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THE NATIONAL DENGUE PREVENTION AND CONTROL PROGRAM ANTONIETTA P. EBOL,DAP&E REGIONAL DENGUE PROGRAM MANAGER DOH- REGIONAL OFFICE XI 12/7/2015

Dengue Prevention and Control · THE NATIONAL DENGUE PREVENTION AND CONTROL PROGRAM ANTONIETTA P. EBOL,DAP&E ... All hospitals are mandated to report Dengue and other notifiable diseases

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THE NATIONAL DENGUE

PREVENTION AND CONTROL

PROGRAM

A N T O N I E T TA P. E B O L , D A P & ER E G I O N A L D E N G U E P R O G R A M M A N A G E R D O H - R E G I O N A L O F F I C E X I 1 2 / 7 / 2 0 1 5

MAP OF THE PHILIPPINES

DENGUE/DHF IN PHILIPPINES

1953 – 1st reported as Phil. H- Fever

1958 – notifiable disease

1966 and 1998 – outbreak in the country

Endemic in the country

NATIONAL DENGUE PREVENTION

AND CONTROL PROGRAM

1993 - the birth of NDPCP

1993-1997 - MTDP piloted in NCR

& Region 7

1998- nationwide implementation

GOAL, OBJECTIVE & TARGET

DENGUE

GOAL : Morbidity and

Mortality from

Dengue Infection are

reduced

Objective Indicator Target

Morbidity from Dengue

Infection is reduced

Incidence rate of

Dengue

Per 100,000

population

Less than 10 cases

per

100,000 popn.

annually

Mortality from Dengue/

DHF is reduced

% of deaths from

dengue

over the number of

cases (CFR)

Less than one

percent (1%)

RISK REDUCTION

OBJECTIVES

Reduce the risk of human exposure to Aedes bite by:-House Index of <5

-Breteau Index of 20

Increase % of HH practicing removal of mosquito breeding places to 80%

Increase awareness on DF/DHF to 100%

SERVICES & PROTECTION

OBJECTIVES

Establish a Dengue Reference Laboratory capable of performing IgMcapture ELISA for Dengue Surveillance

Increase the % of 1° and 2°government hospitals with laboratory capable of platelet count and hematocrit

Ensure surveillance and investigation of all epidemics

PROGRAM THRUSTS

Continue implementing Timely mass media and community –based information campaigns

Make available Early diagnosis and quality clinical

care for dengue cases at all levels

Institute risk-reduction interventions

LEVEL OF IMPLEMENTATION

A. At the National Office

Develops Policy, Guidelines, Plans and Programs

Mobilize Resources

Collaborate with Partners (Gov‘t Offices; Non- Gov‘t

Organization; Private sectors and Other

Stakeholders)

Provide Technical and Logistic Support

Conducts investigation during Outbreaks

LEVEL OF IMPLEMENTATION

B. At the Regional Office

Prepares Plans and Programs

Disseminate Policies and Guidelines

Mobilize Resources

Collaborate with Partners (Gov‘t Offices; Non- Gov‘t Organization; Private sectors and Other Stakeholders)

Provide Technical and Logistic Support

Conducts investigation during Outbreaks

Submit reports to the National Office

LEVEL OF IMPLEMENTATION

C. At the Local Offices

(province/municipality/city/barangay

Implement plans and programs

Implement control Intervention

Submit reports to Regional Office

REPORTING SYSTEM

All hospitals are mandated to report Dengue and

other notifiable diseases

using the Philippine Disease Surveillance and

Response System.

Reporting Units are City Epidemiology and

Surveillance Units to Regional Epidemiology and

MESU- Municipal Level

PESU –Provincial Level

RESU-Regional Level

EPIDEMIOLOGY BUREAU-

National Level

TREND IN THE PHILIPPINES

Endemic in all Regions

Peak of cases during the months of July – August

All dengue vectors are present

-Aedes aegypti

-Aedes albopictus

All 4 serotypes circulated with DEN-3

predominant .

COMPARATIVE DENGUE CASES BY YEAR

PHILIPPINES, 2010 - 2014

173,033

125,975

187,031204,906

121,580

1057

654

921

660

465

0

50,000

100,000

150,000

200,000

250,000

2010 2011 2012 2013 2014

CASES DEATHS

STRATEGIES ON PREVENTION & CONTROL

Advocacy, Social Mobilization and

Legislation

ADVOCACY

Information dissemination

Lobby for budget

Others

SOCIAL MOBILIZATION

Pulong-Pulong

Clean up drive (once a week)

Barangay Assembly

Others

COLLABORATION WITH PARTNERS

STRATEGIES ON PREVENTION & CONTROL

Advocacy, Social Mobilization and

Legislation

LEGISLATION

Barangay Ordinance to support

Dengue

Eg : 4 o’clock habit

Adoption of ABKD

Oplan kulob

Other initiative

STRATEGIES ON PREVENTION & CONTROL

Integrated approach to

disease control

-Reporting of dengue suspects

-Surveillance of Dengue Cases

Evidence based decision

making

- House to house inspection for the

presence of Aedes larvae

- Set indicators of at-risk barangays

( color codes)

STRATEGIES ON PREVENTION &

CONTROL

Larval control –the use of

ovi /larvae trap-female mosquitoes preferred

black containers in laying eggs.

STRATEGIES ON PREVENTION AND CONTROL

Space spraying/thermal fogging

- destruction of flying mosquitoes

by contact with

insecticides in the air

- effective if done every week for (4) weeks

- temporary in nature

- requires lot of

resources

POLICY AND GUIDELINES

Department Memo 2013-0156

“ Adopting the 4’ oclock habit as a strategy

against Dengue “

POLICY AND GUIDELINES

Administrative Order 2012-0006-signed by Sec E. T. Ona on March 22, 2012

“Revised Dengue Clinical management Guidelines”

POLICY AND GUIDELINES

Department Memo 2015-0348-

signed by Secretary Janet

Loreto-Grain on Oct 25,2015

“Brigada Kalinisan Para Sa

Kalusugan and DENGUE

Campaign”

LAUNCHING OF “ITS”

IN PUBLIC ELEMENTARY SCHOOLS

COMMITMENT OF MULTI- SECTORAL

PARTNERS