Question : COMMUNICABLE DISEASES

(a) whether the Government are aware of the spread of Cholera in many parts of the country;

(b) whether the National Institute of Cholera, Calcutta has made any study in this regard; (

(c) if so, the State-wise details thereof particularly in Kerala; and

(d) the steps taken by the Government to combat this disease in the country?

Answer given by the minister

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WERLFARE(INDEPENDENT CHARGE) (SHRI N.T. SHANMUGAM)

(a) As per the information available with Central Bureau of Health Intelligence, the number of cholera cases and deaths reported during 1997-1999 are as given below:

1997 1998 1999
I	No. of States/Uts	12 11 10	reporting Cholera	II	No. of cases	3173 3554 1946	III	No. of deaths	18 05 04
(Figures are provisional)

(b) Yes, Sir. The National Institute of Cholera and Enteric Diseases, Calcutta has made several investigations on different cholera outbreaks in the country during 1998-2000.

(c) A statement indicating number of cases and deaths state-wise including Kerala is annexed.

(d) Government of India has initiated the Oral Rehydration Therapy (ORT) Programme in 1986-87 with the objective of preventing diarrhoea associated deaths in children due to dehydration. The goal set under the programme is reduction of deaths due to diarrhoeal diseases in children by 30% by 1995 and 70% by 2000 AD. The strategies under the programme includes:

O	Increase in the use of home made fluids and ORS at home levels:
O	Continued feeding:
O	Improve maternal knowledge:
O	Increase in accessibility of ORS through Government channels and private	sector by appropriate social marketing:
O	Standardisation of ORS packets:
O	Better case management by workers as well as medical practitioners at all	service facilities:
O	Surveillance of cases and deaths from diarrhoea:

Government of India is also providing safe drinking water through Rajiv Gandhi National Drinking Water Mission.

Government has also launched a National Surveillance Programme for Communicable Diseases in selected districts for detection of early warning signals of outbreaks and rapid response for prevention and control of such outbreaks.

ANNEXURE

Annexure referred in reply to part (c ) of the Lok Sabha U.S.Q.No. 1915 for 7.3.2000

STATE-WISE CHOLERA CASES AND DEAHTS, INDIA, 1997-1999

S.No	Name of the	1997 1998 1999	State	C D C D C D
1 Andhra Pr.	107 1 39 0 0 0
2 Arunachal Pr.	- - - - - -
3 Assam	0 0 0 0 - -
4 Bihar	- - - - - -
5 Goa	0 0 10 0 2 0
6 Gujarat	31 0 90 0 22 0
7 Haryana	21 0 55 0 18 0
8 Himachal Pr.	0 0 0 0 6 1
9 J & K	0 0 0 0 0 0
10 Karnataka	725 9 283 1 81 1
11 Kerala	14 1 56 0 6 0
12 Madhya Pr.	16 2 - - - -
13 Maharashtra	737 1 1054 4 128 2
14 Manipur	0 0 17 0 0 0
15 Meghalaya	0 0 0 0 0 0
16 Mizoram	0 0 0 0 0 0
17 Nagaland	0 0 0 0 0 0
18 Orissa	0 0 0 0 0 0
19 Punjab	1 0 3 0 3 0
20 Rajasthan	103 0 7 0 0 0
21 Sikkim	0 0 0 0 0 0
22 Tamil Nadu	- - 900 0 581 0
23 Tripura	0 0 0 0 0 0
24 Uttar Pradesh	21 0 - - - -
25 West Bengal	369 0 108 0 185 0
26 Delhi	0 0 - - - -
27 Pondicherry	0 0 3 0 0 0
28 Andman &	0 0 - - - -
Nicobar
29 Chandigarh	0 0 0 0 0 0
30 D & Haveli	956 0 929 0 914 0
31 Daman & Diu	72 4 0 0 0 0
32 Lakshadweep	0 0 0 0 0 0
Total	3173 18 3554 5 1946 04
C	=	Cases,	D	=	Deaths,	0	=	Nil,	-	=	Information not reported
Figures are provisional
Source:	CBHI, Directorate General of Health Services, Pushpa Bhawan,	Madangir Road, New Delhi

Question : COMMUNICABLE DISEASES

Answer given by the minister

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