Measles Surveillance & RIUDJ

Status Report

WEST BENGAL

District

Census('01) Popn (000)

Females (@)

%Mothers_1st Trimester Regd

Mothers with 3 ANC

%Mothers (1 TT)

Institutional Delivery (%)

F.I. (12-23 m)

Vit A_1 (9-35 m)

DARJEELING 1609 937 46.3 70.4 97.9 72.4 86.2 77.6JALPAIGURI 3401 942 39.9 72.7 97.4 48.4 78.4 79.8KOCHBIHAR 2479 949 41.6 59 96 46.4 78 81.4MALDA 3291 948 40.7 59.6 93.7 28.6 69.7 74.1U / DINAJPUR 2442 938 39.1 53.3 89.3 27.6 54.5 61.8D / DINAJPUR 1503 951 40 77.6 96.2 40.3 88.9 87.1MURSHIDABAD 5867 952 47 63 97.3 41.6 62.5 67.6NADIA 4605 946 45.3 76.4 97.9 69.9 86 86.4SOUTH 24 PGS 6907 NA NA NA NA NA 73.8 81.8NORTH 24 PGS 8934 926 51.2 86.6 98.4 62.8 81.7 81.8KOLKATA 4573 927 62.2 90.3 97.7 87.7 82.2 76.9HOWRAH 4273 906 54.7 79.8 98.5 65.7 76.4 73.5HOOGHLY 5042 947 65.3 82.8 98.7 80.1 92.9 89.2BARDHAMAN 6896 922 51.3 70.7 95.4 58 63.8 77BIRBHUM 3015 950 36.6 58 90.3 48.7 65.8 75.1BANKURA 3193 952 33.6 65.8 93.5 61.4 91.7 87.6PURULIA 2537 954 31.9 65.1 91.1 39.9 84.3 81.2W / MEDINIPUR 5193 955 33.3 49.1 88.4 45.1 80.5 84.9E / MEDINIPUR 4417 955 38.3 74.3 98 40.7 89.4 91.7

West Bengal 8018 934 42.4 67 95 49.2 75.8 78.3

DLHS-III (2007-08)

UDJ –Reported highest Measles Mortality in WB-Since 2007

Weekly ReportingMeasles-Surveillance

Reported Measles Cases (5138) & Deaths (25) - J uly,07 - Dec 07

409

474

902

139194 197 197

34

449

52

370

162137

304

523

1497286

288

0

100

200

300

400

500

600

700

800

900

1000

DJ

L

JP

G

KB

R

UD

J

DD

J

ML

D

MB

D

ND

A

BD

N

BB

M

BK

R

PR

L

MN

P

TM

L

NP

G

SP

G

HR

A

HG

L

KO

L

9

2

2

3 41

1

1

1

1

Death

Source – Routine weekly reports

Reported Measles Cases 2008-12156

649703

172

802

364

817

1664

1207

265190

802

384

1024

569

1068

239

565

95

577

0

200

400

600

800

1000

1200

1400

1600

1800

DJ

L

JP

G

KB

R

UD

J

DD

J

ML

D

MB

D

ND

A

BD

N

BB

M

BK

R

PR

L

MN

P

TM

L

NP

G

SP

G

HR

A

HG

L

KO

L

Deaths = 37

13 5

2

1

22

1

1

1 6

1

11

Source – Routine weekly reports

Reported Measles Cases 2009-21052

1018

693

1979

464552

1107

722

20192132

545

983

290

1914

1289

998

2354

742

604647

0

250

500

750

1000

1250

1500

1750

2000

2250

2500

DJ

L

JP

G

KB

R

UD

J

DD

J

ML

D

MB

D

ND

A

BD

N

BB

M

BK

R

PR

L

MN

P

TM

L

NP

G

SP

G

HR

A

HG

L

KO

L

Deaths =48

4

9 36

2

2

2

1

3

2

14

2

7

Source – Routine weekly reportsMeasles immunization coverage – 61% (DLHS-3)

Details of measles Outbreak-UDJ(2008-09-10)

MCV1 status of cases (1-4 yr age) of confirmed measles/rubella outbreaks in West Bengal and select districts : 2009

45%

12%

43%

West BengalN(1-4yr)=1681

3% 5%

92%

Uttar DinajpurN(1-4yr)=103

Vaccinated Unvaccinated Status unknown

PRELIMINARY SEARCH & DETAILED OUTBREAK

INVESTIGATION -2009,2010 Under-

Reporting !!!

