monsoon contingency plan for health 2014 services … · introduction: natural calamities due to...

2014

MONSOON CONTINGENCY PLAN

FOR HEALTH SERVICES

2014

COMMISSIONERATE OF HEALTH, MEDICAL SERVICES

MEDICAL EDUCATION AND RESEARCH 5, DR. JIVRAJ MEHTA BHAVAN,

GANDHINAGAR

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CO# SUBJECT PAGE

1

INTRODUCTION

3

2

Organizational Structure

4

3

Planning ahead Disaster supply kit Flash Flood Safety Lightening Safety Cyclones and Dust Storms

5‐11

4

Common ailments/disease following flood situation Health measures

12

5

Setting up mechanisms for quick response and Control rooms

15

6

District level advisory committee for medical relief

17

7

Monitoring and evaluation of actions

18‐22

List of AnnexuresI,II Health infrastructure, Officers at State and Zonal level 24 III Medical colleges, outreach districts for specialist services 25 IV District Health and revenue control rooms 26 V Chief District Health Officers contact details 27 VI Chief District medical Officer (CDMO) contact details 28‐29VII District Hospital’s contact details 30 VIII Epidemic Medical Officer’s Contact details 31‐32IX District wise Details of Health Human Resources 33 X District wise details of Ambulances in Districts 34 XI Details of Bed Strength in Hospitals in Districts 35 XII Logistics 36 XIII Locations of EMRI 108 ambulances 37‐49XIV Control rooms‐State and Govt. of India 50

XV‐XVI Daily and Weekly reporting –formats for surveillance of epidemic prone communicable diseases

51

XVII Report on Unusual Event 52 XVIII Chlorination 53‐54

Index

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INTRODUCTION:

Natural calamities due to heavy rains and floods are not uncommon in Gujarat. Two cyclonic storm seasons are experienced in Gujarat: May to June (advancing southwest monsoon) and September to November (retreating monsoon. With the longest coast line of 1600km in the country, it is highly vulnerable to associated hazards such as floods, storm surges etc. Information about villages and talukas prone to heavy rains and floods and type of remedial measures are to be implemented to mitigate post‐flood health related impact are available to the district health authorities.

With advancement of forecasting system, Rescue, relief and public Health measures can be planned in the systematic and scientific manner. Fig.1 Cyclone hazard zonation of Gujarat State

Figure shows a maximum wind speed class of more than 55 m/sec along the Saurashtra coast, specifically in Porbandar, Jamnagar and Junagadh districts, which are exposed to high intensity cyclonic and storm impact. The 51 to 55 m/sec class extends further inland to cover much of Jamnagar, part of Rajkot, Junagadh and Kutch districts. The 48 to 50 m/sec class extends to most of Rajkot, part of Amreli and Jamnagar districts including Jamnagar, Rajkot cities and parts of Kutch. The 45 to 47 m/sec class covers much of Saurashtra and all of Kutch. This is followed by the 40 to 44 m/sec class that gets its swathe from Kutch through northern Saurashtra all the way to the coast of Gulf of Khambhat and southern Gujarat.

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The rest of the State falls into the 34 to 39 m/sec class. Health problems relating to Cyclones, heavy rains and floods are discussed hereunder:

Direct impact: Devastation of properties, dwellings, disruption of

Road transport, drowning Indirect impact: Resulting from defective functioning of available

Facilities of Water supply, Power supply and Sanitation. Destruction – demodulation of health facilities.

Forcing the community to consume unsafe water and stay in unsanitary conditions, leading to water borne diseases.

Heavy rains and floods bring heavy damages to the housing facilities

and the affected population is exposed to adverse climatic condition leading to diseases particularly respiratory infection and fever.

Flood and heavy rains also damage ration shops and other shops which

may lead to shortage of food supply in an affected community, leading semi starvation condition and accidental incidence of food poisoning due to consumption of soiled food – grains (due to fungus infection of the food – grain leading afflotoxin poisoning).

Above factors combined together may temporarily a change living condition of the community, till they are finally rehabilitated. Sudden change in the environment leads to the following sequel.

People are shifted from the flooded area/marooned are to temporary

shelters (rehabilitation / relief camps.) This result into overcrowding at one place with poor sanitary and hygienic facility favoring transmission of water born and air born diseases. Along with the problems of safe drinking water, the problems at toilet facilities, bathing facilities and cooking facilities which leads to unsanitary conditions which again leads to different types of diseases, specially water‐borne diarrheal diseases which may turn into epidemic if prophylactic measures are not adequately planned.

Organization:

There is state level committee for inter‐department coordination under the chairmanship of Chief Secretary and regular meetings are held for review of the disaster management plan of each concerned department under Cyclone flood contingency Plan. A relief cell is functioning in the Revenue Department headed by relief Commissioner for coordination and review. At the district level the district collector acts as nodal officer for inter departmental coordination, review of disaster relief works.

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State Level: The commissioner, Health and Medical Services and Medical Education

is assisted by Addl. Directors of Health Services, Medical Services, Medical Education and Deputy Director Epidemic who is also a nodal officer in disaster planning, implementation, monitoring evaluation and planning. Secretary, Health and Family Welfare is over all in charge of Health relief measures during any disaster.

From the year 2012‐13, The Performance Monitoring and Control

Centre is established at Commissionerate of Health office, Gandhinagar to monitor, implementation and review of any disastrous condition arise in Gujarat not only in monsoon season but also throughout the year.

Regional Level:

There are six administrative regions each one is headed by the team of

Dy. Director & Assistant Director, Regional Deputy Director, Health & Medical Services is in charge of health relief measures in disaster for his region.

District Level:

Chief District Health Officer is the nodal officer for health relief

measures during any disaster in the district. He gets help from Chief District Medical Officer cum Civil Surgeon, Superintendents of Govt. General Hospitals including attached to the Medical Colleges, Superintendents of community Health Centers and Medical Officer, Primary Health centers and provides relief measures in participation with other departments, NGOs and local bodies. Planning ahead The best way to avoid lightning, flash floods, and other dangerous conditions is by not being in danger in the first place. Many ways are available to gain weather information including:

Current weather forecasts on Radio or TV or the internet Scanning the skies 360 degrees around and overhead before leaving a

safe location Disaster Supply Kit Every family should prepare a family disaster supply kit in the event of severe weather conditions. The disaster supply kit should contain essential items such as food, water, and sturdy clothing, to sustain a family for up to three days since electric power, gas and water services may be interrupted.

Three gallons of water in clean, closed containers for each person First aid kit A stock of food that requires no cooking or refrigeration

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Portable and working battery‐operated flashlights, and extra batteries (Candles and oil lamps are fire hazards)

Necessary medications Back‐up power source for life support or other medical equipment that

requires electricity to function Flash Flood Safety Many governmental agencies are dedicated to alerting the community to road closures during our thunderstorm season. Department of Transportation pre‐deploy barricades to locations where they know water will be running across roadways. Local law enforcement and fire departments pre‐deploy response teams into areas that are known to become inaccessible during heavy rain and runoff conditions. More deaths each year occur due to flooding than from any other thunderstorm‐related hazard because people underestimate the force and power of water. Many of the deaths occur in automobiles that are swept downstream. Fig.2 Settlement‐Wise Flood Frequency

Flash Flood Safety for Homeowners

If you live in a flood prone area have an evacuation plan. Store materials like sandbags, plywood, plastic sheeting and lumber for

protection from floodwaters and to make quick repairs after a severe storm.

Store materials above flood levels. Secure wanted objects to prevent them from floating away. Learn where to find high ground, which is safe from flooding. In a flash

flood seek high ground quickly.

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Safety Tips Driving around barricades is illegal and dangerous. Do not let children play near storm drains or washes after a heavy rain. Avoid low‐water crossings.

Be especially cautious at night. Flood dangers are much more difficult to see in the dark.

Even a less serious urban flood can be dangerous. Driving too fast through standing water can cause a car to hydroplane. The best defence is to slow down or pull well off the road (with the lights off) for a few minutes to wait out heavy rains.

Avoid areas already flooded, especially if the water is flowing fast. Do not attempt to cross flowing streams. Do not camp or park a vehicle along streams and washes, particularly

during threatening conditions. If flooding occurs, get to higher ground. Get out of areas subject to

flooding. This includes dips, low spots, canyons, washes, etc. Roadbeds may be washed out under floodwaters. Never drive through

flooded roadways. If your vehicle is suddenly caught in rising water, leave it immediately

and seek higher ground. If a traffic signal is out, treat the intersection as a 4‐way stop. As little as ten inches of water can float average‐sized cars, mini‐vans,

SUVs and trucks. Strength of the flow is the critical force. When in doubt, wait it out, or find a safer route.

Lightning Safety When thunder roars, go indoors. If you can hear thunder, you are close enough to be struck by lightning. There is no place outside that is safe from a lightning strike. Remaining indoors for 30 minutes after seeing the last lightning and hearing the last thunder will eliminate the risk at the end of storms. If fewer than 30 seconds elapse between the time you see a flash and hear the thunder, then the flash is less than 6 miles away. Research has shown that the most successive flashes are within 6 miles, which means that you should have reached a safe place if lightning is less than 6 miles away. However, lightning may strike up to 10 miles away from the parent storm. If someone is struck by lightning, call 108 immediately. Indoor Safety

Never touch wiring during a thunderstorm. It's too late to unplug electronics if thunder is heard.

Corded phones are dangerous during thunderstorms. Lightning traveling through telephone wires has killed people. Cell phone and cordless phones are safe.

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Wait to use any plumbing‐sinks, showers, tubs, and toilets. Plumbing can conduct electricity from lightning strikes from outside.

Unplug expensive electronics including TV, stereo, home entertainment centers, and computers modem lines when thunderstorms are expected, and before the storm arrives. Typically, summer thunderstorms form in the early to mid‐afternoon, when most people are at work.

Stop playing video games connected to the TV. Outdoor Safety No place outside is safe from lightning during a thunderstorm. When a storm approaches go to a nearby large substantial building or a fully‐enclosed metal‐topped vehicle. Power and Communications Outage Safety Power and communications outages can be more widespread and last longer than a thunderstorm. Be ready for outages inside and outdoors by taking precautions and actions to minimize inconvenience and maximize safety. Indoor Safety

Stay at home. Use a cell phone. Cordless phones do not work without electricity. Use

corded phone only for emergencies. Unplug sensitive electronic equipment before the storm arrives. Turn off electric appliances that were on before power was lost. Leave

one light on as an indicator for when power is restored. Keep refrigerator and freezer doors closed — food will stay fresh up to

8 hours. If the power is out for less than two hours, do not open the refrigerator

or freezer. This will help food to stay cold. For a power outage lasting longer than two hours, pack cold and frozen foods into coolers. As a general rule, perishable foods should not be held over 40 degrees for more than two hours.

Outdoor Safety

Stay away from downed power lines. If a power line comes into contact with your vehicle, remain inside the

vehicle until help arrives. Do not attempt to get out of the vehicle ‐ that is the safest place for you to be. By stepping out of the vehicle, your body can become the pathway for electricity to reach the ground, causing severe bodily harm and possibly electrocution. Use a cell phone, if available, to notify emergency services of the exact location.

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CYCLONE

On an average, every year one or two cyclonic storms lash the coastal districts.

Cyclonic storms are sometimes accompanied by the tidal waves with height of

5 metres and sometimes reach 20 KM in coastland with the wind speed of 150

Km/h.

The classification adopted by India Meteorological Department to classify such

Disturbances is based on maximum strength of sustained wind in the

circulation.

Type of Disturbance Associated wind speed

Low Pressure area : Less than 17 kts Depression : 17 – 27 kts Deep Depression : 28 – 33 Kts. Cyclonic Storm : 34 – 47 kts Severe Cyclonic storm : 48 – 63 Kts. Very Severe storm : 64 – 119 Kts. Super cyclonic Storm : 120 Kts and above.

