Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

            } else {
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        NEWS ALERTS | Data on AES related deaths in Bihar during May-June this year is fraught with confusion    </title>
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..."/>
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..." />
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    <h1 class="cat-box-title">Data on AES related deaths in Bihar during May-June this year is fraught with confusion</h1>
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                            <p style="text-align:justify">&nbsp;</p><div style="text-align:justify">In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">hailed from</a> East Champaran, Vaishali, Sitamarhi and Samastipur apart from Muzaffarpur.<br /><br />Unfortunately, till recently official data on the number of cases and deaths related to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) was unavailable for the month of June. For quite some time, the website (<a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a>) of the National Vector Borne Disease Control Programme (NVBDCP) <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">gave data</a> pertaining to encephalitis cases and deaths <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">till April, 2019</a>.<br /><br />Media reports and opinion pieces <em>(prepared mostly on the basis of field visits) </em>that got published during June-July 2019, suggest that there were several probable factors <em>[including high <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">prevalence of under-nutrition</a> among the children from <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">marginalized communities</a> -- dalits, Extremely Backward Classes (EBCs) and muslims; <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">hypoglycaemic encephalopathy</a> that triggered the death of undernourished children; poor <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">hygiene and cleanliness</a>; poor functioning of <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">anganwadi centres</a> under the Integrated Child Development Services scheme-<a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">ICDS</a>; <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">consumption of litchi</a> that contains methylenecyclopropylglycine-<a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">MCPG</a>; low level of <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">immunization/ vaccination</a> drive among children against diseases; poor status of <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">primary health centres</a>-PHCs; <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">high temperature</a> coupled with <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">humidity</a> etc.]</em> that could have caused the death of <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">more than 150 children</a> in Bihar during the month of June this year.<br /><br /><img alt="Image Kaushambi Sanitation" src="https://im4change.in/siteadmin/tinymce/uploaded/Image%20Kaushambi%20Sanitation.jpg" style="height:720px; width:960px" /> <em>Representative Image</em><br /><br />It is, however, essential to look at <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">the latest data</a> <em>(made available at the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>) </em>on the number of cases and deaths pertaining to AES/ JE, which is available till June 2019.<br /><br />Official data indicates that between 2013 and 2019 <em>(till 30th June)</em>, Bihar was not among the top 5 states reporting AES and JE cases. However, the state was certainly among the top 5 states reporting AES and JE related deaths. Table-1 shows that out of 68,622 AES cases reported in the country between 2013 and 2019 <em>(till 30th June)</em>, 3,222 cases were reported from Bihar <em>(viz. 4.70 percent)</em>. However, out of 7,415 AES deaths reported during the same period, 893 deaths happened in that state <em>(viz. 12.04 percent)</em>.<br /><br /><strong>Table 1: State-wise total number of AES and JE cases and deaths between 2013 and 2019 (till 30th June)</strong><br /><br /><img alt="Table 1 State wise total number of AES and JE cases and deaths between 2013 and 2019 till 30 June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%201%20State%20wise%20total%20number%20of%20AES%20and%20JE%20cases%20and%20deaths%20between%202013%20and%202019%20till%2030%20June.jpg" style="height:883px; width:1038px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />From table-1, we also find that out of 10,333 JE cases reported in India between 2013 and 2019 <em>(till 30th June)</em>, 364 cases were reported from Bihar <em>(viz. 3.52 percent)</em>. However, out of 1,535 JE deaths reported during the same period, 62 deaths occurred in that state <em>(viz. 4.04 percent)</em>.<br /><br />Out of the total 3,365 AES cases that have been reported in the country till June this year, most were from Odisha <em>(611)</em>, followed by Bihar <em>(525)</em>, Uttar Pradesh <em>(482)</em>, Tamil Nadu <em>(329)</em> and Jharkhand <em>(305)</em>. Please check table-2.<br /><br /><strong>Table 2: State-wise number of AES and JE Cases and Deaths during 2013-2019 (till 30th June)</strong><br /><br /><img alt="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June.jpg" style="height:1172px; width:1590px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />It may be noted that there was <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">no (viz. zero) AES related case or death</a> from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">earlier dataset</a> that was available in the public domain. It means that <u>525 AES cases and 116 AES related deaths occurred in Bihar during May-June 2019</u> if we compare the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>. Please note that the official data indicates a lesser number of AES related deaths during May-June as compared to what the media had reported. Most news reports and stories had said that <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">more than 150 children</a> died in Bihar during June alone this year owing to AES.<br /><br /><u>It is, however, not mentioned in the <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">NVBDCP website</a> whether the data pertaining to AES/ JE cases and deaths cover only government hospitals/ health centres or the data covers all types of such health institutions including the private ones.</u><br /><br />In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">reply to unstarred</a> <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">question number 3358</a> <em>(to be answered on 12th July, 2019 in the Lok Sabha)</em>, the Minister of State in the Ministry of Health and Family Welfare Shri Ashwini Kumar Choubey said that <u>the total number of AES cases in 2019 <em>(till 8th July)</em> <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha">was 872</a> and the total number of AES related deaths in the same period <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg">was 176</a> in Bihar.</u> Things become further complicated once we consider another fact, which was shared by the same minister in the Rajya Sabha on 9th July this year. In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">reply to unstarred question number 1845</a> <em>(to be answered on 9th July, 2019 in the Rajya Sabha)</em> Shri Ashwini Kumar Choubey said that <u>between 1st June and 2nd July this year, <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">813 AES cases</a> and <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">162 AES related deaths</a> were reported from 25 districts of Bihar</u> as against a total of <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">189 deaths</a> caused by AES in that state between 2016 and 2018.<br /><br />The <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">latest available data of NVBDCP</a> shows that in 2019 <em>(till 30th June)</em>, the death rate in case of AES <em>(which is calculated by dividing number of deaths by number of cases multiplied by 100)</em> at the national level stands at 5.32 percent, whereas the same for the states of Odisha, Bihar, Uttar Pradesh, Tamil Nadu and Jharkhand are 0.16 percent, 22.10 percent, 3.53 percent, zero percent and 0.66 percent, respectively. Clearly, among the top 5 AES prone states, the chances of survival is the lowest in Bihar, followed by Uttar Pradesh during 2019 <em>(till 30th June)</em>, although the death rate in Assam <em>(8.22 percent)</em> too is quite high. Kindly see table-3.