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Report on the Sensitive Disease/Ailments cases
                 registered in the
State Hospitals, Municipal Hospitals and Municipal
           Dispensaries across Mumbai
            (April 2008 to March 2011)

                   June-2011




                    Supported by:




         FORD FOUNDATION

                         1
Table of Content

Sr.                                                                           Page
No.      Title                                                                No.

                                      Section
 I    Foreword                                                                 4
 II   City Statistics                                                          5
III   Ward Statistics                                                         12
IV    Working of Public Health Committee                                      24

                                       Table
      Table 1. Number of sensitive diseases registered in Mumbai across all    12
1     wards ( April 2008 to March 2011)

      Table 2. Ward wise registered cases for Malaria                          15
2
      (April 2008 to March 2011)
      Table 3. Ward wise registered cases for Diarrhoea                        17
3
      (April 2008 to March 2011)
      Table 4. Ward wise registered cases for Hyper tension                    19
4
      (April 2008 to March 2011)
      Table 5. Ward wise registered cases for Tuberculosis                     21
5
      (April 2008 to March 2011)
      Table 6. Ward wise registered cases for Diabetes                         23
6
      (April 2008 to March 2011)
      Table 7. Attendance of Health committee members                          25
7
      ( April 2008 to March 2009)
      Table 8. Category wise percentage attendance                             26
8
      (April 2008 to March 2009)
      Table 9. Attendance of Health committee members                          27
9
      (April 2009 to March 2010)
      Table 10. Category wise percentage attendance                            28
10
      (April 2009 to March 2010)
      Table 11. Attendance of Health committee members                         29
11
      (April 2010 to March 2011)
      Table 12. Category wise percentage attendance                            30
12
      (April 2010 to March 2011)
      Table 13. Number of Question asked in Public Health Committee            31
13
      (April 2008 to March 2009)
      Table 14. Category wise number of Question asked in Public Health        32
14
      Committee (April 2008 to March 2009)
      Table 15. Number of Question asked in Public Health Committee            33
15
      (April 2009 to March 2010)


                                         2
Table 16. Category wise number of Question asked in Public Health   34
16
     Committee (April 2009 to March 2010)
     Table 17. Number of Question asked in Public Health Committee       35
17
     (April 2010 to March 2011)
     Table 18. Category wise number of Question asked in Public Health   36
18
     Committee (April 2010 to March 2011)
     Table 19. Issues raised/Questions asked by Councillors in Health    37
19   Committee meeting (April 2008 to March 2011)

     Table 20. Number of Question asked on Health issues in Ward         38
20
     Committee meeting (April 2010 to March 2011)
     Table 21. Issues raised/Questions asked by Councillors in Ward      39
21
     Committee meeting (April 2008 to March 2011)
22   Table 22. List of State and BMC Hospitals                           40
23   Table 23. List of Municipal Dispensaries                            41
                                       Graph
     Graph 1. Number of Quarter wise Sensitive Diseases /Ailment         5
1
     registered during April 2008 to March 2011
     Graph 2. Top Five Sensitive Diseases                                6
2
     (State Hospital + Municipal Hospital + Municipal Dispensary)
     Graph 3. Quarter wise registered cases for Malaria                  7
3
     (April 2008 to March 2011)
     Graph 4. Quarter wise registered cases for Diarrhoea                8
4
     ( April 2008 to March 2011)
     Graph 5. Quarter wise registered cases for Hyper tension            9
5
     (April 2008 to March 2011)
     Graph 6. Quarter wise registered cases for Tuberculosis             10
6
     (April 2008 to March 2011)
     Graph 7. Quarter wise registered cases for Diabetes                 11
7
     (April 2008 to March 2011)
     Graph 8. Top five sensitive diseases across all wards               13
8
     (April 2008 to March 2011)
     Graph 9. Quarter wise registered cases for Malaria                  14
9
     (April 2008 to March 2011)
     Graph 10. Quarter wise registered cases for Diarrhoea               16
10
     (April 2008 to March 2011
     Graph 11. Quarter wise registered cases for Hyper tension           18
11
     (April 2008 to March 2011)
     Graph 12. Quarter wise registered cases for Tuberculosis            20
12
     (April 2008 to March 2011)
     Graph 13. Quarter wise registered cases for Diabetes                22
13
     (April 2008 to March 2011)



                                        3
I) FOREWORD

They say statistics do not lie. Indeed they don’t. Stats also depict a trend. And trends dictate our
actions. At least they ought to. Praja Foundation has collected data about 5 sensitive diseases
across the city of Mumbai from Municipal dispensaries and municipal hospitals all across the city
for the past three years, from 2008 to 2011. The five sensitive diseases as defined by World
Health Organisation are Malaria, Diarrhoea, Hypertension, Tuberculosis and Diabetes. The
trends that these data reveal are truly shocking.

Now consider this: Each year, from 2007-2008, incidences of sensitive diseases in Mumbai has
continued increasing. Malaria cases grow more than thrice in the last three years; in the
monsoon quarter (July to September) the same growth is more than four times; diarrhoea cases
grew by 70% in the last three years. The picture gets grimmer when one analyses data at the
ward level and that to only for the Municipal Dispensaries: total number of cases registered for
sensitive diseases grew by more than 100% in seven wards in the last three years and across all
wards by 69%; in the same time Malaria grew by 3.8 times, Diarrhoea by 57% and Diabetes by
76%; take the monsoon quarter and the rise in Malaria is 4.75 times; F/S ward the Headquarter
of Municipal Health Department has been the worst affected ward for all the last three years;
three out of seven wards where the increase is more than 100% are in South Mumbai (B, C & D).

Clearly, this reveals a dangerous trend and potential health hazard. Isn’t this a responsibility of
our civic body to ensure that the unabated trend of sensitive diseases is curtailed? If the civic
body and its custodians had kept proper track of such trends from way longer than the past
three years, perhaps pragmatic solutions might have emerged. What’s worse, the periodicity of
the diseases has also continued exactly in the same manner each year.

Another pertinent question that this White paper raises is the role of Municipal Elected
Representatives regarding the health issues plaguing our city. The Municipal Corporation has a
Public Health Committee with 36 elected corporators as its members. In 2008-09, 12 of these
members attended less than 60% of the meetings held by the Public Health Committee. Of those
who did, 23 members did not ask even a single question. In the last three years, 36 councillors
asked less than three questions per meeting; the highest questions being on cemeteries and
crematoriums (12 in the last year and overall 14) along with 14 on health infrastructure related.
There were no questions on epidemics or sensitive diseases in the first two years, in the last
year there were just four questions. The picture is even grimmer if you consider the questions
asked on health in the ward committees by the 227 councillors: councillors from 10 wards out of
24 wards did not even ask a single question on health during the last three years!

Will it then be too judgemental to infer that these 227 elected representatives are collectively
responsible for agony that Mumbaikars are facing today? Mumbai’s Health Budget for the 2008-
09 was Rs. 1529 crores, for 2010-11 it was Rs. 1890 crores and for 2011-12 is Rs. 2167 crores.
Where does all this money go? These data raise extremely pertinent questions about the
paucity of any foresight or planned strategy to safeguard the health of its citizen who are
dependent on municipal dispensaries and hospitals. More significantly, it reminds and rebukes
the elected representatives of our city custodians who seem to be failing in their job as the civic
custodians on behalf of its citizens.

- NITAI MEHTA, Managing Trustee, Praja Foundation


                                                 4
II) City Statistics

         Graph 1. Number of Quarter wise Sensitive Diseases / Ailment1 registered
                              (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of sensitive Diseases /Ailment registered in
25 Municipal Hospitals and 160 Municipal Dispensaries across Mumbai. Comparison is between
quarters of three year data on sensitive Diseases /Ailments registered cases from April 2008 to
March 2011.

The above graph shows highest number of 71,020 sensitive diseases cases registered in the
Municipal Dispensaries and 44,405 in the Municipal hospitals in the quarter July 2010 to
September 2010 and the previous year quarter July 2009 to September 2009 cases registered
were 51,473 in the Municipal dispensaries and 29,569 in the Municipal hospitals. In July 2008 to
September 2008 cases registered were 35,452 in the Municipal dispensaries and 27,621 in the
Municipal hospitals.

    The number of sensitive cases registered from July 2008 to September 2008 quarter to the
    July 2010 to September 2010 quarter has grown by almost two times.
1
 Sensitive diseases/ Aliments consist of Diarrhoea, Hyper Tension, Malaria, Tuberculosis, Diabetes, Typhoid, Hepatitis
A, Hepatitis B, Dengue and Cholera.



                                                          5
Graph 2. Top five Sensitive Diseases/ Ailments [State hospital, Municipal hospital and
                 Municipal Dispensaries (April 2008 to March 2011)]




Inference:

The above data presents diseases wise distribution of registered cases in 25 Municipal Hospitals
and 160 Municipal Dispensary across Mumbai. Comparison is between top five sensitive
Diseases /Ailment of three year data from April 2008 to March 2011.

The above graph shows highest number of 1, 25,999 Diarrhoea cases registered in the
Municipal dispensaries and the Municipal hospitals for the year April 2010 and March 2011 and
the previous year in April 2009 to March 2010 cases registered were 1, 16,295 and 81,321 in the
year April 2008 to March 2009. Malaria cases has registered the second highest with 78,448 in
year in the year April 2010 and March 2011, previous year of April 2009 to March 2010 cases
registered were 39,898 and in year April 2008 to March 2009 cases registered were 23,317.


 The numbers of Malaria cases registered from April 2008 to March 2011 have grown by
 more than three times.



                                               6
Graph 3. Quarter wise registered cases for Malaria (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Malaria. Comparison is
between quarters of three year data on Malaria cases registered in the State Hospitals,
Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 41,424 cases of Malaria registered in year quarter
July 2010 to September 2010 and the previous year quarter July 2009 to September 2010
registered cases were 15,149; in quarter July 2008 to September 2008 cases registered were
9,919. Second highest Malaria cases registered were 17,253 in quarter October 2010 to
December 2010.


 The number of Malaria cases registered from July 2008 to September 2008 quarter to the
 July 2010 to September 2010 quarter has grown by more than four times.




                                              7
Graph 4. Quarter wise registered cases for Diarrhoea (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is
between quarters of three year data on Diarrhoea cases registered in the State Hospitals,
Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 45,509 cases of Diarrhoea registered in quarter July
2010 to September 2010 and the previous year quarter July 2009 to September 2009 registered
cases were 39,727; in quarter July 2008 to September 2008 cases registered were 26,907.
Second highest Diarrhoea cases registered were 29,638 in quarter October 2009 to December
2009.


 The number of Diarrhoea cases registered from July 2008 to September 2008 quarter to the
 July 2010 to September 2010 quarter has grown by almost 70%.




                                               8
Graph 5. Quarter wise registered cases for Hyper tension (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Hyper tension.
Comparison is between quarters of three year data on Hyper tension cases registered in the
State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008
to March 2011.

The above graph shows highest number of 11,564 cases of Hyper tension registered in quarter
January 2011 to March 2011 and the previous year quarter January 2010 to March 2010
registered cases were 8,063; in quarter January 2009 to march 2009 cases registered were 6936.
Second highest Hypertension cases registered were 9,737 in quarter October 2010 to December
2010.


The number of Hyper tension cases registered from January 2009 to March 2009 quarter to
the January 2011 to March 2011 quarter has grown by almost two times.


                                              9
Graph 6. Quarter wise registered cases for Tuberculosis (April2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison
is between quarters of three year data on Tuberculosis cases registered in the State Hospitals,
Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 9,210 cases of Tuberculosis registered in quarter
April 2008 to June 2008 and the next year quarter April 2009 to June 2009 registered cases were
7,667; in quarter April 2010 to June 2010 cases registered were 7,303. Second highest
Tuberculosis cases registered were 8,548 in quarter October 2010 to December 2010.




                                              10
Graph 7. Quarter wise registered cases for Diabetes (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Diabetes. Comparison is
between quarters of three year data on Diabetes cases registered in the State Hospitals,
Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 7,601 cases of Diabetes registered in quarter July
2009 to September 2009 and the next year quarter July 2010 to September 2010 registered
cases were 5,889; in quarter July 2008 to September 2008 cases registered were 6,017. Second
highest Diabetes cases registered were 6,797 in quarter April 2008 to June 2008.




