Lok Sabha Question No. 353 (STARRED), answered on 2018-08-10
Subject: Vector Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRIT PREMJIBHAI SOLANKI, MAUSAM NOOR

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

## LOK SABHA STARRED QUESTION NO. 353 TO BE ANSWERED ON THE 10 TH AUGUST ,2018 VECTOR BORNE DISEASES

## *353. DR. KIRIT P. SOLANKI: SHRIMATI MAUSAM NOOR:

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

- (a) whether the Government has organized any public awareness campaigns to information regarding vector borne diseases and if so, the details thereof;
- (b) whether there is any criteria/ mechanism for follow - up or to track the increase o the decrease in the number of people affected by vector borne diseases every if so, the details thereof, State/UT - wise;
- (c)  whether  the  Government  has  taken  note  of  a  research  paper  by  the  A Institute of Medical Sciences and Indian Council of Medical Research statin annual number of dengue fever cases in India is many times higher than it i rep orted and if so, the details thereof along with the effect of under repo cases on policy formulation in the matter;
- (d) whether the Government is also aware of the report that the National Vec Disease Control Programme (NVBDCP) capt ures only 0.35 per cent of the clinica diagnosed dengue cases in the country; and
- (e) if so, the details thereof and the corrective measures taken by the Go this regard?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)to ( e) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 353* FOR 10 TH AUGUST , 20 18

(a)Yes.  The  National  Vector  Borne  Disease  Control  Programme  (NVBDCP)  is  a umbrella programme for the prevention and control of Malaria, Dengue, Chikungu Kala- azar,  Lymphatic  Filariasis  and  Acute  Encephalitis  Syndrome  (AES)/  Jap Encephalitis  (JE)  in  India.  Information  Education  &  Communication  (IEC) Behavioral  Change  Communic ation  (BCC)  are  integral  component  of  NVBDCP strategies  for  prevention  and  control  of  these  Vector  Borne  Diseases  (VB sensitize community about prevention and control of VBDs, NVBDCP has been us comprehensive  IEC  approach  for  public  awareness  cam paigns.The  brief  activities carried out are at Annexure- I .

(b)Yes. Directorate  of  NVBDCP  has  mechanism  of  surveillance  of  the  six  ve borne diseases under it. States/UTs collect weekly/ monthly reports regarding pos cases  through  various  sources  such  as  labs/  field  workers  etc.  These  r compiled  by  States /UTs.  Every  States/UT  sends  weekly/monthly  reports  to Directorate of NVBDCP and based on these reports, increase or decrease in tracked.  Statements  showing  the  state - wise  number  of  people  affected  by  VBDs (Malaria, Dengue, Chikungunya, AES/JE, Kala- azar and Lymphatic Filariasis) during the last three years and the current year are at Annexure- II, III, IV, V, VI and VII.

(c), (d)  &  (e)Government  is  aware  of  some  publications  on  estimation  of  den cases where it has been mentioned that the dengue cases in India are many times highe than  reported.  However,  Government  does  not  agree  with  the  findings  of publications  as the estimates in these studies  are not based on appropriate

For  capturing  the  dengue  cases,  NVBDCP  has  deve loped  a  network  of laboratories with establishment of 618 Sentinel Surveillance Hospitals (SSH are  supported  by  16  Apex  Referral  Laboratories.  Free  of  cost  testing  of available in these laboratories.

Through this network, total 129166 ca ses during  2016,  total  188401  cases  i 2017 and 16488 cases in 2018 (till July) have been captured.  We have also the States to make Malaria and Dengue as notifiable diseases so that cases sector can also be effectively captured.

## IEC/BCC activities carried out by National Vector Borne Disease Control Programme

The following IEC/BCC activities are carried out at National level for public awareness:

## 1. Developed guidelines/strategy

- Developed 'Strategy and action plan for Effective Community Participation on Dengue prevention and control' and shared with States/UTs for implementation. The Strategy and plan was released by Hon'ble HFM on 16 th May, 2017.

