V S Mazumdar Professor and Head Department of Preventive and Social Medicine Medical 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 Rubella Chicken Pox and Herpes Zoster Diphtheria Mumps Meningococcal Meningitis Tuberculosis Avian Influenza Severe Acute Respiratory Syndrome (SARS) Acute Gastroenteritis Cholera Enteric Group of Fevers Shigellosis Helminthiasis Amoebiasis & Giardiasis Sexually Transmitted Infections (STI) Yaws Acquired Immuno-Deficiency Syndrome (AIDS) Leprosy (Hansen’s Disease) Trachoma 7/2/2015Dr V S Mazumdar2

 Goal 4 Reduce child mortality o 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 ratio o Achieve universal access to reproductive health  Goal 6 Combat HIV/AIDS, Malaria and other diseases o Achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need it o Should have halted by 2015 and begun to reverse the incidence of Malaria and other major diseases 7/2/2015Dr V S Mazumdar3

Regular Surveillance Vector Borne Disease1. Malaria Water Borne Disease 2. Acute Diarrhoeal Disease (Cholera) 3. Typhoid 4. Jaundice Respiratory Diseases 5. Tuberculosis 6. Acute Respiratory Infection Vaccine Preventable Diseases7. Measles Diseases under eradication8. Polio Other Conditions 9. Road Traffic Accidents (Linkup with police computers) Other International commitments10. 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 7/2/2015Dr V S Mazumdar4

 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 7/2/2015Dr V S Mazumdar5 Small creatures, big threat….

7/2/2015Dr V S Mazumdar6

Dengue cases increased during 2013 as compared to 2012 but samples tested were also more in 2013 SST up to October-12 is SST up to October-13 is deaths reported in 2013 against 6 in /2/20157Dr V S Mazumdar

Years Suspected and Confirmed Chikungunya cases reported (2007 to 2013) 7/2/20158Dr V S Mazumdar

7/2/2015Dr V S Mazumdar9 RNTCP Annual Status Report 2013

7/2/2015Dr V S Mazumdar10 RNTCP Annual Status Report 2013

7/2/2015Dr V S Mazumdar11 RNTCP Annual Status Report 2013

Between , World AIDS Day has the theme: "Getting to zero: zero new HIV infections. Zero discrimination. Zero AIDS-related deaths". Adult HIV Prevalence 7/2/2015Dr V S Mazumdar12 GUJARAT STATE AIDS CONTROL SOCIETY Department of H & FW, (Government of Gujarat )

 Leptospirosis o 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) 7/2/2015Dr V S Mazumdar13

7/2/2015Dr V S Mazumdar14 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 7/2/2015Dr V S Mazumdar15

 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 7/2/2015Dr V S Mazumdar16

 Identifying research areas/questions  Operational Research  Funding for research as part of programme  Specialized trainings  Third Party Audit/Evaluation 7/2/2015Dr V S Mazumdar17

 Advocacy for participation in health programs.  Health facilities utilization.  Addressing quality concerns.  Health portal for community (FAQs)  Information Kiosks at accessible points 7/2/2015Dr V S Mazumdar18

If you want to improve, accept the reality….. 7/2/2015Dr V S Mazumdar19

Thanks 7/2/2015Dr V S Mazumdar20