                                              11
III) Ward Statistics
Table 1. Number of sensitive diseases/ Ailments registered in Mumbai across all wards
                              (April 2008 to March 2011)
                                                 Number of cases registered
         Ward
                           April'08 to March'09      April'09 to March'10    April'10 to March'11
          A                       4,245                    3,966                    4,645
          B                       2,261                    3,295                    5,017
          C                       2,068                    2,587                    4,310
          D                       3,033                    6,507                    7,297
          E                       7,874                    10,724                   12,987
         F/N                      6,208                    10,476                   11,147
         F/S                      9,314                    13,373                   16,030
         G/N                      4,992                    6,454                     9,214
         G/S                      9,682                    12,703                   13,694
         H/E                      4,535                    7,403                     8,425
         H/W                      4,787                    4,999                    8,696
         K/E                      10,496                   12,223                   15,610
         K/W                      5,369                    5,552                    7,293
          L                       6,866                    14,593                   16,219
         M/E                      2,753                    4,728                    7,083
         M/W                      4,680                    6,080                    6,944
          N                       3,820                    7,701                    9,919
         P/N                      2,799                    3,480                    3,537
         P/S                      1,043                    1,812                    1,649
         R/C                      4,139                    3,949                    3,325
         R/N                      1,226                    1,376                    1,375
         R/S                      4,343                    5,182                     3,954
          S                       3,586                    6,098                    8,304
          T                       1,846                    2,694                    2,601

Inference:
The above data presents ward wise division of Sensitive diseases/ Ailments registered in the
Municipal Dispensaries across all wards of Mumbai from April 2008 to March 2011.

The above table shows that F south ward is amongst top three wards for the maximum number
of cases registered for the all the last three years. Similarly G south is amongst the top three for
the year April 2008 to March 2009 and April 2009 to March 2010; K east for April 2008 to March
2009 and April 2010 to March 2011; and L ward for April 2009 to March 2010 to April 2010 to
March 2011.

 The increase between Years April 2008 - March 2009 to April 2010 – March 2011 is
     • More than 100% increase in seven wards.
     • Overall increase is 69% for all wards



                                                12
Graph 8. Top five Sensitive diseases/ Ailments across all wards
                               (April 2008 – March 2011)




Inference:
The above data presents diseases wise distribution of registered cases in 160 Municipal
Dispensaries across all wards in Mumbai. Comparison is between top five Sensitive diseases/
Ailments of three year data from April 2008 to March 2011.

The above graph shows highest number of 1, 13,747 Diarrhoea cases registered in the Municipal
dispensaries for the year April 2010 and March 2011 and the previous year in April 2009 to
March 2010 cases registered were 1, 04,377 and 72,322 in the year April 2008 to March 2009.
Malaria cases has registered the second highest with 38,005 case in year in the year April 2010
and March 2011, previous year of April 2009 to March 2010 cases registered were 19,867 and in
year April 2008 to March 2009 cases registered were 10004.

  The increase between Year April 2008 - March 2009 to April 2010 - March 2011 is
      • 3.8 times increase for Malaria
      • 57% increase for Diarrhoea
      • 76 % increase for Diabetes


                                              13
Graph 9 . Quarter wise registered cases of Malaria (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Malaria. Comparison is
between quarters of three year data on Malaria cases registered only in the Municipal
Dispensaries across Mumbai from April 2008 to March 2011.

The above graph shows highest number of 20,383 cases of Malaria registered in year quarter
July 2010 to September 2010 and the previous year quarter July 2009 to September 2009
registered cases were 7, 937; in quarter July 2008 to September 2008 cases registered were
4,287. Second highest Malaria cases registered were 7,937 in year quarter July 2009 to
September 2009.



The increase between quarter July 2008 – September 2008 to July 2010- September is 4.75
times increase for Malaria




                                             14
Table 2. Ward wise registered cases of Malaria (April 2008 to March 2011)


                                          Malaria
                              2008-09                  2009-10                2010-11
       Ward               Number of cases           Number of cases       Number of cases
                            registered                registered            registered
        A                       133                       664                   1221
        B                       274                       552                   1147
        C                       238                       426                   1532
        D                       940                      1645                   1774
        E                       750                       756                   2945
       F/N                      362                      1365                   2073
       F/S                      1644                     2991                   4499
       G/N                      490                      1075                   2088
       G/S                      711                      2149                   3115
       H/E                      124                       442                    804
       H/W                      1062                      817                   3360
       K/E                      747                      1299                   3687
       K/W                      652                      1100                   2524
        L                       376                       832                   1718
       M/E                      536                       661                    192
       M/W                      244                       291                    622
        N                       244                       880                   1909
       P/N                       67                       220                    385
       P/S                       92                       150                    251
       R/C                       61                       129                    334
       R/N                       12                       79                     83
       R/S                      101                       170                    417
        S                        99                       677                   1083
        T                        45                       497                    242

Inference:
The above data presents ward wise division of registered cases for Malaria registered in the
Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that F south ward has highest registered cases (1,644) for Malaria; H
west ward has second highest registered cases (1,062) and D ward has third highest registered
cases (940) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south
ward has highest registered cases (2,991), G South ward has second highest registered cases
(2149) and D ward has third highest registered cases (1,645). In the year April 2010 to March
2011 F south ward has highest registered cases (4,499) for Malaria; K east has second highest
registered cases (3,687) and H west has third highest (3,360) registered cases.


                                             15
Graph 10. Quarter wise registered cases of Diarrhoea (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is
between quarters of three year data on Diarrhoea cases registered in the Municipal
Dispensaries across all wards in the Mumbai from April 2008 to March 2011.

The above graph shows highest number of 40,985 cases of Diarrhoea registered in year quarter
July 2010 to September 2010 and the previous year quarter July 2009 to September 2009
registered cases were 34,731; in quarter July 2008 to September 2008 cases registered were
23,321. Second highest Diarrhoea cases registered were 26,650 in year quarter October 2009 to
December 2009.




                                              16
Table 3. Ward wise registered cases of Diarrhoea (April 2008 to March 2011)

                                          Diarrhoea
                               2008-09                  2009-10                 2010-11
                           Number of cases          Number of cases         Number of cases
       Ward
                             registered               registered              registered
         A                       1213                    1440                     1522
         B                       1220                    1654                     1844
         C                       944                     1309                     2019
         D                       1175                    3579                     4536
         E                       5490                    8147                    8201
        F/N                      4063                    5796                     5295
        F/S                      4424                    5824                     7261
        G/N                      3431                    4343                     5849
        G/S                      6874                    6776                     7252
        H/E                      3442                    5697                     6041
        H/W                      2657                    3338                     3946
        K/E                      5997                    7219                    7885
        K/W                      3358                    4042                     4023
         L                       5379                    11971                   12588
        M/E                      1461                    3769                     6108
        M/W                      3715                    4763                     5083
         N                       3381                    6636                     7869
        P/N                      2104                    2861                     2741
        P/S                      804                     1423                     1062
        R/C                      2922                    2686                     1801
        R/N                      1011                    1067                      946
        R/S                      2920                    3972                     2657
         S                       2950                    4445                     5242
         T                       1387                    1620                    1976

Inference:
The above data presents ward wise division of registered cases for Diarrhoea in the Municipal
Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that G south ward has highest registered cases (6,874) for Diarrhoea, K
east has second highest registered cases (5,997) and E ward has third highest registered cases
(5,490) for year April 2008 to March 2009. The next year April 2009 to March 2010 L ward has
highest registered cases (11,971), E ward has second highest registered cases (8,174) and K east
ward has third highest registered cases (7,219). In the year April 2010 to March 2011 L ward has
highest registered cases (12,588) for Diarrhoea; E ward has second highest registered cases
(8,201) and K east has third highest registered cases (7,885).


                                              17
Graph 11. Quarter wise registered cases of Hyper tension (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Hyper tension.
Comparison is between quarters of three year data on Hyper tension cases registered in the
Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above graph shows highest number of 5,374 cases of Hyper tension registered in year
quarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010
registered cases were 4,959; in quarter January 2009 to March 2009 cases registered were
4,405. Second highest Hyper tension cases registered were 5,317 in year quarter July 2010 to
September 2010.




                                            18
Table 4. Ward wise registered cases of Hyper tension (April 2008 to March 2011)

                                         Hyper tension
                                 2008-09                    2009-10              2010-11
      Ward                                               Number of cases      Number of cases
                       Number of cases registered
                                                           registered           registered
       A                          2562                        1369                1338
       B                           436                        750                 1353
       C                           641                        653                  599
       D                           532                        949                  686
       E                           866                        1213                1154
      F/N                          575                        972                 1234
      F/S                         2649                        3868                3586
      G/N                          341                        548                  746
      G/S                         1681                        3241                2198
      H/E                          443                        625                  844
      H/W                          639                        306                  496
      K/E                         1319                        1715                2241
      K/W                          693                       0                     174
       L                           251                        502                  580
      M/E                          379                        142                  392
      M/W                          321                        529                  709
       N                           50                          41                   24
      P/N                          405                        172                  282
      P/S                          49                         132                  155
      R/C                          915                        839                  890
      R/N                          62                          94                  249
      R/S                          679                        184                  201
       S                           75                         214                  308
       T                           75                         160                  176

Inference:
The above data presents ward wise division of registered cases for Hyper tension in the
Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that F south ward has highest registered cases (2,649) for Hyper tension;
A ward has second highest registered cases (2,562) and G south has third highest registered
cases (1,618) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south
ward has highest registered cases (3,868), G south ward has second highest Hyper tension
registered cases (3,241) and K east has third highest registered cases (1,715). In the year April
2010 to March 2011 F south ward has highest registered cases (3,586) for Hyper tension, K east
ward has second highest registered cases (2,241) and G south ward has third highest registered
cases (2,198).



                                               19
Graph 12 . Quarter wise registered cases of Tuberculosis (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison
is between quarters of three year data on Tuberculosis cases registered only in the Municipal
Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above graph shows highest number of 2,938 cases of Tuberculosis registered in year quarter
January 2010 to March 2010 and the previous year quarter January 2009 to March 2009
registered cases were 2184; and next year quarter January 2011 To March 2011 cases
registered were 2,877. Second highest Tuberculosis cases registered were 2,923 in year quarter
April 2008 to June 2008.




                                              20
Table 5. Ward wise registered cases of Tuberculosis (April 2008 to March 2011)

                                         Tuberculosis
                             2008-09                    2009-10                   2010-11

                         Number of cases            Number of cases          Number of cases
      Ward
                           registered                 registered               registered
        A                      292                        438                      461
        B                      100                        155                      160
        C                      156                        133                      131
        D                      378                        265                      246
        E                      592                        516                      417
       F/N                     858                       1274                      1332
       F/S                     577                        573                      600
       G/N                     714                        404                      417
       G/S                     276                        221                      361
       H/E                     444                        503                      518
       H/W                     275                        250                      226
       K/E                     2048                      1391                      1164
       K/W                     395                        260                      240
        L                      760                       1118                      1118
       M/E                     146                        67                       147
       M/W                     181                        200                      218
        N                      120                        96                        65
       P/N                     187                        124                       96
       P/S                      71                        65                        69
       R/C                     129                        111                      137
       R/N                     123                        128                       86
       R/S                     542                        765                      572
        S                      417                        671                      1551
        T                      334                        393                      191

Inference:
The above data presents ward wise division of registered cases for Tuberculosis in the Municipal
Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that K east ward has highest registered cases (2,048) for Tuberculosis, F
north ward has second highest registered cases (858) and L ward has third highest registered
cases (760) for year April 2008 to March 2009. The next year April 2009 to March 2010 K east
ward has highest registered cases (1,391), F north ward has second highest Tuberculosis
registered cases (1,274) and L ward has third highest registered cases (1,118). In the year April
2010 to March 2011 S ward has highest registered cases (1,551) for Tuberculosis, F north ward
has second highest registered cases (1,332) and K east has third highest registered cases (1,164).


                                               21
Graph 13. Quarter wise registered cases of Diabetes (April 2008 to March 2011)




Inference:

The above data presents quarter wise distribution of register cases for Diabetes. Comparison is
between quarters of three year data on Diabetes cases registered in the Municipal Dispensaries
across all wards in Mumbai from April 2008 to March 2011.

The above graph shows highest number of 1,439 cases of Diabetes registered in year quarter
January 2011 to March 2011 and the previous year quarter January 2010 to March 2010
registered cases were 1,194; and in the year quarter January 2009 to March 2009 cases
registered were 770. Second highest Diabetes cases registered were 1,124 in year quarter
October 2010 to December 2010.




