Aedes mosquito control dr.sahu

Community Participation In Community Participation In y py pAedes MosquitoAedes Mosquito Control.Control.

DR.G.C.SAHUDR.G.C.SAHURegional Director [i/c] Regional Director [i/c] g [ ]g [ ]

ROH&FW;GoIROH&FW;GoI;;Ahmedabad.Ahmedabad.

1

Re-emergence of Vector Borne DiseasesUncontrolled Urbanization

The unrestrained The unrestrained The unrestrained The unrestrained production and use of production and use of

nonnon--biodegradable food biodegradable food and drink packaging, and and drink packaging, and drums and other water drums and other water

storage vessels that often storage vessels that often become larval habitats;become larval habitats;

NonNon--existent, existent, inconsistent, or inconsistent, or

f t d ti l f t d ti l fragmented national fragmented national programmes…in programmes…in

urban areasurban areas

Dr.G.C.Sahu/ROH&FW/GoI/A'bad2 Sources: Gubler, 1998; PAHO, 1997.

Re-emergence of Vector Borne DiseasesInadequate Environmental ManagementInadequate Environmental Management

Insufficient waste Insufficient and collection and management.N bi d d bl

inadequate water distribution.I d b fNon-biodegradable

containers.Improper tyre disposal.

Increased number of water storage containers. Inadequate septicImproper tyre disposal. Inadequate septic system conditions.

Dr.G.C.Sahu/ROH&FW/GoI/A'bad3Increase in breeding sites for the vectorIncrease in breeding sites for the vector

Re-emergence of Vector Borne DiseasesPopulation MovementsPopulation Movements

Migration More than 750 million people annually Migration cross international borders.

Increase in rural migration intoIncrease in rural migration into urban areas.

Ever increasing international travelers

International tourism

Ever increasing international travelers all across the globe.

C ti i i i t ti lContinuous increase in international tourist arrivals in all the countries across the globe.

Dr.G.C.Sahu/ROH&FW/GoI/A'bad4Source: OMT data.

Traffic of microorganismsTraffic of microorganisms

Growth in global air traffic Growth in global air traffic

Dr.G.C.Sahu/ROH&FW/GoI/A'bad5

INCREASE IN MARITIME PASSENGER AND CARGO TRAFFICINCREASE IN MARITIME PASSENGER AND CARGO TRAFFIC


IINNCCRREEAASSEE

IINN

HHHHUUMMAANN

MMIIIIGGRRAATTIIOONNNN

OOVVEERR

TTTTHHEE

YYEEAARR


SS

ReRe--emergence of Vector Borne Diseasesemergence of Vector Borne Diseases ––Factors due to Factors due to Climate ChangeClimate Change

Climate change Climate change Changes in transmissionChanges in transmission

Alteration Alteration of ecosystemsof ecosystems

Ideal conditions for Ideal conditions for VBDs:VBDs:

LatitudeLatitude: : 353500 northnorth00

Ecological changesEcological changes

o ecosyste so ecosyste s

Alteration ofAlteration ofGeographical distributionGeographical distribution

353500 southsouthAltitude:Altitude: 2,200 m2,200 mTemperature:Temperature: 1515--40 40 °°CCRelative humidity:Relative humidity:

SocioSocio--economic changeseconomic changes

Geographical distributionGeographical distributionof pathogensof pathogensand vectorsand vectors

highhigh--moderatemoderate

Increase in Increase in vectorvector--borne diseasesborne diseases

Dr.G.C.sahu/ROH&FW/GoI/A'Bad8

Effects of Climate change Effects of Climate change A d M itA d M iton on Aedes MosquitoAedes Mosquito

Speed up Speed up viralviral incubation in mosquitoincubation in mosquito

Shorten Shorten mosquitomosquito breeding cyclebreeding cycle

Increase Increase mosquitomosquito feeding frequencyfeeding frequency

More efficientMore efficient transmissiontransmission ofofMore efficient More efficient transmissiontransmission of of dengue/dengue/chikungunyachikungunya virus from virus from mosquito to humanmosquito to human


mosquito to human.mosquito to human.

THE EXTENT OF THE VBDs AND THE GLOBAL REACH OF AEDES MOSQUITOQ


Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..Global Endemicity of Chikungunya……..

