On Implementation of National Vector Borne Disease … Malaria...ANNUAL REPORT On Implementation &...

ANNUAL REPORT On Implementation of

National Vector Borne Disease Control Programme (NVBDCP)

in Haryana State

2011

Department of Health

Haryana

Director Health Services (Malaria),

Haryana, Panchkula

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Department of Health, Haryana

ANNUAL REPORT On Implementation & Strategy of

National Vector Borne Disease Control Programme (NVBDCP)

in Haryana State

2011

Director Health Services (Malaria), HUDA Dispensary, Sector 10, Panchkula, Haryana

Ph. No. 0172-2587014, 2587013 (Fax.) E-mail Address: [email protected]

[email protected] Web Addresses: www.haryanahealth.gov.in

www.nvbdcp.gov.in

Department of Health Services Haryana

CONTENTS Foreword by FCHM ------------------------------------------------------------------------------------ i Foreword by DGHS ------------------------------------------------------------------------------------ ii Preface ---------------------------------------------------------------------------------------------------- iv Chapter -1 Introduction and Background -------------------------------------------------------------------- 1 Chapter - 2 Historical Perspective & General Guidelines about NVBDCP --------------------------------- 5 Chapter – 3A Malaria & its FAQs-------------------------------------------------------------------------------------- 7 Chapter – 3B Dengue & its FAQs-------------------------------------------------------------------------------------- 17 Chapter – 3C Chikungunya & its FAQs------------------------------------------------------------------------------- 23 Chapter – 3D Japanese Encephalitis & its FAQs-------------------------------------------------------------------- 27 Chapter - 4 Organization set up ------------------------------------------------------------------------------------ 33 Chapter – 5 Occupancy & Vacancy Position --------------------------------------------------------------------- 35 Chapter - 6 Status of VBDs in Haryana for Last 20 Years & Affected Districts -------------------------- 41 Chapter – 7 Strategy and Goals & Objective for the year 2012 --------------------------------------------- 45 Chapter – 8 Mid Term Plan for Control of Dengue & Chikungunya ---------------------------------------- 53 Chapter - 9 Special Plan for High Risk Areas -------------------------------------------------------------------- 56

Annexures 1 PHC-wise data of Malaria with all parameters for the years 2010 -11 --------------68

2A. District Wise Status of Malaria in Haryana for last 6 years. ------------------------- 92

2B. District wise Status of Dengue in Haryana for last 5 years. ---------------------------- 95

2C. District wise Status of Chikungunya in Haryana for last 5 years -------------------- 96

2D. District wise Status of Japanese Encephalitis in Haryana for last 5years. ---------- 97

3. Operationalization of SSHs --------------------------------------------------------------- 98

4. Job Responsibility of MPHW (Male) ---------------------------------------------------------- 99

5. Malaria Control Order – 2012 ----------------------------------------------------------------- 102

6. Notification on Vector Borne Diseases. ----------------------------------------------------- 107

7. Bye-Laws for control of Vector Borne Diseases. ------------------------------------------ 109

8. Month wise Chronogramme ------------------------------------------------------------------- 113

9. Checklist for Monitoring and Supervision at District Headquarter -------------------117

10. Tour Schedule for Various Categories ----------------------------------------------------127

11. Calendar of Activities – 2011 -------------------------------------------------------------------128

12. Important Contact Numbers ------------------------------------------------------------------- 129

Message

I wish hearty congratulations to DGHS, DHS (M) and staff on the successful

accomplishment & publication of the 2nd

version of the proper comprehensive booklet

‘Annual Report on Implementation of National Vector Borne Disease Control Programme

2012’. This report will be very helpful for all the staff involved in NVBDCP to make strategy

for the future and also for general public to get aware of the present scenario of the Vector

Borne Diseases in the State and about the various schemes & Action Plan running or

launched by the Govt. in the State to curb the rising incidence of these diseases.

I am sure that this report will act as a better guide to all those persons who are

indulged in carrying out the activities under National Vector Borne Disease Control

Programme and also to the general public to check the efforts made by the department.

Mrs. Navraj Sandhu, IAS,

Financial Commissioner and Principal Secretary,

Health Department, Govt. Haryana

ii

Foreword

Mainly three Vector Borne Diseases are prevalent in Haryana i.e. Malaria, Dengue and

Japanese Encephalitis (JE). Chikungunya, not a fatal disease, is another newer threat for the

State showing some cases during the year 2011. I feel very proud to state that since 1997,

the menace of Vector Borne Diseases in the State has been well under control. The effective

steps taken by the Haryana Health Department for prevention and control of Vector Borne

Diseases have resulted in a decline of incidence of Vector Borne Diseases in the State.

In this report, present status of all the VBDs has been provided which will be very

helpful in determining the district wise situation of these diseases. As many as 32272 cases of

malaria were reported in the State in 2009 as compared to 35683 cases in 2008. However,

during the year 2010, there were only 18921 cases of Malaria in the State showing 42 %

decline as compare to the year 2009. In the previous year i.e. in 2011, there is rise in incidence

of Malaria because of some changing climatic conditions i.e. heavy rainfall in the State as

compare to the year 2010 which leads to the stagnation of water in large amount and acted as a

catalyst in the mosquito breeding.

The situation of Dengue is also well under control. As many as 267 cases with 3 deaths

have been reported in the year 2011 as compared to 866 cases with 21 deaths in the year 2010.

The incidence of Japanese Encephalitis and Chikungunya is almost nil. This could be made

possible due to J.E. vaccination campaign launched by the State from the year 2007 to 2010

followed by regular routine immunization in J.E. affected Districts.

I would like to congratulate Dr. Satvir Chaudhry, DHS (M) and Dr. Kamla Singh,

Deputy Director (SS) for the successful publication of second version of the booklet namely

‘Annual Report on Implementation of National Vector Borne Disease Control Programme

2012’. First Annual Report of booklet was highly appreciated at Government of Haryana and

Government of India level. This Annual Report is an effort to discuss the strategies and share

good practices in implementing the National Vector Borne Disease Control Programme in the

State.

Surveillance may be the affective tool to tame the rising incidence of the disease.

Surveillance includes Identifying, investigate and control outbreaks or epidemics; identifying

specific population groups at high risk of sickness and death from priority diseases; confirming

current priorities among disease control activities; evaluating the impact of preventive and

curative activities on the incidence and prevalence of priority diseases in the community;

monitoring disease trends so as to adjust plans to meet current needs.

Key strategies in the control of Malaria include early diagnosis and complete treatment,

indoor residual spraying and the use of insecticide-treated nets which is being effectively

implemented in the State. Unfortunately, these control strategies are becoming less effective

with the rapid development and spread of resistance to widely used drugs and insecticides.

iii

But it has been found that even in areas with good access to health care, it is common

for malaria patients to present at the health facility late or not at all, hence the effectiveness of

any Malaria Control Strategy is decreased with the less-active and less-informed participation

of the intended beneficiaries in the community. Spreading of disease is more fatal because

people do not understand the route of transmission of malaria, and its prevention because of

ignorance as well as less or no community education efforts related to the role of disease-

carrying mosquitoes, and their preferred breeding habitats and feeding behaviors.

Steps will be taken to curb the spread of all the Vector Borne Diseases in 2012. The

control strategy will be fruitful when people understand the problems along with the health

worker and take seriousness of the problem among them. So, a special campaign of Disease

awareness programme and IEC activities at least of one week along with a Fever Mass Survey

at large scale will be launched in the State with involvement of Gram Panchayats and

cooperation of key departments like Urban Local Bodies, Public Health Engineering,

Development & Panchayats etc. Standard Treatment Protocol as per New Drug Policy-2010

will be followed for the treatment of all cases of Malaria.

As per suggestion of this Annual report, it is utmost important that Surveillance

Activities should be intensified & well monitored. Prompt & Complete Radical Treatment to

each Malaria +ve cases must be ensured to tame the rising incidence of Malaria. No stone

should be left unturned to curb the spread of disease and strengthen the surveillance activities.

It is expected that our concerted efforts to effectively implement the strategies of the

department would lead to massive decline in the incidence of Vector Borne Diseases to a great

extent. The staff involved in the implementation of National Vector Borne Disease Control

Programme should be ready to tackle any danger posed by Vector Borne Diseases.

I am sure that this report will be very useful to all those persons who are involved in

the implementation of National Vector Borne Disease Control Programme.

Dr. Narveer singh

Director General Health Services

–cum-Project Director (RCH-II), Aids

Haryana, Panchkula

iv

PREFACE

I have great pleasure in placing this Annual Report before all readers especially those

who are engaged with the National Vector Borne Disease Control Programme. This Annual

Report has been written for the purpose to aware all the staff involved in the NVBDCP and

General Public about the results of the implementation of NVBDCP and the present status of

all the Vector Borne Diseases in Haryana.

This comprehensive volume would enable the readers to gain a complete knowledge

about the Vector Borne Diseases and the National Vector Borne Disease Control Programme

being run in the State. My long experience as the Director Health Services (Malaria) has been a

great source of inspiration and has helped me immensely in editing this Annual Report on

Implementation on National Vector Borne Disease Control Programme.

It includes all the information regarding Vector Borne Diseases prevalent in Haryana,

their symptoms, process of diagnosis, standard treatment protocol and prevention & control

measures. In this report, the topics on Entomology, Spray Operations (focal & regular) along

with the strategy for the current year, Standard Head wise Expenditures occurred in the

previous year and the budget provisions for the current fiscal year have been incorporated

which were not the part of the previous version of this booklet.

I have made my best effort to make the contents of this booklet relevant, authentic and

up to date. Some annexure have been provided in this booklet through which data/reports of

the previous years and FAQ of all these diseases have been supplied which may help readers to

study & evaluate the changing facet of the diseases effectively. I hope this Annual Report will

be helpful to all those who are involved in the implementation of NVBDCP.

I take immense pleasure in thanking Mrs. Navraj Sandhu, IAS, Finance Commissioner

and Principle Secretary to Govt. of Haryana, Health department and Dr. Narveer Singh,

DGHS, Haryana who guided me a lot in preparing the skeleton of this booklet. Words are

inadequate in offering my thanks to Dr. Kamla Singh and Dr. Jagmal Singh, our dynamic &

dedicated Deputy Directors (Senior Scale) for their useful inputs and cooperation in

completing the remaining task. Needless to mention here that the comments received from all

the Civil Surgeons/ Dy. Civil Surgeons/other officers on the previous version of this booklet

also helped me a lot to move forward. I would also like to compliment the staff of technical

branch this office for all their valuable assistance for the successful completion of the task of

publishing this Annual Report.

I welcome all constructive comments and concrete suggestion from all readers so that

corrections may be made in subsequent reports.

Dr. Satvir chaudhry

Director Health Services (Malaria)

Haryana, Panchkula

Annual Report on implementation of NVBDCP (www.nvbdcp.gov.in , www.haryanahealth.gov.in) Page 1

Introduction and Background

Malaria is one of the oldest vectors borne disease known to occur in State. Entire State

is both vulnerable as well as receptive for the disease. During the year 1976, there were as

many as 7.36 lakh cases of malaria and a few deaths as well. But with the implementation of

‘Modified Plan of Operations’ (MPO) during the year 1977, and thereafter ‘National Anti-

Malaria Programme’ (NAMP) in the year 1995, the incidence of malaria started declining.

During the last 5 years, the incidence of malaria in Haryana state has ranged from 18,921 to

47,077 and there have been no death due to this disease. During the year 2010, 18,921 Cases

with 763 Pf cases have been reported in the State showing the decline position as compare to

the 32,272 cases reported during the year-2009. But in the year 2011, there is huge increase in

Malaria cases and a total 33401 cases with 1133 Pf cases have been reported. P. vivax and P.

falciparum are two main types of malarial infections prevalent in the state. P. falciparum can

cause cerebral manifestations and leads to deaths. In Haryana, vivax is predominant type and

Falciparum contributes to only 2-5 % of total cases.

Dengue/Chikungunya is an Arbo viral disease transmitted by Aedes mosquitoes which

breeds in water stored in domestic clean water containers such as coolers, AC Trays, pitchers,

drums, overhead tanks, haudies, flower vases etc. Since, there is no specific treatment of the

Dengue/Chikungunya; therefore Source Reduction is the most effective way to check the

spread of disease. It has been seen in the past that the containers index of Aedes Larvae start

rising from the month of August/September onwards and continue occurring till November.

It is therefore of utmost importance that we start Source Reduction and Anti Larval

Measures well in advance so that the density of vector is not allowed to reach up to a level

where it is dangerous for transmitting the disease. Approximately 15000 Volunteers/ASHA/

SMS workers/ SAKHIS were engaged as Seasonal Domestic Breeding Checkers. Rs 175 lakh

were made available under NRHM additionalties for this activity during the year 2009.

Urban Local Bodies department, Haryana has notified the Bye-laws for

Dengue/Chikungunya and Malaria Control in the State. Director, Urban Local Bodies,

Haryana has issued directions to all Municipal Corporations and Municipal Councils to

cooperate with Health Department in control of mosquito breeding by promoting public

awareness through Advertisements/Public Meetings to avoid stagnation of water in coolers,

abandoned tyres and unused containers etc.

In addition to preventive measures, Management of the existing case is also important.

For proper management, one should be familiar with case definitions, different grades of the


disease and one must know how to diagnose and treat the condition. A standard protocol on

Clinical Management of Dengue Fever and Dengue Hemorrhagic Fever has been developed by

National and International Experts namely Dr. D. J. Gubler, Director, Asia Pacific Institute of

Tropical Medicine, USA; Dr. Suchitra Nimmanitya, Consultant, WHO Collaborating Centre

for Management of Dengue, Thailand; Physicians and Pediatricians of NCT of Delhi and other

States and the same is being taught for onward transmission to Medical Officers of Directors.

It is pertinent to note that in the year 1976, a massive outbreak of Dengue Disease was

reported in the state when 1642 cases and 54 deaths were reported. District Faridabad alone

reported 1340 cases. Since then, sporadic cases have been reported from various urban as well

as rural areas of the state. District Faridabad and Gurgaon are continuously contributing to

major chunk of cases and the trend is that of rising nature. In the year 2005, there were 320

suspected cases out of which 183 were confirmed cases while in the year 2006, there were

2739 suspected cases out of which 838 cases were confirmed Dengue Cases. However, during

2007, only 594 suspected cases were reported out of which 365 cases were found confirmed

with 11 deaths of Dengue. During the year 2008, 1159 Confirmed cases of Dengue were

reported with 4 deaths whereas during the year 2009, only 125 cases of Dengue have been

reported with one death only. During the year 2010, 866 Cases have been found confirmed

with 21 deaths showing the increasing trend corresponding to huge increase in adjacent Delhi

& Punjab. Again in the year 2011, there is a huge decline as compared to the last year and total

267 cases with 3 deaths have been reported in the whole State.

13 cases of Chikungunya were reported in the State during the year 2007 and 20 cases

of Chikungunya were reported in year 2008. However, no case of Chikungunya was reported

in state during year 2009. Only one case of Chikungunya has been reported in District Rohtak

in the year 2010. During the current year, 74 cases of Chikungunya have been reported in the

State showing a huge rise in incidence as compared to the last years and Panchkula & Yamuna

Nagar are most effected Districts.

JE outbreak was reported for the first time in the year 1990 when 294 cases were

reported and 205 people died. Since then the cases are being reported every year from some

paddy growing districts of the State. Most of the cases are detected from the districts of

Karnal, Kurukshetra, Kaithal and their adjoining areas. The vector culextritaeniorhynchus is

found to be breeding profusely in rice fields. The vector has been found in both outdoor and

indoor collections. The JE cases area reported usually between July to November, peak being


in the month of October. During the year 2007, 85 suspected cases with 46 deaths were

reported out of which 32 were confirmed cases with 18 deaths.

The incidence of this disease is more among the children of 1 to 15 years of age group.

A proposal for supply of JE vaccination to control this disease was sent to Central Government

by the Department in the year 2004-05. The proposal was accepted by the Central Government

to supply the JE vaccine to Haryana State free of cost.

The JE vaccination campaign was launched in the State in phased manner. In 1st phase,

the district Karnal and Kurukshetra were covered under JE vaccination during 2007. In 2nd

phase, the district Ambala was taken for JE vaccination during 2008. In 3rd

phase, the District

Panipat& Yamuna Nagar has been covered under JE vaccination campaign during 2009 and in

the 4th

phase, District Kaithal has been covered during the year 2010. The District Jind and

Panchkula are to be taken for J.E. vaccination during the year 2011-12.

It is also submitted that after launching of JE Vaccination not a single case of

confirm JE was reported during the year 2008. However, during the year 2009, only one

confirmed case was reported and during the year 2010, one JE confirm case has been reported

in district Kurukshetra. Though, during the current year, there is significant rise in the

incidence of Japanese Encephalitis. Total 12 Cases with 4 deaths of J.E. have been reported

out of which 11 cases with 4 deaths are reported from District Kaithal and a new District has

come up with J.E. +ve case which is Gurgaon District where one case with death is found +ve

for J.E.



HISTORICAL PERSPECTIVE & GENERAL GUIDELINES

ABOUT NVBDCP

Historical Perspective:

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 issued 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 Hemorrhagic fever and Japanese

Encephalitis with the three ongoing centrally sponsored schemes [National

Anti-Malaria Programme (NAMP), National Filaria Control Programme

(NFCP), and National 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.

General Guidelines:

The Programme is an integral component of NRHM and will be implemented

under the overall umbrella of NRHM. The Programme will be monitored at the

National level through the mechanisms established under NRHM.

Directorate of NVBDCP will be the nodal agency for policy recommendations

and issuance of technical guidelines whereas the State Government/UT

Institutions will be the primary implementing agencies.


As per the guidelines issued under NRHM and Directorate of NVBDCP, the

State Governments have to reflect their requirements and activities and physical

targets, whether to be funded by Central of State or any other source, in the

Programme Implementation Plan (PIP). The PIPs must reflect the overall

financial envelope indicating various components i.e. funding from State, Govt.

of India and any other source and physical targets.

Assistance by GOI – whether cash or commodity of otherwise – will be based

on the approved PIPs of the State Governments, commonly known as Record of

Proceedings (ROP) of the National Programme Coordination Committee

(NPCC). The additional requirement of the State, over and above the approved

PIP i.e. RPO must be met by the State Govt. from their resources by creating

new budget lines, if required.

The GOI funds will be routed through State and District Health Societies under

the umbrella of NRHM, except the component of salary and other charges of

UTs which will be through treasury route.

The externally aided projects supported either by World Bank or GFATM or

any other source will be governed by their specific terms and conditions

contained in their financial agreement or any other instrument signed by GOI.


MALARIA

INTRODUCTION

Malaria is a potentially life threatening parasitic disease

caused by parasites known as Plasmodium vivax (P.vivax),

Plasmodium falciparum (P.falciparum), Plasmodium

malariae (P.malariae) and Plasmodium ovale (P.ovale)

It is transmitted by the infective bite of Anopheles mosquito

Man develops disease after 10 to 14 days of being bitten by an infective mosquito

There are two types of parasites of human malaria, Plasmodium vivax, P. falciparum,

which are commonly reported from India.

Inside the human host, the parasite undergoes a series of changes as part of its complex

life cycle. (Plasmodium is a protozoan parasite)

The parasite completes life cycle in liver cells (pre-erythrocyticschizogony) and red

blood cells (erythrocyticschizogony)

Infection with P.falciparum is the most deadly form of malaria.

HISTORICAL PERSPECTIVE

Malaria has been a major public health problem in India. Intermittent fever, with high

incidence during the rainy season, coinciding with agriculture, sowing and harvesting, was first

recognized by Romans and Greeks who associated it with swampy areas. They postulated that

intermittent fevers were due to the ‘bad odour’ coming from the marshy areas and thus gave

the name ‘malaria’ (‘mal’=bad + ‘air’) to intermittent fevers. In spite of the fact that today the

causative organism is known, the name has stuck to this disease.

SYMPTOMS OF MALARIA

Typically, malaria produces fever, headache, vomiting and other flu-like symptoms.

The parasite infects and destroys red blood cells resulting in easy fatigue-ability due to

anemia, fits/convulsions and loss of consciousness.

Parasites are carried by blood to the brain (cerebral malaria) and to other vital organs.

Malaria in pregnancy poses a substantial risk to the mother, the fetus and the newborn

infant. Pregnant women are less capable of coping with and clearing malaria infections,

adversely affecting the unborn fetus.

SYMPTOMS OF SEVERE AND COMPLICATED MALARIA

The priority requirement is the early recognition of signs and symptoms of severe

malaria that should lead to prompt emergency care of patient. The signs and symptoms that

can be used are non-specific and may be due to any severe febrile disease, which may be


severe malaria, other severe febrile disease or concomitant malaria and severe bacterial

infection.

The symptoms are a history of high fever, plus at least one of the following:-

Prostration (inability to sit), altered consciousness lethargy or coma

Breathing difficulties

Severe Anaemia

Generalized convulsions/fits

Inability to drink/vomiting

Dark and/or limited production of urine

Patients with prostration and/or breathing difficulties should, if at all possible, be

treated with parenteral anti-malarials and antibiotics. Oral treatment should be substituted as

soon as reliably possible. Frequent monitoring of laboratory parameters is essential – blood

sugar, blood urine, fluid balance, associated infection, etc. Drugs that increase gastro intestinal

bleeding should be avoided.

SIGNS OF SEVERE AND COMPLICATED MALARIA

Cerebral malaria, defined as unarousable coma not attributable to any other cause in a

patient with falciparum malaria.

Generalized convulsions.

Normocytic anaemia.

Renal failure.

Hypoglycaemia.

Fluid, electrolyte and acid-base disturbances.

Pulmonary oedema.

Circulatory collapse and shock (“algid malaria”).

Spontaneous bleeding (disseminated intravascular coagulation).

Hyperpyrexia.

Hyperparasitaemia.

Malarial haemoglobinuria.

RISK FOR SEVERE COMPLICATIONS

In areas of low transmission – all age groups are vulnerable but adults develop more

severe and multiple complications. The transmission pattern in most parts of India is

usually low, but intense transmission is seen in north-eastern states and large areas of

Orissa, Chhattisgarh, Jharkhand and Madhya Pradesh.

In areas of high transmission – children below 5 years, visitors, migratory labour.

Associations of pregnancy-pregnant women are less capable of coping with and

clearing malaria infections, adversely affecting the unborn fetus.


TREATMENT OF MALARIA

Treatment of uncomplicated malaria

a) All fever cases suspected to be malaria should be investigated by microscopy or RDT.

b) P. vivax cases should be treated with chloroquine for three days and Primaquinefor 14

days. Primaquine is used to prevent relapse but is contraindicated inpregnant women,

infants and individuals with G6PD deficiency.

Note: Patients should be instructed to report back in case of haematuria or high

colored urine /cyanosis or blue coloration of lips and Primaquine should be

stopped in such cases. Care shouldbe taken in patients with anaemia.

c) P. falciparum cases should be treated with ACT (Artesunate 3 days +Sulphadoxine-

Pyrimethamine 1 day). This is to be accompanied by single doseprimaquine on day 2.

d) Pregnant women with uncomplicated P. falciparum should be treated as follows:

1st Trimester: Quinine

2nd & 3rd Trimester: ACT

Note: Primaquine is contraindicated in pregnant woman

e) In cases where parasitological diagnosis is not possible due to non-availability of either

timely microscopy or RDT, suspected malaria cases will be treated with full course of

chloroquine, till the results of microscopy are received. Once the parasitological

diagnosis is available, appropriate treatment as per the species, is to be administered.

f) Presumptive treatment with chloroquine is no more recommended.

g) Resistance should be suspected if in spite of full treatment with no history of vomiting,

diarrhoea, patient does not respond within 72 hours, clinically and parasitologically.

Such cases not responding to ACT, should be treated with oral quinine with

Tetracycline / Doxycycline. These instances should be reported to concerned District

Malaria /State Malaria Officer/ROHFW for initiation of therapeutic efficacy studies.

DRUG SCHEDULE FOR TREATMENT OF MALARIA UNDER NVBDCP

Treatment of P.vivax cases

1. Chloroquine: 25 mg/kg body weight divided over three days i.e. 10mg/kg on day1,

10mg/kg on day 2 and 5mg/kg on day 3.

2. Primaquine: 0.25 mg/kg body weight daily for 14 days.


Age-wise dosage schedule for treatment of P.vivaxcases

Age

(in Years)

Tablet Chloroquine

(150 mg base)

Tablet Primaquine

(2.5 mg base)

Day-1 Day-2 Day-3 Day-1 to Day-14

< 1 ½ ½ ¼ 0

1 – 4 1 1 ½ 1

5 – 8 2 2 1 2

9 – 14 3 3 1 ½ 4

15 & above 4 4 2 6

* Primaquine is contraindicated in infants, pregnant women and individuals

with G6PD deficiency. 14day regimen of Primaquine should be given under

supervision.

Treatment of uncomplicated P. falciparum cases

1. Artemisinin based Combination Therapy (ACT)*

2. Plus

3. fadoxine (25 mg/kg body weight). Pyrimethamine (1.25 mg/kg

bodyweight) on first day

* ACT is not to be given in 1st trimester of pregnancy.

Age-wise dosage schedule for treatment of P.falciparumcases

Age

(in

years)

1st Day 2

nd Day 3

rd Day

Artesunate

(50 mg)

SP+ Artesunate

(50 mg)

Primaquine

(7.5 mg base)

Artesunate

(50 mg)

< 1 ½ ¼ ½ 0 ½

1 – 4 1 1 1 1 1

5 – 8 2 1 ½ 2 2 2

9 – 14 3 2 3 4 3

15 &

above

4 3 4 6 4

NOTE: Each Sulphadoxine-Pyrimethamine (SP) table contains 500

mg sulphadoxine and 25 mg pyrimethamine


Treatment of uncomplicated P.falciparum cases in pregnancy

1st Trimester: Quinine salt 10mg/kg 3 times daily for 7 days.

Note: Quinine may induce hypoglycemia; pregnant women should not

start quinine on an empty stomach and should eat regularly, while on

quinine treatment.

2nd and 3rd Trimester: ACT as per dosage given above.

Treatment of mixed infections (P.vivax+ P.falciparum) cases

All mixed infections should be treated with full course of ACT and Primaquine 0.25mg

per kg body weight daily for 14 days.

Treatment of severe malaria cases Severe malaria is an emergency and treatment should be given as per severity and

associated complications which can best be decided by the treating physician. The Guidelines

for specific anti-malarial therapy are as follows:

Artesunate: 2.4 mg/kg body weight IV or IM given on admission (time = 0h); then

at 12h and 24 h and then once a day.

(or)

Artemether: 3.2 mg/kg body weight IM given on admission and then 1.6 mg/kg

body weight per day.

(or)

Arteether: 150 mg IM daily for 3 days in adults only (not recommended

for children).

(or)

Quinine: 20 mg/kg* body weight on admission (IV infusion or divided IM

injection) followed by maintenance dose of 10 mg/kg body weight 8

hourly.