(1 knot = 1.85 kmph)

Expected wind speed : Expected damage

60 – 90 kmph : Tree branches broken off: some

damage to kutcha houses 90 – 120 kmph : Trees uprooted, Pucca houses

Damaged, communications disrupted. 120 kmph and above : Big trees uprooted; widespread damage to houses and installations. Total disruption of communication. Dust Storms

Straight lines winds in any thunderstorm can lift huge clouds of dust and reduce visibilities to near zero in seconds, which can quickly result in deadly vehicle accidents on roadways.

Dust storms are more common in the early part of the monsoon, near agricultural areas, Remember: PULL OFF! LIGHTS OFF! FOOT OFF! If you encounter a dust storm while driving, pull off the road immediately. Turn off your headlights and taillights, put your vehicle in "PARK," and take your foot off the brake (so your brake lights are not illumitated.) Other motorists may tend to follow taillights in an attempt to get through the dust storm, and may strike your vehicle from behind.

Dust storms usually last a few minutes, Stay where you are until the dust storm passes.

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High Winds: Very strong winds may damage installations, dwellings, communication systems trees etc. resulting in loss of life and property.

Heavy Rainfall:

Heavy rains caused by cyclone are another source of destruction and dislocation in communications, train services and railway embankments, which are washed away. Even the railway tracks are washes away by torrents, rivers over flow their banks flooding fields and destroying standing crops.

Storm surges from the Sea:

The third and the severest destructive feature of a Tropical Cyclone is the storm surges or storm wave popularly called, as TIDAL WAVE cyclones are associated with high‐pressure gradients and consequent strong winds. These in turn generate storm surge. A storm surge is an abnormal rise of sea level near the coast caused by severe tropical cyclone as a result sea water inundates low lying areas of coastal regions drowning human beings and live stock, eroding beaches and embankment destroying vegetation and reducing soil fertility. A surge can occur both during high tide and low tide but it is accentuated if it occurs at the time of high tide. Wind blowing over the sea from sea to land causes the water to pile up. The storm surge may be little as one meter of less and can be as high as "Ten" meters in height.

Month wise Frequency of Cyclonic Storm:

The 1600 Kms long coastline of Gujarat has been experiencing storms and cyclones since many years. The cyclone of 1998, which affected five districts of Kutch, Jamnagar, Porbandar, Rajkot and Junagadh and caused unimaginable devastation is unprecedented. If affected 564 villages of this five districts. During 1999 severe cyclone again lashed Jamnagar and Kutch district causing vase damages of human dwellings, properties and thousands of lives within few hours and passed away to Pakistan. This makes Gujarat a cyclone prone region and indicates that cyclones have been occupying with increased severity. Every year therefore State Administration gears up to meet the eventuality and remains in the state of preparedness in the pre‐monsoon months and immediate post‐monsoon months.

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Cyclone Warning System:

A system of two stages warning is in force. 1. The first stage warning called "CYCLONE ALERT" is issued 48 hrs before commencement of adverse weather by high priority telegrams. They are transmitted by Government of Gujarat to state and district officers.

The "CYCLONE ALERT" is updated by AIR up to 6 times. 2. The second stage warning known as "CYCLONE WARNING" will be issued 4 hours in prior to the commencement of adverse weather.

The information of "CYCLONE WARNING" is immediately transmitted by Government of Gujarat to State Officers, All District Collectors and AIR, make it updates regularly.

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Common ailments / diseases following the flood situation: # Type of aliments Reasons 1 Injuries Due to collapse of houses or any standing

structures. 2 Waterborne diseases:

Cholera, Gastroenteritis, Dysentery, enteric fever, viral hepatitis and Poliomyelitis.

Non – availability / inadequate safe drinking water due to, a) Flooding of wells with polluted drinking water. b) Disruption of piped water supply. c) Inaccessibility of available water sources. d) Unsanitary condition in the villages / evacuee

camps due to : Accumulation of water. Lack of proper excreta disposal facility. Lack of / disruption of drainage facility. Sludge, which increases the breeding place for

flies. Overcrowding. Indiscriminate dumping of dried refuges. Indiscriminate dumping of animal excreta. open air defecation

3 Respiratory diseases. Adverse leaving conditions including overcrowding.

4 Skin/Eye diseases. Personal hygiene and over crowding 5 Snake/insect bite Water entering into snake burrows/ shelters.6 Vector borne diseases. Increases in mosquito breeding places 7 Zoonotic diseases /

Leptospirosis. Due to ecological changes following flood and earthquake resulting into death of wild rats and wild rodent population migrating to domestic area and bringing enzootic illness like plague, Leptospirosis Epidemic diseases of plague entering domestic rat flea cycle and bringing human bubonic plague epidemic.

Health measures

Health problems arise from cyclone or post cyclonic flood or heavy rains would be managed keeping following in mind.

Treatment of case:

i. Treatment to the injured persons with the specialized care. ii. Cases of respiratory disease, water borne diseases like diarrheal

diseases / cholera, gastroenteritis, dysentery etc., water related disease like Malaria / Filarial, skin diseases / Eye diseases, Snake / insect bite etc.

iii. Provide treatment through Mobile Medical Unit and Medial team in remote areas.

iv. Referral services: Establish ref. Services for further treatment.

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Preventive Measures :

i. Provision of Safe drinking water by treating water with chlorinating agent.

ii. Basic sanitation‐ Disposal of waste water, excreta and disinfection of dirty places.

iii. Anti‐mosquito & Anti‐Fly measures. iv. Health Education: must be focused on following points:

Personal hygiene Use of boiled water and chlorine tablets Food hygiene.

v. Active Surveillance: in affected area by paramedic.

Early detection of rising trends of disease: Rising trends of particular disease can be detected easily by proper analysis of weekly IDSP data at PHC level

If rising trend of disease, Immediate Investigations and Response.

1. Actual assessment of the situation. 2. Detection of the source of infection & mode of transmission of disease. 3. Treatment & laboratory investigation. 4. Appropriate preventive measures 5. Human resource, drugs & logistic management

Control Room‐ For dissemination of information from state to PHC level Administrative Arrangements : 1. Identification of High risk villages & area : 2. Keep buffer stock of medicine in high risk area. 3. Identify primary informer in high risk village for information sharing. 4. Identify Medical team at Taluka level for any emergency.

The Operational Plan

All these steps will be followed for health sector preparedness for disasters. Preparing an accurate and authentic database for use in planning:

a. Vulnerability mapping of Gujarat for the State and Districts/Corporation

areas Vulnerability for specific disasters – marking out disaster zones of earthquake. Gujarat falls under three seismic zones, high risk zone (Zone V) comprising of Kutch and adjoining area, moderate risk zone (zone IV), Jamnagar, Rajkot, Patan, Surendranagar and Banaskantha. Low risk zone (zone III) all other districts.

b. Resource mapping for each district/corporation

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Resource mapping will include mapping of health facilities, specialties, manpower and equipment (Annexure‐I to VI)

i. Of government infrastructure‐ for identifying shortfalls in

equipments/training/manpower for up‐gradation. ii. GOI units. iii. Of other resources‐private, trust hospitals, Grant‐in‐aid institutions.

Plan for effective management of resources

Detailed planning for the optimum utilization of available resources is done at the State/District/Corporation levels. The following specific plans are prepared. Manpower planning for ‐ EMS, various components of public health (Disease surveillance, Maternal care, Child care) Logistics and infrastructure‐ ambulances, equipments and medical supplies Network of the supply systems, CMSO and the district infrastructure‐

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Setting up Mechanisms for quick response

Establishing a District and State response machinery For monitoring, supervision and co‐ordination function during disaster, the nodal officers at various levels will be identified. Additional Chief Secretary Health and Family Welfare is overall in charge for monitoring and co‐coordinating health sector disaster situation.

Commissioner of Health organizes immediate field operations with the help of Additional Directors and State epidemic cell that is the nodal officer for Disaster management. At District level Chief District Health officer and Superintendent of District hospital are Responsible for implementing various curative, preventive activities through the Superintendents of CHC/Sub‐divisional Hospitals or Medical Officers, PHC of the affected areas. Deputy Director, Epidemic cell at State level and Chief District Health officer at District level are the Nodal Officers to implement public Health measures during Disasters. Control Rooms

Manpower at the control rooms with specified responsibilities Role‐ Peace time : Creating appropriate a data base –EHIS Information available at control room (Vulnerability mapping, resource mapping, contact numbers, history of disasters, EHIS of the area)

Emergency time: Coordination (inter and intra), ensuring communication of the right info at the right time within districts, state.

State Control Room

Nodal Officer will be in central command and control at all times. A round the clock control room will be started from precautionary stage at Commissionerate at Gandhinagar, manned by a medical officer and supportive staff. Task forces will be formed in the Commissionerate of Health, Medical Services & Medical Education (HS) Gandhinagar with a view to respond to state control room (relief) state control (relief) will inform state control room (Epidemic Division) which is turn activate various response teams as required.

Response Teams shall be following nature and members:

Health & Medical Services i. Medical Officer ii. Staff Nurse ANM/FHW iii. Paramedical iv. Field staff like BEE, Supervisors, MPW etc. v. Driver, Cl‐IV

5 such task forces formed in each district by CDHO gets activated on instruction of Additional Director (Health)

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Specialist services task force: In each of the 06 of the Regional Deputy Director zones, teams comprising of

specialists from district hospitals and CHCs along with paramedics and one senior CHC superintendent designated as team leader gets activated on instruction of Additional Director (Medical Services) as per need. Multi‐specialty task forces: These will be formed in all of 6 Govt. Medial Colleges and 4 of Municipal /Trust Medial Colleges. The team leader will be Associate Professor/Sr. Asstt. Professor of surgery with members from all essential medical specialists of ranks of Assistant Professor along with requisite staff of junior doctors, Lecturers and resident doctors and with requisite paramedical staff. These will be constituted by respective dean of the medical colleges and will be activated by the Additional Director (Medical Education). These task forces will be equipped with essential medical supplies other logistics vehicles and if possible with special communication systems. Two medical officers of Gandhinagar District Panchayat will be posted in state control room as task force coordinators from health department. Similarly two medical officers will be posted in control room (Health department) as task force coordinators.

Regional Deputy Director’s Control Room Similarly round the clock control rooms will be established at all six Regional Deputy Director’s offices. These will co‐ordinate with various districts under them and nodal officers control room. District Level Command and Control The overall implementation of the action plan will be the responsibility of designated district level command. In districts with medical college, the Superintendent of Govt. Medical College will undertake this responsibility. He will also supervise and coordinate other medical institutions of Govt. local body/Private sector. The Chief District Medical Officer / Civil Surgeon for implementation will assist him in district level hospital, CHC’s and grant‐in‐aid institutions. In districts without Govt. medical colleges, the Civil Surgeons will be in overall charge. A detailed list of designated officers for each district is given as annex.

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District level advisory committee: (Medical Relief) A District level Advisory Committee will be formed with following members to assist and coordinate. The committee chairman will be the administrative head of the district, while members will be all important officials from departments of health, police, fire, transport, army and other local bodies and voluntary organizations. All sub‐sectors of health such as the major dist hospitals, teaching hospitals, army and other GOI hospitals and private hospitals if any should be represented in the committee. A District Level Coordination and Review Committee is constituted and headed by the Collector as Chairman in which all other related agencies and departments participate. # Officer Designation 1 District Magistrate & Collector Chairman 2 District Development Officer Co‐Chairman 3 Chief District Health Officer Member Secretary4 Civil Surgeon/Supdt. Other Govt. Hospital Member 5 Supdt. of Local body Hosp/specialty Hospt. Member 6 District Superintendent of Police Member 7 Resident Additional Collector Member 8 Local I.M.A. President Member 9 Civil Defense Commandant Member 10 Chief, Fire Safety Dept. Member 11 Representative of Local bodies Member 12 Voluntary organizations Member 13 Road Transport Officer Member 14 District Education Officer Member 15 Ex. Engineer, R & B Dept. Member 16 Local Army Est. Representative Member

Communications network

Ensure that all district control rooms are connected with the State control room with communication systems, which are not affected by natural disasters (HAM radios).

