PROVINCIAL ASSEMBLY OF SINDH
HEALTH DEPARTMENT
LIST OF STARRED ASSEMBLY QUESTIONS AND ANSWERS FOR
MONDAY THE 04TH MAY, 2015.
*557. MS. NUSRAT SEHER ABBASI: Will the Minister for Health be pleased to state:-
(a) Is it a fact that starch oil, washing powder, urea and hair removing powder are being mixed in milk and users of such milk are falling in paralysis, cancer, hepatitis c and other diseases;
(b) Whether mobile testing laboratories exist;
(c) If answer to (b) above be in the affirmative, functions of the same?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) It is not a fact. As per previous analysis reports of milk no such adulterants were detected from limits of Food Laboratory, Karachi, Hyderabad and Sukkur @ Rohri.
(b) No such facility is available in the entire Province.
(c) Not applicable.
*584. MS. NUSRAT SEHER ABBASI: Will the Minister for Health be pleased to state:-
(a) Is it a fact that due to gastro disease virus number of patients have increased over 100 in Khairpur hospitals;
(b) If answer to (a) above be in the affirmative, the steps taken by the government to control it?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) Yes. It is a fact.
(b) Advisories regarding preparedness of Gastroenteritis was circulated by the Government across the Province. The salient features of such advisories are here as under:
(i) Health Awareness in community regarding personal hygiene through Health Education Officers, Lady Health Workers etc.
(ii) Provision of safe drinking water & adopting boiling techniques.
(iii) Avoiding uncovered, over ripe & rotten fruits/Vegetables & other eatables.
(iv) Proper disposal of waste material.
(v) Stock piling of necessary drugs.
(vi) Availability of ambulances, necessary staff and beds in case of outbreak/emergency.
(vii) Timely reporting for taking prompt and early actions.
*589. MS. NUSRAT SEHER ABBASI: Will the Minister for Health be pleased to state:-
District-wise number of children died of deadly disease measles last year along with the steps taken by the government to eradicate the same?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The detail is as under:
Sr.
|
District
|
No. of Deaths in 2012
|
1.
|
Karachi
|
15
|
2.
|
Hyderabad
|
01
|
3.
|
Matiari
|
02
|
4.
|
Tando Muhammad Khan
|
03
|
5.
|
Tando Allahyar
|
00
|
6.
|
Thatta
|
04
|
7.
|
Badin
|
00
|
8.
|
Dadu
|
19
|
9.
|
Jamshoro
|
01
|
10.
|
Mirpurkhas
|
00
|
11.
|
Umerkot
|
00
|
12.
|
Tharparkar
|
00
|
13.
|
Sanghar
|
01
|
14.
|
Sukkur
|
33
|
15.
|
Ghotki
|
12
|
16.
|
Khairpur
|
16
|
17.
|
Shaheed Benazirabad
|
03
|
18.
|
Naushero Feroze
|
03
|
19.
|
Larkana
|
22
|
20.
|
Kamber
|
21
|
21.
|
Shikarpur
|
32
|
22.
|
Jacobabad
|
13
|
23.
|
Kashmore
|
08
|
|
Total
|
209
|
Steps taken by Government
1. Sensing the situation, the Health Department started crash program immediately in eight initially affected districts of Northern Sindh viz Ghotki, Sukkur, Shikarpur, Jacobabad, Kashmore, Khairpur, Kambar Shahdadkot and Larkana and later on vaccination campaign extended in rest of the districts to cover the target population 2,901,332 (09 months to 10 years), irrespective of their immunization status.
2. In this regard, up to April 2013, total 6217980 children have been vaccinated through 1485 fixed sites and 385 mobile teams in all the districts of Sindh.
3. The then Minister Health, Secretary Health, DG Health Sindh and other officers of Provincial Health Department personally Monitored the campaign throughout the province.
4. Provincial Control room at DG Health Office and district control rooms at respective District Health Office were established for effective coordination among all stake holders; prompt reporting of cases/deaths, early decision.
5. Health education sessions held through health education officers, nutritionists, LHWs and other health staff.
6. To keep vigilant eye on the situation and on delinquent health staff, the then Minister Health, Secretary Health and DG Health performed random visits across the province.
7. Under their command, the Health Department strived hard to manage the epidemic.
8. Vitamin ‘A’ supplementation given to all suspected cases in order to reduce morbidly and mortality.
9. Disciplinary proceedings were initiated against many officers of Health Department, who showed slackness/delinquency in control of measles.
