Lok Sabha Question No. 169 (STARRED), answered on 2021-07-30
Subject: Vector Borne Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Reddeppa Nallakonda Gari

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

## LOK SABHA STARRED QUESTION NO. 169 TO BE ANSWERED ON THE 30 TH JULY , 2021 VECTOR BORNE DISEASE S

## *169. SHRI N. REDDEP PA:

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

- (a)  the  number  of  hospitalizations  reported  and  status  of  their  recovery Dengue and Chikungunya during each of the last five years, State/ UT - wise;
- (b) whether the Government has found preliminary or conclusive evidence to simultaneous COVID - 19 infection and any of the above said vectorborne diseas fatal;
- (c) if so the details thereof along with the manner in which the complete details about the studies conducted in this regard are proposed to be made accessible to the and
- (d) the measures taken by the Government to ensure that vector - borne diseases in the rai months between June and September this year are p revented at the community, city district levels?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI MANSUKH MANDAVIYA)

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

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 169* FOR 30 TH JULY , 202 1

(a)    The  number  of  cases  reported  and  status  of  their  recovery  in  respe Dengue and Chikungunya during each of the last five years, State/UT - wise, are as under: -

## Malaria:

Government of India compiles the data as reported by the states/UTs. Most of Malaria are diagnosed and treated at the community level. In 2020, 99.97% m were reported to have recovered after treatment.  The number of Malaria case and deaths has been constantly declining in the country.  There is 84.4% reduction in and 83.6% reduction in malaria deaths in the year 2020 as compared to 2015. -wise  Malaria  cases  and  deaths reportedin  the  country  during  last  five years  are  at Annexure - I .

## Dengue & Chikungunya:

Dengue & Chikungunya are self - limiting diseases.  Government of India compiles t as reported by the states/UTs. As reported by the states/UTs, 99.82% cases r Dengue in 2020.  State/UT - wise Dengue cases and deaths reported in the country durin last five years are at Annexure - II .

States/UTs  have  reported  100%  recovery  from  Chikungunya.  State/UT - wise  clinically suspected Chikungunya cases reported in the country during the last five years are enclosed at Annexure - III . Till date, there is no death reported by any State/UT due to C

- (b)  &  (c) At  present, no  conclusive  evidence  has  been  found  to  suggest  th simultaneous COVID - 19 infection and any of the above said vector - borne diseases can be fatal.

(d) Health and hospitals is a State subject.  The Department of Health and Fa however,  provides  technical  and  financial  support  to  all  States/UTs  under Vector Borne Diseases Control Program (NVBDCP), as pa rt of National Health Missi (NHM),  based  on  the  proposals  received  from  them.    The  said  support  is - alia provided for all vector control activities; prevention, control, diagnosis Malaria, Dengue and Chikungunya.

Some of the important measures taken by the Government to ensure that vector - borne diseases in the rainy months between June and September this year are prev community, city and district levels, are at Annexure IV .