<br /><br /><strong>Table 3: Death rate for AES and JE during 2013-2019 till 30th June (in percentage)</strong></div><p style="text-align:justify">&nbsp;</p><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><img alt="Table 3 Death rate for AES and JE during 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%203%20Death%20rate%20for%20AES%20and%20JE%20during%202013-2019%20till%20June.jpg" style="height:586px; width:1086px" /></div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><em><strong>Note:</strong> Death rate calculated by Inclusive Media for Change; death rate is calculated by dividing number of deaths by number of cases multiplied by 100; NA means not applicable<br /><strong>Source:</strong> National Vector Borne Disease Control Programme,</em> <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br /><strong>JE cases and deaths</strong><br />&nbsp;<br />Out of the total 321 JE cases that were reported till 30th June this year, most are from Assam <em>(69)</em>, followed by Tamil Nadu <em>(65)</em> and Odisha <em>(55)</em>. Please see table-2.<br /><br />The death rate in case of JE at the national level stands at 9.35 percent, whereas the same for the states of Assam, Tamil Nadu and Odisha are 30.43 percent, zero percent and 1.82 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2019, indicates <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf">latest available data</a>. It may be noted that the death rate in case of JE for the states of Jharkhand, Maharashtra, Manipur, West Bengal, Uttar Pradesh and Bihar are 18.18 percent, 14.29 percent, 12.50 percent, 11.11 percent, 7.41 percent and 6.25 percent, respectively. Please see table-3 for details. &nbsp;<br /><br />Kindly note that there was no <em>(viz. zero)</em> JE related case or death from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">earlier dataset of NVBDCP</a> that was available in the public domain. It means that 16 JE cases and 1 JE related death occurred in Bihar during May-June 2019. This we get on comparing the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>.<br /><br /><em><strong>References</strong></em><br /><br />Reply to Unstarred Question no. 3358 to be answered on 12th July, 2019 in Lok Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">click here</a> to access</div><div style="text-align:justify"><br />Reply to Unstarred Question no. 1845 to be answered on 9th July, 2019 in Rajya Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">click here</a> to access &nbsp;<br /><br />Uttar Pradesh among top 5 encephalitis prone states, suggests official data, News alert by Inclusive Media for Change dated 25 August, 2017, please <a href="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html" title="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html">click here</a> to access<br />&nbsp;<br />Don&#39;t blame the litchi -T Jacob John, The Indian Express, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html" title="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html">click here</a> to access&nbsp;<br /><br />Healthcare&#39;s primary problem -Soham D Bhaduri, The Hindu, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">click here</a> to access&nbsp;<br /><br />Lessons that Delhi journalists can learn from local media at Muzaffarpur -Umesh Kumar Ray, Newslaundry.com, 1 July, 2019, please <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">click here</a> to access&nbsp;<br /><br />Medical investigators say Muzaffarpur deaths probably due to malnutrition and delayed care, The Telegraph, 28 June, 2019, please <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">click here</a> to access&nbsp;<br /><br />AES in Bihar: Poor anganwadi centres failed to deliver, Down to Earth, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">click here</a> to access&nbsp;<br /><br />In Muzaffarpur, AES is a grim reaper that stalks poor children -Ayush Tiwari, Newslaundry.com, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html" title="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html">click here</a> to read more&nbsp;<br /><br />Bihar AES deaths: A hundred deaths, and no answers -Jacob Koshy, The Hindu, 22 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html" title="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html">click here </a>to access&nbsp;<br /><br />Muzzaffarpur: Anganwadi and Asha workers, who should have conducted awareness drive and monitored food intake of children, were on poll duty - Aanchal Bansal, The Economic Times, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html" title="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html">click here</a> to access&nbsp;<br /><br />Fix healthcare now, or future shock is certain -Patralekha Chatterjee, Deccan Chronicle, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html" title="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html">click here</a> to read more&nbsp;<br /><br />Most AES Victims in Bihar Are Dalits, EBCs and Muslims -Mohd. Imran Khan, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">click here</a> to read more&nbsp;<br /><br />Bihar hospital doctors lack training, finds AIIMS team -Sana Shakil and Rajesh K Thakur, The New Indian Express, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html" title="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html">click here</a> to read more&nbsp;<br /><br />Spare Dying Kids from Insensitive Reporting - Saurabh Sharma, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html" title="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html">click here</a> to access<br /><br />Stopping Muzaffarpur Child Deaths Will Require a Gender-Sensitive Social Analysis -Purnima Menon, TheWire.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">click here</a> to access&nbsp;&nbsp;&nbsp;<br /><br />NHRC questions frailty of health infrastructure, The Hindu, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html" title="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html">click here</a> to access&nbsp;<br /><br />No Muzaffarpur medical centre has a rating better than zero -Rema Nagarajan, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html" title="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html">click here</a> to access&nbsp;<br /><br />Encephalitis spreads to other districts of Bihar, toll at 114 -Ajay Kumar Pandey, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html" title="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html">click here</a> to access&nbsp;<br /><br />Five years later, Harsh Vardhan makes same promise -GS Mudur, The Telegraph, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html" title="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html">click here</a> to access&nbsp;<br /><br />Averting deaths in Muzaffarpur -T Jacob John, The Hindu, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">click here</a> to read more&nbsp;<br /><br />Heat, lack of nutrition, awareness add to AES, Bihar kids toll over 100 -Santosh Singh, The Indian Express, 18 June, 2019, please <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">click here</a> to access&nbsp;<br /><br />Dr. Arun Shah, a Muzaffarpur-based paediatrician, interviewed by Banjot Kaur, Down to Earth, 18 June, 2019, please <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">click here</a> to access&nbsp;<br /><br />Bihar: Who is Responsible for the Death of 100 Children? -Umesh Kumar Ray, TheWire.in, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html" title="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html">click here</a> to access&nbsp;&nbsp;<br /><br />Bihar: Encephalitis death toll rises to 103, NHRC points to &#39;flaw&#39; in vaccination schemes, The Indian Express, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">click here</a> to access&nbsp;<br /><br />20 more kids die in 24 hours, Bihar encephalitis toll hits 93 -Ramashankar, The Times of India, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html" title="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html">click here</a> to access&nbsp;<br /><br />Number of children killed by encephalitis in Bihar rises to 57 -Amarnath Tewary, The Hindu, 15 June, 2019, please <a href="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html" title="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html">click here</a> to access&nbsp;<br /><br />43 kids dead in Bihar&#39;s Muzaffarpur this month, state cites low blood sugar -Santosh Singh, The Indian Express, 13 June, 2019, please <a href="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html" title="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html">click here</a> to access&nbsp;<br /><br />In one month, 28 children die of suspected encephalitis in Bihar&#39;s Muzaffarpur district -Amarnath Tewary, The Hindu, 11 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html" title="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html">click here</a> to read more&nbsp;<br /><br /><strong>Image Courtesy: UNDP India</strong><br />&nbsp;</div>                                                           
