DATE: 30/06/2010:
Sri. Nitin Bhanudas Jawale, IAS, Collector & DM visits Kashipur on 30/06/2010 for supervising the preparedness prevention of epidemic ( malaria and diarrhea) in kashipur and adjoining areas of Rayagada district. To prevent the outbreak of any epipdemic in this season a 'Swastha Samabesh' was organised in Kashipur, with the grassroot level functionaries of Health and other depts. such as ASHA workers, Anganwadi workers, Health workers, VLWs, staff of RWSS and aslo PRI members of Kashipur block. Collector and District Magistrate, Rayagada explained the following strategy to prevent and combat outbreak of epidemic in this season: 1. Identify the source of drinking water, man made or natural, for habitations. this exercise was started a month before and is almost complete. 2. Sanitize the source of drinking water ( even running stream) by chlorination and other disinfectants. 3. Massive sensitization for avoiding open defecation and disposal of dead animals near the source of water. 4. Deployment of 'Nidhi Rath' and sensitizing people through their own dialect by Audio Visual medium. In worst case scenario if there are deaths reported due to Diarrhea or Malaria the following system is at place: 1. Improved information system, with Close user group mobile network of Heath workers and Medical Officers. 2. A toll free number'1077' of emergency section of Collectorate to be used for gathering information from public reporting cases. 3. Additional deployment of Human and Material resources ( MOs, paramedics, medicines and vehicles) in this area. 4. Most importantly, close supervision and monitoring on daily basis.
Date: 30/07/2010
The district administration is fully committed to its stated goal of an 'Epidemic free" Kashipur this year. The task is , no doubt , a daunting one , with chronic shortage of doctors and key personnel in health dept. To ensure succeess in our stated goal, good and effective supervision fromthe side of district administration is of utmost importance. In this reagrs Collector Rayagada, along with CDMO Rayagada, Dr. Benudhar Nayak and DSWO, Ms. Sanghamitra Kanungo visited Kashipur block and attended the sector level meeting of the grass root level functionaries of health dept.
Exactly a month ago a 'Swastha Samavesh' was held in Kashipur to kick start our preparations for 'Mission Kashipur' , i.e epidemic free season this year. In that session the grass root level functionaries of health and ICDS were sensitised about their role in this task. Today their prearedness was reviewed and the stock of entire month's situation was taken.
This was followed by field visit to different villages Talajhari, Mandibisi and Maliput villages where other than the preparedness of health dept, the Collector interacted with the villagers and SHG groups about the functioning of different beneficial schemes of govt such as NREGS, IAY, PDS, etc.
It is matter of great regret that inspite of getting rice at Rs. 2 per kg, people in some villages continue to use mango kernel. They were explained by the Collector, CDMO and DSWO about he hazards of consuming such substances. It will surely require more effort on our part to sensitise people to give up such deitary practices since, sibsidised rice is plentily available. The district administration soon plans to take a massive drive to eradicate this dietary practices by way of mass persuasion. Any suggestons fron general public is most welcome in this matter.
KASHIPUR VISIT ON 12.08.2010
Right from the start of monsoons this year, Kashipur has been the focus of attention for the district administration because of its history of epidemics during this part of the year. To ensure an epidemic free seson this year, the district administration is leaving no stone unturned and for this reason Collector Rayagada and with a medical team headed by the CDMO Dr. Nayak visited Kashipur's Liligumma and Sirlihjida villages, where there had been cases of diarrhea a couple of days back. It is a duanting task to deliver health services in an area where one has to cross numerous hills and rivers/ rivulets to reach a solitary village. Such was the case of Lilligumma and Sirlijhoda viallges that were visited today. There had been two cases each in these villages and the patients were administered IV infusions and given antibiotics to which they responded well. The work of the local Anganwadi worker and the Male Health worker has very praise worthy. It is because of their efforts that the situation was brought under control.
