Health Bulletin Volume 2 Issue 6.Pdf

June, 2014 - Volume: 2, Issue: 6 IN THIS BULLETIN HIGHLIGHTS: Anti-measles vaccine safe but negligence causing complications 02 English News 2-7 Anti-measles campaign continues in Sindh 02 Travel curbs to be used for anti-polio awareness in Fata 02 Tharparkar Drought Situation 8-10 Anti-polio drive starts in Bajaur 03 WHO, Unicef equally responsible for polio curbs: JUI-F MNA 03 Health Profile: 11-13 Congo virus kills three 03 Kurram Agency Cashing in on polio clearance certificate 03 Warning to ambulance drivers! 04 300 HIV positive prisoners in Punjab jails 04 Maps 14,16,18,20 Vaccination counters at Fata hospitals on the cards 04 KP to vaccinate over 9 million children against measles 05 Articles 15,17,19,21 New case surfaces in Jacobabad village 05 For international travel: Pakistanis have to carry polio certificate 05 Urdu News 22-26 from June 1 Polio virus found in Lahore, Karachi sewers 06 Blame game: Health minister hits back 06 Health Directory 27-40 New case, Karachi's polio tally rises to 5 06

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HYDERABAD HEALTH FACILITIES

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NEWS HEADLINES DETAILS Anti-measles vaccine safe PESHAWAR: The provincial health department has launched probe into the incidents but negligence causing involving hospitalisation of children after getting vaccine in different districts of the province during the ongoing 12-day campaign against measles. About 150 children developed health complications complications after getting measles vaccine in Hangu, Kohat and Swat. Daily Dawn, 29th May 2014 On Wednesday, children of a private school also landed in a hospital soon after receiving the vaccine. Officials said that measles vaccines, purchased and procured by the federal government and supplied to the provinces, were safe but the reactions were caused by human error and negligence. The campaign, launched on May 19, covered about 72 million children of the target nine million. The drive is being extensively monitored to safeguard the children instead of exposing them to health complications. Officials said that investigations into the incidents showed that the vaccinators didn’t follow the scientific protocols that caused complications. One vial covered maximum of 10 children but new syringe should be used for every person to prevent adverse reaction. In Peshawar, a technician left his duty to another person, who wasn’t trained and used the same syringe for seven children, according to initial probe conducted by the health department. Officials said there was no chance of expiry of the vaccine but mistakes by the vaccinators caused the problem. They said vaccinators were also required to prepare the injection by fixing powder with distilled water and immediately administer it to the children. “In many cases of reaction, we have found that the vaccinators failed to apply correct techniques and prepare the injections well before being administered to the children,” officials said. They added that it was also important to discard the remaining doses of the vials if those weren’t given immediately to the children. However, some technicians in several areas Anti-measles vaccine safe but negligence causing complications continued to give the leftover injections to the children that were medically wrong, officials said. They said that massive campaigns were launched in Khyber Pakhtunkhwa and Sindh simultaneously but no adverse reaction was reported from the latter despite the fact that the same injections were used in both the provinces. Officials said that some vaccinators administered the injection wrongly in deep muscles against the right way of subcutaneous. “When the injection goes into deep muscles, it causes reaction due to rapid absorption,” they added. Officials said that adverse affects were observed in two children per 100,000 which shouldn’t worry the people. They said that vaccinators had cold boxes to carry the vaccine safely as they knew the expiry of the vaccine from the vial monitor but the main problem was mistakes made by the people associated with the effort. Officials said that the campaign was launched in the province keeping in view soaring cases of measles during the last two years. They said that as opposed to oral polio vaccine, which could be administered by anyone as it required two drops through mouths, the anti-measles injections could only be administered by health workers or trained vaccinators. Officials said that they were also investigating about the training of the vaccinators in the areas from where cases were reported. About five to 10 per cent children could develop temperature within 24 hours of the injection but it posed no threat to the recipients, they added. The campaign, to end on May 31, will continue to cover the target children. Anti-measles campaign HYDERABAD: Anti-measles campaign is in progress across Sindh province with full swing. continues in Sindh Talking to this scribe here on Wednesday, Director General Health Sindh, Dr Hafeez ul Haq th Memon said that 13.3 million children will be given vaccine during the campaign. He urged Aaj News, 28 May 2014 the people to come forward and play their role in eradication of measles. Travel curbs to be used for PESHWAR: The Federally Administered Tribal Areas authorities intends to use the World anti-polio awareness in Health Organisation’s international travel restrictions on Pakistanis as a tool to scale up Fata public awareness of vaccination for child health, especially in areas, which are inaccessible th for them. The three-day vaccination campaign launched on Monday doesn’t cover North and Daily Dawn, 27 May 2014 South Waziristan agencies due to the Taliban’s ban, which has been in place since June 2012, so using alternate means to administer anti-polio drops to children there has been planned.The campaign will not be carried out in Mohmand Agency and Frontier Region, Bannu for security reasons. The relevant officials told Dawn on Monday that around 600,000 people from Fata worked abroad, especially in the Middle East, Saudi Arabia, US and UK, who would now be required to get two drops of the oral polio vaccine (OPV) to be able to fly back to their destinations from Pakistan.They said every year, around 50,000 people from tribal areas went to Saudi Arabia for Haj and around 40,000 for Umrah. We can prevail upon the people in North and South Waziristan that vaccination is so important that it is required by the Saudis for Haj and Umrah. Now, nobody could perform these religious rituals without vaccination,” an official said. This, he said, will be part of the strategy that our workers will spread information about the OPV significance in light of the WHO travel restrictions on Pakistanis. On May 5, the WHO recommended ban on the Pakistanis without vaccination in an effort to stop transmission of polio virus to the countries declared free of polio long ago.Until now, there’s a misconception that OPV was a ploy used by the West to render the recipients incapable of producing children. However, the people now realise its significance as the people traveling for Haj and Umrah will also get it. Fata has recorded 53 cases of the total 67 in the country in 2014 so far. North and South Waziristan agencies had 44 and five cases respectively as no vaccination campaign had been carried out there for 22 months. “As there are no efforts in sight by the government to get the Taliban’s ban lifted, the people and the community have the responsibility to ensure that the children get OPV and stay safe from being crippled,” one agency surgeon told Dawn. He said the directorate of Fata had deployed 4,470 vaccinators besides setting up 206 fixed centres and 65 transit points to reach 6,21,681 targeted children amid tight security arrangements in designated agencies and Frontier Regions. “We need to motivate people and create demand for OPV among parents,”

he said. Meanwhile, additional chief secretary of Fata Arbab Mohammad Arif, who inaugurated the campaign at the Fata Secretariat in Peshawar, on Monday called upon the people to cooperate with vaccinators and ensure that all targeted children less than five years of age to protect them from the disabilities and rid the society from polio once and for all. Fata director (health) Pervez Kamal said children desperately needed vaccination for protection against diseases. He said polio was the only disease, which could be completely eradicated through vaccination. “Vaccination of adults before boarding planes will scale up awareness among the parents about the importance of the OPV,” he said Anti-polio drive starts in BAJAUR AGENCY: Three days anti-polio campaign will start today (Monday) in Bajaur Bajaur Agency and 227,300 children would be vaccinated against the disease. The Nation, 26th May 2014 Talking to media persons during a press briefing here on Sunday, Dr Zakir Hussain said that health department and local political administration have finalised arrangements for the drive. He said that 227,300 children will be administered polio drops. The health official said that 1,590 health workers and supporting staff would take part in the drive. He said the administration and the security forces have made foolproof security arrangements for the health workers to avoid any unpleasant incident during the drive. He added that Levies personnel, security officials of Bajaur Scouts and volunteers of village defence committees will be deployed with every polio team. WHO, Unicef equally PESHAWAR: Along with Pakistani government, a JUI-F woman MNA from Mardan has held responsible for polio the leading United Nations agencies equally responsible for failure on polio front in the curbs: JUI-F MNA country despite efforts spanning two decades. “It is totally wrong that the blame for travel th restrictions on account of polio is being laid on Pakistan only. The United Nations Daily Dawn, 25 May 2014 International Children’s Emergency Fund and the World Health Organisation, which are communication and technical partners of the government in Pakistan’s anti-polio efforts, should also be held accountable for it,” Naeema Kishwar told Dawn on Saturday. The MNA said only Pakistan couldn’t be blamed for failure on polio front because the two UN agencies, too, were responsible for things coming to a sorry pass. She said she had long been requesting the government on the floor of the house to address her concerns about anti-polio campaign, but to no avail. “Last year, the government secured a loan of $227 million from the Islamic Development Bank (IDB) for polio eradication on eight per cent markup. Around two- thirds of the money was given to Unicef and WHO. It’s perhaps the only instance of the UN being given money by a country,” she said, adding that she had submitted questions to the National Assembly in this respect. Ms Kishwar said the termination of a contract of the National Research and Development Foundation, a Peshawar-based NGO, at a time when it had succeeded in doing away with refusal against anti-polio vaccination in Khyber Pakhtunkhwa and the Federally Administered Tribal Areas was a wrong move on part of the Unicef.She said the Unicef had engaged the NRDF in 2009 to address the growing vaccination refusal cases.“The organisation was supposed to work with the Unicef until December 2012 under an agreement but its contract was terminated a few months earlier without citing any reason. The sudden move caused widespread resentment among around 14,000 religious leaders representing the NRDF,” she said. The MNA said the UN agencies were bound by the law only to help the government in anti-polio fight but in Pakistan’s case, they were in the driving seat.She said after the termination of contract, an armed campaign against vaccinators had begun and since December 2012, 32 people had lost life in polio- related violence in the province.“Since then, the incidence of vaccination refusal has gone up,” she said.She said she was concerned as separating religious leaders from the anti-polio campaign could complicate things. Ms Kishwar said vaccination refusal cases in Khyber Pakhtunkhwa and Fata totaled 5,000-6,000 only when the Unicef parted ways the NRDF but the number had gone up to more than 50,000 in the region since then. She said the people, who had begun vaccinating children against polio after the persuasion of religious leaders, had developed suspicion about vaccination after the NRDF contract was terminated. When contacted, senior coordinator of the WHO for polio in Pakistan Dr Elias Durry said his organisation recognised the difficulties the anti-polio programme currently faced in the country but it was pertinent to remember that there were hundreds of thousands of innocent children, who were ‘avoidably destined to’ be paralysed. “Reversing the fate of these children requires collective responsibility and commitment from all, including governments at different levels, implementing partners including the WHO, civil society, religious leaders, media, politicians and community leaders. “We need to set our sights on polio-free Pakistan. The WHO has always been and will continue playing its role as technical agency in polio eradication efforts,” he said.Regarding the IDB loan, he said it was a normal arrangement.“These funds were utilised on behalf of the government based on transparent and clear agreement,” he said.Communication manager at Polio Eradication Initiative of Unicef, Pakistan Shelley Thakral said, “we echo the WHO’s sentiments.”She parried questions about the Unicef’s role on the anti-polio fight in the country. Congo virus kills three ISLAMABAD: Three citizens have died of Congo virus in Islamabad.The National Health Pakistan Today, 24th May 2014 Department has confirmed the casualties, all the three patients died in PIMS hospital. The patients were admitted in the hospital due to high temperature and bleeding from the body. The hospital administration sent their blood samples to the National Health Department. The department has confirmed the existence of Congo virus in the blood of the patients. Cashing in on polio KARACHI - Issuance of polio certificates to travellers has become a lucrative business for clearance certificate private hospitals in country’s commercial hub though Sindh Health Department has th announced public hospitals will do the same free of cost. The Nation,24 May 2014 Declaring the spread of polio an international public health emergency in the first week of May, the World Health Organization recommended Pakistan, Syria and Cameroon require

