DENGUE

PREVENTION
AWARENESS
Symposium
19 October, 2017
DR. Jose P. Rizal Elementary School
Dasma. City, Cavite
 Dengue
Prevention and
Control Program
Transmission
• Dengue is transmitted by an infected
female aedes mosquito
• Primarily a daytime feeder
• Lives around human habitation
(inside and outside of premise)
• Lays eggs and produces larvae
preferentially in artificial containers
• Lay eggs in clean, clear, stagnant
water
Aedes aegypti Mosquito
Aedes albopictus mosquito
Bionomics of Aedes Mosquito
• 10 – 12 days = complete metamorphosis
• Egg to larva to pupa to adult
 Egg

• 2-3 days
• Oval shape
• Laid singly above water level
• Never on a dry surface
• Thick exochorion (outer covering)
• Remains viable for long periods
• 2-4 months
• 262 days stored under dry condition
Larva
• 7-8 days
• Feeding
• Gnawing & swallowing solid particles using
mandible
• Pharyngeal filtration of minute particles by
browsing
• Rest at an angle to the water surface
• Favorable temperature: 16-24°C
• Does not mature: 12 & 39°C
Larva

• Affected by chemical factors

• 1-2 % salt kills the larvae
• 50% sea water kills larvae in 24 hrs.
• Pure sea water kills larvae in 2-4 hrs.
• Soap causes drowning by preventing larvae
to obtain air
• Oil kills by asphyxiation by the film formed
cuts contact with the air
 Pupa

• 1 day
• Cease to feed; no longer glides
• Still swims if disturbed
• 44-48°C causes 100% mortality
• 36°C shortens its life
• At 4.4°C, it becomes dormant
 Adult

• Emergence
• Emerge from pupal stage
• More males than females (5:3)
• Mating & fertilization
• Mating takes place 24 hrs after emergence
• Males don’t swarm, chase the females & unite
• Females remain fertile throughout her life after
fertilization. After 72 hrs, fertile eggs are laid,
spermatozoa are stored in the spermatheca
 Adult

• Feeding/biting
• 1st blood meal after mating
• Need about 0.5 – 3.5 mg of blood
• “day-biters” with 2 peaks
• 1-2 hrs after sunrise
• 1-2 hrs before sunset
• Only females bite/blood meal
• Feeds on vertebrate host, mammals, birds,
bats, chickens, rabbit, guinea pigs, etc…
Adult

• Prefers hands with low moisture output

• Attracted to warmer skin
• Movement doubles attractiveness
• Temperature requirements:
• 28°C – most active
• 26-35°C – largely feed
• 19-25°C – slowly bite
• 40°C - lethal
Adult

• Act of feeding
• No frontal attack
• Approaches from behind
• Attack from different quarter if 1st attempt fails
• Color choice is secondary to the urge of bite
• Next blood meal is after laying eggs
• Resting habit
• Prefers dark corners, shades, dark objects
• Settle on sides away from light indoor
Adult
• Oviposition
• 60-100 eggs/batch
• 2-6 pm peak of oviposition
• 5-6 hrs to lay all its eggs
• Prefers dark background container with clean,
stagnant, non-polluted water
• Flight range
• Fly upwind towards the light
• 50-300 meters from breeding source
• Seasonal abundance (during rainy months)
• Life span (20-30 days)
 Dengue Vector Control
• Application of various anti dengue mosquito
measures

Specific objectives:
1. Prevent/ control dengue transmission
2. Reduce dengue mosquito population
 MOSQUITO LIFE CYCLE & VECTOR
CONTROL OPTIONS
Adult: 20-30 days
Control Measures:
- Use of Treated &
EGG: 2-3 days
untreated Nets (LLIN,
•Control Measures:
ITNs, Olyset Rolls)
- Elimination of breeding
-Fogging/ Misting
sites/ Search & Destroy
--Vector Surveillance
- Ovitrap
--Health Education
--Health Education

