ir - national std/aids control programmecorqxreci ur:-th ?"bb en tire 6revielrs year"...
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ADMI}TIsEsITIO$ BEPt}fl? Or'
SEXUALLY TRAN.SUITTEDDISEASES /AIDS COt{?ROL
PROGRAT{ME
SRI tA$II(A
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E-. G.!1. J?tahJil. Cqnfltmt't cir..oalagislt:
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Office of the DireCtorSID/AIDS ControL programreP"O"'Box 567De Sarenn PlaceColsnbo 10"SRI I,AT{KA"
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@mEI{TS
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(a) r,lorbidier(bI Soci,al. Aspects
ORGAhIIZATIO{
p:OmII.lATIq\
(a) Locai Autfnrities(b) Voltnrtary Organizations
5" AqTnTIIIES
. {a} Prsrentive(b) Curativg
6. EIETJCATIC{AI
"i " mmRAIORY Ux)Ri(
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arUfnifStXatfOnr FEFORI' OrSTD/AILS i-Cr,iTFOL PfgiFAryeiE - L989
1" :NTr'OnjC1l(}\
the sexuai-iy transrnitteci criseases are a group of cirseases tshrchare transr"l-tte<r by rsexuai rntercoureet. TLrey are not respectorsof perscns or of sccral classes" they are intectrous and eachoisease is caus€d by a gerrn or causative orEanrsm. Ihese tornrsusua'l1y enter the bocty es a result ot eer<ua} rnterccr:rse uith aninfecteo person" ua3crity of the verrerea-I cjseases can Le cur.eciit they aee*fiagpog+d
T* trld. iJ rJ-ght t:eatnent 5.s given"
2. PK.ELEI,T
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j: :i-591 ner* c6rssg s1 ! F;rrly lrrtectrous $1phrIisu anci i}gg ne:w
ca$es of 0C'onc'r:ftocet Lierg r€glster€d in tlre isianots full-try.re cralgg aelccrr,parreci with 515 anc 23;A"r=olmtively rn'thg pasvicus yeari ) '
I'ters€;ver', it ig ir=6"crtant. tc .rycte .thrat these tigures sh*Nr tl]etrenei-,ot-the^8liriids r-r.rf"nct* a ttue prcture of thn irrcldweof SID lrr rsri Lankar, 6ti it is e-.rtjnateO that cnly arcunclL5-2b* ot tlcse jrrtec_ted etterid'cl;.r:a\ OtherE Seek -'
. treatrenf trcn private necicar practrticners enct Crrcfts.-,-{[he rate pef''1U0,OOt, pcpuJ.atrcn tor iEarly lrltectroris
Sypfriirsr was 3"S ee ccrrr6:e:.eo xitlr +J :-u tJ:e p.reizicrro
Tfie rate per 10C;O0CI p;opu-l-iite#ltor s(bncrrhcea' uas 12.4 i,s"qffip,+r,ed v*ith L4"ti'iri the prev:-crls year:
Irhe CoLc*blr c,J.iir.tc **{*dcri-g.sf:ight, }n6x€a.. i$ rEarfvlnf€etrous S!4ghjjis' [.,ut a oejl:ine :-i: u(bncrrhcEa,
there were 3tl8 nelr. cases of, uEar1y Infectrcus sf,:pfiiliF'-1afu1084 ne+i cascxi rrt u(cnorzhic€ei!.as ctzr&€{€Gtr.-it& 253 End }116- rreq:ectiveJ-y jn the xmseqqlino lreib- " , ..
tiie z(:-- 29 ag.e gxcul. a.ccc.r.ntei fcr 59:6E of arr cases: et'EarJ-y Iniegtious i1.1-hi-irsi enci 6,b.Ceo ct a-tr ceses cJ 1
t(k;ncrrhcea',.as ccxry]e:rea. wittr 60"08 an<r 6z,t;to restrrectiveiy jr,the previous yeall" (Tabie rrr eolcniLo c.v"D"c. .t;aie sectjon).
thre 10: 19 e.;ge gr.:u,p acccunteo fr:r 5"88 of ttie tcta:- casesci 'Earty Inrectrcus bypFriJ-isi, as ccn;Iiarec v;j-th 12.0E rn theilrevLous year" ic,*rre,rrhcea' ceses j:: ttrre aEe EEGWitcc^ountefi tor 6".b8 ci the tctal caE;es ct ,Cfinc;rrhc*e, ascorqxreci ur:-th ?"bB en tire 6revielrs year"
Oontact :.rrv-estj-Eatic,n anci liealth Educeticn aLtlvitiescc:ntn'buteci to the attenciarice c,f, 100E cf the ! Ee:iylrrtectrous s16J:jJ-5-sr ano 81"72 at the cases of '(kmr:rrlroearat the Ciolmihc ciinrcs as corrgiar-eci rdLth 45"b8 ano 4'1"42respectiveiy rn the 1:,rev:-otjs yeiar.
