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NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME. Introduction. Launched in year 2003-04 Major vector borne diseases- Malaria Filaria Kala- azar Japanese Encephalitis Dengue / Dengue Hemorrhagic fevers Chikungunya. Mission statement. Integrated accelerated action towards

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NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME

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  1. NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME

  2. Introduction • Launched in year 2003-04 • Major vector borne diseases- • Malaria • Filaria • Kala-azar • Japanese Encephalitis • Dengue / Dengue Hemorrhagic fevers • Chikungunya

  3. Mission statement • Integrated accelerated action towards • reducing mortality on account of Malaria, Dengue and JE by half • Elimination of Kala-azar by 2010 • elimination of lymphatic filariasis by year 2015.

  4. India’s contribution to Malaria in SEAR India contributes to 71% of total malaria cases in the SEAR 4

  5. FILARIA ENDEMIC DISTRICTS Endemic district 250 (in 20 States/UTs)

  6. Endemic States - UP, West-Bengal, Jharkhand, Bihar

  7. Distribution Of Japanese Encephalitis in India Japanese Encephalitis Endemic areas

  8. Distribution Of Dengue/DHF in India Dengue endemic areas in India

  9. Strategies: Malaria • Early case detection and prompt treatment (EDPT) • Clinically suspected malaria cases are confirmed on microscopy or rapid diagnostic kits(RDK) • Drug Distribution Center (DDC) and Fever Treatment Depots(FTD) have been established in rural areas • In inaccessible areas, Health agencies and volunteers • running FTD’s are provided with RDK’s

  10. Strategies: Filaria • Mass Drug Administration- • Single dose mass t/t with DEC every year • 85% DEC coverage for 5 years.

  11. Filaria Control Strategies… • Morbidity management of cases

  12. Strategies: Kala-azar RDT Enhanced case detection and Complete treatment • Every case of fever of more than 15 days duration in endemic areas , not responding to anti-viral t/t or antibiotics with spleenomegaly is screened. • Rapid diagnostic kit RK39 has replaced Aldehyde Test for diagnosis of Kala-azar. • Introduction of oral drug Miltefosine as the first line drug since 2008. • Directly observed treatment in endemic areas

  13. Strategies: Dengue & Chikungunya Early case detection and prompt treatment • Identified 13 Apex Referral Laboratories for advanced diagnosis and regular surveillance. • Identified 137 sentinel surveillance hospitals for proactive surveillance. • NIV Pune entrusted to supply ELISA test kits to these institutes

  14. Strategies: Japanese Encephalitis Early case detection and prompt treatment- • Clinical surveillance in endemic areas JE Vaccination Program- • In 2006, 11 endemic districts of 4 states covered • Children in 1-15 years age group immunized as an integral component of Universal Immunization • Mouse-brain derived inactivated JE vaccine manufactured by CRI kasauli • 3 doses of 0.5 to 1 ml (day 0, 7, 30) followed by Booster

  15. INTEGRATED VECTOR MANAGEMENT Abandoned Cement Tank GAMBUSIA FISHES • Source reduction, filling, streamlining water bodies • Biological Control-Gambusia Fishes & Biolarvicides (Bacillus sphaericus) • Impregnated bed nets • DDT spraying in and around 30 households from a diagnosed case of malaria • IEC campaigns

  16. INTEGRATION UNDER NRHM • At Village Level • Monthly meetings of Village Health & Sanitation Committee serve as a platform for health education and counseling of community. Involvement of ASHA as- • surveillance worker to inform any increase in fever cases including Dengue/ Chikungunya and J.E. • FTD for early detection of suspected malaria cases and treatment • linkage between ANC services and prevention & treatment of malaria • counselor for Filaria cases to practice home based management. • organizer, motivator and trainer in village level meetings/training workshops.

  17. Thank You!

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