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HISTORY 1924 Lady Wellington Leprosy Sanatorium at Tirumani

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Presentation on theme: "HISTORY 1924 Lady Wellington Leprosy Sanatorium at Tirumani"— Presentation transcript:

1 WELCOME CENTRAL LEPROSY TEACHING AND RESEARCH INSTITUTE, TIRUMANI,CHENGALPATTU

2 HISTORY 1924 Lady Wellington Leprosy Sanatorium at Tirumani
Managed by Church of Scotland. Dr. Paul Brand devoted his life for the reconstructive Surgery 1946 Before Independence, Mahatma Gandhi Father of our Nation visited the land of Tirumani. He gave written message of blessing to the patients of the Sanatorium and wished well to the staff. SIGNATURE AND GREETINGS OF MAHATMA GANDHIJI Significance of 30th January on – Father of the Nation visited CLTRI Coincidentally, he died on 30th January every year celebrated as Anti Leprosy Day.

3 HISTORY CLTRI was established by Government of India under a Governing Body Dr. Dharmendra famous Leprologist was associated with CLTRI as Director from 1967 to 1971 he was Emeritus Medical Scientist of CLTRI. Significant Contribution :- Lepromin Test Standardization of DDS (Diamino Diphenyl Sulphone) a drug used for treating leprosy patients. 1974 CLTRI became a subordinate office of DGHS under MOH&FW Standardization of MDT (Multi Drug Therapy ) done in this Institute. 1991 Nodal Centre for Thalidoamide drug therapy for ENL (Erythrosom Nodosum Leprosom) reaction Cases.

4 OBJECTIVE To undertake research into basic problems relating to the occurrence and spread of leprosy and its control. To train manpower necessary to implement NLEP. To provide specialized services in the area of diagnosis, reaction, relapse and Reconstructive surgery in Leprosy. To monitor and evaluate National Leprosy Eradication Programme. Additional Responsibitiy given in 2005 after Elimination of Leprosy CBHI Training RNTCP Operational Research IDSP Training

5

6 AREA OF CLTRI Total Land of CLTRI - 560.83 Acres
Institutional Buildings Acres Residential Buildings Acres Vacant Land Acres Land Given to HLL (for proposed Medipark on by MOHFW) Acres

7 BUILDING 1.HOSPITAL BLOCK : Out Patient Unit
Main Hospital -124 Bedded Hospital Sick Room Medical Investigation Ward Surgical Ward with X-ray department & Operation theatre Physiotherapy Block MCR and Footwear Unit Centralised Kitchen Laundry Centralised Stores

8 BUILDING (Continued) 2. ADMINISTRATIVE BLOCK 3. HOSTEL Administration
Laboratory & Animal House Library Epidemiology 3. HOSTEL Scientist Hostel Rooms Students Hostel Rooms Canteen

9 STAFF STRENGTH – STATUS REPORT
Sl. No. Group Total Strength Filled Vacancy Vacancy Percentage 1 A ( Medical) Specialist 15 3 12 87% GDMO 11 6 5 45% 2 A- Non Medical 100% B- Gazetted 60% 4 B- Non-Gazetted 19 14 26% Group C 117 84 33 28% MTS 80 56 24 30% TOTAL 250 165 85 34% 66 % 34 %

10 10% reduction in Non-plan*
Budget Estimate S.No. HEAD PLAN NON-PLAN 10% reduction in Non-plan* Balance Budget 1 Salaries 84150 2 Wages 1400 3 Overtime allowance 10 9 4 Medical Treatment 750 75 675 5 Domestic Travel Expenses 500 300 30 270 6 Office Expenses 2200 2020 202 1818 7 Publication 8 Other Administrative Expenses 250 Supplies and Materials 3500 2800 280 2520 Minor Works 1550 11 Scholarships /Stipend 12 Other charges 13 Motor Vehicles 450 45 405 14 Machinery and Equipment 1500 TOTAL 9500 92500 695 91805

11 Epidemiology & Statistics
CLTRI Clinical Surgical Epidemiology & Statistics Laboratory

12 CLINICAL Medical Record Section Nursing Section Wards
Out Patient Department Wards Nursing Section Medical Record Section

13 CLINICAL (Cont.) Expert Management of reactions with Thalidomide, Relapses/Drug Resistance etc. Teaching activities in leprosy to Undergraduates, House Surgeons of Medical Colleges, NMS Supervisors and Nurses. Collection and study of relapse/recurrence cases in leprosy.

