Prevention and control of Dengue Fever 2016

1. Dengue fever is a disease that occurs following the bite of an infected mosquito Aedes
Ageypti. This type of mosquitos has peculiar white spotted body and legs and is easy to
recognize. It breeds in clean water and has a flight range of only 100-200 meters. It is
important to note that this disease does not spread from person to person. It only spreads
through the bite of an infected mosquito. Although during last year only a few cases of dengue
fever were reported at Rawapindi Station, the chances of its spread are still. Here and
concerted efforts by all stake holders in the chain of command are required to prevent its
spread at Rawalpindi Station.
2. Water is must for breeding of mosquitoes. “No standing water means No mosquito”
3. Hence eliminating the source of breeding or denying access of mosquitoes to water is
the first choice measure to control the emergency of mosquitoes.
4. Prevention of Dengue Fever is the responsibility of everyone. SHO have organized
refresher course for all units in AOR to guide the Anti- dengue squad for effective control of
the disease.
5. Officer’s commanding units will ensure the following:-
a. Anti-dengue/ anti malaria squads are well trained and their strength is
according to laid down instructions along with sufficient trained reserve in
the unit.
b. Availability of anti- malaria equipment as per Health of Troops 2006
c. Unit is properly educated in anti dengue/ anti – malaria precautions. Anti –
dengue / anti – malaria instructions are publicized in the unit, observed and
properly supervised.
d. Fly proofing of messes, kitchens, living accommodation, toilets and offices.
e. Soldiers having signs of illness be sent on sick report, immediately.
6. Preventing measures to be adopted against dengue/ malaria are as under:-
a. Anti – larval measures to prevent against breeding of mosquitoes:-
(1) Prevent water collection in the form of small puddles.
(2) All used bottles, tins and other containers should be properly disposed
off.
(3) Temephos should be sprayed/ sprinkled once a week or used engine oil
once a week on the ponds or water collections which can not be
drained with the exception of drinking water.
(4) Every Thursday, from 0800 hours to 1100 hours will be observed as Dry
Day. All water collections except tanks reservoirs for fire fighting and
fish breeding will be emptied.
b. Anti- Adult Mosquito Measures:-
(1) Adult mosquitoes are killed by insecticides which should be sprayed in
unit lines/ living accomodation.
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Insecticides will be drawn free from unit quarter master as per scale auth vide PAO 28/93.
2. Insecticides to be sprayed are as under:-
(a) Knock Down Insecticide: Spray in rooms, barrack, officer’s bungalow,
Messes and other buildings with permerhrine oil spray as and when required.
 (b) Residual Insecticide: Spray on walls/ ceilings of all barracks, officer’s
bungalows, messes and other buildings with deltamethrin wettable powder (45
gm in 10 liters of water) on monthly basis.
(3) Responsibility for spraying:-
(a) Unit anti dengue/ anti- malaria squad will spray messes and living quarters of
single officers/ junior commissioned officers.
(b) Officers/ JCOs/Sldrs/NCs (E) are themselves responsible for spraying in their
married accommodation/ quarters.
(c) Troops /Individuals be encouraged for use of mosquito repellent mats/ king
mats / ARS etc. In their rooms.
(4) Personal protective/ measures:-
(a) Mosquito nets will be used while in bed during night and by those who may
rest during the day. The existing mosquitoes nets if sprayed upon with based
deltamethrin will afford better protection. Such nets be kept hanging on the
beds at all times.
(b) Durries will be used to protect the individuals from mosquito bites from the
underside of the charpoy.
(c) Mosquito repellent oil (DEET/ Mospel) body during night at intervals of three
hours except when actually sleeping under the mosquitoes nets.
(d) Full sleeve clothes and long dresses will