GOVERNMENT OF ANDHRA PRADESH
HEALTH, MEDICAL AND FAMILY WELFAE (J1) DEPARTMENT
Sub:- Outbreak of suspected viral encephalitis – record of case Sheets – Follow up action – Reg.
Ref:- 1. G.O.Ms.No.357, HM&FW dt.9.7.2003
2. Govt. Memo.No.18585/J1/2003, HM&FW dt.11.7.2003
3. Tele. Conference
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In view of the outbreak of suspected viral encephalitis cases, guidelines on a case management protocol and a case sheet prepared by the concerned specialists mainly from Niloufer hospital was since communicated as guidelines to be followed with appropriate modifications as may be required, to all the hospitals in the State vide Memo 2nd cited the concerned HODs were requested to direct the concerned to record all the information of suspected viral encephalitis cases in the case record sheet so adopt. As the discussions with various with various specialists reveals the prevalence of JE / Viral Encephalitis / Dengue like hemorrhagic fever and possibility of Reyes Syndrome and as there is no categorical diagnosis of the viral encephalitis as on date, the Director of Medical Education and Commissioner, A.P.Vaidya Vidhana Parishad are requested to take immediate action as follows:
v Review first at hospital level and then state level each of the suspected encephalitis cases analyse and undertake appropriate diagnostic tests.
v The DGHS shall coordinate and ensure a detailed case-wise analysis by allotting districts to his senior officers if required apart from giving guidance to the hospitals concerned.
The DGHS shall coordinate and monitor the findings and
ensure sharing of information between the teaching hospitals the APVVP
institutions and PHCs concerned by using the telemedicine facility, video
v All the supervisory Officers including Prog. Officers, DM&HOs, DCHSs, Other Senior Officer who are allotted districts by the Director Health, shall take immediate steps accordingly including analysis / investigation as per format enclosed part E of which should be filled up by investigation team / Programme Officer and forwarded to concerned hospital for filling up rest of the particulars.
v DGHS may modify the format if required in consultation wish specialists concerned the above analysis will help us to diagnose the current epidemic.
M. CHAYA RATAN
PRINCIPAL SECRETARY TO GOVENMENT
The DGHS & Commissioner, A.P. Vaidya Vidhana Parishad, Hyderabad.
The Director of Medical Education, Hyderabad.
Copy to All District Collectors.
Copy to All District Medical and Health Officers.
Copy to All District Co-ordinate Health Services.
// FORWARDED :: BY ORDER //
FORMAT FOR INVESTIGATION OF SUSPECTED ENCEPHALITIS CASE
1. CASE LOCATION DETAILS
District_________________ PHC______________________ Mandal ___________ Village_______________ Population________ House No.__________
Head of Family ______________________ Date of investigation ____________
Name of the Investigating Officer ______________
2. PATIENT INFORMATION:
Name_________________________Age (Years) _____Sex: M / F
Name of the Father / Mother ___________________Date of onset of illness________________
Socio Economic information : Education ______________ Occupation __________________
Income________________ , Caste _________________Recovered / Still suffering / Died on ____________________
Whether received : i) Measles Vaccination Yes ð No ð ii) JE Vaccination Yes ð No ð
Nutritional Status (Wt. in Kgs Ht in Cm) BMI ______________________________
3. ENVIRONMENTAL DATA OF THE HOUSE
House : Kacha / Pacca / Hut
Hygine : Good / Poor
Type of peridomestic Mosquito breeding : Desert coolers / Over head tanks / discarded tyres
/ Buckets / ______________________________
Animals present : Pigs / Cattle / Buffalo / Goat / Hens / Ducks /
Protected Water : Yes ð No ð
Water source : ________________________________________
Surroundings : ð Pits , ð Water Stagnation, ð Cisterns,
ð Tanks, ð Any Water Storage containers
Sleeping Habit : Outside / Same room with Animals / Separate
Agriculture : Paddy Fields Yes ð No ð ( or ) Any other
Crops Grown _________________________
Contact with insecticides / Pesticides : Yes ð No ð Specify _________
4. Vector Control Measures taken:
Residual Spray : Yes ð No ð ; Fogging operations : Yes ð No ð ;
Anti larval : Yes ð No ð If not Who is the responsible person : __________
6. TREATMENT HISTORY
Whether the patient taken treatment, prior to the admission in to Hospital or coming to the Medical Officer? Yes ð No ð If yes Name of the institution _____________ Whether the Doctor is Qualified - Yes ð No ð If No. How many bottles of Fluids were given? Specify the Number ____________. Any other relevant information: (Drugs / Medicines Taken, Other Treatment if any.) ________________________________
7. CLINICAL INFORMATION
Name of the Hospital admitted ________________________ Date of admission ____________
Date of Discharge_______________________
Signs & Symptoms
History of post illness:
Has the patient suffered from same type of Symptoms in last one year Yes ð No ð
REPORTED BY Name ___________________________________________________
Designation____________________ Tel. No.___________________
10. SPECIMENS COLLECTED FOR TESTING