Lok Sabha Question No. 1333 (UNSTARRED), answered on 2019-06-28
Subject: Water Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Suresh Kodikunnil

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

LOK SABHA UNSTARRED QUESTION NO. 1333 TO BE ANSWERED ON 28 TH JUNE, 2019

## WATER BORNE DISEASES

## 1333. SHRI KODIKUNNIL SURESH:

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

- (a) whether the Government is aware that epidemics arising from water borne diseases, micro organism induced infectious diseases and bird flu are prevalent in Kerala specifically since the last year;
- (b) if so, the details thereof and the remedial action taken by the Government in this regard;
- (c) whether the Government has proposed to establish virology institute in Kerala a d if so, the details thereof and if ot, the reasons therefor;
- (d)  whether the  Government  has  taken a y  steps  to  initiate  preventive  methods to  contain outbreaks and control the proliferation of the disease causing micro - organisms through targeted intervention; and
- (e) if so, the details thereof including deaths reported due to bird flu?

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

- (a) & (b): Yes. Government of India through its Integrated Disease surveillanc e programme (IDSP) collect data of epidemic prone diseases including water borne diseases. The outbrea caused by these diseases in the last three years are placed at Annexure. No outbreak due flu is reported by Kerala in last three years.
- (c) : The Department of Health Re search (DHR)has funded the following Viral research & Diagnostic Laboratories (VRDL s)in the State of Kerala:

| Regional Level        | Government Medical College, Kozhikode,                                      |
|-----------------------|-----------------------------------------------------------------------------|
| State Level           | NIV Field Unit, Alappuzha, Kerala                                           |
| Medical College Level | Government Medical College, Trivandrum Government Medical College, Thrissur |

(d) : Provision of safe drinking water and sanitation are the main strategy to contain outbreaks and control proliferation of the diseases caused by contaminated drinking water.

As  per  Con stitutional provisions, ' Health ' is  a  State  subject  and therefore, the responsibility for providing safe drinking water primarily lies with respective State Gov However, the Ministry of Health and Family W elfare provide s financial and technical ass ist nce to  States / UTs  under  the  National  Health  Mission (NHM) for  strengthening  of  Primary  and Secondary  health  care  facilities  to  effectively  respond  to  health  care  need s including  health problems arising from consumption of contaminated drinking water. To prevent the spread such outbreaks,  under  the  Integrated  Disease  Survei llance  Programme  (IDSP),  States/ UTs  are provided with additional manpower, training of identified Rapid Response Team members f outbreak investigations, strengthening of laboratori es for detection of epidemic prone diseases, IT equipment  for  data  entry,  analysis  and data  transfer,  and  provision  of  fund operationalization.

There  are alsonational,  regional  and  state  level  laboratories  under  medical  colle Indian  Council  of  M edical  Research,  IDSP  and  various  other  institutes  that  have  capacity identify bacteria and viruses causing contagious diseases.

(e): N o deaths have been reported due to bird flu in Kerala during the last 3 years.

## ANNEXURE

| State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May)   | State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May)   |   State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May) |   State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May) |   State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May) |   State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May) | State wise no of Outbreaks of ADD reported under IDSP during 2016 - 2018 (up to week ending 19th May)   |
|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                   | State                                                                                                   |                                                                                                    2016 |                                                                                                    2017 |                                                                                                    2018 |                                                                                                    2019 | Total                                                                                                   |
| 1                                                                                                       | Kerala                                                                                                  |                                                                                                       7 |                                                                                                       6 |                                                                                                       8 |                                                                                                       3 | 24                                                                                                      |

| State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May)   | State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May)   |   State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May) | State wise no of Outbreaks of Cholera reported under IDSP during 2015 - 2019 (up to week ending 19th May)   |
|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                       | State                                                                                                       |                                                                                                        2016 |                                                                                                        2017 |                                                                                                        2018 |                                                                                                        2019 | Total                                                                                                       |
| 1                                                                                                           | Kerala                                                                                                      |                                                                                                           2 |                                                                                                           2 |                                                                                                           1 |                                                                                                           1 | 6                                                                                                           |

| State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May)   | State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May)   |   State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May) | State wise no of Outbreaks of Viral Hepatitis (A & E ) reported under 2016- 2019 (up to week ending 19th May)   |
|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                           | State                                                                                                           |                                                                                                            2016 |                                                                                                            2017 |                                                                                                            2018 |                                                                                                            2019 | Total                                                                                                           |
| 1                                                                                                               | Kerala                                                                                                          |                                                                                                              20 |                                                                                                              15 |                                                                                                              25 |                                                                                                              12 | 72                                                                                                              |

| Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May)   | Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May)   |   Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May) | Statewise no of Outbreaks of Enteric Fever reported under IDSP during 2016 - 2019 (up to week ending 19th May)   |
|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| S.No                                                                                                             | State                                                                                                            |                                                                                                             2016 |                                                                                                             2017 |                                                                                                             2018 |                                                                                                             2019 | Total                                                                                                            |
|                                                                                                                  | Kerala                                                                                                           |                                                                                                                2 |                                                                                                                5 |                                                                                                                0 |                                                                                                                1 | 8                                                                                                                |

| State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May)   | State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May)   |   State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May) |   State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May) | State wise no of Outbreaks of Dysentery reported under IDSP during 2016 - 2019 (up to week ending 19th May)   |
|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                         | State                                                                                                         |                                                                                                          2016 |                                                                                                          2017 |                                                                                                          2018 |                                                                                                          2019 | Total                                                                                                         |
| 1                                                                                                             | Kerala                                                                                                        |                                                                                                             0 |                                                                                                             3 |                                                                                                             0 |                                                                                                             0 | 3                                                                                                             |