The communication network of each district control room is easily accessible to the local agencies and individuals.

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Monitoring and evaluation of actions taken during relief and rehabilitation

# Phase Task Force Team Action1 Predisaster

Phase Additional Director (PH)Additional Director (MS) Additional Director (ME) Additional Director(VS) Director (SIHFW) MD,GMSCL

Preparedness in respective branches Public Health, Medical Services and Medical Education.

2 Impact and Rescue

Medical Teams – (M.O.)Rapid Response Team Specialist Team Volunteers, NGOs, IMA, Red Cross. Gram Arogya‐Mitra.

First AidFirst Aid Post Mobile Hospital Base Hospital Referral Services

3 Recovery Medical Teams – M.O. Follow up for injuries Survey of damages Psychological disorders

4 Rehabilitation Medical TeamSpecialist Team Gram Arogya‐Mitra

Home visit, guidance Reconstructions surgery Rehabilitation,Physiotherapy

Allocation of responsibilities To the participant levels within the health department and other health sectors Making teams for: Mass casualty management This plan deals with both pre‐hospital and hospital emergency medical services. The main features will be TRIAGE at the site and the hospital, plan for referral services, Mass casualty management has two Components

PREHOSPITAL MANAGEMENT

Objective

To render first aid to victims at the spot of disaster, their transportation to nearby hospital as a part of life saving measures Responsibility With guidance from District Command, Chief District Health Officer will be the officer commanding Casualty services. RMO of the emergency hospital & CHC Superintendent of the town will assist him. He (CDHO) will function in this capacity also under guidance.

First Aid Party

Objective: The Functions of the First Aid Party is to render First Aid to casualties at the place of incident and transport the casualties on stretchers to nearby first‐aid post.

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Task of First Aid Party 1) Will rush and render first aid and provide transport by stretchers. 2) Party will consist of one Driver and four first aid trained workers /

volunteers. The leader will be a health worker/fire brigade person. 3) One car will be provided for 3 such parties. 4) 3 such parties will be constituted for 10,000 population for towns upto

l lac, population. For additional, 3 parties per 20,000 population. 5) These will be located at Civil Defense Depots. 6) Medical officer in charge will train personnel and young volunteers

from different sectors. 7) Officer will send the party to scene incharge of Civil Defense, will report

to incident officer/ warden and start work. 8) Party will have equipments specified in appendix 16 of Union War

Book.

First Aid Posts

Objective Primarily First Aid posts are meant for treating the lightly wounded casualties those not requiring hospitalization 'thus relieving congestion at. the hospitals. They are also responsible for screening casualties sent by First Aid Parties, to sort out those who need immediate hospitalization. Cases demanding urgent medical attention may be sent direct to the hospital without delay. First aid post may be static or mobile. A mobile First Aid Post is meant to rush medical aid to the site of incident for the treatment of casualties on the spot. Structure and Operational Management

1) Control: A medical officer will be in charge. 2) Location: it will be housed in existing govt. local body charitable or

private dispensary. 3) Scale: 1 such post for a population of 25,000. 4) Lay‐out: it will have 3 rooms – reception, treatment and waiting room. 5) Personnel : Medical officer 1 + 2 relief

Nurse 1+ 2 “ First aider 3 + 6 “ Messenger 1 + 1 “ Clerk 1 Sanitary worker 1

District Command shall plan dispensaries/PHC as first aid points as per need.

Responsibilities:

All First Aid posts will be manned round the clock. The Medical Officer will maintain record of the bed state of the dependent hospital daily. Casualties arriving in the First Aid Post will be disposed off as under:

a) Casualties with severe injuries requiring hospitalization will be transferred by

ambulances to the casualty receiving hospital.

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b) Casualties with moderate injuries not requiring immediate hospitalization will be treated at the First Aid Post and then sent home with directions to report at the post as required.

First Aid Post (Mobile) Objective: A mobile First Aid post consists of a complete. First Aid Medical Unit mounted on wheels ready to proceed to the scene of a major accident and to set up and provide treatment there.

Organization a) It is a complete first aid unit on wheels, ready to proceed to scene, set up and

provides treatment. b) A big truck or a van will be the motor vehicle. c) One unit shall be set up per 3 lac population. If less, then minimum 1 unit will

be set up.

Each mobile post will carry the same equipment as the Static First Aid Post.

Responsibility:

All relevant action stated above for First Aid Post (static) will be applicable to the Mobile First Aid Post.

Mobile surgical units

Objective:

Mobile surgical units are small surgical teams mounted on wheels on location near the disaster site with essential instruments for performing life saving emergency surgery. The units should function in conjunction with the First Aid Post. One unit shall be set up per 3 to 5 lac population. If less, then minimum 1 unit will be set up Staff:

Each Mobile/Surgical unit may have 3 doctors including one Anesthetist. It will also have one fully trained Nurse, One Operation Theatre Assistant, two First Aid Assistants and one driver.

Ambulance Services

Objective:

An efficient ambulance service is an essential part of the casualty service for the transportation of casualties from the scene of disaster to First Aid Posts and Hospitals. Vehicles:

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Ambulances and vehicles available with health dept. as shown in attached sheet

SCALES FOR PREHOSPITAL FACILITIES

Population Coverage => 3 ‐ 5 lakhs No. of first‐aid parties => 40 No. of First Aid Posts. => 7

Mobile ‐ 1 Static ‐ 6

No. of mobile surgical units => 1 No. of Ambulances => 6 No. of Emergency Hospital Beds => 100 ‐ 150

Actions during Precautionary Stage 1) CDHO will alert all first aid leaders to stand by. 2) Officer in charge of civil defense in consultation with CDHO and Med. Supt./Supt.

shall keep stores and reserves ready. He will identify vehicle and driver to be sent with each party.

3) Buildings for First aid post (static) shall be ear‐marked, personnel, stores, signposts kept ready and meetings arranged with members

4) Vehicles for first aid post (mobile) earmarked, personnel, stores kept ready, and meetings arranged with members.

5) Mobile surgical units set up. 6) Vehicles requisitioned, stretcher fitments kept ready, drivers made familiar with

all locations. Actions during Flood Stage

1) First aid party All members will report to District Health Office of affected district. Rosters of 8 hour duty prepared Vehicles allotted, their fuel, oil, maintenance ensured with the help of

Collector & DDO. 2) First aid posts (static) Ear‐marked buildings taken over Personnel, stores and equipment kept ready Day and night visible signposts set up E.M.O. shall keep information of all vacant beds of attached hospital. Severe casualty transferred to casualty hospital Moderate injuries attended & sent home with follow‐up reporting

advice. Trivial injuries attended and sent home Record of all casualties maintained Casualty identity label if not given previously, is given

3) First aid posts (mobile): As Above. 4) Mobile surgical units:

Ear marked vehicles requisitioned.

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Personnel to report to duty at short notice. 5) Ambulance services: Available ambulances and other vehicles requisitioned Equipped with stretcher, stores, staffed. Fuel, oil, maintenance provisions made

District Commands of non‐vulnerable towns will work out their requirements as per plan. i. Public health issues –Disease surveillance Rapid Response Teams for

outbreak management ii. Testing the plan including mock drills.

………………………………………………………………………………………………….

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Annexures

MONSOON CONTINGENCY PLAN

FOR HEALTH SERVICES

2014

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Annexure‐1

Health Infrastructure in Gujarat

Districts

No. of Taluka

No. of District Hospital

No. of Sub District Hospital

No. of CHC No. of PHC No. of Sub center

33 242 24 26 300 1156 7274

Annexure‐2

Important phone numbers at State and Zonal level:

# Name of Officer Office Fax Mobile1 Shri Rajesh Kishore

Additional Chief Secretary, MS & ME

079‐232 20069

079‐232 24409

9978407001

2 Shri P. K. TanejaPrincipal Secretary (Health & Family Welfare) & Commissioner (Health, M.S.,ME & MR)

079‐232 53279, 53271

079‐232 23982

9978406146

3 Dr Paresh DaveAdditional Director, Public Health

079‐23254544 57948

079‐232 54544

9376176580

4 Dr Dinkar RavalDeputy Director Epidemic

079 ‐23253336

079‐23253343

9909966905

5 Dr G. C. Patel Assistant Director Epidemic

079 ‐232 53336

079 ‐232 50818

9727723301

Sr. No.

Zone Name of RDD STD Code

Phone No. office

Mobile No.

1 Ahmedabad Dr Nilam Patel 079 22680112 9099064001

2 Gandhinagar Dr K. B Patel 079 23259107 9909980801

3 Vadodara Dr B. P. Itare 0265 2339632 7567867200

4 Surat Dr R. S. Kanchhal 0261 2460260 9824081788

5 Rajkot Dr Rupali Mehta 0281 2440599 9825335296

6 Bhavnagar Dr Shobhanaben Mehta

0278 2424535 9909989249

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Annexure‐3 List of Medical Colleges (Zone Wise) with names of districts they cover to provide

services

Sr. No.

Name of Medical College

Covering District Telephone No.

Fax No.

1 B. J. Medical College, Ahmedabad.

Ahmedabad Gandhinagar, Mahesana, Sabarkantha, Banaskantha

079‐22681024 22684170 22683721

079‐22683067 22681379

2 N.H.L. Medical College AMC

Ahmedabad Municipal Corp. Area, Kheda, Anand

079‐26577621‐627

079‐26577621‐627

3 Govt. Medical College Vadodara

Vadodara, Narmada, Bharuch, Panchmahal, Dahod, Vadodara Corp.

0265‐2421594 2488266 2459641

0265‐2421056 2424351

4 Govt. Medical College, Surat

Surat (R), Valsad, Navsari, Dang, Tapi

0261‐2244175 2244985

0261‐2241025 2241324

5 Municipal Medical College Surat

Surat Corp. 02601‐2423751‐52

2451935 2422110

6 Govt. Medical College, Rajkot.

Rajkot, Kutchh, Rajkot Corp., Surendranagar

0281‐2449034 2458323 2676477 2458337

0281‐2458323 2477442

7 Govt. Medical College, Bhavnagar

Bhavnagar Rural & Corp, Amreli, Junagadh(Urban & Rural)

0278‐2430808 2427524

0278‐2422011 2432883

8 Govt. Medical College, Jamnagar

Jamnagar (Urban & Rural), Porbandar

0288‐2553515 2554629

0288‐2540036 2679592

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Annexure 4 CONTROL ROOM CONTACTS NUMBERS DISTRICT HEALTH DEPARTMENT

Sr. No.

