Lok Sabha Question No. 814 (UNSTARRED), answered on 2021-02-05
Subject: Acute Encephalitis Syndrome
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ramya  Haridas

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

## LOK SABHA UNSTARRED QUESTION NO. 814 TO BE ANSWERED ON 5 TH FEBRUARY, 2021

## ACUTE ENCEPHALITIS S YNDROME

## 814. MS. RAMYA HARID AS:

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

- (a) whether there is rise in Acute Encephalitis Syndrome (AES) cases in the country recently;
- (b) if so, the number of children died due to the disease, State/UT -wise;
- (c) whether the hospital infrastructure is adequate to deal with such an emergency situation;
- (d) if so, the details thereof and if not, the reasons therefor; and
- (e) whether any vaccination is available for AES and if so, the details thereof and the preventive measurestaken in this regard?

## ANSWER

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

(a) & (b) : There is no rise in Acute Encephalitis Syndrome (AES) cases in the country. State - wise number of cases and deaths due to the disease are at Annexure. In the year 2020 6369 cases have been reported as against 17103 cases in 2019.

(c) to (e) : On 01.05.2020  a  meeting  through  video  conference  was  also  taken  by  Hon'ble Minister  of  Health  &  FW  with  Hon'ble  Health  Minister  of  Bihar  to  discuss  the  state  of preparedness to deal with AES cases this year.  As per the State Government a specific ward at  Shrikrishna  Medical  College  &  Hospital  (SKMCH),  Muzaffarpur  with  capacity  of around 200 beds has been set up to deal with the cases. Glucometers have been provide PHCs.  10  ambulances  have  already  been  provided  and  20  more  were  under  deployment. Training has been imparted to the doctors and nurses from State Health Department of Bih deal  with  AES  cases  effectively.  Roster  for  healthcare  personnel  has  been  prepared deployment during peak hours. Anganwadi workers and ASHAs have been mobilized to educate people  in  villages  regarding  steps  to  be  taken  to  prevent  malnutrition  in  children. automated  IMD  observatory  has  been  made  operational  at  Muzaffarpur.  Daily  local  weath report for Muzaffarpur  and Patna is being shared with state and National Centre  for  Disease Control.    No  vaccine  is  available  for  AES.    AES  is  caused  by  multiple  bacterial,  vir parasitic pathogens.  One of the major causes of viral encephalitis is Japanese encephal Vaccine for JE has been introduced in the programme for endemic areas in 2006.

