District Health Action Plan - STATE HEALTH SOCIETY-----BIHAR

Kala-azar scenario at Saran
Goal
To contribute to improving the health status of vulnerable groups and at-risk population
living in kala-azar-endemic areas by the elimination of kala-azar so that it is no longer a
public health problem.
Targets
� To reduce the annual incidence of kala-azar to less than one per 10,000 population at
district by 2012.
� Reduce case fatality rates
� Prevent the emergence of Kala azar/HIV/AIDS, and TB co-infections
B.3.3 Filaria control Programme
The National Filaria Control Programme was launched in 1555 for the control of filariasis.
Activities taken under the programme include: (i) delimitation of the problem in hitherto
unsurveyed areas, and (ii) control in urban areas through recurrent anti-larval measures and
anti parasite measures. Man, with micro Filaria in the blood is the main reservoir of infection.
The disease is not directly transmitted from person to person, but by the bite of many species
of mosquitoes which harbor infective larvae. Important vectors are species of Culex,
Anopheles, Mansonia and Aedes. The incubation period varies, and micro-Filaria appears in
the blood after 2-3 months in B. malayi after 6-12 months in W. bancrofti infections.
Constraints
� It affects mainly the economically weaker sections of communities
� Result in low priority being accorded by governments for the control of lymphatic
filariasis.
� Low effectiveness of the tools used by the control programme
� The chronic nature of the disease and that
Suggestions
� Single dose DEC mass therapy once a year in identified blocks and selected DEC
treatment in filariasis endemic areas.
� Continuous use of vector control measures.
� Detection and treatment of micro-Filaria carriers, treatment of acute and chronic
filariasis.
� IEC for ensuring community awareness and participation in vector control as well as
personal protection measures.
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