Pre Monsoon Training

and Review
May 06, 2024

1
Brazil, which has recorded 1.6m probable cases
since January – the same number reported for all
of last year – and 491 deaths, with a further 889
deaths under investigation, as of 14 March.
 Dengue
Dengue Cases
Year

919
2019

2020 129

876
2021

1123
2022

5486
2023

279
Till Apr 2024

2023

Total Case Of Dengue reported IPD - 31%, OPD - 69%

• KW, RC, HW, KE, RS Wards are high risk wards which contributes 47% of total cases.

• 53% cases reported from Private Facilities and 47% cases reported from BMC Facilities.

• 62% cases are from the month Aug, Sept and Oct.
 Malaria Disease Burden
Year Global (WHO) India (NVBDCP)
Maharashtra Mumbai(Epid cell)
(State surveillance data)

2020 245 million 186532 15,215 5007

2021 247 million 161753 19,303 5172
2022 249 million 176522 15,451 3985
2023 223961 19,034 7319

Consistent decline in cases since 2010

but increase seen 2022 onwards.

In 2023 increase in reporting units

from 22 to 880 on IHIP portal, private
facilities being a new addition.

In 2023 Malaria cases from IPD - 41%

OPD - 59%

15% cases reported from Private

Facilities and 85% cases reported from
BMC Facilities.
RMAT + SMEAR
 Leptospirosis
Leptospirosis
Year
cases

2019 281
2020 240
2021 224
2022 286
2023 1383

Till April 2024 91

2023

Total Case reported IPD - 68%,OPD - 32%

• E, KE, KW, L, and ME Wards contributed 40% of total cases.

• 5% cases reported from Private Facilities and 95% cases reported from BMC Facilities.

• 52% cases are from the month Jul and Aug.

 FOCI
Micro mapping & Management

Probable source of infection

GS WARD MICRO MAPPING
Daily Ward Google Sheet
Slums/ Non Slum

Occupation

Migration

Previous History of infection

Infection of family member/Acquaintances

Probable source of infection

Daily Linelist
1. Daily linelist will we updated in Ward Google sheet
2. AMO will do following
a. Check all case if it belongs to their HP / Ward
b. In case if patient address does not belong then convey it to Ward AMO
c. Ward AMO will coordinate with other ward first & only confirm after other ward accepts the
case
d. In case of controversy convey it to MOH
e. In last Convey to EPID cell by mail & call
3. Fill the Google sheet for patient
 Case Transfer SOP

If any issues regarding CIF Form (Communicable disease), Case Transfer, IHIP Reporting.
Please cordinate with the assigned ward representative.
All details given below,

Sr No Name Contact No Ward

1 YashRaj Tambe 9326374595/9619703345 A,B,C,D,E

2 Nilesh Powale 9021686341 FN,FS,GN,GS,HE

3 Shruti Paradkar 9892893196 HW,KE,KW,L,ME

4 Sonali Loke 9987489531 MW,N,S,T

5 Komal Lambe 9137757917 PN,PS,RC,RN,RS

Action Taken Report

● Action Taken report link for FORMAT A

● Action Taken report link for FORMAT B.
● Action Taken report link for FORMAT C.
● Action Taken report link for CAMP REPORT.
● Action Taken report link for WORKPLACE INTERVENTION.
● Action Taken report link for COMPILED STABLE REPORT.
PMP Report
- 5 PMP to be visited / contacted daily and HP AMO to take report daily report

Action taken Google Sheet under PMP report

- Share all Circular , Guidelines and IEC with them

Dog Bite clustering notification
Dog Bite clustering notification
 Incubation Period of Rabies in Man
❑ Commonly 1-3 months (7 days to many years)

Depends upon-
▪ Site of the bite
▪ Severity of the bite (no. of wounds, amount of virus
injected)
▪ Species of biting animal 16

▪ Protection provided by clothing

▪ Treatment undertaken
Rabies Post Exposure Prophylaxis
The post-exposure prophylaxis is a three-pronged approach. All three carry
equal importance and should be done simultaneously as per the category of
exposure:

1. Management of animal bite wound(s)

2. Active immunization with anti-rabies vaccines (ARV)
3. Passive immunization with Rabies immunoglobulins (ERIG /HRIG/ MAb)
Anti-Rabies Immunoglobulins is present in 4 BMC Medical College and 16
Peripheral Hospitals.

