Dengue fever causes an estimated 50 million infections annually and approximately 2.5 billion people are at risk around the globe. Directorate of Health Services (DHS), Capital Development Authority/Metropolitan Corporation, which is responsible for urban Islamabad, has developed long term strategic plan in the very beginning when the dengue epidemic had erupted first time in the year 2011. DHS, MCI/CDA adopted WHO strategy for vector control, however, a new strategic tier was additionally introduced i.e. high risk mapping and response. The team of DHS (Health) envisaged that the load of disease followed by precise micro plan/ mapping that details out distribution of disease, vector (pre-adult and adult stage), as well as sectors vulnerable for dengue be earmarked for timely interventions in window period (winter). The results of high risk mapping followed by focused intervention are remarkable. The last 10 years data reflect the load of disease through these interventions introduced by DHS is at least 5-10 times less as compared to immediate surroundings, as Rawalpindi and rural Islamabad do not prepare high risk mapping during the window period.
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