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PUBLIC HEALTH AND PREVENTIVE MEDICINE ????- Page 2
|
Sl.No. |
Particulars |
Primary, Middle, High and Higher Secondary Schools |
|||
|
2002-2003 |
2003-2004 |
||||
|
Number |
% |
Number |
% |
||
|
1. |
Total Number of Schools to be covered |
40308 |
-- |
40308 |
-- |
|
2. |
Number of Schools covered so far ???????????????????? I visit ?????????? ??????????II visit ???????????????????? III visit |
? 37117 14092 1888 |
? 92.08 34.96 4.68 |
? 35327 10786 1382 |
? 87.64 26.76 3.43 |
|
3. |
Total Number of Students to be examined |
9297206 |
-- |
9297206 |
? |
|
4. |
Number of Students examined so far ????????????????????? I visit ???????????????????? II visit ???????????????????? III visit |
? 7246698 2403253 371148 |
? 77.94 25.85 3.99 |
? 6719807 2101292 291290 |
? 72.28 22.60 3.14 |
|
5. |
Number of Students treated for minor ailments |
4946396 |
? |
4695246 |
? |
|
6. |
Morbidity Pattern |
? |
? |
? |
? |
|
? |
a) Dental Carries |
1047932 |
10.46 |
938014 |
1029 |
|
? |
b) Worm Infestation |
886818 |
8.85 |
878223 |
9.64 |
|
? |
c) A.R.I. |
1040153 |
10.38 |
1152967 |
12.65 |
|
? |
d) Anaemia |
325255 |
3.25 |
308389 |
3.38 |
|
? |
e) Vitamin - A Deficiency |
199080 |
1.99 |
174088 |
1.91 |
|
? |
f) Scabies |
145408 |
1.45 |
112248 |
1.23 |
|
? |
g) Defective Vision |
17568 |
????? 0.18 |
14561 |
0.16 |
|
? |
h) Ottitis Media |
38387 |
0.38 |
31789 |
0.35 |
|
? |
i) Leprosy |
4565 |
0.07 |
4119 |
0.05 |
|
? |
j) Defective Hearing |
4238 |
0.04 |
4617 |
0.05 |
|
? |
k) Rheumatic Heart Diseases |
6190 |
0.06 |
3843 |
0.04 |
|
? |
l) T.B. |
8504 |
0.08 |
7998 |
0.09 |
|
? |
m) Goiter |
2093 |
0.02 |
4483 |
0.05 |
|
7. |
Number of students referred to Taluk Hospitals or any other referral Hospitals |
?72592? |
0.72 |
46503 |
0.51 |
?(Rupees in lakhs)
|
Schemes |
Actual 2002-2003 |
Budget Estimate 2003-2004 |
Revised Estimate 2003-2004 |
||||||
|
Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
|
|
Plague Control Measures |
26.19 |
0 |
26.19 |
26.68 |
0 |
26.68 |
26.39 |
0 |
26.39 |
|
Epidemic Control Unit |
52.52 |
0 |
52.52 |
71.52 |
0 |
71.52 |
151.16 |
0 |
151.16 |
|
Epidemiological Unit |
14.02 |
0 |
14.02 |
19.42 |
0 |
19.42 |
15.13 |
0 |
15.13 |
|
Guineaworm Eradication Programme |
3.85 |
0 |
3.85 |
2.81 |
0 |
2.81 |
4.24 |
0 |
4.24 |
|
Cholera Combat Team |
17.98 |
0 |
17.98 |
20.76 |
0 |
20.76 |
19.59 |
0 |
19.59 |
|
Cholera Control Programme |
0 |
19.63 |
19.63 |
0 |
23.39 |
23.39 |
0 |
22.09 |
22.09 |
|
Malaria Rural and Urban, Japanese Encephalitis and Lab.Asst.in PHCs |
0 |
4480.51 |
4480.51 |
0 |
6742.34 |
6742.34 |
0 |
5078.78 |
5078.78 |
|
Filaria Control |
342.54 |
407.38 |
749.92 |
412.42 |
552.23 |
964.65 |
401.91 |
565.05 |
966.96 |
|
Leprosy Control |
3018.55 |
0 |
3018.55 |
3889.53 |
0 |
3889.53 |
3658.31 |
0 |
3658.31 |
|
Surveillance for Epidemic Preparedness |
