Surat Municipal Corporation
- 1 - Vector Borne Diseases Control Department Surat Municipal corporation
GENERAL INFORMATION
Surat city is situated in the southern part of Gujarat state. It lies between 21.112° North latitude & 2.814° East longitudes. It is situated on the bank of river Tapi. The city has flat coastal land. It is divided in to seven zones (Central, West, South, South-East, South-West, North & East,). It is one of the most dynamic cities of India with one of the fastest growth rate due to immigration from various parts of Gujarat and other states of India. Surat is one of the cleanest cities of India and is also known by several other names like "THE SILK CITY", "THE DIAMOND CITY", "THE GREEN CITY", etc. It has a most vibrant present and an equally varied heritage of the past. It is the city where the British first land in India. The Dutch and the Portuguese also established their business centers in Surat, the remnants of which are still preserved in the modern day Surat. In past this was a glorious port with ships of more than 84 countries anchored in its harbour at any time. Climate of the city is moderate with maximum temperature 44.5° C & minimum of 9.9° C the average rainfall is 60 inches. The total area of the city is 326.515 sq. k.m. & The total population according to 2011 one census is 44,61,026. The density of population per sq. km. is 13,663. The 40% of the population of Surat city lives in slums. The total number of census houses is 13,86,245.
Oldest Municipality : 1852 AD. Area : 326.52 Sq.Km. Population : 44,61,026(2011) Climate : Humid Rain : 60'' (Average) Industries : Jari, Textile, Silk, Diamond and Plastic. Density : 138 persons/ha Slum pockets : 1006 Number of Zone : 07 No. of Unit : 32 UHC : 41 Ward (Election) : 38 Ward (Health) : 88 Houses : 9,78,389 Population : Above 50 lacs (Year 2014) Municipal Councillors : 114 Committee : 20
- 2 - METEOROLOGICAL DATA Temperature with seasonal variations: Maximum – 45° C Minimum - 11° C Average - 25°– 35° C Rainfall : Average - 60" Humidity: Average 60 ° & above SOCIOECONOMIC CONDITION Literacy : Male - 77 % Female - 66 % Economic conditions based on some criteria: Social Economic condition: Good - 75 % Poor - 25 % Month wise rain fall data of Surat city for last eight Years (FORM NO. – 1)
Rainfall - Rainfall - Rainfall - Rainfall - Rainfall - Rainfall - Rainfall - Year 2008 Year 2009 Year 2010 Year 2011 Year 2012 Year 2013 Year 2014 Month Inch M.M. Inch M.M. Inch M.M. Inch M.M. Inch M.M. Inch M.M. Inch M.M. Jan ------
Feb ------
Mar ------
Apr ------
May ------
Jun 14.94 380.8 1.71 43.5 3.61 91.2 2.41 61.0 2.50 63.0 25.57 648.0 1.63 41
Jul 16.59 424.4 38.37 976.5 23.38 590.3 12.51 316.4 12.00 304.0 24.29 614.0 21.89 556
Aug 14.37 361.8 11.29 287.3 22.23 561.3 16.50 417.3 6.87 174.0 11.47 293.0 6.96 177
Sep 11.58 296.2 4.51 114.8 19.33 488.0 8.83 223.3 14.77 374.0 20.95 528.0 7.61 192
Oct 0.47 12.0 1.89 48.1 4.09 103.2 -- -- 0.48 12.0 2.04 52.0 -- --
Nov ------0.16 4.0 ------
Dec ------
Total 57.95 1475 57.77 1470 72.80 1838 40.25 1018 36.62 927 84.32 2135 38.09 966
MEDIA /CULTURALS HABITS: Use of mass media: There are All India Radio Station (FM), Local T.V. Channels, Local Newspapers, Hoarding, Banners and Handbills. Traditional / folk dance or idioms: Garba Dance in Navratri, Holi, and Diwali Ganpati Festival, Ponk in winter and Ghari at Chandi Padvo.
- 3 - HEALTH SERVICES SYSTEM: Organogram
Peon
Sr.Clerk Section Officer Section
ClerkCum Typist
Beldar
Lab.Tech.
Insecticide Officer Insecticide
Dy.Commissioner(H.&H) MedicalOfficer of Health
P.HW
Beldar
Sub Inspector Sub
Mukadam
.