                                              22
Table 6. Ward wise registered cases of Diabetes (April 2008 to March 2011)

                                           Diabetes
                               2008-09                  2009-10                  2010-11
       Ward
                           Number of cases          Number of cases         Number of cases
                             registered               registered              registered
        A                        39                        28                      46
        B                        189                       165                     464
        C                        89                        66                      29
        D                         2                         0                       0
        E                        156                       80                      212
       F/N                       292                       878                     938
       F/S                       10                        80                      24
       G/N                       16                        73                      105
       G/S                       131                       291                     492
       H/E                       65                        68                      71
       H/W                       142                       207                     167
       K/E                       385                       597                     613
       K/W                       246                       136                     301
        L                        93                        164                     189
       M/E                       231                       89                      242
       M/W                       180                       240                     273
        N                        12                        10                      24
       P/N                       25                        10                      21
       P/S                       27                        42                      98
       R/C                       111                       159                     127
       R/N                       18                         7                      11
       R/S                       87                        72                      50
        S                        42                        45                      53
        T                         5                        21                      16

Inference:
The above data presents ward wise division of registered cases for Diabetes in the Municipal
Dispensaries across all wards in Mumbai from April 2008 to March 2011.

The above table shows that K east ward has highest registered cases (385) for Diabetes; F north
ward has second highest registered cases (292) and K west ward has third highest registered
cases (246) for year April 2008 to March 2009. The next year April 2009 to March 2010 F north
ward has highest registered cases (878), K east ward has second highest Diabetes registered
cases (597) and G south ward has third highest registered cases (291). In the year April 2010 to
March 2011 F north ward has highest registered cases (938) for Diabetes; K east ward has
second highest registered cases (613) and G south ward has third highest registered cases (492).


                                              23
IV) Working of Public Health Committee


Public Health Committee:


The Corporation under Section 38A (1) of the M.M.C. Act, appoint the Public Health Committee
out of their own body consisting of 36 members in their meeting after general election and
delegate any of their power and duties to such Committee and also define the sphere of
business of Committee so appointed and direct that all matters and questions included in any
such sphere shall be submitted to the Corporation with such Committee’s recommendation.

Conduct of Business

The Public Health Committee meets once in a month and such other times if find necessary {the
notice of meeting specifying the day, the time and the place at which such meeting is to be held
and the business to be transacted in the meeting (agenda and accompaniments) is prepared by
the Municipal Secretary and sent to the Committee members at their residential address}.


Sphere of Business:

"Sphere of Business of Special Committees defined by the Corporation vide Corporation
Resolution No.46, dated 11th May 1999 in exercise of the powers vested in them by Sub-Section
(1) of Section 38A of the Mumbai Municipal Corporation Act, 1888, as amended up to date.
All questions relating to the King Edward VII Memorial Hospital and the Seth Gordhandas
Sunderdas Medical College, Kasturba Hospital for infectious diseases, Medical Relief in the
Municipal outdoor dispensaries, Medical and Nursing assistance to the poor in their homes
Venereal Diseases Dispensaries, Anti Tuberculosis League and any Medical Institution to which
monetary assistance is given by the Corporation.
Health Department (including Street Cleaning, Conservancy, etc.) with the exception of
questions pertaining to the Mechanical Branch so far as they fall within the province of the
Works Committee. At present, there are 36 members in the Public Health Committee.




                                              24
Table 7. Attendance of Health committee members (April 2008 to March 2009)

       Corporators Name                    Attend                Out of
       Shubhada Gudhekar                     16                    16
          Minal Juwatkar                     11                    16
        Shazia Azmi Aslam                    8                     16
           Shobha Ashar                      14                    16
       Kashinath Karadkar                    9                     16
           Rahebar Khan                      6                     16
        Mangala Gaikwad                      9                     16
          Sarika Gracious                    9                     16
           Baliram Ghag                      12                    16
          Prakash Chalke                     10                    16
         Kashinath Tharli                    10                    16
           Anjali Darade                     5                     16
         Madhukar Dalvi                      10                    16
         Parshuram Desai                     14                    16
          Sandhya Doshi                      15                    16
      Shantaram Naik (late)                  4                      5
             Rajul Patel                     12                    16
           Kokila Parmar                     14                    16
          Supriya Pawar                      12                    16
          Sangeeta Patil                     6                     16
          Krishna Parkar                     10                    16
        Manohar Panchal                      5                     16
       Anuradha Pednekar                     12                    16
         Yashodhar Fanse                     13                    16
      Prakash Phaterperkar                   13                    16
       Abdul Aziz Barudgar                   4                     16
        Ramnarayan Barot                     12                    16
           Ashwini Mate                      13                    16
            Kisan Mistry                     13                    16
          Anahita Mehta                      14                    16
           Ajanta Yadav                      14                    16
            Geeta Yadav                      7                     16
        Sujata Waghmare                      3                     16
            Pravin Shah                      9                     16
            Nitin Salagre                    10                    16
           Jayanti Siroya                    12                    16




                                   25
Table 8. Category wise percentage attendance of Health committee members
                              (April 2008 - March 2009)


                         Category                               Number of Councillors

                       90% to 100%                                         2

                        75% to 89%                                        16

                        60% to 74%                                         6

                      59% and below                                       12




Inference:

The above data presents attendance of health committee member’s during April 2008 to March
2009.

The above table shows that two Councillors have attended 90% to 100% meetings and 12
Councillors have attended 59% and below percentage meetings out of 16 health committee
meetings.




                                           26
Table 9. Attendance of Health committee members (April 2009 to March 2010)

        Corporators Name                     Attend               Out of
        Shubhada Gudhekar                      8                   12
          Minal Juwatkar                       7                   12
         Shazia Azmi Aslam                     5                   12
            Shobha Ashar                       8                   12
        Kashinath Karadkar                     9                   12
           Rahebar Khan                        4                   12
         Mangala Gaikwad                       6                   12
            Baliram Ghag                       7                   12
           Prakash Chalke                      3                   12
          Kashinath Tharli                     8                   12
            Anjali Darade                      5                   12
          Madhukar Dalvi                       9                   12
          Parshuram Desai                      11                  12
              Rajul Patel                      9                   12
           Kokila Parmar                       10                  12
           Supriya Pawar                       8                   12
           Sangeeta Patil                      5                   12
           Krishna Parkar                      9                   12
         Manohar Panchal                       4                   12
        Anuradha Pednekar                      10                  12
          Yashodhar Fanse                      9                   12
       Prakash Phaterperkar                    9                   12
        Abdul Aziz Barudgar                    2                   12
         Ramnarayan Barot                      8                   12
            Ashwini Mate                       8                   12
             Kisan Mistry                      8                   12
           Anahita Mehta                       6                   12
            Ajanta Yadav                       8                   12
             Geeta Yadav                       8                   12
         Sujata Waghmare                       2                   12
             Pravin Shah                       4                   12
             Nitin Salagre                     6                   12
            Jayanti Siroya                     6                   12
           Kamlakar Naik                       8                   12
        Bhaskar Khursange                      3                    9
           Rakhi Jadhav                        0                    9




                                   27
Table 10. Category wise percentage attendance of Health committee members
                              (April 2009 to March 2010)


                         Category                                Number of Councillors

                        90% to 100%                                         1

                         75% to 89%                                         8


                         60% to 74%                                        10


                       59% and below                                       17




Inference:

The above data presents attendance of health committee member’s during April 2009 to March
2010.

The above table shows that one Councillor have attended 90% to 100% meetings and 17
Councillors have attended 59% and below percentage meetings out of 12 health committee
meetings.




                                           28
Table 11. Attendance of Health committee members (April 2010 to March 2011)

          Corporators Name                      Attend             Out of
             Ashwini Mate                         13                14
          Kashinath Karadkar                       9                14
              Shazia Aslam                         4                14
             Shobha Ashar                         10                14
            Kashinath Tharli                       8                14
             Rahebar Khan                          3                14
          Bhaskar Khursange                       10                14
           Mangala Gaikwad                         8                14
         Shubhada Gudhekar                         6                14
             Baliram Ghag                          9                14
            Prakash Chalke                         6                14
              Rakhi Jadhav                         3                14
            Minal Juwatkar                        10                14
             Anjali Darade                         4                14
            Madhukar Dalvi                         6                14
           Parshuram Desai                        10                14
             Kamlakar Naik                        11                14
             Kokila Parmar                        12                14
               Rajul Patel                         6                14
             Supriya Pawar                         7                14
             Sangeeta Patil                        7                14
             Krishna Parkar                        7                14
           Manohar Panchal                         6                14
          Anuradha Pednekar                       10                14
           Yashodhar Fanse                        11                14
         Prakash Phaterperkar                      6                14
          Abdul Aziz Barudgar                      2                14
          Ramnarayan Barot                         9                14
              Kisan Mistry                         8                14
            Anahita Mehta                          9                14
              Ajanta Yadav                        10                14
              Geeta Yadav                         11                14
           Sujata Waghmare                         3                14
              Nitin Salagre                        8                14
               Pravin Shah                         6                14
             Jayanti Siroya                        6                14




                                    29
Table 12. Category wise percentage attendance of Health committee members
                             (April 2010 to March 2011)


                           Category                               Number of Councillors

                         90% to 100%                                         1


                          75% to 89%                                         4


                          60% to 74%                                         10

                        59% and below                                        21




Inference:

The above data presents attendance of health committee member’s during April 2010 to March
2011.

The above table shows that one Councillor have attended 90% to 100% percent meetings and 21
Councillors have attended 59% and below percentage meetings out of 14 health committee
meetings.




                                            30
Table 13. Number of Question asked in Public Health committee

                           (April 2008 to March 2009)

                                                                        Question
Ward             Political Party                Councillors name         Asked
  D        Indian National Congress               Anahita Mehta            1
  D                Shiv Sena                      Minal Juwatkar           0
  D          Bharatiya Janata Party                Kokila Parmar           0
 F/S               Shiv Sena                      Prakash Chalke           0
G/N        Indian National Congress             Mangala Gaikwad            1
G/S                Shiv Sena                     Madhukar Dalvi            1
G/S              Independent                     Parshuram Desai           0
H/E                Shiv Sena                       Baliram Ghag            0
H/E          Bharatiya Janata Party               Krishna Parkar           0
H/W              Independent                       Rahebar Khan            0
K/E                Shiv Sena                    Manohar Panchal            0
K/E        Indian National Congress                 Nitin Salagre          3
K/W                Shiv Sena                     Yashodhar Fanse           6
K/W                Shiv Sena                         Rajul Patel           6
K/W        Indian National Congress               Abdul Barudgar           0
K/W        Indian National Congress                Jayanti Siroya          0
  L            Samajwadi Party                  Shazia Azmi Aslam          0
  L                Shiv Sena                   Anuradha Pednekar           2
  L                Shiv Sena                  Shantaram Naik (late)        1
M/E    Republican Party Of India (RPI)          Sujata Waghmare            0
M/W                Shiv Sena                  Prakash Phaterperkar         2
M/W        Indian National Congress                 Kisan Mistry           1
  N          Bharatiya Janata Party                Shobha Ashar            2
  N                Shiv Sena                     Kashinath Tharli          0
  N                Shiv Sena                       Ashwini Mate            0
P/N      Maharashtra Navnirman Sena               Supriya Pawar            0
P/N          Bharatiya Janata Party             Ramnarayan Barot           0
P/N       Nationalist Congress Party          Sarika Austin Gracious       0
R/C          Bharatiya Janata Party                 Pravin Shah            0
R/C       Nationalist Congress Party      Sandhya Vipul Doshi (Sakre)      0
R/S        Indian National Congress                Ajanta Yadav            6
R/S                Shiv Sena                   Shubhada Gudhekar           0
R/S        Indian National Congress                 Geeta Yadav            0
  S        Indian National Congress            Kashinath Karadkar          1
  S        Indian National Congress                Anjali Darade           0
  S        Indian National Congress               Sangeeta Patil           0




                                         31
Table 14. Category wise number of Question asked in Public Health committee

                               (April 2008 to March 2009)


                        Category                                 Number of Councillors


                  Zero Questions asked                                    23


                 1 to 4 Questions asked                                   10


              5 and above Questions asked                                  3




Inference:

Above data present the number of questions asked by Councillors in the Health Committee
meeting during the year April 2008 to March 2009.

The above data shows that three Councillors asked five and above questions, Ten Councillors
asked one to four questions and 23 Councillors asked no questions in the Health Committee
meetings.