LARVA: 7-8 days

Pupa: 1-2 days •Control Measures:
•Control Measures: - Elimination of
- Elimination of breeding breeding sites/Seacrh
sites/Search & Destroy & Destroy
-Use of salt, oil, soap -Larviciding
-Vector surveillance -Vector surveillance
--Health Education -Ovi Larvi Trap
--Health Education
 Methods of Aedes aegypti Control
Environmental management
Modify/manipulate environment to render it unfavorable for
development such as : turn upside down water containers, fill
up holes (trees, hollow blocks, bamboo stumps) with soil or
cement
• Source reduction / container mangement
– disposal of useless containers
– cleaning of useful containers
– clean clogged gutters
– bore holes on used tires
– tightly cover/mosquito proof water containers
 Methods of Aedes aegypti Control
Chemical Control
• larvicides – insecticides on the breeding sites
• Insect growth regulators
• space spray (fogging, misting) – chemicals applied in the form
of fog or mist
 Methods of Aedes aegypti Control
Ovi/ Larvicidal Tral (OL Trap)
• Classical or modified trap
- trap with a larvicide
- uses a natural or synthetic larvicide
 Methods of Aedes aegypti Control
Personal Protection
• Mosquito coils and aerosols
• Mosquito nets/ screens
• Repellants
 Administrative Order 281, signed by
President Ramos on July 23, 1996 calls for
the Launching of the National Tepok Lamok
and Dengue Sapok Program” This is a
national concerted and collaborative effort
among various national and local
government agencies and private sector to
observe the 4’oclock habit . Every citizen is
enjoined to actively participate in the mass
movement to eliminate breeding places of
Aedes mosquito carrying the dengue virus
Memorandum of Agreement was signed by
various heads of agencies in support of
Administrative Order 281 with their
corresponding roles in order to support the
program. These agencies are: DOH, DECS,
DPWH, DENR, DSWD, PIA, PDRRMC
 Dengue outbreak

• On September 18, 2015, the Provincial Governor

declared an Outbreak of Dengue in Cavite.
 Ang dengue ay nakakamatay
• Ano ang Dengue?
– Ang Dengue ay isang sakit na ikinakalat ng isang uri ng
lamok, Aedes aegypti.
– Ang Aedes aegypti ay kadalasang nangangagat sa araw;
nangingitlog sa malinaw na tubig tulad ng flower vases,
tauban ng plato, drain container under the refrigerator at
water dispenser at naiipong tubig sa gulong at matatagpuan
sa bubong ng bahay.
– Namumugad din sila sa latang may tubig, dahon ng
halaman at butas ng kahoy kung saan may tubig na pwede
nilang pangitlugan. Ang mga lamok na ito ay kadalasang
naglalagi sa madidilim na lugar ng bahay.
• Mga Karagdagang Impormasyon tungkol
sa Lamok na Aedes Aegypti
• Pagkatapos ng bawat blood meal, sila ay nangingitlog.
• Mainit na balat ang mas gusto nilang kagatin.
• Mas tawag pansin din sa kanila kung gumagalaw ang
biktima. Kaya ingat ang malilikot na bata.
• Karaniwan silang umaatake o kumakagat mula sa
gilid o likod ng tao.
• Sila ay nakalilipad sa layon 50-300 metro mula sa
pinangitlugan o breeding area.
• Mas dumarami ang lamok na ito tuwing tag-ulan.
• Tumatagal ang kanilang buhay mula 20-30 araw.
 9

6
8
1
8 – 9 d old female
Aedes
100 m

200 – 300 m
10 Index
School
House
2
50 m
5

3
Legend :

Index house – house with

dengue case 7

7 A.M. 5 P.M.

© 2001 by de las Llagas, L. A.

• Mga Karagdagang Impormasyon
tungkol sa Lamok na Aedes Aegypti
– Mula unang kagat ng lamok na ito sa taong may
dalang virus, buong buhay na Dengue virus-
carrier ang lamok na ito at muling mangangagat at
mangingitlog tuwing ikatlong araw (10x for 30 days),
with an ave. of 60-100 eggs kada pangingitlog.
• Sintomas ng Dengue
– Biglaang pagkakaroon ng mataas na lagnat
– Masakit na kalamnan, kasukasuan at likod ng
talukap ng mata.
– Panghihina
– Namumulang patse sa balat.
– Pagdurugo ng ilong.
– Pagsakit ng tiyan.
– Sukang kulay kape.
– Maitim na dumi.
• Ensure proper, concerted regular, year-round clean-
up drive and proper waste collection/ disposal to
eradicate the breeding sites of dengue-carrying
mosquito.

