Key Strategies - PowerPoint Presentation

Slide1

Key StrategiesSlide2

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.Slide3

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.Slide4

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.Slide5

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.Slide6

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.Slide7

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.

Slide8

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.Slide9

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

. Slide10

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

.Slide11

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.Slide12

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 brushSlide13

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

placesSlide14

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.Slide15

Water chlorination

Water

chlorination should be ensured so that occurrence of all fever cases will come down.Slide16

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

.Slide17

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.

 Slide18

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.

 Slide19

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

.Slide20

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.Slide21

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. Slide22

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.Slide23

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.Slide24

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.Slide25

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.