DNA: New Delhi: Friday, January 16, 2015.
Acute
Encephalitis Syndrome (AES) and Japanese Encephalitis (JE), the killer diseases
(common known as brain fever), are no longer restricted to just pockets in
Uttar Pradesh, Bihar, Assam and West Bengal. The diseases are spreading fast
and many cases are being reported from as many as 20 states, information
obtained under Right to Information Act by dna has revealed. In the last five
years, India has lost more than 6,500 children who died due to AES and JE, the
RTI has revealed.
During this
period, about 35,000 AES and 500 JE cases were reported. While the above four
states reported the bulk of cases, the new 16 states reported 7,000 cases in
this period. Unfortunately, this number is increasing year on year. AES/JE are
a group of neurological diseases, caused by a wide range of viruses, bacterias,
fungi, parasites, chemicals and toxins. The diseases affect dhildern the most.
When asked
under RTI about the various steps taken by the government for prevention and
control of AES/ JE, Dr Sukhvir Singh, joint director, National Vector Borne
Disease Control Programme gave a detailed reply by which it is clear that the
focus is still on just on four affected states. In these states, the government
has opened vaccination campaigns, sentinel laboratories, treatment facilities
among others.
The reply
says that in November 2011, the government of India had constituted a group of
ministers to evolve and suggest a multi-proloned strategy to deal with JE and
AES encompassing preventive sanitation, safe drinking water, improvement in
nutrition, etc), case management and rehabilitation. There were several
meetings of this group of ministers since then but the focus has remained on
these four states, copy of the minutes of the meeting revealed.
Last week, on
January 7, 2015, Union minister for health and family welfare J P Nadda chaired
a high-level inter-ministerial meeting of secretaries/senior officials from
participating ministries of the government of India, as also health secretaries
of five states most affected by JE/AES -- Uttar Pradesh, Bihar, West Bengal,
Assam and Tamil Nadu. The minister emphasised that the stakeholders do
everything in their means to prevent deaths due to JE and AES. The ministers
pointed out that clean drinking water is a key requirement and for this purpose
he urged that the states to make full use of the funding made available by the
department of drinking water & supply.
This shows
that Tamil Nadu is the only new addition and still 15 states are missing.
"Apart
from the known states, the government needs to really focus is Jharkhand,
Karnataka, Andhra Pradesh, Maharashtra and Tamil Nadu. In these states a large
number of AES/JE cases are being reported. We are slowly begining the realise
the importance of focusing on these states as well," said a source in the
ministry of health and Family Welfare, who is not authorised to speak to the
media.
Despite
focusing on these known states for last several years, the government has not
been able to control it. In fact, the the number of children who died doubled
from 791 in 2010 to 1,475 in 2013. Till August 2014, the number of childern who
died had reached 1,057 already.
While several
childern die due to AES/JE diseases, since the virus attacks the brain, a large
number of children affected by JE and AES become disabled suffering from
physical, mental and neurological disorders. Even, Nadda emphasised this point
last week. He said that the district disability rehabilitation centre (DDRC)
should be made fully functional so that these childen can be helped out.