4’s in Dengue Prevention and Control

1. Search and destroy.
2. Self-protection measures.
3. Seek early consultation.
4. Say yes to fogging when there is an impending
outbreak or “hotspot”.
Pag-iwas sa Pagkalat ng Dengue
SEARCH and DESTROY
1. Takpan ang drum o baldeng pinagiipunan ng tubig
upang hindi pangitlugan ng lamok.
2. Palitan ang tubig sa flower vases linggo-linggo.
3. Linisin lahat ng lalagyan at ipunan ng tubig minsan sa
isang linggo. Kuskusing mabuti ang mga gilid nito
upang maalis ang mga nakadikit na itlog ng lamok.
4. Butasin ang mga gulong na ginagamit bilang suporta
ng bubong upang maiwasang pamungaran ng lamok.
5. Ipunin at ibenta ang lahat ng hindi ginagamit na basyo
ng lata, bote, garapon, at iba pang bagay na maaaring
tigilan ng tubig at pangitlugan ng lamok.
Pag-iwas sa Pagkalat ng Dengue

SELF PROTECTION MEASURES

– Magsuot ng pantalon at damit na may mahabang manggas.
Maglagay din ng insect repellent.
SEEK EARLY CONSULTATION
– Kung may lagnat, magsadya at komunsulta sa pinakamalapit ng
health center o ospital
SAY YES TO FOGGING WHEN THERE IS AN
IMPENDING OUTBREAK OR A “HOTSPOT”
– Mag fogging kung dumarami ang kaso sa isang lugar o may outbreak,
makipagbigay alam sa inyong Municipal Health Officer,
Epidemiology and Surveillance Unit at Dengue Coordinator
Ang dengue ay nakakamatay
 ANG DENGUE AY
NAKAKAMATAY
Sama-sama Po tayong maglinis ng mga pinamumugaran ng lamok mula sa
loob ng bahay (madidilim na lugar) sa harap at likod ng bahay (lumang
gulong, lata, bote, halamang tinitigilan ng tubig, sa bubong ng bahay
(Lumang gulong at mga pabigat sa bubong na tinitigilan ng tubig, alulod o
gutter).

Hindi po ito kakayanin ng inyong Barangay officials at mga taong

Munisipyo lamang, kaya marapat na makilahok ang mga:
• Magulang at miembro ng pamilya
• Mga guro at mag-aaral
• Market tenants at mga vendors
• Vulcanizing shops, flower shops owners
• NGOs, religious leaders, home-owners association
• At lahat taong may kakayahang maglinis ng kanilang nasasakupan
 Recommendations:
Barangay Captain/Officials:

• 1. Create an ordinance to ensure that year-round (once a week)

clean-up drives are conducted by the family members in their
homes.
• 2. Educate the public to carry out mosquito source reduction
in their homes.
• 3. Assist in the proper collection and disposal of solid waste.
• 4. Assist the M/CHO in reporting of dengue cases in the
community.
• 5. Use/procure insecticides for fogging and misting approved
by WHO/DOH.
 Recommendations:
Family Members:
1. Seryosohin at pag-igtingin ang kampanya ng ating
pamahalaan laban sa dengue. Hanggang hindi po kayo
naniniwala na maraming lamok sa inyong tahanan, at wala
kayong ginagawang hakbang hinggil sa pagpuksa dito,
patuloy na dadami ang kaso ng dengue, at malamang na may
mamatay sa inyong pamilya.
2. Huwag nating hintayin na may mamatay sa ating pamilya
bago tayo kumilos.
3. Follow 4’S, ABKD and 4 pm clock habit on a regular basis.
 Recommendations:
School Officials
- Identify teachers who can be the key leader in organizing a
Dengue Brigade within the school
- Initiate the inclusion of Dengue prevention and control
during PTA meetings
- Motivate the Brigade to promote change in the behavior of
the students for a cause
- Brigade can organize parent’s class to develop necessary
knowledge and attitude on Dengue Prevention and Control
- Involve potential pupils (Grades 4,5 and 6) who can become
effective leaders and willingly and actively participate in the
program activities
- Appoint at least two advisers to assist the Little Dengue
Brigade
School Dengue Brigade Leaders
- Serve as student leaders in the campaign
- Organize and prepare dengue program of
activities with the aim of search and destroy the
kiti-kiti
- Act as models in the implementation of Dengue
activities
DENGUE KILLS ….
GET INVOLVED !
Aksyon Barangay Kontra DengueDengue

