MANOJ KUMAR PANDEY TUTOR OF

NARAYAN NURSING COLLLEGE SASARAM

National Malaria Eradication Programme (NMEP) which was being implemented in the country since 1958, was reviewed in 1977 and revised guidelines for Modified Plan of Operation (MPO) were issused to all States & UTs

Due to various outbreaks in the country malaria situation was reviewed in 1994 by an Expert Committee.

In pursuance of the Expert Committee's recommendations, the Directorate of NMEP brought out operational manual for Malaria Action Programme (MAP) in 1995

The Directorate of NMEP was renamed as Directorate of National Anti Malaria Programme (NAMP) in March, 1999.

Directorate of NAMP was dealing with three centrally sponsored schemes namely Malaria, Filaria and Kala-azar control and in addition, was looking after the prevention and control of Dengue and Japanese Encephalitis.

With a view to converge Dengue/Dengue Haemorrhagic fever and Japanese Encephalitis with the three on-going centrally sponsored schemes [National Anti-Malaria Programme (NAMP), National Filaria Control Programme (NFCP) and Kala-azar Control Programme], the integrated scheme was renamed as National Vector Borne Disease Control Programme (NVBDCP) from 2nd December, 2003.

In 2006, Chikungunya re-emerged in the country and this was also brought within the purview of Directorate of NVBDCP.

• Earlier the Vector Borne Diseases were managed

under separate National Health Programs• NVBDCP is an umbrella program for prevention

and control of 6 vector borne diseases namely: Malaria Dengue Chikungunya Japanese Encephalitis Kala-Azar Filaria (Lymphatic Filariasis)

Launched in India -1953

ACTION- Indoor residual spray of DDT in endemic areas.

RESULT- 80% of reduction in Malaria cases.

Launched in India -1958

ACTION- Programme in various phases. (Preparatory, Attack , Maintenance) RESULT- Early beginning successful very high, late set

back.

Modified plan of action (1977)

OBJECTIVE : Prevent death Reduce morbidity Maintain Industrial and Agricultural

production.

OUTCOMES: Brought down then 2.18 million in 1984

and remain stable in 2 million up to 1993. Again number of death increased.

Government of India adopted in 1994

OBJECTIVES: Management of critical complicated cases of

Malaria. Check death in high risk groups. Reduce morbidity rate. Checking malaria endemic. Limiting cases of drug resistance.

WORK POLICY: Finding and treating. Controlling of parasite. Indentifying primary areas.

Launched in 1971

OBJECTIVES: Adopting recurrent antilarval

measure in urban areas. Indentifying malaria cases with help

of available system and health workers.

Controlling malaria through treatment.

Launched in 1997

COMPONENTS: Early diagnosis and prompt treatment. Selective vector control and indivisual

protection. Information, Education, Communication. Developing capacity against infection. Epidemic planning and rapid response

In 2010, India is on 18th position in total reported cases in the world and 21st position in total world death of Malaria.

85% cases from Odisha, Rajasthan, Chhattisgarh, Madhya pradesh, Tripura, Andhra pradesh, Gujurat, Maharastra, West Bengal, Assam.

Launched in 1955

MEASURES: Assessing the extend of problem of

filaria. Treating and Diagnosed cases with DEC. Continuing the disease control through

antilarval and anti parasitic programme in urban areas.

Launched in 1990-91

Goals: To eradicate 2010;

Actions: Reduce number of vector and the

transmission by sprinkling of chemical twice /year.

Primary diagnosis and treatment. Providing health education for

protection against disease.