## STATE-WISE MALARIA SITUATION IN THE COUNTRY

Annexure-I

| State/UTs         | 2016   | 2016   | 2017   | 2017   | 2018   | 2018   | 2019   | 2019   | 2020**   | 2020**   | 2021***   | 2021***   |
|-------------------|--------|--------|--------|--------|--------|--------|--------|--------|----------|----------|-----------|-----------|
| State/UTs         | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases    | Deaths   | Cases     | Deaths    |
| Andhra Pradesh    | 23613  | 0      | 16972  | 0      | 6040   | 0      | 3104   | 0      | 2027     | 0        | 513       | 0         |
| Arunachal Pradesh | 3128   | 2      | 1546   | 0      | 625    | 0      | 139    | 0      | 31       | 0        | 3         | 0         |
| Assam             | 7826   | 6      | 5281   | 0      | 3816   | 2      | 1459   | 4      | 484      | 2        | 34        | 0         |
| Bihar             | 5189   | 0      | 4020   | 2      | 1536   | 0      | 1608   | 0      | 440      | 0        | 180       | 0         |
| Chhattisg arh     | 148220 | 61     | 140727 | 81     | 78717  | 39     | 60458  | 31     | 36459    | 18       | 10347     | 14        |
| Goa               | 742    | 0      | 653    | 1      | 377    | 0      | 272    | 0      | 102      | 0        | 31        | 0         |
| Gujarat           | 44783  | 6      | 38588  | 7      | 22114  | 2      | 13883  | 1      | 4777     | 0        | 348       | 0         |
| Haryana           | 7866   | 0      | 5696   | 0      | 3149   | 0      | 1497   | 0      | 107      | 0        | 5         | 0         |
| Himachal Pradesh  | 106    | 0      | 96     | 0      | 98     | 0      | 109    | 0      | 34       | 0        | 1         | 0         |
| J&K               | 242    | 0      | 226    | 0      | 168    | 0      | 105    | 0      | 40       | 0        | 4         | 0         |
| Jharkhand         | 141414 | 15     | 94114  | 0      | 57095  | 4      | 37133  | 2      | 14592    | 6        | 3436      | 0         |
| Karnataka         | 11078  | 0      | 7381   | 0      | 5721   | 0      | 3499   | 0      | 1663     | 0        | 314       | 0         |
| Kerala            | 1547   | 2      | 1192   | 2      | 908    | 0      | 656    | 0      | 266      | 1        | 74        | 0         |
| Madhya Pradesh    | 69106  | 3      | 47541  | 5      | 22279  | 1      | 14147  | 3      | 6687     | 0        | 391       | 0         |
| Maharash tra      | 23983  | 26     | 17710  | 20     | 10757  | 13     | 8866   | 7      | 12916    | 10       | 2990      | 2         |
| Manipur           | 122    | 0      | 80     | 0      | 12     | 0      | 16     | 0      | 23       | 2        | 1         | 0         |
| Meghalay a        | 35147  | 45     | 16454  | 12     | 6394   | 6      | 2615   | 4      | 1883     | 4        | 102       | 0         |
| Mizoram           | 7583   | 9      | 5715   | 4      | 4296   | 3      | 8543   | 8      | 8349     | 1        | 679       | 0         |
| Nagaland          | 828    | 0      | 394    | 1      | 113    | 0      | 20     | 0      | 12       | 0        | 3         | 0         |
| Odisha            | 444843 | 77     | 347860 | 24     | 66311  | 3      | 39556  | 9      | 41738    | 9        | 6260      | 2         |
| Punjab            | 693    | 0      | 805    | 0      | 624    | 0      | 1139   | 0      | 105      | 0        | 14        | 0         |
| Rajasthan         | 12741  | 5      | 10607  | 0      | 5728   | 0      | 3421   | 1      | 1050     | 0        | 55        | 0         |

| Sikkim        | 15       |   0 | 14     | 0   | 6      | 0   | 7      | 0   |      3 |   0 |     2 |   0 |
|---------------|----------|-----|--------|-----|--------|-----|--------|-----|--------|-----|-------|-----|
| Tamil Nadu    | 4341     |   0 | 5444   | 0   | 3758   | 0   | 2088   | 0   |    891 |   0 |   176 |   0 |
| Telangan a    | 3512     |   1 | 2688   | 0   | 1792   | 0   | 1711   | 0   |    880 |   0 |   226 |   0 |
| Tripura       | 10546    |  14 | 7051   | 6   | 13079  | 13  | 12437  | 1   |   3395 |   2 |   340 |   0 |
| Uttarakha nd  | 961      |   0 | 508    | 0   | 409    | 0   | 296    | 0   |     15 |   0 |     0 |   0 |
| Uttar Pradesh | 40700    |   0 | 32345  | 0   | 86486  | 0   | 92732  | 0   |  28423 |   0 |   975 |   0 |
| West Bengal*  | 35236    |  59 | 31265  | 29  | 26440  | 8   | 25928  | 6   |  14057 |   5 |   962 |   0 |
| A&N Islands   | 485      |   0 | 505    | 0   | 259    | 0   | 202    | 0   |     85 |   2 |    10 |   0 |
| Chandigar h   | 157      |   0 | 114    | 0   | 44     | 0   | 22     | 0   |      7 |   0 |     1 |   0 |
| D & N Haveli  | 375      |   0 | 290    | 0   | 221    | 1   | 73     | 0   |     40 |   0 |     9 |   0 |
| Daman & Diu   | 48       |   0 | 38     | 0   | 24     | 0   | 8      | 0   |     40 |   0 |     9 |   0 |
| Delhi         | 31       |   0 | 577    | 0   | 473    | 0   | 713    | 0   |    228 |   1 |     8 |   0 |
| Ladakh        | 0        |   0 |        |     |        |     |        |     |      0 |   0 |     0 |   0 |
| Lakshadw eep  | 2        |   0 | 1      | 0   | 5      | 0   | 11     | 0   |      5 |   0 |     0 |   0 |
| Puducherr y   | 76       |   0 | 60     | 0   | 54     | 1   | 21     | 0   |     17 |   0 |     1 |   0 |
| Total         | 108728 5 | 331 | 844558 | 194 | 429928 | 96  | 338494 | 77  | 181831 |  63 | 28495 |  18 |

