NVBDCP

Maharashtra State
VBD Situation
(Up to 28 November2021)
Pune, Kolhapur Circle
 * Goals of NVBDCP *
• Reduction of mortality on account of Malaria, Dengue, Japanese
Encephalitis (J.E.) & efficient morbidity control.

• Elimination of Malaria by 2025.

• Elimination of Lymphatic Filariasis.

 Vector Borne diseases
Fleas
• Mosquitoes Ticks
• Aedes • Plague
• Crimean-Congo (transmitted by
– Chikungunya
haemorrhagic fever fleas from rats
– Dengue fever to humans)
• Lyme disease
– Lymphatic filariasis • Rickettsiosis
– Rift Valley fever
• Relapsing fever (borreliosis)
Black flies
– Yellow fever • Rickettsial diseases (spotted
fever and Q fever) • Onchocerciasis
– Zika (river
• Anopheles • Tick-borne encephalitis blindness)
– Malaria • Tularaemia Aquatic snails
– Lymphatic filariasis Triatomine bugs • Schistosomiasi
• Culex • Chagas disease (American s (bilharziasis)
– Japanese encephalitis trypanosomiasis) Lice
– Lymphatic filariasis Tsetse flies • Typhus and
– West Nile fever louse-borne
• Sleeping sickness (African relapsing fever
• Sandflies trypanosomiasis)
• Leishmaniasis
• Sandfly fever
(phelebotomus fever)
 Major
Malaria
Disease Vectors in India
An. culicifacies, An. fluviatilis, An. minimus
An. sundaicus, An. stephensi, An. dirus
Dengue
Ae. Aegypti, Ae. Albopictus

Filariasis
Cx. quinquefasciatus, Ma. annulifera and
uniformis

Japanese Encephalistis
Cx. vishnui, Cx. tritaeniorhyncus etc.

Kala azar--- Sand fly

Malaria ,Kala-azar and Filaria in Elimination

mode
 Situation of Vector Borne Diseases – Maharashtra State
Malaria Dengue Chikungunya
Year Positive Positive Positive Deat
Pf Death Death
Cases Cases Cases h
2017 17710 5629 20 6792 33 2949 0

2018 10757 2697 13 11038 70 1026 0

2019 8866 2567 7 14888 49 1646 0
2020 12909 6575 12 3356 10 782 0
2021
(Up to 28 Nov)
16692 10010 12 11532 25 2275 0

JE Chandipura AES

Positive Positive Positive

Death Death Death
Cases Cases Cases

2017 29 0 0 0 1 1
2018 6 1 6 0 48 1
2019 31 1 1 0 107 0
2020 2 1 0 0 12 0
2021
(Up to 28 Nov) 0 0 0 0 0 0
Outbreak Scenario
 Vector Borne Diseases Ongoing OB Line List Date 14.12.2021

Remark Reported to
Onset of OB Reported to
District PHC Disease Death Ongoing/ Jt.DHS, delay
(Date) Jt.DHS, Pune
Close Days

Kolhapur Kekhale 11.10.2021 11.10.2021 Dengue 0 Ongoing 0

Sindhudurg Morgaon 24.11.2021 02.12.2021 Malaria 0 Ongoing 8

 MALARIA

Year wise Epidemiological situation of Malaria in the State.

Total Malaria No. of

Year PF + Mix % of PF
cases Deaths
2020
11757 5937 12 50.49
(Up to 28 Nov)
2021
16692 10010 12 60
(Up to 28 Nov)
Less Active Surveillance of Malaria in Pune &
Kolhapur Circle

Less Active Surveillance up to November 2021 (Malaria)

Sr. No Districts Target Achievement % ach.
313089
1 Pune 199284 64
220776
2 Solapur 156646 71
189183
3 Satara 123771 65
212204
4 Kolhapur 109144 51
147207
5 Sangli 107836 73
49229
6 Sindhudurg 36117 73
90021
7 Ratnagiri 41877 47
 Less Active Surveillance of Malaria in
corporation

Less Active Surveillance up to November2021 (Malaria)

Sr. No Corporation Target Achievement % ach.

