National Vector Borne Disease Control Programme [NVBDCP]

 

 

Hyper Link to NVBDCO- GoI

      

  Introduction

 

National Malaria Control Programme was launched during the year 1953, in entire country, which was followed by National Malaria Eradication Programme since 1958. In the year 1977 Modified Plan of Operation was launched in which laboratory facilities were decentralized from district to block level. Malaria Action Plan was executed in the year 1995, where emphasis was given on revised drug schedule in high risk areas. With the change in policy the programme was renamed as National Anti Malaria Programme during the year 1999. Year 2003 was another milestone where vector borne diseases like Malaria, Filaria, Dengue, Chikungunya, Kala Azar & Japanese Encephalitis were kept in one umbrella and programme is named as National Vector Borne Disease Control Programme. The programme is under execution in 50 districts through 48 District Malaria Units. Enhanced Malaria Control Project had commenced since 1997 in 90 blocks with the support of World Bank. 5 more blocks were added in the project during the year 2004. The project has closed in December, 2005 & now activities of the project are under sustenance.

   National Vector Borne Disease Control support Project with world Bank support commenced w.e.f. 1st April 2009 and will continue upto December 2013 in 9 districts i.e. Jhabua, Betul, Guna, Sidhi, Shahdol, Mandla, Dindori, Balaghat & Chhindwara of M.P in Ist phase. 10 more districts viz Dhar, Ratlam, Hoshangabad, Shivpuri, Sheopur, Ashok Nagar, Umaria, Sagar, Panna & Seoni are included in IInd phase since year 2011.

    Basic Information of State and enhanced Malaria Control Project

No.

Particulars

Madhya Pradesh

1

Area in Kilometer

3,08647

2

Population 2011 Census (in million)

72.60

3

Projected population 2013 (in million)

75.53

4

No. of Divisions

7

5

No. of Districts

50

6

No. of NVBDCP Units

48

7

No. of Entomological zones

4

8

No. of Medical colleges

6

9

No. of Blocks

313

10

No. of Tribal Blocks

89

11

No. of CHCs

333

12

No. of Sector PHCs

1156

13

No. of Sub-Centers

8856

14

No. of Villages

52143

15

No. of Malaria Clinics

505

16

No. of FTDs/ASHAs

52084

17

No. of Gram Panchayats

21,999

 

 

 Information on Stratification

Year

API 2 and above but not in high risk

High Risk Area

No. of District/ Units

No. of PHCs

No. of Sub-Centres

Population

No. of District/ Units

No. of PHCs

No. of Sub-Centres

Population

1997

34

75

1376

82,57,648

-

-

-

-

1998

34

151

1483

1,00,16,108

34

132

1610

87,64,296

1999

34

144

1360

93,86,147

34

141

1544

82,37,974

2000

34

62

943

80,01,559

34

210

2004

1,16,06,641

2001

20

118

897

57,33,645

29

155

1497

84,36,768

2002

80

105

541

34,59,681

25

110

950

65,90,746

2003

19

101

508

38,76,540

20

28

910

60,50,541

2004

29

160

813

54,44,293

29

240

1361

71,81,261

2005

34

156

981

69,34,502

44

216

1044

73,99,600

2006

34

142

962

68,83,996

44

199

1037

73,69,755

2007

37

70

686

47,61,023

38

70

948

53,29,366

2008

47 123 743

61,23,970

45

127

746

60,08,860

2009

48 - 870 69,29,994

39

-

430

35,15,201

2010

31 - 721 43,24,122 31 - 969 43,27,367

2011

35 - 1051 67,57,388 43 - 1138 68,76,978
2012 34 - 605 33,62,390 34 - 1012 51,97,043

 

 

Epidemiological Situation

Madhya Pradesh

 

The epidemiological situation of malaria in the state for the year 1996 to 2012 is as follows:-

Year

Population in Million

 

Blood Slide Examination

Total Positive

Total PF

RT%

 