Aims to reduce dengue cases and deaths

• Objectives:

• To reinforce clean-up drive against Dengue

• To mobilize all sectors for clean-up drive (search

and destroy)
 Components:
I. Daily Clean-up Drives by Stakeholders
- scheduled every 4:00 PM (4:00 o’clock
habit)
- to ensure the absence of breeding sites of
dengue mosquitoes
 Mag 4 o’ Clock Habit: “STOP, LOOK, AND
LISTEN. ABKD, PAGTIBAYIN!”

STOP at 4:00 PM;

LOOK inside and outside your house to search and

destroy possible mosquito breeding places;

LISTEN to Barangay officials on how to control and

prevent dengue in your barangay

And join the “ Aksyon Barangay Kontra Dengue”

activity.
 TOGETHER
(SAMA-SAMA)
Let Us All Help Fight Dengue
 Mga Palatandaan:
 Lagnat na tuloy tuloy sa loob ng 2-7 na
araw.
 Pananakit ng kasukasuhan at kalamnan
 Panghihina
 Pagkawalang ganang kumain
 Pamumula ng balat
 Pananakit ng tiyan at pagsusuka
 Pagdurugo ng ilong at gilagid
 Paano ito
maiiwasan?
earch and Destroy
 Itaob ang mga bote,lata,gulong at iba pang
maaaring maipunan ng tubig at pamugaran ng
lamok.
 Linisin ang mga alulod ng bahay
 Palitan ang tubig sa flower vase o
plorera minsan sa isang linggo.
 Tiyakin na walang naiipong tubig sa ilalim ng
paminggalan at refrigerator.
 Takpan ang mga drum o iba pang imbakan ng
tubig
 elf-protection measures
 Magsuot ng pantalon at ng
polo o kamiseta na may
mahabang manggas.
 Maaari ring gumamit ng
mosquito repellant.
eek early consultation
 Kung may nararamdaman sa
mga palatandaan ay
sumangguni kaagad sa
pinakamalapit na health center
o ospital.

