Health & Family Welfare Department
Government of Tamil Nadu

Directorate of Public Health & Preventive Medicine

Introduction

The Department of Public Health and Preventive Medicine is responsible for the implementation of various National and State Health Programmes. This Department also plans and implements measures to prevent the occurrence of communicable diseases thereby reducing the burden of morbidity mortality and disability in the state.

The activities undertaken by the department of public Health and Preventive Medicine are provisions of primary health care,which includes Maternity and Child Health Services, Immunisation of children against vaccine preventable diseases,control of communicable diseases,control of malaria, filaria, japanese encephalitis, elimination of leprosy, iodine deficiency disorder control programme, prevention of food adulteration, health checkup of school children, health eduction of the community and collection of vital statistics under birth and death registration system and environmental sanitation.

Prevention and control of waterborne diseases like Acute Diarrheal Diseases, Typhoid, Dysentry prevention and control of sexually transmitted diseases including HIV / AIDS.

Public Health Advice to be carried out during and after Flood.

Primary Health care

Month wise Average No. of OP, IP, AND DELIVERIES

  APR MAY JUN JUL AUG SEP OCT NOV DEC JAN FEB MAR
OP 2010-11 137.49 143.78 142.59 145.01 146.21 147.46 146.51 145.86 146.66 146.11 144.71 144.46
2011-12 134.53 137.07 140.20 139.66 143.92 150.42 139.21 142.24 142.83 142.58 149.00 142.39
2012-13 142.73 144.31 145.45 146.21 145.22 145.57 157.39 172.35 156.47 145.07 154.65 144.83
2013-14 141.24 139.6 142.19 145.85 140.52 145.18 142.25 147.63 142.86 142.19 142.50 142.23
2014-15 130.74 132.93 139.56 139.74 138.50 145.70 141.06 157.81 148.80 140.00 150.88 142.07
2015-16 140.74 140.43 147.26 143.26 142.84 148.14 151.94 167.30 164.29 145.53 153.09 145.14
2016-17 143.29 144.19 153.00 149.43 154.64 159.39 144.55 157.55 149.97 146.14 157.45 147.24
2017-18 140.66 139.54 147.64 150.55 153.53 169.02 166.29 167.45 158.04 153.31 165.60 154.72
2018-19 154.47 154.80 159.33 157.00 155.06 160.30 173.35 181.12 167.16 157.34 170.26 158.55
2019-20 159.57 157.31 163.19 165.05 165.27              
IP 2010-11 58.37 64.38 63.39 63.4 62.19 61.47 67.46 61.37 60.65 59.98 62.21 61.06
2011-12 52.85 62.22 59.68 56.77 60.01 62.43 58.83 59.99 60.21 60.66 61.98 66.32
2012-13 67.79 75.93 74.44 71.64 72.36 71.73 78.65 83.41 81.59 68.27 69.38 73.56
2013-14 69.00 70.93 75.18 78.12 75.06 70.34 71.75 72.19 75.16 68.64 69.66 78.14
2014-15 70.73 75.88 79.05 76.01 73.68 77.12 76.48 81.02 77.07 72.98 72.91 77.54
2015-16 73.96 80.20 82.13 82.36 80.04 80.20 89.52 94.09 93.22 80.12 78.27 80.60
2016-17 77.79 82.64 91.00 87.50 90.66 91.74 78.85 83.12 77.42 79.16 78.28 85.80
2017-18 74.58 82.48 89.66 102.25 102.90 114.92 118.93 103.38 90.92 89.26 89.71 95.8
2018-19 91.86 95.49 98.74 99.84 96.40 96.10 113.29 116.80 100.76 94.91 94.74 103.05
2019-20 96.15 100.66 102.65 107.32 105.39              
DEL 2010-11 15.93 16.52 16.03 16.01 15.81 15.67 16.49 15.90 15.86 15.57 15.05 15.0
2011-12 14.10 15.46 14.81 14.83 14.37 14.46 14.95 15.12 15.15 15.01 12.01 14.08
2012-13 13.65 14.10 12.93 12.6 12.21 13.0 13.64 13.4 12.62 11.13 9.81 12.40
2013-14 11.31 11.9 11.40 11.41 11.75 11.79 12.90 12.28 11.82 11.60 11.30 11.28
2014-15 10.16 10.91 10.02 9.87 9.57 9.85 11.08 10.12 9.57 7.8 6.5 7.7
2015-16 7.67 8.09 7.98 7.56 7.42 7.75 8.45 8.19 7.59 6.60 5.85 6.45
2016-17 6.10 6.86 7.00 6.29 6.73 6.83 6.83 6.54 5.79 4.60 4.19 5.82
2017-18 5.62 5.96 5.77 5.88 5.63 5.64 5.79 5.48 5.12 4.53 3.95 5.05
2018-19 4.71 4.98 4.76 5.16 5.29 5.30 6.26 5.59 5.33 4.42 3.91 4.97
2019-20 4.91 5.41 4.95 5.06 5.29              

Note

  • OP - Average out-patient per PHC per day.
  • IP - Average in-patient per PHC per Month.
  • DEL - Average Deliveries Per PHC per Month.

Activities of Health Sub Centres

  • Peripheral most unit available at the Village level to take care of the Health needs of the community.
  • A Health  Sub centre covers a population of 5000 in plain areas and 3000 in Hilly and difficult terrains. All Primary Health Care Services are being provided at the door steps of the community.

  • Each Health sub centre is manned by a pair of Health Workers.
  • The Female Worker (VHN) takes care of MCH activities, including Immunization.
  • The male worker (HI) @ one per 3 HSCs is responsible to control of Communicable Diseases, Checking of Births and Deaths Registration, Health Education, Surveillance, etc.
  • All pregnant women are registered by the Village Health Nurses at the earliest stage of pregnancy and given Antenatal care.
  • The Health Sub centre area is divided into 4 units and on every Wednesday, Immunization sessions are organised in one unit, thereby covering the entire area in a month.
  • Village Health nurses provide information on MTP services and are issuing contraceptive tablets, etc. for postponement of next pregnancy.
  • Village Health Nurses provide information on sterilization and IUD insertion is done by her.
  • The HSC provides medicine for minor ailments like cold, fever, diarrhoea, etc.
  • The male worker visits the Village and takes blood smear to detect malaria.
  • Sputums are collected from chronic patients of cough and sent to Primary Health Centres, for examination. If found positive for tuberculosis, treatment is arranged through Primary Health Centres.
  • Chlorination of water sources and disinfection of affected houses, during diarrhoea are done by the male worker.
  • Identifying cases of leprosy and treat them.
  • Male health workers make festival arrangements and investigate food poisoning and counsel on food hygiene.
  • Male health workers motivate for family planning and distribute condoms.

Immunization Schedule

Immunization Programme

Tamil Nadu started the immunization programme against six vaccine preventable diseases in 1978. In order to strengthen the programme further Universal Immunization Programme was launched in 1985. Annually, around 12 lakh pregnant women and 11 lakh infants are being covered under this programme. Pregnant mothers are immunized every year with tetanus toxoid injection for prevention of tetanus infection during delivery.

All pregnant women and their newborns need to be protected against Vaccine preventable Diseases. Immunization Programme aims to reduce mortality and morbidity due to Vaccine Preventable Diseases (VPDs), particularly for children. Under the Immunization Programme, vaccines used to protect children and pregnant mothers includes TB, Diptheria, Pertussis, Hepatitis-B, Haemophilus influenza B, Tetanus, Polio, Measles and Rubella.

Pentavalent vaccine was introduced in Tamil Nadu from 21st December, 2011 onwards. Pentavalent vaccine gives protection against five vaccine preventable diseases namely diphtheria, pertussis, tetanus, Hepatitis-B and Haemophilus influenza-B with fewer needle pricks to a child.

Japanese Encephalitis

Pentavalent vaccine was introduced in Tamil Nadu from 21st December, 2011 onwards. Pentavalent vaccine gives protection against five vaccine preventable diseases namely diphtheria, pertussis, tetanus, Hepatitis-B and Haemophilus influenza-B with fewer needle pricks to a child.

