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Molecular Epidemiology of Measles in India, 2005–2010

Author (s): 

Niteen Wairagkar,1 Deepika Chowdhury,1 Sunil Vaidya,1 Sarika Sikchi,1 Naseem Shaikh,1 Laxman Hungund,1
R. S. Tomar,1 D. Biswas,2 K. Yadav,2 J. Mahanta,2 V. N. R. Das,3 Prasanna Yergolkar,4 P. Gunasekaran,5 D. Raja,5 R. Jadi,1 Nalini Ramamurty,6 A. C. Mishra,1 and MeaslesNetIndia collaborators

 

1WHO Regional Measles Reference Laboratory, National Institute of Virology, Pune; 2Regional Medical Research Center, Dibrugarh; 3Rajendra Memorial Research Institute of Medical Sciences, Patna; 4WHO National Measles Laboratory, Bangalore Field Unit of National Institute of Virology, Pune; 5WHO National Reference Laboratory for Measles and Rubella, King Institute of Preventive Medicine, Chennai; and 6World Health Organization-South East Asia Region Office, New Delhi, India

Abstract:

 

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The Heterogeneity of Measles Epidemiology in India: Implications for Improving Control Measures

Author (s): 

Manoj V. Murhekar, Yvan J. Hutin, Ramachandran Ramakrishnan, Vidya Ramachandran, Asit K. Biswas, Prasun K. Das,
Surender N. Gupta, Dipankar Maji, Harish Chandra Singh Martolia, Armugam Mohan, and Mohan D. Gupte

Abstract

Background. Measles vaccination coverage varies in India. Trainees of the Field Epidemiology Training
Programme (FETP) investigated 8 outbreaks from 2004 through 2006 in Himachal Pradesh, Uttaranchal, Tamil
Nadu, and West Bengal. We reviewed these outbreaks to contribute to the description of the epidemiology of
measles and propose recommendations for control.

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An Outbreak of Rubella in a Hilly District of Kangra- Chamba, Himachal Pradesh, India, 2006

Author (s): 

Surender Nikhil Gupta and Naveen Nikhil Gupta1

ABSTRACT

Objective. We investigated the outbreak as a suspected outbreak of measles with the objectives of confirming diagnosis,
estimating the magnitude of outbreak and formulating recommendations for control and prevention.

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CDC FETP Global Seminar: Burden and Risk Factors for Deaths in Patients Hospitalized for Influenza A (H1N1), Punjab, India

Author (s): 

Dr. Tripurari Kumar, EIS Officer, Integrated Disease Surveillance Program, Punjab India

 

The Global seminar series is hosted by CDC FETP Branch, Division of Global Health Protection, Center for Global Health. Dr. Linda Quick is the branch chief and the director of the Global Seminar program.

In this session Dr. Kumar describes work done in Punjab India. It was presented on December 12, 2013 via the TEPHINET Learning Center.

He was supported in his work by Dr. Kayla Laserson, Resident Advisor of the India EIS program.

The discussants are:

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An explosive outbreak of cholera in a shelter home for mentally retarded females, Howrah, West Bengal, India, 2010

Background: On 13th May 2010, a cluster of diarrhea cases was reported among female residents of a shelter home for mentally retarded, Per-bakshi village, Amta-II block in Howrah district, India. We investigated the outbreak to identify etiologic agent, source of infection and to propose recommendation.

Year: 
2009
Author (s): 

Subhransu S Datta, R. Ramachandran, M. V. Murhekar National Institute of Epidemiology, Indian Council of Medical Research, Chennai, India.

Presenter (s): 
Datta

Outbreak of Cholera among Workers of a Jute Mill in Kolkata, West Bengal, India

Background: On 10th March 2010, an outbreak of diarrheal disease was reported among workers of a jute mill in Kolkata, West Bengal, India. The cluster was investigated to identify the agent (s) and the source of infection and make recommendations.