## 2. Audio Visual Campaign through Television and Radio across the country

- The Audio Visual campaign is ongoing through Doordarshan (All National Network & 31 Regional  Kendra),  All  India  Radio  (30  FM  station,  41  Vividh  Bharti  Stations,  201 primary/Local Radio Stations, National News, 32 Regional News and Mann Ki Baat) , 305 Pvt. FM channels , 93 Community Radio stations and 95 satellite TV channels on Dengue for prevention  and control and on Malaria for prevention & control from 19 th June 2018.
- Campaign released through Doordarshan, All India  Radio,  FM  channels,  Community Radio and satellite channel on Dengue & Chikungunya prevention and control from 6 th June 2017 onwards.
- Radio Journalists'  Workshop  on  Health "Airwaves  on  Health" -for effective involvement  of  Radio  Jockeys  to  disseminate  messages  on  various  programmes including Dengue and Chikungunya was organized jointly by MoHFW and UNICEF on 3 rd July at Delhi.

## 3. Print media campaign

- Every  year  the  newspaper advertisements release  through  DAVP  on  Vector  Borne Disease.  Currently,  a  proposal  for  releasing  newspaper  advertisements on  Malaria, Dengue & Chikungunya, Kala-azar and JE is under submission for obtaining approval from competent Authority.

## 4. Day/Month observed

- The World Malaria Day is observed on 25 th April every year. Activities like workshops, seminars etc involving different stakeholders are organized.
- National Dengue Day' (NDD) has been observed on 16 th May from 2016, emphasizing to accelerate the preventive activities in pre-monsoon across the country. At National level, advocacy meeting organized to bring together various stakeholders for ensuing effective  community  participation  for  prevention  and  control  of  Dengue.  The  National Dengue  Day  was  inaugurated  by  Hon'ble  HFM in  2017  and  by  Secretary (HFW) in 2018.
- Every year the month of June observed as Anti Malaria Month (AMM). States observed AMM at District/Block/PHC/village levels by organizing various IEC/BCC activities i.e. Inter Personal Communication, Small Group and Focal Group Discussion, Involvement of Village Health Sanitation & Nutrition Committee, Involvement of PRI members and Anganwadi Workers, organisation of Rally, distribution of IEC materials, Munadi (Drum Beating) etc.
- The month of July observed as Anti - Dengue Month (ADM). In this regard, on 28 th June 2016, an  advisory was issued  to  all States/UTs  for  observation of the  same.  Wideranging  Behavior  Change  Communication  campaigns  and  source reduction  activities for  prevention  and  control  of  Dengue  are  undertaken  across  the  country  to  increase awareness and prevention.

## 5. Participation in live Television programme

- From  time  to  time, Officers  from  Ministry  and  NVBDCP  participate  in  live  TV programme i.e. Doordarshan and Lok Shaba TV to disseminate information on Vector Borne Disease

## 6. Social Media

- Short and Twitter messages prepared and shared with MoHFW for uploading on Kalaazar, Malaria, Dengue and Chikungunya.
- In  coordination  with  MoHFW, the AV spots on Dengue and Malaria uploaded on the MoHFW website.
- Important event's photographs uploaded in the NVBDCP, DGHS/MoHFW websites.

## 7. Community based activities

- Field  visits  are  made  by  NVBDCP  Officers/  Consultants  to  sensitize  the community, school  children  and  specific  target  group  including  Residents  Welfare  Association, Municipal councilors  etc on Prevention and Control of Dengue.

## 8. Sensitization and demonstration programme:

- Organized sensitization and demonstration programme on VBDs  during the meeting/ workshop held on various occasions.
- NVBDCP participated in various Melas like MTNL Health Mela, BSF Mela and Vibrant India,  Meri  Dilli  Utsav,  Government  Achievements  and  Schemes  Expo  2018  etc  to disseminate information on VBDs .

