ABSTRACT
OBJECTIVES: The objectives of this study are to collect demographic data of survivors for assessing the related common disease, to identify steps in implementation of essential preventive and curative care for flood survivors and to develop health care model for super flood disaster preparedness in Indus valley areas
STUDY DESIGN: It was a cross sectional descriptive Epidemiological Study /survey. Date was collected through structured and designed proforma. This proforma was tested. 4[tth] year MBBS students were filling proforma and survey work supervised by Faculty of department of Community Medicine and public health sciences and LUMHS clinical faculty members. The study was conducted on survivors and internally displaced people [IDPs /survivors] during super Indus river flood in August and September 2010 to observe and evaluate the role of medical university for the preventive and curative health services for flood victims to reduce the morbidity, mortality and miseries in disaster times
PLACE OF STUDY: The flood victim camps on both sides of Indus river bank from Sehwan to Kotri covering districts Dadu, Jamshoro, Matiari and Hyderabad and also tent cities at Sehwan, Sabzi Mandi Hyderabad and Ghulshan-e-Shahbaz Jamshoro
DURATION OF STUDY: 8[th] August 2010 to 31st December 2010
RESULTS: Total 161700 Flood Survivors were provided health care by LUMHS medical teams, Faculty consultant, Doctors, Students and Paramedics through organizing free medical camps in tent cities and mobile camps. There were 113190 [70%] Female survivors and 48510 [30%] were Males survivors. The health teams provided curative care to 59500 [36.79%] and preventive care to 102200 [63.21] super flood survivors. Ten thousands were sheltered at the land of LUMHS campus and tent city. The common diseases were Diarrhea [21%], ARI [16%], Malaria [07%], Skin Diseases [17%], Eye Infections [08%], Ear Infections [04%], Malnutrition [15%], Injuries [02%], Sleep Disorders [0,5%], Heat Stroke [0.3%], Dog Bite [0.1%] and Unspecified [0.1%]
CONCLUSION: Flood survivors need preventive and curative care. The medical university can directly provide emergency health care and can contribute human resources comprising Faculty, Doctors, Students and Paramedics. 161700 were beneficiaries of LUMHS developed health care model which is one of the indigenous and successful model for future flood disaster preparedness in Pakistan. The WHO acknowledged LUMHS services for flood victims. Professor Noshad Ahmed Shaikh, Vice Chancellor, Liaquat University of Medical and Health Sciences, Jamshoro supervised and visited camps regularly
ABSTRACT
Objective: to document changing trends in deliberate self-poisoning in patients admitted in intensive care unit of Accident and Emergency [A and E] Department of Liquate University Hospital Hyderabad
Design: descriptive Retrospective
Setting: intensive care unit of A and E Department at Liquate University Hospital Hyderabad from January to December 2008
Methods: medical records of 236 patients of poisoning admitted in intensive care unit of A and E Department at Liquate University Hospital Hyderabad from January to December 2008 were reviewed; relevant data like history and clinical finding were collected and analyzed
Results: during study period, 236 patients of poisoning were admitted in intensive care unit of AandE Department at Liquate University Hospital Hyderabad. The mean age was31.24+/-10.72, females were 130[55.08%] and males were 106[44.91%], poisoning observed was common [44.49%] in age group 20-30 years. The changing trend was more towards suicidal 160[67.79%] than accidental 76[32.20%]. The drugs used for poisoning were organophosphate [73.30%], benzodiazepines [14.40%], powders [rat killer/ anti lice] [7.62%] and oil [phenyl, kerosene] [4.66%]. The fatal outcome was [9.32%] and the survival rate was [60.67%]. The route / exposure of cases by ingestion was 160[67.79%], by inhalation 50[21.18%] and topical 26[11.01%]
Conclusion: this study shows marked decline in the use of benzodiazepines and other agents as compared to organophosphate poisoning which shows increase in their usage resulting in changing trends of poisonous agents. The reasons of this change were due to easy availability of the toxic agents over the counter. Preventive measures are to be taken to stop the easy availability of these toxins by appropriate legislation. Awareness and education to the people is recommended to avoid such mishaps
ABSTRACT
Alcoholism is drinking alcoholic beverages at a level that interferes with physical health, mental health, and social, family, or job responsibilities. The use of alcoholic beverages is very common in western society. To examine alleged alcoholic intake with the objective to assess whether clinical evaluation is sufficient to declare the case as positive for alcoholism. The study includes examination of 100 cases in the office of additional Police Surgeon GMMC Hospital Sukhur over a period of 01 year from January 2009 to December 2009. All the subjects were males and they were 16 - 35 years of age. All the cases belonged to Sukhur city. Majority were from labour class [40%] and followed by business community, and others. Among them 95% were Muslim. Clinically 85% were positive but laboratory tests showed 70% positive cases in 5% the report was misplaced or pilfered. We found that laboratory confirmation should be done before declaring the cases positive; to avoid the pilferage of samples they should be sent to laboratory through proper and fool proof mechanism