national dengue prevention and control program
DESCRIPTION
National Dengue Prevention and Control Program. Goal of the Program. Reduce morbidity and mortality from dengue infection by preventing the transmission of the virus from the mosquito vector to human. National Center for Disease Prevention and Control, DOH. Objectives. - PowerPoint PPT PresentationTRANSCRIPT
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Reduce morbidity and mortality from dengue infection by
preventing the transmission of the virus from the mosquito
vector to human.
National Center for Disease Prevention and Control, DOH
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Reduce the incidence to 10 cases per 100,000 population.
Reduce the Case Fatality Rate to less than 1%.
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Dengue SurveillanceDengue Integrated Vector
ManagementDengue Case ManagementSocial Mobilization & Communication
for DengueDengue Outbreak ResponseResearch
National Center for Disease Prevention and Control, DOH
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New dengue case definition should now be adopted & case fatality rate standardized
Mechanisms for sharing timely and accurate data
Incorporate dengue surveillance (case, vector and seroprevalence) into an integrated and strengthened disease surveillance systemNational Center for Disease Prevention and Control, DOH
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National Center for Disease Prevention and Control, DOH
J F M A M J J A S O N D2012 8864 6587 5970 4605 5902011 10710 6851 5356 3795 3701 7023 15784 28549 18650 9613 6670 2166
0
5000
10000
15000
20000
25000
30000
No.
of C
ases
Month
Fig. 1 DENGUE Cases by Month, Philippines, 2012 vs 2011
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Dengue Cases_Region I_2012VI20_1.ppt
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RegionCases
2012 2011 % ChangeI 891 1503 -40.72II 645 1537 -58.04III 5194 4828 7.58
IV-A 3866 4455 -13.22IV-B 134 342 -60.82
V 493 323 52.63VI 1124 1031 9.02VII 2089 2031 2.86VIII 94 468 -79.91IX 1081 481 124.74X 833 756 10.19XI 1892 1048 80.53XII 621 923 -32.72
ARMM 104 130 -20.00CAR 388 353 9.92
CARAGA 358 484 -26.03NCR 6809 7683 -11.38
Total 26616 28376 -6.20
As of May 12, 2012
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Vectors fully described and vector indicators regularly monitored
IVM as a strategy Evidence based strategies to control vector
populations adopted Facilitate community involvement for vector
control Rationale use of insecticide for vector
control, WHOPES guidelines on pesticide management
Vector resistance monitoring National Center for Disease Prevention and Control, DOH
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Capacity of health professionals to diagnose, treat or refer cases
Laboratory support for case management
Referral network system in public and private sectors
Public awareness on warning signs and actions to be taken
National Center for Disease Prevention and Control, DOH
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Communication for Behavioral Impact (COMBI) approach disseminated and promoted
Development & implementation of COMBI plan supported
Partnerships set up with private sector / and other multi-stakeholders
National Center for Disease Prevention and Control, DOH
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National Early warning system/dengue surveillance system.
Coordination mechanisms within DOH and with other programs, LGU and other sectors
Ability of health workers to respond to the dengue outbreak
National Center for Disease Prevention and Control, DOH
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Disease burdenEvaluation of tools & strategies for
dengue control and case management
National Center for Disease Prevention and Control, DOH
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Intensified year long campaign on dengue prevention & control
Developed & produced prototype materials Production, reproduction & distribution of IEC
materials Advocacy to LGUs & LCEs Media advocacy
National Center for Disease Prevention and Control, DOH
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• Objectives:
• To reinforce clean-up drive against Dengue
• To mobilize all sectors for clean-up drive (search and destroy)
National Center for Disease Prevention and Control, DOH
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1. Search and destroy breeding sites Cover all water containers (jars, drums, cans, etc.) Regularly change water in flower vases De-clogging of roof gutters Fill-up surface water with soil where feasible
▪ Vacant lots in villages, housing areas with stagnant water and potential mosquito breeding areas
▪ Used tires seen at vulcanizing shops 2. Self-protection
Wear long sleeved shirts and long pants Use mosquito repellants every 4 hours
National Center for Disease Prevention and Control, DOH
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3. Seek early advise/consultation at the nearest health center
Fever, pain behind eyes, joint pains, etc.4. Say YES to fogging when there is an impending
outbreak (hotspots) Fogging only in hotspot areas as evaluated by the
health officers
National Center for Disease Prevention and Control, DOH
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• Monitoring and Evaluation by Local Health Offices and DOH regional offices
• Weekly reporting of: • mobilization activities• Dengue cases• Deaths
National Center for Disease Prevention and Control, DOH
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1. Tri-media campaigns on mobilizing ABKD from all sectors
- IEC leaflets reproduction - Information and education should be integrated in health classes by DepEd - DILG memorandum to all LGUs on ABKD - Liga ng Barangays to mobilize for ABKD and local ordinances - TV and Radio spots by media partners - Continuous advocacy (daily print ads)
2. Fogging operations in defined hotspot areas - DOH CHDs in coordination with LGUs
National Center for Disease Prevention and Control, DOH
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0
100
200
300
400
500
600
700
800
900
1000
1100
1200
1300
1400
1500Te
mik
Thine
t
Phos
drin
Di-Sy
ston(S
olvire
x)
Furad
an
Ethyl
para
thion
Guthi
on
Methy
l para
thion
Azod
rin (N
uvacro
n)
Lann
ate
Endri
n
Bidrin
Dimec
ron
Aldrin
Thiod
an
Baygo
n
Ttoxa
phen
e
Ciszid
on (B
asud
in) DDT
Dursb
an
Cygo
n (R
ogor)
Bayte
x (Fe
nthion
)
Dibron
Dipter
ex
Sumi
thion
SEVIN
(Carb
aryl)
Cyflu
thrin
Cythi
on (M
alathi
on)
Delta
methr
in
Perm
ethrin
Abate
(Tem
epho
s)
COMPARATIVE TOXICITIES OF SOME INSECTICIDES
HIGHLY TOXIC MODERATELY TOXICSLIGHTLY
TOXIC
INSECTICIDES USED IN DENGUE CONTROL1. Fogging
a. Permethrin-4000 mg/kgb. Deltamethrin-2940 mg/kgc. Cyfluthrin-1200 mg/kgd. Pirimiphos methyl-1200 mg/kge. Malathion-2100 mg/kg
2. Larvicidinga. Temephos-8000 mg/kgb. Altosid-34000 mg/kgc. Bacillus thuringiensis- non-
toxic
AC
UT
E O
RA
L L
D50
mg /
kg
References: 1969 Gaines RT, Acute Toxicity of pesticides. Toxicology and Applied Pharmacology 1995 WHO. Duidelines for Dengue Surveillance and mosquito Control. Western Pacific Education Series. No.8 104p.
1998 DOH-National Dengue Prevention and Control Program. Basic Training on dengue Prevention and Control. Module1. 60p.
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Category and Signal Word
Color Brand Symbol
Signal Word
Acute Oral LD50 (Rat)
Acute Oral LD50 (Rat)
Acute Oral LD50 (Rat)
Aculte Dermal (mg/Kg BW)
Solid Liquid Solid Liquid
Category I Danger Poison
Red Poison 50 or less 200 or less 100 or less 400 or less
Category II Yellow
Yellow Warning 50-500 200-2000 100-1000 400 –4000
Category IICaution
Blue Caution 500-2000 2000-3000 Over 1000 Over 4000
Category IV Green Over 2000 Over 3000 N/A N/A
Classification of Pesticides Based on Toxicity and Hazard