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Medical Care and Emergency
  Can We Reduce Health Risks?
Darjiling
                                                                              Tea
 Geographic Risk                                             Jalpaiguri
                                                                              Gardens
                                                                 Koch Bihar


                                       Uttar Dinajpur
      North Bengal
                                               Dakshin Dinajpur
                                         Maldah




                                         Murshidabad
                                    Birbhum
                                                                          Char/
               Puruliya
                                    Barddhaman
                                                     Nadia
                                                                          Islands
                          Bankura
                                           Hugli
Paschimancha                              North Twenty Four Parganas
                                                 Kolkata
                                              Haora
l                            Medinipur
                                        South Twenty Four Parganas
Vulnerable
Health Problems In Disaster
                      Infectious
       Acute                              Chronic
       ARI/                              TB
       Pneumonia/                        Leprosy
       Otitis                            Filaria Malaria
                                   Kala Azar
       Measles                            HIV Diarrhoea

       Skin
                         Non Infectious
      Acute                                 Chronic
   Snakebite                                BP
   Injury                                   Diabetes
   Drowning                                 Asthma
   RCH                                      Blindness
Maternal                                    Deafness
Neonatal                                    Mental
Malnutrition                              Congenital / Cancer
Good Practices
              from the field




 Local Life Jackets made by SHGs
During the CBDP programme in Uttar Dinajpur /
 Malda Self Help Groups learnt how to make cost
 effective life jackets using commonly available
 materials.
Rural Ambulance converted Van
Rickshaws




  Modified Van Rickshaw in 24 Parganas Sunderban area- use of van-
  rickshaw as a rural ambulance that could save hundreds of lives by
 only being able to trans-port patients from the house-holds to the local
            clinic, in the specific region of rural West Bengal
Boat Ambulance/ Clinic
Post Aila Water Collection
ORT Corners
Outreach
Fever Treatment Depots




Dooars- Indian Tea Association has set up
 Malaria clinics in the remote gardens. These are
 a support to the Fever Treatment Depots where
 ICDS workers keep Malaria medicines and can
 take blood for tests
First-sustain rapid diagnostic kits, ACT and
Community-
                       funds.
Outreach-
                       Reach sufficient coverage (80%) of bed nets,
Clinic/ Facility-      particularly to BPL

                       Second, orient MO in PHC -early referral of
                       malaria with complications.

                       Third, community awareness to seek prompt
                       treatment.

                       Fourth, spray teams must catch up DDT
                       spraying

                       Fifth, orient private practitioners -appropriate
                       anti-malarials, management of severe malaria
                       and early referral.

                       PPP with tea gardens

       Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India:
       evidence for further action
       J Sarkar et al Malar J. 2009; 8: 133. Published online 2009 June 16

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Risk in health west bengal

  • 1. Medical Care and Emergency Can We Reduce Health Risks?
  • 2. Darjiling Tea Geographic Risk Jalpaiguri Gardens Koch Bihar Uttar Dinajpur North Bengal Dakshin Dinajpur Maldah Murshidabad Birbhum Char/ Puruliya Barddhaman Nadia Islands Bankura Hugli Paschimancha North Twenty Four Parganas Kolkata Haora l Medinipur South Twenty Four Parganas
  • 4. Health Problems In Disaster Infectious Acute Chronic ARI/ TB Pneumonia/ Leprosy Otitis Filaria Malaria Kala Azar Measles HIV Diarrhoea Skin Non Infectious Acute Chronic Snakebite BP Injury Diabetes Drowning Asthma RCH Blindness Maternal Deafness Neonatal Mental Malnutrition Congenital / Cancer
  • 5. Good Practices from the field Local Life Jackets made by SHGs During the CBDP programme in Uttar Dinajpur / Malda Self Help Groups learnt how to make cost effective life jackets using commonly available materials.
  • 6.
  • 7. Rural Ambulance converted Van Rickshaws Modified Van Rickshaw in 24 Parganas Sunderban area- use of van- rickshaw as a rural ambulance that could save hundreds of lives by only being able to trans-port patients from the house-holds to the local clinic, in the specific region of rural West Bengal
  • 9. Post Aila Water Collection
  • 12. Fever Treatment Depots Dooars- Indian Tea Association has set up Malaria clinics in the remote gardens. These are a support to the Fever Treatment Depots where ICDS workers keep Malaria medicines and can take blood for tests
  • 13. First-sustain rapid diagnostic kits, ACT and Community- funds. Outreach- Reach sufficient coverage (80%) of bed nets, Clinic/ Facility- particularly to BPL Second, orient MO in PHC -early referral of malaria with complications. Third, community awareness to seek prompt treatment. Fourth, spray teams must catch up DDT spraying Fifth, orient private practitioners -appropriate anti-malarials, management of severe malaria and early referral. PPP with tea gardens Risk factors for malaria deaths in Jalpaiguri district, West Bengal, India: evidence for further action J Sarkar et al Malar J. 2009; 8: 133. Published online 2009 June 16

Notas do Editor

  1. Boat Clinics Districts- Government of India list Blocks- Health on the March (Literacy, CBR)‏ Backward Villages- Womens Literacy, Womens Participation in Income Generating Activities Urban Slums
  2. High Level Expert Group (Planning Commission)- Universal Health Care Access Oct 2010 World Health Report 2010: Health Systems Financing, the path to universal coverage National Commission for Macroeconomics and Health 2005 Peoples Health Assembly Savar (Dhaka)‏ Health for All 2000
  3. Diarrhoea Treatment- 9.2 % by Government WB - 65.7 % by private No Treatment outside 25.6% ARI Treatment- 12.9 % by Government WB - 67 % by private No Treatment outside 22.2%