Medical Record Department Teaching Hospital Kurunegala STATISTICAL BULLETIN September 2013 TEACHING HOSPITAL KURUNEGALA
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Teaching Hospita
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STATISTICAL BULLETIN September 2013
TEACHING HOSPITAL
KURUNEGALA
Medica
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Teaching Hospita
l Kurunegala
GENARAL INFORMATION 01
GENARAL INFORMATION This
Month Last
Month
No. of wards 56 56
No. of special care units 10 10
No. of other units 12 12
No. of total beds 2005 2005
No. of patient beds 1798 1798
No of cots 139 139
No of incubators 18 18
No of theators 3 3
No of theator tables 14 14
INPATIENT SERVICE SUMMARY This
Month Last
Month
No. of patient admitted (direct) 14261 14713
Transfer in from other hospitals 2535 2545
Transfer out to other hospitals 51 101 Transfers to clinics 51 65
No. of patient live discharged 14271 14398
No. of inpatient days 43145 43648
Deaths under 48 hours 41 39
Deaths over 48 hours 175 190
No of total deaths 216 229
On admission death 9 6
No. of average admissions 475 475
Average daily sick 1438 1408
Average length of stay 3.0 3.0
Bed occupancy rate 80 78
Bed turn over rate 8 8
Bed turn over intervals 0.8 0.8
No. of average deaths 7.2 7.4
Death rate 1.5 1.6
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GENARAL INFORMATION 02
GENARAL INFORMATION
OPD PATIENTS This Month Last Month
Dental clinic 2213 2937
Eye Clinics 2782 3861
Medical clinic 1715 1411
Peadiatric clinic 353 358
Malaria patients
No of OPD patients 41862 46322
CLINIC PATIENTS This Month Last Month
No of clinic fist visits 7218 7739
No of clinic re visits 35517 34657
Total 42735 42396
SURGERIES This Month Last Month
Major 1185 1219
Minor 1985 1957
Total 3170 3176
MATERNAL STATISTICS This Month Last Month
No of deliveries 1269 1168
No of LSCS 448 472
No. of maternal deaths 0 1
No. of still births 11 13
No of perinatal deaths 5 12
No of neonatal deaths 1 7
No. of BCGs given 1172 1259
Maternal death rate 0 0.06
Still birth rate 0.9 1.1
Perinatal death rate 0.4 1.03
Neonatal death rate 0.08 0.6
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INPATIENT SERVICE PERFORMANCE 03
Specialty Side Ward
no No of beds
No of Ad-mission
Average daily admission
No of Dis-charge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed occ- rate
Gen. Medical Male A 1 54 566 19 463 20 4.1 1792 60 111
B 2 56 557 19 464 24 4.9 1442 48 86
C 4 54 560 19 437 14 3.1 1325 44 82
Gen. Medical Female A 3 54 454 15 385 11 2.8 1462 49 90
B 7 49 526 18 455 7 1.5 1441 48 98
C 57 31 503 17 422 6 1.4 1057 35 114
Gen. Surgical Male A 23 50 503 17 419 6 1.4 1586 53 106
B 24 50 569 19 496 8 1.6 1586 53 106
A 27 20 107 4 97 1 1.0 427 14 71
B 28 21 136 5 125 1 0.8 532 18 84
Gen. Surgical Female A 5 20 315 11
258
834 28 139
B 6 19 298 10 252 1 0.4 837 28 147
A 25 21 201 7 187 1 0.5 598 20 95
B 26 21 252 8 237 3 1.3 703 23 112
Gynecology & Obstetric
Gynecology A 12 27 369 12 359 1186 40 146
B 13 29 320 11 289 1322 44 152
C 59G 15 107 4
107
249 8 55
Antinatal A 8 9 17 1 3 175 6 65
B 9 9 26 1 11 184 6 68
Post natal A 8 4 17 1 13 190 6 158
