2. A functional vision of surveillance 1. Collect and transmit data 2. Compile and Analyze data 3. Feedback information 4. Make decisions All levels use information to make decisions Information for action

3. Reporting Units Total No of RU's Week : 1 TO 29 Weeks 29 and Year 2012 PHC Govt. Hospital/ID Hospitals/CHC/Medical College Private Sector Total no. of Rus No. of units reporte d ≥ 80% Time No. of units reported between 50%-80% Time No. of units reporte d <50% or Null Time Total no. of Rus No. of units reported ≥ 80% Time No. of units reporte d betwee n 50%- 80% Time No. of units repor ted <50% or Null Time Total no.of Rus No. of units reported ≥ 80% Time No. of units reporte d betwee n 50%- 80% Time No. of units reported <50% or Null Time ’P’ Units6046 0098105212 ‘L’ Units 4434 0099001100 1. (a). Consistency Status of ‘P’ & ‘L’ Reporting units

4. Sl. No.Reporting UnitsReporting status OPDIPD 01.District HospitalYes 02.Alipurduar SDHYes 03.Mal SDHYes 04.Birpara SGHYes 05.Bhatibari RHYes 06.Maynaguri RHYes 07.Rajganj RHYes 08.Dhupguri RHYes 09.Falakata RHYes 10.Belakoba BPHC (Sadar)Yes 11.Mongalbari BPHC (Metali)Yes 12.Sulkapara BPHC (Nagrakata)Yes 13.Madarihat BPHCYes 14.Uttar Latabari BPHCYes 15.Panchkolguri BHC (APD-I)Yes 16.Jasodanga BPHC (APD-II)Yes 17.Kamakshyguri BPHCYes 1. (b): OPD-IPD Reporting Status

5. Sl. No.Training No. of batches No. of participants 1.Training for MOs0350 2.Training for Nurses/BPHN/PHN 0481 2. Training Status (till 31 st July’12)

6. Sl. No. DiseaseBlock No. of outbreak Sample TestedLab Result Final Report 1.Acute Diarrhoea Sadar & Rajganj 016 Stool sample at NICEDRotavirus +ve Submitted on 28-3-12 Acute DiarrhoeaMetali013 Stool sample at NBMCHEsch. coli Submitted on 6-7-12 Acute DiarrhoeaMadarihat013 stool sample at NBMCHKlebshiella sp. Submitted on 6-7-12 Acute DiarrhoeaAPD-I014 stool sample at NBMCH Growth of normal flora only Submitted on 12-7-12 2.Measles Rajganj, Mal 02 Serum sample in collaboration with WHO-NPSP Measles & Rubella IgM -ve Submitted on 24-5-12 & 30-5-12 3. Chikungunya Dalmore & Ramjhora Madarihat01STM, Kolkata Chik’gnya IgM +Ve= 6 sample Submitted on 24-7-12 Chamurchi, Dhupguri 01 STM, KolkataChik’gnya IgM +Ve= 4 sample No Dalsingpara,Kalchini01STM, KolkataChik’gnya IgM +Ve= 6No Makrapara,Madarihat01STM, KolkataChik’gnya IgM +Ve= 8No GargendaMadarihat01STM, Kolkata1 sample positiveNo 4.JEDhupguri01NBMCH2 JE positiveNo Falakata01NBMCH2 JE positiveNo Maynaguri01NBMCH3 JE positiveNo Madarihat01NBMCH2 JE ositiveNo Rajganj01NBMCH2 JE positiveNo Sadar01NBMCH2 JE positiveNo TOTAL outbreak detected17 3. Outbreak detection in 2012

7. 4. CHIKUNGUNYA (till 31 st July’12) SlName of BlockName of Sub Center Population at Risk Fever cases treated (Cumulative) No of serum samples tested No of sample found Chikungunia IgM Positive 1 Madarihat Dalmore TG S/C5950 2554 4 2Ramjhora5083 64413 8 3Dalmore Garobasti5000 710 4Makrapara5000 8259 7 5Dhumchi7439 1720 6Lankaara Bazar2210 1080 7Lankapara TG7770 1880 8Gergenda4951 3042 1 9Tulsipara TG4000 360 10 Kalchini DalsingparaGP HQ6450 3414 2 11Rangbahadur line4285 2134 3 12 Dalsingpara TG SC(St. Line) 6515 2170 13 Dhupguri Chamurchi 4300 319 64 Samples from DH, SGH, BPHC-592* TOTAL 367410131 * One from MAKRAPARA & one from RAMJHORA, Madarihat

8. Map showing Chikungunya affected area of Jalpaiguri

9. Action Taken to control Chikungunya Outbreak i)Active search of fever cases, linelisting, treatment, RDK & BS for MP, ii)Weekly PULSE Cleaning of water containers, iii) Spray of k. oil in natural breeding sites iv) IEC

10. 5. Distribution of AES & JE cases (till 31 st July’12) Sl. No.BlockNo. of AES casesNo. JE 1Sadar153 2Rajganj32 3Maynaguri73 4Dhupguri64 5Mal71? 6Metali21 7Nagrakata11 0 8Falakata32 9Madarihat212 10Kalchini90 11Alipurduar-I3 0 12Alipurduar-II7 1 13Kumargram21 TOTAL9620

12. Action to control AES/JE Sensitization of GP & Sub-center level workers. Fever search and RDK/BS collection. Focal spray in JE affected area (contact the undersigned for Logistic demand). Early referral of symptomatic AES with intimation to the DE cell IEC (guideline and Leaflet attached for circulation at sub- center level).