14.1 Hospitals, Dispensaries, Bed Strength, Doctors and Nurses

14. MEDICAL AND HEALTH

14.1 HOSPITALS, DISPENSARIES, BED STRENGTH, DOCTORS AND NURSES 2007-08 (in Nos.)

D.M & DIR. Grand Classification D.M.E. D.P.H. R.H.S. E.S.I. Total

1. Hospitals 41 268 - 8 + 1* 317+1*

2. Dispensaries 14 11 - 190 215

3. Primary Health Centres - - 1421 - 1421

4. Health Sub-Centres - - 8706 - 8706

5. Other Medical Institutions - 22 - - 22

6. Bed Strength 23436 20470 8744 2363 55013

7. Number of Doctors 4627 2478 3266 643 11014

8. Number of Nurses 5128 3612 14958 572 24270

* ESI Hospital at K.K. Nagar, Chennai-78 is functioning under the direct control of ESI Corporation, New Delhi

Source: 1. D.M.E. - Director of Medical Education, Chennai –10 2. D.M. R.H.S. - Director of Medical and Rural Health Services, Chennai-6 3. D.P.H. - Director of Public Health and Preventive Medicine, Chennai –6 4. Dir.ESI. - Director of Employees State Insurance, Chennai-6

Guidance Bureau 204 MEDICAL AND HEALTH 14.2 HOSPITALS, DISPENSARIES, BED STRENGTH, DOCTORS AND NURSES UNDER THE CONTROL OF DIRECTOR OF INDIAN MEDICINE AND HOMOEOPATHY 2007-08

Ayurveda Siddha Classification Ayurveda Siddha Unani Unani Combined

1 2 3 4 5 1. Hospitals 1 2 - 1 2. Dispensaries & Mobile 9 65 1 - Medical Unit 3. Wings attached to Medical College Hospitals, District Head 9 269 9 - Quarters Hospitals, Taluk Hospitals and Non-Taluk Hospitals 4. Wings attached to 25 428 12 - Primary Health Centres 5. Bed Strength - 686 - 253

6. No. of Doctors 59 835 28 @ ( Sanctioned ) 7. No. of Nurses - - - 84

8. No. of Patients i. In-Patients 12881 169095 13590 - ii. Out-Patients 400234 17251150 152493 - @ - Doctors working in the combined hospital are attended to the respective system

Contd. Yoga & Homoeo Grand Classification Total Naturo pathy Total -pathy 1 6 7 8 9 1. Hospitals 1 5 1 6 2. Dispensaries & Mobile Medical Unit 1 76 5 81

3. Wings attached to Medical College Hospitals, District Head Quarters ** 287 37 324 Hospitals, Taluk Hospitals and Non-Taluk Hospitals 4. Wings attached to Primary Health - 465 4 469 Centres 5. Bed Strength - - 50 989

6. No. of Doctors ( Sanctioned ) 1 923 46 969

7. No. of Nurses - 84 3 87

8. No. of Patients i. In-Patients - 195566 13892 209458 ii. Out-Patients 23492 17827369 1347471 19174840

** Assistant Medical Officers sanctioned to the GYNMC, Chennai at AAGHIM are attending to the clinical and teaching duty Source: The Special Commissioner of Indian Medicine and Homoeopathy, Chennai 106 MEDICAL AND HEALTH 205 14.3 PATIENTS TREATED FOR CANCER UNDER CANCER CONTROL PROGRAMME 2007–08

Description Numbers Cervical Screening 39202 PAP Smear 37292 Breast Cancer 4656 Oral Cavity 6088

Source : Director of Medical Education, Chennai-10 14.4 MEDICAL INSTITUTIONS UNDER THE CONTROL OF DIRECTORATE OF MEDICAL AND RURAL HEALTH SERVICES

2006-07 2007-08 No. of No. of Medical Institutions No. of No. of Hospital Hospital Beds Beds s s 1. District Headquarters Hospitals 28 8321 27 7853 2. Taluk Hospitals 155 9999 154 10031 3. Non-Taluk Hospitals 80 2256 80 2280 4. Government Dispensaries 11 8 11 8 5. Mobile Medical Units 11 0 11 - 6. Government Women and 7 98 7 98 Children Hospitals 7. T.B. Hospitals/Sanatorium 2 130 2 130 8. T.B. Clinic 2 - 2 - 9. Leprosy Hospitals/Centres 7 50 7 70 Total 303 20862 301 20470

