THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI GHULAM NABI AZAD) (a) to (e) : A Statement
is laid on the Table of the House.
STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 34 FOR 06.12.2013
(a)&(b): Yes. There is an upsurge in the number of dengue cases during current year in
various parts of the country particularly in the States of Kerala, Odisha, Karnataka, Gujarat,
Delhi, Assam, Maharashtra, Punjab, Rajasthan, Haryana, Jammu & Kashmir and Madhya Pradesh.
However, number of dengue deaths till November end this year (152) is less than the number of
deaths in the same period previous year (236).
Total number of Dengue cases and deaths reported during last three years and the current year
are as below:
Year 2010 2011 2012 2013 (prov. till 30th Nov)
Cases 28292 18860 50222 67365
Deaths 110 169 242 152
A statement showing state-wise dengue cases and deaths in the current year and in comparison
to each of the last three years, State/UT-wise (till 30th Nov) in the country are at Annexure-I.
(c): The Ministry of Health and Family Welfare recommends to the States Governments to take
action in accordance with Committee of Secretaries (CoS) approved Mid Term Plan for prevention
and control of dengue in 2011. Technical assistance to states is provided through Guidelines,
advisories and during field visits.
Advisories are to the States are issued from time to time by the Minister, Secretary and DGHS.
Field visits are carried out to assess the preparedness and to provide technical guidance to
the States. Traning is imparted to clinicians on case management as per GOI guidelines and to
other health care functionaries on programme activities.
Focused IEC/BCC activities are carried out for awareness generation of the community at National
and State level.
Funds are provided to the States for prevention and control of vector borne diseases including
Dengue to implement the public health activities. Total release to States /UTs during last three
years and current year (till 31.10.2013) are as below:
(Rs.In Crores)
Year 2010-11 2011-12 2012-13 2013-14 (till 31.10.2013)
Amount 380.51 482.51 284.61 152.45
State-wise releases during last three years and current year (till 31.10.2013) are enclosed at
Annexure-II.
(d): Officials from Directorate of NVBDCP and Regional Offices of Health & Family Welfare
during field visits to states assess various preventive measures including larviciding
operations. Besides, various preventive measures implemented at state level are evaluated every
year during Common Review Mission under NRHM.
Directorate of NVBDCP is aware of the Iranian larvicide ‘Bioflash’. National Institute of
malaria Research, Delhi (ICMR) has conducted a field trial of the product in Delhi as reported
by World Health Organization Pesticide Evaluation Scheme (WHOPES), 2009.
The product is presently not registered under Central Insecticide Board (CIB). However, under
the Programme Temephos, Bacillus thuringiensis israelensis (Bti), MLO and larvivorous fishes
are used currently for larval control.
(e): To augment diagnostic facilities a total of 394 Sentinel Surveillance Hospitals with
laboratory facility are identified in endemic States. Besides, 14 Apex Referral Laboratories
with advanced diagnostic facilities are also identified across the country. Test kits are
provided to these institutes through National Institute of Virology, Pune free of cost. During
current year (till 27.11.13), a total of 3163 dengue diagnostic kits (1 Kit= 96 tests) have
been provided by Centre to the identified institutes. ELISA based NS1 tests were introduced
in 2010 for early detection of cases from 1st day of disease.
There is no specific drug for treatment of dengue cases. Cases are treated symptomatically.
National guidelines for clinical management of cases have been sent to the States for circulation
in all hospitals. States were asked to develop contingency plan for hospitalization of dengue
cases like identification of dedicated beds, alerting the blood banks in case of large numbers of cases.
