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Describes various aspect of community participation in aedes mosquito control and throws light on various reasons for re-emergence of vector borne diseases like Dengue,Chikungunya etc.
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Community Participation In Community Participation In y py pAedes MosquitoAedes Mosquito Control.Control.
DR.G.C.SAHUDR.G.C.SAHURegional Director [i/c] Regional Director [i/c] g [ ]g [ ]
ROH&FW;GoIROH&FW;GoI;;Ahmedabad.Ahmedabad.
1
Re-emergence of Vector Borne DiseasesUncontrolled Urbanization
The unrestrained The unrestrained The unrestrained The unrestrained production and use of production and use of
nonnon--biodegradable food biodegradable food and drink packaging, and and drink packaging, and drums and other water drums and other water
storage vessels that often storage vessels that often become larval habitats;become larval habitats;
NonNon--existent, existent, inconsistent, or inconsistent, or
f t d ti l f t d ti l fragmented national fragmented national programmes…in programmes…in
urban areasurban areas
Dr.G.C.Sahu/ROH&FW/GoI/A'bad2 Sources: Gubler, 1998; PAHO, 1997.
Re-emergence of Vector Borne DiseasesInadequate Environmental ManagementInadequate Environmental Management
Insufficient waste Insufficient and collection and management.N bi d d bl
inadequate water distribution.I d b fNon-biodegradable
containers.Improper tyre disposal.
Increased number of water storage containers. Inadequate septicImproper tyre disposal. Inadequate septic system conditions.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad3Increase in breeding sites for the vectorIncrease in breeding sites for the vector
Re-emergence of Vector Borne DiseasesPopulation MovementsPopulation Movements
Migration More than 750 million people annually Migration cross international borders.
Increase in rural migration intoIncrease in rural migration into urban areas.
Ever increasing international travelers
International tourism
Ever increasing international travelers all across the globe.
C ti i i i t ti lContinuous increase in international tourist arrivals in all the countries across the globe.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad4Source: OMT data.
Traffic of microorganismsTraffic of microorganisms
Growth in global air traffic Growth in global air traffic
Dr.G.C.Sahu/ROH&FW/GoI/A'bad5
INCREASE IN MARITIME PASSENGER AND CARGO TRAFFICINCREASE IN MARITIME PASSENGER AND CARGO TRAFFIC
Dr.G.C.Sahu/ROH&FW/GoI/A'bad6
IINNCCRREEAASSEE
IINN
HHHHUUMMAANN
MMIIIIGGRRAATTIIOONNNN
OOVVEERR
TTTTHHEE
YYEEAARR
Dr.G.C.Sahu/ROH&FW/GoI/A'bad7
SS
ReRe--emergence of Vector Borne Diseasesemergence of Vector Borne Diseases ––Factors due to Factors due to Climate ChangeClimate Change
Climate change Climate change Changes in transmissionChanges in transmission
Alteration Alteration of ecosystemsof ecosystems
Ideal conditions for Ideal conditions for VBDs:VBDs:
LatitudeLatitude: : 353500 northnorth00
Ecological changesEcological changes
o ecosyste so ecosyste s
Alteration ofAlteration ofGeographical distributionGeographical distribution
353500 southsouthAltitude:Altitude: 2,200 m2,200 mTemperature:Temperature: 1515--40 40 °°CCRelative humidity:Relative humidity:
SocioSocio--economic changeseconomic changes
Geographical distributionGeographical distributionof pathogensof pathogensand vectorsand vectors
highhigh--moderatemoderate
Increase in Increase in vectorvector--borne diseasesborne diseases
Dr.G.C.sahu/ROH&FW/GoI/A'Bad8
Effects of Climate change Effects of Climate change A d M itA d M iton on Aedes MosquitoAedes Mosquito
Speed up Speed up viralviral incubation in mosquitoincubation in mosquito
Shorten Shorten mosquitomosquito breeding cyclebreeding cycle
Increase Increase mosquitomosquito feeding frequencyfeeding frequency
More efficientMore efficient transmissiontransmission ofofMore efficient More efficient transmissiontransmission of of dengue/dengue/chikungunyachikungunya virus from virus from mosquito to humanmosquito to human
Dr.G.C.Sahu/ROH&FW/GoI/A'bad9
mosquito to human.mosquito to human.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad10
THE EXTENT OF THE VBDs AND THE GLOBAL REACH OF AEDES MOSQUITOQ
Dr.G.C.Sahu/ROH&FW/GoI/A'bad11
Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..