229816
1 PCMC 16785 7
139807
2 PMC 3014 2
60806
3 Solapur 3601 6
37607
3 Kolhapur 277 1
33331
4 Sangli-Miraj 16937 51
 Circlewise Monthly Blood Smear Examination rate (MBER)
for month November 2021

B.S B.S Positive Cases (up to MBER

Circle Districts Death
Collection Examination Nov) Nov-21
Pune 61718 61718 9 0 0.80

Pune Solapur 36290 36290 0 0 0.76

Satara 27024 27024 14 0 0.84
Kolhapur 31660 31660 0 0 0.74
Sangli 26852 26852 0 0 0.87
Kolhapur Sindhudurg 11728 11728 8 0 1.40
Ratnagiri 13565 13565 1 0 0.87

MBER = Total slides examined / Total Population *100

 Circlewise Malaria positive cases information up to 28
November 2021

2020 up to November 2021 up to November

Circle Districts
Positive cases PF Deaths Positive cases PF Deaths
Pune 1 0 0 19 2 0
Pune Solapur 1 0 0 0 0 0
Satara 14 0 0 14 1 0
Kolhapur 8 1 0 1 0 0
Sangli 6 0 0 7 0 0
Kolhapur Sindhudurg 21 0 0 33 2 0
Ratnagiri 10 1 0 5 1 0
 Circle wise Malaria positive cases information up to
28 November 2021 -Corporation

Corporati 2020 up to 28 November 2021 up to 28 November

Circle
on Positive
PF Deaths Positive cases PF Deaths
cases
PCMC 4 0 0 7 1 0
Pune PMC 0 0 0 3 0 0
Solapur 1 0 0 0 0 0
Kolhapur 0 0 0 0 0 0
Kolhapur Sangl-Miraj 0 0 0 2 0 0
 MOSQUITOES: LIFE-CYCLE
Mosquitoes undergo complete metamorphosis
(egg →larva→pupa→ adult )

14
WHO, 2010
 MOSQUITO LIFE CYCLE
❖ Mosquitoes go through four stages in their life
cycle: egg, larva, pupa, and adult or imago.
❖ The first three stages are aquatic.
❖5–14 days, depending on the species and the
temperature;
❖Adult females lay their eggs in water.
❖Eggs hatch to become larvae, then pupae.
❖ Then, the adult mosquito emerges from the pupa
as it floats at the water surface.
 Mosquito Borne Diseases.
• Malaria.
Causative agent : P. falciparum, P.vivax,
P. malariae
Vector : Anopheles species.
• Filariasis.
Causative agent : Wuchereria bancroti, Brugia malayi
Vector : Culex quinquefasciatus and Marsonia species.
 National Strategies for Malaria Elimination

• SPECIAL AREA STRATEGIES

– Tribal Areas

– Inaccessible and remote areas

– Migrant/Mobile populations

– Urban and periurban areas

– Refugee camps/populations

– Post natural disaster strategies

 National Strategies for Malaria Elimination

• Challenges to Malaria Elimination

– Financial sustainability
– Uninterrupted supply of materials – procurement and supply
uncertainity
– Highly trained and skilled manpower at all levels – hiring and
continuation
– Developmental activities creating more malariogenic potential –
identification and prevention
– Engagement of private sector
– Drug resistance
– Insecticide resistance
– Research for newer drugs, insecticides
– Real Time reporting from remote and inaccessible areas
 fgorki izfrca/kkRed mik;;kstuk
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R;klkBh vko';d dk;Zokgh &

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rki losZ{k.k dj.ksr ;kos-
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Bsokok-
 Dengue/Chikungunya
Maharashtra

Year wise information of Dengue in the State

No. of No. of No. of serum
Positive Deaths due
Year localities suspected samples
Cases to Dengue
affected cases examined
Up to 28 Nov.
33 46123 39944 2781 4
2020
Up to 28 Nov
90 105906 97989 11532 25
2021

Year wise information of Chikungunya in the State

No. of No. of No. of Serum Serologically
Year localities Suspected Samples positive CHK Deaths
affected Cases Examined cases

Up to Nov .
21 3487 3458 617 0
2020

Up to Nov
44 17803 17791 2275 0
2021
District wise Dengue positive cases information up to
28 Nov 2021