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..."/>
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..." />
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                            <p style="text-align:justify">&nbsp;</p><div style="text-align:justify">In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">hailed from</a> East Champaran, Vaishali, Sitamarhi and Samastipur apart from Muzaffarpur.<br /><br />Unfortunately, till recently official data on the number of cases and deaths related to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) was unavailable for the month of June. For quite some time, the website (<a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a>) of the National Vector Borne Disease Control Programme (NVBDCP) <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">gave data</a> pertaining to encephalitis cases and deaths <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">till April, 2019</a>.<br /><br />Media reports and opinion pieces <em>(prepared mostly on the basis of field visits) </em>that got published during June-July 2019, suggest that there were several probable factors <em>[including high <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">prevalence of under-nutrition</a> among the children from <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">marginalized communities</a> -- dalits, Extremely Backward Classes (EBCs) and muslims; <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">hypoglycaemic encephalopathy</a> that triggered the death of undernourished children; poor <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">hygiene and cleanliness</a>; poor functioning of <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">anganwadi centres</a> under the Integrated Child Development Services scheme-<a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">ICDS</a>; <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">consumption of litchi</a> that contains methylenecyclopropylglycine-<a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">MCPG</a>; low level of <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">immunization/ vaccination</a> drive among children against diseases; poor status of <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">primary health centres</a>-PHCs; <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">high temperature</a> coupled with <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">humidity</a> etc.]</em> that could have caused the death of <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">more than 150 children</a> in Bihar during the month of June this year.<br /><br /><img alt="Image Kaushambi Sanitation" src="https://im4change.in/siteadmin/tinymce/uploaded/Image%20Kaushambi%20Sanitation.jpg" style="height:720px; width:960px" /> <em>Representative Image</em><br /><br />It is, however, essential to look at <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">the latest data</a> <em>(made available at the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>) </em>on the number of cases and deaths pertaining to AES/ JE, which is available till June 2019.<br /><br />Official data indicates that between 2013 and 2019 <em>(till 30th June)</em>, Bihar was not among the top 5 states reporting AES and JE cases. However, the state was certainly among the top 5 states reporting AES and JE related deaths. Table-1 shows that out of 68,622 AES cases reported in the country between 2013 and 2019 <em>(till 30th June)</em>, 3,222 cases were reported from Bihar <em>(viz. 4.70 percent)</em>. However, out of 7,415 AES deaths reported during the same period, 893 deaths happened in that state <em>(viz. 12.04 percent)</em>.<br /><br /><strong>Table 1: State-wise total number of AES and JE cases and deaths between 2013 and 2019 (till 30th June)</strong><br /><br /><img alt="Table 1 State wise total number of AES and JE cases and deaths between 2013 and 2019 till 30 June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%201%20State%20wise%20total%20number%20of%20AES%20and%20JE%20cases%20and%20deaths%20between%202013%20and%202019%20till%2030%20June.jpg" style="height:883px; width:1038px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />From table-1, we also find that out of 10,333 JE cases reported in India between 2013 and 2019 <em>(till 30th June)</em>, 364 cases were reported from Bihar <em>(viz. 3.52 percent)</em>. However, out of 1,535 JE deaths reported during the same period, 62 deaths occurred in that state <em>(viz. 4.04 percent)</em>.<br /><br />Out of the total 3,365 AES cases that have been reported in the country till June this year, most were from Odisha <em>(611)</em>, followed by Bihar <em>(525)</em>, Uttar Pradesh <em>(482)</em>, Tamil Nadu <em>(329)</em> and Jharkhand <em>(305)</em>. Please check table-2.<br /><br /><strong>Table 2: State-wise number of AES and JE Cases and Deaths during 2013-2019 (till 30th June)</strong><br /><br /><img alt="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June.jpg" style="height:1172px; width:1590px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />It may be noted that there was <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">no (viz. zero) AES related case or death</a> from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">earlier dataset</a> that was available in the public domain. It means that <u>525 AES cases and 116 AES related deaths occurred in Bihar during May-June 2019</u> if we compare the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>. Please note that the official data indicates a lesser number of AES related deaths during May-June as compared to what the media had reported. Most news reports and stories had said that <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">more than 150 children</a> died in Bihar during June alone this year owing to AES.<br /><br /><u>It is, however, not mentioned in the <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">NVBDCP website</a> whether the data pertaining to AES/ JE cases and deaths cover only government hospitals/ health centres or the data covers all types of such health institutions including the private ones.</u><br /><br />In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">reply to unstarred</a> <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">question number 3358</a> <em>(to be answered on 12th July, 2019 in the Lok Sabha)</em>, the Minister of State in the Ministry of Health and Family Welfare Shri Ashwini Kumar Choubey said that <u>the total number of AES cases in 2019 <em>(till 8th July)</em> <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha">was 872</a> and the total number of AES related deaths in the same period <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg">was 176</a> in Bihar.</u> Things become further complicated once we consider another fact, which was shared by the same minister in the Rajya Sabha on 9th July this year. In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">reply to unstarred question number 1845</a> <em>(to be answered on 9th July, 2019 in the Rajya Sabha)</em> Shri Ashwini Kumar Choubey said that <u>between 1st June and 2nd July this year, <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">813 AES cases</a> and <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">162 AES related deaths</a> were reported from 25 districts of Bihar</u> as against a total of <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">189 deaths</a> caused by AES in that state between 2016 and 2018.<br /><br />The <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">latest available data of NVBDCP</a> shows that in 2019 <em>(till 30th June)</em>, the death rate in case of AES <em>(which is calculated by dividing number of deaths by number of cases multiplied by 100)</em> at the national level stands at 5.32 percent, whereas the same for the states of Odisha, Bihar, Uttar Pradesh, Tamil Nadu and Jharkhand are 0.16 percent, 22.10 percent, 3.53 percent, zero percent and 0.66 percent, respectively. Clearly, among the top 5 AES prone states, the chances of survival is the lowest in Bihar, followed by Uttar Pradesh during 2019 <em>(till 30th June)</em>, although the death rate in Assam <em>(8.22 percent)</em> too is quite high. Kindly see table-3.