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Med
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ecor
d Dep
artm
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TH K
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a
Second Quarter 2013 MRD THKurunegala
STATISTIC BULLETIN
TEACHING HOSPITAL
KURUNEGALA
SECOND QUARTER 2013
Med
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Second Quarter 2013 MRD THKurunegala
GENARAL INFORMATION This Quarter Last Quartet
No. of wards 56 56
No. of special care units 10 10
No. of other units 12 12
No. of total beds 2005 1991
No. of patient beds 1798 1765
No of cots 139 139
No of incubators 18 18
No of theators 3 3 No of theator tables 14 14
INPATIENT SERVICE SUMMARY This Quarter Last Quartet
No. of patient admitted (direct) 46591 46794
Transfer in from other hospitals 7913 8001
Transfer out to other hospitals 317 363
Transfers to clinics 144 138
No. of patient live discharged 44834 45247
No. of inpatient days 131734 132971
Deaths under 48 hours 143 149
Deaths over 48 hours 555 538
No of total deaths 696 687
On admission death 19 19
No. of average admissions 512 514
Average daily sick 1464 1461
Average length of stay 2.9 2.9 Bed occupancy rate 81 83
Bed turn over rate 25 26
Bed turn over intervals 0.6 0.6
No. of average deaths 7.6 7.5
Death rate 1.5 1.5
GENARAL INFORMATION 01
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Second Quarter 2013 MRD THKurunegala
OPD PATIENTS This Quarter Last Quartet
Dental clinic 6565 6949
Eye Clinics 7901 7553
Medical clinic 6190 5193
Peadiatric clinic 934 720
Malaria patients 0
No of OPD patients 144266 141884
CLINIC PATIENTS This Quarter Last Quartet
No of clinic fist visits 21039 20725
No of clinic re visits 103721 104065
Total 124760 124790
SURGERIES This Quarter Last Quartet
Major 3411 3101
Minor 5851 5340
Total 9262 8441
MATERNAL STATISTICS This Quarter Last Quartet
No of deliveries 3480 3273
No of LSCS 1314 1206
No. of maternal deaths 2 1
No. of still births 24 29
No of perinatal deaths 34 19
No of neonatal deaths 19 17
No. of BCGs given 3451 3240 Maternal death rate 0.06 0.07
Still birth rate 0.68 0.7
Perinatal death rate 0.54 0.18
Neonatal death rate 0.49 0.27
GENARAL INFORMATION 02
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Second Quarter 2013 MRD THKurunegala
Speciality Side Ward
no No of beds
No of Admission
Average daily ad-mission
No of Discharge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed occ. rate
Gen. Medical Male A 1 54 2152 24 1832 67 3.5 6470 72 133
B 2 56 2122 24 1783 56 3.0 4301 48 85
C 4 54 1972 22 1584 62 3.8 5008 56 103
Gen. Medical Female A 3 54 1904 21 1643 52 3.1 5478 61 113
B 7 49 1903 21 1636 38 2.3 5049 56 114
C 57 31 1766 20 1408 43 3.0 3822 42 137
Gen. Surgical Male A 23 50 1717 19 1490 9 0.6 4638 52 103
B 24 50 1695 19 1529 5 0.3 4744 53 105
A 27 20 336 4 306 1494 17 83
B 28 21 462 5 442 3 0.7 1583 18 84
Gen. Surgical Female A 5 20 901 10 763 5 0.7 2283 25 127
B 6 19 931 10 789 6 0.8 2634 29 154
A 25 21 635 7 608 3 0.5 1807 20 96
B 26 21 706 8 683 1 0.1 1938 22 103
Gynecology & Obstetric
Gynecology A 12 27 1126 13 1124 3551 39 146
B 13 29 991 11 941 3453 38 132
C 59G 15 325 4 309 826 9 61
Antinatal A 8 9 39 10 435 5 54
B 9 9 58 1 19 452 5 56
Post natal A 8 4 68 1 50 306 3 85 B 9 4 44 35 224 2 62
Antinatal A 10 29 1933 21 479 3018 34 116
B 11 32 1324 15 202 3840 43 133
C 58A 10 1023 11 159 1321 15 147
Page total 688 26133 19824 350 68675
INPATIENT SERVICE PERFORMANCE
Cont….
