Question : DENGUE AND MALARIA CASES



(a) the number of Dengue and Malaria cases reported in the country during each of the last three years and till date, State-wise;

(b) whether there has been an increase in these cases as compared to the last two years;

(c) if so, the reasons therefor; and

(d) the preventive measures taken/being taken to control Dengue and Malaria?

Answer given by the minister

THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. ANBUMANI RAMADOSS)

(a)to(d): A statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 446 FOR 27TH APRIL, 2005

The number of Dengue and Malaria Cases, State-wise, as reported by the State Health authorities is given in the Annexure I & II.

The incidence of Malaria has been showing declining trend over the last two years. The total number of positive cases reported during the year 2002 were 1.84 million which declined to 1.74 million cases in the year 2004.

The incidence of Dengue has been variable during the last 2 years. Although the number of cases reported during the year 2003 were more than those during the year 2002, there has been a decline in the number of Dengue Cases in 2004 as compared to those in 2003.

The variation in the occurrence of vector borne diseases like Malaria and Dengue is dependent on environmental conditions viz. temperature, rainfall, topography of the area and developmental activities resulting in mosquitogenic conditions.

The strategies for control of malaria includes surveillance, early diagnosis and prompt treatment of cases, sustainable vector control including indoor residual spray with insecticide treated bednets, use of larvivorous fish etc. besides training, Information, Education, Communication (IEC) to enlist community involvement. For malaria control, Government of India provides medicines, insecticides and larvicides as per the approved policy. The programme is implemented and monitored by the State Health Authorities and operational costs are borne by the State Governments. North-Eastern States are being provided 100% support for the programme implementation including operational cost since December, 1994. State of Sikkim has been included as a part of the North-Eastern Region for such support since 2003. 1045 PHCs predominantly inhabited by tribals in 100 districts in eight States namely Andhra Pradesh, Chhattisgarh, Gujarat, Jharkhand, Madhya Pradesh, Maharashtra, Orissa and Rajasthan are being provided additional support since December, 1997, including operational expenses under Enhanced Malaria Control Project (EMCP) with World Bank assistance.

Further, Seven North-Eastern States, Jharkhand, Orissa & West Bengal have been included under Intensified Malaria Control Project(IMCP) funded by the Global Fund for AIDS, Tuberculosis and Malaria (GFATM) to accelerate anti malaria activities e.g. early diagnosis & prompt treatment, promotion of insecticide treated bednets and behavior change communication through community participation.

The measures taken to control Dengue include: -

-	Disease and Vector surveillance	-	Case Management.	-	Early reporting of cases.	-	Vector control mainly through source reduction with community participation.	-	IEC Campaign for community awareness and their active involvement in source reduction	and personal protection measures.

ANNEXURE-I DENGUE CASES AND DEATHS

Sl.No. State 2002 2003 2004 2005
C D C D C D C D
1 Andhra Pradesh 61 3 95 5 230 1 0 0 2 Bihar 1 0 0 0 0 0 0 0 3 Chandigarh 15 0 0 0 0 0 0 0 4 Delhi 45 2 2882 35 606 3 0 0 5 Goa 0 0 12 2 3 0 0 0 6 Gujarat 40 0 249 9 117 4 0 0 7 Haryana 3 0 95 4 25 0 0 0 8 Karnataka 428 1 1226 7 291 2 14 0 9 Kerala 219 2 3546 68 686 8 73 1 10 Maharashtra 370 18 772 45 856 22 0 0 11 Sikkim 0 0 0 0 12 0 0 0 12 Punajab 27 2 848 13 52 0 0 0 13 Rajasthan 325 5 685 11 207 5 0 0 14 Tamil Nadu 392 0 1600 8 1027 0 0 0 15 Uttar Pradesh 0 0 738 8 8 0 0 0 16 West Bengal 0 0 0 0 32 0 0 0 17 Pondicherry 0 0 6 0 0 0 0 0 18 D & N Haveli 0 0 0 0 1 0 0 0
Total 1926 33 12754 215 4153 45 87 1
Annexure-II
MALARIA SITUATION
2002 2003 2004# 2005@
Sl.No. STATE/U.T. Posi- Pf Posi- Pf Posi- Pf Posi- Pf tive Cases tive Cases tive Cases tive Cases Cases Cases Cases Cases
1 Andhra Pradesh 38053 21416 35995 20864 33856 18104 3346 2032 2 Arunachal Pradesh 46431 7080 34810 5870 5487 738 NR NR 3 Assam 89601 55825 76570 48668 43813 31168 NR NR 4 Bihar 3683 1705 2662 1080 1720 304 8 3 5 Chhattisgarh 235434 170487 194419 144028 175579 134225 NR NR 6 Goa 16818 3655 11370 1638 7839 1387 555 69 7 Gujarat 82966 16244 130744 31697 220630 65688 4577 2127 8 Haryana 936 41 4374 500 10008 168 70 11 9 Himachal Pradesh 176 0 133 7 126 7 1 0 10 Jammu & Kashmir 455 10 320 11 242 8 4 0 11 Jharkhand 126589 52892 118902 37482 73893 36189 NR N 12 Karnataka 132584 29702 100220 23560 80643 28374 9229 2099 13 Kerala 3360 375 2575 440 2985 375 - - 14 Madhya Pradesh 108818 31545 99708 31390 127123 49281 3943 2008 15 Maharashtra 45568 14634 62947 30340 69992 30019 5619 3010 16 Manipur 1268 601 2589 1168 2539 731 99 34 17 Meghalaya 17918 11095 18366 12338 16576 14220 NR NR 18 Mizoram 7859 3932 7293 4167 7830 4170 NR NR 19 Nagaland 3945 234 3370 277 2049 116 NR NR 20 Orissa 473223 393547 421323 350619 372960 312978 NR NR 21 Punjab 250 18 379 35 1630 21 10 2 22 Rajasthan 68627 5356 142738 16481 104218 7263 NR NR 23 Sikkim 53 7 278 41 160 33 0 0 24 Tamil Nadu 34523 2520 43604 3758 41686 2800 6085 389 25 Tripura 13319 10863 13807 10800 16600 12391 933 744 26 Uttaranchal 1659 120 2350 265 1255 36 31 1 27 Uttar Pradesh 90199 2512 101411 2404 81142 1533 1265 50 28 West Bengal 194421 60726 233802 76864 220853 60262 6771 2448 29 A.N.lslands 865 158 753 148 679 119 NR NR 30 Chandigarh 157 6 84 5 199 6 5 0 31 D & N Haveli 493 100 468 106 787 202 61 2 32 Daman & Diu 173 32 141 21 118 18 5 0 33 Delhi 694 6 839 27 521 1 NR NR 34 Lakshadweep 8 0 6 0 2 0 0 0 35 Pondicherry 103 2 63 2 43 1 4 0
All India Total 1841229 897446 1869403 257101 1725783 804936 42621 15029
# = Provisional and @ = Received till date NR = Not Received