B 9 4 1
5
Antinatal A 10 29 617 21 145 950 32 109
B 11 32 438 15 53 963 32 100
C 58A 10 369 12 44 456 15 152
Page total 688 8271
6266 113 22741
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INPATIENT SERVICE PERFORMANCE 04
Speciality Ward
no No of beds
No of Admis-
sion
Average daily
admis-sion
No of Dis-
charge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed oc-up Rate
1st Page total 688 8271 6266 113 22741
Post natal (Normal) A 14 14 271 9 237 301 10 72
B 15 13 246 8 227 305 10 78
C 58P 8 181 6 183 305 10 127
Post natal A 16 19 119 4 113 566 19 99
B 17 17 96 3 84 511 17 100
C 17C
Post natal (Cesarian) A 20 16 205 7 163 414 14 86
B 21 15 118 4 113 276 9 61
C 59P 14 131 4 127 501 17 119
Pediatric Wards A 18 53 285 10 260 372 12 23
B 19 52 301 10 287 1 0.3 589 20 38
Orthopedic Wards (Male) 29 35 138 5 136 962 32 92
30 31 161 5 153 793 26 85
51 34 92 3
87
377 13 37
(Female) 52 18 112 4 118 458 15 85
Cardiology Wards CCU 8 101 3 6 3 33.3 204 7 85
ICCU 8 80 3 1 16 94.1 170 6 71
Recovery Ward 53 27 176 6
156
599 20 74
54 28 181 6 163 2 1.2 658 22 78
Dermatology (Male) 31 24 71 2 59 238 8 33
(Female) 32 21 94 3 86 213 7 34
Reumatology (Male) 33 17 11 0 12 169 6 33
(Female) 34 17 32 1 33 293 10 57
Oncho Surgical Unit 50 43 81 3 67 1 1.5 327 11 25
Onchology 48 31 88 3 87 2 2.2 309 10 33
49 30 111 4 106 6 5.4 448 15 50
Page total 1281 11967 9485 145 33551
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INPATIENT SERVICE PERFORMANCE 05
Specialty Ward no No of beds
No of Admission
Average daily
admission
No of Discharge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed ocup Rate
2nd Page total 1283 11967 9485 145 33551
Special Care Baby Unit SCBU I 9 48 2 8 5 38.5 297 10 110
SCBU II 21 213 7 178 2 1.1 1056 35 168
ICU Wards ICU 8 45 2 9 100.0 189 6 79
HDU 5 143 5 4 100.0 78 3 52
PICU 4 24 1 1 2 66.7 100 3 83
MICU 8 27 1 11 100.0 127 4 53
Observation Wards 46 11 298 10 107 312 10 95
47 13 460 15 123 505 17 129
Gastro enterology/Surgical unit 55 15 76 3 71 147 5 33
56 14 68 2 62 139 5 33
Labour Room A Side 7 310 10 50 2
B Side 7 284 9 32 1
C Side 7 210 7 17 1
Psychiatric Wards 38 45 219 7 200 682 23 51
ENT Wards 35 29 670 22 613 740 25 85
Eye Wards 41 70 692 23 663 1379 46 66
Dental & maxillo Facial 36 22 171 6 163 1 0.6 399 13 60
Accident Service Wards A&E 2 4270 142
1220 20 1.6
145 5
Chest Wards 39 56 82 3 77 6 7.2 844 28 50
Priest Wards BW 32 22 1 19 105 4 11
Neurology Wards 40 44 126 4 121 1 0.8 638 21 48
Genito Urinary 22 25 151 5 156 1 0.6 456 15 61
Paying Wards PW 9 9 0 6 30 1 11
Dialysis Unit DU 12 474 16 403 7 1.7 201 7 56
60 8 53 2 48 2 4.0 244 8 102
National Thalasemia Centre NTC 24 500 17 494 460 15 64
Neprology ( Male ) 45 10 57 2 53 222 7 74
TOTAL 1800 21669 722 14271 216 1.5 43145 1438 80
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OUTPATIENT SERVICE PERFORMANCE 06
INJECTION ROOM This
Month Last
Month
Injections
Benzathine Penicilin 265 284
Modicate
P Penicilin
Toxoides 359 360
Vit. B 12 96 134 Dexamethazone Mantoux Test 59 73
Dressing 1984 2489
Minor Operation 17 23
Blood 2493 280
ARV DETAILS This
Month Last
Month
No of Vials Used for (Intra Dermal) 735 810