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At"&6'gut-BtaLjr,n CJ-iUics 283 nerv.cases ot tEarly lntecticus$1p[;lfisr arig 10L5 nsp AAs€s of o(onorrtoear nere treated 6sca*Elar€0 with 262 ano LZLZ in the p,revious yeax *len jncreasect 8.0t r.n ilnttrti.aris,bu,phi}}s: a!6 ih,,t* oecrease 1n{ftrCItrrtff€L "
flEere nere CI2 c6ses cf !treri.y lkilrgt{ri$ar Sp,h.ileso cases erro10 ilate Cmgen#a"L $;qiiu Iisu caees ag compared with 09 ancr' 17i reffnctivrly rrt the ptevlpus yeqr,
'tn r*&ptll the&e mrc fill r!f,t sfrffiS af tlicrenncccggelill*thrltrsr 6&.sc6, tthiJe rn out;etationE .lt $aE {?6,
" ltrn s;ggnq ct 'herpee L€nLteli6i w,n 5.G[ l! tb] {,e}ffitQitrfilp thill in tbE-er.r-t.rttsiotr o.tinics. ln EcJurln 3i.+ nercepC .ry* rsd*sB"uE'tor tla yeat tgsf r*r$e at tho oJt-Sta**nfi E*ltlj.cs ilt $es ]66"
0* r*,u EEs€s s! 0sbth$l&i€ lgnts-'srr !EI+ 3q$tas4 5C.bJcr,tc Cj.irir.c, but at the out-etatXtrI cliruce i3 ncr* cdseshete registe$ed'ln 1989"
li$ new caae6 ed tcg)<ri^l=iri rys gtr+ fry gESgE Et r(fr-rttsllrcllrr rE dir€rlc6t8 at ttt Lr;icr&o Cf,ln,ic' EB ccfrE}areo to13? ffU 111 t*Eimctively in the out-atatlorl 6J,ilric6.
.'F,irr***e*' m.duhguur* # *."+tg at tlpG&Ltlto.
fl.E8tJy irt3cri$cts.e- ot ,Fflfat" p1p:f,lgsr sri *eig}}- aE. -r. a anc.'rtrtecn fi.ilj=tjtnE V"L G,IJI:Li.CF centihti .€q tc
- ^a.,. \ lea#,
t!$cti€ft tithc{it tfts ictvi#cn at 1pl.}*fSr*#P*t.FISJ4fElqi#flIf drr te UhB {npilrqeqq& tfrcb,J.otr .lrrr tb b 6sc,s ili_g**creatupr
ffi*. ffiLtru*J$s{drlf g4i$ fpoufir trttle by 11t.t}e. Eut Lt l,e the onlyEttEct&e rEt}pd c.*alr.htr,e te get t.&r re*lihbts tb qttur"r
. ttl gggpes znfl r".uxee+ {r*85lrll'.I}
(b) #+iererELhe hrghest atterrsr6E J.rl th€ Cciqr,bc cijn:cs reccrCed thisyeaa al-e traciels ,*d J;.iouiers. the trecjers-aEicuntea tr:rL8"18 ct ari ce.ges :rf 'Early Infecticus Sypl';.riisB aho 21"2tct ali cases €ti 'rl:l.:{r*}.rh,,)€a' as ccrr,pared with 45"08 anc 35"88resplectlvely rn tl,e previoug yeal " ( Colcrnhc C1i-r:j-c lv.aJ-eSei-t-rt.n)
iJabclJrers accomted for 20"8t of aJ.l cases of "Early infectrcius-syphiJ.isu artd i9.6? cf, alL cases of "Gonor:rrloea" as ccxrqrard44"0t ard 32.58 respectivery jn the praniorrs ]rear, (Co-Lcrnbo
CUnic wlale Section)
Prostrtutes ard casual- Acquau:ti:nces together accoiinteci ror52'9* of trre scxJrceg of j.rnfectii:n of cases of '*Eiarry lnfectrousliyphiJ-ist and ti8.;i8 of ali e<ises of "(bnorrhoeao' as ccnpareciw.rth 39"0* ard 53"09 respectively j-n utre prenrious year.(Cotcrnuo Cljnrc, rvlaie Sier:t.eoni "
Scurces of infection of ssficrno s€xuai't orrEtn rr,ere 12.4t fo,r"Early Infectrous Syptrj-hso' and 4"1? for ,'iknorrfxred,, asccrryored with 10"58 and 3.Bt respectivery in tbe prev:ous yearcIt is felt rrcxoe"rer, that -cilese fiEures are not a trueindicat:on of infection of ,,hcrrro sexuai', origin, as manypatients wr}o were hrrno senuairy inclined are reluctant to a&nitthe fact" (Co.Lcmfxr iliinic Male SectiCIo)
o€NreArlw
The uSer<uaJ-ly ?ransi-ttcd Discasee,!! Corrtro.L prcgrxrne rn Sri LailG.is at present not wert orEnn:"zed" The countrfr :-s covered with anetalork of 12 fui.a time c.i-inics" &rt we11r €rt"terr ttreoc ca:atcs r1o
not tunctr$l proderly due to shcrtage of tuj.i Ejrne medicaj. officersto rnann these crinics"
rrlklaltlt {are Deliverl, Prog=:+rrrreir *f t}rg S.T-D. jncfu*e ciote,ction o,*'
cases arrd treami€i'lt, L'or:tart i-nvestigatic.r1s, c(}]tact traejng,?racing of Defaulters alrd arl v"D.R.L REactives, Ante-Nataj bjoodtestings, Blood survey ot tugh ri.si< grcuirs" heal.th E;ducatlur andproviding iaircratory facj-.r-itres for the investigataon or cases ofselruaity trans-nLtt'lxi dlseases"
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Crrange ot Staff
L" Dc" (Mrs") L"tB. i{eera.lexody ye), CVIr went on No-Eay letrve for2 years tron 15"t)5"89'
'1. Dr. (tqrg) R.P" Gunapad€:na r.€, CVIIC wenc cn transter to CaStle
Street lvlater:n1"ry llosprtatr, Bore.lra on 2:"03,89.
3" Dr" H"r"l. Wr3esrxrriya transferred trcm VDC Bdui.r.a to RDrIS
divjsion Kunrrega-Le frcrn i3"03.89.
