EPI status under one year children and their mothers attending paediatric department sheikh zayed medical college and hospital, Rahim Yar Khan

To determine the EPI status in children <1 year of age and the status of Tetanus immunization in their mothers attending paediatric department. This will help us to determine the facts and figures in our population and to construct a plan to improve the vaccination status. Cross-sectional analytical study This study was conducted at the Department of Paediatrics, Sheikh Zayed Medical College and Hospital, Rahim Yar khan from April 2011 to July 2011. In the study 492 consecutive children whether admitted in the ward or visited in Paediatric OPD and their mothers were inquired about EPI status in ttie child and the status of Tetanus immunization in their mothers, strictly following the inclusion and exclusion criteria. Out of 492 patients, we have found three groups. Group 1 includes those children who were unvaccinated. Group 2 includes those children who were incompletely vaccinated. Group 3 include those who were completely vaccinated according to EPI schedule. Similarly three groups were found in mothers. Group 1 includes those who were unvaccinated. Group 2 includes incompletely vaccinated ladies. Group 3 include those who were completely vaccinated according to EPI schedule. In our study, we found that EPI status is very poor in our low socioeconomic and illiterate population. Those people living in peripheries and remote areas are particularly not properly following the EPI programme

External abdominal hernias

To document our experience of external abdominal hernias at Rahim Yar Khan Design: A descriptive study. Place and Duration: This study was conducted in Surgical Unit-II of Sheikh Zayed Hospital, Rahim Yar Khan from May, 2002 to August, 2002. Patients And All patients admitted with the diagnosis of external abdominal hernia were registered for the study. History, Clinical presentation and relevant investigation were recorded. Commonest type of external abdominal hernia was the inguinal hernia [65%]. Second commonest was paraumbilical hernia [16%]. Third in series was incisional hernia [8%]. Remaining varieties, in descending order were umbilical [5%], ventral [3%], epigastric [2%] and fatty hernia of linea alba [1016]. Most of the findings were similar to those found in other parts of the country except that in our study no adult male suffered from ventral, epigastric or umbilical hernia. Complications were very low and no case of femoral hernia was seen