India’s EIS Officers Investigate Mysterious Illness Affecting Children
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EIS officer Dr. Kapil Goel interviewing the mother
of a child with ANS in Muzaffarpur District, India |
In May 2013, India’s first Epidemic Intelligence Service (EIS) class of 7 officers travelled to Muzaffarpur district in the state of Bihar in northeast India. They went to investigate a recurrent outbreak of an unknown acute neurological syndrome (ANS) that causes swelling of the brain and seizures and can lead to death within hours of disease onset. There have been previous large outbreaks of ANS in Muzaffarpur in 2005, 2011 and 2012 affecting hundreds of young children. The outbreaks consistently occurred during the dry, hot months of May and June and primarily affected young children (2-5 years) who had seizures and/or altered mental status; 35-44% of the children died. This year there were 130 cases and 59 deaths.
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