Dr.G.C.Sahu/ROH&FW/GoI/A'bad12…..and Yellow fever…..and Yellow fever

GLOBAL REACH OF EMERGING AND REGLOBAL REACH OF EMERGING AND RE--EMERGING DISEASESEMERGING DISEASES

13 Dr.G.C.Sahu/ROH&FW/GoI/A'bad

THE VECTOR……THE VECTOR…… •• Dengue ,Chikungunya and yellow fever Dengue ,Chikungunya and yellow fever is transmitted by infected female Aedes is transmitted by infected female Aedes mosquito mosquito

•• Primarily a daytime feeder Primarily a daytime feeder and mainly and mainly bites in the morning or late in the bites in the morning or late in the afternoon afternoon

•• Lives around human habitationLives around human habitationLives around human habitation Lives around human habitation

•• Lays eggs and produces larvae Lays eggs and produces larvae preferentially in artificial containers preferentially in artificial containers

Although it may feed at any time, the mosquito's Although it may feed at any time, the mosquito's periods of peak biting activity are few hours after dawn and periods of peak biting activity are few hours after dawn and in the late afternoon until a few hours after dark.in the late afternoon until a few hours after dark.

The mosquito's preferred breeding areas are in areas ofThe mosquito's preferred breeding areas are in areas ofstagnant water, such as flower vases, uncovered barrels, stagnant water, such as flower vases, uncovered barrels, buckets, and discarded tires, but the most dangerous areas buckets, and discarded tires, but the most dangerous areas are wet floors, underground tanks, cement tanks and also are wet floors, underground tanks, cement tanks and also

il b l h ll h i b d i h i hil b l h ll h i b d i h i h

Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad14

toilet bowls, as they allow the mosquito to breed right in the toilet bowls, as they allow the mosquito to breed right in the residence.residence.

THE VECTOR IS ANTHE VECTOR IS AN

THE VECTOR……THE VECTOR……

…..THE VECTOR IS AN …..THE VECTOR IS AN AGGRESSIVE BITER…AND AGGRESSIVE BITER…AND

MOSTLY BITES WITH A MOSTLY BITES WITH A PAINFUL STING DURING DAYPAINFUL STING DURING DAYPAINFUL STING DURING DAY PAINFUL STING DURING DAY

TIME……. TIME…….

……..JUST WATCH THE ……..JUST WATCH THE FEROCITY OF THE STING !!!FEROCITY OF THE STING !!!


THE VECTOR……THE VECTOR…… IN HER ETERNAL CYCLE… IN HER ETERNAL CYCLE…

ONE GENERATIONONE GENERATIONIS BORN ROUGHLY EVERY IS BORN ROUGHLY EVERY

WEEKWEEKEVERY THING IN A EVERY THING IN A

PLATTER !!!PLATTER !!!


……AND HER PARAPHRENALIA……AND HER PARAPHRENALIA

THE PLOT THE PLOT IS IS

HATCHEDHATCHED….. !!!### ….. !!!### ALMOST ALMOST UNDER UNDER

WATER !!!WATER !!!


Aedes aegypti breeding sites…….. Mostly domestic and periAedes aegypti breeding sites…….. Mostly domestic and peri--domesticdomestic


…….Aedes aegypti breeding sites …….Aedes aegypti breeding sites Mostly domestic and Mostly domestic and periperi--domesticdomestic


…….Aedes aegypti breeding sites…….Aedes aegypti breeding sites

Urban:Urban:B thB thBoth Both posh posh

& & SlumsSlumsAreas.Areas.


Typical water containers in urban/rural set up that can be potential Typical water containers in urban/rural set up that can be potential breeding place for breeding place for Aedes mosquitoes.Aedes mosquitoes.


Typical water containers in rural/urban set up that can be potential Typical water containers in rural/urban set up that can be potential breeding place for breeding place for Aedes mosquitoes.Aedes mosquitoes.


The The obstacles obstacles for for Aedes Aedes ii ll

The The obstacles obstacles for for Aedes Aedes ii llMosquitoMosquito control.control.MosquitoMosquito control.control.


……….obstacles for ……….obstacles for Aedes MosquitoAedes Mosquito control.control.

