information booklet - home - university of...
TRANSCRIPT
INFORMATION
BOOKLET
For Employees of University of Delhi and
its Constituent Colleges
2016-2017
Dr. Sunil MS, LLB Chief Medical Officer W.U.S. Health Centre Chhatra Marg University of Delhi Delhi – 110007
W.U.S. Health Centre (North Campus) : Contact No.: 27666257, 27662379 W.U.S. Health Centre (South Campus) : Contact No.: 24110505 W.U.S. Health Centre (East Delhi) : Contact No.: 22813870 W.U.S. Health Centre (West Delhi) : Contact No.: 25105659
INDEX S.NO. NOMENCLATURE PAGE NO
1. Introduction 1
2. Organizational Setup, Purchase Committee 2
3. List of Medical Officers of W.U.S. Health Centre (North Campus) 3
4. List of Part-time Visiting Specialists (North Campus) 4
5. Health Services, W.U.S. Health Centre (North Campus) 5-6
6. W.U.S. Health Centre (South Campus), List of Doctors and Facilities 7-8
7. W.U.S. Health Centre (East & West Delhi), List of Doctors and Facilities 9
8. Eligibility & Membership Rules of W.U.S. Health Centre 10
9. Rules for Enrolment of W.U.S. Health Centre Member 11
10. Dependant Family Members 12-14
11. Documents to be attached with Membership Form 15
12. Entitlements of Eligible Members 16
13. Guidelines for Claim of Reimbursement Bills 17
14. Entitlement for treatment in Private Ward 18
15. Medical Boards & Medical Fitness Certificates 19
16. Annexure I : Application Form for All Employees 20-21 17. Annexure II : Application Form for Students (Resident/Non Resident) 22 18. Annexure III : Application for Medical Examination for Fresh/Re-Employment 23-24 19. Annexure IV : Format for No Dues Certificate 25 20. Annexure V : Approved Hospital & Diagnostic Centres 26 21. Annexure VI : Form for payment of Investigation Charges Bill 27
22. Annexure VII : Form for payment of Local Purchase Bills 28 23. Annexure VIII : Swine/Seasonal Influenza (Flu) : Advisory 29-30 24. Annexure IX : Dengue Fever : Advisory 31-32 25. Annexure X : World Health Day : Advisory
Theme of 7th33-34
April 2015 World Health Day: Food Safety 26. Annexure XI : World Health Day : Advisory
Theme of 7th35
April 2016 World Health Day: Beat Diabetes Mellitus 27. Annexure XII : Malaria : Advisory 36
INTRODUCTION
World University Services (W.U.S.) Health Centre was commissioned in March, 1955 by World University Service, a Geneva based international Non-Governmental Organization (NGO). It has been a satisfying experience to serve its beneficiaries for the past 61 years and our mission has been to provide personalized/individualized services to the members of health centre & staff. Subsequently, three more Health Centres in East, West and South Campus were commissioned with assistance from University Grant Commission (UGC).
W.U.S. Health Centres have on its roll 20 doctors (including 5 part time medical officers), 5 Nurses (including 3 contract nurses), 41 Permanent and 15 Paramedical Employees (on contract). W.U.S. Health Centres (North and South campus) have fully equipped physiotherapy unit to cater to the beneficiaries.
W.U.S. Health Centre is a Contributory Health Service Scheme. It has four operational units in North, South, East and West. They cater to health related needs of the employees of University of Delhi and constituent Colleges, their family members and students.
W.U.S. Health Centre (North Campus) is the nodal point and has a team of 12 dedicated Doctors (including 1 medical consultant on contract, one Medical Officer on contract and three Part-time Medical Officers), 13 Visiting Part-time Specialists, 8 Permanent Pharmacists, 1 Technical Assistant (Pathology Laboratory), 7 Ministerial Employees, 13 Employees on Contract.
Major Investigative Facilities (Complete Blood Count, Widal Test for Enteric Fever, Platelet Count, Typhidot for IgM and IgG antibodies, Peripheral Blood Smear for Malaria, Dengue NS1 Antigen, Fasting and Postprandial Blood Sugar, Liver Function Tests with enzymes, Kidney Function Tests, Thyroid Function Tests, C- Reactive Protein, Rheumatoid Arthritis Factor, HbA1
c, Pregnancy Test, Urine Routine Examination, Stool Routine Examination, HBsAg, VDRL, Eosinophil Count, Semen Test, Occult Blood in stool) are available in W.U.S. Health Centre (North Campus).
W.U.S. Health Centre (South Campus) has 04 doctors (including 01 Medical Consultant on contract and 02 part-time medical officers), 02 visiting Part-Time Specialists. Limited investigative facilities (Complete Blood Count, Blood Group, Peripheral Blood Smear, Urine, Stool Tests, Blood Sugar, LFT, KFT, Lipid Profile, RA Factor, Widal, C- Reactive Protein) are available in W.U.S. Health Centre (South Campus).
W.U.S. Health Centre (East and West Delhi) are each managed by single doctor.
This Information Booklet contains collated information about various aspects of the Health Centres viz its organization, administration, operational facilities, rules and regulations in a summarized form. This booklet will serve as a guide book for all Health Centre beneficiaries, doctors and the administrative staff of the University and its constituent colleges.
The membership of health centres for Teachers/Employees is obtained by submitting duly filled membership proforma for which assistance is sought from the concerned institutions to remit monthly the required subscription of the members regularly along with the requisite information i.e. (i) Name, Token Card No. (ii) Grade pay, (iii) Health Centre Contribution (HCC) deducted from salary.
Subscription of students is collected on Annual basis (August to July) at the time of admission and it must be remitted by 31st
March of the year. The remittance cheque is to be prepared in favour of the Registrar, University of Delhi for delivery of the same in the W.U.S. Health Centre.
The members of the W.U.S. Health Centre (South Campus) have to remit the cheque in favour of the Director, University of Delhi, South Campus.
1
ORGANISATIONAL SET-UP
Interim Committee for Management of W.U.S. Health Centres (ICH) : The WUS Health Centres in University of Delhi has an Interim Committee for Management of W.U.S. Health Centres (ICH) appointed by the Competent Authority. The Committee formed on 29.09.2016 and further amended is as follows: 1. Prof. Raj Kumar, VPCI - Chairman 2. Dr. Mahesh Verma, Maulana Azad Dental College - Member
3. Prof. V.K. Chaudhary, Department of Bio- Chemistry, UDSC - Member
4. Prof. Enakshi Sharma, Department of Electronic Science, UDSC - Member
5. Prof. Akshay K. Pradhan, Department of Genetics, UDSC - Member
6. Prof. T.R. Sheshadri, Department of Physics - Member
7. Prof. K. Natrajan, ACBR - Member
8. Prof. (Dr.) Sudha Prasad, Dean, Faculty of Medical Sciences - Member
9. Prof. (Dr.) Ashwani Kumar, UCMS - Member
10. Prof. (Dr.) M.M.A. Faridi, UCMS - Member
11. Dr. Ish Anand, Department of Neurology Sir Ganga Ram Hospital - Member
12. Dr. Gautam Patra, JNU - Special Invitee
13. Dr. Shriram Oberoi, Retd. Ass. Professor, Delhi University - Member
14. J.R. (Establishment – N/T) - Member
15. A.R. (Finance - Health Matters) - Member
16. Dr. (Prof.) Rajeev Sood, Dr. R.M.L. Hospital - Member
17. Dr. Saumitra Rawat, Sir Ganga Ram Hospital - Member
18. Dr. Vijay Kumar Khaira, - Member
Rashtrakavi Maithilisharan Gupt Memorial Trust
19. Fr. George P.A., Director, Holy Family Hospital - Member
20. DUTA President - Member
21. DUCKU President - Member
22. DUSU President - Member
23. Dr. Rajesh Jha (E.C. Nominee) - Member
24. Dr. Sunil Thakur - Chief Medical Officer, (Member Secretary)
The ICH formulates various rules and regulations for the W.U.S. Health Centres. It provides basic functional guidelines and develops long-term policies for effective and efficient operationalisation of the W.U.S. Health Centres.
