2. Introduction
NVBDCP is an umbrella programme for prevention
and control of vector borne disease.
Launched in year 2003-04.
Major vector borne disease:-
malaria
Filaria
Kala azar
Japanese encephalitis
Dengue
chikungunya
3. strategy
Disease management:-early case detection,complete
t/t,referral service epidemic preparedness and rapid
response.
Integrated vector management:- indoor residual spray
Itn
Larvivorous fish
Source reduction
Supportive interrelation:- behaviour change
communication
Public private partenership
Studies on drug resistance as insecticide susceptibility.
4. objective
Integrated accelerated action towards:-
1)reducing mortality on account of malaria,dengue
and JE by half.
2)elimination of kala azar by 2010
3)elimination of lymphatic filariasis by 2015.
5. malaria
India contributes about 71% of total malaria cases in
the south east asia region (SEAR).
Malaria situation in country in last 3 year.
2012 total no. of cases -1.01 milion and death-519
2013 total no.of cases-0.88 milion and death-440
2014(till october) total no. of cases -0.85 milion and
death-316
6. Classification of endemic area
API (annual parasite
incidence)>2
1)spraying of all areas
2)entomological
assesment
3)surveillance:-
Active
Passive
4)Treatment of cases
API<2
1)focal spraying
2)surveillance:more
vigorously
3)treatment
4)follow up
5)epidemiological
investigation
7. EDPT(early detection and prompt
treatment)
Clinically suspected cases are confirmed on
microscopy or rapid diagnostic kits.
Drugs distribution centre and fever treatment depots
have been established in rural areas.
The urban malaria schemes under NVBDCP is
presently protecting 115.5 milion population form
malaria and other mosquito borne
disease.methodology is antilarval measure &t/t.
8. Trends of dengue cases & death
In 2010 total 28292 cases & 110 death
In 2012 total 50222 cases &242 death
In 2013 total 75808 cases &193 death
In 2014 (till nov)33320 cases &86 death
There is no specific antiviral drugs nd vaccines
againest dengue.
9. Prevention and control of dengue
1)surveillance
2)case management:-lab diagnosis & clinical mx
3)vector management
4)epidemic preparedness
5)capacity building
6)behaviour change
7)intersectoral coordination
8)monitoring and surviliance
For eariy diagnosis-ELISA based NS1 kits
10. Lymphatic filariasis
NHP(2002) has thought elimination of lymphatic filariasis in
india by 2015.
Strategy:-for elimination of disease is through:
1)annual mass drug administration of single dose DEC +
albendazole.Before MDA night blood survey is required for
microfilaria.
2)home based management of lymphedema cases and upscaling
of hydrocele operations in identified CHCs/district
hospital/medical college.Under this programme the coverage has
improved from72.4% in 2004 to 81.5% in 2013.
The line listing of lymphedema and hydrocele cases was initiated
since 2004 by door to door survey in endemic districts.The
updated figure till oct 2014 reveals about 12 lakh cases with
clinical manifestation.
11. Kala azar
Trends:-
1)in 2013 kala azar cases reduced by 32.67% & death by
31.03% in comparison with 2012.Same is observed in 2014
till october showing 7856 cases nd 9 deaths.
Strategy:- for elimination
1)parasite elimination & disease management
2)integrated vector control
3)supportive intervention
An incentive of rupees 300/-is being provided to ASHA for
referring a suspected case.
World Bank is providing assistance in 46 districts in 3
states namely Bihar,Jharkhand nd West Bengal.
12. Japanese encephalitis
Trends:-
During 2012 ,8344 cases & 1256 death (under AES).
During 2013,7825 cases & 1273 death(AES)
During 2014,9693 cases &1490 death till
december(AES)
JE vaccination is recommonded for children b/w 1-15
year of age.
13. PREVENTION
THE prevention measures are directed at reducing the
vector density and in taking personal protection
against mosqito bites.
Three doses of vaccine provide immunity lasting a few
years.
