{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T01:28:57Z","timestamp":1785806937249,"version":"3.56.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Glob Health"],"accepted":{"date-parts":[[2019,6,1]]},"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>India is at risk of Zika virus transmission due to high prevalence of its vector <jats:italic>Aedes aegypti<\/jats:italic>. Rajasthan, a state in the north-west region of India, has also high prevalence of <jats:italic>Aedes<\/jats:italic> mosquito. First laboratory confirmed case of Zika virus disease in Rajasthan was reported on 21 September 2018 in Jaipur. The Government of Rajasthan quickly implemented a containment strategy to contain the outbreak and prevent further spread of this disease. Strategy included active human and mosquito surveillance, laboratory testing and sequencing of the virus, integrated vector control measures, intersectoral coordination, risk communication and social mobilisation, all in a predefined geographic area around the epicentre. Timely action with appropriate coordination at all levels with multiple stakeholders contained the outbreak successfully. In all, 159 confirmed cases were reported from in and around the 3 km containment zone in Shastri Nagar area of Jaipur City and routine surveillance. Following this, a specially developed laboratory-based surveillance strategy was put in place to ensure that the disease does not spread beyond the containment zone. No fresh case was reported subsequently within or beyond the containment zone.<\/jats:p>","DOI":"10.1136\/bmjgh-2018-001383","type":"journal-article","created":{"date-parts":[[2019,9,6]],"date-time":"2019-09-06T05:04:05Z","timestamp":1567746245000},"page":"e001383","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Cluster containment strategy: addressing Zika virus outbreak in Rajasthan, India"],"prefix":"10.1136","volume":"4","author":[{"given":"Ruchi","family":"Singh","sequence":"first","affiliation":[{"name":"Medical & Health GOR, State Microbiologist IDSP Directorate, Medical & Health Services, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veenu","family":"Gupta","sequence":"additional","affiliation":[{"name":"Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8835-1603","authenticated-orcid":false,"given":"Bharti","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Microbiology, SMS Medical College and Hospital, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sujeet","family":"Singh","sequence":"additional","affiliation":[{"name":"National Centre for Disease Control, Ministry of Health and Family Welfare, Government of India, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Emergency Medical Relief, Union Government, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepa","family":"Meena","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Gupta","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"VK","family":"Mathur","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Prakash","family":"Mathur","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Singh","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratibha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Microbiology, SMS Medical College and Hospital, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Sharma","sequence":"additional","affiliation":[{"name":"Microbiology, SMS Medical College and Hospital, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudhir","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Medicine, SMS Medical College and Hospital, Jaipur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivedita","family":"Gupta","sequence":"additional","affiliation":[{"name":"Epidemiology & communicable diseases, Indian Council of Medical Research, Government of India, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gajanan","family":"Sapkal","sequence":"additional","affiliation":[{"name":"Virology, National Institute of Virology, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devendera T","family":"Mourya","sequence":"additional","affiliation":[{"name":"Virology, National Institute of Virology, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maclane Davis","family":"Speer","sequence":"additional","affiliation":[{"name":"Directorate Medical & Health, Government of Rajasthan, Jaipur, India"},{"name":"Public Health, Dickinson College, Carlisle, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,9,5]]},"reference":[{"key":"2025072914144712000_4.5.e001383.1","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1016\/S0140-6736(17)31368-5","article-title":"Infection-Related microcephaly after the 2015 and 2016 Zika virus outbreaks in Brazil: a surveillance-based analysis","volume":"390","author":"de Oliveira","year":"2017","journal-title":"The Lancet"},{"key":"2025072914144712000_4.5.e001383.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2017.09.020"},{"key":"2025072914144712000_4.5.e001383.3","unstructured":"The Hindu . 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