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Speciality Ward
no No of beds
No of Admission
Average daily ad-mission
No of Dis-charge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed ocup Rate
1st Page total 688 26133 19824 350 68675
Post natal (Normal) A 14 14 831 9 730 1019 11 81
B 15 13 839 9 645 889 10 76
C 58P 8 544 6 541 740 8 103
Post natal A 16 19 377 4 367 1672 19 98
B 17 17 279 3 252 1305 15 85
C 17C
Post natal (Cesarian) A 20 16 635 7 518 1328 15 92
B 21 15 361 4 296 897 10 66
C 59P 14 327 4 314 1225 14 97
Pediatric Wards A 18 53 2077 23 1959 2727 30 57
B 19 52 2038 23 1955 3 0.2 3694 41 79
Orthopedic Wards (Male) 29 35 394 4 374 2558 28 81
30 31 415 5 394 2 2359 26 85
51 34 274 3
275
1222 14 40
(Female) 52 18 239 3 235 1285 14 79
Cardiology Wards CCU 8 339 4 28 11 28.2 615 7 85
ICCU 8 251 3 1 37 97.4 356 4 49
Recovery Ward 53 27 479 5 407 1558 17 64
54 28 599 7 542 1 0.2 1784 20 71
Dermatology (Male) 31 24 153 2 148 603 7 28
(Female) 32 21 219 2 221 605 7 32
Reumatology (Male) 33 17 105 1 88 1 1.1 880 10 58 (Female) 34 17 137 2 136 1082 12 71
Oncho Surgical Unit 50 43 258 3 237 2 0.8 1005 11 26
Onchology 48 31 292 3 274 14 4.9 1201 13 43
49 30 353 4 325 21 6.1 1626 18 60
Page total 1281 38948 31086 442 102910
INPATIENT SERVICE PERFORMANCE
Cont….
04
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Speciality Ward no No of beds
No of Admission
Average daily ad-mission
No of Dis-charge
No of Death
Death rate
Inpatient Days
Daily Sick
Bed ocup Rate
2nd Page total 1281 38948 31086 442 102910
Special Care Baby Unit SCBU I 9 159 2 42 41 49.4 809 9 100
SCBU II 21 624 7 565 8 1.4 2654 29 140
ICU Wards ICU 8 167 2 4 59 93.7 605 7 84
HDU 5 533 6 1 20 95.2 214 2 48
PICU 4 92 1 8 11 57.9 317 4 88
MICU 8 43 1 13 92.9 180 2 25
Observation Wards 46 11 757 8 266 772 9 78
47 13 1328 15 349 1 0.3 1417 16 121
Gastro enterology/Surgical unit 55 15 199 2 191 1 0.5 390 4 29
56 14 174 2 157 2 1.3 401 4 32
Labour Room A Side 7 897 10 97
B Side 7 843 9 87
C Side 7 609 7 88
Psychiatric Wards 38 45 634 7
621
2037 23 50
ENT Wards 35 29 1927 21 1883 1 0.1 2447 27 94
Eye Wards 41 70 1627 18 1609 3664 41 58
Dental & maxillo Facial 36 22 463 5 448 1008 11 51
Accident Service Wards A&E 2 13203 147 3209 41 1.3 406
Chest Wards 39 56 448 5 396 24 5.7 3803 42 75
Priest Wards BW 32 129 1 115 517 6 18
Neurology Wards 40 44 400 4 391 12 3.0 2209 25 56
Genito Urinary 22 25 477 5 460 2 0.4 1413 16 63 Paying Wards PW 9 30 0 28 1 3.4 120 1 15
Dialysis Unit DU 12 1417 16 1120 13 1.1 658 7 61
60 8 131 1 114 4 3.4 633 7 88
National Thalasemia Centre NTC 24 1688 19 1683 1196 13 55
Neprology ( Male ) 45 10 166 87 687 8 76
TOTAL 1798 68113 2197 44834 696 1.5 131734 1464 81
INPATIENT SERVICE PERFORMANCE 05
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INJECTION ROOM This Quarter Last Quartet
Injections
Benzathine Penicilin 884 899
Modicate
P Penicilin
Toxoides 1057 1067
Vit. B 12 255 104 Dexamethazone Mantoux Test 228 201
Dressing 6921 12011
Minor Operation 45 64 Blood 10342 10429 ARV DETAILS This Quarter Last Quartet
No of Vials Used for (Intra Dermal) 2387 2329
No of Vials Used for (Intra Muscular) 15 10
No of new Patients for ARV 3817 3510