CHANDVITA ,DAKHINPALPARA ,KHOSAURMOB-UDJ-09-019 [Measles] [Mar 2009]

MADHUSIKHAR ,BARMANPARA ,SAHASPUR

MOB-UDJ-09-062[Measles] [Nov 2009]

LOHAGARA ,LAGUAMOB-UDJ-09-020 [Measles] [Mar 2009]

GEDRIGAON ,GOAGAON-IIMOB-UDJ-10-009[Measles][Mar 2010]

36 KM

25 Km33 Km

DETAILED OUTBREAK INVESTIGATION[2009& 10]

ADHIR BHATIPARAMOB-UDJ-09-006 [Mixed][Jan 2009]

Rudrakhanda ,Gouri--16 cases [14 May]

Kokila ,Sahapur-I-39 cases[4 May]

Birbalvita , Goagaon I & II-- 38 cases [5 May]

Bangaon ,Goagaon-I—102 cases + 1 death [14 April]

Badlavita ,Bajargaon-II----37 cases [4 May]

RECENT OUTBREAKS OF FEVER & RASH [2010] – As repeated investigation

points towards continuation of same outbreaks-DOBI not done.

Report of recent preliminary searches after Gedrigaon Outbreak

S.No.

Block G.P Village Total no. of cases

Vaccination Status Death

Yes No Unknown

1 G.P-I Goagaon-I Purba Bangaon

101 3 97 1 1

2. GP-I Goagaon-I & II Birbalvita 38 8 28 2 0

3 G.P-I Sahapur-I Kukila 39 7 31 1 0

4 Karandighi Bazargaon-II Badlavita 37 2 35 0 0

5 Raigunj Gouri Rudrakhanda 16 0 13 3` 0

Total 231 20 204 7 1

SITUATIONAL ANALYSIS

NAME OF BLOCK

No. of MO/CHOSO/AMO/HMO

No. of PHN

NO. of PHC

No. of GP

No. of SC

Vacant

ANM (1st)

No. of 2nd ANM

Vacant

2nd ANM

Sanctioned ASHA

Worker

No. of ASHA Worke

r

Vacant

ASHA

NO. of ICDS

Worker

CHOPRA 7 2 3 8 34 0 21 13 256 133 123 223

GOALPOKHAR I 9 1 1 14 40 2 13 27 245 221 24 310

GOALPOKHAR II 7 1 2 11 35 2 19 16 226 150 76 252

HEMTABAD 8 2 2 5 19 0 16 3 131 0 131 158

ISLAMPUR 6 1 1 13 38 0 13 25 280 100 180 332

ITAHAR 10 2 3 12 42 0 36 6 214 198 16 294

KALIAGANJ 14 3 2 8 31 0 30 1 212 0 212 166

KARANDIGHI 14 1 2 13 48 2 34 14 285 145 140 418

RAIGANJ 9 1 3 14 57 0 39 18 405 271 134 431

RAIGANJ-M   2           0        

ISLAMPUR-M   1           0        

KALIAGANJ-M   0           0        

District total 84 17 19 98 344 6 221 123 2254 1218 1036 2584

Manpower Resource Analysis-UDJ

Shortage or Mal-distribution of Manpower

NAME OF BLOCK No. of GP No. of PHN

CHOPRA 8 2

GOALPOKHAR I 14 1

GOALPOKHAR II 11 1

HEMTABAD 5 2

ISLAMPUR 13 1

ITAHAR 12 2

KALIAGANJ 8 3

KARANDIGHI 13 1

RAIGANJ 14 1

RAIGANJ-M   2

ISLAMPUR-M   1

KALIAGANJ-M   0

District total 98 17

SUBCENTRE POPULATION > 10,000

BLOCK GP SC POPULATIONTotal No.