Dr.G.C.Sahu/ROH&FW/GoI/A'bad12…..and Yellow fever…..and Yellow fever
GLOBAL REACH OF EMERGING AND REGLOBAL REACH OF EMERGING AND RE--EMERGING DISEASESEMERGING DISEASES
13 Dr.G.C.Sahu/ROH&FW/GoI/A'bad
THE VECTOR……THE VECTOR…… •• Dengue ,Chikungunya and yellow fever Dengue ,Chikungunya and yellow fever is transmitted by infected female Aedes is transmitted by infected female Aedes mosquito mosquito
•• Primarily a daytime feeder Primarily a daytime feeder and mainly and mainly bites in the morning or late in the bites in the morning or late in the afternoon afternoon
•• Lives around human habitationLives around human habitationLives around human habitation Lives around human habitation
•• Lays eggs and produces larvae Lays eggs and produces larvae preferentially in artificial containers preferentially in artificial containers
Although it may feed at any time, the mosquito's Although it may feed at any time, the mosquito's periods of peak biting activity are few hours after dawn and periods of peak biting activity are few hours after dawn and in the late afternoon until a few hours after dark.in the late afternoon until a few hours after dark.
The mosquito's preferred breeding areas are in areas ofThe mosquito's preferred breeding areas are in areas ofstagnant water, such as flower vases, uncovered barrels, stagnant water, such as flower vases, uncovered barrels, buckets, and discarded tires, but the most dangerous areas buckets, and discarded tires, but the most dangerous areas are wet floors, underground tanks, cement tanks and also are wet floors, underground tanks, cement tanks and also
il b l h ll h i b d i h i hil b l h ll h i b d i h i h
Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad14
toilet bowls, as they allow the mosquito to breed right in the toilet bowls, as they allow the mosquito to breed right in the residence.residence.
THE VECTOR IS ANTHE VECTOR IS AN
THE VECTOR……THE VECTOR……
…..THE VECTOR IS AN …..THE VECTOR IS AN AGGRESSIVE BITER…AND AGGRESSIVE BITER…AND
MOSTLY BITES WITH A MOSTLY BITES WITH A PAINFUL STING DURING DAYPAINFUL STING DURING DAYPAINFUL STING DURING DAY PAINFUL STING DURING DAY
TIME……. TIME…….
……..JUST WATCH THE ……..JUST WATCH THE FEROCITY OF THE STING !!!FEROCITY OF THE STING !!!
Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad15
THE VECTOR……THE VECTOR…… IN HER ETERNAL CYCLE… IN HER ETERNAL CYCLE…
ONE GENERATIONONE GENERATIONIS BORN ROUGHLY EVERY IS BORN ROUGHLY EVERY
WEEKWEEKEVERY THING IN A EVERY THING IN A
PLATTER !!!PLATTER !!!
Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad16
……AND HER PARAPHRENALIA……AND HER PARAPHRENALIA
THE PLOT THE PLOT IS IS
HATCHEDHATCHED….. !!!### ….. !!!### ALMOST ALMOST UNDER UNDER
WATER !!!WATER !!!
Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad17
Aedes aegypti breeding sites…….. Mostly domestic and periAedes aegypti breeding sites…….. Mostly domestic and peri--domesticdomestic
Dr.G.C.Sahu/ROH&FW/GoI/A'bad18
…….Aedes aegypti breeding sites …….Aedes aegypti breeding sites Mostly domestic and Mostly domestic and periperi--domesticdomestic
Dr.G.C.Sahu/ROH&FW/GoI/A'bad19
…….Aedes aegypti breeding sites…….Aedes aegypti breeding sites
Urban:Urban:B thB thBoth Both posh posh
& & SlumsSlumsAreas.Areas.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad20
Typical water containers in urban/rural set up that can be potential Typical water containers in urban/rural set up that can be potential breeding place for breeding place for Aedes mosquitoes.Aedes mosquitoes.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad21
Typical water containers in rural/urban set up that can be potential Typical water containers in rural/urban set up that can be potential breeding place for breeding place for Aedes mosquitoes.Aedes mosquitoes.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad22
The The obstacles obstacles for for Aedes Aedes ii ll
The The obstacles obstacles for for Aedes Aedes ii llMosquitoMosquito control.control.MosquitoMosquito control.control.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad23
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
PresentPresent dayday Aedes Mosquito controlAedes Mosquito controlPresentPresent--day day Aedes Mosquito control Aedes Mosquito control programsprograms are not progressing because:are not progressing because:
Community participation in dengue Community participation in dengue prevention and control is limited to official prevention and control is limited to official
demands and never attains community demands and never attains community ownership;ownership;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad24
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
Local health services, now politically and Local health services, now politically and d i i t ti l ibl f thd i i t ti l ibl f thadministratively responsible for the administratively responsible for the
prevention and control programmes are prevention and control programmes are not sufficiently established;not sufficiently established;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad25
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
Individual and community Individual and community b h i l h t t ib h i l h t t ibehavioral change strategies are behavioral change strategies are
weak and are not incorporated into weak and are not incorporated into the programs;the programs;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad26
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
W t l d lid tW t l d lid tWater supply and solid waste Water supply and solid waste management are limited in highmanagement are limited in high--risk areas;risk areas;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad27
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
Sustainability and continuity of control Sustainability and continuity of control actions are constantly compromised by actions are constantly compromised by other health demands and policies that other health demands and policies that
compete with them;compete with them;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad28
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
Little capacity for Little capacity for intersectoralintersectoralcoordination…coordination…
Aedes MosquitoAedes Mosquito problem is problem is hhnot the not the
sole responsibility of the sole responsibility of the Ministry of HealthMinistry of Health
Dr.G.C.Sahu/ROH&FW/GoI/A'bad29
Ministry of Health.Ministry of Health.
……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.
Operational researchOperational research on individual or on individual or communitycommunity--based strategies have based strategies have yy gg
not been sufficient;not been sufficient;
Dr.G.C.Sahu/ROH&FW/GoI/A'bad30
The Global Strategy for Mosquito/ VBD controlThe Global Strategy for Mosquito/ VBD control
ll f lll f lSurveillance for planningSurveillance for planningand responseand response
Reduction ofReduction ofdi b ddi b d
BehavioralBehavioralhh
Dr.G.C.Sahu/ROH&FW/GoI/A'bad31disease burdendisease burden changechange
This is what you This is what you d t h l d t h lcan do to help…can do to help…
Dr.G.C.Sahu/ROH&FW/GoI/A'bad32
What we should be doing…….What we should be doing…….
Maintenance of water supply systemsMaintenance of water supply systems
Leakage in water supply pipe lineLeakage in water supply pipe lineWhileWhile augmentingaugmenting waterwater supplysupply schemescheme inin urbanurban areas,areas, sewagesewage systemsystemwithwith sewagesewage treatmenttreatment shouldshould alsoalso bebe installedinstalled simultaneouslysimultaneously inin thesethesetownstowns forfor properproper collection,collection, treatmenttreatment andand wastewaste waterwatergeneratedgenerated
Dr.G.C.Sahu/ROH&FW/GoI/A'bad33
generatedgenerated..
What we should be doing…….What we should be doing…….
Establishing proper drainage systemEstablishing proper drainage system
Open sluiceOpen sluice valve chambers with leakagevalve chambers with leakage
Municipal Corporations shall formulate an Municipal Corporations shall formulate an integrated approach/ integrated approach/ programmeprogramme for water for water supply, sewerage, drainage and solid waste managementsupply, sewerage, drainage and solid waste management so as to keep the environment so as to keep the environment free from the risks of vector breeding / growth.free from the risks of vector breeding / growth.
Open sluiceOpen sluice--valve chambers with leakage. valve chambers with leakage.
g gg g
StormStorm waterwater drainsdrains shouldshould invariablyinvariably bebe coveredcovered andand maintainmaintain themthem properlyproperly bybywayway ofof regularregular cleaning,cleaning, dede--siltingsilting etcetc.. toto preventprevent stagnationstagnation ofof waterwater..