No of Vials Used for (Intra Muscular) 1 3
No of new Patients for ARV 1165 1208
No of old Patients for ARV 1820 2014
Total No of Patients for ARV 2985 3222
DEPARTMENT OF RHEUMATOLOGY
OUT REACH CLINICS DETAILS This
Month Last
Month
Total no. of visits to wariyapola clinic 93 7
Total no. of visits to Gokkaralla clinic 62 50
Total no. of visits to Polgahawela clinic 65 35
Total no. of visits to Redeegama clinic 64 60
Total no of patients 284 152
PERFORMANCE OF PHYSIOTHERAPHY UNIT This
Month Last
Month
No. of first visits 640 614
No. of second visits 5883 5271
Total patients 6523 5885
No of treated patient unit wise 32015 29425
No. of days 30 31
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CLINIC PERFORMANCE 07
Speciality No of Clin-
ics
First visit
Second visits Total visits
Average for clinic days
Medical A 9 117 1835 1952 217
Medical B 8 209 2735 2944 368
Medical C 8 151 1649 1800 225
Diabetic A 4 1 433 434 109
Diabetic B 3 625 625 208
Diabetic C
Surgical A 3 188 356 544 181
Surgical B 5 535 799 1334 267
Orthopeadic A 3 189 328 517 172
Orthopeadic B 4 50 575 625 156
Paediatric A 4 28 247 275 69
Paediatric B 4 57 234 291 73
Thalasseamia 4 5 28 33 8
Rheumatic fever 4 8 8 2
Well Baby A 4 24 24 6
Well Baby B 9 279 446 725 81
Psychiatric (Adult) 5 52 955 1007 201
Psychiatric (children) 1 2 30 32 32
Suicide prevention 2 7 7 14 7
Antenatal A 3 142 312 454 151
Antenatal B 4 160 183 343 86
Antenatal C 4 181 147 328 82
Gynecology A 5 172 254 426 85
Gynecology B 4 145 265 410 103
Gynecology C 4 96 78 174 44
Family Planning A 3 12 1 13 4
Family Planning B 4 7 4 11 3
Family Planning C 4 1 1 0
Dental & Maxillo Facial 8 161 243 404 51
Restorative Density 20 128 347 475 24
Orthodontic 20 543 976 1519 76
Page total 167 3618 14124 17742
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CLINIC PERFORMANCE 08
Speciality No of Clinics
First visit
Second visits
Total visits
Average for clinic days
Surgical Oncology 9 26 85 111 12
Cancer (Brest) 9 98 142 240 27
Cancer (Onchology) 7 41 1093 1134 162
Rheumatology 23 532 3655 4187 182
Sports Medicine 30 62 102 194 6
Sexually t. diseases 22 117 274 391 18
Cardiology 15 162 4901 5063 338
Speech theraphy 20 71 186 257 13
Urology 7 121 579 700 100
Respiratory Diseases 4 24 350 374 94
Gastro ( Medical ) 4 25 179 204 51
Gastroenterology ( Surgical ) 8 173 260 433 54
Neurology 8 223 2055 2278 285
ENT 11 226 1001 1227 112
Skin 20 550 2175 2725 136
Eye 32 746 1182 1928 60
Neprology 9 82 889 971 108
Endocrinology& Diabetic 16 169 1034 1203 75
NCD 30 105 90 195 7
Epileptic 4 384 384 96
Cardiology ( Peadiatric )
Psychiatric (Adult) 3 33 742 775 258
Psychiatric (children) 2 6 33 39 20
Suicide prevention 2 8 2 10 5
Total 462 7218 35517 43197 94
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CONSULTANT LIST 09
SECTION / CLINIC NAME OF THE CONSULTANT SPECIALITY
Medical A/Diabetic A Dr Mrs Deepa Amarasekara Con. Visiting Physician
Medical B/Diabetic B Dr R Kalupahana Con. Visiting Physician
Medical C Dr Wasantha Disanayaka Con. Visiting Physician
Surgical A Dr Usaya Kumara Con. Visiting Surgeon
Surgical B Dr D.C Rajapaksha Con. Visiting Surgeon