                                            32
Table 15. Number of Question asked in Public Health committee

                          (April 2009 to March 2010)
                                                                       Question
Ward               Political Party             Councillors name
                                                                        Asked
 D           Indian National Congress            Anahita Mehta            4
 D                   Shiv Sena                   Minal Juwatkar           0
 D             Bharatiya Janata Party             Kokila Parmar           0
F/S                  Shiv Sena                   Prakash Chalke           0
G/N          Indian National Congress          Mangala Gaikwad            0
G/S                  Shiv Sena                  Madhukar Dalvi            5
G/S                Independent                  Parshuram Desai           0
H/E                  Shiv Sena                    Baliram Ghag            0
H/E            Bharatiya Janata Party            Krishna Parkar           0
H/W                Independent                    Rahebar Khan            2
K/E                  Shiv Sena                 Manohar Panchal            0
K/E          Indian National Congress              Nitin Salagre          1
K/W                  Shiv Sena                  Yashodhar Fanse           2
K/W                  Shiv Sena                      Rajul Patel           1
K/W          Indian National Congress            Abdul Barudgar           0
K/W          Indian National Congress             Jayanti Siroya          0
 L               Samajwadi Party               Shazia Azmi Aslam          1
 L                   Shiv Sena                Anuradha Pednekar           2
 L                   Shiv Sena                   Kamlakar Naik            2
M/E        Republican Party Of India (RPI)     Sujata Waghmare            0
M/W                  Shiv Sena               Prakash Phaterperkar         0
M/W          Indian National Congress              Kisan Mistry           0
 N             Bharatiya Janata Party             Shobha Ashar            1
 N                   Shiv Sena                  Kashinath Tharli          0
 N                   Shiv Sena                    Ashwini Mate            0
 N           Nationalist Congress Party           Rakhi Jadhav            0
P/N        Maharashtra Navnirman Sena            Supriya Pawar            0
P/N            Bharatiya Janata Party          Ramnarayan Barot           0
R/C            Bharatiya Janata Party              Pravin Shah            1
R/C          Nationalist Congress Party       Bhaskar Khursange           1
R/S          Indian National Congress             Ajanta Yadav            3
R/S                  Shiv Sena               Shubhada Gudhekar            2
R/S          Indian National Congress              Geeta Yadav            0
 S           Indian National Congress         Kashinath Karadkar          2
 S           Indian National Congress             Anjali Darade           0
 S           Indian National Congress            Sangeeta Patil           0



                                        33
Table 16. Category wise number of Question asked in Public Health committee

                                (April 2009 to March 2010)



                         Category                                Number of Councillors


                   Zero Questions asked                                     21


                  1 to 4 Questions asked                                    14


               5 and above Questions asked                                   1




Inference:

Above data present the number of questions asked by Councillors in the Health Committee
meeting during the year April 2009 to March 2010.

The above data shows that one Councillors asked five and above questions, 14 Councillors asked
one to four questions and 21 Councillors asked no questions in the Health Committee meetings.




                                             34
Table 17. Number of Question asked in Public Health committee

                           (April 2010 to March 2011)

Ward               Political Party             Councillors Name     Question Asked
 D           Indian National Congress            Anahita Mehta            5
 D                   Shiv Sena                   Minal Juwatkar           0
 D             Bharatiya Janata Party             Kokila Parmar           1
F/S                  Shiv Sena                   Prakash Chalke           0
G/N          Indian National Congress          Mangala Gaikwad            2
G/S                  Shiv Sena                  Madhukar Dalvi            1
G/S                Independent                  Parshuram Desai           1
H/E                  Shiv Sena                    Baliram Ghag            0
H/E            Bharatiya Janata Party            Krishna Parkar           0
H/W                Independent                    Rahebar Khan            0
K/E                  Shiv Sena                  Manohar Panchal           0
K/E          Indian National Congress              Nitin Salagre          1
K/W                  Shiv Sena                  Yashodhar Fanse           1
K/W                  Shiv Sena                      Rajul Patel           1
K/W          Indian National Congress            Abdul Barudgar           0
K/W          Indian National Congress             Jayanti Siroya          0
 L               Samajwadi Party               Shazia Azmi Aslam          0
 L                   Shiv Sena                Anuradha Pednekar           3
 L                   Shiv Sena                   Kamlakar Naik           11
M/E        Republican Party Of India (RPI)     Sujata Waghmare            2
M/W                  Shiv Sena               Prakash Phaterperkar         3
M/W          Indian National Congress              Kisan Mistry           0
 N             Bharatiya Janata Party             Shobha Ashar            2
 N                   Shiv Sena                  Kashinath Tharli          0
 N                   Shiv Sena                    Ashwini Mate            0
 N           Nationalist Congress Party           Rakhi Jadhav            0
P/N        Maharashtra Navnirman Sena            Supriya Pawar            2
P/N            Bharatiya Janata Party          Ramnarayan Barot           0
R/C            Bharatiya Janata Party              Pravin Shah            0
R/C          Nationalist Congress Party        Bhaskar Khursange          5
R/S          Indian National Congress             Ajanta Yadav            2
R/S                  Shiv Sena                Shubhada Gudhekar           0
R/S          Indian National Congress              Geeta Yadav            2
 S           Indian National Congress         Kashinath Karadkar          1
 S           Indian National Congress             Anjali Darade           0
 S           Indian National Congress            Sangeeta Patil           1




                                        35
Table 18. Category wise number of Question asked in Public Health committee

                               (April 2010 to March 2011)


                        Category                                Number of Councillors


                   Zero Questions asked                                   17


                  1 to 4 Questions asked                                  16


               5 and above Questions asked                                3




Inference:

Above data present the number of questions asked by Councillors in the Health Committee
meeting during the year April 2010- March 2011.

The above data shows that three Councillors asked five and above questions, 16 Councillors
asked one to four questions and 17 Councillors asked no questions in the Health Committee
meetings.




                                             36
Table 19. Issues raised/Questions asked by Councillors in Health Committee meeting

                          Issues                           08 to 09    09 to 10     10 to 11
            Private health services related                    1           0            0
                 Govt. Health Services                         3           3            4
                    Medical college                            1           0            0
                Medicines availability                         4           1            0
          Availability / attendance of Doctor                  2           1            0
Appointment/ Temporary appointment of Doctors /Nurse           2           0            0
               Up gradation Equipments                         3          1              0
             Health infrastructure Related                     4          4              6
                    Medical Quacks                             1          0              0
                 Public Health Centre                          1          0              1
                    Staff behaviour                            4          5              2
                        Fogging                                1          2              1
                    MCGM Related                               1          0              0
       Unauthorized Construction / Development                 1          0              0
                    License Related                            1          1              5
          Cemeteries /Crematorium related                      1          1              12
          Naming/Renaming of Crematorium                       2          2              0
                    Health policies                            0          2              2
                   Mortality related                           0          1               0
              Seat empty of medical staff                      0          2              4
              Appointment / resignation                        0          1              0
                   Maternity homes                             0          1              0
          Government Land / Market Related                     0          1              0
                        Accident                               0          1              0
                   Maternity homes                             0          0              1
         Epidemic/Sensitive Diseases Related                   0          0              4
          Treatment/Medicines Cost Related                     0          0              1
            Wrong Diagnosis / carelessness                     0          0              1
             Medical equipments related                        0          0              3

Inference:
The above data presents issues raised in the Health committee meeting during the year April
2008 to March 2011, a total of 110 questions were asked in the Public Health Committee.

The above data shows that in 2008 -2009 the highest numbers of questions were asked on
Health infrastructure Related, in 2009-2010 highest numbers of questions were asked on Staff
behaviour (Medical/health services staff), in 2010-2011 highest numbers of questions were
asked on Cemeteries /Crematorium related.

  Highest Number of question asked in
  2008-09: on Health infrastructure Related Medicines availability and Staff behaviour
  2009-10: on Staff behaviour
  2010-11: on Cemeteries /Crematorium related37
Table 20. Question asked on Health issues in Ward committee meetings
                              (April 2008-March 2011)


       Ward                  2008-09                 2009-10                 2010-11

          A                      0                       0                       0
          B                      0                       0                       0
          C                      0                       0                       0
          D                      1                       0                       0
          E                      0                       0                       0
         F/N                     0                       2                       0
         F/S                     0                       1                       1
        G/N                      0                       0                       1
         G/S                     0                       2                       3
         H/E                     0                       0                       0
        H/W                      0                       0                       0
         K/E                     0                       0                       4
        K/W                      0                       0                       0
          L                      1                       1                       0
        M/E                      2                       0                       0
        M/W                      1                       0                       1
          N                      2                       2                       2
        P/N                      0                       0                       0
         P/S                     0                       0                       0
         R/C                     0                       1                       0
        R/N                      0                       0                       0
         R/S                     1                       0                       1
          S                      0                       0                       1
          T                      1                       0                       0
        Total                    9                       9                      14

Inference:
Above data present the number of questions asked on health issues by Councillors in the ward
Committee meetings during the year April 2008 - March 2011.

The above data shows that Councillors from seven wards have asked seven questions during
2008-2009, Councillors from six wards asked nine questions in 2009-2010 and 14 questions
asked by Councillors from eight wards in 2010-2011.


 Councillors from 17 wards In year 2008-09, 18 wards in 2009-10 and 16 wards in 2010-11
 have not asked single question.



                                            38
Table 21. Issues raised/Questions asked by Councillors in Ward Committee meeting
                               (April 2008-March 2011)

                      Issues                       08 to 09     09 to 10     10 to 11
                      Malaria                          2            0            4
                  Private Clinics                      1            0            0
            Maintenance Equipments                     1            0            0
          Health infrastructure Related                1            5            1
              Health Services Related                  1            0            1
                      Dengue                           1            0            0
                 Maternity homes                       1            0            3
               Medicines availability                  1            0            0
       Health Problem in Dispensary related            0            1            0
                       H1N1                            0            1            0
       Epidemic/Sensitive Diseases Related             0            1            3
               Public Health Centre                    0            1            0
             Eradication programme                     0            0            1
                 Private hospitals                     0            0            1

Inference:
The above data presents issues raised on health issues in the Ward committee meeting during
the year April 2008 to March 2011, a total of 32 questions were asked in the Ward Committee.

The above data shows that in 2008 -2009 the two questions were asked on Malaria, in 2009-
2010 five questions were asked on Health infrastructure Related, in 2010-2011 four questions
were asked on Malaria.




                                              39
Table 22. List of BMC AND STATE HOSPITALs

Sr.
No.                          List of BMC AND STATE HOSPITAL
1     Acworth Leprosy hospital, Near Wadala Church,
2     Bai Yamunabai, L. Nair Charitable Hospital Nair Road, Mumbai Central,
3     Cama And Albless Hospital (State Hosp.) Fort, Near CST Stn.
4     Centenary Hospital, Govandi (W)
5     Centenary Hospital, Kadivali,
6     Dr. R.N. Cooper Mun. Gen. Hospital Juhu (E)
7     Ear-Nose-Throat Hospital Napiar Road
8     Gokuldas Tejpal Hospital Near CST Stn. (State Hosp.) Near CST Stn.
9     Harilal Bhagwat Mun. Gen. Hospital, Borivali (W)
10    Kasturba Hospital for Infectious Diseases, Sane Guruji Nagar,
11    Khan Bahadur H.K. Bhabha Hospital,Kurla , Mumbai - 400 070
12    Khurshadji Bhabha Hospital,Waterfild Rd. Bandra
13    King Edward Memorial Hospital, K.E.M. Hospital & Seth G.S. Medical college)
14    Lokmanya Tilak Municipal Genral hospital sion Ambedkar Road
15    M.W. Desai Nemorial Mun. Gen. Hospital Malad (E)
16    Maa Hospital, Diwalabai Mohanlal Mehta Hospital Chembur,
17    Mahatma Jyotiba Phule Hospital, Vikhroli,
18    Municipal Group of T.B. Hospital, Sewree
19    Municiple Eye Hospital North Brook Garden, Kamtipura
20    S. V. D. Sawarkar Municipal Gen. Hospital, Mahatma Phule Rd, Mulud (E)
21    S.K Patil Hospital, Malad (East)
22    Sant Muktabai Mun. Gen. Hospital Ghatkoper (W)
      Seth Wadilal Chaturbhai Gandhi J.P. & Seth Monji Aminadas Vora Mun. Gen.
23    Hospital Rajawadi, Ghatkopar.
24    Siddarth Nagar Hospital, Goregaon (W)
25    Sir JJ Hospital,( State Hosp.) Byculla (W)
26    Smt. Mansadevi T. Agaewal Mun. Gen. Hospital, Mulund (W),
27    St. Georges Hospital (State Hosp.) Near CST Stn.
28    Vishnuprasad Nandraj Desai Mun. Gen. Hospital Santacruz (E)


      Summary:
      BMC HOSPITAL - 24
      STATE HOSPITAL- 4
      Note: Three hospitals (in italic formatting) do not maintain treat patients of
      diseases/ailments being studied in this white paper.