Source: Director of Medical and Rural Health Services, Chennai-6

14.5 SERVICES RENDERED BY THE MEDICAL INSTITUTIONS 2007-08

Service rendered No. in lakhs Average number of In-Patients treated daily 0.16 Average number of Out-Patients treated daily 1.85 Number of Major Operations performed during the year 1.83 Number of Minor Operations performed during the year 5.72 Number of Emergency Cases attended during the year 12.63 Number of Medico-Legal cases attended during the year 2.49 Number of Laboratory Tests done 183.35 Number of X-Rays taken 3.08 Number of Post-Mortems conducted 0.18 Number of Accident cases treated 1.06 Number of Deliveries conducted 1.95

Source: Director of Medical and Rural Health Services, Chennai-6 206 MEDICAL AND HEALTH 14.6 POPULATION, BEDS AND DOCTORS RATIO, DISTRICTWISE 2006-07 (Directorate of Medical and Rural Health Services)

Popula- Popula- Popula- Total tion Total tion District tion per No. of (2001) Beds per bed ratio Doctors (in Nos.) Doctor

1. Kancheepuram 2877468 836 3442 123 23394 2. Thiruvallur 2754756 422 6528 83 33190 3. Cuddalore 2285395 1026 2227 113 20225 4. Villupuram 2960373 559 5296 109 27159 5. Vellore 3477317 972 3577 112 31047 6. Thiruvannamalai 2186125 773 2828 81 26989 7. Salem 3016346 531 5681 85 35486 8. Namakkal 1493462 659 2266 75 19913 9. Dharmapuri 1309600 555 2360 66 19842 10. Krishnagiri 1546700 438 3531 48 32223 11. Erode 2581500 1145 2255 125 20652 12. Coimbatore 4271856 1206 3542 153 27921 13. The Nilgiris 762141 811 940 77 9898 14. Tiruchirappalli 2418366 437 5534 80 30230 15. Karur 935686 419 2233 50 18714 16. Perambalur 1189170 368 3231 60 19820 17. Pudukottai 1459601 1040 1403 102 14310 18. Thanjavur 2216138 831 2667 100 22161 19. Nagapattinam 1488839 970 1535 103 14455 20. Thiruvarur 1169474 635 1842 102 11465 21. Madurai 2578201 436 5913 83 31063 22. Theni 1093950 492 2223 76 14394 23. Dindigul 1923014 878 2190 115 16722 24. Ramanathapuram 1187604 938 1266 105 11311 25. Virudhunagar 1751301 1046 1674 117 14968 26. Sivagangai 1155356 706 1636 90 12837 27. Tirunelveli 2723988 802 3396 113 24106 28. Thoothukudi 1572273 538 2922 66 23822 29. Kanyakumari 1676034 393 4265 53 31623 TOTAL 58062034 20862 2783 2665 21787

Source: Director of Medical and Rural Health Services, Chennai-6 MEDICAL AND HEALTH 207 14.6 POPULATION, BEDS AND DOCTORS RATIO, DISTRICTWISE 2006-07 (Contd.) (Director of Public Health and Preventive Medicine)

2007 Mid Year Popula- Popula Total Estima- Total tion per -tion District No. of ted Beds bed per Doctors Popula- ratio Doctor tion

