**Bara District**

disease. The District Public Health Offices said on an average 500 patients suffering from vi‐ ral fever are said to come to the hospitals, medicals, health centre and drug stores through‐

Kathmandu: Debaki Bhandari, 48 yrs of 13 Kavre Panauti, became ill after taking vaccine. According to Doctor, she became ill after taking vaccine immediately. Shir Memorial Hospi‐

Benighat 9, almost students of Orbang Primary School became ill. After unable to go to school, health assistant Kashiram and ANM SunitaThapa visited their home and treated them. Accord‐ ing to health assistant, Kashiram Sharma of Beni Health Post, out of 77 sick students, 15 had neck problems, 12 had viral fevers and remaining was normal condition. This was due to climatic

INFLUENZA AH3 virus has been linked with a viral fever outbreak in Chitwan, health offi‐ cials said. Blood samples collected from various parts of the district tested positive for the Influenza AH3. Ram Kumar KC of the vector control programme of District Public Heath Office (DPHO) said apart from influenza AH3, Japanese encephalitis was also detected in

"We didn't have any encephalitis case last year," he said. According to the DPHO, over 1,500 people suffering from viral fever visited major hospitals in Chitwan in the last three weeks. Most of the patients were in the 16-50 years age bracket. Health officials warned that the number

The pressure of patients at Western Regional Hospital and health posts in Pokhara is alarm‐ ingly increasing owing to flu of typhoid and viral fever for past few days. Among the total number of the patients visiting the health posts, 35-40 per cent of them are suffering from

Buddhi Bahadur Thapa, Medical Superintendent of the hospital said the number of typhoid and viral fever patients increased during the change of season. Most of the patients are suf‐

As the infection of common cold and fever increasing across the district, the number of pa‐ tients visiting the private hospitals and taking medicine from pharmacies are increasing from the past few days. Informing that some patients who suffer from the viral fever also

of patients could rise in the coming days. **(Sources: Kathmandu Post, August 19, 2011)**

out the district in a day. **(Sources: Rising Nepal 2011 August 15, 2068)**

**Kathmandu District**

62 Encephalitis

**Chitwan District**

some patients.

**Kaski District**

**Illness due to Japanese encephalitis Vaccine**

tal of Banepa referred her to Kathmandu for treatment.

**Student became ill due to viral (Japanese encephalitis) disease**

**Japanese encephalitis (viral fever) identified as influenza AH3**

**Japanese encephalitis (viral fever) grips Pokhara**

fering from fever, cough and common cold, he added.

typhoid and viral fever, said the hospital.

changes and poor sanitation, he added. **(Source: Kantipur, 20th October 2011)**

#### **Two children dead due to Japanese encephalitis**

Bara, 29 Mangsir, two children were dead in Bara last night. According to local person, Ga‐ jendra Kumar, son of Upendra Jaiswal and Aman Kumar of Lal Babu Prasad Jaiswal were dead during treatment at national medical college Birgunj. They were referred to national medical college. JE is caused by mosquitoes – borne viral fever. **(Sources: Annapurna Post December 16, 2011)**

#### **Tanahun District**

#### **Japanese encephalitis (viral fever) regime in Damauli**

Viral fever is said to be raging in Damauli and it's surrounding areas over the past few days. Damauli Hospital and private clinics are receiving an increasing flow of patients since the start of the Nepali month of Shrawan. Out of total 200 patients that the hospital receives dai‐ ly, around 100 are the patients of viral fever. The situation inside the Damauli jail is worri‐ some. Out of 95 inmates serving jail sentence, 75 are suffering from viral fever. The spread of viral fever has prompted the Department of Health to send a team of health officials said the Districts Public Health Office. **(Source: Rising Nepal, July 23, 2011)**

#### **Arghakhanchi District**

#### **Japanese encephalitis (viral fever) and Pneumonia outbreak**

Arghakhanchi, District hospital was fully occupied due to large number of viral fever and pneu‐ monia cases. Due to large number cases and lack of beds, patients are being treated on floor.