14 CLINICAL (Cont.) On Going research activity Drug Resistance Surveillance using Mouse foot Pad

15 Out-Patients particulars for the Last 5 years
(Till Oct ) 1 No. of new Cases attended OPD 64 104 74 90 48 2 No. of old 7155 7220 6192 6094 3353 3 No. of patients attended OPD from GLC block 2680 2074 1514 1694 776 4 No. of other Cases (NCL) Attended OPD 2224 1748 1441 1161 775 5 Total no. of patients seen in OPD 12123 11146 9221 9039 4952 GLC - Government Leprosy Centre NCL - Not a Case of Leprosy

16 SURGICAL Surgical Unit Physiotherapy Section
Artificial Limbs & Footwear Section X-ray Section Micro-cellular Rubber

17 Surgical (cont.) The Basic functions: Reconstructive Surgery
Patient care activities. Teaching and Training Programs. Research.

18 Physiotherapy Section
Physiotherapy Services to PAL. Various Teaching and Training programs. Counselling & Health Education. Facilities Available Wax Bath, Electrical Muscle Stimulator, Inter Ferential Therapy, Ultra Sonic Therapy Traction Table.

19 Artificial Limbs & Footwear Section Micro-cellular Rubber
Footwear and Prosthetic to the Leprosy patients Micro-cellular Rubber Small Production unit - Micro-Cellular Rubber sheets (2000 sheets per annum) Providing MCR sheets to other states

20 Details of Major and Minor Surgery Done for the Last 5 years
Surgeries Major Surgeries –(Reconstructive Surgery) 1. Claw finger correction 7 14 6 8 2. Claw thumb correction 3 5 1 3. Wrist drop Correction - 4. Drop Foot Correction 5. Lagapthalmos Correction 2 6. Surgical Decomposition of Nerves (Ulnar Nerve, Median Nerve, Posterior Nerve) 4 7. Amputation (Below Knee & Below Elbow Amputation) Minor Surgeries 8. Ulcer Surgery 53 16 20 9. Miscellaneous like Biopsy, MTH Resection, Calcaneal shaving, lagopthalmus, Skin Grafting, Cystectomy etc. 18

21 Physiotherapy Activities for the last 5 year
S.No Activities 1. New Case 70 55 77 51 195 2. Assessments 973 895 708 530 789 3. Hand Exercises 1905 1823 1742 1755 1943 4. Foot Exercises 857 797 737 714 749 5. Wax Therapy 1845 1741 1698 1598 1740 6. Splints 460 416 778 309 407 7. General Cases 91 60 67 52 71

22 Footwear and Prosthetic Supplied for the last 5 year
No 1. Simple and Modified Micro cellar Rubber Sandals (in pairs) 1234 1119 1199 942 500 2. Orthotic and Prosthetic Appliances(in no’s) 23 21 25 28 5 3. Major repair of Orthosis and Prosthesis (in no’s) 8 4 13 12 1 4. Modifications Arch Support and Metatarsal Bars (in no’s) 144 115 171 93 54

23 Division of Epidemiology & Statistics
Monitoring & Evaluation Unit Statistics Electronic Data Processing Unit Technical Training Library

24 Division of Epidemiology & Statistics
CLTRI Website was created by our unit. Website for our institute was hosted in NIC server (http://cltri.gov.in/). Logo for our Institute was designed. Inventory Management Software was developed. Consultancy services to the BCGVL, Guindy, Chennai for creation of website and Inventory management system.

25 Monitoring & Evaluation of NLEP Activities
Monitoring & Evaluation of NLEP Activities among Tamil Nadu, Karnataka, Kerala and Lakshawdeep states/UT was carried out. Visits Made for Monitoring Activities Lakshadweep Islands population of school children were Examined on January 2012. Tamil Nadu, Karnataka, Pondicherry States/UT for planning M & E Activities. M & E conducted in Erode District, Tamil Nadu.

26 Surveillance Activities
Phase I of the Activity Study of the Household and Neighbourhood Contacts of newly Reported Leprosy cases in the CLTRI OPD from Thirukalukundram Taluk area work was carried out during October 2011. Phase II of the Activity is started on August 2012 and completed on September 2012 Analysis of the collected data is under process.

27 PROPOSALS SFC proposal for Strengthening of CLTRI was Prepared and submitted in DGHS (17 Oct 2012). Operational Research Study to ascertain the reasons for High Endemicity in 24 districts of 3 states (Andhra Pradesh, Gujarat, Karnataka) was send to CLD(31 May 2012).