Purchase Committee : All the medicines purchased for the Health Centres are made through duly constituted purchase committees proposed by the ICH, W.U.S. Health Centres and approved by the Pro-Vice Chancellor on yearly basis. The medicines are purchased from Government Medical Store Depot (GMSD) and by following e-tendering process. Being head of the administration, the Chief Medical Officer is responsible for the smooth functioning of all the W.U.S. Health Centres.
2
W.U.S. HEALTH CENTRE (NORTH CAMPUS) Chhatra Marg, Delhi-110007
Telephone: 27666257
Timings: MONDAY to SATURDAY* Morning Duty : 08:00 AM to 02:30 PM Evening Duty : 01:30 PM to 08:00 PM Night Duty : 08:00 PM to 08:00 AM In Evening shift 2 Part-time Doctors and 1 Full time Doctor examine the patients. Sunday: 8:30 AM to 10:30 AM only Except National Holidays (26th January, 15th August, 2nd
October)
Night Service: All Days Office Timings (Room No. 32 & 34) : Mon through Fri 09:00 AM to 05:30 PM (Lunch Timings : 01:30 PM to 02:00 PM)
LIST OF FULL TIME MEDICAL OFFICERS
S.No. Name Qualifications Designation Cell No.
Email Id
1. Dr. Sunil MBBS, MS (ENT) CMO 8527220582 [email protected] 2. Dr. Sheela Jaiswal MBBS, MD (Gynae) SMO 9873157303 3. Dr. Neelu Madan MBBS, MD (Gynae) SMO 9810928378
4. Dr. S.S. Dugtal MBBS, MD (Med) SMO 9810802184 [email protected]
5. Dr. Ritu Tanwar MBBS MO 9868038208 [email protected]
6. Dr. Y.P. Singh MBBS, DTCD MO(C) 9899658569 [email protected]
LIST OF MEDICAL CONSULTANTS (ON CONTRACT)
S.No. Name Qualifications Cell No. Email Id
1. Dr. S. K. Karmakar MBBS 9013726154
LIST OF PART-TIME MEDICAL OFFICERS (ON CONTRACT)
S.No. Name Qualifications Cell No.
Email Id
1. Dr. Sudha Goel MBBS, MD (Gynae) 9811134806 2. Dr. Neena Paul MBBS 9999473251
[email protected] [email protected]
3. Dr. M.K. Grover MBBS, DCH 9810884590
3
LIST OF PART-TIME/FULL TIME SPECIALISTS
Designation Name Qualif
ication Days Timings Cell No. Email ID
CARDIOLOGIST Dr. Dinesh Kumar Gupta
DM Tue 9:00 A.M. – 11:00 A.M. 9811117822 [email protected]
(Heart) Wed 9:00 A.M. – 11:00 A.M. Thu 9:00 A.M. – 11:00 A.M. E.N.T. Dr. Sunil
MS Mon -
Fri 08:00 A.M. – 10:00 A.M. 8527220582 [email protected]
NEUROLOGIST Dr. K.S. Anand DM Sat 3:00 P.M. – 5:00 P.M. 8910495019 [email protected] ORTHOPAEDICIAN Dr. R.K. Gupta MS Mon to
Fri 9:00 A.M. – 11:00 A.M. 9810079933 [email protected]
PSYCHIATRIST Dr. Anandi Lal MD Mon 9:00 A.M. – 11:00 A.M. 9810061036 SKIN SPECIALIST Dr. Monika Garg DVD Wed 10:00 A.M. – 12:00 N 9810511553 [email protected] Fri 10:00 A.M. – 12:00 N Dr. Divya
Aggarwal MD Tue 8:30 A.M. – 10:30 A.M. 9911028800 [email protected]
Thu 8:30 A.M. – 10:30 A.M.
DENTIST Dr. Preeti
Mahajan BDS Wed 09:00 A.M. – 12:00 N 9899951279 [email protected]
Fri 09:00 A.M. – 12:00 N Dr. Shalu Pruthi BDS Mon 09:00 A.M. – 12:00 N 9999505579 [email protected] Thu 09:00 A.M. – 12:00 N Dr. Gaurav
Kumar Vats BDS Tue 09:00 A.M. – 12:00 N 9911709777 [email protected]
Sat 09:00 A.M. – 12:00 N
OPHTHALMOLOGIST Dr. Navita Gupta MS Mon, Tue, Thu
9:00 A.M. – 11:00 A.M. 9312212935 [email protected]
PAEDIATRICS Dr. Anjali Gera
MD
Mon
9:00 A.M. – 11:00 A.M.
9810221897
(CHILDREN) Fri 9:00 A.M. – 11:00 A.M.
Dr. Manjoo Gupta
MD
Wed
9:00 A.M. – 11:00 A.M.
9818379933
Tue 9:00 A.M. – 11:00 A.M.
4
SERVICES/FACILITIES AT W.U.S. HEALTH CENTRE (NORTH CAMPUS) :
S.No. PHYSIOTHERAPY SERVICES:-
Name Quali Designation Time Cell No Email ID 1. Sh. R.S.K. Nair BPT Physiotherapist 09:00 AM to 04:00 PM
(Mon through Fri) Saturday : 09:00 AM to 03:00 PM
9810562332
2. Mrs. Meenakshi Nair MPT Physiotherapist 09:00 AM to 04:00 PM (Mon through Fri) Saturday : 09:00 AM to 03:00 PM
9810380967
PATHOLOGY LABORATORY
:
S.No. Name Qualifications Designation Time Cell No Email ID 1. Mrs. Shilpa
Singh DMLT Technical
Assistant Mon through Fri 9.00 A.M. to 5.30 P.M
9810960776
Blood Sample collection is done between 09.30 AM to 12.00 Noon only Urine Routine Examination, Stool Routine Examination, Complete Blood Count, Blood Sugar, KFT, Lipid Profile, LFT are performed on Mon, Wed & Fri. Thyroid Profile (T3, T4, TSH) is performed on 2nd & 4th
Tuesday of each month only.
Blood Tests to diagnose the cause of fever viz. Complete Blood Count, Periphral Blood Smear for Malaria, Widal Test for Enteric Fever, Typhidot for IgG and IgM antibodies, Dengue NS1
antigen, Total Platelet Count, Serum Bilirubin, Urine Routine Examination are done from Monday to Friday.
Laboratory Services are not available on Saturday & Sunday
Monday to Saturday from 09:00 AM to 12:00 Noon DENTAL SERVICES:
Dr. Preeti Mahajan Dr. Shalu Pruthi Dr. Gaurav Vats Root Canal Treatment is available daily
5
ADDITIONAL SERVICES AVAILABLE at W.U.S. HEALTH CENTRE (NORTH CAMPUS) Ayurvedic Dispensary is operated by Municipal Corporation of Delhi S.No. Name Quali Designation Time Cell No Email ID 1. Dr. (Mrs.) Shuchi
Gauba CMO
(Ayurveda) Summer: Mon through Sat : 08:00 AM - 02:00 PM Winter : Mon through Sat : 09:00 AM - 03:00 PM
6
W.U.S. HEALTH CENTRE (SOUTH CAMPUS) BENITO JUAREZ ROAD, NEW DELHI-110021.
