Outbreak of bird flu (Avian Influenza sub-type H5N8) was first reported on 18th October, 2016 among wild birds in National Zoological Park, Delhi.
Since then samples of wild/ migratory birds from Delhi, Madhya Pradesh, Kerala, Punjab and Haryana have been tested positive for Avian Influenza H5N8 at National Institute of High Security Animal Diseases (NIHSAD), Bhopal, Madhya Pradesh.
Samples drawn from poultry birds in Bellary district, Karnataka have also been tested positive for Avian Influenza H5N8 at National Institute of High Security Animal Diseases (NIHSAD), Bhopal, Madhya Pradesh.
The Department of Animal Husbandry, Dairying and Fisheries, Government of India took all necessary precautions to control the outbreaks of bird flu. Advisories were issued and Teams of Experts were deputed to the affected areas to assist in control and containment measures.The concerned State Governments have carried out such operations as per ‘Action Plan on Preparedness, Control and Containment of Avian Influenza’. As informed by Department of Animal Husbandry, Dairying and Fisheries, the situation is under control.
Based on the current knowledge, the public health risk to human population is considered low for Avian Influenza sub-type H5N8. However as a matter of abundant caution Ministry of Health & Family Welfare has issued an advisory to the States/UTs to minimize bird-human interface, use personal protective equipment by those handling dead/sick birds, keep persons exposed to the dead/sick birds under surveillance and provide them chemoprophylaxis (Oseltamivir 75 mg) once daily for 10 days. No human case of Avian Influenza (bird flu) has been reported in India.
Outbreaks of Influenza, Dengue and Chikungunya are seasonal and affect large population. The number of cases / deaths due to these diseases State/ UT-wise for the period 2015-2016 is as given below:
Influenza A H1N1 (Swine Flu) – Year-wise for affected States/UTs (2015-2016)
|S. No.||State||Jan, 2015- 31st Dec, 2015||1st Jan,2016- 30th Oct,2016|
|1.||Andaman & Nicobar||4||0||0||0|
|7.||Dadra & Nagar Haveli||26||6||1||0|
|8.||Daman & Diu||5||1||0||0|
|14.||Jammu & Kashmir||495||20||2||0|
|Dengue Fever Cases– Year-wise for affected States/UTs (2010-2016)
* Provisional till 14th Nov. 2016
Clinically Suspected Chikungunya Fever Cases – Year-wise for affected States/UTs (2015-2016)
|* Provisional till 13th Nov. 2016|
Health is a state subject and hence primary responsibility for prevention and control of such seasonal fevers vests with the State Governments/UTs. Ministry of Health & FW provides assistance to the States in terms of guidance, surveillance, laboratory support, outbreak investigation and logistics.
For prevention and control of Dengue and Chikungunya, National Vector Borne Disease Control Programme (NVBDCP) shared with the States/UTs strategies of Mid Term Plan for implementation which are as under:
(i) Surveillance of disease and entomological surveillance
(ii) Laboratory diagnosis and Clinical management
(iii) Vector management – environmental management for source reduction, chemical control, personal protection and Legislation
(iv) Outbreak response
(v) Training, strengthening human resource and Operational research
(vi) Behaviour Change Communication (BCC), through social mobilization and Information Education and Communication (IEC)
(vii) Inter-sectoral coordination and
(viii) Monitoring and supervision as main components.
Since January, 2016, a total of 22 review meetings were held and 12 advisories have been issued. States were requested to declare Dengue as notifiable disease by MOHFW vide letter No.7-165/2016/NVBDCP/DEN dated 9th June 2016. States were requested to fix the rate for testing Dengue @ Rs. 600/- per test. Diagnosis is provided through 542 Sentinel Surveillance Hospitals (SSHs) and 15 Apex Referral laboratories (ARLs) identified across the country. IEC/BCC activities are carried out at national and state level with media mix strategies focusing on source reduction and personal protective measures. Funds are provided by Govt. of India to the States for prevention and control of vector borne diseases including Dengue and Chikungunya to implement the public health activities.
Govt. of India has also taken adequate measures to prevent/control Seasonal Influenza including Influenza A H1N1 in terms of influenza surveillance, laboratory support, stocking the drug Oseltamivir, personal protective equipment, daily monitoring and keeping IEC materials ready to be rolled out at the time of an outbreak.