<br /><br /><strong>Table 3: Death rate for AES and JE during 2013-2019 till 30th June (in percentage)</strong></div><p style="text-align:justify">&nbsp;</p><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><img alt="Table 3 Death rate for AES and JE during 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%203%20Death%20rate%20for%20AES%20and%20JE%20during%202013-2019%20till%20June.jpg" style="height:586px; width:1086px" /></div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><em><strong>Note:</strong> Death rate calculated by Inclusive Media for Change; death rate is calculated by dividing number of deaths by number of cases multiplied by 100; NA means not applicable<br /><strong>Source:</strong> National Vector Borne Disease Control Programme,</em> <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br /><strong>JE cases and deaths</strong><br />&nbsp;<br />Out of the total 321 JE cases that were reported till 30th June this year, most are from Assam <em>(69)</em>, followed by Tamil Nadu <em>(65)</em> and Odisha <em>(55)</em>. Please see table-2.<br /><br />The death rate in case of JE at the national level stands at 9.35 percent, whereas the same for the states of Assam, Tamil Nadu and Odisha are 30.43 percent, zero percent and 1.82 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2019, indicates <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf">latest available data</a>. It may be noted that the death rate in case of JE for the states of Jharkhand, Maharashtra, Manipur, West Bengal, Uttar Pradesh and Bihar are 18.18 percent, 14.29 percent, 12.50 percent, 11.11 percent, 7.41 percent and 6.25 percent, respectively. Please see table-3 for details. &nbsp;<br /><br />Kindly note that there was no <em>(viz. zero)</em> JE related case or death from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">earlier dataset of NVBDCP</a> that was available in the public domain. It means that 16 JE cases and 1 JE related death occurred in Bihar during May-June 2019. This we get on comparing the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>.<br /><br /><em><strong>References</strong></em><br /><br />Reply to Unstarred Question no. 3358 to be answered on 12th July, 2019 in Lok Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">click here</a> to access</div><div style="text-align:justify"><br />Reply to Unstarred Question no. 1845 to be answered on 9th July, 2019 in Rajya Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">click here</a> to access &nbsp;<br /><br />Uttar Pradesh among top 5 encephalitis prone states, suggests official data, News alert by Inclusive Media for Change dated 25 August, 2017, please <a href="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html" title="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html">click here</a> to access<br />&nbsp;<br />Don&#39;t blame the litchi -T Jacob John, The Indian Express, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html" title="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html">click here</a> to access&nbsp;<br /><br />Healthcare&#39;s primary problem -Soham D Bhaduri, The Hindu, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">click here</a> to access&nbsp;<br /><br />Lessons that Delhi journalists can learn from local media at Muzaffarpur -Umesh Kumar Ray, Newslaundry.com, 1 July, 2019, please <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">click here</a> to access&nbsp;<br /><br />Medical investigators say Muzaffarpur deaths probably due to malnutrition and delayed care, The Telegraph, 28 June, 2019, please <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">click here</a> to access&nbsp;<br /><br />AES in Bihar: Poor anganwadi centres failed to deliver, Down to Earth, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">click here</a> to access&nbsp;<br /><br />In Muzaffarpur, AES is a grim reaper that stalks poor children -Ayush Tiwari, Newslaundry.com, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html" title="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html">click here</a> to read more&nbsp;<br /><br />Bihar AES deaths: A hundred deaths, and no answers -Jacob Koshy, The Hindu, 22 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html" title="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html">click here </a>to access&nbsp;<br /><br />Muzzaffarpur: Anganwadi and Asha workers, who should have conducted awareness drive and monitored food intake of children, were on poll duty - Aanchal Bansal, The Economic Times, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html" title="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html">click here</a> to access&nbsp;<br /><br />Fix healthcare now, or future shock is certain -Patralekha Chatterjee, Deccan Chronicle, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html" title="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html">click here</a> to read more&nbsp;<br /><br />Most AES Victims in Bihar Are Dalits, EBCs and Muslims -Mohd. Imran Khan, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">click here</a> to read more&nbsp;<br /><br />Bihar hospital doctors lack training, finds AIIMS team -Sana Shakil and Rajesh K Thakur, The New Indian Express, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html" title="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html">click here</a> to read more&nbsp;<br /><br />Spare Dying Kids from Insensitive Reporting - Saurabh Sharma, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html" title="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html">click here</a> to access<br /><br />Stopping Muzaffarpur Child Deaths Will Require a Gender-Sensitive Social Analysis -Purnima Menon, TheWire.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">click here</a> to access&nbsp;&nbsp;&nbsp;<br /><br />NHRC questions frailty of health infrastructure, The Hindu, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html" title="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html">click here</a> to access&nbsp;<br /><br />No Muzaffarpur medical centre has a rating better than zero -Rema Nagarajan, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html" title="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html">click here</a> to access&nbsp;<br /><br />Encephalitis spreads to other districts of Bihar, toll at 114 -Ajay Kumar Pandey, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html" title="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html">click here</a> to access&nbsp;<br /><br />Five years later, Harsh Vardhan makes same promise -GS Mudur, The Telegraph, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html" title="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html">click here</a> to access&nbsp;<br /><br />Averting deaths in Muzaffarpur -T Jacob John, The Hindu, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">click here</a> to read more&nbsp;<br /><br />Heat, lack of nutrition, awareness add to AES, Bihar kids toll over 100 -Santosh Singh, The Indian Express, 18 June, 2019, please <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">click here</a> to access&nbsp;<br /><br />Dr. Arun Shah, a Muzaffarpur-based paediatrician, interviewed by Banjot Kaur, Down to Earth, 18 June, 2019, please <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">click here</a> to access&nbsp;<br /><br />Bihar: Who is Responsible for the Death of 100 Children? -Umesh Kumar Ray, TheWire.in, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html" title="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html">click here</a> to access&nbsp;&nbsp;<br /><br />Bihar: Encephalitis death toll rises to 103, NHRC points to &#39;flaw&#39; in vaccination schemes, The Indian Express, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">click here</a> to access&nbsp;<br /><br />20 more kids die in 24 hours, Bihar encephalitis toll hits 93 -Ramashankar, The Times of India, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html" title="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html">click here</a> to access&nbsp;<br /><br />Number of children killed by encephalitis in Bihar rises to 57 -Amarnath Tewary, The Hindu, 15 June, 2019, please <a href="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html" title="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html">click here</a> to access&nbsp;<br /><br />43 kids dead in Bihar&#39;s Muzaffarpur this month, state cites low blood sugar -Santosh Singh, The Indian Express, 13 June, 2019, please <a href="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html" title="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html">click here</a> to access&nbsp;<br /><br />In one month, 28 children die of suspected encephalitis in Bihar&#39;s Muzaffarpur district -Amarnath Tewary, The Hindu, 11 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html" title="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html">click here</a> to read more&nbsp;<br /><br /><strong>Image Courtesy: UNDP India</strong><br />&nbsp;</div>                                                           