Immunization Schedule -Tamil Nadu

Age Vaccines Dose Route Site
At Birth BCG 0.1 ml Intra dermal Left upper arm
OPV Zero dose 2 drops Oral
Oral
Hep B birth dose(within 24 hours) 0.5 ml Intra muscular
Antero-lateral aspect of the Mid thigh
6th week Penta-1 0.5 ml Intra muscular Antero-lateral aspect of the Mid thigh
OPV-1 2 drops Oral Oral
IPV-1 0.1 ml Intra dermal Right upper arm
Rota- 1 5 drops Oral Oral
10th week Penta-2 0.5 ml Intra muscular Antero-lateral aspect of the Mid thigh
OPV-2 2 drops Oral Oral
Rota-2 5 drops Oral Oral
14th week Penta-3 0.5 ml Intra muscular Antero-lateral aspect of the Mid thigh
OPV-3 2 drops Oral Oral
IPV-2 0.1 ml Intra dermal Right upper arm
Rota-3 5 drops Oral Oral
9 months (After 270 days) MR 1st dose 0.5 ml Subcutaneous Right upper arm
JE 1 (in selected districts) 0.5 ml Subcutaneous Left upper arm
16-24 months DPT 1st booster 0.5 ml Intra muscular Antero-lateral aspect of the Mid thigh
OPV booster 2 drops Oral Oral
MR 2nd dose 0.5 ml Subcutaneous Right upper arm
JE 2 (in selected districts) 0.5 ml Subcutaneous Left upper arm
5-6 Years DPT 2nd booster 0.5 ml Intra muscular Upper arm
10th Year Td single dose 0.5 ml Intra muscular Upper arm
16th Year Td single dose 0.5 ml Intra muscular Upper arm
Pregnant Mothers Td1 Early in pregnancy 0.5 ml Intra muscular Upper arm
Td2 Four weeks after Td1 0.5 ml Intra muscular Upper arm
Td Booster If received 2 Td doses in a pregnancy within the last 3 years 0.5 ml Intra muscular Upper arm

Acute Flaccid Paralysis Surveillance

South East Asian region including India was certified as Polio Free on 27th March 2014. However there is still active polio transmission in two neighbouring countries of Pakistan & Afghanistan. Global importation is a major risk to Polio Eradication initiative. Reporting of Acute Flaccid Paralysis (AFP) cases for surveillance should be continued till Global Polio free certification.

Acute flaccid paralysis case is defined as sudden onset of weakness and floppiness in any part of the body in a child < 15 years of age or paralysis in a person of any age in whom polio is suspected.

AFP surveillance helps to detect reliably areas where poliovirus transmission is occurring. Thus AFP surveillance helps us to identify areas of priority for focusing immunisation activities. It is the most reliable tool to measure the quality and impact of polio immunisation activities.

Polio surveillance for a case of disease in a child that “looks like polio” alone is not sufficient because it is impossible to precisely identify all cases of paralytic polio clinically due to confusing and ambiguous clinical signs and variable clinical knowledge and skills of doctors. To ensure that no cases of polio are missed, all cases of AFP are reported and investigated.

Differential Diagnosis of Acute Flaccid Paralysis in addition to Polio includes:

Guillian Barre syndrome Hemiplegia, Paraplegia,Quadriplegia
Traumatic Neuritis Only Limp
Transverse myelitis Acute Encephalitis with weakness
Transient paralysis Post Diphtheric Polyneuritis
Facial Palsy Isolated Neck / Bulbar Paralysis

All these AFP cases to be notified immediately to the DDHS. Preferably the child should be admitted to the nearest health facility (Reporting Units).

The Nodal Person of the health facility will investigate the case using standard Case investigation form (CIF) & initiate the process of collecting two stool specimen from the affected child and send the specimen to King Institute Laboratory, Guindy, Chennai for virological analysis.

After the sample collection steps to provide one additional dose of OPV to all children below 5yrs in the affected village to be undertaken along with community search for additional AFP Cases.

The incidence of other Vaccine Preventable Diseases is also on the decline

Diseases Polio Measles Diphtheria Pertusiss Tetanus (Neo) Tetanus (Other)
2003 CASES 2 699 4 0 2 0
DEATHS 0 4 2 0 2 0
2004 CASES 1 1550 4 0 1 1
DEATHS 0 3 4 0 1 0
2005 CASES 0 2423 1 0 0 0
DEATHS 0 1 0 0 0 0
2006 CASES 0 1619 0 0 0 0
DEATHS 0 1 0 0 0 0
2007 CASES 0 1204 2 0 0 0
DEATHS 0 0 0 0 0 0
2008 CASES 0 1254 1 0 0 0
DEATHS 0 2 0 0 0 0
2009 CASES 0 1779 1 0 0 0
DEATHS 0 1 0 0 0 0
2010 CASES 0 2464 0 1 0 0
DEATHS 0 3 0 0 0 0
2011 CASES 0 2338 0 0 1 0
DEATHS 0 3 0 0 1 0
2012 CASES 0 623 0 0 0 1
DEATHS 0 0 0 0 0 1
2013 CASES 0 1021 0 0 1 0
DEATHS 0 0 0 0 1 0
2014 CASES 0 1376 1 0 1 0
DEATHS 0 3 0 0 1 0
2015 CASES 0 1386 2 0 1 0
DEATHS 0 0 0 0 1 0
2016 CASES 0 547 0 0 1 0
DEATHS 0 0 0 0 1 0
2017* CASES 0 133 0 0 0 0
DEATHS 0 0 0 0 0 0
2018 CASES 0 211 0 0 0 0
DEATHS 0 1 0 0 0 0
2019 (Jan'19 to Aug'19) CASES 0 184 15 0 0 0
DEATHS 0 0 2 0 0 0

Note

  • -*- Since April 2017 Measles replace to Measles Rubella

Pulse Polio Immunization (PPI)

The State is polio free since 2004. For the eradication of poliomyelitis, Pulse Polio Immunization campaign was introduced in the year 1995-96, which along with efficient routine immunization coverage has successfully eliminated the dreaded disease from the State. During 2017, two rounds of pulse polio immunization campaigns are planned to be conducted on 2.04.2017 and 30.04.2017 as part of the Nationwide Intensified Pulse Polio Immunization campaign in order to prevent the importation of polio virus and to sustain the zero polio status.

Success of Immunization programme

Due to successful implementation of immunization programme for more than two decades, vaccine preventable diseases like neo-natal and maternal tetanus, diphtheria, whooping cough have disappeared from the State. Polio free status is maintained for the past Thirteen years. There has also been a significant reduction in measles cases.

Mission Indradhanush

The Ministry of Health & Family Welfare (MoHFW) GoI, launched Mission Indradhanush in December 2014 to achieve more than 90% full immunization coverage in the country by 2020 (from 65% to 90%). A special drive to vaccinate all unvaccinated and partially vaccinated children below 2 years and Pregnant Women under UIP. In Tamil Nadu all districts have been covered under Mission Indradhanush.

Flood affected Area - Special Measles vaccination campaign

Special Measles vaccination campaign is being conducted in flood affected High risk areas namely Chennai, Kancheepuram, Tiruvallur, Cuddalore and Tuticorin districts to cover 9 months to 15 years children.

Switch from tOPV to Bopv

The Oral polio vaccine contains type 1,2,3 viruses. As a global initiative, GoI have switched from tOPV to bOPV from 25th April 2016 since type 2 polio virus has been eradicated. In Tamilnadu, the switch from tOPV to bOPV was implemented on the same day. The bOPV contains only type 1 and 3 virus.

Introduction of IPV

Inactivated Polio Vaccine (IPV) contains polio virus strains of all 3 polio virus sero-types. IPV was introduced from 22nd June 2016. Combined use of IPV and bOPV provides strong intestinal immunity and antibody protection against all 3 sero types. IPV is a liquid vaccine, no reconstitution required. IPV is being administered along with Penta 1 and Penta 3 at 6th and 14th week of infancy.