No. of
Total
No. of serum No. of
Circle Districts Dengue
outbreaks samples Deaths
Positive
Examined
Pune 8 765 419 0
Pune Solapur 1 881 327 0
Satara 16 930 401 0
Kolhapur 2 512 200 3
Sangli 0 119 19 0
Kolhapur Sindhudurg 2 524 84 0
Ratnagiri 1 85 38 0
 Corporation wise Dengue Situation Up to 28 November 2021

No. of No. of serum Total Dengue

Circle Corporation No. of Deaths
outbreaks samples Examined Positive

PCMC 0 3018 363 0

Pune PMC 0 927 636 0
Solapur 0 2122 609 0
Kolhapur 0 1080 282 0
Kolhapur Sangli-Miraj 0 137 7 0
Total 0 7284 1897 0
Districts wise Chikungunya positive cases information
up to 28 November 2021

No. of
No. of serum Total CHK No. of
Circle Districts
outbreaks samples Positive Deaths
Examined
Pune 11 518 386 0
Pune Solapur 1 16 6 0
Satara 8 98 77 0
Kolhapur 2 96 53 0
Sangli 0 41 12 0
Kolhapur Sindhudurg 0 0 0 0
Ratnagiri 0 0 0 0
Total 22 769 534 0
 Corporation wise Chikungunya Situation Up to 28
November 2021

No. of No. of serum Total CHK

Circle Corporation No. of Deaths
outbreaks samples Examined Positive

PCMC 0 215 16 0
Pune PMC 0 245 242 0
Solapur 0 0 0 0
Kolhapur 0 360 140 0

Kolhapur Sangli-Miraj 0 24 6 0
Total 0 844 404 0
 VECTOR OF DENGUE/DHF
❑ Resting Habit -
• Rests in the domestic and
peri domestic situations.
• Rests in
✓ dark corners of the houses,
✓ on hanging objects like
clothes, umbrella, or
✓ under the furniture
❑ Breeding Habits-
• Aedes aegypti mosquito
breeds in any type of man
made containers or storage
containers having even a
small quantity of water
• Eggs of Aedes aegypti can
live without water for more
then one year
Dengue / CHK

Responsible : Aedes mosquitoes

Vector : Aedes aegypti
Pathogen : Dengue / CHK virus (Genus
flavivirus)
Breeding sites : Domestic water collection, room
coolers, thrown tyres, plastic
bottles, ornamental pools, tree
holes, cavities on stones (fresh
water breeder)
TRANSMISSION CYCLE OF DENGUE
DENGUE FEVER
• Dengue is a viral
disease
• Transmitted by the
infective bite of
Aedes
Aegypti mosquito
• Incubation Period -
5-6 days
 DENGUE FEVER
• Two forms:
✓ Dengue Fever and
✓ Dengue Haemorrhagic
Fever(DHF)
• Dengue Fever - severe, flu-
like illness
• Dengue Haemorrhagic
Fever (DHF) –
✓ more severe form
✓ may cause death
Signs & Symptoms
• Abrupt onset of high fever
• Severe frontal headache
• Pain behind the eyes which
worsens with eye
movement
• Muscle and joint pains
• Loss of sense of taste and
appetite
• Measles-like rash over chest
and upper limbs
• Nausea and vomiting
 DENGUE HEMORRHAGIC FEVER
• Symptoms similar to • Frequent vomiting with
dengue fever or without blood
• Severe continuous • Sleepiness and
stomach pains restlessness
• Skin becomes pale, cold • Patient feels thirsty and
or clammy mouth becomes dry
• Bleeding from nose, • Rapid weak pulse
mouth & gums and skin • Difficulty in breathing
rashes
 Warning signs
• Clinical :
❖Abdominal pain or tenderness
❖Persistent pain or vomiting
❖Clinical fluid accumulation
❖Mucosal bleed ,lethargy, restlessness
❖Liver enlargement > 2cm
• Lab :
❖Increase in HCT concurrent with rapid decrease in
platelet count
 Msaxh fpdquxqU;k izfrca/kkRed mik;;kstuk