ABER

API

SPR

SFR

PF%

1996

53.77

6845316

238222

61105

95.96

12.73

4.43

3.48

0.89

25.65

1997

56.20

7121964

228256

65106

95.61

12.67

4.06

3.20

0.91

28.52

1998

57.70

7552434

216127

61699

95.95

13.09

3.75

2.86

0.82

28.55

1999

59.13

7865243

203249

56432

97.73

13.30

3.44

2.58

0.72

27.76

2000

60.68

8310985

194689

62228

97.87

13.70

3.21

2.34

0.74

31.96

2001

62.21

8599687

180341

59045

92.65

13.82

2.90

2.10

0.69

32.75

2002

63.66

8652510

108818

31354

97.22

13.59

1.71

1.26

0.36

28.81

2003

65.30

9003681

99708

31303

97.80

13.79

1.53

1.11

0.35

31.39

2004

66.93

9066487

132094

52767

98.00

13.55

1.97

1.16

0.58

39.95

2005

68.60

9018326

104317

32223

99.00

13.15

1.52

1.16

0.36

30.89

2006

68.76

9735898

96130

29053

99.00

14.16

1.40

0.99

0.30

30.22

2007

69.47

9169387

90829

36622

99.60

13.22

1.31

0.99

0.40

40.32

2008

70.81

9279983

105382

42369

99.70

13.11

1.49

1.14

0.46

40.21

2009

71.89

9598361 87681 24523 99.37
13.35 1.22 0.91 0.26 27.97
2010 73.36 9223058 85794 30363 97.50
12.57 1.17 0.93 0.33 35.39

2011

74.13

9900131

91851

31940

98.00

 

13.55

1.23

0.93

0.32

34.77

2012 74.05 9580368 76538 24039 99.51
12.94 1.03 0.80 0.25 31.41

 

         When we review the epidemiological picture it is observed that during 1996 to 2012.

(i)

The ABER ranges from 12.73 to 14.16 (Year 2006) indicates better surveillance.

(ii)

The API have shown declining trend from 4.43 (year 1996) to 1.03 (Year 2012)

(iii)

The SPR have shown declining trend from 3.48 (year 1996) to 0.80 (Year 2012)

(iv)

The SFR have shown declining trend from 0.89 (Year 1996) to 0.25 (Year 2012)

(v)

The Pf % has shown the increasing trend from 25.65% (Year 1996) to 31.41 % in the Year 2012

 

 

 


 

VECTOR CONTROL MEASURES

                        SPRAY COVERAGE

Type of Insecticide

Year

Round

Population

Room

Targeted

Coverage

%

Targeted

Coverage

%

DDT

1997

I

5172973

4408002

85.21

5020489

4139479

82.45

1997

II

4839766

3931518

81.23

4536664

3250319

71.65

1997

FOCAL

42037

39661

94.35

34252

25344

73.99

1998

I

7698783

6839312

88.84

6746213

5989284

88.78

1998

II

6979784

6104002

87.45

6339918

5020645

79.19

1999

I

1746635

1597778

91.48

1617086

1342088

82.99

2000

I

3217955

3063529

95.20

2786283

2353457

84.46

Projtd.

2001

I & II

3650773

3470726

95.06

2649844

2240953

84.57

2002

I & II

4494007

4115419

91.58

3701330

3297160

89.08

2003

I & II

2541709

2373625

93.38

2215720

1866950

84.25

2004

I & II

3249521

3047922

93.79

2958576

2425022

81.97

2005

I & II

2739598

2636773

96.24

2413524

2031530

84.17

2006

I & II

1632190

1541981

94.50

1414603

121083

85.60

2007

I & II

1041072

992145

95.30

874048

734120

84.00

2008

I & II

1114141 1072188 96.23 1003403 851304 84.80

2009

I & II

735167 672749 91.50 523812 429258 81.95
2010 I & II 1912228 1850400 96.76 1556892 1314205 84.41
2011 I & II 1075339 1030643 95.84 874306 705801 80.72

2012

I & II

785459 757758 96.47 663412 548843 82.73

2012

FOCAL

419808 409691 97.59 359718 287743 79.99

Malathion

 

2003

I, II & III

122994

118907

96.67

88195

79447

90.08

2004

FOCAL

2214

2178

98.37

1547

1535

99.22

Syn. Pyreth-roids SP 5%

1999

I

1564321

1510051

96.53

1250761

1021618

81.68

2000

I

1994086

1775911

89.05

1038963

859073

82.68

2000

II

1874999

1696329

90.47

959210

764532

79.70

Projtd.

2001

I & II

4284583

4010679

93.60

2870438

2528705

880.9

2002

I & II

2004458

1951997

97.38

1431722

1275077

89.05

2003

I & II

1951817

1862545

95.42

1323124

1158256

87.53

2004

I & II

517318

500164

96.68

505508

449713

88.96

2005

I & II

3391455

3236229

95.42

2247234

1932567

86.00

2006

I & II

4514366

4201041

93.06

3549473

3123494

88.00

2007

I & II

4687368

4445415

94.83

978649

909530

89.70

2008

I & II

1596536 1523908 95.45 1284283 1137707 88.60

2009

I & II

2363610 2248656 95.13 1738037 1500227 86.32
2010

I & II

2667898 2517159 94.35 2015178 1784978 88.58
2011 I & II 3170669 2997621 94.54 2353915 2075719 88.18
2012 I & II 3847044 3721727 96.74 3054458 2776659 90.91
2012 FOCAL 66545 63313 95.14 41321 36915 89.33
S.P  10 % 2010

I & II

1603600 1537885 95.90 1321450 1188115 89.91
2011 I & II 303848 303171 99.78 189863 178713 94.12

 

 

VECTOR RESISTANCE STUDY  

 

    Studies conducted in 9 EMCP districts (28 PHCs) revealed that the vector has shown resistance to DDT 50% and Malathion in variable percentage in some districts; hence appropriate alternative insecticide Synthetic Pyrethroid is under use where ever it is required for vector control.

