MINUTES OF DISTRICT TASK FORCE MEETING

 

MINUTES OF THE DISTRICT TASK FORCE COMMITTEE MEETING ON SEASONAL DISEASES HELD ON 18.04.2019

 

The District Task Force Committee Meeting had been convened on 18-04-2019 at 10AM in connection with the Climate Change impacting Vector, Water and Air borne and other seasonal diseases under the Chairmanship of the District Collector, Krishna District at conference hall of Collector Camp Office, Vijayawada, Krishna District, AP.

The following Members were present in the meeting:

 

1.   Participants (Line Depts):1. Municipal Commissioner , VMC

2.   District Medical and Health officer

3.   Chief  Medical Officer, VMC

4.   District Educational Officer

5.   District Panchayat Officer

6.   Chief executive officer, ZP

7.   District Public Relations  Officer

8.   Superintendent Engineer RWS

9.   Superintendent Engineer  R & B

10.          Superintendent Engineer  Housing

11.          P.O District Water Management Agency

12.          P.O DRDA

13.          AP, CRDA

 

2.   Public  Representatives: 1.  Chair person , ZP

2.   Chair person, VMC

3.   Chair person, MC, Nuziveedu

4.   Chair person, MC, Jaggayyapeta

5.   Chair person, MC, pedana

6.   Chair person, MC, Machilipatnam

7.   Chair person, MC, Gudivada

8.   Chair person, MC, Vuyyuru

9.   Chair person, MC, Nandigama

 

3.   Program Officers:        1. Addl. DMHO

2.   Addl. DMHO Leprocy

3.   District T.B. Officer

4.   District Malaria officer

5.   District Programme Officer, NRHM

6.   Project Officer District Trainings and Teams

7.   District Coordinator   RBSK

8.   District Immunization Officer

 

4.   Municipal Commissioner    1. Municipal Commissioner, Nuzveedu

2. Municipal Commissioner, Jaggayyapeta

3. Municipal Commissioner, Pedana

4. Municipal Commissioner, MTM

5. Municipal Commissioner, Gudiwada

6. Municipal Commissioner, Vuyyuru

7. Municipal Commissioner, Nandigama

 

The DM&HO Krishna has welcomed all the participants for the District Task Force Committee meeting and informed that the impact of Climate Change on Human Health is of serious concern, therefore, it requires urgent intervention strategies to prevent the population from their harmful effects.

The District Collector, Krishna also highlighted that Malaria incidence in the District has reduced considerably during the last year and the District is under Pre Malaria Elimination Phase. He has informed that the spray activities started this year also in time but the vector borne as well as Water and Air borne diseases incidence depends on the climate changes from year to year.

The District Malaria Officer has presented the status of all seasonal diseases i.e., Vector borne, water borne, Air Borne and Sunstroke cases in the District during current year and past 3 years.

The DM&HO Krishna informed that

 

•      Control and prevention of seasonal diseases require coordinated efforts from all the line departments.

•     IEC plays a key role. The Medical & Health Dept provides the prototype material to the concerned departments to create awareness among community. All departments should put up efforts in prevention and control of seasonal diseases through Green Ambassadors, Agricultural MPEOs, Panchayat Secretaries, Anganwadi workers, Helpers, ASHAs, ANMs, SHGs, Sadhikara Mitras, MEMPA volunteers, and CHWs in Tribal areas.

•     Special attention should also be given on source reduction methods such as regular removal of garbage, de-silting of drains, and maintaining domestic hygiene, etc.,

•      MA&UD & PR&RD depts to share the de-silting schedule, list of vi1lages/ wards where the supply of water is not on daily basis with the Medical & Health,

•      WD&CW depts and ITDAs and to stress more in creating awareness on prevention of breeding places in those areas.

 

The Project Director, Krishna, WD&CW has informed that the trainings are conducted on ORS preparation, Wash techniques etc. The IEC on mosquito control activities are also being carried out.

 

The DEO has informed that all educational institutions are already being part of campaigns by the Health department.

 

The DM&HO Krishna opined that the IEC on Seasonal diseases to be given to the students as the best way of communication is student parent Communication.

The Spray operations should be conducted before reopening of the residential schools, colleges and Welfare hostels. Screening I meshing of windows is also suggested.

Maintenance of water supply, hygiene in Toilets and provision of Incinerators for proper disposal of sanitary napkins is suggested.

 

The DM&HO Krishna has informed that every Major Gram Panchayat should be equipped with at least one fogging machine. The Medical & Health dept will facilitate the procurement of quality insecticides as well as spray equipment.     

