Current Status of Vector Borne Diseases in Gujarat.

1. National Vector Borne Diseases Control Programme-Gujarat Presentation of Status Report DR.G.C.SAHU ROH&FW GOVT OF INDIA AHMEDABAD

2. MOSQUITOS OF PUBLIC HEALTH IMPORTANCE AEDES-- DENGUE ANOPHELES-MALARIA CULEX--FILERIA …… .AND THE TYPE OF EGGS THEY LAY . ANO. AED. CUL.

4. Organizational chart of NVBDCP in Gujarat. BHO Department of Health & Family Welfare Honorable Health Minister Additional Chief Secretary Health & FW Commissioner Health, Medical Services & Medical education Additional Director Health Services

5. LIFE CYCLE OF MALARIA PARASITE AS IT PROCEEDS IN HUMAN & VECTOR MOSQUITO LIFE CYCLE OF MAL.PARASITE—P.VIVAX LIFE CYCLE OF MAL.PARASITE— PF.

6. Malaria paradigms in Gujarat The peculiar geo-ecological conditions in Gujarat State which consists of diverse topographic features, climatic conditions and other favorable factors such as rapid industrialization and urbanization have facilitated the formation of different malaria paradigms Valsad, Navsari, Bharuch,Jamnagar and Junagadh Coastal malaria Surat, Valsad, Bharuch,Kutch, Jamnagar. Industrial malaria Surat,Vadoadara, Ahmedabad, Bharuch. Urban malaria Surat city, other urban areas. Migration malaria Central Gujarat :Kheda, Anand, Panchamahal, Vadodara Irrigation malaria 4 districts in the Kutch and North Gujarat region Epidemic prone semi arid and arid area 11 districts of South, Central and North Gujarat. Tribal malaria Areas/districts covered Malaria paradigm

7. Malaria situation in India

8. Endemic areas for malaria(based on API 2 as baseline)

9. Malaria situation in Gujarat 1967 to 2006

11. Significant increase in Malaria from 32 nd to 37 th week

12. Rise in falciparum incidence From 32 nd week to 37 th week

13. Drug resistant blocks identified in Gujarat Matar, mahudha,Mehmdabad Nadiad Kheda Olpad, Choryasi,Kamrej Suart city Surat Harij, Radhanpur, Patadi, Rapar Sami Patan Limkheda, Dhanpur Devgadhbaria Dahod Anand Umreth Anand Nakhatrana, Mundra, Mandvi, Anjar Bhuj Kutch Santrampur, Lunawada, Khanpur Kadana Panchmahal Adjoining blocks Block in which drug resistance detected District

14. Dr.G.C.Sahu/ROH&FW/GoI/A'bad Khavada-Gorewali/ Kachchh-bhuj Kadana/ Panch mahals PHCs where alternatrive drug policy is in place. GUJARAT Pansora/Anand Degawada/Dahod Lolada/Patan Surat city(CHQ&ACT) Khanvel-D&NH

15. Dengue Control…..need for an…..Integrated Strategy

18. 50 % Contribution by the Corporations

19. AMC reported more cases in 2010

22. Surat, Valsad and Navsari reported more cases

23. Jamnagar corporation Reported significant rise In cases

24. Bhavanagar district and corporation Reported more cases.

25. During 2009 a total of 68confirmed Chikungunya cases have been reported from A,bad (6), Kheda(15), Anand (4), SK (2), Vadodara (10), PM (2),Bharuch (2), Narmda (6), Rajkot (3) Junagadh (5), Porbandar (1), VMC (1), SMC (11)

27. AS Fauci GLOBAL EXAMPLES OF EMERGING AND RE-EMERGING INFECTIOUS DISEASES

31. Filaria situation of Gujarat State: 2006-2009 Year BSE MF cases MF rate 2006 73379 142 0.20 2007 80664 112 0.14 2008 71224 81 0.11 2009 64531 45 0.10

32. District wise Lymphoedema and hydrocele cases reported in Gujarat State Sr. No Name of District/Corporation No. of Patients Total Lymphoedema Hydorcele 1 Surat ® 1422 879 2301 2 SMC 470 157 627 3 Tapi 247 266 513 4 Valsad 65 37 102 5 Navsari 449 457 906 6 Rajkot 45 3 48 7 RMC 28 0 28 8 Jamnagar 169 0 169 9 JMC 250 3 253 10 Junagadh ® 59 0 59 11 Jun-Cor. 59 4 63 12 Porbandar 55 3 58 13 Amreli 64 3 67 14 Vadodara 11 148 159 Total 3393 1960 5353

33. 85.05 28427530 11587201 13624583 TOTAL 91.35 131985 52381 57339 Vadodara 8 86.66 1174632 503067 580500 Porbandar 7 85.43 4880904 2006956 2349131 Rajkot 6 84.23 3041789 1292624 1534570 Amreli 5 84.29 7061983 2681194 3181020 Surat City 4 85.78 6348576 2580704 3008681 Surat 3 85.05 2581470 1113545 1309288 Navsari 2 84.58 3206191 1356730 1604054 Valsad 1 % Cov. Consumption of DEC tablets Population covered Total Pop. District Sr. No MDA coverage - 2006

35. Coverage under MDA during 2009 Sr. No. District/Corporation Total Population Eligible population Pop. Covered No. of tablets administered % pop. Covered DEC Alb 1 Surat 1658762 1490395 1394526 3738824 1394526 84.07 2 Surat Muni.Corp. 4530348 4077313 3992472 10877376 3992472 88.13 3 Tapi 835279 751749 689250 1880495 697819 82.52 4 Valsad 1661890 1488650 1489881 3665965 1418742 89.65 5 Navsari 1380170 1200153 1144648 2872825 1144648 82.94 6 Rajkot 2461984 2142686 2150124 5368556 2150124 87.33 7 Rajkot Muni.Corp. 1504606 1361830 1163527 3146086 1163527 77.33 8 Jamnagar 1705501 1557330 1519045 3776086 1519045 89.07 9 Jamnagar Muni.Corp. 588013 470410 445308 1168659 445308 75.73 10 Junagah 2768982 2428643 2373654 5940261 2373654 85.72 11 Junagadh Muni.Corp. 262600 223210 192760 515870 192760 73.40 12 Amreli 1431227 1428000 1295827 3356178 1332259 90.54 13 Porbandar 590717 502109 534121 1298614 534121 90.42 14 Vadodara(Dabhoi) 58332 57447 56587 147032 56587 97.01 TOTAL 21438411 19179925 18441730 47752827 18415592 86.02

40. Monitoring of comparative malaria situation is useful to identify vulnerable spots.

47. Year 2006. GIS mapping of village wise malaria situation helped to identify high risk villages and to plan containment measures accordingly.

56. Demonstration of Guppyfishes to school children

64. TABLO ORGANISED DURING REPUBLIC DAY PARADE ON 26 TH JANUARY 2006 AT GANDHINAGAR

65. GATE ON MAIN TRAFFIC CIRCLES OF GANDHINAGAR TOWN. NO ENTRY – MALARIA, DENGUE, CHIKUNGUNYA

67. Highlights of the innovative steps undertaken.

70. This completes the current presentation. Dr.G.C.Sahu/ROH&FW/GoI/A'bad

71. THANK YOU Dr.G.C.Sahu/ROH&FW/GoI/A'bad