PresentPresent dayday Aedes Mosquito controlAedes Mosquito controlPresentPresent--day day Aedes Mosquito control Aedes Mosquito control programsprograms are not progressing because:are not progressing because:

Community participation in dengue Community participation in dengue prevention and control is limited to official prevention and control is limited to official

demands and never attains community demands and never attains community ownership;ownership;



Local health services, now politically and Local health services, now politically and d i i t ti l ibl f thd i i t ti l ibl f thadministratively responsible for the administratively responsible for the

prevention and control programmes are prevention and control programmes are not sufficiently established;not sufficiently established;



Individual and community Individual and community b h i l h t t ib h i l h t t ibehavioral change strategies are behavioral change strategies are

weak and are not incorporated into weak and are not incorporated into the programs;the programs;



W t l d lid tW t l d lid tWater supply and solid waste Water supply and solid waste management are limited in highmanagement are limited in high--risk areas;risk areas;



Sustainability and continuity of control Sustainability and continuity of control actions are constantly compromised by actions are constantly compromised by other health demands and policies that other health demands and policies that

compete with them;compete with them;



Little capacity for Little capacity for intersectoralintersectoralcoordination…coordination…

Aedes MosquitoAedes Mosquito problem is problem is hhnot the not the

sole responsibility of the sole responsibility of the Ministry of HealthMinistry of Health


Ministry of Health.Ministry of Health.


Operational researchOperational research on individual or on individual or communitycommunity--based strategies have based strategies have yy gg

not been sufficient;not been sufficient;


The Global Strategy for Mosquito/ VBD controlThe Global Strategy for Mosquito/ VBD control

ll f lll f lSurveillance for planningSurveillance for planningand responseand response

Reduction ofReduction ofdi b ddi b d

BehavioralBehavioralhh

Dr.G.C.Sahu/ROH&FW/GoI/A'bad31disease burdendisease burden changechange

This is what you This is what you d t h l d t h lcan do to help…can do to help…


What we should be doing…….What we should be doing…….

Maintenance of water supply systemsMaintenance of water supply systems

Leakage in water supply pipe lineLeakage in water supply pipe lineWhileWhile augmentingaugmenting waterwater supplysupply schemescheme inin urbanurban areas,areas, sewagesewage systemsystemwithwith sewagesewage treatmenttreatment shouldshould alsoalso bebe installedinstalled simultaneouslysimultaneously inin thesethesetownstowns forfor properproper collection,collection, treatmenttreatment andand wastewaste waterwatergeneratedgenerated


generatedgenerated..


Establishing proper drainage systemEstablishing proper drainage system

Open sluiceOpen sluice valve chambers with leakagevalve chambers with leakage

Municipal Corporations shall formulate an Municipal Corporations shall formulate an integrated approach/ integrated approach/ programmeprogramme for water for water supply, sewerage, drainage and solid waste managementsupply, sewerage, drainage and solid waste management so as to keep the environment so as to keep the environment free from the risks of vector breeding / growth.free from the risks of vector breeding / growth.

Open sluiceOpen sluice--valve chambers with leakage. valve chambers with leakage.

g gg g

StormStorm waterwater drainsdrains shouldshould invariablyinvariably bebe coveredcovered andand maintainmaintain themthem properlyproperly bybywayway ofof regularregular cleaning,cleaning, dede--siltingsilting etcetc.. toto preventprevent stagnationstagnation ofof waterwater..

LargerLarger stormstorm waterwater drainsdrains maymay bebe suitablysuitably channeledchanneled toto facilitatefacilitate adequateadequate velocityvelocity forforflowflow ofof wastewaste waterwater


flowflow ofof wastewaste waterwater..

Implementation of bye laws at construction sitesImplementation of bye laws at construction sites can take care of can take care of


p yp ymosquito breeding.mosquito breeding.

Open overhead tanksOpen overhead tanksConstruction sitesConstruction sites

Water stagnation in constructional areasWater stagnation in constructional areas should be prevented.should be prevented.Overflow of water from the water tanksOverflow of water from the water tanks (individual and (individual and community) shall be controlled through proper floating valves.community) shall be controlled through proper floating valves.Proper drainage system should be providedProper drainage system should be provided around all Publicaround all Public


Proper drainage system should be providedProper drainage system should be provided around all Public around all Public Stand Posts to facilitate smooth drain of used water.Stand Posts to facilitate smooth drain of used water.

Model Civic Byelaws:Model Civic Byelaws:Model Civic Byelaws:Model Civic Byelaws:


Standard design for the lids of Standard design for the lids of Overhead Tanks and CisternsOverhead Tanks and CisternsBad DesignBad Design

XXXX Check nutCheck nutXXXX

Over flowOver flowPipe protectedPipe protected

with perforationwith perforationNot exceedNot exceed 4545nmnm

Dr.G.C.Sahu/ROH&FW/GoI/A'bad36MS Plate 50 mmxMS Plate 50 mmx

5mm5mmHingeHinge

Not exceed Not exceed 4545nmnm

Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential

What we should be doing…….What we should be doing…….Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential

Leaking water tanks, sprinkler systems, coolers etc that cause water Leaking water tanks, sprinkler systems, coolers etc that cause water stagnation, should be repaired and reinstalled.stagnation, should be repaired and reinstalled.



