Describes various aspect of community participation in aedes mosquito control and throws light on various reasons for re-emergence of vector borne diseases like Dengue,Chikungunya etc.
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Aedes mosquito control dr.sahu
1. Community Participation In
y p
Aedes Mosquito Control.
DR.G.C.SAHU
Regional Director [i/c]
g [ ]
ROH&FW;GoI;
ROH&FW;GoI;
Ahmedabad.
1
2. Re-emergence of Vector Borne Diseases
Uncontrolled Urbanization
The unrestrained
production and use of
non-
non-biodegradable food
and drink packaging, and
drums and other water
storage vessels that often
become larval habitats;
Non-
Non-existent,
inconsistent, or
fragmented national
f t d ti l
programmes…in
urban areas
2 Sources: Gubler, 1998; PAHO, 1997.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad
3. Re-emergence of Vector Borne Diseases
Inadequate Environmental Management
Insufficient waste Insufficient and
collection and inadequate water
management. distribution.
Non-biodegradable
N bi d d bl Increased number of
I d b f
containers. water storage containers.
Improper tyre disposal. Inadequate septic
system conditions.
Increase in breeding sites for the vector
3 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
4. Re-emergence of Vector Borne Diseases
Population Movements
More than 750 million people annually
Migration cross international borders.
Increase in rural migration into
urban areas.
Ever increasing international travelers
all across the globe.
International
tourism
Continuous i
C ti increase in international
i i t ti l
tourist arrivals in all the countries
across the globe.
Source: OMT data.
Traffic of microorganisms
4 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
8. Re-
Re-emergence of Vector Borne Diseases –
Factors due to Climate Change
Climate change Changes in transmission
Ideal conditions for
Ecological changes
VBDs: Alteration
Latitude: 350 north of ecosystems
o ecosyste s
350 south
Altitude: 2,200 m
Socio-
Socio-economic changes
Temperature: 15-40 °C
15-
Relative humidity: Alteration of
high-moderate
high- Geographical distribution
of pathogens
and vectors
Increase in
vector-
vector-borne diseases
8 Dr.G.C.sahu/ROH&FW/GoI/A'Bad
9. Effects of Climate change
on A d Mosquito
Aedes M it
Speed up viral incubation in mosquito
Shorten mosquito breeding cycle
Increase mosquito feeding frequency
More efficient transmission of
dengue/chikungunya
dengue/chikungunya virus from
mosquito to human.
human
9 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
11. THE EXTENT OF THE VBDs AND THE GLOBAL REACH OF AEDES MOSQUITO
Q
11 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
12. Global Endemicity of Chikungunya……..
…..and Yellow fever
12 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
13. GLOBAL REACH OF EMERGING AND RE-EMERGING DISEASES
RE-
13 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
14. THE VECTOR…… • Dengue ,Chikungunya and yellow fever
is transmitted by infected female Aedes
mosquito
• Primarily a daytime feeder and mainly
bites in the morning or late in the
afternoon
• Lives around human habitation
• Lays eggs and produces larvae
preferentially in artificial containers
Although it may feed at any time, the mosquito's
periods of peak biting activity are few hours after dawn and
in the late afternoon until a few hours after dark.
The mosquito's preferred breeding areas are in areas of
stagnant water, such as flower vases, uncovered barrels,
buckets, and discarded tires, but the most dangerous areas
are wet floors, underground tanks, cement tanks and also
toilet bowls, as they allow the mosquito to breed right i the
il b l h ll h i b d i h in h
residence.
14 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
15. THE VECTOR……
…..THE VECTOR IS AN
THE
AGGRESSIVE BITER…AND
MOSTLY BITES WITH A
PAINFUL STING DURING DAY
TIME…….
……..JUST WATCH THE
FEROCITY OF THE STING !!!
15 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
16. THE VECTOR…… IN HER ETERNAL CYCLE…
ONE GENERATION
IS BORN ROUGHLY EVERY
WEEK
EVERY THING IN A
PLATTER !!!
16 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
17. ……AND HER PARAPHRENALIA
THE PLOT
IS
HATCHED
….. !!!###
ALMOST
UNDER
WATER !!!
17 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
18. Aedes aegypti breeding sites…….. Mostly domestic and peri-domestic
peri-
18
Dr.G.C.Sahu/ROH&FW/GoI/A'bad
19. …….Aedes aegypti breeding sites Mostly domestic and peri-domestic
peri-
19 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
20. …….Aedes aegypti breeding sites
Urban:
Both
B th
posh
&
Slums
Areas.
20 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
21. Typical water containers in urban/rural set up that can be potential
breeding place for Aedes mosquitoes.
21 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
22. Typical water containers in rural/urban set up that can be potential
breeding place for Aedes mosquitoes.
22 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
23. The obstacles for Aedes
Mosquito control.
i l
23 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
24. ……….obstacles for Aedes Mosquito control.
Present-
Present-day Aedes Mosquito control
programs are not progressing because:
Community participation in dengue
prevention and control is limited to official
demands and never attains community
ownership;
24 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
25. ……….obstacles for Aedes Mosquito control.
