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\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')) {

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    <h1 class="cat-box-title">Uttar Pradesh among top 5 encephalitis prone states, suggests official data</h1>
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                            <p style="text-align:justify">When more than 30 children died in Baba Raghav Das (BRD) Medical College due to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) between 10th and 12th of August this year, it became a sensational news item for the Indian media. However, one cannot assume that the Chief Minister of Uttar Pradesh Yogi Adityanath did not know that several districts of his state, including Gorakhpur were among the JE/ AES endemic districts.<br /><br />Why is this so? Almost three years ago, when Yogi Adityanath as a BJP MP posed a query in the 16th Lok Sabha related to districts prone to JE/ AES, the then Minister of Health and Family Welfare Dr. Harsh Vardhan in his reply said that there were 178 such districts spread across 20 states of India. The reply from the health minister dated 11 July, 2014, also revealed that UP had 36 such JE/ AES endemic districts, including Gorakhpur.<br /><br />Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> and <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access the question asked and reply received (related to JE/ AES) by the MP Yogi Adityanath. One must note that Shri Adityanath was re-elected to the 16th Lok Sabha <em>(5th term)</em> from Gorakhpur constituency before he became Chief Minister of Uttar Pradesh.<br /><br /><em>Number of encephalitis cases and deaths is high in Uttar Pradesh</em><br /><br />Official data, which is available from the National Vector Borne Disease Control Programme, indicates that since the last 7 years, Uttar Pradesh has been among the top 5 states reporting AES and JE cases.<br /><br />Out of the total 6,359 AES cases that have been reported in the country this year till 20th August, most were from Assam <em>(1,609)</em>, followed by Uttar Pradesh <em>(1,323)</em>, West Bengal <em>(826)</em>, Manipur <em>(800),</em> and Tamil Nadu <em>(659)</em>. Please check table-1.<br /><br />In 2017, 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 6.9 percent, whereas the same for the states of Assam, Uttar Pradesh, West Bengal, Manipur and Tamil Nadu are 8.6 percent, 12.8 percent, 9.8 percent, 1.4 percent and zero percent, respectively. Therefore, among the top 5 AES prone states, the chances of survival is bleakest in Uttar Pradesh during 2017, suggests the latest available data of National Vector Borne Disease Control Programme.<br /><br />Although the number of AES cases from Bihar (69) is low vis-&agrave;-vis the top 5 endemic states, the death rate during 2017 is as high as 42 percent.&nbsp;&nbsp; &nbsp;<br /><br /><strong>Table 1: State-wise number of AES and JE cases and deaths during 2010-2017</strong></p><p style="text-align:justify">&nbsp;</p><div style="text-align:justify"><img alt="" src="/upload/images/Table%201%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202010-2017.jpg" style="height:857px; width:1175px" /></div><div style="text-align:justify"><em><strong>Source:</strong> National Vector Borne Disease Control Programme, <a href="http://www.nvbdcp.gov.in/" title="http://www.nvbdcp.gov.in/">http://www.nvbdcp.gov.in/</a> &nbsp;</em><br /><br />Out of the total 959 JE cases that have been so far reported this year, most are from Assam <em>(498)</em>, followed by Manipur <em>(161)</em> and Uttar Pradesh <em>(112)</em>. Please see table-1.<br /><br />The death rate in case of JE at the national level stands at 10.8 percent, whereas the same for the states of Assam, Manipur and Uttar Pradesh are 14.5 percent, 6.8 percent and 2.7 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2017, indicates the latest available data.<br /><br />Although the number of JE cases from Bihar <em>(19)</em> is low vis-&agrave;-vis the top 3 endemic states, the death rate during 2017 is as high as 36.8 percent. In West Bengal, the death rate in JE cases during this year is 27 percent.