                                                   40
Table 23. List of Municipal Dispensaries

Sr. No.               List of Municipal Dispensaries   Ward
   1                   Colaba Municipal Dispensary
   2                      Paltan Road Dispensary
   3                      Maruti Lane Dispensary        A
   4                        S.B.S Raod Dispensary
   5                           H.O. Dispensary
   6                S.V.P. Road Municipal Dispensary
   7                Walpakhadi Muncipal Dispensary
   8                   Jail RD municipal Dispensary.    B
   9                    Jail Road Unani Dispensary.
  10                Kolsa Mohalla Unani Dispensary.
  11                     Chandanwadi Dispensary
  12                      Thakurdwar Dispensary
  13                    Ghogari Mohalla Dispensary      C
  14                       Panjarapol Dispensary
  15                      Duncan Road Dispensary
  16                             Nana Chwak
  17                            R.R Marg Road
  18                          R.S. Nimkar Marg          D
  19                           Bane Compound
  20                       Tardeo Path Municipal
  21                    R.J. Compound Dispensary.
  22                    N.M. joshi marg Dispensary
  23                      Souter street Dispensary
  24                       Gaurabhai Dispensary.
  25                    Siddarth nagar Dispensary.
  26                     Huzaria Street Dispensary.
                                                        E
  27                     Tadwadi Mun. Dispensary
  28                        Motishah Dispensary
  29              Tank Square Garden Mun. Dispensary
  30                    D.P. Wadi Mun. Dispensary
  31                     ES Pathanwala Dispensary
  32                  Nawab Tank Mun. Dispensary
  33                           Parel Dispensary
  34                         Naigaon Dispensary
  35                 Sewree Cross Road Dispensary
  36                     Gautam Nagar Dispensary
                                                       F/S
  37                      Kidwai Nagar Dispensary
  38                        A.D. Marg Dispensary
  39                    Abhuday Nagar Dispensary
  40                       Ambewadi Dispensary



                                       41
41              Triveni Sadan Dispensary
42              Transit Camp Dispensary
43               Raoli Camp. Dispensary
44                Antop Hill Dispensary.
                                                 F/N
45             Korba Mithabai Dispensary
46                 Wadala Dispensary.
47                    LBS Dispensary
48               Curry Road Dispensary
49            Fergusson Road. Dispensary
50               Prabhadevi Dispensary
51              B.D.D. Chawl Dispensary
52              Beggar Home Dispensary
53      Maharashtra High school Dispensary
54             Welfare center Dispensary         G/S
55                  Sasmira Dispensary
56     633, Senapati Bapat Marg Hill Cross Dis
57       Jijamata Nagar K. Moses Dispensary
58             Worli Koliwada Dispensary
59     Zandu Ayurvedic Municipal Dispensary
60           Prbhadevi Ayurvedic Municipal
61        Matunga Labour camp Dispensary
62                  Gulabai Dispensary
63          Dharavi Main Road Dispensary.
64               Walkarwadi Dispensary
65              Shahu Nagar Dispensary           G/N
66             Kumbharwada Dispensary
67              Pilla Bunglow Dispensary
68              Transit Camp Dispensary
69   Welfare camp Near Shri cinema Dispensary
70                Kherwadi Dispensary
71      Prabhat Colony Municipal Dispensary
72                   Kalina Dispensary
                                                 H/E
73             Jawahar Nagar Dispensary
74          Bharat Nagar Dispensary Bandra
75         S.V. Nagar Dispensary. Santacruz
76           Khar-Danda village Dispensary
77            G.N. Station Road Dispensary
78               Guru Nanak Dispensary           H/W
79                 Old Khar Dispensary
80      Shastri Nagar Linking Rd. Dispensary
81               Kaldongari Dispensary
82    Squatters Colony Dispensary, Jogeshwari
83                   Marol Dispensary            K/E
84               Gundawali Dispensary
85      Sambhji Nagar Ayurvedic Dispensary


                             42
86           Paranjape Dispensary.
87          Natwar Nagar Dispensary
88          Sunder Nagar Dispensary
89           Hari Nagar Dispensary
90         Sambhji Nagar Dispensary
91           N.J. wadiya Dispensary
92        Vileparle Market Dispensary
93               Juhu Dispensary            K/W
94             Vrasova Dispensary
95            Oshivara Dispensary
96           Safad Pool Dispensary.
97         Asalpha Village Dispensary
98       Christain Municipal Dispensary
99         Chunnabhatti Dispensary.
100         Mohill village Dispensary
101         Budda Colony Dispensary          L
102      Kajupada Muncipal Dispensary
103       Bail Bazar Mun. Dispensary
104       Chandivali MNP Dispensary
105        Neharu Nagar Dispensary
106              Quereshi Nagar
107        Ayodhya Nagar Dispensary
108         Cheeta Camp Dispensary
109        Deonar Colony Dispensary
                                            M/E
110        Trombay Mun. Dispensary
111          Gavanpada Dispensary
112          Anik Nagar Dispensary
113       Chembur Colony Dispensary
114             Mahul Dispensary
115          Lal Dongar Dispensary
                                            M/W
116          Tilak Nagar Dispensary
117     Chembur Naka Mun. Dispensary
118         Labour Camp Dispensary
119   Chincholi Square Colony Dispensary
                                            P/S
120        Topiwala Lane Dispensary
121     Choksey Municipal Dispensary.
122      Goshala Municipal Dispensary.
123      Malvani. Municipal Dispensary
124      Nemani Municipal Dispensary.
125    School Road Municipal Dispensary
                                            P/N
126       Valnai Municipal Dispensary
127          Pthanwadi Dispensary.
128   Kurar Village Municipal Dispensary.
129            Manori Dispensary.
130        Riddhi Garden Dispensary.


                           43
131        Hanuman Nagar Dispensary.
132     Akurli Road Municipal Dispensary.
133    Dahanuwadi Municipal Dispensary       R/S
134     Charcop Secondary - I Dispensary.
135   Babrekar Nagar Municipal Dispensary.
136            K. K. Mun Dispensary
137               MHB Dispensary
138            Eksai Road Dispensary
                                             R/C
139         Charkop Sector Dispensary
140          Gorai MHADA Dispensary
141          Gorai Village Dispensary
142           L.T. Dhaiser Dispensary
                                             R/N
143        Y.R. Tawde Nagar Dispensary
144           Pant Nagar Dispensary
145             Parksite Dispensary
146      Sarvodaya Pantnagar Dispensary
147               Kirol Dispensary           N
148            Parshiwadi Dispensary
149         Ramabai Colony Dispensary
150                Sai Nath Nagar
151          M.V. R Shinde Dispensary
152          Tulshetpada Dispensary.
153     Shivaji Talav Mumbai Dispensary.
                                              S
154   Tembhipada Shivaji Nagar Dispensary
155           Tagor Nagar Dispensary
156          Kanjur Village Dispensary
157                Tirandaz Nagar
158                PJK Dispensary
159               DDU Dispensary              T
160         Mulund Colony Dispensary




