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Govt Uttarakhand, Natl Hlth Mission Uttarakhand, Integrated Dis Surveillance Program IDSP, Dept Med Hlth & Family Welf, Dehra Dun 248013, Uttarakhand, India Govt Uttarakhand, Natl Hlth Mission Uttarakhand, Integrated Dis Surveillance Program IDSP, Dept Med Hlth & Family Welf, Dehra Dun 248013, Uttarakhand, India