• rki mnzsd Rojhr eq[;ky;kyk dGok-

• loZizFke rsFks Rapid Response Team tkmQu rsFkhy mnszdkps izkFkehd funku
djQ n;k-
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पाठवणे-
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• Msaxhps e=R;q jks[k.kslkBh [kktxh oS|fd; O;kolk;hdkaph Clinical
Management of Dengue ;k fo"k;h dk;Z'kkGk vk;ksthr djkoh-
• mnszd vk<Gqu vkysY;k xkoke/;s ldkGh o la/;kdkGh /kqj iQokj.khP;k
nksu iQs`;k djkO;kr-
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dj.ksr ;koh-
1) gk Mkl fnolk pkorks R;keqGs fnolk vaxHkj dims ?kkyk-
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3) gk Mkl lkBysY;k o lkBoysY;k LOkPN ik.;koj ok<rks R;keqGs
?kjkP;k vktqcktqyk iQqVds di] cknY;k] Vk;j] [kM@Ms b- e/;s ik.kh
lkBqu nsmQ u;s rlsp lkBfoysys ik.kh lkBs gs >kkdqu Bsokosr-
4) xkoke/;s dksjMk fnol ikG.ksr ;kok ;klkBh lokZaps lgdk;Z ?ks.ksr ;kos-
5) ?kjkaP;k nkjs f[kMd;kauk tkG;k clokO;kr ?kjke/;s /kqj djkok-
6) Mkl izfrca/kkRed eyes] vxjcRR;k ;kapk okij djkok-
7) rkiln='; y{k.ks fnlqu vkY;kl Rojhr ljdkjh ;a_k.ks'kh laidZ lk/kkok-
Lymphatic Filariasis
Activities carried out under National Filaria control
programme up to November 2021

Year Persons Micro filaria Diseased Hydrocele

examined operations
2017 -18 1281980 1446 142 2517
2018-19 1318160 1474 266 3362
2019-20 1248269 1187 243 4891
2020-21 792579 450 70 2280
2021 -22
(Up to 757523 365 165 2824
November )
अंडवृद्धी शस्त्रक्रिया झालेल्या रुगणांची कडडेवारी २०२१

,dq.k ,dq.k
vaMo=/nh vaMo=/nh izxrhij शस्त्रक्रिया २०२० च्या
२०२१ च्या
आकडेवारीनस ु ार
v-dz - ftYgk jQX.k 2020 jQX.k 202१ (ekgs tkusokjh
च्या च्या
उरलेले अंडवद्
ृ धी
आकडेवारीनस
अंडवद्
ृ धी
ु ार उरलेले
रुग्ण
आकडेवारीनु आकडेवारी
2021 iklwu) रुग्ण
सार नस
ु ार

1 Solapur 19 8 10 9 -2
2 Sindhudurg 10 6 0 10 6
3 Ratnagiri 4 4 0 4 4
4 Satara 1 1 0 1 1
 Performance Of Filaria Night Clinics up to
November 2021

No.of Persons
Examined No. of
No+ Ve for No + Ve
Sr. Name of Name of filaria
(MF) MF % for Disease %
No. District the Clinic cases
Target Ach. % Ach. Humans Disease.
treated

Sindhudurg
Sindhudurg (DMO) Malvan 1500 1409 93.9 0 0 0 0
1
Akkalkot Vairag 1500 1319 87.9 0 0 0 0
Solapur
2 (NFCU) Valsang 1500 1216 81.1 0 0 0 0
 Performance Of Filaria Survey Units up to
November 2021

Progressive from January - 2021 to October - 2021

District No. of Persons No of Filaria cases No of Filaria cases

Sr. Filaria
under Examined Detected Treated
No Survey unit
Survey

Target Achive % Ach Mf Dis Total Mf Dis Total

1. Pune Satara 0 0 0 24000 1302 5.43 0 0 0

 Lymphatic Filariasis

• elephantiasis
• grossly disfiguring
• profoundly disabling
• with serious social, psychological
and economic consequences
• rarely life threatening
• recognized for centuries
• affecting people of all ages and sexes
• particularly poor and vulnerable
• in both urban and rural areas
• neglected disease
• 2nd leading cause of permanent and
long-term disability next only to Leprosy
 Age and Sex wise Prevalence of
Lymphatic Filariasis

