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Desiree R. Jaleco, RN
      School Nurse II
Sagay National High School
Objective

                        • General
                           Providethe scientific framework of the OL
                           Trap Program of Dengue vector control

QUITO OL-TRAP




         22 July 2012            DOST-DOH Dep ED O/L Trap Program       2
Dengue Fever

                        • Definition
                           Also  known as breakbone Fever
                           An infectious tropical disease caused by the
                            Dengue Virus
QUITO OL-TRAP              Mosquito-borne viral disease
                           Caused by one of four serotypes of
                            flaviviruses



         22 July 2012              DOST-DOH Dep ED O/L Trap Program    3
Four Strains of Serotypes Viruses

                  • DENV – I
                  • DENV – II
                  • DENV – III
QUITO OL-TRAP
                  • DENV - IV
                        All four types can cause full
                          spectrum of disease.


         22 July 2012        DOST-DOH Dep ED O/L Trap Program   4
Classification (WHO)

                   • DENGUE FEVER
                   • DENGUE HEMORRHAGIC FEVER
                         GRADE 1 – presence of bruises
                         GRADE 2 – presence of spontaneous bleeding
                         GRADE 3 & 4 – referred as dengue shock
QUITO OL-TRAP




                                             syndrome




         22 July 2012           DOST-DOH Dep ED O/L Trap Program   5
Signs and Symptoms
                    • Dengue Fever
                         Fever
                         Headache
                         Muscle  and joint pains
QUITO OL-TRAP
                         Skin rashes




         22 July 2012             DOST-DOH Dep ED O/L Trap Program   6
DENGUE HEMORRHAGIC FEVER




QUITO OL-TRAP




        22 July 2012   DOST-DOH Dep ED O/L Trap Program   7
DENGUE SHOCK SYNDROME




QUITO OL-TRAP




           22 July 2012   DOST-DOH Dep ED O/L Trap Program   8
QUITO OL-TRAP




         22 July 2012   DOST-DOH Dep ED O/L Trap Program   9
Management
                • No specific treatment
                • Only symptomatic and supportive treatment
                         Paracetamol (Acetaminophen)
                         Oral Rehydration
                         IV fluids
QUITO OL-TRAP


                         Blood Transfusion (packed RBC or Whole Blood)
                         Discontinue IV fluids during recovery phase to
                          prevent fluid overload



         22 July 2012             DOST-DOH Dep ED O/L Trap Program         10
The Vector
QUITO OL-TRAP




         22 July 2012   DOST-DOH Dep ED O/L Trap Program   11
Vector Biology
                                                     Aedes aegypti                 Aedes albopictus


                                               - primary vector                - secondary vector
                                               - involve in cases of           - maintains the virus in the
                   General characteristics       epidemics                       environment
                                               - urbanized areas               - rural areas
                                               - lives indoors                 - lives outdoors


QUITO OL-TRAP                                  - confined to artificial        - prefers to breed outdoor,
                   Breeding habitat              containers indoors              in natural containers


                                               - rests in cool, dark corners   - rests outdoors in
                   Resting habits                of the house                    clearings and vegetations




         22 July 2012                 DOST-DOH Dep ED O/L Trap Program                                   12
Morphology
                                                    Aedes aegypti         Aedes albopictus

                        Size                    - 3-4 mm                - same

                        Color                   - dark brown to black   - same

                                                - lyre-shaped white
                        Thorax                    marks or scales
                                                                        - single white marks


QUITO OL-TRAP
                                                                        - with white and dark
                        Abdomen                 - with white scales
                                                                          marks


                        Legs                    - with white marks      - same




         22 July 2012             DOST-DOH Dep ED O/L Trap Program                              13
Vector Characteristics
                  • Biting Habits
                         “daybiters”    with two peaks of biting time:
                            1 to 2 hours after sunrise
                            1 to 2 hours before sunset
                         only  female mosquitoes bite because of the
                          requirement of blood for oviposition
QUITO OL-TRAP
                         males do not bite but feed on plant juices and
                          nectar of flowers
                         man is the preferred host but
                          in his absence, lower
                          vertebrates serve as substitute

         22 July 2012            DOST-DOH Dep ED O/L Trap Program         14
Vector Characteristics
                  • Flying Habit
                         do not fly great distances
                         farthest flight distance is within 200 to 400
                          meters radius from their breeding places
                  • Adults found around 50 meters from the
QUITO OL-TRAP
                        breeding sources




         22 July 2012            DOST-DOH Dep ED O/L Trap Program         15
Bionomics
                  • at temperatures <10oC and >40oC, no
                    developmental process takes place
                  • females mates with male only once
                  • Blood meal takes place after
QUITO OL-TRAP       48 hours from emergence and
                    after mating for egg
                    production