citizens to obtain a certificate proving they have been vaccinated for polio before traveling abroad. Sindh follows KP and tribal belt where the polio virus has been on the prowl. Kicking off 12-day anti-polio and anti-measles campaigns, Sindh Health Minister Dr Saghir Ahmed announced that the government was trying to make easy the process of obtaining the certificate. “Such certificates can easily be obtained from any government hospital free of cost,” the minister said. However, some leading private hospitals such as Aga Khan University Hospital and Ziauddin University Hospital, have been issuing polio certificates to travelers. Prior to the WHO restriction, the Aga Khan University Hospital (AKUH) has been charging from Rs1,300 to Rs1,500 for this service. Dressing down the authorities for their failure in making Pakistan polio free, the Pakistan Medical Association (PMA) feared the moneymaking would make its way in the corruption-plagued departments of the country. “Travel bars are shameful for the the 7th nuclear power,” PMA Secretary General Dr Mirza Ali Azhar added. “Billions of rupees have been spoiled in the name of splashed account of Expended Programme of Immunization (EPI) but the government has completely failed to make Pakistan a polio free country,” he said. In the name of such health certificates, private hospitals of the other cities of the country have been making money. Warning to ambulance LAHORE : Lahore Chief Traffic Officer (CTO) Sohail Chaudhry has warned that the drivers of drivers! private ambulances found involved in violating traffic rules would not be spared. “We have rd noted in our observation that some drivers of ambulances use siren and revolving lights to get The Nation, 23 May 2014 clear passage on busy roads even in the absence of patients,” the police officer said. A police spokesman said that the Lahore traffic police are directed to check the ambulances involved in such type of “protocol exercise.” The ambulance drivers are allowed to use sirens and revolving lights only in case of emergency to shift the patients to hospitals. The police are ordered to take strict legal action against the violators to discourage such practice. DRUG PEDDLERS HELD: Police on Friday claimed to have arrested two drug peddlers including a woman in Baghbanpura and recovered 1.50-kg chars from their possession. A police spokesman said that the law enforcing agency had launched a crackdown against the narcotics dealers to make Lahore a drug free city. A police team headed by SHO Baghbanpura Safdar Sajjad raided a hideout and arrested twp persons identified as Riaz and his mother Bushra alias Chachi from the limits of Baghbanpura. Police have registered a case against the drug dealers and are investigating. 300 HIV positive prisoners LAHORE: Advisor to Chief Minister Punjab on Health Khawaja Salman Rafiq on Thursday in Punjab jails disclosed that the total number of injectable drug users in Punjab was around 63 thousand which was a matter great concern. The Nation, 23rd May 2014 While addressing the launching ceremony of United Nations Office of Drug Control (UNODC) in Punjab, he said that provincial government was providing preventive services to some 16500 drug users at the centers established in eight cities. He further informed that the registered number of HIV/AIDS people was six thousands whereas 3300 patients of HIV/AIDS are being provided free diagnostic and treatment facilities under Punjab AIDS Control Programme. Kh. Salman disclosed that 50 thousand inmates of prisons in Punjab have been screened out for HIV, out of them 300 prisoners proved HIV positive. He offered UNODC to prepare a joint action plan with the collaboration of Punjab Health Department for eradication of drugs. He said that this action plan should include wide awareness campaign among the masses regarding use of drugs, capacity-building of treatment facilities and the control of HIV/AIDS. The representative of UNODC presented report regarding drug use in Punjab 2013. He observed that Afghanistan had become one of the largest poppy cultivating country in the world and stressed the need for effective measures to control smuggling of narcotics. Kh Salman also said that collective efforts of government, civil society, media and NGOs were required to check the use of narcotics. For this purpose, he added, all the stakeholders should unite on one platform. He said that elimination of narcotics was inevitable to eradicate lethal diseases like Hepatitis-C and HIV/AIDS from our society. He said that the negative effects of use of drugs not only badly affected the family of the drug user but it was also harmful for the society and economy of the country. Vaccination counters at PESHAWAR: Vaccination counters are being set up at all agency headquarters hospitals of Fata hospitals on the the Federally Administered Tribal Areas to provide oral polio vaccination certificates to all cards those traveling abroad from the region to implement the World Health Organisation’s (WHO) rd recommendation for vaccinating all Pakistanis boarding international flights. The authorities Daily Dawn,23 May 2014 insist they’re hopeful that the Taliban will not hamper vaccination of adults for Haj, Umrah and jobs in parts of Fata, where they had banned the children’s vaccination. “The counters will begin operations in the next few days. Arrangements have been made to fulfil the WHO recommendation by providing OPV to all those flying out of the country,” Fata director (health) Dr Pervez Kamal told Dawn. He said he hoped that militants wouldn’t hamper the provision of vaccines to adult population as the people visited Saudi Arabia to perform Haj and Umrah. “Those not getting anti-polio drops will not be able to travel for Haj and Umrah. They will not be allowed to board planes. We have made arrangements to facilitate the tribesmen, who visit Middle East and other countries for jobs,” he said. Dr Pervez said the militants, who were opposed to vaccination of children, won’t put up resistance as it was compulsory for them to get vaccinated against polio. He said the Directorate of Health Services, Fata was in contact with the agency surgeons in all seven tribal agencies as well six Frontier Regions to ensure establishment of counters for vaccination and certification at the respective agency headquarters hospitals and offices of agency surgeons immediately. “The medical superintendent and agency surgeon will supervise vaccination counters to ensure that they are visible and have displayed banners,” he said. The Fata director (health) said the medical superintendents and the agency surgeons would also provide specimen

signatures to the component authority for verification whenever needed besides that travelers will be administered anti-polio drops followed by issuance of certificate duly signed by the relevant MS and AS. On May 5, the WHO had recommended travel restrictions under which each Pakistani flying out of country will have to receive two drops of polio vaccine. Pakistan is among the three endemic countries posing serious threats of re-infection of children in the countries declared polio-free long ago, so all Fata people will have to produce polio certificate upon landing in a foreign country to avoid deportation. Of the 66 countrywide cases in 2014, North and South Waziristan agencies have reported 44 and five cases respectively. All these Fata children haven’t been vaccinated since the Taliban banned polio vaccination in June 2012.The officials said people from Fata would be closely watched at airports than passengers from other part of the country.Until now, the Taliban’s ban has crippled around 100 children in Waziristan, where militants insisted vaccination campaign was part of the US espionage plan to kill them. The Taliban’s argument gained currency after Dr Shakil Afridi’s alleged role in fake hepatitis B vaccination campaign came to the fore.Khyber Pakhtunkhwa has already established polio counter at the Bacha Khan Airport, Peshawar, where the people traveling abroad receive OPV and vaccination certificates. Dr Pervez said the data concerning record of the passengers would be maintained and kept confidential and that the record would be shared only after the approval of respective MS and AS wherever required.He said OPV and vaccination certificate would be provided to the people free of charge.The Fata director (health) said the directorate had got good stock of OPV to be administered to the people.He said the vaccination certificate would be valid for one year. KP to vaccinate over 9 PESHAWAR: The Khyber Pakhtunkhwa government will launch a two-week campaign to million children against vaccinate 9.6 million children against measles in the province.Addressing a press conference measles here on Thursday, Provincial Minister for Health Shahram Khan Tarakai said that the drive th would be launched across the province on May 19.He said that during the drive 5,000 Daily Dawn,16 May 2014 workers would also administer anti-polio vaccine to children in seven southern districts -- Hangu, Karak, Bannu, Kohat, Lakki Marwat, Tank and Dera Ismail Khan -- while children in 43 union councils of Peshawar would also get anti-polio drops alongside measles vaccination. The minister said that in two union councils of Nowshera, including Jalozai camp, 1.5 million children would receive anti-polio and anti-measles vaccine. “Last year, the province registered more than 10,000 suspected cases of measles with 15 deaths. The number of cases today is 3,666 with five deaths,” he said.Mr Tarakai said that the drive would cost more than Rs1 billion. Of the total outlay for the programme, Rs470 million would be spent by the provincial government while the remaining Rs530 million would be provided by Global Alliance for Vaccine and Immunisation (GAVI), he said. The minister said that children up to 10 years would be administered anti-measles drops under the direct supervision of divisional and deputy commissioners for which necessary arrangements were being finalised. “Following outbreak of measles in Punjab and Sindh, we fear the disease can assume the shape of an epidemic in the province. The effort is aimed to protect children against measles, which is preventable through free vaccination at the government’s hospitals,” he said. Besides the health facilities, children would be administered vaccine in schools, hujra and centres to be established in designated districts, the minister said. Awareness regarding childhood diseases was being created so that people could protect their children from avoidable deaths through immunisation, he said. Mr Tarakai stressed the need for cooperation between the province and centre to ensure vaccination of children in Federally Administered Tribal Areas and stop transportation of polio to Khyber Pakhtunkhwa, which was declared polio-free after the successful vaccination programme. The province made tremendous progress towards eradication of polio but it faced continuous risk from the nearby Fata where the disease broke out, he added. “We have been administering vaccine to children at 179 vaccination points, established for the children coming to the province from Fata,” he said. New case surfaces in SUKKUR: A new case of poliovirus surfaced in Sardar Ahmed Shar village in Jacobabad Jacobabad village district on Thursday when a five-year-old boy with a limp in one leg was diagnosed with th having contracted the crippling disease. A villager Liaqat Ali Shar told journalists that his son Daily Dawn,16 May, 2014 Junaid Ali, 5, had been walking normally during the first few years after his birth but later on his right leg started stunting and losing the strength to carry his weight. He would often fall while walking, he added. He said that a few days ago he took his son to Dr Abdul Rasheed Memon in Jacobabad who told him the limp was caused by poliovirus and advised immediate treatment to save the boy from permanent disability. The parent said that he had informed the head of polio programme of his union council, Dr Safiullah Bhutto, about his son’s condition but no polio team had arrived in their village yet to vaccinate other children. For international travel: ISLAMABAD: All Pakistani travellers embarking on international visits will be required to Pakistanis have to carry carry a valid polio vaccination certificate from June 1, 2014, a joint statement from the Ministry of Health Services and the World Health Organisation read on Tuesday.Earlier in polio certificate from June May, the WHO’s International Health Regulatory Emergency Committee had recommended 1 pre-travel condition on Pakistanis to curb the transmission of polio virus across the globe. Express Tribune,13th May 2014 Pakistan takes seriously its responsibilities as a signatory to the international Health Regulations, 2005 (IHR) and is fully committed to their implementation in letter and spirit, the statement read. The ministry of National Health Services Regulation and Coordination (NHSR&C) said it has already taken several measures to implement the IHR temporary recommendations made by the WHO relating to the public health emergency of international concern caused by the spread of poliovirus from Pakistan. The statement added that the plan had been initiated and health facilities across Pakistan are now vaccinating prospective travelers and issuing the required vaccination certificate. Preparations for fully implementing

the measures are expected to be completed in two weeks, adding that the government was collaborating closely with WHO, UNICEF and health development partners to mobilise all available resources. Additionally, a template for the required vaccination certificate has been prepared in compliance with IHR Annex VII. Are you polio certified? With Pakistani travellers required to carry polio certification, here is how you can get yours before you board your flight. • People traveling out of Pakistan can get vaccinated against polio from major public hospital at city, district and provincial level as well as from DHO offices, airports, seaports, cross- boarder check points of neighboring countries. • They can get their polio certificate signed by any designated senior official (BPS-19) at these hospitals, airport and departments. • The polio certificate issued to any one and vaccination done will be valid for one year. • A person who has planned his foreign trip earlier can get vaccinated four week before to the actual date of traveling or incase of urgency, can get it done at the airport. Till the printing of the template that is compliant with IHR Annex VII, the certificate can be issued on plain paper with the required stamps from health officials. Polio virus found in KARACHI: Water samples taken from various parts of Pakistan indicate presence of poliovirus in Lahore, Karachi sewers Karachi and Lahore, Express News reported on Tuesday. The Express Tribune, 13th May According to the polio virology lab at the National Health Institute, samples of sewage water 2014 collected from Lahore and Karachi were tested positive for the virus. The samples taken on April 12, from Lahore’s Main Outfall pumping stations confirmed the presence of poliovirus. Traces of the virus were also discovered in three samples taken from Gadap, Machar Colony, Kahmeso Goth and Gulshan-e-Iqbal in Karachi. Surprisingly, for the first time in the history of Pakistan, polio has not been discovered in sewage water samples taken from Peshawar. With more than 90% of the current polio cases in the country genetically linked to Peshawar, it is considered the largest reservoir of endemic poliovirus in the world, according to a report by WHO published earlier this year. On May 12, two fresh samples collected from children in Karachi and North Waziristan Agency were confirmed as poliovirus type 1, causing a rise in the tally of polio cases for the year to 61. This tally includes 47 cases from the Federally Administered Tribal Areas, nine from Khyber- Pakhtunkhwa and five from Sindh. Out of the five cases reported in Sindh this year, three have emerged from Gadap Town. Refusal rate is very high in this area along with the law and order situation which deters workers from visiting each house in the area hampering any efforts towards eradication of the virus. Blame game: Health ISLAMABAD: As a rejoinder to Federal Minister for Railways Khawaja Saad Rafique’s minister hits back accusations that Peshawar was to be blamed for the spread of polio, Tarakai said the centre th should be grateful for K-P government’s polio campaigns in the provincial capital. This was The Express Tribune, 13 May quoted in a statement issued on Monday from the CM’s Polio Monitoring Cell. If the K-P 2014 government had not undertaken special polio drives in Peshawar, the WHO would have clamped a complete travel ban on Pakistan, he added. According to Tarakai, Rafique should have consulted the federal health minister and polio cell coordinators before issuing such a statement. New case, Karachi's polio KARACHI: A new polio case surfaced in Karachi’s Gadap Town, taking this year’s tally for the city tally rises to 5 to five, Express News reported on Monday. According to initial details, the 18-month-old has never th been immunised. Gadap Town is one of those areas where the refusal rate for polio vaccination is The Express Tribune, 13 May very high. Interestingly, government officials had recently claimed the area was becoming polio- 2014 free. To date 60 polio cases have been reported in Pakistan. This includes 46 cases from the Federally Administered Tribal Areas, nine from Khyber-Pakhtunkhwa and five from Sindh. Polio vaccine: Health LAHORE: Adviser to Chief Minister on Health Khwaja Salman Rafique said on Thursday the certification for government would make adequate arrangements for polio vaccination of international travellers, as passengers recommended by the World Health Organisation (WHO). Addressing health executive district th officers (EDOs), he asked them to establish polio vaccination and certification centres at all public Express Tribune , 10 May 2014 hospitals and district health offices. Health Secretary Ijaz Munir EDOs and medical superintendents had been authorised to issue international polio vaccination certificates. KP acutely short of polio PESHAWAR: Khyber Pakhtunkhwa faces acute shortage of oral polio vaccine and thus, struggling vaccine to implement the World Health Organisation recommendation for vaccination of all those traveling th abroad from there, it is learnt.The provincial government is required to administer OPV to people Dawn, 8 May 2014 approaching the Bacha Khan International Airport, Peshawar for international travel. “The government has decided to implement the WHO recommendations and administer anti-polio drops to all people traveling abroad from the province. However, it’s not possible until the federal government supplies the required stock of vaccine,” a relevant official told Dawn on Wednesday. On Monday, the WHO had recommended travel restrictions on Pakistanis traveling abroad to prevent polio transmission to the countries long declared free of the crippling disease. The recommendation is about vaccination of all those traveling aboard against polio irrespective of their ages. Until now, the Khyber Pakhtunkhwa health department has been administering OPV to children up to five years of age.The department had already anti-polio counter at the Bacha Khan International Airport, Peshawar, where children under five years of age are being provided OPV before traveling abroad.However, the province will need an additional 50,000 doses of the OPV to be able to provide to the about 2000 people traveling through the airport every day. Only this year, we have administered OPV to 479,000 children under five year at the Bacha Khan International Airport, officials said.The WHO declaration came after back-to-back polio cases from Fata, Khyber