 

BIOLOGICAL CONTROL MEASURES

 

 Introduction of Larvivorous Fishes 

 

Fish introduction is a bio friendly method to control larvae of mosquitoes and helps to reduce chemical pollution. The larvivorous fishes like Gambusia have been successfully introduced in districts Dhar, Jhabua, Seoni, Mandla, Hoshangabad, Bhopal and Betul. A programme has been under taken in conjunction with the Fishery department for fish seed production. Gambusia and Guppi mainly larvivorous fishes can reduce mosquito's density by eating mosquito larvae.

 

Larvivorous fish are available in abundant in hatcheries in distt. Bhopal, Mandla, Hoshangabad, Betul, Seoni and Dhar districts.

 

During different years viz year 2005- 118.48 lakh, year 2006- 64.81 lakh, year 2007- 75.54 lakh, year 2008- 64.28 lakh, year 2009- 58.42 lakh, year 2010- 41.70 lakh, year 2011- 58.77 lakh, year 2012- 45 lakh fish are inducted in water bodies fir control of mosquito breeding in the State.

 

 

Bacticide W.P

 

A BIOLOGICAL INSECTICIDE (Environment Friendly Bio Insecticide for Control of Mosquitoes)

BACTICIDE is a biological larvicide based on sporogenic strain of Bacillus thuringiensis var. israelensis H-14 highly effective on mosquito larvae belonging to Diptera : Culicidae and larvae of blackflies belonging to Diptera : Simulidae. These mosquitoes are vectors of Malaria, Filaria, Japanese Encephalitis and Dengue, etc. or are nuisance mosquitoes. Blackflies are vectors of Onchocerciasis. BACTICIDE provides total kill of the larvae of these vectors within 6-24 Hrs. of application.

 

        Action Mechanism

DEATHS DUE TO MALARIA 

 S.No

Name of Unit

96

97

98

99

2000

01

02

03

04

05

06

07

08

09

10 11 12

1.

Sagar

2

3

1

2

6 susp.

3

2

3

2

7

-

-

2

- - 1 -

2.

Hoshangabad

3

-

-

-

2

-

-

-

-

-

1

4

1

- - - -

3.

Bhopal

5

-

-

-

1

-

 -

-

-

1

1

 -

2

1 1 2 -

4.

Bhind

1

-

-

-

-

1

1

2

-

-

-

1

-

- - - 2

5.

Raisen

1

-

-

-

-

-

1

-

-

-

4

1

0

- - - -

6.

Rajgarh

1

-

-

-

-

-

-

-

-

1

-

-

-

- - - -

7.

Mandla

-

5

-

2

10+39 susp

11

4

-

4

-

2

-

-

- - - -

8.

Gwalior

-

-

1

-

-

3

-

-

-

-

-

-

-

- 6 - 6

9.

Jhabua

-

-

1

-

-

-

 -

-

-

1

-

-

- - - -

10.

Betul

-

-

-

-

27

11

2

-

2

-

9

14

-

- - - -

11.

Chhindwara

-

-

-

-

8

-

1

-

-

-

-

-

-

1 2 4 -

12.

Vidisha

-

-

-

-

1

-

-

-

-

1

4

5

6

1 - - -

13.

Sidhi

-

-

-

-

33+14 susp.

9

3

1

8

25

26

1

2

1 2 26 11

14.

Rewa

-

-

-

5

3+1 susp.

6

2

6

6

2

-

1

-

2 - - -

15.

Seoni

-

-

-

-

4

7

-

-

-

-

4

3

3

- - 2 -

16.

Shahdol

-

-

-

-

1+5 susp.

-

-

-

-

-

-

-

-

- - - 1

17.

Balaghat

-

-

-

-

-

1

4

1

-

-

-

-

-

- - 6 2

18.

Dindori

-

-

-

-

3+2 susp.

6

2

-

3

-

-

-

-

6 3 1 2

19.

Sheopur

-

-

-

-

-

2

-

7

-

-

-

6

8

1 - - -

20.

