Lok Sabha Question No. 646 (UNSTARRED), answered on 2016-02-26
Subject: Epidemic Disease
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMA DEVI, SAKUNTALA LAGURI

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

## LOK SABHA UNSTARRED QUESTION NO.646 TO BE ANSWERED ON 26 TH FEBRUARY, 2016

## EPIDEMIC DISEASE

## 646. SHRIMATI RAMA DEVI: SHRIMATI SAKUNTALA LAGURI:

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

- (a) the norms fixed by the Government for declaration of any disease to be an epid mic;
- (b) the names of diseases which took the country in grip during the last two years along with the extent of spread of such diseases; and
- (c)  the  names  of  diseases  declared  to  be epidemic  along  with  the  areas  in  which  the said epidemics spread?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): An epidemic is occurrence in community or region of cases of an illness, specific heal related behavior or other health related events in excess of normal expectancy.
- (b): Seasonal Influenza caused by Influenza A H1N1 virus took the country in grip in 20 Large  number  of  cases were  reported  from  the  states  of  Delhi,  Gujarat,  Karnataka,  Madhya Pradesh, Maharashtra, Rajasthan, Telangana and Uttar Pradesh.
- (c): States have reported outbreaks of epidemic prone diseases through the Integrated Di Surveillance Progamme . The outbreaks recorded State - wise/ disease - wise for the year 2014 & 2015 is placed at Annexure.

| State &Disease wise no of outbreaks reported under IDSP during 2014   |
|-----------------------------------------------------------------------|

| 13                   | Karnataka         | 22   | 1   |     |    | 4     | 2 6   | 4     | 20   | 5   | 1 2 6   | 1 1 2   | 1     |    | 1   |    |    | 33    | 4   |   163 |
|----------------------|-------------------|------|-----|-----|----|-------|-------|-------|------|-----|---------|---------|-------|----|-----|----|----|-------|-----|-------|
| 14 Kerala            |                   | 3    |     |     |    | 6     | 1     | 1     | 2    |     | 3 1     |         | 7     |    |     |    |    |       | 20  |    74 |
| 15                   | Lakshadweep       |      |     |     |    |       |       |       | 2    |     |         |         |       |    |     |    |    |       |     |     2 |
| 16 Madhya Pradesh    | 26                |      |     |     |    |       | 7     |       | 6    |     | 1 1     | 1 9 4   |       |    | 1   |    |    | 9     |     |    83 |
| 17 Maharashtra       | 33                |      |     |     |    | 2     | 8     | 1     | 51   |     | 1 1 7   | 1 2 1 4 |       |    |     |    |    | 59    | 7   |   205 |
| 18 Manipur           |                   | 1    |     |     |    |       |       |       |      |     | 1       | 1       |       |    |     | 1  |    |       |     |     4 |
| 19                   | 1                 |      | 1   |     |    |       |       |       |      |     |         |         |       |    |     | 1  |    |       |     |     3 |
| 20                   | Meghalaya Mizoram |      |     |     |    |       |       |       |      |     | 2       |         |       |    |     |    |    |       |     |     2 |
| 21                   | Nagaland          |      |     |     |    |       |       |       |      |     |         |         |       |    |     | 1  |    |       |     |     1 |
| 22                   |                   | 29   |     |     | 5  | 3     |       | 7     |      | 1   | 3 1     | 7       |       |    |     |    |    |       | 4   |    87 |
| Odisha 23 Puducherry |                   |      |     |     |    | 3     |       |       | 1    |     | 1       |         |       |    |     |    |    |       |     |     5 |
| 24 Punjab            |                   | 1    |     |     |    | 2     |       | 6     |      |     | 2       | 2       | 4     |    |     |    |    |       | 4   |    21 |
| 25 Rajasthan         |                   | 6    |     |     |    |       |       | 1     | 1    | 2   | 1 4     | 3       |       |    |     |    |    |       | 6   |    33 |
| 26 Sikkim            |                   | 2    |     |     |    | 1     | 1     |       |      |     |         |         |       |    |     |    |    |       |     |     3 |
| 27 Tamil             | Nadu              | 17   |     |     |    |       | 5     | 1     | 17   |     | 7 3 1   | 1 4     | 2     |    |     | 1  |    | 11    | 2   |   122 |
| 28 Telangana 29      |                   |      |     |     |    |       | 8     |       | 1    |     | 3       |         |       |    |     |    |    | 3     |     |     7 |
| Tripura              |                   | 4    |     |     |    |       |       |       |      |     | 5       | 2 2     |       |    |     |    |    |       |     |    13 |
| 30 Uttar Pradesh     |                   | 13   | 1   |     |    | 6     |       |       |      |     | 8       | 6       |       |    |     |    |    | 1     |     |    35 |
| 31 Uttarakhand       | 2                 | 1    |     |     |    |       |       |       |      |     | 1       | 1 2     |       | 1  |     |    | 1  | 1     |     |    19 |
| 32 West              | Bengal            | 36   | 6   |     | 1  | 3     |       | 9     | 7    | 2   | 3 7 3   | 5 1 9 1 |       |    | 2   |    |    | 16    | 5   |   148 |
|                      | Grand Total       | 344  | 38  | 1 1 | 6  | 1 9 6 | 6 3   | 3 8 6 | 11 3 | 7 1 | 1 9 0 6 | 5 3 9 1 | 1 7 1 | 1  | 12  | 4  | 1  | 1 150 | 81  |  1562 |