 

Sharing of Gram Panchayat wise action plan by DPO which contains information on availability of fogging machines, name of Panchayat Secretary and Green Ambassadors to respective DM&H Os. Special focus should be given in Peri-urban areas of Municipal Corporations on source reduction activities.

 

District Collector, Krishna suggested the Water Resource dept with regard to de-weeding of canals specifically in municipal areas, to check leakage of water pipelines on regular basis. Joint inspection on water quality assessment by the Water Supply and Health departments are to be organized.

 

District Collector, Krishna suggested the Animal Husbandry dept to focus on the RFID tagging of the vaccinated animals in view of their movement across the District borders. Also asked to enhance the awareness campaigns on providing immediate information on dead animals by the community to arrange compensation as well as proper disposal.

 

The DM&HO Krishna has highlighted the importance of coordinated efforts in prevention and control of seasonal diseases by all the departments to achieve good impact on public health while concluding the meeting. 

Department wise activities on Seasonal Diseases:

 

S. No	Department	Action to be taken
1	Health, Medical & Family Welfare.	Ø  Co-ordination with all line Departments regarding vector borne diseases, Water borne Disease and seasonal ailments control. Ø  Providing technical guidance to various Departments with respect to mosquito control Ø  Conducting Health camps in vulnerable communities. Ø  Procure & supply equipment and material to all districts in time. Ø  Intensive IEC/BCC Ø  Sensitization of community and local leaders in VBD prevention and control measures. Ø  Streamlining of SSH functioning with adequate kits and other diagnostics.
2	Municipal Administration & Urban Development.	Ø  Provision of appropriate funds and human resources in the local bodies for timely action. Ø  Introduction of civic bye-laws for proper disposal of refuse, junk materials and solid waste to prevent mosquitogenic conditions. Imposition of penalties for abetting mosquitogenic conditions. Ø  Incorporation of mosquito free building construction activities by introducing “Building Bye-laws”. No building to be handed over without clearance of local health department. Ø  Combined and coordinated prevention and control activities in consultation with district health authorities. Ø  Constitution of Joint Team (Engineering and Health) for closely monitoring Vector control activities at construction site especially during rains. Ø  Training of Public Health Engineers on vector control activities. Ø  Sensitization of local leaders and elected peoples representatives. Ø  Creative awareness regarding vector borne diseases, water borne diseases and seasonal ailments through MEPMA. Ø  To ensure chlorination of drinking water and conduction of water quality checks in Municipal Corporations and Municipalities. Ø  Area wise action plans to be prepared for the hotspot areas where high incidence of water borne diseases was observed or any outbreaks were reported previously. Ø  During functioning of MMDCs in transmission season, the cooperation and coordination of Municipal / urban wing should be extended to Health dept.
3	Panchayath Raj and Rural Development.	Ø  Sensitization of DRDA officials on preventing mosquitogenic conditions. Ø  Maintenance of rural water supply Ø  Conduction of sanitation campaign. Ø  Closing of dysfunctional wells, filling of unwanted ponds, ditches under NREGS works. Ø  Organising meetings at community level for creating awareness on prevention of Vector borne diseases, Water borne disease and other seasonal ailments through self help groups. Ø  Intensification of IEC/BCC activities. Ø  Monitoring    of    surveillance    &    vector    control interventions. Ø  Motivating community for source reduction activities to eliminate vector breeding. Ø  Ensuring uninterrupted water supply.   Ø  To ensure chlorination of drinking water and conduction of water quality checks in villages. Ø  Area wise action plans to be prepared for the hotspot areas where high incidence of water borne diseases was observed or any outbreaks were reported previously.