Introduction of Measles-Rubella vaccine

As per the National Technical Advisory Group on Immunization (NTAGI) recommendation, MR vaccination campaign has been conducted during the month of February 2017 and extended upto March 15th 2017 targeting all children aged 9 completed months to <15 years with a simultaneous switch from measles to MR vaccine in the National Immunization Schedule once the campaign is completed.

When rubella infection occurs during early pregnancy which leads to Congenital Rubella Syndrome (CRS) i.e. congenital cataract, congenital glaucoma, congenital deafness, congenital cardiac defects and microcephaly. There is no specific treatment for rubella and the disease can be only prevented through immunization.

Immunization Performance

(Figures in lakhs)

VACCINE T.T.M PENTAVALENT* POLIO B.C.G MEASLES ROTA IPV
2001-2002 T 12.7 11.6 11.6 11.6 11.6 - -
A 13.4 12.5 12.5 12.7 12.2 - -
% 105 108 108 110 105 - -
2002-2003 T 12.9 11.70 11.70 11.70 11.70 - -
A 13.1 12.1 12.1 12.20 12.00 - -
% 101 103 103 104 103 - -
2003-2004 T 12.8 11.6 11.6 11.6 11.6 - -
A 12.8 12 12.1 12.1 11.8 - -
% 100 103 104 104 101 - -
2004-2005 T 12.9 11.7 11.7 11.7 11.7 - -
A 12.6 11.8 11.8 11.9 11.7 - -
% 98 100 100 102 100 - -
2005-2006 T 12.7 11.6 11.6 11.6 11.6 - -
A 12.5 11.5 11.5 11.6 11.5 - -
% 98 100 100 100 100 - -
2006-2007 T 12.5 11.4 11.4 11.4 11.4 - -
A 12.4 11.4 11.4 11.4 11.3 - -
% 100 100 100 100 100 - -
2007-2008 T 12.5 11.4 11.4 11.4 11.4 - -
A 12.5 11.5 11.4 11.4 11.4 - -
% 100 101 101 100 100 - -
2008-2009 T 12.4 11.2 11.2 11.2 11.2 - -
A 12.2 11.1 11.1 11 10.6 - -
% 98 98 98 98 94 - -
2009-2010 T 12.1 11 11 11 11 - -
A 12.1 11.1 11.1 10.9 10.9 - -
% 100 100 100 99 99 - -
2010-2011 T 12.1 11 11 11 11 - -
A 11.9 10.8 10.8 10.7 10.7 - -
% 98 99 99 97 98 - -
2011-2012 * T 12 10.8 10.8 10.8 10.8 - -
A 11.7 10.7 10.7 10.6 10.6 - -
% 98 98 98 98 98 - -
2012-2013 T 11.9 10.8 10.8 10.8 10.8 - -
A 11.4 10.5 10.5 10.4 10.5 - -
% 96 97 97 96 97 - -
2013-2014 T 11.5 10.5 10.5 10.5 10.5 - -
A 11.10 10.3 10.30 10.2 10.3 - -
% 96 98 98 97 98 - -
2014-2015 T 11.36 10.35 10.35 10.35 10.35 - -
A 10.72 9.97 10.00 9.77 10.06 - -
% 94 96 97 94 97 - -
2015-2016 T 11.22 10.22 10.22 10.22 10.22 - -
A 10.28 9.66 9.70 9.41 9.85 - -
% 92 95 95 92 96 - -
2016-2017 T 10.98 9.97 9.97 9.97 9.97 - -
A 10.14 9.38 9.42 9.07 8.51 - -
% 92 94 95 91 85 - -
2017-2018 T 10.66 9.7 9.7 9.7 9.7 - -
A 9.96 9.35 9.39 9.06 9.27 - -
% 93 96 97 93 96 - -
2018-2019 T 10.38 9.43 9.43 9.43 9.43 9.43 9.43
A 10.31 9.53 9.55 9.30 9.55 9.17 9.48
% 99 101 101 99 101 97 100
2019-2020
( Apr'19 to Aug'19)**
T 10.44 9.53 9.53 9.53 9.53 9.53 9.53
A 4.17 3.89 3.90 3.89 4.02 3.88 3.89
% 96 98 98 98 102 98 98

Note

  • T -- ANNUAL TARGET
  • A -- ACHIEVEMENT
  • * From 2011 - 2012 onwards, DPT was replaced with Pentavalent vaccination.
  • ** Provisional.
  • Since 2017 April Measles replace to Measles Rubella

Disease Burden

Epidemics

  • Epidemics are Public Health emergencies.
  • Infectious diseases are major causes of morbidity and mortality.
  • The Director of Public Health and Preventive Medicine declared following diseases as notifiable diseases. Click Here to have details of Notifiable Diseases

Control for Communicable Diseases :

  • The control of communicable diseases is one of the major programmes under the Primary Health Care services, especially for the disease occurring in epidemic forms.
S.No Diseases S.No Diseases S.No Diseases
1 Cerebrospinal fever 8 Rabies 15 Whooping cough
2 Chicenpox 9 Scarlet fever 16 Virus Encephalitis
3 Diptheria 10 Small pox 17 Haemorragic fever
4 Leprosy 11 Typhoid/Enteric Fever 18 Malaria
5 Cholera 12 Tuberculosis 19 Tetanus
6 Measles 13 Infectious Hepatitis 20 Poliomyelitis
7 Plague 14 Epidemic influenza 21 AIDS
  • Acute Diarrhoeal Diseases and suspected cholera are common among the water borne diseases. Tamil Nadu is endemic for Acute Diarrhoeal Diseases with sporadic outbreak of cholera in most of the districts throughout the year, and in epidemic proportions during the rainy seasons and peak summer periods.
  • All the District Level officials and executive authorities of local bodies take necessary preventive measures including proper disposal of solid wastes and maintain sanitation and hygiene chlorinate all water sources and undertake fly control measures.

The following are the details of cases and deaths due to the ADD/Cholera in Tamil Nadu.


Year
AcuteDiarrhoeal Diseases Cholera
Cases Deaths CFR Cases Deaths CFR
1997 78025 520 0.67 2261 2 0.09
1998 77677 368 0.47 1807 0 0.00
1999 74583 266 0.36 1807 1 0.06
2000 64130 195 0.30 1328 1 0.05
2001 59511 159 0.27 1110 1 0.09
2002 69889 199 0.28 1591 3 0.19
2003 58784 66 0.11 390 1 0.26
2004 77333 119 0.15 1500 2 0.13
2005 70465 65 0.09 777 1 0.13
2006 52555 22 0.04 152 1 0.66
2007 37556 19 0.05 212 0 0.00
2008 57463 62 0.11 994 0 0.00
2009 87207 21 0.02 826 0 0.00
2010 60314 45 0.07 932 1 0.1
2011 206669 24 0.01 580 0 0.00
2012 198317 17 0.01

516 0 0.00
2013

189288 24 0.01 146 0 0.00
2014

176795 6 0.00

18 0 0.00
2015

183868 0 0.00

26 0 0.00
2016 184952 0 0.00

4 0 0.00
2017 150429 1 0.00

0 0 0.00
2018 135558 0 0.00

0 0 0.00
January 2019 9767 0 0.00

0 0 0.00
February 2019 8876 0 0.00

0 0 0.00
March 2019 10471 0 0.00

0 0 0.00
April 2019 8481 0 0.00

0 0 0.00
May 2019 12965 0 0.00

0 0 0.00
June 2019 11132 0 0.00

0 0 0.00
July 2019 10899 0 0.00

0 0 0.00
August 2019 13837 0 0.00

0 0 0.00
  • The National Institute of Communicable Diseases, a premier Institution of the Director General of Health Services, Government of India, provide necessary technical support to the State and districts (Dharmapuri and Madurai) in the area of Man Power Training, Communication equipment's facilities and setting up of Laboratory services.