LargerLarger stormstorm waterwater drainsdrains maymay bebe suitablysuitably channeledchanneled toto facilitatefacilitate adequateadequate velocityvelocity forforflowflow ofof wastewaste waterwater
Dr.G.C.Sahu/ROH&FW/GoI/A'bad34
flowflow ofof wastewaste waterwater..
Implementation of bye laws at construction sitesImplementation of bye laws at construction sites can take care of can take care of
What we should be doing…….What we should be doing…….
p yp ymosquito breeding.mosquito breeding.
Open overhead tanksOpen overhead tanksConstruction sitesConstruction sites
Water stagnation in constructional areasWater stagnation in constructional areas should be prevented.should be prevented.Overflow of water from the water tanksOverflow of water from the water tanks (individual and (individual and community) shall be controlled through proper floating valves.community) shall be controlled through proper floating valves.Proper drainage system should be providedProper drainage system should be provided around all Publicaround all Public
Dr.G.C.Sahu/ROH&FW/GoI/A'bad35
Proper drainage system should be providedProper drainage system should be provided around all Public around all Public Stand Posts to facilitate smooth drain of used water.Stand Posts to facilitate smooth drain of used water.
Model Civic Byelaws:Model Civic Byelaws:Model Civic Byelaws:Model Civic Byelaws:
What we should be doing…….What we should be doing…….
Standard design for the lids of Standard design for the lids of Overhead Tanks and CisternsOverhead Tanks and CisternsBad DesignBad Design
XXXX Check nutCheck nutXXXX
Over flowOver flowPipe protectedPipe protected
with perforationwith perforationNot exceedNot exceed 4545nmnm
Dr.G.C.Sahu/ROH&FW/GoI/A'bad36MS Plate 50 mmxMS Plate 50 mmx
5mm5mmHingeHinge
Not exceed Not exceed 4545nmnm
Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential
What we should be doing…….What we should be doing…….Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential
Leaking water tanks, sprinkler systems, coolers etc that cause water Leaking water tanks, sprinkler systems, coolers etc that cause water stagnation, should be repaired and reinstalled.stagnation, should be repaired and reinstalled.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad37
What we should be doing…….What we should be doing…….
Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential
The vent pipeThe vent pipe of septic tanks shall be covered with of septic tanks shall be covered with p pp p ppmosquito nets so that the mosquito grown, if any, in the mosquito nets so that the mosquito grown, if any, in the septic tanks may not be find way to come out.septic tanks may not be find way to come out.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad38
Prevent Aedes mosquito from What we should be doing…….What we should be doing…….
Prevent Aedes mosquito from Breeding!
R ALL f Remove ALL sources of stagnant water.g
Deny the mosquitoes of any chance to Deny the mosquitoes of any chance to breed.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad39
Easy StepsWhat we should be doing…….What we should be doing…….
Easy Steps..
••Change water in vases/ Change water in vases/ b l b l th d th d bowls bowls every other dayevery other day. .
••Add sand granular Add sand granular insecticide to water.insecticide to water.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad40
Easy StepsWhat we should be doing…….What we should be doing…….
Easy Steps…
••Remove water from Remove water from flower pot plates flower pot plates every every
th dth d other dayother day. .
Dr.G.C.Sahu/ROH&FW/GoI/A'bad41
Easy StepsWhat we should be doing…….What we should be doing…….
Easy Steps….
••Turn over all storage Turn over all storage containers containers
Dr.G.C.Sahu/ROH&FW/GoI/A'bad42
E St
What we should be doing…….What we should be doing…….
Easy Steps…..
••clear blockages and put clear blockages and put ••clear blockages and put clear blockages and put Bti Bti insecticide in roof insecticide in roof gutters at least gutters at least once a once a
month month
Dr.G.C.Sahu/ROH&FW/GoI/A'bad43
If citizens going on a holiday or keep their houses closed for a long time…..If citizens going on a holiday or keep their houses closed for a long time…..
What we should be doing…….What we should be doing…….
Seal off all floor and Seal off all floor and ••Cover all toilet bowls Cover all toilet bowls ••Seal off all floor and Seal off all floor and gully traps gully traps
Cover all toilet bowls Cover all toilet bowls
Leave your contact number Leave your contact number with your neighbor so that the with your neighbor so that the corporation authorities can corporation authorities can
Dr.G.C.Sahu/ROH&FW/GoI/A'bad44
corporation authorities can corporation authorities can contact you should there be a contact you should there be a need to inspect your premises need to inspect your premises urgently. urgently.