         22 July 2012      DOST-DOH Dep ED O/L Trap Program   16
Bionomics
                  • oviposition takes place about 2 to 5 days
                    from blood engorgement
                  • prefers dark-colored background for
                    oviposition
QUITO OL-TRAP
                  • lays egg 3 to 4 times in its lifetime
                         60   to 100 eggs per batch
                  • Survival potential: 20-30 days


         22 July 2012             DOST-DOH Dep ED O/L Trap Program   17
Life Cycle (10-12 days)
                                                                                      Eggs:
                                                                                      - Black and oval in
                        Adult                                                           shape
                        -Maxillary pulps shorter                                      - Laid singly above
                         than probosis                                                  water surfaces of
                        -Wings uniformly grayish                                        containers
                                                                                      - Without float
                         black
                                                                                      - Viability: 6 months to
                        -Body and legs are black                                        1 year due to the
                         with distinctive white                                         presence of chorion
                         patches throughout
                        -Thorax has markings

QUITO OL-TRAP


                                                                         2 - 3 days
                                                   1 - 2 days
                                                                                      Larva:
                        Pupa                                                          - Feeding stage
                                                            6 - 8 days                - Breeds in clean and
                        -Non-feeding stage
                        -Breeding trumpet is                                            non-polluted water
                         long, slender with                                           - Short and stout siphon
                         narrow opening                                                 with one pair of hair tuft
                                                                                      - Rests at an angle to the
                                                                                        water surface

         22 July 2012                    DOST-DOH Dep ED O/L Trap Program                                    18
DOST-DOH Dep ED OL Trap
                             Ovicidal/Larvicidal Trap

                        • a method used to control the
                          reproductive capacity of dengue
                          carrying mosquitoes
QUITO OL-TRAP
                        • A project of DOST-DOH using a
                          natural/organic larvicide solution




         22 July 2012            DOST-DOH Dep ED O/L Trap Program   19
Usage of OL Trap
                • Larvicide solution emits odor that attracts
                  female Aedes mosquitoes for oviposition
                • The lawanit paddle submerge in solution
                  through capillary action serves as the
QUITO OL-TRAP     breeding place
                • The larvicide solution kills the eggs and larva


         22 July 2012        DOST-DOH Dep ED O/L Trap Program   20
Servicing the OL Trap
                  • OVITRAPS are installed and serviced
                        every six days in locations where
                        transmission of dengue is probable
                           nursery schools
                           pre-schools
QUITO OL-TRAP
                           elementary schools
                           Hospitals
                           community with confirmed dengue cases
                           Ovitrap Index = > 10%


         22 July 2012            DOST-DOH Dep ED O/L Trap Program   21
Setting the OL Trap
                  • Step 1
                         Fill
                             the plastic tumbler with tap
                          water up to the lined mark just
                          above the DOST logo (~250 ml)

QUITO OL-TRAP




         22 July 2012            DOST-DOH Dep ED O/L Trap Program   22
Setting the OL Trap
                  • Step 2
                         Pour  one pack OL pellets
                          into the plastic cup
                         Stir thoroughly to
                          ensure pellets are
QUITO OL-TRAP
                          dissolved




         22 July 2012            DOST-DOH Dep ED O/L Trap Program   23
Setting the OL Trap

                  • Step 3
                         Placethe lawanit stick in the
                         solution with the rough
                         surface facing up
QUITO OL-TRAP




         22 July 2012             DOST-DOH Dep ED O/L Trap Program   24
Setting the OL Trap
                • Step 4
                         Place 1 cup each inside
                         and outside the classroom
                         in a low-lying and dark area
                            If outside, protect from direct
QUITO OL-TRAP                sunlight and rainfall
                            Take care not to spill the
                             contents
                            Keep out of reach of children
                             and animals


         22 July 2012              DOST-DOH Dep ED O/L Trap Program   25
Setting the OL Trap
                  • Step 5
                         Collect trap and note for
                          the following on the sixth day
                            Eggs on the paddle
                            Live larva/pupa
QUITO OL-TRAP

                            The presence of even one
                             larvae indicates a positive trap
                         Recordin the OL Trap
                          Monitoring Sheet (3 copies)

         22 July 2012               DOST-DOH Dep ED O/L Trap Program   26
Setting the OL Trap
                  • Step 6
                         Repeat   steps 1-5 every 6 days
                           Set the traps every Wednesday
                           Collect traps every Tuesday
                           Finalize report every Tuesday
QUITO OL-TRAP
                           Submit a copy of the report to city dengue
                            coordinators every Wednesday
                          Note: If collection period falls on a holiday, please
                            collect traps a day before



         22 July 2012            DOST-DOH Dep ED O/L Trap Program                 27
Cleaning the Trap
                  • Vigorously brush-off into
                    the solution eggs stuck
                    into the lawanit creases
                  • Kill the larva/eggs by
                    pouring hot water into
QUITO OL-TRAP

                    the black tumbler
                  • Dispose contents
                    properly by pouring
                    contents on dry ground

         22 July 2012        DOST-DOH Dep ED O/L Trap Program   28
Ovitrap Index


                            Total Number of positive traps
                                                           X 100%
                            Total Number of traps planted
QUITO OL-TRAP



                        If OI is >10%, the place is vulnerable to
                                  dengue transmission.



