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 General
Disease Surveillance
Emergency Response
Clinical Diagnosis and Management
Vector Surveillance and Control
Information, Education and Communication (IEC)
Intersectoral Collaboration
Communication and Coordination
Budget/Economic Impact
Research
General
1. It is anticipated that the next two years will
be a natural low morbidity interepidemic period in Thailand.
It is important that the low morbidity rate not be wrongly interpreted as
being due to the control programme, as this could
provide a false sense of security and result in a larger outbreak during the
next epidemic cycle. It is highly recommended that the NDPCP takes advantage
of this interepidemic period to reduce the mosquito
population to a point where the next epidemic cycle in 2-3 years, will be
prevented.
2. The success of the NDPCP will require a strong
partnership between the MOPH and the provincial, district and village-level
health authorities and local administration where the actual responsibility
for control lies. To facilitate this partnership, it is recommended that the
Office of Dengue Control be strengthened by increasing both human and
economic resources to provide overall programme
management and coordination.
3. The roles and responsibilities at each level
of programme structure, especially the concerned
offices of CDC Department, must be clearly identified and strengthened
through capacity-building.
4. The NDPCP has not been finalized and was not
reviewed by the External Review Team. However, it is highly recommended that
the plan includes the following five components:
a) Surveillance
Passive
Active, laboratory-based
b) Education of the Medical Community
Training module for physicians and nurses
Clinical diagnosis and management
Epidemiology
Prevention and control
c) Emergency Response
Vector control
Case management
d) Community-based Integrated Mosquito Control
Community education/participation
Partnerships
Local government action
Legislative control
Waste management and control
e) Research
Formative research on behavior modification
Improved mosquito control
Improved clinical management
Improved laboratory diagnosis
Improved surveillance
Vaccines
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