Pakhtunkhwa, Karachi and emergence of positive environmental water sample from Lahore with a view to protect polio-free countries from re-infection. The province has enough human resources to implement the recommendations in letter and spirit but it requires around 600,000 additional doses per year.The provincial government has conveyed to the relevant authorities about the desired quantity of OPV. After the 18th Constitutional Amendment, it was the responsibility of the provinces to procure vaccine but the federal government had taken it upon itself to make sure that the provinces receive OPV. In this light, the health department is waiting the supply of vaccine before embarking on the implementation of the WHO recommendation.The province’s existing stock is supposed to be given to the children to the under-five children during campaigns.Under the plan, the people planning to travel abroad within next forty days could get vaccination at the district headquarters hospitals and teaching hospitals and a certificate by the relevant medical superintendents, while those visiting foreign countries within few days could be given OPV on the counter at the airport. When contacted, provincial health minister Sharam Khan said travel restrictions were initially for three to six months and that the polio vaccine certificate would be valid for one year. “We are fully prepared to implement the WHO recommendation and continue our efforts to eradicate polio,” he said.The minister said the government had made marked progress towards polio eradication due to the Sehat Ka Insaf programme and that efforts were underway to continue vaccination in other districts, too. “We have also requested the federal government to ensure vaccination of children in Fata and put brakes on the transportation of virus to Khyber Pakhtunkhwa. Similarly, request to Afghan government has also been sent through federal government to immunise children in areas located nearby Pak-Afghanistan border,” he said. The minister said the Indian government had already made it mandatory for Pakistanis to get vaccinated against polio before traveling to its territories two months ago. Security plan finalised for BAJAUR AGENCY : The administration of Bajaur Agency has finalised security plan for the anti-polio drive in Bajaur upcoming anti-polio campaign starting tomorrow (Monday) and decided to deploy two Levies th officials with every polio team in most sensitive areas while one official in sensitive areas. A The Nation, 4 May 2014 meeting of the senior officials of administration and health department in this regard was held here on Saturday with Bajaur Agency Political Agent Syed Abdul Jabar Shah in the chair. Senior officials of the administration, health department and representatives of World Health Organisation, including Assistant Political Agents Khar and Nawagai sub division and Agency Surgeon Dr Zakir Hussain were in attendance. The participants discussed various issues related to the anti-polio campaign, new security plan for health teams and mechanism to overcome over refusal cases in upcoming three-day anti-polio drive scheduled to be started tomorrow across the agency. Agency Surgeon Dr Zakir Hussain and representatives of WHO briefed the participants about the anti-polio activities, the overall situation and response of local community in this regard in the agency. “Though overall response of community to anti-polio drive in the agency is satisfactory as neither unpleasant incident was happened nor any positive case was reported during the last six months but if the security of health teams was enhanced their performances would further be improved,” said Dr Zakir. He informed the participants that 227,224 children below the age of five will be administered polio vaccines while 1586 health workers will take part in the drive. After a long discussion, participants of the meeting decided that one Levies official would accompany each polio team in sensitive areas while two officials of Levies Force will accompany each team in most sensitive areas of the agency. It also decided that tribal elders and volunteer of village defence committee would also be accompanied the health teams in most sensitive areas during the anti-polio campaign. The meeting decided that because of the security situation the female workers would still not allow to take part in the drive. On the occasion, Bajaur Agency Political Agent said the administration was taking all possible measures to eradicate polio disease in the agency. He directed the officials of the administration and heath to speed up their efforts to uproot poliovirus in the region as the disease make a serious challenge for children of the agency.

THARPARKAR DROUGHT SITUATION Government, NGO & INGO Health Intervention in Tharparkar

Updates from District Health Officer Tharparkar 25-5-2014 Name of Health Total Admissions No. of cases attended No. of cases referred Facilities OPD > 5 < 5 year Total > 5 <5 Total >5 year <5 Total year year year year

CH MITHI 12 27 39 38 327 365 0 2 2

THQ Diplo 0 1 1 36 140 176 0 0 0

THQ Nagerparkar 4 6 10 27 103 130 1 0 1

THQ Chachro 3 14 17 21 114 135 0 0 0

RHC Islamkot 0 9 9 10 91 101 0 0 0

Mobile Camps 0 0 0 0 0 0 0 0 0

TOTAL 19 57 76 132 775 907 1 2 3 Note :The Table below is Continuation of the above Table

Total No. of No. of Total No of Deaths No of camps No. of Patients Stock position of malnourished children treated vaccines cases under 5 admitted in years Attended Nutrition OPD stabilizing Under Above 5 Total Fixed Mobile Fixed Mobile ASV ARV center. 5 years years

8 0 0 0 0 0 0 0 0 75 132 1 0 0 0 0 0 0 0 0 75 37 3 0 0 0 0 0 0 0 0 65 21 1 0 0 0 0 0 0 0 0 108 62 2 0 0 0 0 0 0 0 0 92 33 0 0 0 0 0 0 10 0 0 0 0 15 0 0 0 0 0 0 0 0 415 285 Source: Daily Health Report/District Health Officer, District Tharparka/distributed on 25-5-2014

AWARE- Response activities in Drought Situation AWARE is going to distribute fodder and seeds to 1600 house hold in 17 villages of UC Saranghiar and Tardos, Taluka Chachro, along with 17 Medical camps and vaccination of livestock camps in 17 villages with support of Action aid Pakistan, details are shared below in table form. Timeline of distribution starts from 1st June 2014 till end of month Activity House holds Provision of fodder for livestock per Household 800 Provision of bajra, gawar seed (5 kg each) per Household 800 Facilitating vaccination of livestock in 17 villages Organizing medical camps with the collaboration of health department in 17 villages Source: AWARE activities Updates/ by AWARE/ distributed on 29-5-2014

Updates from District Health Officer Umerkot 30-5-2014 Name of Health Total Admissions No. of cases attended OPD No. of cases referred Facilities Under 5 Above 5 Total Under Above 5 Total Under Above Total years years 5 years years 5 5 years years

DHQ Hospital Umerkot 15 18 33 54 366 420 0 1 1

Name of Health Total Admissions No. of cases attended OPD No. of cases referred Facilities Under 5 Above 5 Total Under Above 5 Total Under Above Total years years 5 years years 5 5 years years

THQ Hospital Kunri 3 13 16 67 229 296 0 0 0

THQ Hospital Samaro 4 7 11 70 164 234 0 0 0

THQ Hospital Pithoro 18 16 34 47 211 258 0 0 0

RHC Nabisar Road 0 15 15 18 110 128 0 0 0

RHC Dhoronaro 2 8 10 11 47 58 0 0 0

RHC Hyder Farm 0 0 0 5 24 29 0 0 0

RHC Chhore 0 0 0 5 40 45 0 0 0

RHC Fakir Mohd.Amin 0 0 0 8 39 47 0 0 0 mangrio

RHC Khokhrapar 0 0 0 9 31 40 0 1 1

Total 42 77 119 294 1,261 1,555 0 0 0

The Table below is a continuation of the table above and lists out the Health Situation in District Umerkot

Name of HF Total No. of Total No. of No. of children admitted Stock position of vaccines malnourished cases malnourished in Nutrition stabilizing under 5 years cases attended center (NSC) OPD ASV ARV

DHQ Hospital 20 20 1 31 39 Umerkot

THQ Hospital Kunri 0 0 0 4 0

THQ Hospital 0 0 0 7 35 Samaro

THQ Hospital 6 6 0 32 46 Pithoro

RHC Nabisar Road 2 2 0 25 11

RHC Dhoronaro 1 1 0 12 1

RHC Hyder Farm 0 0 0 0 0

RHC Chhore 0 0 0 0 0

RHC Fakir 0 0 0 0 0 Mohd.Amin mangrio

RHC Khokhrapar 1 1 0 10 0

Total 30 30 1 121 132

Source: Daily Health Report/ by District Health Officer, District Umerkot/ distributed on 30-5-2014

Polio Cases Recorded in Pakistan till 31-5-2014

Confirmed Polio Cases in Pakistan District/ Area Wise. (2014)

Province/ Region District/ Area Total Cases

Khyber Pakhtunkhwa 2 9

FATA 4 54

Punjab - -

Sind 3 5

Balochistan - -

Gilgit Baltistan - -

Total 9 68 Source: EPI

DISTRICT HEALTH PROFILE HYDERABAD

WHO Health Facilities Standards WHO Standard per 10,000 Population Beds 25 Health Facilities 2 Health workforce 23 Source: WHO Health Indicators of Hyderabad The table above indicates the Health Indicators of Hyderabad Sindh Indicators Value Infant Mortality Rate (IMR) 81/1000 live births Under five Mortality Rate (U5MR) 101/1000 live births Maternal Mortality Rate (MMR) 314/100,000 live births Malnutrition (Underweight Prevelance) - % Children<12 months fully immunized 73.3% (CES)* Total Fertility Rate 4 children per woman Crude Birth Rate 30/1000 Crude Death Rate 8/1000 Contraceptives Prevalence Rate 46 Source: Health Profile Hyderabad, http://www.pwdsindh.gov.pk/districts/hyderabad.htm *Coverage Evaluation Survey Pakistan

Hyderabad Health Institutions and their Bed Strengths Facilities Number Beds Teaching Hospitals 1 1,316 District Head Quarters 0 0 Tehsil Head Quarters 6 485 Rural Health Centres 3 34 Basic Health Units 19 38 Govt.rural dispensaries 16 - MCH Centres 4 - Sub Health Centres 1 - Source: HMIS Cell, EDO-H Office

Hyderabad Reproductive Health services and Facilities Facilities Number Number of Family Welfare Centre 25 No of Mobile Service Unit 2 No of RHS A Centre 3 No of RHS A Vastecomy Centre 1 RHS B Centre 4 No of Male mobilizers 30 No of RegIstered RMPs 229 No of RHCs 2 No of BHUs 18 Data Source: https://www.google.com.pk/#q=what+does+RMP+stand+in+population+council+pakistan RMP –Registered medical practitioner, RHS:Reproductive health services

Maternal Health Indicators Indicators Total Tetanus Toxoid during Pregnancy 79 Post Natal Checkup 60 Pre natal Checkup 85 Institutional Delivery 74 Source: PSLM Survey 2010-2011, TRF Pakistan http://www.trfpakistan.org/LinkClick.aspx?fileticket=d_XC3Zmun0c%3D&tabid=2404

Percentage of Children in Hyderabad aged12-23 months that have been immunized by type of Antigen based on Redord

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Percentage of Children in Hyderabad aged 12-23 months that have been immunized – based on record and recall

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Hyderabad Public and Private Health Facilities - According to the data collected by ALHASAN Systems (Pvt) Ltd in the year 2014, The table below illustrates the total number of public and private Health Facilities in Hyderabad.

Row Labels GOVERNMENT PRIVATE Grand Total

BASIC HEALTH UNIT 2 2

CHILDREN HOSPITAL 1 2 3

DAWAKHANA 1 1

DENTAL CLINIC 3 3

DIAGNOSTIC CENTRE 7 7

DISPENSARY 4 4

DISTRICT HEADQUARTER HOSPITAL 1 1

GENERAL HOSPITALS 6 60 66

GENERAL PHYSICIAN 170 170

HOMEOPATHIC 6 6

MATERNITY HOME 58 58

MCH CENTRE 1 1

MEDICAL STORES 136 136

OPTICS 6 6

ROUTINE TEST LABORATORIES 10 10

RURAL HEALTH CENTER 3 3

SPECIALIST 16 16

TB 1 1

VETERINARY 3 3

Grand Total 19 478 497 Source: Al- Hassan

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IS PAKISTAN LOOSING THE BATTLE AGAINST MEASLES? IRIN NEWS Article May 2014

