Saturday, August 18, 2018

PRO/AH/EDR> Japanese encephaliis & other - India (17): (AS)

JAPANESE ENCEPHALITIS AND OTHER - INDIA (17): (ASSAM)
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[1]
Date: Fri 17 Aug 2018
Source: Northeast Now [edited]
<https://nenow.in/north-east-news/japanese-encephalitis-claims-seven-lives-assam-lakhimpur.html>


When SI, 21, a resident of North Assam's Lakhimpur district, recently
started throwing up, running a temperature, and complaining of a
headache, his family rushed him to the mini-primary health centre in
the area.

The district has been at the centre of an acute encephalitis syndrome
outbreak. At least 7 Japanese encephalitis (JE) death cases have been
confirmed this year [2018] in the district so far.

Acute encephalitis syndrome is a condition of brain inflammation
caused by both bacterial and viral infections. It is accompanied by
fever, headaches, seizures, disorientation, and vomiting in people,
and if not treated quickly can result in death.

The Japanese encephalitis [JE] virus has been responsible for most
cases of acute encephalitis syndrome [AES] in India and South Asia.
[Not usually true. A minority of case of AES that have been laboratory
tested have been shown to be due to JE virus infection. - Mod.TY]

When a blood test was run on SI, he tested positive for Japanese
encephalitis. In spite of treatment in the hospital, he did not
survive.

The vector borne disease [virus] is transmitted by _Culex_ genus
mosquitoes. According to National Vector Borne Disease Control
Programme (NDGCT), 96 acute encephalitis cases have been reported in
Lakhimpur district between January and August this year [2018], of
which 43 have been found to be positive [for JE virus? - Mod.TY].

Not only SI, but 6 other people (ages 9, 80, 1, 19, 13, and 13) also
died of JE.

Health department officials said several fresh cases have been
reported from Narayanpur, Boginodi, Nowboisa Borsala, and in many
wards of municipal areas of the district.

The district health officials have taken a slew of initiatives to
prevent outbreak of the disease, said an official. Vaccination and
intensive fogging have been done around 100 m [328 ft] in the affected
areas all over the district, he said. Identification and proper
mapping of the affected areas is also done by the district health
officials and this is stated by the joint director of health, the
official added.

[Byline: Farhana Ahmed]

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Communicated by:
ProMED-mail
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[2]
Date: Sat 18 Aug 2018
Source: Sentinal Assam [edited]
<https://www.sentinelassam.com/news/man-dies-of-japanese-encephalitis-at-sivasagar/>


A local farmer, identified as MB (57) of Nafuk village under Sapekhati
PS of Sivasagar, died due to Japanese encephalitis on Thursday [16 Aug
2018]. He was undergoing treatment in Sivasagar Civil Hospital but
finally breathed his last on Thursday. The toll of Japanese
encephalitis victims in Sivasagar this year [2018] has now gone up to
17.

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

[This is the busy Japanese encephalitis virus transmission season in
northeastern India, including Assam state. The 1st report above
appears to use the terms "Japanese encephalitis" and "acute
encephalitis syndrome" interchangeably, although the samples of
patient SI were reported as positive, presumably for JE virus. Where
laboratory confirmation of exclusion is reported, usually these
encephalitis cases are attributed to Japanese encephalitis (JE) as a
minority of cases, with acute encephalitis syndrome (AES) of
unspecified etiology for the majority. This is the season for JE
virus, but AES also occurs at this time. 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 (_Orientia
tsutsugamushi_). Fortunately, vaccination for JE is being carried out
in the affected areas in the district, which will prevent cases of
encephalitis due to infection with that virus. - Mod.TY

HealthMap/ProMED-mail map:
Assam State, India: <http://healthmap.org/promed/p/299>

HealthMap/ProMED map available at:
Assam State, India: <http://healthmap.org/promed/p/299>]

[See Also:
Japanese encephalitis & other - India (16): (UP)
http://promedmail.org/post/20180814.5964023
Japanese encephalitis & other - India (15): (AS)
http://promedmail.org/post/20180812.5961217
Japanese encephalitis & other - India (14): (AS)
http://promedmail.org/post/20180805.5948662
Japanese encephalitis & other - India (13): (UP)
http://promedmail.org/post/20180711.5900435
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]
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