JESU ASHRAM ANNUAL REPORT 2011-2012

DARJEELING JESUITS OF NORTH BENGAL

JESU ASHRAM-MATIGARA AT THE SERVICE OF THE POOR AND DESTITUTE SICK

Jesu Ashram is a community health care centre in Matigara instituted by the Society of Jesus. It is a registered society under the West Bengal Societies Registration Act –1961. It was founded by Rev. Brother Robert Mittelholtz SJ in 1971 at the time of India-Pakistan war. Jesu Ashram’s first house for the Tuberculosis and leprosy destitute patients was in Shanti Sadan, Gurung Busti in Siliguri town. Jesu Ashram was shifted, later on to Matigara in the bank of the river Balason.

DEPARTMENTS IN JESU ASHRAM 1. Tuberculosis Section 2. Leprosy Section 3. General Health Care Section 4. A school of junior nursing & training centre for primary health workers 5 Home for physically and mentally challenged.

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6. Community Care Centre for HIV/AIDS affected persons 7. Chetna Centre, Darjeeling More, Siliguri THE BEGINNING OF JESU ASHRAM: The aim of Jesu Ashram is to serve the poor and destitute sick. Brother Bob and his volunteers with whom he went around Siliguri Railway stations in search of poor sick people were not trained in medicine therefore they could only give medicines for headache, cold and cough. As the time went by whenever they found seriously sick they would take them to their residence and look after treat them. Within a year Brother Bob saw that he needed more space, therefore he moved out of the city to a countryside in Matigara. He built thatched houses and divided his small group into two. One group would look after the patients at Matigara and other at Siliguri. He felt the need of a female co-worker. A young girl called Miss Anna Ekka came to his rescue. She had just finished her training in nursing. She was a dynamic person. Seeing her capabilities Brother put her as an in- charge to look after the patients at Jesu Ashram, Matigara. The group at Siliguri Jesu Ashram would go around bus stand and train-station looking for poor and helpless sick people. Whenever they found such people they would send them to Matigara Jesu Ashram. Br. Bob felt it would be nice to have a nun at the place. Therefore he requested the provincial of the Daughters of the Cross and he was granted Sr. Ivana, F.C. She was from Croatia joined Jesu Ashram at the age of 60. At this age also she learnt to drive Auto-Rickshaw. She was motherly and inspiration to all. In 1972 Br. Bob shifted the whole Ashram to Matigara. Thus Matigara became into a sort of health care centre for the poor and destitute sick. In here, sick and destitute were treated with leprosy and tuberculosis and this became our priority. All those who were rejected and ostracized from their families and societies found place to stay. All those who could not get treatment for their sickness and nobody would touch them found solace in Jesu Ashram. Bro. Bob erected thatched houses for them and kept them there. Even when sick needed operation, they were operated under the plastic shade. In due course of time Jesu Ashram grew big. The thatched houses gave way to concrete buildings. Jesu Ashram multiplied its infrastructure to match the needs of the poor and destitute sick. Sr. Ivana passed away at the age of 90 in Jesu Ashram on 10/4/2002. Br. Bob had a heart problem. He too passed away at the age of 76 in Calcutta, a year later, on 20.12.2003. Fr. Julius Kujur SJ is the new Director of Jesu Ashram since year 2003.Jesu Ashram – a health care centre in Matigara continues all its activities as before in serving poor and destitute sick. The year 2011 – 2012 has been very good for Jesu Ashram. We could serve many poor and destitute sick this year too because of the generous donations of many people both national and international. Many innovative ways were explored in serving the poor…………….. !

(1) We opened up a website (www. jesuashram.org) in order to reach out to the people globally. (2) We started blogs with which people could just type jesu ashram and come to know about our activities. (3) We came up with brochure that was shared with so many people to speak about our activities. (4) We began construction of new building for the leprosy ward with SOS, India (Italy). (5) We also started cleaning and renovating general ward for better sanitation facility and health services.

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FEAST DAY CELEBRATION OF THE WARDS

All the wards of Jesu Ashram have their patron saints. St Damien of Molokai (Hawaii), Carmelite St Teresa of the Child Jesus, Jesuit St Aloysius Gonzaga and Dominican St Martin De Porres are the patron saint for the Leprosy wards, Tuberculosis wards, HIV/AIDS wards and General wards respectively. On the feast day of each of the saints the particular wards organize prayer services, entertainment program and give a brief sketch of the saint to the inmates.