Patients have admitted forty to fifty within one week of time. There are only 15 beds but 40 to 50 patients are sick, hospital informed that more than 30 patients are being treated on the floor. Children are sicker than other age group; this age groups belong to 1 to 2 yrs. According to Chief, Acting District Hospital Dr. Ram Prasad Sapkota, viral pneumonia patients are more in hospi‐ tal. He told that it has been difficult to doctor and medical people because of full of patients in hospital. He added that more than 100 patients are being treated in OPD on Sunday. Patients complained that lack of bed, more patients treated and patients are brought for hospital for treatment and they have to stay in hotel. 25 pneumonia patients are admitted in hospital daily. Patients are coming from not only headquarter but also from urban areas for treatment. CMA told that patient flow rate is increased more in health and sub-health post in VDC. Four doctors complained that they are faced problem due to outbreak of disease. Dr. Sapkota told that lack of bed, pneumonia patients are treated lying on the floor. He added more that patients are increas‐ ing day by day and most of the patients are seriously due to form pneumonia and viral fever, they came to hospital for treatment. **(Source: Kantipur, September 26, 2011)**

across Rapti river areas. Insecticides could not be sprayed due to heavy rains, he agreed. Insecti‐ cide will be sprayed after cease of rain. According the public health office, JE regular vaccine is giving under one year child to control the JE. JE is controlled due to vaccine. Doctor advised that, people have to use bed net regularly, clean and cut unnecessary bushy and make tidy filling wa‐ ter ditch to save from JE disease. Altogether 105 JE patients were admitted out of which 23 pa‐

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65

Two persons died of Japanese encephalitis, a viral disease transmitted by mosquitoes, while undergoing treatment at Bheri Zonal Hospital on Friday. Krishni Tharu, 40, of Kailali and Chandra Shahi, 13, of Surkhet died of the disease. A hospital source said that the number of patients suffering from the disease is surging in the mid and far western Terai districts in the past few days. On Monday, eight-years-old Gomi Rana of Dang succumbed to the ail‐

Two persons died of Japanese encephalitis on Friday. Krishni Tharu, 40, of Kailali and Chan‐ dra Shahi, 13, of Surkhet died of the JE disease while undergoing treatment at Bheri Zonal Hospital. On Monday, eight-years-old Gomi Rana of Dang Chailahi died. Number of JE pa‐

Dr. Chudamani Bhandari, Director, Kathmandu Epidemiology and Disease Control Divi‐ sion told that he didn't get any information from that disease. Japanese encephalitis caused by Flavi virus. This virus is found in pig and bird. It is transmitted by culex mosquito. But JE isn't transmitted from one person to another person. We can save from mosquito in spite of

Banke: more one kid dead due to JE, 7 - Sorhawa, Bardiya 7 - years old AsmitaChaudhari was dead during treatment period and 3 were dead due to JE before. JE cases are raised and 33 persons are admitted in Bheri Zonal Hospital till Tuesday. According to hospital source,

According to Director Bimal Dhakal, patients flow like encephalitis disease is raising. Child ward is fully occupied. According to hospital source, most of patients have come from Bar‐ diya districts. Nine patients from Berdiya, 7 from Banke, 7 dang, 1 Jajarkot, 8 Kailali, 1 Saly‐

Before this, 40 years Krishni Tharu of Baunia, 13 years Chandra Shahi, Tatopani of Surkhet,

When rainy season begins, JE cases are seen in Western Terai district of Nepal. Last year, 105 patients were admitted for treatment, among them, 23 were dead.No. of total patients ad‐ mitted – 33 (Bardiya – 9, Banke – 7, Dang – 7, Jajarkot – 1, Kailali – 8, Salyan – 1 and Surkhet

tients were died in Bheri Zonal Hospital last year. **(Source: Kantipur, August 17, 2011)**

ment during treatment. **(Sources: Kathmandu Post 2011 August 21)**

tients are increasing. A total 15 patients are admitted till now.

there is no drug of JE. **(Sources: Kantipur, 2011 August 22)**

patients are also admitted in Nepalgunj and Kohalpur.

8 years Goma Rana of Chaulahi of Dang were dead.

**More one dead due to JE**

an and 1 from Surkhet are admitted.