&nbsp;&nbsp;&nbsp; &nbsp;<br /><br />It needs to be highlighted that in the year 2016, out of the 11,651 AES cases reported in the country, most were from Uttar Pradesh <em>(3,919)</em>, followed by West Bengal <em>(1,839)</em>, Assam <em>(1,713)</em>, Odisha <em>(1,096)</em> and Tamil Nadu <em>(859)</em>. In 2016, the death rate in case of AES at the country-level was 11.2 percent, whereas the same for states of Uttar Pradesh, West Bengal, Assam, Odisha and Tamil Nadu were 15.8 percent, 13.9 percent, 10.9 percent, 10.5 percent and 0.4 percent, respectively. Please consult table-1. &nbsp;<br /><br />During last year, out of the 1,676 JE cases reported in India, most were from Assam <em>(427)</em>, followed by Uttar Pradesh <em>(410)</em>, Odisha <em>(242)</em>, West Bengal <em>(174)</em>, and Bihar <em>(100)</em>. In the same year, the death rate in case of JE at the country-level was 16.9 percent, whereas the same for states of Assam, Uttar Pradesh, Odisha, West Bengal and Bihar were 21.5 percent, 17.8 percent, 17.4 percent, 22.4 percent and 25 percent, respectively. Please check table-1. &nbsp;<br /><br /><em>About AES and JE</em><br /><br />JE is a preventable disease if vaccination is provided, said the Minister of State in the Ministry of Health and Family Welfare Shri Faggan Singh Kulaste in a reply to a query on 2 December, 2016. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access.<br /><br />On 28 July, 2017 while replying to another query related to JE in the Lok Sabha, he said that JE vaccination campaign among children<em> (in the age group 1-15 years)</em> has been completed in 207 out of 231 JE endemic districts. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access.<br /><br />The minister&rsquo;s reply also mentions that the Coordination Committee under the Chairmanship of Secretary <em>(Health &amp; Family Welfare)</em>, which was constituted on 15 March, 2013 for monitoring and supervision of the measures for implementation of intervention/ activities for prevention and control of JE/ AES, has identified two shortcomings:<br /><br />1. Poor coverage for JE vaccination under Routine Immunization (RI), and<br />2. Identification of non JE aetiology of AES<br /><br />In order to know more about JE, please go to the url: <a href="http://www.nvbdcp.gov.in/je-new.html" title="http://www.nvbdcp.gov.in/je-new.html">http://www.nvbdcp.gov.in/je-new.html</a><br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong><em>References</em></strong><br /><br />Japanese Encephalitis, Unstarred Question no. 2223 from Shri Dr. Kirit Premjibhai Solanki and Smt. Rama Devi, Answered in Lok Sabha on 28 July, 2017, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access<br /><br />Japanese Encephalitis, Unstarred Question no. 2827 from Shri Anurag Singh Thakur and Shri Rama Chandra Hansdah, Answered in Lok Sabha on 2 December, 2016, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access<br /><br />Japanese Encephalitis and Acute Encephalitis Syndrome Deaths, Starred Question no. 77 from Yogi Adityanath, Answered in Lok Sabha on 11 July, 2014, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> to access<br /><br />Annexure referred to in reply to Lok Sabha Starred Question. No. 77, dated 11 July, 2014, please <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access<br />&nbsp;<br />Death is the only certainty here, rest is just chance -Damini Nath, The Hindu, 19 August, 2017, please <a href="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html" title="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html">click here</a> to read more<br />&nbsp;<br />Beyond the lament -K Srinath Reddy, The Indian Express, 17 August, 2017, please <a href="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html" title="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html">click here</a> to read more&nbsp;<br /><br />Japanese Encephalitis in Gorakhpur: A deadly disease explained -Vidya Krishnan, The Hindu, 13 August, 2017, please <a href="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html" title="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html">click here</a> to read more&nbsp;<br /><br />30 children die in 48 hours in Gorakhpur hospital, The Times of India, 12 August, 2017, please <a href="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html" title="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html">click here</a> to read more&nbsp;<br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong>Image Courtesy: UNDP India</strong></div>                                                           