***(Provisional till May 2021)

## Annexure-II

## STATE/UT-WISE DENGUE CASES AND DEATHS IN THE COUNTRY

| Sl. No.   | State             | 2016   | 2016   | 2017   | 2017   | 2018   | 2018   | 2019   | 2019   | 2020   | 2020   | 2021   | 2021   |
|-----------|-------------------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|--------|
| Sl. No.   | State             | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths | Cases  | Deaths |
| 1         | Andhra Pradesh    | 3417   | 2      | 4925   | 0      | 4011   | 0      | 5286   | 0      | 925    | 0      | 508    | 0      |
| 2         | Arunachal Pradesh | 13     | 0      | 18     | 0      | 1      | 0      | 123    | 0      | 1      | 0 0    |        | 0      |
| 3         | Assam             | 6157   | 4      | 5024   | 1      | 166    | 0      | 196    | 0      | 33     | 0      | 6      | 0      |
| 4         | Bihar             | 1912   | 0      | 1854   | 0      | 2142   | 0      | 6712   | 0      | 493    | 2      | 0      | 0      |
| 5         | Chhattisgarh      | 356    | 0      | 444    | 0      | 2674   | 10     | 722    | 0      | 57     | 0      | 3      | 0      |
| 6         | Goa               | 150    | 0      | 235    | 0      | 335    | 1      | 992    | 0      | 376    | 0      | 245    | 0      |
| 7         | Gujarat           | 8028   | 14     | 4753   | 6      | 7579   | 5      | 18219  | 17     | 1564   | 2      | 240    | 1      |
| 8         | Haryana           | 2493   | 0      | 4550   | 0      | 1898   | 0      | 1207   | 0      | 1377   | 0      | 7      | 0      |
| 9         | Himachal Pradesh  | 322    | 0      | 452    | 0      | 4672   | 7      | 344    | 2      | 21     | 0      | 1      | 0      |
| 10        | Jharkhand         | 414    | 1      | 710    | 5      | 463    | 1      | 825    | 0      | 79     | 0      | 23     | 0      |
| 11        | Karnataka         | 6083   | 8      | 17844  | 10     | 4427   | 4      | 16986  | 13     | 3823   | 0      | 1203   | 0      |
| 12        | Kerala            | 7439   | 13     | 19994  | 37     | 4083   | 32     | 4652   | 16     | 4399   | 5      | 1596   | 1      |
| 13        | Madhya Pradesh    | 3150   | 12     | 2666   | 6      | 4506   | 5      | 4189   | 2      | 806    | 0      | 86     | 0      |
| 14        | Meghalaya         | 172    | 0      | 52     | 0      | 44     | 0      | 82     | 0      | 4      | 0      | 0      | 0      |
| 15        | Maharashtra       | 6792   | 33     | 7829   | 65     | 11011  | 55     | 14907  | 29     | 3356   | 10     | 936    | 2      |
| 16        | Manipur           | 51     | 1      | 193    | 1      | 14     | 0      | 359    | 0      | 37     | 0      | 0      | 0      |
| 17        | Mizoram           | 580    | 0      | 136    | 0      | 68     | 0      | 42     | 0      | 67     | 0      | 5      | 0      |
| 18        | Nagaland          | 142    | 0      | 357    | 0      | 369    | 0      | 8      | 0      | 1      | 0      | 0      | 0      |
| 19        | Odisha            | 8380   | 11     | 4158   | 6      | 5198   | 5      | 3758   | 4      | 496    | 0      | 89     | 0      |
| 20        | Punjab            | 10439  | 15     | 15398  | 18     | 14980  | 9      | 10289  | 14     | 8435   | 22     | 52     | 0      |
| 21        | Rajasthan         | 5292   | 16     | 8427   | 14     | 9587   | 10     | 13706  | 17     | 2023   | 7      | 861    | 0      |
| 22        | Sikkim            | 82     | 0      | 312    | 0      | 320    | 0      | 444    | 0      | 11     | 0      | 2      | 0      |
| 23        | Tamil Nadu        | 2531   | 5      | 23294  | 65     | 4486   | 13     | 8527   | 5      | 2410   | 0      | 2062   | 0      |

