Lok Sabha Question No. 806 (UNSTARRED), answered on 2018-12-14
Subject: Zika Virus and Swine Flu
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VISHNU DAYAL RAM, MUTHAMSETTI SRINIVASA RAO (AVNTHI), DODDAALAHALLI KEMPEGOWDA SURESH, E. T. MOHAMMED BASHEER, RAJEEV SHANKARRAO SATAV, SUPRIYA SADANAND SULE, HEENA VIJAYKUMAR GAVIT, VIJAY KUMAR S.R., T. RADHAKRISHNAN, NALIN KUMAR KATEEL, VIJAYSINH MOHITE PATIL, P.R. SUNDARAM, SUDHEER GUPTA, DHANANJAY BHIMRAO MAHADIK, T.G. VENKATESH BABU, S. RAJENDRAN, JAYAKUMAR JAYAVARDHAN, ASHOK SHANKARRAO CHAVAN, KUNWAR HARIBANSH SINGH

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

## LOK SABHA

UNSTARRED QUESTION NO. 806

TO BE ANSWERED ON 14 TH DECEMBER, 2018

ZIKA VIRUS AND SWINE FLU

806. SHRI VISHNU DAYAL RAM:

SHRI MUTHAMSETTI SRINIVASA RAO (AVANTHI):

SHRI D.K. SURESH:

SHRI E.T. MOHAMMED BASHEER:

SHRI SATAV RAJEEV:

SHRIMATI SUPRIYA SULE:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI S.R. VIJAYAKUMAR:

SHRI T. RADHAKRISHNAN:

SHRI NALIN KUMAR KATEEL:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRI P.R. SUNDARAM:

SHRI SUDHEER GUPTA:

SHRI DHANANJAY MAHADIK:

SHRI VENKATESH BABU T.G.:

SHRI S. RAJENDRAN:

DR. J. JAYAVARDHAN:

SHRI ASHOK SHANKARRAO CHAVAN:

KUNWAR HARIBANSH SINGH:

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

- (a)whether many cases of people falling ill due to Zika Virus and Swine Flu have been reported from some parts of the country in recent months, if so, the details thereof and the number of deaths reported due to Zika Virus and Swine Flu during the current yea r so far;
- (b) whether the Government has taken any steps to control the diseases and if so, the details thereof;
- (c) whether the Government has sent any expert team to assess the situation in areas which are affected by these diseases, if so, the details and the outcome thereof;
- (d) the details of financial and technical assistance including drugs provided to affected States for prevention, diagnosis and treatment of these diseases; and
- (e)  the  further  steps  being  taken  by the  Government  for  proper  mana gement and  creation  of health infrastructure for early detection and treatment of these diseases?

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

(SMT. ANUPRIYA PATEL

## )

- (a): Yes, in 2018, following States have reported cases of Zika virus diseases:

| State          | District    |   Laboratory confirmed cases |   Total |
|----------------|-------------|------------------------------|---------|
| Rajasthan      | Jaipur      |                          159 |     159 |
| Gujarat        | Ahmedabad   |                            1 |       1 |
| Madhya Pradesh | Bhopal      |                           54 |     130 |
| Madhya Pradesh | Hoshangabad |                            2 |     130 |
| Madhya Pradesh | Vidisha     |                           50 |     130 |
| Madhya Pradesh | Sehore      |                           21 |     130 |
| Madhya Pradesh | Sagar       |                            2 |     130 |
| Madhya Pradesh | Raisen      |                            1 |     130 |

Two  laboratory  confirmed  Zika deaths  reported  from  Madhya  Pradesh.  In  both  these cases  death  was  due  to  concurrent  co - morbid  conditions  (due  to  Septic  shock  with  Dengue encephalitis in one case and Multi Organ Failure due to septic Shock in the other).

State  wise  details  of  cases  and  deaths  due  to  Swine  flu  reported  in  country 02.12.2018 is placed at Annexure .

