Wednesday, July 11, 2018

PRO/AH/EDR> Japanese encephalitis & other - India (13): (UP)

JAPANESE ENCEPHALITIS AND OTHER - INDIA (13): (UTTAR PRADESH)
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Date: Tue 10 Jul 2018
Source: The Times of India [edited]
<https://timesofindia.indiatimes.com/city/lucknow/lucknow-reports-max-encephalitis-cases/articleshow/64925272.cms>


With 135 cases of acute encephalitis syndrome (AES) -- which manifests
itself in the form of brain fever -- Lucknow district has the maximum
number of cases of the deadly disease this year [2018] among 48
districts of the state where it is reported. This is 15 times more
than the number of cases last year [2017].

The data maintained by the health department from 1 Jan - 6 Jul this
year [2018] records 11 AES deaths in Lucknow. Apart from this, 6 cases
of Japanese encephalitis (JE), a disease which is spread by
mosquitoes, and 2 JE deaths have been recorded from the district.

In 2017, while there were merely 9 cases of AES from Lucknow, only one
JE case was reported between 1 Jan - 6 Jul [2017]. No patient was
recorded to have died due [to these diseases].

As of now, the state [of Uttar Pradesh] has recorded 1219 cases of
AES, which is more than double the number of cases, 517, recorded last
year [2017]. The health department claims the spurt is because of
enhanced monitoring of all fever patients. "The rise of cases is
because of better reporting and awareness. The special Vector-Borne
Diseases Month is also working," said a health department official.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Japanese encephalitis cases continue to occur in Uttar Pradesh state
annually, although they comprise a minor proportion of encephalitis
cases. The JE and AES season is now underway in northeastern India,
and many cases of encephalitis in children are likely to occur again
this year (2018). It is odd that no mention is made of JE vaccination
in the report above.

As noted in many earlier posts, the determination of the etiology or
etiologies of AES has been confusing and elusive. Various etiological
agents have been proposed in recent years as responsible for AES
cases. AES has continued to be attributed to a variety of etiologies,
including Reye syndrome-like disease, possible enterovirus infection
from polluted water, heat stroke, lychee fruit consumption, and scrub
typhus (_O. tsutsugamushi_).

As noted previously, a recent publication of investigations conducted
during the 2014 and 2015 AES outbreaks indicated that scrub typhus,
caused by _Orientia tsutsugamushi_, was the etiology in about 60
percent of those AES cases. In the report above, there is no mention
of scrub typhus.

Maps of India can be accessed at
<http://www.mapsofindia.com/maps/india/india-political-map.htm> and
<http://healthmap.org/promed/p/6506>. - Mod.TY

HealthMap/ProMED map available at:
Uttar Pradesh State, India: <http://healthmap.org/promed/p/322>]

[See Also:
Japanese encephalitis & other - India (12): (AS)
http://promedmail.org/post/20180701.5883729
Japanese encephalitis & other - India (11): (AS)
http://promedmail.org/post/20180628.5881510
Japanese encephalitis & other - India (10)
http://promedmail.org/post/20180620.5866496
Japanese encephalitis & other - India (09): (AS)
http://promedmail.org/post/20180618.5862346
Japanese encephalitis & other - India (08): (BR)
http://promedmail.org/post/20180618.5860635
Japanese encephalitis & other - India (07): (MP)
http://promedmail.org/post/20180614.5855342
Japanese encephalitis & other - India (06): (HP)
http://promedmail.org/post/20180607.5844658
Japanese encephalitis & other - India (05): (KL)
http://promedmail.org/post/20180605.5840545
Japanese encephalitis & other - India (04): (KL)
http://promedmail.org/post/20180530.5827153
Japanese encephalitis & other - India (03): (AS)
http://promedmail.org/post/20180523.5812921
Japanese encephalitis & other - India (02): (UP), typhus
http://promedmail.org/post/20180416.5749050
Japanese encephalitis & other - India: (KA, UP)
http://promedmail.org/post/20180110.55507]
.................................................ty/msp/ml
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