1. Dr.Muhammad Razzaq Malik بسم الله الرحمن الرحيم

2. MALARIA  Confirmed case of malaria  Indigenous case:  Malaria acquired by mosquito transmission in an area where malaria is endemic

3. Dr.Muhammad Razzaq Malik Introduced case  Malaria acquired by mosquito transmission from an imported case in an area where malaria is not a regular occurrence

4. Dr.Muhammad Razzaq Malik Imported case  Malaria acquired out side a specific area

5. Dr.Muhammad Razzaq Malik Induced case  Malaria acquired through artificial means

6. Dr.Muhammad Razzaq Malik Relapsing malaria Renewed manifestation of clinical malaria that is separated from previous manifestations of the same infection by an interval greater than an interval resulting from the normal periodicity of the paroxysm Renewed manifestation of clinical malaria that is separated from previous manifestations of the same infection by an interval greater than an interval resulting from the normal periodicity of the paroxysm

7. Dr.Muhammad Razzaq Malik Cryptic case  An isolated case of malaria that can not be linked epidemiologically to additional cases.

8. Dr.Muhammad Razzaq Malik SURVEILLANCE  Aimed at case detection and prompt treatment  ACTIVE SURVEILLANCE  PASSIVE SURVEILLANCE

9. Dr.Muhammad Razzaq Malik DENGUE FEVER  MOST COMMON Arthropod borne infection  ARBOVIRUS4 SEROTYPES  EMERGING DISEASE  TROPICS AND SUB TROPICS  URBAN AND PERIURBAN AREAS  CLASSICAL DENGUE FEVER  HAEMORRHAGIC FEVER –WITH OUT SHOCK –WITH SHOCK SYNDROME

10. Dr.Muhammad Razzaq Malik DENGUE FEVER  50 % OF THE WORLD POPULATION  -UNCONTROLLED POPULATION GROWTH  -URBANIZATION WITH OUT WATER MANAGEMENT  -NATIONAL AND INTERNATIONAL TRAVEL

11. Dr.Muhammad Razzaq Malik CLASSICAL DENGUE FEVER  BREAK BONE FEVER  EPIDEMIC AND ENDEMIC  RESERVOIR IS MAN AND MOSQUITO  VECTOR IS AEDES AEGYPTII  E.I.P. 8-10 DAYS INFECTIVE THROUGH OUT LIFE  ALL AGES BUT COMMON IN CHILDREN <15 YEARS  BOTH SEXES  FEVER, SEVERE HEADACHE, BODYACHES, RETROBULBAR PAIN, BRADYCARDIA, LEUCOPENIA AND ERUPTIONS.

12. Dr.Muhammad Razzaq Malik RABIES  ACUTE, HIGHLY FATAL VIRAL DISEASE OF CNS  LYSSAVIRUS  HYDROPHOBIA, A DISEASE THAT IS ALWAYS FATAL  ENZOOTIC AND EPIZOOTIC DISEASE OF WORLD WIDE  RABIES FREE AREAS

13. Dr.Muhammad Razzaq Malik AGENT  BULLET SHAPED NEUROTROPIC RNA VIRUS  LYSSAVIRUS, RHABDOVIRIDAE  VIRUS IS EXCRETED IN SALIVA OF AFFECTED ANIMALS  STREET VIRUS

14. Dr.Muhammad Razzaq Malik FIXED VIRUS  A VIRUS THAT HAS A SHORT, FIXED AND REPRODUCIBLE INCUBATION PERIOD (4-6 DAYS) WHEN INJECTED INTRACEREBRALLY INTO SUITABLE ANIMALS.  FIXED VIRUS IS USED FOR PREPARATION OF VACCINE.

15. Dr.Muhammad Razzaq Malik RESERVOIR OF INFECTION  URBAN RABIES  WILD LIFE RABIES OR SYLVATIC RABIES  BAT RABIES

16. Dr.Muhammad Razzaq Malik SOURCE OF INFECTION  SALIVA –RABID ANIMALS –3-4 DAYS BEFORE ONSET UP TO DEATH –RABIES IN MAN IS A DEAD END INFECTION

17. Dr.Muhammad Razzaq Malik HOST  ALL WARM BLOODED ANIMALS  LABORATORY STAFF  VETERINARIANS  DOG HANDLERS  HUNTERS

18. Dr.Muhammad Razzaq Malik MOT  ANIMAL BITES  LICKS  AEROSOLS  PERSON TO PERSON

19. Dr.Muhammad Razzaq Malik I.P  3-8 WEEKS

20. Dr.Muhammad Razzaq Malik VACCINATION  NERVE TISSUE VACCINE  DUCK EMBRYO VACCINE  CELL CULTURE VACCINE

21. Dr.Muhammad Razzaq Malik POST EXPOSURE PROPHYLAXIS  GENERAL CONSIDERATION  LOCAL TREATMENT OF WOUND –CLEANSING –CHEMICAL TREATMENT –SUTURING –ANTIRABIES SERUM –ANTIBIOTICS AND ANTI TETANUS MEASURES –OBSERVE ANIMAL FOR 10 DAYS  IMMUNIZATION

22. Dr.Muhammad Razzaq Malik THANKS