(b): Health is a State subject.  However, the Ministry of Health and Family Welfare too following steps to contain further spread of Zika virus disease:

- i. The Zika action plan was implemented in all the affected States.
- ii. Central teams were deployed to Jaipur (Rajasthan), Ahmedabad (Gujarat), and to Bhop Vidisha,  Sehore  and  Sagar  Districts  of  Madhya  Pradesh  to  assist  these  States cont ainment operations.
- iii. Hon'ble  Minister  of  Health  and  Family  Welfare  and  Senior  officers  of  the  Ministry reviewed the situation on regular basis and modulated the action for containment.
- iv. Union Secretary(Health & Family Welfare) reviewed the situation and prep aredness to Zika virus disease in all States through video conferencing with the States/UTs.
- v. Advisory  were  issued  to  all  States/UTs  to  strengthen  vector  control  activitie surveillance for Zika virus disease.
- vi. Senior  officers  of  the  ministry  visited  the states  of  Rajasthan  and  Madhya  Pradesh  to oversee the containment operations.
- vii. Joint  Monitoring  Group  under  the  chairmanship  of  Director  General  of  Healt Services(DGHS) met regularly to review the current situation of Zika virus disease affected St ates/UTs.
- viii. Indian Council of Medical Research(ICMR) supported the Viral Research and Diagnosti Laboratories (VRDL) in the affected States for testing clinical samples.
- ix. IEC material prepared by Ministry of Health and Family Welfare were provided to t thre e affected States.
- x. Surveillance strategy to ensure that the disease has not spread beyond the contai zone has been provided to the State of Rajasthan, and Madhya Pradesh.
- xi. Financial support was ensured through National Health Mission.

In  addition, th e  Central  Government  has    also  been  closely  monitoring  the  Seasonal Influenza (swine flu) situation and is in regular touch with the States on the issue and following steps:

- i. The situation was reviewed by the Hon'ble Union Minister for Health and Family Welfare on 17.01.2018. The situation was again reviewed on 25.04.2018 and on 16.10.2018.
- ii. Regular Video conferences are held with the nodal officers for H1N1 in high case repo States  and  preparedness  is  reviewed on  regular  basis.  A  Video  conferencing  with  Union Secretary (HFW) with the Principal Secretaries of 11 States/UTs was held on 17.10.2 and 25.10.2018.
- iii. The situation of the Seasonal Influenza is also regularly reviewed by the Joint Mon Group underthe chairmanship of DGHS. Last meeting of this Expert group was held on 22.10.2018. The situation was also monitored at the level of Additional Secretary (H on 15.10.2018.
- iv. Information  on  details  of  manufactures  for  human  influenza  vaccine  in  India has  been shared with all States/UTs on 22.10.2018.
- v. Ministry  of  Health  and  Family  Welfare  has  provided  guidelines  on  categorization patients, treatment protocol  and guidelines on Ventilatory management to the State which are also available on t he website of the Ministry ( www.mohfw.nic.in ) and National Centre  for  Disease  Control  (NCDC)  (ncdc.gov.in).  State  Governments  have  also  bee advised for vaccination of health care workers dealing with H1N1 cases.
- vi. States have been requested to procure logistics and Government of India supports the to tide over the shortage during crisis.

(c): Ministry of Health and Family Welfare had deputed senior level Public Health Teams to Rajasthan  to  assess  the  situation  and  assist  the  State  in  managing  the  spurt  witne January 2018.

(d): Under  Integrated  Disease  Surveillance  Programme (IDSP),  funds  are  released  to States/UTs as  grant -in - aid  (GIA)  to  perform  surveillance  and  outbreak  investigation  activit with respect to epidemic prone diseases including Seasonal Influenza H1N1 (swine flu).

To ensure wider availability and accessibi lity of Oseltamivir, the drug for treatment of Influenza  has  been  put  in  Schedule  H1  so  that  it  can  be  sold  by  all  licensed  chemist prescription.  The  drug  for  seasonal  influenza  H1N1  (swine  flu)  'Oseltamivir'  tablets  and suspension are procured by St ates. However, in case of shortage of drug in the State, the same also provided by Government of India.