28 Data Analysis OPD Data -New case attending CLTRI OPD for the
past 2 year were entered and analysed. Spatial Distribution of (Geographical Information) of New cases attending CLTRI was prepared. Monthly progressive Report from districts of Tamil Nadu, Andhra Pradesh and other states were received and entered into Computerised Simplified Information System (CSIS). Analysis of Reaction Case data is under process.

29 Training Activities State/District Leprosy Officer (SLO/DLO) = 3 batches (5 days) Medical Officer Training Course (5 days) = 2 batches Non-Medical Health Supervisor’s (2 months) = 2 batches Skin smear Technician Training (5 days) = 1 batch Laboratory orientation Training (BCG Staff) = 2 batches Final MBBS students (one day visit) =125 students CRRI Training (5 days ) =110 Trainees Tertiary case management of Leprosy (10 days) = 1 batch Inplant training in Microbiology & = 1 batch Molecular Biology to Biotechnology students

30 Library Books - 3278 Journal - 4409 Periodicals Foreign journals - 24
Indian Journals - 09

31 Workshop/Conference / Training Attended
Dr. V.C.Giri Assistant Director (Epid) attended HIVCONGRESS 2012, Held at Mumbai from 16th to 18th March 2012, Presented one Research paper and Two paper by Co-authors in scientific session. Attended RTI Act for Public Information Officer training at ISTM, New Delhi –August 2012 Published 2 paper in International Journals. Dr. V.C.Giri, AD (Epid) & Dr. R. Veerkumaran, CMO delivered lectures in Leprosy CMC organised by Tirunelveli Medical College, Tirunelveli, Tamil Nadu. Mr. U. Aravindan, Statistical Investigator Gr. II attended training in Statistical Analysis system (SAS) training held at Christian Medical College, Vellore, Tamil Nadu.

32 LABORATORY Biochemistry & Animal House Sterilisation
Hematology & Immunology Microbiology & Molecular Biology Clinical Pathology & Histopathology Sterilisation Biochemistry & Animal House LABORATORY

33 LABORATORY (cont.) Investigation for Leprosy related and other Routine Investigations Basic and Applied Research activities in Leprosy. Research in field of Diagnosis, Molecular Biology, Drug therapy, Animal studies in the field of Leprosy etc.,

34 LABORATORY (cont.) On going Research projects:
Study on surveillance of Drugs [rifampicin and dapsone] resistance, among smear positive multibacillary leprosy cases Detection of fumonisin producing Fusarium species from rice seeds by polymerase chain reaction. Variable number tandem repeats VNTRs finger printing as an Epidemiological marker for Mycobacterium leprae haplotyping

35 Laboratory Investigations in the Last 5 years
No DEPARTMENTS / SECTIONS 1 Clinical Pathology & Skin Smear 1233 1010 831 1168 669 2 Hematology & Serology 2255 3316 3000 3767 1980 3 Microbiology 262 397 100 129 82 4 Histopathology & Molecular biology (Routine & Research activities) 483 71 331 5 Biochemistry 1705 3130 3244 1463 6 Animal Position in the Animal House 1. Balb/C Mice Inbred Strain 2. Swiss Albino Mice Inbred Strain 3. Rabbit … … 4. Rat … … 5.Sheep 323 269 14 548 496

36 Scientific Publications in last 1 year
Detection of mutations in folp1, rpoB and gyrA genes of M. leprae by PCR- direct sequencing--a rapid tool for screening drug resistance in leprosy. Lepr Rev. 2011 Mar;82(1):36-45. OXA beta-lactamase-mediated carbapenem resistance in Acinetobacter baumannii. Indian Journal of Medical Microbiology, Vol. 29, No. 3, July-September, 2011, pp Detection of Amp C genes encoding for beta-lactamases in Escherichia coli and Klebsiella pneumoniae. Indian Journal of Medical Microbiology, Vol. 30, Issue 3, 2012, pp blaIMP AND blaVIM Mediated Carbapenem Resistance in Pseudomonas and Acinetobacter species in a Tertiary Care Hospital in India. The Journal of Infection in Developing Countries, October 2012.

37 Thank you

38 SIGNATURE AND GREETINGS OF MAHATMA GANDHIJI

39 Phase I: Phase II: 9 cluster are surveyed out of 18 clusters
2531 population was Examined 13 Cases case were found. NCDR= per 10000 Phase II: 3702 population was Examined 13 Cases case were found. NCDR= per 10000 Adult Child Total Paucibacillary (PB) 6 3 9 Multibacillary (MB) 4 Adult Child Total Paucibacillary (PB) 6 3 11 Multibacillary (MB) 2


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