Orthopeadic(Adult/Chidren) Dr Dimuthu Thennakoon Con. Orthopeadic Surgeon
Paediatric A/Well Baby A Dr J.M Nilam Con Peadiactrician Paediatric B/Thaasseamia Dr Mrs Rohini Premarathna Con Peadiactrician Rheumatic Well Baby B Dr J.M Wijewardana Con Peadiactrician Psychiatric (Adult/Children) Dr Jagath Bandara Con Psychiatrist Suicide prevention
Antenatal A/ Gynecology A Dr P.H Pradeep De Silva Con. Visiting Obsttatic & Gynecologist
Family Planning A Antenatal B/ Gynecology B Dr J.A Gunasingha Con. Visiting Obsttatic & Gynecologist Family Planning B Antenatal C/ Gynecology C Dr S.B Ekanayaka Con. Visiting Obsttatic & Gynecologist
Family Planning C
Dental & Maxillo Facial Dr T Sabesan Con. OMF Surgeon
Restorative Density Dr R Manori Jayasingha Con. Restorative Dentist
Orthodontic Dr Chandima Weerasekara Con. Orthodontist
Surgical Oncology Dr Harsha Perera Con. Oncological Surgeon
Cancer (Brest)
Cancer (Onchology) Dr Priyantha Madawala Con. Oncologist
Rheumatology Dr (Mrs) Thilaka Manel Nissanka Con. Rheumatologist
Cardiology Dr Thilak Sirisena Con. Cardiologist
Dr Dimuthu Wirasooriya Con. Cardiologist ( Peadiatric )
Dr Gamini Weerakoon Con. Cardiologist
Urology Dr Manjula wijewardana Con. Urologist
Respiratory Diseases Dr Eshanth Perera Con. Chest Physician
Gastro ( Medical ) Dr M.M.J.H Manchanayaka Con. Gastroenterologist
Gastroenterology ( Surgical ) Dr S Abeygunanawardana Con. Gastroenterology Surgeon
Neurology Dr V.T Rajendran Con Neurologist
ENT Dr Hemantha Gamage Con. ENT Surgeon
Skin Dr Mrs Sriyani Samaraweera Con. Dermatologist
Eye Dr Anoma Jayathilaka Con. Eye Surgeon
Neprology Dr S Mathu Con. Neprologist Endocrinlogy & Diabetic Dr Chandima Garusingha Con. Endocrynologigist
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CONSULTANT LIST 10
SECTION NAME OF THE CONSULTANT SPECIALITY
Provincial Laboratory Con. Heamatalogist
Con. Heamatalogist
Con Microbiologist
Con. Pathologist
ICU, Theator Con. Anaesthetic
Con. Anaesthetic
Radiology Dept. Con. Radiologist
JMO Office Dr S.M.H.M.K Senanayaka Con. Judicial Medical Officer
OPD Dr Danapala Disanayaka Con. Visiting Physician (OPD)
Dr Mrs Wasantha Disanayaka Con. Visiting Physician (Peadiatric)
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SUGERIES 11
UNIT MAJOR MINOR
CON REG SHO RHO TOTAL CON REG SHO RHO TOTAL TOTAL
HO HO
Surgical A 19 13 58 90 4 6 261 85 356 446
Surgical B 16 21 74 111 6 5 325 47 383 494
Gynecology A 14 33 47 2 142 144 191
Gynecology B 25 10 35 2 130 7 139 174
Gynecology C 27 10 37 38 38 75
Obstetric A 2 204 206 206
Obstetric B 3 118 121 3 3 124
Obstetric C 9 122 131 131
Opthalmic 256 2 258 18 101 119 377
ENT 14 14 10 61 71 85
Orthopaedic A 19 15 34 5 226 231 265
Dental 9 2 11 1 19 16 36 47
Urology 34 3 37 55 8 63 100
Dermatology 0 15 45 60 60
Onchology 14 1 15 3 4 7 22
Orthopaedic B 20 13 33 13 293 306 339
Haematology
Psychatric(ECT)
Gastro Enterology 5 5 2 2 7
TOTAL 486 36 661 2 1185 136 30 1507 285 1958 3143
Unit NO. OF LISTS DONE
Surgical A 23
B 18
Gyn & Obs A 14
B 9
C 10
ENT 3
GU 15
ONCHO 10
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ENDOSCOPY UNIT PERFORMANCE 12
DONE BY SURGERY A SURGERY B ENT ONCHO GASTRO