NATIONAL SURVEILLANCE PROGRAMME FOR COMMUNICABLE DISEASES IN TAMILNADU

The objective of the programme is capacity building at District, Regional and State levels for disease surveillance and appropriate response to early warning signals of outbreaks of communicable diseases. The programme will be implemented by the state health authorities through the existing health infrastructure and surveillance system strengthened through training of the medical and paramedical personnel, upgradation of laboratories, communication and data processing systems.

National Surveillance Programme For Communicable Diseases has been launched in two Revenue districts, Dharmapuri and Madurai during 1998-1999 in Tamil Nadu as per the guidelines of Government of India.

The above two districts have been selected by the Govt. of India based on the incidence of Dengue in Dharmapuri District and Leptospirosis in Madurai District.

As per the instructions of the NICD, Govt. of India, the following districts have been proposed under this programme for the years 2000-2001 and 2001-2002. The total No. of Revenue districts under this programme will be five in Tamil Nadu.

1. 1998-99 1) Dharmapuri, 2) Madurai (already implemented)
2. 2000-01 1) Coimbatore 2) Salem
3. 2001-02 1) Villupuram

Industrial Hygiene and Health

The Water Analysis Laboratories established at Chennai and Coimbatore collect and examine water samples from various protected water sources to control pollution and contamination of drinking water. These laboratories also assist the Tamil Nadu pollution control board in examining the samples of Industrial wastes and conduct field surveys to ensure the prevention and control of environmental and industrial pollution.

Air pollution surveys are also carried out around the industries to asses air quality. Efforts are also taken for abatement of nuisance and classifying the industrial and residential areas.


Prevention of Food Adulteration

Prevention of Food Adulteration

  • Prevention of Food Adulteration Act 1954 and the Prevention of Food Adulteration Rules 1955 as amended from time to time are enforced in the State of Tamil Nadu.
  • The Act aims at the abatement of adulteration in food articles of human consumption commonly used by the people so as to enable the people to have access to wholesome and unadulterated food.
  • In the urban of the State, Municipal/Corporation Health Officers are functioning as Local Health Authorities and where there is no Health Officer the Commissioner acts as Local Health Authority.
  • In the rural areas Medical Officers of the Primary Health Centres are functioning as Local Health Authorities. The Food Inspectors function under the control and guidelines for the purpose of enforcement.
  • Lifting of food-samples have been fixed only for 481 local bodies including all Corporations, Municipalities and cantonments and certain Town Panchayats and Panchayat Unions.
  • The food samples lifted under the Act are tested for adulteration in seven Food Analysis Laboratories in the State.
  • One is under the control of Chennai Corporation and the other 6 situated at Guindy, Coimbatore, Madurai, Thanjavur, Palayamkottai & Salem are under the control of this Department.
  • The Food Inspectors as per the guidelines of Local Health Authority and Public Analysts in the above Laboratories authorised for launching prosecution.
  • In the Court of law they pursue cases with the assistance of APP & Legal Adviser at the Directorate, in Courts, if the food sample found to be adulterated and certified by the Govt./Public Analyst.
  • The public who is in need of testing the food samples suspected to be adulterated may contact the nearby Food Analysis Laboratory.

PROCEDURE FOR ANALYSING NON - STATUTORY SAMPLES

Besides analysis of statutory samples the Food Analysis Laboratories undertake the analysis of non - statutory samples received from the consumers, private purchasers, traders and manufacturers.

Consumers can get their food samples analysed by the Food Analysis Laboratories paying an analysis fee of Rs.500/- per sample to know the quality of the food.

In case of any specific complaint, consumer can send the food sample through consumer court to the respective Food Analysis Laboratory for analysis paying the necessary analysis fees. Based on the analytical report of the lab, the consumer can get redressal or compensation through the consumer court as the case may be.

Small traders can also approach the Food Analysis Laboratories for testing their food products to know the quality and conformity of standards. They can also get advice and guidance with regard to proper labeling of the product as per the latest legal requirements.

BAN ON THE SALE OF CHEWING TOBACCO, GUDKA AND PAN MASALA

Pan Masala combined with tobacco leads to oral cancer and damage other organs as well. The disease of sub-mucus fibrosis leads to mouth cancer. Nearly a third of all cancers that occur in the country attribute to use of Pan Masala. It is possible that the wide spread tobacco chewing habit is responsible for the high incidence of cancer of the oral cavity in India.

To save the younger generation who have become addict to this ill habit and in the interest of public health the Director of Public Health and Preventive Medicine who is the State Food Health Authority of Tamilnadu has banned the sale of Chewing Tobacco, Gudka and Pan Masala containing tobacco or any other ingredient injurious to health in the State of Tamilnadu for a period of five years with effect from 19th November 2001

Performance under Prevention of Food Adulteration

 
Sl.No Particulars 2003-04 2004-05 2005-06 2006-07 2007-08 2009-10 2010- 11
(April 2011)
2010- 11
(May 2011)
2010- 11
(June 2011)
2010- 11
July 2011)
2010- 11
Sep 2011)
2010- 11
(Oct 2011)
1 No.of samples analysed 4277 3968 3641 3639 4996 647 789 783 908 925 348 From 05.08.2011 Food Safety and Standard Act 2006 implemented
2 No.Found Adulterated 761 545 419 547 923 61 76 64 72 92 12
3 % of Adulteration 17.79 13.74 11.50 15.03 18.47 09.43 8.32 8.17 7.93 9.95 3.45

Industrial Hygiene and Health

Industrial Hygiene and Health

  • The Water Analysis Laboratories established at Chennai and Coimbatore collect and examine water samples from various protected water sources to control pollution and contamination of drinking water.
  • These laboratories also assist the Tamil Nadu pollution control board in examining the samples of Industrial wastes and conduct field surveys to ensure the prevention and control of environmental and industrial pollution.
  • Air pollution surveys are also carried out around the industries to asses air quality. Efforts are also taken for abatement of nuisance and classifying the industrial and residential areas.

WATER ANALYSIS

A.) ACTIVITIES OF WATER ANALYSIS LABORATORIES AT GUINDY-CHENNAI AND COIMBATORE.

The water Analysis Laboratories at Guindy, Chennai and Coimbatore are providing water quality monitoring services for all the approved protected water supply system located in several local bodies(including the rural water supply schemes)

The Local authorities maintain the water supply systems with the assistance of the Health Inspectors(General) of this Department.

Trained water sample collector visit all the protected water supply systems and collect samples of water for a detailed examination for physical, chemical, bacteriological and biological quality from the water sources, water treatment units , service reservoirs and distribution network.

The results of the analysis are communicated to the concerned local authorities for rectification of defects pointed out therein.

Special field investigations are also carried out wherever problems in water supplies arise like outbreak of water borne, epidemics, droughts, floods, etc.. and in places wherever important fairs and festivals are held, so as to checkup the water quality and distribution systems on the spot and to carryout remedial measures.

B.) PROCEDURES TO BE ADOPTED BY THE PUBLIC FOR TESTING WATER SAMPLES FOR ANALYSIS OF POTABILITY AND OTHER TESTS.

Water samples for potability test are accepted at this Laboratory " WATER ANALYSIS LABORATORY" Department of Public Health and Preventive Medicine, King Institute of Preventive Medicine Campus, Guindy, Chennai 600 032. Phone No. 2341025.

Public may approach this Laboratory with a requisition letter stating their requirement for test with sampling details like, nature of source, purpose of test etc..

Sterile containers along with printed prescribed proforma for furnishing full details may be collected at this end after remitting the required analytical fee as advance payment which varies for purposes like drinking, building construction, Industrial purpose, Swimming Pool purpose, Food processing etc&ldots;

Analytical fees may be paid either by cash or Demand Draft drawn in favour of Chief Water Analyst, King Institute Campus, Guindy, Chennai - 600 032.

Some of the important analytical charges are listed below per sample:

  • Routine drinking purpose Rs.500-00
  • Drinking purpose as IS 10500 - 1991 Rs.3200-00(except pesticides)
  • Building constructions Rs.800-00
  • Industrial purpose Rs.600-00
  • Food processing Rs.3200-00

After payment and at the time of collection of sterile containing for bacteriological analysis necessary instructions will be furnished. Water should be submitted in 5 Liters. White plastic container for chemical Analysis.