                            44

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Health white paper

  • 1. Report on the Sensitive Disease/Ailments cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai (April 2008 to March 2011) June-2011 Supported by: FORD FOUNDATION 1
  • 2. Table of Content Sr. Page No. Title No. Section I Foreword 4 II City Statistics 5 III Ward Statistics 12 IV Working of Public Health Committee 24 Table Table 1. Number of sensitive diseases registered in Mumbai across all 12 1 wards ( April 2008 to March 2011) Table 2. Ward wise registered cases for Malaria 15 2 (April 2008 to March 2011) Table 3. Ward wise registered cases for Diarrhoea 17 3 (April 2008 to March 2011) Table 4. Ward wise registered cases for Hyper tension 19 4 (April 2008 to March 2011) Table 5. Ward wise registered cases for Tuberculosis 21 5 (April 2008 to March 2011) Table 6. Ward wise registered cases for Diabetes 23 6 (April 2008 to March 2011) Table 7. Attendance of Health committee members 25 7 ( April 2008 to March 2009) Table 8. Category wise percentage attendance 26 8 (April 2008 to March 2009) Table 9. Attendance of Health committee members 27 9 (April 2009 to March 2010) Table 10. Category wise percentage attendance 28 10 (April 2009 to March 2010) Table 11. Attendance of Health committee members 29 11 (April 2010 to March 2011) Table 12. Category wise percentage attendance 30 12 (April 2010 to March 2011) Table 13. Number of Question asked in Public Health Committee 31 13 (April 2008 to March 2009) Table 14. Category wise number of Question asked in Public Health 32 14 Committee (April 2008 to March 2009) Table 15. Number of Question asked in Public Health Committee 33 15 (April 2009 to March 2010) 2
  • 3. Table 16. Category wise number of Question asked in Public Health 34 16 Committee (April 2009 to March 2010) Table 17. Number of Question asked in Public Health Committee 35 17 (April 2010 to March 2011) Table 18. Category wise number of Question asked in Public Health 36 18 Committee (April 2010 to March 2011) Table 19. Issues raised/Questions asked by Councillors in Health 37 19 Committee meeting (April 2008 to March 2011) Table 20. Number of Question asked on Health issues in Ward 38 20 Committee meeting (April 2010 to March 2011) Table 21. Issues raised/Questions asked by Councillors in Ward 39 21 Committee meeting (April 2008 to March 2011) 22 Table 22. List of State and BMC Hospitals 40 23 Table 23. List of Municipal Dispensaries 41 Graph Graph 1. Number of Quarter wise Sensitive Diseases /Ailment 5 1 registered during April 2008 to March 2011 Graph 2. Top Five Sensitive Diseases 6 2 (State Hospital + Municipal Hospital + Municipal Dispensary) Graph 3. Quarter wise registered cases for Malaria 7 3 (April 2008 to March 2011) Graph 4. Quarter wise registered cases for Diarrhoea 8 4 ( April 2008 to March 2011) Graph 5. Quarter wise registered cases for Hyper tension 9 5 (April 2008 to March 2011) Graph 6. Quarter wise registered cases for Tuberculosis 10 6 (April 2008 to March 2011) Graph 7. Quarter wise registered cases for Diabetes 11 7 (April 2008 to March 2011) Graph 8. Top five sensitive diseases across all wards 13 8 (April 2008 to March 2011) Graph 9. Quarter wise registered cases for Malaria 14 9 (April 2008 to March 2011) Graph 10. Quarter wise registered cases for Diarrhoea 16 10 (April 2008 to March 2011 Graph 11. Quarter wise registered cases for Hyper tension 18 11 (April 2008 to March 2011) Graph 12. Quarter wise registered cases for Tuberculosis 20 12 (April 2008 to March 2011) Graph 13. Quarter wise registered cases for Diabetes 22 13 (April 2008 to March 2011) 3
  • 4. I) FOREWORD They say statistics do not lie. Indeed they don’t. Stats also depict a trend. And trends dictate our actions. At least they ought to. Praja Foundation has collected data about 5 sensitive diseases across the city of Mumbai from Municipal dispensaries and municipal hospitals all across the city for the past three years, from 2008 to 2011. The five sensitive diseases as defined by World Health Organisation are Malaria, Diarrhoea, Hypertension, Tuberculosis and Diabetes. The trends that these data reveal are truly shocking. Now consider this: Each year, from 2007-2008, incidences of sensitive diseases in Mumbai has continued increasing. Malaria cases grow more than thrice in the last three years; in the monsoon quarter (July to September) the same growth is more than four times; diarrhoea cases grew by 70% in the last three years. The picture gets grimmer when one analyses data at the ward level and that to only for the Municipal Dispensaries: total number of cases registered for sensitive diseases grew by more than 100% in seven wards in the last three years and across all wards by 69%; in the same time Malaria grew by 3.8 times, Diarrhoea by 57% and Diabetes by 76%; take the monsoon quarter and the rise in Malaria is 4.75 times; F/S ward the Headquarter of Municipal Health Department has been the worst affected ward for all the last three years; three out of seven wards where the increase is more than 100% are in South Mumbai (B, C & D). Clearly, this reveals a dangerous trend and potential health hazard. Isn’t this a responsibility of our civic body to ensure that the unabated trend of sensitive diseases is curtailed? If the civic body and its custodians had kept proper track of such trends from way longer than the past three years, perhaps pragmatic solutions might have emerged. What’s worse, the periodicity of the diseases has also continued exactly in the same manner each year. Another pertinent question that this White paper raises is the role of Municipal Elected Representatives regarding the health issues plaguing our city. The Municipal Corporation has a Public Health Committee with 36 elected corporators as its members. In 2008-09, 12 of these members attended less than 60% of the meetings held by the Public Health Committee. Of those who did, 23 members did not ask even a single question. In the last three years, 36 councillors asked less than three questions per meeting; the highest questions being on cemeteries and crematoriums (12 in the last year and overall 14) along with 14 on health infrastructure related. There were no questions on epidemics or sensitive diseases in the first two years, in the last year there were just four questions. The picture is even grimmer if you consider the questions asked on health in the ward committees by the 227 councillors: councillors from 10 wards out of 24 wards did not even ask a single question on health during the last three years! Will it then be too judgemental to infer that these 227 elected representatives are collectively responsible for agony that Mumbaikars are facing today? Mumbai’s Health Budget for the 2008- 09 was Rs. 1529 crores, for 2010-11 it was Rs. 1890 crores and for 2011-12 is Rs. 2167 crores. Where does all this money go? These data raise extremely pertinent questions about the paucity of any foresight or planned strategy to safeguard the health of its citizen who are dependent on municipal dispensaries and hospitals. More significantly, it reminds and rebukes the elected representatives of our city custodians who seem to be failing in their job as the civic custodians on behalf of its citizens. - NITAI MEHTA, Managing Trustee, Praja Foundation 4
  • 5. II) City Statistics Graph 1. Number of Quarter wise Sensitive Diseases / Ailment1 registered (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of sensitive Diseases /Ailment registered in 25 Municipal Hospitals and 160 Municipal Dispensaries across Mumbai. Comparison is between quarters of three year data on sensitive Diseases /Ailments registered cases from April 2008 to March 2011. The above graph shows highest number of 71,020 sensitive diseases cases registered in the Municipal Dispensaries and 44,405 in the Municipal hospitals in the quarter July 2010 to September 2010 and the previous year quarter July 2009 to September 2009 cases registered were 51,473 in the Municipal dispensaries and 29,569 in the Municipal hospitals. In July 2008 to September 2008 cases registered were 35,452 in the Municipal dispensaries and 27,621 in the Municipal hospitals. The number of sensitive cases registered from July 2008 to September 2008 quarter to the July 2010 to September 2010 quarter has grown by almost two times. 1 Sensitive diseases/ Aliments consist of Diarrhoea, Hyper Tension, Malaria, Tuberculosis, Diabetes, Typhoid, Hepatitis A, Hepatitis B, Dengue and Cholera. 5
  • 6. Graph 2. Top five Sensitive Diseases/ Ailments [State hospital, Municipal hospital and Municipal Dispensaries (April 2008 to March 2011)] Inference: The above data presents diseases wise distribution of registered cases in 25 Municipal Hospitals and 160 Municipal Dispensary across Mumbai. Comparison is between top five sensitive Diseases /Ailment of three year data from April 2008 to March 2011. The above graph shows highest number of 1, 25,999 Diarrhoea cases registered in the Municipal dispensaries and the Municipal hospitals for the year April 2010 and March 2011 and the previous year in April 2009 to March 2010 cases registered were 1, 16,295 and 81,321 in the year April 2008 to March 2009. Malaria cases has registered the second highest with 78,448 in year in the year April 2010 and March 2011, previous year of April 2009 to March 2010 cases registered were 39,898 and in year April 2008 to March 2009 cases registered were 23,317. The numbers of Malaria cases registered from April 2008 to March 2011 have grown by more than three times. 6
  • 7. Graph 3. Quarter wise registered cases for Malaria (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Malaria. Comparison is between quarters of three year data on Malaria cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 41,424 cases of Malaria registered in year quarter July 2010 to September 2010 and the previous year quarter July 2009 to September 2010 registered cases were 15,149; in quarter July 2008 to September 2008 cases registered were 9,919. Second highest Malaria cases registered were 17,253 in quarter October 2010 to December 2010. The number of Malaria cases registered from July 2008 to September 2008 quarter to the July 2010 to September 2010 quarter has grown by more than four times. 7
  • 8. Graph 4. Quarter wise registered cases for Diarrhoea (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is between quarters of three year data on Diarrhoea cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 45,509 cases of Diarrhoea registered in quarter July 2010 to September 2010 and the previous year quarter July 2009 to September 2009 registered cases were 39,727; in quarter July 2008 to September 2008 cases registered were 26,907. Second highest Diarrhoea cases registered were 29,638 in quarter October 2009 to December 2009. The number of Diarrhoea cases registered from July 2008 to September 2008 quarter to the July 2010 to September 2010 quarter has grown by almost 70%. 8
  • 9. Graph 5. Quarter wise registered cases for Hyper tension (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Hyper tension. Comparison is between quarters of three year data on Hyper tension cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 11,564 cases of Hyper tension registered in quarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010 registered cases were 8,063; in quarter January 2009 to march 2009 cases registered were 6936. Second highest Hypertension cases registered were 9,737 in quarter October 2010 to December 2010. The number of Hyper tension cases registered from January 2009 to March 2009 quarter to the January 2011 to March 2011 quarter has grown by almost two times. 9
  • 10. Graph 6. Quarter wise registered cases for Tuberculosis (April2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison is between quarters of three year data on Tuberculosis cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 9,210 cases of Tuberculosis registered in quarter April 2008 to June 2008 and the next year quarter April 2009 to June 2009 registered cases were 7,667; in quarter April 2010 to June 2010 cases registered were 7,303. Second highest Tuberculosis cases registered were 8,548 in quarter October 2010 to December 2010. 10
  • 11. Graph 7. Quarter wise registered cases for Diabetes (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Diabetes. Comparison is between quarters of three year data on Diabetes cases registered in the State Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 7,601 cases of Diabetes registered in quarter July 2009 to September 2009 and the next year quarter July 2010 to September 2010 registered cases were 5,889; in quarter July 2008 to September 2008 cases registered were 6,017. Second highest Diabetes cases registered were 6,797 in quarter April 2008 to June 2008. 11
  • 12. III) Ward Statistics Table 1. Number of sensitive diseases/ Ailments registered in Mumbai across all wards (April 2008 to March 2011) Number of cases registered Ward April'08 to March'09 April'09 to March'10 April'10 to March'11 A 4,245 3,966 4,645 B 2,261 3,295 5,017 C 2,068 2,587 4,310 D 3,033 6,507 7,297 E 7,874 10,724 12,987 F/N 6,208 10,476 11,147 F/S 9,314 13,373 16,030 G/N 4,992 6,454 9,214 G/S 9,682 12,703 13,694 H/E 4,535 7,403 8,425 H/W 4,787 4,999 8,696 K/E 10,496 12,223 15,610 K/W 5,369 5,552 7,293 L 6,866 14,593 16,219 M/E 2,753 4,728 7,083 M/W 4,680 6,080 6,944 N 3,820 7,701 9,919 P/N 2,799 3,480 3,537 P/S 1,043 1,812 1,649 R/C 4,139 3,949 3,325 R/N 1,226 1,376 1,375 R/S 4,343 5,182 3,954 S 3,586 6,098 8,304 T 1,846 2,694 2,601 Inference: The above data presents ward wise division of Sensitive diseases/ Ailments registered in the Municipal Dispensaries across all wards of Mumbai from April 2008 to March 2011. The above table shows that F south ward is amongst top three wards for the maximum number of cases registered for the all the last three years. Similarly G south is amongst the top three for the year April 2008 to March 2009 and April 2009 to March 2010; K east for April 2008 to March 2009 and April 2010 to March 2011; and L ward for April 2009 to March 2010 to April 2010 to March 2011. The increase between Years April 2008 - March 2009 to April 2010 – March 2011 is • More than 100% increase in seven wards. • Overall increase is 69% for all wards 12