of SCCHOPRA Data not availabele from block

GOALPOKHAR I

GOAGAON II TILAN 12888

8

SAHAPUR I DUBKOL 10382

DHARAMPUR II MAJLISPUR 12455

PANJIPARAHASKUNDA 11985

SANTINAGAR 11583

GOTI CHARGHARIA 10665

GOAGAON IGOAGAON 13462

CHAPUA 10750

GOALPOKHAR II

BELON BIJULIA 10197

4NIJAMPUR I BOROGAON 10283

SURJAPURSURJAPUR 11964

LALGANJ 10090

HEMTABAD NIL 0

ISLAMPUR

  AJITBAS COLONY 113902

RAMGANJ II RAMGANJ 10830

Work load Analysis [Data given by Block]

ITAHAR

KAPASIA KAPASIA 13572

4GULANDHAR I DHULOHAR 10691

DURGAPUR KUKRAKUNDA 10582

ITAHAR MIRJATPUR 12467

KALIAGANJ   MUSTAFANAGAR 12057 1

KARANDIGHI

ALTAPUR I RAGHABPUR 12837

5

RASAKHOA II RASAKHOA 11203

DALKHOLA INICHITPUR 13996

HEMENPUR 11559

DALKHOLA M SUBHASHPALLY 10000

RAIGANJ

BHATUN

TAJPUR 10500

7

BHATUN 10202

MALIBARI 10251

SITGRAM SITGRAM 10404

MARAIKURA KASBA 10529

KAMALABARI I

CHATRAPUR 10300

KARNAJORA 10953

BLOCK

GP SC POPULATION

Total No. of SC

SUBCENTRE POPULATION > 10,000

ICDS INVOLVMENT

1.VHND Regularization

2. 3rd Friday meeting

NAME OF BLOCK

NO. of ICDS

Worker

CHOPRA 223

GOALPOKHAR I 310

GOALPOKHAR II 252

HEMTABAD 158

ISLAMPUR 332

ITAHAR 294

KALIAGANJ 166

KARANDIGHI 418

RAIGANJ 431

RAIGANJ-M  

ISLAMPUR-M  

KALIAGANJ-M  

District total 2584

Inter sectoral coordination can be improved after regular interaction of

AWW & ANM workers

Literacy & Demographic Status of Blocks

Per cent

10.0 - 50.0

50.1 - 65.0

65.1 - 80.0

80.1 - 100.0

Missing data

West Bengal Literacy

(>7 years) 2001

TerhagachhDighalbank Thakurganj

PothiaBahadurganj

KochadhaminKishanganj

Banmankhi

Barhara

Bhawanipur

Rupauli

Dhamdaha

Krityanand NagarPurnia East

KasbaSrinagar

Jalalgarh Amour

Baisa

Baisi

Dagarua

Falka KorhaHasanganj

Kadwa

Balrampur

Barsoi

Azamnagar

Pranpur

DandkhoraKatihar

MansahiBarariSameli

KurselaManihari

Amdabad

Karandighi

Goalpokhar - II

Islampur

Goalpokhar - I

Hemtabad

Chopra

Raiganj

Kaliaganj

Itahar

Literacy rate (age 7+)

Per cent

10.0 - 50.0

50.1 - 65.0

65.1 - 80.0

80.1 - 100.0

Missing data

Census 2001

Blocks of Purnea Sub Division and Uttar Dinajpur

HEALTH SYSTEM ANALYSIS

1. HS (M) and HS (F) tire of supervisor can be activated for proper and regular monitoring of SCs.

2. Tuesday meeting for HSs can be regularized under district level monitoring officers.

3. Regular district level meeting by monitoring officers regarding Progress.

4. Vacant man power resources described earlier to be considered urgently.

5. Proper microplan and session planning by ANM should be ensured.

6. Regular health camp in presence of MOs should be arranged where out reach sessions and IEC activities can be organized concomitantly

MONITORING MOs in a block should be assigned as GP wise monitoring officer. one MO should monitor one or more GP regularly. The MO will be responsible for any discrepancies in his/her assigned GP

Specialized and technically advanced monitoring system can be initiated with the help of NPSP-WHO.

IEC & Sensitization

1. For proper PRI involvement CHCMI meetings can be strengthened at GP level

2. Due to very low literacy and high density minority population in the high risk blocks, a relative resistance to RI activities are noted. Hence special IEC drives addressing those vulnerable population can be planned

3. Regular & proper sensitization meetings can be organized.

Measles: Disease and Epidemiology

Thanks with a big hope