Outbreak declaration and emergency response measures

Criteria for declaring an outbreak and vector control measures that are deployed in emergencies (ref Q49, 51)

Country	Criteria for outbreak declaration	Emergency vector control measures
Bangladesh	No	Fogging and application of larvicides to potential Aedes breeding places
Bhutan	Yes Plan uploaded earlier	Fogging. Application of larvicides. Community mobilization for source reduction
India	No	Fogging, focal IRS and source reduction around the positive cases.
Indonesia
Maldives	Yes According to the criteria established in Health Emergency Operations Plan (HEOP) and outbreak thresholds	Fogging, Application of larvicides, Community mobilization for source reduction.
Myanmar	Yes Currently using (Mean+2SD) 5 historical data for prediction.	Case-based adult mosquito control: Space spraying/IRS Promotion of health education mainly on early diagnosis and referral Larval control and survey
Nepal	No Dengue outbreak is considered when cases in a certain geographical area exceeds the number of cases in previous years. However, no standardized criteria to be defined as an outbreak.	Mostly fogging using adulticides, search and destroy of mosquito pupa/larva
Sri Lanka	No	Source reduction by employing teams (Tri forces and Health). Application of Mosquito repellents and personal protective clothing. Space spraying (indoor and peridomestic). Intersectoral coordination through Presidential Task Force and other stakeholders at different levels (Field, district, provincial and national) such as environment Police, Civil Defence Force, Community Based Organizations.
Thailand	Yes more than 5 years median	Investigation and vector control in 100 meter from patient house in 1 day after case was notify. Activated Emergency of Opreation Center (EOC) when wide spread outbreak is occured.
Timor-Leste	Yes Increasing of incidence rate / follow the Outbreak guideline	Adulticiding, larvaciding, and community mobilization to clean the environment.