Year: 
2008
Author (s): 

Prakash Mridha1, AK Biswas2, R. Ramakrishnan1, MV Murhekar1. 1 Field Epidemiology Training Programme (FETP), National Institute of Epidemiology, Chennai, India 2 Strategic Planning & Sector Reform Cell, Government of West Bengal, Department of Healt

Presenter (s): 
Mridha
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Poor service utilisation related to childbirth predisposes to high MMR among rural women of South 24 Parganas, West Bengal, India 2009

Background: South 24-Parganas district in West Bengal, India, has a high Maternal mortality ratio and low utilization of services related to childbirths like institutional delivery and antenatal services. Eighty four percent of the population of South 24-Parganas is living in remote areas. Riverine Sundarban is the most challenging area in the district for the service provider and beneficiaries.

Year: 
2008
Author (s): 

Prakash Mridha, R. Ramakrishnan Field Epidemiology Training Programme (FETP), National Institute of Epidemiology, Chennai, India

Presenter (s): 
Mridha

Hepatitis outbreak caused by contaminated Tamarind water served in a mobile food kiosk in an affluent urban school of Mayurbhanj, Orissa, India, September 2010

Background: On 14th September, 2010 a private practitioner reported a cluster of school children studying in private English medium school suffering from hepatitis. We investigated the outbreak to plan containment measures. Method: We defined a case as fever, vomiting, yellow coloration of conjunctiva or colored urine since 20th July, 2010 among the school children. We collected information regarding age, sex, residence, date of onset of symptoms, travel history, supply of drinking water and inspected the food kiosk inside the school premises. We sent sera samples for laboratory confirmation of hepatitis. We conducted a case control study among school children and calculated odds ratio with 95% confidence interval and population attributable fraction. Results: We identified 119 cases of jaundice among 1320 children with overall attack rate of 9% (Males-11%, Females-7%). All case patients were school children aged less than 19 years. The index case occurred on 20th July, 2010 and most of the hepatitis case-patients were clustered in neighborhoods around the school. We recruited 119 controls among school children. Swallowing of tamarind water containing ‘gupchup’ served at the mobile food kiosk in the school is associated with hepatitis (OR: 8.6, 95% CI: 4.5 – 16, PAF – 96%).Of the seven sera samples three tested positive for IgM antibody for Hepatitis E and three for Hepatitis A. Conclusion: An outbreak of Hepatitis occurred among the children of affluent urban school due to swallowing of contaminated tamarind water in ‘gupchup’. We recommended to ban the vending of ‘gupchup’ in the food kiosk, disinfection of drinking water and educated the school children and food vendors to practice food and personal hygiene.

Year: 
2008
Author (s): 

Baral P1, Swain S2, Manickam P3, Murhekar M.3 1.MAE-FETP Trainee, National Institute of Epidemiology, Chennai, India 2.MAE-FETP Graduate, National Institute of Epidemiology, Chennai 3.National Institute of Epidemiology, Chennai

Presenter (s): 
Baral
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Factors associated with low institutional delivery in Kangpokpi block, Senapati district, Manipur, India.

Introduction: The medical attention received by the mothers at the time of delivery is an important factor in reducing maternal and infant mortality. In Kangpokpi block of Senapati district, Manipur, institutional delivery was as low as 24.3% (DLHS3) as compared to 65.1% in Imphal, East district and also compared to India which was 47% (NFHS3). Since there is a need to increase the number of Institutional deliveries at Kangpokpi block, this study has been taken up with the objective of determining the factors associated with low institutional delivery.

Year: 
2008
Author (s): 

J. Touthang , S.Thilakavathi, MV Murhekar, BN.Murthy Master of Public Health Programme, National Institute of Epidemiology (ICMR), R127, Ayapakkam, Ambattur, Chennai-600 102, Tamil Nadu, India

Presenter (s): 
Dr. J Touthang

Outbreak of pandemic influenza A (H1N1) among children of an orphanage home and further spread among their contacts, Chennai, South India, 2009-10

Background: On 11December 2009, one of the administrative regions of Chennai corporation reported a cluster of influenza like illness (ILI) among students of an orphanage. We investigated the outbreak to identify the cause and propose control measures.

Year: 
2009
Author (s): 

Mahalakshmi S, Manickam P, Kuganantham P, MV Murhekar

Presenter (s): 
Dr. Mahalakshmi Srinivasan
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