Executive Summary:
The Ministry of Health and Family Welfare addressed concerns regarding outbreaks of malaria, dengue, and chikungunya in Uttar Pradesh, specifically in the Shrawasti and Balrampur districts, during the monsoon season. While no outbreaks were reported, cases of these diseases were documented. The Ministry provides support to States/UTs for vector-borne disease control through the National Health Mission and the National Vector Borne Diseases Control Programme, emphasizing prevention and control measures nationwide.
Key Points / Main Content:
Disease Incidence:
* No outbreaks of malaria, dengue, or chikungunya were reported in Shrawasti and Balrampur during the monsoon.
* The number of malaria, dengue, and chikungunya cases reported in Shrawasti and Balrampur districts during the last three years (2022-2024) are specified.
Government Support and Initiatives:
* The Ministry of Health and Family Welfare provides financial and technical support to States/UTs for vector-borne disease control activities under the National Health Mission (NHM).
* The National Center for Vector Borne Diseases Control (NCVBDC) administers the National Vector Borne Diseases Control Programme (NVBDCP).
* The NVBDCP provides policy, guidelines, technical guidance, and financial support to States/UTs.
Prevention and Control Measures:
* Early case detection through surveillance and effective treatment.
* Integrated Vector Management (IVM), including indoor residual spraying, insecticide-treated nets, and anti-larval measures.
* Inter-sectoral convergence and capacity building.
* Behavior Change Communication (BCC) through various media platforms.
* Observation of National Dengue Day (May 16) and Anti-Dengue Month (July), as well as World Malaria Day and Anti-Malaria Month (June).
* Real-time monitoring via the Integrated Health Information Portal (IHIPVBD).
Collaboration and Coordination:
* Collaboration with State Health Departments and Urban Local Bodies to enhance sanitation and mosquito control.
* Interdepartmental coordination involving Panchayati Raj Institutions (PRIs), Self Help Groups (SHGs), Public Distribution System (PDS) members, and community leaders.
Resources and Infrastructure:
* 869 Sentinel Surveillance Hospitals (SSHs) and 27 Apex Referral Laboratories (ARLs) are identified across the country for dengue surveillance and diagnosis, with 86 SSHs and three ARLs in Uttar Pradesh.
* Government of India provides IgM test kits to all identified laboratories through National Institute of Virology (NIV), Pune, at GoI cost.
* Ensured adequate stocks of diagnostic kits and antimalarial drugs at health centers and hospitals.
Guidance and Monitoring:
* Technical guidelines for case management, prevention, and control provided to States.
* Regular advisories issued to States and Union Territories for promotive, preventive, and curative measures.
Impact Analysis:
State/UT Governments:
* Impact: Responsible for strengthening healthcare systems and implementing vector-borne disease control activities.
* Action Required: Submit Programme Implementation Plans (PIPs) to access financial and technical support from the Ministry of Health and Family Welfare, and implement guidelines and advisories.
Ministry of Health and Family Welfare:
* Impact: Provides financial, technical, and policy support for vector-borne disease control.
* Action Required: Continue administering the NHM and NVBDCP, monitor disease trends, and provide guidance to States/UTs.
Healthcare Professionals:
* Impact: Involved in case management, surveillance, and implementation of vector control measures.
* Action Required: Implement early case detection, provide effective treatment, and participate in training and capacity building programs.
General Public:
* Impact: Susceptible to vector-borne diseases and benefit from preventive measures and awareness campaigns.
* Action Required: Adopt preventive practices, such as using mosquito nets, maintaining sanitation, and participating in awareness programs.
National Center for Vector Borne Diseases Control (NCVBDC):
* Impact: Responsible for administering the National Vector Borne Diseases Control Programme (NVBDCP).
* Action Required: Provide policy implementation plans, guidelines, technical guidance, and financial support to the States/UTs as per the approved annual Programme Implementation Plan (PIP).
Sentinel Surveillance Hospitals (SSH) and Apex Referral Laboratories (ARL):
* Impact: Responsible for surveillance and free of cost diagnosis of Dengue.
* Action Required: Conduct surveillance, diagnose cases and enter the data on Integrated Health Information Portal-Vector Borne Diseases (IHIPVBD) portal.
Key Entities Referenced
Ministry of Health and Family Welfare: The Indian government ministry responsible for health policy in India. Mentioned as the department answering the question in Lok Sabha.
Lok Sabha: The lower house of the Parliament of India, where the starred question was raised.
Shrawasti district, Uttar Pradesh: An aspirational district in Uttar Pradesh, India, mentioned as facing annual outbreaks of diseases.
Balrampur district, Uttar Pradesh: An aspirational district in Uttar Pradesh, India, mentioned as facing annual outbreaks of diseases.
National Health Mission (NHM): A centrally sponsored scheme of the Indian government to address the health needs of under-served rural areas.
National Vector Borne Diseases Control Programme (NVBDCP): An umbrella program for prevention and control of vector borne diseases in India, administered by the National Center for Vector Borne Diseases Control (NCVBDC).
Integrated Health Information Portal-Vector Borne Diseases (IHIPVBD): A portal used for real time monitoring of Vector Borne Diseases.