As per the instructions sample should be submitted to this Laboratory within 24 hours. If it exceeds the time the sterile container should be preserved in Ice so as to reach this Laboratory within 48 hours.

Public will be guided at this Laboratory for further details at the time of remitting analytical charges.

Registration of Birth & Death

Civil Registration is a continuous, permanent, compulsory recording of the occurrence and characteristics of vital events, like births, deaths and still births. The registration of births and deaths is carried out under the provisions of the Registration of Birth and Death (RBD) Act, 1969 and the Registrar General, India is entrusted with the responsibilities of co-ordinating and unifying the activities under CRS in the Country. The Director of Public Health and Preventive Medicine is the Chief Registrar of Births and Deaths in Tamil Nadu and he is the implementing authority of the RBD Act 1969 in the State.

The District Registrar /Additional District Registrar is responsible for carrying into execution in the District, the provisions of this Act and the orders of the Chief Registrar issued from time to time for the purpose of this Act.

The registration of births and deaths is done by the local registrars appointed by the State Government under Section 7(1) of the RBD Act, under whose jurisdiction the event has taken place.

Registration Hierarchy:

Registrar General India and Census Commissioner India

Chief Registrar of Births and Deaths

Director of Public Health and Preventive Medicine

Deputy Chief Registrar(Joint Director(SBHI))

District Registrars(District Revenue Officer/Commissioner Corporation of Chennai)

Additional District Registrars(Deputy Director of Health Services/Chennai City Corporation Health Officer)

Joint District Registrar(Assistant Director(SBHI))

Registrars

Country level

State level

District level

The following Departments are involved in Birth and Death Registration work

  • Municipal Administration,
  • Town Panchayats,
  • Revenue Administration,
  • Corporation and Public Health Department

Time period prescribed for registering the event:

The normal period of 21 days (from the date of occurrence) has been prescribed for reporting the birth, death and still birth events.

Fee for registration of births and deaths:

If any event of a birth or death is reported for registration to the prescribed authority within the normal period of 21days, no fee would be charged.

Registration can be made after the normal period of reporting:

If any event of birth or death is not reported for registration within 21 days, the same can be reported any time under the Delayed Registration provisions prescribed under Section 13 of the Act with payment of fee prescribed.

S.NO Period from the date of occurrence Late fee and permission order

1.

21 Days to 30 Days

Rs. 100/-

2.

After 30 Days to 1 year

Written permission of the Officer prescribed and on payment of late fee of Rs. 200/-.

3.

After 1 year

Any birth or death which has not been registered within one year of its occurrence shall be registered by an order of the Executive Magistrate not below the rank of a Revenue Divisional Officer and on payment of late fee of Rs. 500/-.

The Government have ordered the revision of fee in G.O.Ms.No.360 Health and Family welfare (AB2) Department, Dated 12.10.2017 is detailed below.

Revision of Fee

S.NO Sec Rule Sub Rule Item Revision Ordered in G.O.Ms.No.360 Health dt. 12.10.2017 Rs.

 

1.

 

13

 

9

  •  
  •  
  • 9(1)
  • 9(2)
  • 9(3)
DELAYED REGISTRATION
  1. Within 30 days of its occurrence
  2. After 30 days but within one year
  3. Above one year
  •  
  •  
  • 100/-
  • 200/-
  • 500/-

 

2.

 

14

 

10

 

10(a)

NAME REGISTRATION

Registration of name of the Child after 12 months if the register is in his possession enter the name in the relevant column on payment of late fee.

 

200/-

 

3.

 

14

 

10

 

10(b)

NAME REGISTRATION

Registration of name of the Child after 12 months if the register is not in his possession enter the name in the relevant column on payment of late fee.

 

200/-

 

4.

 

17

 

13

  •  
  •  
  • 13(1)(a)
  •  
  •  
  • 13(1)(b)
  •  
  •  
  • 13(1)(c)
  •  
  •  
  • 13(1)(c)
  •  
  • 13(1)(d)
SEARCH FEE
  • Search for a single entry in the 1st year for which the search in made
  •  
  • For every additional year for which the search is continued
  •  
  • For granting extract relating to each birth or death
  •  
  • For additional copies
  •  
  • For granting Non-availability Certificate
  •  
  •  
  • 100/-
  •  
  •  
  • 100/-
  •  
  •  
  • 200/-
  •  
  •  
  • 200/-
  •  
  • 100/-

Persons Responsible for reporting the event:

  1. In respect of birth or death occurred in a house, it is the duty of the Head of the house/household or nearest relative of the head present in the house or in the absence of any such person, the oldest male person present therein during the said period is responsible to report the event to the concerned Registrar/ sub Registrar. These events can also be reported through the prescribed Notifiers such as Anganwadi Workers, ANMs, ASHAs and HMs of Government and Government Aided Schools with the informant's signature.
  2. In respect of birth or death occurred in a hospital, health center, Maternity or nursing home or other such institutions, the Medical officer In-charge or any person authorized by him on his behalf is responsible for reporting.
  3. In respect of any new born child abandoned or dead body found deserted in a public place, the Village Administrative Officer in the case of a village and the officer in charge of the local police station elsewhere is responsible for reporting.

Whom to approach for registration:

The events of birth and death are registered at the place of occurrence of the event i.e. where the event took place. Under the provision of Section 7 of the RBD Act, the Registrars of Births and Deaths are appointed for each local area comprising the area within the jurisdiction of the Municipality,Panchayat or other local authority.

Registrars

Local Area Registrars
Corporation Sanitary Inspector
Municipality, Township Sanitary Inspector
Town Panchayats Executive Officer/ Sanitary Inspector
Village Panchayats Village Administrative Officer
Primary Health Centres Health Inspector
Government Institutions located in Village Panchayats Multi Purpose Health Supervisor (Male)
Cantonment Sanitary Inspector
Estates / Plantations Manager

How many copies of birth or death certificate can be obtained:

One free copy of birth / death certificate is issued to the informant under Section 12 of the RBD Act. Under the provision of Section 17 of the Act, any number of copies can be obtained by any one after paying the prescribed fee.

Name Registration of the Child:

Name of the child shall be registered by the Parents within one year from the date of registration of the birth without any late fee.

If the Child Name has not been registered within one year, the same may be done after 1 year but within 15 years from the date of registration with a late fee of Rs. 200/-.

Extension of Time Limit for Name registration of the Child:

  1. For the birth registered prior to 01.01.2000 without name, the name of the child shall be registered upto 31.12.2019.

Search and Grant of Extract under section 17:

  1. For granting extract relating to each Birth or Death - Rs.200/-
  2. Search for single entry for each year - Rs.100/-
  3. For every Additional year for which the search is continued Rs.100/-
  4. Granting Non Availability certificate of Birth or Death -Rs.100/-

Additional Birth and Death Registration units in PHCs:

In G.O.Ms.No. 204 Health and Family Welfare (AB2) Department dated 15/07/09 all the Primary Health Centers in Tamil Nadu have been declared as Additional Births and Deaths Registration units and the Health Inspectors working in Primary Health Centres are appointed as Births and Deaths Registrars of the respective units. In all the Primary Health Centers and in the major Hospitals, the Birth Certificates are issued prior to the discharge of the mother from the hospitals after delivery of the child.

Issue of Free Birth Certificates

The Government have issued orders in G.O.Ms.No.138 Health and Family Welfare (AB1) Department dated 6/5/09 to issue free Birth Certificates for the deliveries occurred in all Government Hospitals prior to the discharge of the mother from the hospitals as per Sec 12 of the Registration Birth and Death Act.

In order to register the Vital Events occurring in Government institution so as to provide the Birth / Death certificate before they leave the Hospital, the Government have ordered for the appointment of Birth and Death Registrars in G.O. Ms. No.353, Health and family welfare (AB2) Department, Dated 09/10/2017.