1. Kancheepuram 2269753 220 10317 109 20823 2. Thiruvallur 1803086 206 8753 94 19182 3. Cuddalore 1995894 318 6276 112 17820 4. Villupuram 2878050 388 7418 175 16446 5. Vellore 2786645 320 8708 146 19087 6. Thiruvannamalai 1997595 332 6017 172 11614 7. Salem 2317281 284 8159 151 15346 8. Namakkal 1283892 338 3798 115 11164 9. Dharmapuri 1322007 158 8367 70 18886 10. Krishnagiri 1537189 264 5823 85 18085 11. Erode 2135415 396 5392 138 15474 12. Coimbatore 2654333 350 7584 148 17935 13. The Nilgiris 527069 125 4217 50 10541 14. Tiruchirappalli 1667710 306 5450 108 15442 15. Karur 791847 132 5999 62 12772 16. Perambalur 1140938 196 5821 99 11525 17. Thanjavur 1884724 250 7539 128 14724 18. Nagapattinam 1305512 176 7418 87 15006 19. Thiruvarur 1041606 176 5918 74 14076 20. Pudukottai 1391290 250 5565 108 12882 21. Madurai 1494532 232 6442 98 15250 22. Theni 766995 156 4917 64 11984 23. Dindigul 1717099 222 7735 110 15610 24. Ramanathapuram 1003160 234 4287 97 10342 25. Virudhunagar 1341923 144 9319 78 17204 26. Sivagangai 1006022 204 4931 95 10590 27. Tirunelveli 2030706 400 5077 142 14301 28. Thoothukudi 1288859 244 5282 106 12159 29. Kanyakumari 1396195 170 8213 68 20532 TOTAL 46777327 7191 6505 3089 15143

Source: Director of Public Health and Preventive Medicine, Chennai-6 208 MEDICAL AND HEALTH 14.6 POPULATION, BEDS AND DOCTORS RATIO, DISTRICT-WISE 2007-08 (Contd.) (Directorate of Medical Education)

Popula- Popula- Popula- Total Total tion per tion District tion No. of Beds bed per (in Nos.) Doctors ratio Doctor

1. Chennai 4343645 11011 394 1817 2391

2. Kancheepuram 2877468 1802 1597 293 9821

3. Salem 3016346 831 3630 306 9857

4. Coimbatore 4271856 1045 4088 313 13648

5. Thiruchirappalli 2418366 721 3354 179 13510

6. Thanjavur 2216138 1350 1642 239 9273

7. Madurai 2578201 2545 1013 401 6429

8. Tirunelveli 2723988 1326 2054 317 8593

9. Thoothukudi 1572273 612 2569 200 7861

10. Vellore 3477317 789 4407 207 16799

11. Kanniyakumari 1676034 804 2085 176 9523

12. Theni 1093950 600 1823 179 6111

TOTAL 32265582 23436 1377 4627 6973

Source: Directorate of Medical Education, Chennai-10 MEDICAL AND HEALTH 209 14.6 POPULATION, BEDS AND DOCTORS RATIO, DISTRICTWISE 2007-08 (Concld.) (Director of Medical and Rural Health services (ESI))

Popula- Popula tion per Popula- -tion Total bed ratio No. of District tion per Beds (Bed per Doctors (in Nos.) 10000 ESI Doctor Benifi- * ciaries) 1. Chennai 1617452 1008 6 137 8 2. Kancheepuram 442134 0 0 15 3 3. Thiruvallur 860070 0 0 41 5 4. Cuddalore 16277 8 5 4 24 5. Villupuram 5851 0 0 1 17 6. Vellore 241208 62 3 32 13 7. Thiruvannamalai 4842 0 0 2 41 8. Salem 82555 50 6 44 53 9. Namakkal 32514 0 0 6 18 10. Dharmapuri 11306 14 12 2 18 11. Krishnagiri 141240 50 4 16 11 12. Erode 33038 0 0 6 18 13. Coimbatore 763056 546 7 144 19 14. The Nilgiris 15113 0 0 2 13 15. Tiruchirappalli 84052 98 12 27 32 16. Karur 39324 3 1 2 5 17. Perambalur Nil 0 0 0 0 18. Pudukottai 11326 14 12 3 26 19. Thanjavur 26675 9 3 6 22 20. Nagapattinam 2425 3 12 2 82 21. Thiruvarur Nil 0 0 0 0 22. Madurai 269272 249 9 50 19 23. Theni 33034 5 2 3 9 24. Dindigul 61250 11 2 16 26 25. Ramanathapuram Nil 0 0 0 0 26. Virudhunagar 560967 112 2 39 7 27. Sivagangai 10107 0 0 3 29 28. Tirunelveli 76029 15 2 16 21 29. Thoothukudi 95231 56 6 13 14 30. Kanyakumari 118581 50 4 11 9 Total 5654929 2363 110 643 11 * Population per Doctor ( ie. Doctor per 100000 ESI Beneficiaries ) Source: Director of Medical and Rural Health Services (ESI), Chennai-6 210 MEDICAL AND HEALTH 14.7 IMMUNISATION PERFORMANCE IN TAMIL NADU 2007-08