Telephone: 24110505 W.U.S HEALTH CENTRE (SOUTH CAMPUS) PROVIDES HEALTH SERVICES FROM MONDAY TO SATURDAY WITH LIMITED INVESTIGATIVE SERVICES. TIMINGS: MONDAY to FRIDAY : 09:00 AM to 05:30 PM
SATURDAY : 09:00 AM to 03:30 PM Sunday closed.
MEDICAL OFFICER I/C
S.No. Name Qualifications Designation Time Cell No Email ID 1. Dr. Rinku
Mathur MBBS MO 09:00 AM
to 03:30 PM (Mon to Sat)
9810478374
LIST OF MEDICAL CONSULTANT ON CONTRACT
S.No. Name Qualifications Time Cell No Email ID 1. Dr. V.P.
Garg MBBS, MD (Paed.)
11:30 AM to 05:30 PM (Mon to Sat)
9891659330
LIST OF PART- TIME MEDICAL OFFICERS
S.No. Name Qualifications Time Cell No Email ID 1. Dr. Aneet
Wadhwa MBBS 02:30 PM to 05:30
PM 9968004514
2. Dr. Renu Verma
MBBS, MS 09:00 AM to 12:00 PM
9811209942
PATHOLOGY LABORATORY
S.No. Name Designation Qualifications Time Cell No Email ID 1. Ms. Nirmala
Kumari
Technical Assistant
Diploma in M L T
Mon through Fri, 9:00 am to 3:00 pm
8587869508
Blood Sample Collection Time : 09:30 AM to 11:30 AM Complete Blood Count, Blood Group, Peripheral Blood Smear, Urine, Stool Tests : Mon - Fri Blood Sugar, LFT, KFT, Lipid Profile, RA Factor, Widal, CRP : Mon & Wed
7
OPHTHALMOLOGY (EYE) SERVICES
S.No. Name Qualifications Time Cell No Email ID 1. Dr. Tarun
Kapoor MS Mon, Thu 3:00 pm to 5:00 pm
Wed 9:00 am to 11:00 am
9810125699
DENTAL SERVICES
S.No. Name Qualifications Time Cell No Email ID 1. Dr. N.K.
Pahwa BDS Tue, Wed, Thu
2:00 pm to 4:00 pm
9811122367
Root Canal Treatment is available on Tuesday, Wednesday & Thursday
PHYSIOTHERAPY SERVICES
S.No. Name Designation Qualifications Time Cell No Email ID 1. Ms. Kiran
Sharma BPT Physiotherapi
st (Contract) Mon through Sat 9:30 am to 3:30 pm
9717286563
8
W.U.S. HEALTH CENTRE (EAST DELHI) B.R.AMBEDKAR COLLEGE CAMPUS, STAFF QUARTERS-2&3
YAMUNA VIHAR, DELHI-110094 Telephone: 22813870
TIMINGS: MONDAY through SATURDAY 09:00 AM to 03:30 PM SUNDAYS CLOSED
SENIOR MEDICAL OFFICER I/C
S.No. Name Qualifications Time Cell No Email ID 1. Dr. J.K.
Siddhartha MBBS Mon through Sat 09:00
AM to 03:30 PM 9868846104
Pathological Testing are available on Tuesday & Thursday from 09:00 AM to 03:00 PM
WUS HEALTH CENTRE (WEST DELHI) SHIVAJI COLLEGE CAMPUS, RING ROAD,
DELHI-110027 Telephone: 25105659
TIMINGS: MONDAY through SATURDAY 09:00 AM to 03:30 PM SUNDAYS CLOSED
MEDICAL OFFICER I/C
S.No. Name Qualifications Time Cell No Email ID 1. Dr. T.K.
Chumbak MBBS Mon through Sat 09:00
AM to 03:30 PM 7042535598
9
ELIGIBILTY & MEMBERSHIP
1. All permanent employees of Delhi University and its Constituent Colleges and wholly dependent Members of their family (as recorded in the service book maintained by Establishment Branch) are entitled for all approved facilities of W.U.S. Health Centres.
2. All Adhoc teaching employees are issued treatment card for the specified period of employment and entitled only to existing in-house facilities of the Health Centres. They are not entitled for any form of medical reimbursement.
3. Full time students of the University/Colleges are entitled to become temporary members on year to year
basis.
i. Each eligible member is issued a Health Booklet or Card bearing a recent passport size photograph. It is pasted on the inner side of the Health Booklet on the front portion of the Treatment Card.
ii. In case a member does not bring the Treatment Card/ Health Booklet while seeking consultation
with the Doctor, only consultation will be given and no medicines will be issued.
iii. Members holding Treatment Card with ‘D’ (day students) membership are eligible only for the facilities available in the Health Centre. No reimbursement of any kind will be allowed.
iv. Members holding Treatment Card with ‘R’ (resident student) and ‘T’ (temporary members)
membership are also not eligible for reimbursement of treatment at other Hospitals’ OPD or IPD.
v. Investigative laboratory tests, Radiological tests and Medicines readily available in the Health Centre will not be allowed to be done/purchased from the open market respectively. Such bills will not be entertained for reimbursement after 6 months of the date of Investigative Test/Purchased Medicines.
vi. For seasonal/routine ailments, medicines will be issued initially for 3 to 5 days before making a
long term treatment plan.
vii. For chronic ailments and long term on-going treatments, medicines can be issued for one month. Those who are going abroad or come from far-flung areas, medicines can be issued upto two months.
viii. Patients are advised to collect the medicines after one full month/full two months.
10
HOW TO BECOME A MEMBER OF THE WUS HEALTH CENTRE
RULES FOR ENROLMENT OF W.U.S. HEALTH CENTRE MEMBER
1. It is mandatory to become member of W.U.S. Health Centre (North and South Campus) for all the employees (Teaching and Non-teaching) of University and its affiliated Colleges residing within the vicinity of 8 kms. of North Campus and South Campus Health Centres respectively to enable them to avail the facility of OPD treatment at the Health Centre.
2. Enrolment of W.U.S. Health Centre is mandatory for all the pensioners of University of Delhi and its affiliate colleges.
3. Facilities of availing Authorised Medical Attendants (AMAs) services are not available to the pensioners and those living within vicinity of 8 kms radius of North and South Campus respectively.
4. The details of AMAs beyond the vicinity of 8 kms. is available on Delhi University website i.e. www.du.ac.in.
5. For claiming the medical reimbursement by the employees/pensioners of University of Delhi or its affiliated colleges the charges for enrolment as a member of the W.U.S. Health Centre w.e.f. 23.06.2009 are as follows :
Grade Pay In Service Retired Per Month Health Centre
Contribution Life Time Health Centre
Contribution Upto Rs. 1,650/- per month Rs. 50/- Rs. 6,000/-
Rs. 1,800/-; Rs. 1,900/-; Rs. 2,000/- Rs. 2,400/- ; and Rs. 2,800/- per month
Rs. 125/- Rs. 15,000/-
Rs. 4,200/- per month
Rs. 225/- Rs. 27,000/-
Rs. 4,600/-; Rs. 4,800/-; Rs. 5,400/-; and Rs. 6,600/- per month
Rs. 325/- Rs. 39,000/-
Rs. 7,600/- and above per month
Rs. 500/- Rs. 60,000/-
6. If the dependant of the deceased beneficiary becomes an employee of University of Delhi or its affiliated colleges, she/he will have to become member of the W.U.S. Health Centre afresh.
