BORNE DISEASE
CONTROL PROGRAMME
HISTORY
National malaria control programme 1953
National filaria control programme 1955
Kala azar control programme 1990
districts
MDG GOAL 6
Combat HIV/AIDS, Malaria and other diseases
PROBLEM STATEMENT
MALARIA
About 95% population in the country resides in
malaria endemic areas
80% of malaria reported in the country is confined to
The country SPR has declined from 2.31 to 0.98 and SFR has declined from 1.11 in
2001 to 0.49 in 2012. This indicates declining overall endemicity of malaria in the
country.
cases (1976)
STRATEGIES
SURVEILLANCE AND CASE MANAGEMENT
Case detection (active and passive)
Early diagnosis and complete treatment
Sentinel surveillance
informed decisions
insecticide resistance
Operational research and applied field research
Objectives:
a) To control malaria by reducing the vector
population in the urban areas
b) Reduce morbidity and mortality through EDPT
NORMS :
a) Minimum population of 50,000
b) API >2 or above
c) Promulgate and strictly implement the civic bylaws to prevent/eliminate domestic and peridomestic breeding places
STRATEGY
(i) Parasite control & (ii) Vector control
Parasite control:
Early case detection & prompt treatment (EDPT) to patients
through passive surveillance institutions such as hospitals,
dispensaries and malaria clinics
Vector control:
Source reduction
Minor engineering methods like filling ditches, areas, pits, low
lying areas, streamlining, channelising, deweeding, trimming of
drains, water disposal and sanitation, empty water container
once in a week, etc.
Anti-larval methods
their involvement.
Legislative measures
History:
1949 to 1954 - pilot project in Orissa
1955 - National Filaria Control Programme (NFCP)
was launched
Elimination of filariasis by 2015
National health policy (2002) Eliminate lymphatic
filariasis by 2015
Strategy
Interruption of transmission of filariasis by
Progress
MDA coverage of > 87% to interrupt transmission
> 87% coverage achieved in 16 states
Line listing of lymphoedema and hydrocele cases
Microfilaria survey decrease in the microfilaria
KALA AZAR
districts
KALA AZAR
KALA AZAR
Kala Azar control program 1990-91
National health policy elimination of Kala Azar by
2015
Strategies:
Vector control through IRS with DDT up to 6 feet
height from the ground twice annually
Early Diagnosis and Complete treatment
Information Education Communication
Capacity Building
JAPANESE ENCEPHALITIS
JE viral activity has been widespread in India. The
JE AFFECTED DISTRICTS
JAPANESE ENCEPHALITIS
Japanese Encephalitis mortality reduction rate: 50%
by 2010 and sustaining at that level until 2012
Strategies:
Reducing the vector density and taking personal
protection against mosquito bites using insecticide
treated mosquito nets.
Early diagnosis and case management
Vaccination of children between 1-15 years of age
Supportive interventions Outbreak preparedness
CHIKUNGUNYA
The states affected by chikungunya are Andhra Pradesh,
(August 2013)
Strategies
Early case reporting and management
Integrated vector management
Supportive interventions
3. CHEMICAL CONTROL
Use of chemical larvicides like abate in big breeding
containers
Aerosol space spray during day time
4. ENVIRONMENTAL MANAGEMENT & SOURCE
REDUCTION METHODS
Detection & elimination of mosquito breeding sources
Management of roof tops, porticos and sunshades
Proper covering of stored water
Reliable water supply
.
5. HEALTH EDUCATION
Impart knowledge to common people regarding the
disease and vector through various media sources like
T.V, Radio, Cinema slides, etc.
6. COMMUNITY PARTICIPATION
Sensitizing and involving the community for detection
of Aedes breeding places and their elimination
OVERALL STRATEGIES :
DISEASE
VECTOR
INVOLVEMENT OF COMMUNITY
1. Disease management :
Early Diagnosis and Prompt Treatment
Strengthening of Referral Services
2. Quality Assurance on Laboratory Diagnosis
3. Insecticide Treated Nets
4. Environment management