Established:1949

Official Newsletter of Institute of Public Health, Lahore, Pakistan

Public Health

March 2016

Helping Community

World TB Day - Unite To End TB24 March 2016

What WHO comprehends about TB situation in PakistanThe following data has been derived from the WHO country profile of Pakistan available from URL: https://extranet.who.int/ sree/ Reports?op=Replet&name=/WHO_HQ_Reports/G2/PROD/EXT/TBCountryProfile&ISO2= PK& outtype=html.

IPH Hosts Disease Calendar MeetingHealth departments of Punjab have formulated a committee to design a disease calendar in order to augment preparedness regarding disease control and prevention. The calendar will be

available on Health Reporting System website under supervision of PITB. The calendar will display the timeline of various diseases and provide related information like case definitions, alert values, clinical management protocols and prevention& control guidelines. The information will also include graphs derived from DSS dashboard data (now HRS dashboard). A follow up meeting of the working group took place in IPH under the chairmanship of Dean IPH Lahore on 07 March. Other members included Director CDC (DGHS Punjab) Dr Asim Altaf Epidemiologist DGHS Punjab, Dr. Shahid Hameed & Dr. Somia Iqtadar (DEAG), Dr. Anjum Razzaq, Mr Umer Farooq & Mr. Faisal Mushtaq from IPH and Mr. Arsalan, Mr. Moeen & Miss Sundus Kouser from PITB. The group was briefed about the progress on uploading of related data files by PITB. Reported by Faisal Mushtaq

IPH Helps SIMS Students Conduct Household SurveyEvery year, as a part of community medicine field work, the 4th year students of Services Institute of Medical Sciences are required to conduct a household survey in the catchment area of Institute of Public Health Lahore. Each student is expected to visit 5 households and fill the proforma. The students are facilitated in the field by the MCH Department of IPH; the staff of IPH including doctors and paramedics, guide the students regarding community interviewing and data collection. Two

batches of 70 students each visited IPH on 21st & 28th of March 2016 where they were briefed about their visit in the field by Dr. Rukhsana Hameed, Dr. Humaira Zareen & Prof. Rubina Sarmad. The batch was then accompanied to the catchment area by the team. Reported by Rukhsana Hameed

FJMU Students Visit IPHStudents of 4th year MBBS from various medical colleges visit IPH as part of their training for community medicine.100 students of Fatima Jinnah Medical University visited IPH on 5th

March 2016. These students were taken around various departments of IPH and briefed about the work conducted. Major areas of interest were the Maternal& Child Health Department, Medical Entomology & Parasitology Lab, Water Testing Lab (Epidemiology) and the Dog Bite Center. Reported by Shahid Mahmood

T r a i n i n g

Administrative Staff L to R Ameer Minhas, Sarfraz Ahmed, Salman, Ch. Javaid Irshad, Allah Rakha Gul Nawaz Cheema, Waqar AliStand L to R Amir Sultan, Faisal Goarge, M.Islam, Javaid Iqbal, Niaz Khalid, Zubair Latif

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Vector surveillance of houses with ovitraps in Lahore& other Districts in Punjab 622Dengue virus tests performed (IgM, IgG, NS1) 02Persons receiving health education on dengue 3168Clients receiving family planning services 43Expectant mothers receiving antenatal care 65Patients utilising public dental health services 221International polio vaccination 64 Children receiving vaccination of :BCG 17Pneumococcal 42Pentavalent 42Tetanus Toxoid 20Oral Polio (OPV) 98Injectable Polio (IPV) 13 Measles 22Anti-Rabies vaccination given to dog bite victims 2526Patients having Sputum Test for AFB checked 43Patients having Sputum cultured for AFB 43

04Tests of Hepatitis-B 04Tests for Hepatitis-C

HCV PCR test performed 537CBC tests performed 02Infants & children receiving health care 197Adults receiving health care 355Water samples tested for faecal contamination ---Daily report on dengue disease & surveillance 31

Activities No. Routine IPH Activities During March 2016

IPH Participates in Hospital Waste Management WorkshopPunjab Healthcare Commission (PHC) organized a one day “Consultative Meeting on Implementation of Punjab Healthcare Waste Management Rules 2014: Role of Stakeholders to Ensure Patient Safety” on 11th March 2016 at Luxus Grand

Lahore. Hospital managers (MS/AMS) from many districts of Punjab as well as representatives from private sector hospitals attended the session. Representat ives from local government/TMA also participated in the meeting. IPH was represented by Dr. Hafiz Shahid Latif. After introduction of the participants, Dr. Mushtaq Ahmad (Director PHC) pointed out the need to train the hospital managers for the appropriate collection, segregation and disposal of various types of wastes at the healthcare service delivery points. LWMC (Lahore waste management company) and AT Waste highlighted the scope of work they are offering and the capacity they can build to enhance the services for Lahore and other districts. Deputy Director from EPD (Environmental Protection Department) Mr. Ahsan Cheema put forward the latest recommendations and rule modifications for infected waste management and verbalized the need for the improvement towards HWM-rules implementation at healthcare facilities both public and private sectors. The detailed reports, on the Pilot projects (implementation of HWM rules) being launched with the help of WHO at THQs Burewala and Wazirabad, were presented by respective medical superintendents and highly appreciated by the participants. In the concluding remarks, COO PHC Dr. Muhammad Ajmal Khan valued the active participation of the stakeholders as well the need to scale up the success stories regarding implementation. Moreover, he assured PHC’s full support for overcoming the barriers the private sector is facing in context of the agenda. Reported by Hafiz Shahid Latif

IPH Hosts Follow Up Meeting on Disease Calendar

Health departments of Punjab have formulated a committee to design a disease calendar in order to augment preparedness regarding disease control and prevention. The calendar will be available on Health Reporting System website under

supervision of PITB. The calendar will display the timeline of various diseases and provide related information like case definitions, alert values, clinical management protocols and prevention& control guidelines. The information will also include graphs derived from DSS dashboard data (now HRS dashboard). A follow up meeting of the working group took place in IPH under the chairmanship of Dean IPH Lahore on 02 March. Other members included Dr. Nadeem Sohail AS Technical (P&SHC), Dr. Somia Iqtadar (DEAG), Dr. Yahya (WHO), Dr. Fayaaz Butt (AD EP&C), Dr. Anjum Razzaq, Mr Umer farooq & Mr. Faisal Mushtaq from IPH and Mr. Arsalan from PITB. The group was briefed about the progress on uploading of related data files by PITB. Reported by Faisal Mushtaq

Meeting on Revamping of IPHIPH has been in hot waters since the advent of dengue

epidemic in Lahore in 2011. Despite being a pure post graduate teaching institute for public health, it was held responsible for the failure of prevention & control of a disease yet to stabilize in the region. Since then revamping, restructuring, remodeling and many similar terminologies are haunting the very existence of the only public health institute in Punjab. A meeting was held in IPH on 31st of March 2016 to discuss possible means of revamping the institute and developing into a replica of CDC Atlanta so as to facilitate disease surveillance and epidemic prevention & control. The meeting was attended by Heads of the Departments and by Miss Maryam Shah fromz SHCME department. Reported by Anjum Razzaq

R e s e a r c h