DSSSB October 2024: All of the following diseases are included in the National Vector Borne Diseases Control Program (NVBDCP), EX…

DSSSB October 2024

Community Health Nursing

Easy

Appeared in: DSSSB October 2024

Explanation

Poliomyelitis and rotavirus dysentery are not vector-borne diseases; they are not transmitted by insects or ticks.
The primary mode of transmission for both Polio and Rotavirus is the fecal-oral route, typically through ingestion of contaminated food or water.
Because their transmission route is different, these diseases are managed under other health initiatives like the Universal Immunization Programme (UIP), not the NVBDCP.

Option A: Both Kala-azar (transmitted by sandflies) and Japanese encephalitis (transmitted by mosquitoes) are vector-borne diseases and are explicitly included in the NVBDCP.
Option C: Both Lymphatic filariasis and chikungunya are transmitted by mosquitoes and are two of the six diseases targeted by the NVBDCP.
Option D: Malaria and dengue are major mosquito-borne diseases and are cornerstone components of the NVBDCP's prevention and control efforts.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Scope of the National Vector Borne Diseases Control Program (NVBDCP) as background academic context rather than a clinical decision trigger.
Understanding the scope of national health programs like NVBDCP is crucial for community health nurses to implement targeted prevention, control, and health education activities.
Correctly identifying transmission routes (vector-borne vs. fecal-oral) dictates the primary nursing interventions, such as promoting bed net use and environmental sanitation for vector control versus emphasizing hand hygiene and safe drinking water for enteric diseases.
What if? If a patient from a rural, endemic area presents with prolonged fever and massive splenomegaly, the nurse should have a high index of suspicion for Kala-azar (a key NVBDCP disease) and inquire about sandfly exposure.

How to Approach the Question

First, identify the negative keyword 'EXCEPT'. This signals that you must find the option that does not fit the stated criteria.
The core concept is the 'National Vector Borne Diseases Control Program (NVBDCP)'. The name itself tells you it deals with diseases spread by 'vectors' (insects, ticks, etc.).
Recall the six major diseases covered under this program: Malaria, Dengue, Chikungunya, Japanese Encephalitis, Filariasis, and Kala-azar.
Evaluate each option against this knowledge.
Options A, C, and D all contain pairs of diseases from the list of six.
Option B contains Poliomyelitis and rotavirus. Recall their mode of transmission. Both are spread via the fecal-oral route (contaminated food/water), not by vectors.

Concept Tested & Keywords

Concept Tested: Scope of the National Vector Borne Diseases Control Program (NVBDCP)
Stem keywords: National Vector Borne Diseases Control Program, NVBDCP, diseases
Lead-in keywords: EXCEPT
Negative lead-in flag: The question uses the keyword 'EXCEPT', requiring you to identify the option that does not belong to the specified group.

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E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) pp. 88-90, 97-99