## STATE/UT WISE CASES OF MALARIA

| Sl. No.   | State/UT          |    2015 |    2016 |   2017 |   2018 (Till June) |
|-----------|-------------------|---------|---------|--------|--------------------|
| 1         | Andhra Pradesh    |   25042 |   23613 |  16972 |               3038 |
| 2         | Arunachal Pradesh |    5088 |    3128 |   1546 |                267 |
| 3         | Assam             |   15557 |    7826 |   5281 |               1720 |
| 4         | Bihar             |    4006 |    5189 |   4020 |                365 |
| 5         | Chhattisgarh      |  144886 |  148220 | 140727 |              30772 |
| 6         | Goa               |     651 |     742 |    653 |                115 |
| 7         | Gujarat           |   41566 |   44783 |  38588 |               7072 |
| 8         | Haryana           |    9308 |    7866 |   5696 |                621 |
| 9         | Himachal Pradesh  |      60 |     106 |     96 |                 26 |
| 10        | J & K             |     216 |     242 |    226 |                 25 |
| 11        | Jharkhand         |  104800 |  141414 |  94114 |              21817 |
| 12        | Karnataka         |   12445 |   11078 |   7381 |               2143 |
| 13        | Kerala            |    1549 |    1547 |   1192 |                369 |
| 14        | Madhya Pradesh    |  100597 |   69106 |  47541 |               4181 |
| 15        | Maharashtra       |   56603 |   23983 |  17710 |               3197 |
| 16        | Manipur           |     216 |     122 |     80 |                 10 |
| 17        | Meghalaya         |   48603 |   35147 |  16454 |               3868 |
| 18        | Mizoram           |   28593 |    7583 |   5715 |               1472 |
| 19        | Nagaland          |    1527 |     828 |    394 |                 50 |
| 20        | Odisha            |  436850 |  444843 | 347860 |              31701 |
| 21        | Punjab            |     596 |     693 |    805 |                124 |
| 22        | Rajasthan         |   11796 |   12741 |  10607 |                570 |
| 23        | Sikkim            |      27 |      15 |     14 |                  0 |
| 24        | Tamil Nadu        |    5587 |    4341 |   5444 |               1892 |
| 25        | Telangana         |   10951 |    3512 |   2688 |                465 |
| 26        | Tripura           |   32525 |   10546 |   7051 |               3955 |
| 27        | Uttarakhand       |    1466 |     961 |    508 |                 86 |
| 28        | Uttar Pradesh     |   42767 |   40700 |  32345 |               6232 |
| 29        | West Bengal       |   24208 |   35236 |  31265 |               5743 |
| 30        | A&N Islands       |     409 |     485 |    505 |                140 |
| 31        | Chandigarh        |     152 |     157 |    114 |                 15 |
| 32        | D & N Haveli      |     418 |     375 |    290 |                 90 |
| 33        | Daman & Diu       |      84 |      48 |     38 |                  8 |
| 34        | Delhi             |      54 |      31 |    577 |                 46 |
| 35        | Lakshadweep       |       4 |       2 |      1 |                  0 |
| 36        | Puducherry        |      54 |      76 |     60 |                 21 |
|           | Total             | 1169261 | 1087285 | 844558 |             132216 |

## Annexure -II

* NR= Not reported

## STATE/UT WISE DENGUE CASES

| Sl. No.   | State         |   2015 |   2016 |   2017 | 2018 (Till July)   |
|-----------|---------------|--------|--------|--------|--------------------|
| 1         | Andhra Pd.    |   3159 |   3417 |   4925 | 1576               |
| 2         | Arunachal Pd. |   1933 |     13 |     18 | 0                  |
| 3         | Assam         |   1076 |   6157 |   5024 | 47                 |
| 4         | Bihar         |   1771 |   1912 |   1854 | 8                  |
| 5         | Chhattisgarh  |    384 |    356 |    444 | 33                 |
| 6         | Goa           |    293 |    150 |    235 | 230                |
| 7         | Gujarat       |   5590 |   8028 |   4753 | 679                |
| 8         | Haryana       |   9921 |   2493 |   4550 | 17                 |
| 9         | Himachal Pd.  |     19 |    322 |    452 | 546                |
| 10        | J & K         |    153 |     79 |    488 | 1                  |
| 11        | Jharkhand     |    102 |    414 |    710 | 32                 |
| 12        | Karnataka     |   5077 |   6083 |  17844 | 2027               |
| 13        | Kerala        |   4075 |   7439 |  19994 | 3077               |
| 14        | Madhya Pd.    |   2108 |   3150 |   2666 | 154                |
| 15        | Meghalaya     |     13 |    172 |     52 | 0                  |
| 16        | Maharashtra   |   4936 |   6792 |   7829 | 2134               |
| 17        | Manipur       |     52 |     51 |    193 | 6                  |
| 18        | Mizoram       |     43 |    580 |    136 | 53                 |
| 19        | Nagaland      |     21 |    142 |    357 | 37                 |
| 20        | Odisha        |   2450 |   8380 |   4158 | 796                |
| 21        | Punjab        |  14128 |  10439 |  15398 | 39                 |
| 22        | Rajasthan     |   4043 |   5292 |   8427 | 2002               |
| 23        | Sikkim        |     21 |     82 |    312 | 13                 |
| 24        | Tamil Nadu    |   4535 |   2531 |  23294 | 1757               |
| 25        | Tripura       |     40 |    102 |    127 | 25                 |
| 26        | Telangana     |   1831 |   4037 |   5369 | 670                |
| 27        | Uttar Pradesh |   2892 |  15033 |   3092 | 181                |
| 28        | Uttrakhand    |   1655 |   2146 |    849 | 6                  |
| 29        | West Bengal   |   8516 |  22865 |  37746 | NR*                |
| 30        | A&N Island    |    153 |     92 |     18 | 11                 |
| 31        | Chandigarh    |    966 |   1246 |   1125 | 17                 |
| 32        | Delhi         |  15867 |   4431 |   9271 | 107                |
| 33        | D&N Haveli    |   1154 |   4161 |   2064 | 77                 |
| 34        | Daman & Diu   |    165 |     89 |     59 | 0                  |
| 35        | Puducherry    |    771 |    490 |   4568 | 130                |
|           | TOTAL         |  99913 | 129166 | 188401 | 16488              |

