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NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME, ASSAM
 

Introduction:

Assam is situated in the North Eastern part of India and located between 24° N to 28° N. Latitudes and 90° E longitudes. Its total area is 78.523 sq. km, population is 29, 65,047. As per malaria census 2008. (Please see state profile and human resource - table 1)

Assam is land of hills and valleys and bounded by sister states and has an international border with Bhutan to the North and Bangladesh to the South. The valleys are marked by major river systems and are flood prone during monsoon season between July to September with pre-monsoon showers beginning March and April. The relative humidity varies between 60% and 80% and most part of the year is hot and humid (22°C to 33°C) except November to February (minimum temperature 9°C), which marked the winter season. The environment is favorable for mosquito proliferation, survival and longevity.

Malaria

Malaria is one of the major public health problems of Assam since before independence. Assam is contributing more than 5% of the total malaria cases of the country. The excessive rainfall, prolonged rainy season, recurrent waves of flood in a year, forest fringes, hilly terrain and conductive climatic condition create a vector friendly environment.

It is estimated that 11630158 nos. populations are living under malaria high risk area. Among them 15147 nos. village, 2144 sub-centers and 122 PHC are identified as a malaria high risk.

Situation analysis: (Please see table 1- Epidemiological situation report)

  1. Annual Blood Examination Rate is an indicator of proper surveillance of malaria. The ABER is below desired level in the state due to shortage of field workers as 464 posts of surveillance worker are lying vacant till today.
  2. There are reports of malaria cases in non endemic places like Dhubri district in 2007 and Char areas of Kamrup & Nalbari district in 2007, which are due to migration of population from high endemic areas.
  3. The Plasmodium Falciparum is severe form of malaria which contributes mortality. But the Plasmodium Falciparum is increasing in the state as compared to national level
  4. Time lag between Blood Slide Collection & Radical Treatment in some areas is more than a week, which is due to remoteness of malaria high endemic areas.
  5. The Malaria Clinics are far away in some areas and it is not possible to get the Blood Examination Report within 48 hours
  6. There are reports of drug resistance of malaria in 27 PHC of the state including the whole district of K-Anglong, Nagaon. (Please see table no. 2) and another 32 PHC are clustered, adjacent to the drug resistant PHC, and are identified for implementation of second line of treatment from 2008.

Out of 27 districts the post of district malaria officer in 10 districts and their establishment are not yet created, and due to this the anti malaria couldn't be carried out properly.

GIS Map

State Profile:

1. Population : 2965047
2. Area of Sq/ KM : 78523
3. No. of Districts : 27
4. BPL population : 9876314
5. Population of Border PHC : 19211206
6. No. of PHC : 156
7. No. of Sub center : 5109
8. No. of Villages : 29319
9. No. of FTD : 13812
10. No. of ASHA : 27337
11. No. of Malaria Clinic : 364

Table - 1
Human Resource:

SL. NO. Health facility Sanction In Position Additional Requirement
1. ZMO 3 2  
2. *DMO (Full time) 17 14 10
3. AMO 17 17 10
4. Medical Officer 2580 2156  
5. Lab. Technician 718 687  
6. Health Supervisor (M) 694 570  
7. Health Supervisor (F) 343 316  
8. MPW (M) 3080 1647  
9. MPW (F) 5894 5696  
10. ASHA 27337 27337  

* The DMO established in 17 districts where the state have a total of 27 districts

Table - 2

Identification of Chloroquine resistant PHCs & Cluster PHCs of the
State of Assam

Sl No. District Drug resistant PHC Cluster PHC/ Bordering Chloroquine Resistant State Total PHC No. of Pf cases during 2006 ACT required
1. Sonitpur Behali Gohpur, B. Chariali, N. Jamuguri. 4 3103 6206
2. Lakhimpur Nowboicha Boginodi 2 2345 4690
3. Goalpara   Agia, Rongjuli, lakhipur 3 3114 6228
4. K-Anglong All PHCs   11 14955 29910
5. Nagaon All PHCs   11 5217 10434
6. Morigaon   Jhargaon 1 1605 3210
7. Hailakandi   Katlichera, Lala 2 3392 6784
8. Dhubri   South Salmara, Gazarikandi 2 1193 2386
9. Tinsukia Kakopathar (Samdang)   1 85 170
10. Kamrup Sonapur Boko 2 3226 6452
11. BTAD     15 16520 33040
Baksa Tamulpur Golagaon, Jalah, Massalpur, Tamulpur, Barama, Niz-Kowrbaha
Chirang   Ballamguri, Sidli
Kokrajhar   Balajan, Dotoma, Kachugaon, Gossaigaon
Udalguri Orang Orang, Udalguri, Khoirabari
12 N.C. Hills   Mahur, Langting, Gunjung, Harangajow , Dayangmukh 5 2499 4998
  Total 59 57254 114508


Strategies for Malaria Control

As per National Vector Borne Disease Control Programme following are the strategies of malaria control programme.

