Emergency Preparedness Status in Maharashtra(IEAG July11) Dr D S Dakhure Director(H&FW-MH)
Maharashtra • Part I Epidemiological risk in Maharashtra • Part II Emergency Preparedness & response Plan (EPRP)
Part I WPV importation and Transmission risk in Maharashtra
Maharashtra is the second most populous state after Uttar Pradesh and third largest state by area after Rajasthan & Madhya Pradesh in India. It is the richest state in India- MIGRATION RISK- PULL MIGRATION
Risk factors-Maharashtra • High urbanization • High migration (inter/intra state) • Booming construction industry • Slums • Seasonal migrants (sugar cane cutters-Beed) • Past history of WPV importations/ transmission
MAHARASHTRA WPV Cases – 2010 & 2011* P1 Wild Case - 5 IdcodeDonset 1) MH-NSK-10-201 10/01/2010 Mohd. Kasim Asrar Ahmad – 12 months 2) MH-NSK-10-217 21/07/2010 Sultan Shaikh Akil – 24 months 3) MH-NSK-10-220 24/08/2010 Altmish Anjum Siraj Ahmad – 10 months 4) MH-NSK-10-221 10/08/2010 Fareeha Mohd. Ibrahim – 22 months 5) INDMHOBD10017 16/09/2010 Raj Kiran Ade – 10 months
High Risk Wards in Mumbai 9 High Risk wards in Mumbai on highest priority for SIA & Surveillance
Additionally ….. • Industrialized areas of Thane (Bhiwandi) & Raigad are at high risk of WPV transmission due to: 1) High MIGRATION 2) Construction workforce from endemic states of UP, Bihar & West Bengal) 3) Slums with migration
Part II Emergency Preparedness & response Plan (EPRP)-MH status
State Emergency Preparedness & Response Group – Maharashtra formed • Preparatory meeting was held in 3rd week of Apr.11 in Pune with Addl Director and SEPIO to finalize names of RRT team members for high risk areas. • EPRP meeting was held on 7th May 11 at Arogya Bhavan Mumbai under chairmanship of Director (H&FW)
EPRP-Maharashtra • EPRP meeting was conducted under chairmanship of Director-H&FW,MH with officials from all high risk areas :Mumbai, Malegaon Bhiwandi, Thane & Nasik districts. • All members of core team were explained in detail about EPRP • Senior experienced officials from state are identified as RRT members
EPRP-Maharashtra • They are assigned all pre-identified high risk areas. • Senior state officials from HQ are designated as state supervisors for RRT members.
Special Plan for strengthening Routine Immunization in Malegaon Corporation • Deployment of PHNs and ANMs to Malegaon Corporation to manage RI • Has shown good results • Out of 2790 RI sessions planned 2730 (98%) conducted
Summary • Mumbai/ Thane followed by Malegaon are highest risk areas for WPV transmission • Maharashtra is fully committed to implement Emergency Preparedness Response Plan • SIA preparedness meetings of all key officials from high risk areas are conducted before each SIA • Regular reviews at highest level for all HIGH RISK area during/after ALL SIAs for corrective actions.
With all good wishes from Maharashtra THANK YOU