national Filaria control programme .pptx

national filaria control programme notes for nursing student

1. NATIONAL FILARIA CONTROL PROGRAMME Presented By: Salma Sultana

2. INTRODUCTION Filarasis is a parasitic disease caused by thread like hematodes belonging to family ‘ Filaroidea ’. National FILARIA control program was commenced as a part of the five year plan. The national FILARIA control program has been in operation since 1955.An assessment committee was appointed in 1961 to note the progress made against FILARIA. Filaria control strategy includes vector control through anti larval operations ,source reduction, detection and treatment of microfilaria carriers,morbidity management and IEC (information, education and communication).

3. DEFINITION Filarasis is a mosquito born disease which is caused by filarial parasite wuchereria a bancrofti and brugi malayi .It is clinically characterized by elephantiasis of genitals legs and arms. OR Filariasis is an infection by filarial worms in the blood and lymph channel, lymph glands and other tissues. These are spread by blood feeding back flies and mosquitoes.

4. TYPES Lymphatic filariasis : It caused by wuchereria bancrofti and brugia malayi it leads to elephantiasis. Subcutaneous filariasis : It is caused by loa-loa (the eye worm). Serous cavity filarsis : It is caused by mansonella ozzardi .

5. Incidence It occur over 120 million are suffering Over 304 million are living in danger zone.

6. Causative organism Wuchersia bancrofti Brugia Malayi

7. Mode of Transmission Mosquito bite Intubation: Intubation period : 12 -18 months

8. Sign and symptoms Fever Kidney damage Skin abnormalities due to bacterial infection Elephantiasis Swelling of limbs and genitalia Male: Enlargement of scrotum, pnis retracted under skin, spermatic cords thickened. Female: long tumorous mass covered by thickened ulcerated skin develops on the vulva.

9. Control measures Detection and treatment of human caries Diethylcarbamazine 6mg/kg/body wt 2 weeks . Recurrent anti mosquito measures Anti larval measures Mosquito lrvicidal oil Pyrosene oil –E , it is emulsifiable larvicide, water dilution 1:4 before use. 2.Minor engineering measures Filing of ditches ‘drainage of stagnant water anti adult measures.

10. Personal Prophylaxis: Health education Insect repellents Avoid sleeping on floor and open environment Use of lotions, creams.

11. Prevention Wear long sleeve dress Mosquito net Cover all the water container Keep environment clean around the living areas.

12. Complication Bacterial infection in the skin and lymph system Hardening and thickening of skin Disfigurement Sexual disability

13. National Filaria Control programme The national Filaria control programme was launched in 1955 for the control of bancroftian filariasis . Filariasis is caused by several rounds ,coiled and thread like parasitic worms belonging to the family filaridea .These prasites after getting deposited on skin penetrate on their own or through opening created by mosquito bites to reach the lymphatic system. Filaria was identified as one of the disease to be eliminated globally. In 1998 the operational component was merged with urban Malaria Scheme In 2003-2004 it was merged with NUBDCP Filariasis has been a major public health problem in India next only to malaria.

14. Operations of national Filaria control programme Vector control through anti larva operations. Source reduction, detection and treatment of micro-filarial carriers. Morbidity management In rural areas, antifilarial medicines and morbidity management services are provided through primary health care system.

15. Objectives To reduce of the problem in un- surveyed areas To control the disease in urban areas through recurrent anti larval and anti parasitic measures To carry survey in different parts of the country

16. Goal National health policy 2002 has lid down the goal for elimination of lymphatic filariasis by 2015 ,which has now been revised to 2017, through global goal in 2020. The strategy includes- Annual mass drug administer of single dose of diethylcarbamazine citrate and albendazole for 5 years or more to eligible population women, children below 2 years of age and seriously to interrupt transmission of the disease. Home based management of lymhoedema cases and up scaling of hydrocele operation in identified community health centers , district hospitals and medical colleges.

17. Control Strategy Vector control through anti larval spray /application at weekly intervals with appropriate larvicides Biological control through larvivorous fishes Environment engineering through source reduction and water management Anti parasitic measures through diagnosis and treatment of microfilaria carriers and cases Information, education and communication to generate community awareness.

18. Revised Strategy for The Elimination of Lymphatic Filariasis In Indian Objectives To reduce and eliminate transmission of LF by mass drug administration of diethylcarbamazine citrate. To reduce and prevent morbidity in affected persons. To strengthen the existing health care services.

19. Basic Principles The basic Principles for the single dose mass Diethylcarbamazine citrate are- Interruption of disease transmission Treatment of problems associated with lymphedema.

20. Salient Aspects of the Elimination of Lymphatic Filariasis Strategy Single day mass therapy with diethylcarbamazine citrate at a dose at 6mg/kg body weight annually. Management of acute and chronic filariasis and self care methods at doorstep. Information, education and communication for inculcating individual/community based protective and preventive measures for Filaria control.

21. Mass Drug Administration with DEC single dose Annually WHO has recommended that in mass treatment, DEC is given to almost everyone in the community irrespective of whether they have microfilaremia or not , disease manifestation or no sings of infection in the area of high endemicity except children under 2 years, pregnant women and very sick patients. Everyone may be considered to me more or less equally exposed to the infective bites of the vector and current methods are not sufficiently sensitive to diagnose pre patent or sub clinical infections.

22. Advantages of single dose mass therapy It avoids the cost of a mass blood examination programme before Treatment and no carriers with false negative results All members of the community receive treatment, nobody feels left out and compliance is, therefore , enhanced. It is an effective as 12 day therapy for public health measure It has lesser side effects thus enhancing public compliance It involves decreased delivery cost

23. Prevention Avoiding mosquito bites is the best form of prevention The mosquitoes that carry the microscopic worms usually bite between the hours of dusk and dawn .if you live in or travel to an area with lymphatic filariasis - Sleep under a mosquito net Wear long sleeves and trousers Use mosquito repellent on exposed skin between dusk and down.

24. Role of the Nurse The functions of a community health nurse have been classified as follows – Administration Communication Nursing Teaching Research

25. Administration Nurses provides direction and leadership to those whom she supervises. Nurse is responsible for planning, implementation and evaluation of a practical plan of nursing administration in the primary health centres and its associated sub centres

26. Communication She should maintain good working relationship with the members of health team She is a link between the patient the family and the doctor She Participates in staff and community meetings

27. Nursing Provide comprehensive nursing care to individual and family she should support the patient and family provides proper health education and proper administration of drug

28. Teaching Nurse should teach to the Patient and family regarding disease condition Risk factors treatment Prevention home care

29. Research The nurse should have knowledge regarding current updates.

30. Responsibilities of nurse To go for home visit in community To find out the cases of filariasis in the community To provide proper nursing care to the patients To provide health education to the patient and family members Advise the patient to follow up Advice to patient and family for proper sanitation.

31. THANK YOU…………