BURYING UNCLAIMED BODIES In Jesu Ashram poor and destitute sick have special place. Many poor and destitute sick come here for treatment because they do not have place elsewhere. Often the advance cases cannot be dealt with and patients die in wards. Sad to say, some have no relatives coming forward to claim the deceased, so we bury them in our nearby cemetery. This year we buried 31 unclaimed bodies. LEPROSY DEPARTMENT Leprosy caused by Mycobacterium Leprae, is an age old disease which until recently affected millions of people in Asia, Africa and Latin America. Leprsoy is feared mainly because of the deformities it produces and the consequent social stigma and discrimination. The desease primarily affects the skin and peripheral nerves. It can also affect the upper respiratory tract, eyes, liver , testes, muscles and bones. Today Leprosy is no more a dreaded disease as it is curable through multidrug theraphy(MDT) and the disease is capable of being eliminated as a public health problem through organized case detection and treatment. During the past 15 years , over 14 million Leprosy patients have been cured through MDT. Through early detection and prompt treatment, over 3 million people are estimated to have been prevented form getting deformities. [ Year 2011 – 2012 has been extreme challenging for Jesu Ashram. There has been 1215 leprosy patients who came to our Out door clinic in Darjeeling More, near Siliguri. In which there were 555 Male, 55 Male Children, 537 Female and 68 Female Children patients. Our indoor spaces at the centre have been full for the whole year]

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In January we saw a laying of foundation for the new leprosy building which will give our patients better infrastructure for their treatment at the centre in near future. Certainly we shall have clean, spacious, airy environment besides all the facility within the infrastructure being built. We are indeed very grateful to SOS INDIA in Italy and Catholic Bishops Conference of Italy [CBCI) for funding us to build new leprosy ward. A portion of the old building [ male ward and opd] was demolished to give way to the new building. The male patients were shifted to the upper floor of the HIV/AIDS building in the campus. The female leprosy patients will continue to live in the old ward till the new building erected. Certainly we have certain inconveniences for the staff to serve the leprosy patients at present but we do not mind them because in a year or two we shall have the finest building in our campus for the leprosy patients.

MRS. PATRICIA BIANCONI PRESIDENT SOS INDIA ITALY

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VIEW OF OUTDOOR CLINIC IN DARJEELING MORE, SILIGURI

WEEKLY LEPROSY OUTDOOR CLINIC SR. JOSEPHINE & STUDENTS IN LEPROSY OUT CLINIC DR. BISWAS IN LEOPROSY OUT DOOR CLINIC

DATA OF OUTDOOR LEPROSY CLINIC

M =MALE, F =FEMALE, MC =MALE CHILD, FC =FEMALE CHILD RFT =RELEASED FROM TREATMENT MB =MULTI BACILLARY PB =PRIMARY BACILLARY

OD =OTHERWISE DISCHARGED

M B P B M MC F FC TOTAL M MC F FC TOTAL G.TOTAL

Brought Forward 37 0 26 1 64 4 1 2 0 7 71

New 59 5 40 5 109 14 1 11 1 27 136 Reappeared 3 2 0 0 5 0 3 0 4 7 12

Relapsed 2 0 2 0 4 0 0 0 0 0 4 Total 101 7 68 6 182 18 5 13 5 41 223

RFT 25 0 16 3 44 8 1 6 0 15 59

Otherwise Discharge 10 0 13 0 23 4 0 6 2 12 35

Total 35 0 29 3 67 12 1 12 2 27 94 Total Balance 66 7 39 3 115 6 4 1 3 14 129

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ORGANIZING BLOOD TRANSFUSIONS

Some patients from Jesu Ashram are referred to Medical College Hospital. Some requiring blood transfusions had no relatives able to give the required blood. Jesu Ashram had to organize the required transfusions. REUNION

Kancha, a dumb and illiterate man, now 35 years old was lost from his family 25 years back. Falling ill he was brought to Jesu Ashram for his treatment by some good Samaritans who did not know much about him. While he was here some patients guessed that he is Kancha. So his family members were informed. People from the family came to see him and found that he is their long lost brother. They took him home with joy and are seeing to his medication.