National Institute of Virology (NIV), Pune: An apex laboratory that provides IgM test kits for Dengue diagnosis.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
STARREDQUESTION NO. 198
TOBE ANSWERED ON1ST AUGUST,2025
OUTBREAKOFMALARIA, DENGUE AND CHIKUNGUNYADURING MONSOON
†*198.SHRIRAM SHIROMANI VERMA:
Will the Minister of HEALTHANDFAMILYWELFARE be pleased tostate:
(a) whether the flood-prone Shrawasti and Balrampur aspirational districts of Uttar Pradesh
face annual outbreaks of diseases like malaria, dengue andchikungunya during monsoon and
if so, the detailsthereof;
(b) whether the Government organises mass medicine distribution, fogging, awareness
campaignsandhealthcamps topreventthe said diseases andif so, the detailsthereof;
(c) whether adequate testing kits, medicines and ICU facilities are available in the said
districts andif so, the details thereof;
(d) whether any district level action plan or disaster management system has been prepared
for the said purpose andif so, the details thereofandif not the reasons therefor; and
(e) whether the Government proposes to prioritise said districts to check such disease in the
future andif so, the detailsthereof?
ANSWER
THE MINISTER OFHEALTH AND FAMILYWELFARE
(SHRIJAGATPRAKASH NADDA)
(a)to(e): AStatementislaid on the Tableof the House.STATEMENTREFERRED TOIN REPLYTO LOK SABHASTARREDQUESTION
NO.†*198 FOR1STAUGUST, 2025
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(a) There have been no reported outbreaks of malaria,dengue and chikungunya in the
Shrawasti andBalrampur districts of Uttar Pradesh during monsoon. However, the number of
Malaria, Dengue and Chikungunya clinical cases reported in Shrawasti and Balrampur
districts during last three years are asunder:
District Malaria Cases Dengue Cases Chikungunya Clinical
Year 2022 2023 2024 2022 2023 2024 2022 2023 2024
Shrawasti 2 5 6 17 19 7 0 12 2
Balrampur 0 4 1 14 25 24 0 20 3
(b) to (e): Public Health and Hospitals is a State Subject and the responsibility for
strengthening of healthcare system lies with respective State/Union Territory Governments.
However, Under National Health Mission (NHM), Ministry of Health and Family Welfare,
Government of India provides financial and technical support to the States/UTs in an
integrated manner for control of vector-borne diseases including for Malaria,Dengue and
Chikungunya control activities i.e., case management, vector control activities, training
support, awareness activities, etc.,based on the Programme Implementation Plans (PIPs)
submitted by the States/UTs within theiroverallresource envelope.
The National Center for Vector Borne Diseases Control (NCVBDC) under the
Ministry of Health and Family Welfare administers an umbrella programme, namely,
National VectorBorneDiseasesControl Programme(NVBDCP)forpreventionandcontrol of
vector borne diseases namely Malaria, Japanese Encephalitis, Dengue, Chikungunya, Kala-
azar and Lymphatic Filariasis. It provides policy implementation plan, guidelines, technical
guidance, and financial support to the States/UTs as per the approved annual Programme
ImplementationPlan (PIP).
The Ministry does regular monitoring of the surge of Vector Borne Diseases in the
country including Uttar Pradesh through regular reviews and reports submitted by the
States/UTs andthrough fieldvisits.
As the risk of Vector Borne Diseases increases during monsoon and post monsoon
period, Government of India (GoI) starts preparatory activities well before the monsoon
season and following measures are being undertaken to prevent and control spread of Vector
Borne Diseases like malaria, dengue andchikungunya inthe Country includingUttar Pradesh:
Disease Management involving early case detection with active, passive and sentinel
surveillance followed by complete and effective treatment, strengthening of referral
services, epidemicpreparedness andrapidresponse.
Integrated Vector Management including Indoor Residual Spray in selected high-risk
areas, Long Lasting Insecticidal Nets in high malaria endemic areas, use oflarvivorous fish, anti-larval measures in urban areas including bio-larvicides and
minorenvironmentalengineering andsource reductionfor preventionof breeding.
Inter-Sectoral Convergence including high-level advocacy with allied ministries,
Human Resource Developmentthrough capacity buildingandpolicydevelopment.
Supportive Interventions aiming at Behaviour Change Communication and
dissemination of public health messages through various media platforms including
social media,radio,newspapers, and electronicmedia.
Observance of ‘National Dengue Day’ on16thMay andAnti- Dengue Month inJuly
with focussed IEC/BCC activities andadvocacy.
Observation of World Malaria Day and Anti-Malaria Month (June) to promote public
engagementanddisease prevention awareness.
For real time monitoring, States were trained to enter the data on Integrated Health
InformationPortal-Vector Borne Diseases (IHIP-VBD) portal.
The Government is actively collaborating with State Health Departments and Urban
Local Bodies to enhance sanitation, strengthen mosquito control measures, and
increase public awareness for the prevention and control of malaria and other vector-
borne diseases (VBDs).
Inter-departmental coordination, involving Panchayati Raj Institutions (PRIs), Self-
Help Groups (SHGs), Public Distribution System (PDS) members, and
religious/community leaders to mobilize communities and promote preventive
practices.
Provided Technical Guidelines for case management, prevention and control to the
Statesforimplementation.
For surveillance and free of cost diagnosis of Dengue, 869 Sentinel Surveillance
Hospitals (SSHs) and 27 Apex Referral laboratories (ARLs) identified across the
Country. Out of which, 86 SSHs and three ARLs are in Uttar Pradesh. GoI provides
IgM test kits to all identified laboratories through National Institute of Virology
(NIV), Pune,Cost isborne byGoI.
Capacity building and training of teachers, community leaders, and frontline workers
toenhanceoutreachat the grassroots level.
To tackle malaria outbreaks and prevent further spread, the Government has ensured
adequate stocks of diagnostic kits and anti-malarial drugs at all health centers and
hospitals across the country.
Advisories are regularly issued to States and Union Territories to continue promotive,
preventive,andcurative measures, includingoutbreakcontainment.
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