Lok Sabha Question No. 4533 (UNSTARRED), answered on 2020-03-20
Subject: Supervision of Japanese Encephalitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rama Devi, Mahabali Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 4533 TO BE ANSWERED ON 20 TH MARCH, 2020

## SUPERVISION OF JAPAN ESE ENCEPHALITIS

## 4533. SHRIMATI RAMA DEVI: SHRI MAHABALI SINGH:

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

(a) whether any committee has been constituted under the chairmanship of the Secretary of his Ministry for monitoring and supervision of Japanese Encephalitis;

- (b) if so , the details thereof;
- (c) the details of the shortcomings found by the said committee in the remedial action being taken to deal with Japanese Encephalitis;

(d) the details of the measures taken by the Government to remove such shortcomings and the success achieved in this regard; and

- (e) the reaction of the Government thereto?

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

(a) & (b) : Yes.    An  11  member  Coordination  Committee  has  been  consti tuted  under  the Chairpersonship of the Secretary, Health & Family Welfare, Government of India for monito and supervision of the measures for implementation of interventions/ activities for pr and control of Japanese Encephalitis (JE)/ Acute En cephalitis Syndrome (AES). Besides this, 3 Task Forces have also been set up for (i) Assam and West Bengal (ii) Uttar Pradesh, an Bihar and Tamil Nadu.

- (c) to (e) : The Deliberations and discussions of the Committee meeting last held  are under:
- i) State/District level Inter Departmental Committee to be formed under the Principal Sec (H&FW) of the respective States to examine the programme interventions.
- ii) Establishment  of  approved  Pediatric  Intensive  Care  Units  (PICUs)  to  be  completed prior ity.
- iii) Approved Physical Medicine Rehabilitation (PMR) Departments /Units to be established the remaining Medical Colleges at the earliest.
- iv) Identification  of  newer  districts  for  JE  Vaccination  along  with  improvement  of vaccination coverage under Routine Immunization (RI).
- v) Capacity building of Medical Officers in critical care at district/sub - district level needs to be conducted.
- vi) Ministry of Drinking Water and Sanitation to provide the update on activities done so f the identified districts. An intensive IEC needed to promote the use of India Mark -II hand pumps.
- vii) Indian  Council  of  Medical  Research  ( ICMR)  to  provide  diagnostic  algorit hm  and guidelines on Non - JE AES cases to the States.
- viii) Ministry of Women and Child Development to provide status update on the achievement made on nutritional diet supplementation to the children in the identified districts.

Following are the achievement s made under the National Programme for Prevention and Control of JE/AES:

- Reviews are done regularly at the State level.
- Out of 60 identified districts for the Establishment of 10 bedded Pediatric Intensive C (PICU), 36 high burden districts of five states (Assam, Bihar, Tamil Nadu, Uttar Pradesh and West Bengal) have made their PICUs functional.
- JE vaccination campaign is completed in 243 districts (1 - 15 yrs) followed by introduction of routine immunization. 60 more districts have been identifie d by the Technical Committee for the JE vaccination campaign among children.
- For Adults, (>15 - 65yrs) JE vaccination completed in 31 districts.
- Out  of  10  Physical  Medicine  Rehabilitations  (PMRs),  8  PMRs  are  functional  in  identi Medical Colleges of 5 Sta tes.
- 143 Sentinel sites and 15 Apex laboratories have been identified for the testing of J diagnostic kits are supplied by Govt. of India.
- Diagnostic algorithm on Non - JE AES cases has been developed by the ICMR and have been shared with the endemic States.
- Ministry  of  Drinking  Water  &  Sanitation  have  shared  the  updated  information  abo conversion  of  shallow  handpump  to  India  Mark  II  handpump  and  conducts  extensive education  campaign  for  the  use  of  the  water  from  India  Mark  II  handpump  for  drink purpose.
- Ministry of Women & Child Development is providing nutrition and diet supplements for needy children.