         22 July 2012           DOST-DOH Dep ED O/L Trap Program    29
Remember:
                    • A positive trap means there is at least
                        one mosquito laying its eggs in the
                        sampling site (surveillance site)

QUITO OL-TRAP
                    • Aim is eliminate this one mosquito
                        laying its eggs




         22 July 2012           DOST-DOH Dep ED O/L Trap Program   30
THANK YOU!
QUITO OL-TRAP




         22 July 2012    DOST-DOH Dep ED O/L Trap Program   31

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Dost doh dep ed ol trap program

  • 1. Desiree R. Jaleco, RN School Nurse II Sagay National High School
  • 2. Objective • General  Providethe scientific framework of the OL Trap Program of Dengue vector control QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 2
  • 3. Dengue Fever • Definition  Also known as breakbone Fever  An infectious tropical disease caused by the Dengue Virus QUITO OL-TRAP  Mosquito-borne viral disease  Caused by one of four serotypes of flaviviruses 22 July 2012 DOST-DOH Dep ED O/L Trap Program 3
  • 4. Four Strains of Serotypes Viruses • DENV – I • DENV – II • DENV – III QUITO OL-TRAP • DENV - IV All four types can cause full spectrum of disease. 22 July 2012 DOST-DOH Dep ED O/L Trap Program 4
  • 5. Classification (WHO) • DENGUE FEVER • DENGUE HEMORRHAGIC FEVER  GRADE 1 – presence of bruises  GRADE 2 – presence of spontaneous bleeding  GRADE 3 & 4 – referred as dengue shock QUITO OL-TRAP syndrome 22 July 2012 DOST-DOH Dep ED O/L Trap Program 5
  • 6. Signs and Symptoms • Dengue Fever  Fever  Headache  Muscle and joint pains QUITO OL-TRAP  Skin rashes 22 July 2012 DOST-DOH Dep ED O/L Trap Program 6
  • 7. DENGUE HEMORRHAGIC FEVER QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 7
  • 8. DENGUE SHOCK SYNDROME QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 8
  • 9. QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 9
  • 10. Management • No specific treatment • Only symptomatic and supportive treatment  Paracetamol (Acetaminophen)  Oral Rehydration  IV fluids QUITO OL-TRAP  Blood Transfusion (packed RBC or Whole Blood)  Discontinue IV fluids during recovery phase to prevent fluid overload 22 July 2012 DOST-DOH Dep ED O/L Trap Program 10
  • 11. The Vector QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 11
  • 12. Vector Biology Aedes aegypti Aedes albopictus - primary vector - secondary vector - involve in cases of - maintains the virus in the General characteristics epidemics environment - urbanized areas - rural areas - lives indoors - lives outdoors QUITO OL-TRAP - confined to artificial - prefers to breed outdoor, Breeding habitat containers indoors in natural containers - rests in cool, dark corners - rests outdoors in Resting habits of the house clearings and vegetations 22 July 2012 DOST-DOH Dep ED O/L Trap Program 12
  • 13. Morphology Aedes aegypti Aedes albopictus Size - 3-4 mm - same Color - dark brown to black - same - lyre-shaped white Thorax marks or scales - single white marks QUITO OL-TRAP - with white and dark Abdomen - with white scales marks Legs - with white marks - same 22 July 2012 DOST-DOH Dep ED O/L Trap Program 13
  • 14. Vector Characteristics • Biting Habits  “daybiters” with two peaks of biting time:  1 to 2 hours after sunrise  1 to 2 hours before sunset  only female mosquitoes bite because of the requirement of blood for oviposition QUITO OL-TRAP  males do not bite but feed on plant juices and nectar of flowers  man is the preferred host but in his absence, lower vertebrates serve as substitute 22 July 2012 DOST-DOH Dep ED O/L Trap Program 14
  • 15. Vector Characteristics • Flying Habit  do not fly great distances  farthest flight distance is within 200 to 400 meters radius from their breeding places • Adults found around 50 meters from the QUITO OL-TRAP breeding sources 22 July 2012 DOST-DOH Dep ED O/L Trap Program 15
  • 16. Bionomics • at temperatures <10oC and >40oC, no developmental process takes place • females mates with male only once • Blood meal takes place after QUITO OL-TRAP 48 hours from emergence and after mating for egg production 22 July 2012 DOST-DOH Dep ED O/L Trap Program 16