NURSING STUDENTS

In the year 2011, 16 nursing students joined for the community health training programme and 6 students were promoted to 2nd year. 10 nursing students completed two years of training and a year of experience. The first year students were given a 3 months crash course in English and initiated into nursing training. The second year students went for a month long exposure programmes in a nearby Super Specialty hospital, and a government primary health Centre. These exposure programmes are very enriching experiences. Of the students who completed their 2 year training 4 are working in Jesu Ashram and 6 are working elsewhere. It is good to know that all are gainfully employed.

1ST YEAR NURSING STUDENT 2ND YEARS NURSING STUDENTS 3RD YEARS STUDENTS GRADUATED

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DR. ANAND TEACHING THE STUDENTS SR. CRECENCIA HELPED IN TEACHING SR. ASUMPTA TEACHING

BIOPSY OF THE LEPROSY PATIENTS

Several Leprosy Patients in our outdoor clinic were not responding to the normal Leprosy Medicine. To help these patients on 19 April 2011 biopsy was taken from 8 patients under the guidance of Dr. N. Biswas and sent to Agra for the sensitivity test for Leprosy.

SUCCESSFUL STORY OF JESU ASHRAM Many people get better and many are healed here. Kusum and Prem are two such patients. Kusum came with traction bandages and unable to sit-down comfortably. She progressed very slowly and steadily. Now, though she is still under treatment , she is able to walk by herself.

KUSHUM’S 1ST WEEK IN JESU ASHRAM 7 MONTHS LATER KUSHUM A YEARS LATER KUSHUM

Prem came to out-door Leprosy clinic with highly pigmented cheeks.. Now with regular treatment he is released from Treatment. It will be hard for people to notice any thing unusual in his looks.. He has completed the course of Leprosy medicine.

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REENA AFTER HEART SURGERY

FIRST VISIT TO LEPORSY CLINIC AFTER TWO MONTHS OF MEDICINE AFTER 6 MONTHS OF TREATMENT

HELP OUT SIDE JESU ASHRAM

Reena, 17 years old girl studying in class IX had a breathing problem for several years. A medical check up revealed a serious heart problem.. Heart surgery was advised. With the help of Jesu Ashram she had heart surgery in South India Chennai (Madras) 16.7.11. In another case helped by Jesu Ashram a four year child had a tumor on his spine. Surgery was required and he was referred to Velour Christian Medical College. Similarly a breast Cancer, a child without rectum, and an advanced Leprosy case were helped for surgery out side Jesu Ashram. Another 12 year old girl was helped partially in investigations and heart surgery.

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SANJANA AFTER PLASTIC SURGERY

LEPROSY SURVEY A three day Leprosy Survey in May was conducted, by Second year nursing students and staff from Jesu Ashram. They went from house to house in Bhuta Bari village. Although there were many successfully treated former patents, only three new cases were found, one of them in an advanced stage. They were all told to attend any Government health centre or visit Jesu Ashram at Matigara health care centre or Leprosy Out Door Clinic of Jesu Ashram in Siliguri. However only the advanced case came to Jesu Ashram for treatment.

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A PARALYZED LADY IS SUPPORT TO WALK LEPROSY SURVEY IN A VILLAGE TALKING TO VILLAGERS ABOUT LEPROSY

NUTRITIONAL SUPPORT Many HIV/AIDS patients of Jesu Ashram come from poor families. They have difficulties in having daily two proper nutritional meals at home. Regular intake of nutrients are very important for effective control of sickness.Three medical social workers from Jesu Ashram regularly visit our HIV/AIDS patients at their homes. Often our patients are found in heart breaking situations. Once we visited a family of three: 1(negative) and 2 mother and child(HIV positive). The father of the family committed suicide beacuase he was HIV infected. We saw that their meal consisted of plain boiled rice and salt. The reason was: no one in the family had any job for their sustenance. Mother collected stone from the nearby river and broke them with a hand-held hammer to sell them to builders so that she could at least feed her dying children. Seeing this, Jesu Ashram decided to do something for the children of such families. Jesu Ashram started nutritional support to the HIV infected children on 04.06.2011 on a monthly basis. To collect their nutritional support, parents or guardian have to bring their children to Jesu Ashram. The children are examined by the Doctor every month on a regular basis. 30 such children are being supported in this programme now.