7. If any beneficiary does not remit her/his remittance for Health Centre Contribution (HCC) well in time, her/his membership will be terminated without any further notice.
8. The employee/pensioner of University of Delhi and its affiliate colleges will have to give an undertaking to the effect that if the amount of HCC is revised according to 7th
9. W.U.S. Health Centre Contribution (HCC) is non refundable.
Central Pay Commission, the revised HCC will be payable by her/him and she/he will have to remit the same otherwise membership will be cancelled.
11
DEPENDENT FAMILY MEMBERS
Meaning of Family The term ‘family’ means and includes :- 1. Husband/wife (including more than one wife and a judicially separated wife). 2. Parents (excluding step parents) subject to the following : (a) In case of adoption, adoptive parents and not real parents; (b) If adoptive father has more than one wife, only the first wife (c) In case of female employees, parents or parents-in-law, at her option, subject to the conditions of
dependency and residence etc. being satisfied.
Note :- Option to include either her parents or parents-in-law is not available to a female family pensioner. Children, including step children, legally adopted children, children taken as wards by the Government servant under the Guardians and Ward Act, 1980 provided that such a ward lives with him and is treated as a family member and is given the status of a natural born child through a special will executed by that Government servant.
(i) Son is eligible till he starts earning or attains the age of 25 years or gets married, whichever is earlier. (ii) Daughter is eligible till she starts earning, or gets married, irrespective of age limit whichever is
earlier. 3. Sons suffering from permanent disability either physically or mentally irrespective of age-limit.
(i) Disability means blindness, low vision, leprosy-cured, hearing impairment, locomotor disability,
mental retardation, mental illness, autism, cerebral palsy or a combination of any two or more of such conditions and includes a person suffering from several multiple disabilities.
(ii) ‘Permanent disability’ means a person with 40% or more of one or more disabilities.
4. Wholly dependent divorced/abandoned or separated from their husband/windowed daughters (irrespective of age).
5. Wholly dependent unmarried/divorced/abandoned or separated from their husband/widowed sisters (irrespective of age).
6. Minor brother(s) (up to the age of becoming major). 7. Wholly dependent Brother (irrespective of age). 8. Step-mother. 9. Minor children of widowed/separated daughters who are wholly dependent upon the W.U.S. Health Centre
beneficiary and normally residing with him shall be eligible up to the age of 18 years.
Note : Income of dependants from all sources including pension and pension equivalent should be less than Rs. 3500 + DA per month. Grand children are not included. DELETION FROM THE FAMILY
Deletion of the name of a member shall be required in the following circumstances : 1. Death of eligible member in the family; or 2. Divorce of spouse; or 3. Member becoming ineligible (i.e. falling outside the scope of dependency).
It is the responsibility of the employee to get the name of the dependent deleted from records of Health Centre when such an eventuality occurs. Failure to do so shall entail disciplinary proceedings being initiated against her/him.
12
CONDITION OF DEPENDENCY NOT APPLICABLE TO SPOUSE :
1. The condition of dependency is not applicable to the spouse. In other words, spouse is automatically included for medical benefits according to membership rules of W.U.S. Health Centre, University of Delhi.
2. Where both husband and wife are University employees only one of them can become member of W.U.S. Health Centre and the spouse of the member shall have to furnish a declaration duly forwarded by the competent authority of her/his college that she/he shall not be claiming any medical benefits from her/his college.
ADDITION TO THE FAMILY :
Addition to the ‘family’ may be allowed in following cases : 1. Marriage of the W.U.S. Health Centre beneficiary (requiring inclusion of spouse’s name) or 2. Birth of a child; or 3. Parents becoming dependents.
An application for this purpose shall be made in the prescribed form. DEPENDENCE CERTIFICATE : Every Card Holder must certify that the Parents/Dependents whose names have been included in the token card, normally reside with him and are fully dependent upon her/him. Such a certificate must be furnished at the time of issue of Token Card and renewed every January. Otherwise the parents shall be treated as non entitled persons. The certificate must also state that the income from all sources does not exceed Rs. 3500 + DA per month. SURRENDER OF MEMBERSHIP HEALTH BOOKLET OF W.U.S. HEALTH CENTRE :
The Booklet of W.U.S. Health Centre membership held by the beneficiary must be surrendered to the issuing authority in the following events:- (a) Retirement /Resignation (b) Death of Government Servant (c) Transfer of beneficiary on deputation to another office (optional) (d) Employees who go on deputation to another organization and intend to discontinue the membership are also required to surrender her/his Booklet(s) of W.U.S. Health Centre to the issuing authority MISUSE OF MEMERSHIP HEALTH BOOKLET OF W.U.S. HEALTH CENTRE : If the Medical Officer detects a case of misuse of Health Booklet of Health Centre by unauthorized person, he will bring the fact to the notice of CMO and / or the matter reported to the Chairman – IGC, W.U.S. Health Centre for further necessary action. It may be noted that misuse of Health Booklet is a cognizable offence. LOSS OF HEALTH BOOKLET OF W.U.S. HEALTH CENTRE : As lost Health Booklet is likely to be misused the holder must inform immediately to the Police and inform the following along with a copy of First Information Report (FIR). (i) Chief Medical Officer /Issuing authority. (ii) Medical Officer I/C of peripheral W.U.S. Health Centres. (iii)A duplicate card will be issued after verification of membership form from the respective
Department/College of employee with penalty of Rs. 25/- per Booklet.
13
PRODUCTION OF MEMBERSHIP HEALTH BOOKLET OF W.U.S. HEALTH CENTRE : The production of Health Centre membership Booklet is obligatory at every visit to enable correct identification of the patient and to prevent misuse of booklet. However, in view of humanitarian service, essential and immediate treatment for one day should not be denied to the patient but the beneficiary should be advised to bring the W.U.S. Health Centre Booklet at the time of subsequent visits and if considered necessary, a note may be made in OPD ticket of the patient. The CMO will obtain a certificate from each pensioner for any rise of pay/pension due to hike in increments after every two years for calculation of rate of pension or the fact may be verified from his pension payment order before revalidation of card. The CMO will therefore refix the rate of contribution accordingly. In case of Pensioner the transfer of Health Booklet from one Health Centre to another shall be done by the CMO. REGISTRATION OF HEALTH BOOKLET OF W.U.S. HEALTH CENTRE : The Health Booklet Holder must ensure that latest coloured photograph duly signed by Chief Medical Officer/Section Officer is affixed and in the absence of same the medicines will be denied to her/him. She/he must submit the membership Booklet of Health Centre at the reception for verification. The receiving clerk/MTS will verify the credentials, stamp the date and initial the health Booklet. Until she/he deposits the Booklet at the reception, she/he is not entitled for treatment in the W.U.S. Health Centre and may be given medicine(s) for only 1-2 days.
1. For acute/seasonal/routine ailments, medicine (s) will be issued, initially for 3 to 5 days before making a long tern treatment plan.
RULES FOR DISPENSING/ISSUANCE OF MEDICINES :
2. For chronic ailments and long term on-going treatments, medicines can be issued upto three months. 3. Investigative laboratory tests, Radiological tests (X-ray) and Medicines readily available in the Health
Centre, will not be allowed to be done or purchased respectively from the open market. Such bills whatsoever will not be entertained for reimbursement.
NO DUES CERTIFICATE:
It is mandatory for all employees of Departments of University of Delhi and its affiliated Colleges irrespective of their membership of W.U.S. Health Centre to take “No Dues Certificate” from W.U.S. Health Centre at the time of retirement/deputation/withdrawal of membership/resignation after getting it verified from respective Head of Department/Principal of College.
