Transcript Status of Emergency preparedness in Maharashtra

Emergency Preparedness Status
in Maharashtra
(IEAG July11)
Dr D S Dakhure
Director(H&FW-MH)
Maharashtra
• Part I
Epidemiological risk in
Maharashtra
• Part II
Emergency Preparedness &
response Plan (EPRP)
WPV importation and
Transmission risk in
Maharashtra
Source: Census 2011
MH
Maharashtra Profile 2011
112.6
Population
Million
No. of Districts
34
No. of
22
Corporations
No. of Blocks
396
Maharashtra is the second most
populous state after Uttar Pradesh
and third largest state by area
after Rajasthan & Madhya
Pradesh in India.
It is the richest state in IndiaMIGRATION RISK- PULL
MIGRATION
Risk factors-Maharashtra
•
•
•
•
•
•
High urbanization
High migration (inter/intra state)
Booming construction industry
Slums
Seasonal migrants (sugar cane cutters-Beed)
Past history of WPV importations/ transmission
Risk factors-Maharashtra
Mumbai &
Thane
High migration, Construction
workforce & Slums.
Past h/o importations/
transmission
Bhiwandi &
Malegaon
Refusals/Vaccine avoidance.
Large underserved population
Rest of MH
High urbanization. Seasonal
migration (sugarcane cutters)
WPV Cases-MH 1999-2010
20
18
18
16
14
12
10
8
6
4
2
0
7
6
4
5
3
3
5
2
2
0
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
MAHARASHTRA
No.
District
2003
2004
2005
2006
2007
2008
2009
2010
1
NASIK
0
1
0
0
0
0
0
4
2
BEED
0
0
0
1
0
0
0
1
3
THANE
1
1
0
1
1
1
0
0
4
GR.
MUMBAI
0
1
0
3
0
1
0
0
5
AMRAVATI
0
0
0
0
1
0
0
0
6
SANGLI
1
0
0
0
0
0
0
0
7
NANDED
1
0
0
0
0
0
0
0
3
3
0
5
2
2
0
5
Maharashtra Total
2011
MAHARASHTRA WPV Cases – 2010 & 2011*
P1 Wild Case - 5
Idcode
1) MH-NSK-10-201
Donset
10/01/2010
Mohd. Kasim Asrar Ahmad – 12 months
2) MH-NSK-10-217
21/07/2010
Sultan Shaikh Akil – 24 months
3) MH-NSK-10-220
24/08/2010
Altmish Anjum Siraj Ahmad – 10 months
4) MH-NSK-10-221
10/08/2010
Fareeha Mohd. Ibrahim – 22 months
5) INDMHOBD10017
Raj Kiran Ade – 10 months
16/09/2010
Mumbai
WPV Cases 2006-2010 MH
Mumbai + Thane
7
Nasik
(Malegaon Corp)
4
Beed
2
Amravati
1
WPV Cases Mumbai 1999 onwards*
Year
1999
2000
H-E
2
G-N
1
K-W
M-E
1
1
1
P-N
R-N
1
2001
2002
B
2
2003
1
2004
2005
2006
2
2007
2008
2009
2010
1
1
High Risk Wards in Mumbai
9 High Risk wards in Mumbai on
highest priority for SIA &
Surveillance
High Risk Wards-Mumbai
P/N,L,S
H/W,
K/E,K/W
G/N,
F/N,M/E
Slums with
migration
Highest
construction sites
(70%)
Environmental
Surveillance
Sample wards
Additionally …..
• Industrialized areas of Thane (Bhiwandi) &
Raigad are at high risk of WPV transmission
due to:
1) High MIGRATION
2) Construction workforce from endemic states
of UP, Bihar & West Bengal)
3) Slums with migration
Areas at risk WPV transmission in Maharashtra
Risk in MH
Area
Risk Factors
Mumbai &
Thane
Past h/o WPV transmission, Migration and
Slums & Sewage sample results
Malegaon
Corp(& other
urban areas)
Vaccine avoidance/Refusals/
Low Routine Immunization
Beed and other
migratory pop. Seasonal migration
Districts
Emergency Preparedness &
response Plan (EPRP)-MH
status
State Emergency Preparedness & Response
Group – Maharashtra formed
• Preparatory meeting was held in 3rd week of
Apr.11 in Pune with Addl Director and SEPIO
to finalize names of RRT team members for
high risk areas.
• EPRP meeting was held on 7th May 11 at
Arogya Bhavan Mumbai under chairmanship
of Director (H&FW)
EPRP-Maharashtra
• EPRP meeting was conducted under
chairmanship of Director-H&FW,MH with
officials from all high risk areas :Mumbai,
Malegaon Bhiwandi, Thane & Nasik districts.
• All members of core team were explained in
detail about EPRP
• Senior experienced officials from state are
identified as RRT members
EPRP-Maharashtra
• They are assigned all pre-identified high risk
areas.
• Senior state officials from HQ are designated
as state supervisors for RRT members.
EPRP ACTIVITIES-Maharashtra
Task
Actions
Status
Mumbai Metropolitan
Areas with high risk Region (MMR), all
of importation &
Corporations (24) and Completed
spread of poliovirus high migratory districtsBeed
Districts/blocks with
Identified
low RI coverage
Completed
Communication Risk Bhiwandi & Malegaon
Analysis
Corporation
69 Fast Track Field
Volunteers (FTFVs) and
13 Field Volunteers in
place coordinating with
UNICEF
Media response plan
Addl. Director chairman
Completed
of media response
EPRP ACTIVITIES-MH
Task
Action
Status
Rapid Response Team Identified by name for
Completed
(RRT) members
all high risk areas
Reviewed on monthly
basis and letter issued Completed/
Surveillance Review
from state to defaulting Ongoing activity
districts
Assigning senior state Followed in all SIAs and
officials to high risk reports submitted for Completed/ Ongoing
districts/blocks
corrective actions
Migratory area
mapping
Completed in Mumbai- Rest of the state will be
Thane-Raigad and
completed in next
Malegaon
three months
State Senior Supervisors
Sr.
No.
Name
AHO EPI Mumbai
1
Corporation
Deputy Director of
2 Health Services
Mumbai Circle
Deputy Director of
3 Health Services Nasik
Circle
High Risk area assigned
Mumbai
Thane district and all 6
Corporations
Malegaon Corporation
and Nasik district
Special Plan
for strengthening Routine Immunization in
Malegaon Corporation
• Deployment of PHNs and ANMs to Malegaon
Corporation to manage RI
• Has shown good results
• Out of 2790 RI sessions planned 2730 (98%)
conducted
Improvement in Malegaon RI due to deployment PHN/ANMs
No. of
Actual no. of
Immunization
Immunization
Sessions
Sessions held
planned
Month
PHN
ANM
Total Staff
Deputed
Oct.10
10
5
4
27
25
23
37
30
27
359
312
277
351
296
281
2
0
1
0
19
6
9
9
21
6
10
9
277
280
283
328
275
275
287
323
0
0
22
6
3
127
6
3
149
339
335
2790
316
326
2730
Nov.10
Dec.10
Jan.11
Feb.11
Mar.11
Apr.11
May.11
June.11
Total
Summary
• Mumbai/ Thane followed by Malegaon are highest
risk areas for WPV transmission
• Maharashtra is fully committed to implement
Emergency Preparedness Response Plan
• SIA preparedness meetings of all key officials from
high risk areas are conducted before each SIA
• Regular reviews at highest level for all HIGH RISK area
during/after ALL SIAs for corrective actions.
With all good wishes
from Maharashtra