District STD Code

Control Room DHO Control Room Collector

Phone Fax Phone Fax 1 Ahmedabad 79 25507076 25507076 27551681 275516812 Amreli 2792 228212 222115 230735 2216003 Bharuch 2642 243660 243660 240600 2406024 Banaskantha 2742 250004 258908 250627 250440

5 Bhavnagar 278 2423665 2521554 2427981 2421980

6 Botad

7 Dang‐Ahwa 2631 220344 220344 220444 220444

8 Junagadh 285

2620196 2627097

2651988 2627097

2633447 2633447 9 Somnath

10 Rajkot 281 2443235 2476361 2471573 2477574

11 Morbi

12 Gandhinagar 79‐232

56941 32668 20630 20630

13 Kheda 268 2556272 2556625 2562799 2552210

14 Katchh‐Bhooj 2832 221666 221666 252337 250430

15 Mahesana 2762 222324 220282 222288 222202

16 Panchmahal 2672 250668 250668 242536 250668

17 Mahisagar

19 Jamnagar 288 271097 271097 2541485 2541485

20 Devbhumi Dwarka

21 Sabarkantha 2772 246422 243981 241668 243981

22 Arvalli

23 Surat 261 2430589 2430589 2465112 2465116

24 Surendranagar 2752 285383 285383 282200 282200

25 Vadodara 265 2432183 2431070 2427592 2431070

26 Chhotaudepur

27 Valsad 2632 243213 253080 243218 249335

28 Patan 2766 234292 221554 224830 233055

29 Anand 2692 254277 268340 242871 242871

30 Dahod 2673 239130 239138 239277 239005

31 Narmada 2640 222141 221248 222161 222171

32 Porbandar 286 2211083 2242731 224273 224273

33 Navsari 2637 232533 232533 232533 232533

26 Tapi 2626 220376 220453 223332 221281

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Annexure: ‐5

District wise District Nodal Officer (CDHO) Contact Numbers

Sr. No.

District Name

Name Email id Mobile

1 Ahmedabad Dr. Shilpa [email protected]

9099064001

2 Amreli Dr.Kiran P.Patel [email protected] 9978967602

3 Anand Dr. R. B. Patel [email protected] 7567870001

4 Banaskantha Dr.A. H Acharya [email protected] 9727730004

5 Bharuch Dr.V S Tripathi [email protected] 9727702155

6 Bhavnagar Dr.H. F. Patel [email protected] 9727779661

7 Dahod Dr. J. J. Pandya [email protected] 7567895502

8 Dang DrMRChaudhari dho‐ddo‐[email protected] 9428823342

9 Gandhinagar Dr D K Jagani [email protected]

9925472855

10 Jamnagar Dr.D.K .Dabhi dsojam‐[email protected] 7567880001

11 Junagadh Dr.Sapariya [email protected] 7567885222

12 Kachchh Dr. Pandey [email protected] 9909949303

13 Kheda Dr.A S. Sanghavi [email protected] 7567863211

14 Mehsana Dr T.K. Soni [email protected] 9909966909

15 Narmada Dr. Vegada [email protected] 9099943336

16 Navsari Dr.Jain [email protected] 9099086001

17 Panchmahal Dr. Amar Verma [email protected] 7567893400

18 Patan Dr.T.K.Soni [email protected] 9979843698

19 Porbandar Dr.S. B. Modh [email protected] 9909989700

20 Rajkot Dr. Pathak dho‐ddo‐raj‐@gujarat.gov.in 9727700031

21 Sabarkantha Dr.Manish Fancy

[email protected] 9687679002

22 Surat Dr.Megha Mehta

[email protected] 9727709505

23 Surendranagar

Dr.Dev [email protected] 99099 87301

24 Tapi Dr.G B Verma [email protected] 8980999599

25 Vadodara Dr. Chhari dhoddo‐[email protected] 8980039101

26 Valsad Dr.Ajay Sanghvi [email protected] 9727782001

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Annexure‐6 District wise Civil Surgeons (CDMO) Contact Numbers

Sr, No.

Officers Name District Name

Mobile No. Code No. Office No.

1 Dr. N..A. Parikh Bharuch 94260 43580 2642 241759, R264200, 243515

2 Dr. Heena Talsaniya Kheda 94270 26454 2694 224932

3 Dr. F.J. Gohil Nadiad 97121 33366 268 2529074

2529074, 2521386

4 Dr. R.M. Patel Dahod 94288 20505 2673 246548, R‐220029

5 Dr. B.B. Patel Gandhinagar 99784 05056 232 59123

23221931, 23221932

6 Dr. S.R. Limbad Navsari 96876 61201, 9427413822

2637 257265

252827

7 Dr. Manjari Mankodi Porbandar 90990 79101 286 R‐2242882

2242910

8 Dr. M.D. Shukhanand Surendranagar

93766 04600 2752 222052

9 Dr. Shobhana Mehta Amreli 98242 47466 2792 222587

10 Dr. G.T. Dayalu Junagdh 99254 54664, 97277 08501

285 F‐2651436

2620090

11 Dr.R. Rajnandan Dang 94273 48078 2631 220502

12 Dr. A.S. Parmar Patan 99099 81890 2766 232667

13 Dr. L.M. Chandana Godhara 94285 12234, 9925428181, E‐94285 12265

2672, 99254 28181

242559

14 Dr. M.K. Mavani Petlad 98984 71419 2697 224645

15 Dr. R.M. Jotiya Valsad 99789 05371 2632 251744

16 Dr. B.M. Audicchya Himmatnagar

96876 33101, 99254 70164

2772 241892

17 Dr. M.A. Prajapati Mehsana 99989 59099, 97277 37959

2762 221217

18 Dr. N.B. Raval Bhuj 98254 92378 2832 220852

19 Dr. B.K., Patidar Jamkhambhaliya

81286 53990 2833 235170

20 Dr. N.S. Dafda Palanpur 97372 75137 2742 253083

21 Dr. S.S. Hemamalini Rajpipla 99099 85296 2640 220030, F‐224230

22 Dr. Rupali Mehta Padmakunvarba Rajkot

98253 35296 281 2227136

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23 Dr. R.M. Mehta Jamnabai, Vadodra

94263 65188 265 2517400, R‐2781003

24 Dr. Naitek R. Chaudhary

Vyara‐Tapi 98795 62536 2626 F220342

220053

25 Dr. S. Mukharji Bhuj 98254 92378 2832 220852

26 Dr. Hitendra K. Bhavsar

Sola 92277 61818 079 27473455

27 Dr. Siddhapur 99099 81871 2767 220086

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Annexure‐7 Details of General Hospitals at District level

Sr.. District Hospital STD code Office Residence

1 Ahmedabad

Civil Hospital 079 26813792123721

22685033

Civil Hospt. Sola 079 2747435527474359

27457138

2 Vadodara

S.S.G. Hospital 0265 2425751 7483003Jamnabai Hospt. 0265 2517400 2424003

3 Surat

New Civil Hosp. 0261 2244985 2241574

Old Civil Hospital 0261 24793112479610

2460673

4 Jamnagar

Irwin Group Hospital 0288 25546292267959

2513157

Govt. Hospital Jamkhambhaliya 02833 234704

234724

5 Rajkot

General Hospital 0281 2479315 2476685P.K Govt. Hospt., Rajkot 0281 2227136 2227136

6 Bhavnagar

Sir T. Hospital 0278 2435219 2435219Govt. Hospital Palitana 02848 252529 252529

7 Amreli General Hospital 02792 222587 222173

223416

8 Ahwa General Hospital 02631 220205 220240

220397

9 Kutch G. K. General Hospital, Bhuj 02832 250150 250554New Dist. Hospital 02832 220852 220852

10 Bharuch General Hospital 02642 241759 264200

11 Dahod Govt. Hospital 02673 246548 22128412 Godhra Gen.Hospital 02672 242559 242227

13 Gandhinagar General Hospital 079 2322273323221932

27473374

14 Himatnagar Sir Pratap Hospital 02772 241551 24003315 Junagadh Civil Hospital 0285 2620090 265030216 Mehsana General Hospital 02762 221217 25347517 Kheda General Hospital Nadiad 0268 2529074 255007318 Navsari Govt. Hospital 02637 257265 258195

19 Banaskantha General HospitalPalanpur

02742 253083 253758

2252475

20 Patan Govt. Hospital 02766 232667 2230778

21 Porbandar Govt. Hospital 0286 22429102240923

2242882

22 Narmada Govt. Hospital Rajpipla 02640 220030 2220287

23 Surendranagar

General Hospital 02752 222052 2233541

24 Valsad General Hospital 02632 251744 225331025 Anand Govt. Hospital Petlad 02697 224422 2224775

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Annexure‐8 District wise Epidemic Medical Officer Contact Numbers

Sr. No.

District Name Name Email id Mobile Office No.

1 Ahmedabad Dr.Chintal Deasai [email protected] dsoahm‐[email protected]

9099064030 079‐25500107

2 Amreli Dr. Arun Kumar Singh

[email protected] [email protected]

9727723302 02792‐220960

3 Anand Dr.Prajapati [email protected] 7567870004 02692‐ 268820

4 Banaskantha Dr.N K Garg [email protected] 9727730014 02742‐253017, 253117

5 Bharuch Dr. N G Patel idsp‐[email protected]

9727702225 0262‐243660

6 Bhavnagar Dr. Boricha [email protected] 9727779717 0278‐2515172

7 Dahod Dr. Dilip .N.Patel [email protected] 7567895507 02673‐239192, 239125

8 Dang Dr. D.C.Gamit [email protected] 9428823492 02631‐220325

9 Gandhinagar Dr.Jayesh Solanki [email protected] 9909942242 079‐23246276

10 Jamnagar Dr. M. M. Lakhani dsojam‐[email protected] 7567880004 0288‐ 2671097/ 2661097/ 2661153

11 Junagadh Dr. Chandresh vyas dsojun‐[email protected] 7567884999 0285‐2653131

12 Kachchh Dr. Kurmi [email protected] 9099017589 02832‐221666

13 Kheda Dr. Ajit Y Thaker [email protected] 7567863216 0268‐2555732

14 Mehsana Dr. Patel [email protected]

9909987016 02762‐222030

15 Narmada Dr. R.S. Kashyap [email protected]

9099943335 02640‐221806

16 Navsari Dr. Mehul R. Deliwala [email protected] 9727704007 02637‐232533

17 Panchmahal Dr. B.K. Patel [email protected] 7567893800 02672‐250668

18 Patan Dr.R.T.Patel [email protected] 9909981888 02766‐234295

19 Porbandar Dr. N.A. Khudkhudia [email protected] 9979437863 0286‐2242731

20 Rajkot Dr.Nilesh Radhod [email protected] 9825211895 0281‐2443235

21 Sabarkantha Dr. A. K. Bhati [email protected] 9687679009 02772‐246422

22 Surat Dr P S shah [email protected] 9727716686 0261‐2430589

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23 Surendranagar

Dr.Arvind Singh dsosngr‐[email protected] 94269 44188,

(02752)285382

24 Tapi DR.Vipul Gamit [email protected] 9727774632 02626 220376

25 Vadodara Dr. Vijaykumar Bidla [email protected] 8980039118 0265‐2432383

26 Valsad Dr. Manoj Patel [email protected] 9727782012 02632‐241390

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Annexure‐ 9

District wise Details of Human Resources in Districts

Sr. No. District Name Specialist Doctors

Medical Officer

AyushParamedical Staff

Doctors in NGO/Private

1 Ahmedabad 22 38 25 906 184 2 Amreli 12 41 40 510 80 3 Anand 11 76 33 646 30

4 Banaskantha 10 54 44 515 32

5 Bharuch 10 45 24 663 20 6 Bhavnagar 153 84 30 924 59

7 Dahod 5 32 24 663 36 8 Dang 0 4 4 29 0 9 Gandhinagar 22 36 16 580 52

10 Jamnagar 8 49 24 563 18 11 Junagadh 10 77 22 717 42

12 Kachchh 11 71 23 665 114

13 Kheda 26 87 49 722 184 14 Mehsana 24 70 45 625 39 15 Narmada 4 14 13 354 14

16 Navsari 11 83 12 727 56 17 Panchmahal 16 80 41 906 79 18 Patan 8 53 22 599 17

19 Porbandar 5 20 22 310 12 20 Rajkot 40 83 20 638 80 21 Sabarkantha 35 162 55 1132 419

22 Surat 40 82 15 1749 529 23 Surendranagar 5 40 45 810 35 24 Tapi 5 47 6 408 11

25 Vadodara 20 81 43 2025 80

26 Valsad 13 74 19 770 41

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Annexure‐10

District wise details of Ambulances in Districts

Sr. No.