The infusion rate should not exceed 5 mg salt/kg body weight per hour.

(*loading dose of Quinine i.e. 20mg /kg body weight on admission

may not be given if the patient has already received quinine or if

the clinician feels inappropriate).

Note:

The parenteral treatment in severe malaria cases should be given for minimum

of 24hours once started (irrespective of the patient’s ability to tolerate oral

medication earlier than 24 hours).

After parenteral Artemisinin therapy, patients will receive a full course

of oral ACT for3 days. Those patients who received parenteral Quinine therapy

should receive:

Oral Quinine 10 mg/kg body weight three times a day for 7 days

(including the days when parenteral Quinine was administered) plus

Doxycycline 3 mg/kg body weight once a day or Clindamycin 10 mg/kg

body weight 12-hourly for 7days (Doxycycline is contraindicated in

pregnant women and children under 8years of age).

(or)

ACT as described.


FREQUENTLY ASKED QUESTIONS

What is malaria?

Malaria is a serious and sometimes fatal disease caused by a parasite. Patients with malaria

typically are very sick with high fevers, shaking chills, and flu-like illness. Four kinds of

malaria parasites can infect humans: Plasmodium falciparum, P.vivax, P. ovale, and P.

malariae.

Infection with any of the malaria species can make a person feel very ill; infection with P.

falciparum, if not promptly treated, may be fatal. Although malaria can be a fatal disease,

illness and death from malaria are largely preventable.

Is malaria a common disease?

Yes. The World Health Organization estimates that each year 300-500 million cases of malaria

occur and more than 1 million people die of malaria. About 1,300 cases of malaria are

diagnosed in the United States each year. The vast majority of cases in the United States are in

travelers and immigrants returning from malaria-risk areas, many from sub-Saharan Africa and

the Indian subcontinent.

Is malaria a serious disease?

Yes. Malaria is a leading cause of death and disease worldwide, especially in developing

countries. Most deaths occur in young children. For example, in Africa, a child dies from

malaria every 30 seconds. Because malaria causes so much illness and death, the disease is a

great drain on many national economies. Since many countries with malaria are already among

the poorer nations, the disease maintains a vicious cycle of disease and poverty.

Wasn’t malaria eradicated years ago?

No, not in all parts of the world. Malaria has been eradicated from many developed countries

with temperate climates. However, the disease remains a major health problem in many

developing countries, in tropical and subtropical parts of the world.

An eradication campaign was started in the 1950s, but it failed globally because of problems

including the resistance of mosquitoes to insecticides used to kill them, the resistance of

malaria parasites to drugs used to treat them, and administrative issues. In addition, the

eradication campaign never involved most of Africa, where malaria is the most common.

Where does malaria occur?

Malaria typically is found in warmer regions of the world -- in tropical and subtropical

countries. Higher temperatures allow the Anopheles mosquito to thrive. Malaria parasites,

which grow and develop inside the mosquito, need warmth to complete their growth before

they are mature enough to be transmitted to humans.


Malaria occurs in over 100 countries and territories. More than 40% of the world’s population

is at risk. Large areas of Central and South America, Hispaniola (the Caribbean island that is

divided between Haiti and the Dominican Republic), Africa, the Indian subcontinent, Southeast

Asia, the Middle East, and Oceania are considered malaria-risk areas.

Yet malaria does not occur in all warm climates. For example, economic development and

public health efforts have eliminated malaria from the southern United States, southern Europe,

Taiwan, Singapore, and all of the Caribbean islands (except Hispaniola). Some Pacific islands

have no malaria because Anopheles mosquitoes are not found there.

How is malaria transmitted?

Usually, people get malaria by being bitten by an infected female Anopheles mosquito. Only

Anopheles mosquitoes can transmit malaria and they must have been infected through a

previous blood meal taken on an infected person.

When a mosquito bites, a small amount of blood is taken which contains the microscopic

malaria parasites. The parasite grows and matures in the mosquito’s gut for a week or more,

then travels to the mosquito’s salivary glands. When the mosquito next takes a blood meal,

these parasites mix with the saliva and are injected into the bite.

Once in the blood, the parasites travel to the liver and enter liver cells to grow and multiply.

During this "incubation period", the infected person has no symptoms. After as few as 8 days

or as long as several months, the parasites leave the liver cells and enter red blood cells. Once

in the cells, they continue to grow and multiply. After they mature, the infected red blood cells

rupture, freeing the parasites to attack and enter other red blood cells. Toxins released when the

red cells burst are what cause the typical fever, chills, and flu-like malaria symptoms.

If a mosquito bites this infected person and ingests certain types of malaria parasites

("gametocytes"), the cycle of transmission continues.

Because the malaria parasite is found in red blood cells, malaria can also be transmitted

through blood transfusion, organ transplant, or the shared use of needles or syringes

contaminated with blood. Malaria may also be transmitted from a mother to her fetus before or

during delivery ("congenital" malaria).

Malaria is not transmitted from person to person like a cold or the flu. You cannot get malaria

from casual contact with malaria-infected people.

Who is at risk for malaria?

Anyone can get malaria. Most cases occur in residents of countries with malaria transmission

and travelers to those countries. In non-endemic countries, cases can occur in non-travelers as

congenital malaria, introduced malaria, or transfusion malaria (see above).


Who are the people most at risk of severe and fatal malaria?

Plasmodium falciparum causes severe and life-threatening malaria; this parasite is very

common in many countries in Africa south of the Sahara. People who are heavily exposed to

the bites of mosquitoes infected with P.falciparum are most at risk of dying from malaria.

People who have little or no immunity to malaria, such as young children and pregnant

women; or travelers coming from areas with no malaria, are more likely to become severely ill

and die. Poor people living in rural areas who lack knowledge, money, or access to health care

are more vulnerable to the disease. As a result of all these factors, an estimated 90% of deaths

due to malaria occur in Africa south of the Sahara; most of these deaths occur in children under

5 years of age.

How can malaria be prevented?

If I live in an area where malaria is a problem, how can I prevent myself and my family

from getting sick?

You and your family can prevent malaria by

keeping mosquitoes from biting you, especially at night

taking anti-malarial drugs to kill the parasites

eliminating places around your home where mosquitoes breed

spraying insecticides on your home’s walls to kill adult mosquitoes that come inside

sleeping under bed nets - especially effective if they have been treated with insecticide,

and

wearing insect repellent and long-sleeved clothing if out of doors at night

Isn't there a malaria vaccine? And if not, why?

There is currently no malaria vaccine approved for human use. The malaria parasite is a

complex organism with a complicated life cycle. Its antigens are constantly changing and

developing a vaccine against these varying antigens is very difficult. In addition, scientists do

not yet totally understand the complex immune responses that protect humans against malaria.

However, many scientists all over the world are working on developing an effective vaccine.

Because other methods of fighting malaria, including drugs, insecticides, and bed nets, have

not succeeded in eliminating the disease, the search for a vaccine is considered to be one of the

most important research projects in public health.

I am 4 months pregnant but want to visit a malaria-risk area for 2 weeks. Is it safe to do

so?

NVBDCP advises women who are pregnant or likely to become pregnant to avoid travel to

areas with malaria risk, if possible. Malaria in pregnant women can be more severe than in non

pregnant women. Malaria can increase the risk for adverse pregnancy outcomes, including

prematurity, miscarriage, and stillbirth. No preventive drugs are completely effective. Please

consider these risks (and other health risks as well) and discuss with your health-care provider.


Which are the malaria high-risk areas in our country?

No area in the country can be said safe for malaria except place at altitude above 2000-2500

meters (due to unfavorable climatic conditions). The states of Orissa, West Bengal, Jharkhand,

Rajasthan, Madhya Pradesh, Chhattisgarh, Andhra Pradesh, Maharashtra, Gujarat & North

Eastern states (except Sikkim) are high risk States for malaria.

Symptoms and Diagnosis

What are the signs and symptoms of malaria?

Symptoms of malaria include fever and flu-like illness, including shaking chills, headache,

muscle aches, and tiredness. Nausea, vomiting, and diarrhea may also occur. Malaria may

cause anemia and jaundice (yellow coloring of the skin and eyes) because of the loss of red

blood cells. Infection with one type of malaria, Plasmodium falciparum, if not promptly

treated, may cause kidney failure, seizures, mental confusion, coma, and death.

How soon will a person feel sick after being bitten by an infected mosquito?

For most people, symptoms begin 10 days to 4 weeks after infection, although a person may

feel ill as early as 7 days or as late as 1 year later. Two kinds of malaria, P. vivax and P.ovale,

can relapse. In P. vivax and P.ovale infections, some parasites can remain dormant in the liver

for several months up to about 4 years after a person is bitten by an infected mosquito. When

these parasites come out of hibernation and begin invading red blood cells (“relapse”), the

person will become sick.

How do I know if I have malaria?

Most people, at the beginning of the disease, have fever, sweats, chills, headaches, malaise,

muscles aches, nausea and vomiting. Malaria can very rapidly become a severe and life-

threatening disease. The surest way for you and your health-care provider to know whether you

have malaria is to have a diagnostic test where a drop of your blood is examined under the

microscope for the presence of malaria parasites. If you are sick and there is any suspicion of

malaria (for example, if you have recently traveled in a malaria-risk area) the test should be

performed without delay.

Any traveler who becomes ill with a fever or flu-like illness while traveling and up to 1

year after returning home should immediately seek professional medical care. You

should tell your health care provider that you have been traveling in a malaria-risk area.

Treating Malaria

When should malaria be treated?

The disease should be treated early in its course, before it becomes severe and poses a risk to

the patient's life. Several good anti-malarial drugs are available, and should be administered


early on. The most important step is to think about malaria, so that the disease is diagnosed and

treated in time.

What is the treatment for malaria?

Malaria can be cured with prescription drugs. The type of drugs and length of treatment depend

on which kind of malaria is diagnosed, where the patient was infected, the age of the patient,

whether the patient is pregnant, and how severely ill the patient is at start of treatment.

If I get malaria, will I have it for the rest of my life?

No, not necessarily. Malaria can be treated. If the right drugs are used, people who have

malaria can be cured and all the malaria parasites can be eliminated. However, the disease can

persist if it is left untreated or if it is treated with the wrong drug. Some drugs are ineffective

because the parasite is resistant to them. Some patients may be treated with the right drug, but

at the wrong dose or for too short a period of time.

Two types (species) of parasites, Plasmodium vivax and P. ovale, have dormant liver stages

that can remain silent for years. Left untreated, these liver stages may reactivate and cause

malaria attacks ("relapses") after months or years without symptoms. Patients diagnosed with

P. vivax or P. ovale are often given a second drug to help prevent these relapses. Another type

(species), P. malariae, if left untreated, has been known to persist in the blood of some persons

for several decades.

But in general, if you are correctly treated for malaria, the parasites are eliminated and you are

no longer infected with malaria.

Malaria Drugs

How do I find out what is the best drug to take against malaria?

Many effective anti-malarial drugs are available. Please contact your family physician or

nearest hospital/primary health centre or health care workers.

Can children also take malaria pills?

Yes, but not all types of malaria pills. Children of any age can get malaria and any child

traveling to a malaria-risk area should be on an anti-malarial drug. However, some anti-

malarial drugs are not suitable for children. Doses are based on the child’s weight.


DENGUE/ DENGUE HAEMORRHAGIC FEVER

WHAT IS DENGUE?

Dengue is a viral disease

It is transmitted by the infective bite of Aedes Aegypti

mosquito

Man develops disease after 5-6 days of being bitten by an infective mosquito

It occurs in two forms: Dengue Fever and Dengue Haemorrhagic Fever (DHF). Dengue

Shock Syndrome (DSS) is another severe variant.

Dengue Fever is a severe, flu-like illness

Dengue Haemorrhagic Fever (DHF) is a more severe form of disease, which may

cause death

Person suspected of having dengue fever or DHF must see a doctor at once

SIGNS & SYMPTOMS OF DENGUE FEVER

Abrupt onset of high fever

Severe frontal headache

Pain behind the eyes which worsens with eye movement

Muscle and joint pains

Loss of sense of taste and appetite

Measles-like rash over chest and upper limbs

Nausea and vomiting

SIGNS & SYMPTOMS OF DENGUE HAEMORRHAGIC FEVER AND

SHOCK SYNDROME

Symptoms similar to dengue fever

Severe continuous stomach pains

Skin becomes pale, cold or clammy

Bleeding from nose, mouth & gums and skin rashes

Frequent vomiting with or without blood

Sleepiness and restlessness

Patient feels thirsty and mouth becomes dry

Rapid weak pulse

Difficulty in breathing


TRANSMISSION CYCLE OF DENGUE

PERIOD OF COMMUNICABILITY

Infected person with Dengue becomes infective to mosquitoes 6 to 12 hours before the onset of

the disease and remains so up to 3 to 5 days.

AGE & SEX GROUP AFFECTED

All age groups & both sexes are affected

Deaths are more in children during DHF outbreak

VECTOR OF DENGUE/DENGUE HAEMORRHAGIC FEVER

Aedes Aegypti is the vector of dengue / dengue haemorrhagic fever.

It is a small, black mosquito with white stripes and is approximately 5 mm in size.

It takes about 7 to 8 days to develop the virus in its body and transmit the disease.

Feeding Habit

Day biter

Mainly feeds on human beings in domestic and peridomestic situations

Bites repeatedly

Resting Habit

Rests in the domestic and peridomestic situations

Rests in the dark corners of the houses, on hanging objects like clothes, umbrella, etc.

or under the furniture


BREEDING HABITS

Aedes Aegypti mosquito breeds in any type of manmade containers or storage

containers having even a small quantity of water.

Eggs of Aedes Aegypti can live without water for more than one year.

FAVOURED BREEDING PLACES

Desert coolers, Drums, Jars, Pots, Buckets, Flower vases, Plant saucers, Tanks, Cisterns,

Bottles, Tins, Tyres, Roof gutters, Refrigerator drip pans, Cement blocks, Cemetery urns,

Bamboo stumps, Coconut shells, Tree holes and many more places where rainwater collects or

is stored.

CONTROL OF DENGUE/ DENGUE HAEMORRHAGIC FEVER

TREATMENT OF DENGUE & DHF

Prevention is better than cure

No drug or vaccine is available for the treatment of Dengue/DHF

The control of Aedes Aegypti mosquito is the only method of choice

With early detection and proper case management and symptomatic treatment,

mortality can be reduced substantially

VECTOR CONTROL MEASURES

1. PERSONAL PROPHALATIC MEASURES

Use of mosquito repellent creams, liquids, coils, mats etc.

Wearing of full sleeve shirts and full pants with socks

Use of bed nets for sleeping infants and young children during day time to

prevent mosquito bite

2. BIOLOGICAL CONTROL

Use of larvivorous fishes in ornamental tanks, fountains, etc.

Use of biocides

3. CHEMICAL CONTROL

Use of chemical larvicides like abate in big breeding containers

Aerosol space spray during day time

4. ENVIRONMENTAL MANAGEMENT & SOURCE REDUCTION METHODS

Detection & elimination of mosquito breeding sources

Management of roof tops, porticos and sunshades

Proper covering of stored water

Reliable water supply

Observation of weekly dry day


5. HEALTH EDUCATION

Impart knowledge to common people regarding the disease and vector

through various media sources like T.V., Radio, Cinema slides, etc.

6. COMMUNITY PARTICIPATION

Sensitilizing and involving the community for detection of Aedes breeding

places and their elimination

MANAGEMENT OF DENGUE CASE

Early reporting of the suspected dengue fever

Management of dengue fever is symptomatic & supportive

In dengue shock syndrome, the following treatment is recommended:

Replacement of plasma losses

Correction of electrolyte and metabolic disturbances

Blood transfusion

DO’S AND DON’TS

Remove water from coolers and other small containers at least once in a week

Use aerosol during day time to prevent the bites of mosquitoes

Do not wear clothes that expose arms and legs

Children should not be allowed to play in shorts and half sleeved clothes

Use mosquito nets or mosquito repellents while sleeping during day time

LABORATORY DIAGNOSIS

The clinician should record the temperature and perform a tourniquet test and

look for the petechiae

All suspected cases of fever with bleeding should be investigated thoroughly for

low platelet count

In case of shock, tests should be done for detection of small fluid in the abdomen or in

the chest


FREQUENTLY ASKED QUESTIONS

Q. What is dengue?

A. Dengue (pronounced den' gee) is a disease caused by any one of four closely related viruses

(DEN-1, DEN-2, DEN-3, or DEN-4). The viruses are transmitted to humans by the bite of an

infected mosquito (Aedes Aegypti). The Aedes Aegypti mosquito is the vector of dengue/DHF.

It is estimated that there are over 100 million cases of Dengue worldwide each year.

Q. What is dengue hemorrhagic fever (DHF)?

A. DHF is a more severe form of dengue. It can be fatal if unrecognized and not properly

treated. DHF is caused by infection with the same viruses that cause dengue. With proper

management, mortality due to DHF can be reduced

Q. How are dengue and dengue hemorrhagic fever (DHF) spread?

A. Dengue is transmitted to people by the bite of an Aedes mosquito that is infected with a

dengue virus. The mosquito becomes infected with dengue virus when it bites a person who

has dengue or DHF and after about a week can transmit the virus while biting a healthy person.

Dengue cannot be spread directly from person to person.

Q. What are the symptoms of the disease?

A. The principal symptoms of dengue are high fever, severe headache, backache, joint pains,

nausea and vomiting, eye pain, and rash. Generally, younger children are more affected than

older children and adults.

Dengue hemorrhagic fever is characterized by a fever that lasts from 2 to 7 days, with general

signs and symptoms that could occur with many other illnesses (e.g., nausea, vomiting,

abdominal pain, and headache). This stage is followed by hemorrhagic manifestations,

tendency to bruise easily or other types of skin hemorrhages, bleeding nose or gums, and

possibly internal bleeding. The smallest blood vessels (capillaries) become excessively

permeable (“leaky”), allowing the fluid component to escape from the blood vessels. This may

lead to failure of the circulatory system and shock, followed by death, if circulatory failure is

not corrected.

Q. What is the treatment for dengue?

A. There is no specific medication for treatment of a dengue infection. Persons who think they

have dengue should use analgesics (pain relievers) with paracetamol and avoid those

containing aspirin. They should also rest, drink plenty of fluids, and consult a physician.

Q. Is there an effective treatment for dengue hemorrhagic fever (DHF)?

A. As with dengue, there is no specific medication for DHF. It can however be effectively

treated by fluid replacement therapy if an early clinical diagnosis is made. Hospitalization is

frequently required in order to adequately manage DHF.


Q. Where can outbreaks of dengue occur?

A. Outbreaks of dengue occur primarily in areas where Aedes Aegypti (sometimes also Aedes

albopictus) mosquitoes are found in large numbers. This includes urban areas as well as rural

areas. Dengue viruses may be introduced into areas by migratory workers who become

infected while visiting other endemic areas, where dengue commonly exists.

Q. What can be done to reduce the risk of acquiring dengue?

A. There is no vaccine for preventing dengue. The best preventive measure for residents living

in areas infested with Aedes Aegyptiis to eliminate the places where the mosquito lays her eggs,

primarily artificial containers that hold water.

Items that collect rainwater or are used to store water (for example, plastic containers, drums,

buckets, or used automobile tires) should be covered or properly discarded. Pet and animal

watering containers and vases with fresh flowers should be emptied and scrub dried at least

once a week. This will eliminate the mosquito eggs and larvae and reduce the number of

mosquitoes present in these areas.

For travelers to areas with dengue, as well as people living in areas with dengue, the risk of

being bitten by mosquitoes indoors is reduced by windows and doors that are screened. Proper

application of mosquito repellents on exposed skin and use of full sleeve clothes decreases the

risk of being bitten by mosquitoes.

Q. How can we prevent epidemics of dengue hemorrhagic fever (DHF)?

A. The emphasis for dengue prevention is on sustainable, community-based, integrated

mosquito control, with limited reliance on insecticides (chemical larvicides and adulticides).

Preventing epidemic disease requires a coordinated community effort to increase awareness

about how to control the mosquito that transmits it. Residents should be made responsible for

keeping houses and surroundings free from mosquito breeding by emptying & scrub drying the

rotate containers once a week.


CHIKUNGUNYA

Chikungunya (also known as Chikungunya virus disease or Chikungunya fever)

is a debilitating, but non-fatal, viral illness that is spread by the bite of infected mosquitoes. It

resembles dengue fever. Chikungunya is spread by the bite of an Aedes mosquito, primarily

Aedesaegypti. Humans are thought to be the major source, or reservoir, of Chikungunya virus

for mosquitoes. Therefore, the mosquito usually transmits the disease by biting an infected

person and then biting someone else. An infected person cannot spread the infection directly

to other persons (i.e. it is not a contagious disease). Aedesaegypti mosquitoes bite during the

day time.

Facts

Chikungunya (chik’-en-GUN-yah), also called Chikungunya virus disease or

Chikungunya fever, is a viral illness that is spread by the bite of infected mosquitoes. The

disease resembles dengue fever, and is characterized by severe, sometimes persistent, joint pain

(arthritis), as well as fever and rash. It is rarely life-threatening.

Chikungunya occurs in Africa, India and South East Asia. It is primarily found in urban

/peri-urban areas.

There is no specific treatment for Chikungunya.

Prevention centers on avoiding mosquito bites in areas where Chikungunya virus may

be present, and by eliminating mosquito breeding sites.

TRANSMISSION CYCLE

Symptoms of Chikungunya

Chikungunya usually starts suddenly with fever, chills, headache, nausea,

vomiting, joint pain, and rash. In Swahili, “Chikungunya” means “that which contorts or

bends up”. This refers to the contorted (or stooped) posture of patients who are afflicted with

the severe joint pain (arthritis) which is the most common feature of the disease. Frequently,

the infection causes no symptoms, especially in children. While recovery from Chikungunya is


the expected outcome, convalescence can be prolonged and persistent joint pain may require

analgesic (pain medication) and long-term anti-inflammatory therapy. Infection appears to

confer lasting immunity.

Diagnosis of Chikungunya

Chikungunya is diagnosed by blood tests (ELISA). Since the clinical

appearance of both Chikungunya and dengue are similar, laboratory confirmation is important

especially in areas where dengue is present. Such facilities are, at present, available at National

Institute of Virology (NIV), Pune & National Institute of Communicable Diseases (NICD),

Delhi.

Treatment of Chikungunya

There is no specific treatment for Chikungunya. Supportive therapy that helps

ease symptoms, such as administration of non-steroidal anti-inflammatory drugs, and getting

plenty of rest, may be beneficial. Infected persons should be isolated from mosquitoes in as

much as possible in order to avoid transmission of infection to other people.

Prevention of Chikungunya

There is neither Chikungunya virus vaccine nor drugs are available to cure the

infection. Prevention, therefore, centers on avoiding mosquito bites. Eliminating mosquito

breeding sites is another key prevention measure. To prevent mosquito bites, do the

following:

Use mosquito repellents on skin and clothing

When indoors, stay in well-screened areas. Use bed nets if sleeping in areas that are

not screened or air-conditioned.

When working outdoors during day times, wear long-sleeved shirts and long pants to avoid

mosquito bite.


FREQUENTLY ASKED QUEATIONS

1. What is Chikungunya?

Chikungunya (also known as Chikungunya virus disease or Chikungunya fever) is a

debilitating, but non-fatal, viral illness that is spread by the bite of infected mosquitoes. It

resembles dengue fever.

2. Which are the states affected by Chikungunya?

The states affected by Chikungunya are Andhra Pradesh, Karnataka, Maharasthra, Madhya

Pradesh, Tamil Nadu, Gujarat & Kerala. In the year 2006, total number of 1390322 suspected

Chikungunya fever cases was reported from the country.

3. When was Chikungunya epidemic outbreak occurred in the past?

In India a major epidemic of Chikungunya fever was reported during the last millennium viz.;

1963 (Kolkata), 1965 (Pondicherry and Chennai in Tamil Nadu, Rajahmundry, Vishakapatnam

and Kakinada in Andhra Pradesh; Sagar in Madhya Pradesh; and Nagpur in Maharashtra) and

1973, (Barsi in Maharashtra). Thereafter, sporadic cases also continued to be recorded

especially in Maharasthra state during 1983 and 2000.

4. What is the infectious agent that causes Chikungunya?

Chikungunya is caused by the Chikungunya virus, which is classified in the family

Togaviridae, genus Alphavirus.

5. How is Chikungunya spread?

Chikungunya is spread by the bite of an Aedes mosquito, primarily Aedesaegypti. Humans are

thought to be the major source, or reservoir, of Chikungunya virus for mosquitoes. Therefore,

the mosquito usually transmits the disease by biting an infected person and then biting

someone else. An infected person cannot spread the infection directly to other persons (i.e. it is

not a contagious disease). Aedesaegypti mosquitoes bite during the day time.

6. Where is Chikungunya found?

Chikungunya occurs mainly in Africa, India, and Southeast Asia. There have been a number of

outbreaks (epidemics) in the Philippines and on islands throughout the Indian Ocean.

Epidemics are sustained by the human-mosquito-human transmission cycle.

The Aedes mosquitoes that transmit Chikungunya breed in a wide variety of manmade

containers which are common around human dwellings. These containers collect water, and

include discarded tyres, flowerpots, old oil drums, animal water troughs, water storage vessels,

and plastic food containers. Lack of public health infrastructure and all factors that promote

uncontrolled mosquito breeding are conducive to outbreaks of Chikungunya, or other mosquito

borne diseases.

7. What are the symptoms of Chikungunya?


Chikungunya usually starts suddenly with fever, chills, headache, nausea, vomiting, joint pain,

and rash. In Swahili, “Chikungunya” means “that which contorts or bends up”. This refers to

the contorted (or stooped) posture of patients who are afflicted with the severe joint pain

(arthritis) which is the most common feature of the disease. Frequently, the infection causes no

symptoms, especially in children. While recovery from Chikungunya is the expected outcome,

convalescence can be prolonged and persistent joint pain may require analgesic (pain

medication) and long-term anti-inflammatory therapy. Infection appears to confer lasting

immunity.

8. How soon after exposure do symptoms appear?

The time between the bite of a mosquito carrying Chikungunya virus and the start of symptoms

ranges from 1 to 12 days.

9. How is Chikungunya diagnosed?

Chikungunya is diagnosed by blood tests (ELISA). Since the clinical appearance of both

Chikungunya and dengue are similar, laboratory confirmation is important especially in areas

where dengue is present. Such facilities are, at present, available at National Institute of

Virology (NIV), Pune & National Institute of Communicable Diseases (NICD), Delhi.

10. Who is at risk for Chikungunya?

Anyone who is bitten by an infected mosquito can get Chikungunya.

11. What is the treatment for Chikungunya?

There is no specific treatment for Chikungunya. Supportive therapy that helps ease symptoms,

such as administration of non-steroidal anti-inflammatory drugs, and getting plenty of rest,

may be beneficial. Infected persons should be isolated from mosquitoes in as much as possible

in order to avoid transmission of infection to other people.