1. Early Detection and Complete Treatment
2. Vector Control
3. BCC/ IEC
4. Human Resource Development
5. Public private partnership

Fund flow for various activities under the programme

  1. Central Cash Assistant - All operational cost for control of malaria in the state is born by Govt. of India (kind & case) under NVBDCP since 1995.
  2. GFATM fund - An Additional support in the programme as GFATM is initiated from 2005. It is specially for man power development, supply of Bednet and impregnation, Rapid Diagnostic Kits, drugs like SP-ACT & IEC.

Early Detection and Complete Treatment - It includes surveillance of fever cases by active and passive agencies. The Blood samples of fever cases are to be collected by workers and in the micro slides for examination under microscope. The Rapid Diagnostic Kits (Pf) are also a tool of malaria diagnosis. The diagnosed malaria cases are to be treated by the trained health worker and medical Officers according to the guidelines for National Vector Borne Disease Control Programme.
For the improvement of early diagnosis & complete treatment following action are to be initiated and reflected in the action plan.

Planning for use of RDK

Inaccessible areas with high Pf based on GIS data including Tea Estate Population Persons identified for use of RDK Already trained To be trained Time frame
Sub centers Villages
1760 8796 11096214 ASHA- 8796Health worker( SW, BHW, Vaccinator, ANM) - 6351 7220 / 8796
All trained
1576 / 8796 March/08

Monitoring plan for RDK

Level of monitoring Person responsible for monitoring Way of monitoring
Sub center MPW (M&F) No. of RDK used & balance
No. of Positive case found
No. of tablet used & No. of B. S. Collection
PHC Health Supervisor Do


Medical Check Gate

There is emergence of malaria in new areas due to migration of people from endemic to non- endemic areas and vise versa. Malaria check gates were established in Dhubri district of Assam bordering Garo hills of Meghalaya state during 2007 transmission. The following check gates are identified for the year 2008.

Sl No District of Assam State bordering Assam No. of check gates
1 Dhubri Meghalaya 5
2 Goalpara Meghalaya 2
3 Lakhimpur Arunachal 3

Malaria Technical Supervisor (MTS)

Under the new initiative in the GFATM fund by GOI, appointments of 32 numbers of MTS are in process and will be placed in the malaria high risk PHCs. The proposed sites of engagement of MTS in the districts are as follows

Sl No District HQ of MTS ( PHC )
1 Barpeta Nagaon
2 Baska Masalpur
3 Bongaigaon Srijangram
4 Chirang Ballamguri
5 Cachar Lakhipur
6 Darrang Jaljali
7 Dhemaji Sisibargaon
8 Dhubri South Salmara
9 Dibrugarh Panitola
10 Goalpara Mornoi , Lakhipur
11 Golaghat Bokakhat, Sarupathar
12 Hailakandi Katlichara
13 Jorhat Baghchung
14 Kamrup(R) Boko
15 Kamrup (M) 0
16 K- Anglong Donkamokam, Bokajan
17 Karimganj Patharkandi
18 Kokrajhar Balajan
19 Lakhimpur Dholpur, Boginadi
20 Morigaon Jhargaon
21 Nagaon Simanabasti, Lanka
22 Nalbari Mukalmuah
23 N C Hills Dayangmukh
24 Sibsagar Galeki
25 Sonitpur Dhekiajuli, Gohpur
26 Tinsukia Nasadia
27 Udalguri Udalguri
  Total 32

Proposal for engagement of MPW (M) vide GOI letter No. 6-30/07-08/ NVBDCP(P&C) Annual Action Plan - 2008 dated 24-01-2008