District Name

Govt. Ambulances EMRI 108 Private/NGO

with Ventilator

without Ventilator

with Ventilator

without Ventilator

with Ventilator

without Ventilator

1 Ahmedabad 1 15 2 20 1 8

2 Amreli 1 10 1 17 1 4

3 Anand 0 1 13 0 0 22

4 Banaskantha 1 32 0 15 0 8

5 Bharuch 1 8 1 8 1 4

6 Bhavnagar 5 21 1 7 1 3

7 Dahod 0 14 0 24 0 1

8 Dang 0 4 0 4 0 0

9 Gandhinagar 1 14 3 13 2 10

10 Jamnagar 1 14 19 0 1 5

11 Junagadh 2 10 2 12 1 5

12 Kachchh 1 35 3 18 4 6

13 Kheda 1 22 2 14 1 8

14 Mehsana 12 26 8 2 4 2

15 Narmada 1 28 0 9 0 11

16 Navsari 0 44 2 11 0 7

17 Panchmahal 1 49 2 20 0 4

18 Patan 11 9 1 11 0 3

19 Porbandar 1 6 1 8 2 5

20 Rajkot 0 38 0 13

21 Sabarkantha 1 88 0 19 0 27

22 Surat 0 28 1 13 0 15

23 Surendranagar 1 17 2 10 1 8

24 Tapi 1 11 1 10 2 8

25 Vadodara 1 75 6 27 0 0

26 Valsad 1 24 4 8 8 1

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Annexure‐ 11 Details of Bed Strength in Hospitals in Districts

Sr. No. District Name PHC/ CHC/ SDH

DH Medical College Hospital

NGO/ Private Hospital

1 Ahmedabad 688 213 1442 330

2 Amreli 568 210 486

3 Anand 320 54 2654 Banaskantha 579 223 2850

5 Bharuch 322 110 220

6 Bhavnagar 857 0 704 7457 Dahod 618 100 415

8 Dang 84 100 0

9 Gandhinagar 410 285 130010 Jamnagar 485 150 24

11 Junagadh 490 140 124

12 Kachchh 1571 300 26713 Kheda 670 160 2822

14 Mehsana 719 40 310

15 Narmada 252 90 20016 Navsari 734 180 64

17 Panchmahal 932 302 805

18 Patan 702 175 200 19 Porbandar 252 85 200

20 Rajkot 1088 340 730 965

21 Sabarkantha 1159 253 870

22 Surat 696 1210 439

23 Surendranagar 445 150 725 320

24 Tapi 330 150 57025 Vadodara 680 213 1122 330

26 Valsad 630 0 300 356

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Annexure‐ 12 District wise Details of Generator Sets & X‐Ray Machine

Sr.No. District X‐Ray Machine

Generator Sets

1 Ahmedabad 9 8

2 Kheda 9 5

3 Anand 9 6

4 Surendranagar 11 11

5 Vadodara 15 20

6 Dahod 6 8

7 Panchmahal 8 11

8 Bharuch 4 8

9 Narmada 3 4

10 Bhavnagar 10 17

11 Amreli 11 9

12 Junagadh 13 13

13 Porbander 3 1

14 Rajkot 16 13

15 Jamnagar 13 13

16 Kutch 9 11

17 Gandhinagar 5 2

18 Sabarkantha 18 17

19 Mehsana 11 7

20 Patan 6 12

21 Banaskantha 9 12

22 Surat & Tapi 13 26

23 Navsari 5 5

24 Valsad 4 7

25 Dang 0 2

TOTAL 220 248

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Annexure‐ 13 District wise Details of EMRI 108 ambulances location Sr. No.

District Location Name Amby / Location Address

1

Ahmedabad ‐City

Odhav‐1 Khodiyarnagar Police Chowky, Odhav, Ahmedabad Madhupura Dhudheshvar Water Works,Dhudheshvar, Ahmedabad

Khadia T.B Hospital Opp.Gita Mandir Bus Stand, Ahmedabad

Bodakdev Fire Station,Bodakdev, Ahmedabad

Naroda Water Tank Naroda, Near Naroda Police‐Station, Ahmedabad

Saraspur ‐Gomtipur

Garden Police Chowky‐Saraspur, Ahmedabad

Ghatlodiya Gatlodiya Police Station, Ahmedabad Krishnanagar SRPF Camp‐Near St Bus Stand, Naroda, Ahmedabad

Kalupur Kalupur Railway Hospital , Near AMTS Bus Stan, Ahmedabad

Bapunagar Bapu Nagar Police Station, Ahmedabad Meghaninagar Meghani Nagar Police Station, Ahmedabad

Vehlal Vehlal Gram Anchayat, Vehlal, Daskroi, Ahmedabad

Odhav‐2 Panjrapole ,Near Mehsul Bhavan,Vastral Cross Road, Vastral, Ahmedabad

Sardar Nagar Talavadi Circle ‐Airport Road, Ahmedabad

Chamunda Bridge

Chamuda Bridge, Arbudanagar, Naroda‐Kalupur Road, Ahmedabad

Ramol Swaminarayan Mandir,Hathijan, Mehmdabad Road, Ahmedabad

Vatva Vatva Police Chowki, Vatva, Ahmedabad

Maninagar Mani Nagar Fire Station, Maninagar, Ahmedabad

Navrangpura Navrangpura Police Station, Navrangpura,Ahmedabad Paldi Paldi Police Chowky, Paldi X‐Road, Ahmedabad

R.T.O. R T O,Subhash Bridge,Ahmedabad

Sarkhej Sarkhej Police Chowky, Ahmedabad Narol Narol Police Station, Ahmedabad

C.T.M. Vasawa Marriage Hall ,Khokra Circle, Ahmedabad

Chandkheda CHC Centre, Chandkheda, Ioc Road,Ahmedabad Chandola Dani Limda Police Station, Ahmedabad

Vejalpur Vejalpur Police Chowky, Ahmedabad

Chandlodiya Chandlodiya Police Chowki, Ahmedabad Juna Vadaj Red Cross Society,Juna Vadaj Circle, Ahmedabad

Ghodasar Smriti Mandir, Canal Raod, Near Cadila Bridge,Ghodasar, Ahmedabad

Helmet Circle Helmet Circle, Gujarat University Convention Centre, Memnagar, Ahmedabad

Bopal Near Relience Petrol Pump, Bopal, Ahmedabad Bareja Bareja Eye Hospital, Bareja, Ahmedabad

2

Ahmedabad ‐Rural

Bavla CHC Bavla, Ahmedabad

Dholka Kali Kunj Mandir, Dholka, Ahmedabad Dhandhuka CHC Dhanduka, Ahmedabad

Sanand CHC Sanand, Ahmedabad

Viramgam CHC Viramgam, Ahmedabad

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Bagodara Navkardham Charitable Trust, Dhandhuka Highway,Bagodara,Ahmedabad

Detroj CHC Detroj, Ahmedabad

Dholera PHC Dholera Phc,Dholera, Ahmedabad Mandal PHC Mandal,Ahmedabad

Vataman Vataman High School, Vataman, Ahmedabad

Virochan Nagar S.S Dham, Virochan Nagar, Ahmedabad Fedra Jain Mandir Fedra, Ahmedabad

3

Ahmedabad ‐City

Backup (6)ambulances

CHC Rakhiyal,Station, Rakhiyal, Gandhinagar

Training Ambulance (HO)

4 to 67

Gandhinagar

Rakhial Infocity Infocity Club & Resort, Ghandhinagar

Chiloda GEB Office, Nr. Chiloada Circle,Nr. Himatnagar High Way, Gandhinagar

Sec‐17 Sector‐17, Fire Station ,Ch Road, Nr. Jilla Panchayat, Gandhinagar

Dehgam CHC Dehgam,Dehgam, Gandhinagar

Adalaj Aswamegh Complex, Opp Adalaj Police Chowky Near GEB Sub Statation,Gandhinagar

Bahiyal PHC Bahiyal,Bahiyal,Taluka Dehgam, Gandhinagar

Khatraj IBP Petrol Pump,Nr.Gangotri Hotel,Khtaraj Chowkdi,Ta‐Kalol, Gandhinagar

Randheja IBP Petrol pump,Opp:‐Hariom Restaurant Randheja Chowkdi, Randheja, Gandhinagar

Mahudi ‐Ashram Chowk

d Ashram Chaukdi,Mahudi,Taluka Mansa, Gandhinagar

Mansa Nagarpalika Mansa, Nr.Police Station, Mansa, Gandhinagar

Kalol Ganesh Essar Petrol Pump,Nr.Ambica High Way,Kalol, Gnadhinagar

Sec 21, Akshardham

Sec 21, Akshardham, Gandhinagar

C.M House

Backup

68 To 80

Mehsana

Gojaria Nr. Siddnath Petrol Pump, Gojaria, Mehsana Mehsana 2 Manav Ashram Cross Roads, Visnagar Road, Mehsana

Kheralu Circuit House, Kheralu, Mehsana

Unjha Fire station, Unjha, Mehsana Jotana Sarvjanik Hospital , Jotana, Mehsana

Nandasan Jain Derasar,Nandasan, Mehsana

Becharaji Vardhman Complex, Nr. Gayatri Mandir, Becharaji, Mehsana

Vijapur APMC market, TB road, Vijapur, Mehsana

Visnagar KANSA Gram Panchayat, Visnagar, Mehsana

Mehsana 1 Circuit House, Opp ONGC GATE, Mehsana Satlasana Gram Panchayat, Satlasana, Mehsana

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Sardarpur Sardarpur Village, Sardarpur, Mehsana

Valasana PHC,Valasana, Mehsana 81 Kadi Circuit House,Kadi, Mehsana

82 Vadnagar Circuit House, Vadnagar, Mehsana

83 Backup

Civil Hospital, Patan

84 To 96

Patan

Patan

Siddhpur Govt. rest house, Siddhpur, Patan

Chanasma Opp. Mamlatdar office, Chanasma, Patan Radhanpur CHC, bh. post office, Radhanpur, Patan

Santalpur Hishway Police Chowky, Santalpur, Patan

Sami CHC, Sami, Patan Harij Opp. Bus station, Harij, Patan

Jangral CHC‐Jangral, Deesa Highway, Jangral, Patan

Shankheshwar CHC, Shankheshvar, Patan Varahi CHC, Varahi, Patan

Sander CHC, Sander, Patan

Kansa Kansa Gram Panchayat, Kansa, Patan

Backup

97 to 117

Banaskantha

Bhabhar Chc, Bhabhar, Bansakantha

Diyodar Chc, Diyodar, Bansakantha Shihori Chc, Shihori, Bansakantha

Thara Chc, Thara, Bansakantha

Ambaji Security Office, Nr. Mandir Parisar, Ambaji, Bansakantha

Bhiladi Navi Bhiladi Gram Panchayat, Bhiladi, Bansakantha

Chhapi Police Chauki, Chhapi, Bansakantha Danta Ravan Tekari, Danta, Bansakantha

Dantiwada University Health Center, Dantiwada, Bansakantha

Deesa Civil Hospital, Deesa, Bansakantha Dhanera Taluka Panchayat Quarter, Dhanera, Bansakantha

Iqbalgadh Apmc Market Yard, Iqbalgadh, Bansakantha

Lakhani Gram Panchayat Office, Lakhani, Bansakantha Mankadi Phc, Mankadi, Bansakantha

Palanpur Civil Hospital, Palanpur, Bansakantha

Tharad Taluka Panchayat Guest House, Tharad, Bansakantha Vadgam Chc, Vadgam, Bansakantha

