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Health Care Information on Swine Flu Indian Railways Health Care Delivery System Medical Treatment of Travelling passengers fallen sick Industrial Health/Occupational Health Family Welfare Activities Community based Health Check-up HIV infection & AIDS M & P items & other costly medical equipments Tuberculosis Polio Eradication Programme   Indian Railway Health care delivery System    Board        1. Indian Railway Health Care delivery System has to perform following two important functions:     1.1 Functions related to Industrial Medicine     1.2 Functions related to Medical treatment to Railway beneficiaries                1.1     Functions related to Industrial Medicine:               a)     To attend Railway accident & other untoward incidences.  On average about 360 such                       incidences/year are attended.  b)        To provide emergency medical treatment to traveling sick passengers.    c)         Pre employment Medical examination to allow only fit & suitable candidates to          join the service. On average ? 50000 candidates are examined/year   d)        PME (Periodical Medical Examination) of serving employees to allow fit person to         continue in those jobs which are related to safe running of the train.                       On average ? 1,20,000 employees are examined per year.         e)   Medical Boards & other medical certification of serving employees.   f)    Control on loss of mandays on account of sickness (both normal & HOD).         It is kept under control by medical officers.  At present loss of mandays        on  sickness is only 2%.                 g)   Safe water supply at Railway Station:                       A constant vigil is maintained to check on quality of drinking water made available                      at   Railway Stations. About 60,000 water samples from Railway stations are tested   for bacteriological  purity every year.  About 600,000 water samples from Railway stations are tested for residual chlorine. There is a well laid down system of reporting and to take corrective measures for unsatisfactory reports.  h)            Safe food supply at Railway stations:                          Following activities are undertaken to ensure safe food supply at Railway station.                                   a)   Regular inspection of kitchen & food stalls.                                    b)  Regular health check up of food handlers.                                    c)  Collection of food samples under PFA Act.                                    d) Collection of food samples under quality control system. i)      Ensuring Factory Act:                           Medical first aid posts are provided to all factories of Indian Railways                          (there are 84 such factories) as per Factory Act.              j)       Workman Compensation Act:                         Activities related to WCA is under taken on regular basis.   k)          Certification of dead bodies at Railway Station, Railway Yards, Railway line, etc.           is being done on regular basis.   i)          Certification of perishable good in Railway Station about their disposal is done          as and when required.    1.2 Functions related to Medical treatment to Railway beneficiaries:           Total comprehensive Medical treatment is provided by Indian Railway Medical Department.                   A.Curative health care.                                      A.1     Primary level                                      A.2    Secondary level                                      A.3    Tertiary level                  B. Preventive health care                  C  Promotive health care  2.         Number of Railway beneficiaries:   Serving employees               14.5 lakhs x 4 = 58    lakhs                    Retired employees                 2.8 lakhs x 2 =   5.6 lakhs   with RELHS Scheme             _______________________                                                Total   = 63.6 lakhs                                                           _______________________   3.         Infrastructure available:   3.1             Railway?s own infrastructure Total No. of Railway Hospitals         =          121 Total No. of indoor beds                   =     13770 Total No. of Railway Health Units  =            586   3.2             Other Hospitals approved a)     All Govt Hospitals are approved. b)     Private Hospitals:: About 120 private hospitals has been approved.   4.         System of providing medical treatment   4.1  Primary level health care is provided 100% by in house system.                4.2 Secondary level health care is provided 80% by in house system and 20% by Govt Hospital & other private Hospital recognized by Railway.                4.3 Tertiary level health care is provided  5% by In house system  Balance 95% by Govt Hospital & other private Hospital recognized  by Railways.              Once a railway beneficiary comes to Railway Hospital for medical treatment, he/she is provided all types of Medical treatment as per the need of the patient.  The medical treatment is either provided by available Railway hospital or Govt Hospital or recognized private Hospital.               In extreme emergency situation when there is no time for a railway beneficiary to come to Railway hospital then he/she may avail treatment in a private hospital/Govt Hospital in the locality and can claim through reimbursement claim system.                                              -------------*-------------*-------------- Family Welfare INDIAN RAILWAYS FAMILY WELFARE PROGRAMME PERFORMANCE DURING 2006-2007 Sr. No. ITEM TOTAL A Sterilisation   I Vasectomy      Conventional                                                                 326    No Scalpal Vasectomy(NSV)                                                                   119 II Tubectomy                                                              4476 III Total                                                              4921 B IUD (Cupper ’T’ ) insertion 4203 C Condom     Total Condoms ( in pieces) distributed   I Gross 2235158 II Supplied to Vasect. Person                                                             27286 III Net( I-II) 2207872 D ORAL PILLS     Total No. of Oral Pill Cycles distributed                                                             42573 E Total No. of Medical Termination of  Pregnancy cases done                                                                 1032 F Immunisation,Iron Folic Acid,Vitamin.A   I TT(Preg. Women)     (2nd dose+ Booster) 14347 II IFA Tablets( Preg. Women-     Prophylactic Completed)                                                             153060 III DPT  ( 3rd dose) 22903 IV Polio ( 3rd dose) 24341 V BCG 18966 VI Measles 16895 VII DT( 2nd Dose) 11833 VIII TT  (10 Years)     ( 2nd dose) 21699 IX TT  ( 16 Years)    ( 3rd dose) 23284 X Vit.A (1st dose below and upto 1 year)    14982    No Scalpal Vasectomy(NSV)                                                                   119 II Tubectomy                                                              4476 III Total                                                              4921 B IUD (Cupper ’T’ ) insertion 4203 C Condom     Total Condoms ( in pieces) distributed   I Gross 2235158 II Supplied to Vasect. Person                                                             27286 III Net( I-II) 2207872    No Scalpal Vasectomy(NSV)                                                                   119 II Tubectomy                                                              4476 III Total                                                              4921 B IUD (Cupper ’T’ ) insertion 4203 C Condom     Total Condoms ( in pieces) distributed   I Gross 2235158 II Supplied to Vasect. Person                                                             27286 III Net( I-II) 2207872 D ORAL PILLS     Total No. of Oral Pill Cycles distributed                                                             42573 E Total No. of Medical Termination of  Pregnancy cases done                                                                 1032 F Immunisation,Iron Folic Acid,Vitamin.A   I TT(Preg. Women)     (2nd dose+ Booster) 14347 II IFA Tablets( Preg. Women-     Prophylactic Completed)                                                             153060 III DPT  ( 3rd dose) 22903 IV Polio ( 3rd dose) 24341 V BCG 18966 VI Measles 16895 VII DT( 2nd Dose) 11833 VIII TT  (10 Years)     ( 2nd dose) 21699 IX TT  ( 16 Years)    ( 3rd dose) 23284 X Vit.A (1st dose below and upto 1 year)    14982 XI Vit A ( total- 2nd to 5th dose) 27391 G Maternal Health   a Ante Natal Care (Anti Natal Care )   I Registered 19298                                                             II With three checkup 15643 b Institutional Deliveries 10983 c Domestic Deliveries   I By Lady Health Visitor/Axillary Nurse Midwife 304 II By Trained Birth Attandant(TBA) 144 III Untrained Birth Attandant 16   Total Deliveries Reported (Total of Col.I+II+III) 464