Dr.G.C.Sahu -- Dengue

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Community Participation in Aedes Mosquito/Dengue Control

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Dr.G.C.Sahu -- Dengue

  1. 1. Community Participation In y p Aedes Mosquito Control. DR.G.C.SAHU Regional Director g ROH&FW;GoI; Ahmedabad. 1 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  2. 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. 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. 4. Re-emergence of Vector Borne Diseases Population Movements p p More than 750 million people Migration annually cross international borders. Increase in rural migration into urban areas. 1.4 billion international travelers annualy. 697 million international tourist International arrivals in 2007 and 715 million in tourism 2008 (up 3.1%). Source: OMT data. Traffic of microorganisms 4 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  5. 5. 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 t M ffi i t transmission of dengue virus i i fd i from mosquito to human 5 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  6. 6. (WHO) Countries/areas at risk of dengue transmission, 2007 (DengueNet, WHO) 6 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  7. 7. THE EXTENT OF THE DISEASE AND ITS GLOBAL REACH 7 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  8. 8. DISTRIBUTION OF DF/DHF CASES IN THE COUNTRY 8 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  9. 9. Aedes Egypti breeding sites- sites- Domestic . 9 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  10. 10. Aedes Egypti breeding sites- sites- Peri- Peri-Domestic . 10 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  11. 11. Urban: Both posh & Slums Areas. 11 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  12. 12. Typical water containers in Urban/Rural that can be potential breeding place for Aedes mosquitoes. 12 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  13. 13. Typical water containers in Rural/Urban that can be potential breeding place for Aedes mosquitoes.
  14. 14. The obstacles for Aedes Mosquito control. 14 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  15. 15. ……….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; 15 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  16. 16. ……….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 programs are not sufficiently established; 16 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  17. 17. ……….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; 17 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  18. 18. ……….obstacles for Aedes Mosquito control. Water W t supply and solid waste l d lid t management are limited in high-risk areas; high- 18 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  19. 19. ……….obstacles for Aedes Mosquito control. Sustainability and continuity of control actions are constantly compromised by other health demands and policies that compete with them; 19 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  20. 20. ……….obstacles for Aedes Mosquito control. Little capacity for intersectoral coordination… The VBDCP/Mosquito problem is not the sole responsibility of the p y Dept of Health. 20 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  21. 21. ……….obstacles for Aedes Mosquito control. Operational research on individual or community-based strategies have community-y g not been sufficient. 21 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  22. 22. The Global Strategy for Mosquito/ VBD control Surveillance for planning and response Reduction of Behavioral disease burden change 22 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  23. 23. This is what you can do to help… d t h l 23 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  24. 24. 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. 24 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  25. 25. What we should be doing……. Establishing proper drainage system Open sluice-valve chambers with leakage sluice- 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 th risks of vector breeding / growth. f f the i k f t b di th 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 g y y q y flow of waste water. water. 25 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  26. 26. 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 (i di id l and O fl f t f th t t k (individual d 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. 26 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  27. 27. 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 MS Plate 50 mmx Hinge 5mm 27 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  28. 28. 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. g p 28 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  29. 29. 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. 29 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  30. 30. What we should be doing……. Prevent mosquito from Breeding! Remove ALL sources of R f stagnant water. g Deny the mosquitoes of any chance to breed. 30 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  31. 31. 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. 31 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  32. 32. What we should be doing……. Easy Steps Steps… •Remove water from flower pot plates every other d . th dayday. 32 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  33. 33. What we should be doing……. Easy Steps Steps…. •Turn over all storage containers 33 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  34. 34. What we should be doing……. Easy Steps….. E St •clear blockages and put Bti insecticide in roof gutters at least once a month 34 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  35. 35. 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 c n c rp r ti n uth riti s can contact you should there be a need to inspect your premises 35 urgently. Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  36. 36. 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. 36 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  37. 37. What we should be doing……. Promoting the use of larvae eating fishes for control of mosquito breeding. Introducing larvae eating fishes Larvae eating fish Gambusia fish, which eats larva of the mosquito, shall be grown in all water bodies/ lakes/ ponds / over head tanks 37 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  38. 38. 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) 38 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  39. 39. ELIMINATION OF AEDES EGYPTI BREEDING SITES--- SITES--- THE INITIATIVE MOSTLY LIES WITH INDIVIDUALS 39 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  40. 40. 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 , ; 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- 40 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  41. 41. 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. 41 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  42. 42. 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.
  43. 43. 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.
  44. 44. What we should be doing……. 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). 44 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  45. 45. 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. 45 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  46. 46. What we should be doing doing……. 46 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  47. 47. What we should be doing……. Road and Buildings Department Proper p maintenance of public buildings and roads f d d for prevention of mosquito breeding. 47 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  48. 48. What we should be doing……. g 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. 48 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  49. 49. What we should be doing……. Education Department Propagating P ti messages for community awareness through school children. 49 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  50. 50. What we should be doing……. Indian Medical Association Sensitizing the private practioners about drug policy, policy case management and treatment. treatment 50 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  51. 51. What we should be doing……. Water supply Department Maintenance of M i t f water supply schemes and prevention of mosquito breeding breeding. 51 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  52. 52. 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). 52 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  53. 53. 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 53 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  54. 54. Healthy houses Environmen t Healthy schools 54 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  55. 55. OK That s All OK, That’s 55 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
  56. 56. GOVT EFFORTS COUPLED WITH THE PUBLIC PARTICIPATION…. PARTICIPATION…. IS THE KEY. Acknowledgements: Acknowledgements: • WHO • CDC • NVBDCP • NICD • JD(NVBDCP),G.nagar. • Dy.Director(Epidemic),G.nagar • MHO, A M C, Ahmedabad MHO C 56 …….. THANKS Dr.G.C.Sahu/ROH&FW/GoI/A'bad

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