OBJECTIVES AND STRATEGY (CPBV) OF MALACCA STATE
- To reduce morbidity and mortality of vector-borne diseases that are no longer a public health problem in Malacca .
- Prevent the occurrence of vector-borne diseases in areas where no outbreak at present.
- Prevention of re-entry (re-introduction) of plague in to Malacca state.
- Prevent the import (importation) of yellow fever in to Malacca state.
Control of Malaria
- Reduce morbidity and mortality caused by malaria so that it is no longer a public health problem.
- Prevent the resurgence of malaria in areas where there is no outbreak present.
- Goals of malaria incidence rates in the 9th Malaysia Plan (RMK 9) for the state of Malacca:
- Malaria incidence rates do not exceed 0.5 cases per 10,000 population.
- Malaria case fatality rate = 0%
Control of Dengue
- To reduce morbidity and mortality of Dengue / Dengue Haemorrhagic Fever so that it is no longer a public health problem.
- Reduce Aedes breeding below the level 1.0% of Housing Index (AI) and the Breteau Index (BI) does not exceed 5.
- Increasing community support and participation in dengue prevention and control activities.
- Getting the full involvement of local authorities in dengue control activities.
- Goals incidence of dengue 9th Malaysia Plan for the State of Malacca:
- Incidence Rate of Dengue disease is
- <50 cases per 100, 000 population.
- The incidence rate of Dengue Haemorrhagic Fever is < 2 cases per 100, 000 population.
- .The case fatality rate of Dengue / Dengue Haemorrhagic Fever is < 0.2%.
- The case fatality rate of Dengue Haemorrhagic Fever is < 0.1%.
Control of Filariasis
- Prevention of disease in areas without endemic.
Control of Japanese Encephalitis
- Reduce morbidity and mortality of this disease .
Control of Thyphus
- Reducing the morbidity of this disease.
Control of Plague
- To prevent re-entry of plague into the country. These activities are conducted in the Port and International Airport.
Control of Yellow Fever
- To prevent the importation of yellow fever in to the country. These activities are conducted in the Port and International Airport.
General strategies designed to achieve the following objectives of CPBV.
- Stratification areas as a new approach to the epidemiology of malaria according to malarious areas, malaria and the potentially non malarious areas.
- Prioritisation areas as the epidemiology of dengue in accordance with the approach of the priority one, priority two, priority three and priority four.
- To intensify health education to the community
- Stratification of malaria in accordance with the terminology of the malarious areas, malaria and potential areas of non malarious areas.
- Environmental Review for a building or structure that can and can not be sprayed insecticide.
- Spray of the buildings or structures with insecticides to end the transmission of malaria.
- Detection of malaria cases by active and passive, and the approach of Primary Health Care .
- Laboratory Diagnosis by microscopic examination of blood slides as for example.
- Registration of all positive cases of malaria.
- Medication for all malaria cases.
- Investigate all cases of malaria and to find out the source and the mode of malaria infection to patients.
- Following through to ensure that malaria cases that had healed and no longer will be the source of infection.
- Intensive entomological surveillance to detect immunity (resistance) against the vector species and insecticide use, and also detect a change in behavior.
- Study of immunity (resistance) malaria parasite to drugs such as chloroquine.
- Destruction of larvae in the drains anti malaria at the edge of town.
- Surveillance Epidemiology - through the rapid notification of cases by telephone or facsimile.
- Diagnostic laboratory tests and laboratory confirmation through the rapid results of standard laboratory techniques.
- Control of better clinical case detection and treatment through the support of the hospital.
- Control of the disease through case investigation and followup.
- Vector Control via vector source reduction of breeding places, the destruction of adult mosquitoes and larvae through fogging and law enforcement.
- Surveillance Entomology through the study of larvae and adult mosquitoes.
- Co-operation and collaboration with other agencies to control / prevention of dengue fever among certain people or certain areas, such as in schools, in urban areas.
- Intensify health education, including promoting community involvement in the activities of dengue prevention and control.
- To carry out studies of filariasis in some areas and population groups at high risk of the “Kampung Orang Asli”, Foreign Workers in the Construction Site, Shared housing, Factory or factory hostel in the city.
- Entomological surveillance to detect the disease vector and study the distribution of filariasis.
Japanese Encephalitis Control
- Closely monitoring the disease
- Japanese encephalitis vector surveillance and closely examine its distribution.
- Control of Typhus disease
- Treatment of all cases of typhus
Yellow Fever Control
- Detection of Aedes closely at the Airport and Port.