10. Second dose ‘Immunization Activity’ for Measles Elimination’ done in November, 2013 in the Province.
*1865. MR. MUHAMMAD RASHID KHILJI: Will the Minister for Health be pleased to state:-
Number of government hospitals of Sindh where ICU and CCU facilities are available as well as number of hospitals for which proposal/project of ICU and CCU has been placed in budget of new financial year?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
Available ICU/CCU
Ø In 15 Government Hospitals both ICUs and CCUs are available.
Ø In 02 Government Hospitals only ICUs are available.
Ø In 06 Government Hospitals only CCUs are available.
Proposed ICU/CCU
Ø For 19 Government Hospitals proposals for both ICU and CCU have been placed in new financial year.
Ø For 18 Government Hospitals proposals for only ICU have been placed in new financial year.
Ø For 04 Government Hospitals proposals for only CCU have been placed in new financial year.
*1877. MR. MUHAMMAD RASHID KHILJI: Will the Minister for Health be pleased to state:-
District-wise number of centers for the treatment of patients established under Hepatitis Control Program?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The detail is as under:-
S. No.
|
District
|
No. of Health Centers
|
1.
|
Karachi
|
10
|
2.
|
Hyderabad
|
05
|
3.
|
Matiari
|
02
|
4.
|
Badin
|
03
|
5.
|
Tharparkar
|
01
|
6.
|
Tando M. Khan
|
01
|
7.
|
Dadu
|
03
|
8.
|
Jamshoro
|
03
|
9.
|
Larkana
|
02
|
10.
|
Kambar Shahdadkot
|
01
|
11.
|
Sukkur
|
02
|
12.
|
Khairpur
|
02
|
13.
|
Tando Allah Yar
|
01
|
14.
|
Thatta
|
02
|
15.
|
Ghotki
|
02
|
16.
|
Kashmore @ Kandhkot
|
01
|
17.
|
Jacobabad
|
01
|
18.
|
Shikarpur
|
02
|
19.
|
Sanghar
|
03
|
20.
|
Umerkot
|
01
|
21.
|
Mirpurkhas
|
01
|
22.
|
Nausheroferoze
|
03
|
23.
|
Shaheed Benazirabad
|
03
|
Total
|
55
|
*1878. MR. MUHAMMAD RASHID KHILJI: Will the Minister for Health be pleased to state:-
Procedure of posting of doctors in government hospitals, whether doctors are posted in the backward areas belonging to that district?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The doctors are posted according to sanctioned strength and as per vacancy position in each government’s hospital. However, while posting doctors in backward areas preference is given to those having domicile of that district.
*2107. MS. HEER SOHO: Will the Minister for Health be pleased to state:-
Date of starting hepatitis program and number of patients benefited in Sindh along with funds allocated for this program?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The date of starting of program is January 2009. So far 169,439 patients have been benefited from the program. The break-up is as under:-
Patients completed treatment
|
143,210
|
Patients under treatment
|
26,229
|
Since the inception of program the allocation (as per PC-I) and releases in million are mentioned as under:-
|
2008-09
|
2009-10
|
2010-11
|
2011-12
|
2012-13
|
2013-14
|
Allocation
|
720.00
|
977.689
|
1006.498
|
1000.404
|
1180.215
|
1214.694
|
Releases
|
719.983
|
846.47
|
880.00
|
999.649
|
778.718
|
1000.00
|
*2191. MR. KHURRAM SHER ZAMAN: Will the Minister for Health be pleased to state:-
Number of cases of all types of hepatitis disease diagnosed at the government hospitals/ dispensaries of Karachi during 01-01-2011 to 31-12-2013 along with the name of hospital/ dispensaries?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The detail is as under:-
S. No.
|
Sentinel Site
|
Total Number of Patients
|
HCV
|
HBV
|
HDV
|
1.
|
Sindh Government Hospital, New Karachi.
|
441
|
7
|
0
|
2.
|
Sindh Government Hospital, Liaquatabad.
|
1068
|
102
|
0
|
3.
|
Sindh Government Hospital, Saudabad.
|
1805
|
219
|
0
|
4.
|
Sindh Government Lyari General Hospital.
|
2305
|
50
|
0
|
5.
|
Abbasi Shaheed Hospital Karachi.
|
649
|
21
|
0
|
6.
|
Sindh Government Qatar Hospital.