Pakistan has seen a growing number of measles cases in lack of proper supervision allows this to happen, and also recent years, with more than 25,000 reported last year, creates an environment of indifference, where no one is including 321 deaths. really interested in providing health cover to people, “It is vital we bring the situation under control to save the except as a kind of mechanical duty.” The UK-based lives of children and offer people better health care,” said medical journal, The Lancet, voiced similar concerns Anita Zaidi, professor of paediatrics at the Aga Khan saying the “poor quality and ailing” vaccination University Hospital in Karachi. programmes, ridden with corruption, were a factor in the surge of measles cases. The key impact of corruption, in In 2012 there were nearly 15,000 cases, and in 2011 the case of measles, is a reduced vaccination rate. “The 4,380 cases. The steady rise comes despite a low national EPI coverage [across all EPI vaccine government measles vaccination programme that has programmes] of 54 percent of children, according to the been running for more than 35 years. Pakistan Demographic Health Survey for 2012-13, with Although confirmed deaths so far this year stand at only declining coverage trends over time in Sindh and 13 from 1,329 reported cases, health officials are still Balochistan, coupled with increasing number of polio concerned not enough is being done to deal with the cases in the low transmission season, are the major repeated outbreaks of measles. challenges for Pakistan,” Saadia Farrukh, an immunization specialist at the UN Children’s Fund “There have been at least nine deaths from measles this (UNICEF) Pakistan, told IRIN. Most patients recover from year in the province [Balochistan],” Ishaq Panezai, measles without treatment, but complications can provincial deputy coordinator of the Expanded develop, particularly where victims are malnourished. Programme on Immunisation (EPI), told IRIN. The latest Almost 40 percent of children in Pakistan are six deaths came in Kalat District, where four children died underweight, according to the UN Food and Agriculture in late April, and in Pishin District where two others died Organization. around the same time. There have also been deaths in the Zhob District and the provincial capital Quetta. Government efforts “There should be a vaccination drive [in Kalat], but local At a federal level, some steps are now being taken to authorities tell us it is too hazardous to visit,” said strengthen routine immunization, with a “Vaccine Panezai. Management Assessment” under way across the country. EPI started work in 1978, initially covering six diseases, Supplementary Immunization Activities, postponed due to but it has since grown to cover nine (poliomyelitis, the unavailability of funds, are also now due to be tetanus, measles, diphtheria, pertussis, hepatitis-B, launched after the release of funds by the federal pneumonia, meningitis and tuberculosis). government, EPI National Manager Ejaz Khan told the media in March. But he said the number of measles Impediments to vaccination cases reported this year was “worrisome” and indicated Insecurity is certainly one factor that has limited some of an epidemic was possible. the EPI’s vaccination campaigns; others blame disruption Despite official promises, health experts remain caused by heavy monsoon flooding in recent years. Yet concerned. At a media briefing in Karachi at the end of others blame a decentralization of health services to the April, the Pakistan Paediatric Association (PPA) said 53 provincial level. percent of children in the country were not vaccinated In a study published earlier this year, researchers from against any disease. PPA attributed this to the Quaid-e-Azam University in Islamabad said misconceptions about vaccines, including those linked to corruption was the principal cause of the high number of fertility, or the belief that because vaccines caused fever measles infections, notably in Sindh and Punjab at times, they were “not good” for children’s health. provinces, something that was leading to “ineffective “Actually the government is more focused on donor- healthcare system, shortage of vaccinators and low driven polio campaigns, due to which, other diseases immunization coverage.” A 2010 report by Transparency remain ignored,” said Hasan Orooj, director of health International Pakistan found 48 percent of patients services at the Capital Development Authority (CDA). surveyed faced corruption after admission to hospital. The two most common complaints were: Having to pay Some families complain of a lack of information. “I took money under the table to get a bed (26 percent), and my six-month-old infant for his shots at a government being asked to pay extra money to get allocated medicine hospital. He was given three or four jabs, but the doctor (18 percent). “Mismanagement and corruption go refused to answer my questions about what they were together, and these affect every sector including health,” for. He developed high fever that night, so we will not be Sikander Lodhi, a Lahore-based economic analyst, told taking him again,” Rafiq Ahmed told IRIN. IRIN. Health officials in public hospitals say vaccines, Experts agree there are major flaws in the system, given for free, are often stolen. “Funds, medicines, leading to deaths that could have been prevented. “We vaccines provided free of cost by the government are need a holistic plan for vaccination cover. The focus on pilfered by people working here and sold to the private polio alone has not helped. The EPI programme needs to clinics or shops,” said an employee at the health be treated as a whole, and all vaccination given department in Quetta, who asked not to be named. “The importance,” said paediatrics professor Zaidi.

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THE CIA STOPS FAKE VACCINATIONS AS REAL POLIO REBOUNDS Bloomberg Businessweek Editor: Peter Robinson 21 May 2014

The White House confirmed this week that the Central recommended that Pakistan, Cameroon, and Syria Intelligence Agency will no longer use vaccination vaccinate people before they leave those countries. campaigns in its operations, reviving the debate over a Is the backlash more deadly than the disease? surprise comeback of the polio virus. The CIA famously used fake vaccinations during its hunt for Osama bin As many as 60 polio vaccinators have been killed in Laden, which ended in his killing at a Pakistan hideout in Pakistan since December 2012, according to Rotary 2011. The operation spawned a backlash against International, which has helped lead eradication vaccination workers that hampered efforts to eradicate programs. In the first four and a half months of this year, the disease there. After the deans of 12 U.S. public 77 polio cases had been reported globally, 61 in health schools complained (PDF) to President Obama in Pakistan, most of those in a Taliban-dominated tribal January 2013 of the “collateral damage,” the White region where some leaders have banned vaccines. The House replied on May 16, saying a CIA policy established numbers are up from 33 worldwide in the same period in August 2013 banned the use of such campaigns. last year. WHO says about one in 200 infections leads to irreversible paralysis, and a small fraction of those result Why is the White House only answering the letter now? in death. It always takes time to evaluate whether to disclose Did the CIA help cause the rebound in polio? details about operations, said a senior administration official. The CIA, for its part, said the agency took Laurie Garrett, a senior fellow for global health at the seriously the concerns raised by the public health Council on Foreign Relations, says press reports of the community. “By publicizing this policy, our objective is to CIA ploy did worsen conditions in the fight against the dispel one canard that militant groups have used as disease. U.S.-led drone strikes didn’t help either. “Things justification for cowardly attacks against vaccination got bad when the bin Laden incident happened,” providers,” Dean Boyd, a CIA spokesman, said by e-mail. Mohammad Ibrahim, a Taliban negotiator, said in an interview with Bloomberg News published on May 9. “The How widespread is the polio outbreak? militants are not against the polio drive.” The World Health Organization on May 5 declared polio a Garrett also notes that there’s a long history of anti- global health emergency, showing how precarious efforts American leaders denouncing vaccines as a CIA plot. are to eradicate the disease. After the virus was pinned in Back in 2003, when polio was also on the ropes, a 2012 to just three countries where it spreads locally— handful of imams in northern Nigeria claimed the Pakistan, Afghanistan, and Nigeria—cases have since vaccines would sterilize children or spread the HIV virus. been reported in Syria, Iraq, Cameroon, Equatorial Guinea, Kenya, Ethiopia, and Somalia. Wars have left Did the White House apologize for using a humanitarian many countries with “severely compromised routine program as cover for a raid? immunization services” that could fuel the international No, though the May 16 letter from Lisa Monaco, Obama’s spread, Bruce Aylward, WHO’s assistant director general assistant for counterterrorism, did say nice things. “Your for polio, said on May 5. The United Nations agency tireless efforts to improve global health are inspiring,” she wrote to the deans. “Thank you for the work you do.”

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DISEASE OF PAKISTAN’S POOR NOW WORRIES THE AFFLUENT The NewYork Times Saba Imtiaz and Declan Wash Until recently, polio was considered a poor man’s problem in singled out in the world,” she said. For some experts, the Pakistan — a crippling virus that festered in the mountainous worry is that immunizing all travelers will divert scarce tribal belt, traversed the country on interprovincial buses, and resources from efforts to fight polio where it is most spread via infected children who played in the open sewers prevalent. Dr. Zulfiqar A. Bhutta of the Center for Excellence of sprawling slums. But since the World Health Organization in Women and Child Health at Karachi’s Aga Khan declared a polio emergency here last week — identifying University, said the W.H.O. travel advisory was Pakistan, Syria and Cameroon as the world’s main “unfortunate,” and would foster an erroneous sense that reservoirs of the virus — the disease has become an urgent polio is a universal problem in Pakistan. “It’s not — it’s a concern of the wealthy, too. geographic problem, and this will take the pressure off the A W.H.O. recommendation that travelers not leave Pakistan hot spots,” he said. One such hot spot is on the edge of without a polio vaccination certificate has caused confusion. Karachi where, on a desolate stretch of road at the city Doctors, clinics and hospitals have been inundated with gates, the fight against polio is being fought bus by bus. inquiries. The association of travel agents has reported Buses filled with ethnic Pashtuns, fleeing poverty or conflict “panic” among air travel customers. “It’s very worrisome,” in the northwest, enter the city every day; some are said Mohammad Akbar Khan, a passenger at the Karachi unwittingly carrying the polio virus from areas where infection airport on Thursday, as his family clustered around a desk rates are highest, W.H.O. officials say. on the departures concourse normally used to immunize On Friday morning a team of eight government health infants. “We just found out about this on the news, and we’re workers, clad in bright yellow jackets and blue caps, boarded trying to find out what to do.” The government, which is passenger buses as they entered the city, administering the scrambling to meet the W.H.O. requirement, says it needs vaccine to children under the age of 5. One vaccinator, Nadir two weeks to make arrangements at airports and buy more Ali, wove through the crowded aisles with a box filled with vaccines. But to most Pakistanis, it is a jolting reminder of vaccines. Children bawled in protest, and passengers looked the gravity of a crisis that has been quietly building for years, bemused. “Shh,” one mother said to her crying baby. “You’ve and which is now, according to the W.H.O., spilling into other gotten the drops, now quiet.” Every day Mr. Ali and his fellow countries, threatening to undo decades of efforts to eradicate vaccinators, who are paid $2.50 a day, immunize at least polio across the globe. 2,800 children. Some eight million children were immunized Despite years of multimillion-dollar immunization campaigns, at 10 such transit points across the country in 2013, in a led by the government and international organizations, this program that is partly financed by Rotary International and year Pakistan reported 59 new polio cases, by far the most supported by the W.H.O. “Terrorists may want to destroy of any country. The W.H.O. had reported only 68 cases Pakistan, but this virus is destroying our nation,” Mr. Ali said. worldwide as of April 30. Instability is driving the crisis. The Karachi’s importance in this battle stems from its position as Taliban, which had long opposed the vaccinations as part of a trade and transit hub, which facilitates the movement of what its leaders said was a Jewish conspiracy, has stymied migrants, travelers and, more recently, the polio virus. immunization efforts in the northwest and the tribal belt, “Karachi acts not only as a reservoir for the disease, but also where infection rates are highest. The Taliban have as an amplifier,” said Dr. Zubair Mufti, the national forbidden vaccinations in North Waziristan for years, and coordinator for the W.H.O.’s polio campaign. Efforts to killed vaccination teams in other areas. Suspicions among banish polio from the city have also been hurt by the growing the Taliban and others that the vaccination campaign was an Taliban presence in ethnic Pashtun neighborhoods. There espionage effort gained currency after 2011, when a covert, have been several militant attacks on polio vaccination C.I.A.-financed vaccination campaign used to try to find teams since the first in July 2012; over the same period Osama bin Laden came to light. The sense of urgency that reported cases of polio — a disease that can be carried by has gripped health professionals for years, however, was adults but mostly strikes infant children — have steadily largely absent among the upper class, who have had limited risen. Eight cases were reported in 2013; so far this year the exposure to polio. “There was a total disconnect” in society figure is four. The latest Taliban attack in Qayumabad, an about the problem, said Dr. Anita Zaidi, a pediatric infectious area close to the upscale Defense neighborhood, on Jan. 21 diseases expert and a member of the National Immunization resulted in the death of three female health workers. One Technical Advisory Group. Some of the highest refusal rates Pakistani Taliban militant, who identified himself as Gul, said for polio vaccination were recorded in wealthy Karachi in an interview that his group had attacked two polio teams in neighborhoods, where residents had little faith in public Karachi in 2012 because “they were trying to find the hide- health care, Dr. Zaidi said, citing a 2011 study. Now, the outs of our leaders in these areas.” But some experts say the vaccination requirement has drawn an ambivalent response bin Laden factor has been overstated, noting that the Taliban from the wealthy. started to target polio workers long before the American Ibrahim Shamsi, a textile exporter who intends to travel to commando raid that killed the Al Qaeda leader. Canada, called it “a lot of botheration.” He said, “I’m sure I “The Taliban in North Waziristan didn’t stop the campaign was vaccinated as a child so I don’t know why I need to do it because of Shakil Afridi, they did it for political reasons,” said now.” Dr. Bhutta, referring to the Pakistani doctor hired by the Seher Naveed, an artist with travel plans for Berlin and C.I.A. to run the vaccination campaign in 2011. “And they’ve Amsterdam, said she was worried that the vaccine could done themselves and the country a lot of damage.” have an adverse effect on adults. But for Mr. Ali, the immunizer jumping between buses In Lahore, Pakistan’s second largest city, residents of the outside Karachi, the most immediate problem is persuading wealthy Gulberg neighborhood also expressed unease about reluctant parents. Some passengers offered up their children the new requirements. Jameel Ahmed, a businessman, said enthusiastically for immunization; others were cajoled into he was embarrassed to have to take a vaccination at the age compliance by fellow passengers or even bus drivers. But of 57. A woman who gave her name as Mrs. Ahsan said the one mother, on a bus from Bahawalpur in Punjab Province, restrictions were discriminatory and unfair. “We have been staunchly refused his entreaties to immunize her baby son.

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POLIO PROBLEM IN PAKISTAN HAS CAUGHT GLOBAL ATTENTION Editorial Published in TechTimes http://www.techtimes.com/articles/6857/20140511/polio-problem-in-pakistan-has-caught-global-attention.htm May 11, 2014

In March this year, the World Health Organization (WHO) militants that spread conspiracy theories that claim polio announced that India and ten other countries in vaccinations are meant to sterilize young Muslims and Southeast Asia are finally polio-free following campaigns thus control their population. to eradicate the disease worldwide. Violence carried out against healthcare workers also The battle against polio, an infectious and incurable exacerbated the situation as militant groups including the disease which causes paralysis and even death, is Taliban see political agenda behind polio vaccination apparently far from over as earlier this month, the WHO efforts. The idea was fueled by the fact that the CIA has raised concerns about the resurgence of the disease in used vaccination campaign as cover for espionage efforts countries in Asia, Africa and Middle East, and called for a to find Osama bin Laden in Pakistan. Health workers who coordinated international response to curb the spread of attempted to vaccinate children were kidnapped and polio. even killed. In the last two years alone, dozens of polio The agency has identified Pakistan in South Asia as workers have been killed. among the three countries including Cameroon and the While the disease is not as prevalent among the upper Syrian Arab Republic as responsible for spreading the class Pakistanis, it may not take long before polio poliovirus beyond their border. The polio problem in spreads among the affluent. Anita Zaidi, a pediatrician Pakistan, the sixth most populous country in the world, from Pakistan's National Immunization Technical has particularly caught global attention. Advisory Group, said that polio vaccination is highly Polio infected Peshawar, a city in Pakistan's Khyber refused in some rich neighborhoods in Karachi, Pakhtunkhwa province that WHO earlier called the Pakistan's financial center. largest polio virus reservoir in the world, is home to 3.5 Eradication of polio in Pakistan and globally, though, million inhabitants and a major transit hub for thousands remains crucial despite the challenges. "We live in a of commuters per day. world with international trave," said Paul Offit, from the The WHO also said that Pakistan is the only country in Division of Infectious Diseases at the Children's Hospital the world that has failed to keep track of its target to stop of Philadelphia. "Until we eliminate the virus in these the spread of the crippling virus. Efforts by curb the countries, there's always the risk it would spread to other transmission of polio have been largely affected by countries."