– 1). (**Source: Kantipur, August 31, 2011).**

**Japanese encephalitis claims two lives**

**Two persons died due to Japanese encephalitis**

#### **Dang District**

#### **Pig farming ban in Dang**

Pig farming has been banned inside the Tribhuvannagar Municipality area. The ban was levied by the municipality in wake of the spreading out of the Japanese encephalitis in the Terai region. The ban is effective within Chbhaisota in the north, Ratnapur-Bharatpur road in the South, Run‐ way-Bharatpur in the east and Sewar River in the west. The municipality has also begun killing the stray pigs and ducks that are left unclaimed even after repeated request to the owners to get rid of them, said Mayor Amar BahadurDangi. The Nepal Bank Ltd., Agriculture Development Bank and other financial institutions have also been requested not to issue loans for pig farming in the region, adds Dangi. The municipality has so far killed 40 pigs and two ducks found un‐ claimed in various wards of the municipality, it is learnt **(Source: Rising Nepal, July 5, 2002).**

#### **Banke District**

#### **JE stalks mid-western Terai district**

Japanese encephalitis, a mosquito-borne viral disease, has stalked the mid-western Terai dis‐ tricts lately, claiming one life and taking scores others ill. Gumi Rana of Chaulahi from Dang dis‐ trict died of Japanese encephalitis on Monday while undergoing treatment at Nepalgunj based Bheri Zonal Hospital. The hospital sources said the flow of encephalitis patients is surging in re‐ cent days. According to Dr. Bimal Dhakal, the chief at the hospital, 11 Japanese encephalitis pa‐ tients have been admitted to the hospital in the past one month and some of them are still receiving treatment. The hospital data shows that most of the patients are form Dang, Banke and Bardiya districts. Mid-western Terai districts come under the grip of fatal Japanese encephalitis during the monsoon every year. Last year, 105 Japanese encephalitis patients were admitted to Bheri Zonal Hospital and 23 of them died of the disease. Dr. Dhakal is of the opinion that the fa‐ tal disease is beyond control due to the lack of public health awareness. Ram Bahadur Chand of District Public Health Office Banke, however, claimed the office has been working to prevent the spread of the disease. **(Source: Kathmandu Post, August 17, 2011)**

#### **One died from JE**

Ram Bahadur Chand, Focal person of District Public Health claimed that awareness pro‐ gramme about JE activities is being disseminated. Bed nets were distributed for the consumers across Rapti river areas. Insecticides could not be sprayed due to heavy rains, he agreed. Insecti‐ cide will be sprayed after cease of rain. According the public health office, JE regular vaccine is giving under one year child to control the JE. JE is controlled due to vaccine. Doctor advised that, people have to use bed net regularly, clean and cut unnecessary bushy and make tidy filling wa‐ ter ditch to save from JE disease. Altogether 105 JE patients were admitted out of which 23 pa‐ tients were died in Bheri Zonal Hospital last year. **(Source: Kantipur, August 17, 2011)**

#### **Japanese encephalitis claims two lives**

Acting District Hospital Dr. Ram Prasad Sapkota, viral pneumonia patients are more in hospi‐ tal. He told that it has been difficult to doctor and medical people because of full of patients in hospital. He added that more than 100 patients are being treated in OPD on Sunday. Patients complained that lack of bed, more patients treated and patients are brought for hospital for treatment and they have to stay in hotel. 25 pneumonia patients are admitted in hospital daily. Patients are coming from not only headquarter but also from urban areas for treatment. CMA told that patient flow rate is increased more in health and sub-health post in VDC. Four doctors complained that they are faced problem due to outbreak of disease. Dr. Sapkota told that lack of bed, pneumonia patients are treated lying on the floor. He added more that patients are increas‐ ing day by day and most of the patients are seriously due to form pneumonia and viral fever,

Pig farming has been banned inside the Tribhuvannagar Municipality area. The ban was levied by the municipality in wake of the spreading out of the Japanese encephalitis in the Terai region. The ban is effective within Chbhaisota in the north, Ratnapur-Bharatpur road in the South, Run‐ way-Bharatpur in the east and Sewar River in the west. The municipality has also begun killing the stray pigs and ducks that are left unclaimed even after repeated request to the owners to get rid of them, said Mayor Amar BahadurDangi. The Nepal Bank Ltd., Agriculture Development Bank and other financial institutions have also been requested not to issue loans for pig farming in the region, adds Dangi. The municipality has so far killed 40 pigs and two ducks found un‐ claimed in various wards of the municipality, it is learnt **(Source: Rising Nepal, July 5, 2002).**

