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Epidemiological Report on Acute Encephalitis Syndrome (AES)/Japanese Encephalitis (JE) Outbreak in Bihar & Planning Perspectives for Its Control

Received: 4 December 2014     Accepted: 15 December 2014     Published: 19 December 2014
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Abstract

Acute Encephalitis Syndrome (AES) is a major public health problem in Bihar claiming thousands of lives every year in Bihar. Initially, the disease outbreak was focused in Muzaffarpur district of Bihar but recent trend shows that disease outbreak has spread its foci in many other districts as well. AES cases were recorded from district reporting units comprising Govt Medical College & Hospitals and few private hospitals in prescribed format under Integrated Disease Surveillance Control Programme of the State. In 2014, till 17th Oct, 928 cases and 314 deaths due to AES was reported in Bihar.JE cases among the AES cases constituted only 2% of the cases. Age group most affected was 0-4 and males were more affected than females. Case fatality rate in the AES outbreak was 34 and no deaths were reported due to JE. Outbreak peak was from 10th June to 19th June. The report overviews analytical comparison of yearly AES outbreak in Bihar based on descriptive epidemiological analysis. JE vaccination coverage in Bihar was also analyzed to co-relate its impact on curbing the AES cases. Although JE vaccination has reduced the incidence of JE cases but it has little impact on curbing AES cases. As the etiological confirmation of the disease outbreak has still not been established, better control strategies are required. Inter-sectoral coordination with various departments may also help in control and management of the disease outbreak.

Published in American Journal of Health Research (Volume 2, Issue 6)
DOI 10.11648/j.ajhr.20140206.24
Page(s) 404-410
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Acute Encephalitis Syndrome, Japanese Encephalitis, Descriptive Epidemiology, Outbreak, Etiology

References
[1] Self, L.S., H.K. Shin, K.H. Kim, K.W. Lee, C.Y. Chow H.K. Hong, 1973. Ecological studies on Culex tritaeniorhynchus as a vector of Japanes encephalitis, Bull World Health Organ. 49(1): 41-47.
[2] Jmor F, Emsley HCA, Fischer M, etal. The incidence of acute encephalitis syndrome in Western industrializes and tropical countries. Virol J. 2008; 5:134
[3] Potharaju NR. Incidence rate of AES without specific treatment in India and Nepal. Indian J Comm Med, 2012, 37:240-251
[4] Saxena SK, Mishra N, Saxena R, etal. Trend of Japanese Encephalitis in North India:evidence from 38 AES patients and approval of niceties. J Infect Dev Ctries, 2009; 30:517-530
[5] Kennedy PG. Viral encephalitis: causes, differential diagnosis & management. J. Neurol Neurosurgery Psychiatry. 2004; 75:10-15
[6] National Institute of Virology. Report on investigation of an outbreak of acute encephalitis syndrome (AES) in Muzaffarpur, Bihar. Director, National Institute of Virology, Pune. NIV/MCC/EPD/755, November 23, 2011.
[7] Drive to combat JE soon. Statement of Union Health Minister, Govt. of India. Available from:http:// times of indiatimes.com/india/Drive to combat JE soon/article show/11140076 cms. The Times of India, Dec 17, 2011.
[8] Rs 4,000 crores plan to tackle encephalitis? Oct 17, 2012, Available from http://www.firstpost.com/india/rs-4000-cr-plan-to tackle encephalitis-494189.html.
[9] Annual report 2012-13 available at www.statehealthsocietybihar.org., site accessed in Nov 2014
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  • APA Style

    Ragini Mishra, Ganga Kumar. (2014). Epidemiological Report on Acute Encephalitis Syndrome (AES)/Japanese Encephalitis (JE) Outbreak in Bihar & Planning Perspectives for Its Control. American Journal of Health Research, 2(6), 404-410. https://doi.org/10.11648/j.ajhr.20140206.24