41.02 |
111.53 |
152.55 |
49.92 |
148.77 |
198.69 |
78.26 |
141.28 |
219.54 |
|
Institute of Vector Control and Zoonoses, Hosur |
0 |
50.79 |
50.79 |
0 |
62.20 |
62.20 |
0 |
56.69 |
56.69 |
|
Immunization |
292.79 |
5.77 |
298.56 |
420.72 |
49.24 |
469.96 |
314.81 |
49.15 |
363.96 |
|
Maternity and Child Health Services |
113.07 |
0 |
113.07 |
152.07 |
0 |
152.07 |
120.19 |
0 |
120.19 |
|
Prevention and Control of Goitre |
0 |
4.06 |
4.06 |
0 |
5.83 |
5.83 |
0 |
4.74 |
4.74 |
|
Care Assisted Feeding Programme |
3.46 |
0 |
3.46 |
3.85 |
0 |
3.85 |
3.64 |
0 |
3.64 |
|
Mobile Health Care/ Specialty Camps |
0 |
423.46 |
423.46 |
0 |
354.40 |
354.40 |
0 |
402.09 |
402.09 |
|
Leptospirosis |
0 |
14.98 |
14.98 |
0 |
22.38 |
22.38 |
0 |
21.72 |
21.72 |
|
Dengue Control |
0 |
0 |
0 |
0 |
2.50 |
2.50 |
0 |
4.00 |
4.00 |
|
Total |
3925.99 |
5518.11 |
9444.10 |
5069.70 |
7963.28 |
13032.98 |
4793.63 |
6345.59 |
11139.22 |
VECTOR BORNE DISEASE CONTROL PROGRAMME
??????????? The Programme for the control of Vector Borne Disease, Malaria, Filariasis, Guinea Worm Eradication and Japanese Encephalitis are under implementation in the State of Tamil Nadu.? The Director of Public Health and Preventive Medicine, Chennai is the Programme Director.? He is assisted by the Additional Director of Public Health and Preventive Medicine (Malaria & Filaria) and Joint Director (VBDC) in the implementation of the Programme.
MALARIA SITUATION IN TAMIL NADU
??????????? In Tamil Nadu State, during 90s a total of 1,20,029 cases were recorded out of which 59.6% were recorded from the Urban areas and 40.4% in Rural.? The coastal villages of Ramanathapuram, Paramakudi, Nagapattinam and riverine villages of Dharmapuri, Krishnagiri and Tiruvannamalai were endemic for Malaria.? Due to the intensive control measures like active and passive surveillance, Vector control measures etc., taken up by the Public Health Department, the malaria case incidence has been drastically brought down to 34510 in 2002.
??????????? At present the coastal villages of Nagapattinam, which were once endemic are almost free from Malaria.? The incidence of Malaria in Tiruvannamalai shows a decreasing trend.? However, Malaria is emerging as a problem in Ramanathapuram.? The factors contributing for the persistence of Malaria in rural areas are:-
1)?????? Numerous breeding places in the river beds, puddles, rocky pits, sandy pits, casuarinas??? ?pits, etc.,
2)?????? Migration of the population for fishing (Ramanathapuram), as labourers for construction and as quarry workers to other endemic states.
3)?????? Non-acceptance for indoor residual spray.
Out of the total Malaria cases reported in the State, 78% are occurring in Chennai City and another 6% in Tuticorin, Erode, Vellore, Dindigul, Salem, Tiruchengode, Tiruvallur and Tiruvottiyur.? The following problems attribute for the increase of Malaria in Urban areas.