## Annexure-IV

## STATE/UT WISE CLINICALLY SUSPECTED CHIKUNGUNYA CASES

| Sl. No   | Name of the State   | 2015   | 2016   | 2017   | 2018 (Till July)   |
|----------|---------------------|--------|--------|--------|--------------------|
| 1        | Andhra Pd.          | 817    | 960    | 1162   | 315                |
| 2        | Arunachal Pd.       | 35     | 239    | 133    | 0                  |
| 3        | Assam               | 0      | 40     | 41     | 0                  |
| 4        | Bihar               | 3      | 566    | 1251   | 4                  |
| 5        | Goa                 | 561    | 337    | 509    | 162                |
| 6        | Gujarat             | 406    | 3285   | 7953   | 2239               |
| 7        | Haryana             | 1      | 5394   | 220    | 20                 |
| 8        | J&K                 | 0      | 1      | 0      | 0                  |
| 9        | Jharkhand           | 21     | 47     | 269    | 210                |
| 10       | Karnataka           | 20763  | 15666  | 32831  | 8644               |
| 11       | Kerala              | 175    | 129    | 78     | 37                 |
| 12       | Madhya Pd.          | 67     | 2280   | 2477   | 782                |
| 13       | Meghalaya           | 78     | 360    | 236    | 7                  |
| 14       | Maharashtra         | 391    | 7570   | 8110   | 2524               |
| 15       | Mizoram             | -      | -      | -      | 93                 |
| 16       | Manipur             | -      | -      | -      | 2                  |
| 17       | Odisha              | 81     | 51     | 0      | 0                  |
| 18       | Punjab              | 180    | 4407   | 3251   | 123                |
| 19       | Rajasthan           | 7      | 2506   | 1612   | 146                |
| 20       | Sikkim              | 0      | 30     | 130    | 0                  |
| 21       | Tamil Nadu          | 329    | 86     | 131    | 136                |
| 22       | Telangana           | 2067   | 611    | 1277   | 240                |
| 23       | Tripura             | 180    | 311    | 574    | 314                |
| 24       | Uttar Pradesh       | 0      | 2458   | 103    | 45                 |
| 25       | Uttrakhand          | 0      | 35     | 0      | 0                  |
| 26       | West Bengal         | 1013   | 1071   | 2103   | 52                 |
| 27       | A&N Island          | 68     | 18     | 93     | 21                 |
| 28       | Chandigarh          | 1      | 2857   | 1810   | 237                |
| 29       | Delhi               | 64     | 12279  | 940    | 62                 |
| 30       | D&N Haveli          | 0      | 0      | 0      | 0                  |
| 31       | Lakshadweep         | 0      | 0      | 0      | NR *               |
| 32       | Puducherry          | 245    | 463    | 475    | 896                |
|          | Total               | 27553  | 64057  | 67769  | 17311              |