Japanese encephalitis, a mosquito-borne viral disease, has stalked the mid-western Terai dis‐ tricts lately, claiming one life and taking scores others ill. Gumi Rana of Chaulahi from Dang dis‐ trict died of Japanese encephalitis on Monday while undergoing treatment at Nepalgunj based Bheri Zonal Hospital. The hospital sources said the flow of encephalitis patients is surging in re‐ cent days. According to Dr. Bimal Dhakal, the chief at the hospital, 11 Japanese encephalitis pa‐ tients have been admitted to the hospital in the past one month and some of them are still receiving treatment. The hospital data shows that most of the patients are form Dang, Banke and Bardiya districts. Mid-western Terai districts come under the grip of fatal Japanese encephalitis during the monsoon every year. Last year, 105 Japanese encephalitis patients were admitted to Bheri Zonal Hospital and 23 of them died of the disease. Dr. Dhakal is of the opinion that the fa‐ tal disease is beyond control due to the lack of public health awareness. Ram Bahadur Chand of District Public Health Office Banke, however, claimed the office has been working to prevent

Ram Bahadur Chand, Focal person of District Public Health claimed that awareness pro‐ gramme about JE activities is being disseminated. Bed nets were distributed for the consumers

the spread of the disease. **(Source: Kathmandu Post, August 17, 2011)**

they came to hospital for treatment. **(Source: Kantipur, September 26, 2011)**

**Dang District**

64 Encephalitis

**Banke District**

**One died from JE**

**JE stalks mid-western Terai district**

**Pig farming ban in Dang**

Two persons died of Japanese encephalitis, a viral disease transmitted by mosquitoes, while undergoing treatment at Bheri Zonal Hospital on Friday. Krishni Tharu, 40, of Kailali and Chandra Shahi, 13, of Surkhet died of the disease. A hospital source said that the number of patients suffering from the disease is surging in the mid and far western Terai districts in the past few days. On Monday, eight-years-old Gomi Rana of Dang succumbed to the ail‐ ment during treatment. **(Sources: Kathmandu Post 2011 August 21)**

#### **Two persons died due to Japanese encephalitis**

Two persons died of Japanese encephalitis on Friday. Krishni Tharu, 40, of Kailali and Chan‐ dra Shahi, 13, of Surkhet died of the JE disease while undergoing treatment at Bheri Zonal Hospital. On Monday, eight-years-old Gomi Rana of Dang Chailahi died. Number of JE pa‐ tients are increasing. A total 15 patients are admitted till now.

Dr. Chudamani Bhandari, Director, Kathmandu Epidemiology and Disease Control Divi‐ sion told that he didn't get any information from that disease. Japanese encephalitis caused by Flavi virus. This virus is found in pig and bird. It is transmitted by culex mosquito. But JE isn't transmitted from one person to another person. We can save from mosquito in spite of there is no drug of JE. **(Sources: Kantipur, 2011 August 22)**

#### **More one dead due to JE**

Banke: more one kid dead due to JE, 7 - Sorhawa, Bardiya 7 - years old AsmitaChaudhari was dead during treatment period and 3 were dead due to JE before. JE cases are raised and 33 persons are admitted in Bheri Zonal Hospital till Tuesday. According to hospital source, patients are also admitted in Nepalgunj and Kohalpur.

According to Director Bimal Dhakal, patients flow like encephalitis disease is raising. Child ward is fully occupied. According to hospital source, most of patients have come from Bar‐ diya districts. Nine patients from Berdiya, 7 from Banke, 7 dang, 1 Jajarkot, 8 Kailali, 1 Saly‐ an and 1 from Surkhet are admitted.

Before this, 40 years Krishni Tharu of Baunia, 13 years Chandra Shahi, Tatopani of Surkhet, 8 years Goma Rana of Chaulahi of Dang were dead.

When rainy season begins, JE cases are seen in Western Terai district of Nepal. Last year, 105 patients were admitted for treatment, among them, 23 were dead.No. of total patients ad‐ mitted – 33 (Bardiya – 9, Banke – 7, Dang – 7, Jajarkot – 1, Kailali – 8, Salyan – 1 and Surkhet – 1). (**Source: Kantipur, August 31, 2011).**

#### **Three died due to Japanese encephalitis in Banke**

Nepalgunj: Three persons died of encephalitis in Banke district during the Nepali month Saun. Five others are undergoing treatment in local Bheri Zonal Hospital and seven others returned after the treatment. The hospital has been providing the medicines Cyanula and Fluide at free of cost to the patients of encephalitis who as undergoing treatment in the hos‐ pital. **(Source: Rising Nepal 2011, August 20)**

**6. JE Vaccination in children**

erage (See table no. 3).

