V S MazumdarProfessor and HeadDepartment of Preventive and Social MedicineMedical College Baroda

Malaria

Lymphatic Filariasis

Leishmaniasis

Dengue & Dengue Haemorrhagic Fever

Chikungunya

Japanese Encephalitis

Rickettsial Diseases

Yellow Fever

Viral Hepatitis

Anthrax

Tetanus

Plague

Rabies

Leptospirosis

Brucellosis

Measles

RubellaChicken Pox and Herpes Zoster DiphtheriaMumpsMeningococcal MeningitisTuberculosisAvian InfluenzaSevere Acute Respiratory Syndrome (SARS) Acute GastroenteritisCholeraEnteric Group of FeversShigellosisHelminthiasisAmoebiasis & GiardiasisSexually Transmitted Infections (STI)Yaws Acquired Immuno-Deficiency Syndrome

(AIDS)Leprosy (Hansen’s Disease)Trachoma

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Goal 4 Reduce child mortalityo Reduce by two thirds, between 1990 and 2015, the under-five

mortality rate Goal 5 Improve maternal Health

o Reduce by three quarters the maternal mortality ratioo Achieve universal access to reproductive health

Goal 6 Combat HIV/AIDS, Malaria and other diseaseso Achieve, by 2010, universal access to treatment for

HIV/AIDS for all those who need ito Should have halted by 2015 and begun to reverse the

incidence of Malaria and other major diseases

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Regular SurveillanceVector Borne Disease 1. MalariaWater Borne Disease 2. Acute Diarrhoeal Disease (Cholera)

3. Typhoid4. Jaundice

Respiratory Diseases 5. Tuberculosis6. Acute Respiratory Infection

Vaccine Preventable Diseases 7. Measles

Diseases under eradication 8. PolioOther Conditions 9. Road Traffic Accidents

(Linkup with police computers)Other International commitments 10. Plague, Yellow fever

Unusual clinical syndromes (Causing death/hospitalization)

11.Menigoencephalitis/ Respiratory Distress, Hemorrhagic fevers, other undiagnosed conditions

State specific diseases: 12. Dengue, Japanese Encephalitis, Leptospirosis

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The theme for 2014 is‘VECTOR-BORNE DISEASES’

Goal: better protection from vector-borne diseases Main AIM: To increase awareness about vector borne

diseases and to stimulate communities to take actions to protect themselves

Mainly focusing on -Malaria, Dengue, Lymphatic Filariasis,

Chikungunya, Japanese Encephalitis

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Small creatures, big threat….

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2004 2005 2006 2007 2008 2009 2010 2011 2012Malaria Cases 222807 177936 93071 71296 50884 45902 66622 89280 76246P.F. cases 66440 31199 19570 18406 11668 8485 13759 15971 10483

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www.gujhealth.gov.in

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Case-11 39 29 23 27 30 33 35 97 573 503 320 155

Cases-12 44 19 85 28 31 38 87 234 445 892 772 293

Cases-13 113 52 50 107 142 79 310 846 1707 932

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Dengue cases increased during 2013 as compared to 2012 but samples tested were also more in 2013SST up to October-12 is 10192SST up to October-13 is 1947412 deaths reported in 2013 against 6 in 2012.

www.gujhealth.gov.in

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Years

Suspected and Confirmed Chikungunya cases Suspected and Confirmed Chikungunya cases reported (2007 to 2013)reported (2007 to 2013)

www.gujhealth.gov.in

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RNTCP Annual Status Report 2013

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RNTCP Annual Status Report 2013

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RNTCP Annual Status Report 2013

Between 2011-2015, World AIDS Day has the theme:

"Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS-related deaths".

Adult HIV Prevalence

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GUJARAT STATE AIDS CONTROL SOCIETY Department of H & FW, (Government of Gujarat )

Leptospirosiso Total Cases in Gujarat decreased from 918 in

2011 to 308 in 2013 and total death decreased from 178 to 38.

Crimean Congo Hemorrhagic Fever (CCHF) Chandipura Virus disease Japanese Encephalitis (JE) Swine flu ( Novel H1N1)

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Data source: Epidemic Branch, Commissionerate of Health and Medical Education

Data available from the reporting systems (HMIS, IDSP

etc) does not give a true picture of the real burden for all

diseases.

Address Human Resource issues- Recruitment and training

Generate authentic data as far as possible

Translate data into policy for action

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Evidence Based Planning

Integrated Management of diseases

Regional/ de-centralized planning and

management should be considered.

Most health related activities in programme

mode rather than mission mode

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Identifying research areas/questions

Operational Research

Funding for research as part of programme

Specialized trainings

Third Party Audit/Evaluation

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Advocacy for participation in health programs.

Health facilities utilization.

Addressing quality concerns.

Health portal for community (FAQs)

Information Kiosks at accessible points

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If you want to improve, accept the reality…..

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Thanks

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