MONTHLY REPORT ON DENGUE

ENTOMOLOGICAL SURVEILLANCE
A publication of the National Dengue Control Unit
Ministry of Health, Sri Lanka





Public Health Complex, 555/5, Elvitigala Mawatha, Narahenpita, Colombo 05.
Tel : +94(0)112368416 / 7 Fax: +94(0)11 2369893 Email: ndcu2010@yahoo.com
Web : http://www.dengue.health.gov.lk
Vol.01 Issue No 05 September 2014


Emergency Dengue Control Programme in
Western Province: June August 2014
According to disease surveillance data on Dengue, the
number of cases reported per week in 2014 remained
less than that of year 2012 and 2013 until the 16
th

week. Weekly reporting started rising since then and
the highest number was reported in 25
th
week (1915
cases) and of them > 60% were from the Western
Province (WP). In order to curtail this outbreak
situation fast, an emergency dengue control
programme was conducted in WP as per the decision
taken at the Presidential Task Force on Dengue
Prevention (PTFD) meeting held on 9
th
June 2014.
A series of mass scale premises inspection
programmes were carried out targeting houses,
schools, institutions, public and religious places and
bare lands etc. A Civil-Military Cooperation (CIMIC)
activity involving approximately 50,000 personnel
from Tri forces, Civil Defence Force, Police and
Health services was conducted over 3 months.
The main objective was to mobilise adequate number
of human resources in order to mitigate the outbreak
by source reduction urgently and to motivate the
community to inspect and remove breeding places on
a regular basis.
The PTFD was established in May 2010 to strengthen
multi-sectoral collaboration and implementation of
strategies at the National, Provincial, District and
Divisional level while taking collective and
productive policy decisions on Dengue control. Major
stakeholders of PTFD include ministries of Education,
Environment, Defence, Law and Order, Public
Administration, Disaster Management, Media and the
Local Government under the technical guidance of
Ministry of Health.
The emergency Dengue control programme was
targeted mainly at the GN divisions in selected high
risk Medical Officer of Health (MOH) areas based on
epidemiological data in the districts of Colombo,
Gampaha and Kalutara (including Colombo MC and
NIHS Kalutara). This activity was primarily aimed at
detection of mosquito breeding sites and their
elimination through source reduction on site
augmented by health education, other vector control
methods such as larviciding and fogging when
needed, and enforcing legal action only when
necessary.
Each inspection team comprised of a health staff
member, tri forces and police and in selected places
other stakeholder ministries of the PTFD and
volunteers. Health personnel led the team during the
inspection activities.
A standard check list was developed according to the
routine entomological surveillance data of WP
targeting most productive containers. A training of
trainers programme was conducted for 1,500
personnel from Tri-Forces, Police, Special Task Force
and Civil Defence Force on identification and
elimination of breeding places in a scientific manner.
In order to promote positive behaviours towards
eliminating dengue breeding sites; a green sticker
(with a validity of 2 weeks) was awarded to a
premises not having a single dengue breeding site
(positive or potential). A yellow notice was introduced
to notify the premises which were not accessible to the
teams on the days of their visits. Follow-up
entomological surveys were carried out to evaluate the
output of the programme.
Altogether the programme was conducted in six
phases within the WP (summary given in table 01).
Reviews were conducted with the participation of
representatives of the respective ministries of PTFD,
PDHS, RDHS and REE at the Epidemiology Unit
while considering reports and observations of the
central observation teams at the end of each day.
The motivation to remove potential breeding places in
ones own premises was probably enhanced during the
programme. It was noticed that initiation and keeping
the momentum of social mobilization by doing
continuous mass scale premise inspection with the
participation of Tri Forces and Police is an effective
strategy for dengue control. Therefore, sustainability
of such source reduction programmes through
continued engagement of a dedicated staff should be
considered in the future.

Phase Prem.
visited
Prem.
with
larvae
Larve
%
Notices
issued
I-V 621,295 11,118 1.8 14,096
VI 7,184 1,090 15.2 1,288
Total 628,479 12,208 2.0 15,384
Table01: Summary of WP emergency programme
Contents Page
1. Emergency Dengue Control Programme in Western Province: June August 2014
2. Island wide Entomological Surveillance Summary -2014 August
3. Entomological Forecast
1
2
2

Comments and contributions for publication in the MRDES Sri Lanka are welcome. Prior approval should be obtained from the NDCU before
publishing data in this publication.
MRDES Sri Lanka - Vol.01 Issue No 05 September 2014
Table 1: Dengue Entomological Surveillance - 2014 September Summary


