Lok Sabha Question No. 2223 (UNSTARRED), answered on 2017-07-28
Subject: Japanese Encephalitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMA DEVI, KIRIT PREMJIBHAI SOLANKI

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

LOK SABHA UNSTARRED QUESTION NO. 2223 TO BE ANSWERED ON 28 TH JULY, 2017

## JAPANESE ENCEPHALITI S

## 2223. SHRIMATI RAMA DEVI: DR. KIRIT P. SOLANKI:

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

- (a) the number of Japanese Encephalitis cases reported during the last t ree  years,  State/UT -wise;
- (b)  whether  any  Committee  has  been constituted  under  the  chairmanship  of Secretary  of the Ministry of Health and Family Welfare for monitoring and supervision of Japanese Encephalitis;
- (c) if so, the details thereof;
- (d)  the  details  of  the  shortcoming identified  by  the  said  Committee  in measures  taken  for prevention of Japanese Encephalitis; and
- (e) the necessary measures taken by the Government in this regard?

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

- (a): State - wise number of JE cases in last three years is annexed.
- (b) to (d ): Yes, a Coordination Committee under the Chairmanship of Secretary (Health & Family  Welfare)  was  constituted  for  monitoring  and  supervision  of  the  measures implementation  of  intervention/activities  for  prevention  and  control  of  Japanese Encephalitis (JE)/ Acute Encephalitis Syndrome (AES) on 15.03.2013.

Shortcomings identified by the Committee were

1. Poor coverage for JE vaccination under  Routine Immunization (RI), and
2. Identification of non JE aetiology of AES
3. (e): Measures taken by the Government:
1. Advisories issued to States to improve  vaccination coverage under Routine Immunizat This has been emphasized during reviews and monitoring visits to the State.
2. Scrub Typhus, Bacterial Meningitis, Malaria, Dengue have been identified a s important non JE aetiology of AES.

Other Steps taken by Government of India for prevention of Japanese Encephalitis:

-  Constitution of National Programme for Prevention and Control of JE/AES to reduc morbidity, mortality and disability due to JE/AES.
-  Number of Sentinel Sites have been increased from 51 in 2005 to 130 at present
-  Apex Referral Laboratories increased from 12 to 15.
-  JE  vaccination  campaign  in  children  (1 - 15  yrs)  completed  in  207  out  of  231  JE endemic  districts.  JE  vaccination  campaign ongoing  in  9  districts  in  Jharkhand. Campaign is planned in 15 districts in 2017 - 18.
-  Adult  vaccination:  Out  of  31  districts  identified  adult  vaccination  (15 - 65  years) campaign completed in 27 districts in Assam, West Bengal and UP and is ongoing i 4 dis tricts of Assam.
-  Establishment of Pediatric Intensive Care Unit (PICU) in priority districts.
-  Establishment  of department  of Physical  Medicine & Rehabilitation  (PMR) in identified Medical Colleges.

Statewise number of JE Cases from 2014 -2016

| Sl. No.                       | Affected States/ UTs   | 2014 2015   | 2016     |
|-------------------------------|------------------------|-------------|----------|
| 1                             | Pradesh 0              | 0           | Andhra 0 |
| 2 Arunachal                   | Pradesh 32             | 32          | 0        |
| 3 Assam                       | 761                    | 614         | 427      |
| 4 Bihar                       | 20                     | 66          | 100      |
| 5 Delhi                       | 0                      | 0           | 0        |
| 6 Goa                         | 0                      | 0           | 1        |
| 7 Haryana                     | 5                      | 2           | 2        |
| 8 Jharkhand                   | 90                     | 116         | 47       |
| 9 Karnataka                   | 13                     | 27          | 11       |
| 10 Kerala                     | 3                      | 2           | 2        |
| 11 Maharashtra                | 0                      | 7           | 12       |
| 12 Manipur                    | 1                      | 6           | 47       |
| 13 Meghalaya                  | 72                     | 41          | 47       |
| 14 Nagaland                   | 6                      | 0           | 0        |
| 15 Odisha                     | 0                      | 33          | 242      |
| 16                            | 0                      | 0           | 1        |
| Punjab 17 Tamil Nadu Telengna | 36                     | 53          | 51       |
| 18                            | 0                      | 8           | 4        |
| 19 Tripura                    | 14                     | 28          | 98       |
| 20 Uttar Pradesh              | 191                    | 351         | 410      |
| 21 Uttarakhand                | 2                      | 2           | 0        |
| 22                            | 415                    | 342         | 174      |
| West Bengal                   | 1661                   |             |          |
| Grand Total                   |                        | 1730        | 1676     |

Annexure