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 HYDERABAD HEALTH FACILITIES CHILDREN 12-23 MONTHS IMMUNIZATION - SINDH MAPS PREVALENCE OF HEPATITIS B & C - SINDH LADY HEALTH WORKERS COVERAGE - SINDH HYDERABAD HEALTH FACILITIES 68°21'30"E 68°22'0"E 68°22'30"E 68°23'0"E 68°23'30"E Hira Ultrasound Clinic Civil Sindh Awami Hospital Sindh Hospital Medical Aiwan E Clinic Store Quresh Legend Memon Clinic Seeja Rhc Taluka Hospital "' Basic Health Unit Clinic Hospital Muslim Khutri Soni Rohan Clinic And Charitable Clinic Irum Ulfat ÷Ó Children Hospital Meena Hospital Maternity Home Clinic Clinic Bone Care Tanveer !( Tara Chand And Trauma Clinic Dawakhana Sabi Aga Khan Gulab Medical Hamza Hospital Center Clinic Al Quresh Family Health Abbas Clinic And & General Clinic Dental Clinic Hospital Center Maternity Home Dhq Store Al-kausar Hyderabad Hassan Ali "' Abbas Clinic And Medical Akash Diagnostic Centre Afandi Lions Maternity Home Anwar Store Clinic EyeM Cedliinciacl Chaya Al Zaib "' Dispensary Ishrat Store Medical Khuaja Clinic Clinic Clinic Center And Maternity "' District Headquarter Hospital Home Buniyad Haq MadinaMustafa Õ Sindh Homeopathic General Hospital Charitable MedicalMedical & Alvina Clinic Kainat Medical College Mussarat And Maternity Clinic / Mohammad Ali Hospital StoreGeneral Store General Physician Cmh Shah&z aHibospital Clinic And Home Sun Rose Memorial Maternity Home N Medical Surgical N !( " Medical Clinic " Homeopathic 0 0 ' Store Unit # I Rifa E Aam ' 4 Store 4 2 Sarfaraz 2 ° Liaquat Charitable ° ÷ 5 Jilani Hamdard Medical 5 Maternity Home 2 Hospital 2 Medical Welfare Store University Store Clinic Hospital d MCH Centre Lady Graham Bin Tayyab Haram Maternity Pritabad Õ Rauf Ishrat Clinic Medical Store Medical Clinic Hospital Family Hospital Medical And Maternity Complex Center Care Jameel Cancer Hospital Jamil Clinic Home Optics Cancer And Maternity Home HYDERABAD !C Routine Test Laboratory Hospital Nazeer Dr Zia-ud-din Sachal Hussain Clinic Hajiani Hospital "' Rural Health Centre Medical Sabira Hospital Al-madina Store Aga Khan University Hussain Memon Clinic Medical Hyderabad Mri & Shan-e-mustafa Rhc Taluka Hospital Laboratory Veterinary E Specialist Seeja Hospital Store Medical Center Medical Store Hospital Medical Store Yousif Clinic Soni Nazeer Hussain Zubair !( TB Hospital Medical Clinic Children Hospital & Hospital Maternity Home _! Center Bawani Awan Clinic Veterinary Clinic Fakhir Homeo Mushtaq Veterinary Clinic Syed Hafiz Mubarak Dr. Khuda Shahabuddin Clinic Clinic Meena Sabi Ali Shah General Bux Dahri Clinic Clinic Makkah Hamza Clinic Clinic Eye Hospital Ghausia And Maternity Home Tehsil Boundary Abbasi Harmain Medical Clinic Clinic Sunny Clinic Hospital Tara Chand Medical & Sufi Store And Maternity Hospital General Store Clinic Kb Memorial Hospital Siddiq Hassan Ali Home N Cantonment N " Sikandari Clinic Bismillah " Admin Boundary 0 General Clinic Afandi Lions 0 3 3 ' Amir Medical Clinic And ' 3 Hospital Eye Clinic 3 2 Tooba 2 ° Store Maternity Home ° 5 Yaqas 5 2 Clinic 2 Memorial Urooj Clinic And May 12, 2014 Ishrat Jillani Clinic Maternity Home Date of Creation Clinic Clinic & Ultrasound Projection/Datum WGS 84 Geographic Sicks Bar Meena Clinic Saimon Clinic Center Clinic Maternity Home And Maternity Page Size A3 All Muslim Marwar Home LATIFABAD Lady Shoaib Mmc Charitable Hospital Duffrin Medical Hospital Haideri Government & Private Health Facilities ¯ Count Less Of Store Clinic Mussarat Hospital Bhitai Medical Store Dufferin Fund Cdf Attar Medical Arish Clinic Clinic And Health Facility Government Private Total Tahir Farah Medical Hospital Hospital & General Maternity Home Maternity Home 0 0.4 0.8 Garrison Ask Medical & Clinic Store Basic Health Unit 2 0 2 Store Departmental General Store Bismillah Medical & General Store Rifa E Aam Children Hospital 1 2 3 Kilometers Stores Data Wasim Medical Charitable Gull Medical Noor Medical & General Veterinary Dawakhana 0 1 1 Store & General Hospital Hospital Medicare Store Dental Clinic 0 3 3 Clinic Store Homeopathic Al-shebhaz Jilani Islam Medical Store Diagnostic Centre 0 7 7 Nasim Agra Abdul Clinic Medical Medical Store Al-shifa Memon Yousaf Medical Alai Al-aziz Dispensary 4 0 4 Store Charitable Medical Store Center Hospital Madani Unani The Black Hospital District Headquarter Clinic 1 0 1 Lion Leena Clinic And Clinic Hospital Amma Ayesha Al-mustafa Hospital Maternity Home General Hospitals Ra Hospital Medical & 6 60 66 +92.51.282.0449/835.9288| [email protected] General Store General Physician 0 170 170 www.alhasan.com N N " Al-jabbar Bilal " 0 0 ' Homeopathic 0 6 6 ' 3 Medical & Clinic 3 2 2 ° Faiz Raza Bhu American ° 5 General Store Maternity Home 0 58 58 5 2 Medical Quarters 2 Store Kkf Hussain MCH Centre 1 0 1 Hospital Medical Medical Stores 0 137 137 Center Optics 0 6 6 QASIMABAD Routine Test 0 10 10 HYDERABAD Laboratories Rifat Charitable Rural Health Center 3 0 3 And Maternity Hospital Specialist 0 16 16 TB Hospital 1 0 1 LATIFABAD Ahmed Clinic Veterinary Clinic 0 3 3 Total 19 479 498 68°21'30"E 68°22'0"E 68°22'30"E 68°23'0"E 68°23'30"E PUBLISHER: ALHASAN SYSTEMS PRIVATE LIMITED - ISSN 2312-1483 205-C 2nd Floor, Evacuee Trust Complex, Sector F-5/1, Islamabad, Pakistan. +92.51.835.9288. [email protected] www.immap.org 1 ©2014 www.alhasan.com 2 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 complications during the ongoing 12-day campaign against measles. About 150 children developed health th complications after getting measles vaccine in Hangu, Kohat and Swat. Daily Dawn, 29 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.