Lok Sabha Question No. 907 (UNSTARRED), answered on 2024-07-26
Subject: Diseases Surveillance Platform
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Poonamben Hematbhai Maadam

## GOVERNMENTOFINDIA

## MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED Q. NO. 907 TO BE ANSWERED ON 26.07.2024

## 'DISEASES SURVEILLANCE PLATFORM'

## 907. SMT. POONAMBEN HEMATBHAI MAADAM

## Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the government has taken step/proposes to develop a disease surveillance platform to monitor and manage public health issues across the country, if so, the details thereof;
- (b) the features, coverage and capabilities of this platform;
- (c) whether there are protocols in place for responding to disease outbreaks reported through the surveillance platform, if so, the details thereof; and
- (d) the details of disease outbreaks that have been reported during the last year across the country, categorized by diseases, State/UT-wise?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYAPATEL)

(a) and (b) - The Government has developed a diseases surveillance platform Integrated Disease Surveillance Programme (IDSP) to monitor and manage public health issues across the country . IDSP at NCDC, is mandated with surveillance and response to outbreak prone communicable diseases. IDSP was initiated in 2004, with the objective to strengthen and maintain decentralized laboratory-based Information Technology (IT) enabled disease surveillance system for epidemic prone diseases, to monitor disease trends, to detect and respond to outbreaks in the early rising phase and creation of trained cadre of Rapid Response Team (RRTs) at the District, State & National levels.

Under this program there is a Central surveillance Unit (CSU) at Central level, State Surveillance Unit (SSU) at the State/UTs level and District Surveillance Unit (DSU) at district level all over the country. The surveillance tool consists of S (Syndromic) form filled by Auxiliary Nurse and Midwife (ANMs) at the Sub-centre level, P (Presumptive) form filled by Medical Officers at health facility level and L (Laboratory confirmed) form filled by

laboratories as per standard case definitions. Every State has designated laboratories like District Public Health Laboratories (DPHLs), State Referral Laboratories (SRLs) under IDSP for investigation and surveillance of these diseases.

Further, to strengthen the disease surveillance in the country, the Integrated Disease Surveillance Programme (IDSP) has shifted from a paper-based weekly reporting to a paperless reporting through Integrated Health Information Platform (IHIP). IHIP is an information platform that integrates data from various 'registries' to provide near real-time information on health surveillance from all across India for decision-makers to take appropriate public health action. The Ministry of Health and Family Welfare launched the portal of Integrated Health Information Platform (IHIP) on 05 th April 2021. It is designed to capture case-based data of more than 33 plus health conditions along with special surveillance of ILI/SARI, COVID-19 and Monkey Pox. It provides a single operating platform of public health surveillance of the individuals at District, State and National levels. At present, all the 36 States/UTs have completely migrated to IHIP portal.

(c) IDSP is mandated with surveillance & response to outbreak prone communicable diseases. Any case of outbreak prone disease in the country is investigated as a part of Outbreak investigation by rapid response teams (RRT) at District, State and Central level as per the need. These RRTs recommends necessary precautionary in order to prevent the spread of diseases. IDSP also performs media scanning & verification of print and electronic media to strengthen the event-based surveillance. It helps in health preparedness of the authorities in the State for early detection and quick response.

(d) State/UTs wise details of disease outbreaks reported across the country during the last year is placed at Annexure .