SL No DISTRICT MPW (M) Distribution of MPW (M) in Malaria High Endemic PHCs.
1 BARPETA 6 Barpeta Road - 2, Bhabanipur - 2, Kalgachia - 1, Nagaon - 1
2 Baksa 18 Tamulpur - 4, Massalpur - 4, Golagaon - 4, Jalah - 3, Niz-Kaowrbaha - 3
3 BONGAIGAON 9 Bongaigaon - 3, Boitamari - 3, Manikpur - 3
4 CACHAR 12 Lakhipur - 3, Harinagar - 3, Bikrampur - 3, Barkhola - 3
5 Chirang 6 Ballamguri - 3, Sidli - 3
6 DARRANG 6 Patharighat - 3, Kharupetia - 3
7 DHEMAJI 16 Jonai - 4, Sisibargaon - 4, Gogamukh - 4, Dhemaji - 4
8 DHUBRI 18 Dharamsala - 3, Chapar - 3, Gazarikandi - 3, golokganj - 3, Raniganj - 3, South Salmara - 3
9 DIBRUGARH 6 Khowang - 3, Nahorani - 3
10 GOALPARA 15 Agia - 3, Rongjuli - 3, Matia - 3, Lakhipur - 3, Mornoi - 3
11 GOLAGHAT 18 K.B.Ali - 5, Bokakhat - 5, Sarupathar - 4, Charingia - 4,
12 HAILAKANDI 16 Hailakandi - 4, Algapur - 4, Lala - 4, Katlicherra - 4
13 JORHAT 15 Bagsung - 5, Titabar - 5, Nakachari -5
14 KAMRUP
20 Boko - 4, Chaygaon - 4, Azara - 4, Nagar bera - 4, Bihdia - 4
15 Kamrup(M) 6 Sonapur - 6,
16 K -ANGLONG 33 Chowkihola - 3, Bokajan - 3, Manja - 3, Dhansiri - 3, Howraghat - 3, Langhing - 3, Dengaon - 3, Donkamokam - 3, Boithalanso - 3, Umpani - 3, Zirikinding - 3
17 KARIMGANJ 9 R.K.Nagar - 3, Patharikandi - 3, Nilambari - 3
18 KOKRAJHAR 16 Gossaigaon - 4, Balajan - 4, Kachugaon - 4, Dotma - 4
19 LAKHIMPUR 20 Boginodi - 5, Nowboicha - 5, Bihpuria - 5, Dhalpur - 5
20 MORIGAON 6 Jhargaon - 3, Lahorighat - 3
21 NAGAON 28 Kathiatoli - 4, Barapujia - 4, buragohaithan - 4, Simanabosti - 4, Jakhalabandha - 4, Lanka - 4, Samuguri - 4
22 NALBARI 8 Mukalmua - 4, Kamarkuchi - 4
23 N.C. HILLS 15 Mahur - 3, Langting - 3, Dayangmukh - 3, Gunjung - 3, Harangajao - 3
24 SIBSAGAR 15 Geleki -5, Sapekhati - 5, Patsaku - 5
25 SONITPUR 24 Gahpur - 4, Bihali - 4, B. Chariali - 4, N. Jamuguri - 4, Dhekiajuli - 4, Balipar - 4
26 TINSUKIA 15 Kakopathar - 5, Ketetong - 5, Na-Sadia - 5
27 Udalguri 15 Orrang -5, Udalguri - 5, Khairabari -5
  Total 391  

Vector Control

DDT 50% is recommended in the state for indoor spraying at malaria prone areas. The Annual Parasite Incidence (API) is the criteria for selection of malaria prone areas for spraying operation. Accordingly details operational plan is furnished below considering API above 3 as per GIS data of the district.

DDT Spray for 2008

District : 27
PHC : 128/156
Sub-center : 1868/ 5109
Village : 13758/ 29000
Projected Population : 10251991

Supervision & Monitoring Plan of DDT Spray Operation

  1. Consecutive supervision by MPW (M)
  2. Concurrent supervision by Medical Officers/District Malaria Officers/ Joint DHS (district)/ Officers from State Head Quarter.
  3. Wages of spray workers will be release after getting completion certificate from PRI.

Personal Protection

The uses of mosquito net by the people are also an important strategy for prevention of malaria. The mosquito nets are to be impregnated with a insecticide (Deltamethrine). Because the malaria mosquito bite the people at night. The community of the state preferred the uses of mosquito net. The GOI supplied 1032500 bed net to the state in the year 2006-07 & 08. Details programme of bed nets impregnation are furnish below.