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                            <p style="text-align:justify">When more than 30 children died in Baba Raghav Das (BRD) Medical College due to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) between 10th and 12th of August this year, it became a sensational news item for the Indian media. However, one cannot assume that the Chief Minister of Uttar Pradesh Yogi Adityanath did not know that several districts of his state, including Gorakhpur were among the JE/ AES endemic districts.<br /><br />Why is this so? Almost three years ago, when Yogi Adityanath as a BJP MP posed a query in the 16th Lok Sabha related to districts prone to JE/ AES, the then Minister of Health and Family Welfare Dr. Harsh Vardhan in his reply said that there were 178 such districts spread across 20 states of India. The reply from the health minister dated 11 July, 2014, also revealed that UP had 36 such JE/ AES endemic districts, including Gorakhpur.<br /><br />Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> and <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access the question asked and reply received (related to JE/ AES) by the MP Yogi Adityanath. One must note that Shri Adityanath was re-elected to the 16th Lok Sabha <em>(5th term)</em> from Gorakhpur constituency before he became Chief Minister of Uttar Pradesh.<br /><br /><em>Number of encephalitis cases and deaths is high in Uttar Pradesh</em><br /><br />Official data, which is available from the National Vector Borne Disease Control Programme, indicates that since the last 7 years, Uttar Pradesh has been among the top 5 states reporting AES and JE cases.<br /><br />Out of the total 6,359 AES cases that have been reported in the country this year till 20th August, most were from Assam <em>(1,609)</em>, followed by Uttar Pradesh <em>(1,323)</em>, West Bengal <em>(826)</em>, Manipur <em>(800),</em> and Tamil Nadu <em>(659)</em>. Please check table-1.<br /><br />In 2017, 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 6.9 percent, whereas the same for the states of Assam, Uttar Pradesh, West Bengal, Manipur and Tamil Nadu are 8.6 percent, 12.8 percent, 9.8 percent, 1.4 percent and zero percent, respectively. Therefore, among the top 5 AES prone states, the chances of survival is bleakest in Uttar Pradesh during 2017, suggests the latest available data of National Vector Borne Disease Control Programme.<br /><br />Although the number of AES cases from Bihar (69) is low vis-&agrave;-vis the top 5 endemic states, the death rate during 2017 is as high as 42 percent.&nbsp;&nbsp; &nbsp;<br /><br /><strong>Table 1: State-wise number of AES and JE cases and deaths during 2010-2017</strong></p><p style="text-align:justify">&nbsp;</p><div style="text-align:justify"><img alt="" src="/upload/images/Table%201%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202010-2017.jpg" style="height:857px; width:1175px" /></div><div style="text-align:justify"><em><strong>Source:</strong> National Vector Borne Disease Control Programme, <a href="http://www.nvbdcp.gov.in/" title="http://www.nvbdcp.gov.in/">http://www.nvbdcp.gov.in/</a> &nbsp;</em><br /><br />Out of the total 959 JE cases that have been so far reported this year, most are from Assam <em>(498)</em>, followed by Manipur <em>(161)</em> and Uttar Pradesh <em>(112)</em>. Please see table-1.<br /><br />The death rate in case of JE at the national level stands at 10.8 percent, whereas the same for the states of Assam, Manipur and Uttar Pradesh are 14.5 percent, 6.8 percent and 2.7 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2017, indicates the latest available data.<br /><br />Although the number of JE cases from Bihar <em>(19)</em> is low vis-&agrave;-vis the top 3 endemic states, the death rate during 2017 is as high as 36.8 percent. In West Bengal, the death rate in JE cases during this year is 27 percent.&nbsp;&nbsp;&nbsp; &nbsp;<br /><br />It needs to be highlighted that in the year 2016, out of the 11,651 AES cases reported in the country, most were from Uttar Pradesh <em>(3,919)</em>, followed by West Bengal <em>(1,839)</em>, Assam <em>(1,713)</em>, Odisha <em>(1,096)</em> and Tamil Nadu <em>(859)</em>. In 2016, the death rate in case of AES at the country-level was 11.2 percent, whereas the same for states of Uttar Pradesh, West Bengal, Assam, Odisha and Tamil Nadu were 15.8 percent, 13.9 percent, 10.9 percent, 10.5 percent and 0.4 percent, respectively. Please consult table-1. &nbsp;<br /><br />During last year, out of the 1,676 JE cases reported in India, most were from Assam <em>(427)</em>, followed by Uttar Pradesh <em>(410)</em>, Odisha <em>(242)</em>, West Bengal <em>(174)</em>, and Bihar <em>(100)</em>. In the same year, the death rate in case of JE at the country-level was 16.9 percent, whereas the same for states of Assam, Uttar Pradesh, Odisha, West Bengal and Bihar were 21.5 percent, 17.8 percent, 17.4 percent, 22.4 percent and 25 percent, respectively. Please check table-1. &nbsp;<br /><br /><em>About AES and JE</em><br /><br />JE is a preventable disease if vaccination is provided, said the Minister of State in the Ministry of Health and Family Welfare Shri Faggan Singh Kulaste in a reply to a query on 2 December, 2016. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access.