(Figures in Lakhs) Vaccine 2006-07 2007-08 Achieve Achieve Drugs Target % Target % ment TTM 12.49 11.30 98 12.49 12.47 100

DPT 11.35 11.22 99 11.36 11.45 101

Polio 11.35 11.23 99 11.36 11.44 101

BCG 11.35 11.24 99 11.36 11.41 100

Measles 11.35 11.18 99 11.35 11.37 100

Source: Director of Public Health and Preventive Medicine, Chennai-6

14.8 INCIDENCE OF VACCINE PREVENTABLE DISEASES IN TAMIL NADU 2007-08

2006 2007 2008 Diseases Cases Deaths Cases Deaths Cases Deaths

Diptheria 0 0 0 0 3 0

Pertusis 0 0 0 0 0 0

Tetanus (Neo) 0 0 0 0 0 0

Tetanus (Others) 0 0 0 0 0 0

Poliomyelitis 0 0 0 0 0 0

T.B. (Child) 0 0 0 0 0 0

Measles 1284 0 1619 1 858 0

Source: Director of Public Health and Preventive Medicine, Chennai-6 MEDICAL AND HEALTH 211 14.9 INDIAN MEDICINE - HEAD QUARTERS HOSPITALS AND BED STRENGTH 2007-08

Sanctioned Name of Head quarters Hospital Bed Strength 1. Arignar Anna Govt. Hospital of Indian Medicine, Chennai 253 2. Varma Department, Chennai 35 3. Govt. Siddha Medical College Hospital, Palayamkottai 250 4. Govt. Homoeopathy Medical College, Tirumangalam 50 5. District Headquarters Hospital, Kancheepuram 25 6. Medical College and Hospital, Vellore 25 7. District Headquarters Hospital, Nagapattinam 25 8. District Headquarters Hospital, Dindigul 25 9. District Headquarters Hospital, Tiruppur 25 10. District Headquarters Hospital, Erode 25 11. District Headquarters Hospital, Cuddalore 15 12. District Headquarters Hospital, Ramanathapuram 15 13. Medical College and Hospital, Thoothukudi 15 14. District Headquarters Hospital, Dharmapuri 15 15. Medical College and Hospital, Tiruchirappalli 16 16. Medical College and Hospital, Nagercoil 16 17. District Headquarters Hospital, Virudhunagar 16 18. District Headquarters Hospital, Sivagangai 16 19. District Headquarters Hospital, Kumbakonam 16 20. District Headquarters Hospital, Karur 16 21. District Headquarters Hospital, Villupuram 16 22. District Headquarters Hospital, Thiruvarur 16 23. District Headquarters Hospital, Mettur Dam 16 24. District Headquarters Hospital, Namakkal 16 25. Taluk Hospital, Chidambaram 15 26. Non-Taluk Hospital, Kadayanallur 16 TOTAL 989

14.10 GOVERNMENT MEDICAL INSTITUTIONS HAVING SIDDHA, AYURVEDA, HOMEOPATHY, UNANI WINGS ATTACHED WITH OUT-PATIENT DEPARTMENT 2007-08

No. of Institutions Institutions Ayur- Homoeo Siddha Unani Total veda -pathy Government Medical College Hospitals 10 3 5 1 19 District Headquarters 29 4 24 4 61 Hospitals Taluk Hospitals 155 - 8 - 163 Non-Taluk Hospitals 75 2 - 4 81 Primary Health Centres 428 25 4 12 469 Source: The Special Commissioner of Indian Medicine and Homoeopathy, Chennai- 106 14.11 REGISTRATION OF INDIAN MEDICINE AND HOMOEOPATHY PRACTITIONERS 2007-08 212 MEDICAL AND HEALTH