4" Dr" (tulrs, 'V.De S. GiniEe assurnsi di:tres <m IU"U9"B9 as l'(), VDC
Ga.j.rc
5. Dr, (flll.s) R"C" r,leegam.a assum€cl cluties on 20"1U.89 as r€, VDJ
Ibtirgastota.6, l4r" Ul"ii"G" fer"nasxJo, PrtI/I1g CVIXI ret:rd fron gov*rrunent
service on 2;i.02.89"'t " rvlr. J.ivl,D,A.K" Jtsyananne assun€d duties as LttI at UVIX Colcrnbo
on r11"08.89"
8o rirs. N.P" Ratnayake, iitaff Nurse, C'VDC rrcnt on I'lo pay leave
for 02 yedrs wrth ef-fe,;t frcrn 08.02.89"
9o !:rs. P"M"G" lQaerthijatha, Staff r'{urse CVJC Colsebo retrredrro11 goverrbnerit service ts?itn ett-ect frr:r 0i.02"89"
I0. Mrs. 6,J" l.lonis, Staff Nurse CVfr: Colcmbo retj-red tr<rn
gcverr!'nent servj-ce witl'r effect rrcm 01,02"89"
1I" frtrn K"A,N" Senaratne assuned duties as .PHI, CVIE (blqntlo sr01.08 " 89
"
L2, flr. P"K.L. h:shrpal<ilnara asslJrl€d duties as PflI, MXI EadLtl-ta on
01"08 " 89.
13. !tB!. S"S. Edjlrj-e*eara, ivricrosc@rst C\/DC <jtrlcsriJo was traaferrdto Anti+'lararia Cmpalgn witJ: effect frcn 30"1CI"89.
14" rvlr, F.D. Ganiltl, ffo-l,ilros,co;crst cgne or"I trdriirrer trcm AnEI=
l4alaria Caq:argn to CVLrL: Cotrcrnho r:n 16"11"89"
15, Mrs" fl.L" Srrrwa:r'clena, r:HI.t CVHI CoicrnCI'f retrred frcm goverru'nent
senrice with effeci- frqm 04"06"89.
16. ivlrs" K" Iierath, Ptti\ C:VIE Colonf;o reti-red frcm gcnzernrnent
service with effeet frcrn 30.06"89.
L7 " rvrrs. P,S" Tisse.ra, f'emare Attendant VII l(aLubr:xrrj.a retired fron
Ecverftn,i:nt serviee with efi-ect t-ron 15"03.89"
18. Mr" y"G" Simon, ivlaie Attendant VDC Katugastota re.i:rred frsngovenment sexviee with effect frcm 21"1i4"89"
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i9. ivrr. M.D. Notrert, ffi:nael Lar:ourer, VE Ragana reti:rd frcm
Ecve.rnment seriiice with effect fron 05"04;89,
20. Miss D.M. Itari:nawathie E'<rnale labourer, CVDC Colorbo uras
transferred to Cjeneral Hospitai Ealulla wim effect frcrn
31"u7"89"
2I. Mr" A.A" Saiathweer"a S:-Lva, tianitory LaDourer VLIJ i"latara
was rransfe-nrd to Leprosy Hospitel, Herxlaia with efrect frcm
15"06"d9"
22" t"(r" K"A. iude Seman LaJ, Sanitory Lauourer, CVDC Co.t.crnoo
transfe"rrect tc Dj-strict HosprtaJ- IGrdana"
23" iqr" ii"G. Ganage, CLerk, CVflC Colcrnbo was transferrd toSouthern l3rov:.ncial- Counci-t- w"rth effect fron 26"i.2"89"
24" Miss K.I.D. Kr.rmaranayah,e assumd dutres as Staff Nur:se, CVDC
Cola-nbo on i)2.t13"89"
25" rlLi-ss A"e"R" Charidreni assllrd{ rltitres as litaff i\urse, C\DC
Cot.trnno on {,rJ.03"89.
26" rvliss E"M"J" Per;ia, assun.xrl duties as Staff $iurse, CVDC
Colcrnbo on r]2"03"89"
27 " rvlrs;s W"A"D" reerasi.ngh* assr,meci duties as ivll,T, CVOC Col-<rnlrc
on 27.03"89"
28" Mr" I"D"J. Kinmlasiri assu"ned outies as $4LT CVDC t:orcrnbo
on 1r"U5"89.
29. Dr" trUrs, S, frmnelr:rueJ. I'o.,6, VHj Jaftna resaEnrxr rrcnr government
service on j.5.09.S9",
30. Dr" (rvliss) Th:iravjan assurn€d duti+s a$ ivio, VI)C Jattna on
20" t{.} " iJg "
4 " _qo9}pJ{ATryry
(a) Locaj. Autho.r-itie*
Rout::re blooci tesfi,ngs r:t- cx.Sxlctan"c fllotners wasi ccntLr:ued atth€ ante-natai ciurics *: thc col-cnrbc and l(andy rm:nicrpalitreswith the cc.*o6reratron c'f the mun:i_cipa1 autfrcrities"
ALl cases reactive in the vener. al Diseases Research Ltrr:oratoryTest iv"D"It"t) were in-*estiEat€d arid treated where necessar), atthe Colqrbo and Katugastota Clinj-cs (Tables IX & X)
Th:-s act.ivity Ls further intensjJre$ wirh ti:e V.D, ControlPrngrarme wurkurE in ctcxe coLl,aboration wri:ir the rF'anily
H*al.th Progranneo "
*5-
(+) v'olurrtary Crganaffrtigns
Regurar u'Hea1th Edi;cationai FroErarmes" were carned cut withtne co-operation of votr*ntitrfr orEanrzations.
Prograrmes of lreaith educatiorr in "Ser<uarJ_y Transnitted ;Drseasesu' were carried out in Teacher 'Iraining CGt-aeges,
Universj.ties, in Estates, tlcipois, fiocels arri otner Trainjng :rnstitutione "
Tlrc CanpaiEn participat.d Jn u'r',trahapc-l_a" and "(ia"n r-.toawa,,
exh1biteons and in ofier exh:.i:itions organised oy variousorganezatrons and schoo.l-s.