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                            <a class="tagcloud5"
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                   title="Acute Encephalitis Syndrome">
                    Acute Encephalitis Syndrome                </a>
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                   href="https://im4change.in/search?qryStr=Bihar"
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                    Bihar                </a>
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                   title="Japanese Encephalitis">
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..."/>
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In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali,..." />
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                            <p style="text-align:justify">&nbsp;</p><div style="text-align:justify">In the month of June this year, encephalitis related deaths in Bihar&#39;s Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">hailed from</a> East Champaran, Vaishali, Sitamarhi and Samastipur apart from Muzaffarpur.<br /><br />Unfortunately, till recently official data on the number of cases and deaths related to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) was unavailable for the month of June. For quite some time, the website (<a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a>) of the National Vector Borne Disease Control Programme (NVBDCP) <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">gave data</a> pertaining to encephalitis cases and deaths <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">till April, 2019</a>.<br /><br />Media reports and opinion pieces <em>(prepared mostly on the basis of field visits) </em>that got published during June-July 2019, suggest that there were several probable factors <em>[including high <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">prevalence of under-nutrition</a> among the children from <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">marginalized communities</a> -- dalits, Extremely Backward Classes (EBCs) and muslims; <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">hypoglycaemic encephalopathy</a> that triggered the death of undernourished children; poor <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">hygiene and cleanliness</a>; poor functioning of <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">anganwadi centres</a> under the Integrated Child Development Services scheme-<a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">ICDS</a>; <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">consumption of litchi</a> that contains methylenecyclopropylglycine-<a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">MCPG</a>; low level of <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">immunization/ vaccination</a> drive among children against diseases; poor status of <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">primary health centres</a>-PHCs; <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">high temperature</a> coupled with <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">humidity</a> etc.]</em> that could have caused the death of <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">more than 150 children</a> in Bihar during the month of June this year.<br /><br /><img alt="Image Kaushambi Sanitation" src="https://im4change.in/siteadmin/tinymce/uploaded/Image%20Kaushambi%20Sanitation.jpg" style="height:720px; width:960px" /> <em>Representative Image</em><br /><br />It is, however, essential to look at <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">the latest data</a> <em>(made available at the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>) </em>on the number of cases and deaths pertaining to AES/ JE, which is available till June 2019.<br /><br />Official data indicates that between 2013 and 2019 <em>(till 30th June)</em>, Bihar was not among the top 5 states reporting AES and JE cases. However, the state was certainly among the top 5 states reporting AES and JE related deaths. Table-1 shows that out of 68,622 AES cases reported in the country between 2013 and 2019 <em>(till 30th June)</em>, 3,222 cases were reported from Bihar <em>(viz. 4.70 percent)</em>. However, out of 7,415 AES deaths reported during the same period, 893 deaths happened in that state <em>(viz. 12.04 percent)</em>.<br /><br /><strong>Table 1: State-wise total number of AES and JE cases and deaths between 2013 and 2019 (till 30th June)</strong><br /><br /><img alt="Table 1 State wise total number of AES and JE cases and deaths between 2013 and 2019 till 30 June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%201%20State%20wise%20total%20number%20of%20AES%20and%20JE%20cases%20and%20deaths%20between%202013%20and%202019%20till%2030%20June.jpg" style="height:883px; width:1038px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />From table-1, we also find that out of 10,333 JE cases reported in India between 2013 and 2019 <em>(till 30th June)</em>, 364 cases were reported from Bihar <em>(viz. 3.52 percent)</em>. However, out of 1,535 JE deaths reported during the same period, 62 deaths occurred in that state <em>(viz. 4.04 percent)</em>.<br /><br />Out of the total 3,365 AES cases that have been reported in the country till June this year, most were from Odisha <em>(611)</em>, followed by Bihar <em>(525)</em>, Uttar Pradesh <em>(482)</em>, Tamil Nadu <em>(329)</em> and Jharkhand <em>(305)</em>. Please check table-2.<br /><br /><strong>Table 2: State-wise number of AES and JE Cases and Deaths during 2013-2019 (till 30th June)</strong><br /><br /><img alt="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June.jpg" style="height:1172px; width:1590px" /><br /><em><strong>Source:</strong> National Vector Borne Disease Control Programme, </em><a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br />It may be noted that there was <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">no (viz. zero) AES related case or death</a> from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="AES JE cases and deaths till 30 April 2019">earlier dataset</a> that was available in the public domain. It means that <u>525 AES cases and 116 AES related deaths occurred in Bihar during May-June 2019</u> if we compare the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_3.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="State wise number of AES and JE Cases and Deaths during 2013-2019 till 30th April">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>. Please note that the official data indicates a lesser number of AES related deaths during May-June as compared to what the media had reported. Most news reports and stories had said that <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">more than 150 children</a> died in Bihar during June alone this year owing to AES.<br /><br /><u>It is, however, not mentioned in the <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">NVBDCP website</a> whether the data pertaining to AES/ JE cases and deaths cover only government hospitals/ health centres or the data covers all types of such health institutions including the private ones.</u><br /><br />In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">reply to unstarred</a> <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">question number 3358</a> <em>(to be answered on 12th July, 2019 in the Lok Sabha)</em>, the Minister of State in the Ministry of Health and Family Welfare Shri Ashwini Kumar Choubey said that <u>the total number of AES cases in 2019 <em>(till 8th July)</em> <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="12th July 2019 Lok Sabha">was 872</a> and the total number of AES related deaths in the same period <a href="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/12th%20July%202019%20Lok%20Sabha.jpg">was 176</a> in Bihar.</u> Things become further complicated once we consider another fact, which was shared by the same minister in the Rajya Sabha on 9th July this year. In a <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">reply to unstarred question number 1845</a> <em>(to be answered on 9th July, 2019 in the Rajya Sabha)</em> Shri Ashwini Kumar Choubey said that <u>between 1st June and 2nd July this year, <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">813 AES cases</a> and <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">162 AES related deaths</a> were reported from 25 districts of Bihar</u> as against a total of <a href="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/9th%20July%202019%20Rajya%20Sabha.jpg" title="9th July 2019 Rajya Sabha">189 deaths</a> caused by AES in that state between 2016 and 2018.