Impregnation of Bednets

Year Supplied Community Total
2006 200000 569000 769000
2007 200000 815565 1015565
2008 632500 4367500 (projected) 5000000 (projected)

Larvivorous Fish

Introduction of Larvivorous fish in the state as a vector control measure will be initiated from 2008. The considering the hilly terrain and landscape of the state 4 districts are identified in the first step for culture distribution & monitoring of Larvivorous fish.

The identified districts are Kamrup, Lakhimpur, Hailakandi & Karbi-Anglong.

Fogging

Out door space spray with Malathion Technique is one of the strategies for control malaria specially when there is high incidence of fever cases in urban and semi-urban areas.

 

Situation Analysis of JE in Assam

Year Case Death CFR
1996 64 29 43.31
1997 88 26 29.54
1998 26 06 23.07
1999 11 02 18.18
2000 135 73 54.07
2001 343 160 46.64
2002 472 150 31.17
2003 109 49 44.95
2004 235 64 27.23
2005 145 52 35.85
2006 392 119 30.00
2007 424 133 31.36

District wise JE Case & Death

Sl No District 2002 2003 2004 2005 2006 2007
C D C D C D C D C D C D
1 Dhemaji 3 1 4 1 28 3 4 2 24 5 49 9
2 Lakhimpur 12 4 0 0 19 4 8 3 93 31 69 15
3 Tinsukia 29 13 3 1 16 3 12 2 30 12 57 16
4 Dibrugarh 142 40 51 21 60 12 46 13 70 24 116 50
5 Sivsagar 146 52 44 23 69 26 43 21 41 21 42 27
6 Jorhat 88 20 6 2 33 12 5 3 32 10 5 2
7 Golaghat 41 13 1 1 9 4 15 3 97 14 63 4
8 Morigaon 1 1 0 0 0 0 1 0 0 0 0 0
9 Sonitpur 8 4 0 0 0 0 11 5 0 0 8 2
10 Darrang 1 1 0 0 0 0 0 0 0 0 1 1
11 K- Anglong 0 0 0 0 1 0 0 0 2 1    
12 Bongaigaon 0 0 0 0 0 0 0 0 0 0 6 0
13 Hailakandi 0 0 0 0 0 0 0 0 0 0 1 1
14 Kamrup 0 0 0 0 0 0 0 0 2 1 7 5
  Total 471 149 109 49 235 64 145 52 391 119 424 133

I. Early case detection and management

The following Sentinel Sites are identified in the state for AES surveillance

Sl. No. District Sentinel Surveillance Site with Lab Sentinel Surveillance Site without Lab (
1 Dibrugarh 1.Assam Medical College Hospital





2. Sivsagar civil Hospital
1 .Naharani CHC
2.Tengakhat PHC/ CHC
3.Khoang PHC
2 Tinsukia 4.Tinsukia CH
5.NasadiaCHC
3 Sivsagar 7.Sivsagar C H
8.Sapekhati CHC
4 Jorhat 3 Jorhat Civil Hospital 9.Titabar FRU
10.Kamalabari CHC
5 Golaghat 11.Sarupather CHC
12.Bokakhat PHC / CHC
6 Dhemaji 4.Lakhimpur C.H 13 Dhemaji C H &.Jonai CHC
7 Lakhimpur 14.Baginadi
15 Naobaisa
8 Sonitpur 5.Gauhati Medical College Hospital 16 Biswanth Char Ali CH
17 Tezpur CH
9 Darrang 18 Manaldoi CH
19 Udalguri CHC / PHC
20 Orang CHC /PHC
10 Nagaon 21 Jakhalabandha CHC /PHC
22 Nagaon CH
23 Hojai CH
11 Marigaon 24 Marigaon CH
12 Kamrup 25 MMC hospital
26 Rangia CH
13 Nalbari 27 Nalbari C H
28 Tamulpur CHC
14 Barpeta 29 Barpeta CH
15 Bongaigaon 30 Bonaigaon CHC
16 Kokrajhar 31 Kokrajhar CH
17 Dhubri 32 Dhubri CH
33 Hatsingimari CH
18 Goalpara 34 Goalpara CH
19 K- Anglong 35 Diphu CH
36. Hamren CH
20 NC Hills 37. Haflong CH
21 Cachar 38. Silchar Medical College
22 Hailakand 39 Hailakandi CH
23 Karimganj 40. Karimganj CH

II. Rapid Response Team (RRT)

Each endemic district will form a RRT for all vector borne diseases comprising the followings.