Local health services, now politically and
administratively responsible for the
d i i t ti l ibl f th
prevention and control programmes are
not sufficiently established;
25 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
26. ……….obstacles for Aedes Mosquito control.
Individual and community
behavioral change strategies are
b h i l h t t i
weak and are not incorporated into
the programs;
26 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
27. ……….obstacles for Aedes Mosquito control.
Water
W t supply and solid waste
l d lid t
management are limited in high-risk areas;
high-
27 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
28. ……….obstacles for Aedes Mosquito control.
Sustainability and continuity of control
actions are constantly compromised by
other health demands and policies that
compete with them;
28 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
29. ……….obstacles for Aedes Mosquito control.
Little capacity for intersectoral
coordination…
Aedes Mosquito problem is
not the
h
sole responsibility of the
Ministry of Health.
Health
29 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
30. ……….obstacles for Aedes Mosquito control.
Operational research on individual or
community-based strategies have
community-y g
not been sufficient;
30 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
31. The Global Strategy for Mosquito/ VBD control
Surveillance for planning
ll f l
and response
Reduction of Behavioral
disease burden
di b d change
h
31 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
32. This is what you
can do to help…
d t h l
32 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
33. What we should be doing…….
Maintenance of water supply systems
Leakage in water supply pipe line
While augmenting water supply scheme in urban areas, sewage system
with sewage treatment should also be installed simultaneously in these
towns for proper collection, treatment and waste water
generated.
generated.
33 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
34. What we should be doing…….
Establishing proper drainage system
Open sluice-valve chambers with leakage.
sluice- leakage
Municipal Corporations shall formulate an integrated approach/ programme for water
supply, sewerage, drainage and solid waste management so as to keep the environment
free from the risks of vector breeding / growth.
g g
Storm water drains should invariably be covered and maintain them properly by
way of regular cleaning, de-silting etc. to prevent stagnation of water.
de- etc. water.
Larger storm water drains may be suitably channeled to facilitate adequate velocity for
flow of waste water.
water.
34 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
35. What we should be doing…….
Implementation of bye laws at construction sites can take care of
p y
mosquito breeding.
Construction sites Open overhead tanks
Water stagnation in constructional areas should be prevented.
Overflow of water from the water tanks (individual and
community) shall be controlled through proper floating valves.
Proper drainage system should be provided around all Public
Stand Posts to facilitate smooth drain of used water.
35 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
36. What we should be doing…….
Model Civic Byelaws:
Standard design for the lids of
Bad Design Overhead Tanks and Cisterns
X Check nut
Over flow
Pipe protected
with perforation
Not exceed 45nm
45nm
MS Plate 50 mmx
Hinge 5mm
36 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
37. What we should be doing…….
Elimination of intra domestic breeding sources very essential
Leaking water tanks, sprinkler systems, coolers etc that cause water
stagnation, should be repaired and reinstalled.
37 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
38. What we should be doing…….
Elimination of intra domestic breeding sources very essential
The vent pipe of septic tanks shall be covered with
pp p
mosquito nets so that the mosquito grown, if any, in the
septic tanks may not be find way to come out.
38 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
39. What we should be doing…….
Prevent Aedes mosquito from
Breeding!
Remove ALL sources of
R f
stagnant water.
g
Deny the mosquitoes of any chance to
breed.
39 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
40. What we should be doing…….
Easy Steps
Steps..
•Change water in vases/
bowls
b l every other d .
th day
day.
•Add sand granular
insecticide to water.
40 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
41. What we should be doing…….
Easy Steps
Steps…
•Remove water from
flower pot plates every
other d .
th dayday.
41 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
42. What we should be doing…….
Easy Steps
Steps….
•Turn over all storage
containers
42 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
43. What we should be doing…….
Easy Steps…..
E St
•clear blockages and put
Bti insecticide in roof
gutters at least once a
month
43 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
44. What we should be doing…….
If citizens going on a holiday or keep their houses closed for a long time…..
•Seal off all floor and •Cover all toilet bowls
gully traps Leave your contact number
with your neighbor so that the
corporation authorities can
contact you should there be a
need to inspect your premises
44 urgently.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad
45. What we should be doing…….
Adult vector control in urban areas.
Chemical fogging shall be periodically carried out in the urban areas where
there is a potential risk for the transmission of the diseases..
Proper sanitation including community toilets and drainage facilities
should be provided in the slum areas.
Bio-
Bio-environment control shall be carried out in urban areas to control
mosquito menace.
45 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
46. What we should be doing…….
Promoting the use of larvae eating fishes
for control of mosquito breeding.
Introducing larvae eating f
g g fishes Larvae eating fish
Gambusia fish, which eats larva of the mosquito, shall be grown
in all water bodies/ lakes/ ponds / over head tanks.
46 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
47. What we should be doing…….
Creating awareness among
school and college going students.