1)?????? Population migration in search of employment.
2)?????? Lack of adequate water supply leading to storage of water for use, creating breeding source of Malaria Vector.
3)?????? Developmental activities especially construction of Buildings, over-bridges etc.,
4)?????? Non closure of wells, cisterns, overhead tanks etc.,
5)?????? Inaccessible overhead tanks causing hindrance to the anti-larval work.
CONTROL STRATEGY:
??????????? The control strategies adopted in the Public Health Department are:-
1)?????? Malaria case detection is being carried-out by house to house visit by collection of blood smears from fever cases and giving treatment for those who are found positive for Malaria.
2)?????? Two rounds of residual insecticidal spray during transmission period using synthetic pyrethroids in Malaria endemic areas.
3)?????? Passive surveillance and anti-larval work in Urban.
4)?????? Creating awareness among the community for their participation.
5)?????? Whenever imported cases are recorded, the same is cross notified by the concerned Medical Officer to the respective Health Authorities of State for further remedial action at their end.
6)?????? Mass and contact Blood survey are being carried out to prevent the occurrence of Secondary cases in the low risk areas.
7)?????? Whenever necessary, focal spray is being carried out.
In Tamil Nadu I.E.C. activities have made a great impact on surveillance, that more number of cases are being identified under passive surveillance than Active Surveillance.
??????????? Geographical information system (GIS) is being developed in Tamil Nadu for carrying-out epidemiological mapping of the villages and for identifying vulnerable areas and seasonal pattern of disease outbreak.
??????????? The incidence of Malaria for the past 4? years are furnished below:
YEAR |
CASES IN THE STATE |
CASES IN CHENNAI CITY |
|
2000 |
43053 |
31861 |
|
2001 |
31551 |
23652 |
|
2002 |
34523 |
27205 |
|
2003 |
43396 |
29058 |
CONDUCTING ANTI MALARIA MONTH
??????????? It is necessary to intensify Malaria control activities.? As part of effort on Malaria control activities, Anti-Malaria Month is observed every year with the object of:
?? 1.?? Creating?? awareness?? among the Public
a.????? Educating the Mass on Malaria, its prevention and control.
b.????? Develop intersectional co-ordination.
??????????? Japanese Encephalitis Control Programme has emerged as an important Public Health Problem in the State during the last few years.
??????????? The incidence for the past 4? years are furnished below:
|
YEAR |
CASES |
DEATH. |
|
2000 |
118 |
17 |
|
2001 |
119 |
18 |
|
2002 |
126 |
29 |
|
2003 |
180 |
24 |
???????????? Japanese Encephalitis control Unit at Cuddalore, Villupuram, Perambalur with the Monitoring Unit at Headquarters are carrying out Japanese Encephalitis Vector control activities.? Japanese Encephalitis immunization programme has been carried out in selected villages in Perambalur District. J.E. Vector monitoring is being carried out regularly in the endemic districts.? Residual insecticidal spray is being carried out in Villages where suspected J.E.,. cases reported along with fogging operations.???????
?NATIONAL FILARIA CONTROL PROGRAMME
?????? The National Filaria Control Programme is being implemented in Tamil Nadu since 1957.? The filaria disease control activities are carried out in 43 urban areas.? In these urban areas 25 Control Units, 44 Night Clinics and 42 Filaria and Malaria Clinics are functioning besides one filaria survey unit for delimitation of endemic areas after survey district by district.? The scheme is financed by the Centre to the extent of 50% of the cost of larvicides, materials and equipments.? The entire operation cost is met by the State.? The programme is being implemented in the 12 endemic districts.
