Steps to check Spread of Dengue and Chikungunya

Two confirmed deaths due to Dengue and no confirmed deaths due to chikungunya have been reported in Delhi in the months of September and October, 2016.

Number of lab confirmed cases of Dengue , Chikungunya and Malaria reported in last three years and current year (till13^th Nov)  are as under:

*  till 30^th Sept.

The reasons are unplanned urbanization, shortage of regular water supply & other civic amenities, heavy rain fall etc.

As per the information obtained from implementing agencies, the measures taken for check accumulation of water at construction sites are as under:

• Domestic Breeders checkers are checking residential areas and construction sites etc for mosquitogenic conditions including water logging and sprinkling anti-mosquito chemicals to prevent mosquito breeding. Also Malaria Field Workers spray larvicides/insecticides in water accumulations, nallahs, drain etc on weekly basis.
• In case of detection of breeding, legal measures are taken as per Law.

As per the information obtained from implementing agencies the details of availability of fogging machines are as under:

• South Delhi Municipal Corporation (SDMC): 4-5 no. ofhand operated fogging machines are available in each ward, in addition to 8 vehicle mounted fogging machines in SDMC.
• North Delhi Municipal Corporation (NDMC): Adequate number of fogging machines at least 4 per ward are available in all 6 zones of North DMC. In addition, 11 vehicles mounted tiffa machines are also used for outdoor fogging in all the zones of NDMC.
• East Delhi Municipal Corporation (EDMC): Adequate number of fogging machines are available i.e. 2 vehicle mounted machines per zone and 2 hand operated fogging machines in each of 64 wards.

During 2016, Government of India (GOI) has taken the following  measures for prevention and control of Dengue & Chikungunya in the country including Delhi:

• Technical Guidelines for prevention and control, clinical management and vector control in respect of Dengue and Chikungunya have been issued to States/UTs and also uploaded on National Vector Borne Disease Control Programme (NVBDCP) website www.nvbdcp.gov.in.
• Periodic reviews. Since January, 2016, a total number of 22 review meetings at the levels of Hon’ble HFM, Secretary, H&FW and DGHS were held.
• Advisories have been issued from time to time. Since January, 2016, 12 advisories have been issued at the levels of Secretary (H&FW) and Addl. Secretary (H&FW).
• States/UTs were requested to declare Dengue as notifiable disease and the same has been uploaded on the website for taking action accordingly by all the States and UTs.
• Capping of Dengue test at Rs 600/-: States were requested to curtail out of pocket expenditure by fixing the rate for testing @ Rs. 600/-.
• Dengue & Chikungunya diagnosis is provided through 542 Sentinel Surveillance Hospitals (SSHs) and 15 Apex Referral laboratories (ARLs) identified across the country.
• First version draft of ‘Strategy and Plan of action for Effective Community Participation for Prevention and Control of Dengue’ has been uploaded on the NVBDCP website.
• Focused IEC/BCC activities are carried out at National and State level with media mix strategies focusing on source reduction and personal protective measures.

Ø      A user friendly Dengue App “India Fights Dengue” has been launched by HFM, on 7^th April, 2016.

Ø      ‘National Dengue Day’ has been observed on 16^th May 2016 throughout the country.

• Accredited Social Health Activists (ASHAs) are also involved in source reduction activities for Dengue prevention and control.
• Periodic field visits were made by NVBDCP Officials to States/UTs for review and to provide technical guidance for prevention and control of Dengue & Chikungunya.
• Financial: Funds are provided by Govt. of India to the States/UTs for prevention and control of vector borne diseases including Dengue and Chikungunya to implement the public health activities.