## ANNEXURE

| Nos. of Disease Outbreaks Reported State/UTs wise under IDSP in the Year 2023   | Nos. of Disease Outbreaks Reported State/UTs wise under IDSP in the Year 2023   | Nos. of Disease Outbreaks Reported State/UTs wise under IDSP in the Year 2023   |
|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|---------------------------------------------------------------------------------|
| Name of State                                                                   | Disease                                                                         | Nos of Outbreaks                                                                |
| Andaman &Nicobar Island                                                         | Acute Diarrheal Disease                                                         | 1                                                                               |
| Andaman &Nicobar Island Total                                                   |                                                                                 | 1                                                                               |
| Andhra Pradesh                                                                  | Acute Diarrheal Disease                                                         | 12                                                                              |
| Andhra Pradesh                                                                  | Food Poisoning                                                                  | 2                                                                               |
| Andhra Pradesh Total                                                            |                                                                                 | 14                                                                              |
| Arunachal Pradesh                                                               | Acute Diarrheal Disease                                                         | 4                                                                               |
|                                                                                 | Animal Bite - Dog Bite                                                          | 2                                                                               |
|                                                                                 | Chickenpox                                                                      | 3                                                                               |
|                                                                                 | Dengue                                                                          | 2                                                                               |
|                                                                                 | Human Rabies                                                                    | 2                                                                               |
|                                                                                 | Pyrexia For Unknown Origin                                                      | 1                                                                               |
|                                                                                 | Scrub Typhus                                                                    | 4                                                                               |
|                                                                                 | Suspected Mushroom Poisoning                                                    | 1                                                                               |
| Arunachal Pradesh Total Assam                                                   |                                                                                 | 19                                                                              |
|                                                                                 | Acute Diarrheal Disease                                                         | 40                                                                              |
|                                                                                 | Acute Encephalitis Syndrome                                                     | 1                                                                               |
|                                                                                 | Acute Flaccid Paralysis                                                         | 1                                                                               |
|                                                                                 | Animal Bite - Dog Bite                                                          | 3                                                                               |
|                                                                                 | Animal Bite-Snake Bite                                                          | 1                                                                               |
|                                                                                 | Chickenpox                                                                      | 8                                                                               |
|                                                                                 | Chickenpox &Measles                                                             | 1                                                                               |
|                                                                                 | Chikungunya                                                                     | 1                                                                               |
|                                                                                 | Chikungunya &Dengue                                                             | 1                                                                               |
|                                                                                 | Cholera                                                                         | 1                                                                               |
|                                                                                 | Dengue                                                                          | 1                                                                               |
|                                                                                 | Dysentery                                                                       | 1                                                                               |
|                                                                                 | Fever                                                                           | 1                                                                               |
|                                                                                 | Fever of Unknown Origin                                                         | 1                                                                               |
|                                                                                 | Fever with Rash                                                                 | 1                                                                               |
|                                                                                 | Food Poisoning                                                                  | 9                                                                               |
|                                                                                 | Human Rabies                                                                    | 11                                                                              |
|                                                                                 | Japanese Encephalitis                                                           | 12                                                                              |
|                                                                                 | Leptospirosis                                                                   | 4                                                                               |
|                                                                                 | Malaria                                                                         | 2                                                                               |
|                                                                                 | Measles                                                                         | 11                                                                              |
|                                                                                 | Mumps                                                                           | 1                                                                               |
|                                                                                 | Mushroom Poisoning                                                              | 6                                                                               |
|                                                                                 | Non- neonatal Tetanus                                                           | 1                                                                               |
|                                                                                 | Rabies                                                                          | 1                                                                               |
|                                                                                 | Scrub Typhus                                                                    | 3                                                                               |

| Assam Total        |                                 |   124 |
|--------------------|---------------------------------|-------|
| Bihar              | Acute Diarrheal Disease         |    20 |
|                    | Acute Encephalitis Syndrome     |     3 |
|                    | Chickenpox                      |     7 |
|                    | Chikungunya                     |     1 |
|                    | Dengue                          |     9 |
|                    | Fever with Rash                 |    17 |
|                    | Food Poisoning                  |     4 |
|                    | Malaria                         |     1 |
|                    | Measles                         |    18 |
|                    | Mumps                           |     2 |
|                    | Typhoid                         |     1 |
| Bihar Total        |                                 |    83 |
| Chandigarh         | Cholera                         |     1 |
| Chandigarh Total   |                                 |     1 |
| Chhattisgarh       | Acute Diarrheal Disease         |    48 |
|                    | Chickenpox                      |    13 |
|                    | Cholera                         |     5 |
|                    | Dengue                          |     4 |
|                    | Fever                           |     4 |
|                    | Fever with altered sensorium    |     1 |
|                    | Fever with Rash                 |     1 |
|                    | Mumps                           |     2 |
|                    | Typhoid                         |     1 |
| Chhattisgarh Total |                                 |    79 |
| D&N Haveli         | Acute Diarrheal Disease         |     1 |
|                    | Fever                           |     1 |
|                    | Fever of Unknown Origin         |     1 |
| D&N Haveli Total   |                                 |     3 |
| Delhi              | Dengue                          |     1 |
| Delhi Total        |                                 |     1 |
| Goa                | Dengue                          |     2 |
| Goa Total          |                                 |     2 |
| Gujarat            | Acute Diarrheal Disease         |    30 |
|                    | Cholera                         |     4 |
|                    | Crimean-Congo Hemorrhagic Fever |     6 |
|                    | Dengue                          |     2 |
|                    | Diphtheria                      |     1 |
|                    | Fever with Rash                 |     1 |
|                    | Food Poisoning                  |    15 |
|                    | Jaundice                        |     1 |
|                    | Measles                         |     9 |
|                    | Scrub Typhus                    |     1 |
|                    | Viral Hepatitis A               |     6 |
| Gujarat Total      |                                 |    76 |
| Haryana            | Acute Diarrheal Disease         |     6 |
|                    | Chickenpox                      |     2 |