| 24    | Tripura         |    102 |   0 |    127 |   0 |    100 |   0 |    114 |   0 |    24 |   0 |    0 |   0 |
|-------|-----------------|--------|-----|--------|-----|--------|-----|--------|-----|-------|-----|------|-----|
| 25    | Telangana       |   4037 |   4 |   5369 |   0 |   4592 |   2 |  13331 |   7 |  2173 |   0 |  283 |   0 |
| 26    | Uttar Pradesh   |  15033 |  42 |   3092 |  28 |   3829 |   4 |  10557 |  26 |  3715 |   6 |  121 |   0 |
| 27    | Uttarakhand     |   2146 |   4 |    849 |   0 |    689 |   3 |  10622 |   8 |    76 |   1 |    0 |   0 |
| 28    | West Bengal*    |  22865 |  45 |  37746 |  46 |  23301 |   0 |  47928 |   0 |  5166 |   0 |  224 |   0 |
| 29    | A&N Islands     |     92 |   0 |     18 |   0 |     49 |   0 |    168 |   0 |    98 |   0 |   82 |   0 |
| 30    | Chandigarh      |   1246 |   0 |   1125 |   0 |    301 |   0 |    286 |   0 |   265 |   0 |   10 |   0 |
| 31    | Delhi           |   4431 |  10 |   9271 |  10 |   7136 |   4 |   5077 |   0 |  1269 |   0 |   66 |   0 |
| 32    | D&N Haveli      |   4161 |   2 |   2064 |   0 |    493 |   0 |   1491 |   2 |   248 |   0 |   18 |   0 |
|       | Daman & Diu     |     89 |   0 |     59 |   0 |    163 |   0 |    625 |   2 |    71 |   0 |    7 |   0 |
| 33    | Jammu & Kashmir |     79 |   1 |    488 |   0 |    214 |   0 |    439 |   0 |    53 |   0 |    2 |   0 |
| 34    | Ladakh          |      0 |   0 |      0 |   0 |      0 |   0 |      0 |   0 |     0 |   0 |    0 |   0 |
| 35    | Lakshadweep     |      0 |   0 |      0 |   0 |      0 |   0 |      0 |   0 |     0 |   0 |    0 |   0 |
| 36    | Puducherry      |    490 |   2 |   4568 |   7 |    592 |   2 |   2030 |   2 |   633 |   1 |  235 |   0 |
| TOTAL | TOTAL           | 129166 | 245 | 188401 | 325 | 124493 | 172 | 205243 | 166 | 44585 |  56 | 8973 |   4 |

## NR- Not Reported

*West Bengal submitted report of Dengue cases for 2018 till May 2021 on 14.06. 2021. The state has been requested to submit the numbers of deaths due to dengue in these years.

