oFFIcE oF THE DrsrRrcr MEDTCAL AND HEALTH oFFrcE :: KURNoo!

-
CIRCULAR
Rc.No.Spt lEpidlDMHO/KNL Date:11-03'2A74
- water
sub: Epidemics - seasonat diseases commonty occur during the summer
Summer 1.e'
borne, Diseases and Sunstroke Cases- Preparedness for the coming
from March to June',2024- Certain instructions regarding prevention and cont'rai
measures - Reg.

No:Rc.No.61 OTlEpid/2015, from the Director of Public Heatth

& Famiiy
Ref.
Wetfare, A.P, VijaYawada'

the District programme officers and Medicai officers in the district are hereb';"
ALi
informed that, there woutd be more number of cases due to water Borne
Diseases ani'l

SunStroke cases during ensuing summer season. The Main Source of

Water Borne DiSeases iS
issued fcr
drinking water Contamination. ln this i'egard, the foltowing instructions are
strict imptementation with immed'iate effect for prevention and control of seascnai'
diseases.

1. The CHO/MLFjp, MpHEO of FHCs are the mainl"y responsibte persons 1o utrlevt-'i':;
the controt and prevention of water Borne diseases. They shoutd administer 'i- -
checktist regarding the status of water sources in the Panchayaths of the Pl-"r['
scruputousty and action has to be taken as per contents given in tlre Checr'''i1:''r-
where ever necessary.

?. A Consotidateci Weekl.y Report shoutd be submitted by the CHO, MPHEC on the

Water Borne Diseases once in a week for the months March to May"

3. At[ preventive steps shoutd be taken by identifying the water pipetine ieakeg,rr"
and other contamination sources.

.4. The Food / Water contamination that connmonly occur during the i'*s;i',i I
UGADI, Rarnzan Ed/Eid-ul-Fitr and SRIRA,\^AI'IAVAMI white prepai;n'. .

6istributing Fanakan:, Prasadams to be prevented through wide ItC.

PREVENTIVE MEASURES OF SUNSTR.OKE / FIEAT STROKE:

[arge congregations expected tike Markets, Shandys in Tribal Areas 5i1'-:gli-

equipped with First Aid Kits and Sufficient ORS Packets and provide ont;*i,.
Waten. Municipa[ and Panchayat authorities should help in suppty of waiei'.
UIP sessions to be conducted in the earty hor-lrs of the day.
First aid medical kit shouLd be avaitabte with MPHA(F).
Tc encorirage early working hours for- NR.EGS workers by interact"ing with \t[ir:
Scrotting in locaL channels should be arranged by Dy DMHO/ MO
OHT and other dweiting water sources should be chtorinated regularly tr l";:i
ipnevent) consunrption of ccntarninated water b1i the pubiic (inter"acr with
Panchayath Raj, RWS sectorsi.
To educate the pubtic regarcling importance of consumption of home availabt.+
ftuids tike satt and sugan adrJeej lemon julce, cr:ccnutwater, ganii, cook:ed
vegetabte fIuids, ief]:orrer cccl..ed i"ice',vate", fr"utr"s and fruit juices fu Batter
"Ait.'
etc.
 btack and dark cotour dresses.

o SPECIAL INSTRUCTIONS TO ALL THE MEDICAL OFFICERS:

Subcentres.

for treating the cases at at[ tevets.

necessary for sunstroke treatment from CDS (Centrat Drug Store).

) To contact with [oca[ bodies, Municipal adrninistration and to arrange drinking
water pots (.5on5{odrdlor) at required ptaces.
) Medical officers to ensure ARV, ASV stock position.
o Medica[ Officers are instruct to maintain sufficient Epidemic Drugs at PHC [eve[.
. Medica[ Officers and paramedica[ staff are instructed to coordinate with other
departments & NGOs in the prevention of sun stroke cases.
r Death Certificate should be issued bv Three members committee
(MO. MRO & SI)
. Medical Officers and ANMs are instructed to sensitize ASHAS and AWWs .
. Medical Officers to ensure the quality of above preventive and curative
services rendered to the public.
o Any negligence will be viewed seriously.
. Dailv reportsinslu.dinq niI report should be submitted to this office through
Dv. DMHOs in the prescribed preformed bv 5.00pm
Report shoutd ne send in Nationa[ Heat-Related lllness & Death Survei[[ance
t-ink: https://i hi p. mohfw. gov.i n/npcch h/
. Daity reporting of cases & deaths (8am - 8am)
. Year around) from March 1,2024
. PHC, UPHC and above
. Mandatory daity reporting
. '0' reporting is required, in appticabte fietds

HEAT STROKE - DG's & Don't's

DQ's Don't's
1) Try to stay in cold places 1) Expose to direct suntight are Hot i:r"r:e ze
2) Use Umbrella during Hot days 2i Move under Hot sun without Umbrel a

3)Wear thin [oose cotton garments 3) Use of black and synthetic, thick 1-ic,1i{j=
preferabty white cotour during summer seasons

4) Wear a hat of cotton or a Turban 4) Move under the hot sun without a ha; :rr
turban
 5) Attend onty tight physicat activity under 5) Attend to strenuous physical actir,;ii'
the hot sun under the hot sun
6) Take ampte water atong with satted
butter mitk or glucose water 6) Take water without srnat[ amount of sat,t

7) Take measures to reduce the room

temperature like watering, window, 7) Attow the direct hot air into the living
shades, fanning and cross ventitation are rooms
to be encouraged

8) Shift the persons with heat stroke to a 8) Detay in shifting the persons suffering
cool dwe[ting with heat stroke to a cool ptace
9) The persons suffering with heat stroke 9) The person suffering with heat strol<e to
shoutd have minimum ctothing have thick ctothing

10) The persons suffering with heat stroKe 10) The person suffering with heat stroke to
has to be sponged with cold water, be sponged with hot water and to be exposed
indirect application of lce Packs to hot air

11)The person suf fering with heat stroke 11) The persons suffering with heat sri'ri<e tt:
shoutd be kept in between lce Btocks be kept in between warm ctothes

12) lf the person affected with heat

stroke is not showing any improvement, 17) Delay in shifting the person affertel
he/she shoutd be shifted to the Hospitat with heat stroke whenever there is ;r
'immediatety, preferabty with cooLing improvement in his/her cond'ition
facitity

,}a ft
urstrlct !f Officer,
To

The individuats
Copy to the PHC & UPHC Medicat Officers concerned.
Copy to the DivisionaI Frogramnne Officers concerned.
Copy submitted to the District Coordinator for Hospitai Services, Kurnool for ki+il
information.
Copy submitted to the Superintendent, GGH, Kurnool for kind information
Copy submitted to the State Surveittance Officer (IDSP), Addt. Director (DCP) for fa',rorji
of information, A.P, Vijayawada.
Copy submitted to the Joint Director (DCP) for favour of information, A.P, Vijayawa,:a.
copy subrnitted to the cottector and District A{aqistrate, Kurnoo[.