1. MO. SDM& HO (epidemic duty) / HQ
2. Lab. Tech two numbers
3. Spray workers five numbers
4. Field workers two numbers
5. Driver / Hired
vehicle
 
6. DMO entomological study / vector control

III, Integrated Vector Control

A) Out door space spray (with Malathion Technique) FOGGING will be carried out during outbreak situation

Sl. No. District Predicted areas Month & periodicity
1 Dibrugarh Dib town, 5 BPHC areas June, July, Aug7 days interval
2 Sibsagar Sibsagar town, Sonari town, Moran town & 7B PHC areas June, July, Aug7 days interval
3 Tinsukia Tinsukia town, Magherita town , 4 BPHC areas June, July, Aug7 days interval
4 Jorhat Jorhat town, Titabar town, Kamalabari & 5 BPHCs June, July, Aug7 days interval
5 Golaghat Golaghat town, Sarupather town, Bokakhat town & BPHC areas June, July, Aug7 days interval
6 Dhemaji Dhemaji town, Jonai town, Silapather & 4 BPHC areas June, July, Aug7 days interval
7 Lakhimpur Lakhimpur, Bihpuria, Dhakuakhana towns & 5 BPHC areas June, July, Aug7 days interval

B) Promotion of ITBN

Most of the families of the JE endemic districts are using bed nets. Community owned bed nets of the JE endemic districts are

Sl. No. District Total net
1 Dibrugarh 608190
2 Sibsagar 443333
3 Tinsukia 502624

IV . Behaviour Change Communication (BCC)

BCC is a continuous process and will be carried out throughout the year. More stress will be given during transmission season and during immunization campaign.

1. Advocacy workshop / sect oral meeting will be organized in
State : 1
Districts : 7
Block PHC : 38
Sub- center : 1214

2. Inter personal communication through ASHA / AWW / ANM
Focal Group Discussions in endemic villages.

3. Mass Communication program through

Radio jingles - AIR Guwahati, AIR Dibrugarh -weekly in June , July August

Television - DDK Guwahati and Dibrugarh. Cable TV in 11 towns

News paper insertion - Weekly in June, July August

Hording & wall painting - In Health institution and Public places

Rally - During immunization camp

Miking - During immunization campaign and during out-break situation


V. INERSECTORAL COLLABORATION & SOCIAL MOBILIZATION

The Tea Estates and PSU like Coal India , ONGC , OIL are involved in vector control measures, such as in fogging operation . PRI, NGO SHG are also involved in ITBN programmes.
Some private hospitals are sending reports to the state on JE.
IMA holds workshop on JE case management in Collaboration with State VBDCP, Assam.

VI. J.E IMMUNIZATION

Immunizations against JE started in the state from 2006 as a campaign program and the districts are as follows.

Year District % of coverage
2006 Dibrugarh 90
Sibsagar 74
2007 Jorhat 94.54
Golaghat 92.2

According to endemicity the following districts are identified for immunization campaign against JE during. 2008- 09 period.

Sl. No. District Total population Children 1- 15 yrs of age
1 Tinsukia 1277125 421451
2 Dhemaji 640977 211522

VII. CAPACITY BUILDING

Sl. No. Purpose of training Category of trainee Venue/ Trainer
1 Implementation of AES Surveillance system Joint directors , CM&HO (CD), DMO of districts Guwahati/ SPO
2 MO. PHC, CHC FRU CH, Private practitioner District/ District trainer
3 Clinical- JE case management Clinician, pediatricians , medical officers ( govt./ private/ PSU ) AMC, DibrugarhGMC, GauhatiSMC, Silchar
4 Laboratory diagnosis( reorientation) Microbiologist, Pathologist, Lab Tech RMRC, Dibrugarh
5 Entomology State entomologist, Asst. entomologist, DMO of endemic districts RMRC Dibrugarh
6 Early reporting of AES SMI,MI, SI, LHV, SW, ANM, AWW, ASHA FTD PHC/ MO PHC

VIII. MONITORING & EVALUATION PLAN

Field visits

Sl. No. Category of officer / Staff Frequency of visit
1 State Program Officer Quarterly -monthly but weekly in transmission season.
2 District officers Monthly / weekly
3 M O PHCs Weekly/ daily ( during outbreaks)
4 SMI/ MI /SI Daily

Review Meetings:-

Sl. No. Reviewer/ Place of review Frequency of review
1 State Program Officer/ State Quarterly ( weekly/ daily in transmission season)
2 District officers Monthly / weekly /daily
3 M O PHC Weekly / daily

IX LOGISTIC MANAGEMENT.

