National Dengue Prevention and Control Program

Reduce morbidity and mortality from dengue infection by

preventing the transmission of the virus from the mosquito

vector to human.

National Center for Disease Prevention and Control, DOH

Reduce the incidence to 10 cases per 100,000 population.

Reduce the Case Fatality Rate to less than 1%.

Dengue SurveillanceDengue Integrated Vector

ManagementDengue Case ManagementSocial Mobilization & Communication

for DengueDengue Outbreak ResponseResearch


New dengue case definition should now be adopted & case fatality rate standardized

Mechanisms for sharing timely and accurate data

Incorporate dengue surveillance (case, vector and seroprevalence) into an integrated and strengthened disease surveillance systemNational Center for Disease Prevention and Control, DOH


J F M A M J J A S O N D2012 8864 6587 5970 4605 5902011 10710 6851 5356 3795 3701 7023 15784 28549 18650 9613 6670 2166

0

5000

10000

15000

20000

25000

30000

No.

of C

ases

Month

Fig. 1 DENGUE Cases by Month, Philippines, 2012 vs 2011

Dengue Cases_Region I_2012VI20_1.ppt

RegionCases

2012 2011 % ChangeI 891 1503 -40.72II 645 1537 -58.04III 5194 4828 7.58

IV-A 3866 4455 -13.22IV-B 134 342 -60.82

V 493 323 52.63VI 1124 1031 9.02VII 2089 2031 2.86VIII 94 468 -79.91IX 1081 481 124.74X 833 756 10.19XI 1892 1048 80.53XII 621 923 -32.72

ARMM 104 130 -20.00CAR 388 353 9.92

CARAGA 358 484 -26.03NCR 6809 7683 -11.38

Total 26616 28376 -6.20

As of May 12, 2012

Vectors fully described and vector indicators regularly monitored

IVM as a strategy Evidence based strategies to control vector

populations adopted Facilitate community involvement for vector

control Rationale use of insecticide for vector

control, WHOPES guidelines on pesticide management

Vector resistance monitoring National Center for Disease Prevention and Control, DOH

Capacity of health professionals to diagnose, treat or refer cases

Laboratory support for case management

Referral network system in public and private sectors

Public awareness on warning signs and actions to be taken


Communication for Behavioral Impact (COMBI) approach disseminated and promoted

Development & implementation of COMBI plan supported

Partnerships set up with private sector / and other multi-stakeholders


National Early warning system/dengue surveillance system.

Coordination mechanisms within DOH and with other programs, LGU and other sectors

Ability of health workers to respond to the dengue outbreak


Disease burdenEvaluation of tools & strategies for

dengue control and case management


Intensified year long campaign on dengue prevention & control

Developed & produced prototype materials Production, reproduction & distribution of IEC

materials Advocacy to LGUs & LCEs Media advocacy


• Objectives:

• To reinforce clean-up drive against Dengue

• To mobilize all sectors for clean-up drive (search and destroy)


1. Search and destroy breeding sites Cover all water containers (jars, drums, cans, etc.) Regularly change water in flower vases De-clogging of roof gutters Fill-up surface water with soil where feasible

▪ Vacant lots in villages, housing areas with stagnant water and potential mosquito breeding areas

▪ Used tires seen at vulcanizing shops 2. Self-protection

Wear long sleeved shirts and long pants Use mosquito repellants every 4 hours


3. Seek early advise/consultation at the nearest health center

Fever, pain behind eyes, joint pains, etc.4. Say YES to fogging when there is an impending

outbreak (hotspots) Fogging only in hotspot areas as evaluated by the

health officers


• Monitoring and Evaluation by Local Health Offices and DOH regional offices

• Weekly reporting of: • mobilization activities• Dengue cases• Deaths


1. Tri-media campaigns on mobilizing ABKD from all sectors

- IEC leaflets reproduction - Information and education should be integrated in health classes by DepEd - DILG memorandum to all LGUs on ABKD - Liga ng Barangays to mobilize for ABKD and local ordinances - TV and Radio spots by media partners - Continuous advocacy (daily print ads)

2. Fogging operations in defined hotspot areas - DOH CHDs in coordination with LGUs


0

100

200

300

400

500

600

700

800

900

1000

1100

1200

1300

1400

1500Te

mik

Thine

t

Phos

drin

Di-Sy

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Furad

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Ethyl

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Guthi

on

Methy

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Azod

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Lann

ate

Endri

n

Bidrin

Dimec

ron

Aldrin

Thiod

an

Baygo

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Ttoxa

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Ciszid

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Dursb

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ogor)

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)

Dibron

Dipter

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Sumi

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SEVIN

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aryl)

Cyflu

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Cythi

on (M

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Delta

methr

in

Perm

ethrin

Abate

(Tem

epho

s)

COMPARATIVE TOXICITIES OF SOME INSECTICIDES

HIGHLY TOXIC MODERATELY TOXICSLIGHTLY

TOXIC

INSECTICIDES USED IN DENGUE CONTROL1. Fogging

a. Permethrin-4000 mg/kgb. Deltamethrin-2940 mg/kgc. Cyfluthrin-1200 mg/kgd. Pirimiphos methyl-1200 mg/kge. Malathion-2100 mg/kg

2. Larvicidinga. Temephos-8000 mg/kgb. Altosid-34000 mg/kgc. Bacillus thuringiensis- non-

toxic

AC

UT

E O

RA

L L

D50

mg /

kg

References: 1969 Gaines RT, Acute Toxicity of pesticides. Toxicology and Applied Pharmacology 1995 WHO. Duidelines for Dengue Surveillance and mosquito Control. Western Pacific Education Series. No.8 104p.

1998 DOH-National Dengue Prevention and Control Program. Basic Training on dengue Prevention and Control. Module1. 60p.

Category and Signal Word

Color Brand Symbol

Signal Word

Acute Oral LD50 (Rat)



Aculte Dermal (mg/Kg BW)

Solid Liquid Solid Liquid

Category I Danger Poison

Red Poison 50 or less 200 or less 100 or less 400 or less

Category II Yellow

Yellow Warning 50-500 200-2000 100-1000 400 –4000

Category IICaution

Blue Caution 500-2000 2000-3000 Over 1000 Over 4000

Category IV Green Over 2000 Over 3000 N/A N/A

Classification of Pesticides Based on Toxicity and Hazard

National Dengue Prevention and Control Program

Documents

disease prevention

dengue control

dohnational center

case managementnational

dengue outbreaknational

destroynational center

mosquito vector

vector populations