<br /><br />On 28 July, 2017 while replying to another query related to JE in the Lok Sabha, he said that JE vaccination campaign among children<em> (in the age group 1-15 years)</em> has been completed in 207 out of 231 JE endemic districts. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access.<br /><br />The minister&rsquo;s reply also mentions that the Coordination Committee under the Chairmanship of Secretary <em>(Health &amp; Family Welfare)</em>, which was constituted on 15 March, 2013 for monitoring and supervision of the measures for implementation of intervention/ activities for prevention and control of JE/ AES, has identified two shortcomings:<br /><br />1. Poor coverage for JE vaccination under Routine Immunization (RI), and<br />2. Identification of non JE aetiology of AES<br /><br />In order to know more about JE, please go to the url: <a href="http://www.nvbdcp.gov.in/je-new.html" title="http://www.nvbdcp.gov.in/je-new.html">http://www.nvbdcp.gov.in/je-new.html</a><br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong><em>References</em></strong><br /><br />Japanese Encephalitis, Unstarred Question no. 2223 from Shri Dr. Kirit Premjibhai Solanki and Smt. Rama Devi, Answered in Lok Sabha on 28 July, 2017, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access<br /><br />Japanese Encephalitis, Unstarred Question no. 2827 from Shri Anurag Singh Thakur and Shri Rama Chandra Hansdah, Answered in Lok Sabha on 2 December, 2016, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access<br /><br />Japanese Encephalitis and Acute Encephalitis Syndrome Deaths, Starred Question no. 77 from Yogi Adityanath, Answered in Lok Sabha on 11 July, 2014, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> to access<br /><br />Annexure referred to in reply to Lok Sabha Starred Question. No. 77, dated 11 July, 2014, please <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access<br />&nbsp;<br />Death is the only certainty here, rest is just chance -Damini Nath, The Hindu, 19 August, 2017, please <a href="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html" title="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html">click here</a> to read more<br />&nbsp;<br />Beyond the lament -K Srinath Reddy, The Indian Express, 17 August, 2017, please <a href="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html" title="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html">click here</a> to read more&nbsp;<br /><br />Japanese Encephalitis in Gorakhpur: A deadly disease explained -Vidya Krishnan, The Hindu, 13 August, 2017, please <a href="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html" title="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html">click here</a> to read more&nbsp;<br /><br />30 children die in 48 hours in Gorakhpur hospital, The Times of India, 12 August, 2017, please <a href="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html" title="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html">click here</a> to read more&nbsp;<br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong>Image Courtesy: UNDP India</strong></div>                                                           
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                            <p style="text-align:justify">When more than 30 children died in Baba Raghav Das (BRD) Medical College due to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) between 10th and 12th of August this year, it became a sensational news item for the Indian media. However, one cannot assume that the Chief Minister of Uttar Pradesh Yogi Adityanath did not know that several districts of his state, including Gorakhpur were among the JE/ AES endemic districts.<br /><br />Why is this so? Almost three years ago, when Yogi Adityanath as a BJP MP posed a query in the 16th Lok Sabha related to districts prone to JE/ AES, the then Minister of Health and Family Welfare Dr. Harsh Vardhan in his reply said that there were 178 such districts spread across 20 states of India. The reply from the health minister dated 11 July, 2014, also revealed that UP had 36 such JE/ AES endemic districts, including Gorakhpur.<br /><br />Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> and <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access the question asked and reply received (related to JE/ AES) by the MP Yogi Adityanath. One must note that Shri Adityanath was re-elected to the 16th Lok Sabha <em>(5th term)</em> from Gorakhpur constituency before he became Chief Minister of Uttar Pradesh.<br /><br /><em>Number of encephalitis cases and deaths is high in Uttar Pradesh</em><br /><br />Official data, which is available from the National Vector Borne Disease Control Programme, indicates that since the last 7 years, Uttar Pradesh has been among the top 5 states reporting AES and JE cases.