What we should be doing…….What we should be doing…….
Adult vector control in urban areas.Adult vector control in urban areas.
Chemical foggingChemical fogging shall be periodically carried out in the urban areas where shall be periodically carried out in the urban areas where there is a potential risk for the transmission of the diseases.. there is a potential risk for the transmission of the diseases.. Proper sanitationProper sanitation including community toilets and drainage facilities including community toilets and drainage facilities should be provided in the slum areas. should be provided in the slum areas.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad45
BioBio--environment controlenvironment control shall be carried out in urban areas to control shall be carried out in urban areas to control mosquito menace. mosquito menace.
What we should be doing…….What we should be doing…….
Promoting the use of larvae eating fishes Promoting the use of larvae eating fishes for control of mosquito breedingfor control of mosquito breeding..
Introducing larvae eating fishesIntroducing larvae eating fishes Larvae eating fishLarvae eating fish
Gambusia fish, which eats larva of the mosquito, shall be grown Gambusia fish, which eats larva of the mosquito, shall be grown in all water bodies/ lakes/ ponds / over head tanks.in all water bodies/ lakes/ ponds / over head tanks.
g g fg g f
Dr.G.C.Sahu/ROH&FW/GoI/A'bad46
What we should be doing…….What we should be doing…….
Creating awareness among Creating awareness among school and college going students.school and college going students.
Importance of vector control and vector control measureImportance of vector control and vector control measureImportance of vector control and vector control measure Importance of vector control and vector control measure shall be inducted in the shall be inducted in the course curriculum of primary and course curriculum of primary and
secondary level of educationsecondary level of education for dissemination of for dissemination of knowledge on vector control among student community ( knowledge on vector control among student community (
h l ll ll )h l ll ll )
Dr.G.C.Sahu/ROH&FW/GoI/A'bad47
schools as well as colleges)schools as well as colleges)
ELIMINATION OF ELIMINATION OF AEDES AEDES AEGYPTIAEGYPTI
BREEDING SITESBREEDING SITES------THE INITIATIVE THE INITIATIVE
MOSTLY LIES WITHMOSTLY LIES WITHINDIVIDUALS/COMMUNITYINDIVIDUALS/COMMUNITY
Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad48
What we should be doing…….What we should be doing…….
Main Types of Adaptive StrategiesMain Types of Adaptive Strategies
•• Public education and awarenessPublic education and awareness•• EarlyEarly--alert systems: impending weather extremes, alert systems: impending weather extremes, heatwavesheatwaves; infectious ; infectious yy y p g ,y p g , ;;
disease outbreaksdisease outbreaks•• CommunityCommunity--based based neighbourneighbour--support/care schemessupport/care schemes•• MosquitoMosquito--proofed housing design … and ‘cooler’ urban layoutproofed housing design … and ‘cooler’ urban layout•• Disaster preparedness, incl. healthDisaster preparedness, incl. health--system ‘surge’ capacitysystem ‘surge’ capacity•• Enhanced infectious disease control programs Enhanced infectious disease control programs
•• vaccines, vector control, case detection and treatmentvaccines, vector control, case detection and treatment
Improved surveillance:Improved surveillance:•• Improved surveillance: Improved surveillance: •• Risk indicators Risk indicators (e.g. mosquito numbers, aeroallergen concentration)(e.g. mosquito numbers, aeroallergen concentration)
•• Health outcomes Health outcomes (e.g. (e.g. infinf disdis outbreaks, rural suicide rates, seasonal asthma peaks)outbreaks, rural suicide rates, seasonal asthma peaks)
•• Rural health services, Rural health services, counsellingcounselling and community strengtheningand community strengthening
Dr.G.C.Sahu/ROH&FW/GoI/A'bad49
,, gg y g gy g g•• Appropriate (esp. health) workforce training, midAppropriate (esp. health) workforce training, mid--career development career development
What we should be doing…….What we should be doing…….
Strengthening the implementation of theStrengthening the implementation of theg g pg g psocialsocial--communication componentcommunication component in the in the state/national program. state/national program.
