| What training is provided to clinicians for outbreak-prone diseases? | National guidelines for clinical management of Dengue, other outbreak prone diseases as well as in management of heat related illnesses. | 09.03.2026 and DO No.90/NCDC/ CEOH&CCH12020-21: dated 23.04.2026 f. Capacity building of healthcare workers o Trainings of clinicians on the National guidelines for clinical management of Dengue, other outbreak prone diseases as well as in management of heat related illnesses. . Training of community level functionaries in disease surveillance, vector control activities etc. 3. lt would be appreciated if you may review the health sector preparedness at your level, while directing all district authorities to undertake a similar exercise. This Ministry will continue to closely monitor the evolving situation and is ready to provide any further guidance, as warranted. With regards, Yours sincerely, Addl. Chief Secretary/Principa! Secretary/ Secretary (Health) of all States/UTs MD, NHM of all States/UTs o t 2t-n-- So"r-!--e- (Punya SAdila Srivastava) Encls. :A,/a | 141 | definition | 1.000 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | Capacity building of healthcare workers o Trainings of clinicians on the National guidelines for clinical management of Dengue, other outbreak prone diseases as well as in management of heat related illnesses. . | 3 | page=3,block=0 | 0.700 | valid |
| What actions should be taken based on early warning information? | translated into anticipatory public health actions. | Ensure regular reporting on |H|P-IDSP and |H|P-VBD portals to detect early warning signals for impending disease outbreaks. Ensure that early warning information is translated into anticipatory public health actions. Rapid Response Teams may be kept ready for prevention and control of outbreak prone diseases. ln continuation of our previous communication vide DO No. 7- 7 1 l2026lNCVBDC/DEN/Advisorv, dated 05.06.2026 , States are again requested to Intensify integrated vector management activities, like source reduction, vector surveillance) with particular emphasis on Districts reporting high Dengue caseload (> 500 cases per year) (State- wise list of such districts in 2023-25 is placed as Annexure l). | 165 | relationship | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | Ensure that early warning information is translated into anticipatory public health actions. Rapid Response Teams may be kept ready for prevention and control of outbreak prone diseases. | 2 | page=2,block=0 |
| What does the anticipated variability in climatic conditions underscore the need for? | an integrated, all-hazard approach to public health preparedness | Kindly also recall our discussions in this regard in the meeting of Central Council of Health and Family Welfare chaired by Hon'ble Union Minister of Health & Family Welfare on29.6.2026. 2. This anticipated variability in climatic conditions and the public health impact thereof, underscores the need for an integrated, all-hazard approach to public health preparedness. lt is therefore requested that all State/UTs may undertake an immediate review of their preparedness and response capacities, especially with regards to following key areas: a. Risk assessment and preparedness planning . Undertake district-wise risk assessment considering the likelihood of floods, landslides, heatwaves, disease outbreaks etc. and review State and District level Health Sector Disaster Management Plans. ln addition, review States/District specific Action Plans for Heat-Related Emergencies. b. | 305 | relationship | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | This anticipated variability in climatic conditions and the public health impact thereof, underscores the need for an integrated, all-hazard approach to public health preparedness. |
| Which ministry is linked to the Department of Health and Family Welfare? | Ministry of Heatth and Famity Wetlare | qtwk guq qkf,r 8fqrffq, qr.c.t. r{F{q PUNYA SALILA SRIVASTAVA, IAs Secretary qr{d Tfii5,r{ rqrcqa \ti qR-qn tn-arq ftqrq TqReq G qR-qR 6-ilM ,iTrdq Government of lndia r'ffi1 lIEErd iqir Oepartment of Health and Family Wellare .tr'f\ Ministry of Heatth and Famity Wetlare rR o.o No. 2.2801s/48/2025-DMCeu "H"re Dear Colleague, As you may be aware, as per lndia Meteorological Department, moderate to strong El Nino conditions are expected during the southwest monsoon season (peaking between July and September), which are often associated with climatic variability and extreme conditions. This enhances the risk of outbreak prone diseases like acute diarrhoeal diseases, acute respiratory infections, vector-borne diseases (especially Malaria, Dengue and Chikungunya, following accelerated mosquito breeding) etc. along with the risk of heat-related illnesses. | 234 | relationship | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | r{F{q PUNYA SALILA SRIVASTAVA, IAs Secretary qr{d Tfii5,r{ rqrcqa \ti qR-qn tn-arq ftqrq TqReq G qR-qR 6-ilM ,iTrdq Government of lndia r'ffi1 lIEErd iqir Oepartment of Health and Family Wellare .tr'f\ Ministry of Heatth and Famity Wetlare rR o.o No. |
| What is the purpose of activating Health Emergency Operations Centres during the monsoon season? | continuous monitoring and inter-sectoral coordination throughout the monsoon season to ensure whole of Government approach | Health Emergency Coordination . Activate Health Emergency Operations Centres (HEOCs), wherever established, or designated Control Rooms in Departments of Health for continuous monitoring and inter-sectoral coordination throughout the monsoon season to ensure whole of Government approach. . Make effective use of national early warning platforms like NDMA's Sachet (https:/isachet.ndma.qov.in/) and any State hazard monitoring systems for weather forecasts, especially heavy rainfall, lightening, thunderstorms, flood alerts, and heatwave alerts. #StopObesity fffl Ert n tyr iftfun / TB Harega Desh Jeetega Room No. 11102,'C' Wing, Kartavya Bhawan-1, New Delha-11OOO1 | 165 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | Activate Health Emergency Operations Centres (HEOCs), wherever established, or designated Control Rooms in Departments of Health for continuous monitoring and inter-sectoral coordination throughout the monsoon season to ensure whole of Government approach. |
