Dengue Vector Surveillance Website

Objectives of the Project Maintain, update and enhance website for dengue vector surveillance in participating schools nationwide Updated reporting of OL index for appropriate intervention Provide a “warning system” (white safe red Alert ) for dengue vector surveillance

Dengue Vector Control Application of various anti-DEN mosquito measures to alter the life cycle of the mosquito Targeting larval stage (ovitraps, OL Traps, larvicides, container management, environmental sanitation) Targeting adult stage (adulticiding, space spraying, aerosol treatment) Prevention of man-mosquito contact

Integrated Vector Management utilization of technical and managerial measures to bring about an effective degree of vector suppression to prevent and control transmission

Difference between tools (classical OV trap and Ovilarvicidal Trap) Ovitrap OL Trap Eggs on the paddle - Yes Live larva seen Action - Eggs trapped With organic larvicide Value-added None - Additional attractant (kills larva) Larvicidal Efficiency -85% ( 6-7 days efficacy) Risk - Adult mosquito emergence if not collected on time - same - Breeds Aedes, if uncollected (set and collect) - Breeds Aedes, if uncollected after 7 days (set and collect) Index (CTDI) - Ovitrap index : 10% - OLTrap: 20%

Department of Education Dengue Vector Surveillance Website (CY 2013-2014) Taskforce (PCHRD ITDI DOST-NCR STII) DOST Regional Staff Dep-Ed Regional Staff PSTDs Principals, Science Teachers, School Nurses Municipal/City Health office DOH School Dengue Brigade/Volunteers DOST (PCHRD, ITDI) DOST Regional Offices DOH and Rural Health Units Department of Education 1. Development and Maintenance of Website 1. Training on viewing of website for partners in the regions 1. Provide supply of pellets and paddles (DOH) 1. Disseminate information about the website to participating schools. 2. Conduct of trainers training for website navigation 2. Mapping of schools 2. Monitor and give additional advice on appropriate intervention based on OLI data. 2. Installation of traps in schools. 3. Monitoring of implementation 3. Reporting of + and – traps to designated number

CY 2012 OL Trap in Schools Program School-based Ovi/Larvi Trap Roll-out Installation started on June 13, 2012 OL traps were installed in 100% of schools (21,106 schools) in the DOH identified priority areas nationwide as of Dec 2012 Installations were also done in 13,721 schools in non-priority areas. Some schools utilized their school dengue brigades in the implementation of the project OL indices were monitored although difficulties in data retrieval were encountered A GIS mapped dengue website has been developed and piloted in NCR to facilitate visualization of OL index results per school and facilitate identification of appropriate interventions 7

Updates: Dengue Vector Surveillance (CY 2013 Implementation) The Dengue Vector Surveillance (DVS) website coverage was extended to cover nationwide implementation by CY 2013 The website shall serve as monitoring tool for dengue coordinators, city health officers and other public health practitioners Sec. Ona committed to fund next phase of the study – nationwide ovi/larvitrap index monitoring and data entry to dengue vector surveillance website PCHRD-DOST likewise committed to fund the surveillance study

Dengue Vector Surveillance Website The main page of the website

Dengue Vector Surveillance Website Closer View of the Map

Dengue Vector Surveillance Website The details of the school and the corresponding intervention appear when balloon was clicked

Dengue Vector Surveillance Website The Ovitrap index history appear when school’s name was clicked

Dengue Vector Surveillance Website The Ovitrap index history appear when school’s name was clicked

Implementation Parametrs/Issues/Concerns Updates Coverage: 100% Coverage Nationwide DepEd Central office has provided Masterlist of Elementary and High Schools which Regional Offices have validated List has school ID which will be used in OLI data text reporting. HVC will deliver supplies direct to schools . Supply of Trap and Pellets DOH will fund the OL pellets and supplies. DOH has allocated 84M for the project and will initially be releasing 30M by early June. First fund release from DOH will cover supplies up to 3 months of implementation.

Specific SMS format is required. Texting of data will be done weekly. Implementation Parametrs/Issues/Concerns Updates Data Reporting To partner with Mega-Mobile ( a content provider accredited by Smart, Globe and Sun) to facilitate data reporting through SMS. Reverse billing will be followed (teachers will not be charged if SMS formats are appropriately followed) Specific SMS format is required. Texting of data will be done weekly.