The district administration had decided to chlorinate all the water sources, Formal ( Tube wells/ Pipe water supply) and informal ( streams/ wells) , just before the locations where they would be put to use by the people, with the intention to sanitize the water and check the spread of water borne diseases. Accordingly Collectro Rayagada checked these 'Chlorination stations' at Lakhrisi, Talajhari and Sirlijhoda. The technique employed is very simple and innovative. A plastic bag with small perforations,containing another plastic bag of Bleaching powder is kept at a particular place, just before the habitations. the Chlorine from the plastic bags containing bleaching powder 'seeps' through the flowing water, ensuring a steady and long lasting sanitisation of water, enough to make it safe for drinking or atleast to check the spread of pathogens. This indigenous technology is the result of the knowledge and experience of years of epidemic control of the local doctors and was picked up in a big way by the district administration as part of its preparation to prevent the outbreak of any epidemic.
After having tried its best to control water borne disease, the district administration is faced with a huge challenge to control the spread of diarhhoea beacuse of unhygienic dietary habits among the tribals in interior pockets. Special measures are taken to ensure the availability of subsidized rice to people in these areas, but inspite of this people continue to consume Mandia ( which is their staple food and not rice) and a kind of gravy of Mango kernel. Both these items as such are not toxic or diarrhea causing , it the way they are prepared and stored that is the real cause of disease. Because of unduly long storage, a fungal layer develops on the inside of the pot bearing these items and these cause episodes of severe diarrhea, which at times leads to deaths. Many efforts have been made in the past and are being made even now to sensitize people of the evils of such dietary practices, but it has proved to be a tough job. The district administration is determined to take up this challenge and sensitizing the people with Audio Visual medium and with the help of street plays to give up these wring dietary practices. Cooperation from social minded individuals and organizations is solicited in this matter.
DATE: 03/09/2010
There has been a recent spur in this incidences of diarrhea in Rayagada district. This time around the focus of such incidents was not Kashipur, but the areas on the border of Bissamcuttack and Gudari, where almost 9 deaths have occurred in a period a week. medical teams have visited the places and taken necessary measures to tackle the situation. ADM Rayagada and a medical team led by Additional District Medical Officer visited the affected Dumurnelli and Golikona GPs. all efforts are taken to bring the situation under control and check the spread of any epidemic. kashipur block continues to be the focus of attention because of its history of epidemics especially, cholera,that happened in 2007, the memories of which are still fresh. Though this time the incidences of diarrheal deaths have been by and large confined to the Siripai sub centre area, the situation tends to get critical with every round of heavy rains and to added to the problems the highly inaccessible terrain make service delivery extremely difficult. There have been number of deaths due to diarrhea in this area in this week and for this reason within a fortnight Collector Rayagada, CDMO and medical team along with block and tahsil officials visited this area for the second time. The vilages that were visited Siripai, Bahardulki, Sirlijhodi, Bolangiri, etc. This area had seen a spur in diarrheal deaths last weeks after a spell of heavy rains for a couple of days. The unfortunate part is that there have been deaths in some cases inspite of the medical teams visiting and providing the necessary treatments for diarrhea patients. To fully assure ourselves that the medications are properly utilized by the patients, district administration has instructed the medical teams to administer injections wherever possible along with dispensing medicines, as at times people tend to not to consume such medicines or if at all not the full dose.
DATE:09/09/2010:VIBRIO CHOLERAE DETECTED IN KASHIPUR
Vibrio Chlorae O-1, has been detected in 6 out of 21 samples sent to RRC from Kashipur and Kalyansinghpur blocks. The district administration has already put up measures in place. 10 doctors were already sent from MKCG medical college Berhampur and the health dept plans to send 10 more to assist the district administration in this task. The district administration had from the observation of the deaths pattern in th erecent diarhhea cases had suspected the prevalence of a disease like cholera and immediately stool and water samples were sent to Regional Medical Research centre, Bhubaneshwar on 3rd Sep 2010. The steps taken by the district administration with the support of Health and Family Welafre Dept, Govt. Of Orissa are given below:-
ACTION TAKEN REPORT ON DIARRHOEA MANAGEMENT IN RAYAGADA DISTRICT FOR 2010-11
Diarrhoeal Outbreak Statistics of affected blocks
Name of the Affected Blocks No of Villages Affected No of Attacks No of Deaths Remarks
Jagannathpur 10 85 4 No new cases have been detected since 15.08.10
B.Cuttack 17 58 9 Under control
Gudari 2 25 4 No new cases have been detected
Jemadeipentho 7 20 1 Under control
K.Singpur 13 169 7 Under control
Kashipur 30 106 8 Under control
Muniguda 2 9 0 ● No death.