5" ACI'IvITIES
ReEurar cffiitro-L measures were carri.d out at al-r furl time crjnics"An analysis of cases is given il Tabres tI & XI"
(a) Preventive
contact rnuestiga.t:on was carntxi out jn re.Exlrct of aLi cases ofinfectiqrs V"D" (Tac.ies VII, VII E and IV),
Routrrie bioed testiurEs of a*r aclnissions to "Rsnand Hcnres",
"Prisqls" and the 'nTraininE sclpols for youthfu] offenrrer'$" werecontinurd.
Eioocl surveys were sarrral or-rt i.n ttotels, prisurs, Rehaurhtatr-oncanps, * jn sstatas. cir:ster survey* vrere carned. out efiong r{irua
Bvellers I . AJ-sc' D1o(d testiags of ".DoLr-ce personn€l* arxi Armed
senrice Perssrner" w;re caft'red out uef,orre recruiting aijcl wiri"le inqervj.ce.
tvlany a hiciden sources of, :-nf*ctron in the cGffiunl-ty has iceen orcnrEht i
magi.strates referr'5ng cases tor e>raninations, anc treatment to v.D. ,;
cJ-micg. | .;
',"fiioutine Llrood tests were ctrrtinued at Ante-natal- clinics and ' .
"i\daternitlr !,ianlsu' of rmpi.tell-s in coromioo ano in cx.lt-stations i'
(Tables IX 6. X)"
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(b) Curative
Tfie Istarrlard treattento fon ,oGenotrtpea" was .pr,Scalne
Pen:icillin' 4"8 mega units for boLh males and fsnals, preceeded.fry tne adminj,stration of LG u,probencid,, oraily"
A}} rslphijisr cases nere treatd with ,'Benzathine penicillin"2"4 meEa uni-ts f,or (Si,$2,s3) early jnfectious Eftr)fr_Its, 2"1 x J
m?..g*3=-_ uitite for "&ar}Ir iaterrt eyphrJ.is* cases, and l"{ x 4rnega units tor ,,Late iater-rr XilphiJis" Cases"
AIL 5rr:egla;rt rnotherc riEh Stfl;hi-tj-s were tr=oted ilTaffr "D:roCEiJt€PenicjJUnu 800,00U un:.ts (IM) x Lz to 2l depenrCjng cn the stageot urfectisn"
Brlactarraee r:osrtlve cages !{Ere treetd wittr *1 61f9:mative drtrg800 inE stat dose of *Norcocin,,"
Educationa-r_
The trainrng of qedlcal fl,i'd para*ed:cat.peroonnel"L jn v"D. csrtroJwas continued at ti* centrai v,D" cr.inic ard at iGtus*stota v.D"Clinic-
Lecture demonstr:aticrr. 19 vnricx,rs eatsqsSies or he€.rth persoa&eJ in-serv.rce anci in-trajning roere continued"
p6st-gF6ci\ratee erI* i:nder-aradi.rates of the F,aelltv of lvbdicjne acperadeniyaa &ndr Galre were given r,ectur.e Dernoristratiorc or"r v.D, andits controi"
Laboratoxv i,iorr(
Tire rai:oratoq!. servi.ces required t-or ti:e activities of tte Antis"T.D" Canpargn are provi.rjd cy ff,. cent.r--til- .La*:oratory, in charge ofa Bacter'io'Logist. This sejrres as a ra.rtine arid reference laboratoryfor ff* CoLcrnrp c*nic, arrd aE a refe'ence laooratory for aII V,D.clinics in the isrand, and also entertain reference wr:rk frcrn anyotfer hcspital or Eener&i practitr*ers aL".t- over the jseand" rnlbtugastota, tre iar.)oretory unork r-.$ urxre' the csrtrol" of theVenereologrst"
7,
-7 -
_ _€:;iffi:l
the actrvrties as fai as che diagnosrs of "venerear Disease"corcerned are supenrisd and cortroJ-Ld by the central Laboratorywhich prcnrides, ccr:trol .sero-reagentsr for serorogicai ardbacteriological l,vork, aruX wa-Lr:ates tfre perfonnance of the test. IAI
all prov:ncial- ia.pratories tne VDRL test rs pertoirned as a routine"Equipnents and reagents necessarl, aze jndentect for arrd distriiruted try
tle Central Laporatory"
The TPflA, llIA*Aos, IT'A*Igr,1 arri the r.,ange gold cuwe tests are DeIIEsatisfactority camied out at tlre centra-j- raboratory. conococcalculhrre, isoiation ano j.dryitijication r,s also perfornd in theCentral labnrator\r.
In aoditrr,:i to fhrr Er-IJA test, the passive particre aEgtutjnation(Serodra) arxtr the iliv{hek were .inrroduced for the detection of }lIVantroodies in the CentraJ_ Labc,ratcry
Ei;tS1A faci-.Lrtj.es for HfV antioody qetection were estahlishecj in theGenerar flcspitar, iaifna ari,i tne ivleorcai l"acuity, GaI.Le"
PossibiJ"ity of estabtisiung trre rnnlernc>tluorescsrc€ test for Clrtmrdiahave @en exprored arlld a few serected sanples harc been processeri"
Ich*ryerrents
sero su.nrrys forr ,ArN! r+ese car:cied otrt on !iTf,p:r"sonnel {Fo.trceF'orce) at Gbnahena ercration itr;,cdgu.eirterso Wa.rd place, Colonhro,Training canp, IGtrri<urunda, ?orrington i*guare drld Ralryiriya.
78 ktainees of Annlr fiehabi.L:-iation Centre, Telawala, Ratmalanaroere also screened for HIV"
rn Hotels anclE6tates.