Sani (Plague Surveillance Unit)
SI
Section Officer
Peon
Commissioner Sr.Clerk (VBDCD Store) (VBDCD P.H.W. UHC, M.O. UHC,
Clerk Cum Typist
Peon
Beldar
PrimaryHealth worker
SanitaryInspector (F.I. Cross)
Beldar
Mukadam
Dy.M.O.H.
ZonalChief
ZonalOfficer
PrimaryHealth worker
Sanitaryinspector(F.I.) SanitaryInspector Sub
Asst.InsecticideOfficer
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Commissioner
Dy. Commissioner (Health & Hospital)
Medical Officer of Health
Dy. Medical Officer of Health (Zone)
Insecticide Officer
Plague Surveillance Unit Cross Check Team Insect Collectors Lab. Tech. Asst. Insecticide (Epidemiological) Officer (Zone) (Entomological) Surveillance, Anti- larval, Biological Measures, Anti - Adult:- Fogging, IEC, Sanitary Inspector Health Education, Anti-Fly, Anti - Flea, Rodent Control, Dengue control activity,
Sanitary Sub Filaria:- Night Inspector survey, MDA, Bylaws Implementation, Inter Sectoral Co - ordination. Primary Health Worker
- 5 - Health Infrastructure in the Surat City: - The Health Infrastructure available in the Surat city can be summarized as under i) Urban Health Centres (SMC) : 41 ii) Govt. Hospital (Including General Hospital) : 02 SMC Hospital : 02 iii) Ayurvedic Hospital: : 01 iv) Hospital run by charitable trust : 07 v) Other private Hospital : 514 vi) Dispensaries: Private : 1342 Allopathic Govt. : 9 Homeopathic (SMC) : 1 vii) ICDS Blocks : 5 viii) ICDS Centre : 1004
Staff Position
Post Name of the Post In Position Vacant % Vacancy Sanctioned Insecticide Officer. 1 0 1 100.00 Asstt. Insecticide Officer. 12 7 5 41.66 Section Officer 1 1 0 0.00 Lab. Tech. (H.Q.) 25 25 0 0.00 Lab. Tech. (UHC) 34 25 9 26.47 Malaria Inspector 24 23 1 4.17 Sub Inspector 52 51 1 1.92 Primary Health Worker 461 260 201 43.60 Contractual Surveillance 400 400 0 0.00 Worker Field Worker 1555 1186 369 31.11
- 6 - Activities done by Vector Borne Diseases Control Department
(1) Early detection & Complete treatment (EDCT) • Active & Intradomestic Surveillance - By PHW (240+200) • Passive Surveillance - By UHC (42) • Other agencies – FTD (2) Vector Control Measures. Anti Larval Measures 73 Team, each team have 5-7 field worker Peri domestic: - Environment Measures. Chemical Spray: - MLO, Temephos 50% EC Biological: - Larvivorous Fish & Biolarvicide (3) Anti Adult Measures. Space Spray (Fogging) Selective IRS (4) Implementation of BPMC Act Notices Prosecution Collection of Administrative Charges (5) Information, Education and Communication (IEC) Display of posters, Banners, hand bills. Advertisement in local News Papers & T.V. Channels Demonstration of Mosquitoes life cycle in schools &Fair. Essay Competition & Quiz Competition in Schools. Puppet Shows & Street play & Hut-cycle. Holding workshop & Seminars
Epidemiological Situation of Malaria - 2001 to 2014
Increase / Decrease BSC / Total Year PF Death ABER API SPR SFR % of PF Surveilla +Ve Exam + ve PF nce Cases 2001 510592 11363 4781 0 20.98 4.67 2.23 0.94 42.08 33.51 33.47 2002 530650 8274 2926 0 20.77 3.24 1.56 0.55 35.36 3.93 -27.18 -38.80 2003 573635 6984 2739 0 21.39 2.60 1.22 0.48 39.22 8.10 -15.59 -6.39 2004 625460 8227 2793 0 22.22 2.92 1.32 0.45 33.95 9.03 17.80 1.97 2005 606281 8292 2669 0 19.74 2.70 1.37 0.44 32.19 -3.07 0.79 -4.44 2006 737308 12617 4895 0 21.49 3.97 1.71 0.66 38.80 21.61 52.16 83.40 2007 769569 9765 4387 0 19.05 2.42 1.27 0.57 44.93 4.37 -22.60 -10.38 2008 908425 10141 4649 16 21.25 2.37 1.12 0.51 45.84 18.03 3.85 5.97 2009 974756 10250 3609 3 22.10 2.56 1.16 0.36 31.07 10.21 14.53 -22.37 2010 1114752 13593 4147 16 25.25 3.08 1.22 0.37 30.51 14.36 32.61 14.91 2011 1131175 12369 3545 10 24.67 2.70 1.09 0.31 28.66 1.47 -9.00 -14.52 2012 1273932 11641 2345 11 27.07 2.47 0.91 0.18 20.14 12.62 -5.89 -33.85 2013 1342046 9209 1834 8 27.43 1.88 0.69 0.14 19.92 5.35 -20.89 -21.79 2014 1402139 7737 1304 2 27.58 1.52 0.55 0.09 16.85 4.48 -15.98 -28.90