Under the Under the Under the Under the Tamil Nadu Tamil Nadu Tamil Nadu Board of Homoeo- System of Board of Siddha Integrated pathy Medicine Indian Medical Medicine, Medical Medicine, Council, Chennai Council, Chennai Chennai Chennai Siddha - 9 - 7772 Ayurveda 5103 450 - - Unani 1322 61 - - Yoga & 366 - - - Naturopathy Homoeopathy - - 17516 - TOTAL 6791 520 17516 7772

Source: The Special Commissioner of Indian Medicine and Homoeopathy, Chennai-106

14.12 SCREENING OF SCHOOL CHILDREN UNDER BLINDNESS CONTROL PROGRAMME 2007-08

Number of students screened (up to March 2008) 2261637

Detected Refractive Error 74897

Number of students provided with spectacles free of cost by 29419 District-Blindness Control Society 2007-08

Source: The Project Director, Tamil Nadu State Blindness Control Society, Chennai-8

14.13 PERFORMANCE OF CATARACT OPERATIONS

Year Target Achievement % 1999-00 3,50,000 3,56,953 102% 2000-01 3,75,000 3,64,597 97% 2001-02 4,00,000 3,73,058 93% 2002-03 4,00,000 3,71,559 93% 2003-04 4,20,000 4,50,654 107% 2004-05 4,40,000 4,85,963 110% 2005-06 4,80,000 4,94,188 103% 2006-07 4,80,000 5,08,121 106% 2007-08 5,00,000 5,04,358 101%

Source: Project Director, Tamil Nadu State Blindness Control Society, Chennai-8 MEDICAL AND HEALTH 213 14.14 AIDS CASES IN TAMIL NADU (DISTRICTWISE CUMULATIVE) (REPORTED UPTO OCT 2007)

Name of the Male Female Children Total ART Centre

1. Govt. Hospital for 3,726 3,514 404 6,680 Thorocic Medicine

2. Madurai 1,794 770 137 2,711

3. Madras medical College 660 368 28 1,065

4. Namakkal 1,876 1,487 168 3,532

5. Salem 1,430 1,163 129 2,727

6. Tirunelveli 425 309 74 809

7. Kilpauk Medical College 269 188 96 558

8. Institute of Obseterics & 89 97 13 199 Gynaecology

9. Thanjavur 702 510 118 1,335

10. Kanniyakumari 204 122 131 357

11. Vellore 774 655 130 1,560

12. Coimbatore 839 631 118 1,591

13. Theni 533 422 120 1,079

14. Tiruchy 903 678 82 1,670

15. Karur 254 549 32 532

16. Dharmapuri 278 251 21 550

17. Villupuram 213 213 67 499

18. Virudhunagar 214 144 32 390

19. Krishnagiri 170 199 20 390

20. Dindigul 312 302 42 657

21. Perambalur 183 189 24 396

22. Cuddalore 99 70 17 186

23. Thoothukudi 87 80 7 175

24. Institute of Child Health 10 18 42 70

25. Tiruvallore 58 39 13 110

26. Tiruvannamalai 68 62 16 146

Total 16,175 11,730 1,980 29,977

Source: Tamil Nadu State AIDS Control Society, Chennai - 8 214 MEDICAL AND HEALTH 14.15 LEPROSY ERADICATION IN TAMIL NADU

( in Numbers) Cases brought Year Cases Detection Cases Cured under treatment

1994-95 68850 64951 63620

1995-96 60623 56497 59509

1996-97 63589 57990 49759

1997-98 41970 39122 39133

1998-99 45862 46005 51632

1999-00 62812 62911 56234

2000-01 47350 47327 54216

2001-02 32251 32274 32990

2002-03 24767 24767 28977

2003-04 16051 16051 21658

2004-05 11244 11244 14773

2005-06 6654 6654 7762

2006-07 5316 5316 4858

2007-08 5511 5511 5199

Source: Director of Medical and Rural Health Services (Leprosy Wing), Chennai-6