12. How common is Chikungunya globally?

The first recognized outbreak occurred in East Africa in 1952-1953. Soon thereafter epidemics

were noted in the Philippines (1954, 1956 & 1968), Thailand, Cambodia, Vietnam, India,

Burma and Sri Lanka. Since 2003, there have been outbreaks in the islands of the Pacific

Ocean, including Madagascar, Comoros, Mauritius, and Reunion Island. In January 2006, in an

epidemic that is currently ongoing in Reunion Island, over ten thousand cases have been

reported. It is suspected that many cases of Chikungunya are either misdiagnosed or go

unreported.

13. How can Chikungunya be prevented?

There is neither Chikungunya virus vaccine nor drugs are available to cure the

infection. Prevention, therefore, centers on avoiding mosquito bites. Eliminating mosquito

breeding sites is another key prevention measure. To prevent mosquito bites, do the following:

Use mosquito repellents on skin and clothing

When indoors, stay in well-screened areas. Use bed nets if sleeping in areas that

are not screened or air-conditioned.

When working outdoors during day times, wear long-sleeved shirts and long pants to

avoid mosquito bite.


JAPANESE ENCEPHALITIS

What is Japanese Encephalitis?

Japanese Encephalitis is a viral disease

It is transmitted by infective bites of female mosquitoes

mainly belonging to Culextritaeniorhynchus, Culexvishnui

and Culexpseudovishnui group. However, some other

mosquito species also play a role in transmission under

specific conditions

JE virus is primarily zoonotic in its natural cycle and man is an accidental host.

JE virus is neurotorpic and arbovirus and primarily affects central nervous system

Sign & Symptoms of JE

JE virus infection presents classical symptoms similar to any other virus causing

encephalitis

JE virus infection may result in febrile illness of variable severity associated with

neurological symptoms ranging from headache to meningitis or encephalitis.

Symptoms can include headache, fever, meningeal signs, stupor, disorientation, coma,

tremors, paralysis (generalized), hypertonia, loss of coordination, etc.

Prodromal stage may be abrupt (1-6 hours), acute (6-24 hours) or more commonly

subacute (2-5 days)

In acute encephalitic stage, symptoms noted in prodromal phase convulsions, alteration

of sensorium, behavioural changes, motor paralysis and involuntary movement

supervene and focal neurological deficit is common. Usually lasts for a week but may

prolong due to complications.

Amongst patients who survive, some lead to full recovery through steady improvement

and some suffer with stabilization of neurological deficit. Convalescent phase is

prolonged and vary from a few weeks to several months.

Clinically it is difficult to differentiate between JE and other viral encephalitis

JE virus infection presents classical symptoms similar to any other virus causing

encephalitis.

How Japanese Encephalitis is transmitted?

Japanese encephalitis is a Vector Borne Disease.

Several species of mosquitoes are capable of transmitting JE virus.

JE is a zoonotic infection. Natural hosts of JE virus include water birds of Ardeidae

family (mainly pond herons and cattle egrets). Pigs play an important role in the natural

cycle and serve as an amplifier host since they allow manifold virus multiplication

without suffering from disease and maintain prolonged viraemia.


Due to prolonged viraemia, mosquitoes get opportunity to pick up infection from pigs

easily.

Man is a dead end in transmission cycle due to low and short-lived viraemia.

Mosquitoes do not get infection from JE patient.

Japanese Encephalitis Vectors in India

Japanese encephalitis virus isolation has been made from a variety of mosquito species.

Culicine mosquitoes mainly Culexvishnui group (Culextritaeniorhynchus, Culexvishnui

and Culexpseudovishnui) are the chief vectors of JE in different parts of India.

Sl.

No. Species

No. of

Isolations State*

1 Cx. tritaeniorhynchus 79 TN, KA, KL

2 Cx. Vishnui 30 TN, KA, WB

3 Cx. Pseudovishnui 8 KA, GOA

4 Cx. bitaeniorhynchus 3 KA, WB

5 Cx. Epidesmus 1 WB

6 Cx. Fuscocephala 7 TN, KA

7 Cx. Gelidus 8 TN, KA

8 Cx. Quinquefasciatus 1 KA

9 Cx. Whitmorei 4 TN,KA, AP, WB

10 An. Barbirostris 1 WB

11 An. Paeditaeniatus 1 KA

12 An. Subpictus 9 TN, KA, KL

13 Ma. Annulifera 2 KL, ASSAM

14 Ma. Indiana 3 KL

15 Ma. Uniformis 4 KA, KL

* AP= Andhra Pradesh; TN=

Tamil Nadu; KA= Karnataka;

KL= Kerala; WB= West Bengal

Life cycle consists of egg, four instars of larvae, pupa and adult. The whole cycle takes

more than a month, however, duration depends on temperature and other ecological

conditions

Culexvishnui sub group is very common, widespread and breed in water with luxuriant

vegetation mainly in paddy fields and the abundance is related to rice cultivation,

shallow ditches and pools.

These vectors are primarily outdoor resting in vegetation and other shaded places but in

summer may also rest in indoors.

They are in principally cattle feeders, though human and pigs feeding are also recorded

in some areas.


Diagnoses of JE

Clinical:

Clinically JE cases present signs and symptoms similar to encephalitis of viral origin and

cannot be distinguished for confirmation. However, JE can be suspected as the cause of

encephalitis as a febrile illness of variable severity associated with neurological symptoms

ranging from headache to meningitis or encephalitis. Symptoms can include headache, fever,

meningeal signs, stupor, disorientation, coma, tremors, paralysis (generalized), hypertonia, loss

of coordination.

Laboratory:

Several laboratory tests are available for JE virus detection which include;

Antibody detection: Heamagglutination Inhibition Test (HI), Compliment Fixation

Test (CF), Enzyme Linked Immuno-Sorbant Assay (ELISA) for IgG (paired) and IgM

(MAC) antibodies, etc.

Antigen Detection: RPHA, IFA, Immunoperoxidase etc.

Genome Detection – RTPCR

Isolation – Tissue culture, Infant mice, etc.

In view of the limitations associated with various tests, IgM ELISA is the method of

choice provided samples are collected 3-5 days after the infection.

Case definitions for JE Diagnosis and Reporting:

Clinical Suspect

Febrile illness of variable severity associated with neurological symptoms ranging from

headache to meningitis or encephalitis. Symptoms can include headache, fever, meningeal

signs, stupor, disorientation, coma, tremors, paralysis (generalized), hypertonia , loss of

coordination.

((PPaattiieenntt wwiitthh ffeevveerr,, aalltteerreedd sseennssoorriiuumm llaassttiinngg mmoorree tthhaann 66 hhoouurrss,, nnoo sskkiinn rraasshh aanndd ootthheerr kknnoowwnn

ccaauusseess ooff eenncceepphhaalliittiiss eexxcclluuddeedd))

Probable

AA ssuussppeecctteedd ccaassee wwiitthh pprreessuummppttiivvee llaabboorraattoorryy rreessuullttss:: DDeetteeccttiioonn ooff aann aaccuuttee pphhaassee aannttii--vviirraall

aannttiibbooddyy rreessppoonnssee tthhrroouugghh IIggMM iinn sseerruumm// eelleevvaatteedd aanndd ssttaabbllee JJEE aannttiibbooddyy ttiittrreess iinn sseerruumm

tthhrroouugghh EELLIISSAA//HHII//NNeeuuttrraalliissiinngg aassssaayy..

Confirmed

A suspect case with confirmed laboratory result : JE IgM in CSF or 4 fold or greater rise in

paired sera (acute & Convalescent) through IgM/IgG ELISA, HI, Neutralisation test or

detection of virus, antigen or genome in tissue, blood or other body fluid by immuno-

chemistry, immunoflourescence or PCR


Treatment of Japanese Encephalitis

There is no specific anti-viral medicine available against JE virus. The cases are managed

symptomatologically. Clinical management of JE is supportive and in the acute phase is

directed at maintaining fluid and electrolyte balance and control of convulsions, if present.

Maintenance of airway is crucial.

Vaccination for Japanese Encephalitis Targeted vaccination with single dose live attenuated SA-14-14-2 vaccine for

children between 1 – 15 years of age, under Universal Immunization Programme (UIP) in a

phased manner, and inclusion of JE vaccine in routine immunization in affected districts.

Prevention and control measures of JE

1. The preventive measures are directed at reducing the vector density and in taking personal

protection against mosquito bites using insecticide treated mosquito nets. The reduction in

mosquito breeding requires eco-management, as the role of insecticides is limited.

2. There is no specific treatment of JE. Clinical management is supportive and in the acute

phase is directed at maintaining fluid and electrolyte balance and control of convulsions, if

present. Maintenance of airway is crucial. The state governments have been advised that in the

endemic districts, anticipatory preparations should be made for timely availability of

medicines, equipment and accessories as well as sufficient number of trained medical, nursing

and paramedical personnel. The Government of India supports training programmes.

Technical support is provided, on request by the state health authorities, for outbreak

investigations and control. Factors that make the prevention and control of JE challenging are:

Outdoor habit of the vector

Scattered distribution of cases spread over relatively large areas

Role of different reservoir hosts

Specific vectors for different geographical and ecological areas

Immune status of various population groups is not known making it difficult to

delineate vulnerable population groups.

3. Piggeries may be kept away (4-5 km) from human dwellings.


FREQUENTLY ASKED QUEATIONS

Q. How is Japanese encephalitis transmitted?

A. By rice field breeding mosquitoes (primarily the Culextritaeniorhynchus group) that

become infected with Japanese encephalitis virus (a flavivirusantigenically related to St. Louis

encephalitis virus).

Q. How do people get Japanese encephalitis?

A. By the bite of mosquitoes infected with the Japanese encephalitis virus.

Q. What is the basic transmission cycle?

A. Mosquitoes become infected by feeding on domestic pigs and wild birds infected with the

Japanese encephalitis virus. Infected mosquitoes then transmit the Japanese encephalitis virus

to humans and animals during the feeding process. The Japanese encephalitis virus is amplified

in the blood systems of domestic pigs and wild birds.

Q. Could you get the Japanese encephalitis from another person?

A. No, Japanese encephalitis virus is not transmitted from person-to-person. For example, you

cannot get the virus from touching or kissing a person who has the disease, or from a health

care worker who has treated someone with the disease.

Q. Could you get Japanese encephalitis from animals other than domestic pigs, or from

insects other than mosquitoes?

A. No. Only domestic pigs and wild birds are carriers of the Japanese encephalitis virus.

Q. What are the symptoms of Japanese encephalitis?

A. Mild infections occur without apparent symptoms other than fever with headache. More

severe infection is marked by quick onset, headache, high fever, neck stiffness, stupor,

disorientation, coma, tremors, occasional convulsions (especially in infants) and spastic (but

rarely flaccid) paralysis.

Q. What is the incubation period for Japanese encephalitis?

A. Usually 5 to 15 days.

Q. What is the mortality rate of Japanese encephalitis?

A. Case-fatality rates range from 0.3% to 60%.

Q. How many cases of Japanese encephalitis occur in the world and the U.S.?

A. Japanese encephalitis is the leading cause of viral encephalitis in Asia with 30-50,000 cases

reported annually. Fewer than 1 case/year is reported in U.S. civilians and military personnel


traveling to and living in Asia. Rare outbreaks in U.S. territories in Western Pacific have

occurred.

Q. How is Japanese encephalitis treated?

A. There is no specific therapy. Intensive supportive therapy is indicated.

Q. Is the disease seasonal in its occurrence?

A. Seasonality of the illness varies by country

Q. Who is at risk for getting Japanese encephalitis?

A. Residents of rural areas in endemic locations, active duty military deployed to endemic

areas, and expatriates who visit rural areas. Japanese encephalitis does not usually occur in

urban areas.

Q. Where do Japanese encephalitis outbreaks occur?

A. Japanese encephalitis outbreaks are usually circumscribed and do not cover large areas.

They usually do not last more than a couple of months, dying out after the majority of the pigs

amplifying hosts have become infected. Birds are the natural hosts for Japanese encephalitis.

Epidemics occur when the virus is brought into the peri-domestic environment by mosquito

bridge vectors where there are pigs, which serve as amplification hosts, infecting more

mosquitoes which then may infect humans. Countries which have had major epidemics in the

past, but which have controlled the disease primarily by vaccination, include China, Korea,

Japan, Taiwan and Thailand. Other countries that still have periodic epidemics include Viet

Nam, Cambodia, Myanmar, India, Nepal, and Malaysia.

Note: Source Data from CDC

Q. Is there any vaccine available against JE virus in India?

Single dose live attenuated SA-14-14-2 vaccine for children between 1 – 15 years of

age, under Universal Immunization Programme (UIP) in a phased manner.

Q. Who should be vaccinated against Japanese Encephalitis?

A. Seroprevalance studies disclose nearly universal infection by early adulthood and in areas

where viral transmission is particularly intense Seroprevalance rates may increase during

childhood. The age group for immunization should be decided based on available Sero-

epidemiological data from the area


ORGANIZATIONAL SET UP OF DIRECTORATE (VBD)

D.G.H.S.

D.H.S. (M)

D.D. (SS) D.D. (Mal.) D.D. (Ento.)

Vacant

DD (Epi.)

CIVIL

SURGEONs

21 Districts

Assistant

Malaria Officer

Dy. Civil

Surgeon (VBD)

Supporting Staff (SMI, MPHS,

MPHW & LTs etc.) at

District/CHC/PHC/SC level

BIOLOGIST IN

U.M.S. (17)

Assistant Unit

Officer


Haryana is a small State with 253 Lakh Population. For administrative

purposes, the State has been divided in to 21 Districts, 111 Blocks spread over 6764 Villages.

There are 53 Hospitals, 111 CHCs, 330 PHCs, and 2630 Sections from where health services

are provided to the Community. In 17 Towns with more than 50,000 populations, Urban

Malaria Scheme (UMS) is being implemented.

At the State Headquarter, the Programme is monitored by Director Health

Services (VBD) assisted by Deputy Director (SS) & Deputy Director (Malaria). At the District

Level District Malaria Officer implements the programme with the assistance of Biologist. At

the CHC/PHC Level, the programme is monitored by Senior Medical Officers/Medical

Officers/MPHS (Male), while at the Sub centre & Village Level, MPHW (Male) carry out the

disease surveillance. Laboratory Technicians posted in the Malaria Clinics in PHCs examine

blood smears for Malaria. Fever Treatment Depots (FTDs) have been established in the

villages with volunteers such as Anganwari Workers, Panches, Sarpanches, School Teachers

etc.


OCCUPANCY & VACANCY POSITION

Staff Position of MPHW (Male) in State up to June 2012

Sr.

No District

Sanctioned

Post

Filled

Post

Vacant

Post

Surplus

MPHW (M)

1 Ambala 117 17 100 0

2 Bhiwani 204 208 -4 4

3 Faridabad 134 37 97 0

4 Fatehabad 79 41 38 0

5 Gurgaon 92 41 51 0

6 Hissar 184 156 28 0

7 Jind 156 157 -1 1

8 Jhajjar 108 111 -3 3

9 Karnal 152 88 64 0

10 Kaithal 102 74 28 0

11 Kurukshetra 95 36 59 0

12 Mewat 84 17 67 0

13 Narnaul 141 102 39 0

14 Panipat 94 97 -3 3

15 Panchkula 53 27 26 0

16 Palwal 72 24 48 0

17 Sonepat 172 174 -2 2

18 Sirsa 152 29 123 0

19 Rohtak 134 137 -3 3

20 Rewari 115 86 29 0

21 Y. Nagar 99 18 81 0

22 Head Quarter 5 5 0 0

Total 2544 1682 862 16


Staff Position of MPHS (Male) in State up to June 2012

Sr.

No. District Sanctioned Filled Vacant

1 Ambala 26 10 16

2 Bhiwani 44 44 0

3 Faridabad 30 29 1

4 Fatehabad 17 17 0

5 Gurgaon 22 21 1

6 Hisar 41 41 0

7 Jind 41 41 0

8 Jhajjar 20 20 0

9 Karnal 42 36 6

10 Kaithal 28 23 5

11 Kurukshetra 22 16 6

12 Mewat 15 8 7

13 Narnaul 28 24 4

14 Panipat 19 18 1

15 Panchkula 12 6 6

16 Palwal 24 9 15

17 Sonepat 42 42 0

18 Sirsa 29 24 5

19 Rohtak 32 34 -2

20 Rewari 24 20 4

21 Y. Nagar 26 17 9

22 Head Quarter 3 3 0

Total 587 503 84

2 Extra


Staff Position of L.T. (Malaria) in State up to June 2012

Sr.

No

District Sanctioned

Post

Filled Post Vacant Post Surplus

L.T. (M)

1 Ambala 7 7 0 0

2 Bhiwani 16 13 3 0

3 Faridabad 7 6 1 0

4 Fatehabad 9 9 0 0

5 Gurgaon 5 3 2 0

6 Hisar 14 13 1 0

7 Jind 11 11 0 1

8 Jhajjar 9 9 0 0

9 Karnal 13 14 -1 1

10 Kaithal 10 10 0 0

11 Kurukshetra 7 8 -1 1

12 Mewat 6 0 6 0

13 Narnaul 11 8 3 0

14 Panipat 6 6 0 0

15 Panchkula 5 5 0 0

16 Palwal 7 3 4 0

17 Sonepat 16 16 0 0

18 Sirsa 10 10 0 0

19 Rohtak 12 13 -1 1

20 Rewari 10 7 3 0

21 Y. Nagar 8 8 0 0

22 Head Quarter 13 13 0 0

Total 212 192 20 4


Staff Position of Entomological Technician in State up to June 2012

Sr.

No

Place of

Posting

Sanctioned

Post

Filled Post Vacant Post

1 State HQs 3 1 2

Staff Position of Insect Collector in State up to June 2012

Sr.

No District

Sanctioned

Post Filled Post Vacant Post

1 Ambala 2 0 2

2 Bhiwani 1 0 1

3 Faridabad 4 2 2

4 Fatehabad 0 0 0

5 Gurgaon 1 1 0

6 Hissar 3 1 2

7 Jind 1 0 1

8 Jhajjar 0 0 0

9 Karnal 1 0 1

10 Kaithal 1 0 1


12 Mewat 0 0 0

13 Narnaul 1 1 0

14 Panipat 1 1 0

15 Panchkula 2 0 2

16 Sonepat 1 0 1

17 Sirsa 1 1 0

18 Rewari 0 0 0

19 Rohtak 1 1 0

20 Palwal 1 1 0

21 Y. Nagar 1 0 1


Total 27 10 17


Staff Position of Field Workers in State up to June 2012

Sr. No District Sanctioned Post Filled Post Vacant Post

1 Ambala 48 31 17

2 Bhiwani 36 25 11

3 Faridabad 117 99 18

4 Gurgaon 18 14 4

5 Hisar 36 21 15

6 Jind 42 29 13

7 Kaithal 9 9 0

8 Karnal 24 11 13

9 Thanesar 24 16 8

10 Narnaul 21 13 8

11 Palwal 21 19 2

12 Panchkula 45 32 13

13 Panipat 15 13 2

14 Rohtak 15 11 4

15 Sirsa 24 11 13

16 Sonepat 15 8 7

17 Y. Nagar 27 13 14

Total 537 375 162


Staff Position of Pump Mechanic in State up to June 2012

Sr.

No District

Sanctioned

Post Filled Post Vacant Post

1 Ambala 1 0 1

2 Bhiwani 1 1 0

3 Faridabad 1 1 0

4 Fatehabad 0 0 0

5 Gurgaon 1 1 0

6 Hisar 0 0 0

7 Jind 1 0 1

8 Jhajjar 0 0 0

9 Karnal 0 0 0

10 Kaithal 0 0 0


12 Mewat 0 0 0

13 Narnaul 1 0 1

14 Panipat 0 0 0

15 Panchkula 0 0 0

16 Sonepat 1 1 0

17 Sirsa 1 0 1

18 Rohtak 1 1 0

19 Rewari 0 0 0

20 Y. Nagar 0 0 0


Total 10 5 5


Status of Vector Borne Diseases in Haryana for Last 20

Years and Affected Districts in the State

Last 20 years status of Vector Borne Diseases i.e. the total Cases & Deaths due to

these diseases is given in the table below: -

Year Malaria Dengue Chikungunya Japanese

Encephalitis

Total

Cases

Pf

Cases Deaths

Conf.

Cases Deaths Cases Deaths

Conf.

Cases Deaths

1991 34011 1142 0 0 0 0 0 0 0

1992 16662 1238 0 0 0 0 0 0 0

1993 21945 985 0 0 0 0 0 0 0

1994 29734 3709 0 0 0 0 0 0 0

1995 59621 11215 0 0 0 0 0 0 0

1996 128232 27869 0 1642 54 0 0 0 0

1997 69712 2218 0 54 0 0 0 0 0

1998 121115 305 0 14 0 0 0 0 0

1999 2604 211 0 18 0 0 0 11 0

2000 1050 157 0 3 0 0 0 13 5

2001 1202 143 0 263 5 0 0 10 2

2002 936 41 0 3 0 0 0 0 0

2003 4374 500 0 95 4 0 0 24 1

2004 10064 169 0 25 0 0 0 0 0

2005 33204 212 0 183 0 0 0 4 2

2006 47077 506 0 838 4 0 0 3 1

2007 30895 342 0 365 11 13 0 32 18

2008 35683 1397 0 1159 9 20 0 0 0

2009 32272 525 0 125 1 0 0 1 0

2010 18921 763 0 866 21 1 0 1 1

2011 33401 1133 0 267 3 74 0 12 5





GOALS & OBJECTIVES AND STRATEGY FOR THE YEAR 2012

GOALS & OBJECTIVES

To bring down the total Malaria incidence to about 50%; Pf +ve case to about 30% and the

other Vector Borne Diseases to about 30% level in the year 2012.

To keep Annual Parasitic Incidence (API) below 2 in all the Districts.

No Death due to Malaria and other Vector Borne Diseases.

Strengthening the surveillance activities for achieving the target of Annual Blood

Examination Rate (ABER) of 10% in all the Districts.

To maintain the specified ratio of Active Case Detection to the Passive Case Detection i.e.

ACD: PCD = 60:40 by intensifying the Active Surveillance in all the Districts.

100 % identification of all mosquito breeding sites in urban and per-urban areas by

deploying breeding checkers in all high risk districts to combat the menace of Dengue and

contain any outbreaks of diseases.

No further spread of Incidence of J.E. beyond the Eight J.E. Prone Districts as in last year,

one case of J.E. was reported in District Gurgaon which is not a J.E. Prone District.

50% reduction in use of Indoor Residual Spraying by spraying only high-risk areas and

making it environment friendly by carrying out these activities in sustainable manner.

Enhanced use of larvivorous fish in 75% villages of high-risk areas 50% villages of all

areas.

Vector Control by Source Reduction and Anti Larval Operations even in rural areas.

Enhanced use of ITBNs (especially in High Risk Areas) by 50% among Below Poverty

Line (BPL) Population.

Involving community in BCC by propagating personal protective measures and

undertaking anti mosquito measures.

Coordination workshop will be organized at state level as well as District level. At the State

level the workshop will be organized under the chairmanship of FCHM and other

departments like Women & Child Department, Education, Agriculture, HUDA, Urban

Local Bodies, Panchayat & Development, Water Supply & Sanitation, Irrigation,

Transport, Industries and Labour, Fisheries, Postal and Telegraph, Information & Broad

Casting/ Parsar Bharti, All India Radio/ FM Radio and Railways will be involved.


At the District level the workshop will be organized under the chairmanship of Deputy

Commissioner involving Chairman Zila Parishad, Executive Officer MC and other

Departments like Women & Child Department, Education, Agriculture, Water Supply &

Sanitation, Irrigation, Transport, Industries and Labour, Fisheries and Public Relation

Department.

At the block level the workshop will be organized under the chairmanship of SDM

involving Chairman Block Samities, Executive Officer MCand Panchayati Raj Institutions

, NGOs if any, other Departments like Women & Child Department, Education,

Agriculture, HUDA, Urban Local Bodies, Panchayat & Development, Water Supply &

Sanitation, Irrigation, Transport, Industries and Labour, Fisheries.

At the PHC level the workshop will be organized in which SMS Pardhan, Medical

Officers, Supervisors WCD, Concern BDOs, JE, Sarpanches along with MPW (M & F)

will participate and this will be chaired by concerned SMO.

Such workshops will also be organized at Sub centre / Village Level in which MPW

(M&F), AWWs, ASHA, SMS Group, Sarpanch/ Panches, Namberdar, School Teachers

and community will be involved and this will be chaired by concerned MO.

Water Supply & Sanitation Department will be responsible for repairs and remedies of

leakage of water pipes, overflowing of sewer man holes and taking the remedial measures

for collection of dirty water, the leaked water pipes and around the overflowing man holes.

Due to collection of dirty water, the breeding of mosquitoes is there in the localities and

becomes a chronic problem. MPHW(M&F), ASHA Workers and SMS Members be

directed to immediately intimate about the leakage of water pipes and overflowing man

holes so that Water Supply and Sanitation Department can be informed immediately to take

the remedial measures. If there is delay on the part of Water Supply & Sanitation

Department then the help of concern SDM & DC will be taken in this regard.

STRATEGY FOR THE YEAR 2012

1. Identification of High Risk Area.

District Yamuna Nagar, Karnal, Mewat, Panipat and Hisar have been identified as

the high risk area because of increased no. of Pf cases during the year 2011. All the LTs

of these districts should be given 3 to 5 days training regarding examination of blood

slides at the Regional Director along with orientation of Deputy Civil Surgeons (VBD)

to be done regarding Malaria and other VBD.


2. Intensification of disease and vector surveillance: -

Active Surveillance

Passive Surveillance

3. Vector control measures

Adult Control

Larval Control

4. Outbreak control Measures

5. Intervention measures

Involvement of Community and additional Staff such as ASHA & School

Teachers in FTD and Fever Surveillance.

All DDCs have been converted in to FTDs. So, Target is to impart training and

capacity building in a phased manner for enhancing the FTDs.

Follow up of Malaria cases.

Intensification of Supervision.

Intensification of Biological Control by enhancing the use of Larvivorous Fish.

Encouraging the use of Impregnated Bed-nets/LLINs.

Enhancing Personal & Protective measures.

Intensification of IEC activities

Involvement of Private Sectors in reporting fever cases

Seeking Inter-departmental coordination like Women & Child Department,

Education, Agriculture, HUDA, Urban Local Bodies, Panchayat &

Development, Water Supply & Sanitation, Irrigation, Transport, Industries and

Labour, Fisheries, Postal and Telegraph, Information & Broad Casting/ Parsar

Bharti, All India Radio/ FM Radio and Railways.

The existing disease surveillance system for vector borne diseases should be

strengthened with respect to manpower and infrastructure.

Domestic breeding checkers should be appointed on contract basis before

Transmission season so that surveillance can be strengthened.

The large water bodies must be kept free of mosquito breeding by the respective

land owning agencies. Desilting and canalization of drains must be done well in

advance of the breeding season. The issue must be taken up in the Inter-sectoral

Coordination Committee Meeting under the chairmanship of DC with the

concerned agencies.