Promote the Promote the behavioral changebehavioral change focus focus so that it will be more than justso that it will be more than justso that it will be more than just so that it will be more than just dissemination of information.dissemination of information.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad50
What we should be doing…….What we should be doing…….
SolidSolid WasteWaste ManagementManagement..
AllAll thethe municipalmunicipal wastewaste shouldshould bebe collectedcollected fromfrom dustdustbinsbins etcetc..,, andand transportedtransported toto thethe composting/landcomposting/land fillfill sitessites,, pp p gp gforfor treatmenttreatment andand disposaldisposal inin orderorder toto avoidavoid breedingbreeding ofofflies,flies, mosquitomosquito etcetc..TheThe solidsolid wastewaste shouldshould bebe transportedtransported inin coveredcoveredTheThe solidsolid wastewaste shouldshould bebe transportedtransported inin coveredcoveredvehiclesvehicles soso asas toto preventprevent litteringlittering ofof thethe wastewaste onon streets,streets,roadsroads etcetc..Lik iLik i h i lh i l dd bibi di ldi l h ldh ld bbLikewise,Likewise, hospitalhospital wastewaste andand biobio--medicalmedical wastewaste shouldshould bebeseparatelyseparately collected,collected, treatedtreated andand disposeddisposed inin orderorder totopreventprevent breedingbreeding ofof mosquitoes,mosquitoes, fliesflies etcetc..pp gg q ,q ,
Dr.G.C.Sahu/ROH&FW/GoI/A'bad51
What we should be doing…….What we should be doing…….
DeadDead animals,animals, carcassescarcasses shouldshould bebe removedremovedimmediatelyimmediately andand buriedburied underunder landland fillfill sitessitesandand properlyproperly coveredcovered withwith soilsoil toto preventpreventbreedingbreeding ofof mosquitoesmosquitoes andand fliesflies..P bliP bli i t li t l l lil liPublicPublic awarenessawareness onon environmentalenvironmental cleanlinesscleanlinessmaymay bebe createdcreated throughthrough IECIEC andand massmass mediamedia..UnderUnder JNNURMJNNURM therethere isis provisionprovision totoUnderUnder JNNURMJNNURM therethere isis provisionprovision totoformulateformulate schemes,schemes, drainagedrainage andand solidsolid wastewastemanagementmanagement simultaneouslysimultaneously andand incorporateincorporategg yy ppthethe samesame inin thethe CityCity developmentdevelopment PlanPlan (CDP(CDP))toto makemake thethe environmentenvironment freefree fromfrom vectorvectormenacemenace..
Dr.G.C.Sahu/ROH&FW/GoI/A'bad52
What we should be doing…….What we should be doing…….gg
SocialSocial--Communication Component Communication Component
Dissemination of the Dissemination of the behavioral change strategybehavioral change strategy..
S i l d i f fS i l d i f fSocial advocacy in favor of Social advocacy in favor of intraintra-- and intersectoraland intersectoral actionsactions to to minimize environmental health problemsminimize environmental health problemsminimize environmental health problems minimize environmental health problems (water and solid waste management).(water and solid waste management).
Dr.G.C.Sahu/ROH&FW/GoI/A'bad53
What we should be doing…….What we should be doing…….SocialSocial--Communication Component Communication Component
What we should be doing…….What we should be doing…….
It is not a “magic bullet”It is not a “magic bullet” that can that can ggstop Aedes mosquito breeding.stop Aedes mosquito breeding.
A person achieves A person achieves behavioral behavioral changes in stepschanges in steps. There is a need . There is a need to go from one phase to another to go from one phase to another sequentiallysequentially..
Dr.G.C.Sahu/ROH&FW/GoI/A'bad54
What we should be doingWhat we should be doingWhat we should be doing…….What we should be doing…….
Dr.G.C.Sahu/ROH&FW/GoI/A'bad55
What we should be doingWhat we should be doingRoad and Buildings DepartmentRoad and Buildings Department
What we should be doing…….What we should be doing…….
Proper Proper ppmaintenance of maintenance of public buildings public buildings
d d f d d f and roads for and roads for prevention of prevention of
mosquito mosquito mosquito mosquito breedingbreeding..
Dr.G.C.Sahu/ROH&FW/GoI/A'bad56
What we should be doing…….What we should be doing…….
