This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Social & Preventive Medicine
[{'content': 'Which is not true of malaria Eradication programmea) Started in 1953b) Modified plan started in 1970c) Incidence was 2 million cases in 1958d) Incidence decreased to 50,000 in 1961 \nSelect and explain. \nA. ab, B. a, C. ad, D. bc', 'role': 'user'}, {'content': 'Answer: A \nExplanation: National anti-malaria Programme \n\nThe Programme began initially as National Malaria control Programme in 1953.\nBecause of the spectacular success achieved in the control of malaria, the control programme, was converted into an eradication programe in 1958 with the object of eradicating malaria once and for all from the country.\nThe programme went on well for sometimes.\nThe incidence of malaria declined from 75 million cases and 8 lakhs death in 1953 to about 1-2 million cases and no death in 1972.\nBut thereafter the programme suffered serious set backs.\nThere was a sharp increase in malaria incidence, in 1976, there were 6.47 million cases with 59 deaths.\nThe Govt of India in 1977 evolved a "Modified plan of operation" based on "effective control" rather than eradication.\nThe plan has since been implemented and the incidence of malaria began to decline.\nHowever, there was gradual, increased in falciparum malaria incidence.\nHence a programme for containment of P.falciparum was also launched within the NMEP.\n\nNote : Option \'c & d\' were given in 19th/e. of Park : -\n"The incidence of malaria had declined sharply from 75 million cases in 1953 to 2 million cases in 1958".\n"The annual incidence of malaria cases in India escalated from 50000 in 1961, to a Peak of 6.4 million cases in 1976".\nStrategic Action plan for malaria control in India (2007-2012)\n\n\nMalaria control is now incorporated into the health service delivery programmes under the umbrella of NRHM.\nThe strategies of National malaria control programme are as follows : -\n\nMalaria Control strategies\nThe strategies for prevention and control of malaria and its transmission are-:\n1. Surveillance and case management\n\nCase detection (passive and active).\nEarly diagnosis and complete treatment.\nSentinel surveillance.\n\n2. Integrated vector management (IVM)\n\nIndoor residual spray (IRS).\nInsecticide treated bed nets (ITNs)/ Long Lasting Insecticidal Nets (LLINs).\nAntilarval measures including source reduction.\n\n3. Epidemic preparadness and early response\n4. Supportive interventions\n\nCapacity building\n\xa0Behaviour change communication (BCC)\nIntersectoral collaboration\nMonitoring and evaluation\nOperational research and applied field research.\n\nGoals for strategic Plan 2007-2012\nThe main national goals for malaria control are given below : -\n\nAt least 50 percent reduction in mortality due to malaria by the year 2010, as per National Health Policy document 2002.\nAt least 80 percent of those suffering from malaria get correct, affordable and appropriate treatment within 24 hours of reporting to the health system, by the year 2012.\nAt least 80 percent of those at high risk of malaria get protected by effective preventive measures such as ITNs/LLINs or IRS by 2012.', 'role': 'assistant'}]