|                        | Dengue                  |   2 |
|------------------------|-------------------------|-----|
|                        | Diphtheria              |   1 |
|                        | Food Poisoning          |   1 |
|                        | Japanese Encephalitis   |   1 |
|                        | Scrub Typhus            |   1 |
| Haryana Total          |                         |  14 |
| Himachal Pradesh       | Acute Diarrheal Disease |   3 |
| Himachal Pradesh Total |                         |   3 |
| Jammu &Kashmir         | Acute Diarrheal Disease |   5 |
| Jammu &Kashmir         | Chickenpox              |   9 |
| Jammu &Kashmir         | Chikungunya             |   6 |
| Jammu &Kashmir         | Dengue                  |  12 |
| Jammu &Kashmir         | Human Rabies            |   1 |
| Jammu &Kashmir         | Jaundice                |   7 |
| Jammu &Kashmir         | Measles                 |   5 |
| Jammu &Kashmir         | Mumps                   |  22 |
| Jammu &Kashmir         | Viral Hepatitis A       |  14 |
| Jammu &Kashmir Total   |                         |  81 |
| Jharkhand              | Acute Diarrheal Disease |  24 |
| Jharkhand              | Chickenpox              |  31 |
| Jharkhand              | Chikungunya             |   5 |
| Jharkhand              | Dengue                  |  17 |
| Jharkhand              | Dysentery               |   1 |
| Jharkhand              | Fever                   |   1 |
| Jharkhand              | Fever with Rash         |   8 |
|                        | Food Poisoning          |   1 |
|                        | Kala Azar               |   1 |
|                        | Malaria                 |  12 |
|                        | Measles                 |   6 |
|                        | Measles &Rubella        |   1 |
| Jharkhand Total        |                         | 108 |
| Karnataka              | Acute Diarrheal Disease |  89 |
|                        | Acute Gastroenteritis   |   3 |
|                        | Animal Bite - Dog Bite  |   3 |
|                        | Chickenpox              |  12 |
|                        | Chikungunya             |   7 |
|                        | Chikungunya &Dengue     |   1 |
|                        | Cholera                 |  21 |
|                        | Dengue                  |   8 |
|                        | Diphtheria              |   1 |
|                        | Fever                   |   3 |
|                        | Fever with Rash         |   1 |
|                        | Food Poisoning          |  13 |
|                        | Human Rabies            |  21 |
|                        | Japanese Encephalitis   |   2 |
|                        | Kyasanur Forest Disease |   2 |
|                        | Leptospirosis           |   7 |

|                 | Malaria                    |   1 |
|-----------------|----------------------------|-----|
|                 | Measles                    |   5 |
|                 | Measles &Rubella           |   1 |
|                 | Mumps                      |  10 |
|                 | Others                     |   1 |
|                 | Pyrexia For Unknown Origin |   3 |
|                 | Suspected Human Rabies     |   3 |
|                 | Suspected Measles          |   1 |
|                 | Suspected Rabies Death     |   2 |
|                 | Typhoid                    |   2 |
| Karnataka Total |                            | 223 |
| Kerala          | Acute Diarrheal Disease    |  41 |
|                 | Acute Gastroenteritis      |   1 |
|                 | Adeno Virus                |   4 |
|                 | Animal Bite - Dog Bite     |   1 |
|                 | Brucellosis                |   1 |
|                 | Chickenpox                 |  15 |
|                 | Cholera                    |   1 |
|                 | Dengue                     |  33 |
|                 | Fever                      |   1 |
|                 | Food Poisoning             |  68 |
|                 | Influenza AH3N2            |   1 |
|                 | Japanese Encephalitis      |   1 |
|                 | Jaundice                   |   2 |
|                 | Kala Azar                  |   3 |
|                 | Measles                    |   8 |
|                 | Melioidosis                |   1 |
|                 | Monkey Pox                 |   5 |
|                 | Mumps                      |   7 |
|                 | Nipah                      |   1 |
|                 | Probable Leishmaniosis     |   1 |
|                 | Shigellosis                |   2 |
|                 | Suspected Dengue           |   1 |
|                 | Suspected Food Poisoning   |   4 |
|                 | Suspected Typhoid          |   1 |
|                 | Typhoid                    |   1 |
|                 | Viral Hepatitis A          |  32 |
|                 | West Nile Fever            |   9 |
|                 | Zika Virus                 |   7 |
| Kerala Total    |                            | 253 |
| Ladakh          | Hand Foot &Mouth Disease   |   1 |
| Ladakh Total    |                            |   1 |
| Madhya Pradesh  | Acute Diarrheal Disease    |  36 |
|                 | Acute Gastroenteritis      |   1 |
|                 | Chickenpox                 |  10 |
|                 | Chikungunya                |   2 |
|                 | Cholera                    |   1 |

