Subhajit Bhattacharjee

1. Measles Surveillance & RI UDJ Status Report

2. WEST BENGAL

3. UDJ –Reported highest Measles Mortality in WB-Since 2007 Weekly Reporting Measles-Surveillance

4. Death Source – Routine weekly reports

5. Source – Routine weekly reports

6. Source – Routine weekly reports Measles immunization coverage – 61% (DLHS-3)

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

8. MCV1 status of cases (1-4 yr age) of confirmed measles/rubella outbreaks in West Bengal and select districts : 2009 West Bengal N(1-4yr)=1681 Uttar Dinajpur N(1-4yr)=103 Vaccinated Unvaccinated Status unknown

9. PRELIMINARY SEARCH & DETAILED OUTBREAK INVESTIGATION -2009,2010 Under-Reporting !!!

12. CHANDVITA ,DAKHINPALPARA ,KHOSAUR MOB-UDJ-09-019 [ Measles] [ Mar 2009 ] MADHUSIKHAR ,BARMANPARA ,SAHASPUR MOB-UDJ-09-062[ Measles ] [Nov 2009] LOHAGARA ,LAGUA MOB-UDJ-09-020 [ Measles] [ Mar 2009] GEDRIGAON ,GOAGAON-II MOB-UDJ-10-009[ Measles ][ Mar 2010] 36 KM 25 Km 33 Km DETAILED OUTBREAK INVESTIGATION [2009& 10] ADHIR BHATIPARA MOB-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.

13. 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

15. SITUATIONAL ANALYSIS

16. Manpower Resource Analysis-UDJ 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 Worker 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

17. 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

18. Work load Analysis [Data given by Block] SUBCENTRE POPULATION > 10,000 BLOCK GP SC POPULATION Total No. of SC CHOPRA Data not availabele from block GOALPOKHAR I GOAGAON II TILAN 12888 8 SAHAPUR I DUBKOL 10382 DHARAMPUR II MAJLISPUR 12455 PANJIPARA HASKUNDA 11985 SANTINAGAR 11583 GOTI CHARGHARIA 10665 GOAGAON I GOAGAON 13462 CHAPUA 10750 GOALPOKHAR II BELON BIJULIA 10197 4 NIJAMPUR I BOROGAON 10283 SURJAPUR SURJAPUR 11964 LALGANJ 10090 HEMTABAD NIL 0 ISLAMPUR AJITBAS COLONY 11390 2 RAMGANJ II RAMGANJ 10830

19. SUBCENTRE POPULATION > 10,000 ITAHAR KAPASIA KAPASIA 13572 4 GULANDHAR I DHULOHAR 10691 DURGAPUR KUKRAKUNDA 10582 ITAHAR MIRJATPUR 12467 KALIAGANJ MUSTAFANAGAR 12057 1 KARANDIGHI ALTAPUR I RAGHABPUR 12837 5 RASAKHOA II RASAKHOA 11203 DALKHOLA I NICHITPUR 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

21. Literacy & Demographic Status of Blocks

22. West Bengal Literacy (>7 years) 2001

23. Blocks of Purnea Sub Division Census 2001 and Uttar Dinajpur

26. 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.

27. Measles: Disease and Epidemiology Thanks with a big hope