Shivpuri

-

-

-

-

-

1

3

-

-

2

-

-

10

4 - - -

21

Dhar

 -

-

-

-

-

-

1

-

9

1

-

2

2

- 1 3 1

22

Jabalpur

 -

-

-

-

-

-

3

2

1

1

 

-

1

- 2 7 2

23

Khargone

-

-

-

-

-

-

1

-

-

-

-

-

-

- 1 1 -

24

Narsinghpur

-

-

-

-

-

-

-

-

1

1

-

-

-

- - 2 2

25

Sehore

-

-

-

-

-

-

-

-

-

1

-

1

1

- - - -

26

Shajapur

-

-

-

-

-

-

-

-

-

1

1

-

-

- - - -

27

Harda

-

-

-

-

-

-

-

-

-

-

1

1

1

- 1 - -

28

Damoh

-

-

-

-

-

-

-

-

-

-

2

-

-

- - 1 1

29

Khandwa

-

-

-

-

-

-

-

-

-

-

-

1

1

- - - 2
30 Chhatarpur - - - - - - - - - - - - 1 1 1 - 1
31 Umaria - - - - - - - - - - - - 1 5 - 5 -
32 Tikamgarh - - - - - - - - - - - - 8 3 3 7 4
33 Morena - - - - - - - - - - - - 2 - 4 - -
34 Annupur - - - - - - - - - - - - 1 - - - -
35 Barwani - - - - - - - - - - - - - - 1 4 -
36 Datia - - - - - - - - - - - - - - 3 - -
37 Mandsaur - - - - - - - - - - - - - - 3 2 -
38 Singroli - - - - - - - - - - - - - - 3 30 -
39 Neemuch - - - - - - - - - - - - - - 3 1 -
40 Satna - - - - - - - - - - - - - - 3 3 2
41 Panna - - - - - - - - - - - - - - 3 1 -
42 Ashok Nagar                                 1
43 Ratlam                                 2
44 Katni                                 1

Total

13

8

3

9

93+67

61

30

22

36

44

56

41

53

26 31 109 43

 

           

                 DDCs, FTDs and Malaria Clinics

Fever Treatment Depot (FTDs), Drug Distribution Centres (DDCs) and malaria clinics have been set up for early detection and treatment of malaria cases.

 Year

DDC

FTD/ASHA

 

Malaria Clinics

No. Esstt.

F.C. Treated

No. Estt.

B.S. Coll.

+VE

No. Estt.

B.S. Coll.

+VE

1997

9757

314399

11879

113138

1455

395

865380

72936

1998

10602

225877

11071

108276

3050

423

1173871

66656

1999

8731

141237

10930

103079

978

445

1095709

66956

2000

13133

239518

14245

172079

1597

446

1133018

55267

2001

16381

559870

18231

241536

1326

475

1218560

43569

2002

22265

350198

21175

310116

2975

532

893501

26656

2003

23638

51186

20981

29746

161

541

109813

3372

2004

36792

452600

29027

200000

1715

601

1199000

38819

2005

36859

677912

22563

150537

3424

687

1354319

45376

2006

41381

376104

15577

238510

2326

717

1327207

39481

2007

36670

302443

24805

218753

1796

669

1450175

35821

2008

30714

23379

32680

22394

685

1198

1206912

34111

2009

Abolish   21491 86609 280 378 875794 21434

2010

Abolish   26282 23742 880 505 946409 24840

2011

Abolish   52084 913650 2396      

2012

Abolish   53036 1148664 2740 707 2128947 42087

 

Rapid Diagnostic Kit

 

High risk areas are being identified as Pf predominant area where Rapid Diagnostic Kits (for Falciparum Malaria) are under use. Rapid Diagnostic Kits are also available for diagnosis of complicated & Cerebral Malaria cases in district Hospitals, Civil Hospitals and CHCs.

 

Drug Resistance study with Chloroquine

 

Drug Resistance studies were carried out against P.falciparum in the year 1999, in PHC Mohkhed (Chhindwada) where R1 level resistance was detected. In the year 2000 drug sensitivity study was conducted by Senior Research Officer from GoI, Bhopal in PHC Chicholi (Betul). Study findings revealed R1 level resistance in the area. Studies were carried out during the year 2004 in Kalyanpura (district Jhabua), year 2006 in Jaisinghnagar (district Shahdol) & year 2005 in Bajag (district Dindori) where therapeutic failure  with Chloroquine has been recorded and second line of treatment with Sulphadoxine Pyremethamine was followed. Now aa per National Drug Policy 2010 Artisunate combination therapy is under use for treatment of Falciparum Malaria cases.

 

Use of LLIN

 

GoI has supplied 7.07 lack LLIN;s  in the State. These LLIN's are distributed in high risk malarious areas of 9 districts i.e Dhar, Singrouli, Alirajpur, Dindori, Betul, Chhindwara, Mandla, Sidhi and Shahdol.

 

Last update: 30-05-2013