Lok Sabha Question No. 1877 (UNSTARRED), answered on 2018-12-21
Subject: Congo Fever
Ministry: HEALTH AND FAMILY WELFARE
Asked by: (ADV.) JOICE GEORGE

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

## LOK SABHA UNSTARRED QUESTION NO. 1877 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## CONGO FEVER

## 1877. ADV. JOICE GEORGE:

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

- (a) whether any State in the country has witnessed Congo fever recently and if so, the thereof;
- (b) whether the country has any previous reports and if so, the details thereof; and
- (c) the further steps tak en by the Government for prevention of the said disease?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## ( SMT. ANUPRIYA PATEL )

- (a) Yes. In 2018, Gujarat has reported 1 case and 1 death from Amreli district due to C Congo Haemorrhagic Fever (CCHF) and Kerala has reported one imported case from Abu Dhabi admitted in a private hospital at Thrissur district of Kerala.
- (b) The details of the previous cases and deaths reported due to Crimean Congo Haemorrhagic Fever (CCHF)is placed at annexure.
- (c)  Government  of  India  has  implemented  the  Integrated  Disease  Surveillance  Programm (IDSP)  to  detect  and  respond  to  disease  outbreaks  due  to  epidemic  prone  diseases  incl Crimean Congo Haemorrhagic Fever (CCHF) .

Technical as sistance is provided to the States for investigation, prevention and cont the outbreaks by Central team.

Under  Integrated  Disease  Surveillance  Programme  (IDSP),  the  District  and  Sta capacities  have  been  strengthened  by  providing  additional  manpower , training  of  identified Rapid Response Team members for outbreak investigations, information and communications technology (ICT) equipment for data entry, analysis and data transfer.

Since Crimean  Congo  Haemorrhagic  Fever  (CCHF) is  a  zoonotic  disease,  out break investigations  are  carried  out  in  collaboration  with  State  Animal  Husbandry  Department National  Institute  of  High  Security  Animal  Diseases  (formerly  HSADL)  Bhopal  for  effect prevention and control measures.

A  Communicable  disease  alert  on Cri mean  Congo  Haemorrhagic  Fever  (CCHF) is published  and  uploaded  on  National  Centre  for  Disease  Control  (NCDC)  website  fo dissemination of information. It is also circulated to States for ready reference.

## Crimean Congo Hemorrhagic Fever (CCHF)

Crimean Congo Hemorrhagic Fever (CCHF) is a viral haemorrhagic fever. It has high fatality rate. First outbreak was repor in Gujarat in January 2011 where 14 cases & 5 deaths were reported. Subsequently, outbreaks have been reported from Gujarat , Rajasthan and Uttar Pradesh.

District wise Crimean Congo Hemorrhagic Fever positives and deaths (2011 - 2017), India

| SI No.   | State         | District      | 2011   | 2011   | 2012   | 2012   | 2013   | 2013   | 2014   | 2014   | 2015   | 2015   | 2016         | 2017   | 2017   |
|----------|---------------|---------------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------------|--------|--------|
| 1        | Gujarat       |               | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases Deaths | Cases  | Deaths |
| 1        | Gujarat       | Ahmedabad     | 4      | 3 1    |        | 1 0    | 0      | 0      | 0      | 0      | 0      | 2      | 1            | 0      | 0      |
| 1        | Gujarat       | Mehsana       | 3      | 1      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Kheda         | 5      | 1      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Dahod         | 1      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Sabarkantha   | 0      | 0      | 1      | 0 0    | 0      | 1      | 0      | 0      | 0      | 0      |              | 1      | 0      |
| 1        | Gujarat       | Amreli        | 0      | 0      | 0      | 0 12   | 3      | 1      | 1      | 2      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Patan         | 0      | 0      | 0      | 0 2    | 1      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Surendranagar | 0      | 0      | 0      | 0 1    | 1      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Kutch         | 0      | 0      | 0      | 0 3    | 3      | 2      | 2      | 11     | 7      | 5      | 3            | 2      | 1      |
| 1        | Gujarat       | Anand         | 0      | 0      | 0      | 0 0    | 0      | 1      | 1      | 0      | 0      | 1      | 1            | 0      | 0      |
| 1        | Gujarat       | Arvalli       | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Bhavnagar     | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 1      | 1            | 0      | 0      |
| 1        | Gujarat       | Jamnagar      | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 1      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Morbi         | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 0      | 0      | 0            | 0      | 0      |
| 1        | Gujarat       | Rajkot        | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 4      | 2            | 2      | 1      |
| 1        | Gujarat       | Botad         | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 1      | 0            | 0      | 0      |
| 1        | Gujarat       | Bharuch       | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 1      | 0            | 1      | 1      |
| 1        | Gujarat       | Unknown       | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 1        |               | Total         | 13     | 5      | 2      | 1 18   | 8      | 5      | 4      | 16     | 8      | 15     | 8            | 6      | 3      |
| 2        | Rajasthan     | Sirohi        | 0      | 0      | 0      | 0 0    | 0      | 1      | 0      | 0      | 0      | 0      | 0            | 0      | 0      |
| 2        | Rajasthan     | Jodhpur       | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 4      | 2      | 0      | 0            | 0      | 0      |
| 2        | Rajasthan     | Chitorgarh    | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 0      | 0      | 0            | 0      | 0      |
|          |               | Total         | 0      | 0      | 0      | 0 0    | 0      | 1      | 0      | 5      | 2      | 0      | 0            | 0      | 0      |
| 3        | Uttar Pradesh | Moradabad     | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 1      | 0      | 0            | 0      | 0      |
| 3        |               | Total         | 0      | 0      | 0      | 0 0    | 0      | 0      | 0      | 1      | 1      | 0      | 0            | 0      | 0      |
| Total    | Total         | Total         | 13     | 5      | 2      | 1      | 18 8   | 6      | 4      | 22     | 11     |        | 15 8         | 6      | 3      |