<br /><br />The <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="State wise number of AES &amp; JE Cases and Deaths from 2013-2019 till June 2019">latest available data of NVBDCP</a> shows that in 2019 <em>(till 30th June)</em>, the death rate in case of AES <em>(which is calculated by dividing number of deaths by number of cases multiplied by 100)</em> at the national level stands at 5.32 percent, whereas the same for the states of Odisha, Bihar, Uttar Pradesh, Tamil Nadu and Jharkhand are 0.16 percent, 22.10 percent, 3.53 percent, zero percent and 0.66 percent, respectively. Clearly, among the top 5 AES prone states, the chances of survival is the lowest in Bihar, followed by Uttar Pradesh during 2019 <em>(till 30th June)</em>, although the death rate in Assam <em>(8.22 percent)</em> too is quite high. Kindly see table-3.<br /><br /><strong>Table 3: Death rate for AES and JE during 2013-2019 till 30th June (in percentage)</strong></div><p style="text-align:justify">&nbsp;</p><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><img alt="Table 3 Death rate for AES and JE during 2013-2019 till June" src="https://im4change.in/siteadmin/tinymce/uploaded/Table%203%20Death%20rate%20for%20AES%20and%20JE%20during%202013-2019%20till%20June.jpg" style="height:586px; width:1086px" /></div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><em><strong>Note:</strong> Death rate calculated by Inclusive Media for Change; death rate is calculated by dividing number of deaths by number of cases multiplied by 100; NA means not applicable<br /><strong>Source:</strong> National Vector Borne Disease Control Programme,</em> <a href="https://www.nvbdcp.gov.in" title="https://www.nvbdcp.gov.in">https://www.nvbdcp.gov.in</a><br />---<br /><br /><strong>JE cases and deaths</strong><br />&nbsp;<br />Out of the total 321 JE cases that were reported till 30th June this year, most are from Assam <em>(69)</em>, followed by Tamil Nadu <em>(65)</em> and Odisha <em>(55)</em>. Please see table-2.<br /><br />The death rate in case of JE at the national level stands at 9.35 percent, whereas the same for the states of Assam, Tamil Nadu and Odisha are 30.43 percent, zero percent and 1.82 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2019, indicates <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20&amp;%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June%202019.pdf">latest available data</a>. It may be noted that the death rate in case of JE for the states of Jharkhand, Maharashtra, Manipur, West Bengal, Uttar Pradesh and Bihar are 18.18 percent, 14.29 percent, 12.50 percent, 11.11 percent, 7.41 percent and 6.25 percent, respectively. Please see table-3 for details. &nbsp;<br /><br />Kindly note that there was no <em>(viz. zero)</em> JE related case or death from Bihar between January and April 2019, according to the <a href="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf" title="https://im4change.in/siteadmin/tinymce/uploaded/AES%20JE%20cases%20and%20deaths%20till%2030%20April%202019.pdf">earlier dataset of NVBDCP</a> that was available in the public domain. It means that 16 JE cases and 1 JE related death occurred in Bihar during May-June 2019. This we get on comparing the <a href="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June" title="https://im4change.in/siteadmin/tinymce/uploaded/Table%202%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20from%202013-2019%20till%20June_2.jpg" title="Table 2 State wise number of AES and JE Cases and Deaths from 2013-2019 till June">latest available data</a> against the <a href="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg" title="https://im4change.in/siteadmin/tinymce/uploaded/State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202013-2019%20till%2030th%20April.jpg">previous one</a> that was provided by the <a href="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693" title="https://nvbdcp.gov.in/index1.php?lang=1&amp;level=1&amp;sublinkid=5773&amp;lid=3693">NVBDCP website</a>.<br /><br /><em><strong>References</strong></em><br /><br />Reply to Unstarred Question no. 3358 to be answered on 12th July, 2019 in Lok Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no.%203358%20to%20be%20answered%20on%2012th%20July%202019%20in%20Lok%20Sabha.pdf" title="Reply to Unstarred Question no. 3358 to be answered on 12th July 2019 in Lok Sabha">click here</a> to access</div><div style="text-align:justify"><br />Reply to Unstarred Question no. 1845 to be answered on 9th July, 2019 in Rajya Sabha, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha" title="https://im4change.in/siteadmin/tinymce/uploaded/Reply%20to%20Unstarred%20Question%20no%201845%20to%20be%20answered%20on%209th%20July%202019%20in%20Rajya%20Sabha.pdf" title="Reply to Unstarred Question no 1845 to be answered on 9th July 2019 in Rajya Sabha">click here</a> to access &nbsp;<br /><br />Uttar Pradesh among top 5 encephalitis prone states, suggests official data, News alert by Inclusive Media for Change dated 25 August, 2017, please <a href="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html" title="https://im4change.org/news-alerts/uttar-pradesh-among-top-5-encephalitis-prone-states-suggests-official-data-4682606.html">click here</a> to access<br />&nbsp;<br />Don&#39;t blame the litchi -T Jacob John, The Indian Express, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html" title="https://im4change.org/latest-news-updates/don039t-blame-the-litchi-t-jacob-john-4687504.html">click here</a> to access&nbsp;<br /><br />Healthcare&#39;s primary problem -Soham D Bhaduri, The Hindu, 3 July, 2019, please <a href="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html" title="https://im4change.org/latest-news-updates/healthcare039s-primary-problem-soham-d-bhaduri-4687496.html">click here</a> to access&nbsp;<br /><br />Lessons that Delhi journalists can learn from local media at Muzaffarpur -Umesh Kumar Ray, Newslaundry.com, 1 July, 2019, please <a href="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html" title="https://im4change.org/latest-news-updates/lessons-that-delhi-journalists-can-learn-from-local-media-at-muzaffarpur-umesh-kumar-ray-4687492.html">click here</a> to access&nbsp;<br /><br />Medical investigators say Muzaffarpur deaths probably due to malnutrition and delayed care, The Telegraph, 28 June, 2019, please <a href="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html" title="https://im4change.org/latest-news-updates/medical-investigators-say-muzaffarpur-deaths-probably-due-to-malnutrition-and-delayed-care-4687477.html">click here</a> to access&nbsp;<br /><br />AES in Bihar: Poor anganwadi centres failed to deliver, Down to Earth, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html" title="https://im4change.org/latest-news-updates/aes-in-bihar-poor-anganwadi-centres-failed-to-deliver-4687462.html">click here</a> to access&nbsp;<br /><br />In Muzaffarpur, AES is a grim reaper that stalks poor children -Ayush Tiwari, Newslaundry.com, 25 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html" title="https://im4change.org/latest-news-updates/in-muzaffarpur-aes-is-a-grim-reaper-that-stalks-poor-children-ayush-tiwari-4687461.html">click here</a> to read more&nbsp;<br /><br />Bihar AES deaths: A hundred deaths, and no answers -Jacob Koshy, The Hindu, 22 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html" title="https://im4change.org/latest-news-updates/bihar-aes-deaths-a-hundred-deaths-and-no-answers-jacob-koshy-4687422.html">click here </a>to access&nbsp;<br /><br />Muzzaffarpur: Anganwadi and Asha workers, who should have conducted awareness drive and monitored food intake of children, were on poll duty - Aanchal Bansal, The Economic Times, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html" title="https://im4change.org/latest-news-updates/muzzaffarpur-anganwadi-and-asha-workers-who-should-have-conducted-awareness-drive-and-monitored-food-intake-of-children-were-on-poll-duty-aanchal-bansal-4687421.html">click here</a> to access&nbsp;<br /><br />Fix healthcare now, or future shock is certain -Patralekha Chatterjee, Deccan Chronicle, 21 June, 2019, please <a href="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html" title="https://im4change.org/latest-news-updates/fix-healthcare-now-or-future-shock-is-certain-patralekha-chatterjee-4687412.html">click here</a> to read more&nbsp;<br /><br />Most AES Victims in Bihar Are Dalits, EBCs and Muslims -Mohd. Imran Khan, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html" title="https://im4change.org/latest-news-updates/most-aes-victims-in-bihar-are-dalits-ebcs-and-muslims-mohd-imran-khan-4687415.html">click here</a> to read more&nbsp;<br /><br />Bihar hospital doctors lack training, finds AIIMS team -Sana Shakil and Rajesh K Thakur, The New Indian Express, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html" title="https://im4change.org/latest-news-updates/bihar-hospital-doctors-lack-training-finds-aiims-team-sana-shakil-and-rajesh-k-thakur-4687434.html">click here</a> to read more&nbsp;<br /><br />Spare Dying Kids from Insensitive Reporting - Saurabh Sharma, Newsclick.