  • 17. Bionomics • oviposition takes place about 2 to 5 days from blood engorgement • prefers dark-colored background for oviposition QUITO OL-TRAP • lays egg 3 to 4 times in its lifetime  60 to 100 eggs per batch • Survival potential: 20-30 days 22 July 2012 DOST-DOH Dep ED O/L Trap Program 17
  • 18. Life Cycle (10-12 days) Eggs: - Black and oval in Adult shape -Maxillary pulps shorter - Laid singly above than probosis water surfaces of -Wings uniformly grayish containers - Without float black - Viability: 6 months to -Body and legs are black 1 year due to the with distinctive white presence of chorion patches throughout -Thorax has markings QUITO OL-TRAP 2 - 3 days 1 - 2 days Larva: Pupa - Feeding stage 6 - 8 days - Breeds in clean and -Non-feeding stage -Breeding trumpet is non-polluted water long, slender with - Short and stout siphon narrow opening with one pair of hair tuft - Rests at an angle to the water surface 22 July 2012 DOST-DOH Dep ED O/L Trap Program 18
  • 19. DOST-DOH Dep ED OL Trap Ovicidal/Larvicidal Trap • a method used to control the reproductive capacity of dengue carrying mosquitoes QUITO OL-TRAP • A project of DOST-DOH using a natural/organic larvicide solution 22 July 2012 DOST-DOH Dep ED O/L Trap Program 19
  • 20. Usage of OL Trap • Larvicide solution emits odor that attracts female Aedes mosquitoes for oviposition • The lawanit paddle submerge in solution through capillary action serves as the QUITO OL-TRAP breeding place • The larvicide solution kills the eggs and larva 22 July 2012 DOST-DOH Dep ED O/L Trap Program 20
  • 21. Servicing the OL Trap • OVITRAPS are installed and serviced every six days in locations where transmission of dengue is probable  nursery schools  pre-schools QUITO OL-TRAP  elementary schools  Hospitals  community with confirmed dengue cases  Ovitrap Index = > 10% 22 July 2012 DOST-DOH Dep ED O/L Trap Program 21
  • 22. Setting the OL Trap • Step 1  Fill the plastic tumbler with tap water up to the lined mark just above the DOST logo (~250 ml) QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 22
  • 23. Setting the OL Trap • Step 2  Pour one pack OL pellets into the plastic cup  Stir thoroughly to ensure pellets are QUITO OL-TRAP dissolved 22 July 2012 DOST-DOH Dep ED O/L Trap Program 23
  • 24. Setting the OL Trap • Step 3  Placethe lawanit stick in the solution with the rough surface facing up QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 24
  • 25. Setting the OL Trap • Step 4  Place 1 cup each inside and outside the classroom in a low-lying and dark area  If outside, protect from direct QUITO OL-TRAP sunlight and rainfall  Take care not to spill the contents  Keep out of reach of children and animals 22 July 2012 DOST-DOH Dep ED O/L Trap Program 25
  • 26. Setting the OL Trap • Step 5  Collect trap and note for the following on the sixth day  Eggs on the paddle  Live larva/pupa QUITO OL-TRAP  The presence of even one larvae indicates a positive trap  Recordin the OL Trap Monitoring Sheet (3 copies) 22 July 2012 DOST-DOH Dep ED O/L Trap Program 26
  • 27. Setting the OL Trap • Step 6  Repeat steps 1-5 every 6 days  Set the traps every Wednesday  Collect traps every Tuesday  Finalize report every Tuesday QUITO OL-TRAP  Submit a copy of the report to city dengue coordinators every Wednesday Note: If collection period falls on a holiday, please collect traps a day before 22 July 2012 DOST-DOH Dep ED O/L Trap Program 27
  • 28. Cleaning the Trap • Vigorously brush-off into the solution eggs stuck into the lawanit creases • Kill the larva/eggs by pouring hot water into QUITO OL-TRAP the black tumbler • Dispose contents properly by pouring contents on dry ground 22 July 2012 DOST-DOH Dep ED O/L Trap Program 28
  • 29. Ovitrap Index Total Number of positive traps X 100% Total Number of traps planted QUITO OL-TRAP If OI is >10%, the place is vulnerable to dengue transmission. 22 July 2012 DOST-DOH Dep ED O/L Trap Program 29
  • 30. Remember: • A positive trap means there is at least one mosquito laying its eggs in the sampling site (surveillance site) QUITO OL-TRAP • Aim is eliminate this one mosquito laying its eggs 22 July 2012 DOST-DOH Dep ED O/L Trap Program 30
  • 31. THANK YOU! QUITO OL-TRAP 22 July 2012 DOST-DOH Dep ED O/L Trap Program 31