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 ● 2 site regimen (Updated Thai regimen)
● Dose: 0.1 ml
● Site :Upper arm over each Deltoid
● Schedule : 2- 2- 2- 0- 2
Intradermal Day 0: 2 sites

Regimen Day 3:
Day 7:
Day 14:
2 sites
2 sites
No Dose
Day 28: 2 sites

● Injection of 0.1 ml reconstituted vaccine per ID site &

on 2 sites per visit (One on each deltoid area)

Infiltration
 ● 1 site regimen (Essen regimen)
● Dose: 0.5 ml
● Site :Upper arm over alternate Deltoid
● Schedule : 1- 1- 1- 1- 1
● Day 0: 1 sites
Intramuscular ● Day 3: 1 sites

Regimen ● Day 7:
● Day 14:
1 sites
1 sites
● Day 28: 1 sites

● Vaccine is administered IM in deltoid (upper arm) or anterolateral

aspects of thigh only. Never in gluteal region

Infiltration
 20
9/29/2023
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HP AMO & Disp/HBT MO coordination
● Any Unusual Rise of Cases
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H1N1 Prevention and Control

28
 Link for IEC & Circular

https://bit.ly/iec_and_circular
Conjunctivitis Report
● Conjunctivitis mostly occurs in the month of September, October and
November. Special reporting is been done on Healthpost, GP and Hospital
level.
● Conjunctivitis Link for GP/Healthpost
● Conjunctivitis Link for Hospitals
Jellyfish Bite at Coastal Line Ward
● Jellyfish mostly occurs in the month of August and September at the coastal
wards of mumbai.
● Numerical as well as Linelist of Jellyfish bite cases have been done at
dispensaries and hospital level.
● Jellyfish bite link for numerical report
● Jellyfish bite link for linelist report
Take Home Message
● 100% RT Completion (Private + BMC)
● AMO’s / HP staff to visit private clinic for takign Malaria Positive cases
● Ward AMO’s while taking training at ward level must request MOH’s to convey
above two points to HP staff.
● A circular from EHO sign will be given which will include,
○ G6PD is rare phenomena hence RT can be given
○ MP is gold standard as per GOI guidelines
● If construction site worker comes positive, that construction worker will not
leave the site till completion of the RT.
● Special attention to be given to the private positive cases for treatment.
JOIN OUR WHATSAPP GROUP
JOIN OUR WHATSAPP GROUP
Daily Linelist
1. Daily linelist will we updated in Ward Google sheet
2. AMO will do following
a. Check all case if it belongs to their HP / Ward
b. In case if patient address does not belong then convey it to Ward AMO
c. Ward AMO will coordinate with other ward first & only confirm after other ward accepts the
case
d. In case of controversy convey it to MOH
e. In last Convey to EPID cell by mail & call
3. Fill the Google sheet for patient
 Case Transfer SOP

If any issues regarding CIF Form (Communicable disease), Case Transfer, IHIP Reporting.
Please cordinate with the assigned ward representative.
All details given below,

Sr No Name Contact No Ward

1 YashRaj Tambe 9326374595/9619703345 A,B,C,D,E

2 Nilesh Powale 9021686341 FN,FS,GN,GS,HE

3 Shruti Paradkar 9892893196 HW,KE,KW,L,ME

4 Sonali Loke 9987489531 MW,N,S,T

5 Komal Lambe 9137757917 PN,PS,RC,RN,RS