The Physical achievement under this programme is furnished hereunder :
|
Year |
No. of persons examined |
No. positive for Mf. |
Mf. Rate |
No. of disease case |
Disease Rate |
Endemicity Rate |
|
1998 |
1136072 |
2254 |
0.19 |
1715 |
0.15 |
0.34 |
|
1999 |
1031604 |
789 |
0.07 |
2030 |
0.20 |
0.27 |
|
2000 |
1033093 |
1338 |
0.12 |
1590 |
0.14 |
0.26 |
|
2001 |
1095717 |
1007 |
0.09 |
1041 |
0.09 |
0.18 |
|
2002 |
1155566 |
775 |
0.07 |
???? 849 |
0.07 |
0.14 |
|
2003 |
1128494 |
417 |
0.04 |
251 |
0.02 |
0.06 |
|
01/04 to 3/04 |
???? 273300 |
????? 47 |
???? 0.02 |
??? 29 |
??? 0.01 |
???? 0.03 |
SINGLE DOSE MASS DEC DRUG ADMINISTRATION PROGRAMME:
??????????? Initially Mass Chemotherapy Programme was conducted during 1996 in Cuddalore District.? Under this Programme DEC tablets have been distributed to the people (except pregnant women and children below one year of age) of endemic districts viz., Cuddalore, Thanjavur, Tiruvannamalai, Vellore, Kancheepuram, Tiruvallur, Villupuram, Tiruvarur, Pudukottai, Nagapattinam, Tiruchirapalli and Kanyakumari and they have been encouraged to consume the tablets so as to prevent filaria.? Based on this success, the programme was launched on a large scale during the year 1997-98.? The single dose Mass DEC Programme was conducted in 12 endemic districts viz., Cuddalore, Thanjavur, Tiruvannamalai, Vellore, Kancheepuram, Tiruvallur, Villupuram, Tiruvarur, Pudukottai, Nagapattinam, Tiruchirapalli and Kanyakumari.? A total of 239.21 lakhs population were covered under this programme by administration of DEC tablets.? The second round of single dose Mass DEC Programme was implemented during 1998-99 in the same endemic 12 Revenue Districts covering a population of 252.74 lakhs for administration of DEC tablets.? The third round of Mass Chemotherapy was implemented in the same 12 endemic districts covering 250 lakhs population during 1999-2000 and fourth round was conducted in March, 2001 in the above districts covering 260 lakhs population.
?During the fifth round, Government of Tamil Nadu came forward to launch this COMBI (Communication for Behavioural Impact), strategy of World Health Organisation, in all the thirteen endemic districts in order to improve the consumption level.? However, due to financial constraints, the World Health Organisation came forward to assist Tamil Nadu only in the six districts where DEC and Albendazole are co-administered. During the sixth round in 2002 WHO provided Rs. 49.00 lakhs IEC materials, Rs.14.40 lakhs worth Albendazole tablets, for the six districts viz., Kancheepuram, Vellore, Tiruvannamalai, Tanjore, Nagapattinam and Tiruvarur.
??????????? The year wise achievements of the MDA Programme is furnished below:
|
Year |
Round |
Target Population (in lakhs) |
Population covered (in lakhs) |
Coverage % |
Mf. Rate |
|
1997-98 |
I |
260.00 |
227.816 |
92.74 |
0.881 |
|
1998-99 |
II |
264.00 |
237.679 |
94.04 |
0.326 |
|
1999-2000 |
III |
268.30 |
242.080 |
93.16 |
0.176 |
|
2000-01 |
IV |
DEC 262 ALB 132 |
252 126 |
96.1 95.6 |
0.20 |
|
2001-02 |
V |
DEC 128.5 ALB 134.7 |
123.7 127.4 |
89.20 89.6 |
0.10 |
|
2002-2003 |
VI |
DEC 136.41 DEC+ALB 137.57 |
129.65 130.77 |
87.83 89.95 |
0.08 ? |
The VII round of DEC Mass Drug Administration will be held during September 2004.? This programme is to benefit approximately 29 million people (except pregnant women and children under 2 years of age)
INSTITUTE OF VECTOR CONTROL AND ZOONOSES, HOSUR
??????????? For Plague Surveillance activities,the Institute of Vector Control and Zoonoses,Hosur is made as Nodal agency.There exist of foci of sylvatic plague among rodents in wild animals in certain forest areas.Thereby posing a threat for possible spread to human beings.Therefore surveillance system is organised to catch field rodents and examine the organs and serum of these rodents for the presence of plague bacilli/anti-body which is indicative of sylvatic plague foci among animals.