Waiting for Nutritional Support Dr. Hom reviews a child’s status Children’s medicine collected for a

month

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ADDITION AND DEDUCTION IN THE WORK FORCE

To make the work of Jesu Ashram more effective Fr. Alvin Minj, SJ was appointed as an Assistant Director on 1.6.11. Dr. Paul discontinued his services to Jesu Ashram. A little later a retired army doctor Dr. Anand Ramesh joined Jesu Ashram. It was so unfortunate that this year we lost our beloved Dr. Sadhya because of his cardiac arrest. May his Soul rest in peace

LATE DOCTOR SADHYA

IN FRONT / LEFT TO RIGHT: DR. ANAND, DR. DUTTA, DR. SADHYA BEHIND/ LEFT TO RIGHT : FR. JULIUS DIRECTOR, DR. HOM, DR. N.BISWAS

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AWARENESS PROGRAM

Jesu Ashram believes that along with the treatment of patients, awareness of preventive measures is very much needed.. Therefore a team consisting of staff and nursing students go out to villages and schools showing movies and power point presentations on Malaria, Kalaazar, Leprosy, Tuberculosis, and HIV/AIDS. Awareness programmes were held in the following places.

NAME OF THE CENTRES WHERE AWARENESS PROGRAMMES WERE CONDUCTED

FROM APRIL 2011 TO FEBRUARY 2012

SL.NO. DATE CETRE NO. OF PARTICIPANTS

1 22.4.11 Simulbari Church Campus 200

2 20.6.11 Krantihat 300

3 14.7.11

Hathighisa St. Vencent De Paul School 600

4 28.7.11 Matigara Suktigodwan 100

5 6.8.11 Puspika Girls high school 550

6 26.8.11 St. Capitanio Nagrakata 500

7 26.8.11 St. Mary’s School Nagrakata 500

8 4.8.11 Hathighisa CHAI Gathering 600

9 22.10.11 St. Peter’s High School 300 10 21.11.11 Jhariline Gayaganga 250

11 1.12.11 Girmit line Gayaganga 350

12 13.12.11 Toona 6 Gayaganga 300

13 18.2.12 Maitri Bhawan Matigara, 60

Total Participants 4610

of preventive measures is very much needed.of preventive measures is very much needed.

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AWARENESS PROGRAMME IN A VILLAGE AT NIGHT

HEALTH

AWARENESS PROGRAM

IN THE

VILLAGES AND

SCHOOLS.

HEALTH

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AWARENESS PROGRAMME IN A SCHOOL IN HATIGHISA

AWARENESS PROGRAMME IN PUSHPIKA GIRLS SCHOOL - MALBAZAR

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HEALTH AWARENESS

PROGRAMME IN KRANTI HAAT

CHURCH

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BETTER FACILITIES

SOS India (Italy) has always been very kind. It has given an electric washing machine to each section for the clothes and bed sheets of the patients, large screen television sets to General wards and Leprosy wards and one water filters for drinking water for all four sections. FOUNDATION FOR A NEW BUILDING IN LEPROSY SECTION

The foundation for the new Leprosy building was laid by Patrizia Bianconi, (the president of “SOS India”, based in Turin, Italy), on 30th Jan 2012. It is being sponsored by the :SOS India”. This new building will have 100 beds for patients with dinning hall, recreation hall, Operation theater, kitchen, etc. Beside supporting for day today running of Jesu Ashram for 10 years SOS India has sponsored three construction projects in four years, namely; academic section for nurses, HIV/AIDS and new building for Leprosy patients (underway).

