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Atal Nagar, the lTth September 2020
NOTIFICATION
No. F l-157/20l9D{VW1.- In exercise of the powers conferred by Section 2 of the Epidemic Diseases Act 1897 (3 of 1897), the State Government, hereby, makes the foliowing regulations relating to Malaria and Other Vector Bome Diseases, namely:-
REGULATIONS
1. Short titlen extent and commencement.- (1) These regulations may be called The Chhattisgarh Epidemic Diseases (Malaria, Dengue and Japanese Encephalitis) Regulations, 2020.
(2) It shall extent to the whole State of Chhattisgarh.
(3) These regulations shall come into force from the date of its publication in the Official Gazette.
2. Definitions. - In these regulations, unless the context otherwise requires,-
(a) "Act "means the Epidemic Diseases Act, lg97 (No. 3 of lg97).
3. Effective Implementation of Preventive Measures and Management of Malaria, Dengue and Japanese Encephalitis.- Malaria, Dengue and Japanese Encephalitis are at important public health concern in the State accounting for substantial morbidity, mortality and disability. Early reporting of Malaria, Dengue and Japanese Encephalitis cases are necessary for effective implemintation of preveritive measures and case management.
In order to ensure early diagrrosis, case management and reduce transmission; address the problems of emergency and spread of diseases in newer geographical areas, it is essential to have complete information of all Malaria, Dengue and Japanese Encephalitis cases. Therefore the Health .ar. p.ouid".s shall notiff every Malaria, dengue, Japanese encephalitis cases to local authorities i.e. Chief Medical & Health offtcerlDistrict Health Officer/ District Malaria Officers of the districts concemed in every weekly/ monthly basis.
e88 (2) 6ffiqqa{rqq{, frrio rr erqsr 2o2oAccordingly, all laboratory-confirmed cases of Malaria, Dengue and Japanese Encephalitis should be notifie'd as follows:-
A. Malaria:-
o Occurence of malaria infection (symptomatic or asymptomatic (afebrile)) in a person, the presence of parasites in the blood has been confirmed by parasitological testing.
o 'A malaria case can be classified as suspected, presumed or confirmed, indigenous, induced, introduced or imported (depending on the origin of infection), relapsing or recrudescence.
o fu Government Health Institutions, registered Private hospitals and clinics should prepare blood slides or antigen detecting Rapid Diagnostic Tests Kit (RDT) for each suspected malaria-case.
o A Patient can be declared positive for Malaria only on the basis of microscopy or RDT result.
Clinical Malaria is not considered as confirmed Malaria.
o After diagnosis, all Malaria positiue cases shall be reported to concemed Government Health Facility on weekly or monthly basis.
r The blood slide of all Malaria Positive cases shall be submitted to the Government Health Facility within three days of diagnosis.
o All health facilities shall ensure complete Radical treatment of Malaria Positive cases with Chloroquine or Artemisinin Combination Therapy (ACT) along with Primaquine as per the National Drug Policy of Malaria issued by the Government of India and Government of Chhattisgarh from time to time.
B. Dengue:-
A Dengue case is defined as an acute febrile illness of 2-7 days duration with two or more of the following manifestations-
Headache, retro-orbital pain, myalgia, artlralgia, rash and hemorrhagic manifestations.
o A dengue case is diagnosed by RD Test (a positive test by RDT will be considered as probable dengue case) and NSI antigen or IgM ELISA based test (test by ELISA will be considered as confirmed dengue case).
r The blood samples ofDengue suspected cases and probable cases shall be sent to the designated Sentinel Surveillance Hospital Laboratory for ELISA confirmation.
o All confirmed (by ELISA) and probable (by RD Test) dengue cases diagnosed at designated sentinel surveillance hospital or Government or private hospitals shall reported to concerned Chief Medical and Health Officers/District Health Offices/District Malaria officer in weekly and monthly basis.
C. Japanese Encephalitis :-
"o111u A person of any age, at any time of the year with the acute onset of fever not more than 5-7 days duration and a change in mental status (including symptoms such as confusion, disorientation, L. inability to talk) AND/ OR new onset of seizures (excluding simple febrile seizure). Other early clinical findings can include an increase in irritability, somnolence or abnormal behaviour greater than that seen with usual febrile illness.
o All Acute Encephalitis Syndrome (AES) shall be treated as suspected Japanese Encephalitis (JE) cases and confirmed by IgM ELISA detecting test.
o The blood samples or cerebrospinal fluid (CSF) of Acute Encephalitis Syndrome (AES) Japanese Encephalitis(JE) suspected cases and probable cases shall be sent to the designated Sentinel Surveillance Hospital Laboratory for ELISA confirmation.
o All confrmed (by ELISA) and probable Oy RD Test) AES/JE cases diagrosed at designated sentinel surveillance hospital or Government or private hospitals shall be reported to concerned Chief Medical & Health Officers/District Health Offices/ District Malaria Officer in weekly and monthly basis.
4. Information of Epidemic diseases.- If a suspected case of Epidemic Disease (Malaria, Dengue and Japanese Encephalitis) is reported at Govemment and private hospitals or clinics are required to inform immediately to the Chief Medical and Health Officer (C.M. and H.O.) and District tr,talaria Officer (Vector Borne Diseases) of the concerned district.
e88 (3) uffi{{€rrqq,ftqi.a rl qfi 2o2oGuideline of the State and Central Government to be followed.- Epidemic Diseases (Malaric Dengue and Japanese Ericephalitis), shall be managed as per guldeline issued by the Government of India from time to time and available on the website of the Director of Nationai Vector Borne Disease Control Prograrnme, Government of India.
6. Liability and penatty.- Any person disobeying any regulations or order made under the Act shall be deemed to have committed an offence punishable under Section 188 of the Indian penal Code, 1860 (45 of 1860)..
By order and in the name of the Govemor of Ctrhattisgarh,
SURENDRA SINGHBAGIIE, Deputy Secretary.
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