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Zone wise Epidemiological Situation of Malaria
Sr. Name of Total + Death Year Population BSE SPR PF% PF No. Zone Ve Confirmed Clinically 2010 388039 157214 2739 1.74 44.03 1206 2 -- 2011 403016 139417 2328 1.67 42.01 978 1 -- 1 Central 2012 413683 148200 1675 1.13 27.94 468 0 -- 2013 413683 153248 1209 0.79 30.69 371 4 -- 2014 413683 162088 822 0.51 22.75 187 0 - 2010 403490 78303 758 0.97 27.84 211 0 -- 2011 418875 82738 743 0.9 25.84 192 1 -- 2 West 2012 430156 94115 611 0.65 18.66 114 0 -- 2013 447124 99978 427 0.43 23.89 102 0 -- 2014 464740 100989 395 0.39 15.95 63 0 - 2010 849360 221453 1375 0.62 26.11 359 4 -- 2011 882014 219955 1226 0.56 22.27 273 0 -- 3 South 2012 905492 260238 1184 0.45 16.81 199 2 -- 2013 941210 273256 787 0.29 15.12 119 0 -- 2014 978294 284742 500 0.18 13.00 65 0 - 2010 701031 225285 3401 1.51 31.14 1059 5 -- 2011 728140 223757 3302 1.48 26.59 878 3 -- 4 S - East 2012 747360 249162 3153 1.27 20.81 656 5 -- 2013 776841 262529 2480 0.94 18.95 470 2 -- 2014 807448 275860 1954 0.71 17.04 33 0 - 2010 353606 74416 940 1.26 30.11 283 0 -- 2011 367880 68826 634 0.92 24.45 155 0 -- 5 S - West 2012 376974 74531 565 0.76 25.19 144 1 -- 2013 391845 79536 365 0.46 18.08 66 0 -- 2014 407283 82967 377 0.45 17.51 66 1 - 2010 643201 148134 1540 1.04 26.17 403 2 -- 2011 667940 162712 1477 0.91 26.61 393 3 -- 6 North 2012 685707 187080 1720 0.92 21.69 373 2 -- 2013 712756 201472 1607 0.80 21.16 340 1 -- 2014 740838 211057 1555 0.74 17.56 273 1 - 2010 1075827 209947 2840 1.35 22.04 626 3 -- 2011 1117502 233770 2659 1.14 25.42 676 2 -- 7 East 2012 1146924 260606 2733 1.05 14.31 391 1 -- 2013 1208486 272027 2334 0.86 15.68 366 1 -- 2014 1272402 284436 2134 0.75 14.85 317 0 - 2010 4414554 1114752 13593 1.22 30.51 4147 16 -- 2011 4585367 1131175 12369 1.09 28.66 3545 10 -- 8 Total 2012 4706296 1273932 11641 0.91 20.14 2345 11 -- 2013 4891945 1342046 9209 0.69 19.92 1834 8 -- 2014 5084688 1402139 7737 0.55 16.85 1304 2 -
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30
25
20
15
10
5
0 2006 2007 2008 2009 2010 2011 2012 2013 2014
ABER SPR API Death
Month -Wise Malaria Cases In Surat
Month/Year 2008 2009 2010 2011 2012 2013 2014
January 253 198 289 491 418 233 270 February 202 420 278 333 326 273 276 March 216 385 351 385 398 363 320 April 335 395 543 624 665 658 442 May 522 557 718 744 781 706 684 June 660 886 570 875 886 820 607 July 1112 738 1174 1300 1376 1114 774 August 1423 1781 2526 1793 1703 1489 902 September 2716 2008 2558 2538 2048 1430 1362 October 1487 1296 2116 1883 1696 895 937 November 844 1099 1427 819 959 813 667 December 371 487 1043 584 385 415 496 Total 10141 10250 13593 12369 11641 9209 7737
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Month-Wise Malaria (Cases in Surat city)
3500
3000
2500
2000
1500
1000
500
0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2007 2008 2009 2010 2011 2012 2013 2014