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ر� �: وز� � �ے � � ��ى �� آ� �۔وز� � �ا� � ��ہ �رڑ � � � �� ا� � �� ادارۂ � (ڈ� ا� او) � � � �� اردو �� ں � �زم � د� � � وہ �و ِن � � � � ا�اد �� و� � اور ان ��وں � �س و� �� 06 � 2014 ��۔ ا�ں � � � �� ى �� ا�ام �۔��ہ �رڑ � � � اس � � �و�ن � اس �ح � ��ں � �� ۔ ا�ں � ا�ان � آ�ہ � � ��ن � �� ا��ر�ں � روزا� �� 12 �ار ا�اد �ون � � �� ۔وز�ِ � � �� ا� � �� ا� �ہ � � �� ا� �� وع � � ر� � � � ا�م � � �� ۔ان � �� آ�ہ �ہ ا�م � ��ن � دورہ � ر� � اور اس دورے � دوران وہ �� ر � � � �۔ا�ں � � � �� ؤ � �� ر�وٹ � � ��ہ ��ں ا� و ا�ن � �اب �ر�ل � �� ل � � � � �ں � �� ں � �م ر�� ۔ و�� وز� � �� 2014 � دوران �� ں � �� ر � � آ� � � اس � � �ر �� ۔��ہ ا� �رڑ � ��ن �� ر�د� � �ا� �� دو ��ں � �� ن � �� آ� � � �ا�، �ور اور �� ں � �� ں � ا�� ا � �ں �� ور�وں � � �� ۔ا�ں �� ا � �� ا�ف � �� ف �ا�ا�ت � � اور اس � � � � � � ا�د � � � ر� �۔

HEALTH DIRECTORY

GOVERNMENT DEPARTMENT Department of Health in KHYBER PAKHTUNKHWA District Health Office Larkana 0092-91-9211789 ,0092-91-9210342 0092-74-9410711 0092-91-9210419 0092-74-9140723 [email protected] [email protected] www.healthkp.gov.pk www.sindhhealth.gov.pk HRD building Khyber Road, Peshawar District Health Office Near Jim Khana, Larkana Health Department Balochistan Health Department Punjab 0092-81-9201954 0092-42-99210326 0092-81-9201149 0092-42-99211710 [email protected] infohealth.pitb.gov.pk www.balochistan.gov.pk/index.php?option=com_cont www.health.punjab.gov.pk ent&view=article&id=106&Itemid=156 Civil Secretariat, Government of the Punjab Health Department, Block-5, Civil Secretariat, Quetta Lahore, Punjab Health Department, Government of Sindh Health Services Academy 0092-21-99211012 0092-51-9255590-6 0092-21-99222837 0092-51-9255591 [email protected] [email protected] www.sindhhealth.gov.pk www.hsa.edu.pk Secretary Health, Sindh Secretariat, Building No.1, Opposite National Institute of Health park read (NIH) Chak 6Th Floor, Karachi, Sindh Shahzad, Islamabad National AIDS Control Programme Punjab AIDS Control Program 0092-51-9255326 0092-42-99201098 0092-51-9255173 0092-42- 99203394 [email protected] [email protected] www.nacp.gov.pk www.health.punjab.gov.pk/?q=Punjab_ACP#contacts Chak Shahzad, Islamabad First Floor,5 Montgomery Road, Lahore Punjab Health Sector Reforms Programme Punjab Executive District Office Health 0092-42-99231356 Jacobabad, Sindh 0092-42-99231359 0092-721-654662 [email protected] 0092-721-512796 www.phsrp.punjab.gov.pk Punjab Health Sector Reforms Programme House # 120 - B, New Muslim Town, Lahore Executive District Office Health Executive District Office Health Kashmore, Sindh Shikarpur, Sindh 0092-7057-570930 0092-761-920022 0092-761-920023 Executive District Office Health Executive District Office Health Ghotki, Sindh Sukkur, Sindh 0092-703-652499 0092-71-9310121, 9310122 0092-703-650003 0092-71-9310122 Executive District Office Health Executive District Office Health Khairpur, Sindh Larkana, Sindh 0092-243-9280151-2 0092-79410711 0092-243-9280151 0092-79410709 Executive District Office Health Executive District Office Health Dadu, Sindh Sanghar, Sindh 0092-25-9200086 0092-235-541326 0092-25-610545 0092-235-541025 Executive District Office Health Executive District Office Health Nawabshah, Sindh Hyderabad, Sindh 0092-244-9370267-8 0092-221-9200740-377 0092-221-9200376 Executive District Office Health Executive District Office Health Matiari, Sindh Umerkot, Sindh 0092-222-760640 0092-238-571458 0092-222-760096 0092-238-570039 Executive District Office Health Executive District Office Health Mirpurkhas, Sindh Badin, Sindh 0092-231-9290097 0092-2978-61871 0092-231-9290098 0092-2978-62333

Executive District Office Health Executive District Office Health Jamshoro, Sindh Thatta, Sindh 0092-22-3874987 0092-298-771353 0092-298-770153 Executive District Office Health Executive District Office Health Tharparkar, Sindh Bannu, Khyber Pakhtunkhwa 0092-232-261253 0092-928-9270132 0092-232-261379 Executive District Office Health Executive District Office Health Abbottabad, Khyber Pakhtunkhwa Batagram, Khyber Pakhtunkhwa 0092-992- 9310192 0092-997-310507 Executive District Office Health Executive District Office Health Buner, Khyber Pakhtunkhwa Chitral, Khyber Pakhtunkhwa 0092-939-510044 0092-943-412734 Executive District Office Health Executive District Office Health D.I.Khan, Khyber Pakhtunkhwa Hangu, Khyber Pakhtunkhwa 0092- 966-9280199 0092-925-623034 Executive District Office Health Executive District Office Health Haripur, Khyber Pakhtunkhwa Karak, Khyber Pakhtunkhwa 0092-995-610997 0092-927-210837 Executive District Office Health Executive District Office Health Karak, Khyber Pakhtunkhwa Kohat, Khyber Pakhtunkhwa 0092-927-210837 0092-922-9260348 Executive District Office Health Executive District Office Health Kohat, Khyber Pakhtunkhwa Kohistan, Khyber Pakhtunkhwa 0092-922-9260348 0092-998-407132 Executive District Office Health Executive District Office Health Lower Dir, Khyber Pakhtunkhwa Malakand(Batkhela), Khyber Pakhtunkhwa 0092-945-9250098 0092-932-410399 Executive District Office Health Executive District Office Health Mansehra, Khyber Pakhtunkhwa Nowshehra, Khyber Pakhtunkhwa 0092-997-920169 0092-923-580759 Executive District Office Health Executive District Office Health Swat, Khyber Pakhtunkhwa Tank, Khyber Pakhtunkhwa 0092-946-9240739 0092-963-510755 Executive District Office Health Executive District Office Health Shangla(Alpuri), Khyber Pakhtunkhwa Swabi, Khyber Pakhtunkhwa 0092-996-850653 0092-938-221606 Executive District Office Health Upper Dir, Khyber Pakhtunkhwa 0092-944-880516

UNIVERSITIES AND COLLEGES Ayub Medical College Abbottabad Pakistan Baqai Medical University 92-992-382321 0092-21-34410-427 to 430 92-992-382321 [email protected] [email protected] www.baqai.edu.pk www.ayubmed.edu.pk Baqai Medical University 51, Deh Tor, Gadap Road,Near Ayub Medical College, Abbottabad-22040, Pakistan Toll Plaza, Super Highway P.O Box No 2407, Karachi Center for Health and Population Studies College of Physicians and Surgeons Pakistan 0092-42-3639303 0092-21 - 111-606-606 [email protected] [email protected] www.chps.edu.pk www.cpsp.edu.pk 2-A/5 Chamba Lane, G.O.R-I, (Near Children Complex College of Physicians and Surgeons Pakistan 7th Central Library) Lahore-3 Street, Defence Housing Authority, Karachi DOW University of Health Sciences Farkhanda Institute of Nursing, Affiliated with Gandhara 0092-21-32715441-466 University, Peshawar 32715441-466 0092-91-5844432 [email protected] 0092-91 5844428 www.duhs.edu.pk [email protected] Baba-e-Urdu Road, Karachi www.gandhara.edu.pk/fin Farkhanda Institute of Nursing 57 Gul Meher Lane, University Town, Peshawar

Frontier Medical College Gandhara College of Pharmacy, Affiliated with Gandhara 0092-992-380190 University, Peshawar 0092-992-381028 0092-91 5844432 [email protected], [email protected] 0092-91 5844428 www.fmc.edu.pk [email protected] Frontier Medical & Dental College, P.O. Public School, www.gandhara.edu.pk/GCP Mansehra Road, Abbottabad Gandhara College of Pharmacy Canal Road University Town, Peshawar Gomal Medical College Hamdard University karachi 0092966-9280339, 92-966-9280338 0092-21-36440041-42 0092966-9280340 [email protected] [email protected] www.hamdard.edu.pk www.gmcdikhan.edu.pk Hamdard University, Sharae Madinat Al-Hikmah, North Circular Road, Gomal Medical College, Dera Muhammad Bin Qasim Avenue, Karachi, 74600 Ismail Khan. Islamabad Medical & Dental College Jinnah Medical College Peshawar 0092-51-2232045 0092-300-5257559 [email protected] 0092-91-5602475 www.imdcollege.com [email protected] Islamabad Medical & Dental College Islamabad www.jmcp.edu.pk Pakistan Jinnah Medical College Peshawar Warsak Road, Islamabad Peshawar Kabir Institute of Public Health, Affiliated with Kabir Medical College Peshawar Gandhara University, Peshawar 0092-91 5844432 0092-91 58444232 0092-91 5844428 0092-91 5844428 [email protected] [email protected] www.kmc.edu.pk www.gandhara.edu.pk/KIPH Canal Road University Town, Peshawar, khyber Kabir Institute of Public Health 57 Gul Meher Lane, pakhtunkhwa Pakistan University Town, Peshawar Karachi Medical and Dental College College of Physical Education 0092-21-99260301 0937-873115 National, 874115 0092-21-99260306 National College of Physical Education Bank Road, [email protected] Mardan www.kmdc.edu.pk Abbasi Shaheed Hospital Block M, North Nazimabad, Karachi Khyber College of Dentistry National Institute Of Psychology 0092-91-9216217 0092-51-2230704 0092-91-9218327 0092-51-2230704 www.kcd.edu.pk [email protected] Khyber College of Dentistry, 25000 Peshawar, Khyber National Institute Of Psychology Centre Of Excellence Pakhtunkhwa Pakistan Shahdara Road. Quaid-I-Azam Unversity, Islamabad Khyber Girls Medical College NIMS College of Medical Sciences 0092-91-9217698 0092-992-392421, 0332-8910366 0092-91-9217702 [email protected] [email protected] www.nimsmed.edu.pk www.kgmc.edu.pk NIMS College of Medical Sciences Link Murree Road Khyber Girls Medical College, PDA Building Block IV, Nawanshehr, Abbottabad Phase V , Hayatabad Peshawar Khyber Medical University Pakistan Association of Orthodontists 0092-91-9217697, 9217699 0092-333-4207669 0092-91-9217704 [email protected], [email protected] [email protected], [email protected] www.pao.org.pk www.kmu.edu.pk D-138-A, Block 4, Clifton, Karachi PDA Building, Near Shalman Park, Street No. 9, Sector F-1, Phase 6, Hayatabad, Peshawar, Khyber Pakhtunkhwa King Edward Medical University Pakistan Institute of Medical Sciences 0092-42-9211150 0092-51- 9260470 0092-42-7233746 0092-51-9260724 [email protected] www.pims.gov.pk www.kemu.edu.pk Pakistan Institute of Medical Sciences H # F-10 PIMS King Edward Medical University Nelagumbad, Colony.