<br /><br />Out of the total 6,359 AES cases that have been reported in the country this year till 20th August, most were from Assam <em>(1,609)</em>, followed by Uttar Pradesh <em>(1,323)</em>, West Bengal <em>(826)</em>, Manipur <em>(800),</em> and Tamil Nadu <em>(659)</em>. Please check table-1.<br /><br />In 2017, 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 6.9 percent, whereas the same for the states of Assam, Uttar Pradesh, West Bengal, Manipur and Tamil Nadu are 8.6 percent, 12.8 percent, 9.8 percent, 1.4 percent and zero percent, respectively. Therefore, among the top 5 AES prone states, the chances of survival is bleakest in Uttar Pradesh during 2017, suggests the latest available data of National Vector Borne Disease Control Programme.<br /><br />Although the number of AES cases from Bihar (69) is low vis-&agrave;-vis the top 5 endemic states, the death rate during 2017 is as high as 42 percent.&nbsp;&nbsp; &nbsp;<br /><br /><strong>Table 1: State-wise number of AES and JE cases and deaths during 2010-2017</strong></p><p style="text-align:justify">&nbsp;</p><div style="text-align:justify"><img alt="" src="/upload/images/Table%201%20State%20wise%20number%20of%20AES%20and%20JE%20Cases%20and%20Deaths%20during%202010-2017.jpg" style="height:857px; width:1175px" /></div><div style="text-align:justify"><em><strong>Source:</strong> National Vector Borne Disease Control Programme, <a href="http://www.nvbdcp.gov.in/" title="http://www.nvbdcp.gov.in/">http://www.nvbdcp.gov.in/</a> &nbsp;</em><br /><br />Out of the total 959 JE cases that have been so far reported this year, most are from Assam <em>(498)</em>, followed by Manipur <em>(161)</em> and Uttar Pradesh <em>(112)</em>. Please see table-1.<br /><br />The death rate in case of JE at the national level stands at 10.8 percent, whereas the same for the states of Assam, Manipur and Uttar Pradesh are 14.5 percent, 6.8 percent and 2.7 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2017, indicates the latest available data.<br /><br />Although the number of JE cases from Bihar <em>(19)</em> is low vis-&agrave;-vis the top 3 endemic states, the death rate during 2017 is as high as 36.8 percent. In West Bengal, the death rate in JE cases during this year is 27 percent.&nbsp;&nbsp;&nbsp; &nbsp;<br /><br />It needs to be highlighted that in the year 2016, out of the 11,651 AES cases reported in the country, most were from Uttar Pradesh <em>(3,919)</em>, followed by West Bengal <em>(1,839)</em>, Assam <em>(1,713)</em>, Odisha <em>(1,096)</em> and Tamil Nadu <em>(859)</em>. In 2016, the death rate in case of AES at the country-level was 11.2 percent, whereas the same for states of Uttar Pradesh, West Bengal, Assam, Odisha and Tamil Nadu were 15.8 percent, 13.9 percent, 10.9 percent, 10.5 percent and 0.4 percent, respectively. Please consult table-1. &nbsp;<br /><br />During last year, out of the 1,676 JE cases reported in India, most were from Assam <em>(427)</em>, followed by Uttar Pradesh <em>(410)</em>, Odisha <em>(242)</em>, West Bengal <em>(174)</em>, and Bihar <em>(100)</em>. In the same year, the death rate in case of JE at the country-level was 16.9 percent, whereas the same for states of Assam, Uttar Pradesh, Odisha, West Bengal and Bihar were 21.5 percent, 17.8 percent, 17.4 percent, 22.4 percent and 25 percent, respectively. Please check table-1. &nbsp;<br /><br /><em>About AES and JE</em><br /><br />JE is a preventable disease if vaccination is provided, said the Minister of State in the Ministry of Health and Family Welfare Shri Faggan Singh Kulaste in a reply to a query on 2 December, 2016. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access.<br /><br />On 28 July, 2017 while replying to another query related to JE in the Lok Sabha, he said that JE vaccination campaign among children<em> (in the age group 1-15 years)</em> has been completed in 207 out of 231 JE endemic districts. Please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access.<br /><br />The minister&rsquo;s reply also mentions that the Coordination Committee under the Chairmanship of Secretary <em>(Health &amp; Family Welfare)</em>, which was constituted on 15 March, 2013 for monitoring and supervision of the measures for implementation of intervention/ activities for prevention and control of JE/ AES, has identified two shortcomings:<br /><br />1. Poor coverage for JE vaccination under Routine Immunization (RI), and<br />2. Identification of non JE aetiology of AES<br /><br />In order to know more about JE, please go to the url: <a href="http://www.nvbdcp.gov.in/je-new.html" title="http://www.nvbdcp.gov.in/je-new.html">http://www.nvbdcp.gov.in/je-new.html</a><br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong><em>References</em></strong><br /><br />Japanese Encephalitis, Unstarred Question no. 2223 from Shri Dr. Kirit Premjibhai Solanki and Smt. Rama Devi, Answered in Lok Sabha on 28 July, 2017, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2223.pdf" title="Query 28 July 2017">click here</a> to access<br /><br />Japanese Encephalitis, Unstarred Question no. 2827 from Shri Anurag Singh Thakur and Shri Rama Chandra Hansdah, Answered in Lok Sabha on 2 December, 2016, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827" title="https://im4change.in/siteadmin/tinymce/uploaded/AU2827.pdf" title="Question no 2827">click here</a> to access<br /><br />Japanese Encephalitis and Acute Encephalitis Syndrome Deaths, Starred Question no. 77 from Yogi Adityanath, Answered in Lok Sabha on 11 July, 2014, please <a href="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi" title="https://im4change.in/siteadmin/tinymce/uploaded/Yogi.pdf" title="Yogi">click here</a> to access<br /><br />Annexure referred to in reply to Lok Sabha Starred Question. No. 77, dated 11 July, 2014, please <a href="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm" title="http://164.100.47.193/Annexture_New/lsq16/2/as77.htm">click here</a> to access<br />&nbsp;<br />Death is the only certainty here, rest is just chance -Damini Nath, The Hindu, 19 August, 2017, please <a href="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html" title="https://im4change.org/latest-news-updates/death-is-the-only-certainty-here-rest-is-just-chance-damini-nath-4682563.html">click here</a> to read more<br />&nbsp;<br />Beyond the lament -K Srinath Reddy, The Indian Express, 17 August, 2017, please <a href="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html" title="https://im4change.org/latest-news-updates/beyond-the-lament-k-srinath-reddy-4682546.html">click here</a> to read more&nbsp;<br /><br />Japanese Encephalitis in Gorakhpur: A deadly disease explained -Vidya Krishnan, The Hindu, 13 August, 2017, please <a href="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html" title="https://im4change.org/latest-news-updates/japanese-encephalitis-in-gorakhpur-a-deadly-disease-explained-vidya-krishnan-4682522.html">click here</a> to read more&nbsp;<br /><br />30 children die in 48 hours in Gorakhpur hospital, The Times of India, 12 August, 2017, please <a href="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html" title="https://im4change.org/latest-news-updates/30-children-die-in-48-hours-in-gorakhpur-hospital-4682510.html">click here</a> to read more&nbsp;<br />&nbsp;</div><div style="text-align:justify">&nbsp;</div><div style="text-align:justify"><strong>Image Courtesy: UNDP India</strong></div>                                                           
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Uttar Pradesh among top 5 encephalitis prone states, suggests official data

Published on Aug 25, 2017   Modified on Jul 21, 2022

When more than 30 children died in Baba Raghav Das (BRD) Medical College due to Japanese Encephalitis (JE) and Acute Encephalitis Syndrome (AES) between 10th and 12th of August this year, it became a sensational news item for the Indian media. However, one cannot assume that the Chief Minister of Uttar Pradesh Yogi Adityanath did not know that several districts of his state, including Gorakhpur were among the JE/ AES endemic districts. Why is this so? Almost three years ago, when Yogi Adityanath as a BJP MP posed a query in the 16th Lok Sabha related to districts prone to JE/ AES, the then Minister of Health and Family Welfare Dr. Harsh Vardhan in his reply said that there were 178 such districts spread across 20 states of India. The reply from the health minister dated 11 July, 2014, also revealed that UP had 36 such JE/ AES endemic districts, including Gorakhpur. Please click here and click here to access the question asked and reply received (related to JE/ AES) by the MP Yogi Adityanath. One must note that Shri Adityanath was re-elected to the 16th Lok Sabha (5th term) from Gorakhpur constituency before he became Chief Minister of Uttar Pradesh. Number of encephalitis cases and deaths is high in Uttar Pradesh Official data, which is available from the National Vector Borne Disease Control Programme, indicates that since the last 7 years, Uttar Pradesh has been among the top 5 states reporting AES and JE cases. Out of the total 6,359 AES cases that have been reported in the country this year till 20th August, most were from Assam (1,609), followed by Uttar Pradesh (1,323), West Bengal (826), Manipur (800), and Tamil Nadu (659). Please check table-1. In 2017, 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 6.9 percent, whereas the same for the states of Assam, Uttar Pradesh, West Bengal, Manipur and Tamil Nadu are 8.6 percent, 12.8 percent, 9.8 percent, 1.4 percent and zero percent, respectively. Therefore, among the top 5 AES prone states, the chances of survival is bleakest in Uttar Pradesh during 2017, suggests the latest available data of National Vector Borne Disease Control Programme. Although the number of AES cases from Bihar (69) is low vis-à-vis the top 5 endemic states, the death rate during 2017 is as high as 42 percent.     