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Medical Record Department Teaching Hospital Kurunegala STATISTICAL BULLETIN September 2013 TEACHING HOSPITAL KURUNEGALA

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Page 1: STATISTICAL BULLETIN · t GENARAL INFORMATION 02 GENARAL INFORMATION OPD PATIENTS This Month Last Month Dental clinic 2213 2937 Eye Clinics 2782 3861 Medical clinic 1715 1411

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STATISTICAL BULLETIN September 2013

TEACHING HOSPITAL

KURUNEGALA

Page 2: STATISTICAL BULLETIN · t GENARAL INFORMATION 02 GENARAL INFORMATION OPD PATIENTS This Month Last Month Dental clinic 2213 2937 Eye Clinics 2782 3861 Medical clinic 1715 1411

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GENARAL INFORMATION 01

GENARAL INFORMATION This

Month Last

Month

No. of wards 56 56

No. of special care units 10 10

No. of other units 12 12

No. of total beds 2005 2005

No. of patient beds 1798 1798

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

Month Last

Month

No. of patient admitted (direct) 14261 14713

Transfer in from other hospitals 2535 2545

Transfer out to other hospitals 51 101 Transfers to clinics 51 65

No. of patient live discharged 14271 14398

No. of inpatient days 43145 43648

Deaths under 48 hours 41 39

Deaths over 48 hours 175 190

No of total deaths 216 229

On admission death 9 6

No. of average admissions 475 475

Average daily sick 1438 1408

Average length of stay 3.0 3.0

Bed occupancy rate 80 78

Bed turn over rate 8 8

Bed turn over intervals 0.8 0.8

No. of average deaths 7.2 7.4

Death rate 1.5 1.6

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GENARAL INFORMATION 02

GENARAL INFORMATION

OPD PATIENTS This Month Last Month

Dental clinic 2213 2937

Eye Clinics 2782 3861

Medical clinic 1715 1411

Peadiatric clinic 353 358

Malaria patients

No of OPD patients 41862 46322

CLINIC PATIENTS This Month Last Month

No of clinic fist visits 7218 7739

No of clinic re visits 35517 34657

Total 42735 42396

SURGERIES This Month Last Month

Major 1185 1219

Minor 1985 1957

Total 3170 3176

MATERNAL STATISTICS This Month Last Month

No of deliveries 1269 1168

No of LSCS 448 472

No. of maternal deaths 0 1

No. of still births 11 13

No of perinatal deaths 5 12

No of neonatal deaths 1 7

No. of BCGs given 1172 1259

Maternal death rate 0 0.06

Still birth rate 0.9 1.1

Perinatal death rate 0.4 1.03

Neonatal death rate 0.08 0.6

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INPATIENT SERVICE PERFORMANCE 03

Specialty Side Ward

no No of beds

No of Ad-mission

Average daily admission

No of Dis-charge

No of Death

Death rate

Inpatient Days

Daily Sick

Bed occ- rate

Gen. Medical Male A 1 54 566 19 463 20 4.1 1792 60 111

B 2 56 557 19 464 24 4.9 1442 48 86

C 4 54 560 19 437 14 3.1 1325 44 82

Gen. Medical Female A 3 54 454 15 385 11 2.8 1462 49 90

B 7 49 526 18 455 7 1.5 1441 48 98

C 57 31 503 17 422 6 1.4 1057 35 114

Gen. Surgical Male A 23 50 503 17 419 6 1.4 1586 53 106

B 24 50 569 19 496 8 1.6 1586 53 106

A 27 20 107 4 97 1 1.0 427 14 71

B 28 21 136 5 125 1 0.8 532 18 84

Gen. Surgical Female A 5 20 315 11

258

834 28 139

B 6 19 298 10 252 1 0.4 837 28 147

A 25 21 201 7 187 1 0.5 598 20 95

B 26 21 252 8 237 3 1.3 703 23 112

Gynecology & Obstetric

Gynecology A 12 27 369 12 359 1186 40 146

B 13 29 320 11 289 1322 44 152

C 59G 15 107 4

107

249 8 55

Antinatal A 8 9 17 1 3 175 6 65

B 9 9 26 1 11 184 6 68

Post natal A 8 4 17 1 13 190 6 158

B 9 4 1

5

Antinatal A 10 29 617 21 145 950 32 109

B 11 32 438 15 53 963 32 100

C 58A 10 369 12 44 456 15 152

Page total 688 8271

6266 113 22741

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INPATIENT SERVICE PERFORMANCE 04