● Situation is under control.
Total 81 451 33
Action Taken-
● Formation of Temporary Treatment Centers (TTC)-
○ Basing on the need of the blocks temporary emergency treatment centers are opened in the following places
Name of the Block Make shift Treatment centers Regular Treatment Centers with facilities for Diarrhoeal Management
Kashipur Siripai Sub Center
CHC Kashipur
PHC(N) Tikiri
K.Singpur Seriguma GP Office PHC K.Singpur
PHC(N) Sikarpai
B.Cuttack Dandapada UP School CHC B.Cuttack
PHC (N) Durgi
At the treatment centers there is provision of at least one MBBS Doctor, one Pharmacist, one MPHS(M), one HW(F), one HW(M).
The MHU team is also attached to the TTC.
● Deployment of Staffs
Name of Block No of Doctors & Paramedic deployed
Doctors Paramedic
Kashipur 5 10
K.Singpur 3 6
B.Cuttack 2 6
● The no of Doctors & Paramedics mentioned in the above table are deploied from MKCG Medical College & Ganjam District & from other nonaffected blocks of the District. Along with the temporary team the regular medical staffs & MHU staffs are also providing their services for Diarrhoeal Management.
● Deployment of Vehicles-
Name of the Block No of the Vehicle
deployed on requisition
Kashipur 5
K.Singpur 2
B.Cuttack 1
In addition to the above vehicles the MHU vehicles, Ambulance, BPMSU vehicle & PHC vehicle are also engaged for the purpose of surveillance & transportation of the patients from the interior & inaccessible villages to the treatment centers.
All these vehicles are being placed in the strategic location for better referral of patients.
● IEC campaign-
Leaf lets & posters are distributed in the affected blocks.
The BEEs of the blocks are entrusted to do the mikeing in their local languages to generate the awareness about Diarrhoea.
Through RWSS street plays, PALAs are being done to prohibit the people for using the unsafe drinking water.
● Surveillance at all the Residential Schools-
○ One nodal person is designated for each of the schools, who is assigned with the responsibility of visiting the schools daily & report about any sign & symptoms of attacks if any, to the nearest treatment centers as well as District Emergency Response Team.
● Availability of Medicines-
All the required Drugs like Tetracycline, Doxycycline, Ciprofloxacine, Ornidazole, Metron, IV Cipro & Metro & IV Fluids, Halozene tab. & ORS packets are sufficiently available in the TTC, Peripheral staffs, Block Head quarters & District Central Stores.
● Involvement of private party-
The Industrial house like VEDANTA is requested to support the affected portions & the members of the TTC under as a part of their corporate social responsibility. They have agreed to provide one MHU in K.Singpur block. They will also be doing some IEC campaign through Mikeing & distributing leaf lets & posters in the affected blocks of the district.
Monitoring Systems-
● Nodal officers are being placed one at each affected blocks for day to day monitoring, Evaluation & ensure the supply chain mechanism of drugs & logistics & vehicle.
● The BDOs, CDPOs and other line department officers of all the blocks have been sensitized & requested to deploy their grass root level man power for collection of information & to ensure early referral of patients.
● District Emergency response team has been formed consisting of the following members to collect the information from the field & disseminate the same to the concerned line department for better management of Diarrhea situation.
Team members –
○ DPM, NRHM
○ One Medical Officer
○ APD, DRDA
○ Data Manager, IDSP
○ SA, CDMO Office ,
○ One BEE