Health centre facilities primarily is available only to eligible members who have enrolled themselves (teachers, non-teaching, students & retired staff of Delhi University and its affiliated Colleges) in the health centre.
14
DOCUMENTS TO BE ATTACHED WITH MEMBERSHIP FORM
To obtain membership, a prescribed pro forma has to be filled up by University employees/students along with payment of the prescribed subscription fee. A specimen of application form is enclosed (Annexure I-II). 1. University Employee
(a). In service employees Academic and Non-academic employees are required to submit properly verified Application Form, from their respective department/college alongwith following documents:-
i. Copy of Appointment Letter/Copy of Identity Card ii. Date of Birth Certificate of wife and children(s)
iii. Two copies of recent passport size photographs of each book-holder iv. Certificate from the work place of spouse in case s/he is working, mentioning that s/he will not avail
any medical facility from her/his organization. The subscription for membership for initial one month has to be deposited in cash in the Health Centre office (Room No. 32) between 10:00 a.m. to 12:30 p.m. along with the application form. The subscription for subsequent months will be immediately forwarded to W.U.S. Health Centre by their respective College. Monthly Schedules depicting Health Centre Contribution along with token numbers from Finance – I and Finance – II are to be immediately forwarded to W.U.S. Health Centre. (b) Retired employees A retired employee is required to submit a properly verified Application Form along with following documents:-
No Dues Certificate from W.U.S. Health Centre Two copies of recent passport size photographs of each book-holder
The Pay Band and Grade Pay at the time of retirement must be mentioned clearly on the Application Form.
10 years subscription is taken as Life Membership fees only for the Retired Employees, which is also payable year wise without any break or lump-sum payment at the time of retirement. The amount has to be paid in Cash or by Cheque/Demand Draft in favour of Registrar, University of Delhi and has to be deposited in the Office of the W.U.S. Health Centre.
2. Students registered in full time Courses They are required to submit the following additional information along with the regular Application Form:
• Photocopy of the College /Department fee receipt. • Photocopy of the College / Departmental Identity Card. • Two latest passport size photographs. 3. Students registered in diploma/ part time /correspondence Courses Students pursuing diploma / part-time /correspondence courses are not eligible for Health Centre Membership.
15
ENTITLEMENTS OF ELIGIBLE MEMBERS 1. All Non Members will be provided only Emergency Treatment at the Health Centre as and when required.
OPD treatment will be given only to those Non-resident Students who have paid membership fee of the Health Centre on per session basis. No Medical Reimbursement of any kind will be allowed.
2. All permanent employees of the Institute of Economic Growth, Centre for Professional Development of
Higher Education and Agro Economic Centre will be allowed to continue their membership of the W.U.S. Health Centre and avail investigation and treatment facilities available at the Health Centre. However, all hospitalization related expenses and any other investigation charges will be paid to these employees directly by their respective employers or the funding agencies only.
3. Regular full time employees of Delhi University Co-operative Society, WUS-DU Committee and Delhi
University Women’s Association will be given membership of the WUS Health Centre on payment of Rs. 120/- for each session (August 1 to July 31). The membership will include all eligible members of family as per University norms. They will be provided only OPD facilities available at the Health Centre. No medical reimbursement facility will be allowed.
4. Teachers employed on Ad-hoc basis and personnel appointed in time bound Research Projects will be
allowed only OPD consultation and treatment on production of valid identity cards clearly showing the period for which s/he is engaged in work/research work with the University. No reimbursement facility will be allowed to Teachers working on Adhoc basis. The facility will be given to individuals only and shall not include any other member(s) of the family. Rate chargeable for the members will be in accordance with the rate slabs applicable for drawing other benefits.
5. Visiting Faculty will enjoy full OPD facility including local purchase of medicines not available at the
Health Centre. All other investigation and indoor treatment bills will be paid by the Sponsoring Authority or Donor institution, as the case may be.
6. All regular University and affiliated college employees can seek the consultation and treatment at the
Health Centre with reimbursement facility of medicines and investigative tests required for diagnosis. However, Emergency and hospitalization charges will be reimbursed by the College/University as the case may be.
• Non Resident Students (Day Scholars)
120/- payable on annual basis.
• Resident Students (Hostel) 240/- payable on annual basis.
• Ph.D./M.Phil students 240/- per academic session.
• Junior Research Fellows, Senior Research Fellows, Research Associates: As per salary slabs applicable to regular employees
16
GUIDELINES FOR CLAIM OF REIMBURSEMENT 1) There is no need to obtain reference from the Medical Officer of W.U.S. Health Centre for availing
treatment at the hospital.
2) The treatment must be availed only from the Hospitals empanelled only by the University of Delhi. However, in emergency cases to be corroborated by Emergency Certificate from the treating Physician/Surgeon, the treatment can be availed from the nearest hospital even if that Hospital is not on the University approved panel. For availing reimbursement of expenses, nature of Emergency will have to be justified and approved by the Chief Medical Officer.
3) Reimbursement bill(s) after their verification from the concerned doctors of the hospital along with
legibility filled Certificate ‘A’ for OPD treatments and/Essentiality Certificate ‘B’ for Hospitalization expenses ought to be submitted by the beneficiaries directly to their concerned University/Department/College in which the beneficiaries are employed. The concerned College/ Finance Branch XIII of University will make the reimbursement of the medical bill(s). All claims must be made within six months of the treatment come what way else the bills will be summarily rejected.
4) The Retired employee must submit their Hospital medical bills/OPD claims directly to the University/Department/College from where they retired. The reimbursement will be made by University/College as the case may be.
5) The reimbursement will be as per CGHS/AIIMS approved rates. All extra charges other than the CGHS/AIIMS approved rate list will be borne by the incumbent/beneficiary.
6) The reimbursement of the Investigation Bills/Medicine Bills will be made by the W.U.S. Health Centre, if these have been prescribed by the Doctors of the W.U.S. Health Centre only. The name of the Doctor/W.U.S. Health Centre should be mentioned on the bill/cash memo.
7) All the beneficiaries of the Health Centre are informed that the payment of investigations/medicines for taking treatment in any Hospital/Doctor other than the W.U.S. Health Centre will not be done by Health Centres, if their bills/cash memos bear the name of the Doctor other than that of W.U.S. Health Centre. They should take the payment for other bills from their Department/Colleges.
8) The bills/cash memos of the investigations and medicines will not be reimbursed by the W.U.S. Health Centre, if the name of the doctor other than that of W.U.S. Health Centre has been mentioned.
9) All the doctors of W.U.S. Health Centre are requested not to issue the requisition slip to the beneficiaries of Health Centre for investigation/medicines, if they are getting treatment from any Hospital/Doctor other than the W.U.S. Health Centre.
Reimbursement of Diagnostics/ X-ray charges
Such reimbursement will be permitted only if such test facilities are not available or operational in particular W.U.S. Health Centre. Availability and functionality of these tests/equipments must be ascertained from the W.U.S. Health Centre Clinico-Pathological labs and X-Ray Department before getting the investigations carried out in laboratories which are on the panel of University of Delhi.
17
Entitlement for treatment in Private Ward
S. No. Basic Pay (Without Grade Pay) Entitlement
1. Up to Rs. 13,950/- General Ward
2. Between Rs. 13,951/- and Rs. 19,530/- Semi-Private Ward
3. Rs. 19,540/- and above Private Ward
18
MEDICAL BOARDS & MEDICAL FITNESS CERTIFICATE
1. Medical fitness certificate in case of fresh or re-employment is provided by the W.U.S. Health Centre as per guidelines illustrated in Annexure-III.