No of old Patients for ARV 6131 6043
Total No of Patients for ARV 9948 9593
DEPARTMENT OF RHEUMATOLOGY
OUT REACH CLINICS DETAILS This Quarter Last Quartet
Total no. of visits to wariyapola clinic 273 300
Total no. of visits to Gokkaralla clinic 162 190
Total no. of visits to Polgahawela clinic 194 242 Total no. of visits to Redeegama clinic 185 201 Total no of patients 814 933
PERFORMANCE OF PHYSIOTHERAPHY UNIT This Quarter Last Quartet
No. of first visits 2097 1959
No. of second visits 14052 12492
Total patients 16149 14451
No of treated patient unit wise 80745 53989 No. of days 91 88
OUTPATIENT SERVICE PERFORMANCE 06
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Speciality No of Clinics First visit Second visits Total visits Average for clinic
days
Medical A 24 299 5838 6137 256 Medical B 25 562 8203 8765 351
Medical C 23 458 4159 4617 201 Diabetic A 12 5 1569 1574 131
Diabetic B 12 0 2293 2293 191
Diabetic C Surgical A 12 621 1654 2275 190
Surgical B 12 991 1718 2709 226 Orthopeadic A 12 642 1428 2070 173
Orthopeadic B 12 149 960 1109 92 Paediatric A 13 102 1380 1482 114
Paediatric B 15 202 824 1026 68
Thalasseamia 11 8 116 124 11
Rheumatic fever 9 0 17 17 2
Well Baby A 12 0 68 68 6 Well Baby B 25 821 1428 2249 90
Psychiatric (Adult) 16 218 3297 3515 220
Psychiatric (children) 9 44 156 200 22
Suicide prevention 9 63 33 96 11
Antenatal A 12 593 827 1420 118
Antenatal B 12 477 706 1183 99
Antenatal C 12 520 388 908 76 Gynecology A 12 382 532 914 76
Gynecology B 13 387 783 1170 90 Gynecology C 13 272 206 478 37 Family Planning A 12 41 30 71 6
Family Planning B 12 12 23 35 3 Family Planning C 13 7 4 11 1
Dental & Maxillo Facial 25 481 832 1313 53 Restorative Density 61 403 878 1281 21
Orthodontic 61 1283 2638 3921 64 Page total 521 10043 42988 53031
CLINIC PERFORMANCE
Cont….
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Speciality No of Clinics
First visit Second visits Total visits Average for clinic days
1st page total 521 10043 42988 53031
Surgical Oncology 24 72 219 291 12
Cancer (Brest) 24 214 444 658 27
Cancer (Onchology) 25 162 3294 3456 138
Rheumatology 73 1856 12035 13891 190
Sports Medicine 62 68 326 394 6
Sexually t. diseases 72 301 649 950 13
Cardiology 47 581 12946 13527 288
Speech theraphy 61 436 382 818 13
Urology 24 452 1705 2157 90
Respiratory Diseases 12 148 1201 1349 112
Gastro ( Medical ) 18 132 517 649 36
Gastroenterology ( Surgical ) 24 342 652 994 41
Neurology 25 526 6693 7219 289
ENT 37 1012 2930 3942 107
Skin 60 1421 5992 7413 124
Eye 84 2303 3327 5630 67
Neprology 24 240 2121 2361 98
Endocrinology& Diabetic 50 393 2257 2650 53
NCD 91 82 280 362 4
Epileptic 12 141 1196 1337 111
Cardiology ( Peadiatric )
Total 1370 20925 102154 123079 90
CLINIC PERFORMANCE 08
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SECTION / CLINIC NAME OF THE CONSULT-ANT SPECIALITY
