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DR. RAM CHANDRA DOME (BOLPUR): Thank you, Madam Speaker. It is an important motion under Calling Attention. Already, several of my colleagues have raised some pertinent questions on the massive outbreak of Dengue and Chikungunya -- the two important and major viral diseases in our country these days.
          Madam, the Minister in his statement here has categorically said that the occurrence of this disease is mainly due to various factors -- manmade and environmental factors.  I think it has been ascertained correctly. In case of Dengue incidence, as per the figure which has been mentioned for the current year till date, the detected cases are 35,066 and the death toll is 216. It is not a point of any consolation because the death rate is a very high rate of incidence. In many cases, actual reporting is not there. There are many factors which are taken into account to ascertain the disease in the primary incidence. That is why, in many cases, underreporting is always there. Though the case-fatality rate is minimum, we should not be satisfied with our present position.
DR. RAM CHANDRA DOME:  Madam, I am putting the question. This is an important thing. Lack of coordination among all the stakeholders is a serious problem. Lack of investigative facilities and lack of management facilities were also the there. Underreporting is a major cause.
          That is why, my concrete suggestion and observation is that this is an abject failure on the part of the National Vector Borne Diseases Control Programme. We have to appreciate the fact that this Programme is not being implemented effectively. This is the factual position. Whatever lacunae are there, the Government should review them.
MADAM SPEAKER: Please conclude.
DR. RAM CHANDRA DOME :  There should be effective implementation of the Programme in coordination with all the stakeholders, and priority should be given for proper preparation in the intermediate period, that is, before the recurrence of the epidemic again. That is most important, but that is also lacking. Hence, that point should be taken into consideration.
          So far as treatment is concerned, scientifically, we know that there are no antibiotics to treat the patients. We are helpless there. There is no supportive treatment. But most of the affected patients are our children and infants. And during the case of the fatal cases like Dengue and hemorrhagic fever which is an acute emergency and for acute emergency diseases, there is no treatment.
MADAM SPEAKER: Please conclude now. You are not asking the question. Please ask the question and conclude.   
DR. RAM CHANDRA DOME : Within two minutes, I will conclude. So, dedicated and intensive treatment facilities should be there. I want to know whether the Government has made any arrangement to have an intensive facility for the treatment and care of the affected children and infants. At least up to the district level, this facility should be made available. That is necessary. Blood transfer facilities particularly the platelets should reach the affected people. That should be ensured.