Source: CBS 2001 population census.

About 103% vaccination coverage in children population targeted were in Kailali and Banke districts and 100% coverage in Dang district, 73% in Bardiya district but in Rupandehi and Kanchanpur district 40 and 41% JE vaccine coverage respectively, which was very low cov‐

**Area Age group Total Male Female Sex Ratio** Rupendehi 0-4 yrs 85964 43957 42007 1.05

Total 279903 144166 135737

Total 193503 97974 95529

Total 156260 80265 75995

Total 159487 81131 78356

Total 26160 134131 127476

Total 158017 80841 77176

Dang 0-4 yrs 59987 30284 29703 0.098

Banke 0-4 yrs 48809 24612 24197 1.06

Bardiya 0-4 yrs 47789 24246 23543 1.03

Kailali 0-4 yrs 79693 40843 38850 1.05

Kanchanpur 0-4 yrs 49777 25506 24271 .099

**Table 3.** JE Risk six districts population of children between 1 to 15 age, sex and sex ration in Nepal

5-9 yrs 100724 51855 48869 1.06 10-14 yrs 93215 48354 44861 1.08

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5-9 yrs 67656 34279 33377 1.02 10-14 yrs 65860 33411 32449 1.05

5-9 yrs 56410 28955 27455 1.02 10-14 yrs 51041 26698 24343 1.03

5-9 yrs 58875 29670 29205 1.02 10-14 yrs 52823 27215 25608 1.06

5-9 yrs 95326 48698 46628 1.04 10-14 yrs 86588 44590 41998 1.06

5-9 yrs 55802 28545 27257 0.096 10-14 yrs 52438 26790 25648 0.097s

#### **Kailali District**

#### **Four deaths due to Japanese encephalitis**

More than 36 persons are affected by JE in Dhangadhi in this year. According to DPHO Kailali, 36 were admitted for treatment, among them 4 were dead. Twenty six were returned to their home after recovery and 6 were referred to other place for treatment. Hasulia and Mashuria are highly JE affected area. JE outbreak after the 2nd week of Ashar in this year, said Karki.

Last year 5 persons were dead due to JE and more than 50 were affected by this disease. Since 2 years, JE cases are deceasing due to vaccination. According to DPHO officer Karki, JE cases seem till 3rd week of Ashoj. **(Source: Kathmandu Post, September, 2, 2011)**

#### **Japanese Encephalitis claims four in Dhangadhi**

**Four** persons died of encephalitis while receiving treatment at Seti Zonal Hospital, Dhan‐ gadhi. Hospital's official DilipShrestha said altogether four persons died since second week of July in this year. The deceased persons include Khagisar Joshi, 6 of Bauniya VDC, Sarita Chaudhary, 22, of Hasuliya VDC. Kamala Shahi, 11, of Pahalamnpur of Kailali district and Mani Ram Oli, 28, of Kanchanpur district, said the hospital. Altogether 36 persons have been admitted to the hospital for the treatment of encephalitis and six patients among them have been referred for further treatment. The hospital providing free treatment facility for the en‐ cephalitis patients, said Shrestha. **(Sources: Rising Nepal, September 2, 2011).**

#### **Kanchanpur District**

#### **Four deaths due to Japanese encephalitis**

Four people died due to Japanese encephalitis in Kanchanpur district. They died while undergo‐ ing treatment in Mahakali Zonal Hospital. Raju Chaudhari from Raikwar Bichwa VDC died while undergoing treatment in Seti Zonal Hospital. The deceased persons include Bindu Dhami – 24yrs., of Bauniya VDC-8, DalbirTamata 48 yrs. of Daiji VDC-5 and Dhani Budha – 60 yrs. from Badampur of Bhimdatt municipality said the hospital. According to Keshab Datt Awasthi, Med‐ ical Recorder Officer from Mahakali Zonal Hospital, JE patients are increased in the hospital.

He said that, altogether 35 persons have been treated of encephalitis and 15 patients went to home after treatment. 13 patients among them have been referred for further treatment and rest 2 patients went without information in the hospital.

More patients pressured in the month of Bhadra but only 2 patients have been admitted in the month of Asoj. Last year, 26 persons have been admitted, out of which 2 persons were died. According to Dr. Dipendraraman Singh, Chief of hospital, JE cases are seen in patients due to unvaccination. **(Source: Gorkhapatra, September 30, 2011)**