In case of new appointments to the University/Colleges, Medical Examination shall be done daily from Monday to Friday from 09:00 AM to 05:00 PM.
Candidates are required to submit letter of appointment, 2 passport size photographs and following investigations from the University of Delhi empanelled Hospital : 1. Haemoglobin 2. Chest X-Ray PA View 3. Recent E.C.G. 4. Vision Report RE/LE 5. Fundoscopy Report 6. Urine/R/ME 7. Blood Sugar-Fasting/P.P./HbA19. Gynaecology Report for female candidate
c 8. ENT/Audiometric Report
Male candidates will be examined by Male Doctor and Female candidates will be examined by the Female Doctor. Medical Fitness Certificate will be sent to the respective Department/College by registered post.
2. Any handicapped/injured student intending to have the facility of writer or extension of time during
examination should apply to the Head of the Department/Principal of the respective Department/College one month in advance. The application is routed through the Examination Branch at the North or South Campus to the Chief Medical Officer, W.U.S. Health Centre (Main Campus), Chhatra Marg, University of Delhi, Delhi-110007. The candidate will be examined by a Board of Officers comprising of Visiting Specialist of the concerned specialty and Medical Officer on duty from Monday to Friday from 09:00 AM to 11:00 AM. If the Visiting Specialist is not available on any particular day then the candidate will be examined on the next working day of the Visiting Specialist. X-Ray of the candidate to confirm the findings will be carried out at W.U.S. Health Centre/nearest Diagnostic Centre. The candidate must bring original prescription slip of treating Physician/Orthopaedician of Government Hospital, latest X-Ray Film of the affected part and 2 latest passport size coloured photographs. The decision of the Board of Officers will be final and binding upon the candidate seeking facilities of writer and extension of examination time.
3. Medical Examination Certificate will be given only for Hostel Accommodation and Swimming after the
following medical examination : Hostel Accommodation : Chest X-Ray, Blood Sugar and ECG Swimming : Chest X-Ray and ECG Medical Examination Certificate will not be given for NCC Camp and Gymnasium.
19
ANNEXURE – I
20 Page 1 of 2
21 Page 2 of 2
ANNEXURE – II
22
ANNEXURE – III
23 Page 1 of 2
24 Page 2 of 2
ANNEXURE – IV
25
ANNEXURE – V
The lists of Empanelled Hospitals and Diagnostic Centres are reviewed regularly by duly constituted Reviewing Committee. Please visit http://www.du.ac.in/du/index.php?page=wus-health-centre to view the updated list of Empanelled Hospitals and Diagnostic Centres or else follow the links as below :
www.du.ac.in
Amenities
W.U.S. Health Centre
Circular/Notifications
26 ANNEXURE – VI
27
ANNEXURE – VII
28 ANNEXURE – VIII
SWINE FLU (SWINE INFLUENZA) ADVISORY
Swine influenza is caused by influenza A subtypes H1N1.Incubation Period from exposure to first symptom is 1-4 days with average of 2 days. It is most contagious during the first 5 days of illness. Symptoms
Fever :-
Bodyaches Diarrhoea Rash Cough Headache Nausea Chest Pain Sore throat Chills Vomiting Breathlessness Runny nose Fatigue Fever 100O Pneumonia F or greater
These symptoms develop 1-3 days after exposure to any strain of the influenza family of viruses that is endemic in pigs and continue for 7-14 days.
TransmissionSwine flu is transmitted from person to person by inhalation or ingestion of droplets containing virus from people coughing or sneezing.
:-
When to consult a doctorIt is not necessary to consult a doctor if one develops mild flu symptoms and signs. Visit the doctor if one is having chronic disease e.g. asthma, heart disease, pregnancy and develop moderate or severe flu symptoms.
:-
Risk FactorsSmoking, not wearing gloves while working with sick animals increases the likely hood of hand to eye, hand to nose or hand to mouth transmission of virus. If one has travelled to area where many people are affected by H1N1 virus, one may be exposed to the swine flu virus.
:-
ComplicationsWorsening of chronic condition like asthma, diabetes, heart disease, Pneumonia, Respiratory Failure.
:-
DiagnosisDiagnosis of confirmed swine flu require laboratory test of respiratory sample e.g. nasal swab, throat swab at specialized undermentioned laboratories.
:-
Treatment• Tablet Oseltamivir (Tamiflu) 75 mg twice daily for 5 days within or after 48 hours after the
onset of symptoms in high risk patients. These tablets should not be used indiscriminately.
:-
• Majority of the people infected with the virus make a full recovery without anti-viral drugs. Prevention1. Avoid exposure to the virus by not touching eyes, nose or mouth with infected hands.
:-
2. Avoid close proximity to persons with flu like symptoms. 3. Wash hands with soap and water or with alcohol based hand sanitizers. 4. Disinfect household services with diluted chlorine bleach solution. 5. People who suffer from sneezing or cough should use surgical mask. 6. Stay at home. 7. Avoid crowds, parties and people who are coughing and sneezing. 8. Try to remain away from people and be away by 6 feet from anyone coughing or sneezing. 9. Saline nasal washes, gargling with saline may reduce viral virus from mucus membranes. 10. Standard single dose of commercial swine flu vaccines are effective in controlling the infections. 11. Vaccination of children from 6 months to 4 years of age, asthmatics, diabetes, HIV,
pregnancy. It costs Rs. 500/-.
Precautions while air travelling • If a person sitting within 6 feet is coughing, request the flight attendant to offer the person a mask.
:-
• If seats are available 6 feet or more away from the coughing/sneezing person, change your seat. • Turn away from the coughing person & turn air vent towards infected person to blow the droplets
away.
29 Page 1 of 2
High grade fever, cough, cold, sore throat, breathlessness, bodyache, vomiting diarrhea are common symptoms of SEASONAL INFLUENZA (SWINE FLU). H1N1 is also a type of Seasonal Influenza (Flu) and is a self-limiting viral disease. Treatment facility for Seasonal Influenza including H1N1 is available in following hospitals : 1. Lok Nayak Hospital, Delhi Gate 2. GTB Hospital, Dilshad Garden 3. Deen Dayal Upadhyay Hospital, Hari Nagar 4. Sanjay Gandhi Memorial Hospital, Mangolpuri 5. Lal Bahadur Shastri Hospital, Khichripur 6. Pt. Madan Mohan Malviya Hospital, Malviya
Nagar 7. Baba Saheb Ambedkar Hospital, Rohini 8. Chacha Nehru Bal Chikitsalya, Geeta Colony 9. Bhagwan Mahavir Hospital, Pitampura 10. Maharishi Valmiki Hospital, Pooth Khurd 11. Babu Jagjivan Ram Memorial Hosptial,
Jahangirpuri 12. Aruna Asaf Ali Govt. Hospital, Civil Lines 13. Dr. Hedgewar Arogya Sansthan, Karkardooma
14. Safdarjung Hospital, Ansari Nagar (West) 15. Dr. RML Hospital, Baba Kharak Singh Marg 16. Sucheta Kriplani Hospital, panchkuian Road 17. Airport Health Organisation, Palam 18. Hindu Rao Hospital, Bara Hindu Rao 19. Indraprastha Apollo Hospital, Sarita Vihar 20. Moolchand Khairati Ram Hospital, Lajpat Nagar 21. Sir Ganga Ram Hospial, Rajender Nagar 22. St. Stephen’s Hospital, Tis Hazari 23. Balaji Action Medical Institute, Paschim Vihar 24. Max Super Speciality Hospital, Saket 25. BLK Super Speciality Hospital, Pusa Road 26. AIIMA, Ansari Nagar, New Delhi
Treatment facility for Seasonal Influenza including H1N1 is available in following laboratories : 1. National Centre for Disease Control (NCDC),
22, Sham Nath Marg 2. Vallabhbhai Patel Chest Institute, University of
Delhi 3. AIIMS, Ansari Nagar, New Delhi 4. Dr. Dang’s Lab. Pvt. Ltd., Hauz Khas 5. Dr. Lal’s Pathlabs, Rohini
6. Super Religare Laboratory, Preet Vihar 7. Sequence Referral Laboratories, Janak Puri 8. Indraprastha Apollo Hospital, Sarita Vihar 9. Sir Ganga Ram Hospital, Rajender Nagar 10. Max Super Speciality Hospital, Saket
(Dr. Sunil) Chief Medical Officer
30 Page 2 of 2 ANNEXURE IX
Dengue fever is a
DENGUE FEVER : ADVISORY mosquito-borne tropical disease caused by the dengue virus.
