PREVENTION & CONTROL OF

COMMUNICABLE DISEASES IN
PALAKKAD DISTRICT 2014

DR.K.A.NAZAR
DISTRICT SURVEILLANCE OFFICER
DISTIRCT MEDICAL OFFICE
PALAKKAD
MAJOR COMMUNICABLE DISEASES
MOSQUITO BORNE DISEASES
DENGUE FEVER
MALAREA
CHKUNGUNIYA
FILARIASIS
JAPANES ENCEPHALITIS

WATER BORNE DISEASES
ADD
HEPATITIS A
TYPHOID
CHOLERA

LEPTOSPIROSIS




COMMON COMMUNICABLE DISEASES
DENGUE FEVER
LEPTOSPIROSIS
HEPATITIS A
FILARIASIS

FEVER
0
10000
20000
30000
40000
50000
60000
2008
2009
2010
2011
2012
2013
2014
FEVER
0
10000
20000
30000
40000
50000
60000
2013
2014
ADD
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
2009
2010
2011
2012
2013
2014
ADD
0
1000
2000
3000
4000
5000
6000
7000
8000
9000
10000
2013
2014
0 1 0 0 0
6 7
2 3
0 0 0 0 0 0 0 1
4 4
1 0
2
0
2 1 1 0 1 0 0
2 2 1
6
1 2
5 6
1 1 1
71
138
95
56
87
81
73
54
37
30
130
222
315
443
224
179
85
68
42
27
8 9
18
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
DENGUE FEVER 2009-2013
2009 2010 2011 2012 2013 2014
54
37
30
130
222
315
443
224
179
85
68
42
27
8 9
18
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
DENGUE FEVER 2009-2013
2013 2014
DENGUE HOTSPOTS
DENGUE SPOT MAP 2014
1.Elapully
2.Palakkad Municipality
3.Pudusserry
4.Kumarampethur
5.Thenkurissi
6.Sholayur
7.Kottappuram
MALAREA
2
1
5
3
5 5
8
16
13
7
8
2
11
3 3
2
0
2
4
6
8
10
12
14
16
18
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2013
2014
AMBALAPPARA
SREEKRISHNAPURAM
LEPTOSPIROSIS 2013
8
3
5
9
7 7
8
7
6
4
13
9
11
6
10
3
0
2
4
6
8
10
12
14
2013
2014
LEPTOSPIROSIS HOT SPOTS


LEPTOSPIROSIS SPOT MAP 2014
1.PIRAYIRI
2.MALAMPUZHA
3.VANDAZHI
4.SHORNUR
5.KODUMBA
0
32
20
9
12
31
25
16
12
11
7
18
11
8
6
4 4
5
13
16
9
41
67
25
15
18
15
8
4
5
17
30
10
4
14
17
20
10 10
4
10
13
9
7
4
7
39
47
29
23
33
37
38
30
19
42
20 20
HEPATITIS A
2010 2011 2012 2013 2009
HEPATITIS A
10 10
4
10
13
9
7
4
6
2
60
9
8
7
9
4
0
10
20
30
40
50
60
70
2013
2014
HEPATITIS A SPOT MAP 2013


1.ALANELLUR
2.KOTTOPADAM
3.CHALAVARA
4. CHERPULASSERRY
5.KOPPAM
6.MUTHUTHALA
7.PAZHAMBALAKKOD
8.KULUKALLUR
9.NELLAYA
SPOT MAP HEPATITIS 2014
1
1.KUMARAMPETHUR
2.VILAYUR
3.PALLIPPURAM
4.KERALASSERRY
5.OTTAPPALAM
6.AGALI
TYPHOID
0
20
40
60
80
100
120
140
160
180
2008
2009
2010
2011
2012
2013
TYPHOID
37
31
22
35
32
88
105
61
32
25
35
32
19
22
25
9
0
20
40
60
80
100
120
2013
2014
CONTROL OF COMMUNICABLE
DISEASES
THE COMMON CAUSES OF COMMUNICABLE DISEASES
Presence of mosquito breeding sites
Unsafe drinking water
Inadequate Solid and Liquid Waste
management system
Unhygienic eateries and unhealthy food
handlers
Inadequate infection control measures
Influx of migrant labourers




CONTROL ACTIVITIES
Control of mosquito borne diseases
Dengue, Malaria, Chikungunya, Filariasis, JE,
Control of water borne diseases
ADD, Typhoid, Cholera, Hepatitis A & E
Control of Leptospirosis
Control of other emerging diseases
H1N1 fever, Scrub Typhus, Leishmaniasis
Control of Hepatitis B
Implementation of PH Act



ACTIONABLE POINTS


1.Dengue may be more in areas of BPHC Nanniode,
Koduvayur, Parali, and Kuzhalmannam due to
water storage practices.
Regular water supply should be provided by
KWA,LSGD of concerned areas.