Anarkali, Lahore Islamabad Liaquat University of Medical & Health Sciences Peoples University of Medical & Health Sciences for Jamshoro Sindh women, 0092-22.921.3306 0092-244- 9370249-5 0092-22.921.3306 [email protected] [email protected], www.pumhs.edu.pk www.lumhs.edu.pk Nawabshah, District-Shaheed Benazirabad Sindh- Jamshoro, Sindh - Pakistan Pakistan Naseer Teaching Hospital Peshawar Punjab Institute of Cardiology Lahore 0092-91 5844432 0092-42 99203052-6 0092-91 5844428 0092-42-99200028 [email protected] www.pic.gop.pk www.gandhara.edu.pk Punjab Institute of Cardiology GHOUS-UL-AZAM Jail Rd, Naseer Teaching Hospital Peshawar Nasir Bagh Road, Lahore Peshawar Rehman Medical College, Peshawar Saidu Medical College 0092-91-5838 333 0092-946-9240134 0092-91-5838 333 0092-946-9240135 [email protected] [email protected] www.rmi.edu.pk www.smcswat.edu.pk Rehman Medical College, Peshawar 4/A-3, Phase-V, Saidu Medical College Saidu Sharif, Swat Peshawar, Khyber Pakhtunkhwa Khyber Pakhtunkhwa Sardar Begum Dental College Peshawar, Affiliated Shahed Mohtarma Benazir Bhutto Medical University with Gandhara University, Peshawar Larkana 0092-91 5844432 0092-74-9410715 0092-91 5844428 0092-74-4752760 [email protected] [email protected] www.gandhara.edu.pk www.smbbmu.edu.pk Sardar Begum Dental College Peshawar Canal Road Shahed Mohtarma Benazir Bhutto Medical University University Town, Peshawar Larkana village Arija, Airport road, Larkana Shifa College of Medicine Shifa College of Nursing 0092-51-8463759 0092-51-4435046, 92-51-4431056 0092-51-4435046 0092-51-4435046, 92-51-4431056 www.shifacollege.edu/scm [email protected] Shifa College of Medicine Pitrus Bukhari Road, H-8/4, www.shifacollege.edu Islamabad Shifa College of Nursing Pitraus Bukhari Road, Sector H- 8/4, Islamabad University of Health Science Lahore University of Health Sciences 0092-42-99230870 0092-42-99231263 0092-42-99230870 0092-42-99230820 [email protected] [email protected] www.uhs.edu.pk www.uhs.edu.pk, [email protected] University of health science Lahore Khayaban-e- Khayaban-e-Jamia-e-Punjab, Lahore Jamia Lahore, Punjab University of Veterinary and Animal Sciences Women Institute of Medical Technology 0092-42-99211449 0092-998-392334 0092-42-99212846 [email protected] [email protected] www.wimt.edu.pk www.uvas.edu.pk Women Institute of Medical Technology, Women Medical Syed Abdul Qadir Jillani (Out Fall) Road, Lahore, College, Muree Road Nawan Shehr, Abbottabad Punjab Khyber Pakhtunkhwa Women Medical College Abbottabad Yusra Medical and Dental College 0092-992-392334 0092-3215283849 0092-992-390221 0092-51-4492816 [email protected] [email protected] www.wmc.edu.pk www.ymdc.edu.pk Women Medical College Abbottabad Murree Road, Yusra Medical and Dental College Main G.T Road, Kahuta Nawanshehr, Abbottabad, Khyber Pakhtunkhwa Morr, PO Model Town, Humak, Islamabad

HOSPITALS Advance Radiology Clinic (Hospital) Aga Khan Maternal and Child Care Centre, Hyderabad 0092-213-2783536 0092-221-614172-4, 0092-22-2660071-2 0092-213-2788200 0092-221-612526, 0092-22-2660070 [email protected] Aga Khan Maternal and Child Care Centre, Hyderabad,

www.advancedradiologyclinic.enic.pk Sindh Behind Hamdard University Hospital (Taj Medical Complex) Off: M.A.Jinnah Road, Karachi, Sindh Aga Khan Hospital for Women, Karimabad Aiwan-E-Tijarat-O-Sanat Hospital Trust 0092-213-6822963-6 0092-21 6995874 0092-213-6811804 Aiwan-E-Tijarat-O-Sanat Hospital Trust, ST 1/1,Sec.11C- Aga Khan Hospital for Women, St-6/D Blk-7 Sh-E- 2,North Karachi, Karachi, Sindh Pakistan FB Area, Karachi, Sindh Akhtar Eye Hospital Akram Hospital, Quetta 0092-21-34811908 0092-81 2869236-5 0092-21-34813235 Quetta, Balochistan [email protected] www.akhtareye.com.pk/about_aeh.html Akhtar Eye Hospital, FL-1 ( 4/C ), Block 5, Rashid Minhas Road. Gulshan-e-Iqbal, Karachi, Sindh Al- Ibrahim Eye Hospital Al Mustafa Medical Centre (Hospital) 0092-21-34560867 0092-21-4820101 0092-21-34560718 Al Mustafa Medical Centre, ST-1, Block No.13-C, Gulshan- Al- Ibrahim Eye Hospital, Old Thana,Gadap Town, E-Iqbal, University Road, Karachi, Sindh Malir. Karachi, Sindh Al Nabi Hospital Al-Ain Institute of Eye Diseases (Hospital) 0092-21-4963590 0092-21-4556151 Al Nabi Hospital, B-15/1, Block No.4-A, Gulshan-E- Al-Ain Institute of Eye Diseases, 241/3/A, Block-2, Iqbal, Abdul Hasan Isaphani Road, Karachi, Sindh P.E.C.H.S. Shahrah-E-Quaideen, Karachi, Sindh Al-Hamra Medical Centre Al-Mumtaz Medical Complex (Hospital) 0092-21-4388723 0092-21-4510128 0092-21-4543362 Al-Mumtaz Medical Complex, AL-MUMTAZ MEDICAL Al-Hamra Medical Centre, Tipu Sultan Road, Karachi, COMPLEX is in Karachi, Sindh, located in Sindh 25/423,Darakhshan Society Kala Board, Malir. Karachi, Sindh Al-Noor Hospital Quetta Al-Razi Hospital 0092-81 2830395 0092-21 5888888 Toghi Road, Quetta, Balochistan Al-Razi Hospital, Mehmoodabad Gate, Karachi, Sindh Alvi Dental Hospital Ankle Saria Hospital 0092-21-4524371 0092-21-32720371 0092--214313069 Ankle Saria Hospital, Garden Road,Near Makki Masjid. Alvi Dental Hospital, 23 B,Pechs, Smchs, Near Karachi, Sindh Embassy in Hotel, Karachi, Sindh Asghar Hospital Quetta Ashfaq Memorial Hospital 0092-81 2827017 0092-21-4822261 Alamdar Road, Quetta, Balochistan Ashfaq Memorial Hospital, Sb-9 Blk-13/C G'Iqbal, U/Sty Road, Karachi, Sindh Awan Hospital Ayub Teaching Hospital 0092-21 6666828 0092-992-381907-14, 381846 Awan Hospital, 1-D/6,Orangi Town, Karachi, Sindh 0092-992-382321 main manshera Road, Abbottabad, Khyber Pakhtunkhwa Aziz Medical Centre (Hospital) Babar Hospital 0092-21 6700666 0092-21-4932181 0092-21 6633442 Babar Hospital, Office 5 St-12 Habib Chamber Bl-14 Aziz Medical Centre, B-151,Blk.-W,Allama Iqbal Town, G'Iqbal North Nazimabad, Karachi, Sindh Karachi, Sindh Bait-ul-Sakoon Cancer Hospital Bantva Anis Hospital 0092-21 3455 3834-6 0092-21 4926814 0092--21 3455 3942 Bantva Anis Hospital, Plot #52-53,DMCHS.,Block [email protected] #3,Behind Gulistan Club,Shaheed-E-Millat Road, Karachi, www.baitulsukoon.org/history Sindh Bait-ul-Sakoon Cancer Hospital, Plot No. S.N.P.A. 17- J, Block –3, K.C.H.S. Union, Karachi, Sindh Baqai Hospital Karachi Behbood Association Medical (Hospital) 0092-21-36618396 0092-21-5820663 [email protected] Behbood Association Medical, Pl. St-9 Bl. I, Opposite www.baqai.edu.pk/hospitals/baqai_hospital_universit Shireen Jinnah Colony Clifton, Karachi, Sindh y2/index.aspx Baqai Hospital Karachi, 111-B, 1/8, Nazimabad no 3,

Karachi Bilal Foundation Brain & Medical Institute (Hospital) 0092-51-4456471- 8 0092-21-5370359 0092-51-4456480 Brain & Medical Institute, Pl. St-32/A, Blk-5, Clifton, [email protected] Karachi www.bilalhospital.com Sindh 38-A, Satellite Town, Sadiqabad Road, Rawalpindi, Punjab Burhani Hospital Karachi Butt Charitable Hospital 0092-21-32214418 0092--21-2572237 0092-21-32623046 Butt Charitable Hospital, St. 30, Muhammadi Rd. Pl. Miie. [email protected] B-C/48, Shershah, Karachi, Sindh www.burhanihospital.org.pk/ Burhani Hospital Karachi, Tayebjee Road, Gari Khata, Karachi, Sindh CANTONMENT GENERAL HOSPITAL Care Health Service (Hospital) 0092--51-9270914 0092-300-2323801 Hospital Road, Saddar, Rawalpindi cantt, Punjab Care Health Service, Suite No. 43,Street No. 5,Main Ghazali Road, Block-B, Manzoor Colony, Karachi, Sindh Carvan of Life Trust (Hospital) CDA HOSPITAL Islamabad 0092-21 3587 3946 0092-51-9221302 [email protected] 0092--51-9224377 www.caravanoflifetrust.org/ [email protected] Carvan of Life Trust (Hospital), Defence Area, Phase www.cda.gov.pk/hospital V, Karachi, Sindh St# 31 ,G-6/2, Islamabad CHATTHA HOSPITAL Gujranwala Children Cancer Foundation (Hospital) 0092-55-3250077 0092-21-36359939 Chatha Colony, Gujranwala 52250, Punjab 0092-21-36361895 [email protected] www.ccfpakistan.org Children Cancer Foundation (Hospital) ST-1/C, Block-10, Ayesha Manzil, Federal B Area, Karachi, Sindh Children’s Hospital, Quetta Chinot General Hospital 0092-81 2823709-12 0092-21- 35063443 Quetta, Balochistan 0092-21- 35067673 [email protected] www.cgh-k.com/files/cgh.asp Chinot General Hospital, ST-1/3, Sector 41-B, Korangi Township, Karachi, Sindh City General Hospital Civil Hospital Badin 0092-21 4510132 0092-300-3020856 Malir, Kalaboard, Karachi, Sindh Badin, Sindh Civil Hospital Dadu Civil Hospital Jacobabad 0092-25-9200092 0092-722-654989 Dadu, Sindh Jacobabad, Sindh Civil Hospital Kandhkot Civil Hospital Tando Muhammad Khan 0092-314-7320247 0092-300-3020856 Kandhkot, Sindh Tando Muhammad Khan, Sindh Civil Hospital Karachi Civil Hospital Thatta 0092-21 99215728 0092-301-2559675 [email protected] Thatta, Sindh www.chk.gov.pk Civil Hospital Karachi, Opp:Allawala Market, M.A.Jinnah Road, Karachi, Sindh Civil Hospital Khairpur Civil Hospital Umerkot 0092-301-3407598 0092-238-571748 Civil Hospital, Gajani Centre, Civil Hospital Road, Umerkot, Sindh Khairpur Civil Hospital Sanghar Civil Hospital, Quetta 0092-302-3220304 0092-81 9202018 Civil Hospital Sanghar Quetta, Balochistan Sanghar, Sindh Civil Hospital Sukkar Creek City Hospital 0092-71-9310132 0092-21 5347825

Civil Hospital Sukkar, Sukkur, Dera Bugti, Sukkar, 0092-21 5341862 Sindh Creek City Hospital, Bunglow #89,Street "P",Off Khayaban-e-Mahafiz, ,Ph-VII, D.H.A., Karachi, Sindh Civil Hospital Tando Allahyar Creek City Medical Complex (Hospital) 0092-300-3077022 0092-21- 35216396 Civil Hospital Tando Allahyar, [email protected] Tando Allahyar, Sindh www.ccmc.pk/concept.php Creek City Hospital Complex, Pakistan Defence Officers Housing, Authority,2/B East Street, Phase I,DHA, Karachi Cumber Specialists Hospital Cumber Specialists Hospital 0092-21 2202669 0092-21 2202669 Cumber Specialists Hospital, CK 2/2,Moosa Cumber Specialists Hospital, CK 2/2,Moosa Street, Street,Kharadar #2, Karachi, Sindh Kharadar #2, Karachi, Sindh Dehli Medical Centre (Hospital) District Head Quarter Hospital Hyderabad 0092--21-6953212 0092-222-671698 Dehli Medical Centre, Markaz-E-Khidmat-E- District Head Quarter Hospital Hyderabad, Banglow No. B- Khalq,Dehli House,Educational & Medical 81, Gulshan-e-Sehar, Nearby pass Qasim Abad, Trust,Nagan Chowrangi, Karachi, Sindh Hyderabad, Sindh DHQ Hospital Abbottabad District Head Quarter Hospital Jamshoro 0092-992-9310198, 9310199 0092-22-3877020 Link Road, Abbottabad District Head Quarter Hospital Jamshoro, Banglow No. 1, KHYBER PAKHTUNKHWA Wapda Colony, Near SDO Office, HWSCO, Jamshoro District Head Qaurter Hospital Jacobabad District Head Quarter Hospital Kamber 0092-722-654372 0092-744-211190 District Head Qaurter Hospital Jacobabad, Opposite District Head Quarter Hospital Kamber, Near Shell Petrol Grid Station, Stadium Road, Jacobabad, Sindh Pump, Bypass Bango Dero Road, Kamber, Sindh District Head Quarter Hospital Badin District Head Quarter Hospital Karachi East 0092-279-861926 0092-21-99238954 District Head Quarter Hospital Badin, Badin Army District Head Quarter Hospital Karachi East, C-35, Block Cantt, Haider Town, Badin, Sindh A, Kazimabad, Model Colony, Near Jinnah Air Port, Karachi East, Sindh District Head Quarter Hospital Dadu District Head Quarter Hospital Karachi South 0092-254-711012 0092-21-34556162 District Headquarter Hospital Dadu, H. No. 36/A, District Head Quarter Hospital Karachi South, Z-175, Block Housing Society, Near Bano Stop, Dadu, Sindh 2, PECHS, Tariq Raod, Karachi South, Sindh District Head Quarter Hospital Ghotki District Head Quarter Hospital Karachi West 0092-7236-81106 0092-21-36649344 District Head Quarter Hospital Ghotki, Banglow No. District Head Quarter Hospital Karachi West, D-64, Block 23, Dorri Road, Opposite Marvi Floor Mills, Bypass, B, North Nazim Abad, Karachi west, Sindh Ghotki, Sindh District Head Quarter Hospital Kashmore District Head Quarter Hospital Sanghar 0092-722-570258 0092-235-541451 District Head Quarter Hospital Kashmore/Kandhkot, District Head Quarter Hospital Sanghar, Opposite Civil Gulshaer Mohallah Opposite Government High Hospital, Sanghar, Sindh School, Kashmore, Sindh District Head Quarter Hospital Khairpur District Head Quarter Hospital Shikarpur 0092-243-9280160 0092-726-521387 District Head Quarter Hospital Khairpur, A-4-81/1, District Head Quarter Hospital Shikarpur, Near Plaza Latif Colony, Station Road, Khairpur, Sindh Cenima, Shikarpur, Sindh District Head Quarter Hospital Larkana District Head Quarter Hospital Sukkar 0092-74-9410233 0092-71-9310120 District Head Quarter Hospital Larkana, Banglow No. District Head Quarter Hospital Sukkar, H. No. C-114, Parsi A-32, Sachal Colony, Wagan Road, Larkana, Sindh Colony, Opposite District Accounts Officer Sukhar Sukkar, Sindh District Head Quarter Hospital Matiari Head Quarter Hospital Tando Allahyar 0092-222-760015 0092-22-3892108 District Head Quarter Hospital Matiari, First Floor, District Head Quarter Hospital Tando Allahyar, Banglow Syed Rukhunddin Shah Complex, Main Matiari, No. 14, Shahbaz Colony, Near Nasar Pur Van Stop, Tando Bypass Road, Matiari, Sindh Allahyar, Sindh District Head Quarter Hospital Mirpurkhas District Head Quarter Hospital Tando Muhammad Khan 0092-233-9290137 0092-223-342721 District Head Quarter Hospital Mirpurkhas, B-9, District Head Quarter Hospital Tando Muhammad Khan, H. Sattelite Town, Block 4, Unit No. 3, Mirpurkhas, Sindh No. 1, Somra Mohallah, Tando Muhammad Khan, Sindh