Symptoms and Signs Dengue triad: High fever, severe headache, skin rash
:-
1. Sudden onset high fever biphasic or saddleback in nature, breaking & returning for 1-2 days. 2. Severe headache (typically located behind the eyes), severe muscle and joint pains so it is also called
breakbone fever. 3. Characteristic skin rash similar to measles. In some disease develops into the life-threatening dengue
hemorrhagic fever, resulting in bleeding, low levels of platelets and blood plasma leakage or into dengue shock syndrome when low blood pressure occurs.
4. During critical phase : lymphadenopathy, mouth & nose bleeding, low blood pressure, accumulation of fluid in the chest (pleural effusion), accumulation of fluid in abdominal cavity (ascites), depletion of fluid, organ dysfunction, gastrointestinal bleeding.
5. During recovery phase : altered level of consciousness, seizures, itching, slow heart rate, peeling of the skin, slow heart rate, fatigue .
6. Dengue shock syndrome. 7. Dengue hemorrhagic fever – usually affects children less than 10 years of age. 8. Children often experience symptoms similar to those of the common cold and Gastroenteritis and have a
greater risk of severe complications.
The incubation period (time between exposure and onset of symptoms) ranges from 4 to 7 days. Therefore, travellers returning from endemic areas are unlikely to have dengue if fever or other symptoms start more than 14 days after arriving home.
• Dengue virus is primarily transmitted by
Transmission :-
Aedes mosquitoes particularly A. aegypti. The virus has five different types; infection with one type usually gives lifelong immunity to that type but only short-term immunity to the others. Subsequent infection with a different type increases the risk of severe complications.
• Blood products. • Organ donation.
• High
Predisposition :-
body mass index. • Viral load.
• Living or travelling in tropical areas.
Risk Factors :-
• Prior infection with a dengue fever virus. Previous infection with a dengue fever virus increases the risk of having severe symptoms if one is infected again.
• If severe, dengue fever can damage the lungs, liver or heart. Blood pressure can drop to dangerous levels causing shock and in some cases death.
Complications :-
When a mosquito carrying dengue virus bites a person, virus enters the skin. It binds to
Mechanism :-
white blood cells (WBC) and reproduces inside the cells. WBC respond by producing a number of signaling proteins e.g. cytokines and interferons which are responsible for symptoms.
Severe disease is marked by capillary permeability and disordered blood clotting.
31 Page 1 of 2
On examination :- Lymphadenopathy, Diagnosis :-
Pleural effusions, Ascites.
• Low white blood cell count (WBC), positive tourniquet test or any warning sign. • The earliest change is a low white blood cell count, low platelets and metabolic acidosis. Elevated level
of Aminotransferase(AST and ALT) rising hematocrit and hypoalbuminemia. Demonstration of fluid on ultrasound in case of dengue shock syndrome.
• Check for the virus or antibodies to the virus.
• No specific treatment. There is no
Treatment :-
vaccine to prevent dengue fever. • Drink plenty of fluids. • Intravenous fluids with electrolyte replacement to maintain urinary output of 1 ml/kg/hr. • Acetaminophen can alleviate pain and reduce fever. • Avoid Aspirin, Ibuprofen and Naproxen Sodium. • Transfusion with packed red blood cells or whole blood to replace blood loss. • During recovery phase intravenous fluids are discontinued to prevent a state of fluid overload or else loop
diuretic e.g. furosemide if the patient is outside the critical phase.
Prevention
The best way to prevent the disease is to prevent bites by infected mosquitoes. This involves protecting oneself and making efforts to keep the mosquito population down.
:-
To protect oneself :
• Stay away from heavily populated residential areas, if possible. • Use mosquito repellents, even while indoors. • When outdoors at dawn, dusk, early evening wear long-sleeved shirts and long pants tucked into socks,
socks, shoes. • When indoors, live in air conditioned room and in well screened houses. • Make sure window and door screens are secure and free of holes. If sleeping areas are not screened
properly or air conditioned, use mosquito nets. • To decrease mosquito population get rid of old automobile tires, cans, flower pots. • Use insect repellent 10% DEET, Permethrin. • Generalised spraying of environs with Organophosphate or Pyrethroid Insecticides.
(Dr. Sunil) Chief Medical Officer
32 Page 2 of 2
WORLD HEALTH DAY : 7ANNEXURE - X
th
THEME : FOOD SAFETY April, 2015
Main causes of food borne illnesses are :- Bacteria, Viruses, Parasites, Prions, Chemicals.
Symptoms of Food-borne illnesses :- Diarrhoea, Abdominal Cramps, Nausea and Vomiting. Incubation Period (time between exposure to the pathogen and onset of symptoms) :- Several hours to one week. FIVE KEYS/CORE INFORMATION TO SAFER FOOD 1.
:- Keep clean
• Wash your hands before handling food and often during food preparation. : -
• Wash your hands before eating, after going to the toilet, after handling raw meat or poultry, after changing baby’s nappy, after blowing your nose, after handling rubbish, after handling chemicals, after playing with pet animals, after smoking. Dry your hands thoroughly with clean dry towel/paper towel.
• Wash and sanitize all surfaces and equipment used for food preparation. • Protect kitchen areas and food from insects, pests and rodents. Keep food covered or in close containers.
Keep rubbish bins covered and remove the rubbish regularly, use baits or insecticides to kill pests, rodents and repair walls holes.
2. Separate raw and cooked food• Separate raw meat, poultry and seafood from other foods.
:-
• Use separate equipment and utensils such as knives and cutting boards for handling raw foods. • Store food in containers to avoid contact between raw and prepared foods. • In the refrigerator, store raw meat, seafood and poultry below cooked food to avoid cross-contamination. • Store food in containers with lids to avoid contact between raw and prepared foods. • Wash plates used for raw foods. • Use a clean plate for cooked foods. 3. Cook thoroughly• Cook food thoroughly, especially meat, poultry, eggs and seafood. Cook eggs and seafood until piping hot.
:-
• Make soups and stews by boiling to minimum of 70o
• Reheat cooked food; hot food hot (60 C for atleast 1 minute.
oC+), cold food cold (5O
• Microwave oven can cook unevenly and leave cold spots where dangerous bacteria can survive. Ensure that food cooked in microwave oven is at a safe temperature.
C or lower).
• Plastic containers release toxic chemicals upon heating and should not be used in the microwave to heat food.
• Cook poultry until the juices are clear and the inside is no longer pink. 4. Keep food at safe temperaturesDo not leave cooked food at room temperature for more than 2 hours.
