National Dengue Prevention &

Control Program
LEONIDO P. OLOBIA, RMT, MSc.

Dengue Program Manager

Department of Health – Regional Office VIII

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 Dengue Fever (DF)

 An acute febrile viral disease.

 One of the most important emerging public
health problem.
 Clinical Type: dengue fever, dengue
haemorrhagic fever (DHF) & dengue shock
syndrome (DSS)
 The most common vector-borne arboviral
infections in the tropics and subtropics.
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 The term
“CHIKUNGUNYA”
is derived from the
Makonde word meaning
"that which bends up" in
reference to the stooped
posture developed as a
result of the arthritic
symptoms of the disease.

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 In May 2015, the Pan American
Health Organization (PAHO) issued
an alert regarding the first confirmed
Zika virus infection in Brazil.
 The outbreak in Brazil led to reports
of pregnant women giving birth to
babies with birth defects and poor
pregnancy outcomes.

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 Zika is primarily transmitted through
the bite of infected Aedes
mosquitoes.
 It can also be transmitted from a
pregnant mother to her baby during
pregnancy or around the time of
birth.
 The most common symptoms of Zika
are fever, rash, joint pain, and
conjunctivitis (red eyes). The illness
is usually mild with symptoms
lasting for several days to a week.

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Risk Factors Reported for DHF
 Virus strain
 Pre-existing anti-dengue antibody
• Previous infection
• Maternal antibodies in infants
 Age
 Higher risks in secondary infections
 Higher risks in locations with two or more
serotypes circulating simultaneously at high
levels
 High Aedes mosquito population

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 Transmission of Dengue Virus
by Aedes aegypti

Mosquito feeds Mosquito refeeds /

acquires virus transmits virus

Extrinsic Intrinsic
incubation incubation
period period
Viremia Viremia
0 5 8 12 16 20 24 28
DAYS
Illness Illness
Human #1 Human #2

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Paano nakukuha ang Dengue

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 Unusual Pattern of Dengue Transmission

Dolores Dengue Investigation : Onset Of

Sept 3-5, 2014 Barangay Illness
Kim Angel Boses-Bula: 6/F Brgy. 13 27-May-14
Mac Ivan Voces-Bula: 7/F Brgy. 13 27-May-14
Guzman, Jacquiline 29/F Brgy. 13 27-May-14
     
Borjal, Patrick Ian Robedizo 6/M Brgy. Japitan 17-Jun-14
Borjal, Wilma Robedizo 53/F Brgy. Japitan 17-Jun-14
Robedizo, Jamson Borjal Brgy. Japitan 17-Jun-14

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Mga sintomas o palatandaan ng
sakit na Dengue

 Mataas at tuloy-tuloy na lagnat na tumatagal ng

2-7 araw.

 Pamumula ng balat sanhi ng mataas na lagnat.

 Walang ganang kumain

 Pagkahilo at pagsusuka

 Labis na pananakit ng tiyan

 Pagdurugo ng ilong o gilagid

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 Aedes aegypti

 Dengue transmitted by infected female

mosquito
 Primarily a daytime feeder
 Lives around human habitation
 Lays eggs and produces larvae
preferentially in artificial containers

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Egg
 2-3 days
 Black, oval shape
 Laid singly above water level
 Never on a dry surface
 Thick exochorion (outer covering)
 Remains viable from 6 months to 1 year

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Larva (“kiti-kiti”)
 7 –8 days
 Swimming & gliding movement
 Pupa
 1- 2 days
 Stops to feed; no longer glides

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

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 M O S Q U IT O V E C T O R S

A n o p h eles C u lex

A ed es M a n so n ia

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 DENGUE VECTORS
Aedes aegypti
埃及伊蚊 (female M)
Aedes albopictus
白蚊伊蚊
Other Aedes:
 Ae polynesiensis
 Aedes niveus group (monkey)

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Adult
 20 days (Male); 30 days (Female)
 Biting time: “day-biters” w/ 2 peaks at dawn and
at dusk
 Resting habit: Prefers dark corners, shades, dark
objects
 Flight range: 50 – 300 meters
 Oviposition: 60-100 eggs/batch for up to 4 times
 Seasonal abundance: rainy months

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 Brgy. Date House Breteaux Predominant Containers
Index Index with Larvae
Jan. 20, Plastic container 48/158
71 2014 13.53% 52.15 (30.4%)
      Drum 37/158 (23.4%)
      Water jug 27/158 (17.09%)
      Water can 27/18 (17.09%)
        Tire 10/158 (6.3%)
       
Feb. 11-12,
71  2014 4.69% 5.78 Drum 12/37 (32.4%)
Plastic container 11/37
        (29.7%)
        Pail 6/37 (16.2%
        Tire 4/37 (10.8%)
        Cooler 2/37 (5.41%)

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 What are the
common
breeding sites of
Aedes mosquitoes?

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Dish Drain Tin Cans and
Board Bottles

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Drum Water Jar and
Container

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Aircon Tray Trash Cans

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Gulong Tambakan

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San Fernando Elementary School
(July 23, 2014)

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Alulod ng bubong Mga butas sa puno

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4S laban sa Dengue

 Search and Destroy

 Seek immediate consultation

 Say “YES” to fogging during clustering of cases and

outbreak

 Self-protection measures

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Mosquito Ovi/Larvicidal Trap
System

Black plastic cup

OL pellets
Lawanit paddle

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Fogging/Misting

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Larviciding

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 OLSYET SCREENS

CHEMICAL VECTOR CONTROL

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Caibaan Elementary School (July 14, 2014)

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 SCHOOLS WITH OLYSET
Fig. 1 Baseline vs. Follow-up Indoor Larvitrap Index in
Tacloban City
May-September 2012

10.0%

9.0%

8.0%

7.0%

6.0%
Baseline (May-June)
5.0%

4.0% Follow-up (August-Sept)

3.0%

2.0%

1.0%

0.0%
Sto. Nino SPED V&G EleM Rizal Central Panalaron Elem San Fernando
Center School School School Central School

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KILOS NA! Mag-4S-Kontra
Dengue

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Thank You
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