1. Dengue

3. Viral etiology and transmission by mosquitoes discovered by Sir John Burton Cleland.

5. Burden of Disease in India Source - http://nvbdcp.gov.in/dengue5.html

10. retro-orbital pain

11. Myalgia

12. Arthralgia

13. rash

15. Petechiae/Ecchymoses

16. bleeding from mucosa,GIT, nasal bleeding or other sites

17. haematemesisor melaenaPLUS Thrombocytopenia PLUS Evidence of plasma leakage due to increased vascular permeability. Dengue Shock Syndrome DHF plus evidence of circulatory failure rapid and weak pulse narrow pulse pressure (<20 mm Hg) or hypotension for age, cold and clammy skin and restlessness

18. Treatment Dengue Fever Mainly symptomatic and supportive Bed rest. Cold sponging. Antipyretics-Paracetamolis preferable Oral fluid and electrolyte therapy in patients with excessive sweating or vomiting. Dengue Haemorrhagic Fever Treatment is same as above except: Need hospitalization IV fluid therapy if rise in haemoconcentration Observed for signs of shock Dengue Shock Syndrome Fresh whole blood in volumes of 10ml/kg/hour Oxygen therapy

21. There were 1.39 million cases

22. There is no attributed deaths to chikunguniya

23. During 2008 95,091 cases were reported.

26. GOI initiatives for Dengue and Chikunguniya National guidelines for clinical management of Dengue Fever, Dengue Hammorragic Fever, Dengue Shock Syndrome. Long Term Action Plan for Prevention and Control of Dengue and chikunguniya. Established 110 Sentinel Surveillance Hospitaland all these are linked with 13 Apex Referral Laboratories. To maintain the uniformity and standard of diagnostics. Diagnosis of Dengue and Chikungunya is provided to the community at free of cost. Since 2007, every year in the 1st quarter Directorate of NVBDCP prepare the tentative allocation of test kits. Kits are supplied by NIV. Buffer stocks maintainance. State wise allocation of Dengue and Chikungunya test kits. Ensuring the diagnostic facility and availability of kits is the responsibility of the respective State Programme Officers, NVBDCP.

27. Long Term Action Plan The long term strategies for prevention and control of DF/DHF/DSS and Chikungunyain India is three-pronged and is as follows: Early Case reporting and management Integrated vector management (for transmission risk reduction) Supporting Interventions

28. Case Reporting and Management Case reporting Fever alert surveillance Sentinel surveillance sites with lab support Strengthening of referral services Involving private sector Case management Case management Epidemic preparedness and rapid response

31. Landing/Biting collection

32. Resting collection

34. Chemical larvicide

35. Temephos

36. Biological control

37. Larvivorous fish

38. Bacillus thuringiensis serotype H-14 (Bt H-14)

39. Environmental management

40. Environmental modification

41. Environmental manipulation

43. Pyrethrum

44. Fogging

45. Malathion

46. Personal protection measures

47. Protective clothing

48. Repellents

50. Building Construction Regulation Act

51. Environmental Health Act

53. At Community Level