Lok Sabha Question No. 1200 (UNSTARRED), answered on 2017-12-22
Subject: Public Private Partnership Mode for Vector Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHYAMA CHARAN GUPTA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUE STION NO. 1200 TO BE ANSWERED ON   22ND  DECEMBER, 2017

## PUBLIC PRIVATE PARTN ERSHIP MODE FOR VECTOR BORN E DISEASES

## 1200. SHRI SHYAMA CHARAN GUPTA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government  proposes  to  launch  a  national  programme  in  public  priv partnership mode to check the vector borne diseases like dengue and malaria so that India could be made free of these diseases;
- (b) if so, the details thereof; and
- (c) the other measures taken by the Government to check vector borne diseases?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) & (b):No.  However, a Memorandum of Understanding (MOU)  for Malaria Elimination Demonstration Project (MEDP) has been signed between Indian Council of Medical Research (ICMR), Government of Madhya Pradesh (GoMP ), and Sun Pharmaceutical Industries Ltd.

Measures taken to check vector borne diseases are as below:

## Malaria:

Govt  has  already  prepared  a  framework  for  malaria  elimination  by  2030  and  the  Natio Strategic Plan (NSP), (2017 - 2) for five years has als o been prepared and disseminated to States for implementation, wherein all measures for elimination of malaria have been specified. and Regional Offices have been sensitized on the NSP and trained on the malaria elimin related activities for ef fective implementation of the laid down strategies

## Dengue and Chikungunya:

- GOI  provides  Technical  Guidelines  for  prevention  and  control,  case  management  & effective community participation to the States for its implementation. All these Gui are up loaded on National Vector Borne Disease Control Programme (NVBDCP) website www.nvbdcp.gov.in .

Contd………

- Periodic reviews were undertaken  at the higher  level and  advisories issued from ti time. During 2017 ( till date), 12 review meetings, 2 video -confer nces were held and 18 advisories were issued.
- States were requested to make Dengue a notifiable disease.
- Diagnosis  is  provided  through  609  Sentinel  Surveillance  Hospitals  (SSHs)  and  16  Ap Referral laborator ies (ARLs) identified across the country.
- Kit  Supply:  In  2017  (till  Nov),  GoI  has  supplied  7371  Dengue  IgM  kits  and  207 Chikungunya IgM kits (1 kit =96 tests)  across the country through National Instit Virology (NIV), Pune.
- Four Regional Training Workshops on Dengue & Chikungunya case management organized at Lucknow (12 - 14 June), Delhi (27 - 28 June), Kolkata (28 - 29 July) & Bengaluru (7 - 8 Sept) 2017.
- Sensitization  of  corporators  of  three  Delhi  Municipal  Corporations  on  Dengue  and  o Vector Borne Diseases (VBDs).
- Central  Teams  visit  to  the  States - Kerala  (January,  June  &  July),  Karnataka  (August), Gujarat (January), West Bengal January), Puducherry (October), Tamil Nadu (October) a Andhra Pradesh (October).
- Focused IEC/BCC activities are carried out at National and State level.
-  National Dengue Day was observed on 16th May across the country.
-  Community awareness through Health Melas, print and electronic media.
- Funds are provided by Govt. of India to the Sta tes for prevention and control of vector borne diseases including Dengue and Chikungunya to implement the public health activities.

## Japanese Encephalitis:

- Constitution  of  National  Programme  for  Prevention  and  Control  of  JE/AES  to  reduc morbidity, mortal ity and disability due to JE/AES.
- Number of Sentinel sites has been increased from 51 in 2005 to 131 at present
- Apex Referral Laboratories increased from 12 to 15.
- JE  vaccination  campaign  in  children  (1 - 15  yrs)  completed  in  216  out  of  231  JE  endemic districts. JE vaccination campaign planned in 15 districts in 2017 - 18.
- Strengthening of Capacity building.
- Adult vaccination Completed in all 31 districts identified in Assam, Uttar Pradesh and West Bengal.
- Establishment of Pediatric Intensive Care Unit (PICU) in priority districts.
- Establishment of Physical Medicine Rehabilitation (PMR) identified Medical Colleges.
- Notification of JE: State have been requested to notify Japanese Encephalitis

Contd……..

## Kala- azar:

- Treatment with single day single dose Ambisome Injection to Kala - azar patient since 2015 which has improved treatment compliance with loss of wages incentives.
- Use of Synthetic Pyrethorid insecticide and Hand Compression Pumps
- No stock out of drugs and diagnostics is ensured.
- Intensification of surveillance activities for early idenfication of cases & prompt tre
- Active case searches in all endemic villages
- Intensified IEC/BCC activi ties
- Two rounds of regular IRS spray with Synthetic Pyrethroid  on regular basis and focal as per guideline.
- Incentive to health volunteer/ASHA @ Rs.300/ -for referring a suspected case and ensuring complete treatment and Rs. 100/ -during one round of indoor residual spray i.e. Rs. 200/ -for both  the  rounds  of  spray  for  generating  awareness  and  for  acceptance  of  spray  by community.
- Govt  of  Bihar  &  Jharkhand  State  has  provisioned  Rs.6,600/ - as  wage  loss  to  Kala - z r patients from Chief Ministers Kala- azar Relief Elimination Funds.
- The Kala - azar elimination programme is being reviewed regularly at highest level.

## Lymphatic Filariasis:

- Operational guideline is available in NVBDCP website.
- Periodic review meetings and video conferencing with the en demic States.
- Advisories issued to maximize elimination efforts.
- Provision of morbidity management kits.
- Package of fund for Hydrocele operation to clear back log of hydrocele cases.