Speciality Ward

no No of beds

No of Admis-

sion

Average daily

admis-sion

No of Dis-

charge

No of Death

Death rate

Inpatient Days

Daily Sick

Bed oc-up Rate

1st Page total 688 8271 6266 113 22741

Post natal (Normal) A 14 14 271 9 237 301 10 72

B 15 13 246 8 227 305 10 78

C 58P 8 181 6 183 305 10 127

Post natal A 16 19 119 4 113 566 19 99

B 17 17 96 3 84 511 17 100

C 17C

Post natal (Cesarian) A 20 16 205 7 163 414 14 86

B 21 15 118 4 113 276 9 61

C 59P 14 131 4 127 501 17 119

Pediatric Wards A 18 53 285 10 260 372 12 23

B 19 52 301 10 287 1 0.3 589 20 38

Orthopedic Wards (Male) 29 35 138 5 136 962 32 92

30 31 161 5 153 793 26 85

51 34 92 3

87

377 13 37

(Female) 52 18 112 4 118 458 15 85

Cardiology Wards CCU 8 101 3 6 3 33.3 204 7 85

ICCU 8 80 3 1 16 94.1 170 6 71

Recovery Ward 53 27 176 6

156

599 20 74

54 28 181 6 163 2 1.2 658 22 78

Dermatology (Male) 31 24 71 2 59 238 8 33

(Female) 32 21 94 3 86 213 7 34

Reumatology (Male) 33 17 11 0 12 169 6 33

(Female) 34 17 32 1 33 293 10 57

Oncho Surgical Unit 50 43 81 3 67 1 1.5 327 11 25

Onchology 48 31 88 3 87 2 2.2 309 10 33

49 30 111 4 106 6 5.4 448 15 50

Page total 1281 11967 9485 145 33551

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INPATIENT SERVICE PERFORMANCE 05

Specialty Ward no No of beds

No of Admission

Average daily

admission

No of Discharge

No of Death

Death rate

Inpatient Days

Daily Sick

Bed ocup Rate

2nd Page total 1283 11967 9485 145 33551

Special Care Baby Unit SCBU I 9 48 2 8 5 38.5 297 10 110

SCBU II 21 213 7 178 2 1.1 1056 35 168

ICU Wards ICU 8 45 2 9 100.0 189 6 79

HDU 5 143 5 4 100.0 78 3 52

PICU 4 24 1 1 2 66.7 100 3 83

MICU 8 27 1 11 100.0 127 4 53

Observation Wards 46 11 298 10 107 312 10 95

47 13 460 15 123 505 17 129

Gastro enterology/Surgical unit 55 15 76 3 71 147 5 33

56 14 68 2 62 139 5 33

Labour Room A Side 7 310 10 50 2

B Side 7 284 9 32 1

C Side 7 210 7 17 1

Psychiatric Wards 38 45 219 7 200 682 23 51

ENT Wards 35 29 670 22 613 740 25 85

Eye Wards 41 70 692 23 663 1379 46 66

Dental & maxillo Facial 36 22 171 6 163 1 0.6 399 13 60

Accident Service Wards A&E 2 4270 142

1220 20 1.6

145 5

Chest Wards 39 56 82 3 77 6 7.2 844 28 50

Priest Wards BW 32 22 1 19 105 4 11

Neurology Wards 40 44 126 4 121 1 0.8 638 21 48

Genito Urinary 22 25 151 5 156 1 0.6 456 15 61

Paying Wards PW 9 9 0 6 30 1 11

Dialysis Unit DU 12 474 16 403 7 1.7 201 7 56

60 8 53 2 48 2 4.0 244 8 102

National Thalasemia Centre NTC 24 500 17 494 460 15 64

Neprology ( Male ) 45 10 57 2 53 222 7 74

TOTAL 1800 21669 722 14271 216 1.5 43145 1438 80

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OUTPATIENT SERVICE PERFORMANCE 06

