The National Vector Borne Disease Control Programme (NVBDCP) is implemented for the prevention and control of vector-borne diseases, except?

1. A

   Malaria

2. B

   Chikungunya

3. C

   Filaria

4. D

   Plague

Appeared in: AIIMS CRE SNO - 2023

Explanation

• Plague is the correct answer as it is not one of the six diseases covered under the National Vector Borne Disease Control Programme (NVBDCP).
• The NVBDCP is an umbrella programme for the prevention and control of six specific vector-borne diseases: Malaria, Dengue, Chikungunya, Japanese Encephalitis, Kala-azar, and Lymphatic Filariasis.
• Plague is a bacterial disease caused by Yersinia pestis and is primarily transmitted by fleas from rodents. Its surveillance and control are managed separately from the NVBDCP.

Why Other Options Were Wrong

• Option A: Malaria is incorrect because it is a major component of the NVBDCP. The program itself evolved from the National Malaria Eradication Programme.
• Option B: Chikungunya is incorrect as it is one of the six diseases explicitly listed and targeted by the NVBDCP due to its epidemic potential.
• Option C: Filaria (Lymphatic Filariasis) is incorrect because it is one of the six diseases under the NVBDCP, with a goal of elimination through strategies like Mass Drug Administration.

Related Visual

• Visual 1: Infographic: A chart listing the six diseases covered by the NVBDCP, each with an icon of its primary vector (e.g., mosquito for Malaria/Dengue, sandfly for Kala-azar).
• Visual 2: Comparison Table: A table contrasting the diseases under NVBDCP with Plague, showing differences in causative agent, vector, reservoir, and primary control measures.

Clinical Relevance

• Nursing practice connection: Knowing Scope and coverage of the National Vector Borne Disease Control Programme (NVBDCP) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
• Community health nurses must be aware of the specific diseases covered by national programs like NVBDCP to effectively implement targeted interventions, health education, and surveillance activities.
• Understanding the scope of NVBDCP helps in proper reporting and referral of cases. A suspected case of Plague would follow a different reporting channel and public health response than a case of Malaria.
• What if? If the question asked which NVBDCP disease is targeted for elimination through Mass Drug Administration (MDA), the answer would be Lymphatic Filariasis, highlighting the need to know program-specific strategies.

How to Approach the Question

• First, identify the core subject of the question, which is the National Vector Borne Disease Control Programme (NVBDCP).
• Note the keyword 'except'. This signals that you must find the option that does NOT belong to the group of diseases covered by the program.
• Recall the list of diseases covered by the NVBDCP. The program focuses on six major vector-borne diseases prevalent in India.
• Evaluate each option against this knowledge. Malaria, Chikungunya, and Filaria are well-known public health priorities in India and are included in the program.
• Consider the outlier, Plague. While a serious vector-borne disease, it has a different vector (fleas) and reservoir (rodents) and is managed under different surveillance systems than the six core NVBDCP diseases.
• Conclude that Plague is the correct exception.

Concept Tested & Keywords

• Concept Tested: Scope and coverage of the National Vector Borne Disease Control Programme (NVBDCP)
• Stem keywords: National Vector Borne Disease Control Programme, NVBDCP, prevention and control, vector-borne diseases
• Lead-in keywords: except
• Negative lead-in flag: The question asks for the exception from the list of diseases covered by the NVBDCP.

Question ID

QMK3H2GrhFal76FlNgQbsr

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