Transcript ANG BRIGADA KONTRA-DENGUE

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
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Reduce the incidence to 10 cases per 100,000
population.
Reduce the Case Fatality Rate to less than
1%.
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Dengue Surveillance
Dengue Integrated Vector Management
Dengue Case Management
Social Mobilization & Communication for
Dengue
Dengue Outbreak Response
Research
National Center for Disease Prevention and Control, DOH
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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 system
National Center for Disease Prevention and Control, DOH
Fig. 1 DENGUE Cases by Month,
Philippines, 2012 vs 2011
30000
25000
No. of Cases
20000
15000
10000
5000
0
J
F
M
A
M
2012
8864
6587
5970
4605
590
2011
10710
6851
5356
3795
3701
J
J
A
S
O
N
D
7023
15784
28549
18650
9613
6670
2166
Month
National Center for Disease Prevention and Control, DOH
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Dengue Cases_Region I_2012VI20_1.ppt
Region
I
II
III
IV-A
IV-B
V
VI
VII
VIII
IX
X
XI
XII
ARMM
CAR
CARAGA
NCR
2012
891
645
5194
3866
134
493
1124
2089
94
1081
833
1892
621
104
388
358
6809
Cases
2011
1503
1537
4828
4455
342
323
1031
2031
468
481
756
1048
923
130
353
484
7683
Total
26616
28376
% Change
-40.72
-58.04
7.58
-13.22
-60.82
52.63
9.02
2.86
-79.91
124.74
10.19
80.53
-32.72
-20.00
9.92
-26.03
-11.38
-6.20
As of May 12, 2012
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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
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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
National Center for Disease Prevention and Control, DOH
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
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National Center for Disease Prevention and Control, DOH
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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
National Center for Disease Prevention and Control, DOH
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Disease burden
Evaluation of tools & strategies for dengue
control and case management
National Center for Disease Prevention and Control, DOH
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Intensified year long campaign on dengue prevention &
control
Developed & produced prototype materials
Production, reproduction & distribution of IEC materials
Advocacy to LGUs & LCEs
Media advocacy
National Center for Disease Prevention and Control, DOH
• Objectives:
• To reinforce clean-up drive against Dengue
• To mobilize all sectors for clean-up drive (search and
destroy)
National Center for Disease Prevention and Control, DOH
1.
2.
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
Self-protection
 Wear long sleeved shirts and long pants
 Use mosquito repellants every 4 hours
National Center for Disease Prevention and Control, DOH
3. Seek early advise/consultation at the nearest health center
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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
National Center for Disease Prevention and Control, DOH
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Monitoring and Evaluation by Local Health
Offices and DOH regional offices
Weekly reporting of:
• mobilization activities
• Dengue cases
• Deaths
National Center for Disease Prevention and Control, DOH
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
National Center for Disease Prevention and Control, DOH
COMPARATIVE TOXICITIES OF SOME INSECTICIDES
1500
1400
1300
1200
1100
1000
INSECTICIDES USED IN
DENGUE CONTROL
1.
Fogging
a. Permethrin-4000 mg/kg
b. Deltamethrin-2940 mg/kg
c. Cyfluthrin-1200 mg/kg
d. Pirimiphos methyl-1200 mg/kg
e. Malathion-2100 mg/kg
900
800
700
600
500
2.
Larviciding
a. Temephos-8000 mg/kg
b. Altosid-34000 mg/kg
c. Bacillus thuringiensis- nontoxic
400
300
200
100
0
HIGHLY TOXIC
MODERATELY TOXIC
SLIGHTLY
TOXIC
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.
Classification of Pesticides Based
on Toxicity and Hazard
Category and
Signal Word
Color Brand
Symbol
Signal Word
Acute Oral
LD50 (Rat)
Acute Oral
LD50 (Rat)
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 II
Caution
Blue
Caution
500-2000
2000-3000
Over 1000
Over 4000
Category IV
Green
Over 2000
Over 3000
N/A
N/A