• Maximum mf prevalence : 15-35 years

• Chronic Cases : > 40 yrs.
• Youngest age
mf positivity : 9 months
Disease : 3 yrs.
• Male / Female Ratio : 1.4: 1
 Types of Infection
1. W.bancrofti (bancroftian filariais)- 99.94%
infections
(40% of the global burden of LF)
2. B.malayi (Malayan filariasis, Brugian
filariasis)- 0.06%, widely distributed along
coastal districts of Kerala*
3. B. timori- Southeast Indonesia
* Some of the Old B.malayi foci disappeared
 Bancroftian filariasis
• Wuchereria bancroftia
• Normally resides in the lymphatics
• Female worms produce microfilaria
• Two biologically different forms
– Nocturnal periodicity- 10pm –2am
– Diurnal- Continuosly but peak in day time
Microfilaria of Wuchereria bancrofti
Microfilariae of Brugia malayi
 Microfilaria Carriers

• Asymptomatic
• Sub-clinical internal damage to their
lymphatic and renal system
• Proteinurea and haematuria
• Periodic
L3 coming out of Mosquito
 Adult Worms (Macrofilaria)

• Thread-like worms
Male worm
• Male: 4-6 cms
• Female: 6-12 cms
• Male-Female Sex
ratio: 1:8
• Location: Lymphatics

Female worm • Life Span: 10-15 years

• Fecundity: 3-4 years
 Vectors of LF
• W.bancrofti :
Culex quinquefasciatus :Mainland
(nocturnal periodicity)
Oclarotatus (Finlaya) niveus : Car Nicobar Islands
(Diurnally sub-periodic)
• B.malayi : Coastal area ( Nocturnal periodicity)
Mansonia annulifera
M.uniformis
 Transmission dynamics of LF
Prepatent period :
Time lapse between entry of L3 and first
appearance of microfilaria (7-9 months)
Incubation period :
Time lapse between entry of L3 and first
appearance of clinical manifestations (8-16
months)
Longevity of adult worm : upto10 yrs.; life span up
to 40 years has also been reported (WHO,1987-
manual )
 Guidelines for improving performance of low performing
Filaria Survey Unit, Filaria control unit and Night Clinics

➢ Send HR status (deputation and vacant post status of

various cadres of all FSU, NFCU and NC) data to JtDHS
office,Pune.
➢ Plan work according to your Targets.
➢ Take help of Corresponding ADHS, DHO, DMO and FO in
case of man- Power shortage.
➢ Send requirements to DMO/ FO of your
respective unit regarding
1.Night blood smear collection(Lancet, Prickers
etc.)
2. Reporting format /Registers
3. Medicines
 Guidelines for improving performance of low performing
FSU , NFCU and NC contd….

4.MMDP kit distribution should be timely.

➢Arrange regular training programs for continuous medical

education of staff and officers about Lymphatic Filariasis .

➢Hydrocele operation complete in this month.

➢Improve Night Blood Smear collection in Night clinics .

➢Regular and complete examination of NBS should be done.

 Not Login to E- Aushadhi between 11
Nov to 18 Nov 2021

S.No. User Id District Circle

1 dmo_thane - -
2 dmo_raigad - -
S.No. User Id DistrictCircle 3 dmo_nashik - -
1 adhs_mal_nashik - - 4 po_dmo_pune - -
2 adhs_mal_pune - - 5 po_dmo_sindhudurg - -
3 po_mal_nashik - - 6 dmo_pune - -
4 po_mal_kolahapur - - 7 dmo_satara - -
5 adhs_mal_kolhapur - - 8 dmo_kolhapur - -
6 po_mal_pune - - 9 dmo_sangli - -
10 dmo_sindhudurg - -
11 dmo_ahmednagar - -
12 po_dmo_raigad - -
13 po_dmo_ahmednagar - -
14 dmo_nandurbar - -
15 po_dmo_satara - -
16 po_dmo_kolhapur - -
17 dmo_jalgaon - -
 T.Chloroquine 250 mg Stock position till Nov. 2021

Sr.No District Name Stock Available At Head Quarter

1 Pune 294000
Solapur 341750
Satara 33830
2 Kolhapur 229000
3 Sangli 398050
4 Sindhudurg 387910
5 Ratnagiri 639560