**Question:** Which is not included in NVBDCP -

A. Dengue
B. Cholera
C. Rabies
D. Tuberculosis

**Core Concept:** National Vector Borne Disease Control Programme (NVBDCP) is a public health initiative in India aimed at controlling and preventing vector-borne diseases.

**Why the Correct Answer is Right:** Dengue is a vector-borne disease caused by the dengue virus and transmitted through the bite of an infected Aedes mosquito. While NVBDCP does address vector-borne diseases, dengue is specifically mentioned and included in its strategies.

**Why Each Wrong Option is Incorrect:**

**Option A (Dengue):** As mentioned above, dengue is a vector-borne disease and falls under the scope of NVBDCP, making this option incorrect.

**Option B (Cholera):** Cholera is caused by the bacterium Vibrio cholerae and transmitted through contaminated water or food. It is a waterborne disease, not vector-borne, so it is not included in NVBDCP.

**Option C (Rabies):** Rabies is a viral zoonotic disease transmitted from infected animals to humans, typically through bites from infected dogs. It is not considered a vector-borne disease and is not included in NVBDCP.

**Option D (Tuberculosis):** Tuberculosis is caused by the bacterium Mycobacterium tuberculosis and is transmitted through respiratory droplets, close contact, or consumption of contaminated food. It is a respiratory infection rather than a vector-borne disease, so it is not included in NVBDCP.

**Clinical Pearl:** NVBDCP focuses on controlling vector-borne diseases like malaria, leishmaniasis, leprosy, filariasis, and dengue fever, among others. It emphasizes vector control, surveillance, and strengthening of healthcare systems to prevent and control vector-borne diseases in India.

**Correct Answer:** D (Tuberculosis)

**Explanation:** Tuberculosis is not a vector-borne disease, and NVBDCP primarily targets vector-borne diseases. Tuberculosis is caused by the bacterium Mycobacterium tuberculosis and is transmitted through respiratory droplets, close contact, or consumption of contaminated food. While tuberculosis is a significant public health concern, it is not part of NVBDCP's scope due to its mode of transmission being different from that of vector-borne diseases.