Industrial SectorIndustrial Sector
Sensitizing the industrial Sensitizing the industrial Sensitizing the industrial Sensitizing the industrial work force and to work force and to open centers for open centers for
distribution of drugs/ distribution of drugs/ f gf gcollection of blood collection of blood smears and also to smears and also to
initiate source initiate source d ti ti itid ti ti iti i i reduction activitiesreduction activities in in
each of the industrial each of the industrial unit.unit.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad57
What we should be doing…….What we should be doing…….
Education DepartmentEducation Department
Propagating Propagating p g gp g gmessages for messages for community community
awareness through awareness through awareness through awareness through school children on school children on vector mosquitoes vector mosquitoes
d d h d d h and diseases they and diseases they spread.spread.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad58
What we should be doing…….What we should be doing…….
Indian Medical AssociationIndian Medical Association
Sensitizing the private Sensitizing the private practioners on practioners on
preventive aspectspreventive aspectsvector mosquitoesvector mosquitoes vector mosquitoesvector mosquitoes, , control control aspect of aspect of
VBDs,caseVBDs,casemanagement management management, management,
treatment, drug policy treatment, drug policy etc.etc.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad59
What we should be doing…….What we should be doing…….
Water supply DepartmentWater supply Department
M i t f M i t f Maintenance of Maintenance of water supply water supply
h d h d schemes and schemes and prevention of prevention of
i i mosquito mosquito breeding.breeding.
Dr.G.C.Sahu/ROH&FW/GoI/A'bad60
What we should be doing…….What we should be doing…….
Integrated Strategy.Integrated Strategy.
IVIV Environmental managementEnvironmental management and addressingand addressingIV.IV. Environmental managementEnvironmental management and addressing and addressing basic services such as water supply, basic services such as water supply, disposal of used water, solid waste management and disposal of used water, solid waste management and di l f d tidi l f d tidisposal of used tires. disposal of used tires.
V.V. Patient carePatient care within and outside of the health system. within and outside of the health system.
VI.VI. Case reportingCase reporting (clinical cases, confirmed cases, DHF (clinical cases, confirmed cases, DHF and deaths due to DHF, circulating serotypes).and deaths due to DHF, circulating serotypes).
Dr.G.C.Sahu/ROH&FW/GoI/A'bad61
What we should be doing…….What we should be doing…….
Integrated Strategy Integrated Strategy
I.I. Integrated Integrated epidemiological and entomological epidemiological and entomological surveillancesurveillance..
II.II. Advocacy and implementation of Advocacy and implementation of intersectoral intersectoral actionsactions between health, environment and between health, environment and education as well as other sectors such as education as well as other sectors such as industry and commerce for new materialsindustry and commerce for new materialsindustry and commerce for new materials, industry and commerce for new materials, tourism, legislation and judiciary.tourism, legislation and judiciary.
IIIIII Eff tiEff ti it ti i tiit ti i ti
Dr.G.C.Sahu/ROH&FW/GoI/A'bad62III.III. Effective Effective community participationcommunity participation..
Integrated Strategy Integrated Strategy
ComponentsComponents
Dr.G.C.Sahu/ROH&FW/GoI/A'Bad63
Knowing is not enough; we must apply.Knowing is not enough; we must apply.Willing is not enough; we must do.Willing is not enough; we must do.
(G th )(G th )Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad
(Goethe)(Goethe)64
GOVT GOVT EFFORTSEFFORTSEFFORTSEFFORTS
COUPLED WITH COUPLED WITH THE THE PUBLIC PUBLIC
PARTICIPATIONPARTICIPATION…. …. IS THE KEY. IS THE KEY.
AcknowledgementsAcknowledgements::AcknowledgementsAcknowledgements::••NVBDCP: IndiaNVBDCP: India•• NVBDCP: GujaratNVBDCP: Gujarat•• NCDC: IndiaNCDC: India•• WHO: GenevaWHO: Geneva•• WHO: GenevaWHO: Geneva•• CDC: AtlantaCDC: Atlanta•• NEA : SingaporeNEA : Singapore
Dr.G.C.Sahu/ROH&FW/GoI/A'bad65ee--mailmail :[email protected]:[email protected]
…….. THANKS…….. THANKS