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Dheklapara Visit 25th November 2012 Siliguri Welfare Organization and Peoples Health Forum organized a camp at Dheklapara

Tea Estate Main Division from 11am to 3pm on Sunday 25th November. Uttar Banga Sambad and another organization had arranged for around 350 blankets and mosquito nets for the labourers. The Tea Workers Cooperative helped and a UTUC representative attended. There were around 25 volunteers from SWO and 4 doctors. We passed Sulkapara, Binnaguri and Ethelbari on our way (since we traveled via Sevoke and Odlabari). Dheklapara is 9 km from Birpara. Niparnia is 3 km away from the Main Division. Niparnia has a problem of elephants attacking houses

Dr Debashis Mukherjee, Dr Prakash Baag and Dr Anita Mazumdar saw around 250 patients. Weight, height, age and names of all patients were recorded and BMI of all adults will be calculated. 4 health volunteers- one girl from Niparnia Division, Kunu Malpaharia, Rajib Malpaharia and one other male volunteer from the Main Division- were identified. If trained and supplied an infant weight machine they could (with the help of Salter scales from the Anganwadis) take the weights of all children. There are an estimated 250 under 5 children in Niparnia and estimated 350 in the Main Division. The ANM attends the Dheklapara Dispensary on Fridays, Record keeping is excellent. Immunization is given, BP of pregnant women is taken.

This Tea Garden is in Bandapani GP. Recently the Bandapani Tea Estate also closed down. Earlier many worked in the Stone jhalna- sorting and loading at Rati River. They earned Rs 250 or more there. The Cooperative gives them Rs 35 a day for Tea Plucking. Joy Birpara Tea Estate is functioning.

The Health sub Centre is at Joy Birpara. Dim Dima Tea Estate has a CNI Primary School and Fatima High School run by catholics.

There are 25 Malpaharia families here. There are also Malpaharias at Chunabati, Raipur, Rayabari, Kathalguri, Totabari (near Banarhat) Janaki Malpaharia is wife of Kunu. Her maiden name was Kahar. She has an 11 year old daughter. She had 2 miscarriages. Most recent delivery was a girl 2 months ago who died and was not breastfed. Since then she can not walk and has some irregularity in her periods. After the MRI at AMRI (PPP connected to NBMCH) she was found to have narrowed spinal spaces. She has recovered to the point of sitting up. The treatment with Phenytoin has helped her. Apparently she has epilepsy. No CT scan done to look for tuberculoma or cysticercosis. Her Hemoglobin is 6.9 gm% and Total Count WBC is 3800/cu mm. No enlargement of spleen however. She has cough for one month. We advised Sputum for AFB. Maybe Gp Rh and VDRL need to be done later. She was given a mouth wash for halitosis. She had urinary tract infection as well.

Dhiren Malpaharia is 60 years old. He fell and burnt himself before Durga Puja (October). There was near gangrene- his dead skin was removed at NBMCH. The large ulcer covers half his forearm and most of the upper arm. His elbow is stiff in a flexed position. The raw area is red and clean- but the piece of shirt covering it has marks and may not be clean. Advised silver sulphadiazine in preference to Burnol. Also clean gauze or other light cotton cloth to be changed every day.

Rajib Malpaharia who cycles to school at Birpara is in class 11. He had phimosis and was also operated at NBMCH.

We met the father of Jarain Nayek 23/ F, unmarried, who died after 3 days of fever. They are originally from around Mayurbhanj/ Jamshedpur.

We visited the home of Urvashi Bedia daughter of Pradeep. She is 12 years old. They are originally from near Hazaribagh. About 4 months ago she stopped walking. This continued for 2 months. Now she can walk again. She is quite thin. She studies in class 6. She had pus discharge from her ears (CSOM). Her eyesight was also affected. Now she has swelling of the right knee for a week. On the way back we stopped for lunch at Sangam Line Hotel. They have a stone sorter machine.

The Dheklapara Tea garden is closed for 11 years. There are around 700 families living here.

An old lady and her grand child live in this house- maybe the two pictured below

Papers of Janaki Malpaharia

Dhiren Malpaharias Medicines

Jarain Nayeks Death Certificate

Indo Tanti had Hemoglobin of 5 gm %. She had her ECG taken. Death Certificate says Congestive Cardiac Failure. No X Ray. Possibility of TB does not seem to be ruled out. There has been Dengue recently in the area. There has also been proven Chikungunya. Malaria is rampant. Stone related work could lead to Silicosis in future- urgent need for Spirometry and follow up. At least 5 patients were referred for Sputum AFB.