SURGICAL GASTROLO-
GY TOTAL
VS/VP 6 54 19 79
UGIE REG 45 45
SHO 34 6 25 65
UGIE VS 6 1 7
BANDING REG
SHO
OESOPHAGEAL VS 1 1
DILATATION REG
SHO
UGIE VS 1 1
STENTING REG
SHO
STD VS
INJECTION REG
SHO
POLYPECTOMY VS
REG
SHO
PEG VS
REG
SHO
PUNCH VS 0
BIOPSY REG
SHO
Total 34 51 25 6 62 20 198
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ENDOSCOPY UNIT PERFORMANCE 13
DONE BY SURGERY A SURGERY B ONCHO GASTRO
SURGICAL GASTROLO-
GY TOTAL
VS 8 8
SIGMOIDOSCOPY REG 4 29 33
SHO 12 3
COLONOSCOPY VS
POLYPECTOMY REG
SHO
COLONOSCOPY VS 5 1 6
REG 3 4 7
SHO 3 3
SIGMOIDOSCOPY VS
BANDING REG
SHO
PROCTOSCOPY VS 2 2
BANDIING REG
SHO
TOTAL 22 36 0 15 73
DONE BY SURGERY A SURGERY B ONCHO ENT CHEST TOTAL
FOL VS 4 4
REG
SHO/MO 61 61
VL VS 45 45
REG
SHO
NASAL ENDOSCOPY VS
REG
SHO
BRONCOSCOPY VS 8 8
REG
SHO
RNE VS
REG
SHO 50 50
AW VS
REG
SHO
TOTAL 4 156 8 168
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MATERNITY STATISTICS 14
Side A Side B Side C Total
No. of direct admissions 668 489 369 1526
No of total admissions 784 584 376 1744
No daily maternal direct admissions 22 16 12 51
No. of maternal discharges 674 488 354 1516
No. of daily maternal discharges 22 16 12 51
No. of single deliveries 572 375 305 1252
No. of twin deliveries 9 1 7 17
No. of triplet deliveries 0 0 0 0
No of total deliveries 581 376 312 1269
No of live babies deliveries 586 373 316 1275
No. of still births 4 4 3 11
Total no of babies delivered 590 377 319 1286
No. of ceasarian sections 205 118 125 448
Ceasarian section rate 35 31 40 35
No. of forceps deliveries 4 4
No of vaccum deliveries 4 6 11 21
No of breach deliveries 1 0 2 3
No. of low birth weight babies 81 49 22 152
No of LRT 18 10 13 41
Manual removel of placenta 3 1 0 4
No. of abortions 101 114 27 242
No of neonatal deaths 1
No of perinatal deaths 5
No. of maternal deaths 0
No. of late maternal deaths 0
Matrenal death rate 0.00
Maternal inpatient days 0
No of BCG vials used 89
No. of BCGs given 1172
Still birth rate 0.7 1.1 0.9 0.9
Perinatal death rate 0.39
Neonatal death rate 0.08
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BLOOD TRANSFUSION SERVICE 15
UNIT
No. of Requests No. of Issues Replacement Donors
Cross
Matched BLOOD FFP CPP Platelet CRYO DONORS
Medical 1062 972 629 165 16 53 6
Surgical 938 728 297 75 8
Gyn & Obs 1142 1092 152 9 2
Paediatric 939 883 863 19 2
Private hospitals 76 76 30 46
Other hospitals 136 136 306 865 100
A&E / ICU 343 316 106 103 28 18
Mobile donors 2356
In house donors 97 Cardiothorrasic 69 6532 8 43
Accident Service
Total 4705 10735 2391 1282 61 91 124 2453
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DIAGNOSTIC SERVICES 16
LABORATORY SERVICE This Month Last Month
No. of investigations done for OPD patients 5923 6108
No. of investigations done for indoor patients 78234 85337
Total investigations done 84157 91445
No. of specimens send to MRI/NHLS & faculty of medicine Peradeniya 330 290
Histopathology specimans 921 976
No. of investigations done by haemotological analyzer 16984 17366
No. of investigations done after normal working hours 18683 20073
No. of slides screening for (pap) cytology 650 676