Virampur Chc, Virampur, Bansakantha

Wav Apmc Market Yard, Wav, Bansakantha Piluda / Bhorol Chc, Piluda, Bansakantha

Backup APMC Market Yard, Talod Three Ways, Talod, Sabarkantha

118 To 125

Sabarkantha

Talod

Pratij Apmc Market Yard, Prantij Pratij, Sabarkantha

Gamboi CHC Gambhoi, Himatnagar‐Shamlaji Highway, Gambhoi, Sabarkantha

Ranasan Cumminity Hall, Nr.Bus Stand, Ranasan, Sabarkantha

Vijaynagar CHC Compund Vijaynagar. Vijaynagar, Sabarkantha

Himatnagar Civil Hospital, Civil Circle, Opp. Axis & Sbi Bank, Himatnagar, Sabarkantha

Idar Rest House, Behind Police Station, Tower Road, Idar,

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Sabarkantha

Khedbrahma CHC compund, Khedbrahma Khedbrahma, Sabarkantha

126 To 129

Sabarkantha

Vadali Old Nagar Palika Office, Opp.Police Line, Opp. Seth C.J High School,Vadali, Sabarkantha

Kheroj PHC Kheroj, Kheroj, Taluka Khedbrahma, Sabarkantha

Jadar Gram Panchayat Bhavan,Jadar,Ta:Idar, Sabarkantha

Backup

130 To 137

Aravalli

Modasa Circuit House ( Rest House ),Malpur Road, Modasa,Aravalli

Dhansura Mamlatar Qarters, Dolpur Road,Nr. Mamlatdar Office, Dhansura, Aravalli

Bhiloda Old Rest House, Opp.Mamlatdar Office, Bhiloda, Aravalli

Shamlaji CHCShamlaji, National Highway, Shamlaji, Aravalli

Malpur Rakheshwar Mahadev Temple, Opp Reliance Petrol Pump, Lunawada Road, Malpur, Aravalli

Bayad Rest House, Near Railway Crossing, Dehgam Road, Bayad ‐A'Bad Road, Bayad, Aravalli

Meghraj CHCMeghraj, Nr. New Mamlatdar Office, Malpur Road, Meghraj, Aravalli

Sathamba PHC Sathamba, Sathamba, Aravalli

138 To

150

Mahisagar

Santrampur‐1 Taluka Panchayat Room, Pratappura, Mahisagar

Batakwada Panchayat Batakwada, Mahisagar

Godhar / Santrampur‐2

Sarthi Center Godhar, Mahisagar

Kadana Government Room Diwda, Mahisagar

Ditwas P.H.C.Ditwas,Bakor Road, Mahisagar

Vadagam Panchayat Room,Vadagam, Mahisagar Lunawada Cotteg Hospital,Lunawada, Mahisagar

Vardhari P.H.C. Vardhari,Near Water Tank, Mahisagar

Kothamba C.H.C.Kothamba,Near Police Chowki, Mahisagar

Balasinor Circuit House, Opp. C.H.C., Amadavadi Dhal, Balasinor, Mahisagar

Virpur Police Station, Virpur, Mahisagar

Pandva Amar B.P. Petroleum, Dev Chowkadi, Dev. Taluka Balasinor, Mahisagar

Backup Disaster Office,Collector Compound Godhara, Panchmahal

151 To

164

Panchmahal

Godhra 1 Vejalpur / Godhra ‐2

P.H.C. Vejalpur, Bazar Road, Panchmahal

Kalol C.H.C. Kalol, Opp.Mamlatdar Office, Panchmahal

Halol C.H.C.Halol, Near Taluka Panchayat, Panchmahal Shivrajpur P.H.C. Shivrajpur, Near S.T.Bus Stop, Panchmahal

Jambughoda C.H.C.Jambughoda ,Near Circuit House, Panchmahal

Ghoghamba C.H.C.Ghogamba, Bazar Road, Panchmahal Simaliya S.P.Patel College Simaliya, Panchmahal

Santroad Santroad Police Chowki, Santroad, Panchmahal

Morva‐Hadaf P.H.C. Morva‐Hadaf,Near Bus Stop, Panchmahal Mora C.H.C Mora,Bazar Road, Panchmahal

of 55

Kakanpur C.H.C.Kakanpur,Near High School, Panchmahal

Shehra C.H.C.Shehra,Near Water Tank, Panchmahal S.R.P. S.R.P.Group‐5,Lunawada Road, Panchmahal

165

Panchmahal Backup

166 To 190

Dahod

Dahod‐1 Technical School Dahod, Dahod Dahod‐2 Technical School Dahod, Dahod

Chilakota Hanuman Tempale Komboi Chowkdi, Dahod

Limkheda Taluka Panchayat Room,Dhanpur Road, Dahod Piplod C.H.C.Piplod,Bariya Road, Dahod

Dev.Bariya Civil Hospital,Opp Bus Stop, Dahod

Sevaniya P.H.C.Sevaniya,Near Forest Office, Dahod Agasvani / Dhanpur (4 Wd

P.H.C.Agasvani Limkheda Road, Dahod

Garbada C.H.C.Garbada Gulbar Road, Dahod

Chandawada / Dahod ‐3

Panchayat Room, Jesawada Road, Dahod

Timarda P.H.C.Timarda,Near Bus Stop, Dahod

Katawara PHC Katawara, Katawara Village, Dahod

Gultora P.H.C.Gultora,Chakliya Road, Dahod Pethapur P.H.C, Pethapur,Near Gramin Bank, Dahod

Limdi Muktiranjan Hos Limdi,Limkheda Road, Dahod

Zalod‐1 Muvada Chokdi, Santram Pur Road, Dahod

Zalod‐2 Pwd Office,Near Jhalod Court & Opp. Jhalod Police Station, Dahod

Kadwal P.H.C.Kadwal,Bazar Road, Dahod

Fatehpura‐1 C.H.C Room, Ghugas Road Fatehpura, Dahod Fatehpura‐2 C.H.C Room, Ghugas Road Fatehpura, Dahod

Sukhsar C.H.C.Sukhsar,Near Aspur Chokdi, Dahod

Sanjeli C.H.C.Sanjeli,Near Bus Stop, Dahod Randhikpur C.H.C.Randhikpur,Sanjeli Road, Dahod

Backup

M Patel IOCL Petrol Pump, Sama, Nr. Dumand Cross road, Vadodara ‐390008

Backup

191 To 204

Vadodara

Sama

Mandvi Panigate Municipal Water Tank, Panigate, Vadodara ‐390017

Dabhoi CHC & Referal Hospital, Dabhoi. Ta. Dabhoi, Vadodara‐391110

Padra CHC, Padra. Ta. Padra, Vadodara‐391440 Alkapuri Wadivaadi Fire Station, Alkapuri, Vadodara‐390007

Sinor CHC, Mota Fofaliya, Ta. Sinor. Di. Vadodara‐391115

Mobha Archi Petroliyam, Muval Cross Road, Muval, Tal. Padra, Vadodara‐391430

Manjalpur / Makarpura

Manjalpur Municipal Water Tank, Manjalpur, Vadodara‐390011

Chhani CHC, Near Chhani Toll Booth, Chhani‐Vadodara

Sayajigung Narmada Bhuvan Compound, Beside Police Bhavan, Sayajigunj, Vadodara‐390001,

Karjan CHC, Karjan, Vadodara‐391240

Karelibaug Sangam Cross‐Road, Karelibaug, Vadodara‐390018

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Por CHC, Por, Vadodara‐391243 RDD Office / Alkapuri‐2

Rdd Office Campus, Old Padra Road, adodara‐390015

205 to 211

Vadodara

Kapurai Cross Road

Kapurai Cross Road,Nr.Pond,Kapurai Village,Vadodara‐390004

Mujpur / Koili PHC Koyli,Tal. Vadodara, Dist. Vadodara Waghodiya PHC, Waghodiya, Vadodara‐391760

Savali Savli Police Station, Savli‐Baroda Road,Savli, Vadodara‐391770

Jarod CHC & Referal Hospital, Jarod, Ta. Waghodiya, Vadodara‐391510

Backup

Desar PHC, Desar Ta. Savli, Vadodara‐391774

212 to 225

Chota Udepur

Kalarani Kalarani Sub Centre,Kalarani Cross Road,Kalarani, Pavijetpur, Chota Udepur

Bodeli BDPH, Bodeli ‐Sankheda, Chota Udepur

Handod / Sankheda

Handod Village Sub Center, Handod Sankheda, Chota Udepur

Chhotaudepur CHC, Chhota Udepur, Chhota Udepur

Kawant CHC, Kawant, Kawant, Chota Udepur

Gadhboriyad PHC, Gadh Boriyad, Naswadi, Chota Udepur

Pavijetpur CHC Staff Quarters, Behind Forest Check Post, Pavi Jetpur, Chota Udepur

Atha Dungri / Kawant 2

CHC, Kawant. Ta. Kwant, Chota Udepur

Dungarvat PHC Dungarvat, Pavi Jetpur, Chota Udepur Devhant / Ambala Forest

Ambala Forest Check post, Chotaudaipur‐Rangpur road, Chhota Udepur

Zoz CHC Zoz, Chhota Udepur

nakhala /Ambroli / Naswa

PHC, Ambroli, Naswadi, Chota Udepur

Panvad PHC Panvad, Kawant, Chota Udepur

Backup

Town hall ‐Anand

226 to 241

Anand

Anand‐1

Anand‐2 Vallabh VidyaNagar Nagar Pallika, VV Nagar‐Anand. Tarapur CHC tarapur ‐Tarapur, Anand

Fatepura Bharat petrol pump (BPCL) , tarapur ‐vataman highway , Galiyana, Anand

Khambhat Khambhat (kenedi) cherity Hospital ‐Nr. 42 gam vadi ‐Khambhat, Anand

Dhuvaran Thermal power station ‐Dhuvaran, Anand

Petlad Civil hospital ‐Petlad, Anand

Vasad CHC vasad ‐Vasad, Anand Borsad Nagar palika , opp.Tarang Hospital , borsad, Anand

Sojitra CC Patel hospital , opp.Kailash cinema ‐Sojitra, Anand

Valetava CHC mehlav, Anand Backup

Anklav CHC Anklav, Anand

Ode / Umreth CHC ode ‐Ode, Anand

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Kinkhlod Navjivan hospital ‐Kinklod, Anand

Pansora Shree Prannath Hospital, Pansora. Umreth, Anand

242 To 256

Kheda

Nadiad 1 Fire Station, Opp. Santaram Mandir, Nadiad, Kheda

Nadiad 2 Shivam Petroleum, Opp.Rajhans Talkies, Uttersanda Road, Naidad, Kheda

Kheda Govt. General Hospital, Opp. S.T.Bus Stand, Kheda.

