Pertussis: IDSURV

Dr.A.J.Chitkara

A sentinel site surveillance of 10 VPDs

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

Total cases reported

• 186 cases; 27-2-11 to 21-08-12

2011 20120

20

40

60

80

100

120

140

61

125

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%

Infant Pertussis

0-3 months 4-6 months 7-12 months0

5

10

15

20

25

18

8

20

41%

18%

45%

Sex distribution

63%

37%Male Female

Immunization Status

43%

50%

7%

Not Immunised Partially ImmunizedFully Immunized

Severity of Pertussis cases

97%

3%

OPDIPD

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

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

Case

s of

Hep

atit

is

.6%.6%

11%

54%

28%

1%

5 %

1%

Sex Distribution

65%

35%

Male Female

Severity of Hepatitis cases

90%

10%

OPDIPD

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

97%

2% 1%

Not immunized Partially immunized Fully immunized

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

Thank you