|
1484
|
61
|
8
|
7.
|
Civil Hospital Karachi.
|
2566
|
123
|
0
|
8.
|
Sindh Government Hospital Korangi-5.
|
520
|
69
|
5
|
9.
|
RCH Old Thana Gadap Town Malir.
|
622
|
28
|
0
|
10.
|
Sindh Government Leprosy Center Manghopir, Karachi.
|
341
|
123
|
0
|
Grand Total
|
11801
|
803
|
13
|
*2235. DR. SEEMA ZIA: Will the Minister for Health be pleased to state:-
Number of lady doctors at present posted at BHUs and Civil Hospital, Hyderabad?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The detail is as under:
Sr. No.
|
Place
|
No. of Lady Doctors
|
1.
|
Liaquat University Hospital, Hyderabad
|
BS-17=48
BS-18=66
BS-19=44
Total=158
|
2.
|
BHU Latifabad No. 10, Hyderabad
|
02
|
3.
|
BHU/UHU Latifabad No. 11, Hyderabad
|
03
|
4.
|
BHU Liaquat Colony, Hyderabad
|
01
|
5.
|
BHU American Quarter, Hyderabad
|
02
|
6.
|
BHU Machee para Hyderabad
|
01
|
*2236. DR. SEEMA ZIA: Will the Minister for Health be pleased to state:-
(a) How many women has expired during pregnancy/deliveries in district Khairpur during 2012-13?
(b) Give details of number of BHU-Maternity clinics in district Khairpur?
(c) Kindly give the reason and the cause of the above mentioned deaths?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) Women expired during 2012=48
Women expired during 2013=62
(b) Number of BHU =83
Number of Mat. Homes =04
(c) Reasons of above mentioned death
Ø Ante partum haemorrhage
Ø Post partum haemorrhage
Ø Obstructed labor
Ø Pre-eclampsia and eclampsia.
*2237. DR. SEEMA ZIA: Will the Minister for Health be pleased to state:-
(a) Number of Hepatitis A, B and C patients reported in the province particularly in district Khairpur during 2010-2013;
(b) Is it a fact that they were provided treatment at each BHU, Taluka hospital and dispensary in district Khairpur;
(c) If answer to (b) above is affirmative, the details thereof?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) The patient of hepatitis are being vaccinated/diagnosed/treated in the province through Hepatitis Prevention & Control Program, Sindh (Chief Minister’s Initiative).
Hepatitis ‘A’ is a self limiting disease, hence no particular treatment is offered against it, therefore, date of such patients is not maintained.
However, Hepatitis ‘B’ & ‘C’ patients are being managed through above said Chief Minister’s Initiative which follows fiscal year instead of calendar year.
District-wise number of Hepatitis ‘B’ & ‘C’ patients who reported in the province (including Khairpur) from 2010 to June 2014 is mentioned here as under:
S. No.
|
District
|
No. of patients under treatment
|
No. of patients completed treatment
|
Hep. C
|
Hep. B
|
Hep. D
|
Hep. C
|
Hep. B
|
Hep. D
|
1.
|
Karachi
|
1230
|
643
|
01
|
14112
|
404
|
19
|
2.
|
Hyderabad
|
1067
|
162
|
04
|
7842
|
354
|
27
|
3.
|
Matiari
|
286
|
45
|
04
|
1232
|
78
|
02
|
4.
|
Badin
|
295
|
219
|
00
|
2408
|
307
|
00
|
5.
|
Tharparkar
|
68
|
17
|
00
|
169
|
32
|
00
|
6.
|
T.M. Khan
|
267
|
107
|
00
|
1764
|
43
|
01
|
7.
|
Dadu
|
1580
|
489
|
41
|
3747
|
257
|
20
|
8.
|
Jamshoro
|
516
|
96
|
80
|
7926
|
157
|
26
|
9.
|
Kambar
|
343
|
52
|
69
|
3493
|
910
|
567
|
10.
|
Sukkur
|
300
|
140
|
20
|
2482
|
130
|
66
|
11.
|
Khairpur
|
278
|
320
|
121
|
6200
|
2100
|
792
|
12.
|
T.A.Yar
|
728
|
20
|
00
|
3679
|
292
|
00
|
13.
|
Thatta
|
145
|
176
|
00
|
2442
|
56
|
00
|
14.
|
Ghotki
|
2921
|
421
|
119
|
6538
|
204
|
136
|
15.
