Date post: | 03-Jan-2016 |
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PERTUSSIS: case definition
• Cough lasting at least two weeks with at least one of the following symptoms:– Paroxysms (i.e. fits) of coughing – Inspiratory whooping – Post-tussive vomiting (i.e. vomiting immediately
after coughing) without other apparent cause
Age Distribution
0 -1 yr 1-2 yr 2-5 yr 5-10yr 10-15 yrs >15 yrs0
10
20
30
40
50
60
70
46
26
59
48
7
0
Pert
usis
case
s
25%
14%
32%
26%
4%
Age wise distribution of severity
0-3m
onth
s
3-6m
onth
s
6-12
mon
ths
1-2Y
r
2-5Y
r
5-10
Yr
10-1
5Yr
>15Y
r
0
5
10
15
20
25
30
35
40
45
50
55
60
17
8
20
26
57
46
7
01 0 0 02 2
0 0
OPD
IPD9%
4%
11%
14%
31%
25%
4%
20%40%
40%
Immunization status & severity
20%
40%
20%
20%
IPD
43%
50%
7% 1%
OPD
not immunized partially immunized fully immunized ineligible
Pertussis
• Pertussis exists but grossly under reported• Diagnosis of pertussis remains clinical• Evidence of infant pertussis • Majority of reported cases unimmunized
HEPATITIS
• An acute illness typically including acute jaundice, dark urine, anorexia, malaise, extreme fatigue and right upper quadrant tenderness
• Urine Bile pigments (urobilinogen) +ve• ALT(SGPT) >2.5 times the upper limit of
normal• Malaria, leptospirosis, dengue and
typhoid/paratyphoid
• HEPATITIS A (HEPA)• HEPATITIS B (HEPB)• HEPATITIS E (HEPE)• HEPATITIS O (HEPO) Hepatitis Other types • HEPATITIS N (HEPN) Hepatitis etiology not known
Types of Hepatitis
Hepatitis Type A96%
Other Types2%
Hepatitis Type B1%
Total: 531, HA: 512, HB: 5, Others: 14
Age Group of Hepatitis
0 -1 yr 1-2 yr 2-5 yr 5-10yr 10-15 yrs >15 yrs0
50
100
150
200
250
300
350
3
59
287
150
30
2
Cases o
f H
epati
tis
.6%.6%
11%
54%
28%
1%
5 %
1%
Age Wise Distribution of Severity
<1Yr 1-2Yr 2-5 Yr 5-10Yr 10-15 Yr >15Yr0
50
100
150
200
250
300
2
51
271
127
24
118
1623
6 1
OPDIPD
0%2%
11%
15%
57%
29%
27%
42% 5%
11% 0% 2%
Immunization status of severity
89%
11%
IPD
98%
1% 1%
OPD
Not immunized Partially immunized Fully immunized
To summarize
• Hepatitis commonly reported• Hepatitis A most common type• Symptomatic Hep A common in 2-5 yrs• Severity more in 5-10 yrs & beyond• Hep A immunization even in pvt sector poor
Acknowledgement
Dr. Sunita ChitkaraDeputy Director General
Economic Statistics DivisionCentral Statistical Organisation
Ministry of Statistics & PIIndia