ay YES to fogging kung may
napipintong outbreak
 Iminumungkahi na ang
pagsasagawa ng fogging ay
kapag mayroong impending
outbreak lamang.
 Mosquito
Repellant Plants
(MRP)
 Citronella Plant
• This plant is so famous for deterring mosquitoes, that it is known as the mosquito plant!
Pelargonium citrosumis the botanical name for this plant. It grows to a height of two feet, and
blooms annually. The flowers of citronella plant are lavender in color. It requires warm weather
to grow, so you need to protect it from frost. Plant it after the frost season, and bring it indoors
during the frost season. Citronella plant is also used to make oil, which is used in perfumes and
other herbal products.
• Citronella is a perennial ‘clumping’ grass which grows to a height of 5 – 6 feet. It can be grown
directly in the ground in climate zones where frost does not occur. If grown in the garden or near
the patio, it should be planted in the ‘background’, behind small decorative flowers and shrubs.
In northern climate zones citronella can be grown in a large pot or planter, ideally with casters, so
it can be rolled indoors during winter.
• Gardening centers usually sell citronella as small plants in pots, ready to transplant to a larger pot
or into raised garden bed on the ground. Once established, new plants can be propagated in early
spring by splitting large clumps into smaller sections and replanting the new ‘starts’ in pots or
other areas of the garden. Citronella plants are considered low maintenance, like most grasses,
and they do best in full sun and well-drained locations. Periodic applications of nitrogen-rich
fertilizers will ensure vigorous growth, but this treatment only needs to be applied once a year,
preferably in early spring.
• When purchasing citronella, look for the true varieties, Cybopogonnardus or Citronella winterianus.
Other plants may be sold as ‘citronella scented’, but these do not have the mosquito repelling
qualities of true citronella.
 Rosemary
• Rosemary is a shrub, but larger than the usual
shrubs we see. It grows 4-5 feet tall, and has
blue flowers. Rosemary grows really fast, and is
known to be a drought-tolerant shrub. This
leaves of the rosemary plant is also used for
culinary purposes.
 Marigolds
• Marigolds owe their mosquito repellent properties to their peculiar smell! There are
two types of marigolds - the African and the French, and both have the property to
repel mosquito. This plant grows 6 inches to 3 feet tall.
• They have to be grown in sunny areas, as their growth is slowed down when planted in
the shade.
• Marigolds prefer full sunlight and reasonably fertile soil. Although marigolds can be
planted from seed, starter plants are inexpensive and readily available at most garden
centers. Although an annual, marigold will often reseed itself in favorable conditions,
or the gardener can easily collect seeds for future germination. Established plants will
need to be thinned, and flowers should be dead-headed to promote additional blooms.
• Potted marigolds can be positioned near entrances to your home and any common
mosquito entry points, such as open windows. The smell may deter mosquitoes from
going past this barrier. While marigolds can be used as border plants around the patio,
we do not advise putting marigolds on the patio table since the bright blooms may
attract wasps.
• Besides repelling mosquitoes, marigolds repel insects which prey on tomato plants, so
you may want to plant a few marigolds in your tomato bed for added protection.
 Lemon grass
• The green color of lemongrass will not only
make your patio look bright and full of life, but
this plant will also ward off mosquitoes.
Lemongrass contains citronella oil, which is
known for its bug repellent property.
Lemongrass is found mainly in India. It is a
perennial plant which grows up to two feet tall
and requires a warm climate. Lemongrass oil is
used as a pesticide, and as a preservative
 Lavender
• Belongs to the family of Lamiaceae. Known for
increasing the beauty of one's garden, this plant also
happens to be a mosquito repellent. Growing
lavender plants is considered an easy job. This
means, you won't have any difficulty while planting
it. It grows up to 4 feet tall, and requires a sunny
climate.
• Caring for lavender is easy as it hardly requires any
attention.
 Garlic
• Though garlic is well-known for its culinary
uses, very few people know that garlic is a
mosquito repellent plant as well. The reason as
to why garlic repels mosquitoes is unknown as
of now. However, some say it is the strong smell
of this herb that wards off the mosquitoes. The
bulbs of garlic are specifically used as mosquito
repellents.
 Basil
• Basil leaves have a very pungent smell which
keeps mosquitoes and other bugs at bay. All
varieties of basil work as mosquito repellents but
cinnamon basil, lemon basil and Peruvian basil
are the best as they have a very strong fragrance.
These herbs need a lot of sun, damp soil and
proper drainage to grow.
 Horsemint
• Horsemint is another plant that repels mosquitoes. This plant will
grow well in the sun, and it doesn't need any special care as such. It
has pink blooms, and is a perennial plant like catnip. Butterflies are
said to have an affinity for horsemint. Just like lavender, this too
belongs to the family of Lamiaceae.
Horsemint is a fast growing, shade-tolerant and drought-resistant
plant which reaches a height and width of 2 – 3 feet. It does well in
dry, sandy soil and can tolerate salty conditions, which is why it is
often found in coastal and beach areas. Horsemint seeds can be sown
indoors in trays for later transplanting or sown directly into the
ground in late summer in colder climate zones. Midwest and Eastern
growing zones are favored for growing horsemint.
• Mature horsemint plants can be divided in spring and fall by dividing
into small sections and transplanting into permanent locations.
Horsemint can also be planted in pots for moving indoors in cold
climate zones.
• Horsemint leaves can be dried and used to make herbal tea. Its
flowers will also attract bees and butterflies to your garden.
Thank You!
Karagdagang Kaalaman:

