Services

Expanded Programme on Immunization (EPI)

Under this programme, multi purpose health workers in the rural as well as urban areas are serving in the district. The immunization services are provided through both static and outreach teams throughout the district. The main function of these teams is to immunize the children against 9 fetal diseases i.e. Diphtheria, Whooping Cough, Tetanus, Polio, Measles, Tuberculosis and Hepatitis-B also Women of childbearing age against Tetnus Oxide. The vaccination coverage report is given as follow:

Communicable Disease Control Programme(CDCP)

Presently communicable disease control cell is focusing on malaria control programme in the district.

Malaria Control Programme

• Malaria kills a child every 40 seconds, globally
• Malaria kills over one million people globally each year and the majority of the victims are children
• Almost 300 million people suffer globally from acute malaria each year
• With acute disease a child may die within 24 hours without prompt and effective treatment
• In endemic areas women are more likely to have malaria during pregnancy, which can leads to severe anaemia and a high risk of death
• Infants born to mothers with malaria are more likely to have low birth weight, which is the single greatest risk of death during the month of life
• Health systems’ failure, during resistance, people movement, deteriorating sanitation, climatic changes and unplanned development activates are contributing to the spread of malaria
• Prompt and effective treatment of suspected malaria fever cases can significantly reduce malaria death

Signs & Symptoms of Severe Malaria

In children history of fever plus at least one of the following:

• Prostration (inability to sit)
• Altered consciousness
• Lethargy or coma
• Breathing difficulties
• Sever anaemia
• Convulsions followed
• By unconsciousness
• Inability to drink
• Vomiting

For adults, the same sings and symptoms are valid, with the addition of:

• Dark and / or limited production of urine

In Multan district Communicable Disease Control Supervisors are working at union council level for the control of malaria. A blood slide of every patient with fever or fever history is prepared and sent to nearby Government CDC laboratory for examination to diagnose the malaria cases. If any slide is found positive for malaria then immediate radical treatment is given to the patient through concerned CDC Supervisor. Furthermore, epidemiological contact survey is also conducted for screening of malaria cases. If more cases are found from same area then blood survey is conducted at mass level to give 100% coverage to the whole population of that area.

District Quality Control Board (DQCB)

After devolution the Provincial Health Department established the DQCBs in May 2002. DQCB Multan started its working in August 2002. The main functions of the DQCB are to scrutinize the cases of violation of Drugs Act. Issue necessary advice to Drug Inspectors including warning, prosecution and launching of F.I.Rs except the cases of Ministry of Health licensed manufacturers and cases of spurious drugs including Drug Testing Laboratory Reports.

Drug Branch

The main function of the drug branch is to ensure the availability and sale of quality drugs in the District. Activities of the Drug Inspectors include:

• To inspect all establishments of drugs licensed for sale and all establishments licensed manufactures of drugs within the area assigned to him and to keep record of such inspections
• To satisfy himself that the conditions of the licenses are being observed
• To take and send for test or analysis, samples of any drug from Drug Testing Laboratory
• To investigate any complaint in writing which may be made to him from the licensing authority
• To institute prosecution in respect of contraventions of the act and these rules in Drug Court
• To make such inquires and inspections as may be necessary to stop manufacture and sale of drug in contravention of the act and rules framed there under
• To inspect all premises licensed under the act and these rules before renewal of such licenses

Type of Licenses

• License to sell drugs (retail sale)
• License to sell drugs (wholesale)
• License to sell narcotics and other controlled drugs
• License for pharmacy

Forms of Licenses

• A license to sell store, exhibit for the distribute drugs by way of retail sale shall be issued in Form 9
• A license to sell store, exhibit for the distribute drugs by way of wholesale sale shall be issued in Form 10
• A license to sell store, exhibit for the distribute narcotics and other controlled drugs shall be in Form 11
• A license to sell drugs in pharmacy shall be in Form 12

Procedure for Grant of new Drug Sale License

• Application for the grant or renewal of license referred to in clauses (i) to (iv) of rule 15 shall be made in Form-8 to the licensing authority
• An application under sub rule (1) shall be accompanied by a fee in Head of account “125200 –Health, 125880 other receipts” on challan Form No. 32 in National Bank of Pakistan duly signed by the licensing authority before depositing to the National Bank of Pakistan
• Rs.600/- for each New Drug Sale license, Rs.300/- for renewal of each drug sale license, Rs.50/- for change of qualified person for each drug sale license and Rs.600/- for change of premises for each drug sale license
• A fee of Rs.50/- shall be paid for duplicate copy of license referred to in clauses (i) to (iv) of rule 15 if the original is defaced, damaged or lost and such copy of the license shall bear the words “duplicate copy”
• If drugs are sold, stored, exhibited for sale or distributed at more than one place, a separate license shall be required in respect of each place. (Provided that a Drug Sale License shall not be required for a godown used only for storage of drugs, and which meets the storage conditions and is enlisted alongwith its complete address on the Drug Sale License)