Patna/Muzaffarpur, Jun 14: Nine more children died on Friday in Bihar's Muzaffarpur district, which is reeling under an outbreak of brain fever, taking the toll to 63 this month, with officials maintaining the death were due to hypoglycemia.

All the victims have fallen prey to hypoglycemia, a condition caused by a very low level of blood sugar and electrolyte imbalance, they said.

The 63 children died in two hospitals of Muzaffarpur, one of which was visited by state Health Minister Mangal Pandey during the day.

A statement issued by Muzaffarpur district administration said that till 6 pm on Friday, six children died in the state-run Sri Krishna Medical College and Hospital (SKMCH) while three died at Kejriwal hospital, which is operated by a trust.

Since June 1, 178 and 72 children were admitted in SKMCH and Kejriwal hospital respectively with suspected cases of Acute Encephalitis Syndrome (AES) but most of them were found to be victims of hypoglycemia.

Nine children undergoing treatment at SKMCH are serious, the release said, adding that five children are critical in Kejriwal hospital.

The health minister who held a meeting with doctors and officials at the SKMCH said six more ambulances will be available there from Friday and a 100-bed new ward will be made operational soon.

The Kejriwal Hospital's management also agreed to increase the number of beds if the need arises, he said.

Pandey said creating awareness among the people is needed to prevent the outbreak of the disease.

Chief Minister Nitish Kumar has already directed the officials concerned to ensure that preventive measures were taken in the affected districts, though deaths have so far been reported from Muzaffarpur only.

Health Department's Principal Secretary Sanjay Kumar had earlier said the disease has affected 222 blocks of 12 districts especially Muzaffarpur, Vaishali, Sheohar and East Champaran.

A central government team of experts had visited Muzaffarpur on Wednesday.

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Jaipur/New Delhi (PTI): Defence Minister Rajnath Singh on Friday directed the top military commanders of the three services to integrate an "element of surprise" into modern warfare to outmaneuver India's adversaries and bolster strategic posture.

In his address at the joint commanders conference in Jaipur, Singh also described the Operation Sindoor as a testament to the "swift, precise, and joint response" of the Indian armed forces to safeguard national interests and called upon the military to remain ready to deal with any security challenges.

In their two-day deliberations, the commanders carried out a comprehensive review of the combat preparedness of the military in the wake of the evolving regional security situation.

Operation Sindoor was a demonstration of India's growing capabilities and a symbol of the nation's collective resolve and new military ethos, Singh said, a day after the first anniversary of Operation Sindoor.

He also unveiled a 'Joint Doctrine for Integrated Communication Architecture' that is aimed at strengthening doctrinal clarity, interoperability and integrated communications across the armed forces in future multidomain operations.

The joint commanders' conference, themed 'Military Capability in New Domains', brought together the top leadership of the defence ministry and the three services to deliberate on emerging security challenges and future readiness.

Comprehensive deliberations were held on future warfare, multidomain operations, technological transformation and joint capability development.

The conference witnessed extensive discussions on cognitive warfare, cyber resilience against evolving quantum and AI-enabled threats, military capability development in emerging domains, indigenous innovation and AI-enabled warfighting concepts.

It was attended by Chief of Defence Staff Gen Anil Chauhan, Chief of the Naval Staff Admiral Dinesh Kumar Tripathi, Chief of the Army Staff Gen Upendra Dwivedi, Chief of the Air Staff Air Chief Marshal AP Singh and Defence Secretary Rajesh Kumar Singh among others.

In his remarks, Singh asked the commanders to remain "future-ready" by learning from the operation as well as the current global security landscape.

He underscored the need to strengthen capabilities in artificial intelligence, autonomous systems, data analytics and secure communication networks to stay prepared in the rapidly evolving geopolitical security scenario. He emphasised that future conflicts will increasingly be shaped by hybrid threats, information dominance and operations conducted simultaneously across cyber, space, electromagnetic and cognitive domains, according to an official readout.

Highlighting the transformative impact of emerging technologies, Singh stressed on the importance of ensuring integrated national preparedness across all spectrums of conflict, it said.

Singh's remarks at the conference came a day after the first anniversary of Operation Sindoor.

The defence minister appreciated the progress achieved in enhancing jointness, integration and technological adoption across the three services, the readout noted.

Singh said that jointness constitutes a pivotal dimension within the transformative changes sweeping across the global defence sector.

"Future wars will not be won solely through weaponry, but through innovative thinking and enhanced synergy," he said.

The defence minister exhorted the commanders to cultivate the "element of surprise" to remain unpredictable to the nation's adversaries and secure a strategic edge in any given situation.

He, however, urged them to remain vigilant of the element of surprise of the enemy and always stay two steps ahead.

Singh also reiterated the Narendra Modi government's commitment to enhancing the capabilities of the defence forces through state-of-the-art weapons and platforms. He added that special focus is being laid on research in niche domains.

During the conference, he released a documentary film on Operation Sindoor.

The film reaffirms the nation's and defence forces' commitment to operational preparedness and decisive national response capabilities.

Demonstrations of advanced systems and platforms developed for intelligence fusion, operational planning and information management were also showcased during the conference reflecting growing integration of cutting-edge technologies into joint operational structures, according to the defence ministry.

The discussions will contribute significantly towards shaping India's future military transformation and integrated operational preparedness, it said.