(e): Integrated Disease Surveillance Programme(IDSP) assisted lab network of 12 Laboratories are providing laboratory support in terms of testing, quality assurance, guidance, providing viral transport mediums and diagnostic reagents. The diagnostic capacity has al strengthened  by  Indian  Council  of  Medical  Research  (ICMR)  through  more  than  41  Viru Research  Diagnostic  Laboratories  (VRDL)  to  te st  clinical  samples  (Out  of  which  6  labs  are common to both IDSP and ICMR).

## (As on 02nd December, 2018)

^As on 01.12.2018; $ As on 30.11.2018; # As on 19.08.2018

| Sr. No.   | States/UTs        |   Cumulative Cases since 1 st Jan, 2018 |   Cumulative Deaths since 1 st Jan, 2018 |
|-----------|-------------------|-----------------------------------------|------------------------------------------|
| 1.        | Maharashtra^      |                                    2548 |                                      422 |
| 2.        | Rajasthan         |                                    2084 |                                      203 |
| 3.        | Gujarat           |                                    2037 |                                       87 |
| 4.        | Tamil Nadu        |                                    2263 |                                       15 |
| 5.        | Karnataka         |                                    1465 |                                       59 |
| 6.        | Telangana ^       |                                     746 |                                       22 |
| 7.        | Kerala            |                                     663 |                                       38 |
| 8.        | Puducherry        |                                     307 |                                       10 |
| 9.        | Andhra Pradesh    |                                     334 |                                       14 |
| 10.       | Delhi             |                                      95 |                                        2 |
|           | Delhi (outside)   |                                      37 |                                        0 |
| 11.       | Madhya Pradesh    |                                      79 |                                       30 |
| 12.       | J & K (Jammu)     |                                       2 |                                        0 |
|           | (Kashmir)         |                                      50 |                                       12 |
| 13.       | Goa               |                                      48 |                                        4 |
| 14.       | Uttar Pradesh $   |                                      38 |                                        6 |
| 15.       | Haryana           |                                      30 |                                        4 |
| 16        | Punjab            |                                      32 |                                       10 |
| 17.       | West Bengal #     |                                      21 |                                        0 |
| 18.       | Odisha            |                                      29 |                                        6 |
| 19.       | Chhattisgarh      |                                       9 |                                        3 |
| 20.       | Uttarakhand       |                                       8 |                                        2 |
| 21.       | Himachal Pradesh  |                                       4 |                                        1 |
| 22.       | Jharkhand         |                                       4 |                                        1 |
| 23.       | D and N Haveli    |                                       4 |                                        2 |
| 24.       | Chandigarh        |                                       2 |                                        0 |
| 25.       | Meghalaya         |                                       2 |                                        1 |
| 26.       | Tripura           |                                       1 |                                        0 |
| 27.       | Andaman & Nicobar |                                       0 |                                        0 |
| 28.       | Arunachal Pradesh |                                       0 |                                        0 |
| 29.       | Assam             |                                       0 |                                        0 |
| 30.       | Bihar             |                                       0 |                                        0 |
| 31.       | Daman & Diu       |                                       0 |                                        0 |
| 32.       | Lakshadweep       |                                       0 |                                        0 |
| 33.       | Manipur           |                                       0 |                                        0 |
| 34.       | Mizoram           |                                       0 |                                        0 |
| 35.       | Nagaland          |                                       0 |                                        0 |
| 36.       | Sikkim            |                                       0 |                                        0 |
|           | Cumulative Total  |                                   12942 |                                      954 |

Cumulative cases and deaths reported on the existing week also include those of previous weeks.

Source:

Prepared on the basis of Daily report received to Central Surveillance Unit,

Integrated Disease Surveillance Programme (IDSP) from State Surveillance Unit ( IDSP) and Concerned Department of Health of States/UTs