Train:ng of Mdical, para-rndical I:erscxrnei l-s rrelng carrled out.
.,I
L
'.:
.::::
,',,"1
-8-
Inteneive 'Hea}th Education ! ectivetiee have been cal:ried out togir:cate the srytible gr-eips, ti.rc sclpol sfucients, ard the general
prolic, by way of talxs, Iectur:e dsrronstrations,e:<hibitions, film-sfp\ds, Rdio & TV Prograrmes ro get tfeir co-qEration in ccntrollurgV.D.
47858 Hlrscns were tested for ttIV dr.ring ttle year 1989 and 11 were
tound to oe HIV antiocdy positrve.
The islands ante-natal s€ro activitlr rate is 0'43t as conpared with
0.528 of tno previous year"
ScreeoinE of ar.L Centrai Blood Eenh dsror sanllles for ltIV has been
estaplishsl.
I " Special :9twire$, Resea+:ch F. [iu:rreyq
Trle first positive case of, FiIV II infectisr was detected jn ttle.l"atter IErt of the year"
10" Internatirural Assistance
Elquignent - Safety Caujnet - Ccnata by
ELI$A reader -ELISA Plate waster
I\rro rnedical lahoratory technoiogists px:rticigetd in ttre Interco.rntry Wor}<shop G-l HXV testrng in EanEXok which was organised by the
'dfl}" Wj.th the actj.ve co-c4>eration of the Departnent of Microoroloqr
of the tttah:LdoL Unwersitf in Bangkok this fi-rst HM. case was
detected in the latter part cf the year.
11" nm{ings
01" Personnel Elnoluments Rs" Estirnates
r989
!
,:
1" Sal.anee and Wages 2,0U0,000
2" Orertime and HoLiday Pay 20,000
4 o uniforrn Alicnrance B, 330
8" Cost of Living AlJ.spance
9" Other A.Ilqr'rance 166,650
2,L94,940
-9-
ii., iiTlE:':- 1
:.u 1q:lE i .-f4-.-r -:,i, .'..:I:tj
l
I
I
II
42" IYavpILj+g &penses
1" rrave'lin* mX" 83,330
2" ChanEe ot Station -Travetling Elpenses - Locai 3,330
Sufrpiies & Sequisites.
1" Stationerry and Cffice@uipnents 6,650
2" llrel and LubrLcailts 33,330
3o MedrcaJ. ftrpplies 3,66,650
03"
r- Drugs
ri- Ctfieriii CLrstcms hltyiv Ttrn Clrer Tan<
30,00t)
4,000
55CI
86,65L1
4,06, 63{)
30,000
3,43,300
7. Unrfo$ns (incirdj.nE taiiorlng charges)
04" Hepairs ai:d. iviaiqtenance o$ Capital Assets
1" Repau & ivlaLnte$eficeof Vehrcies, maclunerlraind equigments
05- T?gqrs;f:ortatirxr, . Ccrmnun:r-cation, Utilitlz& Other Sersices
Trans'prtationCcnnna.mir:at.i-on
ritirity
3, +3,3001.
'i
(i) ElectriciQr5" Rates ard Taxes
9" Other Se'::rices
.i'
: .:,j
l: til
-10-
4,650
T'AEL'E I "-- -
Atterr,iar:ue Lv Years - Central \r"D" Ciurico Oc'Icn,l;c.-&
-GE+v.D. (eseis 1989
l\ I II;._*l--_*-- *i----i --- i -IlLEs --**--L---*l*I, I':ALE! ^JI----T*----ru;;;-i**-**i*'*l-'"b*:-l-- ---l! o*, i ,r'"t | 'rl-# i ,...,. i ut*. i #; I r'cmr
I
| --
Iviiii l',1rr." lrr.,r.* lvrcit lv:sets !iisits i
I --.--*-l..-.*-*-{-*-- ----.*i"*-- --*i-*_-J--- - | --*-lr-----l-------i --i i I I I
I rgb; | ':t.b'r I tt t;.'i 1 .t69s+
i i5r9 i s95s i tQ'l: I
I rse: l3bti'r I ui'ir i i;t,'. i iiur i -:L'{; i +ri(}i iI tga,, | +z;t i 'ir;i:: i r.1,15 [ r,ro i :c'rl i a.rSt iI fgt: l r-rr. I ruljr" i .t,;.,,ti I rr"i,.: i ":9bb i t*+f i
1gb6 lzrl..j- t, i.;,.'i, i f5ii,r-. i tlt,r i i?rlA I t2.99i9b"t I sti+ | u:.,i, i i't?ui. i tyei i r1)9 I ,;6{:tl
lgss liAAg ! rul-.,.: i i,*.I.t 1 i;-r,+ \ :7i; i :fi:19u9 f :5bG liArUr i *$b"t i i,i0+ I tt?b't i5691riiiiiL_ L*_i __ t*____t.-
I
TPELE iI
eee}gs3s-@
c. v"D.c" ! tot*t--
Fra1es I r'erates
"-+
292Lb
61136L&9
S1p'heJ-is:
Sl-Sero htegative Frirna:q1'Sl-sera Fss j-trve I-: jrnely33-$econoarySlj-Latent H*r1y
lertent trete$5-Neurc S1t6,hiJ-js
-q6-CarclicvascuiarS7-Otlrer I.,ate $yg:h-iJ,is$8-Ccrigenita.l EarJ-y (uirrler 02 yearr)* Late (Cver 02 yeers)Gbncarh*aFreswr4:t iv"e (cncrrlraeaNcn Genccccca* UrettritisCtai:Crcidtynpho C;rantrlcne len*:reurnIieiters Diseas,esTrichcncniasi"sGranu}cna J.nEuJnaieOther lenerea.i.Herpes (cnitah.*Geni"ta1 hartsCarrirdiesj.sG;:httalmia NeonotoruniYe**s tarlytom IeteI.&cn Vene.xeal
-'tLV
1931iU
67G*I
i,
0187705
50953
*,z.zv264191_
5503
985
01,') ,':
2L215
3A2nri
14CI
316
0105
1084?tt
811
:'14i-
24-i324234125
:n
1301
0:{252L69>1
:
2L64Li.j
7A01
;FIF-
L2. Conci-usion
V.D" cortrol activities were rnairtaind satistactorl,i-y during tfleyear 1989"
i
tfe attenOance of new c,ases of *Early infectious syXfirLis" shotds a
slight rncrease - L4.88 more tlun the prwious year irr the whote
island.