Unit-Wise Malaria Positive Case-2014
900
800
700
600
500
400
300
200
100
0
Pal
Unn
Vesu
Puna
South
North
Panas
Vadod
Athwa
-
-
Bhatar
Amroli
Adajan
Rander
-
Gaviyar
Bamroli
Fulpada
Bhestan
Kapodra
Godadra
Palanpur
Limbayat
Katargam
City
City Pandesara Bharthana
Umarwada
Singanpore
Begampura
Gayatri Depo Gayatri
Althan
Mota Varachha Mota
UdhnaKhatodra
Navagam Dindoli Navagam Lambe Hanuman Lambe
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Zone wise Dengue Cases in Surat City
Sample Name of taken 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Zone /Confirm case Central SST 17 41 78 57 107 201 266 240 256 295 340 Zone CC 4 15 28 20 44 93 70 5 6 23 39 SST 5 22 41 31 14 73 144 177 310 344 347 West Zone CC 2 4 12 10 5 39 40 8 34 35 37 South SST 25 13 43 44 125 202 334 368 564 582 944 Zone CC 2 8 22 22 21 90 72 18 41 125 106 S-East SST -- 18 67 20 100 155 328 297 375 479 613 Zone CC -- 4 37 1 38 67 95 14 48 100 105 S-West SST 8 37 16 53 59 117 123 128 287 244 303 Zone CC 5 15 4 25 17 61 29 6 25 18 35 SST 7 19 39 39 55 130 208 200 227 406 343 North Zone CC 0 8 15 11 16 72 73 12 8 26 29 SST 6 38 37 30 49 99 158 176 170 210 143 East Zone CC 3 24 20 8 16 53 47 6 4 17 12 SST 68 188 321 264 509 977 1561 1583 2189 2560 3033 Total CC 16 78 138 97 157 475 426 69 166 344 363
Filaria Cases in Surat City
No. of No. of Slide M.F. Disease RT Consumpti Year +Ve for +Ve for Examined Rate (%) Rate (%) Given on of DEC MF Disease 2001 34848 128 23 0.37 0.07 151 14122 2002 36691 63 3 0.17 0.01 65 6992 2003 40686 103 2 0.25 0.05 105 12588 2004 33157 91 0 0.27 0.05 277 17142 2005 51682 263 169 0.51 0.33 293 14924 2006 55373 258 138 0.47 0.25 270 13463 2007 50115 254 105 0.51 0.21 291 14140 2008 18814 63 35 0.33 0.19 157 10148 2009 16705 45 17 0.27 0.10 62 6993 2010 15322 33 34 0.22 0.22 77 8657 2011 32964 67 87 0.20 0.26 154 6516 2012 47787 33 54 0.07 0.01 115 3243 2013 49281 23 33 0.05 0.004 109 4652 2014 40107 43 47 0.11 0.008 43 3582
- 11 - Vector Control Measures
Anti larval activity Intra domestic Survey Peri domestic Survey Year No. of Houses Ano. Aedes Culex Mix Total Ano. Aedes Culex Mix Total Survey
2003 8381430 27917 58882 2617 6548 95964 14466 2220 23076 10042 49804 2004 9345558 39974 59795 2278 11387 113434 12677 2624 23889 10822 50012 2005 9491873 28605 52719 1626 6590 89540 10026 1521 23818 8830 44195 2006 12032015 48882 61364 1685 10791 122722 12081 2099 28157 12676 55013 2007 12745881 41760 51712 1579 7743 102794 10285 2512 26343 9890 49030 2008 12239012 34063 42747 1571 7270 85651 14081 3037 26604 11342 55064 2009 15385595 49052 71528 818 9019 130417 13381 2887 28560 11345 56173
2010 19612589 54644 90599 1032 12493 158768 21805 3501 33428 15112 73846 2011 14971336 48888 64969 782 11216 125855 20995 3368 31893 14875 71131 2012 17373742 41859 66509 615 10670 119653 17708 3930 27747 12565 61950 2013 18457546 43375 62999 643 10982 117999 20290 4119 27338 10924 62671 2014 18401559 35141 55777 504 8980 100402 14085 3187 23484 7965 48721
Biological Measures and Implementation of BPMC Act