| Acute Diarrheal Disease Acute Encephalitis Syndrome 2   | Acute Flaccid Paralysis Alcohol Poisoning   | Anthrax Castor Seed Poisoning Chandipura Viral Encephalitis   | &Disease Diphtheria Dysentery   | wise no Enteric Fever Epidemic Dropsy   | of outbreaks Fever with altered sensorium Fever with Rash   | Food Poisoning 1   | reported Hand Foot Mouth Disease Influenza A (h1n1)   | under Influenza B   | IDSP   | during Jaundice Kala Azar   | KFD   | 2015 Leptospirosis Malaria Measles   | Mumps Mushroom Poisoning   | Viral Encephalitis   | Viral Fever   | Viral Hepatitis   | Viral Hepatitis C   | Grand Total   |
|---------------------------------------------------------|---------------------------------------------|---------------------------------------------------------------|---------------------------------|-----------------------------------------|-------------------------------------------------------------|--------------------|-------------------------------------------------------|---------------------|--------|-----------------------------|-------|--------------------------------------|----------------------------|----------------------|---------------|-------------------|---------------------|---------------|

| 18           | Lakshadw eep   |       |     |             | 2       |       |          |     |     |           |     |       |    |    |    |     |        |     |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
|--------------|----------------|-------|-----|-------------|---------|-------|----------|-----|-----|-----------|-----|-------|----|----|----|-----|--------|-----|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
| 19           | Madhya Pradesh | 4 5   |     | 1 6         | 4       |       | 2 1 8    | 1   | 1   | 2 2 3 3   | 1   |       | 1  |    |    | 5   |        |     |        | 2 150  |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 20 ra        | Maharasht      | 7 3   | 3   | 7 2         | 1 7     | 3 1   | 2 1 7    | 1   | 1   | 1 7 6     | 1   |       | 2  |    | 1  | 22  | 11     | 11  | 11     | 195    | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     | 11     |
| 21           | Manipur        |       | 1   |             | 1       |       | 1        |     |     | 2         |     |       |    |    |    |     |        |     |        | 5      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 22           | Meghalaya      | 2     | 3   |             |         |       |          |     |     | 2 1       |     | 3     |    | 1  |    | 1   |        |     |        | 14     |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 23           | Mizoram        | 1     |     |             |         |       | 3        |     |     | 2         |     |       |    |    |    |     |        |     |        | 6      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 24           | Nagaland       |       | 1   |             | 1       |       |          |     |     |           |     |       |    |    |    |     |        |     |        | 2      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 25           | Odisha         | 2 7   |     | 1           |         |       | 1 1 4    |     | 5   | 1 6       |     |       |    |    |    | 15  | 81     | 81  | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     | 81     |
| 26           | Puducherr y    |       |     |             |         |       | 1        |     |     |           |     |       |    |    |    | 1   |        |     |        | 1      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 27           | Punjab         | 4     |     | 2           | 3       |       |          |     |     | 1 1       | 8   |       |    |    |    |     | 9      | 9   | 9      | 45     | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      | 9      |