Brt eC,onorrtpea! slx{x^rs a decJjne - 9"8t Jess tl':an the previous }e6ro
Colcrubo cijnic slrovvs an rrlcreEx3e in rnfectious slphrilis 21.7t more
tfran tfe previor"ls ye6r" &:norrhoea ?"9t J.ess tfmn the previous year"
The incidence of SfD is so w3.despread today, that the fevr
ilvestigat5ng offict*rs of the carrpaiErr a&rre canrrot ccpe up with theprooJ.sn effectively. It r*ctriri-res efforts o\rer a w:.der frontinvolvrng other putjric healtfi p*:rs,rnne} jn the fiejid" They sbrcnrJd
play a more activ": role jn tracjnE contacts ard referring thgn to theneareet V"D" Cljnic t'or exer,jnation and treatnent" EVery delay jntracjng a eoltact ciln result in giqail- "fx'esh charnft of infection"
13. Acronowledqerents
The tljrector, Anti, srD carq{:argn wishes to pJ-ace cn recod his deer>
aE[reciation of iJrc enco:raE+nent fino assistance fie has receivd frontfxl "Detrrartm€nt of Heal-th Servj,ses'u as r,q:ll as 'frcrn outside tcrdarris
the STD Control ranork.
r:-) ?- l* Lr *"' tr,
--..--?-
Jayamrnt Yftr" c"N"
OirectotrSTD/AIDS gO$IrROt FrcGRAE}Ud
-"IL -
Distribrtion of Cases
TABLE ITI
T_AFLE IIJ {lpntgi i
ve
0-2 Yrs ?_c Yrs L0-L4 lrs L5-19 Yrs 2O-Zt, Lr:s 25-29 Yrs
tt'j r Iul r,' Itj lii F Iu, F M T
s1,s2,s3S4 Early$1q:hiJ-is Late
CctiE" S'y[r:rlisCorrcrrtrcea
FresunptiveGcnbrrhcea
Q:httclmiaI\hrnnr''rtrrrr rr, n?
01
{}2
tt I
01
0L
o1
01
01
T4
03
56
01
07
05
04
19
01
79
2L
10
301
fr?
l
29
2Q
22
0L
66
76
24
23
266
01
08
L7
21
60
e
36-3 l!* rl0-"lig lts 50-59 -vE 60 GM Ib'talI'i
:,'37
09
i801
13+r
r' l,t
0+
23
59
F. M I, Iv, r lvt F Ivi r
zig
69
92
05
2L2
05
' sl,s2,53- s/i Ear.lg
SyphilSs Late' Ccrng. S1l1:hJ.lis
Goncn'hoea
Presun4:tiveCrcnorrhcea
@lithelmia
03
L4
L2
01
39
03
03
07
ldl.
CIr
20
rl1
L9
03
16
4J
05
04
09
0cj
06
03
06
11
03
OJ
o,
01
03
01
ol
259
67
99
01
8"t2
05
n-{
:T-;;
gE!-:-rs?:--r!
Distr-ihrtion e:f C:ases bv Occu:etion - L989%.J---4.-------
(rcIsrrc Central V"D" Cji;nic - lvale Section
SY^FHIL13
&.rs Corductors
BarLsrs
Elaclqgniths
Carpenters
C].erks
Cobtilers
CultivatcrsDEfiesticsfiversf irerreri
F'ish lerrooreIood liandl"ers
Gsldsmittrs
LaLcxrrers
Laurdryrnen
L€] ^rel.8
I,'rasons
tsrechanic:s
Gler-e.eers
Ilainters
FLanters
Folice & FiOttici
Pr-iests
SaLesnxen
*earren
$ecuritySe.i].cr-e
tioldiersSturents
Tai.IcrsTeercturs
Ttders
0t
g2
06
$,
04
01
10
*2
0r.
5-1
03')2
0l-
0/i
03
03
03
Q2
IJ.L
07
a2
0i.
UT
!,v
z3
€1
L,- "r'--.
01-
03
0L
11)
o3-
01-
rate Syph: I CcnE"Slph: ! Gcnoarrircea
01
UJ
L0
n1
u4
a2
27
07
02
01
CI2
0L
10
07
(1 C'? (:?vL?!'egv4
rc
14
gx
15
03
05
iig
05
o2
L7L
i,67
o3
03
*7
a2
05
11
a6
L2
05
03
02
185
96
.j.:l
,l
!
i4
'l
'!