|                      | Dengue                          |   28 |
|----------------------|---------------------------------|------|
|                      | Diphtheria                      |    3 |
|                      | Fever                           |    2 |
|                      | Fever of Unknown Origin         |    2 |
|                      | Fever with Rash                 |    6 |
|                      | Food Poisoning                  |   10 |
|                      | Jaundice                        |    1 |
|                      | Leptospirosis                   |    6 |
|                      | Malaria                         |    8 |
|                      | Measles                         |   12 |
|                      | Mumps                           |    1 |
|                      | Rubella                         |    1 |
|                      | Scrub Typhus                    |    7 |
|                      | Shigellosis                     |    1 |
|                      | Typhoid                         |    1 |
|                      | Viral Hepatitis A               |    1 |
| Madhya Pradesh Total |                                 |  140 |
| Maharashtra          | Acute Diarrheal Disease         |   24 |
|                      | Acute Encephalitis Syndrome     |    1 |
|                      | Chikungunya                     |    9 |
|                      | Chikungunya &Dengue             |    3 |
|                      | Dengue                          |  102 |
|                      | Fever                           |   12 |
|                      | Fever of Unknown Cause          |    1 |
|                      | Food Poisoning                  |   10 |
|                      | Leptospirosis                   |    4 |
|                      | Malaria                         |   18 |
|                      | Measles                         |    7 |
|                      | Measles &Rubella                |    1 |
|                      | Mumps                           |    2 |
|                      | Scrub Typhus                    |    5 |
|                      | Suspected Dengue Fever          |    3 |
|                      | Viral Hepatitis A               |    1 |
|                      | Zika Virus                      |    5 |
| Maharashtra Total    |                                 |  208 |
| Manipur              | Acute Diarrheal Disease         |    3 |
|                      | Chickenpox                      |    1 |
|                      | Dengue                          |    1 |
|                      | Malaria                         |    1 |
|                      | Measles                         |    1 |
|                      | Suspected Japanese Encephalitis |    1 |
| Manipur Total        |                                 |    8 |
| Meghalaya            | Acute Diarrheal Disease         |    3 |
|                      | Chickenpox                      |    3 |
|                      | Dengue                          |    3 |
|                      | Human Rabies                    |    9 |
|                      | Malaria                         |    1 |

|                  | Measles                 |   3 |
|------------------|-------------------------|-----|
|                  | Mumps                   |   1 |
|                  | Mushroom Poisoning      |   3 |
|                  | Rubella                 |   1 |
|                  | Scrub Typhus            |   2 |
|                  | Suspected Typhoid       |   1 |
|                  | Viral Hepatitis A       |   1 |
| Meghalaya Total  |                         |  31 |
| Mizoram          | Fever                   |   1 |
|                  | Fever with Rash         |   1 |
|                  | Food Poisoning          |   7 |
|                  | Scrub Typhus            |   2 |
|                  | Typhoid                 |   1 |
| Mizoram Total    |                         |  12 |
| Nagaland         | Acute Diarrheal Disease |   2 |
|                  | Dengue                  |   6 |
|                  | Japanese Encephalitis   |   1 |
|                  | Malaria                 |   1 |
| Nagaland Total   |                         |  10 |
| Odisha           | Acute Diarrheal Disease |  53 |
|                  | Anthrax                 |   1 |
|                  | Chickenpox              |   4 |
|                  | Cholera                 |   1 |
|                  | Fever of Unknown Origin |   1 |
|                  | Fever with Rash         |   4 |
|                  | Food Poisoning          |  18 |
|                  | Japanese Encephalitis   |   1 |
|                  | Jaundice                |   1 |
|                  | Malaria                 |   2 |
|                  | Measles                 |   1 |
|                  | Mumps                   |   2 |
|                  | Mushroom Poisoning      |   1 |
|                  | Scrub Typhus            |   1 |
|                  | Suspected Anthrax       |   1 |
|                  | Typhoid                 |   1 |
|                  | Viral Hepatitis A       |   1 |
|                  | Viral HepatitisA&E      |   1 |
| Odisha Total     |                         |  95 |
| Puducherry       | Acute Diarrheal Disease |   1 |
|                  | Animal Bite - Dog Bite  |   1 |
|                  | Dengue                  |   3 |
|                  | Food Poisoning          |   1 |
| Puducherry Total |                         |   6 |
| Punjab           | Acute Diarrheal Disease |   6 |
|                  | Chickenpox              |   1 |
|                  | Cholera                 |   3 |
|                  | Food Poisoning          |   1 |

