Dengue Control fener eel eT MULL ag rac of the COVID-19 Pandemic WHO Recommendations on Implementation of NTD Interventions Workshop on Dengue Prevention Control in Wisma Atlet, 7 June 2021Introduction to NTDs Crd What are Neglected Tropical Diseases (NTDs)? Avery diverse group of diseases: Sacer cue eM Ie cima remeeni lt alee (ae 5 i eae Mainly prevalent in tropical areas eke Mainly affecting the poorest sectors of the populations — environment Many are vector-borne and/or have an animal reservoir Often overlooked although associated with a significant burden of disease SNS Cena Pee Rede cere eae Mule mse eu eeeIntroduction to NTDs eS Tee Se Eee dite ie ees disproportionately affect populations living in poverty; and cause important morbidity and mortality — including stigma and discrimination - in such populations, justifying a global response primarily affect populations living in tropical and sub-tropical areas are immediately amenable to broad control, elimination or eradication by applying one or more of the five public health strategies adopted by the Department of Control of NTDs, and/or Bee ec se eM eee er Ra eR magnitude of the problem - when it comes to developing new diagnostics, medicines and other eel ol RoleIntroduction to NTDs Coed Eee ec Key Strategies + Innovative and intensified disease management KAU Meal UTI E=1 9) Veterinary public health Vector ecology and management Water, sanitation and hygieneDengue Cie Introduction Dengue is a mosquito-borne viral infection, transmitted by females of the species Aedes aegypti and Ae. albopictus Dengue is found in tropical and sub-tropical climates worldwide, mostly in urban and semi-urban areas. Number of early cases may exceed 400 million out of a population of 4 billion living in areas at risk intel Tan om Mee UTA LOL Oo UCM A OM =16 (Ogee ile UN tere STM 16 LUE e-em SEEN tS eeeDengue etd Introduction Pots ese can CRRUek cue en ie keu Ree Macau Dee Nm en eer ee ten eC ae eC Roce ee ee ee ne Ren ae BST eae ei Rue eee ek a cc acy Infection usually causes flu-like illness, but occasionally develops into a potentially lethal complication called severe dengue There is no specific treatment for dengue/severe dengue, but early detection and access to proper medical care lowers fatality rates from 20% to below 1% Public health control depends largely on vector controlCOVID-19 Cod Pras ao ory feats a Most people infected with SARS-CoV-2 will experience mild to moderate respiratory illness. Older people and those with underlying medical problems are more likely to develop serious illness Transmi iy Eee Rec W ee Rimes Seca Uncen SOOM cucu ssu Rukia eure Reus ann ot contact (within 1 meter) with an infected person with respiratory symptoms bacacculeiy eer Re Re ecucw cree cnet etme Me ae Rote eC Smet MCs eae ee NeDengue and COVID-19 Ou Cebu} Very limited information available on the impact of one condition on the other There is some overlap in clinical presentation (fever and flu-like illness symptoms) Case reports of false-positive dengue serology due to COVID-19 have been ifoyolel acre) In some countries, simultaneous epidemics of COVID-19 and dengue can CoN TaN RUM AC=r Ler CHU) In some countries, public health measures to decrease SARS-CoV-2 transmission (e.g. working/learning from home) can increase dengue PUSS)Normative Response Leadership Response Operational Response Development of a set of technical guidance on implementation of NTD activities in the context of the COVID-19 pandemic Dissemination of information and provision of tailored technical advice to Member States and partners by all three levels of the organization + Follow-up on production, shipment, delivery, and distribution of NTD commodities + Collaborate with WHO Emergencies Programme (WHE)General information and recommendations (WHOINTD website, 1 April 2020) Guidance on Community-Based Interventions. (WHO-IFRC-UNICEF publication, 5 May 2020) Guidance on resumption of selected community-based interventions (WHO publication, 27 July 2020) Guidance on maintenance of essential health services (WHO publication, 1 June 2020) Basic recommendation on all NTD interventions, aimed at responding to the acute phase of the COVID-19 crisis Detailed recommendations on community-based NTD interventions Risk-based approach for safe implementation of mass treatment, active case finding and population-based surveys for neglected tropical diseases Detailed recommendation on adaptation of health facility-based NTD interventions and case-management of patients https:/www.who.inttea msicontrol-of-neglected- tropical-diseases https://apps.who..inviris/ handle/10665/331975 https://apps.who.intiris! handle/10665/333499 https://www.who.int/pub| ications/iitem/WHO- 2019-nCoV-essential- health-services-2020.1vat elon ana managennt Vector ecology and management) Mo Heat unicef @ +CIFRC @sass aaConsiderations for implementing mass treatment, active case-finding and population-based surveys for neglected tropical diseases in the context of the COVID-19 pandemic Inerim guidance - “Zas) World Health 27 July 2020 @eseeMaintaining essential health services: " : re operational guidance for the bec COVID-19 context — Cuong Pacers Ce activiti Dengue: ‘Sustain diflerential diagnosis of suspected dengue cases from COVID-19, idiagnosis using 9 in dengue-endemic arees in which transmission is occ tics In dengue-endemic areas in which transmission is occurring, diagnostics for good-quality ROT dengue (high-quality RDTs and PCR) should be in place. {and confirmatory Health workers should monitor for warning signs and signs of severe dengue, and they should be prepared for an increase in the number of severe dengue cases, ensuring access to care to prevent unnecessary mortality Ree ee eadMobilizing community support for joint prevention of COVID-19 and dengue Introducing simple information, education, and communication materials through the media (including social media) for both diseases Encouraging households to eliminate mosquito breeding sources Devoting special sessions to raising awareness of COVID-19 and dengue in schools and colleges that have resumed classes All activities should be in accordance with physical distancing, hand hygiene, and other precautionary measuresControlling Dengue Outbreak Essential steps to effectively control the outbreak 1) Emergency mosquito control to eliminate infected mosquitoes and to break the transmission cycle by reducing mosquito population to extremely low levels ae Meu MSCS RUCe eae ecules lee characteristics of dengue and DHF + Defining the geographical area to determine the extent of the insecticide spraying operation required Sam aN Co)p elm alm (oxe-l Cela Mme LLnL LNAI Le 1 elm Lt) (ele LaLe R21 equipment for the application should be made available Perennials Meer nee el ecruWHO Country Office for Indonesia Rens