The infrastructure available at this institute is also utilized to conduct various training programmes,workshops and seminars.The institute is conducting P.G.Diploma course in Public Health Entomology for 12 candidates in each batch every year,conduct pre-service and inservice training courses for Field Assistants /Lab.Assistants for about 80 candidates each year.
??????????? Recently, an Arbovirus antigen production laboratory is established at this Institute under part II schemes 1998-99 to prepare antigen required for the diagnosis of Arbovirus diseases such as Japanese Encephalitis and Dengue.
?????? In the GO Ms No.225/Health and Family Welfare Department dated 28/11/2002,Govt have accorded sanction for Rs.1.05 lakhs for starting M. Sc. (Medical Entomology) course at Institute of Vector Control and Zoonoses, Hosur in affiliation with Dr.M.G.R. Medical University from coming year onwards.
LEPTOSPIROSIS CONTROL PROGRAMME:
??????????? Under part II schemes 2000-2001, Government have established seven leptospirosis clinics in the taluk and district headquarters hospitals of Madurai and Thiruvallur districts. For the early diagnosis ,treatment and control measures ,test kits have been procured and supplied to the above clinics and other districts reporting cases. The staff involved in the programme have been trained.
The incidence of leptospirosis in Tamil Nadu from 1995 to 2003 are furnished below:
|
S.No |
Year |
Cases |
Deaths |
|
1. |
1995 |
651 |
- |
|
2. |
1996 |
606 |
- |
|
3. |
1997 |
1455 |
6 |
|
4. |
1998 |
3006 |
11 |
|
5. |
1999 |
1004 |
10 |
|
6. |
2000 |
1801 |
3 |
|
7. |
2001 |
2196 |
3 |
|
8. |
2002 |
1232 |
- |
|
9 |
2003 |
3629 |
8 |
|
10 |
Jan04 to March04 |
681 |
0 |
DENGUE CONTROL PROGRAMME:
??????????? Government have issued orders for the establishment of 12 dengue clinics in the taluk and district head quarters hospitals of Nagercoil,Vellore,Dharmapuri and Coimbatore. But amendment is awaited for the functioning of these clinics. Special IEC activities are under progress in Chennai city under Malaria free chennai project to control dengue fever in chennai city.Necessary guidelines are communicated to all the health unit districts to avert outbreaks.
The case details of dengue fever in Tamil Nadu from 1995 toMarch 04 are furnished below:?? ??
|
S.No |
Year |
Cases |
Deaths |
|
1. |
1995 |
549 |
6 |
|
2. |
1996 |
491 |
16 |
|
3. |
1997 |
264 |
21 |
|
4. |
1998 |
128 |
5 |
|
5. |
1999 |
135 |
2 |
|
6. |
2000 |
81 |
1 |
|
7. |
2001 |
816 |
8 |
|
8. |
2002 |
376 |
1 |
|
9. |
2003 |
1610 |
9 |
|
10. |
Jan04 to March04 |
145 |
- |
?The Control of communicable disease is one of the major programmes under Public Health care services. Of all the diseases, Acute Diarrhoeal Diseases and suspected Cholera are occupying? priority among water borne diseases. The following are the preventive and control measures taken during 2003-2004? are furnished below:
|
WATER SOURCES CHLORINATED????????????????????????????? 54372 |
As the administration of ORS has been advocated by Government of India as a safe method of controlling dehydration, popularisation of the use of ORS is being done intensively through health education and the method of preparation of ORS solution is also demonstrated by the field public health staff to the community.
