An elaborative system for overseeing dengue control activities has been developed over a period of time for effective and meaningful intersect oral coordination. Various committees which have been notified will continue to work round the year that includes:
- Central Emergency Response Committee (CERC), headed by the CM, all administrative secretaries and selected parliamentarians are members. Main task is to review overall situation of the province and take immediate decisions for dengue prevention & control
- Cabinet Committee on Dengue, MoH, parliamentarians, allied departments part of committee to meet more frequently to review the situation and assess the progress
- Provincial Implementation Committee, headed by the Chief Secretary, main task is to implement decisions taken by the CERC and Cabinet Committee
- Technical Committee is head by the Special Secretary Health and public health experts are the members, it is to review existing strategies and issue advices according to the needs
- Dengue Experts Advisory Group (DEAG), headed by the VC, KEMU, other members are experts on clinical and preventive sides. It’s a technical advisory body and issues guidelines on clinical case management, vector control, institutional strengthening and capacity building of human resources involved in dengue prevention & control. It also issues epidemic alerts.
- District Emergency Reponses Committee, headed by the DCO to implement district specific plans developed by the province
- Town Emergency Response Committee for City District Governments, to implement and monitor field activities at a town level
- Mayo, Services, Jinnah and Ganga Ram Hospitals to provide doctors for Health Line Centre on weekly basis for all three shifts
- Health Line Center: A call centre (Health Line: 080099000) having calling and answering ability in local languages has been set up under PITB. The call center is able to alert the concerned health facility for verification of any reported cases of unusual increase in the epidemic-prone disease.
- Involvement of Private sector in sentinel surveillance
- Strengthening of referral services to reduce dengue related mortality
- Bacteriology Laboratory at Institute of Public Health to act as sentinel surveillance site to perform the serological tests for public hospitals
- EDO(H) is responsible to ensure reporting from all health facilities working under his jurisdiction. He is also responsible for keeping liaison with private labs and hospitals for notification of positive cases on regular basis.
- Similarly all private sector labs to send positive reports to DGHS or respective EDO(H) for online entry on dashboard.
- Fever alert surveillance: teaching hospitals to make online entry of all cases directly on PITB dashboard through their focal persons.
- As per Dengue Expert Advisory Group (DEAG) guidelines dengue suspect, probable and confirmed cases are to be notified to the EDO (H) by In charges of health facilities where on line data entry on dashboard is to be made on daily basis.
- All In charges of health facilities (primary to tertiary level) are responsible for observance of DEAG approved SOPs regarding treatment and referral of Dengue cases.
- All teaching, DHQ and THQ hospitals to establish Dengue counters and separate dengue wards.
- All teaching and DHQ hospitals to establish High Dependency Units (HDUs) consisting of 8 and 4 beds respectively conforming to DEAG’s criteria
- Trained staff to be deployed to work in HDUs
- Consultants to visit the dengue ward and HDUs at least twice daily
- Sufficient stock of essential medicines and IV fluids to be ensured
- Private hospitals attached with teaching hospitals for consultation on dengue case management. Clinicians of public teaching hospitals to visit private hospital for further guidance on clinical case management of dengue cases.
- Case response is the responsibility of EDO(H) of the respective district
- Every positive case must be attended for case response within 24 hours and case investigation form be filled in and reported
- Case response package includes: complete vector survey, mechanical / chemical elimination of all breeding sites, IRS & Indoor fogging of all houses in a radius of 100 meters and health education session with family members.
- After case response activities reporting through android phones must be ensured by the response team.
- All the districts to notify Rapid Epidemic Response Teams to deal with dengue epidemic with advance logistic arrangements.
Strong Referral Services
- All other health facilities in public and private sectors to refer complicated dengue cases to nearest teaching hospital
- For advanced diagnostic facilities such as PCR, Virus isolation in Dengue patients, Bacteriology Laboratory at IPH shall act as sentinel lab. All the health institutions shall refer cases for these tests.
- All the laboratories at teaching and DHQ hospitals should have the serological testing facilities to confirm the diagnosis.
- Rescue 1122 to bring suspected cases to nearest teaching hospital from the community.