No. Of Fogging Machine Adm. Charge Fish Checked Utilized Progressive Year Notice given recovered Released Construction Jeep (Rs.) Handy Set Mounted 2003 12879 21569 1054300 36844 2137 45335 2004 10444 17207 980095 48865 2282 38626 2005 11288 17125 945165 45991 2375 42129 2006 12395 18692 1089741 44597 3241 42222 2007 12675 23133 1886250 67395 1883 27973 2008 13525 30405 2716600 62335 1949 30328 2009 12430 33122 2475410 55565 1234 30314 2010 14047 41060 3986675 67574 1453 31967 2011 13044 48814 4851049 70609 1471 31513 2012 9181 45263 4476925 86082 2249 38180 2013 8964 50065 7739342 88757 2654 42419 2014 8797 46497 5955952 93158 2251 45530
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Constraints/Problems being faced in the implementation of Vector Borne Diseases Programme
Sr. Activity Problems Solutions No.
EDCT 1 Case Vacancy of surveillance Staff/Lab. Tech. Filing of the vacant Posts. detection (1) Insufficient dose of anti malarial given ( 1 ) Orientation of Private Practitioners. 2 Treatment by P.P. (2) Negligence of community. ( 2 ) IEC Vacancy of the post of P.H.W. / Beldar Filing of the vacant Posts. Poor Engineering work Training of engineers.
3 Anti larval Resistance of Larvicides Susceptibility test to be done yearly. Poor public awareness Strengthening of I.E.C. activities. Mosquitogenic condition created by other Intersectoral Co-Ordination meetings to be departments held frequently to seek their support. Mosquitoes resistance Susceptibility test to be done 4 Anti adult Poor acceptance of Indoor fogging by I.E.C. people Monitoring Request made for Municipal Commissioner Since 1998 Programme officer (Insecticide 5 and to take action for filling up the vacant post officer) post is vacant Supervision of Programme officer in S.M.C. Need of periodically screen of migrant's Migrants Construction sites have three fold more labours and special study of these groups, 6 Labours & mosquitogenic condition comparative to which are more vulnerable to spread the ITMNs other sites. Man mosquito contact easily. vector borne diseases in the City. There is need to computerized Management information system with Unit of VBDCD and Zone have not facility 7 MIS Internet facility also includes software of computer and Internet connectivity. programme to update the situation of VBDCD.
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Technical Highlights of the year 2014
Vector Borne Diseases Control Department
Vector borne diseases have been declined in Surat Municipal Corporation (SMC) during 2014. Intensified malaria surveillance activities have been carried out during the year and numbers of asymptomatic cases have been reported. Although the surveillance was increased by 4.28%, the decline in incidence is found to be 19.03%. In so far as falciparum cases one concerned, the SFR has reduced at 0.14% to 0.09%. There is a reduction of 18.22% in PF%.
Surat city has a favourable climatic condition to profound its effect on the life cycle of a mosquito and the development of malaria parasites. The important factors are temperature and humidity, which is also ideal to speed up the disease dynamics. The efforts of Surat Municipal Corporation have given the desired result to interrupt active transmission of P. falciparum type of malaria.
Through epidemiological investigation, it is quite evident that the reasons for malaria incidence during August and September'14 were high due to soaring humidity above 60%, mean temperature was 25-300 C along with the continuous but low dense rain fall. In spite of the above situation meticulous actions were taken in a time bound manner with effective supervision and monitoring, SMC was able to reduce the malaria incidence.