Close Coordination with IDSP and other infective Disease Control Programme

IDENTIFICATION OF HIGH RISK AREAS

Malaria is a local and focal problem. The incidence of the disease is known to

vary from District to District, Block to Block, CHC to CHC, PHC to PHC and even Village to

Village. Therefore within a District, it will be seen that the number of Malaria cases reported

may vary. Therefore, it is of utmost importance that all those PHC’s where high number of

Malaria cases has been reported during the last 3 years are identified and more stress laid on


control of malaria in such areas as compared to those areas from where less number of cases

have been reported.

In PHC’s with high incidence & API vulnerable sub-centers should be identified

and list must be sent to State HQ before 15 Feb 2012 &. MPHWs must be positioned in these

sub-centers and state is informed for help. It may be kept in mind that all areas in the State are

both vulnerable and receptive that means the outbreaks of malaria can take place even in those

areas which have recorded nil or a few cases in the past.: -

1. It may be ensured that all High Risk Areas are covered under both active and passive

surveillance; and no section in High Risk Areas should remain without MPHW (M) &

MPHW (F).

2. In Low Risk Areas, if the posts of MPHW (M) are vacant then efforts should be made

to intensify the passive surveillance.

3. The Drug Distribution Centers are being converted to FTDs & would be made

functional in all the areas particularly vacant section areas.

4. The competent and willing volunteers manning the DDCs would be given training and

the centers be converted into FTDs

5. If possible help of other agencies such as Anganwari Workers, ASHAs, SMS Members,

School Teachers etc. may also be obtained in preparing the blood slides of fever cases.

INTENSIFICATION OF DISEASE AND VECTOR SURVEILLANCE

a) DISEASE SURVEILLANCE

The very purpose of disease surveillance is: -

To ensure that blood slides of all fever cases are prepared under both active and passive

surveillance.

The blood slides collected are thereafter promptly examined (preferable within 24

hours).

Person found positive for malaria in microscopic examination are given Radical

Treatment and

Remedial measures are instituted promptly.

There are two agencies undertaking disease surveillance: -

1. Active Case Detection (ACD)

2. Passive Case Detection (PCD)

ACTIVE CASE DETECTION (ACD)

The MPHW (M) carries out fortnightly domiciliary visit as per calendar of

activities prepared by this Directorate. Each and every MPHW (M) is to be given

monthly targets and the blood slides collected by them are to be reviewed by the


concerned Medical Officers (MO) in-charge at PHC/CHC level. Action has to be

taken against all those workers who fail to achieve their monthly target.

TARGET

During January to June and November-December i.e. non-transmission period,

blood slides of 0.75% population per month are to be prepared by each worker.

During July to October i.e. transmission period, blood slides of 1% population

are to be prepared.

Monthly Blood Examination Rate (MBER) is targeted to be 0.8 % in the non-

transmission season while in transmission season; it is 1.2 to 1.6%.

Overall Annually Blood Examination Rate A.B.E.R. should be more than 10%.

To bring Annual Parasitic Incidence below 1 per 1000 population.

PASSIVE CASE DETECTION (PCD)

Blood slides of fever cases attending all Govt. Medical Institutions are also to

be collected by the health workers.

TARGET

During non-transmission season i.e. January to June and November-December,

blood slides of 15% of new O.P.D. cases are to be prepared.

During transmission season i.e. July to October, blood slides of 20% of new

O.P.D. cases are to be collected.

ACHIEVEMENTS OF TARGETS

The following points should be taken care of: -

The ratio of blood slides collected under ACD to PCD should be about

60:40.

The blood slides collected should be sent to the Malaria Clinic in

duplicate M-2 Performa during sector meeting held on 4th

& 8th

beat

days and also during review/monthly meetings.

Time lag between collection of slide and receipt in Malaria Clinic should

not exceed 3 to 4 days.

Thick and thin smears are prepared properly.

The slides are properly wrapped in M-2 loose forms and details of each

and every fever cases are written with complete address of the fever

cases.

On receipt of blood slides in the Malaria Clinics, the slides are properly

examined by the LT and result entered in MF-7 register on the same day.


In case any slide is found broken, missing, ill smeared or any other

defect, the same should be recorded on the M-2 form on which the slides

were received and returned to the concerned MPHW (M).

b). VECTOR CONTROL MEASURES

The vector management could be achieved through concerted and coordinated

efforts: -

1. VECTOR SURVEILLANCE

The Biologist will regularly monitor the Vector prevalence and susceptibility status of

the vectors against various insecticides and larvicide’s being used. At the District level,

the District Malaria Officers will monitor it while at the CHC level these will be

monitored by SMOs.

Involvement of community through advocacy. Social mobilization should be ensured

for effective vector control. Support of youth clubs, Panchayati Raj functionaries,

NSS/NCC volunteers and social work students could also be taken for the conducting

vector surveillance.

The Block Disease Control Cell may be involved for identifying region specific

breeding places and devising appropriate source reduction mechanisms.

2. ANTI LARVAL MEASURES

Source Reduction:

The following strategies may be adopted for source reduction

By elimination of all potential vector breeding places near the domestic or peri-

domestic areas.

Not allowing the storage of water for more than a week. Emptying and drying

the water containers once in a week could achieve this.

Straining of the stored water by using cloth once a week to remove the mosquito

larvae from the water.

Targeted source reduction to be undertaken to removing larval habitats that are

most productive (tyre dumps, scraps, water storage tanks, cisterns, air coolers,

solid waste, coconut shells, frank vegetation etc.)

Chemical Larvicide/biocide:

Chemical larvicides could be used: -

Where the water cannot be removed and used for cattle or other purposes,

Temephos can be used once a week at a dose of 1 ppm (parts per million).

Pyrethrum extract (0.1% ready to use emulsion) can be sprayed in rooms

(not outside) to kill the adult mosquitoes hiding in the House.


Larvivorous Fish:

The vector could be controlled by introduction of larvivorous fish, namely

Gambusia and Guppy in water tank and other water sources. All districts

& CHCs already have fish hatcheries

Environmental Management

Keep the environment mosquito free;

ANTI ADULT MEASURES

Indoor Space Spraying with Pyrethrum extracts (2%).

Fogging during outbreaks: Ultra Low Volume (ULV) Spray using technical

Malathion and thermal fogging may be adopted.

Personal protection measures: Chemical repellants on exposed skin may be

used for personal protection.

Protective Clothing.

Insecticide treated bed nets and repellants: Use of insecticide treated

curtains and bed nets are to be encouraged in homes and hospitals.

Local self-governments should ensure cleanliness and proper sanitary

conditions to avoid breeding of mosquitoes. Local bodies and institutions in

their own premises and around should ensure routine cleanliness.

Schools, Colleges, Hospitals and other Institutions should observe one day

in every week as dry day.

Other government and civic organizations such as department of agriculture,

social welfare, animal husbandry, irrigation, water authority, and rubber

should be associated for dissemination of information.

Legislative measures may be enforced for vector control.

MONITORING OF INDOOR RESIDUAL SPRAY (IRS)

MO CHC/PHC should supervise the spray operations;

He should watch that the spray activities are being carried out in human dwellings or

not;

He should also note the quality of spray and discharge rate of the nozzle;

He should also note down the target is achieved by the spray team or not;

He should ensure that the malaria positive houses have been sprayed in time or not.


RAPID SURVEYS

Having ascertained that there is epidemic situation in some villages of the PHC;

MO/DMO must make arrangements of delineation of the epidemic areas and find out the

extent of severity of epidemic.

RAPID SURVEY – (TO BE COMPLETED WITHIN 7-10 DAYS)

- In the affected villages irrespective of fever, age and sex. Expand the survey

centrifugally from epicenter to epidemic;

- Blood slides collected should be examined promptly within 24 hours, malaria

laboratories may be decentralized up to PHC level;

- Presumptive treatment with Chloroquine should be given to all person whose blood

slides are collected or in cases Pf percentage is high MRT may be given with single

dose Chloroquine and Primaquine;

- All positive cases should be given RADICAL TREATMENT at the recommended

dosages.

SPACE SPRAY

With Pyrethrum or Malathion Technical in the affected localities, Indoor space spray is

to be continued for 7-10 days consecutively till the residual spray is completed.

INDOOR RESIDUAL SPRAY

IRS will be started simultaneously.

In Urban areas space spray and anti-larval operations only need to be carried

out.

KEY FACTORS WHICH HELP PREDICTION FORE-WARNING & EARLY

DETECTION OF FOCAL OUTBREAKS ARE: -

Increase in parasitic load;

Increase in vector density;

Influx of labour from endemic areas, aggregation of labour in projects, agriculture etc.;

Environmental/Climatic conditions such as early and heavy rains increase in humidity,

stagnation of water leading to abnormal increase in mosquitogenic conditions;

Natural disasters like floods and droughts.


MID TERM PLAN FOR CONTROL OF DENGUE & CHIKUNGUNYA




SPECIAL ACTION PLAN FOR HIGH RISK AREAS

1. All the fever cases reported during 2011 will be followed by making blood slides to

avoid further spread of Malaria.

2. All the blood slides will be examined and the patients found positive will be given

prompt and complete treatment.

3. The checklists for supervision and monitoring have been circulated to strengthen the

monitoring. All the Radical Treatment given to the patients will be checked by the

concerned CS/Dy. CS/SMO/MO/MPHS. The officers posted at State Head Quarter will

monitor the situation on weekly basis and will visit the high risk areas fortnightly.

4. Regular spray with Deltamethrine 2.5% w.d.p. will be carried out in all the high risk

areas having Annual Parasite Index (API) 5 & above especially in Khizrabad & Radaur

(Yamunanagar), Mangali, Sisai & Narnaund (Hisar), Indri (Karnal). In remaining areas,

the focal spray will be carried out in 50 houses in & around of a house of a positive

case. The spray operation will be stated from 1st June.

5. All the posts of MPHW, MPHS, & LTs will be filled up in all the high risk areas either

through regular appointments, transfer/deputation from others areas or by contractual

appointments under outsourcing policy. The department will ensure that no post of

above staff is vacant from April onwards.

6. Breeding checkers will be deployed in the high risk areas. They will check the breeding

sources and will treat that places with larvicides from where breeding is found.

7. Bye – Laws (Annexure- 7) for control of Malaria, Dengue, Chikungunya and J.E. have

been notified and will be implemented strictly in all the State. As per these Bye-Laws,

the power has been given to Deputy Civil Surgeon (VBD) to inspect any

residential/commercial places for breeding of Larvae of Mosquitoes and to impose

penalty of Rs. 300/- to 2000/- on the household from where breeding of larvae is found.

8. It has been ensured by the department that in the high risk areas, there will be no

shortage of essential drugs, equipments and Larvicides.

9. The department will ensure for arrangement of funds and for release to the high risk

areas in time.













ANNEXURES

Annexure – 1

PHCwise Epidemiological Data of Malaria of Haryana State for year 2010 & 11

Na

me

of

Dis

tric

t

Name of CHC Name of PHC Year PHC wise

Population

B/S

Exam.