INJECTION ROOM This

Month Last

Month

Injections

Benzathine Penicilin 265 284

Modicate

P Penicilin

Toxoides 359 360

Vit. B 12 96 134 Dexamethazone Mantoux Test 59 73

Dressing 1984 2489

Minor Operation 17 23

Blood 2493 280

ARV DETAILS This

Month Last

Month

No of Vials Used for (Intra Dermal) 735 810

No of Vials Used for (Intra Muscular) 1 3

No of new Patients for ARV 1165 1208

No of old Patients for ARV 1820 2014

Total No of Patients for ARV 2985 3222

DEPARTMENT OF RHEUMATOLOGY

OUT REACH CLINICS DETAILS This

Month Last

Month

Total no. of visits to wariyapola clinic 93 7

Total no. of visits to Gokkaralla clinic 62 50

Total no. of visits to Polgahawela clinic 65 35

Total no. of visits to Redeegama clinic 64 60

Total no of patients 284 152

PERFORMANCE OF PHYSIOTHERAPHY UNIT This

Month Last

Month

No. of first visits 640 614

No. of second visits 5883 5271

Total patients 6523 5885

No of treated patient unit wise 32015 29425

No. of days 30 31

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CLINIC PERFORMANCE 07

Speciality No of Clin-

ics

First visit

Second visits Total visits

Average for clinic days

Medical A 9 117 1835 1952 217

Medical B 8 209 2735 2944 368

Medical C 8 151 1649 1800 225

Diabetic A 4 1 433 434 109

Diabetic B 3 625 625 208

Diabetic C

Surgical A 3 188 356 544 181

Surgical B 5 535 799 1334 267

Orthopeadic A 3 189 328 517 172

Orthopeadic B 4 50 575 625 156

Paediatric A 4 28 247 275 69

Paediatric B 4 57 234 291 73

Thalasseamia 4 5 28 33 8

Rheumatic fever 4 8 8 2

Well Baby A 4 24 24 6

Well Baby B 9 279 446 725 81

Psychiatric (Adult) 5 52 955 1007 201

Psychiatric (children) 1 2 30 32 32

Suicide prevention 2 7 7 14 7

Antenatal A 3 142 312 454 151

Antenatal B 4 160 183 343 86

Antenatal C 4 181 147 328 82

Gynecology A 5 172 254 426 85

Gynecology B 4 145 265 410 103

Gynecology C 4 96 78 174 44

Family Planning A 3 12 1 13 4

Family Planning B 4 7 4 11 3

Family Planning C 4 1 1 0

Dental & Maxillo Facial 8 161 243 404 51

Restorative Density 20 128 347 475 24

Orthodontic 20 543 976 1519 76

Page total 167 3618 14124 17742

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CLINIC PERFORMANCE 08

Speciality No of Clinics

First visit

Second visits

Total visits

Average for clinic days

Surgical Oncology 9 26 85 111 12

Cancer (Brest) 9 98 142 240 27

Cancer (Onchology) 7 41 1093 1134 162

Rheumatology 23 532 3655 4187 182

Sports Medicine 30 62 102 194 6

Sexually t. diseases 22 117 274 391 18

Cardiology 15 162 4901 5063 338

Speech theraphy 20 71 186 257 13

Urology 7 121 579 700 100

Respiratory Diseases 4 24 350 374 94

Gastro ( Medical ) 4 25 179 204 51

Gastroenterology ( Surgical ) 8 173 260 433 54

Neurology 8 223 2055 2278 285

ENT 11 226 1001 1227 112

Skin 20 550 2175 2725 136

Eye 32 746 1182 1928 60

Neprology 9 82 889 971 108

Endocrinology& Diabetic 16 169 1034 1203 75

NCD 30 105 90 195 7

Epileptic 4 384 384 96

Cardiology ( Peadiatric )

Psychiatric (Adult) 3 33 742 775 258

Psychiatric (children) 2 6 33 39 20

Suicide prevention 2 8 2 10 5

Total 462 7218 35517 43197 94

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CONSULTANT LIST 09

SECTION / CLINIC NAME OF THE CONSULTANT SPECIALITY

Medical A/Diabetic A Dr Mrs Deepa Amarasekara 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 Wirasooriya Con. Cardiologist ( Peadiatric )

Dr Gamini 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

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CONSULTANT LIST 10

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)

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SUGERIES 11

UNIT MAJOR MINOR

CON REG SHO RHO TOTAL CON REG SHO RHO TOTAL TOTAL

HO HO

Surgical A 19 13 58 90 4 6 261 85 356 446

Surgical B 16 21 74 111 6 5 325 47 383 494

Gynecology A 14 33 47 2 142 144 191

Gynecology B 25 10 35 2 130 7 139 174

Gynecology C 27 10 37 38 38 75

Obstetric A 2 204 206 206

Obstetric B 3 118 121 3 3 124

Obstetric C 9 122 131 131

Opthalmic 256 2 258 18 101 119 377

ENT 14 14 10 61 71 85

Orthopaedic A 19 15 34 5 226 231 265

Dental 9 2 11 1 19 16 36 47

Urology 34 3 37 55 8 63 100

Dermatology 0 15 45 60 60

Onchology 14 1 15 3 4 7 22

Orthopaedic B 20 13 33 13 293 306 339

Haematology

Psychatric(ECT)

