The limited official data available on dengue in India fails to define its epidemiological profiles. However, it reveals how little has been done in the surveillance of this disease at the level of the states, and gives an idea of the quantum of effort required to fight dengue. The National Vector Borne Disease Control Programme faces some classic pitfalls in India with its implementation not mandatory in the states. Arguments about the number of cases and hospitalisation, both with wide ranges, persist. Applying integrated action plans at the district level in the states would have helped. Improvement of the system of public health services, strengthening skills of medical personnel, active surveillance components with a well-functioning surveillance system, enhancement or creation of suitable water distribution network and garbage collection are critical components of an integrated plan.
