DAY 6 : JITRA

CDC NOTIFICATION PROCESS

• ORGANIZATION CHART
  
  Pegawai kesihatan Daerah 1
  Dr Nor Azian Bt AbdulWahab
  
  Pegawai Kesihatan Daerah 2
  Dr Azilan Abdullah
  
  Ketua Unit PPKP Kanan
  En Hussain B. Yusoff
  
  PPKP Unit CDC
  Pn Nor Diana Bt Nanyan
  
  PPKP Unit CDC (HIV/AIDS & TIBI)
  En Osman B.Ali
  
  
  RESPONSIBILITIES OF CDC UNIT
  
  1) Record all the communicable diseases in daily, weekly, monthly, and yearly basis.
  2) Prepare reports on daily,weekly, 3 months, 6 months and yearly basis regarding communicable diseases as being instructed from time to time.
  3) Conduct immediate investigations for any notified diseases to identify the source of the disease and control its spread.
  4) Carry out ‘Disinfection’ and ‘Disinfestation’ procedures.
  5) Analyse all the investigated cases besides recommending proper preventive and control measures to District Health Officer.
  6) Give vaccination to the affected patients to avoid the spread of the disease.
  7) Collect specimens such as blood,stool, vomitus, sputum, food particles and etc. for investigation purposes to detect the disease.
  8) Working as a member of Health Team regarding communicable diseases.
  9) Prepare and update all the dates, graphs and maps regarding communicable diseases.
  10) Analyze all the collected data’s and submit its report to District Health Officer.
  11) Identify and detect the patient in order to control the spread of the diseases.
  12) File court orders against cases which related to communicable diseases.
  13) Conduct epidemiological studies on communicable diseases control and its surveillance control.
  14) Educate public regarding preventive and control measures of the communicable disease.
  
  
  
  
  
  
  LIST OF NOTIFIABLE COMMUNICABLE DISEASE


• Chancroid


• Cholera


• Dengue Fever and Dengue Haemorrhagic Fever


• Diptheria


• Dysentry


• Food Poisoning


• Gonococcal infections


• HIV (all form)


• Leprosy


• Malaria


• Measles


• Plague


• Poliomyelitis


• Rabies


• Relapsing Fever


• Syphilis (all form)


• Tetanus (All form)


• Tuberculosis (all form)


• Typhoid and Paratyphoid Fever


• Typhus and other Rickettsioses


• Viral Encephalitis


• Viral Hepatitis


• Whooping cough


• Yellow Fever.

PROCESS OF NOTIFIATION(SUMMARY)



1. Disease is suspected.
2. Notification form by Medical Officers but Telephone notification is done for certain diseases immediately.
3. Completed form will be sent through (hand,post, online and fax)
4. Records are updated.
5. Investigations are done










PIC 1: An icelined cooler for vaccination storage.

PIC 2: Confusion during the AIMST team visit.

For the more personal day to day story visit: http://www.dhojitra.blogspot.com/

JITRA :Antenatal COLOR Coding

An update of our earlier posting on maternal health....today was our Inspectorate general briefing.

MANAGING THE PREGNANT LADIES ACCORDING TO THE COLOUR CODING SYSTEM


RED COLOR –IMMEDIATE ADMITTANCE TO HOSPITAL

1. Eclampsia
Preeclampsia-high blood pressure with albumin content in the urine 1+ or having such symptom or BP >160/110 mmHg.
2. Chest pain during pregnancy with sign symptoms like shortness of breath and palpitation
3. Breathing difficulty during doing mild work like swiping the floor, washing dishes
4. Uncontrolled diabetes during pregnancy ( presence of ketone bodies)
5. Bleeding per vagina during pregnancy
6. Abnormal heart beat of the fetus
· FHR < 110/min at and after 26 weeks
· FHR > 160/min after 34 weeks( heart rate is raised in premature)
7. Presence of anemic symptoms regardless the gestation week
8. Premature contraction of the uterus
9. Leaking liquor without uterine contraction
10. Severe Asthmatic attack



YELLOW COLOR-REFERAL TO FAMILY MEDICINE SPECILIST /O& G CLINIC NEARBY

1. HIV positive mother

2. Hepatitis B positive mother

3. High blood pressure > 140/90 and <160/110>

4. Diabetic mother.

5. Reduced foetal movement at > 32 weeks of gestation.

6. Gestation is more than 7 days from the Estimation Date of Delivery

7. Multiple pregnancy


GREEN CODE-REFERRED TO MEDICAL OFFICER (M& HO)

1. Rhesus negative.
2. Body weight of mother before pregnancy or at booking weight is <>
3. Current health problem ( including psychiatry and handicapped) except Diabetes and Hypertension.
4. Past Gynecological operation.
5. Drug/cigarette/alcohol addiction.
6. Unsure Last Normal Menstrual Period ( LMNP).
7. Past History of continuous miscarriages ( > 3 times).
8. Past history of obstetrics.

· Caesarean

· History of Pregnancy Induced Hypertension / Eclampsia / Diabetes

· Premature Death

· History of Low birth weight of the new born -

· Third degree perineal tear.

· Sticked placenta.

· Post partum hemorrhage.

· Instrumental delivery.

· High blood pressure with urine albumin.

· Anemia.

· SFH difference of 4cm compared to gestation period.

· Head did not engage.

. Weight more than 80kg.

· Elongated labor.

· Abnormal lie.

WHITE CODE 1 – HOSPITAL DELIVERY

1.Primigravida.

2.Young or old mother.

3.Grand multi Para( 6 or more).

4.Height of less than 145cm.

5.Single mother.

6.Unsuitable home environment.

WHITE CODE 2 – ALLOWED FOR HOME DELIVERY/ ALTERNATIVE BIRTHING CENTRE

1. Gravida 2-5
   
2. No past obstetrics problem.
   
3. No medical problem.
   
4. No past antenatal complications.
   
5. Height of more than 145cm.
   
6. Child-bearing age.
   
7. Appropriate fetal size and weight.
   
8. POA is between 37 and 41 weeks.
   
9. Proper family and social support.