Professional Documents
Culture Documents
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
1. Introduction 1
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
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
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)
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)
3
LIST OF PART-TIME/FULL TIME SPECIALISTS
E.N.T. Dr. Sunil MS Mon - 08:00 A.M. – 10:00 A.M. 8527220582 sthakur3000@gmail.com
Fri
NEUROLOGIST Dr. K.S. Anand DM Sat 3:00 P.M. – 5:00 P.M. 8910495019 kuljeet_anand@rediffmail.com
ORTHOPAEDICIAN Dr. R.K. Gupta MS Mon to 9:00 A.M. – 11:00 A.M. 9810079933 smc174@gmail.com
Fri
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 gupta.drmonika@gmail.com
Fri 10:00 A.M. – 12:00 N
DENTIST Dr. Preeti BDS Wed 09:00 A.M. – 12:00 N 9899951279 dr.preetimahajan@gmail.com
Mahajan
Fri 09:00 A.M. – 12:00 N
Dr. Shalu Pruthi BDS Mon 09:00 A.M. – 12:00 N 9999505579 shalumalik1@gmail.com
Thu 09:00 A.M. – 12:00 N
OPHTHALMOLOGIST Dr. Navita Gupta MS Mon, 9:00 A.M. – 11:00 A.M. 9312212935 drnavita@yahoo.co.in
Tue,
Thu
Dr. Anjali Gera MD Mon 9:00 A.M. – 11:00 A.M. 9810221897 tarun256@yahoo.com
PAEDIATRICS
(CHILDREN) Fri 9:00 A.M. – 11:00 A.M.
Dr. Manjoo Gupta MD Wed 9:00 A.M. – 11:00 A.M. 9818379933 smc174@yahoo.com
4
SERVICES/FACILITIES AT W.U.S. HEALTH CENTRE (NORTH CAMPUS) :
PHYSIOTHERAPY SERVICES:-
S.No. Name Quali Designation Time Cell No Email ID
1. Sh. R.S.K. Nair BPT Physiotherapist 09:00 AM to 04:00 PM 9810562332 drrsnair@hotmail.com
(Mon through Fri)
Saturday : 09:00 AM to
03:00 PM
2. Mrs. Meenakshi Nair MPT Physiotherapist 09:00 AM to 04:00 PM 9810380967 drrsnair@hotmail.com
(Mon through Fri)
Saturday : 09:00 AM to
03:00 PM
PATHOLOGY LABORATORY :
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 NS 1 antigen, Total Platelet
Count, Serum Bilirubin, Urine Routine Examination are done from Monday to Friday.
DENTAL SERVICES:
Monday to Saturday from 09:00 AM to 12:00 Noon
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)
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.
PATHOLOGY LABORATORY
DENTAL SERVICES
PHYSIOTHERAPY SERVICES
Pathological Testing are available on Tuesday & Thursday from 09:00 AM to 03:00 PM
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
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 :
Rs. 1,800/-; Rs. 1,900/-; Rs. 2,000/- Rs. 125/- Rs. 15,000/-
Rs. 2,400/- ; and Rs. 2,800/- per month
Rs. 4,600/-; Rs. 4,800/-; Rs. 5,400/-; and Rs. 325/- Rs. 39,000/-
Rs. 6,600/- per month
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 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.
9. W.U.S. Health Centre Contribution (HCC) is non refundable.
11
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.
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.
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
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.
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.
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.
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.
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.
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
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
Academic and Non-academic employees are required to submit properly verified Application Form, from their
respective department/college alongwith following documents:-
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.
A retired employee is required to submit a properly verified Application Form along with following
documents:-
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.
They are required to submit the following additional information along with the regular Application Form:
Students pursuing diploma / part-time /correspondence courses are not eligible for Health Centre Membership.
15
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.
• Ph.D./M.Phil students
240/- per academic session.
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.
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
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./HbA 1 c 8. ENT/Audiometric Report
9. Gynaecology Report for female candidate
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 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 :
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
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
O
Runny nose Fatigue Fever 100 F or greater Pneumonia
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.
Transmission :-
Swine flu is transmitted from person to person by inhalation or ingestion of droplets containing
virus from people coughing or sneezing.
When to consult a doctor :-
It 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 Factors :-
Smoking, 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.
Complications :-
Worsening of chronic condition like asthma, diabetes, heart disease, Pneumonia, Respiratory Failure.
Diagnosis :-
Diagnosis 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.