2.Dengue may occur in Vadkkancherry,
Alanellur,Kadampazhipuram, Agali.
Estate management, Labour department,LSGD
should taken necessary action.


DENGUE FEVER
3.Dengue in Municipalities of Palakkad ,Chittur,
Shornur & Pudusserry is due to construction
work.
construction agencies, Labour department, LSGD
need to control breeding sites.

4. Dengue in - Ongallur, Kongad, Pirayiri areas
are due to scrap collection centers/ tyre storage.

Police authorities, LSGD and regular monitoring
by Health Supervisors & LSGD

HEPATITIS A & E
1.Hepatitis A outbreak is expected in different
parts of the District due to the use of commercial
ice in marriage parties
Food safety department,LSGD,Police,KWA &
Health authorities
Factory visit, sensitization of factory manager,
issue notice, sensitization of people, visit
marriage hall on the previous day etc
2.Hepatitis A outbreak may occur in Shornur,
Koppam, Pattambi, Agali areas due to
improper treatment of water before pumping,
Water authority, LSGD

Need to visit pumping station once a week for
monitoring
3.Hepatitis A may occur in Municipal areas &
water scarce areas of western parts of District
due to supply of unprotected water through
tanker lorries.

KWA,Food Safety,Municpal health authorities &
LSCD should taken the action.
Food Poisoning ,Cholera/ Typhoid/ ADD outbreak
may occur in any areas of District, especially in
Agali,Shornur,Pattambi,Koppam,Chalisserry&
Municipal areas
Health Inspectors & Food safety departments, will
strengthen D & O trade ,inspection especially ice
plants / toddy shop / sugar cane Jews / street vendors
etc
Disseminate awareness messages during family
functions like marriage, birth day party etc
Food poisoning / Hepatitis A may occur in hostels,
canteens etc. Periodical inspection of Orphanage /
Hostels / Residential schools etc. will be done
periodically.

LEPTOSPIROSIS
Problem of Lepto at Agali, Lakkidi,
Vaniyamkulam, Nallepilly, Kavasserry,
Vadakkancherry, Kizhakkancherry.Marutha
road is due to large number of unused ponds /
streams near rice fields

LSGD takes effort to clean them. The actions
needed are IEC , Doxy cycline prophylaxis
among high risk groups, & rodent control.

ACTIVITIES MAY 2014
1.AWARENESS CUM ACTION CAMPAIGNS

2.CLEAN PUBLIC PLACE CAMPAIGNS

3.CLEAN WATER CAMPAIGNS

4.RAPID RESPONSE TO OUTBREAKS
AWARENESS CUM ACTION CAMPAIGNS:
This should be repeated in high risk areas (as
per vector indices) and outbreak prone areas
(from the experience of previous years) and
also in affected areas.

BREEDING CONTAINER ELIMINATION
CAMPAIGNS:
CLEAN PUBLIC PLACES CAMPAIGN: This will be on May
19
th
. This may be 2 3 days long campaign. This shall
focus on all public places like offices, hospitals, police
stations, markets, shops, streets etc.

CLEAN WATER CAMPAIGN: This will be on May 22
nd
.
This may be 2 3 days long campaign. This shall focus
on water. Organize interventions in water storage
areas to eliminate mosquito breeding. Chlorination and
super chlorination of water sources in high risk areas.
Check all pumping stations and tanker lorries.

RAPID RESPONSE TO OUTBREAKS:
Provide treatment and start appropriate control
measures if any outbreak. Against vector borne
diseases Integrated Vector Management
measures to be conducted. Source reduction, ISS
& Fogging should be done within 48 hours if
dengue is detected. Chlorination and super
chlorination should be started if any threat of
water borne diseases. This should be repeated as
required.