The details of cases and deaths due to Acute Diarrhoeal Diseases / Cholera and preventive measures taken in Tamil Nadu for the past 6 years:
Year |
A.D.D. |
Cholera |
||
Cases |
Deaths |
Cases |
Deaths |
|
|
1998-99 |
77748 |
384 |
1691 |
1 |
|
1999-2000 |
69,824 |
164 |
1858 |
1 |
|
2000-2001 |
62405 |
172 |
1183 |
1 |
|
2001-2002 |
????? 58733 |
160 |
1442 |
0 |
|
2002-2003 |
????? 68528 |
187 |
1251 |
3 |
|
2003-2004 |
????? 61800 |
63 |
409 |
1 |
?National Iodine Deficiency Disorders Control Programme
???????????? The National Iodine Deficiency Disorders Control Programme is implemented in Tamil Nadu State from 1991 and the State IDD Cell started functioning from 1.7.94 onwards.? The objective of the programme is to identify the areas with Iodine Deficiency Disorders and take control measures through dietary supplementation of iodised salt through IEC activities.
??????????? For the effective implementation of the programme the Co-ordinating officers of the Public Health, Education, Municipal Administration, Civil Supplies were covered under advocacy programme.? The goitre surveys conducted in all Districts have shown that iodine deficiency disorders are prevalent in all the districts.
A notification under the PFA Act has been issued banning the sale of non-iodised salt for edible purpose.? Spot testing of the salt samples are being done to access the presence of iodine and know the availability and use of iodised salt for creating awareness among the salt producers, wholesalers, retailers and general public on the use of Iodised salt.
??????????? Non-statutory salt samples are being lifted and sent to Food Analysis Laboratories for analysis to know the iodine content in salt.? During the year 2003-2004 1489 non-statutory samples were lifted and analysed in the Food Analysis Laboratories.? The result shows 3% samples confirmed Nil Iodine, 48% confirmed less than 15ppm Iodine and 49% confirmed more than 15 PPm Iodine.
??????????? The Government have issued orders for sale of iodised salt through fair price shops by both Tamil Nadu Civil Supplies Corporation and Co-operatives in public distribution system at Rs.2.50 per kilo in pouches in all districts.
??????????? A Workshop has been conducted on 5.6.2003 to disseminate the finding of the survey Conducted during 2002 to the state holders for awareness generation and preparation of plan of action for control of Iodine Deficiency Disorder in Tamil Nadu.
??????????? ?Global IDD Day has been celebrated on 21.10.2003 throughout Tamil Nadu for creating awareness among the community regarding Iodine Deficiency Disorder control in Tamil Nadu. In Tuticorin also IDD day was celebrated on 31.10.2003 involving the Salt Department, District Oficials and Unicef representatives and Salt Manufactures etc., to crate Awareness on the importance of usage of iodised salt.????
GOITRE SURVEY:
??????????? Details of Goitre Survey conducted in 29 Districts in Tamil Nadu as below:-
|
Sl.No |
District |
Year |
Total Examined |
Goitre Cases |
% ? |
|
1 |
Ramanathapuram |
2001 |
28821 |
3328 |
11.5 |
|
2 |
The Nilgiris |
1999 |
19659 |
3273 |
16.6 |
|
3 |
Thiruvarur |
1998 |
12496 |
1817 |
14.5 |
|
4 |
Salem |
1999 |
46514 |
5802 |
12.5 |
|
5 |
Virudhunagar |
2001 |
22369 |
1697 |
7.6 |
|
6 |
Villupuram |
1999 |
44700 |
5376 |
12.0 |
|
7 |
Coimbatore |
2001 |
33475 |
3401 |
10.2 |
|
8 |
Kanyakumari |
1999 |
25243 |
2966 |
11.7 |
|
9 |
Dharmapuri |
1999 |
65792 |
7576 |
11.5 |
|
10 |
Pudukkottai |
1998 |
24603 |
2741 |
11.1 |
|
11 |
Namakkal |
