NVBDCP

1. Review Meeting with State Health Secretaries on 11th & 12th September, 2012.National Vector-Borne Disease Control Programme (NVBDCP)

2. NVBDCP • Malaria • Kala-azar • Dengue • Chikungunya • JE/AES • Lymphatic Filariasis

3. General Strategy for Prevention and Control of VBDs • Early diagnosis and complete treatment • (No specific drugs against Dengue, Chikungunya and J.E.) • Integrated vector Management (IRS, LLIN, fish, chemical and bio-larvicide, source reduction) • Supportive intervention – (Vaccination only against J.E.) • Annual MDA (only against LF) • Behaviour change communication

4. Malaria Situation

5. Externally Aided Projects Global Fund Supported Project in North East World Bank Supported Project

6. Malaria Project States under GFATM • 7 NE States • 86Districts • 43 Million Pop. • 7 States • 86 Districts • 43 million Population

7. Global Fund Supported Intensified Malaria Control Project-II • Seven NE states covered • Project staff - States advised to appoint & train • Sentinel Surveillance Hospitals for trend of severe malaria cases and deaths - 14 hospitals identified and to be made functional • LLIN – 11.38 million supplied and 10.24 million processed • States advised to plan for storage & distribution • States to ensure availability of RDTs and ACTs

8. Malaria Project States under World Bank Project (Phase – I & II) Chhattisgarh Districts : 11 + 5 Expansion of World Bank Project Districts Jharkhand Districts : 12 + 10 Madhya Pd. Districts : 9 + 10 Gujarat District : 12 West Bengal Districts : 7 Maharashtra District : 5 Orissa Districts : 13 + 17 Andhra Pradesh. District : 5 + 1 Karnataka Districts : 7 • Phase I: 50 Districts in 5 States, Population – 71.04 Million • Phase II: 74 Districts in 9 States (5 of P-I + 4 New), Population – 170.77 Million • Total in Phase I & II – 124 Districts in 9 States, Population – 241.81 Million New States

9. Malaria Surveillance- Annual Blood Examination Rate (ABER) State-wise Performance

10. Entomological Surveillance • Entomological surveillance to be strengthened at state and zonal level to monitor prevalence of vectors and their susceptibility to insecticides • Current Status • Of 35 states/UTs, 31 have sanctioned post of State Entomologist . • Only 11 are in position. • Total 72 zones in country (1 added in Nagaland). • 36 zones have entomologists. • 37 are to be filled, and • Vehicles to be provided for entomological surveillance

11. Human Resources State-wise Status Status of Trained ASHAs as on 31.07.2012

12. Procurement & Supply of Long Lasting Insecticidal Nets (LLINs)

13. Malaria- Major Issues Surveillance and reporting to be ensured RDT, ACT availability to be ensured Increase in malaria case to be monitored Release of Funds to districts, work performance & submission of SoE to be monitored and ensured Required human resource to be filled up Project staff allocated should be filled up on priority Timely payment of salary to project staff to be ensured

14. Kala-azar Endemic Areas (52 Districts in 4 States) JHARKHAND Districts : 4 WEST BENGAL Districts : 11 6 districts Pop. – 11.0 mil 31 districts, Pop. – 62.3 mil • World Bank supported Kala-Azar Project Areas 46 districts (3 states) BIHAR Districts : 31 4 districts Pop: 6.7 mil 11 districts Pop. – 50 mil States : 4 Districts : 52 Population : 130 million 85% of all cases in Bihar. 9 distt in Bihar contribute 65-70% of cases.

15. Kala-azar – Cases and Deaths

16. Kala-Azar: Issues • The focus on timely and quality Indoor Residual Spray with DDT to be maintained. • The vacancy position of Kala-azar Treatment Supervisors (83 in Bihar and 60 in West Bengal) and other staff to be filled up. • Standard treatment guidelines to be followed. • Regular monitoring and supervision to be strengthened at the district level (preferably under the Chairmanship of District Magistrate) • In Bihar a dedicated State Programme Officer should be appointed.

17. Dengue Situation

18. Diagnostic Facilitiesat State & District Levelfor Dengue & Chikungunya (increased to 347in 2012) *Locations of 14 Apex Referral Laboratories

19. Dengue Control Issues • Mid Term Plan approved by CoS emphasizes: • Disease Surveillance & Entomological Surveillance • Case management • Integrated vector control • Epidemic preparedness and Media management • Social mobilization • Inter-sectoral coordination • Initiatives • NS1 : ELISA based test Introduced for early detection – availability at all diagnostic facilities to be ensured • Numbers of Diagnostic facilities increased – Functional status to be ensured.

20. JE/AES Situation

21. Japanese Encephalitis- Issues • Improving coverage of JE vaccination in campaign and under UIP. • Implementing model public health action plan. • Operationalization of designated sentinel sites. • Strengthening district hospitals for improving medical attention to admitted children. • Medical rehabilitation of disabled cases.

22. Elimination of Lymphatic Filariasis – (1) Elimination of Lymphatic Filariasis in India by 2015. The twin pillars of LF elimination strategy include: Transmission control by Annual MDA for 5-7 years or more with DEC + Albendazole Disability Prevention and Management by Home based management of lymphoedema cases and up-scaling of hydrocele operations

23. Elimination of Lymphatic Filariasis – (2) Population at Risk of LF • MDA launched in 2004 has been expanded to 250 endemic districts. • MDA coverage has increased from 72% in 2004 to 88% in 2011. • Assessment by Medical Colleges reveals compliance from 40-80% in different states. • Mf Rate has declined below 1% mf rate in 180 districts – First step towards elimination • Morbidity Management initiated Endemic districts: 250 (in 20 States/UTs) Population at risk: 600 million Population eligible for MDA – 509 Million

24. Thank You