P
r
o
v
i
n
c
e

D
i
s
t
r
i
c
t

No. of Premises Percentage Positivity by type of containers

I
n
s
p
e
c
t
e
d

F
o
u
n
d

p
o
s
i
t
i
v
e

%

P
o
s
i
t
i
v
e

D
i
s
c
a
r
d
e
d

r
e
c
e
p
t
a
c
l
e
s

W
a
t
e
r

s
t
o
r
a
g
e

c
o
n
t
a
i
n
e
r
s

C
e
m
e
n
t

t
a
n
k
s

C
o
n
c
r
e
t
e

s
l
a
b

N
a
t
u
r
a
l

A
/
C


&


R

P

&

O

W
e
l
l
s

O
t
h
e
r
s

WP
Colombo 1,432 100 6.98 44% 14% 1% 1% 4% 0% 4% 0% 32%
Colombo MC 821 81 9.86 43% 21% 0% 4% 4% 1% 6% 0% 21%
Gampaha 815 66 8.09 32% 14% 0% 1% 19% 1% 6% 0% 27%
Kalutara 655 47 7.17 52% 10% 2% 0% 14% 3% 4% 0% 15%
NWP
Kurunegala 1,578 165 10.45 47% 15% 5% 0% 18% 1% 0% 0% 14%
Puttalam 415 15 3.61 32% 21% 16% 0% 0% 0% 0% 5% 26%
UP
Monaragala 2,236 55 2.45 32% 13% 33% 0% 1% 0% 2% 0% 19%
Badulla 775 40 5.16 25% 36% 29% 2% 6% 0% 2% 0% 0%
CP
Matale 1,811 64 3.53 40% 0% 23% 1% 6% 6% 12% 0% 12%
Nuwara Eliya * * * * * * * * * * * *
Kandy 4,043 204 5.04 31% 15% 13% 1% 1% 11% 7% 0% 21%
EP
Batticaloa 944 16 1.69 31% 0% 6% 0% 0% 13% 0% 44% 6%
Kalmunai 600 15 2.5 33% 13% 20% 0% 0% 0% 7% 20% 7%
Trincomalee 477 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0%
Ampara 596 17 2.85 32% 26% 16% 0% 0% 0% 0% 5% 21%
NCP
Anuradhapura 684 24 3.5 31% 9% 3% 0% 9% 9% 15% 0% 24%
Polonnaruwa 510 5 0.98 40% 20% 0% 0% 0% 0% 0% 0% 40%
SGP
Kegalle 2,393 312 13.03 53% 17% 4% 1% 6% 3% 1% 0% 15%
Rathnapura 2,406 148 6.15 23% 18% 8% 0% 13% 9% 1% 0% 28%
SP
Galle 732 53 7.24 60% 8% 0% 2% 4% 4% 4% 0% 18%
Matara 748 88 11.76 73% 11% 0% 0% 1% 11% 1% 0% 3%
Hambantota 1,292 52 4.02 8% 40% 31% 0% 0% 2% 7% 0% 12%
NP
Jaffna 400 20 5 24% 18% 29% 0% 0% 0% 0% 0% 29%
Mannar 700 71 10.14 8% 86% 0% 0% 0% 0% 0% 3% 3%
Killinochchi 689 0 0 0% 0% 0% 0% 0% 0% 0% 0% 0%
Vavuniya 1,165 14 1.2 21% 10% 10% 0% 0% 0% 4% 0% 55%
Mullativu 339 2 0.58 0% 100% 0% 0% 0% 0% 0% 0% 0%
Sri Lanka 29,256 1674 5.72 39% 20% 9% 1% 4% 6% 4% 1% 16%
A
d
d
r
e
s
s
:


Address:

Key: This report is based on the weekly returns sent by Entomological Assistants (EAA) to N DCU. P & O- Ponds and Ornamentals; R
Refrigerators ; * No data ; Others- Tyres, Roof gutters and other miscellaneous places (eg. Tube wells, Earth pipes, Water meters, etc)
Entomological Forecast of High-Risk Areas
RDHS MO(O)H
Colombo Borelesgamuwa, Battaramulla
Gampaha Negombo MC
Kaluthara Horana
Puttalam Wennappuwa, Naththandiya
Monaragala Dombagahawewa
Badulla Badulla, Lunugala
Matale Matale MC
Kandy Gampola
Kegalle Warakapola, Yatiyantota,Aranayaka,Deraniyagala,Bulathkohupitiya,
Galigamuwa
Rathnapura Pelmadulla , Nivithigala
Mannar Mannar
NB:
Part of the entomological surveillance data for
the month of August 2014 done by MRI
entomology teams has been omitted due to the
incompatibility of the return with the above
format.