WHO confirms first three Zika virus cases in India

May 27, 2017

Ahmedabad, May 27: The World Health Organisation (WHO) has confirmed three cases of Zika virus, including a pregnant woman, reported from Gujarat's Ahmedabad, the first in the country.

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All the cases are from the Bapunagar area of the city.

"The Ministry of Health and Family Welfare - Government of India (MoHFW) reported three laboratory-confirmed cases of Zika virus disease in Bapunagar area, Ahmedabad District, Gujarat, State, India," the global health body said in a statement.

However, the WHO did not recommend any travel or trade restriction to India based on the current information available.

According to the statement, the routine surveillance detected a laboratory-confirmed case of Zika virus disease through RT-PCR test at B J Medical College in Ahmedabad.

This was further confirmed at the national reference laboratory at the National Institute of Virology (NIV) in Pune on January 4 this year.

WHO said two additional cases were then identified through the Acute Febrile Illness (AFI) and the Antenatal clinic (ANC) surveillance.

Between February 10-16 in 2016, a total 93 blood samples were collected at BJ Medical College (BJMC) out of which one sample from a 64-year-old male had tested positive for Zika virus.

"This was first Zika positive case reported through AFI surveillance from Gujarat," the statement said.

Also, a 34-year-old woman delivered a baby at BJMC on November 9 and during her stay in the hospital she developed a low-grade fever after delivery.

The woman had no history of fever during pregnancy and had no history of travel for three months.

A sample from the patient was referred to the Viral Research and Diagnostic Laboratory (VRDL) for dengue testing and was found to be positive for the virus.

"She was discharged after one week (on 16 November, 2016). The sample was re-confirmed as Zika virus positive at NIV," the statement said.

Besides, a 22-year-old pregnant woman in her 37th week of pregnancy was tested positive for Zika virus disease at the same hospital.

The Indian government had confirmed these cases and had sent the details of the patients to the WHO in March after which the global health body's confirmation in these cases came today, a ministry official said.

As per the WHO statement, immediately after the cases were reported, the Health ministry had shared the national guidelines and action plan on Zika virus disease have been shared with the states to prevent an outbreak of the disease and containment of spread in case of any outbreak.

It also constituted an inter-ministerial task force.

Meanwhile, a technical group tasked to monitor emerging and re-emerging diseases regularly reviewed the global situation on Zika virus disease.

All the international airports and ports have displayed information for travellers on Zika virus disease while the airport health officers along with airport organisations, the National Centre for Disease Control and the National Vector Borne Disease Control Programme are monitoring appropriate vector control measures in airport premises.

In addition to NIV and NCDC in Delhi, 25 laboratories have also been strengthened by Indian Council of Medical Research for laboratory diagnosis, while three entomological laboratories are conducting Zika virus testing on mosquito samples.

"The Indian Council of Medical Research (ICMR) has tested 34,233 human samples and 12,647 mosquito samples for the presence of Zika virus. Among those, close to 500 mosquitoes samples were collected from Bapunagar area, Ahmedabad district, in Gujarat, and were found negative for Zika.

"The Rashtriya Bal Swasthya Karyakram (RBSK) is monitoring microcephaly from 55 sentinel sites. As of now, no increase in number of cases or clustering of microcephaly has been reported from these centers," the WHO said.

While coming out with the report, the WHO said it assumes significance as it describes the first cases of Zika virus infections and provides evidence on its circulation in India.

"These findings suggest low level transmission of Zika virus and new cases may occur in the future," it said, while stressing on strengthening surveillance to better characterise the intensity of the viral circulation and geographical spread and monitor Zika virus related complications.

"Zika virus is known to be circulating in South East Asia Region and these findings do not change the global risk assessment. WHO encourages member states to report similar findings to better understand the global epidemiology of Zika virus," the statement said.

The risk of further spread of Zika virus to areas where the competent vectors, the aedes mosquitoes, are present is significant given the wide geographical distribution of these mosquitoes in various regions of the world.

Zika virus disease is caused by a virus transmitted primarily by Aedes mosquitoes. People with Zika virus can have symptoms including mild fever, skin rash, conjunctivitis, muscle and joint pain, malaise or headache. These symptoms normally last for 2-7 days.

WHO continues to monitor the epidemiological situation and conduct risk assessment based on the latest available information, it said.

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News Network
December 13,2025

New Delhi: School-going children are picking up drug and smoking habits and engaging in consumption of alcohol, with the average age of introduction to such harmful substances found to be around 13 years, suggesting a need for earlier interventions as early as primary school, a multi-city survey by AIIMS-Delhi said.

The findings also showed substance use increased in higher grades, with grade XI/XII students two times more likely to report use of substances when compared with grade VIII students. This emphasised the importance of continued prevention and intervention through middle and high school.

The study led by Dr Anju Dhawan of AIIMS's National Drug Dependence Treatment Centre, published in the National Medical Journal of India this month, looks at adolescent substance use across diverse regions.

The survey included 5,920 students from classes 8, 9, 11 and 12 in urban government, private and rural schools across 10 cities -- Bengaluru, Chandigarh, Delhi, Dibrugarh, Hyderabad, Imphal, Jammu, Lucknow, Mumbai, and Ranchi. The data were collected between May 2018 and June 2019.

The average age of initiation for any substance was 12.9 (2.8) years. It was lowest for inhalants (11.3 years) followed by heroin (12.3 years) and opioid pharmaceuticals (without prescription; 12.5 years).

Overall, 15.1 per cent of participants reported lifetime use, 10.3 per cent reported past year use, and 7.2 per cent reported use in the past month of any substance, the study found.

The most common substances used in the past year, after tobacco (4 per cent) and alcohol (3.8 per cent), were opioids (2.8 per cent), followed by cannabis (2 per cent) and inhalants (1.9 per cent). Use of non-prescribed pharmaceutical opioids was most common among opioid users (90.2 per cent).

On being asked, 'Do you think this substance is easily available for a person of your age' separately for each substance category, nearly half the students (46.3 per cent) endorsed that tobacco products and more than one-third of the students (36.5 per cent) agreed that a person of their age can easily procure alcohol products.

Similarly, for Bhang (21.9 per cent), ganja/charas (16.1 per cent), inhalants (15.2 per cent), sedatives (13.7 per cent), opium and heroin (10 per cent each), the students endorsed that these can be easily procured.

About 95 per cent of the children, irrespective of their grade, agreed with the statement that 'drug use is harmful'.

The rates of substance use (any) among boys were significantly higher than those of girls for substance use (ever), use in the past year and use in the past 30 days. Compared to grade VIII students, grade IX students were more likely, and grade XI/XII students were twice as likely to have used any substance (ever).

The likelihood of past-year use of any substance was also higher for grade IX students and for grade XI/XII students as compared to grade VIII students.

About 40 per cent of students mentioned that they had a family member who used tobacco or alcohol each. The use of cannabis (any product) and opioid (any product) by a family member was reported by 8.2 per cent and 3.9 per cent of students, respectively, while the use of other substances, such as inhalants/sedatives by family was 2-3 per cent, the study found.

A relatively smaller percentage of students reported use of tobacco or alcohol among peers as compared to among family members, while a higher percentage reported inhalants, sedatives, cannabis or opioid use among peers.

Children using substances (past year) compared to non-users reported significantly higher any substance use by their family members and peers.

There were 25.7 per cent students who replied 'yes' to the question 'conflicts/fights often occur in your family'. Most students also replied affirmatively to 'family members are aware of how their time is being spent' and 'damily members are aware of with whom they spend their time'.

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