.,
:',+
i
TABLE V
CET.ITRAt I,ArcFATOEY T'ECT{NICAL REF()Ftr
COIC[4rc CEIIII'EAL \,',,D. CLU\IIC - 1969
,p*T..s - !.P,R.L
!ic'" of &e4uiar Crjruic CaEes tcr lst lesrt r58b426
31605485
94945-j6
I l,aIes lernales I lotat
H-S.V" giarrt-ce*r-e I\o^'testeciIio" Positive
Urine
A:.burdrrSugarDelrcsits
rrl.668562L2040405
2'r38r:,
4&7iLs
4$o,IO0
400
140+215
1169L-t99
726lL1 i
t&cl3"16
o1
08t777210
1900,:,
r2Lz511
269572b4L6755709
2004
ri53494465r126
2181215
4;lJ9i084rt52
rLZ
6W180
JJ
3232
TABLE \, (CSIltci" )
IotaL l.ic" of Cases for VDRITotal l$o" of Cases FeaictiveNcr" of Ante-natal Cases trrnr tvC*i DivisiorrsItro. of Ante-nata.i" cesics ReestiveNo, ot Blcca. Donors tcx"VDFLIrro. of Elccd Donors Reactive
4324,32432
2L996479
:9[t80
154
i trro. oi Reguiar Cljnic Cases Feac'irveI tvo. of fregular Cljnic Cases Ncn &ea.ctiveI tstaf No. of fiEgulaf Cllnic Casea f,or VDRIi ?o!o{ ['io. of &egular clirdc Caees .lieactiweI ,?.^&ol r.;^ ^€ E^;-: --. Aa -!,- .I Total No. ot freEiuiar CUnic Cesee non neaitivei Totar I\c. ot C.S"I S,an,plee
[ [,]o" of C.$"], Positives tor Sy.E:trilisi tro" ct 5r66ss tc'r G"C"
I hto" of Etneare to{.rrd positive for G"C"i tno" gt $r€ars for D.G" Ixanrination for T..pI trc" of Srcars positive dcr T.p+ I\o. of Scrcars tcr I"!.I tto. ct $rears Srcsitive for T.V"I I,,c. ci CUitures fcr G"C"-l I*o" of Culturex Pcrs;ltive tr:r t,.C.i::ErNo, Pooitive
t.-i,
- -t_
fAELdi V (Conto. )
Iotal $io" cf Casee for VDiiLIotal Nc'. of Cases Reactive
, No. of l\rrte-natai Cases fx'crn lqloli DivisionsNc" of Ante-nata1 Cases ReactiveNo" of Eiccci Eonsrs, fcr VDRLDio" ot Lioao Doncr.'s Rsactive
0:t-static.n Clinics
;:a , ' i\-.it,.,,.,.
totai Nc" of Caseslotal No" cf Cases
fcr Reterence TestsReactive
295261
185634
1065406
4785811
A.I.D"S. Stuvey
Ictal },ic" ct FI"LV ?rntr.Lody Tests'IbneTotal N<i" H"I.V Reactive,
TAELE VI
IrFgBppt cc{gi}etec qt; thg .eglgp0,#Ir$r_a} Y_"p*, $Ij&ic
Syg;triJ-1s',i'
Goncrrhoea
PresunttiveC,CnOrrlrcea
88 li++t12t i7erII
45.X"
980
'117
1l'1
381
1004
01
114
3,94"
29
x55
236"i81872
165
2L2
1390
lunn
3l_ 07 07
fu=I;*
$teiLes
F'errra.les
S;F.'"$rs
I 19{18I :-*I tvrl f
Imesti
tr=. f.T.BI,E:TTT-B.::
Ccntacl_ S-Iip_s Issued I
Sfif:h-llie Eari-y ('i
52G"?
54 F:arlyS4 Int€,,, 55,56, g?
Goncrrhc,EaSyplrilis, LatS
;;';;i;lVri:ilis LeteGc.ncrrtlcci:
t
tanr:l.]-y Contacts - Icung Pcsitjvts1, s2, s3
3ffi#,**..9.*genitau- syi:hriis * Early
E:lXHi::] sir';n:-r:s - r'ete
')
Itanily Contects - tzeatei fc,.r
68.4
03tl082538AQ
12222340
.Lt11.
0501a220
0605032015
syphiiis EarlySygtriilis k.teecrrEcl-ritaJ- SyphiJ-istCncHhCC;:
, Frc sur,g:tivc kncrshc€e
TrlBI,E VIl C
So"uqces ct InfectisF "Iniectieug Sy,o4i-l.j.s", "Gcnsr{hce.dCofcntu Centra] i;,.t-" Lluiic (lr,eie Section) lg8g
sl,52, 53 Gorrorutr,ee
"$i
Praetitutes & CasuerLAcquaintances
hcnc oexueis
Frerital FartnersPiistres;ses
trienosDenies Ex;:cs".:res
Irct Interviewe<t
3.3"/
UI
06
i a-t
ta
qic
!?",4ft *r
2"3
". -t
?0n
596
36
Ub
1i
23
i.98
4"1
4"7
L" -)
2"8
t.z^ I
259 | 10ci"0 I 8?2 : I l-00"0 I
* ..
--. '- |
I -;-
,*kn;n
+,%
EE
IlT
rj:QF
i4!{**Fr
il.-,i.
o()c6s.EJ
qq.t
$tO
!r<)tit6)!
tno
. ---_--.:_-.-
Nn
lni!-ltocroltlrn
JIz.
I
-
S-\
l:: F
- n\
{)i.lo!tC
.toFi!f;:lri
EF
(\Iotfi
=,.1
s)O
o\8c\6J
e.,! C
:IrO
ier[$.,[8
isrf;Es,B
14O
No{(1
OO
irq5!!lOtt
U\
Ct=
Crgltlertli>
ro{r\I
6I.c.L'oco(9
!tiJ\
la'Jl€)c\
o'r/\tnl!
(\I
$l
=$
a sr
c{ (\,r.
o e
. I
oi. r
cj.b vj
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rJ\;(\IF@
ooC
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.no.
L.l'F
NN
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ott!rtrro
:El
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! ,
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r r
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ro
ooiqad>
tn
l!l.letr.lsl()
c..lo
1O
\ C
',1 C
h C\r
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>P
€),;c.irrfiis:
: ..