Medical A/Diabetic A Dr Shantha Narangoda Con. Visiting Physician Medical B/Diabetic B Dr R Kalupahana Con. Visiting Physician Medical C Dr Wasantha Disanayaka Con. Visiting Physician Surgical A Dr Usaya Kumara Con. Visiting Surgeon Surgical B Dr D.C Rajapaksha Con. Visiting Surgeon Orthopeadic(Adult/Chidren) Dr Dimuthu Thennakoon Con. Orthopeadic Surgeon Paediatric A/Well Baby A Dr J.M Nilam Con Peadiactrician Paediatric B/Thaasseamia Dr Mrs Rohini Premarathna Con Peadiactrician Rheumatic Well Baby B Dr J.M Wijewardana Con Peadiactrician Psychiatric (Adult/Children) Dr Jagath Bandara Con Psychiatrist Suicide prevention Antenatal A/ Gynecology A Dr P.H Pradeep De Silva Con. Visiting Obsttatic & Gynecologist Family Planning A Antenatal B/ Gynecology B Dr J.A Gunasingha Con. Visiting Obsttatic & Gynecologist Family Planning B Antenatal C/ Gynecology C Dr S.B Ekanayaka Con. Visiting Obsttatic & Gynecologist
Family Planning C Dental & Maxillo Facial Dr T Sabesan Con. OMF Surgeon Restorative Density Dr R Manori Jayasingha Con. Restorative Dentist Orthodontic Dr Chandima Weerasekara Con. Orthodontist
Surgical Oncology Dr Harsha Perera Con. Oncological Surgeon Cancer (Brest) Cancer (Onchology) Dr Priyantha Madawala Con. Oncologist Rheumatology Dr (Mrs) Thilaka Manel Nissanka Con. Rheumatologist Cardiology Dr Thilak Sirisena Con. Cardiologist Dr Dimuthu Wijesooriya Con. Cardiologist ( Peadiatric ) Dr Gamin Weerakoon Con. Cardiologist Urology Dr Manjula wijewardana Con. Urologist Respiratory Diseases Dr Eshanth Perera Con. Chest Physician Gastro ( Medical ) Dr M.M.J.H Manchanayaka Con. Gastroenterologist Gastroenterology ( Surgical ) Dr S Abeygunanawardana Con. Gastroenterology Surgeon Neurology Dr V.T Rajendran Con Neurologist ENT Dr Hemantha Gamage Con. ENT Surgeon Skin Dr Mrs Sriyani Samaraweera Con. Dermatologist Eye Dr Anoma Jayathilaka Con. Eye Surgeon Neprology Dr S Mathu Con. Neprologist Endocrinlogy & Diabetic Dr Chandima Garusingha Con. Endocrynologigist
CONSULTANT LIST
Cont….
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SECTION NAME OF THE CONSULTANT SPECIALITY
Provincial Laboratory Con. Heamatalogist
Con. Heamatalogist
Con Microbiologist
Con. Pathologist
ICU, Theator Con. Anaesthetic
Con. Anaesthetic
Radiology Dept. Con. Radiologist
JMO Office Dr S.M.H.M.K Senanayaka Con. Judicial Medical Officer
OPD Dr Danapala Disanayaka Con. Visiting Physician (OPD)
Dr Mrs Wasantha Disanayaka Con. Visiting Physician (Peadiatric)
CONSULTANT LIST 10
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UNIT
MAJOR MINOR
CON REG SHO
RHO
TOTAL CON REG SHO
RHO
TOTAL TO-TAL
HO HO
Surgical A 51 277 328 6 925 167 1098 1426
Surgical B 55 43 337 435 17 8 1169 52 1246 1681
Gynecology A 50 64 114 13 450 463 577
Gynecology B 84 26 110 11 461 3 475 585
Gynecology C 48 10 58 9 128 137 195
Obstetric A 4 1 631 636 2 2 638
Obstetric B 3 357 360 1 2 3 363
Obstetric C 17 294 311 1 2 3 314
Opthalmic 608 3 611 20 82 208 310 921
ENT 25 12 7 44 11 14 264 289 333
Orthopaedic A 87 26 113 61 628 689 802
Dental 29 23 52 18 21 28 65 132 184
Urology 84 84 114 24 138 222
Dermatology 42 85 127 127
Onchology 51 1 52 13 18 31 83
Orthopaedic B 43 39 82 35 667 702 784 Haematology Psychatric(ECT) Gastro Enterolo-gy 21 21 5 1 6 27
TOTAL 1260 79 2069 3 3411 376 44 4851 580 5851 9262
Unit NO. OF LISTS
DONE CAN-
CELED
Surgical A 54 B 69
Gyn & Obs A 42 2 B 47
C 31 ENT GU
ONCHO 4
SUGERIES
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DONE BY SURGERY
A SURGERY
B ENT ONCHO
GASTRO SURGI-
CAL GASTROL-
OGY TOTAL
VS/VP 20 62 66 148
UGIE REG
SHO 86 132 48 266