1998 |
12789 |
1338 |
10.5 |
|
12 |
Nagapattinam |
1998 |
14185 |
1471 |
10.4 |
|
13 |
Erode |
1998 |
22342 |
2321 |
10.4 |
|
14 |
Perambalur |
1999 |
25240 |
2636 |
10.4 |
|
15 |
Tuticorin |
2001 |
29245 |
2010 |
6.9 |
|
16 |
Thanjavur |
1998 |
16337 |
1659 |
10.2 |
|
17 |
Chennai |
1996 |
25483 |
2567 |
10.1 |
|
18 |
Thiruchirappalli |
1999 |
33523 |
3362 |
10.0 |
|
19 |
Theni |
1998 |
14549 |
1350 |
9.3 |
|
20 |
Thiruvannamalai |
1999 |
48848 |
4563 |
9.3 |
|
21 |
Dindigul |
1999 |
53719 |
4742 |
8.8 |
|
22 |
Vellore |
1997 |
36331 |
3085 |
8.5 |
|
23 |
Kancheepuram |
1997 |
21301 |
1680 |
7.9 |
|
24 |
Cuddalore |
2000 |
45592 |
3547 |
7.8 |
|
25 |
Sivaganga |
2003 |
22511 |
1435 |
6.4 |
|
26 |
Thiruvallur |
2003 |
28528 |
1584 |
5.6 |
|
27 |
Thirunelveli |
2003 |
26825 |
1700 |
6.3 |
|
28 |
Madurai |
2000 |
42506 |
2687 |
6.3 |
|
29 |
Karur |
2000 |
29614 |
1057 |
3.6 |
PREVENTION OF FOOD ADULTERATION
??????????? Tamil Nadu State is implementing the measures to control the adulteration of food by implementing the prevention of Food Adulteration Act 1954 and Tamil Nadu Prevention of Food Adulteration Rules, 1955.? The whole state is notified for the purpose of implementation of Food adulteration Act and Rules and at present 481 Local Bodies are implementing the act.
??????????? Food samples collected from the Local Bodies are analysed in 7 Food Analysis Laboratories situated at King Institute (Guindy), Coimbatore, Madurai, Thanjavur, Salem Palayamcottai and at Chennai Corporation. During the year 2003-2004 upto 4277 samples were analysed out of which 761 samples were found adulterated.? The percentage of adulteration is 17.79 Prosecution were launched in 206 cases of adulteration.? During the year 2003-2004 82 cases were convicted out of which 10 were fined and 72 were fined with imprisonment.?
After Eradication of Small pox, World Health organisation launched Expanded Programme of Immunisation (EPI) against six Childhood diseases namely Diptheria, Pertusis (Whooping Cough), Tetanus, Measles, Poliomyelitis and childhood Tuberculosis.
Tamil Nadu started Immunisation programme against these six Vaccine Preventable Diseases during 1978.
Annually, around 13 Lakh pregnant women and 12 Lakh infants have been benefited by Immunisation programme.? Because of effective implementation of Immunisation Services, there is a drastic reduction in the incidence of vaccine preventable diseases.
?????? The reported cases of Diptheria, Pertussis, Neonatal Tetanus and poliomyelitis are negligible.
?????? The incidence of measles is reduced less than thousand cases per year.
PULSE POLIO CAMPAIGNS:
As part of polio eradication activities, the state had conducted nine series of Pulse Polio Immunisation campaigns during the period from 1995-96 to 2003-2004. Around 65 to 75 lakhs of under five year children, are covered with additional doses of Oral Polio Vaccine in each campaign involving various Departments and Voluntary Organisations.
In order to wipeout the circulation of wild poliovirus completely from the environment, the State has planned to conduct an additional rounds of PPI on 4.4.2004 & Around 73 lakhs children were benefitted in that round campaign.
During the current year, Hepatitis B vaccination programme is being implemented in Chennai Slum area and four districts namely, Virudhunagar, Ramnad, Madurai and Nilgiris.? Around 2.20 lakhs infants will be benefited. The programme will be extended to other districts in a phased manner for protecting the children from Hepatitis B virus.