No. of investigations done in Thalaseamia unit 2436 2560
Haemotology investigations 14153 13488
Biochemistry Investigation 36570 42988
Microbiology Investigation 4821 4576
Clinical Pathology Investigation
RADIOLOGY UNIT This Month Last
Month
No. of X-ray examinations main X-ray dept. 7029 7332
No. of X-ray examinations accident service 1736 1962
Total No. of X-ray examinations 8765 9294
No. of USS 1298 1298
No. of CT examinations 728 745
No. of C-ARM patients 53 51
Total No of TPM patients 14 15
ECG UNIT This Month Last
Month
No. of ECG examinations 9650 8261
No. of exercise ECG examinations 62 97
Holter monitaring test 34 20
No. of EEG examinations 177 188
No. of EMG 126 126
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DIAGNOSTIC SERVICES 17
CATH LAB This Month Last Month
Coranary Angiograms 54 71
Permanent Pace maker examinations 4 5
Temporary Pace maker examinations 1
PTCA (Angioplasty)
ASD Closure 3 2
RHCC 1
Aspiration
PTMC
Pulmoary Val Plasty
PCI 4 5
Aortogram 1
IVC Filter
CV line inserted
Pheriperal Angiogram
ECHO ROOM This Month Last Month
No. of echo ( Peadiatric) 752 703
No. of echo ( Adult ) 1020 1006
TOE 18 21
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JMO UNIT PERFORMANCE 18
TOTAL NO OF POSTMORTUM 131 TOTAL NO OF MLEF 592
Under Investigation 8
Unascertainable
TOTAL NUMBER OF MATERNAL DEATHS
TOTAL NUMBER OF INFANT DEATHS 5
TOTAL NUMBER OF STILL BIRTHS
Natural Deaths 89
SUMMERY OF THE POST-MORTEM
Suicides Accidents
Burn Burn 1
Jumping onto Train Motor Vehicle 5
Hanging 2 Train 2
Poisoning 7 Blast Injuries
Drowning 4 Drowning
Firearm Injuries Snake Bite
Overdose of drugs Electricution 2
Stab injuries Fallen from height 1
Trapgun injuries Milk Asperation 3
Other Accidental Taruma 2
Lightning
Homicides Fire arm shot injury 1
Burn Trap gun injury
Sharp Weapon Injuries Food aspiration 1
Blunt Weapon Injuries Heavy fall
Firearm Injuries Undetermined
Blast Injuries Firearm Injuries
Strangulation 2 Train
(Manual and Ligature) Other Accidents
Homicidial Poisoning Still birth
LTTE Civilians Blunt Weapon Injuries 1
Criminal Abortions Drowning
Trap gun Multiple Injuries
Otther
Drowning Dog bite
Cut injuries Rabies
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INFECTION CONTROL UNIT 19
Notifiable Diseases No of cases Dengue fever 38 Dengue haemarrhagic fever Dysentery 3 Encephalitis Leptospirosis 7 Viral hepatitis Hepatitis B Malaria Typhus fever 5 Typhoid fever 2 Fever (more than 14 days) Tuberculosis Human Rabies
Rubella Tetanus Whooping cough like illness Food Poisoning AFP GBS Hepatitis A Measles
Leprosy Enteric fever Mumps Chickan pox Herpes zoster
Chicun gunya Meningitis 3 Meningococal pneumonia Rabies Listhmanasis 3 Japanies Encephalitis Pulmonery Tubaculosis Hepatitis 2 TOTAL 63
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INSERVICE TRAINING PROGRAMME SUMMARY 20
STAFF CATEGORY NO. OF PROGRAMMES NO. OF PARTICIPANTS
Doctors
Incharge Nurses
Nurses 2 160
Paramedical
Physiotheraphists
Mid wives
Health Management Assistants
S.K.S 1 50
Ambulance Drivers
Will shine group
Overseers
All staff 1 40
Security
Paramedicals & Nurses
Attendents
Nurses & Midvives
Total 4 250