Limbasi Gayatri Petrol Pump, Malawada Chowkadi, Tarapur ‐Kheda Road, Limbasi. Taluka : Matar, Kheda

Mahemadavad Circuit House, Khatraj Chowkdi, Mahamadavad, Kheda

Haldarvas Shree Hanumanji Mandir, Sarkhej Bridge, Near S.R.P. Camp, Khalal Bus Stand, Kheda

Mahudha Sardar Patel Police Chawky, Opp Post Office, Mahudha, Kheda

Kathlal Govt. Hospital, (C.H.C.), Opp. S.T.Bus Stand, Kathlal, Kheda

Kapadwanj B.H.O. Office, Nadi Darwaja, Kapadwanj, Kheda

Raliya Shiv Shakti HP Petroleum, Raliya. Taluka : Kapadwan, Kheda

Nirmali Shree Vagheshwari Mandir, Aabvel Gam, Nirmali‐Moti Zer Road, Nirmali, Taluka : Kapadwanj, Kheda

Lasundra Shree Ramji Temple, Lasundra, Kheda

Dakor A. G. Shah Petrol Pump (H.P.), Dakor‐Umreth Road, Dakor, Kheda

Thasra Essar Petrol Pump, Thasra ‐Dakor Road, Near G.I.D.C., Thasra, Kheda

Backup Srimati Jayaben Mody Hospital, Valia Road, Ankleshwar, Bhaurch ‐393002

257 To 271

Bharuch

Ankleshwar

Jambusar Chc, Jambusar, Bhaurch

Jhagadia Gram Panchayat, Jhagadia, Bhaurch

Bhaurch 1 Old Fire Station, Water Tank, Opp. Railway Station, Bharuch‐392001

Hansot Chc, Hansot, Bhaurch

Palej Gram Panchayat, Palej, Bhaurch Vagra CHC, Vagra, , Bhaurch

Valia Bhaumali Quter opp. Petrol pump Valia‐Netrang Road Valia, Bhaurch

Netrang Old PHC, Opp PHC Netrang, Bhaurch Umalla CHC, Umalla, Bhaurch

Amod CHC, Amod, Bhaurch

Jadeshwar Chowkdi

Jadeshwar Toll Naka, Jadeshwar Chowdi, National Highway 8, Jadeshwar, Bharuch

Jantran / PHC Kora

Kora PHC T‐Jambusar D‐Bharuch

Kharod PHC Kharod, Bhaurch

Backup

272 to 281

Narmada

Rajpipla 108 Ambulance, old Zilla Panchayat Campus, Dak Bungalow, Behind Red Cross Hospital, Opp. IOCL, Nadod‐Rajpipla, Narmada

Tilakwada 18 Quarters, Tilakwada, Narmada

Kevadiyakolony Room No. 11, Category 'A', Medical Quarters, Near

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(4 WD) Narmada Project Hospital Kevadiyacolony, Narmada

Sagbara Chc, Sagbara, Narmada ozda/ Dediapada ‐2 (4 W

PHC Mozda, Juna Mozda, Narmada

Dediapada (4 WD)

Old Phc, Dediapada, Narmada

Jesalpur Phc Jesalpur, Nandod, Narmada Khutamba Phc, Khuta Amba Khutamba, Narmada

Chikda Chida Subcentre, Dediyapada taluka, Narmada

Backup

Near Shri Ram Petrol Pump,Anand Mahal Road, Adajan, Surat ‐395002

282 To 313

Surat

Adajan / Gujarat Gate

Amroli Kosad Fire Station, Nr Kosad Awas, Amroli, Surat ‐395039

Athwalines/ Umra Police

Umra Police Station, Athwa Lines, Surat

Bhagal Galla Mandi Police Chowki, Lakkad Kot, Mahidarpura, Surat ‐395003

Bhatar Indian Oil Petrol Pump, Gayatri Mandir, New City Light Road, Surat ‐395039

Chowk Bazar Old Civil Hospital, Opp Gandhi Garden, Chowk Bazaar, Surat ‐395002

Harinagar South Zone Office, Mira Nagar, Udhna, Surat ‐395210

Katargam Katragam Fire Station, Katargam, Surat ‐395004

Limbayat Dhumbhal Fire Station, Limbayat, Surat Man Darwaja Mann Darwaja Fire Station, Udhna, Surat ‐395001

Navagam / Dindoli

Navagam Chc, Nr Dhroov Hospital, Navagam, Dhindoli, Surat ‐394210

Pandesara Pandesara Housing Police Chowki, Nr Water Tank, Pandesara, Surat

Punagam Punagam Phc, Nr Police Chowki, Punagam, Surat

Rander Mora Bhagal Fire Station, Rander, Surat ‐395005

odara Fire Station / Varac

Kapodara Fire Station, Opp Kapodara Police Chowki, Kapodara, Varachha, Surat

Pandesara 2 Udhna ‐Magdalla Road Police Chowki, Navjivan Circle, Near Navjivan Motors, Udnamagdalla Road, Surat

Vankal Vankal Rest House, Taluka Magrol, Dist‐Surat Olpad Olpad Police Chowki, Nr Gram Panchayat, Olpad,

Sachin Sachin Gram Panchayat, Sachin, Surat ‐394230

Madhi Vanspuri Chc, Madhi, Dist Surat Mandvi Mandvi Chc, Taluka Mandvi, Dist ‐Surat

Umerpada Chc Umerpada, Taluka Umerpada, Dist ‐Surat

Zankhawav Chc Zankhawav, Taluka Mangrol, Dist Surat Kim Palod Police Chowki, Palod Gam, Taluka Magrol, Surat

Kamrej B/H Kamrej Police Chowki, Nr Bhagwan Dada Mandir,

Kadodara Kadodara Police Chowki, Taluka Palsana, Dist Surat Palsana Palsana Police Chowki, Taluka Palsana, Dist Surat

Anaval Chc Ananval, Taluka Mahuwa, Dist Surat‐394502

Mahuwa Chc Mahuwa, Taluka Mahuwa, Dist Surat‐394250

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Backup

Backup

Bardoli Chc Bardoli, Taluka Bardoli, Dist Surat ‐394601

314 to 324

Tapi

Gadat CHC Gadat, Ta. Vyara, Tapi Valod OLD CHC Valod, Ta Valod, Tapi

Jamkhadi PHC Quarters, NR PHC Jamkhadi, Ta Songadh, Tapi

Nizar CHC Nizar, Nandurbar Road, Ta Nizar,Tapi Vyara 13, Chc Quarters, B/H Old Bus Stand, Vyara, Dist Tapi

Uchachal Chc Uchachal, Taluka Uchachal, Dist Tapi

Ukai 108 Ambulance Project Hospital, Ukai,

Songadh Chc Quarters, Ground Floor, Nr Chc Songadh,Taluka Songadh, Dist Tapi

Chorwad Zilla Panchayat Office, Chorwad, Taluka Songadh, Tapi

Backup Borda/Rumki Talav

108 Ambulance, Borda Sub Centre, Borda, Songadh,

325 To 329

Dang

Ahwa 1 (4 WD) Civil Hospital Ahwa, Dang

Waghai (4 WD) CHC Center, Vaghai, Tal: Ahwa, Dang Subir (4 WD) PHC Subir, Tal: Ahwa, Dang

Samghan PHC Center, Samgahan, Tal: Ahwa, Dang

Kalibel/ Ahwa 2 PHC Kalibel, Wagai Taluka Dang

330 To 341

Navsari

Rumla CHC Center, Rumla, Tal:Chikhali, Navsari

Vansada CHC Vansda (Cottage Hospital), Vansada, Navsari Limzar CHC Center, Limzar, Tal: Chikhali, Navsari

Tankal PHC Center, Tankal, Tal: Chikhali, Navsari

Chikhli CHC Center, Chikhli, Navsari Mahuvas PHC, Mahuvas, Tal: Vansda, Navsari

Gandevi BHO, Gandevi, Navsari

Navsari Civil Civil Hospital, Navsari Jalalpore BHO, Jalalpore, Navsari

Maroli CHC Center, Maroli, Tal: Jalapore, Navsari

Bilimora Mengosi Hospital, Bilimora, Tal: Gandevi, Navsari

Backup

CHC Center, Dungri, Valsad

342 to 358

Valsad

Dungari

Valsad ERC ,Disaster office, Valsad Pardi Mamlatdar Office, Pardi, Valsad

Vapi VIA Vapi, Tal: Pardi, Valsad

Bhilad CHC Bhilad, Tal: Umargam, Valsad Umargam TDO colony,Umergam, Valsad

Nanaponda Forest Rest House,Nanaponda, Tal: Kaparada, Valsad

Kaprada CHC Kaprada, Valsad Sutharpada PHC Sutharpada, Tal: Kaparada, Valsad

Dhamni Makadbandh Gam Panchayat, Tal: Dharampur, Valsad

Sidumber PHC Sidumbar, Tal: Dharampur, Valsad Dharampur Jilla Panchayat Vasahat,Dharampur, Valsad

Ronwal Ronvel Police Station,, Valsad

Hanumantmal PHC Hanumant Mal, Tal: Dharampur, Valsad Dahikhed (4 WD)

Hedalbari gam Panchayat, Tal: Kaparada, Valsad

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Backup

Rohiyal Jungle (4 Wd)

Gram panchayat Office, sahuda, taluka kaprada, Valsad

359 To 380

Bhavnagar

Bagdana Gram Panchayat , Bagdana, Bhavnagar Longadi Gram Panchayat, Longdi, Bhavnagar

Tansa Phc, Tansa, Bhavnagar

Ghogha Sidhivinayak Petrol Pump, Ghogha, Bhavnagar Palitana Mansinhji Genrel Hosptl,Palitana, Bhavnagar

Jesar Police Station,Jesar, Bhavnagar

Talaja Rest House ,Talaja, Bhavnagar Gariyadhar Rest House ,Gariyadhar, Bhavnagar

Mahuva Municipal Hospital, Mahuva, Bhavnagar

City‐1 Collector Office, Bhavnagar City‐3 Swastik Petrol Pump, Bhavnagar

Motakhutavda Anganvadi Quarter, Khutvada, Bhavnagar

Alang Firestation, Alang, Bhavnagar

Rangola Anganvadi Quarter, Ranghola, Bhavnagar

Naari Phc, Nari, Bhavnagar Vallabhipur Rest House, Vallbhipur, Bhavnagar

Tana Phc Quarter, Tana, Bhavnagar

Sihor Chc,Shihor, Bhavnagar City‐2 Sir T Hospital, Bhavnagar

Mahila College / City‐4

Mahila College Circle, Bhavnagar.

Backup

Backup

381 To 386

Botad

Botad Fire Station, Botad

Gadhada Chc, Gadhda, Botad Paliyad Gram Panchayat, Paliyad, Botad

Dhasa Radheshyam Hospital, Dhasa, Botad

Barvala Barwala Police Station, Botad

Ranpur Old Taluka Panchayat Building,Bh:‐New Police Station,Ranpur, Botad

387 To 400

Surendranagar

Than Chc‐Than, Surendranagar

Sayla Chc Sayla, Surendranagar

Patdi Chc ‐Patdi, Surendranagar Lakhtar Chc‐Lakhtar, Surendranagar

Shiyani Water Pump‐Shiyani, Surendranagar

Chuda Chc Quarter‐Chuda, Surendranagar Vadhvan Chc‐Wadhvan, Surrendranagar

Sara Gram Panchayat‐Sara, Surendranagar

Dhangandhra Chc‐Dhrangdhra, Surendranagar Surendranagar Drda Bhavan‐Surendrnagaar

Limdi Nahgar Palika‐Limdi, Surendranagar

Chotila Chc‐Chotila, Surendranagar Backup

Malvan Gayri Hotrl‐Malvan, Surendranagar

401

Amreli

Amreli‐1 Jilla Panchyat,Bus Station Road, Amreli

Bal Bhavan BalBhavan,Opp.Ramji Mandir, Amreli

of 55

To 419

Chalala Nagarpalika Bhavan,Mahdevpara,Chalala, Amreli Dhari Grampanchyat office,Tulshishyam Road,Dhari, Amreli

Savarkundala Savarkundala Marketing Yard,Mahuva Road, Amreli

Vanda C.H.C. Vanda Quarter,Near Vanda Bus Stop,Opp.Police Station, Amreli

Damnagar C.H.C. Damnagar,Gariadhar Road, Amreli

Lathi C.H.C.Lathi,Lathi‐Damnagar Road, Amreli

Babra C.H.C.Quater,Opp.Post‐Office,Rajkot‐Bhavnagar Highway, Amreli

Bagsara C.H.C.Quater,Bagsara, Amreli

Kukavav Kukavav Circuit House, Amreli

Vadia Balmandir Vadia,Near Bus Stand Vadia, , Amreli Liliya PWD Quarter,Liliya Mota,Amreli

