training module for medical officers primary health centre - NVBDCP

Vector densityMan mosquito contactPopulation Dynamics Influx of migrants from non-endemic to endemic areas and vice-versa Tropical aggregation of labour in projects Large labour movement to forest or for agriculture Population migration during floods and droughtEnvironmental / Climatic Conditions Early and heavy rainfall in pre-transmission period Increased humidity Natural disasters likeo Floodso Drought causing river bed poolso Earth quake, etc.Monitoring of malaria incidenceMO-PHC should keep a watch on the incidence and trends of malaria in the communityMalaria incidence of the current month should be compared with the incidence during the samemonth of preceding year(s)Sources of information on malaria incidenceRise in malaria positivity rate in the laboratory examinationRising fever incidence reported byo ASHA / FTD holder / MPWo Medical practitioner of the areao NGO / CBO / FBOo Community leaders / memberso Presso LegislatureCross checking of laboratory resultsThe high positivity rate in the laboratory should be confirmed by cross-checking of the positiveslides by an independent Laboratory Technician or by MO-PHC him/herself.If the laboratory diagnosis is not correct, check the laboratory equipment, staining and the results ofbacklog slides.If there is low slide positivity rate as per the laboratory, but there is high fever rate as seen bynumber of blood slides examined, the MO-PHC should clinically find the cause of high fever rate orget the necessary investigations done.If high number of clinical malaria cases is observed, then MO-PHC should check the records toverify domiciliary visitsIf some villages had not been visited by MPW (Male) for a long time, a rapid fever survey should becarried out63