2. Water Borne Diseases State Conclave Igatpuri, Nashik 22 & 23 MAY 2014 Jt. Director of Health Services (Malaria, Filaria & Waterborne Diseases) Pune-1

3. Year wise Comparison of Waterborne Outbreaks Sr.No.Disease 20112012 20132014 Up to 21.05. 14 OADOADOADOAD 1Gastro311801652207514 237995 33860 2 Diarrhoe a 31237114927154 45202182660 3Cholera4291243370 155666151 4 Vir. Hepatiti s 17742320633742 123333 61360 5 Typhoid 4132211580 00023671 6 Leptospi rosis 8912021666 12429000 State Total1765457351321162866 107376131 149602

4. Timeliness of Reporting

5. Gastro Diarrhoea Cholear Typhoid Viral Hepatitis Water Borne Diseases’ Outbreaks – 2014

6. Typhoid Death in Rajgurunagar Cholera Death in Udgaon Shirol WBD Deaths Maharashtra 2014

7. Ikk.Ah uequs rikl.Ah Xkks"kokjk ekgs &,fizy 2014 e/;s riklysys ik.Ah uequs & 82253 nqf"Ar vk<Gysys ik.Ah uequs & 9040 nqf"Ar ik.Ah ueqU;kaph VDdsokjh & 11 VDds

8. % Water Contamination ( > State Average) 2 1

9. % Water Contamination ( < State Average) 1 3 2 3 1 1

10. Division Wise % Water Contamination

11. fCyfpax ikoMj miyC/Ark Xkks"kokjk (,fizy2014) jkT;krhy,dw.A xzkeiapk;r & 27895,dw.A xkos & 41683 fCyfpax ikoMj miyC/A vlysY;k xkokaph la[;k & 40814 fCyfpax ikoMj fujad vlysY;k xkokaph la[;k & 869 fCyfpax ikoMj fujad vlysY;k xkokaph VDdsokjh & 2VDds

12. fCyfpax ikoMj miyC/A ulysY;k xkokaph VDdsokjh

13. fCyfpax ikoMj uequs rikl.kh vgoky (,fizy 2014) jkT;krhy,dw.A fCyfpax ikoMj uequs fo'ys"k.k & 5376 20 VDds is{kk Dyksfju izek.k deh vlysys uequs & 459 deh xq.koRrk vlysY;k ueqU;kaph Vddsokjh & 9

14. % Substandard TCL (April 14) Urban Areas – Pune – 50 % Wardha – 14 % Beed – 10 %

15. Rural Verses Urban Quality Monitoring – April 2014 Quality CheckRural Samples Urban Samples Water53,11929,134 TCL5,272104

16. Sanitary Survey – Oct 2013

17. Role of DHO Water Quality Monitoring – 1. Surprise checks 2.Training of Jalsurakshak Technical inputs to improve Water quality Conduct Sanitary Survey – Biannually 1. 1-30 April 2. 2 Oct – 30 October

18. Actions After Sanitary Survey Within 15 days – Block level meeting of all Sarpanch & Gramsevak with RED & YELLOW cards to decide timeline to improve water quality. Preventive measures for all HIGH & MEDIUM risk sources within ONE MONTH. Discussion of Sanitary Survey Results at all levels – Village to GB ZP. Punitive Actions – 1. GP with RED card for consecutive two times not eligible for govt incentives till rectification. 2. Gramsevak not taking appropriate action within 1 month – Will lose one increment.

19. Swine Flu Situation

20. Leptospirosis Situation 16 Positive cases from state. MCGM -14 Thane & Ratnagiri – 1 each. No mortality. Need to gear up surveillance. Number of samples tested are not up to mark in Raigad (0), Ratnagiri (5) & Thane ( 1) as compared to Sindhudurg (560) & MCGM (2310)

21. Thanks…! 1/22/2016