National Dengue Prevention and Control Program

1. National Dengue Prevention and Control Program

2. Goal of the 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

3. Objectives • Reduce the incidence to 10 cases per 100,000 population. • Reduce the Case Fatality Rate to less than 1%.

4. Components • 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

5. Dengue Surveillance • 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

6. Dengue Surveillance-National National Center for Disease Prevention and Control, DOH

7. Surveillance/prov/mun • Dengue Cases_Region I_2012VI20_1.ppt

8. As of May 12, 2012

9. Dengue Integrated Vector Management • 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

10. Dengue Case Management • 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

11. Social Mobilization & Communication for Dengue • 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 Center for Disease Prevention and Control, DOH

12. Dengue Outbreak Response • 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

13. Research • Disease burden • Evaluation of tools & strategies for dengue control and case management National Center for Disease Prevention and Control, DOH

14. Advocacy • 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

15. AksyonBarangayKontra Dengue • 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

16. STANDARD MESSAGE • 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

17. STANDARD MESSAGE 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 National Center for Disease Prevention and Control, DOH

18. RAPID ASSESSMENT • 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

19. Other Activities • 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) • Fogging operations in defined hotspot areas - DOH CHDs in coordination with LGUs National Center for Disease Prevention and Control, DOH

20. COMPARATIVE TOXICITIES OF SOME INSECTICIDES • INSECTICIDES USED IN • DENGUE CONTROL • 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 • Larviciding • a. Temephos-8000 mg/kg • b. Altosid-34000 mg/kg • c. Bacillus thuringiensis- non-toxic ACUTE ORAL LD50 mg/kg SLIGHTLY TOXIC HIGHLY TOXIC MODERATELY 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 DenguePrevention and Control Program. Basic Training on dengue Prevention and Control. Module1. 60p.

22. Classification of Pesticides Based on Toxicity and Hazard