HEALTH AWARENESS PROGRAMME AT SUKTI GODAM - MATIGARA GRAM PANCHAYAT

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Laying foundation for New Leprosy Patrizia & Fr. Provincial Peter Up coming Leprosy ward Ward

Tuberculosis section General Section

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HIV-AIDS COMMUNITY CARE CENTRE AWARENESS PROGRAMME

GONZAGA SARAI IN JESU ASHRAM

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WOUND MANAGEMENT IN LEPROSY WARD A STUDENT OF NURSING WITH LEPROSY PATIENTS

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SL.NO. DETAILS LEPROSY WARD

GENERAL WARD

TB WARD HIV-AIDS WARD

1 TOTAL NO. OF ADMISSIONS

371 1693 606 401

Male 263 775 388 260 Female 104 713 205 140 Transgender 0 0 0 1 Male Child 3 96 2 0 Female Child 1 78 11 0 Babies+ new born 0 31 0 0 Male 263 775 388 260

2 No. of patients discharged 370 1386 273 546

3 No. of referral cases 0 262 262 833

4 To NBMCH patient sent for diagnosis

1 114 431 800

5 No. of death 8 48 52 12 Male 6 32 40 10 Female 2 15 12 2 Child 0 1 0 0 Male 6 32 40 10

TERM: NBMCH = NORTH BENGAL MEDICAL COLLEGE & HOSPITAL

ANNUAL REPORT OF WARDS FROM 1ST APRIL 2011 TO 31ST MARCH 2012

DETAILSDETAILS

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BURIAL FROM DIFFERENT WARDS

DEATHS & BURIALS

LEPROSY GENERAL T.B HIV/AIDS NO. OF BURIAL IN JESU ASHRAM 2 13 13 3

NO. OF DELIVERY 0 6 0 0 LIVE 0 6 0 0 STILL 0 0 0 0

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LEPROSY GENERAL T. B. HIV-AIDS

TYPE OF SICKNESS TREATED

PLANTAR ULCER, TYPE I &II REACTION WITH NEURITIS, DIARRHEA, DYSENTERY, BONE TB, BRAIN TB, FEVER, WEAKNESS, ANEMIA, OTHER WOUNDS, SKIN PROBLEMS, DIABETES, HIGH BP

FEVER, COUGH, DIARRHEA, DYSENTERY, GASTRIC, LEUCORRHOEA, FILARIAL, ANEMIA, HEART CASE, WOUND, BURN CASE, MENTAL CASE, MALARIA, KALAAZAR, JAUNDICE, HIGH BP, ANTENATAL, PRENATAL, DIABETES, EPILEPSY, CIRRHOSIS OF LIVER, EXTRA PULMONARY.

PTB, EPTB, DIABETES, ANEMIA, JAUNDICE, PLEURISY MALNUTRITION, NIGHT BLINDNESS, EDEMA, CANCER, DYSENTERY, VOMITING, LYMPH ADEMITIS, ULCER, CELLULITIS, MERPIC, SCABIES

FEVER, COLD COUGH, CANDIDACIES, HERPES ZOSTER, KALAAZAR, BACTERIAL INFECTION, PALLIATIVE CASES, DIARRHEA, WOUNDS, WEAKNESS, ANEMIA,

TYPES OF SICKNESSES TREATED IN

JESU ASHRAM

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SL. NO LEPROSY GENERAL T.B. HIV-AIDS 1 No. of HIV patients 0 0 0 401 ART initiated 0 0 0 338 HIV and TB 0 0 0 73 Alive 0 0 0 389 Dead 0 0 0 12

2 No. of cancer 0 6 0 03 No. of Kalazar 0 25 1 1 4 No. of Malaria 0 29 1 0 PV 0 0 1 0 PF 0 29 0 0 Po 0 0 0 0 Pm 0 0 0 0

5 No. of DOTS patients 0 0 0 1

HIV/ ward no. of DOTs patients:Total 0 0 0 1

6 No. of Non DOTs patients TB 0 0 156 64

TB Pulmonary 0 0 390 39 Extra Pulmonary 0 0 45 25

NO. OF PATIENTS IN WARDS

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*DAY & NIGHT SERVICES

WARD SERVICES LEPROSY 165 GENERAL 198 TUBERCULOSIS 153 HIV/AIDS 140 OUTDOOR CLINIC 52

NUMBER OF AMBULANCE SERVICES *

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NO. OF OPD PATIENTS IN JESU ASHRAM

FROM APRIL 2011 TO MARCH 2012

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SURGICAL CASES

SL.NO. DETAIL GENERAL WARD T.B WARD LEPROSY WARD HIV-AIDS WARD 1 NO. OF

SURGICAL PATIENTS IN LEPROSY WARD

467 0 0 0

Minor 437 0 0 0 Major 30 0 0 02 NO. OF SURGERY

OUT OF JESU ASHRAM

0 4 0 0

MATTER OF CONCERN

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LEPROSY

WARD GENERAL

WARD T. B.