| 28 Rajasthan |                | 1 9   |     | 1 2         | 5       |       | 1 1 9    |     |     | 5         |     |       | 1  |    |    | 4   |        | 3   |        | 63     |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 29           | Sikkim         |       |     |             |         |       | 1 2      |     |     | 1         |     |       |    |    |    |     |        |     |        | 4      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 30           | Tamil Nadu     | 1 5   |     | 9           | 3 2     | 3     | 2 9      | 1   | 2   | 1 7       | 2   |       | 1  |    |    | 7   |        |     |        | 123    |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 31 Telangana |                | 3     |     | 2 2         | 3       |       | 1 7      |     |     | 1         |     |       |    |    |    | 2   |        |     |        | 30     |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| 32 Tripura   |                | 1     | 1   |             |         |       | 2        |     |     | 3         |     |       |    |    |    |     |        |     |        | 8      |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |
| Uttar        | Pradesh        | 1 6   | 2   |             | 9       |       | 1 8      |     |     | 6 4 1     |     |       |    |    |    | 1   | 120    | 120 | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    | 120    |
| 33 34 nd     | Uttarakha      | 2     |     |             |         | 1     | 4 3 2    |     |     | 6         |     |       |    |    |    | 5 2 | 2      | 2   | 1      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      | 2      |
| 35           | West Bengal    | 5 5   |     |             | 1       | 1     | 3 3 9    |     |     | 5 1 1     | 1   |       |    |    |    | 2   | 20 146 | 2   | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 | 20 146 |
| Total        | Grand          | 4 5 0 | 2 5 | 1 7 4 6 4 5 | 0 1 5 2 | 5 1 6 | 29 3 2 8 | 1 9 | 2 2 | 8 8 2 7 9 | 3 5 | 4 1 1 |    | 8  | 3  | 92  |        | 86  | 2      | 1935   |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |        |

Disease-wise total no. of outbreaks reported by all States/UTs under Integrated Disease Surveillance Programme in 2013-2015

| State                       | 2013   | 2014   | 2015   |
|-----------------------------|--------|--------|--------|
| Acute Diarrhoeal Disease    | 576    | 344    | 450    |
| Acute Encephalitis Syndrome | 13     | 38     | 25     |
| Acute Respiratory Illness   |        | 1      |        |
| Anthrax                     | 10     | 6      | 11     |
| Chickenpox                  | 121    | 96     | 142    |
| Chikungunya                 | 72     | 63     | 46     |
| Cholera                     | 96     | 38     | 45     |
| CCHF                        | 8      | 6      | 15     |
| Dengue                      | 130    | 113    | 152    |
| Diphtheria                  | 4      | 7      | 8      |
| Dysentery                   |        | 1      | 5      |
| Enteric Fever               | 1      | 19     | 16     |
| Fever with Rash             |        |        | 29     |
| Food Poisoning              | 370    | 306    | 328    |
| Influenza A H1N1            | 1      |        | 9      |
| Influenza A H3N2            |        |        |        |
| Influenza B                 | 1      |        | 2      |
| Jaundice                    |        |        | 22     |
| Kala-azar                   | 1      |        | 3      |
| Leptospirosis               | 12     | 6      | 6      |
| Malaria                     | 43     | 53     | 88     |
| Measles                     | 89     | 191    | 279    |
| Meningitis                  |        |        |        |
| Mumps                       | 25     | 17     | 35     |
| Pertussis                   | 1      | 1      |        |
| Rubella                     | 7      | 12     | 11     |
| Scrub Typhus                | 4      | 4      | 8      |
| Viral Fever/PUO             | 272    | 150    | 92     |
| Viral Hepatitis             | 99     | 81     | 88     |
| Others                      | 8      | 9      | 20     |
| Total                       | 1964   | 1562   | 1935   |

Others: -KFD, Alcohal Poisoning, Trichinellosis, Viral Exanthemas, Epidemic Dropsy, Hand Mouth & Foot Disease, Lyme Disease, Brucellosis, Castor seed Poisoning