V S Mazumdar
Professor and Head
Department of Preventive and Social Medicine
Medical College Baroda
Malaria
Lymphatic Filariasis
Leishmaniasis
Dengue & Dengue Haemorrhagic Fever
Chikungunya
Japanese Encephalitis
Rickettsial Diseases
Yellow Fever
Viral Hepatitis
Anthrax
Tetanus
Plague
Rabies
Leptospirosis
Brucellosis
Measles
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Dr V S Mazumdar
Rubella
Chicken Pox and Herpes Zoster
Diphtheria
Mumps
Meningococcal Meningitis
Tuberculosis
Avian Influenza
Severe Acute Respiratory Syndrome (SARS)
Acute Gastroenteritis
Cholera
Enteric Group of Fevers
Shigellosis
Helminthiasis
Amoebiasis & Giardiasis
Sexually Transmitted Infections (STI)
Yaws
Acquired Immuno-Deficiency Syndrome
(AIDS)
Leprosy (Hansen’s Disease)
Trachoma
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Goal 4 Reduce child mortality
o
Reduce by two thirds, between 1990 and 2015, the under-five
mortality rate
Goal 5 Improve maternal Health
o Reduce by three quarters the maternal mortality ratio
o Achieve universal access to reproductive health
Goal 6 Combat HIV/AIDS, Malaria and other diseases
o Achieve, by 2010, universal access to treatment for
HIV/AIDS for all those who need it
o Should have halted by 2015 and begun to reverse the
incidence of Malaria and other major diseases
Dr V S Mazumdar
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Regular Surveillance
Vector Borne Disease
Water Borne Disease
Respiratory Diseases
Vaccine Preventable Diseases
Diseases under eradication
Other Conditions
Other International commitments
Unusual clinical syndromes
(Causing death/hospitalization)
State specific diseases:
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Dr V S Mazumdar
1. Malaria
2. Acute Diarrhoeal Disease (Cholera)
3. Typhoid
4. Jaundice
5. Tuberculosis
6. Acute Respiratory Infection
7. Measles
8. Polio
9. Road Traffic Accidents
(Linkup with police computers)
10. Plague, Yellow fever
11.Menigoencephalitis/ Respiratory Distress,
Hemorrhagic
fevers,
other
undiagnosed
conditions
12. Dengue, Japanese Encephalitis, Leptospirosis
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The theme for 2014 is
‘VECTOR-BORNE DISEASES’
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Small creatures, big threat….
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Goal: better protection from vector-borne diseases
Main AIM: To increase awareness about vector borne
diseases and to stimulate communities to take actions
to protect themselves
Mainly focusing on
-Malaria, Dengue, Lymphatic Filariasis,
Chikungunya, Japanese Encephalitis
Dr V S Mazumdar
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Malaria positive and P.F. cases
250000
200000
150000
100000
50000
0
2004
Malaria Cases 222807
P.F. cases
66440
2005
177936
31199
2006
93071
19570
2007
71296
18406
2008
50884
11668
2009
45902
8485
2010
66622
13759
2011
89280
15971
2012
76246
10483
www.gujhealth.gov.in
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Dr V S Mazumdar
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1800
1600
1400
Dengue cases
1200
1000
800
600
400
Dengue cases increased during
2013 as compared to 2012 but
samples tested were also more
in 2013
SST up to October-12 is 10192
SST up to October-13 is 19474
12 deaths reported in 2013
against 6 in 2012.
200
0
Case-11
Cases-12
Cases-13
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
39
44
113
29
19
52
23
85
50
27
28
107
30
31
142
33
38
79
35
87
310
97
234
846
573
445
1707
503
892
932
320
772
155
293
www.gujhealth.gov.in
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Dr V S Mazumdar
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Suspected and Confirmed Chikungunya cases
reported (2007 to 2013)
Years
www.gujhealth.gov.in
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RNTCP Annual Status Report 2013
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RNTCP Annual Status Report 2013
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RNTCP Annual Status Report 2013
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Between 2011-2015, World AIDS Day has the theme:
"Getting to zero: zero new HIV infections. Zero
discrimination. Zero AIDS-related deaths".
Adult HIV Prevalence
0.6
0.51
0.5
0.4
0.45
0.38
0.43
0.3
0.37
0.39
0.33
0.2
0.30
0.33
0.27
0.1
0
2003
2005
Gujarat
2007
2009
2011
India
GUJARAT STATE AIDS CONTROL SOCIETY
Department of H & FW, (Government of Gujarat )
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Leptospirosis
o Total Cases in Gujarat decreased from 918 in
2011 to 308 in 2013 and total death decreased
from 178 to 38.
Crimean Congo Hemorrhagic Fever (CCHF)
Chandipura Virus disease
Japanese Encephalitis (JE)
Swine flu ( Novel H1N1)
Dr V S Mazumdar
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Influenza A H1N1
1800
1600
1400
1200
1000
800
600
400
200
2009
2010
Suspected case
2011
Confirm case
2012
July
May
March
January
November
September
July
May
March
January
November
September
July
May
March
January
November
September
July
May
March
January
November
September
July
May
March
January
0
2013
Confirm Death
Data source: Epidemic Branch, Commissionerate of Health and Medical Education
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Data available from the reporting systems (HMIS,
IDSP etc) does not give a true picture of the real
burden for all diseases.
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Address Human Resource issues- Recruitment
and training
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Generate authentic data as far as possible
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Translate data into policy for action
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Evidence Based Planning
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Integrated Management of diseases
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Regional/ de-centralized planning and
management should be considered.
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Most health related activities in programme
mode rather than mission mode
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Identifying research areas/questions
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Operational Research
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Funding for research as part of programme
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Specialized trainings
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Third Party Audit/Evaluation
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Advocacy for participation in health programs.
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Health facilities utilization.
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Addressing quality concerns.
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Health portal for community (FAQs)
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Information Kiosks at accessible points
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If you want to improve,
accept the reality…..
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Thanks
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