  • 13. Graph 8. Top five Sensitive diseases/ Ailments across all wards (April 2008 – March 2011) Inference: The above data presents diseases wise distribution of registered cases in 160 Municipal Dispensaries across all wards in Mumbai. Comparison is between top five Sensitive diseases/ Ailments of three year data from April 2008 to March 2011. The above graph shows highest number of 1, 13,747 Diarrhoea cases registered in the Municipal dispensaries for the year April 2010 and March 2011 and the previous year in April 2009 to March 2010 cases registered were 1, 04,377 and 72,322 in the year April 2008 to March 2009. Malaria cases has registered the second highest with 38,005 case in year in the year April 2010 and March 2011, previous year of April 2009 to March 2010 cases registered were 19,867 and in year April 2008 to March 2009 cases registered were 10004. The increase between Year April 2008 - March 2009 to April 2010 - March 2011 is • 3.8 times increase for Malaria • 57% increase for Diarrhoea • 76 % increase for Diabetes 13
  • 14. Graph 9 . Quarter wise registered cases of Malaria (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Malaria. Comparison is between quarters of three year data on Malaria cases registered only in the Municipal Dispensaries across Mumbai from April 2008 to March 2011. The above graph shows highest number of 20,383 cases of Malaria registered in year quarter July 2010 to September 2010 and the previous year quarter July 2009 to September 2009 registered cases were 7, 937; in quarter July 2008 to September 2008 cases registered were 4,287. Second highest Malaria cases registered were 7,937 in year quarter July 2009 to September 2009. The increase between quarter July 2008 – September 2008 to July 2010- September is 4.75 times increase for Malaria 14
  • 15. Table 2. Ward wise registered cases of Malaria (April 2008 to March 2011) Malaria 2008-09 2009-10 2010-11 Ward Number of cases Number of cases Number of cases registered registered registered A 133 664 1221 B 274 552 1147 C 238 426 1532 D 940 1645 1774 E 750 756 2945 F/N 362 1365 2073 F/S 1644 2991 4499 G/N 490 1075 2088 G/S 711 2149 3115 H/E 124 442 804 H/W 1062 817 3360 K/E 747 1299 3687 K/W 652 1100 2524 L 376 832 1718 M/E 536 661 192 M/W 244 291 622 N 244 880 1909 P/N 67 220 385 P/S 92 150 251 R/C 61 129 334 R/N 12 79 83 R/S 101 170 417 S 99 677 1083 T 45 497 242 Inference: The above data presents ward wise division of registered cases for Malaria registered in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above table shows that F south ward has highest registered cases (1,644) for Malaria; H west ward has second highest registered cases (1,062) and D ward has third highest registered cases (940) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south ward has highest registered cases (2,991), G South ward has second highest registered cases (2149) and D ward has third highest registered cases (1,645). In the year April 2010 to March 2011 F south ward has highest registered cases (4,499) for Malaria; K east has second highest registered cases (3,687) and H west has third highest (3,360) registered cases. 15
  • 16. Graph 10. Quarter wise registered cases of Diarrhoea (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Diarrhoea. Comparison is between quarters of three year data on Diarrhoea cases registered in the Municipal Dispensaries across all wards in the Mumbai from April 2008 to March 2011. The above graph shows highest number of 40,985 cases of Diarrhoea registered in year quarter July 2010 to September 2010 and the previous year quarter July 2009 to September 2009 registered cases were 34,731; in quarter July 2008 to September 2008 cases registered were 23,321. Second highest Diarrhoea cases registered were 26,650 in year quarter October 2009 to December 2009. 16
  • 17. Table 3. Ward wise registered cases of Diarrhoea (April 2008 to March 2011) Diarrhoea 2008-09 2009-10 2010-11 Number of cases Number of cases Number of cases Ward registered registered registered A 1213 1440 1522 B 1220 1654 1844 C 944 1309 2019 D 1175 3579 4536 E 5490 8147 8201 F/N 4063 5796 5295 F/S 4424 5824 7261 G/N 3431 4343 5849 G/S 6874 6776 7252 H/E 3442 5697 6041 H/W 2657 3338 3946 K/E 5997 7219 7885 K/W 3358 4042 4023 L 5379 11971 12588 M/E 1461 3769 6108 M/W 3715 4763 5083 N 3381 6636 7869 P/N 2104 2861 2741 P/S 804 1423 1062 R/C 2922 2686 1801 R/N 1011 1067 946 R/S 2920 3972 2657 S 2950 4445 5242 T 1387 1620 1976 Inference: The above data presents ward wise division of registered cases for Diarrhoea in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above table shows that G south ward has highest registered cases (6,874) for Diarrhoea, K east has second highest registered cases (5,997) and E ward has third highest registered cases (5,490) for year April 2008 to March 2009. The next year April 2009 to March 2010 L ward has highest registered cases (11,971), E ward has second highest registered cases (8,174) and K east ward has third highest registered cases (7,219). In the year April 2010 to March 2011 L ward has highest registered cases (12,588) for Diarrhoea; E ward has second highest registered cases (8,201) and K east has third highest registered cases (7,885). 17
  • 18. Graph 11. Quarter wise registered cases of Hyper tension (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Hyper tension. Comparison is between quarters of three year data on Hyper tension cases registered in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above graph shows highest number of 5,374 cases of Hyper tension registered in year quarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010 registered cases were 4,959; in quarter January 2009 to March 2009 cases registered were 4,405. Second highest Hyper tension cases registered were 5,317 in year quarter July 2010 to September 2010. 18
  • 19. Table 4. Ward wise registered cases of Hyper tension (April 2008 to March 2011) Hyper tension 2008-09 2009-10 2010-11 Ward Number of cases Number of cases Number of cases registered registered registered A 2562 1369 1338 B 436 750 1353 C 641 653 599 D 532 949 686 E 866 1213 1154 F/N 575 972 1234 F/S 2649 3868 3586 G/N 341 548 746 G/S 1681 3241 2198 H/E 443 625 844 H/W 639 306 496 K/E 1319 1715 2241 K/W 693 0 174 L 251 502 580 M/E 379 142 392 M/W 321 529 709 N 50 41 24 P/N 405 172 282 P/S 49 132 155 R/C 915 839 890 R/N 62 94 249 R/S 679 184 201 S 75 214 308 T 75 160 176 Inference: The above data presents ward wise division of registered cases for Hyper tension in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above table shows that F south ward has highest registered cases (2,649) for Hyper tension; A ward has second highest registered cases (2,562) and G south has third highest registered cases (1,618) for year April 2008 to March 2009. The next year April 2009 to March 2010 F south ward has highest registered cases (3,868), G south ward has second highest Hyper tension registered cases (3,241) and K east has third highest registered cases (1,715). In the year April 2010 to March 2011 F south ward has highest registered cases (3,586) for Hyper tension, K east ward has second highest registered cases (2,241) and G south ward has third highest registered cases (2,198). 19
  • 20. Graph 12 . Quarter wise registered cases of Tuberculosis (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Tuberculosis. Comparison is between quarters of three year data on Tuberculosis cases registered only in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above graph shows highest number of 2,938 cases of Tuberculosis registered in year quarter January 2010 to March 2010 and the previous year quarter January 2009 to March 2009 registered cases were 2184; and next year quarter January 2011 To March 2011 cases registered were 2,877. Second highest Tuberculosis cases registered were 2,923 in year quarter April 2008 to June 2008. 20
  • 21. Table 5. Ward wise registered cases of Tuberculosis (April 2008 to March 2011) Tuberculosis 2008-09 2009-10 2010-11 Number of cases Number of cases Number of cases Ward registered registered registered A 292 438 461 B 100 155 160 C 156 133 131 D 378 265 246 E 592 516 417 F/N 858 1274 1332 F/S 577 573 600 G/N 714 404 417 G/S 276 221 361 H/E 444 503 518 H/W 275 250 226 K/E 2048 1391 1164 K/W 395 260 240 L 760 1118 1118 M/E 146 67 147 M/W 181 200 218 N 120 96 65 P/N 187 124 96 P/S 71 65 69 R/C 129 111 137 R/N 123 128 86 R/S 542 765 572 S 417 671 1551 T 334 393 191 Inference: The above data presents ward wise division of registered cases for Tuberculosis in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above table shows that K east ward has highest registered cases (2,048) for Tuberculosis, F north ward has second highest registered cases (858) and L ward has third highest registered cases (760) for year April 2008 to March 2009. The next year April 2009 to March 2010 K east ward has highest registered cases (1,391), F north ward has second highest Tuberculosis registered cases (1,274) and L ward has third highest registered cases (1,118). In the year April 2010 to March 2011 S ward has highest registered cases (1,551) for Tuberculosis, F north ward has second highest registered cases (1,332) and K east has third highest registered cases (1,164). 21
  • 22. Graph 13. Quarter wise registered cases of Diabetes (April 2008 to March 2011) Inference: The above data presents quarter wise distribution of register cases for Diabetes. Comparison is between quarters of three year data on Diabetes cases registered in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above graph shows highest number of 1,439 cases of Diabetes registered in year quarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010 registered cases were 1,194; and in the year quarter January 2009 to March 2009 cases registered were 770. Second highest Diabetes cases registered were 1,124 in year quarter October 2010 to December 2010. 22
  • 23. Table 6. Ward wise registered cases of Diabetes (April 2008 to March 2011) Diabetes 2008-09 2009-10 2010-11 Ward Number of cases Number of cases Number of cases registered registered registered A 39 28 46 B 189 165 464 C 89 66 29 D 2 0 0 E 156 80 212 F/N 292 878 938 F/S 10 80 24 G/N 16 73 105 G/S 131 291 492 H/E 65 68 71 H/W 142 207 167 K/E 385 597 613 K/W 246 136 301 L 93 164 189 M/E 231 89 242 M/W 180 240 273 N 12 10 24 P/N 25 10 21 P/S 27 42 98 R/C 111 159 127 R/N 18 7 11 R/S 87 72 50 S 42 45 53 T 5 21 16 Inference: The above data presents ward wise division of registered cases for Diabetes in the Municipal Dispensaries across all wards in Mumbai from April 2008 to March 2011. The above table shows that K east ward has highest registered cases (385) for Diabetes; F north ward has second highest registered cases (292) and K west ward has third highest registered cases (246) for year April 2008 to March 2009. The next year April 2009 to March 2010 F north ward has highest registered cases (878), K east ward has second highest Diabetes registered cases (597) and G south ward has third highest registered cases (291). In the year April 2010 to March 2011 F north ward has highest registered cases (938) for Diabetes; K east ward has second highest registered cases (613) and G south ward has third highest registered cases (492). 23
  • 24. IV) Working of Public Health Committee Public Health Committee: The Corporation under Section 38A (1) of the M.M.C. Act, appoint the Public Health Committee out of their own body consisting of 36 members in their meeting after general election and delegate any of their power and duties to such Committee and also define the sphere of business of Committee so appointed and direct that all matters and questions included in any such sphere shall be submitted to the Corporation with such Committee’s recommendation. Conduct of Business The Public Health Committee meets once in a month and such other times if find necessary {the notice of meeting specifying the day, the time and the place at which such meeting is to be held and the business to be transacted in the meeting (agenda and accompaniments) is prepared by the Municipal Secretary and sent to the Committee members at their residential address}. Sphere of Business: "Sphere of Business of Special Committees defined by the Corporation vide Corporation Resolution No.46, dated 11th May 1999 in exercise of the powers vested in them by Sub-Section (1) of Section 38A of the Mumbai Municipal Corporation Act, 1888, as amended up to date. All questions relating to the King Edward VII Memorial Hospital and the Seth Gordhandas Sunderdas Medical College, Kasturba Hospital for infectious diseases, Medical Relief in the Municipal outdoor dispensaries, Medical and Nursing assistance to the poor in their homes Venereal Diseases Dispensaries, Anti Tuberculosis League and any Medical Institution to which monetary assistance is given by the Corporation. Health Department (including Street Cleaning, Conservancy, etc.) with the exception of questions pertaining to the Mechanical Branch so far as they fall within the province of the Works Committee. At present, there are 36 members in the Public Health Committee. 24