District Head Quarter Hospital Naushero Feroz District Head Quarter Hospital Tharparkar 0092-242-448687 0092-23-2262102 District Head Quarter Hospital Naushero Feroz, District Head Quarter Hospital Tharparkar, Sodha House, Farooq Town, Plot No. 43, National Highway Road, Islam Kot Road, Mithi, Tharparkar, Sindh Naushero Feroz, Sindh District Head Quarter Hospital Nawabshah District Head Quarter Hospital Thatta 0092-244-9370217 0092-298-550691 District Head Quarter Hospital Nawabshah, H. No. 31, District Head Quarter Hospital Thatta, National Highway, Housing Society, Nawabshah, Sindh Near Main Branch NBP, City Bus Stop No. 1, Thatta, Sindh District Head Quarter Hospital Umerkot Kunri Christian Hospital 0092-238-571869 0092-722-571837 District Head Quarter Hospital Umerkot, Banglow No. Kunri Christian Hospital, Kunri69160, Taluka, Kunri, Umer 21, Ward No. 311, Near Bilal Masjid, Somra Mohallah, Kot, Sindh Umerkot, Sindh District Headquarter Hospital, Haripur Kutiana Memon Hospital 0092-992-380791, 503167 0092-21 2315376-7 0092-992-381691 0092-21 2315148 [email protected] Kutiana Memon Hospital, Aga Khan/G allana Road , www.aimca.edu.pk/teaching_hospital.php Kharadar. Abbottabad International Medical College P.O. Karachi, Sindh Abbottabad Public School , Mansehra Road Abbottabad, KHYBER PAKHTUNKHWA Dow University Hospital Lady Aitchison Hospital Lahore 0092-21 99215690 0092-42-9211145-54 Dow University Hospital, Baba-E-Urdu Road, Karachi [email protected] 74200- Sindh www.kemu.edu.pk King Edward Medical University, Nelagumbad, Anarkali, Lahore, Punjab Dr. Alidina's Kharadar Maternity Home (Hospital) Lady Reading Hospital 0092-21 2204627 0092-91-9211430- 49 Dr. Alidina's Kharadar Maternity Home, Paria 0092-91-9211401 Street,Kharadar, Karachi, Sindh [email protected] www.lrh.gov.pk Lady Reading Hospital , khyber Bazar, Peshawar Khyber Pakhtunkhwa Dr. Atique Orthopedic & Medical Centre (Hospital) Lady Willingdon Hospital Lahore 0092-21-4404535 0092-42-9211145-54 0092-21-4505355 [email protected] [email protected] www.kemu.edu.pk/lady-willingdon-hospital.html Dr. Atique Orthopedic & Medical Centre, A-18/423, King Edward Medical University Nelagumbad, Anarkali . Darakhshan Society, Kalaboard, Malir, Karachi, Sindh Lahore, Punjab Dr. Ziauddin Hospital Lahore General Hospital, Lahore 0092-21- 35862937-9 0092-42-5810891-2 0092-21- 35862940 Lahore General Hospital, Lahore Ferozpur Road Chungi [email protected] Amarsiddhu, Lahore, Punjab www.ziauddinhospital.com/ziauddin-trust.htm Dr. Ziauddin Hospital, 4/B, Shahrah-e-Ghalib, Block 6, Clifton, Karachi, Sindh Faiz-E-Aam Hospital Layton Rahmatulla Benevolent Trust Eye Hospital 0092-21-4558351 0092-21 35396600-5 0092-21-4522406 0092-21- 35396606 Faiz-E-Aam Hospital, 2-Teachers C.H.Society, [email protected] Shaheed-E-Millat Road, Karachi, Sindh www.lrbt.org.pk/lrbt-a-beacon-of-hope Layton Rahmatulla Benevolent Trust Eye Hospital, 37-C, Sunset Lane No.4, Phase – II Extension, 24th Commercial Street, D.H.A, Karachi, Sindh Fatemi Surgical Hospital Leprosy Patients Welfare Trust (Hospital) 0092-21-278322 0092-21-32436210 Fatemi Surgical Hospital, Cantonment Market, Lucky 0092-21-32420485 Star, Saddar, Karachi, Sindh [email protected] www.leprosylpwt.org.pk/About.htm Leprosy Patients Welfare Trust, Room No.13, 3rd Floor, Waqar Center, Muhammad Feroze Street, Jodia Bazar, NearKhori Garden Masjid, P.O.Box No. 6818, Karachi,

Sindh Fatima Bai Hospital Liaquat National Hospital & Medical College 0092-21-4124249 0092-21 3493 9612 Fatima Bai Hospital, Plot #805, JR-32, Laypat Rai 0092- 21 3414 0014 Rd.Jamshed Quarters, Karachi, Sindh [email protected] www.lnh.edu.pk/ Liaquat National Hospital & Medical College, National Stadium Road, Karachi, Sindh Fatmia Foundation (Hospital) Lions Eye Hospital 0092-21-2225284 0092-21-36990096 0092-21-2256752 0092-21-36990096 Fatmid Foundation (Hospital), 393-Britto Road, [email protected] Garden East, Karachi 74800, Sindh www.lionseyehospital.org/about.html Lions Eye Hospital, ST-21, Sector 5-B/3, Main Road, North Karachi Township, Karachi, Sindh Fon General Hospital & Karachi Urology Center Mamji Hospital Orthopaedic & General 0092-21-4989192 0092-21-36804706 Fon General Hospital & Karachi Urology Center, C-130 Mamji Hospital Orthopaedic & General C-19,Block- Blk-9 G'Iqbal City, Karachi, Karachi, Sindh 17,F.B.Area,Near Water Pump, Karachi, Sindh Gondal Memon Association (Hospital) Marie Adelaide Leprosy Center (Hospital) 0092-21-4857662 0092--21 35682706, Gondal Memon Association, JM-172, Jeker Street, 0092-21- 35683106 adj.Qudsi Masjid, Jamshed Rd, Karachi, Sindh [email protected] www.malc.org.pk/index.html Marie Adelaide Leprosy Centre, Mariam Manzil, A.M. 21,Off Shahrah-e-Liaquat,P.O. Box No. 8666,Saddar, Karachi, Sindh GOVERNMENT CIVIL HOSPITAL HQ: Gujranwala Mayo Hospital, Lahore 0092-55-9200109 0092-42-99213666, Civil Lines, Gujranwala, Punjab Hospital Road, Lahore, Punjab Gulaab Devi Hospital, Lahore Mid East Hospital Quetta 0092-42-9230247-50 0092-81-2821103-5 0092-42-9230817 Al Gilani Road, Quetta, Balochistan [email protected] www.gulabdevi.org Gulab Devi Chest Hospital Ferozpur Road, Lahore, Punjab Gulshan General Hospital Muhammad Hospital 0092-21-4992404 0092--21-6800396 Gulshan General Hospital, C-51, Block No. 4-A, Muhammad Hospital, C-53, Block-17, F.B. Area, Karachi Gulshan-E-Iqbal, Abul Hasan saphani Road, Karachi, Sindh Sindh Habib Medical Centre (Hospital) Murshid Hospital and Health Care Center (Hospital) 0092-21-6341893 0092-346-8215214 Habib Medical Centre, Bs-3 Blk-4 FB Area, Karachi 0092-21 32811307 Sindh [email protected] www.murshid.org Murshid Hospital and Health Care Center, Hub River Road, Mujahidabad, Karachi, Sindh Haji Rang Elahi Eye & General Hospital Nadeem Medical Centre (Hospital) 0092-21-34967891 0092-21-4984300 Haji Rang Elahi Eye & General Hospital, ST-4B,Block- Nadeem Medical Centre, St-D-18, Block No.6, Gulshan-E- 4,Gulshan-e-Iqbal,Allama Shabbir A.Usm. Karachi, Iqbal, Karachi, Sindh Sindh Hashmani Hospital National Institute Of Cardiovascular Diseases (Hospital) 0092-21-32781339 0092-21-9201215 0092-21-32787044 0092-21-9201216 [email protected] [email protected] www.hashmanis.com.pk www.nicvd.edu.pk/AboutUs.htm Hashmani Hospital, JM-75, Off M A Jinnah Road National Institute Of Cardiovascular Diseases (Hospital), Karachi, Sindh Rafiqui (H.J.) Shaheed Road, Karachi-75510,Sindh Hayatabad Medical Complex National Institute of Children Health (Hospital) 0092-91-9217188 0092-21-99201193 0092-91-9217189 0092-2199205318

Hayat Abad, Peshawar, KHYBER PAKHTUNKHWA [email protected] www.nich.edu.pk/Default.aspx National Institute of Children Health (Hospital), Rafiqui S.J Shaheed Road, Karachi, Sindh Health Care Hospital National Medical Centre (Hospital) 0092-21-5312320 0092-21 35380000-3 0092-21-5801832 0092-21 35805022 [email protected] [email protected] www.healthcarehospital.com.pk/aboutus.htm www.nmc.net.pk/ Health Care Hospital, Plot # 140, 17th East Street,Main National Medical Centre, A-5/A, National Highway, Phase Korangi Road, DHA,Phase-I, Karachi, Sindh 1, Defence, Housing Authority,Near Kala Pul, Karachi, Sindh Hill Park General Hospital Nisthar Hospital Multan 0092-21-4538563 0092-61 9200238, Hill Park General Hospital, S.N.C.C. 3/4, Block #3 Main 0092-61 9200227 Shaheed-e-Millat Road, Karachi, Sindh [email protected] www.nmch.edu.pk Nishtar Road, Multan, Punjab Holy Family Hospital, Rawalpindi NUCLEAR ONCOLOGY & RADIOTHERAPY INSTITUTE & 0092-51-4411377 HOSPITAL 0092- 51 9290519 0092--51-9260611-15, 51-9261313 Holy Family Hospital Asghar Mall, Satellite Town 0092--51-9260616 Saidpur Road. [email protected] Rawalpindi, Punjab www.paec.gov.pk Hanna Road, Sector G-8/3, Islamabad HOPE Rehabilitation Center for disabled, Lahore Ojah Institute of Chest Diseases (Hospital) 0092-42 35177791 0092-21-99261472-9 0092- 42 35177793 [email protected] [email protected], www.duhscme.com/TB/index.php?page=aboutus www.hope.org.pk Ojah Institute of Chest Diseases, Dow University of Heath HOPE Rehabilitation Center for disabled 866-B, Faisal Sciences, Gulzar-e-Hijri, Suparco Road, KDA Scheme -33, Town. Karachi, Sindh Lahore, Punjab Ibn-e-Seena Hospital Orthopaedic & Medical Institute (Hospital) 0092-21-34992706 0092-21 32258075-79 Ibn-e-Seena Hospital ST-22 Block-6 Gulshan-e- 0092-21 32251814 Iqbal,University Road, Karachi, Sindh [email protected] www.omihospital.com/Introduction.html Orthopaedic & Medical Institute, 89/1 Depot Lines, Karachi, Sindh Imam Zainul Abidin Hospital P.E.C.H.S Trauma & General Hospital 0092-21-6608991 0092-21 34310870-71-72 0092-21-6622680 0092-21 34311341 Imam Zainul Abidin Hospital, C-42 & 43, Rizvia [email protected] Society, Nzd. Karachi, Sindh www.pechstrauma.com/aboutus.html P.E.C.H.S Trauma & General Hospital, 1/4,258/1, Block 6, P.E.C.H.S, Karachi, Sindh Indus Hospital Pakistan Red Crescent Society (Hospital) 0092-21- 35112709-17 0092-21-5836275 0092-21- 35112718 Pakistan Red Crescent Society, Hilal-E-Ahmer House, [email protected] Clifton, Karachi, Sindh www.indushospital.org.pk/index.php Indus Hospital, Korangi Crossing, Karachi, Sindh Institute of Orthopedics & Surgery (Hospital) Patel Hospital 0092-21 34315407-11 0092- 21 34968660-1 0092-21- 34315415 0092- 21 34985899 [email protected] [email protected] www.iospak.com/ www.patel-hospital.org.pk/index.html Institute of Orthopedics & Surgery,187-C, Block 2, Patel Hospital ,ST-18, Block-4, Gulshan-e-Iqbal,Karachi, P.E.C.H.S., Shahra-e-Quaideen, Karachi, Sindh Sindh Jinnah Hospital, Lahore Progressive Surgicals Hospital 0092-42-9231400-23 0092-21-2785931 0092-429231427 0092-21-2789980