Ano ang maari nating

gawin at ng lokal na
pamahalaan para
maiwasan ang
Dengue?
Sitwasyon:
Walang kaso o biktima ng Dengue

• Mga Dapat Gawin

 Magbigay ng kaalaman sa Dengue at kung
paano ito maiiwasan.
Magkakaroon ng regular na paglilinis ng mga
mosquito breeding places.
Maaring maglunsad ng regular na search and
destroy breeding places operation sa inyong
lugar.
Sitwasyon:
May 2 o higit pang kaso ng Dengue
• Mga Dapat Gawin
 Palawakin ang pagbibigay impormasyon at kampanya
laban sa Dengue.
 Bigyang diin ang mga sintomas at ang maagang
pagkonsulta sa doktor kung may sinat na nang dalawang
araw.
 Pagtulungan ang paglilinis ng kapaligiran
 Tiyaking wala ng maaaring pamugaran
ang lamok.
 Umpisahan ang pagbabantay (surveillance) sa mga
taong maysakit na Dengue sa barangay at ipaalam ito sa
pinakamalapit na Health Center.
Sitwasyon:
Pagtaas ng bilang ng kaso ng Dengue
(HOTSPOT)
• Mga Dapat Gawin
 Bigyang diin ang maagang pagkilala ng mga
sintomas at ang kahalagahan ng agad na
pagkonsulta sa doktor kung may sinat ng 2 araw.
 Agad ipaalam sa pinakamalapit na Health Center
ang karagdagang bilang ng may sakit na Dengue.
Sitwasyon:
Mas marami ang kaso ng Dengue
(Dengue Outbreak)
• Mga Dapat Gawin
 Pag-ibayuhin ang mga ginagawang kampanya
laban sa Dengue at iba pang nabanggit nang mga
aksyon.
 Makipag ugnayan sa inyong City Municipal Health
Officer para sa tamang paraan ng pagpapa-fogging.
 Ang lahat ay maaaring maging biktima ng
Dengue sa buong taon.
Kaya huwag maging ningas-kugon.
Linisin at alisin ang maaaring pamugaran ng
lamok.
Alamin ang sitwasyon ng inyong barangay,
makipag-ugnayan sa inyong City o Municipal
Health Office
Sa sama-samang pagkilos ng buong barangay,
matagumpay na malalabanan ang Dengue
 Pangkalusugang Paalala
mula sa
Tanggapang Pangkalusugang
ng
Cavite 2015
 Ang Lalawigan ng Cavite ay may
Dengue Outbreak. Pinag-igting ang
programa ng ibat-ibang sangay ng Gobyerno
upang puksain ang kiti-kiti at lamok na
nagdudulot ng sakit na tulad ng “ fogging at
misting operations”. Subalit patuloy pa rin
pong dumarami ang kaso ng Dengue sa ating
bayan. Sa katunayan,mayroon na pong
6,480 pasyenteng may Dengue na naitala sa
ating probinsya at 30 na po ang namatay
dahil sa sakit na ito.
 Mga Dapat Gawin
 Hanapin at puksain ang pinamumugaran ng
lamok at kiti-kiti.Ito po ay anumang
lalagyan,maliit man o malaki na may tubig.Sa
pagsusuri,drum po ang may pinakamaraming
kiti-kiti.
 Simulan po sa loob ng bahay, hanapin at linisin
ang drums,timba,dish drainer,water dispenser tray,
linggo-linggo upang maalis ang itlog at kiti-kiti na
nakadikit sa gilid ng mga ito.
 Kami po ay nananawagan sa
inyong lahat at umaasa po kami
na lingo-linggo, buong taon ay
sama-sama tayong makikiisa na
puksain ang pinamumugaran ng
kiti-kiti at lamok sa inyong
tahanan. Sa ganitong paraan po
lamang natin masusugpo ang sakit
na Dengue sa ating bayan.
Huli na po ito!

Muli po
MARAMING
MARAMING
SALAMAT PO!!!