Lok Sabha Question No. 1036 (UNSTARRED), answered on 2021-12-03
Subject: Increase in Dengue and Malaria cases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Kumar Singh

(a) & (b)

During  2021  (till  21.11.21),  a  total  number  of  1,64,103  cases  have  been  reported  due  to Dengue  in  the  country,  as  against  2,05,243  in  2019.  The  Case  Fatality  Rate  has  been sustained at  <1% since  2008.   It  has  further  come  down  below  0.2%  in  2018  and  0.1% in 2019, which has been maintained at this level since then. Accordingly, it cannot be said that the Dengue cases are rising in the Country. The dengue and malaria cases are reported during monsoon and post monsoon period and decline with the onset of winter.

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

## LOK SABHA UNSTARRED QUESTION NO. 1036 TO BE ANSWERED ON 3 rd  DECEMBER, 2021

## INCREASE IN DENGUE AND MALARIA CASES

## 1036 . SHRI SUNIL KUMAR SINGH SHRI SUMEDHANAND SARASWATI:

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

- (a) whether the Government is aware that the cases of Dengue and Malaria are on the rise during the winter season;
- (b) if so, the details thereof and the steps taken by the Government to put a check and prevent its proliferation;
- (c) the number of cases of Dengue and Malaria that have occurred along with number of deaths recorded during the last three years;
- (d) whether the Government proposes to initiate any research work on vector borne disease like dengue in order to develop safeguard against dengue; and
- (e) if so, the details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

Government of India has taken the following measures for prevention and control of dengue and malaria in the country:

-  Provided  Technical  Guidelines  for  prevention  and  control,  case  management  & effective  community  participation  to  the  States  for  implementation.  15  advisories were issued from time to time to States/UTs for prevention and control of dengue in 2021.
-  Free  diagnostic  facilities  through  713  Sentinel  Surveillance  Hospitals  and  17  Apex Referral laboratories identified across the country are fully functional.  7.26 Lakh IgM tests  have  been  provided  by  Government  of  India.  Adequate  funds  have  been provided to states for procurement of NS1 kits for early diagnosis.
-  Under  National  Health  Mission,  necessary  and  sufficient  budgetary  support  is provided  to  states/UTs  for  dengue  control  activities  i.e.,  dengue  case  management, vector control activities (provision of domestic  breeding  checkers, insecticide, fogging machines etc), training support, awareness activities, etc.
-  Integrated Vector Management including Indoor Residual Spraying (IRS) in selected high  risk  areas,  Long  Lasting  Insecticidal  Nets  (LLINs)  in  high  malaria  endemic areas,  use  of  larvivorous  fish,  anti-larval  measures  in  urban  areas  including  biolarvicides and minor environmental engineering and source reduction for prevention of breeding.
-  Disease Management involving early case detection with active, passive and sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
-  Supportive Interventions aiming at Behaviour Change Communication (BCC), InterSectoral Convergence and Human Resource Development through capacity building.

(c)

The number of cases/deaths occurred due to Dengue and Malaria during the last three years and current year are as under:

| Year   | Dengue                  | Dengue                      | Malaria                 | Malaria             |
|--------|-------------------------|-----------------------------|-------------------------|---------------------|
|        | Cases                   | Deaths                      | Cases                   | Deaths              |
| 2018   | 124493                  | 258                         | 429928                  | 96                  |
| 2019   | 205243                  | 193                         | 338494                  | 77                  |
| 2020   | 44585                   | 66                          | 186532                  | 93                  |
| 2021   | 164103 (Prov till 21 st | Nov) 146 (Prov till 21 Nov) | 107316 (Prov till Sept) | 45 (Prov till Sept) |

## (d) & (e)

Indian Council of Medical Research (ICMR) supports the National Centre for Vector Borne Disease  Control  by  carrying  out  research  studies  in  the  field  of  vector-borne  diseases including Dengue which focuses on entomological surveillance, source reduction activities, insecticide resistance and  vector control measures  in  order  to minimize  the  risk of transmission.