UGIE VS 2 4 6
BANDING REG
SHO
OESOPHAGEAL VS 2 2
DILATATION REG
SHO
UGIE VS
STENTING REG
SHO
STD VS
INJECTION REG
SHO
POLYPECTOMY VS
REG
SHO
PEG VS
REG
SHO
86 132 48 20 66 70 422
ENDOSCOPY UNIT PERFORMANCE
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DONE BY SURGERY
A SURGERY
B ONCHO GASTRO
SURGICAL GASTROL-
OGY TOTAL
VS 5 17 2 24
SIGMOIDOSCOPY REG
SHO 36 38 74
COLONOSCOPY VS
POLYPECTOMY REG
SHO
COLONOSCOPY VS 6 9 4 19
REG
SHO 6 6
SIGMOIDOSCOPY VS
BANDING REG
SHO
PROCTOSCOPY VS 1 4 1 6
BANDIING REG
SHO
TOTAL 36 45 11 30 7 129
ENDOSCOPY UNIT PERFORMANCE
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Side A Side B Side C Total
No. of direct admissions 2114 1461 1023 4598
No of total admissions 2504 1794 1574 5872
No daily maternal direct admissions 70 48 34 152
No. of maternal discharges 2154 1449 1018 4621
No. of daily maternal discharges 71 48 34 152
No. of single deliveries 1476 1100 869 3445
No. of twin deliveries 11 16 7 34
No. of triplet deliveries 1 0 0 1
No of total deliveries 1488 1116 876 3480
No of live babies deliveries 1490 1125 877 3492
No. of still births 11 7 6 24
Total no of babies delivered 1501 1132 883 3516
No. of ceasarian sections 631 362 321 1314
Ceasarian section rate 127 98 110 112
No. of forceps deliveries 4 0 3 7
No of vaccum deliveries 23 12 16 51
No of breach deliveries 6 5 1 12
No. of low birth weight babies 227 176 112 515
No of LRT 23 16 14 53
Manual removel of placenta 8 6 2 16
No. of abortions 112 99 44 255
No of neonatal deaths 19
No of perinatal deaths 34
No. of maternal deaths 3
No. of late maternal deaths
Matrenal death rate 0.06 Maternal inpatient days 7778 7584 3299 18661
No of BCG vials used 267
No. of BCGs given 3240
Still birth rate 0.73 0.62 0.68 0.68
Perinatal death rate 0.97
Neonatal death rate 0.54
MATERNITY STATISTICS
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UNIT
No. of Re-quests No. of Issues
Cross
Matched BLOOD FFP CPP Platelet CRYO DONORS
Medical 2634 2461 1488 316 43 273 266
Surgical 2704 2364 888 310 12 239
Gyn & Obs 3081 2913 459 9
Paediatric 2936 2875 2872 29 1 14 12
Private hospitals 286 241 87 24
Other hospitals 1257 628 191 210
A&E / ICU 781 748 209 184 195 6
Mobile donors 67 56 27 5 9 2179
In house donors 131 97 18 120
Total 12620 11755 7305 1505 56 921 494 2299
BLOOD TRANSFUSION SERVICE
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LABORATORY SERVICE This Month Last Month
No. of investigations done for OPD patients 23284 19231
No. of investigations done for indoor patients 239006 253598
Total investigations done 262290 272829
No. of specimens send to MRI/NHLS & faculty of medicine Peradeniya 586 734
Histopathology specimans 2853 2817
No. of investigations done by haemotological analyzer 60917 65806
No. of investigations done after normal working hours 72465 66277
No. of slides screening for (pap) cytology 1986 1747
No. of investigations done in Thalaseamia unit 8560 12504
Haemotology investigations 42681 44495
Biochemistry Investigation 118827 112058
Microbiology Investigation 13572 13699
Clinical Pathology Investigation
RADIOLOGY UNIT This Month Last Month
No. of X-ray examinations main X-ray dept. 20265 17050
No. of X-ray examinations accident service 4711 4812