Mota Devaliya PHC Mota Devaliya, opp.navjivan highschool, babra, Amreli

Khambha Khambha Jubeli Dharmshala,Old GEB Office, Amreli Rajula Rajula C.H.C.Near Bus Station, Amreli

Jafrabad C.H.C. Jafrabad, Amreli

Vijapadi Vijapadi Gram Panchyat,Near Bus Stand, Vijapadi,Amreli

Backup

420 To 429

Gir Somnath

Gir‐Gadhada C.H.C. Gir‐Gadhada,Near Gadhada Bus Stand, Gir Somnath

Kodinar R.N.Vala Hospital,Veraval‐Kodinar Highway, Gir Somnath

Una Taluka Panchyat Rest House,Opp.Tower Chowk,Una, Gir Somnath

Sutrapada OLD Taluka Panchyat Office,Opp.Navdurga Temple Sutrapada, Gir Somnath

Talala Taluka Panchyat Quarter,Sasan Road,Talala, Gir Somnath

Dolasa Dolsa P.H.C. Campus, Una‐Kodinar Highway, Gir Somnath

Samter Gram Panchyat Qater,Samter,Near Samter Bus Stand, Gir Somnath

Veraval Jilla Panchyat Guest House, Veraval, Gir Somnath Prachi Prachi Sea House,Prachi_Veraval Road, Gir Somnath

Backup Jilla Panchyat Guest House,Opp.Gita Lodge,Near Railway Station, Junagadh

430 to 443

Junagadh

Junagadh City‐1 / Jill Panc

Junagadh City‐2 / Pramu

k Pramukh Banglow,Bilkha Road,Opp.IGP Banglow,Junagadh

Maliya Jilla Panchyat Guest House,Railway Station Road,Opp.Post Office, Junagadh

Manavadar Manavadar Community Hall,Opp.S.T.Depo,Near Fire Station, Junagadh

Vanthali Nagar Palika Building,Vanthali, Junagadh Keshod Taluka Panchyat Quarter,Azad Club,Opp.Uco Bank

Keshod, Junagadh

Gadu Jilla Panchyat Guest House,Gadu,Near Bus Station, Gadu,, Junagadh

of 55

Mendarada Essar Petrol Pump,Opp.Borisa College,Sasan Road, Junagadh

Mangrol Mangrol_KeshodCross Road,Opp.IOCLPetrol Pump

Balagam Balagam P.H.C. Quarter,District‐Junagadh

Visavadar Gathani Trust Hopital,Visavadar,Near S.T. Bus standBilkha Jilla Panchyat Rest House, ,Bilkha, Junagadh

Bhesan Bhesan C.H.C.Near Beshan Bus Stand, Junagadh

Backup

444 to 466

Rajkot

Vinchiya Marketing Yard ,Vinchiya, Rajkot

Sardhar Sahkari Mandli, Sardhar, Rajkot Jasdan CHC, Jasdan, Rajkot

SardarPatel oth Sadar Patel pull, Kothariya road, Rakot City

Dhroaji Circuit House, Dhoraji, Rajkot Gondal Old Marketing Yard, Gondal, Rajkot

Dhebar Road Water Pump House, Dhebar, Rajkot

Jamkandorna Taluka Panchayat Jamkandorna, Rajkot Jetpur Circuit House, Jetpur, Rajkot

Metoda Fire Station GIDC,Metoda GIDC, Rajkot

Ramod PHC Ramod, Ramod, Rajkot Sapar GIDC Veraval Shapar, Rajkot

Upleta Taluka Panchayat Office, Upleta, Rajkot

Bedipara Bhavnagar road, Municipal office, RAJKOT CITY Disaster Office / Greenland

DISASTER Centre, NEAR GREEN LAND CROSS,morbi ROAD,Rajkot city

Kalawad Road 150 ft ring rd,Nr KKV hall, Rajkot

Kuvadva CHC Kuvadva, Kuvadva, Rajkot Paddhari CHC, Paddhari, Rajkot

Raiyadhar Raiyadhar Water Pump House, Rajkot City

Trikonbag Municipal Corporation, Trikonbaug, Rajkot Hospital Chowk Hospital Chowk, Rajkot city

Backup

Vivil Hospital, Morbi

Backup

467 To 472

Morbi

Morbi‐1

Morbi ‐2 Collector office, Lal Bag, Morbi

Tankara CHC,Tankara, Morbi Maliya CHC ,Maliya, Morbi

Wankaner Circuit House Wankaner, Morbi

Halvad Marketing Yard‐Halvad, Morbi

473 To 486

Jamnagar

Jamjodhpur Circuit House, Jamjodhpur, Jamnagar Jamnagar‐I Fire Station,Town Hall, Jamnagar

Jamnagar‐Ii New Fire Station, Jamnagar

Jamnagar‐Iii Ranjitsagar Road, Jamnagar Lalpur Circuit House, Lalpur, Jamnagar

Dhrol CHC, Dhrol, Jamnagar

Kalawad Jilla Panchayat Rest House, Kalawad, Jamnagar Sikka Nagarpalika Sikka, Jamnagar

Jodiya Circuit House, Jodiya, Jamnagar

Pipartoda PHC Pipartoda,Samana Road, Jamnagar Aliyabada PHC quarter, Aliabada, Jamnagar

of 55

Kharedi PHC Kharedi, Kharedi, Jamnagar

Amaran PHC Amran, Amran, Jamnagar

Backup

CHC, Dwarka

487 To 494

Dev Bhumi ‐ Dwarka

Dwarka Bhanvad Circuit House, Bhanwad, Dev Bhumi Dwarka

Kalyanpur Circuit House, Kalyanpur, Dev Bhumi Dwarka

Khambhalia Circuit House, Khambhaliya, Dev Bhumi Dwarka

Mithapur Surajkaradi Nagarpalika, Mithapur, Dev Bhumi Dwarka

Ran PHC Ran – Vadtara, Dev Bhumi Dwarka

Lalpur ‐Kalyanpur R

Bhogat Taluka, Kalyanpur, Dwarka ‐porbander highway, Dev Bhumi Dwarka

Backup

495 To 500

Porbandar

Porbandar Lions Hospital, Porbandar

Madhavpur PWD Guest House, Madhavpur, Porbandar

Advana CHC Advana, Porbandar Kutiyana Marketing Yard Office, Kutiyana, Porbandar

Ranavav GOVERMENT Bal mandir, Ranavav, Porbandar

Porbandar City 2

108 Ambulance, Zilla Panchayat Campus, ST Bus Stand Road, Porbandar

501 To 525

Kuchchh

Varmanagar Swami Vivekanand Hospital, Varmanagar, Kutch

Dayapar CHC Dayapar, Kutch Nakhatrana BHO Quarters, Nakhtrana, Kutch

Nirona Vaccination Centre of PHC, Nirona, Kutch

Bhuj 2 Leuva Patel Hospital, Mirzapar, Kutch Bhuj 1 GK General Hospital, Emergency Dept, bhuj, kutch

Vayor Veterinary Hospital Quarters, Nr PHC, Vayor

Naliya CHC Quarters, Naliya, Kutch

Dumra Arogyadham, Dumra, Kutch

Gadhshisa PHC Quarters, Gadhshisa, Kutch

Hajipir (4 WD) PHC Sub‐Centre, hajipir, kutch

Khavda Rasidbhai‐no‐Vado, Near Water Supply Office, Khavda, Kutch

Bhirandiyara (4 WD)

Gram Panchayat Bhunga, Nr veterinary Hospital, Bhirandiyara, Kutch

Mandvi Fire Station,Near Nagar Palika, Mandvi, kutch Mundra CHC Quarters, Mundra, Kutch

Gandhidham Rambaug Hospital Quarters, Adipur, Gandhidham , Kutch

Anjar CHC Anjar, Mundra Road, Anjar, Kutch Dudhai Indraprashtha Navi Dudhai, kutch

Bhachau Navchetan Andhajan Mandal, bhachau, kutch

Janan CHC Quarters, Janan, Kutch Balasar Gram PanchayatQuarters, Balasar, Kutch

Rapar CHC Rapar , Kutch

Backup Backup

Adesar PHC Quarters, Adesar Kutch

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Annexure : 14

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ANNEXURE ‐ 15

Daily Reporting Form Surveillance of Epidemic‐Prone Communicable Diseases

Name of the Reporting Unit........................... Population (Approx) …….................... Date / /

# Diseases Number Reported Cumulative Since

Cases Deaths Cases Deaths

1 Acute Diarrheal diseases including Cholera

2 ARI including Pneumonia 3 Measles 4 Meningitis 5 Jaundice 6 Leptospirosis 7 Diphtheria 8 Malaria 9 Poliomyelitis 10 Plague

Name and Signature

ANNEXURE ‐ 16

Weekly Reporting Form Surveillance of Epidemic‐Prone Communicable Diseases

Name of the Reporting Unit .................... Population (Approx) .......................... Week ending..........................................

# Diseases Number Reported Cumulative SinceCases Deaths Cases Deaths

1 Acute Diarrheal diseases including Cholera

2 ARI including Pneumonia 3 Measles 4 Meningitis 5 Jaundice 6 Leptospirosis 7 Diphtheria 8 Malaria 9 Poliomyelitis 10 Plague

Name and Signature

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ANNEXURE ‐ 17

Report on unusual event Region……………………………………District………………………….Date:…………………………………

1. Details of affected persons in unusual event and Relief works for them 2.

# Taluka Village Type of Unusual event /Disaster

Morbidity ( in Number)

Mortality ( in Number)

No of Relief Camps (In a Day)

Duration of Operation of relief Camp (days)

No. of people accommodated per day in the relief camp

Expenditure incurred on Medical Care In Rs.

Remarks

2. Details of Victims and Medical treatment # Village Victims Details Hospital Component

Name

Age and sex

Address

Contact Number (Victim Relative)

Name of Hospital

Date Time of Admission

Diagnosis Present Condition (Stable/ Critical) Outcome (Discharge, Recovered, Referred DAMA, Death) Date and time

If Referred Name of Referral Facility

If Death, Post Mortem Done (Yes/ No)

Remarks

3. Extent of damage to Health Facilities (PHIs) due to natural calamities

#. Health

Facility (PHIs)

Details of Damaged PHIs Total Estimated Loss (Rs. In Lac)

Remarks

Name of PHI No. of Buildings Damaged

No. of Buildings Destroyed

SC

PHC

CHC

Other PHI Pl. Specify

Total

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CHLORINATION TECHNIQUE (A) Quantity of Bleaching powder required chlorinating water sources.

Quantity of water Requirement of Bleaching powder

1000 Gallon 1 Ounce4500 liters 30 grams

100,000 liters 660 grams 1 Gallon = 4.5 liters 1 Ounce = 30 Grams.

(B) Method of calculating quantity of water in round well :

(i) In gallons – Diameter in feet x Diameter in feet x height of water (ft) = Water quantity (in gallons).

(ii) In litres :

3.14 x d x d x h x 1000 = water quantity in litres 4 d = diameter of well in meter h = height of water column in meters 1 meters = feet

(C) Method of calculating quantity of water in cubical storage tanks :

Length in metre X Breadth in meters X Height of water column in metre = quantity of water in litres.

(D) Method of Chlorination :

i. Decide the required quantity of bleaching powder and take in

container such as bucket.

ii. Add little water make paste of the powder.

iii. Add more water to make uniform suspension.

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iv. Allow to settle lime at the bottom and take supernatant solution

in another bucket.

v. The bucket full of bleaching powder solution should be

immersed deep in water and the well water should thoroughly be

rinsed from all sides so that disperses in entire water of the well.

vi. Test for residual Free Chlorine by using chloroscope after half an

hour.

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NOTES

monsoon contingency plan for health 2014 services … · introduction: natural calamities due to...

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