Elimination of intra domestic breeding sources very essentialElimination of intra domestic breeding sources very essential

The vent pipeThe vent pipe of septic tanks shall be covered with of septic tanks shall be covered with p pp p ppmosquito nets so that the mosquito grown, if any, in the mosquito nets so that the mosquito grown, if any, in the septic tanks may not be find way to come out.septic tanks may not be find way to come out.


Prevent Aedes mosquito from What we should be doing…….What we should be doing…….

Prevent Aedes mosquito from Breeding!

R ALL f Remove ALL sources of stagnant water.g

Deny the mosquitoes of any chance to Deny the mosquitoes of any chance to breed.


Easy StepsWhat we should be doing…….What we should be doing…….

Easy Steps..

••Change water in vases/ Change water in vases/ b l b l th d th d bowls bowls every other dayevery other day. .

••Add sand granular Add sand granular insecticide to water.insecticide to water.



Easy Steps…

••Remove water from Remove water from flower pot plates flower pot plates every every

th dth d other dayother day. .



Easy Steps….

••Turn over all storage Turn over all storage containers containers


E St


Easy Steps…..

••clear blockages and put clear blockages and put ••clear blockages and put clear blockages and put Bti Bti insecticide in roof insecticide in roof gutters at least gutters at least once a once a

month month


If citizens going on a holiday or keep their houses closed for a long time…..If citizens going on a holiday or keep their houses closed for a long time…..


Seal off all floor and Seal off all floor and ••Cover all toilet bowls Cover all toilet bowls ••Seal off all floor and Seal off all floor and gully traps gully traps

Cover all toilet bowls Cover all toilet bowls

Leave your contact number Leave your contact number with your neighbor so that the with your neighbor so that the corporation authorities can corporation authorities can


corporation authorities can corporation authorities can contact you should there be a contact you should there be a need to inspect your premises need to inspect your premises urgently. urgently.


Adult vector control in urban areas.Adult vector control in urban areas.

Chemical foggingChemical fogging shall be periodically carried out in the urban areas where shall be periodically carried out in the urban areas where there is a potential risk for the transmission of the diseases.. there is a potential risk for the transmission of the diseases.. Proper sanitationProper sanitation including community toilets and drainage facilities including community toilets and drainage facilities should be provided in the slum areas. should be provided in the slum areas.


BioBio--environment controlenvironment control shall be carried out in urban areas to control shall be carried out in urban areas to control mosquito menace. mosquito menace.


Promoting the use of larvae eating fishes Promoting the use of larvae eating fishes for control of mosquito breedingfor control of mosquito breeding..

Introducing larvae eating fishesIntroducing larvae eating fishes Larvae eating fishLarvae eating fish

Gambusia fish, which eats larva of the mosquito, shall be grown Gambusia fish, which eats larva of the mosquito, shall be grown in all water bodies/ lakes/ ponds / over head tanks.in all water bodies/ lakes/ ponds / over head tanks.

g g fg g f



Creating awareness among Creating awareness among school and college going students.school and college going students.

Importance of vector control and vector control measureImportance of vector control and vector control measureImportance of vector control and vector control measure Importance of vector control and vector control measure shall be inducted in the shall be inducted in the course curriculum of primary and course curriculum of primary and

secondary level of educationsecondary level of education for dissemination of for dissemination of knowledge on vector control among student community ( knowledge on vector control among student community (

h l ll ll )h l ll ll )


schools as well as colleges)schools as well as colleges)

ELIMINATION OF ELIMINATION OF AEDES AEDES AEGYPTIAEGYPTI

BREEDING SITESBREEDING SITES------THE INITIATIVE THE INITIATIVE

MOSTLY LIES WITHMOSTLY LIES WITHINDIVIDUALS/COMMUNITYINDIVIDUALS/COMMUNITY



Main Types of Adaptive StrategiesMain Types of Adaptive Strategies

•• Public education and awarenessPublic education and awareness•• EarlyEarly--alert systems: impending weather extremes, alert systems: impending weather extremes, heatwavesheatwaves; infectious ; infectious yy y p g ,y p g , ;;

disease outbreaksdisease outbreaks•• CommunityCommunity--based based neighbourneighbour--support/care schemessupport/care schemes•• MosquitoMosquito--proofed housing design … and ‘cooler’ urban layoutproofed housing design … and ‘cooler’ urban layout•• Disaster preparedness, incl. healthDisaster preparedness, incl. health--system ‘surge’ capacitysystem ‘surge’ capacity•• Enhanced infectious disease control programs Enhanced infectious disease control programs