After Pf. resistance study, we have started ACTs anti-malarial drugs in the presence of worker and follow up of each positive malaria case for next domiciliary visit. More over intra domestics/Peri-domestic surveillance of each positive case have to cover with indoor space spray in and around 50 houses. The existing facility has utilized to prevent Vector Borne Diseases in newly added areas, deficient work force that also affects the routine activities of the recent areas. The sero-positivity rate in Dengue Fever (DF) cases have decreased by 12.28% (13.44% to 11.97%) compared to previous year (2013). Passive surveillance mechanisms have been improving all the way through involvement of 135 private hospitals as well as sentinel Hospitals and taking
- 14 - of all containment measure. The data shows 18.48% increase in suspected DF cases compared to last year and number of confirmed/positive cases have increased by 5.23% (344 to 363). VBDCD laboratory was also recognised as NVBDCP SMC Laboratory Sentinel Surveillance centre for dengue testing IgM and NS1 by MACELISA basis by NVBDCP, Delhi since Feb. '14.
The sero - positive rate in Chikungunya cases have increased by 135.38% (9.1% to 21.42%) compared to previous year. The data was also shows 135.7% reduced in Chikungunya cases as compared to last year. The house index, container index and breteau index have remained at minimal levels.
Health Department of Surat Municipal Corporation has taken meticulous actions on top priority to prevent and control of Vector Borne Diseases (VBD) in Surat city.
Anti larval Measures: - Peri domestic work: -
Peri domestic activities have carried out approximately 327 Sq. / K.M. areas round the year at weekly interval. There were 75 anti-larval squad who is working Monday to Saturday and covering whole Surat city by larviciding and miner engineering work. Each squad has 5-7 field workers. Ongoing construction sites, outdoors water bodies, underground tank, overhead tank, ground tank, permanent water bodies and seepages of the canals were routinely vigil for breeding of mosquitoes by our health worker throughout the year. There were 2372118 number of breeding spots inspected and out of that we had been found 48721 positive breeding spots among them anopheles larva were 14085, Aedes were 3187 , Culex were 23484 & 7965 spots of mixed breeding spots detected in the year 2014. These all-breeding spots treated with suitable larvicides like MLO, Biolarvicides & Temephose 50%.
Intra domestic work:-
During the year-2014 we have strengthen active surveillance for intra domestic breeding spots were 39988249 inspected along with 18401559 residential houses, in which total 100402 were positive breeding spots, 35141 Anopheles breeding spots, 55777 of Aedes, 504 of Culex and 8980
- 15 - mixed breeding places were detected. All positive spots have treated with appropriate insecticides and health education awareness created to the community.
Biological Measures:-
The efforts for reduction of breeding sites by adopting biological measures were also undertaken. Around 59 hatcheries in different zones were established and fishes released in permanent water bodies. In the year 2014 we have maintained and covered 8797 water bodies with larvivorous fishes. Anti-Parasitological work:-
(1) Parasitological Measures:-
The active surveillance as well as passive surveillance has carried out on regular basis as per the guidelines of Urban Malaria scheme for early detection and complete treatment (EDCT). During the reporting year, 489 surveillance workers have deployed to do these activities. During the year total 1402139 blood smears were collected among these 7737 smears were positive for malaria. Out of that P.vivax 6433 & P.falciparum 1304 cases were treated with radical treatment. The proportion of P.falciparum is 16.85 percent.
(2) Night survey and MDA programme (Filaria):-
Night surveillance activities were strengthening and 40107 persons were examined for Micro Filaria among them 43 blood smears positive and having Microfilaria rate 0.11%. All positive cases have fully treated with D.E.C. tablets amounting its consumption were around 3582(100 mg). In SMC clinic, 34 cases of acute filaria patients and 20 cases of chronic illness have detected. Chronic cases have monitored under morbidity management in SMC clinic. In the night survey, 28 persons of acute filarial infection and 19 persons of chronic cases have detected and disease rate is 0.008%. Filaria cases like 440 lymphadoema and 75 hydrocoel line-listing are up dated and out of that 138 morbidity management kits distributed. 11th round of the Mass Drug Administration (MDA) during the year Dec 2014 was carried out among them total 1087492 houses were covered along with 5350862 of population from city and achieved 100.00 % drug coverage. 14305819 DEC and 5176606 Albendazole tablets were consumed.
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(3) Dengue/Chikungunya Survey:-
For scrutiny of Dengue cases, 3033 Sera samples of GMC, SMIMER and private hospital suspected cases have collected and tested for serological investigation of IgM antibodies out of these 363 sera had found positive for Dengue. During the year 14 Chikungunya suspected cases have been noticed, out of that 3 cases found positive for the same. Containment measures were taken at the premises of suspected dengue cases, immediately intensified intra domestic surveillance to searching of Aedes infestation besides space spray around 200 meters radius of the house.