| What is the purpose of regular reporting on HP-IDSP and HP-VBD portals? | to detect early warning signals for impending disease outbreaks. | Ensure regular reporting on |H|P-IDSP and |H|P-VBD portals to detect early warning signals for impending disease outbreaks. Ensure that early warning information is translated into anticipatory public health actions. Rapid Response Teams may be kept ready for prevention and control of outbreak prone diseases. ln continuation of our previous communication vide DO No. 7- 7 1 l2026lNCVBDC/DEN/Advisorv, dated 05.06.2026 , States are again requested to Intensify integrated vector management activities, like source reduction, vector surveillance) with particular emphasis on Districts reporting high Dengue caseload (> 500 cases per year) (State- wise list of such districts in 2023-25 is placed as Annexure l). | 59 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | Ensure regular reporting on |H|P-IDSP and |H|P-VBD portals to detect early warning signals for impending disease outbreaks. Ensure that early warning information is translated into anticipatory public health actions. | 2 |
| What should State/UTs review in preparation for climatic variability and public health impacts? | their preparedness and response capacities | Kindly also recall our discussions in this regard in the meeting of Central Council of Health and Family Welfare chaired by Hon'ble Union Minister of Health & Family Welfare on29.6.2026. 2. This anticipated variability in climatic conditions and the public health impact thereof, underscores the need for an integrated, all-hazard approach to public health preparedness. lt is therefore requested that all State/UTs may undertake an immediate review of their preparedness and response capacities, especially with regards to following key areas: a. Risk assessment and preparedness planning . Undertake district-wise risk assessment considering the likelihood of floods, landslides, heatwaves, disease outbreaks etc. and review State and District level Health Sector Disaster Management Plans. ln addition, review States/District specific Action Plans for Heat-Related Emergencies. b. | 453 | summary | 0.970 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | lt is therefore requested that all State/UTs may undertake an immediate review of their preparedness and response capacities, especially with regards to following key areas: a. |
| What activities should states intensify in districts with high Dengue caseloads? | integrated vector management activities, like source reduction, vector surveillance | Ensure regular reporting on |H|P-IDSP and |H|P-VBD portals to detect early warning signals for impending disease outbreaks. Ensure that early warning information is translated into anticipatory public health actions. Rapid Response Teams may be kept ready for prevention and control of outbreak prone diseases. ln continuation of our previous communication vide DO No. 7- 7 1 l2026lNCVBDC/DEN/Advisorv, dated 05.06.2026 , States are again requested to Intensify integrated vector management activities, like source reduction, vector surveillance) with particular emphasis on Districts reporting high Dengue caseload (> 500 cases per year) (State- wise list of such districts in 2023-25 is placed as Annexure l). | 462 | list | 0.820 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | 7- 7 1 l2026lNCVBDC/DEN/Advisorv, dated 05.06.2026 , States are again requested to Intensify integrated vector management activities, like source reduction, vector surveillance) with particular emphasis on Districts reporting high Dengue caseload (> 500 cases per year) (State- wise list of such districts in 2023-25 is placed as Annexure l). |
| What are the risks enhanced by moderate to strong El Nino conditions during the southwest monsoon season? | acute diarrhoeal diseases, acute respiratory infections, vector-borne diseases (especially Malaria, Dengue and Chikungunya, following accelerated mosquito breeding) etc. along with the risk of heat-related illnesses | qtwk guq qkf,r 8fqrffq, qr.c.t. r{F{q PUNYA SALILA SRIVASTAVA, IAs Secretary qr{d Tfii5,r{ rqrcqa \ti qR-qn tn-arq ftqrq TqReq G qR-qR 6-ilM ,iTrdq Government of lndia r'ffi1 lIEErd iqir Oepartment of Health and Family Wellare .tr'f\ Ministry of Heatth and Famity Wetlare rR o.o No. 2.2801s/48/2025-DMCeu "H"re Dear Colleague, As you may be aware, as per lndia Meteorological Department, moderate to strong El Nino conditions are expected during the southwest monsoon season (peaking between July and September), which are often associated with climatic variability and extreme conditions. This enhances the risk of outbreak prone diseases like acute diarrhoeal diseases, acute respiratory infections, vector-borne diseases (especially Malaria, Dengue and Chikungunya, following accelerated mosquito breeding) etc. along with the risk of heat-related illnesses. | 645 | list | 0.820 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf |
| What measures should be taken to manage heat-related illnesses during heatwaves and droughts? | availability of cooling arrangements, ORS, emergency medicines and public awareness activities. | borne diseases (including Dengue and Chikungunya), Respiratory and Diarrhoeal diseases. . Observe 'Anti-Dengue Month' at all levels with accelerated preventive actions and promote weekly'Drying day'to eliminate vector breedlng. e. Public Health Measures for Heatwaves and Drought . Ensure regular reporting of Heat Related lllnesses on lHlP-NPCCHH portal. Special focus is required for districts reporting high burden of heat related illnesses flist of top 100 vulnerable Districts for Heat Stroke cases and death (2025 and 2026) is placed at Annexure lll. . Review preparedness for management of heat-related illnesses including availability of cooling arrangements, ORS, emergency medicines and public awareness activities. This is in continuation to our previous advisories vide DO No. 90/NCDC/CEOH&CCH|2020-21 dated | 630 | list | 0.820 | https://ncdc.mohfw.gov.in/uploads/pdf/1.%20DO%20letter%20from%20Secreatry%20(H)%20to%20PS(H)%20States%20and%20UTs%20dated%2010-07-2026.pdf | Review preparedness for management of heat-related illnesses including availability of cooling arrangements, ORS, emergency medicines and public awareness activities. This is in continuation to our previous advisories vide DO No. |