4	Water Resources Department	Ø  Maintenance of canal systems to prevent seepage of water Ø  Intermittent irrigation Ø  Design modification and improvement of lining of canals Ø  De-weeding of canals for proper flow of water Ø  Creating small check dams Ø  Ensure periodical checking of leakage of water pipelines to avoid water contamination and mosquitogenic conditions
5	Women Development and Child Welfare	Ø  Incorporation of mosquito control activities in the training curriculum of ICDS functionaries. Ø  Sensitization of all AWWs and Supervisors towards Dengue and Chikungunya prevention control operations Ø  Motivating community for source reduction activities to eliminate vector breeding. Ø  Identification and referral of suspected cases of Malaria / Dengue / Chikungunya to nearest health facility. Ø  Intensification of IEC/BCC activities. Ø  Motivation of parent associations, youth clubs, CBOs and NGOs for Malaria / Dengue / Chikungunya prevention and control measures. Ø  Training of mothers as breeding checkers and also sensitization  on Vector borne diseases, waterborne diseases and other seasonal ailments.
6.	Education (Secondary and Higher Education Departments)	Ø  Sharing of the data with local health authorities on regular basis. Ø  Dissemination  of  information  to   parents  through children. Ø  Organization of rallies and exhibitions on Mosquitoes, diseases and their prevention. Ø  Organizing short plays and competitive type essay writing on water borne, Vector borne and seasonal ailments.. Ø  Issuing directions for monthly drive on cleaning of school premises, cleanliness of surroundings and checking water containers for mosquito breeding.   Ø  Curriculum on mosquito control to be incorporated in educational institutions. Ø  Creating awareness amongst school children on causation and prevention of vector borne diseases, Water borne disease and seasonal ailments at the time of prayer. Ø  Safe drinking water supply to children both in Government and private schools. Ø  Maintaining of cleanliness in premises of both public and private schools and colleges without any mosquitogenic conditions Ø  Screening (meshing ) of windows and ventilators of all institutions Ø  Periodical Maintenance of toilets and Water supply in  all educational institutions.
7	Welfare (Social, Tribal, BC, Minority, Disabled) Department	Ø  Intensive IEC/BCC on Malaria and Dengue in all Schools/Hostels. Ø  Involvement in Spray operations in all residential hostels, schools and colleges. Ø  Involvement  of   beneficiaries  in   mosquito  control measures. Ø  Organization of “Swachh Bharath Abhiyan” campaign in all Welfare Institutions. Ø  LLINs are distributed among all the  tribal area and other high endemic areas of Malaria besides hostels
8	Information & Public Relations Department	Ø  Intensive IEC/BCC on Malaria and Dengue in print and electronic media. Ø  Frequent print/electronic media releases on the status, preventive and control measures being undertaken by the Government. Ø  Preparation of brief and catchy advertisements by prominent personalities. Ø  Exhibition of audio-visual material in vulnerable communities.
9	Revenue Department, state Disaster management authority	Ø  Liaison with all concerned Departments Ø  Provide   administrative   support   to   VBD   control activities. Ø  Monitor institutional functioning at regular intervals. Ø  Periodical meetings on mitigation of Disasters. Ø  Sharing of meteorological data especially climate change factors with the Medical and Health Department with regard to heat preparedness, mosquitogenic conditions, etc.,
10	Environment and Forests Department	Ø  Sharing of information on forest Labour movement for early detection and complete treatment of Malaria cases. Ø  Extension of co operation and co ordination to the Malaria wing of M& H department in connection with spray operations in forest habitations. Ø  Sharing of information on pollution of Air, Water and Soil to avoid related Diseases
11	Agriculture Department	Ø  Sharing of information on Labour movement towards Agriculture works such as, Harvesting, cultivation of paddy, maintenance of Nurseries, etc., for early detection and complete treatment of Malaria cases. Ø  Extension of co-operation and co ordination to the Malaria wing of M& H department in connection with spray operations, especially Anti larval operations in stagnated Agricultural fields.
12	Veterinary and Animal husbandry department ,	Ø  Serological surveillance among animal population in connection with zoonotic diseases Ø  Strengthening of VBRI to conduct epidemiological  and entomological studies as and when reporting of zoonotic diseases Ø  Sharing of information on sudden fall of domestic as well as wild Animals with the M&H Dept. to avoid transmission of zoonotic diseases.

13	Fisheries Department	Ø  Training in mass production of larvivorous fish Ø  Promotion of composite fish farming schemes at community level
14	Pollution Control Board.	Ø  They should closely associate with Health department and send latest bulletins on Air quality at different locations of Rural and Urban areas Ø  Ensure that the avoidance of pollutants at industries, and public places like Railway stations, bus stations, Markets, Hospitals, schools and colleges etc., Ø  Sharing of information on the Prevention and control  measures on pollutants.
15	Industries and Mining Department	Ø  Filling up of waste quaries Ø  Spray operations in water stagnated places Ø  Improving drainage and sewerage systems Ø  Safe disposal of used containers/solid waste Ø  Mosquito-proofing of dwellings Ø  Safe water storage and disposal Ø  Use of LLINs Ø  Ensure Labour welfare through provision of health care facility
16	Transport Department & Railways	Ø  Proper planning to prevent mosquitogenic conditions Ø  Merging pits by breaking margins Ø  Excavations in line with natural slope / gradient Ø  Making way for water to flow into natural depressions/ponds/rivers Ø  Follow up actions after excavations Ø  Maintenance of yards and dumps and anti larval activities in areas within their jurisdiction Ø  Housing for health safeguards Ø  Promotion of use of LLINs among railway employees