Table 1: State-wise number of AES and JE cases and deaths during 2010-2017   Source: National Vector Borne Disease Control Programme, http://www.nvbdcp.gov.in/   Out of the total 959 JE cases that have been so far reported this year, most are from Assam (498), followed by Manipur (161) and Uttar Pradesh (112). Please see table-1. The death rate in case of JE at the national level stands at 10.8 percent, whereas the same for the states of Assam, Manipur and Uttar Pradesh are 14.5 percent, 6.8 percent and 2.7 percent, respectively. Therefore, among the top 3 JE prone states, the chances of survival is bleakest in Assam during 2017, indicates the latest available data. Although the number of JE cases from Bihar (19) is low vis-à-vis the top 3 endemic states, the death rate during 2017 is as high as 36.8 percent. In West Bengal, the death rate in JE cases during this year is 27 percent.      It needs to be highlighted that in the year 2016, out of the 11,651 AES cases reported in the country, most were from Uttar Pradesh (3,919), followed by West Bengal (1,839), Assam (1,713), Odisha (1,096) and Tamil Nadu (859). In 2016, the death rate in case of AES at the country-level was 11.2 percent, whereas the same for states of Uttar Pradesh, West Bengal, Assam, Odisha and Tamil Nadu were 15.8 percent, 13.9 percent, 10.9 percent, 10.5 percent and 0.4 percent, respectively. Please consult table-1.   During last year, out of the 1,676 JE cases reported in India, most were from Assam (427), followed by Uttar Pradesh (410), Odisha (242), West Bengal (174), and Bihar (100). In the same year, the death rate in case of JE at the country-level was 16.9 percent, whereas the same for states of Assam, Uttar Pradesh, Odisha, West Bengal and Bihar were 21.5 percent, 17.8 percent, 17.4 percent, 22.4 percent and 25 percent, respectively. Please check table-1.   About AES and JE JE is a preventable disease if vaccination is provided, said the Minister of State in the Ministry of Health and Family Welfare Shri Faggan Singh Kulaste in a reply to a query on 2 December, 2016. Please click here to access. On 28 July, 2017 while replying to another query related to JE in the Lok Sabha, he said that JE vaccination campaign among children (in the age group 1-15 years) has been completed in 207 out of 231 JE endemic districts. Please click here to access. The minister’s reply also mentions that the Coordination Committee under the Chairmanship of Secretary (Health & Family Welfare), which was constituted on 15 March, 2013 for monitoring and supervision of the measures for implementation of intervention/ activities for prevention and control of JE/ AES, has identified two shortcomings: 1. Poor coverage for JE vaccination under Routine Immunization (RI), and 2. Identification of non JE aetiology of AES In order to know more about JE, please go to the url: http://www.nvbdcp.gov.in/je-new.html     References Japanese Encephalitis, Unstarred Question no. 2223 from Shri Dr. Kirit Premjibhai Solanki and Smt. Rama Devi, Answered in Lok Sabha on 28 July, 2017, please click here to access Japanese Encephalitis, Unstarred Question no. 2827 from Shri Anurag Singh Thakur and Shri Rama Chandra Hansdah, Answered in Lok Sabha on 2 December, 2016, please click here to access Japanese Encephalitis and Acute Encephalitis Syndrome Deaths, Starred Question no. 77 from Yogi Adityanath, Answered in Lok Sabha on 11 July, 2014, please click here to access Annexure referred to in reply to Lok Sabha Starred Question. No. 77, dated 11 July, 2014, please click here to access   Death is the only certainty here, rest is just chance -Damini Nath, The Hindu, 19 August, 2017, please click here to read more   Beyond the lament -K Srinath Reddy, The Indian Express, 17 August, 2017, please click here to read more  Japanese Encephalitis in Gorakhpur: A deadly disease explained -Vidya Krishnan, The Hindu, 13 August, 2017, please click here to read more  30 children die in 48 hours in Gorakhpur hospital, The Times of India, 12 August, 2017, please click here to read more      Image Courtesy: UNDP India

Tagged with: Acute Encephalitis Syndrome (AES) brd medical college Japanese Encephalitis Uttar pradesh

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