  1. MPHS (Male) of the PHCs as Registers for the Government District Head Quarters Hospitals, Government Medical College Hospitals, Taluk and Non Taluk Hospitals situated in the village Panchayats.
  2. Sanitary Inspectors / Executive Officers of Urban Local Bodies and Town panchayats are the Registrars for the Government District Head Quarters Hospitals, Government Medical College Hospitals, Taluk and Non Taluk Hospitals situated in Urban Local Bodies and Town panchayats.

Registration of birth occurred to Indian Citizen abroad (outside India)

Any Birth and Death which occurs outside India for the Citizens of India is to be registered at the Indian consulate under the citizenship Act, 1955 and every such registration is deemed to have been made under the RBD Act. The Birth certificate issued by the Indian Embassy would serve all the Purpose.

In case, if the parents of the child return to India with a view to settling therein, the said birth can be registered with in sixty days from the date of arrival of the child in India at the place of settling. In case if the birth has not been registered within 60 days from the date of arrivals, the same can be registered under the delayed registration provisions of section 13 (2) & (3) of the said Act.

Registration of Adopted Children

Adoption procedures have been made simple and a new form for registering adopted children has been introduced (Form1A) and the Birth certificate to the adopted child is issued in Form No.5 (Birth Certificate) containing the name of the adopted parents and the place of birth will be taken as name of the city /place where the agency / institution giving adoption is situated and the registrar will register the adopted child based on the adoption order of the court and the registered adoption deed.

For non institutional adoptions that took place within relations or acquaintances registered adoption deed duly registered before the sub registrar authorized by the State Government is enough and no need to produce adoption order of a court for such cases.

If the adoptions taking place through institution the details of the parents may or may not be known and the birth of the child may or may not be registered.

In case Birth Registered

In case the birth of the adopted child has already been registered then the place of birth and the date of birth in the original birth certificate will not undergo any change. The registrar in whose jurisdiction the adoption agency is located shall send the duly filled birth reporting form along with the adoption order / deed and the copy of the original birth certificate to the registrar where the birth was originally registered. The registrar shall also make a request to effect changes in the name of the child, name of the adoptive parents and address of the adoptive parents in the birth records and send the revised birth certificate to him / her for being provided to the adoptive parents. On the basis of the details contained in adoption order / the deed requisite changes will be made in the name of the child, name of the adoptive parents and address of the adoptive parents by the registrar where the birth was originally registered.

Birth not registered

In case the birth of the adopted child has not been registered the place where the adoption agency is located shall be treated as place of birth of the child. The date of birth of the child has to be determined by the Chief Medical Officer or any duly licensed physician and as reflected in adoption order / deed issued by the local magistrate shall be recorded as the date of birth in birth reporting form. The date of birth, name of the adoptive parents, address of the adoptive parents as contained in the adoption order / deed along with the number and date of the order shall be entered in the birth reporting form. The concerned registrar of the area where the adoption agency is located shall register the birth on the basis of the adoption deed and duly filled in birth reporting form and issue the birth certificate.

Issue of Birth Certificate for single parent / unwed mother

If a Single parent / unwed mother apply for the issuance of a Birth Certificate for a child born from her womb, the Birth and Death Registrars concerned may only require her to furnish an affidavit to this effect, and must there upon issue the Birth Certificate, unless there is a Court direction on the contrary. In such cases the name of the single parent will be written in the birth record and the name of the other parent will have to be left blank.

Registration of Vital Events Occurring in Moving Vehicles

If death occurred in a moving vehicle, it should be reported by the family members or attendant accompanying the deceased to report the event to the Jurisdictional Registrar for registration.

The Death occurred in a moving vehicle transporting a patient should not be treated as institutional death despite the fact that patient was taken to nearby hospital and declared brought dead by the hospital. The Medical Officer is not responsible for reporting such deaths.

It cannot be the hospital name and address or the way to hospital etc. It will be registered by the Registrar in whose jurisdiction the area falls.

In case of natural death in a moving vehicle, in addition to vehicle in charge, if deceased was accompanied by relatives or attendant, they may report the event to the concerned Registrar in whose area the event occurred. In case deceased was not accompanied by any one, the vehicle in charge should report the event to the concerned Registrar in whose area the event occurred.

In case of accident, murder etc. (where an inquest is held) it will be covered under Rule 6(2) and will be registered on the basis of the Police inquest report and the Death report form furnished by them. The place of death will be the same as mentioned in that report.

In case of long journey, the first place of halt will be the place of death, in addition to vehicle in charge, if deceased was accompanied by relatives or attendant, they may report the event to the concerned Registrar in whose area the event occurred. In case deceased was not accompanied with any one, the vehicle in charge should report the event to the concerned Registrar in whose area the event occurred.

Procedure for registration of birth of Orphan/abandoned children

The in-charge or caretaker of the concerned institution in case of children in orphanage or similar institution and the guardian in case of children outside such institutions are responsible for reporting the birth event to the concerned Registrar of births and deaths under Section 8 of the Registration of Births and Deaths, (RBD) Act,1969.

  1. In case the place of birth of the orphan child is not known, the place where the orphanage is located or the child is residing may be treated as the place of birth of the child.
  2. In case the date of birth of the child is not known, the age may be determined by the Chief Medical Officer (CMO) having jurisdiction over the area where the orphanage is located or the child is residing and a probable date of birth assigned. The date of birth as assigned by the CMO can be taken as the date of birth and entered in the Birth Reporting Form.
  3. In case the name(s) of parent(s) are known to in-charge of the institution/guardian, enter the same in the birth reporting form. In case the name(s) of parent(s) are not known, the column for name(s) of parent(s) shall remain blank in birth reporting form.
  4. If the child is admitted through Surrender Deed, the respective orphanage should obtain birth certificate from the parents concerned in order to avoid duplication. If birth was not registered earlier, the orphanage shall report the details of the child for birth registration as mentioned above.
  5. In case the name of the child is known, the same may be given in the Birth Reporting Form. In case the name is not known, the person in charge of the orphanage/guardian shall give a name to the child and record the same in the Birth Reporting Form.
  6. In cases of delayed Registration, the procedure as laid down in Section 13(1), (2) and (3) and corresponding Rule 9 may be followed.
  7. The concerned Registrar of Births and Deaths having jurisdiction over the area where the orphanage is located or where the orphan is residing shall register the birth based on the particulars provided in the Birth Reporting Form.

Supportive Documents to be provided for Registration:

The supportive documents for date and place of occurrence of a domiciliary birth/death and reported within 21 days of occurrence of the event along with Birth/Death Reporting forms are:

Declaration by parent(s) in prescribed proforma

Address Proof- copy of any one of the self attested document (Voter id card, electricity/gas/water/ telephone bill, Passport, valid Ration card, Aadhaar card, running bank account etc.)

Provision of Birth and Death Certificates through On-line

The Government have ordered for implementation of the new common CRS Software by all line departments from 01/10/2017 in G.O. Ms. No.351, Health and family welfare (AB2) Department, Dated 09/10/2017.


Training

Training and Continuing Health Education Programme

Continuing education, In-service training and Pre-service training programmes are organized for the Health Officers, Medical Officers, Nurses and other paramedical staff through eight Regional Training Institutes (RTI) namely Institute of Public Health, Poonamallee, Health and Family Welfare Training Centres (HFWTC) at Egmore, Madurai, Health Manpower Development Institures at Villupuram and Salem, Institute of Vector Control and Zoonoses, Hosur and Regional Institute of Public Health, Thiruvarankulam, Pudukottai and HFWTC, Gandhigram, Dindigul.

The Institute of Public Health Poonamallee is recognised as national collaborative training centre with National Institute of Health and Family Welfare, New Delhi.

