Key Strategies. House to house campaign All houses and premises in the district have to be visited by teams comprising of health, local body staff and.

Key Strategies

House to house campaign

• All houses and premises in the district have to be visited by teams comprising of health, local body staff and volunteers.

• Each team should comprise of minimum 20-30 people.

• The teams should be given a form for entry of details of destruction of breeding sources.

House to house campaign

• The team should distribute pamphlets on dengue awareness and bleaching powder to the households.

• All the water storage containers including cement cisterns and sumps should be washed in the presence of the visiting team.

House to house campaign

• All unwanted containers and waste materials like used tyres, broken pots, broken plastic buckets, plastic waste etc lying in the household premises or on roof tops are to be removed

• Such materials should be loaded on to the garbage collection vehicle then and there.

House to house campaign

• Wherever water is stored for drinking and other uses, the vessels, cement tanks, pots may be covered with cloth/plates to prevent mosquito breeding.

• Mike publicity team may also accompany the team visiting the households and other premises.

Revisiting the Households

• Attempts should be made by the team to revisit the households once in every week so that all the breeding sources are removed within and outside the houses.

Removal of tyres

• Large number of tyres are still present everywhere, which are the most dangerous breeding ground for Aedes mosquitoes are to be removed in campaign mode.

Removal of tyres

• It is to be understood by all that due to trans-ovarian transmission of dengue virus in mosquitoes, Aedes mosquitoes born in tyres are infective since its birth and will keep infecting humans during its life span of three to four weeks.

• Removed tyres should not be dumped on open yards and to be disposed off.

Public buildings, offices, hotels, parks, cinema theatres, marriage halls, industries and other

premises

• Care takers of these buildings should be made responsible for keeping their premises clean and free from Aedes mosquito breeding.

• All the people in charge of these premises should be oriented thoroughly and they should keep their campuses free from Aedes mosquitoes.

Schools, colleges and other educational institutions including medical colleges

• All heads of educational institutions and campus caretakers should be educated and they should keep their campuses free from Aedes mosquitoes.

• They may also be encouraged to form teams of volunteers and the teams may visit the household and premises in their neighbourhood within 1 km radius and make these houses/ premises free from Aedes, so that no transmission occurs within their campuses.

Schools, colleges and other educational institutions including medical colleges

• The officials manning hostels of schools and colleges need to be educated about the mosquito breeding and encouraged to destroy all such sources.

• Further, if students develop fever, they should immediately inform the DDHS or PHC Medical Officer.

Integrated Child Development Scheme involvement

• All ICDS workers, supervisors, CDPOs and others are to be thoroughly oriented

• The premises of ICDS centre and surroundings should be free from Aedes mosquito breeding

• All artificial water containers like tyres, plastic cups, coconut shells, plastic bottles, broken pots etc are to be removed from the ICDS premises and surroundings

• All water storage containers should be thoroughly washed with bleaching powder and brush

Use of chemical methods for Aedes mosquito control

• Fogging is very useful to quickly knock down the adult mosquitoes. – Priority should be given to areas from where

cases are reported. – Areas in and around hospital admitting

fever cases and paediatric clinics should be given top priority so that infections do not spread from the hospitals/clinics

– Next priority should be given to markets, parks, bus stands, public places, cinema theatres, student hostels and other places

Use of chemical methods for Aedes mosquito control

• Temephos may be used for large containers like big sumps, unused sumps/GLRs, large water collections at construction sites where immediate washing with bleaching powder may not be possible.

• All other places only washing should be encouraged and carried out.

Water chlorination

• Water chlorination should be ensured so that occurrence of all fever cases will come down.

Health Education activities

• Mass Awareness generation programmes for sanitary workers, Resident Welfare Association members, school students, caretakers of various campuses and others may be organised. Participants for each programme should be around 500-1000.

• Awareness film produced by the Government may be shown in Railway stations, Hospital OP settings, banks, offices, show room, shopping malls and other places continuously.

• The awareness film may be telecast in the local cable channels to ensure wider reach.

Health Education activities• Every day each PHC should conduct one health

education meeting for School students, College students, Self Help Groups, Civil Society Organisation members, NSS students, PRI members, Nehru Yuva Kendra members and others

• In Villages where fever cases are reported, Village meetings should be conducted after 5 o’ clock, so that all people will be able to participate.

• Flexi board indicating mosquito breeding places in houses and peridomestic areas should be put at panchayath and ward level if feasible.

Field visit by PHC MOs

• Except the UG PHC duty MO and OT duty MO all other PHC MOs, after completing the OP and Ward work should visit the Villages from which cases are reported.

• In the Village the MO should look for more epidemiologically linked cases. MO should organise Water Chlorination, Aedes control and general sanitation improvement measures through the local bodies concerned. MO should maintain the details of village visits in the diary.

• Key observation points like defects in the water supply system, presence of unused containers and tyres with mosquitogenic potential, should be given to the concerned local body authorities for appropriate action.

Daily surveillance data collection, analysis of the situation and organizing control measures

• The present surveillance system need to be strengthened by collecting fever report from all Government Hospitals, Private Hospitals, Government and Private Laboratories every day before 12 noon.

• Panchayath/town panchayath/municipality/corporation wise line list to be prepared and used for organising control measures. At the local level, cases should be located street/ward wise and focused control measures are to be organized.

• Copy of the report to be sent to DPH and PM by the DDHS daily before 2 pm for compiling and submitting to the Government.

Daily surveillance data collection, analysis of the situation and organizing control measures

• Cases from the neighbouring districts or states should be cross notified through the District IDSP by the DDHS.

• The larval and adult mosquito population need to be monitored to assess the impact of various control measures

• In districts reporting high incidence of fever, daily co-ordination meeting shall be organized by the District Collectors in the evenings to ensure proper co-ordination and follow up.

Medical camps in the affected areas

• In areas where fever outbreak is reported, Medical camps should be organised

• Entire block staff including VHNs should be mobilised enmasse and the outbreak should be controlled quickly at the initial stage itself without allowing to spread.

Medical camps in the affected areas

• If additional human resources are required DDHS can mobilise from neighbouring blocks also.

• Local bodies should provide support in terms of mazdoors and materials like bleaching powder, diesel for fogging etc as per the Tamil Nadu Public Health Act, 1939 to control the outbreak in the area.

Availability of blood in all blood banks and storage centres

• Blood donation camps should be organized as per requirement and sufficient quantity of blood and blood products should be available.

Fever Treatment camps by Hospital on Wheels

• Should display Fever Treatment Camp banner at the camp site as per their FTP and on the HoW vehicle.

• All fever cases should be listed and the houses should be visited by the MO, area Health Inspector, Village Health Nurse along with volunteers in the village.

• If any outbreak is noticed PHC MO and DDHS should be informed over phone by the HoW MO.

Aedes control as People’s movement

• All organized groups like SHGs, Nehru Yuva Kendra, Youth Associations, NSS, school and college students, universities, Resident Welfare Associations, PRIs and others may be mobilized and deployed for house visits and source reduction activities.

• Since Aedes is a very intelligent and cunning creature and breeding takes place in variety of containers at large number of places, successfully converting the initiatives as People’s movement is the only effective way of tackling this menace.