                                                                           472 |                                                                         14128 | 10439                                                                         | 15002                                                                         |
| 22                                                                            | Rajasthan                                                                     |                                                                          1243 |                                                                          4043 | 5292                                                                          | 7768                                                                          |
| 23                                                                            | Sikkim                                                                        |                                                                             5 |                                                                            21 | 82                                                                            | 659                                                                           |
| 24                                                                            | Tamil Nadu                                                                    |                                                                          2804 |                                                                          4535 | 2531                                                                          | 21350                                                                         |
| 25                                                                            | Tripura                                                                       |                                                                             6 |                                                                            40 | 102                                                                           | 103                                                                           |
| 26                                                                            | Telangana                                                                     |                                                                           704 |                                                                          1831 | 4037                                                                          | 2773                                                                          |
| 27                                                                            | Uttar Pradesh                                                                 |                                                                           200 |                                                                          2892 | 15033                                                                         | 3032                                                                          |
| 28                                                                            | Uttrakhand                                                                    |                                                                           106 |                                                                          1655 | 2146                                                                          | 958                                                                           |
| 29                                                                            | West Bengal                                                                   |                                                                          3934 |                                                                          8516 | 22865*                                                                        | 10697**                                                                       |
| 30                                                                            | A&N Island                                                                    |                                                                           139 |                                                                           153 | 92                                                                            | 13                                                                            |
| 31                                                                            | Chandigarh                                                                    |                                                                            13 |                                                                           966 | 1246                                                                          | 1083                                                                          |
| 32                                                                            | Delhi                                                                         |                                                                           995 |                                                                         15867 | 4431                                                                          | 8896                                                                          |
| 33                                                                            | D&N Haveli                                                                    |                                                                           641 |                                                                          1154 | 4161                                                                          | 1972                                                                          |
| 34                                                                            | Daman & Diu                                                                   |                                                                            46 |                                                                           165 | 89                                                                            | 59                                                                            |
| 35                                                                            | Puducherry                                                                    |                                                                          1322 |                                                                           771 | 490                                                                           | 4586                                                                          |
|                                                                               | TOTAL                                                                         |                                                                         40571 |                                                                         99913 | 129166                                                                        | 150482                                                                        |