In these eight institutes one year Multi-Propose Health Worker (Male) Training course is conducted. The Training programmes organised by the National Health Mission, Capacity building trainings in Skilled Birth Attendance (SBA), Emergency Obstetric Care (EmOC, six months training), Life Saving Anaesthesia Skills (LSAS, six months training), Skill lab programmes, Integrated Management of Neonatal and Childhood Illness, Immunization, Integrated Disease Surveillance and Control Programme (IDSP), Computer training and other NHM training programmes are organized in these training institutes Ultra sonogram training is given to Primary Health Centres Doctors for detection of congenital deformities during pregnancy in Public Private Partnership mode.

Presently there are twelve Auxiliary Nurse and Midwifery (ANM) Training Schools in the State. These Schools are conducting two year pre- service ANM Training course.

REGIONAL TRAINING INSTITUTES (RTI)

  1. Health and Family Welfare Training Centre (HFWTC), Egmore, Chennai
  2. Health and Family Welfare Training Centres (HFWTC), Madurai
  3. Health Manpower Development Institute (HMDI), Villupuram
  4. Health Manpower Development Institute (HMDI), Salem
  5. Institute of Public Health, Poonamallee
  6. Regional Training Institute of Public Health, Thiruvarankulam, Pudukkottai
  7. Institute of Vector Control and Zoonosis (IVCZ), Hosur
  8. Health and Family Welfare Training Centres (HFWTC), Gandhigram, Dindigul

Auxiliary Nurse & Midwifery Training Schools (ANM)

  1. ANM Training School @Institutes of Public Health, Poonamallee
  2. ANM Training School @ Regional Training Institute of Public Health,Thiruvarankulam , Pudukkottai
  3. ANM Training School @ Health and Family Welfare Training Centre (HFWTC), Egmore, Chennai.
  4. ANM Training School @ Health and Family Welfare Training Centre (HFWTC), Madurai
  5. ANM Training School @ Health Visitor Training School , Triplicane, Chennai
  6. ANM Training School @ Tirunelveli Medical College, Tirunelveli
  7. ANM Training School @ Marandhahalli, Dharmapuri District
  8. ANM Training School @ Community Health Centre, Manickkapalayam, Namakkal District
  9. ANM Training School @ Community Health Centre, Veerapandi, Theni District
  10. ANM Training School @ Community Health Centre, Poovanthi, Sivaganga
  11. ANM Training School @ Gandhigramm Rural Training Centre, Dindigul District

Ongoing New Trainings

  • Life Saving Anesthesia Skill Training for Medical Officers (LSAS)
  • Emergency Obstetric Care Training for Medical Officers (Emoc)
  • Scan Training
  • Master of Public Health at NIE
  • Health Officer Training
  • Certificate Course in Community Health Care Training for VHN / ANM under UHC

District Level Team

  • District Training Team Medical Officer
  • Block Training Team (Block level)

LONG TERM TRAINING

  • Life Saving Anesthesia Skill Training for Medical Officers (LSAS) - 6 months (Through 11 Medical Colleges) 21 batches completed and 618 Medical Officers trained.
  • Emergency Obstetric Care Training for Medical Officers (Emoc) - 6 months (Through KGH, Triplicane) 20 batches completed and 136 Medical Officers trained.

Multi Purpose Health Worker (Male) Training

  • Multipurpose Health Worker (Male) Training - 1 year course
  • The Training is Conducted in 6 Regional Training Institutes, IPH Poonamallee, HFWTC Madurai, HMDI Villupuram, Salem, IVC&Z , Hosur and RTIPH, Thiruvarangulam
  • The inservice training is given to Lab Technician Grade-III of Public Health Department and Sanitary Supervisors of Municipal Administration Department
  • During the year (2011-12), 300 candidates were trained
  • During the year (2013-14), 600 candidates were trained
  • During the year (2015-16), 250 candidates were trained [199 Lab Technician Grade-III and 51 Sanitary Supervisors, totally 250 candidates were trained in these Institutes].
  • For the year (2016-17), 135 Lab Technician Grade-III aretrained
  • For the year (2017-18), 10 Sanitary Supervisors from Municipal Administration Department are undergoing one year Sanitary Inspector Training course at Institute of Public Health, Poonamalle as per G.O.(D) No. 1339, Health & Family Welfare(L1) Department , dated 26.07.2018.
  • The Government have permitted the DPH&PM, as Chairman, Board of Examination for Multi Purpose Health Worker (Male)/H.I./S.I. Training Course (2 year Course) run by Private Institutions as per G.O.(Ms). No. 107,Health(N1) Dept., dt. 13.04.2017. Accordingly, 55 Private Trusts/ Institutes for the academic year 2017-18,2018-19 & 2019-20.

Auxiliary Nurse Midwives (Female) Training -2 year course

  • During the year (2013-15) ,210 candidates were trained
  • During the year (2014-16), 540 candidates were trained
  • During the year (2015-17), 400 candidates were trained
  • For the year (2016-18), 510 candidates were trained
  • For the year (2017-19), 554 candidates were trained
  • The Government have permitted the DPH&PM, as Chairman, Board of Examination for ANM Training Course run by Private Institutions as per G.O.(Ms).No.44, Health(N1) Dept., dt.20.02.2017. Accordingly, 44 Private Trusts/ Institutions were permitted to start ANM Training Schools for the academic year 2017-18, 2018-19 & 2019-20.

Universal Health Care Coverage

  • Under Universal Health Coverage, its completed 882 Staff Nurses have completed one month training in Comprehensive Primary Health Care in 4 Training Institutes. Further 2 days training to 918 Staff Nurses is being given in 4 Regional Training Institutes.
  • One year Certificate Course in Community Health Care for Village Health Nurses with supportive guidance and affiliation of The Tamil Nadu Dr. MGR Medical University, Chennai have been started from Jan, 2019 onwards in 7 Training Institutes.
  • At present 1086 VHNs are undergoing Mid-Level Health care Provider (MLHP) Training in 7 Training Institures.

School Health

Rashtriya Bal Swasthya Karyakram (RBSK)

In Tamilnadu, for the past 3 decades, i.e. since 1962, the school health programme was implemented by the Department of Public Health & Preventive Medicine for providing comprehensive health care services for the school children studying in 1st to 12th standard of Govt and Govt aided school. On Thursdays, health screening was done for all the school children to identify minor's ailments, nutritional deficiencies, refractive errors and any other systemic illnesses. Minors ailments were treated on the spot by the PHC level health team and the Children with major illnesses were referred to higher medical Institutions for further Management. Under this Programme, two nodal teachers from each school were identified and they were trained in identifying common illness among children, providing assistance for the school health team and also to follow the referred children.

During 2010-2012, the school health programme had been modified and renamed as Modified School health Programme. The new initiatives under modified school health programme had been included as

  • Co-ordination between health & Education Department
  • Comprehensive health education using a modified syllabus based on the School Total Health Programme
  • Primary screening by teachers.
  • Emergency care / first aid management at school
  • Counselling services for the teenage students.
  • Human resources management and capacity building.

During 2014, Government of India has initiated a new programme called Rashtriya Bal Swasthya Karyakram (RBSK), Child health screening and Early intervention services programme, under National Rural Health Mission and the programme aims at early detection and management of the 4D's - Defects at birth, Deficiencies, Diseases and Developmental delays including disabilities along with Adolescent health concerns (38 health condition) among children.

Many schemes and components carried out under School Health Programme (SHP) in Tamilnadu namely modified school Health programme Correction of Refractive Errors (Kannoli Kaapom Thittam), Comprehensive school children Dental programme, congenital Defects programme and various other NGO schemes had been merged under RBSK.

To facilitate health screening, each community block is provided with 2 Mobile health teams. Each team consist of 1- Medical officers (One team with 1-Male Medical officer and another team with 1 - Female medical officer), 1- Staff nurse and 1- Pharmacist with computer skills. The children in the block will be screened for 4D's+A (38 conditions). Minor ailments will be treated on the spot.

The children with identified conditions will be referred to the District early intervention centres (DEIC) for confirmation and further management.