Importance of vector control and vector control measure
shall be inducted in the course curriculum of primary and
secondary level of education for dissemination of
knowledge on vector control among student community (
schools as well as colleges)
h l ll ll )
47 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
48. ELIMINATION OF AEDES
AEGYPTI
BREEDING SITES---
SITES---
THE INITIATIVE
MOSTLY LIES WITH
INDIVIDUALS/COMMUNITY
48 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
49. What we should be doing…….
Main Types of Adaptive Strategies
• Public education and awareness
• Early-
Early-alert systems: impending weather extremes, heatwaves; infectious
y y p g , heatwaves;
disease outbreaks
• Community-
Community-based neighbour-support/care schemes
neighbour-
• Mosquito-
Mosquito-proofed housing design … and ‘cooler’ urban layout
• Disaster preparedness, incl. health-system ‘surge’ capacity
health-
• Enhanced infectious disease control programs
• vaccines, vector control, case detection and treatment
• Improved surveillance:
• Risk indicators (e.g. mosquito numbers, aeroallergen concentration)
• Health outcomes (e.g. inf dis outbreaks, rural suicide rates, seasonal asthma peaks)
• Rural health services, counselling and community strengthening
, g y g g
• Appropriate (esp. health) workforce training, mid-career development
mid-
49 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
50. What we should be doing…….
Strengthening the implementation of the
g g p
social-
social-communication component in the
state/national program.
Promote the behavioral change focus
so that it will be more than just
dissemination of information.
50 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
51. What we should be doing…….
Solid Waste Management.
Management.
All the municipal waste should be collected from dust
bins etc., and transported to the composting/land fill sites
etc. p p g
for treatment and disposal in order to avoid breeding of
flies, mosquito etc.
etc.
The solid waste should be transported in covered
vehicles so as to prevent littering of the waste on streets,
roads etc.
etc.
Likewise, hospital
Lik i h i l waste and bi -medical waste should b
d bio
bio- di l h ld be
separately collected, treated and disposed in order to
prevent breeding of mosquitoes, flies etc.
p g q , etc.
51 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
52. What we should be doing…….
Dead animals, carcasses should be removed
immediately and buried under land fill sites
and properly covered with soil to prevent
breeding of mosquitoes and flies.
flies.
Public
P bli awareness on environmental cleanliness
i t l l li
may be created through IEC and mass media.
media.
Under JNNURM there is provision to
formulate schemes, drainage and solid waste
management simultaneously and incorporate
g y p
the same in the City development Plan (CDP)
(CDP)
to make the environment free from vector
menace.
menace.
52 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
53. What we should be doing…….
g
Social-
Social-Communication Component
Dissemination of the
behavioral change strategy.
strategy.
Social d
S i l advocacy i fin favor of
f
intra-
intra- and intersectoral actions to
minimize environmental health problems
(water and solid waste management).
53 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
54. What we should be doing…….
Social-
Social-Communication Component
It is not a “magic bullet” that can
g
stop Aedes mosquito breeding.
A person achieves behavioral
changes in steps. There is a need
steps.
to go from one phase to another
sequentially.
sequentially.
54 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
55. What we should be doing
doing…….
55 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
56. What we should be doing
doing…….
Road and Buildings Department
Proper
p
maintenance of
public buildings
and roads f
d d for
prevention of
mosquito
breeding.
56 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
57. What we should be doing…….
Industrial Sector
Sensitizing the industrial
work force and to
open centers for
distribution of drugs/
f g
collection of blood
smears and also to
initiate source
reduction activities i
d ti ti iti in
each of the industrial
unit.
57 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
58. What we should be doing…….
Education Department
Propagating
p g g
messages for
community
awareness through
school children on
vector mosquitoes
and d
d diseases they
h
spread.
58 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
59. What we should be doing…….
Indian Medical Association
Sensitizing the private
practioners on
preventive aspects
vector mosquitoes,
mosquitoes,
control aspect of
VBDs,case
management,
management
treatment, drug policy
etc.
59 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
60. What we should be doing…….
Water supply Department
Maintenance of
M i t f
water supply
schemes and
h d
prevention of
mosquito
i
breeding.
60 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
61. What we should be doing…….
Integrated Strategy.
IV.
IV Environmental management and addressing
basic services such as water supply,
disposal of used water, solid waste management and
disposal of used tires.
di l f d ti
V. Patient care within and outside of the health system.
VI. Case reporting (clinical cases, confirmed cases, DHF
and deaths due to DHF, circulating serotypes).
61 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
62. What we should be doing…….
Integrated Strategy
I. Integrated epidemiological and entomological
surveillance.
surveillance.
II. Advocacy and implementation of intersectoral
actions between health, environment and
education as well as other sectors such as
industry and commerce for new materials
materials,
tourism, legislation and judiciary.
III. Effective
III Eff ti community participation.
it participation.
ti i ti
62 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
64. Knowing is not enough; we must apply.
Willing is not enough; we must do.
(G th )
(Goethe)
64 Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
65. GOVT
EFFORTS
COUPLED WITH
THE PUBLIC
PARTICIPATION….
PARTICIPATION….
IS THE KEY.
Acknowledgements:
Acknowledgements:
•NVBDCP: India
• NVBDCP: Gujarat
• NCDC: India
• WHO: Geneva
• CDC: Atlanta
• NEA : Singapore
…….. THANKS
e-mail :gcsahu61@gmail.com
65 Dr.G.C.Sahu/ROH&FW/GoI/A'bad