Gastro Enterology 5 5 2 2 7

TOTAL 486 36 661 2 1185 136 30 1507 285 1958 3143

Unit NO. OF LISTS DONE

Surgical A 23

B 18

Gyn & Obs A 14

B 9

C 10

ENT 3

GU 15

ONCHO 10

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ENDOSCOPY UNIT PERFORMANCE 12

DONE BY SURGERY A SURGERY B ENT ONCHO GASTRO

SURGICAL GASTROLO-

GY TOTAL

VS/VP 6 54 19 79

UGIE REG 45 45

SHO 34 6 25 65

UGIE VS 6 1 7

BANDING REG

SHO

OESOPHAGEAL VS 1 1

DILATATION REG

SHO

UGIE VS 1 1

STENTING REG

SHO

STD VS

INJECTION REG

SHO

POLYPECTOMY VS

REG

SHO

PEG VS

REG

SHO

PUNCH VS 0

BIOPSY REG

SHO

Total 34 51 25 6 62 20 198

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ENDOSCOPY UNIT PERFORMANCE 13

DONE BY SURGERY A SURGERY B ONCHO GASTRO

SURGICAL GASTROLO-

GY TOTAL

VS 8 8

SIGMOIDOSCOPY REG 4 29 33

SHO 12 3

COLONOSCOPY VS

POLYPECTOMY REG

SHO

COLONOSCOPY VS 5 1 6

REG 3 4 7

SHO 3 3

SIGMOIDOSCOPY VS

BANDING REG

SHO

PROCTOSCOPY VS 2 2

BANDIING REG

SHO

TOTAL 22 36 0 15 73

DONE BY SURGERY A SURGERY B ONCHO ENT CHEST TOTAL

FOL VS 4 4

REG

SHO/MO 61 61

VL VS 45 45

REG

SHO

NASAL ENDOSCOPY VS

REG

SHO

BRONCOSCOPY VS 8 8

REG

SHO

RNE VS

REG

SHO 50 50

AW VS

REG

SHO

TOTAL 4 156 8 168

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MATERNITY STATISTICS 14

Side A Side B Side C Total

No. of direct admissions 668 489 369 1526

No of total admissions 784 584 376 1744

No daily maternal direct admissions 22 16 12 51

No. of maternal discharges 674 488 354 1516

No. of daily maternal discharges 22 16 12 51

No. of single deliveries 572 375 305 1252

No. of twin deliveries 9 1 7 17

No. of triplet deliveries 0 0 0 0

No of total deliveries 581 376 312 1269

No of live babies deliveries 586 373 316 1275

No. of still births 4 4 3 11

Total no of babies delivered 590 377 319 1286

No. of ceasarian sections 205 118 125 448

Ceasarian section rate 35 31 40 35

No. of forceps deliveries 4 4

No of vaccum deliveries 4 6 11 21

No of breach deliveries 1 0 2 3

No. of low birth weight babies 81 49 22 152

No of LRT 18 10 13 41

Manual removel of placenta 3 1 0 4

No. of abortions 101 114 27 242

No of neonatal deaths 1

No of perinatal deaths 5

No. of maternal deaths 0

No. of late maternal deaths 0

Matrenal death rate 0.00

Maternal inpatient days 0

No of BCG vials used 89

No. of BCGs given 1172

Still birth rate 0.7 1.1 0.9 0.9

Perinatal death rate 0.39

Neonatal death rate 0.08

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BLOOD TRANSFUSION SERVICE 15