|
Kashmore
|
56
|
17
|
39
|
438
|
153
|
141
|
16.
|
Jacobabad
|
191
|
61
|
11
|
5045
|
681
|
190
|
17.
|
Shikarpur
|
140
|
66
|
64
|
3421
|
455
|
372
|
18.
|
Sanghar
|
1009
|
199
|
32
|
8521
|
688
|
130
|
19.
|
Mirpurkhas
|
111
|
259
|
00
|
4352
|
368
|
00
|
20.
|
Umerkot
|
51
|
61
|
00
|
1884
|
209
|
00
|
21.
|
Nausheroferoze
|
248
|
158
|
03
|
2785
|
268
|
23
|
22.
|
Shaheed Benazirabad
|
296
|
194
|
35
|
5114
|
1139
|
21
|
23.
|
Larkana
|
431
|
95
|
47
|
2518
|
471
|
195
|
Grand Total Province
|
12557
|
4017
|
690
|
98112
|
9756
|
2728
|
(b) No, it is not a fact. As per policy of the program BHUs/dispensaries are not involved for providing treatment to Hepatitis patients. However, tertiary level care hospitals, Civil Hospitals, District Headquarter Hospitals, Taluka Headquarter Hospitals and Rural Health Centers are providing treatment to Hepatitis ‘B’ and ‘C’ patients. There are 55 such sentinel sites in province.
In district Khairpur 02 sentinel sites and one vaccination center is working:
S. No.
|
District
|
No. of patients under treatment
|
No. of patients completed treatment
|
Hep. C
|
Hep. B
|
Hep. D
|
Hep. C
|
Hep. B
|
Hep. D
|
1.
|
Civil Hospital Khairpur
|
153
|
205
|
97
|
6004
|
2053
|
762
|
2.
|
RHC Thari Mirwah
|
125
|
115
|
24
|
196
|
47
|
30
|
3.
|
RHC Garhi Mori
|
Vaccination Center
|
(c) As stated above.
*2266. MR. KHURRAM SHER ZAMAN: Will the Minister for Health be pleased to state:-
Number of posts of nurses/medical staff presently vacant at Civil Hospital, Karachi and since when?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
Total 387 posts of nurses/medical staff are presently lying vacant at Civil Hospital, Karachi. The break up is as under:
Medical Staff
|
No. of Sanctioned Posts
|
No. of vacant posts
|
Doctors
|
378
|
134
|
Dental Surgeon
|
17
|
03
|
other
|
239
|
131
|
Total
|
634
|
268
|
Nursing Staff
|
|
|
Nursing Superintendent
|
01
|
01
|
Nursing Sister
|
40
|
09
|
Staff Nurse
|
410
|
89
|
Nurses Aid
|
117
|
20
|
Total
|
568
|
119
|
Grand Total
|
1202
|
387
|
However, dates from which these posts are lying vacant are mentioned against each at Annexure, placed on the table of the House.
*2829. MR. KAMRAN AKHTAR: Will the Minister for Health be pleased to state:-
(a) Is it a fact that there are maximum chances of spread of Congo Virus on Eid-ul-Azha;
(b) If answer to (a) above is affirmative, steps taken for its prevention?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) Yes. it is a fact.
(b) Every year, prior to Eid-ul-Azha the Health Department, Government of Sindh takes following steps to prevent its people from Congo Virus and containment of this every important public health problem.
Ø Circulates an advisory on prevention, control and laboratory testing instruction on Congo Virus infection as per current WHO guidelines among all Medical Superintendents of Hospitals and District Health Officers of the Province.
Ø Issues guidelines for the District Health Officers regarding preparedness of Congo Infection.
Ø Sends letter to Secretary Live Stock Department requesting for issuing necessary instructions to all concerned to take pre-cautionary steps such as chemical spraying on sacrificial animals or their dipping in such chemicals and other measures for control of Congo.
Ø Takes the other stake holders such as Sr. Director municipal Services, KMC, Sr. Director Veterinary Department KMC on board for suggesting and up-dating the action plan.
Publish an advertisement to aware the general public regarding knowledge of Congo Fever and taking necessary pre-cautionary measures.
