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training module for medical officers primary health centre - NVBDCP

training module for medical officers primary health centre - NVBDCP

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500@ 20-25 houses per pump per day Field workers: No. of squads x 5 Superior Field Worker: No. of squads x 1 Stirrup Pumps: No. of squads x 2 plus one pump as reserve <strong>for</strong> 2 squads Bucket (3 gallon): No. of squads x 3 Bucket (2 gallon): No. of squads x 1 Soap, s<strong>training</strong> cloth, nozzle tips, measuring jug, rope & pump repair kit: as requiredOther MeasuresIf the epidemic is due to predominance of vector breeding in water storage tanks or in peridomesticwater collections, undertake anti-larval measures along with space spray and residual spray. Detailedentomological investigation may be carried out later to ascertain the susceptibility status of the vector(s).Tracking malaria deathsAll deaths due to malaria and suspected malaria must be investigated by the MO-PHC. It the death dueto malaria occurs in a hospital or dispensary, the DMO or MO-PHC should be in<strong>for</strong>med within 48 hoursby the treating physician. If the death in a village is detected by the ASHA/volunteer/MPHW, the sameshall be in<strong>for</strong>med immediately to MO-PHC. The MO-PHC shall investigate the death within a monthafter receipt of in<strong>for</strong>mation. It is essential to elicit correct in<strong>for</strong>mation regarding residence to takeappropriate remedial measures. The history should establish the date when the first symptom of thedisease was noticed either by patient or this attendants. The following three important aspects shouldalways be looked into be<strong>for</strong>e filling up the death certificate: P.falciparum only is the direct cause of malaria death. The direct cause of death cannot be attributed to P. vivax or P. malariae infection. In many seriously ill patients malaria infection can be a concomitant infection.It is necessary to fill all the sub-items in the chronological order of events. In case the postmortem wasper<strong>for</strong>med on the deceased, the details of postmortem must be recorded. Full details of remedialmeasures taken by the MO-PHC with results of surveys and details of spray carried out will also berecorded. A copy of the investigation report along with the key <strong>for</strong> filling is given in the following pages.INVESTIGATION REPORT ON DEATH DUE TO MALARIAAnnexure(The investigation should be carried out by the District Malaria Officer, Assistant Malaria Officer or MO-PHC only. Ant investigation carried out by a person below these ranks will not be valid)1. Basic in<strong>for</strong>mation1.1 Date of Death _________________________Time of Death _________________________1.2 Name and Surname of the deceased: __________________________1.3 Age _________________1.4 Sex (In adult female, indicate status of pregnancy and its complications, if any) ______66

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