•• vaccines, vector control, case detection and treatmentvaccines, vector control, case detection and treatment

Improved surveillance:Improved surveillance:•• Improved surveillance: Improved surveillance: •• Risk indicators Risk indicators (e.g. mosquito numbers, aeroallergen concentration)(e.g. mosquito numbers, aeroallergen concentration)

•• Health outcomes Health outcomes (e.g. (e.g. infinf disdis outbreaks, rural suicide rates, seasonal asthma peaks)outbreaks, rural suicide rates, seasonal asthma peaks)

•• Rural health services, Rural health services, counsellingcounselling and community strengtheningand community strengthening


,, gg y g gy g g•• Appropriate (esp. health) workforce training, midAppropriate (esp. health) workforce training, mid--career development career development


Strengthening the implementation of theStrengthening the implementation of theg g pg g psocialsocial--communication componentcommunication component in the in the state/national program. state/national program.

Promote the Promote the behavioral changebehavioral change focus focus so that it will be more than justso that it will be more than justso that it will be more than just so that it will be more than just dissemination of information.dissemination of information.



SolidSolid WasteWaste ManagementManagement..

AllAll thethe municipalmunicipal wastewaste shouldshould bebe collectedcollected fromfrom dustdustbinsbins etcetc..,, andand transportedtransported toto thethe composting/landcomposting/land fillfill sitessites,, pp p gp gforfor treatmenttreatment andand disposaldisposal inin orderorder toto avoidavoid breedingbreeding ofofflies,flies, mosquitomosquito etcetc..TheThe solidsolid wastewaste shouldshould bebe transportedtransported inin coveredcoveredTheThe solidsolid wastewaste shouldshould bebe transportedtransported inin coveredcoveredvehiclesvehicles soso asas toto preventprevent litteringlittering ofof thethe wastewaste onon streets,streets,roadsroads etcetc..Lik iLik i h i lh i l dd bibi di ldi l h ldh ld bbLikewise,Likewise, hospitalhospital wastewaste andand biobio--medicalmedical wastewaste shouldshould bebeseparatelyseparately collected,collected, treatedtreated andand disposeddisposed inin orderorder totopreventprevent breedingbreeding ofof mosquitoes,mosquitoes, fliesflies etcetc..pp gg q ,q ,



DeadDead animals,animals, carcassescarcasses shouldshould bebe removedremovedimmediatelyimmediately andand buriedburied underunder landland fillfill sitessitesandand properlyproperly coveredcovered withwith soilsoil toto preventpreventbreedingbreeding ofof mosquitoesmosquitoes andand fliesflies..P bliP bli i t li t l l lil liPublicPublic awarenessawareness onon environmentalenvironmental cleanlinesscleanlinessmaymay bebe createdcreated throughthrough IECIEC andand massmass mediamedia..UnderUnder JNNURMJNNURM therethere isis provisionprovision totoUnderUnder JNNURMJNNURM therethere isis provisionprovision totoformulateformulate schemes,schemes, drainagedrainage andand solidsolid wastewastemanagementmanagement simultaneouslysimultaneously andand incorporateincorporategg yy ppthethe samesame inin thethe CityCity developmentdevelopment PlanPlan (CDP(CDP))toto makemake thethe environmentenvironment freefree fromfrom vectorvectormenacemenace..


What we should be doing…….What we should be doing…….gg

SocialSocial--Communication Component Communication Component

Dissemination of the Dissemination of the behavioral change strategybehavioral change strategy..

S i l d i f fS i l d i f fSocial advocacy in favor of Social advocacy in favor of intraintra-- and intersectoraland intersectoral actionsactions to to minimize environmental health problemsminimize environmental health problemsminimize environmental health problems minimize environmental health problems (water and solid waste management).(water and solid waste management).


What we should be doing…….What we should be doing…….SocialSocial--Communication Component Communication Component


It is not a “magic bullet”It is not a “magic bullet” that can that can ggstop Aedes mosquito breeding.stop Aedes mosquito breeding.

A person achieves A person achieves behavioral behavioral changes in stepschanges in steps. There is a need . There is a need to go from one phase to another to go from one phase to another sequentiallysequentially..