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html" title="https://im4change.org/latest-news-updates/spare-dying-kids-from-insensitive-reporting-saurabh-sharma-4687423.html">click here</a> to access<br /><br />Stopping Muzaffarpur Child Deaths Will Require a Gender-Sensitive Social Analysis -Purnima Menon, TheWire.in, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html" title="https://im4change.org/latest-news-updates/stopping-muzaffarpur-child-deaths-will-require-a-gender-sensitive-social-analysis-purnima-menon-4687414.html">click here</a> to access&nbsp;&nbsp;&nbsp;<br /><br />NHRC questions frailty of health infrastructure, The Hindu, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html" title="https://im4change.org/latest-news-updates/nhrc-questions-frailty-of-health-infrastructure-4687408.html">click here</a> to access&nbsp;<br /><br />No Muzaffarpur medical centre has a rating better than zero -Rema Nagarajan, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html" title="https://im4change.org/latest-news-updates/no-muzaffarpur-medical-centre-has-a-rating-better-than-zero-rema-nagarajan-4687404.html">click here</a> to access&nbsp;<br /><br />Encephalitis spreads to other districts of Bihar, toll at 114 -Ajay Kumar Pandey, The Times of India, 20 June, 2019, please <a href="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html" title="https://im4change.org/latest-news-updates/encephalitis-spreads-to-other-districts-of-bihar-toll-at-114-ajay-kumar-pandey-4687403.html">click here</a> to access&nbsp;<br /><br />Five years later, Harsh Vardhan makes same promise -GS Mudur, The Telegraph, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html" title="https://im4change.org/latest-news-updates/five-years-later-harsh-vardhan-makes-same-promise-gs-mudur-4687417.html">click here</a> to access&nbsp;<br /><br />Averting deaths in Muzaffarpur -T Jacob John, The Hindu, 19 June, 2019, please <a href="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html" title="https://im4change.org/latest-news-updates/averting-deaths-in-muzaffarpur-t-jacob-john-4687396.html">click here</a> to read more&nbsp;<br /><br />Heat, lack of nutrition, awareness add to AES, Bihar kids toll over 100 -Santosh Singh, The Indian Express, 18 June, 2019, please <a href="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html" title="https://im4change.org/latest-news-updates/heat-lack-of-nutrition-awareness-add-to-aes-bihar-kids-toll-over-100-santosh-singh-4687388.html">click here</a> to access&nbsp;<br /><br />Dr. Arun Shah, a Muzaffarpur-based paediatrician, interviewed by Banjot Kaur, Down to Earth, 18 June, 2019, please <a href="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html" title="https://im4change.org/interviews/dr-arun-shah-a-muzaffarpur-based-paediatrician-interviewed-by-banjot-kaur-down-to-earth-4687428.html">click here</a> to access&nbsp;<br /><br />Bihar: Who is Responsible for the Death of 100 Children? -Umesh Kumar Ray, TheWire.in, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html" title="https://im4change.org/latest-news-updates/bihar-who-is-responsible-for-the-death-of-100-children-umesh-kumar-ray-4687397.html">click here</a> to access&nbsp;&nbsp;<br /><br />Bihar: Encephalitis death toll rises to 103, NHRC points to &#39;flaw&#39; in vaccination schemes, The Indian Express, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html" title="https://im4change.org/latest-news-updates/bihar-encephalitis-death-toll-rises-to-103-nhrc-points-to-039flaw039-in-vaccination-schemes-4687384.html">click here</a> to access&nbsp;<br /><br />20 more kids die in 24 hours, Bihar encephalitis toll hits 93 -Ramashankar, The Times of India, 17 June, 2019, please <a href="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html" title="https://im4change.org/latest-news-updates/20-more-kids-die-in-24-hours-bihar-encephalitis-toll-hits-93-ramashankar-4687376.html">click here</a> to access&nbsp;<br /><br />Number of children killed by encephalitis in Bihar rises to 57 -Amarnath Tewary, The Hindu, 15 June, 2019, please <a href="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html" title="https://im4change.org/latest-news-updates/number-of-children-killed-by-encephalitis-in-bihar-rises-to-57-amarnath-tewary-4687366.html">click here</a> to access&nbsp;<br /><br />43 kids dead in Bihar&#39;s Muzaffarpur this month, state cites low blood sugar -Santosh Singh, The Indian Express, 13 June, 2019, please <a href="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html" title="https://im4change.org/latest-news-updates/43-kids-dead-in-bihar039s-muzaffarpur-this-month-state-cites-low-blood-sugar-santosh-singh-4687350.html">click here</a> to access&nbsp;<br /><br />In one month, 28 children die of suspected encephalitis in Bihar&#39;s Muzaffarpur district -Amarnath Tewary, The Hindu, 11 June, 2019, please <a href="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html" title="https://im4change.org/latest-news-updates/in-one-month-28-children-die-of-suspected-encephalitis-in-bihar039s-muzaffarpur-district-amarnath-tewary-4687342.html">click here</a> to read more&nbsp;<br /><br /><strong>Image Courtesy: UNDP India</strong><br />&nbsp;</div>                                                           
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                            <a class="tagcloud5"
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                   title="Acute Encephalitis Syndrome">
                    Acute Encephalitis Syndrome                </a>
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                   href="https://im4change.in/search?qryStr=Bihar"
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                    Bihar                </a>
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                   title="Japanese Encephalitis">
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Home हिन्दी

Data on AES related deaths in Bihar during May-June this year is fraught with confusion

Published on Aug 15, 2019   Modified on May 14, 2021

In the month of June this year, encephalitis related deaths in Bihar's Muzaffarpur district grabbed the headlines. Actually, most of the children, who were admitted or died at Shri Krishna Medical College and Hospital (SKMCH), hailed from East Champaran, Vaishali, Sitamarhi and Samastipur apart from Muzaffarpur. Unfortunately, till recently official data on the number of cases and deaths related to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) was unavailable for the month of June. For quite some time, the website (https://www.nvbdcp.gov.in) of the National Vector Borne Disease Control Programme (NVBDCP) gave data pertaining to encephalitis cases and deaths till April, 2019. Media reports and opinion pieces (prepared mostly on the basis of field visits) that got published during June-July 2019, suggest that there were several probable factors [including high prevalence of under-nutrition among the children from marginalized communities -- dalits, Extremely Backward Classes (EBCs) and muslims; hypoglycaemic encephalopathy that triggered the death of undernourished children; poor hygiene and cleanliness; poor functioning of anganwadi centres under the Integrated Child Development Services scheme-ICDS; consumption of litchi that contains methylenecyclopropylglycine-MCPG; low level of immunization/ vaccination drive among children against diseases; poor status of primary health centres-PHCs; high temperature coupled with humidity etc.] that could have caused the death of more than 150 children in Bihar during the month of June this year. Representative Image It is, however, essential to look at the latest data (made available at the NVBDCP website) on the number of cases and deaths pertaining to AES/ JE, which is available till June 2019. Official data indicates that between 2013 and 2019 (till 30th June), Bihar was not among the top 5 states reporting AES and JE cases. However, the state was certainly among the top 5 states reporting AES and JE related deaths. Table-1 shows that out of 68,622 AES cases reported in the country between 2013 and 2019 (till 30th June), 3,222 cases were reported from Bihar (viz. 4.70 percent). However, out of 7,415 AES deaths reported during the same period, 893 deaths happened in that state (viz. 12.04 percent). Table 1: State-wise total number of AES and JE cases and deaths between 2013 and 2019 (till 