UNIT

No. of Requests No. of Issues Replacement Donors

Cross

Matched BLOOD FFP CPP Platelet CRYO DONORS

Medical 1062 972 629 165 16 53 6

Surgical 938 728 297 75 8

Gyn & Obs 1142 1092 152 9 2

Paediatric 939 883 863 19 2

Private hospitals 76 76 30 46

Other hospitals 136 136 306 865 100

A&E / ICU 343 316 106 103 28 18

Mobile donors 2356

In house donors 97 Cardiothorrasic 69 6532 8 43

Accident Service

Total 4705 10735 2391 1282 61 91 124 2453

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DIAGNOSTIC SERVICES 16

LABORATORY SERVICE This Month Last Month

No. of investigations done for OPD patients 5923 6108

No. of investigations done for indoor patients 78234 85337

Total investigations done 84157 91445

No. of specimens send to MRI/NHLS & faculty of medicine Peradeniya 330 290

Histopathology specimans 921 976

No. of investigations done by haemotological analyzer 16984 17366

No. of investigations done after normal working hours 18683 20073

No. of slides screening for (pap) cytology 650 676

No. of investigations done in Thalaseamia unit 2436 2560

Haemotology investigations 14153 13488

Biochemistry Investigation 36570 42988

Microbiology Investigation 4821 4576

Clinical Pathology Investigation

RADIOLOGY UNIT This Month Last

Month

No. of X-ray examinations main X-ray dept. 7029 7332

No. of X-ray examinations accident service 1736 1962

Total No. of X-ray examinations 8765 9294

No. of USS 1298 1298

No. of CT examinations 728 745

No. of C-ARM patients 53 51

Total No of TPM patients 14 15

ECG UNIT This Month Last

Month

No. of ECG examinations 9650 8261

No. of exercise ECG examinations 62 97

Holter monitaring test 34 20

No. of EEG examinations 177 188

No. of EMG 126 126

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DIAGNOSTIC SERVICES 17

CATH LAB This Month Last Month

Coranary Angiograms 54 71

Permanent Pace maker examinations 4 5

Temporary Pace maker examinations 1

PTCA (Angioplasty)

ASD Closure 3 2

RHCC 1

Aspiration

PTMC

Pulmoary Val Plasty

PCI 4 5

Aortogram 1

IVC Filter

CV line inserted

Pheriperal Angiogram

ECHO ROOM This Month Last Month

No. of echo ( Peadiatric) 752 703

No. of echo ( Adult ) 1020 1006

TOE 18 21

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JMO UNIT PERFORMANCE 18

TOTAL NO OF POSTMORTUM 131 TOTAL NO OF MLEF 592

Under Investigation 8

Unascertainable

TOTAL NUMBER OF MATERNAL DEATHS

TOTAL NUMBER OF INFANT DEATHS 5

TOTAL NUMBER OF STILL BIRTHS

Natural Deaths 89

SUMMERY OF THE POST-MORTEM

Suicides Accidents

Burn Burn 1

Jumping onto Train Motor Vehicle 5

Hanging 2 Train 2

Poisoning 7 Blast Injuries

Drowning 4 Drowning

Firearm Injuries Snake Bite

Overdose of drugs Electricution 2

Stab injuries Fallen from height 1

Trapgun injuries Milk Asperation 3

Other Accidental Taruma 2

Lightning

Homicides Fire arm shot injury 1

Burn Trap gun injury

Sharp Weapon Injuries Food aspiration 1

Blunt Weapon Injuries Heavy fall

Firearm Injuries Undetermined

Blast Injuries Firearm Injuries

Strangulation 2 Train

(Manual and Ligature) Other Accidents

Homicidial Poisoning Still birth

LTTE Civilians Blunt Weapon Injuries 1

Criminal Abortions Drowning

Trap gun Multiple Injuries

Otther

Drowning Dog bite

Cut injuries Rabies

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INFECTION CONTROL UNIT 19

Notifiable Diseases No of cases Dengue fever 38 Dengue haemarrhagic fever Dysentery 3 Encephalitis Leptospirosis 7 Viral hepatitis Hepatitis B Malaria Typhus fever 5 Typhoid fever 2 Fever (more than 14 days) Tuberculosis Human Rabies

Rubella Tetanus Whooping cough like illness Food Poisoning AFP GBS Hepatitis A Measles

Leprosy Enteric fever Mumps Chickan pox Herpes zoster

Chicun gunya Meningitis 3 Meningococal pneumonia Rabies Listhmanasis 3 Japanies Encephalitis Pulmonery Tubaculosis Hepatitis 2 TOTAL 63

Page 21: STATISTICAL BULLETIN · t GENARAL INFORMATION 02 GENARAL INFORMATION OPD PATIENTS This Month Last Month Dental clinic 2213 2937 Eye Clinics 2782 3861 Medical clinic 1715 1411

Medica

l Reco

rd Departm

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Teaching Hospita

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INSERVICE TRAINING PROGRAMME SUMMARY 20

STAFF CATEGORY NO. OF PROGRAMMES NO. OF PARTICIPANTS

Doctors

Incharge Nurses

Nurses 2 160

Paramedical

Physiotheraphists

Mid wives

Health Management Assistants

S.K.S 1 50

Ambulance Drivers

Will shine group

Overseers

All staff 1 40

Security

Paramedicals & Nurses

Attendents

Nurses & Midvives

Total 4 250