MMR & Rubella vaccination programme is launched as a pilot project in 5 blocks namely Anna Gramam (Cuddalore District), Jayakondam (Perambalur District), Anadipatti (Theni District), Kellpennathur (Thiruvannamalai District) and Anaicut (Vellore District). 25,000 children of 2 to 5 years and 20,000 adolescent girls of 10-15 years will be given MMR & Rubella vaccination respectively.? This vaccination helps to prevent congenital deformity in newborn babies.
(Fig in Lakhs)
S.N |
Vaccine |
2001-2002 |
2002-2003 |
2003-2004 |
||||||
|
T |
A |
% |
T |
A |
% |
T* |
A |
P.T % |
||
|
1 |
T.T.M |
12.73 |
13.41 |
105 |
12.87 |
13.05 |
101 |
12.81 |
12.55 |
98 |
|
2 |
D.P.T |
11.58 |
12.52 |
108 |
11.7 |
12.08 |
103 |
11.64 |
11.87 |
102 |
|
3 |
Polio |
11.58 |
12.53 |
108 |
11.7 |
12.09 |
103 |
11.64 |
11.88 |
102 |
|
4 |
B.C.G |
11.58 |
12.77 |
110 |
11.7 |
12.2 |
104 |
11.64 |
11.99 |
103 |
|
5 |
Measles |
11.58 |
12.18 |
105 |
11.7 |
12 |
103 |
11.64 |
11.52 |
99 |
Note:?? T?????? - Annual Target, A - Achievement
??????????? T*???? - Annual Target adopted as per G.O.I.
??????????? P.T% - Proportionate percentage to target.
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REPORTED?? INCIDENCE?? OF?? V.P.D?? CASES?? IN TAMILNADU
|
S.No. |
DISEASE |
2001 |
2002 |
2003 |
|||
|
C |
D |
C |
D |
C |
D |
||
|
1 |
DIPTHERIA |
1 |
0 |
1 |
0 |
4 |
2 |
|
2 |
PERTUSIS |
0 |
0 |
0 |
0 |
0 |
0 |
|
3 |
TETANUS(NEO) |
1 |
0 |
3 |
0 |
2 |
2 |
|
4 |
TETANUS(OTH) |
4 |
2 |
2 |
1 |
0 |
0 |
|
5 |
POLIO |
0 |
0 |
0 |
0 |
2 |
0 |
|
6 |
TB(CHILD) |
757 |
8 |
262 |
1 |
156 |
0 |
|
7 |
MEASLES |
488 |
0 |
512 |
0 |
699 |
4 |
??? C- Cases??? D- Death
Activities of Water Analysis Laboratories at Guindy and Coimbatore:
??????????? The Water Analysis Laboratories at Guindy and Coimbatore are providing water quality monitoring services for all the approved protected water supply systems 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 samples collector visit all the protected water supply systems and collects samples of water for a detailed examination of physical, chemical, bacteriological and biological quality from the water sources, water treatment units service reservoirs and distribution net work.
??????????? The results of the analysis are communicated to the 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 check up the water quality and distribution system on the spot and to carryout remedial measures.
??????????? The achievement made by the existing two water analysis laboratories at Guindy and other at Coimbatore for the past three years from 2000-2001 to 2002-2003(upto January 2003) is furnished below:
|
Sl. No. |
Item |
2001-2002 |
2002-2003 |
2003-2004 |
|
1 |
Total No. of Samples received and tested in connection with the periodical examination of protected water supply |
25426 |
11033 |
28740 |
|
2 |
Total Number of water samples received from Rural Water supply |
98 |
349 |
669 |
|
3 |
New Water supplies included under periodical examination |
5 |
- |
10 |
|
4 |
Total Number of samples of Water etc. tested for Bacteriological Physical and Chemical examinations |
27007 |
15613 |
18569 |
|
5 |
Number of field investigations etc. carried out |
12 |
22 |
27 |
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