AES Guidelines
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AESF1/1A = AES Cases & JE cases reporting Form from the States
SSSL = Sentinel Surveillance Sites with laboratory facilities
SSS = Sentinel Surveillance Sites without laboratory facilitiesIU = Informer Unit
AESF2/2A = AES Cases & JE cases reporting Form from the Districts
AESF3 = Line l isting Form
AESF4 = Case Investigation Form
AESF5 = Laboratory Report Form
I N F O R M A T I O N F L O W D I A G R A M
3.6 Surveillance activities at the national
level
The national level receives daily/weekly/monthly
reports as per the disease status i.e daily report
i n o ut br ea k s it ua ti on , w ee kl y r ep or t i n
transmission period and monthly report in inter-
epidemic period from various states. At the
national level,the data from thestatesis collated
and compiled to prepare the national report with
epidemiological inferences. National data may
be shared with international organization and
other Institutes in due permission of concerned
authorities. These reports will form the basis for
planning JE containment activitiesand allocation
of resourcesto the affectedareas.
NVBDCP
STATES SPO
DISTRICTSDMO
SSSL SSS IU
AESF3,AESF4AESF3, AESF4, AESF5
AESF2, AESF2A
AESF1, AESF3
AESF5
AESF-1A & AESF-2A during an outbreak
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Annexure
JE Reporting Formats
PROFORMAFOR
MONTHLYREPORT
ON
ACUTE
ENCEPHALITISSYNDROME
CASES/
JAPANESE
ENCEPHA
LITIS
*F
ROMSTATES
Sta
te________________D
istric
t_________________
Per
iod
inc
lude
dinth
ere
port:From
________________to__
_____________________
Dat
eo
fR
eport:
No
.o
fC
asesreporte
d
Agew
ise
No
.o
fD
ea
thsreporte
d
Agew
ise
Cumu
lati
ve
total
No
.fo
un
d+v
e
for
JE
Remarks
**
0-1 ?
1-5
6-1
5
>15
yrs
.
To
tal
0-1 ?
1-5
6-1
5
>15
yrs
To
tal
C
ases
Dea
ths
S
l.
N
o
Name
of
the
District
Dis
ease
No
.o
f
aff
ec
t
ed
PHC
s
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
V
N
V
N
No
.o
f
Samp
les
co
llec
ted
V
N
AES
JE
AES
JE
AES
JE
C:C
ases
D:
Dea
th
M:
Ma
leF
:F
ema
le
V:
Vacc
ina
ted
N:
Not
Vacc
ina
ted
**M
entioncausesof
encephalitisor
AESunknown
.
(Name
&Signa
ture
)
Des
igna
tion
Sen
dth
isre
port
toN
VBDCP
,Ne
wDe
lhi
by
Fax
No
.011
-23968329
,e
-ma
il:namp
@n
dc
.vsn
l.ne
t.in
AESF
1
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P
ROFORMAFOR
DAILY/WEEKLY
REPORT
ONACUTEE
NCEPHALITIS
SYNDROME
CASES/
JAPANESE
ENCEPHALITIS
*F
ROMSTATES
S
tate
___________
Year
_____
Month
_________
Weekly
Re
port
(from---------to---------)
/D
aily
Report
(date--------
)
Sl.
No
Nameo
f
the
District
Disease
During
thewee
k/day
Progress
ive
Tota
l
(From
1st
Januaryto
------------
)
Remarks
Cas
es
Dea
ths
No
.o
f
samp
les
co
llec
ted
No
.fou
nd
+v
efor
JE
Cases
Dea
ths
No
.o
f
samp
les
co
llec
ted
No
.fo
un
d
+v
efo
rJ
E
AES
1
.
JE
AES
2
.
JE
*=
Da
ilyreport
duringep
idem
ic/out
brea
kan
dwee
klyreport
intransm
iss
ionseason
(N
ame
&Signature)
Designation
D
uring
ou
tbrea
ks,s
en
dth
isrep
ort
da
ilytoN
VBDCP
,N
ew
Delhi
Fax
No
.011
-23968329
,e
-ma
il:namp
@n
dc
.vsn
l.ne
t.in
AESF
1A
PRO
FORMAFOR
MONTHLYREPO
RTONACUTEENCEPHALITIS
SYNDROMECASES/
JAPANESEENCEPHALITIS*
FROM
DISTRICTS
Stat
e________________
District__
_______________
Peri
odinc
lude
dinthereport:
From
________________
to_______
________________
Date
of
Report:
No
.o
fC
asesreporte
d
Agew
ise
No
.o
fD
ea
thsreporte
d
Agew
ise
Cumu
lative
total
No
.fo
un
d+ve
for
JE
Remarks
**
0-1 ?
1-5
6-1
5
>15yrs
.
To
tal
0-1 ?
1-5
6-1
5
>15yrs
To
tal
Cases
Dea
ths
Sl.
No
Name
of
the
SSSL
or
SSS
Disease
No
.o
f
affec
t
ed
PHCs
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
M
F
V
N
V
N
No
.o
f
Samp
les
co
llec
ted
V
N
AES
JE
AES
JE
AES
JE
C:Cases
D:
Dea
th
M:
Ma
leF:
Fema
le
V:
Vacc
ina
ted
N:
No
tV
acc
ina
ted
**Men
tioncauseso
fe
ncep
ha
litisor
AESun
known
.
(Name
&Signa
ture
)
Des
igna
tion
Sen
dthisreport
toStateProgramm
eOfficer
(SPO),
__________b
yFax
Num
ber
________
or
em
ail
id
AESF2
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PROFORMAFOR
DAILY/WEEKLY
REP
ORT
ONACUTEENCEPHALIT
ISSYNDROMECASES/
JAPANESEENCEPHALITIS*
FROMDISTRICTS
State
__________D
istric
t__________Y
ear
________W
ee
kly
Report
(from---------t
o---
------
)/D
aily
Report
(da
te--------
)
Sl.
No
Name
of
the
Sen
tine
l
Surve
illance
Sites
Disease
During
thew
ee
k/day
Progre
ss
ive
To
tal
(From
1s
tJa
nuary
to------------
)
Remarks
Cases
Dea
ths
No.o
f
Samp
les
colle
cted
No
.fo
un
d
+v
efo
rJE
Cases
Dea
ths
No
.o
f
Samp
les
co
llec
ted
No
.fo
un
d
+v
efo
r
JE
AES
1.
JE
AES
2.
JE
*=
Da
ilyreport
duringepid
em
ic/o
utbrea
kan
dwee
kly
report
in
transm
iss
ionseason
(Name
&Signa
ture
)
Des
igna
tion
Duringou
tbrea
ks
,s
en
dth
isreport
da
ily
toStateProgramm
eOfficer
(SPO),
__________
by
Fax
Num
ber
________
or
email
id
AESF
2A
LinelistofA
ES/JECases
Mon
thly/
Wee
kly/
Da
ily
Rep
ort
(Enc
irc
leth
ea
ppropria
te*)
Thisreportisse
ntfrom
________________
______(SpecifyNameof
SSS/District/State)
Perio