|                 | Measles                  | 4   |
|-----------------|--------------------------|-----|
|                 | Mumps                    | 1   |
|                 | Viral Hepatitis A        | 1   |
| Punjab Total    |                          | 17  |
| Rajasthan       | Acute Diarrheal Disease  | 6   |
|                 | Cholera                  | 2   |
|                 | Dengue                   | 3   |
|                 | Food Poisoning           | 1   |
|                 | Measles                  | 2   |
|                 | Mumps                    | 1   |
|                 | Scrub Typhus             | 2   |
|                 | Viral Hepatitis A        | 1   |
| Rajasthan Total |                          | 18  |
| Sikkim          | Typhoid                  | 1   |
| Sikkim Total    |                          | 1   |
| Tamilnadu       | Acute Diarrheal Disease  | 16  |
|                 | Acute Gastroenteritis    | 1   |
|                 | Animal Bite - Dog Bite   | 1   |
|                 | Chickenpox               | 4   |
|                 | Cholera                  | 5   |
|                 | Dengue                   | 5   |
|                 | Dengue &Leptospirosis    | 1   |
|                 | Diphtheria               | 1   |
|                 | Fever                    | 2   |
|                 | Fever of Unknown Origin  | 1   |
|                 | Fever with Rash          | 1   |
|                 | Food Poisoning           | 1   |
|                 | Jaundice                 | 1   |
|                 | Leptospirosis            | 5   |
|                 | Leptospirosis &Dengue    | 1   |
|                 | Measles                  | 3   |
|                 | Mumps                    | 5   |
|                 | Suspected Dengue Typhoid | 1 1 |
|                 | Viral Hepatitis A        | 5   |
| Tamilnadu Total |                          | 61  |
| Telangana       | Acute Diarrheal Disease  | 6   |
| Telangana Total |                          | 6   |
| Tripura         | Acute Diarrheal Disease  | 3   |
| Tripura         | Acute Gastroenteritis    | 1   |
|                 | Dengue                   | 1   |
| Tripura Total   |                          | 5   |
| Uttar Pradesh   | Acute Diarrheal Disease  | 33  |
|                 | Acute Gastroenteritis    | 1   |
|                 | Chickenpox               | 16  |
|                 | Dengue                   | 10  |
|                 | Fever                    | 2   |

|                                 | Fever with Rash         |    4 |
|---------------------------------|-------------------------|------|
|                                 | Food Poisoning          |   10 |
|                                 | Jatropha Poisoning      |    1 |
|                                 | Leptospirosis           |    1 |
|                                 | Malaria                 |    3 |
|                                 | Measles                 |   19 |
|                                 | Mumps                   |    2 |
|                                 | Others                  |    1 |
|                                 | Scrub Typhus            |    5 |
| Uttar Pradesh Total Uttarakhand |                         |  108 |
|                                 | Acute Diarrheal Disease |    4 |
|                                 | Dengue                  |    1 |
|                                 | Dysentery               |    1 |
|                                 | Fever                   |    2 |
|                                 | Typhoid                 |    1 |
|                                 | Viral Hepatitis A       |    2 |
| Uttarakhand Total               |                         |   11 |
| West Bengal                     | Acute Diarrheal Disease |   19 |
|                                 | Anthrax                 |    1 |
|                                 | Cholera                 |    1 |
|                                 | Fever with Rash         |    1 |
|                                 | Food Poisoning          |   14 |
|                                 | Measles                 |    2 |
|                                 | Viral HepatitisA&E      |    1 |
| West Bengal Total               |                         |   39 |
| Grand Total                     |                         | 1862 |