*2830. MR. KAMRAN AKHTAR: Will the Minister for Health be pleased to state:-
(a) Is it a fact that large number of patients are suffering from Congo Virus in Punjab and Balochistan;
(b) If answer to (a) above is affirmative, steps taken by the government to prevent the people of Sindh from this dangerous virus;
(c) Number of vaccines provided for the same purpose;
(d) Whether any campaign started for public awareness?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) It is clarified that during last 06 years in Punjab 03, in Balochistan 302 and in Sindh 19 cases of Congo have been reported. The year wise break up is as under:
Year
|
Punjab
|
Balochistan
|
Sindh
|
2009
|
01
|
No data
|
No data
|
2010
|
Nil
|
No data
|
05
|
2011
|
01
|
115
|
No data
|
2012
|
Nil
|
37
|
05
|
2013
|
01
|
67
|
01
|
2014
|
Nil
|
83
|
08
|
(b) Every year, prior to Eid-ul-Azha the Health Department, Government of Sindh takes following steps to prevent its people from Congo Virus and containment of this every important public health problem.
Ø Circulates an advisory on prevention, control and laboratory testing instruction on Congo Virus infection as per current WHO guidelines among all Medical Superintendents of Hospitals and District Health Officers of the Province.
Ø Issues guidelines for the District Health Officers regarding preparedness of Congo Infection.
Ø Sends letter to Secretary Live Stock Department requesting for issuing necessary instructions to all concerned to take pre-cautionary steps such as chemical spraying on sacrificial animals or their dipping in such chemicals and other measures for control of Congo.
Ø Takes the other stake holders such as Sr. Director municipal Services, KMC, Sr. Director Veterinary Department KMC on board for suggesting and up-dating the action plan.
Ø Publish an advertisement to aware the general public regarding knowledge of Congo Fever and taking necessary pre-cautionary measures.
(c) So far no vaccine is available against Congo Virus.
(d) As at (b), above.
*2915. MR. SHIRAZ WAHEED: Will the Minister for Health be pleased to state:-
(a) Is it a fact that according to the Advocate General, Sindh, most of prisoners in Hyderabad, Khairpur and Larkana Jails has been diagnosed Hepatitis-C;
(b) If answer to (a) above is affirmative, causes of spread of the said disease along with preventive measures taken by the Government in this regard?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) In fact from October 2014 till 18th February, 2015 total 137 cases of hepatitis ‘C’ have been diagnosed. The breakup is as under:
Sr.
|
Prison
|
No. of Jail inmates with Hepatitis ‘C’
|
01.
|
Hyderabad
|
59
|
02.
|
Khairpur
|
71
|
03.
|
Larkana
|
07
|
|
Total
|
137
|
(b) Causes of spread of said disease is blood to blood contact of carrier/patient with normal person which may be acquired through blood transfusion, contaminated needle prick injury, sharing of razor of shaving etc.
The measures taken by the Government in this regard are:
(i) Health education and awareness sessions.
(ii) Vaccination against Hep ‘B’ virus.
(iii) About 2122, prisoners are getting treatment for Hepatitis ‘B’, ‘C’ & ‘D’.
*2947. MR. SHIRAZ WAHEED: Will the Minister for Health be pleased to state:-
The sanctioned posts of Medical Graduate Doctors in the District Headquarter Hospital, Badin as well as number of medical graduate doctors working on administrative posts in Health department in Badin district?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
The requisite information is as under:
Ø Sanctioned posts of Medical graduate doctors in District Headquarter (Civil) Hospital, Badin = 135
Ø Number of Medical graduate doctors working on administrative posts in Health Department in Badin district = 82
*2954. MR. SHIRAZ WAHEED: Will the Minister for Health be pleased to state:-
(a) Details of residential accommodation including bungalows and quarters in Civil Hospital Shikarpur along with persons using and who is using them as on 01-01-2009;
(b) Is it a fact that some of them are occupied illegally and animal pans have been setup there;
(c) If answer to (b) above is affirmative, authority responsible for it along with intention of the Government to take action in this regard?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) The detail is at Annexure, placed on the table of the House.
(b) No, it is not a fact.
(c) Not applicable.
*2982. MR. KAMRAN AKHTAR: Will the Minister for Health be pleased to state:-
(a) Whether any diabetic center is functioning in district Naushero Feroze;
(b) If answer to (a) above is affirmative, the details thereof?
ANSWER
JAM MEHTAB HUSSAIN DAHAR, Minister for Health:
(a) No any diabetic center is functioning in district Nousheroferoz.
(b) Not applicable.
Karachi:- G. M. Umar Farooq
the 30th April, 2015. Secretary
Provincial Assembly of Sindh.
|