[email protected] Progressive Surgicals Hospital, Shop No. 04-05, www.aimc.edu.pk Cantonment Market, Block II, Lucky Star, Saddar, Jinnah Hospital, Lahore Allama Shabbir Ahmed Karachi, Sindh Usmani Road. Lahore, Punjab Jinnah Medical College Hospital Psychiatric hospital Lahore 0092-21- 5071854-6-8 0092-42 37415762 0092-21 5073161 [email protected] [email protected] Psychiatric hospital Scheme Street, Near Wagon Stop www.jmc.edu.pk/jmch/index.htm Bastami Road, Sodiwal, Lahore, Punjab Jinnah Medical College Hospital, S. R-6, 7/A, Korangi Industrial Area, Karachi, Sindh JINNAH MEMORIAL HOSPITAL Gujranwala Qamarul Islam Hospital & Diagnostic Centre 0092-55-3253467 0092-21-5379168 Gujranwala, Punjab Qamarul Islam Hospital & Diagnostic Centre Punjab Colony, Khayaban-e-Jami Defence, Housing Authority, Karachi, Sindh. Jinnah Postgraduate Medical Centre (Hospital) Railway Cairns Hospital Lahore 0092-21 9201300 0092-42 9201720-21 [email protected] Garhi Shahu, Lahore, Punjab Jinnah Postgraduate Medical Centre, Rafiqui (H.J.) Shaheed Road, Karachi, Sindh Kamal Hospital Railway Hospital, Quetta 0092-21-5655341 0092-81 9211077 Kamal Hospital, 226/A, EI Lines, Dawood Pota Rd., Railway Hospital, Quetta, Balochistan Saddar, Karachi, Sindh Karachi Adventist Hospital Rajput General Hospital 0092-21- 2258021- 0092-21-4979403 0092-21- 2227010 Rajput General Hospital, ZC-2, Block 4, Gulshan-E-Iqbal, [email protected] Abul Hasan Isaphani Road, Karachi, Sindh www.karachiadventisthospital.org Karachi Adventist Hospital, 91, Depot Lines, M.A Jinnah Road, P.O.Box., Karachi, Sindh Karachi E.N.T. & Eye Hospital Rawalpindi General Hospital Rawalpindi 0092-21-2720866 0092-51 9290301-7 Karachi E.N.T. & Eye Hospital, Rimpa Plaza, Murree Road, Rawalpindi, Punjab M.A.Jinnah Road, Karachi, Sindh Karachi Institute of Heart Diseases (Hospital) Remidial Centre (Hospital) 0092-213-9246097 0092- 21-36633834 - 5 - 6 0092-213-9246061 0092-21-36638189 Karachi Institute of Heart Diseases, ST-15, Block-16, [email protected] Federal B. Area, Karachi, Sindh www.remedialcentre.com/a.html Remidial Centre (Hospital), D-9, Block-I, North Nazimabad, Karachi, Sindh Karachi National Hospital Rural Health Center Chachro (Hospital) 0092-21-32251587 0092-2381-73014 0092-21-32230215 Rural Health Center Chachro, Taluka Chachro, Tharparkar, [email protected] Sindh www.karachinational.com/aboutus.html Karachi National Hospital (Pvt.) Ltd. 239, J. M. Amil Colony, M. A. Jinnah Road, Opposite Mazar-e-Quaid, Karachi, Sindh Kharadar General Hospital Rural Health Center Islamkot (Hospital) 0092-21-32510113 – 16 0092-2342-63119 0092-21-32511984 Rural Health Center Islamkot, Taluka Mithi, Tharparkar, [email protected] Sindh www.kharadarhospital.org Kharadar General Hospital, Aga Khan Road, Kharadar, Karachi, Sindh Khyber Teaching Hospital Sahib-uz-Zaman Hospital Quetta 0092-91-9216362 0092-81 2662104 0092-91-9216364 Alamdar Road, Quetta, Balochistan [email protected] www.khyber.4t.com/ University Town Peshawar, Khyber Pakhtunkhwa

Kidney Center Hospital Sahib-uz-Zaman Hospital Quetta 0092-21-35661000 0092-81 2855751 0092-21- 35661040/50 Alamdar Road, Quetta, Balochistan [email protected] www.kidneycentre.com/ Kidney Center Hospital, 197/9, Rafiqui Shaheed Road, Karachi, Sindh Kidney Foundation Hospital Saifee Hospital 0092-21-4532336 0092-21-36789400 0092-21-4380842 0092-21-36628206 Kidney Foundation Hospital, 5-Amber Towers, Sharae [email protected] Faisal 22-A, Block-6, P.E.C.H.S., Karachi, Sindh www.saifeehospital.com.pk/ Saifee Hospital, ST-1, Block-F, North Nazimabad, P.O. Box no 74700 Karachi, Sindh Kiran Patients Welfare Society Hospital Saleem Medical Complex Quetta 0092- 21 5044037 0092-81 2827104 0092- 21 5044306 Saleem Medical Complex Double Road, Quetta, [email protected] Balochistan www.kpws.org/BreastCancer/Index.htm Kiran Patients Welfare Society (KPWS) Karachi Institute of Radiotherapy And Nuclear Medicine (KIRAN Hospital), Near Safura Goth, Scheme 33. Karachi, Sindh Sardar Bahadur Khan TB Sanatorium, Quetta Samdani Hospital 0092-81 2855751 0092-21 34814946 Quetta, Balochistan Samdani Hospital, A-560,Block No.5,Gulshan-e-Iqbal, Karachi, Sindh Sarfaraz Rafiqui Shaheed Hospital Shaukat Omar Memorial Hospital (Fauji Foundation) 0092-21-475500721 Karachi [email protected] 0092-21.99248701 www.rafiquihospital.com.pk Shaukat Omar Memorial Hospital (Fauji Foundation) , Sarfaraz Rafiqui Shaheed Hospital Shorot Cantts Shah Faisal Colony, Shahrah-e-Faisal, Karachi, Sindh Karachi, Services Hospital Lahore Sheikh Zayed Hospital Lahore 0092-429202089 0092-42-35865731 0092-42-9203426 University Road, Block D, New Muslim Town, Lahore, Services Hospital LahoreGhaus-ul-Azam (Jail) Road. Punjab Lahore The Children's Hospital, Lahore Sina Health, Education & Welfare Trust (Hospital) 0092-42-923 0901-10 0092-21 3582 1076 The Children's Hospital Lahore Ferozepur Road. [email protected] Lahore, Punjab Sina Health, Education & Welfare Trust, F-7/1, Block 8, KDA Scheme 5,Kehkashan, Clifton, Karachi, Sindh The Kidney Centre Post Graduate Training Institute Sindh Institute of Urology and Transplantation (Hospital) 0092-21 35661000 (10 Lines) 0092-21- 99215752 0092-21 35661040/50 0092-21- 99215469 [email protected] [email protected], [email protected] www.kidneycentre.com www.siut.org/about-siut/our-history 197/9, Rafiqui Shaheed Road, Karachi, Sindh Sindh Institute of Urology and Transplantation (Hospital), Civil Hospital. Karachi, Sindh The Medical General Hospital Sindh Medical Centre (Hospital) 0092-21-6980149 0092-74-4040330 The Medical General Hospital, ST. 16, Sec. 11-B, 0092-74-4055866 N/Kar, Karachi, Sindh Sindh Medical Centre, VIP Road. Larkana, Sindh Usman Memorial Hospital Skin & Social Hygiene Centre (Hospital) 0092-213-6316328 0092-213-2723952 Usman Memorial Hospital, ST/12,Block- Skin & Social Hygiene Centre, Behind Regal Cinema, 1,F.B.Area,Karachi Saddar, Karachi, Sindh Zainab Punjwani Memorial Hospital Sobhraj Maternity Home (Hospital) 0092-21 32236251 0092-21 32636080 [email protected] Sobhraj Maternity Home (Hospital), Urdu Bazar, Karachi, www.panjwani.org/ Sindh Zainab Punjwani Memorial Hospital, Mohammad ali Habib Road, Numaish, Karachi, Sindh

Zubair Medical Center (Hospital) Zubeda Khaliq Memorial Hospital 0092-726-521004 0092-581 546 8165 Zubair Medical Center, Hathidar Road, Opp Fire 0092- 581 546 8165 brigade Hazaridar Shikarpur, Sindh [email protected] www.zkmfreehospital.org/index.html Zubeda Khaliq Memorial Trust, Sermik, Skardu, Gilgit

HUMANITARIAN ORGANIZATIONS Aga Khan Health Service Association for Health, Education & Agriculture 0092-213-5361196-97 Development Sindh 0092-213-35308140 0092-235-541767 [email protected] [email protected] www.akdn.org/AKHS www.aheadsanghar.page.tl D-114, Block 5, Clifton, Karachi, Sindh Banglow No.105/082, Block No. 2, Sanghar, Sindh Customs Health Care Society Gender and Reproductive Health Organization 0092-42 - 3784 7008 0092-81-2872129 [email protected] , 0092-81-2842982 [email protected] [email protected] www.welfareclnic.com.pk www.grho.org.pk/contactus.html 449-Jahanzeb Block, Allama Iqbal Town, Lahore, Head Office: House# 171/28-B, Near IT university Jinnah Punjab Town, Quetta, Balochistan Education Awareness & Community Health Health Education & Literacy Trust 0092-41-5504488 0092-42 3 6663144 0092-41-2404488 0092-42-5895453 [email protected] [email protected] , [email protected] www.each.org.pk www.healtrust.org Main Bazar Masoodabad, Near Sultan Chowk, 53 - K, Gulberg 3 / 736-Z Phase III DHA / 157-E, Upper samanabad, Faisalabad, Punjab portion, New Super town, Ghazni Lane, Near Defence More. Lahore Cantt, Punjab Education, Health, Social Awareness & Rehabilitation Health Education And Development Society, Pakistan Foundation (EHSAR Foundation) 0092-346 2926572 0092-91 585 3030 [email protected] 0092-91 570 3070 www.hedsbaltistan.org [email protected] House # 32 Askole , www.ehsar.org Skardu, Gilgit Baltistan EHSAR Foundation 43 - B, S. Jamal ud Din Afghani Road, University town, Peshawar, Khyber Pakhtunkhwa Family Health International Health Oriented Preventive Education 0092-51-285-5993 0092-21-34520464 0092-51-285-4528 [email protected] [email protected] www.hope-ngo.com Family Health International H#9 9th Avenue, F-8/1. 5, Amir Khusro Road, Mehvush, Overseas Cooperative Islamabad Housing Society, Karachi, Sindh Frontier Primary Health Care HealthNet TPO 0092-937-863837 0092-3038432419/ 0092-937-861403 [email protected] [email protected] www.healthnettpo.org www.frontierphc.com House No. 461, Street 58, Sector I-8/3, Islamabad Frontier Primary Health Care Nisatta Road, Bijli Ghar, G.P.O. Box – 52, Mardan, Khyber Pakhtunkhwa International Centre for Migration, Health and Healthy Environment Creative Society Development 0092-242-526043 (41 22) 783 10 80 [email protected] (41 22) 783 10 87 www.hecs.webstarts.com [email protected] HECS Office, 3rd Floor State Life Building, near warid www.icmhd.ch Franchise, Main Road, Moro, Naushahro Feroze, Sindh Geneva (Main Office):11, Route du Nant d’Avril CH – 1214 Geneva Switzerland Motto to Empower the Health, Education & Rights Integrated Health Services Balochistan 0092-51-111 362 867 0092-83-8510220 [email protected] 0092-83-8510220 www.ihspakistan.com [email protected] Islamabad

©2014 www.alhasan.com 40 www.meher.org.pk MEHER office, Dera Allah Yar, Jaffarabad, Balochistan Motto to Empower the Health, Education and Rights People's Primary Healthcare Initiative Balochistan 0092 333 7881255 0092-81-2822660-4 [email protected] 0092-81-2827635 www.meher.org.pk [email protected] MEHER office Main Civil Hospital Road, Near Zakat www.pphibalochistan.org.pk Office,Dera Allah Yar, District Jaffarabad, Balochistan House No:38-A Chaman Housing Scheme,Airport Road Quetta, Balochistan Pakistan National Forum on Women's Health Society for Education, Health Awareness & Technology 0092-21-32231534 0092-51-2827788 0092-2132231534 [email protected] [email protected] www.sehat.org.pk www.pnfwh.org.pk Society for Education, Health Awareness & Technology PMA House, Aga Khan III Road, Karachi, Sindh House 8, Street 39, G-6/2, Islamabad Participatory Efforts for Health Environment Society for Health & Education Development 0092-22-2650987 0092-21-32044126 0092-22-2650987 0092-21-34661222 [email protected] [email protected] www.pehesindh.org www.shed-pak.org Bangalow no. B-02, Prince Town Phase 2, Qasimabad House No. B-139 Block 1 Gulistan e Johar, Karachi, Sindh Hyderabad, Sindh Potohar Mental Health Association UM Health Care Trust 0092-345 8540063 0092-51-210 6304 [email protected] 0092-51-926 6626 HO.No.521 Street # 66, G-11/, Islamabad info @ umtrust . org www.umtrust.org H#510, Street 9, Sector F-10/2, Islamabad Sindh Health & Education Development Society Water, Health, Education, Environmental League Quetta 0092-22-2633163 0092-81-2445212 0092-22-2633163 0092-81-2445212 [email protected] [email protected] 3rd Floor Baitul Mall Building ,Doctors Colony ,Near House No: 8-40/1479-2, Street no: 3, Ismail Colony, Sirki Liaquat University OPD, Hyderabad, Sindh Road, Quetta, Balochistan Women Welfare for Health & Education Services World Health Organization Pakistan 0092-051-9255184-5 0092-321-9221984 0092-51-9255042 [email protected] [email protected] www.whaes.web.com www.who.int Office No. 05, Jamia Masjid, Ruqqia Square, Block 14, Premises of National Institute of Health, Park Road, Chak Water Pump, F/B Area karachi. Sindh Shahzad, Islamabad

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