30th June) Source: National Vector Borne Disease Control Programme, https://www.nvbdcp.gov.in --- From table-1, we also find that out of 10,333 JE cases reported in India between 2013 and 2019 (till 30th June), 364 cases were reported from Bihar (viz. 3.52 percent). However, out of 1,535 JE deaths reported during the same period, 62 deaths occurred in that state (viz. 4.04 percent). Out of the total 3,365 AES cases that have been reported in the country till June this year, most were from Odisha (611), followed by Bihar (525), Uttar Pradesh (482), Tamil Nadu (329) and Jharkhand (305). Please check table-2. Table 2: State-wise number of AES and JE Cases and Deaths during 2013-2019 (till 30th June) Source: National Vector Borne Disease Control Programme, https://www.nvbdcp.gov.in --- It may be noted that there was no (viz. zero) AES related case or death from Bihar between January and April 2019, according to the earlier dataset that was available in the public domain. It means that 525 AES cases and 116 AES related deaths occurred in Bihar during May-June 2019 if we compare the latest available data against the previous one that was provided by the NVBDCP website. Please note that the official data indicates a lesser number of AES related deaths during May-June as compared to what the media had reported. Most news reports and stories had said that more than 150 children died in Bihar during June alone this year owing to AES. It is, however, not mentioned in the NVBDCP website whether the data pertaining to AES/ JE cases and deaths cover only government hospitals/ health centres or the data covers all types of such health institutions including the private ones. In a reply to unstarred question number 3358 (to be answered on 12th July, 2019 in the Lok Sabha), the Minister of State in the Ministry of Health and Family Welfare Shri Ashwini Kumar Choubey said that the total number of AES cases in 2019 (till 8th July) was 872 and the total number of AES related deaths in the same period was 176 in Bihar. Things become further complicated once we consider another fact, which was shared by the same minister in the Rajya Sabha on 9th July this year. In a reply to unstarred question number 1845 (to be answered on 9th July, 2019 in the Rajya Sabha) Shri Ashwini Kumar Choubey said that between 1st June and 2nd July this year, 813 AES cases and 162 AES related deaths were reported from 25 districts of Bihar as against a total of 189 deaths caused by AES in that state between 2016 and 2018. The latest available data of NVBDCP shows that in 2019 (till 30th June), the death rate in case of AES (which is calculated by dividing number of deaths by number of cases multiplied by 100) at the national level stands at 5.32 percent, whereas the same for the states of Odisha, Bihar, Uttar Pradesh, Tamil Nadu and Jharkhand are 0.16 percent, 22.10 percent, 3.53 percent, zero percent and 0.66 percent, respectively. Clearly, among the top 5 AES prone states, the chances of survival is the lowest in Bihar, followed by Uttar Pradesh during 2019 (till 30th June), although the death rate in Assam (8.22 percent) too is quite high. Kindly see table-3. Table 3: Death rate for AES and JE during 2013-2019 till 30th June (in percentage)       Note: Death rate calculated by Inclusive Media for Change; death rate is calculated by dividing number of deaths by number of cases multiplied by 100; NA means not applicable Source: National Vector Borne Disease Control Programme, https://www.nvbdcp.gov.in --- JE cases and deaths   Out of the total 321 JE cases that were reported till 30th June this year, most are from Assam (69), followed by Tamil Nadu (65) and Odisha (55). Please see table-2. The death rate in case of JE at the national level stands at 9.35 percent, whereas the same for the states of Assam, Tamil Nadu and Odisha are 30.43 percent, zero percent and 1.82 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2019, indicates latest available data. It may be noted that the death rate in case of JE for the states of Jharkhand, Maharashtra, Manipur, West Bengal, Uttar Pradesh and Bihar are 18.18 percent, 14.29 percent, 12.50 percent, 11.11 percent, 7.41 percent and 6.25 percent, respectively. Please see table-3 for details.   Kindly note that there was no (viz. zero) JE related case or death from Bihar between January and April 2019, according to the earlier dataset of NVBDCP that was available in the public domain. It means that 16 JE cases and 1 JE related death occurred in Bihar during May-June 2019. This we get on comparing the latest available data against the previous one that was provided by the NVBDCP website. References Reply to Unstarred Question no. 3358 to be answered on 12th July, 2019 in Lok Sabha, please click here to access Reply to Unstarred Question no. 1845 to be answered on 9th July, 2019 in Rajya Sabha, please click here to access   Uttar Pradesh among top 5 encephalitis prone states, suggests official data, News alert by Inclusive Media for Change dated 25 August, 2017, please click here to access   Don't blame the litchi -T Jacob John, The Indian Express, 3 July, 2019, please click here to access  Healthcare's primary problem -Soham D Bhaduri, The Hindu, 3 July, 2019, please click here to access  Lessons that Delhi journalists can learn from local media at Muzaffarpur -Umesh Kumar Ray, Newslaundry.com, 1 July, 2019, please click here to access  Medical investigators say Muzaffarpur deaths probably due to malnutrition and delayed care, The Telegraph, 28 June, 2019, please click here to access  AES in Bihar: Poor anganwadi centres failed to deliver, Down to Earth, 25 June, 2019, please click here to access  In Muzaffarpur, AES is a grim reaper that stalks poor children -Ayush Tiwari, Newslaundry.com, 25 June, 2019, please click here to read more  Bihar AES deaths: A hundred deaths, and no answers -Jacob Koshy, The Hindu, 22 June, 2019, please click here to access  Muzzaffarpur: Anganwadi and Asha workers, who should have conducted awareness drive and monitored food intake of children, were on poll duty - Aanchal Bansal, The Economic Times, 21 June, 2019, please click here to access  Fix healthcare now, or future shock is certain -Patralekha Chatterjee, Deccan Chronicle, 21 June, 2019, please click here to read more  Most AES Victims in Bihar Are Dalits, EBCs and Muslims -Mohd. Imran Khan, Newsclick.in, 20 June, 2019, please click here to read more  Bihar hospital doctors lack training, finds AIIMS team -Sana Shakil and Rajesh K Thakur, The New Indian Express, 20 June, 2019, please click here to read more  Spare Dying Kids from Insensitive Reporting - Saurabh Sharma, Newsclick.in, 20 June, 2019, please click here to access Stopping Muzaffarpur Child Deaths Will Require a Gender-Sensitive Social Analysis -Purnima Menon, TheWire.in, 20 June, 2019, please click here to access    NHRC questions frailty of health infrastructure, The Hindu, 20 June, 2019, please click here to access  No Muzaffarpur medical centre has a rating better than zero -Rema Nagarajan, The Times of India, 20 June, 2019, please click here to access  Encephalitis spreads to other districts of Bihar, toll at 114 -Ajay Kumar Pandey, The Times of India, 20 June, 2019, please click here to access  Five years later, Harsh Vardhan makes same promise -GS Mudur, The Telegraph, 19 June, 2019, please click here to access  Averting deaths in Muzaffarpur -T Jacob John, The Hindu, 19 June, 2019, please click here to read more  Heat, lack of nutrition, awareness add to AES, Bihar kids toll over 100 -Santosh Singh, The Indian Express, 18 June, 2019, please click here to access  Dr. Arun Shah, a Muzaffarpur-based paediatrician, interviewed by Banjot Kaur, Down to Earth, 18 June, 2019, please click here to access  Bihar: Who is Responsible for the Death of 100 Children? -Umesh Kumar Ray, TheWire.in, 17 June, 2019, please click here to access   Bihar: Encephalitis death toll rises to 103, NHRC points to 'flaw' in vaccination schemes, The Indian Express, 17 June, 2019, please click here to access  20 more kids die in 24 hours, Bihar encephalitis toll hits 93 -Ramashankar, The Times of India, 17 June, 2019, please click here to access  Number of children killed by encephalitis in Bihar rises to 57 -Amarnath Tewary, The Hindu, 15 June, 2019, please click here to access  43 kids dead in Bihar's Muzaffarpur this month, state cites low blood sugar -Santosh Singh, The Indian Express, 13 June, 2019, please click here to access  In one month, 28 children die of suspected encephalitis in Bihar's Muzaffarpur district -Amarnath Tewary, The Hindu, 11 June, 2019, please click here to read more  Image Courtesy: UNDP India

Tagged with: Acute Encephalitis Syndrome Bihar Japanese Encephalitis Muzaffarpur

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