WARD HIV-AIDS

WARD NO. OF STAFF IN THE WARDS 5 6 5 13

NO. OF NURSING STUDENTS IN THE WARD

8 13 6 1

OTHER SIGNIFICANT ACTIVITIES

NO. OF STAFF & NURSING STUDENTS IN WARD

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JESU ASHRAM IS CATERING TO THE PATIENTS COMING FROM VARIOUS PLACES AS GIVEN BELOW

OUR BENEFICIARIES

LEPROSY WARD

GENERAL WARD

T.B. WARD

HIV-AIDS WARD

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Jesu Ashram caters free medical services to the poor and destitue sick in Matigara. It is open to all poor and destitute. A large number of sick people here are Hindus. Other fraction of sick people are Christians, Muslims and Animists.

RELIGIOUS BACKGROUND OF THE PATIENTS

50%

10%

15%

25%

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AVERGE NUMBER OF PATIENTS IN 12 MONTHS

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TOTAL NO. OF LAB TECHNICIANS: 2

Lab technicians Zacharias and MD Tasir uddin at work

LABORATORY DEPARTMENT

Laboratory has 2 very sincere and dedicated staff who conduct many tests such as Sputum test, Blood test, Blood grouping, HIV test, Malaria test, Kalazar test, Smear test for leprosy patients, Urine test, Stool test,Pregnancy test etc.

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Test Total Negative Positive

Sputum 724 652 72 Smear 239 39 200

Kalaazar 283 264 19 Malaria 578 548 30

HIV 149 135 14 Pregnancy test 15 5 10

Blood

Blood grouping 801

TC - 782 Dc - 782 ESR - 782

Urine test 58 Stool tests 25

X-Ray 312

LABORATORY TESTS FROM MARCH 2011 TO APRIL 2012

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Sl.NO. NAME 01 SOS INDIA ITALY 02 CANADA JESUIT INTERNATIONAL 03 MARIE VROMANS GUS CANADA 04 SUSUMU KEBAYASHI JAPAN 05 NICOLAS FRADIN SWITZERLAND 06 XAVIER EDUCATION SOCIETY OF NORTH BENGAL 07 MISSIONSKREIS RANKWELL, AUSTRIA 08 MISSIO P.AEP SHOSI, AUSTRIA 09 ENTWICKLUNGSHILFEKLUB, AUSTRIA 10 ALLIANZESE (THROUGH JESUITEN MISSION) AUSTRIA 11 WERNER KAMER ARNOLD, SWITZERLAND 12 JESUIT MISSION OFFICE GERMANY 13 MANOS UNIDAS SPAIN 14 MENSCHIN FUER ANDERE AUSTRIA 15 MARIKA MILLAR SWITZERLAND 16 USTHI SWITZERLAND 17 ST. JOSEPH’S SCHOOL MATIGARA INDIA 18 ST. HELENS SCHOOL KURSEONG INDIA 19 DON BOSCO SCHOOL SILIGURI INDIA 20 GOOD SHEPHERD SCHOOL, BAGDOGRA INDIA 21 UN SEN GUPTA INDIA 22 MR. CHETAN M PATEL INDIA 23 SEN BROTHERS 24 MARIE J PRVAN WENNMACHER 25 MR. ALOIS & MRS. ANNA BIDHANPALLY INDIA 26 L CHAON INDIA 27 SS AGARWAL & FAMILY, SILIGURI INDIA 28 MRS. MENA FABER29 PARISH OF CLERVAUX LUXAMBERG 30 SS ATTRI INDIA

OUR BENEFACTORS

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GRATITUDE TO ALL THE BENEFACTORS

With the support of generous benefactors, Jesu Ashram has been able to provide food, medicine, accommodation, investigation, blood, heart surgery, skin grafting, wheel chairs and crutches to many poor and destitute patients who came to Jesu Ashram seeking help. Our gratitude goes to all the Benefactors from India and all over the world for their generosity and passion for the needy.

Fr. Julius Kujur,SJ Director Jesu Ashram

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