## Annexure

| States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   | States/UTs wise Cases and Deaths Due to Acute Encephalitis Syndrome during2015 - 2019   |
|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| Sl N                                                                                    | State / U.T.                                                                            | 2015                                                                                    | 2015                                                                                    | 2016                                                                                    | 2016                                                                                    | 2017                                                                                    | 2017                                                                                    | 2018                                                                                    | 2018                                                                                    |                                                                                         | 2019                                                                                    |
| o                                                                                       |                                                                                         | Cases                                                                                   | Deaths                                                                                  | Cases                                                                                   | Deaths                                                                                  | Cases                                                                                   | Deat                                                                                    | Cases                                                                                   | Deat                                                                                    | Cases                                                                                   | Deaths                                                                                  |
| 1                                                                                       | Andhra Pradesh                                                                          | 50                                                                                      | 0                                                                                       | 4                                                                                       | 0                                                                                       | 37                                                                                      | hs 0                                                                                    | 16                                                                                      | hs 0                                                                                    | 2                                                                                       | 0                                                                                       |
| 2                                                                                       | Arunachal Pradesh                                                                       | 73                                                                                      | 2                                                                                       | 1                                                                                       | 0                                                                                       | 5                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 3                                                                                       | Assam                                                                                   | 1409                                                                                    | 260                                                                                     | 1713                                                                                    | 187                                                                                     | 2077                                                                                    | 178                                                                                     | 1492                                                                                    | 183                                                                                     | 2652                                                                                    | 353                                                                                     |
| 4                                                                                       | Bihar                                                                                   | 285                                                                                     | 90                                                                                      | 324                                                                                     | 102                                                                                     | 189                                                                                     | 54                                                                                      | 124                                                                                     | 33                                                                                      | 525                                                                                     | 116                                                                                     |
| 5                                                                                       | Chhattisgarh                                                                            | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 6                                                                                       | Goa                                                                                     | 0                                                                                       | 0                                                                                       | 12                                                                                      | 0                                                                                       | 1                                                                                       | 0                                                                                       | 18                                                                                      | 0                                                                                       | 69                                                                                      | 0                                                                                       |
| 7                                                                                       | Gujarat                                                                                 | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 8                                                                                       | Haryana                                                                                 | 2                                                                                       | 0                                                                                       | 2                                                                                       | 0                                                                                       | 4                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 9                                                                                       | Himachal Pradesh                                                                        | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 10                                                                                      | J & K                                                                                   | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 11                                                                                      | Jharkhand                                                                               | 217                                                                                     | 8                                                                                       | 296                                                                                     | 5                                                                                       | 272                                                                                     | 1                                                                                       | 544                                                                                     | 0                                                                                       | 912                                                                                     | 3                                                                                       |
| 12                                                                                      | Karnataka                                                                               | 335                                                                                     | 1                                                                                       | 406                                                                                     | 0                                                                                       | 295                                                                                     | 2                                                                                       | 380                                                                                     | 5                                                                                       | 329                                                                                     | 0                                                                                       |
| 13                                                                                      | Kerala                                                                                  | 29                                                                                      | 3                                                                                       | 18                                                                                      | 5                                                                                       | 7                                                                                       | 4                                                                                       | 26                                                                                      | 14                                                                                      | 25                                                                                      | 2                                                                                       |
| 14                                                                                      | Madhya Pradesh                                                                          | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 15                                                                                      | Maharashtra                                                                             | 51                                                                                      | 0                                                                                       | 70                                                                                      | 1                                                                                       | 143                                                                                     | 0                                                                                       | 48                                                                                      | 1                                                                                       | 167                                                                                     | 11                                                                                      |
| 16                                                                                      | Manipur                                                                                 | 34                                                                                      | 0                                                                                       | 475                                                                                     | 1                                                                                       | 1125                                                                                    | 10                                                                                      | 283                                                                                     | 3                                                                                       | 1177                                                                                    | 6                                                                                       |
| 17                                                                                      | Meghalaya                                                                               | 174                                                                                     | 8                                                                                       | 164                                                                                     | 4                                                                                       | 160                                                                                     | 4                                                                                       | 243                                                                                     | 6                                                                                       | 682                                                                                     | 9                                                                                       |
| 18                                                                                      | Mizoram                                                                                 | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 19                                                                                      | Nagaland                                                                                | 10                                                                                      | 1                                                                                       | 0                                                                                       | 0                                                                                       | 36                                                                                      | 2                                                                                       | 27                                                                                      | 0                                                                                       | 97                                                                                      | 0                                                                                       |
| 20                                                                                      | Odisha                                                                                  | 660                                                                                     | 2                                                                                       | 1096                                                                                    | 115                                                                                     | 1228                                                                                    | 15                                                                                      | 1720                                                                                    | 10                                                                                      | 1837                                                                                    | 6                                                                                       |
| 21                                                                                      | Punjab                                                                                  | 1                                                                                       | 0                                                                                       | 1                                                                                       | 0                                                                                       | 1                                                                                       | 1                                                                                       | 0                                                                                       | 0                                                                                       | 1                                                                                       | 0                                                                                       |
| 22                                                                                      | Rajasthan                                                                               | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 23                                                                                      | Sikkim                                                                                  | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 24                                                                                      | Tamil Nadu                                                                              | 847                                                                                     | 0                                                                                       | 859                                                                                     | 3                                                                                       | 1358                                                                                    | 2                                                                                       | 1287                                                                                    | 5                                                                                       | 908                                                                                     | 2                                                                                       |
| 25                                                                                      | Telangana                                                                               | 157                                                                                     | 1                                                                                       | 72                                                                                      | 0                                                                                       | 136                                                                                     | 0                                                                                       | 27                                                                                      | 0                                                                                       | 96                                                                                      | 0                                                                                       |
| 26                                                                                      | Tripura                                                                                 | 459                                                                                     | 4                                                                                       | 380                                                                                     | 1                                                                                       | 323                                                                                     | 0                                                                                       | 311                                                                                     | 0                                                                                       | 277                                                                                     | 2                                                                                       |
| 27                                                                                      | Uttrakhand                                                                              | 2894                                                                                    | 479                                                                                     | 3919                                                                                    | 621                                                                                     | 4724                                                                                    | 654                                                                                     | 3080                                                                                    | 230                                                                                     | 2032                                                                                    | 109                                                                                     |
| 28                                                                                      | Uttar Pradesh                                                                           | 2                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 29                                                                                      | West Bengal                                                                             | 2165                                                                                    | 351                                                                                     | 1839                                                                                    | 256                                                                                     | 1514                                                                                    | 169                                                                                     | 1762                                                                                    | 146                                                                                     | 1217                                                                                    | 81                                                                                      |
| 30                                                                                      | A & N Islands                                                                           | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 31                                                                                      | Chandigarh                                                                              | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 32                                                                                      | D & N Haveli                                                                            | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 33                                                                                      | Daman & Diu                                                                             |                                                                                         |                                                                                         | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
|                                                                                         |                                                                                         | 0                                                                                       | 0                                                                                       |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                         |                                                                                         |
| 34                                                                                      | Delhi                                                                                   | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 35                                                                                      | Lakshadweep                                                                             | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
| 36                                                                                      | Puducherry                                                                              | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       | 0                                                                                       |
|                                                                                         | Total                                                                                   | 9854                                                                                    | 1210                                                                                    | 11651                                                                                   | 1301                                                                                    | 13635                                                                                   | 1097                                                                                    | 11388                                                                                   | 636                                                                                     | 13005                                                                                   | 700                                                                                     |