## Annexure-III

## STATE/UT-WISE CLINICALLY SUSPECTED CHIKUNGUNYA CASES IN THE COUNTRY

| Sl. No   | Name of the State   |   2016 |   2017 |   2018 | 2019   |   2020 |   2021 (Prov. till 30 th June) |
|----------|---------------------|--------|--------|--------|--------|--------|--------------------------------|
| 1        | Andhra Pradesh      |    960 |   1162 |    622 | 832    |    318 |                            151 |
| 2        | Arunachal Pradesh   |    239 |    133 |    507 | 332    |      0 |                              0 |
| 3        | Assam               |     40 |     41 |      3 | 0      |      0 |                              0 |
| 4        | Bihar               |    566 |   1251 |    156 | 594    |     38 |                              0 |
| 5        | Goa                 |    337 |    509 |    455 | 867    |     64 |                             18 |
| 6        | Gujarat             |   3285 |   7953 |  10601 | 8084   |   8120 |                           2521 |
| 7        | Haryana             |   5394 |    220 |     62 | 0      |    930 |                             15 |
| 8        | Jharkhand           |     47 |    269 |   3405 | 1691   |    627 |                            170 |
| 9        | Karnataka           |  15666 |  32831 |  20411 | 43698  |  16111 |                           6928 |
| 10       | Kerala              |    129 |     78 |     77 | 109    |   2302 |                            635 |
| 11       | Madhya Pradesh      |   2280 |   2477 |   3211 | 2749   |   1871 |                            516 |
| 12       | Meghalaya           |    360 |    236 |     44 | 114    |      3 |                              0 |
| 13       | Maharashtra         |   7570 |   8110 |   9884 | 5158   |   4258 |                           1554 |
| 14       | Mizoram             |      0 |      0 |     93 | 0      |     34 |                              0 |
| 15       | Manipur             |      0 |      0 |      2 | 40     |      0 |                              0 |
| 16       | Odisha              |     51 |      0 |      0 | 242    |     15 |                              0 |
| 17       | Punjab              |   4407 |   3251 |    736 | 372    |     25 |                              0 |
| 18       | Rajasthan           |   2506 |   1612 |    254 | 365    |   1015 |                            683 |
| 19       | Sikkim              |     30 |    130 |    384 | 1126   |    253 |                             58 |
| 20       | Tamil Nadu          |     86 |    131 |    284 | 623    |   1461 |                             66 |
| 21       | Telangana           |    611 |   1277 |   1954 | 5352   |    364 |                              0 |
| 22       | Tripura             |    311 |    574 |    683 | 1105   |    454 |                            343 |
| 23       | Uttar Pradesh       |   2458 |    103 |     58 | 72     |     53 |                              4 |
| 24       | Uttarakhand         |     35 |      0 |     29 | 1      |      0 |                              0 |
| 25       | West Bengal         |   1071 |   2103 |     52 | NR     |    391 |                            154 |
| 26       | A&N Islands         |     18 |     93 |    205 | 702    |    610 |                            187 |
| 27       | Chandigarh          |   2857 |   1810 |    357 | 82     |      0 |                              0 |
| 28       | Delhi               |  12279 |    940 |    407 | 520    |    126 |                              8 |
| 29       | D&N Haveli          |      0 |      0 |      0 | 0      |      0 |                              0 |
| 30       | Jammu & Kashmir     |      1 |      0 |      1 | 0      |      1 |                              0 |
| 31       | Lakshadweep         |      0 |      0 |      0 | 0      |      0 |                              0 |
| 32       | Puducherry          |    463 |    475 |   2876 | 7084   |   3980 |                           1864 |
|          | Total               |  64057 |  67769 |  57813 | 81914  |  43424 |                          15875 |

NR= Not received

## Malaria:

- Integrated  vector  management  (IVM)  for  control  of  adult  vector  to  prevent transmission through:-
- o Long-lasting  insecticidal  nets  (LLINs)  /  Insecticide  treated  bed  nets  (ITNs) have been distributed and  their usage is being promoted in   sub centres with  Annual  Parasite  Incidence  >1  [more  than  1  case  per  1000  population annually].
- o Indoor residual spray (IRS) - 2 rounds of IRS for vector control in areas with Annual Parasite Incidence >2.
- o Anti-larval measures by using chemical and bio larvicides including larvivorus fish in places where there is vector breeding, especially in urban areas.
- Early diagnosis and radical treatment through use of Rapid Diagnostic Test kits by  ASHAs  and  by  ensuring  complete  treatment  upto  community  level  through ASHA incentives.
- Mounting case-based surveillance to prevent out breaks
- Epidemic preparedness and early response.
- Behaviour  Change  Communication  and  community  mobilization,  to  prevent vector breeding, to use Long-Lasting Insecticidal Nets(LLINs) while sleeping and to do early reporting of fever to ASHAs, ANMs or at the nearest health centres.
- Anti-malaria  month  was  observed  in  June  across  States/UTs  for  generating community awareness regarding the disease, its prevention and control measures.
- Virtual  State  review  meetings  are  being  held  to  review  the  Malaria  situation  in States/UTs.  Field visits by the State/UT malaria teams in malaria endemic belts are being undertaken.