Sl. No. Particulars Opening balance Technical requirement Net requirement
Laboratory
1 ELISA reader (for new districts Jorhat, Sibsagar & North Lakimpur) 2 (AMCH/GMCH) 5 5
2 Mac Elisa Kit ( JE ) Nil 5 5
Vector control
3 Pyrithrum Extract 2%(Ltrs) Nil 500 500
4 Malathion Tech. ( Kg) 26 1000 1000
5 Bed- nets( included in malaria )      
6 Syn. Pyrithroid flow ( Ltrs ) Nil 40,000 40,000
7 Adult susceptibility test kit Nil 3 3
8 Larval susceptibility test kit Nil 3 3
9 Fogging machine( endemic PHC)   49 49

Filaria

Situation analysis of the diseases:

Table: 1.1 Micro filaria Survey Reports (2007) of Assam.
Mf survey of the following 7 number MDA districts were carried out from 20th September, 2007 to 25th October, 2007

Sl. No Name of District Survey Sites BSC/BSE No. of mf +ve Mf %
1 Dhubri Sentinel 2043 2 0.10
    Random 2162 Nil Nil
    Total 4205 02 0.04
2 Kamrup Sentinel 2066 03 0.60
    Random 1991 Nil Nil
    Total 4057 03 0.07
3 Nalbari Sentinel 2233 Nil Nil
    Random 2113 Nil Nil
    Total 4346 Nil Nil
4 Darrang Sentinel 2021 32 1.58
    Random 2100 14 0.66
    Total 4121 46 1.11
5 Sibsagar Sentinel 2108 115 5.45
    Random 1952 89 4.55
    Total 4060 204 5.02
6 Dibrugarh Sentinel 1990 101 5.07
    Random 2094 55 2.62
    Total 4084 156 3.81
7 Dhemaji Sentinel 2103 1 0.04
    Random 1510 3 0.19
    Total 3613 4 0.11

Table: up dated Line listing of Lymph edema and Hydrocele Cases of MDA Districts of Assam.

Sl. No. District No.of Lymph edema Cases No. of Hydrocele Cases
1 Kamrup 86 99
2 Nalbari 55 34
3 Dhemaji 18 Nil
4 Darrang 99 94
5 Sibsagar 185 Nil
6 Dhubri 69 11
7 Dibrugarh 270 Nil
  Total 782 238


Work Plan
Table; MDA District Profile

SL No District Population As per 2007 Eligible Population No.of Block PHC No. of MPHC, SD,SHC No. of SC No. of Villages No.of NFCP Unit
1 Dibrugarh 13,50,822 12,15,740 6 21 230 1116 Nil
2 Dhemaji 6,40,977 5,76,880 5 14 97 1323 Nil
3 Sibsagar 11,11,404 10,00,264 8 25 224 1024 Nil
4 Darrang 17,04,089 15,33,680 7 37 305 1314 Nil
5 Kamrup 27,84,834 25,06,350 15 70 355 1938 1(one)
6 Nalbari 12,99,868 11,69,881 7 55 216 837 Nil
7 Dhubri 17,25,283 15,52,755 7 30 277 1530 Nil
    1,06,17,277 95, 55,550 55 252 1704 9082 1

Table: Requirement of Man Power.

SL No District Population As per 2007 Eligible Population DEC (100mg) require-ment No. of Super-visors required No. of Drug Adminis-trator required
1 Dibrugarh 13,50,822 12,15,740 33,77,055 540 5403
2 Dhemaji 6,40,977 5,76,880 16,02,442 256 2563
3 Sibsagar 11,11,404 10,00,264 27,78,510 444 4445
4 Darrang 17,04,089 15,33,680 42,60,222 681 6816
5 Kamrup 27,84,834 25,06,350 69,62,085 1113 11139
6 Nalbari 12,99,868 11,69,881 32,49,670 519 5199
7 Dhubri 17,25,283 15,52,755 43,13,207 690 6901
    1,06,17,277 95, 55,550 2,65,43,191 4243 42,466
 
 
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