The District Early Intervention Centres (DEIC) is placed at all District Head Quarters Hospital / Medical college Hospitals which are having varied medical & paramedical professionals to manage the referred children. The RBSK scheme is funded by National Health Mission

SCHOOL HEALTH PROGRAMME PHYSICAL ACHIEVEMENTS (2010-2015)

Particulars Total Schools No. of Schools Covered % Total No. of students to be examined Total No.of students (Examind} % No. of students treated for minor ailments No. of students referred to referral hospitals %
2010-11 42769 38568 89.0 9994358 7320324 73.2 3466014 28754 0.27
2011-12 42769 38567 90.2 9230098 7363190 79.8 3131904 42483 0.40
2012-13 43825 38567 87.9 9230098 6914895 74.9 3046232 42054 0.40
2013-14 43825 40694 92.9 9230098 6831225 74.0 2890255 33492 0.30
2014-15 43825 39931 91.1 9230098 6379138 69.1 2538739 32650 0.30

RBSK Performance in Tamilnadu

No. OF AWCs & SCHOOLS VISITED
Year Total No. Of Anganwadi To Be Visited Visit 1 % Visit 2 % Total No .Of Schools To Be Visited Total No. Of Schools Visited %
2015-16 53103 38184 72 21742 40 43825 35950 82
2016-17 54439 49083 90 35183 65 45614 42169 93
2017-18 54439 53247 100 40991 77 45614 44592 100
2018-19 54439 52424 96 38374 71 45614 42639 94
2019-20
(UP TO SEP'19)
54439 52041 96 8662 16 45614 15443 34
No. OF AWC & SCHOOL CHILDREN EXAMINED
Year NO .OF ANGANWADI CHILDREN TO BE COVERED NO .OF ANGANWADI CHILDREN EXAMINED(Two Times Examined) % NO OF SCHOOL CHILDREN TO BE COVERED NO .OF SCHOOL CHILDREN EXAMINED %
2015-16 4393475 2463873 28 9230098 6335766 69
2016-17 8737614 5002154 61 7340460 7854455 100
2017-18 8737614 4963496 59 7340460 7739330 100
2018-19 8737614 5173874 59 7340460 7002554 95
2019-20
(UP TO SEP'19)
8737614 3030188 35 7340460 2451353 33
No. OF CHILDREN IDENTIFIED , REFERRED & TREATED
Year No of Children Examined (0-18) yrs No of Children identified (0-18) yrs No of Children Referred (0-18) yrs % of referral to Identified No of Children Treated (0-18)yrs % of treatment to Referred
2015-16 10990886 1184387 605042 51 309751 26
2016-17 12856609 1149533 1024347 89 640703 56
2017-18 12702826 857609 771375 90 533502 62
2018-19 12176428 7842298 623581 80 400379 51
2019-20
(UP TO SEP'19)
5481541 349734 275321 79 194366 56

RESEARCH CUM ACTION PROJECT

POUR-FLUSH WATER SEAL LATRINE:

The Research Cum Action Project at Tamil Nadu, financed by the Ford Foundation and Ministry of Health, Government of India, has its genesis in 1956. The major objective of the project was to improve Educational Methods, Conducting Systematic Research in various Public Health Programmes and to evolve a Low Cost Sanitary Latrine suitable for the rural household.

DESIGN

A Pour-flush Latrine consists of a squatting pan of a special design, having a steep gradient at the bottom and a particular depth and a trap having 20 mm waterseal. This is so designed that the human excreta of one person can be flushed by pouring nearly 2 litres of water. The excreta is discharged into the leaching pits. The squatting pan is connected to the leaching pit through a pipe. These pits are lined with honey comb brick work or open joined stones, so as to allow the liquid in the pits to percolate and gases to be absorbed into the soil; and at the same time preventing the pit from collapsing. The sludge gets digested and settles down gradually

The pits are used alternately. When one pit is filled, it is stopped being used and the excreta is diverted to the second pit. The filled up pit is left unused; and in about 24 months the contents become rich organic humus, innocuous, free of pathogen and smell. When convenient, it is emptied and contents could be used as fertiliser. It is then ready to put back into use when the second pit becomes full in its turn.

With simple care and cleaning by the household, the pour-flush latrine is a very satisfactory and hygienic sanitation system. They can be located inside the house, since water-seal prevents odour or insect nuisance.

SIZE OF PIT:

The size of leach pits depends on factors such as : soil characteristics, sub-soil water level, interval of cleaning, number of users and people's food habit. The dimensions of the leaching pits for 5 number of users for three years is 900 mm internal diameter and 1100 mm effective depth. The pits should be located 8m away from the drinking water sources.

MAINTENANCE:

Maintenance of pour-flush latrines is very easy and simple. Day-to-day maintenance consists only of washing the latrine floor and cleaning the pan. No other maintenance cost is needed. The cost of cleaning the pits can be covered by sale of humus obtained from the pits.

PAN AND TRAP:

The squatting pan and trap can be ceramic, fibre glass reinforced polyester plastic (GRP) or cement.

COST:

The cost of construction of a pour-flush latrine with single pit without super structure works out at Rs.2,100/-

For more details and guidance, contact:

  1. The Deputy Director,

    Institute of Public Health,

    Poonamallee, Chennai-600 056.

  2. The Health Educator (Medical),

    RCAP, Thanjavur.

  3. Public Health Engineer,

    RCAP, Dindigul.

  4. Public Health Engineer,

    RCAP, Tirunelveli.

Statistics

Tamil Nadu - Census Population - 2011

State/District Area Population 0-6 Population
Person Male Female Person Male Female
1 2 3 4 5 6 7 8
Tamil Nadu Total 7,21,38,958 3,61,58,871 3,59,80,087 6,8,94,821 3,5,42,351 3,3,52,470
Rural 3,71,89,229 1,86,63,701 1,85,25,528 3,6,51,552 1,8,85,037 1,7,66,515
Urban 3,49,49,729 1,74,95,170 1,74,54,559 3,2,43,269 1,6,57,314 1,5,85,955
State/
District
Area Decadal Percentage of Rural / Urban Population to total Population Sex ratio (Females per 1000 Males) Literacy rate % of 0-6 Pop.to.Total Pop.
Person Male Female Person Male Female
1 2 3 4 5 6 7 8 9 10 11
Tamil Nadu Total 15.60 100.00 995 80.33 86.81 73.86 9.56 9.80 9.32
Rural 6.49 51.55 993 73.80 82.08 65.52 9.82 10.10 9.54
Urban 27.16 48.45 998 87.24 91.82 82.67 9.28 9.47 9.09
VITAL EVENTS REGISTERED UNDER CIVIL REGISTATION SYSTEM TAMIL NADU
Year Births Deaths Infant Deaths Maternal Deaths Still Birth Mid Year Estimated Polution
2001 1101376 387451 15950 612 13750 62405679
2002 1107351 403422 14100 545 13329 63278603
2003 1088659 420107 12525 572 12895 63933249
2004 1091016 408799 10762 564 11434 64587923
2005 1071863 419119 11130 519 10815 65242598
2006 1034674 443503 9824 340 10260 65897274
2007 1073635 433970 11952 235 10138 66551950
2008 1053826 429981 10432 109 8610 67318620
2009 1058142 447900 8839 99 7493 67861302
2010 1065271 472450 9204 147 7749 68515977
2011 1157979 476709 10061 58 9308 72573144
2012 1205092 496876 10321 122 7722 73639140
2013 1185397 507578 13206 337 7590 74764276
2014 1206850 547579 12072 416 8262 75889413
2015 1167506 568271 10743 550 7048 77014549
2016 1062388 563625 9429 362 5896 78139686
2017 ** 948573 580496 9730 440 5398 79264822

* - Provisional

This information is only meant for guidance. Copying material from this website for mass circulation either by print or electronic versions is strictly prohibited.
The bribery is against the Law.The complaints about corruption may be sent to the Directorate of Vigilance and Anti -Corruption, Chennai-28. Website:
www.dvac.tn.gov.in  Phone No. 044-24615989/24615929/24615949.
Disclaimer   Copyright Health & Family Welfare Department, Government of Tamil Nadu, 2009. All Rights Reserved.
Maintaining by TNMSC Ltd. Visitors Count Counter