## Dengue & Chikungunya:

- Volunteers/Domestic Breeding Checkers have been engaged by States/UTs to check the mosquito breeding sites at the community level and to minimize the risk  of  transmission  by  source  reduction  activities  for  eliminating Aedes breeding sites during the peak transmission season.
- Outdoor fogging and Indoor Space Spray is being carried out by State/District/Municipal  vector  control  teams  to  interrupt  the  transmission  of Dengue and Chikungunya.
- Anti-larval activities are being carried out by State/District/Municipal teams with larvicides to prevent larval breeding.

## Important measures taken by the Government

- Larvivorous  fish  ( Gambusia )  are  being  used  in  large  water  bodies  and fountains for control of Aedes larvae.
- Central  Cross  Checking  Organization  (CCCO) of NVBDCP is monitoring the implementation  of  anti-larval  measures  in  the  areas  falling  under  3  Delhi Municipal Corporations & New Delhi Municipal Council for elimination of Aedes mosquito breeding to prevent Dengue and Chikungunya. Locality wise findings are  being  shared  with  the  concerned  implementing  agencies  regularly  for taking further remedial actions at their end.
- A  network  of Sentinel  Surveillance  Hospitals  (SSHs)  has  been  established across the country, with laboratory support and linked with 17 Apex Referral laboratories  (ARLs)  with  advance  diagnostic  facility  for  augmenting  free diagnostic facilities for Dengue and Chikungunya. Currently 707 laboratories are providing free diagnosis under this network. Government of India provides test kits to these identified Institutes through National Institute of Virology (NIV, Pune).  The entire cost is borne by Government of India.
- Virtual  trainings  were  imparted  to  Program  Officers  of  States/UTs  in  MarchApril,  2021,  on  entomological  surveillance  and  vector  control  for  prevention and control of Dengue and Chikungunya  by NVBDCP before the onset of the transmission season.
- Programmatic review  with  States/UTs  was  conducted  by  NVBDCP  on 11 th , 14 th &  15 th June to  assess  their  preparedness  for  prevention  and  control  of Dengue and Chikungunya  and  availability  of  logistics  such  as  the  requisite equipments,  insecticides,  diagnostic  kits  etc.,  to  avoid  any  stock  out  at  the peripheral level in the high transmission season. States/UTs presented their action  plans  for  prevention  and  control  of  Dengue  and  Chikungunya  during the ensuing transmission period.
- A high level meeting was held on 29 th June to review  the preparedness of Delhi  State  to  prevent  and  control  vector  borne  diseases,  namely,  Malaria, Dengue  and  Chikungunya.  The  Meeting  was  attended  by  H.E.  Lieutenant Governor,  Health  Minister,  Delhi,  Mayors  of  all  the  three  Delhi  Municipal Corporations, Chairperson of the New Delhi Municipal Council, Senior State and Municipality Officers, Deputy Commissioners of all the districts and senior functionaries of Health Department. Special emphasis was placed on taking appropriate  actions  to  control  vector  breeding  with  a  view  to  ensure  that vector borne diseases in the rainy months between June and September are prevented at the community, city and district levels.
- Communications at regular intervals were sent from the senior officers of the Department  of  Health  and  Family  Welfare  and  NVBDCP  to  sensitize  the States/UTs on prevention, control, diagnosis and management of Dengue and Chikungunya cases, and also to caution the States/UTs to prepare well before the ensuing transmission season.
- Entomological and other programme activities are being regularly monitored through  performance  reports  submitted  by  the  States/UTs,    and  technical guidance is being provided to the States/UTs side by side. All the States/UTs have  been  requested  to  establish  effective  inter-sectoral  coordination  with other  departments  such  as  Urban  Development Rural  Development  and Panchayati Raj, Drinking Water and Sanitation, Education etc. for prevention & control of Dengue and Chikungunya.
- IEC/BCC  activities  are  carried  out  to  disseminate  information  and  spread awareness about prevention and control of Dengue and Chikungunya. 'National  Dengue  Day'  was  observed  on  16 th May across  the country highlighting the need for initiation of pre-monsoon preventive activities and  for intensification of activities during the high  transmission  period spanning  from  June  to  November.  Messages  on  prevention  and  control  of Dengue and Chikungunya  were  also  disseminated  through  Social  media  to create awareness.