Prevention :-
1. 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 14. Safdarjung Hospital, Ansari Nagar (West)
2. GTB Hospital, Dilshad Garden 15. Dr. RML Hospital, Baba Kharak Singh Marg
3. Deen Dayal Upadhyay Hospital, Hari Nagar 16. Sucheta Kriplani Hospital, panchkuian Road
4. Sanjay Gandhi Memorial Hospital, Mangolpuri 17. Airport Health Organisation, Palam
5. Lal Bahadur Shastri Hospital, Khichripur 18. Hindu Rao Hospital, Bara Hindu Rao
6. Pt. Madan Mohan Malviya Hospital, Malviya 19. Indraprastha Apollo Hospital, Sarita Vihar
Nagar 20. Moolchand Khairati Ram Hospital, Lajpat Nagar
7. Baba Saheb Ambedkar Hospital, Rohini 21. Sir Ganga Ram Hospial, Rajender Nagar
8. Chacha Nehru Bal Chikitsalya, Geeta Colony 22. St. Stephen’s Hospital, Tis Hazari
9. Bhagwan Mahavir Hospital, Pitampura 23. Balaji Action Medical Institute, Paschim Vihar
10. Maharishi Valmiki Hospital, Pooth Khurd 24. Max Super Speciality Hospital, Saket
11. Babu Jagjivan Ram Memorial Hosptial, 25. BLK Super Speciality Hospital, Pusa Road
Jahangirpuri 26. AIIMA, Ansari Nagar, New Delhi
12. Aruna Asaf Ali Govt. Hospital, Civil Lines
13. Dr. Hedgewar Arogya Sansthan, Karkardooma
Treatment facility for Seasonal Influenza including H1N1 is available in following laboratories :
1. National Centre for Disease Control (NCDC), 6. Super Religare Laboratory, Preet Vihar
22, Sham Nath Marg 7. Sequence Referral Laboratories, Janak Puri
2. Vallabhbhai Patel Chest Institute, University of 8. Indraprastha Apollo Hospital, Sarita Vihar
Delhi 9. Sir Ganga Ram Hospital, Rajender Nagar
3. AIIMS, Ansari Nagar, New Delhi 10. Max Super Speciality Hospital, Saket
4. Dr. Dang’s Lab. Pvt. Ltd., Hauz Khas
5. Dr. Lal’s Pathlabs, Rohini
(Dr. Sunil)
Chief Medical Officer
30 Page 2 of 2
ANNEXURE IX
DENGUE FEVER : ADVISORY
Dengue fever is a 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.
Transmission :-
• Dengue virus is primarily transmitted by 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.
Predisposition :-
• High body mass index.
• Viral load.
Risk Factors :-
Diagnosis :-
On examination :- Lymphadenopathy, 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.
Treatment :-
• No specific treatment. There is no 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
ANNEXURE - X
WORLD HEALTH DAY : 7th April, 2015
THEME : FOOD SAFETY
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.
(Dr. Sunil)
Chief Medical Officer
34 Page 2 of 2
ANNEXURE - XI
Type 1 Diabetes Mellitus (insulin Type 2 Diabetes Mellitus (Non-insulin Gestational DM : If pregnant
dependent DM or Juvenile-onset dependent DM or Adult onset DM) : It women’s Blood Sugar is high, it can
DM) : it occurs when Pancreas does occurs when body can not effectively use damage health of mother or fetus.
not produce enough Insulin due to Insulin which it produces or does not make There may be high birth weight,
loss of Insulin producing Beta Cells enough insulin. It is due to excessive body congenital heart disease or Central
of the islets of Langerhans. weight and physical inactivity. Nervous System Abnormalities.
Symptoms of Diabetes Mellitus (DM) :
Frequent Urination Increased thirst Fatigue Confusion Slow healing of
Blurred vision Headache Uneasiness Behavioural changes cuts/wounds
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
(HbA 1 c) ≥ 6.5 DCCT%
Condition Fasting glucose 2 hour glucose HbA 1c
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
Diabetes Mellitus (DM) ≥126 ≥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 Maintaining Normal Blood Pressure should Include proteins in diet like Dal,
Exercise Boy Weight be ≤ 140/90 mmHg Soya, Pulses, Yogurt, Milk,
Proper Foot Care Control Blood Pressure Avoid Tobacco Paneer
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.
Avoid highly processed foods, sugar laden/ Caffeinated beverages, alcohol, transfats, fried, fast foods, red meat
(Dr. Sunil)
Chief Medical Officer
35
ANNEXURE - XII
MALARIA : ADVISORY
Malaria 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.
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