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    ACS Style

    Ragini Mishra; Ganga Kumar. Epidemiological Report on Acute Encephalitis Syndrome (AES)/Japanese Encephalitis (JE) Outbreak in Bihar & Planning Perspectives for Its Control. Am. J. Health Res. 2014, 2(6), 404-410. doi: 10.11648/j.ajhr.20140206.24

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    AMA Style

    Ragini Mishra, Ganga Kumar. Epidemiological Report on Acute Encephalitis Syndrome (AES)/Japanese Encephalitis (JE) Outbreak in Bihar & Planning Perspectives for Its Control. Am J Health Res. 2014;2(6):404-410. doi: 10.11648/j.ajhr.20140206.24

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  • @article{10.11648/j.ajhr.20140206.24,
      author = {Ragini Mishra and Ganga Kumar},
      title = {Epidemiological Report on Acute Encephalitis Syndrome (AES)/Japanese Encephalitis (JE) Outbreak in Bihar & Planning Perspectives for Its Control},
      journal = {American Journal of Health Research},
      volume = {2},
      number = {6},
      pages = {404-410},
      doi = {10.11648/j.ajhr.20140206.24},
      url = {https://doi.org/10.11648/j.ajhr.20140206.24},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20140206.24},
      abstract = {Acute Encephalitis Syndrome (AES) is a major public health problem in Bihar claiming thousands of lives every year in Bihar. Initially, the disease outbreak was focused in Muzaffarpur district of Bihar but recent trend shows that disease outbreak has spread its foci in many other districts as well. AES cases were recorded from district reporting units comprising Govt Medical College & Hospitals and few private hospitals in prescribed format under Integrated Disease Surveillance Control Programme of the State. In 2014, till 17th Oct, 928 cases and 314 deaths due to AES was reported in Bihar.JE cases among the AES cases constituted only 2% of the cases. Age group most affected was 0-4 and males were more affected than females. Case fatality rate in the AES outbreak was 34 and no deaths were reported due to JE. Outbreak peak was from 10th June to 19th June. The report overviews analytical comparison of yearly AES outbreak in Bihar based on descriptive epidemiological analysis. JE vaccination coverage in Bihar was also analyzed to co-relate its impact on curbing the AES cases. Although JE vaccination has reduced the incidence of JE cases but it has little impact on curbing AES cases. As the etiological confirmation of the disease outbreak has still not been established, better control strategies are required. Inter-sectoral coordination with various departments may also help in control and management of the disease outbreak.},
     year = {2014}
    }
    

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    AB  - Acute Encephalitis Syndrome (AES) is a major public health problem in Bihar claiming thousands of lives every year in Bihar. Initially, the disease outbreak was focused in Muzaffarpur district of Bihar but recent trend shows that disease outbreak has spread its foci in many other districts as well. AES cases were recorded from district reporting units comprising Govt Medical College & Hospitals and few private hospitals in prescribed format under Integrated Disease Surveillance Control Programme of the State. In 2014, till 17th Oct, 928 cases and 314 deaths due to AES was reported in Bihar.JE cases among the AES cases constituted only 2% of the cases. Age group most affected was 0-4 and males were more affected than females. Case fatality rate in the AES outbreak was 34 and no deaths were reported due to JE. Outbreak peak was from 10th June to 19th June. The report overviews analytical comparison of yearly AES outbreak in Bihar based on descriptive epidemiological analysis. JE vaccination coverage in Bihar was also analyzed to co-relate its impact on curbing the AES cases. Although JE vaccination has reduced the incidence of JE cases but it has little impact on curbing AES cases. As the etiological confirmation of the disease outbreak has still not been established, better control strategies are required. Inter-sectoral coordination with various departments may also help in control and management of the disease outbreak.
    VL  - 2
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Author Information
  • State Health Society, Bihar, India

  • Bihar State Building Construction Corporation and Building Construction Department, Govt. of Bihar, India

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