What we should be doingWhat we should be doingWhat we should be doing…….What we should be doing…….


What we should be doingWhat we should be doingRoad and Buildings DepartmentRoad and Buildings Department


Proper Proper ppmaintenance of maintenance of public buildings public buildings

d d f d d f and roads for and roads for prevention of prevention of

mosquito mosquito mosquito mosquito breedingbreeding..



Industrial SectorIndustrial Sector

Sensitizing the industrial Sensitizing the industrial Sensitizing the industrial Sensitizing the industrial work force and to work force and to open centers for open centers for

distribution of drugs/ distribution of drugs/ f gf gcollection of blood collection of blood smears and also to smears and also to

initiate source initiate source d ti ti itid ti ti iti i i reduction activitiesreduction activities in in

each of the industrial each of the industrial unit.unit.



Education DepartmentEducation Department

Propagating Propagating p g gp g gmessages for messages for community community

awareness through awareness through awareness through awareness through school children on school children on vector mosquitoes vector mosquitoes

d d h d d h and diseases they and diseases they spread.spread.



Indian Medical AssociationIndian Medical Association

Sensitizing the private Sensitizing the private practioners on practioners on

preventive aspectspreventive aspectsvector mosquitoesvector mosquitoes vector mosquitoesvector mosquitoes, , control control aspect of aspect of

VBDs,caseVBDs,casemanagement management management, management,

treatment, drug policy treatment, drug policy etc.etc.



Water supply DepartmentWater supply Department

M i t f M i t f Maintenance of Maintenance of water supply water supply

h d h d schemes and schemes and prevention of prevention of

i i mosquito mosquito breeding.breeding.



Integrated Strategy.Integrated Strategy.

IVIV Environmental managementEnvironmental management and addressingand addressingIV.IV. Environmental managementEnvironmental management and addressing and addressing basic services such as water supply, basic services such as water supply, disposal of used water, solid waste management and disposal of used water, solid waste management and di l f d tidi l f d tidisposal of used tires. disposal of used tires.

V.V. Patient carePatient care within and outside of the health system. within and outside of the health system.

VI.VI. Case reportingCase reporting (clinical cases, confirmed cases, DHF (clinical cases, confirmed cases, DHF and deaths due to DHF, circulating serotypes).and deaths due to DHF, circulating serotypes).



Integrated Strategy Integrated Strategy

I.I. Integrated Integrated epidemiological and entomological epidemiological and entomological surveillancesurveillance..

II.II. Advocacy and implementation of Advocacy and implementation of intersectoral intersectoral actionsactions between health, environment and between health, environment and education as well as other sectors such as education as well as other sectors such as industry and commerce for new materialsindustry and commerce for new materialsindustry and commerce for new materials, industry and commerce for new materials, tourism, legislation and judiciary.tourism, legislation and judiciary.

IIIIII Eff tiEff ti it ti i tiit ti i ti

Dr.G.C.Sahu/ROH&FW/GoI/A'bad62III.III. Effective Effective community participationcommunity participation..

Integrated Strategy Integrated Strategy

ComponentsComponents

Dr.G.C.Sahu/ROH&FW/GoI/A'Bad63

Knowing is not enough; we must apply.Knowing is not enough; we must apply.Willing is not enough; we must do.Willing is not enough; we must do.

(G th )(G th )Dr.G.C.Sahu/ROH&FW/GoI/Ahmedabad

(Goethe)(Goethe)64

GOVT GOVT EFFORTSEFFORTSEFFORTSEFFORTS

COUPLED WITH COUPLED WITH THE THE PUBLIC PUBLIC

PARTICIPATIONPARTICIPATION…. …. IS THE KEY. IS THE KEY.

AcknowledgementsAcknowledgements::AcknowledgementsAcknowledgements::••NVBDCP: IndiaNVBDCP: India•• NVBDCP: GujaratNVBDCP: Gujarat•• NCDC: IndiaNCDC: India•• WHO: GenevaWHO: Geneva•• WHO: GenevaWHO: Geneva•• CDC: AtlantaCDC: Atlanta•• NEA : SingaporeNEA : Singapore

Dr.G.C.Sahu/ROH&FW/GoI/A'bad65ee--mailmail :[email protected]:[email protected]

…….. THANKS…….. THANKS

AGRAWAL

Note

Aedes mosquito control dr.sahu

Health & Medicine

Transcript of Aedes mosquito control dr.sahu