* NR= Not reported

## Annexure-V

## STATE/UT WISE CASES OF JAPANESE ENCEPHALITIS (JE)

| Sl. No.   | State/UT          |   2015 |   2016 |   2017 |   2018 (Till July) |
|-----------|-------------------|--------|--------|--------|--------------------|
| 1         | Andhra Pradesh    |      0 |      0 |      1 |                  0 |
| 2         | Arunachal Pradesh |     32 |      0 |      5 |                  0 |
| 3         | Assam             |    614 |    427 |    604 |                223 |
| 4         | Bihar             |     66 |    100 |     74 |                 12 |
| 5         | Goa               |      0 |      1 |      0 |                  0 |
| 6         | Gujarat           |      0 |      0 |      0 |                  0 |
| 7         | Haryana           |      2 |      2 |      4 |                  0 |
| 8         | Jharkhand         |    116 |     47 |     29 |                  8 |
| 9         | Karnataka         |     27 |     11 |     26 |                 13 |
| 10        | Kerala            |      2 |      2 |      1 |                  4 |
| 11        | Maharashtra       |      7 |     12 |     27 |                  0 |
| 12        | Manipur           |      6 |     47 |    186 |                 33 |
| 13        | Meghalaya         |     41 |     47 |     48 |                  1 |
| 14        | Nagaland          |      0 |      0 |     10 |                  0 |
| 15        | Odisha            |     33 |    242 |     79 |                 42 |
| 16        | Punjab            |      0 |      1 |      1 |                  0 |
| 17        | Tamil Nadu        |     53 |     51 |    127 |                 57 |
| 18        | Telangana         |      8 |      4 |     11 |                  3 |
| 19        | Tripura           |     28 |     98 |     90 |                 35 |
| 20        | Uttarakhand       |      2 |      0 |      0 |                  0 |
| 21        | Uttar Pradesh     |    351 |    410 |    693 |                 75 |
| 22        | West Bengal       |    342 |    174 |    165 |                 17 |
|           | Total             |   1730 |   1676 |   2181 |                523 |

## Annexure-VI

## STATE/UT WISE CASES OF KALA-AZAR

| Sl. No.   | State/UT      |   2015 |   2016 |   2017 |   2018 (Till June) |
|-----------|---------------|--------|--------|--------|--------------------|
| 1         | Assam         |      1 |      0 |      0 |                  0 |
| 2         | Bihar         |   6517 |   4773 |   4127 |               1902 |
| 3         | Jharkhand     |   1262 |   1185 |   1358 |                339 |
| 4         | Kerala        |      4 |      2 |      0 |                  0 |
| 5         | Punjab        |      1 |      0 |      0 |                  0 |
| 6         | Sikkim        |      5 |      1 |      0 |                  0 |
| 7         | Uttarakhand   |      3 |      2 |      2 |                  0 |
| 8         | Uttar Pradesh |    131 |    107 |    115 |                 27 |
| 9         | West Bengal   |    576 |    179 |    156 |                 57 |
|           | Total         |   8500 |   6249 |   5758 |               2325 |

## Annexure-VII

## STATE/UT WISE CLINICALLY MANIFESTED CASES OF LYMPHATIC FILARIASIS

| Sl.No.   | LF Endemic Districts   |    2015 |    2016 |    2017 |
|----------|------------------------|---------|---------|---------|
| 1        | Andhra Pradesh         |   90423 |   90423 |   90423 |
| 2        | Telangana              |   57423 |   66691 |   66691 |
| 3        | Assam                  |    2189 |    2189 |    2189 |
| 4        | Bihar                  |  389972 |  389972 |  390265 |
| 5        | Chhattisgarh           |   13921 |   15429 |   15429 |
| 6        | Goa                    |     199 |     199 |     199 |
| 7        | Gujarat                |    7153 |    7153 |    7397 |
| 8        | Jharkhand              |  164837 |  164838 |  166068 |
| 9        | Karnataka              |   19654 |   19654 |   19674 |
| 10       | Kerala                 |   18462 |   18462 |   18462 |
| 11       | Madhya Pradesh         |    9926 |    9926 |    9926 |
| 12       | Maharashtra            |   74542 |   74542 |   74542 |
| 13       | Orissa                 |  116997 |  116997 |  116997 |
| 14       | Tamil Nadu             |   59131 |   59131 |   59325 |
| 15       | Uttar Pradesh          |  125099 |  125099 |  128224 |
| 16       | West Bengal            |   96562 |   97364 |   97364 |
| 17       | A&N Islands            |     194 |     194 |     194 |
| 18       | D & N Haveli           |     118 |     118 |     118 |
| 19       | Daman & Diu            |     136 |     136 |     136 |
| 20       | Lakshadweep            |     254 |     254 |     254 |
| 21       | Pondicherry            |    1304 |    1304 |    1304 |
|          | Total                  | 1248496 | 1260075 | 1265181 |