Malaria cases

Dea

th d

ue

to

Ma

lari

a

PV PF Total

AM

BA

LA

MULLANA

1 Mullana

2010 46809 5657 13 1 15 0

2011 47885 8082 80 5 85 0

2 Nohani

2010 38070 1602 0 0 0 0

2011 38976 2384 1 0 1 0

3 Ugala

2010 44302 1704 5 1 5 0

2011 44750 1810 15 0 15 0

4 Barara

2010 50010 2601 8 0 8 0

2011 49893 4602 33 0 33 0

5 Bihta

2010 36967 1035 0 0 0 0

2011 37159 1639 5 0 5 0

6 Samlehri

2010 44183 3646 6 0 6 0

2011 44708 6076 14 1 15 0

Total for CHC MULLANA 2010 260341 16245 32 2 34 0

2011 263371 24593 148 6 154 0

Chaurmastpur

1 Chaurmast pur

2010 58632 2941 1 0 1 0

2011 59072 6730 14 0 14 0

2 Naggal

2010 40749 2501 0 0 0 0

2011 41232 4314 2 0 2 0

3 Majri

2010 53226 2306 0 0 0 0

2011 54325 3392 0 0 0 0

4 Noorpur

2010 53258 2489 0 0 0 0

2011 54894 2746 1 0 1 0

5 Panjokhra

2010 30212 1345 0 0 0 0

2011 30507 1474 0 0 0 0

6. Boh

2010 34393 1206 0 0 0 0

2011 33354 2067 1 0 1 0

Total for CHC CHAURMASTPUR = 2010 270470 12788 1 0 1 0

2011 273384 20723 18 0 18 0

Shahzadpur

Shahzadpur 2010 54428 4201 20 0 21 0

2011 55403 4846 10 0 10 0

Kurali 2010 65841 4801 20 0 20 0

2011 69351 6211 28 0 28 0

Ambli 2010 54733 3502 16 0 16 0

2011 55636 4224 8 0 8 0

Pathreri 2010 54790 2714 17 0 17 0

2011 55321 5200 9 1 10 0

TOTAL FOR CHC SHAHZADPUR=

2010 229792 15218 73 0 74 0

2011 235711 20481 55 1 56 0

UMS AMBALA UMS A/CITY

2010 170785 5089 21 2 23 0

2011 172165 7466 45 2 47 0

UMS A/CANTT

2010 182103 4176 7 0 7 0

2011 186211 6385 7 0 7 0


TOTAL FOR UMS

2010 352888 9265 28 2 30 0

2011 358376 13851 52 2 54 0

TOTAL FOR Ambala

2010 1119435 53516 134 5 139 0

2011 1130842 79648 273 9 282 0

BH

IWA

NI

Baund kalan

Baund kalan

2011 35462 7314 261 0 261 0

2010 31923 5889 20 0 20 0

Ranila

2011 30841 5711 198 0 198 0

2010 30654 4540 37 0 37 0

Achina

2011 33791 5948 77 0 77 0

2010 34465 3761 25 0 25 0

Kharak Kalan

2011 33167 4815 99 0 99 0

2010 32627 4811 33 0 33 0

Bamla

2011 42116 6399 40 0 40 0

2010 41783 4289 9 0 9 0

Total for CHC =

2011 175377 30187 675 0 675 0

2010 171452 23290 124 0 124 0

Dhanana

1 Dhanana

2011 36222 6684 489 0 489 0

2010 35721 6332 130 0 130 0

2 chang

2011 35383 5277 90 0 90 0

2010 34547 4386 37 0 37 0

3 Talu

2011 34298 4468 44 0 44 0

2010 33703 4424 25 0 25 0

4Sui

2011 36714 4075 39 0 39 0

2010 36261 4820 38 0 38 0

5 pur

2011 33811 4916 181 1 182 0

2010 32000 3928 62 0 62 0

6 Alakhpura

2011 30663 2830 119 0 119 0

2010 30400 2123 27 0 27 0

Total for CHC DHANANA 2010 207091 28250 962 1 963 0

2011 202632 26013 319 0 319 0

Gopi

1 Gopi

2011 40744 4017 9 0 9 0

2010 39848 3503 8 0 1 0

2 Chhapar

2011 29482 4103 0 0 0 0

2010 30216 3873 14 0 0 0

3 Harodi

2011 35995 5373 94 0 94 0

2595 34856 2595 0 0 0 0

4 Badhra

2011 33264 5198 1 0 1 0

2010 32826 4352 6 0 0 0

5 Kadma

2011 33024 4066 0 0 0 0

2010 32782 3948 0 0 0 0

Total for CHC GOPI 2011 172509 22757 104 0 104 0

2010 170528 18271 28 0 28 0

Jhojhu Kalan

Jhojhu Kalan

2011 40979 7293 119 0 119 0

2010 40941 5002 25 0 25 0

Mai Kalan

2011 33380 4067 0 0 0 0

2010 33140 2272 0 0 0 0

Balkara

2011 32398 3001 0 0 0 0

2010 33803 1723 0 0 0 0

Santokhpura

2011 29200 2921 33 0 33 0

2010 29014 3162 23 0 23 0

GH Dadri 2011 55137 14600 791 2 793 0


2010 46125 11682 205 0 205 0

Total for CHC JHOJHU

2011 191094 31882 943 2 945 0

2010 183023 23841 253 0 253 0

Kairu

Kairu

2011 39775 7877 75 1 76 0

2010 38998 6517 21 0 21 0

D.Mahu

2011 28138 3967 0 0 0 0

2010 28017 3558 16 0 16 0

Dinod

2011 37197 6427 4 1 5 0

2010 36728 5842 7 0 7 0

Jui

2011 38467 6119 0 0 0 0

2010 38109 5386 0 0 0 0

Total for CHC KAIRU

2011 143577 24390 79 2 81 0

2010 141852 21303 44 0 44 0

Loharu

LOHARU

2011 32173 3528 4 0 4 0

2010 30978 3485 5 1 6 0

BEHAL

2011 56460 6585 1 0 1 0

2010 55750 6595 2 0 2 0

DHIGAWA

2011 26332 1743 0 0 0 0

2010 25843 2174 2 0 2 0

SOHANSARA

2011 23238 1755 0 0 0 0

2010 22730 787 0 1 1 0

NAKIPUR

2011 32602 4134 2 0 2 0

2010 32038 3378 0 0 0 0

Total for CHC =

2011 170805 17745 7 0 7 0

2010 167339 16419 9 2 11 0

Manheru

1Manheru

2011 37797 7058 71 0 71 0

2010 36700 5399 130 1 131 0

2Sanwar

2011 33514 5885 24 0 24 0

2010 33122 4846 76 0 76 0

3Mankawas

2011 35143 5096 11 0 11 0

2010 34935 4434 58 0 58 0

Total for CHC =

2011 106454 18039 106 0 106 0

2010 104757 14679 264 1 265 0

Miran

1 Miran

2011 25200 4863 146 0 146 0

2010 24872 2543 0 0 0 0

2 Barwa

2011 24120 4604 0 0 0 0

2010 23120 4296 0 0 0 0

3 Gurera

2011 18765 2737 0 0 0 0

2010 18036 3070 1 0 1 0

4 Lilas

2011 25647 2423 0 0 0 0

2010 25422 2861 0 0 0 0

5 Jhumpa kalan

2011 32094 3722 0 0 0 0

2010 30297 3213 0 0 0 0

Total for CHC Miran 2011 125826 18349 146 0 146 0

2010 121747 15983 1 0 1 0

Tosham

TOSHAM

2011 39775 6842 63 0 63 0

2010 38998 7203 140 2 142 0

BIRAN

2011 28138 4280 3 0 3 0

2010 28017 2437 0 0 0 0

SANDWA

2011 37197 4463 9 0 9 0

2010 36728 3807 8 1 9 0


BUSHAN

2011 38467 4376 0 0 0 0

2010 38109 2949 0 0 0 0

JAMALPUR

2011 143577 4880 0 0 0 0

2010 141852 4913 0 0 0 0

Total for CHC =

2011 287154 24841 75 0 75 0

2010 283704 21309 148 3 151 0

10

Bhiwani City

2011 188822 33313 556 3 559 0

2010 186660 23694 137 2 139 0

Grand Total for Bhiwani

2011 1593332 249753 3653 8 3661 0

2010 1562242 204802 1327 8 1335 0

FA

RID

AB

AD

Kheri Kalan

Kheri Kalan

2011 49373 6390 32 3 35 0

2010 48493 3871 16 0 16 0

2. Palla

2011 114767 6610 10 0 10 0

2010 107849 4658 6 0 6 0

3. Anangpur

2011 82802 7506 0 0 0 0

2010 78001 4028 5 0 5 0

4. Dhauj

2011 43390 3671 2 1 3 0

2010 42931 2512 3 1 4 0

5. Palli

2011 48937 4688 3 1 4 0

2010 56800 3657 5 0 5 0

6. Tiagaon

2011 39146 6718 3 0 3 0

2010 38417 5633 4 0 4 0

Total for CHC = 2011 378415 35583 50 5 55 0

2010 372491 24359 39 1 40 0

Kurali

1. Kurali

2011 42976 4722 28 0 28 0

2010 38682 3179 3 0 3 0

2. P.Khurad

2011 53472 6133 5 0 5 0

2010 45146 5279 4 0 4 0

3. Mohna

2011 28610 5232 7 0 7 0

2010 26658 2314 2 0 2 0

4. DayalPur

2011 44461 6230 13 2 15 0

2010 44107 6200 1 0 1 0

5.Chhainsa

2011 44782 5360 13 1 14 0

2010 43296 6371 1 0 1 0

Total for CHC = 2011 214301 27677 66 3 69 0

2010 197889 23346 11 0 11 0

Faridabad(UMS) 2011 1249845 53840 131 4 135 0

2010 1242743 35505 65 9 74 0

TOTAL FOR FARIDABAD = 2011 1842561 117100 247 12 259 0

2010 1813123 83210 115 10 125 0

FA

TE

HA

BA

D

Bhattu kalan

1 Bhattu kalan

2010 83415 10079 240 0 240 0

2011 84056 12277 147 0 147 0

2 Bangaon

2010 49146 6494 119 0 119 0

2011 49827 6912 87 1 88 0

3 Badopal

2010 55609 5758 66 0 66 0

2011 56607 5680 64 3 67 0

4 Fatehabad

2010 71477 5272 87 0 87 0

2011 72467 6285 106 0 106 0

TOTAL

2010 259647 27603 512 0 512 0

2011 262957 31154 404 4 408 0

Bhuna 1 Bhuna 2010 65457 9935 88 0 88 0


2011 67508 8592 188 0 188 0

2 Nehla

2010 30922 3269 22 0 22 0

2011 31405 3781 35 0 35 0

3 M.P. Rohi

2010 31959 4482 22 1 23 0

2011 33239 3456 71 1 72 0

4 Jharnia

2010 44767 3113 26 0 26 0

2011 45847 2693 60 0 60 0

5 Pirthala

2010 31479 3571 19 0 19 0

2011 31981 3513 33 0 33 0

TOTAL

2010 204584 24370 177 1 178 0

2011 209980 22035 387 1 388 0

1 Jakhal

2010 40362 4079 48 0 48 0

2011 40107 5036 28 0 28 0

2 Mamupur

2010 28538 3170 7 1 8 0

2011 31418 4515 9 0 9 0

3 Samain

2010 38028 2955 46 0 0 0

2011 40573 4337 38 0 0 0

4 Meyond Kalan

2010 29327 2311 3 0 3 0

2011 28818 3311 6 0 6 0

5 Kulan

2010 34063 2970 4 0 4 0

2011 34299 3691 2 1 3 0

6 Tohana

2010 56706 5025 47 0 47 0

2011 58081 5045 31 0 31 0

TOTAL

2010 227024 20510 155 1 156 0

2011 233296 25935 114 1 115 0

Ratia

1 Ratia

2010 100354 10971 68 0 68 0

2011 101923 11401 59 0 59 0

2 Bhuthan Kalan

2010 60587 4121 34 0 34 0

2011 60578 3732 55 0 55 0

3 Bhirdhana

2010 47427 3606 35 0 35 0

2011 47884 4277 19 0 19 0

TOTAL

2010 208368 18698 137 0 137 0

2011 210385 19410 133 0 133 0

Total for Fatehabad =

2010 899623 91181 981 2 983 0

2011 916618 98534 1038 6 1044 0

GU

RG

AO

N

CHC F.Nagar

Gurgaon Village

2011 75746 14234 42 0 42 0

2010 80313 8461 22 0 22 0

Wazirabad

2011 94905 8349 42 1 43 0

2010 93822 3481 22 1 23 0

Garhi

2011 45545 5304 4 0 4 0

2010 43848 2616 5 0 5 0

F.Nagar

2011 59140 7982 17 0 17 0

2010 58424 5525 10 0 10 0

Daultabad

2011 45475 3795 2 0 2 0

2010 45201 1718 4 0 4 0

Total for CHC = 2011 320811 39664 107 1 108 0

2010 321608 21801 63 3 66 0

Pataudi Pataudi

2011 71408 6357 0 0 0 0

2010 70818 7828 0 0 0 0

Mandpura

2011 53421 3703 0 0 0 0

2010 56196 2886 0 0 0 0


Bhorakalan

2011 59928 1765 0 0 0 0

2010 58851 2028 0 0 0 0

Kasan

2011 88063 3528 0 0 0 0

2010 86590 4730 2 0 2 0

Bhangrola

2011 45283 6292 0 0 0 0

2010 45037 6773 0 0 0 0

GH Haily mandi 2011 25867 953 0 0 0 0

2010 25867 934 0 0 0 0

Total

2011 343970 22598 0 0 0 0

2010 343359 25179 37 6 43 0

Ghangola

Ghangola

2011 65778 4298 28 0 28 0

2010 64247 2142 8 0 8 0

Bhondsi

2011 54321 3531 7 0 7 0

2010 52078 2862 4 0 4 0

Badshahpur

2011 52072 3303 10 1 11 0

2010 47182 4165 1 0 1 0

GH Sohna

2011 26525 4151 261 0 261 0

2010 26052 3505 1 0 1 0

Total

2011 198696 15283 306 1 307 0

2010 189559 12674 8 0 8 0

Gurgaon Urban 2011 281886 12586 52 0 52 0

2010 241455 8304 20 1 21 0

TOTAL FOR GURGAON

2011 1145363 90131 465 2 467 0

2010 1095981 67958 128 10 138 0

HIS

AR

NARNAUND

NARNAUND

2011 43319 6706 87 0 87 0

2010 42601 5866 39 0 39 0

MIRCHPUR

2011 51287 5498 40 0 40 0

2010 51607 4143 6 0 6 0

KHANDAKHERI

2011 24856 4229 237 0 237 0

2010 25723 3359 239 0 239 0

THURANA

2011 30464 3356 79 0 79 0

2010 30515 2315 11 0 11 0

Total for CHC = 2011 149926 19789 443 0 443 0

2010 150446 15683 295 0 295 0

SORKHI

SORKHI

2011 42156 6682 164 0 164 0

2010 40423 3970 120 0 120 0

BASS

2011 43970 7349 117 1 118 0

2010 44545 3165 78 0 78

PUTHI SAMAIN

2011 31829 3063 1 0 1 0

2010 22164 2996 7 0 7

PUTHI M. KHAN

2011 22370 4156 69 1 70 0

2010 30844 2567 27 0 27 0

HANSI CITY

2011 70970 10844 187 0 187 0

2010 70651 7387 111 0 111 0

Total for CHC = 2011 211295 32094 538 2 540 0

2010 208627 20085 343 0 343 0

SISAI

SISAI

2011 39073 7259 1308 0 1308 0

2010 38707 6868 1193 0 1193 0

UMRA

2011 41278 5980 246 0 246 0

2010 40747 5604 89 0 89 0

DATTA 2011 43425 5303 374 0 374 0


2010 32881 3507 65 0 65 0

GURANA

2011 28659 4811 341 0 341 0

2010 38418 4308 134 0 134 0

Total for CHC = 2011 152435 23353 2269 0 2269 0

2010 150753 20287 1481 0 1481 0

MANGALI

MANGALI

2011 40088 13559 1678 5 1683 0

2010 37734 7928 988 6 994 0

TALWANDI

RUKKA

2011 29886 4228 139 0 139 0

2010 29730 3124 140 0 140 0

NALWA

2011 30607 6191 205 0 205 0

2010 30259 4157 83 2 85 0

LADWA

2011 29830 5869 450 0 450 0

2010 38164 3496 142 1 143 0

KAIMARI

2011 39312 5160 285 0 285 0

2010 32220 2913 209 0 209 0

Total for CHC = 2011 169723 35007 2757 5 2762 0

2010 168107 21618 1562 9 1571 0

ARYANAGAR

ARYANAGAR

2011 28857 4564 58 0 58 0

2010 28147 2985 48 1 49 0

SATROD KALAN

2011 44147 6926 61 0 61 0

2010 44156 5952 55 0 55

CHAUDHRIWAS

2011 30934 4658 47 4 51 0

2010 30640 4076 12 0 12 0

GAWAR

2011 18073 3391 14 1 15 0

2010 17792 3462 12 0 12 0

BALSMND

2011 26254 3314 3 0 3 0

2010 26002 2546 0 0 0 0

Total for CHC = 2011 148265 22853 183 5 188 0

2010 146737 19021 127 1 128 0

SISWAL

SISWAL

2011 44809 5109 109 0 109 0

2010 44218 5202 51 2 53 0

CHULI BAGRIAN

2011 44957 5418 5 0 5 0

2010 43277 3407 11 0 11 0

DOBHI

2011 23551 3161 7 0 7 0

2010 23297 2665 47 0 47 0

NEOLI KALAN

2011 32174 4696 60 0 60 0

2010 33304 2356 66 0 66 0

KAJLAN

2011 33497 3304 48 0 48 0

2010 31310 3454 15 0 15 0

Total for CHC = 2011 178988 21688 229 0 229 0

2010 175406 17084 190 2 192 0

BARWALA

BARWALA

2011 104432 15837 1247 2 1249 0

2010 99692 8104 614 6 620 0

LANDHARI

2011 36938 4803 52 0 52 0

2010 34720 3853 55 0 55 0

DHANSU

2011 41862 5414 290 2 292 0

2010 41710 2491 134 1 135 0

AGROHA

2011 29203 3548 133 0 133

2010 28673 3146 85 0 85 0

Total for CHC = 2011 212435 29602 1722 4 1726 0

2010 204795 17594 888 7 895 0


UKLANA

UKLANA

2011 57416 6918 56 0 56 0

2010 57325 4573 84 3 87 0

HASSANGARH

2011 36592 5761 167 0 167 0

2010 37169 4096 191 3 194 0

DAULATPUR

2011 26488 4808 37 0 37 0

2010 26118 4331 14 1 15 0

PABRA

2011 33503 5583 140 0 140 0

2010 33671 4788 44 0 44 0

Total for CHC = 2011 153999 23070 400 0 400 0

2010 154283 17788 333 7 340 0

HISAR CITY

2011 380438 23706 747 4 751 0

2010 363897 19986 479 2 481 0

TOTAL FOR DISTT. HISAR

2011 1757504 231162 9288 20 9308 0

2010 1723051 169146 5698 28 5726 0

JH

AJ

JA

R

1 Badli

1- Badli

2010 39131 2867 0 0 0

2011 39880 5300 48 0 48

2- Jahangirpur

2010 55605 5444 70 0 70

2011 56083 9110 219 2 221

3 Badsa

2010 25560 2666 0 0 0

2011 35602 4577 4 0 4

4 Chhudani

2010 51912 2277 1 0 1

2011 52227 4421 76 0 76

Total for CHC ……………………..= 2010 172208 13254 71 0 71

2011 183792 23408 347 2 349 0

2 Chhara

1 Chhara

2010 25740 3258 5 0 5

2011 25794 4066 8 0 8

2- Mandothi

2010 83322 3149 0 0 0

2011 89143 6703 140 2 142

3 Jassor Kheri

2010 29727 3125 0 0 0

2011 29800 4729 14 0 14

4 Kanondha

2010 69388 3708 0 0 0

2011 75332 4668 4 0 4

5 Nuna Majra

2010 83471 6963 115 1 116

2011 93605 4875 13 0 13

Total for CHC……………………... = 2010 291648 20203 120 1 121 0

2011 313674 25041 179 2 181 0

3 Dhakla

1 Dhakla

2010 39914 3243 5 1 6

2011 37624 4929 10 0 10

2 Tumbaheri

2010 30218 2104 0 0 0

2011 31734 2083 6 0 6

3 Machrolli

2010 33370 2916 0 0 0

2011 34555 5129 10 0 10

4 Silani

2010 28589 2738 0 0 0

2011 38609 4732 6 0 6

Total for CHC ……………………..= 2010 132091 11001 5 1 6 0

2011 142522 16873 32 0 32 0

4 Jamalpur 1 Jamalpur

2010 27005 2630 4 0 4

2011 27468 2586 5 1 6

2 Matanhail

2010 28292 2120 3 0 3

2011 27694 3737 16 0 16


3 Birohar

2010 27862 1465 0 0 0

2011 27818 1957 1 0 1

4 Bahu

2010 29571 1619 0 0 0

2011 29855 2112 22 0 22

5 Sahlawas

2010 26337 1737 0 0 0

2011 26248 2290 0 0 0

Total for CHC……………………... = 2010 139067 9571 7 0 7 0

2011 139083 12682 44 1 45 0

5 Dighal

1 Dighal

2010 35119 4463 8 0 8

2011 35257 5740 94 0 94

2 Bhambeva

2010 21369 2332 0 0 0

2011 21509 2635 1 0 1

3 Dujana

2010 33568 4716 19 0 19

2011 34027 5946 31 0 31

4 Kharhar

2010 25444 2634 2 0 2

2011 25589 2906 10 0 10

Total for CHC ……………………..= 2010 115500 14145 29 0 29 0

2011 116382 17227 136 0 136 0

6 Dubaldhan

1 Dubaldhan

2010 34280 4108 17 0 17

2011 35552 6535 15 0 15

2 Jahazgarh

2010 33165 2848 0 0 0

2011 32852 4057 2 0 2

3 Majra D

2010 23327 3881 39 0 39

2011 23640 4568 102 0 102

4 Chhuchhakwas

2010 28154 2913 0 0 0

2011 28418 3904 58 0 58

Total for CHC……………………... = 2010 118926 13750 56 0 56 0

2011 120462 19064 177 0 177 0

TOTAL FOR JHAJJAR = 2010 969440 81924 288 2 290 0

2011 1015915 114295 915 5 920 0

JIN

D

Julana

Julana

2011 48721 8181 37 0 37 0

2010 48134 8735 64 0 64 0

J.J.Wanti

2011 34518 5022 30 0 30 0

2010 34233 4306 6 0 6 0

Shamlo

2011 38149 5186 31 0 31 0

2010 37841 5200 17 0 17 0

Nidana

2011 40964 4709 23 0 23 0

2010 40288 3431 14 0 14 0

Total for CHC

2011 162352 23098 121 0 121 0

2010 160496 21672 101 0 101 0

Kh.Ramji

Kh.Ramji

2011 46873 6828 57 0 57 0

2010 46323 7178 43 0 43 0

Dariyawala

2011 39073 8354 31 0 31 0

2010 38693 6831 26 0 26 0

Ramrai

2011 37836 6927 44 0 44 0

2010 37420 6088 14 0 14 0

Total for CHC

2011 123782 22109 132 0 132 0

2010 122436 20097 83 0 83 0

Kandela Kandela

2011 41748 8035 27 0 27 0

2010 42172 6237 42 0 42 0

Gogrian 2011 40996 6396 14 0 14 0


2010 40681 4854 25 0 25 0

Deola

2011 41770 6114 44 0 44 0

2010 40737 4984 112 0 112 0

Total for CHC

2011 124514 20545 85 0 85 0

2010 123590 16056 179 0 179 0

Kalwa

Kalwa

2011 27961 4380 6 0 6 0

2010 27600 4478 8 0 8 0

S.Mall

2011 25035 4425 4 0 4 0

2010 25263 3605 0 0 0 0

R.Kalan

2011 33576 4752 2 0 2 0

2010 32938 5317 9 1 10 0

Datrath

2011 37268 6246 12 0 12 0

2010 36972 6019 4 0 4 0

Alewa

2011 32582 4030 0 0 0 0

2010 32548 3409 5 0 5 0

Total for CHC

2011 156692 23833 24 0 24 0

2010 155581 22828 26 1 27 0

Safidon

Safidon

2011 74179 7894 26 6 32 0

2010 73494 8715 15 0 15 0

Hatt

2011 38417 5323 3 1 4 0

2010 38127 4593 4 0 4 0

Muwana

2011 38660 3067 9 0 9 0

2010 38714 2226 7 0 7 0

Total for CHC

2011 151256 16284 28 7 45 0

2010 150345 15534 26 0 26 0

Uchana

Chhattar

2011 45824 5295 20 0 20 0

2010 45128 4463 11 0 11 0

Uchana

2011 39940 6724 26 0 26 0

2010 39242 6815 20 0 20 0

Durjanpur

2011 37509 5471 9 0 9 0

2010 37317 4897 7 0 7 0

Dumarkha

2011 47109 3887 9 0 9 0

2010 49319 3347 6 0 6 0

Sisar

2011 32635 3764 6 0 6 0

2010 36086 3122 4 0 4 0

Total for CHC

2011 203017 25141 70 0 70 0

2010 207092 22644 48 0 48 0

Ujhana

Ujhana

2011 49197 6942 33 0 33 0

2010 48546 5749 31 0 31 0

Dhamtan

2011 42862 4803 3 0 3 0

2010 43233 4472 8 0 8 0

Amargarh

2011 37790 4217 11 0 11 0

2010 35261 3653 0 0 0 0

Dhanori

2011 37993 4188 6 1 7 0

2010 37386 3023 3 0 3 0

Danoda

2011 39316 4002 8 0 8 0

2010 38891 4100 26 0 26 0

Narwana

2011 62599 4873 25 0 25 0

2010 62059 4228 2 0 2 0

Total for CHC

2011 269757 29025 86 1 87 0

2010 265376 25225 70 0 70 0


U/Jind U/Jind

2011 173491 11048 92 0 92 0

2010 172129 10134 49 0 49 0

Total for Distt. JIND

2011 1364861 171083 648 8 656 0

2010 1357045 154188 582 1 583 0

KA

ITH

AL

PUNDRI

PUNDRI

2011 43633 2617 0 0 0 0

2010 43115 1067 0 0 0 0

HABRI

2011 43942 5605 12 5 17 0

2010 41772 4723 4 0 4 0

PAI

2011 36422 3384 1 0 1 0

2010 36261 2733 1 0 1 0

MUNDRI

2011 40624 3497 1 0 1 0

2010 39968 1471 0 0 0 0

Total for CHC PUNDRI 2011 164621 15103 14 5 19 0

2010 161116 9994 5 0 5 0

SIWAN

SIWAN

2011 77565 10140 3 0 3 0

2010 80880 7790 2 0 2 0

PADLA

2011 50315 4685 0 0 0 0

2010 48783 3844 0 0 0 0

KEORAK

2011 45870 4015 0 0 0 0

2010 46605 3262 0 0 0 0

Total for CHC SIWAN 2011 173750 18840 3 0 3 0

2010 176268 14896 3 0 3 0

KAITHAL KTL TOWN

2011 191482 4255 5 0 5 0

2010 162784 3546 1 0 1 0

Total for KTL TOWN 2011 191482 4255 5 0 5 0

2010 162784 3546 1 0 1 0

KALAYAT

DEOBAN

2011 42117 3134 0 0 0 0

2010 41165 2351 0 0 0 0

KALAYAT

2011 79644 11895 105 0 105 0

2010 78963 7021 63 2 65 0

BATTA

2011 27950 5390 26 0 26 0

2010 28905 4360 33 0 33 0

BALU

2011 28947 4080 9 0 9 0

2010 28440 1380 1 0 1 0

Total for CHC KALAYAT 2011 178658 24499 140 0 140 0

2010 177473 15112 97 2 99 0

KAUL

KAUL

2011 25557 3619 3 0 3 0

2010 25152 2966 6 0 6 0

DHAND

2011 42842 3907 0 0 0 0

2010 42123 3358 4 0 4 0

RASINA

2011 32060 3539 6 0 6 0

2010 32171 3781 5 0 5 0

Total for CHC KAUL 2011 100459 11065 9 0 9 0

2010 99446 10105 15 0 15 0

GUHLA

BHAGAL

2011 32204 3255 0 0 0 0

2010 32112 3296 0 1 1 0

GUHLA

2011 93148 5782 3 0 3 0

2010 90975 5373 6 0 6 0

KHARKAN

2011 32035 3929 1 0 1 0

2010 34269 2874 0 0 0 0

KANGTHALI 2011 65608 6856 4 0 4 0


2010 64376 5955 0 0 0 0

Total for CHC GUHLA 2011 222995 19822 8 0 8 0

2010 221732 17498 6 1 7 0

RAJOUND

RAJOUND

2011 32964 6078 45 0 45 0

2010 32418 5600 32 0 32 0

KITHANA

2011 32833 4617 13 0 13 0

2010 32415 3413 4 0 4 0

JAKHOLI

2011 34122 4528 6 0 6 0

2010 33759 3627 4 0 4 0

KARORA

2011 33131 3042 4 0 4 0

2010 32846 3057 4 0 4 0

Total for CHC RAJOUND 2011 133050 18265 68 0 68 0

2010 131438 15697 44 0 44 0

TOTAL FOR KAITHAL =

2011 1165015 111849 247 5 252 0

2010 1130257 86848 171 3 174 0

INDRI

1. Indri

2010 61336 9337 278 50 328 0

2011 62111 10433 620 71 691 0

2. Khukhani

2010 46438 5833 74 0 74 0

2011 47495 6608 31 0 31 0

3. Gheer

2010 57130 6533 42 1 43 0

2011 57434 8214 45 4 49 0

4. Kunjpura

2010 61717 9136 92 88 180 0

2011 62604 7593 22 28 50 0

5.Madhuban

2010 73322 4045 42 0 42 0

2011 74411 5788 53 7 60 0

6. Kachhwa

2010 61183 4626 9 0 9 0

2011 61940 6029 9 1 10 0

7. Bhadson

2010 25116 625 0 0 2 0

2011 25759 1955 0 0 0 0

Total for CHC = 2010 386642 40135 540 139 679 0

2011 391854 46821 780 111 891 0

GHARAUNDA

1. Gharaunda

2010 60982 6279 152 35 187 0

2011 62506 8214 93 39 132 0

2. Choura

2010 37409 8149 85 20 105 0

2011 37899 9650 271 80 351 0

3. Kutail

2010 36615 3220 14 0 14 0

2011 36718 3885 22 2 24 0

4. Barsat

2010 41095 7388 106 33 139 0

2011 42402 7996 122 36 158 0

5. Gagsina

2010 49192 3631 0 0 0 0

2011 49340 5065 7 0 7 0

Total for CHC = 2010 225391 29260 357 88 445 0

2011 228865 35750 515 155 670 0

BALLAH

1. Ballah

2010 33652 2779 5 0 5 0

2011 33875 2401 1 0 1 0

2. Salawan

2010 35090 1222 0 0 0 0

2011 35317 3172 0 0 0 0

Total for CHC = 2010 68742 4021 5 0 5 0

2011 69192 5673 1 0 1 0

ASSANDH 1. Assandh

2010 61963 5489 6 6 12 0

2011 62504 8057 4 3 7 0


2. Jalmana

2010 22598 2681 3 0 3 0

2011 22938 2675 0 0 0 0

3. Uplana

2010 31419 1686 6 1 7 0

2011 32811 3378 18 0 18 0

4. Popra

2010 30645 3843 0 0 0 0

2011 30403 4144 1 0 1 0

Total for CHC = 2010 146621 13797 17 6 23 0

2011 148656 18156 23 3 26 0

NISSING

1. Nissing

2010 54489 10117 81 13 94 0

2011 54143 10846 81 17 98 0

2. Sambhli

2010 38738 2960 12 0 12 0

2011 37542 2923 54 9 63 0

3. Jundla

2010 44037 4268 8 1 9 0

2011 43590 5355 13 3 16 0

4. Barota

2010 30310 3233 6 0 6 0

2011 30657 4370 12 0 12 0

Total for CHC = 2010 165803 20578 107 14 121 0

2011 168521 23494 160 29 189 0

NILOHERI

1. Nilokeri

2010 68799 6102 99 3 102 0

2011 69810 7194 148 11 159 0

2. Taroari

2010 63145 3821 0 0 0 0

2011 63867 3559 17 0 17 0

3. Sagga

2010 34015 2150 1 2 3 0

2011 34687 2581 8 1 9 0

4. Nigdu

2010 49779 4659 7 1 8 0

2011 50681 4820 6 2 8 0

Total for CHC = 2010 215738 16727 107 6 113 0

2011 218235 18154 179 14 193 0

Karnal Town

2010 256518 29325 329 118 447 0

2011 258175 32916 402 187 589 0

Karnal District Total

2010 1468177 153843 1462 371 1833 0

2011 1480472 180964 2060 499 2559 0 K

UR

UK

SH

ET

RA

1

PEHOWA

2011 105947 8442 5 1 6 0

2010 103761 8131 1 0 1 0

SAINA SAIDAN

2011 60375 4933 1 0 1 0

2010 59728 5889 0 0 0 0

RAMGARH ROR

2011 32209 0 0 0 0 0

2010 31928 0 0 0 0 0

THASKA MIRANJI

2011 33558 2332 3 0 3 0

2010 33093 2424 1 0 1 0

Total for CHC = PEHOWA 2011 199880 15707 9 1 10 0

2010 196582 16474 2 0 2 0

2

MATHANA

2011 23357 3773 158 17 175 0

2010 23082 3171 99 14 113 0

KIRMACH

2011 33607 4275 0 0 0 0

2010 34178 3309 10 0 10 0

DHURALA

2011 42416 4963 11 2 13 0

2010 42247 4990 5 0 5 0

KHANPUR

KOLIAN

2011 37311 4968 26 3 29 0

2010 36513 4099 2 0 4 0

BARNA 2011 32792 3492 0 0 0 0


2010 32682 3097 0 0 0 0

PIPLI

2011 33997 3968 10 0 10 0

2010 33291 3690 8 2 10 0

AMIN

2011 22725 3923 13 0 13 0

2010 22697 3461 1 0 1 0

Total for CHC = MATHANA 2011 226205 29362 218 23 241 0

2010 224686 25817 125 16 141 0

3

LADWA

2011 75306 7573 24 0 24 0

2010 73847 8158 12 1 13 0

GUDHA

2011 29860 2737 9 0 9 0

2010 29660 2634 0 0 0 0

TATKA

2011 26911 3381 4 0 4 0

2010 26761 2704 7 0 7 0

BABAIN

2011 37913 5745 69 3 72 0