:-
Refrigerate promptly all cooked and perishable food below 5o
Keep cooked food piping hot (more than 60
C. Explore options other than refrigeration to lower the temperature (dig a hole, use cold water etc.)
O
Do not store food too long even in the refrigerator. If safe storage is not feasible, use fresh food. C) prior to serving.
Do not thaw frozen food at room temperature. Microwave ovens can be used to thaw food, but can leave warm spots where microorganisms can grow. Food thawed in the microwave oven should be cooked promptly. Promptly cool and store leftovers. Prepare food in small amounts to reduce the amount of leftovers.
Leftover food should not be stored in the refrigerator for longer than 3 days and should not be reheated more than once.
33 Page 1 of 2 5. Use safe water and raw materials• Use safe water or treat it to make it safe.
:-
• Select fresh and wholesome foods. • Choose foods processed for safety such as pasteurized milk. • Wash fruits and vegetables especially if eaten raw. • Do not use food beyond its expiry date. • Safe water is needed to :- wash foods and vegetables, add to food, make up drinks, make ice, clean cooking
and eating utensils and wash hands. • When buying food select fresh and wholesome food; avoid food that is rotten; choose foods processed for
safety such as pasteurized milk or irradiated meat; throw away smashed, swollen and oxidized cans.
(Dr. Sunil) Chief Medical Officer
34 Page 2 of 2
ANNEXURE - XI
Goals of World Health Day Theme:
(1) scale up prevention (2) strengthen care and (3) enhance surveillance
Frequent Urination Symptoms of Diabetes Mellitus (DM) :
Increased thirst Fatigue Confusion Slow healing of cuts/wounds Blurred vision Headache Uneasiness Behavioural changes
Increased hunger Skin rashes Seizures Unconsciousness
Acute Complications : Diabetic Ketoacidosis (nausea, vomiting, abdominal pain, acetone smell of breath)
Long term Complications : Cardiovascular Disease, Stroke, Chronic Kidney Failure, Diabetic Foot Ulcer, damage to Eyes, Peripheral Vascular Disease, Nerves Damage, Cognitive Deficit.
Diagnosis of DM:- Fasting Plasma Glucose (FPG) level ≥ 126 mg/dl, Oral Glucose Tolerance Testing (OGTT) ≥ 200 mg/dl, Glycosylated Hb (HbA1
c) ≥ 6.5 DCCT%
Condition Fasting glucose 2 hour glucose HbA1c Unit mg/dl mg/dl DCCT %
Normal <110 <140 <6.0 Impaired Fasting Glycaemia (IFG) <126 <140 6.0–6.4 Impaired Glucose Tolerance (IGT) <126 ≥140 6.0–6.4
≥126 Diabetes Mellitus (DM) ≥200 ≥6.5
Treatment of DM :- Type 1 DM Managed with injectable regular and NPH insulin or synthetic insulin analogs. Type 2 DM Treated with medicines with or without insulin. Metformin is first line of treatment for T2 DM.
Ways to beat DM : Healthy Diet 60 minutes of Physical
Exercise Maintaining Normal Boy Weight
Blood Pressure should be ≤ 140/90 mmHg
Include proteins in diet like Dal, Soya, Pulses, Yogurt, Milk, Paneer Proper Foot Care Control Blood Pressure Avoid Tobacco
Eat more vegetables
The exception would be the starchier vegetables like potatoes, corn and peas. It is probably wiser to consume the starches in the form of starchy vegetables more often than bread or pasta. Starchy vegetables provide more vitamins, minerals, fibre than more processed, refined breads, pastas.
Pour on some fat • Add a tablespoon of nuts, particularly almonds or walnuts to a salad, soup or main food. • Instead of using low-fat salad dressings, drizzle a tablespoon of olive oil.
Eat for healing • Garlic, oatmeal lowers cholesterol levels and blood pressure. • Phytochemical (lutein) found in spinach & dark leafy greens fights macular degeneration.
Drink water constantly • Water is best, milk, juices, watery fruits, veggies, soups, decaffeinated tea, grape juice. Don’t wait until you are thirsty.
Eat more frequently Eat 4-5 smaller meals per day. Alternate grains like sorghum, ragi, jawar, bajra are better than rice and wheat.
Eat Fruits : Guava, Kiwi, Jamun, Strawberry, Oranges, Watermelon, Pear, Apple, Avocado, Quinoa, red grapes.
WORLD HEALTH DAY (WHD) : 7th
THEME OF THIS YEAR’S WORLD HEALTH DAY : April, 2016
BEAT DIABETES MELLITUS (DM)
Diabetes Mellitus (DM) is chronic, metabolic preventable and treatable non-communicable disease characterized by elevated Blood Sugar which leads to serious damage to Heart, Blood Vessels, Eyes, Kidneys and Nerves.
Type 1 Diabetes Mellitus (insulin dependent DM or Juvenile-onset DM) : it occurs when Pancreas does not produce enough Insulin due to loss of Insulin producing Beta Cells of the islets of Langerhans.
Type 2 Diabetes Mellitus (Non-insulin dependent DM or Adult onset DM) : It occurs when body can not effectively use Insulin which it produces or does not make enough insulin. It is due to excessive body weight and physical inactivity.
Gestational DM : If pregnant women’s Blood Sugar is high, it can damage health of mother or fetus. There may be high birth weight, congenital heart disease or Central Nervous System Abnormalities.
Avoid highly processed foods, sugar laden/ Caffeinated beverages, alcohol, transfats, fried, fast foods, red meat
(Dr. Sunil) Chief Medical Officer
35
ANNEXURE - XII
Malaria
MALARIA : ADVISORY is a mosquito-borne infectious disease of humans caused by bite of the female Anopheles mosquito
which is parasitic protozoans (Plasmodium type). Once an infected mosquito bites a human and transmits the parasites, the parasites multiply in the host's liver and later infects and destroys Red Blood Cells.
Symptoms and Signs Symptoms of malaria typically begin 8–25 days following infection :
:
Sudden Coldness followed by shivering and later fever occurring every 2/3 days (Tertian/Quartan Fever)
High Fever
Profuse Sweating
Headache
Nausea Vomiting Diarrhoea Anaemia Muscular Pain Bloody Stools Convulsions Coma
Life-Threatening Complications of Malaria
: • Swelling of the blood vessels of the brain or cerebral malaria • Accumulation of fluid in the lungs that causes breathing problems or pulmonary edema • Organ failure of the Kidneys, Liver or Spleen • Anemia due to the destruction of Red Blood Cells • Low Blood Sugar
Diagnosis of Malaria
: • Clinically enlarged spleen. • Low Platelet Count, Increased Billirubin. • Microscopic Examination of Blood Film or antigen based Rapid Diagnostic Test (RDT). • Polymerase Chain Reaction (PCR).
Treatment • Artemisinin Combination Therapy (ACT) : Amodiaquine, Lumefantrine, Mefloquine, Sulfadoxine/
Pyrimethamine, Dihydroartemisinin/Piperaquine.
:
• Treatment of P. vivax : Chloroquine or ACT plus primaquine. Tafenoquine prevents relapses. • If malaria is severe : intravenous Artesunate, monitoring for Low Blood Sugar and Low Blood Potassium. • During early pregnancy : Quinine plus Clindamycin, ACT in 2nd and 3rd trimester of pregnancy.
Prevention•
: Vector control measures: insect repellents e.g. DEET or Picaridin.
• Insecticide-Treated Nets with Pyrethroids which are large enough to cover the entire bed and indoor Residual Spraying with DDT and the Cyfluthrin and Deltamethrin (Pyrethroids).
• Spraying of insecticides on the walls of house. • Cover stagnant water such as water tanks.
(Dr. Sunil) Chief Medical Officer
36