VII.NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME.

The National Vector Borne Disease Control Programme (NVBDCP) is an Umbrella Programme for prevention and control of Malaria and other Vector Borne Diseases like Dengue, Filaria, Kala-Azar, Japanese Encephalitis and Chickengunia with special focus on the vulnerable groups of the society. Under the programme, it ensures that the disadvantages and marginalized section benefit from the delivery of service so that the desired National Health Policy and Rural Health Mission Goals are achieved.

OBJECTIVE OF THE PROGRAMME

  • To prevent morbidity due to Malaria and other Vector Borne Diseases.

THE MAIN ACTIVITIES UNDER THE PROGRAMME

  • Early Diagnosis and complete treatment.
  • Integrated vector control.
  • Community based health education.
  • Training and capacity building of various cadres of medical and paramedical staff for prevention, management and control of Vector Borne Diseases.
  • Effective Monitoring, supervision and surveillance.

ORGANISATIONAL SETUP

The NVBDCP wing of the Health Department is situated at Head Quarter, Gangtok, having overall responsibilities of implementation of programme.

In the East District – District NVBDCP Office and store is situated at Singtam Old Hospital Complex, where insecticides and anti – malarial drugs are stored and supplied to all four (04) districts.

There is no NVBDCP Office at North, South and West District; the Programme is implemented under the supervision of District malaria Officer / Chief Medical Officers.

Malaria Problem in Sikkim

Malaria is prevalent:

  1. Among migrant population in project areas and construction sites.
  2. Army personnel transferred from malaria endemic areas.
  3. Local population in lower belt of the state.

As problem of malaria in Sikkim is due to the labour population migrated from malaria endemic areas to work in project areas and construction sites.

Activities For malarial areas of the state

  • Identification of the high risk areas.
  • Increase in ABER by training of MPHWs.
  • Establishment of DDCs & FTDs in needed and make them functional by regular supervision.
  • Monthly meeting with the MO, I / C PHC & CMOs.
  • Involvement of Private Practitioners in monthly reporting of malaria cases and death.
  • Insecticidal spray in high risk malarial area and project areas.
  • Monitoring and evaluation.

Inspite of getting majority of imported cases from neighboring States and Countries and resurgence of malaria in recent years, the malaria situation in Sikkim is not very bad.

Statements showing Malaria Situation from 2005- 2011

State-Sikkim

YEAR / Population / BS Collection / Total
Positive
Cases / No. of Pf Cases / No. of Death / ABER
(%) / SPR
(%) / Pf (%) / API / SFR
(%)
2005 / 148210 / 8319 / 69 / 31 / 3 / 6 / 0.82 / 44.9 / 0.46 / 0.37
2006 / 151987 / 7956 / 93 / 31 / nil / 5.2 / 1.1 / 30 / 0.61 / 0.38
2007 / 163081 / 6259 / 48 / 07 / nil / 4 / 0.76 / 14.5 / 0.29 / 0.1
2008 / 175209 / 6164 / 38 / 10 / Nil / 3.5 / 0.6 / 26 / 0.2 / 0.16
2009 / 179586 / 6688 / 42 / 16 / 01 / 4 / 0.63 / 38 / 0.23 / 0.24
2010 / 183993 / 6526 / 49 / 14 / Nil / 3.5% / 0.75 / 28.5 / 0.26 / 0.21
2011 / 188588 / 6969 / 51 / 14 / Nil / 3.70 / 0.73 / 27.45 / 0.03 / 0.20

DENGUE

  • 2 (two) imported cases were reported during 2011.

KALA – AZAR

  • Seven cases of Kala Azar were reported during 2011.

STATEMENT SHOWING DISTRICT WISE DISTRIBUTION OF

CASES OFKALA-AZARFROM 2007 – 2011

Sl. No / Year / East / West / North / South / Total
1. / 2007 / Nil / Nil / Nil / Nil / Nil
2. / 2008 / 01 / Nil / 01 / 02 / 04
3. / 2009 / 02 / Nil / Nil / 03 / 05
4. / 2010 / 01 / Nil / Nil / 02 / 03
5. / 2011 / 03 / Nil / Nil / 04 / 07

FILARIA

  • No Case of Filaria has been reported during 2011.

STATEMENT SHOWING VECTOR BORNE DISEASE SITUATION

FROM – 2007 TO 2011.

YEAR / MALARIA / FILARIASIS / KALA - AZAR / DENGUE
2007 / 48 / NIL / NIL / NIL
2008 / 38 / 02 / 04 / NIL
2009 / 42 / 1 / 5 / Nil
2010 / 49 / 01 / 03 / 07
2011 / 51 / Nil / 07 / 02

All 07 Kala-Azar and 02 Dengue fever are imported cases.

STATEMENT SHOWING THE FUND RECEIVED, EXPENDITURE & BALANCE DURING 2011-12 UNDER NVBDCP.

YEAR / FUND RECEIVED FROM GOI / EXPENDITURE / BALANCE
2011-12 / 12.00 / 5.74 / 6.26

ENTOMOLOGICAL COMPONENT

The Entomological component under NVBDCP is a vital one. In view of the presence of vector species of Malaria, Kala - Azar, J.E, Filaria and Dengue in the low lying areas bordering West Bengal. Strengthening of Entomological staff with logistic is must.

IEC

This is one of the most important components of the programme. All the media of the state are being used to spread the message of prevention and control of malaria and other vector borne diseases in collaboration with IEC Bureau.

Anti – malaria month is observed during the month of June every year.

Anti – Dengue month is observed during the month of July.

This year more emphasis will be given to project areas.

Action Plan proposed for project areas during 2012-2013.

  • Screening of labour population.
  • Sensitization of the MPHW catering project areas / construction sites.
  • Intensive IEC activities.
  • Sensitization of the Private Practitioners and Panchayats of the area.
  • Mass survey of the labour population.
  • Buffer stock of the anti malarial drugs in the PHC catering the project areas.
  • Sensitization of the Medical Officer for early prediction of the epidemics.
  • Training of the Lab. Technician of the project areas.
  • Insecticidal spray.
  • Constant supervision and monitoring.