**Question:** The disease which is not conditioned under integrated disease surveillance programme is?

A. Cholera
B. Polio
C. Malaria
D. Dengue

**Core Concept:** Integrated Disease Surveillance Programme (IDSP) is a national public health initiative in India, aimed at strengthening disease surveillance and response systems for early detection and control of outbreaks, including emerging and re-emerging infectious diseases.

**Why the Correct Answer is Right:** Polio is conditioned under the IDSP, as it is a viral disease that can be controlled and monitored through surveillance systems.

**Why Each Wrong Option is Incorrect:**

A. Cholera is also a conditioned disease under IDSP as it is an infectious disease, but the question is asking about diseases not included in the IDSP.
B. Polio has been eradicated in India and globally, so it is not an example of a disease not conditioned under IDSP.
C. Malaria, although a significant public health concern in India, is primarily treated at the state and district level, rather than being conditioned under IDSP.
D. Dengue is a notifiable disease and is conditioned under IDSP, making this option incorrect.

**Clinical Pearl:** Polio eradication is a successful example of the role of IDSP in disease control and coordination between various health agencies.

**Correct Answer:** Dengue is not conditioned under the integrated disease surveillance programme (IDSP). Dengue is a viral disease transmitted by Aedes mosquitoes, and its surveillance is managed at the state and district levels, whereas IDSP focuses on early detection, response, and control of outbreaks at the national level.