2010 37759 3911 28 2 30 0

Total for CHC = LADWA 2011 169990 19436 106 2 109 0

2010 168027 17407 47 3 50 0

4

JHANSA

2011 29101 2366 16 0 16 0

2010 28747 1978 21 2 23 0

ISMAILABAD

2011 19013 2994 9 2 11 0

2010 2261 2468 6 0 6 0

DEEG

2011 42330 4114 4 0 4 0

2010 41906 3863 0 0 0 0

THOL

2011 24045 3194 18 0 18 0

2010 24865 2650 11 0 11 0

KALSANA

2011 28783 3387 2 0 2 0

2010 31588 3159 0 0 0 0

SHAHBAD

2011 59011 4144 19 1 20 0

2010 58805 4843 4 0 4 0

Total for CHC = JHANSA 2011 202283 20199 67 3 70 0

2010 208172 16901 42 2 44 0

2 T.TOWN

2011 128563 11375 72 23 95 0

2010 118804 6785 26 1 27 0

Total for CHC = T.TOWN 2011 128563 11375 72 23 95 0

2010 118804 6785 26 1 27 0

TOTAL FOR KURUKSHETRA =

2011 926921 96079 472 53 525 0

2010 916270 82887 242 22 264 0

ME

WA

T

1

1 NUH

2011 123774 24014 224 9 233 0

2010 119164 16049 16 0 16 0

2 UJINA

2011 89227 38592 970 137 1107 0

2010 87649 9571 86 8 94 0

3 GHASERA

2011 82937 10918 95 2 97 0

2010 80196 7006 6 0 6 0

4 TAURU

2011 115413 6923 3 0 3 0

2010 108143 4550 0 2 2 0

5 M.P. AHIR

2011 51632 4391 3 0 3 0

2010 48992 3916 6 0 6 0

Total CHC NUH

2011 462983 84838 1295 148 1443 0

2010 444944 41092 114 8 122 0

2 1 PUNHANA 2011 63698 10090 5 0 5 0


2010 61638 6915 1 0 1 0

2 PINGAWAN

2011 100086 9086 34 8 42 0

2010 96477 4996 61 1 62 0

3 TIGAON

2011 77155 4477 3 0 3 0

2010 75541 2128 5 0 5 0

4 SINGAR

2011 79912 9084 10 0 10 0

2010 75302 6068 3 0 3 0

Total CHC PUNHANA

2011 320851 32737 52 8 60 0

2010 308958 20117 70 1 71 0

2

1 NAGINA

2011 715989 7129 15 1 16 0

2010 67347 5212 2 1 3 0

2 MARORA

2011 72201 4856 12 3 15 0

2010 72073 4814 5 0 5 0

3 F.P. JHIRKA

2011 89027 10550 15 0 15 0

2010 87014 7515 11 1 12 0

4 BIWAON

2011 57762 4620 8 0 8 0

2010 56165 4207 3 0 3 0

TOTAL CHC F.P.JHIRKA 2011 290979 27155 51 4 55 0

2010 282599 21748 23 0 23 0

TOTAL DISTRICT MEWAT

#### 1074813 144730 1398 160 1558 0

#### 1036501 82957 205 11 216 0

NA

RN

AU

L

Douchana

Dochana

2011 22592 3700 24 0 24 0

2010 22431 3090 2 0 2 0

Balah Kalan

2011 33366 3530 8 0 8 0

2010 33114 3565 5 1 6 0

Rampura

2011 27564 3561 10 0 10 0

2010 27332 3689 3 0 3 0

Chhilaro

2011 31350 3490 6 0 6 0

2010 31138 3670 2 0 2 0

Total for CHC ……………………..= 2011 114872 14216 48 0 48 0

2010 114015 14004 12 1 13 0

N/Chaudhary

N/Chaudhary 2011 31999 2794 1 0 1 0

2010 31858 2748 1 0 1 0

Budhwal 2011 24216 926 1 0 1 0

2010 23867 1077 0 0 0 0

Sirohi Bahali 2011 45336 4679 18 0 18 0

2010 44958 4256 5 0 5 0

Bayal 2011 25996 1862 3 0 3 0

2010 25847 1498 0 0 0 0

Antri 2011 35876 1997 10 0 10 0

2010 35647 1821 2 0 2 0

Bamanwas 2011 6904 129 1 0 1 0

2010 6898 0 0 0 0 0

Total for CHC……………………... = 2011 170327 12387 34 0 34 0

2010 169075 11582 8 0 8 0

Ateli

Ateli 2011 88390 8482 10 0 10 0

2010 87188 8368 1 0 1 0

Bachhod 2011 31677 2899 14 0 14 0

2010 31402 2522 5 1 6 0

Sihma 2011 48119 5699 18 1 19 0

2010 47198 4141 9 1 10 0


Total for CHC……………………... = 2011 168186 17274 42 1 43 0

2010 165788 16010 15 2 17 0

Nangal Sirohi

Nangal Sirohi

2011 85968 10511 36 0 36 0

2010 85125 16194 18 6 24 0

G.H. M/Garh

2011 36376 6377 9 0 9 0

2010 35424 4098 9 0 9 0

Malra

2011 36376 2518 24 0 24 0

2010 1598 9 1 10 0

Satnali

2011 47412 8050 4 1 5 0

2010 42859 3798 6 0 6 0

Madhogarh

2011 35933 4094 12 0 12 0

2010 39645 1256 5 0 5 0

Pali

2011 40253 4663 13 0 13 0

2010 39940 1137 5 0 5 0

Total for CHC……………………... = 2011 244942 33061 98 1 99 0

2010 242989 24415 52 7 59 0

Kanina

Kanina

2011 40772 6363 12 0 12 0

2010 40253 6632 3 0 3 0

Mundia khera

2011 23500 3611 12 0 12 0

2010 23290 3875 3 0 3 0

Bhojawas

2011 33670 4027 5 0 5 0

2010 33305 4096 0 0 0 0

Sehlang

2011 39971 4802 49 1 50 0

2010 39721 4746 16 0 16 0

Dhanonda

2011 39386 4556 24 0 24 0

2010 39381 3663 10 0 10 0

Total for CHC……………………... = 2011 187299 23359 102 1 103 0

2010 186050 23134 32 0 32 0

Narnaul Narnaul

2011 66828 10284 32 0 32 0

2010 65718 7243 9 0 9 0

TOTAL FOR DISTRICT=

2011 942454 110581 356 3 359 0

2010 934982 96438 128 10 138 0 P

AL

WA

L

1 GH Palwal

2011 133424 9718 48 1 49 0

2010 126419 3109 3 2 5 0

Total for GH Palwal 2011 133424 9718 48 1 49 0

2010 126419 3109 3 2 5 0

2

CHC Aurangabad

2011 83731 7594 12 1 13 0

2010 81336 9043 1 0 1 0

Total for CHC Aurangabad 2011 83731 7594 12 1 13 0

2010 81336 9043 1 0 1 0

3 CHC Hodal

2011 308400 22016 36 1 37 0

2010 303663 15446 1 0 1 0

Total for CHC Hodal 2011 308400 22016 36 1 37 0

2010 303663 15446 1 0 1 0

4 CHC Hathin

2011 268568 38454 242 5 247 0

2010 263049 34899 229 15 244 0

Total for CHC Hathin 2011 268568 38454 242 5 247 0

2010 263049 34899 229 15 244 0

5 CHC Dudhola

2011 299798 32459 138 5 143 0

2010 290048 15446 27 2 29


Total for CHC Dudhola 2011 299798 32459 138 5 143 0

2010 290048 15446 27 2 29

TOTAL FOR DISTRICT Palwal

2011 1093921 110241 476 13 489 0

2010 1064515 77943 261 19 280 0

PA

NC

HK

UL

A

1 Raipurrani

Raiprrani

2011 33144 8626 90 0 90 0

2010 32648 6640 44 0 44 0

Hangola

2011 26832 7452 63 1 64 0

2010 26541 5078 38 0 38 0

Barwala

2011 31380 11209 36 1 37 0

2010 29988 7720 13 0 13 0

Kot

2011 33559 5221 39 2 41 0

2010 34671 4127 7 1 8 0

Total for CHC = 2011 124915 32508 228 4 232 0

2010 123848 23428 101 2 103 0

2 Kalka

Morni

2011 18014 7100 37 0 37 0

2010 17926 4660 24 0 24 0

Pinjore

2011 54581 10870 51 1 52 0

2010 55534 8349 21 22 42 0

Kalka

2011 66008 9164 28 0 28 0

2010 64934 4427 14 0 14 0

Nanakpur

2011 36527 4847 13 0 13 0

2010 35712 5491 8 0 8 0

Old Panchkula

2011 74748 11617 30 5 35 0

2010 67217 10418 8 0 8 0

Total for CHC = 2011 249878 43598 159 6 165 0

2010 241323 33345 75 22 97 0

3 Urban Panchkula

2011 198679 37401 21 0 21 0

2010 197577 26581 14 0 14 0

TOTAL FOR PANCHKULA =

2011 573472 113507 408 10 418 0

2010 562748 83354 190 24 214 0

PA

NIP

AT

AHAR

CHC AHAR

2010 35061 6595 7 0 7 0

2011 35544 6759 13 0 13 0

SEENK

2010 38488 4948 5 0 5 0

2011 39248 4802 6 0 6 0

NAULTHA

2010 46674 4418 1 0 1 0

2011 47051 5501 6 0 6 0

MANDI

2010 42758 4466 2 0 2 0

2011 48626 7131 2 0 2 0

MADLAUDA

2010 66218 8131 3 0 3 0

2011 60246 8238 2 0 2 0

KAVI

2010 44062 6169 2 0 2 0

2011 44755 6258 2 0 2 0

Total for CHC .=

2010 273261 34727 20 0 20 0

2011 275470 38689 31 0 31 0

SAMALKHA

CHC SAMALKHA

2010 60779 6556 37 0 37 0

2011 61626 8818 53 2 55 0

CHULKANA

2010 37390 5374 12 0 12 0

2011 37440 4565 62 0 62 0

PATTI KALYANA

2010 43653 5968 12 0 12 0

2011 43925 7103 9 0 9 0


NARAYANA

2010 32165 6007 16 0 16 0

2011 32607 6271 28 0 28 0

Total for CHC .=

2010 173987 23905 77 0 77 0

2011 175598 26757 152 2 154 0

BAPOLI

CHC BAPOLI

2010 60974 7162 55 1 56 0

2011 61608 9314 45 16 61 0

UJJHA

2010 44624 4807 78 20 98 0

2011 47382 6121 11 12 23 0

UGRA KHERI

2010 117963 4610 9 0 9 0

2011 120042 5120 13 2 15 0

SEWAH

2010 45832 3152 5 0 5 0

2011 46783 3457 12 0 12 0

KABRI

2010 130770 5727 4 0 4 0

2011 133115 8491 14 6 20 0

Total for CHC .=

2010 400163 25458 151 21 172 0

2011 408930 32503 95 36 131 0

Panipat Town

2010 340931 14001 123 7 130 0

2011 344931 15117 172 47 219 0

TOTAL FOR DISTRICT =

2010 1188342 98091 371 28 399 0

2011 1204929 113066 450 85 535 0

RE

WA

RI

BAWAL

BAWAL

2011 51756 8802 3 0 3 0

2010 50885 7528 2 0 2 0

SUTHANI

2011 37158 4305 2 0 2 0

2010 36816 3373 2 0 2 0

TANKRI

2011 38145 6651 1 0 1 0

2010 37810 5282 0 0 0 0

KASOLA

2011 29145 4045 0 0 0 0

2010 28709 4190 0 0 0 0

SANGWARI

2011 37677 4806 1 0 1 0

2010 37422 4634 2 0 2 0

Total for CHC =BAWAL 2011 193881 28609 7 0 7 0

2010 191642 25007 5 0 5 0

Khol Khol

2011 106862 8467 0 0 0 0

2010 105279 7404 0 0 0 0

Basduda

2011 28618 4527 0 0 0 0

2010 28315 3898 0 0 0 0

Total for CHC =Khol

2011 135480 12994 2 0 2 0

2010 133594 11302 1 0 1 0

1. Bharaws

2011 33566 3253 3 0 3 0

Meerpur

2010 32625 3218 0 0 0 0

2. Dharuhera

2011 86129 4164 9 0 9 0

2010 72734 6822 9 0 9 0

3 Meerpur

2011 30016 3547 1 0 1 0

2010 29520 5003 1 0 1 0

4. Bikaner

2011 36929 5058 2 0 2 0

2010 36690 5338 3 0 3 0

Total CHC Meerpur

2011 186640 16022 15 0 15 0

2010 171569 20381 13 0 13 0

Gurawra Gurawara

2011 40275 6283 7 0 7 0

2010 40018 5593 6 0 6 0

Jatusana 2011 39562 4755 6 0 6 0


2010 39159 4446 1 0 1 0

Fathepuri

2011 32214 4034 7 0 7 0

2010 31996 4075 4 0 4 0

Dahina

2011 43942 4076 2 0 2 0

2010 43613 4150 4 0 4 0

Total for CHC =Gurawara 2011 155993 19148 22 0 22 0

2010 154786 18264 15 0 15 0

Nahar

Nahar

2011 34089 7391 75 0 75 0

2010 33710 6833 28 0 28 0

Bawwa

2011 27543 5233 2 0 2 0

2010 27525 4106 0 0 0 0

Kosli

2011 35824 6705 7 0 7 0

2010 34750 5825 3 0 3 0

Guriyani

2011 24493 3914 0 0 0 0

2010 24207 3625 0 0 0 0

Total for CHC = 2011 121949 23243 84 0 84 0

2010 120192 18964 28 0 28 0

Urban Rewari 2011 114623 7696 0 0 0 0

2010 109913 8119 2 0 2 0

TOTAL FOR DISTRICT REWARI

2011 908566 107712 130 0 130 0

2010 881696 102037 64 0 64 0

RO

HT

AK

Rohtak Urban Rohtak Urban

2010 383563 25370 124 1 125 0

2011 391461 35949 158 1 159 0

CHC Kiloi

Kiloi

2010 21759 5058 133 0 133 0

2011 21514 5509 211 0 211 0

Makroli Kalan

2010 30402 3544 0 0 0 0

2011 28755 3309 15 0 15 0

Bhalaut

2010 30591 4364 70 0 70 0

2011 31713 5112 47 0 47 0

Ghilor Kalan

2010 22335 3430 0 0 0 0

2011 22280 4029 4 0 4 0

Sanghi

2010 22280 3421 0 0 0 0

2011 22791 3531 3 0 3 0

Paksama

2010 23421 2755 3 0 3 0

2011 24430 3378 20 0 20 0

Total for CHC ……………………..=

2010 150788 22572 206 0 206 0

2011 151483 24868 300 0 300 0

CHC Chiri

Chiri

2010 29515 6890 34 0 34 0

2011 30176 6432 63 1 64 0

Lakhanmajra

2010 21876 2703 30 0 30 0

2011 22033 3769 107 1 107 0

S.G.Pur

2010 52580 6130 0 0 0 0

2011 53199 7011 50 0 50 0


2010 103971 15723 64 0 64 0

2011 105408 17212 220 2 222 0

CHC Sampla

Sampla

2010 35857 5363 11 0 11 0

2011 37125 4960 27 0 27 0

Hasangarh

2010 22568 2385 0 0 0 0

2011 23218 2742 2 0 2 0

Ismiala

2010 26440 3123 0 0 0 0

2011 30272 3444 2 0 2 0


Khrawar 2010 26044 3181 0 0 0 0

2011 26250 4059 2 0 2 0


2010 110909 14052 11 0 11 0

2011 116865 15205 33 0 33 0

CHC Kalanaur

Kalanaur

2010 37369 6506 182 0 182 0

2011 38651 9793 426 0 426 0

Kahanaur

2010 21392 4166 4 0 4 0

2011 21566 3253 11 0 11 0

Baniyani

2010 29772 5118 2 0 2 0

2011 30242 6042 48 0 48 0

Baland

2010 26332 4669 17 0 17 0

2011 26538 4373 32 0 32 0

Sun. Kalan

2010 28927 3327 2 0 2 0

2011 29152 3774 0 0 0 0

Pilana

2010 19494 3801 3 0 3 0

2011 19821 4169 29 0 29 0


2010 163286 27587 210 0 210 0

2011 165970 31404 546 0 546 0

CHC Meham

Meham

2010 34853 4016 128 0 128 0

2011 34976 5803 14 0 14 0

Behlba

2010 38940 4301 0 0 0 0

2011 39184 5602 8 0 8 0

Madina

2010 17862 3661 83 0 83 0

2011 17915 3292 11 0 11 0

Girawar

2010 20943 4994 0 0 0 0

2011 20896 3890 2 0 2 0

Mokhra

2010 20482 2446 0 0 0 0

2011 20701 3384 2 0 2 0

Farmana.B.Pur

2010 34104 2852 0 0 0 0

2011 34522 4239 18 0 18 0


2010 167184 20270 211 0 211 0

2011 168194 26210 55 0 55 0

Total for Distt.

2010 1079701 125574 826 1 827 0

2011 1099381 150848 1312 3 1315 0

SIR

SA

1 Nathusari

Chopta

1 Nathusari Chopta

2011 46019 8364 291 0 291 0

2010 46379 7036 227 0 227 0

2 Randhawa

2011 38126 3303 121 0 121 0

2010 38146 3155 44 0 44 0

3 Darba Kalan

2011 47830 3553 188 0 188 0

2010 46818 3928 64 0 64 0

4 Ding

2011 30745 5728 226 0 226 0

2010 29943 4404 103 0 103 0

TOTAL FOR CHC =

2011 163720 20948 826 0 826 0

2010 161286 17540 438 0 438 0

2 Madho

Singhana

1 Madhosinghana

2011 82633 14547 474 0 474 0

2010 81552 11593 169 1 170 0

2 Darbi

2011 45230 5446 270 1 271 0

2010 43012 3877 27 0 27 0

3 Panihari

2011 30009 4317 47 0 47 0

2010 29303 3918 54 0 54 0

TOTAL FOR CHC = 2011 157872 24310 791 1 792 0


2010 153867 19388 250 1 251 0

3 Ellenabad

1 Ellenabad

2011 84515 7789 53 0 53 0

2010 91671 5168 17 0 17 0

2 Mallekan

2011 43457 5724 20 0 20 0

2010 41405 3821 6 0 6 0

3 Jagmalera

2011 30856 2439 3 0 3 0

2010 31540 2964 1 0 1 0

Total for CHC =

2011 158828 15946 76 0 76 0

2010 164616 11952 24 0 24 0

4 Rania

1 Rania

2011 87970 8749 12 0 12 0

2010 86689 6499 48 0 48 0

2 Kharia

2011 38674 6960 4 0 4 0

2010 39456 5873 6 0 6 0

3 Keharwala

2011 37689 5099 5 0 5 0

2010 36841 4571 3 0 3 0

Total for CHC =

2011 164333 20808 21 0 21 0

2010 162980 16943 57 0 57 0

5 Dabwali

1 Dabwali

2011 73500 7242 30 3 33 0

2010 72995 3319 29 1 30 0

2 Kaluana

2011 28960 3421 2 0 2 0

2010 27632 3347 0 0 0 0

3 Goriwala

2011 39990 3016 2 0 2 0

2010 39008 4336 6 2 8 0

4 Jottanwali

2011 52717 5228 38 0 38 0

2010 52209 4555 23 4 27 0

5 Desujodha

2011 27612 3462 2 0 2 0

2010 28054 2983 7 0 7 0

Total for CHC =

2011 222779 22369 74 3 77 0

2010 220098 17949 65 7 72 0

6 Odhan

1 Odhan

2011 24876 5259 69 1 70 0

2010 24737 5306 15 0 15 0

2 Kalanwali

2011 73307 9384 12 0 12 0

2010 72999 10405 10 0 10 0

3 Panniwala Motta

2011 30049 4837 71 0 71 0

2010 28544 4233 1 0 1 0

Total for CHC =

2011 128232 19480 152 1 153 0

2010 126280 19944 26 0 26 0

7 Baragudha 1 Baragudha

2011 66968 13618 168 0 168 0

2010 64656 12849 80 0 80 0

2 Rori

2011 42327 5594 29 0 29 0

2010 40294 5133 38 0 38 0

Total for CHC =

2011 109295 19212 197 0 197 0

2010 104950 17982 118 0 118 0 8 S

irsa

City

2011 190554 9477 432 1 433 0

2010 182406 4611 181 0 181 0

Total for District Sirsa =

2011 1295613 152550 2569 6 2575 0

2010 1276489 118516 1159 8 1167 0

SO

NIP

AT

JUAN Juan

2011 30621 4531 29 0 29 0

2010 31477 27942 210 0 210 0

Bhatgaon

2011 41231 31881 546 0 546 0

2010 42624 4526 128 0 128 0


Mahra

2011 36217 6167 14 0 14 0

2010 36435 4702 0 0 0 0

B.Zafrabad

2011 51150 6073 8 0 8 0

2010 49506 4230 83 0 83 0

Murthal

2011 48720 3653 11 0 11 0

2010 47781 5419 0 0 0 0

Total for CHC =

2011 207939 52305 608 0 608 0

2010 207823 46819 421 0 421 0

Ganaur

Purkhas

2011 56242 3891 3 0 3 0

2010 55620 3502 0 0 0 0

Ganaur

2011 60329 5013 18 0 18 0

2010 58707 20894 211 0 211 0

Bega

2011 55242 26657 55 0 55 0

2010 54605 125928 826 1 827 0

Moi - Dubheta

2011 53618 151202 1312 3 1315 0

2010 53178 8783 291 0 291 0

Total for CHC 2011 225431 186763 1388 3 1391 0

2010 222110 159107 1328 1 1329 0

Kharkhoda

Farmana

2011 25150 3425 44 0 44 0

2010 25829 3844 188 0 188 0

Bidlan

2011 21858 4119 64 0 64 0

2010 22270 5908 226 0 226 0

Sisana

2011 26240 4676 103 0 103 0

2010 26453 21149 826 0 826 0

Kharkhoda

2011 32163 17977 438 0 438 0

2010 32081 15041 474 0 474 0

Total for CHC = 2011 105411 30197 649 0 649 0

2010 106633 45942 1714 0 1714 0

F.Banger Rohat

2011 27841 4141 27 0 27 0

2010 27554 4559 47 0 47 0

F.Banger

2011 28091 4115 54 0 54 0

2010 27789 24622 791 1 792 0

Total for CHC = 2011 55932 8256 81 0 81 0

2010 55343 29181 838 1 839 0

Badkhalsa

1Halalpur

2011 52595 5596 17 0 17 0

2010 52018 6139 20 0 20 0

2 Badkhlasa

2011 92540 4506 6 0 6 0

2010 91387 3213 5 0 5 0

3 Jakholi

2011 45408 3196 1 0 1 0

2010 43130 16217 76 0 76 0

Total for CHC

2011 190543 13298 24 0 24 0

2010 186535 25569 101 0 101 0

Mundlana

Mundlana

2011 43257 6981 48 0 48 0

2010 43774 7313 4 0 4 0

Butana

2011 45397 6341 6 0 6 0

2010 45169 5333 5 0 5 0

Jagsi

2011 30795 4745 3 0 3 0

2010 30486 20983 21 0 21 0

Total for CHC = 2011 119449 18067 57 0 57 0

2010 119429 33629 30 0 30 0

Gohana Gohana 2011 62581 3736 31 1 32 0


2010 59998 3939 2 0 2 0

Rukhi

2011 31133 3612 0 0 0 0

2010 30966 3294 2 0 2 0

Bhainswal Kalan

2011 28670 4579 6 2 8 0

2010 28158 5469 38 0 38 0

Lath

2011 27019 4818 23 4 27 0

2010 27109 3703 2 0 2 0

Khanpur Kalan

2011 33899 3190 7 0 7 0

2010 33508 22534 74 3 77 0

Total for CHC =

2011 183302 19935 67 7 74 0

2010 179739 38939 118 3 121 0

Banwasa Banwasa

2011 49142 5891 15 0 15 0

2010 48594 9927 12 0 12 0

Madina

2011 32834 10612 10 0 10 0

2010 32519 5099 71 0 71 0

Total for CHC = 2011 81976 16503 25 0 25 0

2010 81113 15026 83 0 83 0

Urban

Sonipat Urban 2011 246187 20862 26 0 26 0

2010 227702 14838 168 0 168 0

Total for Snp urban

2011 246187 20862 26 0 26 0

2010 227702 19029 168 0 168 0

TOTAL FOR SONIPAT=

2011 1416170 366186 2925 10 2935 0

2010 1386427 413241 4801 5 4806 0

Ya

mu

na

na

ga

r

1 Mustfabad

1 Mustfabad

2011 40038 7563 283 8 291 0

2010 40173 4678 140 3 143 0

2 Bhambol

2011 50915 5773 12 0 12 0

2010 47220 3761 37 1 38 0

3 Arnauli

2011 37925 2962 28 0 28 0

2010 38258 1833 18 1 19 0

Total for CHC = 2011 128878 16298 323 8 331 0

2010 125651 10272 195 5 200 0

2 Sadhaura 1 Sadhaura

2011 47834 7460 460 20 480 0

2010 45801 6258 131 4 135 0

2 Rasulpur

2011 36343 4962 104 0 104 0

2010 37537 2256 169 4 173 0

Total for CHC = 2011 84177 12422 564 20 584 0

2010 83338 8514 300 8 308 0

3 Bilaspur

1 Bilaspur 2011 48589 8981 196 1 197 0

2010 47686 7793 95 1 96 0

2 Haibatpur 2011 39299 4062 40 1 41 0

2010 39263 2820 41 2 43 0

3 Mugalwali 2011 46321 5255 4 0 4 0

2010 44707 3543 95 1 96 0

Total for CHC = 2011 134209 18298 240 2 242 0

2010 131656 14156 231 4 235 0

4 Khizrabad

1 Khizrabad

2011 54163 19262 1486 72 1558 0

2010 56054 17516 1473 116 1589 0

2 Kharwan

2011 47554 8119 58 1 59 0

2010 47339 8636 278 12 290 0

3 Chhachhrauli

2011 41437 9806 389 7 396 0

2010 41924 7993 311 23 334 0


4 Kot(M)

2011 46263 7230 41 0 41 0

2010 46027 5508 96 8 104 0

Total for CHC = 2011 189417 44417 1974 80 2054 0

2010 191344 39653 2158 159 2317 0

5 Naharpur

1 Naharpur

2011 43569 8506 353 36 389 0

2010 43006 7124 62 3 65 0

2 Kalanaur

2011 48361 7600 434 23 457 0

2010 47505 4854 53 6 59 0

3 Sabapur

2011 55670 5027 125 3 128 0

2010 53741 2523 19 4 23 0

4 Buria

2011 42209 3485 124 6 130 0

2010 40141 2498 11 0 11 0

Total for CHC = 2011 189809 24618 1036 68 1104 0

2010 184393 16999 145 13 158 0

6 Radaur 1 Alahar

2011 47957 6388 74 0 74 0

2010 47526 4212 35 2 37 0

2 Radaur

2011 86307 13014 377 9 386 0

2010 84101 9835 132 2 134 0

Total for CHC = 2011 134264 19402 451 9 460 0

2010 131627 14047 167 4 171 0

7 UMS

1 Yamuna Nagar 2011 263532 22402 289 21 310 1

2010 259112 21390 50 5 55 0

2 Jagadhri 2011 108096 11503 124 3 127 0

2010 108507 8505 35 2 37 0

Total for UMS = 2011 371628 33905 413 24 437 1

2010 367619 29895 85 7 92 0

TOTAL FOR DISTRICT=

2011 1232382 169360 5001 211 5212 1

2010 1215628 133536 3281 200 3481 0

TOTAL FOR HARYANA STATE =

2011 3271036 2896860 32268 1133 33401 1

2010 3228906 2317826 18159 763 18922 0


Annexure –2.A

Status of Malaria in Haryana for last 6 years

District Year Population BSC Malaria

+ve

Cases

Pf

Cases ABER API SPR SFR

Death

due to

Malaria

1. Ambala

2006 1052367 88148 293 3 8.4 0.3 0.3 0.00 0

2007 1067378 83720 49 0 7.8 0.05 0.06 0.00 0

2008 1078311 59790 54 6 5.5 0.05 0.09 0.01 0

2009 1113571 52913 80 1 4.8 0.07 0.15 0.00 0

2010 1113571 53516 139 5 4.8 0.12 0.26 0.01 0

2011 1112179 79648 282 9 7.2 0.3 0.35 0.01 0

2. Bhiwani

2006 1541821 224586 1844 10 14.6 1.2 0.82 0.00 0

2007 1558065 212935 2374 34 13.7 1.52 1.11 0.02 0

2008 1558065 251649 2660 26 16.2 1.71 1.06 0.01 0

2009 1594423 214859 2700 1 13.5 1.69 1.26 0.00 0

2010 1610857 204802 1335 8 12.7 0.83 0.65 0.00 0

2011 1645636 249753 3661 8 15.2 2.2 1.47 0.00 0

3. Faridabad

2006 2298831 151896 285 97 6.6 0.1 0.19 0.06 0

2007 2298831 113931 239 16 5.0 0.10 0.21 0.01 0

2008 2354024 141850 162 11 6.0 0.07 0.11 0.01 0

2009 1769680 110030 113 3 6.2 0.06 0.10 0.00 0

2010 1844351 85316 125 10 4.6 0.07 0.15 0.01 0

2011 1844351 117100 259 12 6.3 0.1 0.15 0.01 0

4. Fatehabad

2006 838428 89412 939 6 10.7 1.1 1.05 0.01 0

2007 852756 90424 2610 10 10.6 3.06 2.89 0.01 0

2008 871228 124028 2725 5 14.2 3.13 2.20 0.00 0

2009 890725 64165 1955 1 7.2 2.19 3.05 0.00 0

2010 899683 91181 983 2 10.1 1.09 1.08 0.00 0

2011 916618 98534 1044 6 10.7 1.1 1.06 0.01 0

5. Gurgaon

2006 862830 93190 94 3 10.8 0.1 0.10 0.00 0

2007 935940 100191 60 6 10.7 0.06 0.06 0.01 0

2008 982904 90620 125 10 9.2 0.13 0.14 0.01 0

2009 1076323 123361 162 8 11.5 0.15 0.13 0.02 0

2010 1100416 68563 138 10 6.2 0.13 0.20 0.01 0

2011 1145750 90131 530 6 7.9 0.5 0.59 0.01 0

6. Hisar

2006 1602185 179737 3355 15 11.2 2.1 1.87 0.01 0

2007 1634934 157097 4718 36 9.6 2.89 3.00 0.02 0

2008 1668519 178836 8268 36 10.7 4.96 4.62 0.02 0

2009 1664358 231012 9553 6 13.9 5.74 4.14 0.00 0

2010 1693267 169146 5726 28 10.0 3.38 3.39 0.02 0

2011 1757504 231162 9308 20 13.2 5.3 4.03 0.01 0

7. Jind

2006 1239214 193817 5944 12 15.6 4.8 3.07 0.01 0

2007 947524 180445 7235 2 19.0 7.64 4.01 0.00 0

2008 1290832 208239 6558 5 16.1 5.08 3.15 0.00 0

2009 1330494 175423 3611 1 13.2 2.71 2.06 0.00 0

2010 1357045 158688 583 1 11.7 0.43 0.37 0.00 0

2011 1364861 171083 656 8 12.5 0.5 0.38 0.00 0

8. Jhajjar

2006 935797 117032 1712 2 12.5 1.8 1.46 0.00 0

2007 1290832 111629 887 0 8.6 0.69 0.79 0.00 0

2008 956360 112920 644 3 11.8 0.67 0.57 0.00 0

2009 956360 83947 620 0 8.8 0.65 0.74 0.00 0

2010 978232 81924 290 2 8.4 0.30 0.35 0.00 0



+ve

Cases

Pf


Death

due to

Malaria

2011 1015915 114295 920 5 11.3 0.9 0.80 0.00 0

9. Kaithal

2006 1043428 99309 1757 4 9.5 1.7 1.77 0.00 0

2007 1059191 94896 1636 2 9.0 1.54 1.72 0.00 0

2008 1067979 102382 1773 1 9.6 1.66 1.73 0.00 0

2009 1082451 90749 940 0 8.4 0.87 1.04 0.00 0

2010 1130259 86749 174 3 7.7 0.15 0.20 0.00 0

2011 1165015 111849 252 5 9.6 0.2 0.23 0.00 0

10. Karnal

2006 1388934 205480 8834 17 14.8 6.4 4.30 0.01 0

2007 1405973 189662 3594 109 13.5 2.56 1.89 0.06 0

2008 1429438 167594 5283 643 11.7 3.70 3.15 0.38 0

2009 1468177 143549 4215 71 9.8 2.87 2.94 0.06 0

2010 1468177 153967 1833 371 10.5 1.25 1.19 0.24 0

2011 1480472 180964 2559 499 12.2 1.7 1.41 0.28 0

11.

Kurukshetra

2006 866813 77813 110 4 9.0 0.1 0.14 0.01 0

2007 880101 78065 77 4 8.9 0.09 0.10 0.01 0

2008 893298 75908 203 12 8.5 0.23 0.27 0.02 0

2009 913875 78890 133 2 8.6 0.15 0.17 0.00 0

2010 916271 82887 264 22 9.0 0.29 0.32 0.03 0

2011 926921 96079 525 53 10.4 0.6 0.55 0.06 0

12. Mewat

2006 1159508 116456 318 116 10.0 0.3 0.27 0.10 0

2007 1117858 152520 599 70 13.6 0.54 0.39 0.05 0

2008 1164653 141118 1139 68 12.1 0.98 0.81 005 0

2009 995263 82133 90 4 8.3 0.09 0.11 0.00 0

2010 1036501 82957 216 11 8.0 0.21 0.26 0.01 0

2011 1074397 144730 1558 160 13.5 1.5 1.08 0.11 0

13. Narnaul

2006 893929 125871 449 16 14.1 0.5 0.36 0.01 0

2007 902140 112815 308 19 12.5 0.34 0.27 0.02 0

2008 1207792 128029 212 8 10.6 0.18 0.17 0.01 0

2009 924414 96946 143 2 10.5 0.15 0.15 0.00 0

2010 934982 96438 138 10 10.3 0.15 0.14 0.01 0

2011 942454 110581 359 3 11.7 0.4 0.32 0.00 0

14. Palwal

2006 0 0 0 0 0 0 0 0 0

2007 0 0 0 0 0.0 0.00 0.00 0 0

2008 0 0 0 0 0.0 0.00 0.00 0 0

2009 765014 0 0 25 0.0 0.00 0.00 0.16 0

2010 1064515 75828 280 19 7.1 0.26 0.37 0.03 0

2011 1085756 110241 489 13 10.2 0.5 0.44 0.01 0

15.