Or
Or
xLolr.l
rta
4|6,q)ec!e)C
)tr:Oojai.roo
Or
!o'
E.hO0'C
liBC
\[lG
aT
F\o
n.l)ctU'
tn
et$G
r<tF
-()rilr5sF
!ocqf
u()N
.notr\rrU
rbri.i !!
crrilrc!
oO
,*-'
o o-(}
L.d m
C5
g.E dq
'd rid
L U
L
O.r
o() g.f, eE
g, E
#}
E
E6
'H
O
O
OI
q 5
b.*g?
g e
E
E
G
y E
>
.o p
s, >
o
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i 6
0 a'o.
c>
LnL.FIO
EV
11 H:b
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Eelilg
E
E E
.3 E ;
F t, i E
+
.b5&.s
b -E
BE
6E
e
-{o+)oF
(Dl
otcl6loIct(t)t
:l Bl
il ;l
Etflil;l :l
;lllxdl
$t
rT.9oF
L!:E
Io
iJ1 t4
\Otr\O
(\IIC{
o,l r{
sO
iJ1f\
t1 0
II
s1ole,rr@
in.,\r)stc{<
)"c\O
rt't
lfltr\ c{
q@
rr o
o$r6l
rco(:
bPz6.cll)
If.E
o{\inO
rrt\lFl
Ill1!o.$01
Iro
r.f l..l
fO
(\ t\,t
lfl trl
.OO
ON
i)siOo
(v's3
0lt\(oor
Bo
trE
!I
T.AEI,E X
Analysis ot Seratrc;Eicai Tests-{b.r S}rphiJ.is {Iyew Cgses)-
' Out
FeguJ-ar Cl-rnicCases
Pre-I\ata1
Pre-eng:loyrrent
I
I
l"I 4465
i r+ooeiI
i 2613r
457
83cf,L'J
a2
61
09
,1ir-J
81
10" 2
0"6
U"JL1Jo I
t"J
s"4
a"2
fi"7
4AQ8
13985
26348
J7.,,=;-t3u
2273
i0271
L$76;,s
Ackrrissiqyr to Eye cljlics i :gfiet'errd Cases
Itat-bite cases
Blocri Eanks
Estates
Sesvice Perscnnel
Ottrer Surveys
i
i 258-,
i-I ....,I u.1z
t-I
i :.ozso
I roesoII
.*ELE ]"X
4[tgiysis_of SercrogisalTesis (};e,s. Cases )Central !.i-" i;rlr,rc - lc;rcnLc. .. 1989
l'*3r. c! sPEcryrrx\ls
Totalhc"
Re'actrve
bq7
95
1i2
llbh{
J\J
01456
01"
I no" r,cni r.,eactive lo*=
o6keactiveI
I
IEeguleir Chnrc CagesDe-Soysa lvraternj-ty hqspi"tai
(rcLcmibo
Castle Street &teternitYliaspita.t 0:icrriko
Cctcrnkc Central lvlaterni-tyhosprtal
Prunrci4ni ClinicsPre-enploynent&eterreo frcm otter clinrcs
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TABI,E T{0" XVI
Early Infectious Slphij-rs
$r* Lankau.s"A"U"K"
100,000 poprlation9tI
tl tt
per!I
8il
PopuJ.ation Sri Lanka u.s"A" U"K
a
1.964
196:
L966
L967
1968
1969
197U
L97 L
L972
L973
L974
L975
L976
L977 .
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
10,9 71,0CI0
11,252,000
Ll, 478, {300
11",'740,0CI0
11,964,0CI0
l_2 " 221,0CI0
12,5L1i,000
L2,ti47,0OA
12,951,000
13,180,000
13,393,000
13,496,0CI0
13,717,0U0
13,940,000
14 , l_El,000
14,471,000
14" 60CIr000
14 , 950,000
L5, 102, iJ0{.)
15, 600, 000
15, 609,000
15, 886,000
16,209,000
16, 329,CI00
L6,677,000
16,832,000
4"6
6"2
8,8
lCI".0
1"t.0
10. b
8"5
6"6A'i
Er-
'1 1 fl
21" 5
30.0
24"8
19"2
12.0
8"2
6"5
5"4
4"0, 4"1
4"2
3"0
2"8
3.13.5
12. ILz.5
11. 6
10"8
10" 2
9"3
11" IL2.L
1.1"9
:
5"5
6"9'((5.3
5.3
-:]*u
4
-ti
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0l**rfl\
ts+$*0f"uJffir"$e*qtfla{ssffihlLJ
r{?
T'4FiiE M), " )ryrr
MORNFCIEA
Rate pgr 100,000 Pq>ulaticr"t
i
i
I
\
,i
I
Ii.
lili
I
I
1904
1965
1966'19b7
1968
1969
1970
Lg'IL
L972
1973
1974
Lg75
L976
L977
1978
1979
r980
198L
L98Z
1983
1984
1985
1986
1987
1988
1989
10,971,ooo
1L, 232 ,000
i.l, 478 , CI00
11, 740, 000
11,964, CI00
12,21I,0U$
12,5i4,000L2,747,0A0
12,911,000
i3; 180,000
13,395,000
13,496.,000
13,51?" 000
13,940,000
14, L81,000
14, /i71,000
14,500,000
14,850,000
L5, L02,000
15,300,000
15,6U9,000
15,886,000
16,209,0CI0
16,329,000
L6, 67?,000
16,832,000
20" 3
20.2
20"3
20" 6
20"3
20"6
30"2
31"r)
30"0
38"0
60"0
61" 6
52"0
34 "526"9
2t"323"6
23"7
24"6
18"ii
18"3
L6"2
15"41-{ Ei
14 "0L2"4
150"4
160"3
L'10.3
190"3
210"9
371 "0392"2
404:e
140.3
140"5
150"r
L60 "2
Fopr.ilatror
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