Implementation Parametrs/Issues/Concerns Updates Confusion on who should advise appropriate intervention 1. Website to adopt DOH vector surveillance alert system (2 levels only) 2. The website will contain the actions to be taken at the two alert levels 3. Additional interventions will be advised by DOH/CHD/RHU Issuance of Memorandum Circular and Terms of References Draft memorandum circular and TOR has been with DepEd for their comments/inputs since April 8, 2013. Per Asec Liboro and Asec Mateo telecon on May 7, 2013: Asec Mateo wants the delivery schedule attached in the Memorandum Circular , as well as the schedule of orientation in the regions.

Legend (as Proposed by DOH) Color Action to be taken White (HI is <5% and or BI is <20) OL Index < 40 Continue IEC campaign on prevention and control Continue clean-up activities Continue monthly entomological survey by local health authorities Red (HI is > 5% and or BI is > 20) OLI >= 40 Intensify IEC campaign on prevention and control Mobilize residents of affected barangay and start clean-up campaign with the help of the Dengue Brigade Continue monthly entomological survey by local health authorities Improve environmental sanitation Start community vigilance; search for more areas w/ HI of > 5% and or BI is > 20 Apply larvicides

Orientation Activities (National) Issues and Concerns Orientation Activities (National) Orientation for Coordinators from the region will be conducted after details with MegaMobile (content provider) have been finalized Re-orientation at the regions Topics: Vector Surveillance (Alert Levels, clarify who should advise interventions) Website navigation (user interface) Text Reporting formats Attendees: Deped Coordinators (Division Coordinators or School Coordinators, Representatives from CHDs and Rural health units Orientation (School Level) To be done by School Coordinator

Reporting from Schools Reporting Mechanism Reporting from Schools Feedback/Validation ASTI flags data when the following instances are encountered: OLI is at alert level (OLI>40%for three consecutive weeks. OLI increases/decreases by 50% compared to previous week School is unable to report data for two consecutive weeks. ASTI will send email to regional coordinators whenever data flags are encountered. DOST coordinators will forward flagged data sets to partners (DOH, CHD, DepEd) for further validation and appropriate intervention Teacher/School Coordinator/Nurse SMS ( Keyword, + traps, - traps, lost traps, harvest date) Megamobile ASTI/PCHRD gateway Auto updating of data in website

How to View the Website Front End/ For Viewers http://oltrap.pchrd.dost.gov.ph Back End/ For Administrators http://oltrap.pchrd.dost.gov.ph/index.php/administrator/

Indices Reporting Through Texting School representatives need to register first their mobile no. before they can send the report. To Register text: FOLLOW<space>LAMOK <space><School ID> and send it to: 2948 Notes: Each School has its own unique School ID In the case that you changed your cellphone no., you need to register again your new cellphone no. The new one will overwrite the registered old one.

Indices Reporting Through Texting To send a report, a school representative can text: POST LAMOK<space>PositiveTrap<space>NegativeTrap <space>Total Lost Traps<space>Date of Harvest and send it to: 2948 Example: POST LAMOK 3 3 2 06/04/2013 Notes: Each School can text up to 3 error messages per week for free. In excess to that will be charged against the subscriber

CY 2013 Dengue Vector Surveillance Website Budget Budgetary Requirements Amount Fund Source Remarks PS and MOOE requirements for implementation in the regions 12,974,832.00 PCHRD Funding for PS requirement (1 Project Assistant per region, communication and other implementation and monitoring expenses SMS Mechanism Program Development through mobile content provider 1,000,000.00 Development Fee, Maintenance Fee and Security Bond to Enable SMS reporting and automatic updating of data to Dengue Vector Surveillance Website

CY 2013 Dengue Vector Surveillance Website Budget Budgetary Requirements Amount Fund Source Remarks Supply of OL Trap and OL Pellets 30,000,000.00 DOH DOH has allocated 84 M for the project but will initially release 30 M by early June. Supplies will be procured from HVC and will be delivered directly to schools. Initial fund release will cover OL trap kits for all public elementary and secondary schools nationwide and two months additional supply of OL pellets

Refresher’s Training (National) - June 13, 2014 ITDI Metrology Conference Room DOST Compound Meeting with NCR Coordinators from DepEd Division Offices and City health Office CHD-NCR and DepEd NCR - June 14, 2014 Bayview Park Hotel Press Con June 20, 2013, Manila Target Installation date in NCR: June 18, 2013 Schedule of Division Trainings in NCR

Sustainability (memo from DOH endorsing use to LGUs) Issues Sustainability (memo from DOH endorsing use to LGUs) Thresholds (10% vs 20% vs 40%) Validation and Monitoring

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