Total No. of X-ray examinations 24976 21832
No. of USS 3901 4259
No. of CT examinations 1647 1778
No. of C-ARM patients 126 76
Total No of TPM patients 38 44
ECG UNIT This Month Last Month
No. of ECG examinations 27640 26388 No. of exercise ECG examinations 253 197
Holter monitaring test 94 103
No. of EEG examinations 561 499
No. of EMG 345 447
DIAGNOSTIC SERVICES
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Second Quarter 2013 MRD THKurunegala
CATH LAB This Month Last Month
Coranary Angiograms 187 204
Permanent Pace maker examinations 6 16
Temporary Pace maker examinations 3 7
PTCA (Angioplasty)
ASD Closure 6 6
RHCC
Aspiration
PTMC
Pulmoary Val Plasty
PCI 13 8
Aortogram 3
IVC Filter 1
CV line inserted 1 1
Pheriperal Angiogram 1 1
Pheriperal Aspira on 1
ECHO ROOM This Month Last Month
No. of echo ( Peadiatric) 2366 1859
No. of echo ( Adult ) 2782 2652
TOE 56 34
DIAGNOSTIC SERVICES
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TOTAL NO OF POSTMORTUM 369 TOTAL NO OF MLEF 1592 Under Investigation 15 Unascertainable TOTAL NUMBER OF MATERNAL DEATHS 1 TOTAL NUMBER OF INFANT DEATHS 6 TOTAL NUMBER OF STILL BIRTHS Natural Deaths 242
SUMMERY OF THE POST-MORTEM Suicides Accidents Burn 1 Burn Jumping onto Train Motor Vehicle 20 Hanging 15 Train 3 Poisoning 34 Blast Injuries
Drowning 17 Drowning Firearm Injuries Snake Bite 3 Overdose of drugs Electricution 1 Stab injuries Fallen from height
Trapgun injuries Milk Asperation 2 Other Accidental Taruma 5
Lightning Homicides Fire arm shot injury
Burn Trap gun injury Sharp Weapon Injuries 2 Food aspiration 1 Blunt Weapon Injuries 3 Heavy fall Firearm Injuries Undetermined Blast Injuries Firearm Injuries Strangulation 1 Train (Manual and Ligature) 1 Other Accidents Homicidial Poisoning Still birth LTTE Civilians Blunt Weapon Injuries Criminal Abortions Drowning Trap gun Multiple Injuries Otther Drowning Dog bite Cut injuries Rabies
JMO UNIT PERFORMANCE
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Notifiable diseases No of cases Dengue fever 232
Dengue haemarrhagic fever Dysentery 4
Encephalitis 9 Leptospirosis 34
Viral hepatitis 2 Hepatitis B
Malaria Typhus fever 2
Typhoid fever Fever (more than 14 days) 1
Tuberculosis
Human Rabies
Rubella
Tetanus
Whooping cough like illness Food Poisoning
AFP
GBS 1
Hepatitis A Measles 2
Leprosy
Enteric fever 5 Mumps 2
Chickan pox 2 Herpes zoster Chicun gunya 5
Meningitis 13
Meningococal pneumonia Rabies 3 Listhmanasis 2 Japanies Encephalitis Pulmonery Tubaculosis Hepatitis 1
TOTAL 320
INFECTION CONTROL UNIT
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STAFF CATEGORY
NO. OF
PROGRAMMES
NO. OF
PARTICIPANTS
Doctors 1 31
Incharge Nurses
Nurses 3 159
Paramedical
Physiotheraphists
Mid wives
Health Management Assistants
Minor Employers 1 25
Ambulance Drivers
Will shine group
Overseers
All staff 4 341
Security
Paramedicals & Nurses
Attendents
Nurses & Midvives 1 52
Total 10 608
INSERVICE TRAINING PROGRAMME SUMMARY
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MEDICAL RECORD DEPARTMENT
PREPAIRED BY:-Medical Record Assistant,
Teaching Hospial,
Kurunegala.
CERTIFIED BY:-
…………………
Director,
Teaching Hospital ,
Kurunegala
DATE:-2013.07.14