Panchkula

2006 504511 64235 464 53 12.7 0.9 0.72 0.08 0

2007 519177 64618 144 6 12.4 0.28 0.22 0.01 0

2008 914788 74661 154 32 8.2 0.17 0.21 0.04 0

2009 562070 82594 181 2 14.7 0.32 0.22 0.00 0

2010 562748 83354 214 24 14.8 0.38 0.26 0.03 0

2011 573472 113507 418 10 19.8 0.7 0.37 0.01 0

16. Panipat

2006 1067515 146613 8157 20 13.7 7.6 5.58 0.01 0

2007 739648 119115 1549 7 16.1 2.09 1.30 0.01 0

2008 548014 103246 1060 70 18.8 1.93 1.03 0.06 0

2009 1087341 89608 862 8 8.2 0.79 0.96 0.01 0

2010 1186042 93690 399 28 7.9 0.34 0.43 0.03 0

2011 1204929 113066 535 85 9.4 0.4 0.26 0.03 0

17. Rewari

2006 834826 89667 284 2 10.7 0.3 0.32 0.00 0

2007 850476 87051 132 0 10.2 0.16 0.15 0.00 0

2008 791188 92484 122 0 11.7 0.15 0.13 0.00 0

2009 873340 98699 91 1 11.3 0.10 0.09 0.00 0



+ve

Cases

Pf


Death

due to

Malaria

2010 881998 113237 64 0 12.8 0.07 0.06 0.00 0

2011 907546 107712 130 0 11.9 0.1 0.12 0.00 0

18. Rohtak

2006 1034741 192093 4496 1 18.6 4.3 2.34 0.00 0

2007 1045768 160537 1851 1 15.4 1.77 1.15 0.00 0

2008 861059 150251 1529 2 17.4 1.78 1.02 0.00 0

2009 1065218 135811 770 0 12.7 0.72 0.57 0.00 0

2010 1080018 126522 826 1 11.7 0.76 0.65 0.00 0

2011 1099383 150848 1315 3 13.7 1.2 0.87 0.00 0

19. Sirsa

2006 1185151 122465 330 8 10.3 0.3 0.27 0.01 0

2007 1199494 114310 612 18 9.5 0.51 0.54 0.02 0

2008 1052785 122575 1359 17 11.6 1.29 1.11 0.01 0

2009 1221231 111321 1336 2 9.1 1.09 1.20 0.00 0

2010 1276389 126309 1167 8 9.9 0.91 0.92 0.01 0

2011 1276389 152550 2575 6 12.0 2.0 1.69 0.00 0

20. Sonipat

2006 1306323 244683 7182 115 17.2 5.5 3.20 0.05 0

2007 1116860 197099 2029 2 17.6 1.82 1.03 0.00 0

2008 1214631 178102 1053 13 14.7 0.87 0.59 0.01 0

2009 1370559 178103 1307 2 13.0 0.95 0.73 0.00 0

2010 1386427 172063 546 0 12.4 0.39 0.32 0.00 0

2011 1416170 183667 806 11 13.0 0.6 0.44 0.01 0

21.Yamuna

Nagar

2006 1101913 61668 230 2 5.6 0.2 0.37 0.00 0

2007 1140926 61283 192 0 5.4 0.17 0.31 0.00 0

2008 1128435 67584 600 429 6.0 0.53 0.89 0.63 0

2009 1097108 86289 3251 384 7.9 2.96 3.77 1.09 0

2010 1215728 133436 3481 200 11.0 2.86 2.61 0.15 0

2011 1230203 169360 5212 211 13.8 4.2 3.08 0.12 1

Total for

Haryana

State

2006 22759067 2664171 47077 506 11.7 2.1 1.77 0.02 0

2007 22563872 2482343 30895 342 11.0 1.37 1.24 0.01 0

2008 23034303 2571866 35683 1397 11.2 1.55 1.39 0.05 0

2009 23821995 2330402 32272 524 9.8 1.35 1.38 0.02 0

2010 24737477 2340573 18921 763 9.5 0.76 0.81 0.03 0

2011 25185921 2896860 33401 1133 11.5 1.3 1.15 0.04 1


Annexure –2.B

Status of Dengue in Haryana for last 5 years

District 2007 2008 2009 2010 2011

Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths

Ambala 3 0 7 0 0 0 33 0 1 0

Bhiwani 1 0 5 1 0 0 6 0 0 0

Faridabad 25 1 101 0 0 0 8 0 73 0

Fatehabad 0 0 13 0 0 0 0 0 0 0

Gurgoan 175 0 610 2 100 1 631 13 156 3

Hisar 2 0 11 0 0 0 2 0 0 0

Jhajjar 7 1 8 0 1 0 3 1 5 0

Jind 3 0 11 0 0 0 1 0 0 0

Kaithal 0 0 0 0 0 0 0 0 0 0

Karnal 10 0 30 0 1 0 73 0 2 0

Kurukshetra 4 2 34 1 0 0 3 0 0 0

Mewat 0 0 0 0 0 0 0 0 2 0

Narnaul 0 0 2 0 0 0 0 0 0 0

Palwal 0 0 0 0 0 0 0 0 0 0

Panchkula 14 0 79 0 12 0 23 0 2 0

Panipat 13 2 81 0 0 0 22 1 3 0

Rewari 3 1 45 0 0 0 8 2 1 0

Rohtak 16 0 75 2 6 0 20 2 11 0

Sirsa 1 0 0 0 0 0 5 0 7 0

Sonipat 64 3 28 2 1 0 7 0 2 0

Yamunanagar 24 1 15 1 4 0 21 2 2 0

Total 365 11 1159 9 125 1 866 21 267 3


Annexure –2.C

Status of Chikungunya in Haryana for last 5 years

District 2007 2008 2009 2010 2011


Ambala 0 0 0 0 0 0 0 0 0 0

Bhiwani 0 0 1 0 0 0 0 0 0 0

Faridabad 0 0 0 0 0 0 0 0 0 0

Fatehabad 0 0 0 0 0 0 0 0 0 0

Gurgaon 0 0 1 0 0 0 0 0 3 0

Hissar 0 0 5 0 0 0 0 0 0 0

Jhajjar 0 0 0 0 0 0 0 0 0 0

Jind 0 0 1 0 0 0 0 0 0 0

Kaithal 0 0 0 0 0 0 0 0 0 0

Karnal 0 0 0 0 0 0 0 0 0 0

Kurukshetra 0 0 0 0 0 0 0 0 0 0

Mahendargarh 1 0 0 0 0 0 0 0 0 0

Mewat 0 0 1 0 0 0 0 0 0 0

Palwal 0 0 0 0 0 0 0 0 0 0

Panchkula 0 0 3 0 0 0 0 0 50 0

Panipat 0 0 0 0 0 0 0 0 0 0

Rewari 0 0 4 0 0 0 0 0 0 0

Rohtak 12 0 3 0 0 0 1 0 0 0

Sirsa 0 0 0 0 0 0 0 0 0 0

Sonipat 0 0 1 0 0 0 0 0 0 0

Yamunanagar 0 0 0 0 0 0 0 0 21 0

Total 13 0 20 0 0 0 1 0 74 0


Annexure –2D Status of Japanese Encephalitis in Haryana for last 5 years

District 2007 2008 2009 2010 2011


Ambala 6 4 0 0 0 0 0 0 0 0

Bhiwani 0 0 0 0 0 0 0 0 0 0

Faridabad 0 0 0 0 0 0 0 0 0 0

Fatehabad 0 0 0 0 0 0 0 0 0 0

Gurgaon 0 0 0 0 0 0 0 0 1 1

Hissar 0 0 0 0 0 0 0 0 0 0

Jhajjar 0 0 0 0 0 0 0 0 0 0

Jind 0 0 0 0 0 0 0 0 0 0

Kaithal 4 2 0 0 0 0 0 0 11 3

Karnal 7 2 0 0 0 0 0 0 0 0

Kurukshetra 13 10 0 0 0 0 1 1 0 0

Mahendergarh 0 0 0 0 0 0 0 0 0 0

Mewat 0 0 0 0 0 0 0 0 0 0

Palwal 0 0 0 0 0 0 0 0 0 0

Panchkula 0 0 0 0 0 0 0 0 0 0

Panipat 1 0 0 0 1 0 0 0 0 0

Rewari 0 0 0 0 0 0 0 0 0 0

Rohtak 0 0 0 0 0 0 0 0 0 0

Sirsa 0 0 0 0 0 0 0 0 0 0

Sonipat 0 0 0 0 0 0 0 0 0 0

Yamunanagar 1 0 0 0 0 0 0 0 0 0

Total 32 18 0 0 1 0 1 1 12 4


Annexure –3

Operationalization of SSH

SENTINEL SURVEILLANCE HOSPITALS (SSH) ESTABLISHED &

FUNCTIONING FOR DENGUE/CHK

Sr.

No

Name of Sentinel Surveillance Hospital

established

SSH

functioning

SSH

reporting

1. General Hospital, Ambala City, (SSH Ambala) Yes Yes

2. B.K. Hospital, Faridabad (SSH, Faridabad), Yes Yes

3. General Hospital, Gurgaon (SSH Gurgaon), Yes Yes

4. Haryana, Govt. Public Health Laboratory,

Karnal (SSH, Karnal)

Yes Yes

5. General Hospital, Sector 6, Panchkula (SSH

Panchkula)

Yes Yes

6. Agroha Medical College & Hospital, Agroha

(Hissar)

Yes Yes

7. SSH, GH Hissar No No

8. SSH Kurukshetra No No

9. SSH Kaithal Yes NO

10. PGIMS Rohtak Yes Yes

SENTINEL SURVEILLANCE HOSPITALS (SSH) ESTABLISHED FOR AES/JE

Sr.

No

Name of Sentinel Surveillance Hospital

established

SSH

functioning

SSH

reporting

1 Haryana, Govt. Public Health Laboratory, Karnal

(SSH, Karnal)

Yes Yes

2 General Hospital, Sector 6, Panchkula (SSH

Panchkula)

Yes Yes

3. General Hospital, Kaithal NO NO

4. LNJP Hosp. Kurukshetra NO NO


Annexure –4

Job Responsibilities of MPHW

The DMPW (Male) course envisages to adequately train the MPHW (Male) to carry out

the responsibilities assigned to him. He should make a visit to each family twice a month.

MPHW (Male) will mainly focus on activities which are related to disease control programs,

detection and control of epidemic outbreaks, environmental sanitation, safe drinking water,

first aid in emergencies like accidents, injuries, burns etc., treatment of common/ minor

illnesses, communication and counseling, life style diseases and logistics and supply

management at sub-centre. In addition he will also facilitate ANM in MCH, Family Welfare,

and Nutrition related activities. Due importance should be given in assessment of MPHW

(Male) training both at institutional and field level accordingly. The broad areas of job

responsibilities of MPHW (Male) would broadly include the following –

I. Malaria

a) Conduct domiciliary house-to-house visits covering all the assigned population as per

the schedules approved by the PHC Medical Officer. During his visits, he shall enquire

about fever cases in each family and verify the cases diagnosed positive after the last

visit.

b) Collect blood smears and perform RDT from suspected fever cases and appropriately

maintain records in M-1.

c) Ensure immediate dispatch of collected blood smears for laboratory investigations and

provide treatment to positive cases as per the guidelines.

d) Advise all seriously ill cases to visit PHC for immediate treatment and refer all fever

case with altered sensorium to the PHC / hospital and arrange funds for transportation

of such cases from NRHM/ other funds.

e) Undertake necessary measures to contain the spread of disease as advised by PHC

Medical officer.

f) Liaison with ASHA / Anganwari Worker for early detection of malaria, replenish the

stocks of microscopy slides, RDKs and / or drugs.

g) Ensure treatment for all diagnosed cases as per the instructions by the PHC medical

officer and also take prompt actions for adverse reactions reported.

h) Intimate each house hold in advance regarding date of spraying and other public health

activities as well as duly explain the benefits of such activities to the community.

i) Supervise the spraying operations and deploy the two squads in adjoining areas for

adequate supervision. Ensure the quality of spraying operations for uniformity in

coverage of all the surfaces as well as due precautions regarding water sources and

personal hygiene as per the guidelines.


j) Maintain the records of domiciliary visits, blood smears collected, patients given anti-

malarials, details of spraying operations etc in the prescribed formats.

II. Tuberculosis (RNTCP)

a) Identify all cases of fever for over two weeks with prolonged cough or spitting of blood

and refer to PHC for further investigation. Verify the TB patients self reporting at

health facilities.

b) Function as DOTs provider to ensure that all confirmed cases are on regular treatment

and motivate defaulters for regular treatment.

c) Improve community awareness on signs and symptoms of tuberculosis and guide the

suspected TB cases for referral to the designated microscopy centres and facilitate

sputum examinations.

d) Assist and supervise the ASHAs / Anganwadi Workers / local health volunteers to

function effectively as DOTs providers by ensuring regularity of DOTS, schedule the

DOTs as per patient’s convenience and collection of empty blister packs.

e) Ensure that follow up smear examinations of sputum are carried out as per the

schedules.

f) Maintain the treatment cards and transmit the data weekly to the PHC.

g) Maintain the records of domiciliary visits, records of patients on treatment, sputum

examinations etc

III. Leprosy

a) Identify Leprosy suspected cases of skin patches with loss of sensation and refer to

PHC.

b) Provide Multi Drug Treatment (MDT) to confirmed cases and ensure completion of

treatment including retrieval of defaulters.

c) Guide leprosy patients with deformities for management at appropriate health facilities.

d) Assist and supervise the ASHAs / Anganwadi Workers / Village Health Guides / local

health volunteers for early detection of Leprosy cases and treatment.

e) Improve community awareness on signs and symptoms of Leprosy for early detection.

f) Maintain the treatment cards and transmit the data to the PHC

g) Maintain the records of domiciliary visits and records of patients on treatment.


IV. Preventive Health Care

a) Surveillance for unusually high incidence of cases of diarrhoeas, dysentery, fever,

jaundice, diphtheria, whooping cough, tetanus, polio and other communicable disease

and notify PHC.

b) Ensure regular chlorination of all the drinking water sources. Collect water samples

regularly, send for testing and undertake appropriate actions for provision of safe

drinking water supplies.

c) Generate community awareness regarding safe drinking water, sanitation, waste

disposal and personal hygiene and ensure safe disposal of liquid / solid wastes.

d) Assist and coordinate with the VHSC and SHC / PHC Committees as well community

leaders for health awareness and preventive health care activities.

V. School Health including Nutrition

a) Visit all the schools in the assigned area and advocate personal hygiene, nutrition, safe

drinking water and sanitation and other public health measures.

b) Undertake awareness generation of national health programmes (Malaria, TB, Leprosy

etc) for early detection of communicable and non-communicable diseases

c) Ensure completion of immunization schedules including Inj. TT as per guidelines

d) Assist Ophthalmic Assistant for eye screening of children for detection of visual

defects.

e) Identify cases of malnutrition in school children and refer cases to PHC Medical

Officer. Guide teachers and parents on nutrition and anaemia. Educate the community

about nutritious diet for mothers and children from locally available foods.

VI. Maternal Health including Family Planning

a) Assist in ensuring timely referral transport for pregnant women at the time of delivery

b) Provide follow-up services for acceptors of male sterilization and also motivate males

for sterilization and spacing methods based on ANMs eligible couple register.

c) Assist the ANMs and ASHAs in distribution of conventional contraceptives to eligible

couples.


Annexure 5

MALARIA CONTROL ORDER - 2012

Action plan for control of Malaria in the State of Haryana in the year 2012

Large numbers of activities have to be performed at the State Headquarter,

District Headquarter and at the level of CHC/PHC for controlling malaria in the State. A list of

the activities to be performed by each level is given as follows: -

1. Action to be taken at the State Headquarter: -

Description of activities Time schedule

i. Mapping of all the Districts to identify the

Blocks/PHC/Sub Centers where likelihood of the

disease is moderate (API > 5) or severe (API >

10). Data of the disease in the last five years in

whole of the state/district is to be analyzed. A map

accordingly should be prepared, on the basis of

which rest of the action plans will be prepared.

March, 30th

, 2012

(Annexure I)

ii. Issuance of the malaria control order. March, 2012.

iii. Notification on Vector Borne Diseases. Last Year’s Notification is

valid up to 31.03.2012. The

proposal sent to Govt. for

issuance of revised

Notification for 2012-13

(Annexure II)

iv. Comprehensive Strategy & Month wise Activities. 28th

March,2012

(Annexure III)

v. Meeting with all the Deputy Civil Surgeons. 1st Meeting was held at

Panchkula on 11.01.2012. A

second follow up meeting

shall be held in the month of

March, 2012.

Thereafter the DHS

(M) will take a monthly

meeting on every 2nd

Tuesday of the Month for

rest of duration of the period

& FCHM has to be apprised

of minutes of meeting.


vi. Procurement of materials or arrangements of rate

contracts for procurements of materials. All the

materials which are to be procured/rate contracted

at the Headquarter should be identified and a

decision regarding making all the rate contracts

should be taken.

31st March, 2012.

vii. Preparation of check list of activities & tour

schedule to be performed by various levels i.e.

Nodal Officers of District from State Headquarter,

Civil Surgeons, Deputy Civil Surgeons (VBD),

CHC Incharge and PHC Incharge.

Up to 30th

March,2012

(Annexure IV-A,B,C,D)

viii. Arrangements & release of funds.

Up to 30th

April,2012

ix. Other activities by the DHS (M) and his office.

a) Civic Bye-laws implementation

guidelines for prevention of Dengue

Breeding.

b) Meeting of State Level Malaria Working

Committee seeking Coordination of

departments like Public Health, ULB,

Irrigation etc.

c) Meeting of State Level Monitoring

Committee.

d) Guidelines for preparation for celebration

of Anti Malaria Month.

e) Spray Strategy formulation depending

upon vector density and number of cases.

f) BCC & Motivation of the public for use

of Deltamethrine Impregnated Curtains

by increasing and procuring.

g) Supervision at new fever treatment depots

(FTD) opened in slum, below poverty line

(BPL) and in high risk areas.

h) Completion of 2011 annual report

i) Training of various officers i.e. of Civil

Surgeons, Deputy Civil Surgeons, SMOs

& MOs, MPHW/ ASHA/LT/MPHS

j) Providing tour diary to all MPHWs in the

State.

30th

March, 2012

(Annexure V)

Up to 30th

April, 2012

(Before onset of Monsoon)

Up to 30th

April, 2012

(Before onset of Monsoon)

30th

April, 2012

Prepared & submitted to

FCHM on 23.02.2012

30th

April, 2012

15th

April, 2012

Up to 15th

March, 2012

Up to 31st

March, 2012

30th

April, 2012


2. Action to be taken by the Civil Surgeons & Deputy Civil

Surgeons (Malaria).

i) Identification of vulnerable areas and charting

& mapping.

Up to 30th

March, 2012

ii) Organization of meetings with all CHCs/PHCs

Incharge to be given by the DHS (M).

5th

& 20

th of every month

iii) Placement of orders of procurement of material

& stocking the same at Sub-Centers, PHC &

CHC levels.

Up to 30th

April, 2012

iv) Release of budget to CHC/PHC (if necessary). Up to 15th

May 2012

v) Review of deployment of manpower at PHC &

Sub-Center level ensuring that MPHWs follow

the Beat Programme as per order.

Up to 15th

April, 2012

(Annexure VI)

vi) Deployment of manpower in a rational manner

so as to ensure sufficient manpower is posted

in rural areas where the incidence is likely to

be moderate to high.

Up to 30th

April,2012 (Within a

week of vacancy at S/C by means

of Deputation from nearby

CHC/PHC, Transfer, or Contract

Basis with a copy to DGHS)

vii) Stocking of medicines etc. Tese stocking has to

be reviewed and ensured at each PHC and Sub-

Centers level.

Up to 30th

April,2012

viii) Preparation of schedule of meetings by PHC

Incharges.

Up to 30th

March,2012

ix) Month wise Activities. Annexure “III”.


3. Action plan of CHCs:

i) Identification of vulnerable areas & charting and

mapping.

Up to 30th

March, 2012

ii) Planning of scheduled visits by Sub-Centers &

PHC Incharges.

Up to 15th

April 2012

iii) Review of the availability of materials at each PHC

& Sub Centers.

Up to 30th

April, 2012

iv) Maintenance of records by Sub Centers and PHC. Up to 15th

April 2012

v) Preparation of Check list of the visit by the PHC

Incharges in the sub centers as per following

activities: -

a) To ensure that Beat Programme is

followed.

b) Routine Blood Slides collected are

examined within 48 hours or not.

c) RT is done well in time (Prompt) and as

per drug policy (Complete).

d) Random confirmation (at least 20% cases)

of RT cases from M-1 register.

e) Review of Activities of FTDs

f) Follow up of positive cases by MPHW

(M) is done or not.

g) Spray Operations (IRS) are carried out as

per Government guidelines on good

coverage, quality and prior publicity or

not.

h) Entomological & Parasitic Surveillance is

regularly carried out or not.

i) Maintenance of record by MPHW is

proper or not.

j) To ensure Sector Meeting is held weekly

on 4th & 8

th beat days at Sector H.Q.

k) Monitoring of reports compiled by MPHS

l) Availability of LT and functionality of

laboratories of PHCs in each review

meeting.

m) Checking the tour diary.

Up to 30th

March, 2012


4. Action Plan at the level of PHCs.

i) Identification of most vulnerable areas of the Sub

Centers with mapping.

Up to 15th

April 2012

ii) Training of all the MPHWs both on technical as

well as administrative aspects. A check list of the

works to be done by the MPHWs to be prepared for

circulation.

Up to 15th

April 2012

iii) Ensure constant operation of laboratories.

Reporting of non-functional laboratories or non-

availability of manpower to the CHC Incharges.

Up to 30th

April 2012

iv) Maintenance of data of record on the prescribed

format.

Up to 15th

April 2012

5. Action plan of Sub-Centers (to be prepared by PHC In-charge)

i) Preparation of date sheet of scheduled visits of each

village.

According to Calendar (Beat

Days) circuited vide letter No.

9701-21 dated 23.12.2011

(Annexure VI)

ii) Maintenance of record relating to the slides

collected, patient identified & treatment.

Up to 15th

April 2012

iii) Ensuring availability of the requisite materials. Up to 30th

April 2012


Annexure 6

NOTIFICATION ON VECTOR BORNE DISEASES



Annexure 7

BYE-LAWS FOR CONTROL OF VECTOR BORNE DISEASES





Annexure 8

MONTHWISE - CHRONOGRAMME JANUARY- 2012

1. PREPARATION OF CALENDAR OF SURVEILLANCE ACTIVITIES SECTION WISE

2. SURVEY OF PERMANENT MOSQUITO BREEDING SOURCES SECTION WISE

3. COMPLETION OF 2011 ANNUAL REPORT

4. RECONCILIATION OF MALARIA, DENGUE, J.E. AS PER GEOGRAPHIC DISTRIBUTION OF CASES

5. SPRAY STRATEGY FORMULATION DEPENDING UPON VECTOR DENSITY AND NUMBER OF

CASES

6. SURVEY OF PIGGERIES, EGRET BIRDS IN J.E. AFFECTED AREAS

7. MONTHWISE SURVEILLANCE CALCULATION OF TARGETED POPULATION

8. PREPARATION OF IEC MATERIAL

9. EDCT AND VECTOR SURVEILLANCE TO BE CONTINUED.

FEBRUARY – 2012

1. TRAINING TO SMO (I/C), MO (I/C), DY. CIVIL SURGEONS (VBD) AND CIVL SURGEONS BY STATE

HEAD QUARTER.

2. ENTOMOLOGICAL TRAINING TO PHC AND CHC STAFF BY BIOLOGIST AND DEPUTY CIVIL

SURGEON (VBD)

3. TRAINING TO LT’S AT DISTT. HQ

4. DEPICTION OF HIGH RISK AREAS ON THE MAP

5. DEMAND OF NEW SPRAY EQUIPMENTS AND FOGGING MACHINES FROM DIRECTOR

(MALARIA) AND MANTENANCE OF OLD ONE’S.

6. POINT NO.9 OF JANUARY TO BE CONTINUED

MARCH - 2012

1. DEMAND OF BUDGET FOR 2012

2. MEETING OF STATE LEVEL MALARIA COMMITTEE.

3. MEETING OF INCHARGES, SENTINEL SURVEILLANCE HOSPITAL.

4. CONSTITUTION OF DISTT. LEVEL MALARIA COMMITTEE

5. DIRECTION FROM HEAD QUARTER FOR PREPARATION OF LIST OF BORDER AREA, HIGH RISK

AND SLUM AREAS FOR SPECIAL HEALTH CAMPS.

6. IEC MATERIAL AND LARVICIDE PROCUREMENT.

7. EDCT AND VECTOR SURVEILLANCE TO BE CONTINUED


APRIL – 2012

1. STATUS AND FUNCTIONING OF ALL FOGGING AND SPRAY EQUIPMENTS TO BE CHECKED

2. DENGUE BREEDING CARDS TO BE DISTRIBUTED IN THE SCHOOLS

3. IDENTIFICATION OF THE AREAS FOR THE SPRAY DEPENDING UPON THE NUMBER OF CASES

AND VECTOR DENSITY

4. MEETING OF SARPANCHES BLOCKWISE WITH SMO CONCERNED

5. POINT NO.5 OF MARCH TO BE CONTINUED

6. DELTAMETHRIN SPRAY IN THE HIGH RISK AREA WITH PERMISSION OF DIRECTOR (MALARIA)

MAY – 2012

1. FORMULATION OF STRATEGYAND PROCUREMENT OF MATERIALS FOR CELEBRATION OF JUNE

AS MALARIA MONTH i.e. AUDIO-VISUAL, PUBLICITY MATERIAL, RALLY, PUBLIC MEETINGS etc.

2. DUMPING OF INSECTICIDES, SPRAY MATERIA AND EQUIPMENTS FROM DISTRICT H.Q.TO C H C

.s FOR FIRST ROUND SPRAY.

3. POINT 5 OF APRIL TO BE CONTINUED

4. SURVEILLANCE OF J.E. VECTOR IN PADDY GROWING AREA

5. INSPECTION OF LABORATORY RECORDS AND EQUIPMENTS BY BIOLOGIST AND DEPUTY CIVIL

SURGEON (VBD)

6. REIMPREGNATION OF DELTAMETHRIN DISTRIBUTED CURTAINS

7. DISTRIBUTION OF NEW DELTAMETHRIN IMPREGNATED CURTAINS

JUNE – 2012

1. COLLECTION OF REPORTS OF SURVEILLANCE FROM EVERY SECTION OF THE DISTT EVERYDAY

IN THE FORM OF HOUSE INDEX ,CONTAINER INDEX,BLOOD SLIDES COLLECTION

,CHLOROQUINE DISRIBUTED,HEALTH MEETINGS ,PAMPHLETS DISTRIBUTED

2. IN THE FIRST WEEK MEETING OF ALL THE HEADS OF DEPARTMENTS,NGO’S,PRINCIPALS AND

PRIVATE CLINICS PRESIDED BY DEPUTY COMMISSIONER FOR CELEBRATION OF MALARIA

MONTH TO BE CALLED

3. SUPERVISION OF IEC ACTIVITIES TO BE INTENSIFIED

4. DISPLAY OF FTD BOARDS TO BE CHECKED

5. STOCK OF CHLOROQUINE TO BE CHECKED SUSCEPTIBILITY STATUS OF INSECTICIDES BY

BIOLOGIST

6. POINT NO. 3 OF MAY AND EDCT AND VECTOR CONTROL MEASURES TO BE CONTINUED

7. INCRIMINATION OF VECTOR OF J.E., DENGUE, MALARIA BY BIOLOGIST.


8. DEPENDING UPON THE RESULTS OF INCRIMINATION AND SURVEILLANCE STEPS OF CONTROL

BY THE BIOLOGIST TO BE TAKEN WITH IMMEDIATE INFORMATION TO CIVIL SURGEON AND

DIRECTOR (MALARIA).