Plague Surveillance Activity: -
Since 1994 there have a plague surveillance unit established in Vector Borne Diseases Control Department. After that there were regular traps laid in the evening to collect rodent and de-flea in the laboratory. 4995 rodent were collected from 25611 traps. General fea index was 0.70 & Specific flea index was 0.55 during year 2014. 37594 rate burrows in High flea index areas were insufflations by Malathion 5 % dust.
Anti-adult Measures:- Entomological Activities: - (Mosquito Collection) a. Annual Filaria, Malaria and Dengue vector density observed 44.55, 0.58 and 1.00 respectively. b. Regular entomological activity monitoring, during the year there were 45255 Culex quinquefasciatus collected out of that 26067 parous female dissected among the infection rate 0.02% and 0.01% infectivity rate observed respectively. c. Special entomological surveillance made for the collection of Aedes. Aegypti mosquitoes and During the year total 352 aedes mosquitoes collected among them 99 male and 253 female sent for the investigation of virus isolation at N.I.V. Pune. Out of that no one mosquito positive for virus and containment measures taken in the affected areas.
Space Spray:-
The space spray done at the places of positive malaria cases, at the places found of P.falciparum cases, also at the places of vectors detected, in the slum & slum like areas and as on receiving complaints from the complainers. There are 45530 round handy set fogging machine and 2251 round Vehicle mounted machines with us for fumigation. - 17 -
Indoor Residual Spraying:-
111265 houses, 170542 rooms and 588184 populations have been covered by Indoor Residual Spraying during year 2014.
Training Programme:-
5 laboratory technicians have taken refresher training between 4-8- 14 to 8-8-14 at NIMR, Nadiad. 5 laboratory technicians have taken training for malaria microscopy between 10-11-14 to 21-11-14 at Regional Director, Health & Family Welfare Ahmadabad. Private medical practitioners (IMA/GPA) were actively participated in dengue case detection and case management held in collaboration with IMA, Surat on 7-6-14 at Amroli College, Surat. All VBDCD staff working for MDA Programme had given refresher training for MDA & Morbidity management. Dengue advocacy workshop, its prevention and control of Aedes mosquitoes were organized and sensitized 1732 teachers at Gandhismruti Bhavan, Surat on 20-8-14. Five Malaria Technical supervisors have taken training between 22-12-14 to 31-12-14 at NIMR, Nadiad.
Health Education:-
Throughout the year, health education to the community has remained of prime importance for us. It has imparted with keen interest to seek optimal participation from the community regarding awareness of malaria & other mosquitoes borne diseases. A rally presided by Hon. Mayor, SMC, Commissioner, SMC and other delegates of Surat Municipal Corporation were organized from Nilgiri Circle (South East zone) to Godadara Urban Health Centre (Godadara) for awareness of malaria on the 1st June of anti malaria month (June). The slum communities at their residence have shown of life cycle of Mosquito. The causes of Malaria & the message of its prevention have displayed on TV with the use of local channels.
For the motivation of the communities, Essays, Quiz and drawing competitions were organized for awareness of mosquito borne diseases in school students. All contestants have given prizes with special prizes given to the top three contestants in each competition by Hon’ble Mayorshree SMC Special campaigns organized with the involvement of mass media including local channels, newspapers, radio and TV as well as outdoor publicity like hoarding, banners, rallies etc. The health education materials were prepared and widely disseminated in the form of posters, pamphlets - 18 - and handbills. The slogans have created about awareness of Malaria along with hundred fifty flex banners made up and display in the community. The advertisement in local dailies used at every week throughout the antimalaria month. Interpersonal communication through Indian Medical Association (IMA), GPA and Private practitioners, group meetings, puppet- shows along with malaria slogan, antimalarial activities and preventive measures prepared and wandering during the month in seven of the SMC were optimally utilized.
Court prosecution & Administration charges:-
Total 814 complain were filed before Honorable Court and 1136 cases were disposed during the reporting year and penalty of Rs.1.30 lakh was imposed as fine. 46497 notice were issued & Administrative charges Rs. 59.55 lakhs were collected from the defaulters, who created the breeding potential sites in & around of their own premises. Containment measures were taken against the breeding sites by spraying of appropriate larvicides.
Dr. Keshav Vaishnav Insecticide officer Surat Municipal Corporation
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