Introduction:

Current CD&EPC Program has evolved from Malaria Control Program under Roll Back Malaria Initiative RBM and the Dengue Control Program in July, 1977, MCP program

was merged in basic health services and renamed as Communicable Disease Control (CDC) Program, Punjab.

In 2011, Dengue epidemic spread and hit hard in Punjab causing high mortality and in Lahore particularly.

“Epidemics Prevention and Control Program in Punjab (EP&C)” was launched    immediately to crunch the Epidemic

Diseases covered under CD&EPC program:

Dengue Fever, Malaria, COVID 19, Acute Watery Diarrhoea, CCHF, Monkey pox, H1N1, Pneumonia, Leshmaniasis, Conditions like SMOG, Emergencies like Floods.

Objectives &Targets:                                                   

·         Prevent transmission of communicable diseases in general population of all age groups.

·         Surveillance and response to prioritized communicable diseases.

·         DDSRUs to be established in all districts in Punjab responding to PDSRU in directorate and in liaison with IDSRU at federal level.

·         All public health emergencies, including floods and epidemics.

·         Dedicated Dengue Fever and Vector Surveillance.

·         Procurement and provision of Insecticides for Dengue Fever prevention.

·         Health Education & General Public Awareness.

·         Capacity Building of health staff of CDC in field.

·         Coordination with National Integrated Health Regulation IHR focal point.

·         Procurement of medicines and other consumables for epidemic control.

   WAY FORWARD:

• Mapping of areas through PITB
• Counterchecking of Field activities through Android users by PITB
• Salaries of contingent paid staff to be paid through bank account.
• Monitoring should be made effective.
• Training of CDC officers at higher forums like WHO, UNICEF and others. Training of staff through DHDC of respective districts
• Coordinated activities with Line departments.
• Better Coordination with International Agencies.
• To enhance the disease and vector surveillance activities for early detection of communicable diseases and prompt treatment.
•  Reduction in incidence and death rates associated with malaria and other communicable diseases
•  To prevent the occurrence of outbreaks of communicable diseases
•  Capacity building of all Provincial and District CDC staff for early detection of outbreaks of communicable diseases (particularly vector borne diseases).
•  Opposite and well-timed response to the outbreaks of communicable diseases.
•  B.E.R:   Blood Examination Rate it should be 1 % /Month at least
•  A.P.I:    Annual Parasite incidence if more than 0.5% then considered   as epidemic
•  Pv/Pf :  Plasmodium Falciparum  ratio should be below then 25%, If more then it will be   dangerous situation 

Disease

Jan

Feb

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

Acute Diarrhea

Acute Viral Hepatitis (A&E)

CCHF

Cholera

Dengue

Diphtheria

Dog Bite

Dysentery (Shigellosis)

Heat stroke/ Sunstroke

Infantile Diarrhea

Leishmaniasis

Malaria

Measles

Meningitis

MERS-COV

Naegleria/ (Primary Amoebic Meningoencephalitis)

Neonatal Tetanus

Pneumonia (SARI)

Scabies

Seasonal Influenza A H1N1

Snake Bite

Typhoid

Whooping Cough (Pertussis)