Hindustan Times ST (Jaipur)

Now mandatory for hospitals to inform govt about malaria, swine flu, dengue patients

- HT Correspond­ent htraj@hindustant­imes.com With PTI inputs

The state government notified three diseases, malaria, swine flu and dengue, on Tuesday. By notifying these diseases, the government will now get the exact number of malaria, swine flu and dengue patients across the state as private hospitals, too, will have to inform the government once they come across such patients.

Deputy secretary Paras Chand Jain issued the notificati­on in which regulation­s were prescribed for these three diseases called Rajasthan Epidemic Diseases (Malaria, Seasonal Influenza (H1N1) and Dengue) Regulation­s, 2018.

“On getting the details, the health department can take prompt action and prevent the spread of the disease,” additional director (rural health) Dr Ravi Prakash Mathur said.

The notificati­on stated that the inspecting officer — who could be any officer of the level of senior medical officer, epidemiolo­gist, entomologi­st, medical officer, assistant malaria officer, health supervisor, health worker male/ auxiliary nursing midwife and insect collector — can be appointed by director (public health), district magistrate or the chief medical and health officer of the district concerned.

The inspecting officer will have the power to enter any premises for fever surveillan­ce, treatment, anti-larval measures, indoor residual spray and focal spray. The inspecting officer can also issue a notice to the owner or the occupier of any place where there is water-logging and mosquitoes breed or likely to breed and ask to take measures. If the person on whom the notice is served fails or refuses to action, the officer may take them and then recover the cost along with service charges from the owner or occupier of the property.

Dr Mathur said that when doctors in government health institutio­ns and the registered medical private practition­ers of private hospitals/clinics get a patient with fever, they need to suspect it as a case of malaria during the transmissi­on period. All government health institutio­ns shall test malaria by microscopi­c examinatio­n of the blood slide prepared from the capillary sample, while private hospitals and laboratori­es should do a microscopi­c examinatio­n of blood slide for malaria testing. Wherever, rapid diagnostic test is done, it has to be antigen-based RDT.

The doctors in government and private health institutio­ns will have to immediatel­y inform about suspected cases of malaria, seasonal influenza and dengue to the chief medical and health officer of the concerned district.

The notificati­on has clearly mentioned that dengue cases should be tested by ELISA (Enzyme-Linked Immunosorb­ent Assay) technique and use of rapid diagnostic kit for malaria and dengue is not recommende­d by NVBDCP due to its low sensitivit­y and specificit­y.

A fine of ₹500 will be imposed on those who disobey any of the provisions of these regulation­s, order or requisitio­n or obstruct measures that are required to be taken by the government for the three diseases or other vectorborn­e diseases.

JAIPUR:

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