9. RALLIES OF SCHOOL CHILDREN FOR PREVENTION OF VECTOR BORNE DISEASES.

10. ALL SECTIONS WITH API MORE THAN 20 WILL BE VISITED & MONITORED BY TEAMS FROM

HEADQUARTER.

11. SPECIAL HEALTH CAMPS TO BE ORGANISED IN THE SLUM, BORDER, HIGH RISK AREAS

INVOLVING ALL THE CONCERNED HEALTH CHINERY, BDPO, SARPANCH, SCHOOL PRINCIPAL/

HEADMASTER AND REPORTING THE ACTIVITES OF THE CAMP TO DHS (Malaria) ON FAX.

12. PF AND DENGUE PRONE AREAS TO BE UNDER VIGILANCE FOR VECTOR SURVEILLANCE AND

FEVER.

13. CONCENTRATION OF APPLIED INSECTICIDE TO BE CHECKED IN THE SPRAYED HOUSES.

14. INSPECTION OF ITN CURTAINS TO BE CHECKED.

15. LARVIVOROUS FISH RLEASED PERMANENT WATER BODIES TO BE CHECKED

16. LT’S WITH DISCREPANCY OF BLOOD SLIDES TO BE TRAINED AT DISTT. HQ.

17. MALARIA POSITIVE CASES RT AND FOLLOW UP SLIDES TO BE VERIFIED BY THE

MO/SMO/BIOLOGIST/PROG. OFFICERS DY CIVIL SURGEON (VBD)

JULY – 2012

1. CHECKING OF ‘IN AND AROUND MALARIA/ DENGUE POSITIVE SPRAYED 50 HOUSES’

2. BIO-ASSAY EXPERIMENTATION OF INSECTICIDE BY BIOLOGIST

3. MANAGEMENT OF ENVIRONMENTAL FACTORS FOR MOSQUITOGENIC CONDITIONS AND

THEIR CORRELATION WITH TEMPERATURE, RAINFALL, HUMIDITY BY BIOLOGIST

4. WEEKLY EVALUATION OF REPORT OF MPHW IN AND AROUND 50 POSITIVE HOUSES OF

DENGUE/MALARIA

5. FOLLOW UP OF VECTOR DENSITY AFTER SPRAY OR FOGGING OF INSECTICIDE AND TAKE

ALTERNATIVE MEASURES BY BIOLOGIST IF NO SIGNIFICANT REDUCTION IN THE VECTOR

DENSITY

6. INVOLVEMENT OF THE COMMUNITY IN HIGH RISK AREAS

7. INTENSIFICATION IN ACTIVE CASE DETECTION AND RT COMPLETION

8. FOLLOW UP OF MALARIA / DENGUE CASES IN THE REGION WHERE ITN CURTAINS UTILIZED

9. POINT NO. 14,15,16 OF MONTH JUNE TO BE CONTINUED

10. ALL SECTIONS WITH API BETWEEN 10 TO 20 WILL BE VISITED & MONITORED BY TEAMS FROM

HEADQUARTER


AUGUST – 2012

1. TAKING BLOOD SAMPLES OF DENGUE SUSPECTED CASES AND ANALYSE THEM WITH

PREVENTIVE MEASURES i.e. H.I. AND C.I.

2. PF AND RING STAGE OF BLOOD SLIDES TO BE VERIFIED BY BIOLOGIST AND DY CIVIL SURGEON

(VBD)

3. POINTS 6 TO 9 OF JULY TO BE CONTINUED

4. ALL SECTIONS WITH API BETWEEN 5 TO 10 WILL BE VISITED & MONITORED BY TEAMS FROM

HEADQUARTER

SEPTEMBER – 2012

1. DAILY REPORTING OF MALARIA /DENGUE CASES TO DHS(MALARIA) ON FAX

2. NCREASE IN THE IEC ACTIVITIES THROUGH MEDIA i.e. DAILY LEADING NEWSPAPERS AND

LOCAL T.V.

3. POINTS 1TO3 OF AUGUST TO BE CONTINUED.

OCTOBER - 2012

1. MALARIA, DENGUE PRONE AREAS TO BE SUPERVISED CONTINUOUSLY BY CONCERNED

MO/SMO/PROGRAMME OFICER BIOLOGIST AND DY CIVIL SURGEON (VBD)

2. CREATION OF HELPLINE NO. 0130-2218691 FOR GENERAL PUBLIC FOR PREVENTION AND

CONTROL OF DENGUE. MALARIA

3. POINT 3 OF SEPTEMBER TO BE CONTINUED

NOVEMBER - 2012

1. DAILY REPORTING OF MALARIA /DENGUE CASES TO DHS(MALARIA) ON FAX TO BE

CONTINUED

2. MALARIA, DENGUE PRONE AREAS TO BE SUPERVISED CONTINUOUSLY BY CONCERNED

MO/SMO/PROGRAMME OFICER BIOLOGIST AND DY CIVIL SURGEON (VBD)

3. POINT 3 OF OCTOBER TO BE CONTINUED

DECEMBER – 2012

1. REPAIR OF FOGGING MACHINES AND SPRAY EQUIPMENTS

2. COLLECTION OF REQUIREMENTS REGARDING INSECTICIDES, BUDGET, CHLOROQUINES,

FOGGING MACHINES, SPRAY EQUIPMENTS ETC. FROM ALL THE DISTRICTS.

3. AUCTION OF CONDEMNABLE EQUIPMENTS

4. RECOLLECTION OF ITN TREATED CURTAINS PHC WISE

5. POINT 3 OF NOVEMBER TO BE CONTINUED


Annexure 9

Checklist for Monitoring and Supervision at District Headquarter

Details of Visitor

Name of District _________________________

Name of Civil Surgeon/Dy. Civil Surgeon___________________________________

Details of Place/ establishments visited:

Name of CHC/PHC/Block visited __________________________

Date of Visit ___________

Sub-Centres Visited

Sl.No Name of Sub-Centres visited Date of Visit

1

2

Villages visited (Atleast two)

Sl.No Name of Villages visited

Date of Visit

1

2

3

4

5

Note: Ask the questions related to Vector Borne Diseases which are prevalent in the area

and for which the control programmes exist.

Primary Health Centre

Name of PHC__________________

Population______________

Background information about PHC

No. of Sub-centre No. of

ASHA

No. of

Dispensaries

No. of Sub-Distt

Hosp

No. of GP No. of villages


Human resources

M.O. I/C PHC: Contact Details

Name______________________ Qualification_______________________________

Designation_______________

Office address_________________________________________________________

Tel:________________________(O), Tel: _______________(R), Cell:______________

Fax:_______________________E-mail:________________________________

Since when working as PHC MO ____________ Is he/she trained for VBD_____

Other Staff

Regular and incremental staff involved in VBD control

S.

No.

Name of

post

(Regular/

contractual)

No.

required

No.

sanctioned

No. in

position

No.

trained

No.

vacant

Timeline

for

training

of

untrained

1

Comments on Human Resources:

SURVEILLANCE

Epidemiological Data (Attach Sub-centre-wise and month-wise epidemiological data for last

3 years)

Summary of malaria data in the PHC in the last year

Malaria

No. tested Total positive PF * PV

Slides examined

RDT performed by ASHA

RDT performed by Others

Total tested (Slides examined &

positive RDT)


No. of cases given radical treatment

No. of PF cases treated with ACT

No. of clinically suspected malaria deaths

No. of confirmed (RDT or Slide positive) malaria deaths

*Mixed infection would be counted as PF infection only.

(Note: Visiting MPHS should check the epidemiological data for consistency. If the data are

not consistent it should be discussed with the MO I/C to understand the possible reasons and

actions needed to make that consistent. (Provide the summary)

Was ABER less than 10% in any Sub-centre in the last three years? (Yes/No if mention details

of sub-centre)

If yes, discuss with the MO to identify the possible reasons and actions needed to increase the

ABER to more than 10% in all sub-centres.

Are trend charts and maps available at PHC level? Yes/No

No. of clinically suspected and confirmed malaria deaths investigated in the last year.

Comments on Epidemiological data:

Laboratory

Name of

LT

Since when

working

When was

trained/reoriented

(Note: LTs posted under any programme are expected to work for all programmes. If this is not

happening in this PHC, kindly mention it here.)

What is available in the lab (Yes/No?)

Functional

binocular

microscope

JSB

stain

New

slides

Disposable

needles

Adequate light Water

supply

Lab

Manual

Whether results of blood slides are conveyed within 24 hours?

Backlog of blood slides present on the day of visit?

What are the reasons for backlog?

Are the blood slides sent for cross-checking?

Are results of cross-checking received in time?


What is the discrepancy rate?

Whether RDT done in PHC? Yes/No. If yes, why?

Is blood slide also collected from person who is tested by RDT? Yes/No

Proportion of persons tested for malaria by RDT in PHC so far during the current year:

No. of RDT kit picked up for quality assurance from any health facility under the PHC in the

last Six months.

What were the results?

No. of ASHAs trained for RDT and treatment?

Comments on Laboratory Functioning:

Logistics

Opening

balance in

Jan 2009

Received

in 2009

Total Utilized Balance Expiring in

6 months

Malathion

(WDP) (MT)

Malathion

Technical

(Lit)

Synthetic

pyrethroid

(Kg)

SP Flow (Lit)

LLIN (No.)

Malaria RDT

(No. of tests)

ACT (Packs)

(Adult)

ACT (Packs)

(Children)

Tab CQ (No.)

Tab PQ 2.5

mg (No.)


Tab PQ 7.5mg

(No.)

Are the stock registers maintained properly? Yes/No If No, describe the problems and

possible solutions.

Are all items within the expiry period? Yes/No If No, give details.

Items stocked out for more than one month? Give details.

Are items stored properly? Yes/No. If no, give details.

Are stocks adequate for next three months? Yes/No If No, give details.

Comments on Logistics:

Bed Nets

LLIN /ITN Coverage in the PHC

High

endemic

Sub-

Centre *

Populatio

n

Total

household

Estimated

no.

communit

y owned

nets

No.

LLIN

distribut

ed

No. of

ITN

distribute

d

No. of

household

s targeted

No. (%)

household

covered

against the

target so

far

(cumulativ

e)

* Based on API, Pf%, mortality

Has someone verified distribution of bed nets by field visit after the last distribution: Yes/No

If yes, give details of observations.

Has someone verified utilization of bed nets by field visit in the last six months: Yes/No

If yes, give details of observations.

Comments on use and impact of bed nets:


IRS for Malaria

Round Insecticide Spray

start

date

Completion

date

Population

targeted

No.

Population

covered

(%)

Rooms

targeted

No.

Rooms

covered

(%)

Malaria

1

2

3

Comments on IRS for Malaria:

Supervision

How many Sub-centres were visited by MO in last 2 months?

How many ASHAs were visited by MO in last 2 months?

Whether MPHS visited PHC in last one month?

Whether VBD Consultant/AMO/DMO visited PHC in last 3 months? Yes/No

If yes, name the personnel who visited.

Whether MO supervised during the last IRS drive for malaria? Yes/No

If yes, frequency of visits made?

Whether spray operations are carried out in accordance with Govt. policy? Yes/No

Whether entomological survey is being carried out regularly? Yes/No

Whether MO supervised bed nets distribution?

Other Vector Borne Diseases

Questions

Name sentinel/random sites under PHC for MF survey

Population surveyed for MF

No. (%) positive for MF

Was any outbreak of Dengue/Chikungunya detected in the last

year?

Were PRI including VHSC involved in source reduction


Name the sentinel centre hospital for diagnosis and treatment

of Dengue/Chikungunya/JE

Whether MO attended any Social Mobilization Workshop?

What is coverage for immunization against JE in PHC area?

Was any case of AES/JE treated in PHC during the last

transmission season?

Any problem faced by MO and others in doing their work?, If

yes, possible solutions

Fish Hatcheries

No. of Fish hatcheries maintained in Block:

No. of water bodies seeded with Gambusia fish

No. of water bodies not yet seeded with Gambusia fish.

Comments on Hatcheries:

Observations from the Field Visit

Sub-Centre – 1

(Population: )

Name Education Residing at

HQ village

(Y/N)

Since when

working

Where was trained

for VBD

MPW M

MPW F

MPW

(Contract)


Sub-Centre - 2 (Population: )

Name Education Residing at

HQ village

(Y/N)

Since when

working

Where was trained

for VBD

MPW M

MPW F

MPW

(Contract)

Questions Sub-Centre – 1 Sub-Centre - 2

Are Registers of Sub-centre under NVBDCP being

maintained up to date (verify by seeing the register)

(Yes/No)

When SC submitted the last due Report? (ask for the

report and mention date of submission ) of slides

collected & found positive (Last month)

Were all the slides for the last month sent to PHC for

examination (Yes/No)

Are the results of blood slides usually received

within 24 hours from the lab? If not, gap (in days)

between slide collection and report received in last 5

instances

No of fever cases who completed RT in the last

month. Verification of prompt & complete R.T.

atleast 20% of +ve cases

How many ASHAs were visited by Health worker in

the last month

Was Sub-Centre visited by the SMO/MO/MPHS in

the last one month? (Yes/No)

Does the SC have adequate stock of commodities &

drugs (clean slides, needles, swabs, ACT, CQ, PQ

etc) (Yes/No if No mention details on separate sheet

attach)

Are there any drugs at risk of expiry (Yes/No if No

mention details on separate sheet attach)

Was Health worker involved in IRS (Yes/No)

Was health worker involved in Bed nets distribution

(Yes/No)

Does the worker understand the importance of early

referral of AES/JE Cases to PHC/CHC (Yes/No)

Was Health worker involved in source reduction for

control of Dengue and Chikungunya (Yes/No)

Did the health worker organized any social

Mobilization drive for source reduction at village


level (Yes/No)

Any problem faced in doing work by MPHW (M)?,

If yes, possible solutions & suggestions

VILLAGE VISITED & ASHA WORKING

Training of ASHA (Answer-Yes or NO)

Whether following subjects were covered in the training

Use of

RDT

Collection

of blood

slide

Malaria

Drug

regimen

Dengue

mosquito

breeding

and control

Drugs/

doses for

MDA

(LF)

ASHA 1

ASHA 2

ASHA 3

ASHA 4

ASHA 5

Whether having skills/knowledge

ASHA 1

ASHA 2

ASHA 3

ASHA 4

ASHA 5

Name Village Educatio

n

Village

resident

(Yes/No)

Since

when

working

Whether

trained for

VBD (Y/N)

ASHA1

ASHA 2

ASHA 3

ASHA 4

ASHA 5

Name of Village

Are the Registers of ASHA under

NVBDCP being maintained up to

date (verify by seeing the

registers) (Yes/No)

When ASHA submitted the last

due Report? (ask for the report

mention date)


No of slide collected & found

positive (Last month)

Were the results of blood slides

received within 24 hours from the

lab (Yes/No)

No of fever cases who completed

RT in the last month

Was ASHA visited by the health

worker or MPHS in the last one

month? (Yes/No)

Does the ASHA have adequate

stock of commodities & drugs

(clean slides, needles, swabs,

ACT, CQ etc) (Yes/No)

Are there any drugs at risk of

expiry (Verify - Yes/No, if yes

attach details on separate sheet)

Are RD kits being stored as per

guidelines (Yes/No)

Was she involved in IRS

(Yes/No)

Was she involved in Bed Nets

distribution (Yes/No)

Was she ever involved in

immunization against JE

(Yes/No)

Was she involved in source

reduction for control of Dengue

and Chikungunya (Yes/No)

Is ASHA actively involved in

VHSC (Yes/No)

Is she having difficulty in getting

the incentive for her work? If yes,

provide details

Any problem faced in doing

work? If yes, possible suggestions

& solutions.

Interview of fever case treated

by ASHA in last 2 weeks

Did ASHA collect blood slide

(Yes/No)

Treatment started within 24 hours

of test (Yes/No)

Was money charged for

test/treatment (Yes/No)

What are the services usually

provided by ASHA (conduct up

delivery/ immunization/ use of

RDT, Anti-Malaria drug

administration - ACT, CQ,PQ,)


Annexure 10 TOUR SCHEDULE OF VARIOUS CATEGORIES

Category Area to be

visited Frequency

Activity

State/District

Nodal

Officers

CHC – 1

PHC – 2

S/C – 2

Villages – 2

FTDs – 2

Monthly

(Fortnightly

in July &

August)

Supervision of ACD, PCD

Malaria Clinics, FTD,

Spray Operations, Lab.,

Staff availability etc.

Civil Surgeon

of the District CHC – 1

PHC – 2

S/C – 2

Villages – 2

FTDs - 2

Fortnightly

-do-

Dy. Civil

Surgeon

(VBD)

CHC – 1

PHC – 2

S/C – 2

Villages – 2

FTDs - 2

Weekly -do-

SMOs/MOs PHC – 2

S/C – 2

Villages – 2

FTDs - 2

Weekly -do-

Biologist

Urban

Sector -----2

Rural

Identified

Villages---4+6

Daily

Fortnightly

Anti-Larval

activities

Vector Surveillance

Vector Surveillance

MPHS (M)

PHC -----1

Sections-----2

Passive

agencies---2

Daily Concurrent &

consecutive

surveillance

RT Verification

Spray Checking

MPHW (M) Villages as per

beat

programme

Daily Diseases

Surveillance

RT

FTD Stock

replenishment

spray checking

An

nu

al Rep

ort o

n im

plem

entatio

n o

f NV

BD

CP

(ww

w.n

vb

dcp

.gov.in

, ww

w.h

aryanah

ealth.go

v.in)

P

age 12

8

An

nexu

re 11

CA

LE

ND

AR

OF

AC

TIV

ITIE

S F

OR

MP

HW

(MA

LE

) FO

R T

HE

YE

AR

20

12

Sectio

n

January

F

ebru

ary

M

arc

h

April

Ma

y

June

July

A

ug

ust

Septe

mber

Octo

ber

Novem

ber

Decem

ber

I

II I

II I

II I

II I

II I

II I

II I

II I

II I

II I

II I

II

I 2

17

2

17

1

16

2

17

1

17

1

16

2

17

2

18

1

17

1

15

2

17

1

15

II 3

19

3

18

2

17

3

19

3

18

2

18

3

19

3

21

3

18

4

18

3

19

3

17

III 6

20

4

21

3

19

6

20

4

19

5

19

5

20

4

23

4

20

5

19

5

20

4

18

IV

7

21

6

23

5

20

7

21

5

21

7

21

6

21

6

24

6

21

6

20

6

22

6

20

V

9

23

9

24

6

22

9

24

7

22

8

22

7

23

7

25

7

22

8

22

8

23

7

21

VI

10

24

10

25

9

24

10

26

8

25

9

23

9

24

9

27

8

24

9

23

9

24

8

22

VII

12

27

11

27

10

26

12

27

10

26

11

25

10

26

11

28

10

25

11

26

10

26

10

24

VIII

13

28

13

2

8

1st

Ha

lf

da

y

12

27

14

28

11

28

12

26

12

27

13

30

11

27

12

27

12

27

11

28

Off D

ay

14

30

13

29

12

29

14

28

13

28

14

13

28

13

29

Off D

ay

30

14

29

14

30

14

Off D

ay

Revie

w

Meetin

g

16

14

2

8

2n

d

ha

lf

15

16

15

15

16

17

15

13

16

14

Mo

nth

ly

Meetin

g

31

31

30

31

30

31

31

29

30

30

31

NO

TE

:-

1

On

4th

&8

th b

ea

t Days S

ecto

r me

etin

g w

ill be

he

ld a

t the

Secto

r He

ad

Qua

rter w

he

re B

loo

d S

lides C

olle

cte

d a

lon

g w

ith M

-2 P

ro fo

rma

will b

e h

an

ded

ove

r

an

d s

up

ply

of A

nti M

ala

rials

will b

e re

ce

ive

d. T

he

me

etin

g w

ill be

he

ld in

the

even

ing

and

the

wo

rke

rs w

ill do

the

ir rou

tine

su

rve

illance

wo

rk in

the m

orn

ing

.

2

Off D

ays a

re to

be u

tilized

for c

om

ple

tion

of p

en

din

g w

ork

and

co

mp

letio

n o

f Ra

dic

al T

rea

tme

nt o

f po

sitiv

e c

ases e

tc., if a

ny

.

3

On

eve

ry W

ed

nesd

ay Im

mu

niz

atio

n W

ork

will a

lso

be

do

ne

.

4

Th

e re

vie

w m

eetin

gs a

nd

mo

nth

ly m

ee

ting

s a

re to

be

he

ld a

t PH

C/C

HC

/Dis

tt. HQ

. Th

e S

enio

r Me

dic

al O

ffice

rs

of C

HC

, MO

of P

HC

an

d D

ep

uty

Civ

il Su

rge

on

( VB

D ) a

t Dis

tt. HQ

will p

resid

e o

ve

r these m

ee

tings a

nd

the

min

ute

s o

f the

me

etin

gs a

re to

be

reco

rded

and

co

py b

e s

en

d to

Civ

il Su

rgeo

n w

ithin

we

ek.

5

Re

vie

w M

ee

tings w

ill be

atte

nd

ed

by th

e H

ealth

Sup

erv

iso

r (Ma

le &

Fe

ma

le) o

nly

, wh

ere

as th

e m

on

thly

me

etin

gs w

ill als

o b

e a

tten

de

d

by M

PH

Ws a

long

with

MP

HS

(Ma

le &

Fe

ma

le).


Annexure 12

IMPORTANT CONTACT NUMBERS OF OFFICERS IN THE STATE

Sr.

No

Name of

District Name of Officer Designation Mobile No.

Tel. No.

(Office)

1 Panchkula Dr. Narveer Singh DGHS 9216956181 0172-2584549

2 Panchkula Dr. Satvir Chaudhry DHS (Malaria) 9466155187 0172-2587014

3 Panchkula Dr. Jagmal Singh DD (SS), Malaria 9872817775 0172-2587013

4 Ambala

Dr. Manoj Gupta Civil Surgeon 9215156170 0171-2557473

Dr. Ashok Sharma Dy. Civil Surgeon

(VBD) 9466659429 0171-2556157

5 Bhiwani

Dr. N.K. Goyal Civil Surgeon 9215156171 01664-242110

Dr. K.K. Basotia Dy. Civil Surgeon

(VBD) 9812383700 01664-248451

6 Faridabad

Dr. H. R. Yadav Civil Surgeon 9268571145 0129-2415623

Dr. Ramesh Kumar Dy. Civil Surgeon

(VBD) 9891122163 0129-2434831

7 Fatehabad

Dr. S. B. Kamboj Civil Surgeon 9215156173 01667-225899

Dr. H.L. Gupta Dy. Civil Surgeon

(VBD) 9416343608 01667-224979

8 Gurgaon

Dr. Parveen Garg Civil Surgeon 9212144495 0124-2322412

Dr. Mahender Kumar Dy. Civil Surgeon

(VBD) 9911397255 0124-4065534

9 Hisar

Dr. J.S. Grewal Civil Surgeon 9215156175 01662-278157

Dr. S.K. Gupta Dy. Civil Surgeon

(VBD) 9812067736 01662-278385

10 Jhajjar

Dr. Ramesh Dhankhar Civil Surgeon 9215156177 01251-254014

Dr. H. R. Passi Dy. Civil Surgeon

(VBD) 9215453410 01251-254014

11 Jind

Dr. Rajinder Parsad Civil Surgeon 9215156176 01681-245455

Dr. Suresh Chauhan Dy. Civil Surgeon

(VBD) 9896737878 01681-245060

12 Kaithal

Dr. Surinder Nain Civil Surgeon 9215156179 01746-230262

Dr. Davinder Singh Dy. Civil Surgeon

(VBD) 8901396500 01746-222064


Sr.

No

Name of

District Name of Officer Designation Mobile No.

Tel. No.

(Office)

13 Karnal

Dr. Shiv Kumar Civil Surgeon 9215156178 0184-2267796

Dr. Anita Aggrawal Dy. Civil Surgeon

(VBD) 9896029047 0184-2265859

14 K. Shetra

Dr. Vandana Bhatia Civil Surgeon 9215156180 01744-291512

Dr. N.P. Singh Dy. Civil Surgeon

(VBD) 9416033893 01744-292197

15 Mewat

Dr. B.K. Rajora Civil Surgeon 9812354549 01268-273010

Dr. A.K. Maheshwari Dy. Civil Surgeon

(VBD) 9416528130 01268-205270

16 Narnaul

Dr. Pankaj Vats Civil Surgeon 9215156182 01282-251237

Dr. O. P. Saroha Dy. Civil Surgeon

(VBD) 9355511077 01282-251237

17 Palwal

Dr. Raminder Singh Civil Surgeon 9818456660 01275-242102

Dr. A. K. Gupta Dy. Civil Surgeon

(VBD) 8901327817 01275-242102

18 Panchkula

Dr. V.K. Bansal Civil Surgeon 9216956189 0172-2573907

Dr. Anil Allawadi Dy. Civil Surgeon

(VBD) 9417853969 0172-2586142

19 Panipat

Dr. Anita Tandan Civil Surgeon 9215156183 0180-2630275

Dr. A.K. Garg Dy. Civil Surgeon

(VBD) 9813450414 0180-2640255

20 Rewari

Dr. Vijay Singh Yadav Civil Surgeon 9215156186 01274-256769

Dr J.K. Saini Dy. Civil Surgeon

(VBD) 9416249444 01274-256769

21 Rohtak

Dr. V.K. Govila Civil Surgeon 9215156185 01262-212430

Dr. Virender Singh Dy. Civil Surgeon

(VBD) 9416210871 01262-210435

22 Sirsa

Dr. Dayanand Civil Surgeon 9215156187 01666-240155

Dr. (Mrs.) Sheel

Kaushik

Dy. Civil Surgeon

(VBD) 9416847107 01666-241888

23 Sonepat

Dr. Suresh Civil Surgeon 9416518677 0130-2218407

Dr. Mahender Singh Dy. Civil Surgeon

(VBD) 9466846060 0130-2218691

24 Y. Nagar

Dr. S.K. Aggrawal Civil Surgeon 9215156172 01732-237811

Dr. Vijay Atreja Dy. Civil Surgeon

(VBD) 9416267244 01732-237811

*****

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