  • 25. Table 7. Attendance of Health committee members (April 2008 to March 2009) Corporators Name Attend Out of Shubhada Gudhekar 16 16 Minal Juwatkar 11 16 Shazia Azmi Aslam 8 16 Shobha Ashar 14 16 Kashinath Karadkar 9 16 Rahebar Khan 6 16 Mangala Gaikwad 9 16 Sarika Gracious 9 16 Baliram Ghag 12 16 Prakash Chalke 10 16 Kashinath Tharli 10 16 Anjali Darade 5 16 Madhukar Dalvi 10 16 Parshuram Desai 14 16 Sandhya Doshi 15 16 Shantaram Naik (late) 4 5 Rajul Patel 12 16 Kokila Parmar 14 16 Supriya Pawar 12 16 Sangeeta Patil 6 16 Krishna Parkar 10 16 Manohar Panchal 5 16 Anuradha Pednekar 12 16 Yashodhar Fanse 13 16 Prakash Phaterperkar 13 16 Abdul Aziz Barudgar 4 16 Ramnarayan Barot 12 16 Ashwini Mate 13 16 Kisan Mistry 13 16 Anahita Mehta 14 16 Ajanta Yadav 14 16 Geeta Yadav 7 16 Sujata Waghmare 3 16 Pravin Shah 9 16 Nitin Salagre 10 16 Jayanti Siroya 12 16 25
  • 26. Table 8. Category wise percentage attendance of Health committee members (April 2008 - March 2009) Category Number of Councillors 90% to 100% 2 75% to 89% 16 60% to 74% 6 59% and below 12 Inference: The above data presents attendance of health committee member’s during April 2008 to March 2009. The above table shows that two Councillors have attended 90% to 100% meetings and 12 Councillors have attended 59% and below percentage meetings out of 16 health committee meetings. 26
  • 27. Table 9. Attendance of Health committee members (April 2009 to March 2010) Corporators Name Attend Out of Shubhada Gudhekar 8 12 Minal Juwatkar 7 12 Shazia Azmi Aslam 5 12 Shobha Ashar 8 12 Kashinath Karadkar 9 12 Rahebar Khan 4 12 Mangala Gaikwad 6 12 Baliram Ghag 7 12 Prakash Chalke 3 12 Kashinath Tharli 8 12 Anjali Darade 5 12 Madhukar Dalvi 9 12 Parshuram Desai 11 12 Rajul Patel 9 12 Kokila Parmar 10 12 Supriya Pawar 8 12 Sangeeta Patil 5 12 Krishna Parkar 9 12 Manohar Panchal 4 12 Anuradha Pednekar 10 12 Yashodhar Fanse 9 12 Prakash Phaterperkar 9 12 Abdul Aziz Barudgar 2 12 Ramnarayan Barot 8 12 Ashwini Mate 8 12 Kisan Mistry 8 12 Anahita Mehta 6 12 Ajanta Yadav 8 12 Geeta Yadav 8 12 Sujata Waghmare 2 12 Pravin Shah 4 12 Nitin Salagre 6 12 Jayanti Siroya 6 12 Kamlakar Naik 8 12 Bhaskar Khursange 3 9 Rakhi Jadhav 0 9 27
  • 28. Table 10. Category wise percentage attendance of Health committee members (April 2009 to March 2010) Category Number of Councillors 90% to 100% 1 75% to 89% 8 60% to 74% 10 59% and below 17 Inference: The above data presents attendance of health committee member’s during April 2009 to March 2010. The above table shows that one Councillor have attended 90% to 100% meetings and 17 Councillors have attended 59% and below percentage meetings out of 12 health committee meetings. 28
  • 29. Table 11. Attendance of Health committee members (April 2010 to March 2011) Corporators Name Attend Out of Ashwini Mate 13 14 Kashinath Karadkar 9 14 Shazia Aslam 4 14 Shobha Ashar 10 14 Kashinath Tharli 8 14 Rahebar Khan 3 14 Bhaskar Khursange 10 14 Mangala Gaikwad 8 14 Shubhada Gudhekar 6 14 Baliram Ghag 9 14 Prakash Chalke 6 14 Rakhi Jadhav 3 14 Minal Juwatkar 10 14 Anjali Darade 4 14 Madhukar Dalvi 6 14 Parshuram Desai 10 14 Kamlakar Naik 11 14 Kokila Parmar 12 14 Rajul Patel 6 14 Supriya Pawar 7 14 Sangeeta Patil 7 14 Krishna Parkar 7 14 Manohar Panchal 6 14 Anuradha Pednekar 10 14 Yashodhar Fanse 11 14 Prakash Phaterperkar 6 14 Abdul Aziz Barudgar 2 14 Ramnarayan Barot 9 14 Kisan Mistry 8 14 Anahita Mehta 9 14 Ajanta Yadav 10 14 Geeta Yadav 11 14 Sujata Waghmare 3 14 Nitin Salagre 8 14 Pravin Shah 6 14 Jayanti Siroya 6 14 29
  • 30. Table 12. Category wise percentage attendance of Health committee members (April 2010 to March 2011) Category Number of Councillors 90% to 100% 1 75% to 89% 4 60% to 74% 10 59% and below 21 Inference: The above data presents attendance of health committee member’s during April 2010 to March 2011. The above table shows that one Councillor have attended 90% to 100% percent meetings and 21 Councillors have attended 59% and below percentage meetings out of 14 health committee meetings. 30
  • 31. Table 13. Number of Question asked in Public Health committee (April 2008 to March 2009) Question Ward Political Party Councillors name Asked D Indian National Congress Anahita Mehta 1 D Shiv Sena Minal Juwatkar 0 D Bharatiya Janata Party Kokila Parmar 0 F/S Shiv Sena Prakash Chalke 0 G/N Indian National Congress Mangala Gaikwad 1 G/S Shiv Sena Madhukar Dalvi 1 G/S Independent Parshuram Desai 0 H/E Shiv Sena Baliram Ghag 0 H/E Bharatiya Janata Party Krishna Parkar 0 H/W Independent Rahebar Khan 0 K/E Shiv Sena Manohar Panchal 0 K/E Indian National Congress Nitin Salagre 3 K/W Shiv Sena Yashodhar Fanse 6 K/W Shiv Sena Rajul Patel 6 K/W Indian National Congress Abdul Barudgar 0 K/W Indian National Congress Jayanti Siroya 0 L Samajwadi Party Shazia Azmi Aslam 0 L Shiv Sena Anuradha Pednekar 2 L Shiv Sena Shantaram Naik (late) 1 M/E Republican Party Of India (RPI) Sujata Waghmare 0 M/W Shiv Sena Prakash Phaterperkar 2 M/W Indian National Congress Kisan Mistry 1 N Bharatiya Janata Party Shobha Ashar 2 N Shiv Sena Kashinath Tharli 0 N Shiv Sena Ashwini Mate 0 P/N Maharashtra Navnirman Sena Supriya Pawar 0 P/N Bharatiya Janata Party Ramnarayan Barot 0 P/N Nationalist Congress Party Sarika Austin Gracious 0 R/C Bharatiya Janata Party Pravin Shah 0 R/C Nationalist Congress Party Sandhya Vipul Doshi (Sakre) 0 R/S Indian National Congress Ajanta Yadav 6 R/S Shiv Sena Shubhada Gudhekar 0 R/S Indian National Congress Geeta Yadav 0 S Indian National Congress Kashinath Karadkar 1 S Indian National Congress Anjali Darade 0 S Indian National Congress Sangeeta Patil 0 31
  • 32. Table 14. Category wise number of Question asked in Public Health committee (April 2008 to March 2009) Category Number of Councillors Zero Questions asked 23 1 to 4 Questions asked 10 5 and above Questions asked 3 Inference: Above data present the number of questions asked by Councillors in the Health Committee meeting during the year April 2008 to March 2009. The above data shows that three Councillors asked five and above questions, Ten Councillors asked one to four questions and 23 Councillors asked no questions in the Health Committee meetings. 32
  • 33. Table 15. Number of Question asked in Public Health committee (April 2009 to March 2010) Question Ward Political Party Councillors name Asked D Indian National Congress Anahita Mehta 4 D Shiv Sena Minal Juwatkar 0 D Bharatiya Janata Party Kokila Parmar 0 F/S Shiv Sena Prakash Chalke 0 G/N Indian National Congress Mangala Gaikwad 0 G/S Shiv Sena Madhukar Dalvi 5 G/S Independent Parshuram Desai 0 H/E Shiv Sena Baliram Ghag 0 H/E Bharatiya Janata Party Krishna Parkar 0 H/W Independent Rahebar Khan 2 K/E Shiv Sena Manohar Panchal 0 K/E Indian National Congress Nitin Salagre 1 K/W Shiv Sena Yashodhar Fanse 2 K/W Shiv Sena Rajul Patel 1 K/W Indian National Congress Abdul Barudgar 0 K/W Indian National Congress Jayanti Siroya 0 L Samajwadi Party Shazia Azmi Aslam 1 L Shiv Sena Anuradha Pednekar 2 L Shiv Sena Kamlakar Naik 2 M/E Republican Party Of India (RPI) Sujata Waghmare 0 M/W Shiv Sena Prakash Phaterperkar 0 M/W Indian National Congress Kisan Mistry 0 N Bharatiya Janata Party Shobha Ashar 1 N Shiv Sena Kashinath Tharli 0 N Shiv Sena Ashwini Mate 0 N Nationalist Congress Party Rakhi Jadhav 0 P/N Maharashtra Navnirman Sena Supriya Pawar 0 P/N Bharatiya Janata Party Ramnarayan Barot 0 R/C Bharatiya Janata Party Pravin Shah 1 R/C Nationalist Congress Party Bhaskar Khursange 1 R/S Indian National Congress Ajanta Yadav 3 R/S Shiv Sena Shubhada Gudhekar 2 R/S Indian National Congress Geeta Yadav 0 S Indian National Congress Kashinath Karadkar 2 S Indian National Congress Anjali Darade 0 S Indian National Congress Sangeeta Patil 0 33
  • 34. Table 16. Category wise number of Question asked in Public Health committee (April 2009 to March 2010) Category Number of Councillors Zero Questions asked 21 1 to 4 Questions asked 14 5 and above Questions asked 1 Inference: Above data present the number of questions asked by Councillors in the Health Committee meeting during the year April 2009 to March 2010. The above data shows that one Councillors asked five and above questions, 14 Councillors asked one to four questions and 21 Councillors asked no questions in the Health Committee meetings. 34
  • 35. Table 17. Number of Question asked in Public Health committee (April 2010 to March 2011) Ward Political Party Councillors Name Question Asked D Indian National Congress Anahita Mehta 5 D Shiv Sena Minal Juwatkar 0 D Bharatiya Janata Party Kokila Parmar 1 F/S Shiv Sena Prakash Chalke 0 G/N Indian National Congress Mangala Gaikwad 2 G/S Shiv Sena Madhukar Dalvi 1 G/S Independent Parshuram Desai 1 H/E Shiv Sena Baliram Ghag 0 H/E Bharatiya Janata Party Krishna Parkar 0 H/W Independent Rahebar Khan 0 K/E Shiv Sena Manohar Panchal 0 K/E Indian National Congress Nitin Salagre 1 K/W Shiv Sena Yashodhar Fanse 1 K/W Shiv Sena Rajul Patel 1 K/W Indian National Congress Abdul Barudgar 0 K/W Indian National Congress Jayanti Siroya 0 L Samajwadi Party Shazia Azmi Aslam 0 L Shiv Sena Anuradha Pednekar 3 L Shiv Sena Kamlakar Naik 11 M/E Republican Party Of India (RPI) Sujata Waghmare 2 M/W Shiv Sena Prakash Phaterperkar 3 M/W Indian National Congress Kisan Mistry 0 N Bharatiya Janata Party Shobha Ashar 2 N Shiv Sena Kashinath Tharli 0 N Shiv Sena Ashwini Mate 0 N Nationalist Congress Party Rakhi Jadhav 0 P/N Maharashtra Navnirman Sena Supriya Pawar 2 P/N Bharatiya Janata Party Ramnarayan Barot 0 R/C Bharatiya Janata Party Pravin Shah 0 R/C Nationalist Congress Party Bhaskar Khursange 5 R/S Indian National Congress Ajanta Yadav 2 R/S Shiv Sena Shubhada Gudhekar 0 R/S Indian National Congress Geeta Yadav 2 S Indian National Congress Kashinath Karadkar 1 S Indian National Congress Anjali Darade 0 S Indian National Congress Sangeeta Patil 1 35
  • 36. Table 18. Category wise number of Question asked in Public Health committee (April 2010 to March 2011) Category Number of Councillors Zero Questions asked 17 1 to 4 Questions asked 16 5 and above Questions asked 3 Inference: Above data present the number of questions asked by Councillors in the Health Committee meeting during the year April 2010- March 2011. The above data shows that three Councillors asked five and above questions, 16 Councillors asked one to four questions and 17 Councillors asked no questions in the Health Committee meetings. 36
  • 37. Table 19. Issues raised/Questions asked by Councillors in Health Committee meeting Issues 08 to 09 09 to 10 10 to 11 Private health services related 1 0 0 Govt. Health Services 3 3 4 Medical college 1 0 0 Medicines availability 4 1 0 Availability / attendance of Doctor 2 1 0 Appointment/ Temporary appointment of Doctors /Nurse 2 0 0 Up gradation Equipments 3 1 0 Health infrastructure Related 4 4 6 Medical Quacks 1 0 0 Public Health Centre 1 0 1 Staff behaviour 4 5 2 Fogging 1 2 1 MCGM Related 1 0 0 Unauthorized Construction / Development 1 0 0 License Related 1 1 5 Cemeteries /Crematorium related 1 1 12 Naming/Renaming of Crematorium 2 2 0 Health policies 0 2 2 Mortality related 0 1 0 Seat empty of medical staff 0 2 4 Appointment / resignation 0 1 0 Maternity homes 0 1 0 Government Land / Market Related 0 1 0 Accident 0 1 0 Maternity homes 0 0 1 Epidemic/Sensitive Diseases Related 0 0 4 Treatment/Medicines Cost Related 0 0 1 Wrong Diagnosis / carelessness 0 0 1 Medical equipments related 0 0 3 Inference: The above data presents issues raised in the Health committee meeting during the year April 2008 to March 2011, a total of 110 questions were asked in the Public Health Committee. The above data shows that in 2008 -2009 the highest numbers of questions were asked on Health infrastructure Related, in 2009-2010 highest numbers of questions were asked on Staff behaviour (Medical/health services staff), in 2010-2011 highest numbers of questions were asked on Cemeteries /Crematorium related. Highest Number of question asked in 2008-09: on Health infrastructure Related Medicines availability and Staff behaviour 2009-10: on Staff behaviour 2010-11: on Cemeteries /Crematorium related37
  • 38. Table 20. Question asked on Health issues in Ward committee meetings (April 2008-March 2011) Ward 2008-09 2009-10 2010-11 A 0 0 0 B 0 0 0 C 0 0 0 D 1 0 0 E 0 0 0 F/N 0 2 0 F/S 0 1 1 G/N 0 0 1 G/S 0 2 3 H/E 0 0 0 H/W 0 0 0 K/E 0 0 4 K/W 0 0 0 L 1 1 0 M/E 2 0 0 M/W 1 0 1 N 2 2 2 P/N 0 0 0 P/S 0 0 0 R/C 0 1 0 R/N 0 0 0 R/S 1 0 1 S 0 0 1 T 1 0 0 Total 9 9 14 Inference: Above data present the number of questions asked on health issues by Councillors in the ward Committee meetings during the year April 2008 - March 2011. The above data shows that Councillors from seven wards have asked seven questions during 2008-2009, Councillors from six wards asked nine questions in 2009-2010 and 14 questions asked by Councillors from eight wards in 2010-2011. Councillors from 17 wards In year 2008-09, 18 wards in 2009-10 and 16 wards in 2010-11 have not asked single question. 38
  • 39. Table 21. Issues raised/Questions asked by Councillors in Ward Committee meeting (April 2008-March 2011) Issues 08 to 09 09 to 10 10 to 11 Malaria 2 0 4 Private Clinics 1 0 0 Maintenance Equipments 1 0 0 Health infrastructure Related 1 5 1 Health Services Related 1 0 1 Dengue 1 0 0 Maternity homes 1 0 3 Medicines availability 1 0 0 Health Problem in Dispensary related 0 1 0 H1N1 0 1 0 Epidemic/Sensitive Diseases Related 0 1 3 Public Health Centre 0 1 0 Eradication programme 0 0 1 Private hospitals 0 0 1 Inference: The above data presents issues raised on health issues in the Ward committee meeting during the year April 2008 to March 2011, a total of 32 questions were asked in the Ward Committee. The above data shows that in 2008 -2009 the two questions were asked on Malaria, in 2009- 2010 five questions were asked on Health infrastructure Related, in 2010-2011 four questions were asked on Malaria. 39
  • 40. Table 22. List of BMC AND STATE HOSPITALs Sr. No. List of BMC AND STATE HOSPITAL 1 Acworth Leprosy hospital, Near Wadala Church, 2 Bai Yamunabai, L. Nair Charitable Hospital Nair Road, Mumbai Central, 3 Cama And Albless Hospital (State Hosp.) Fort, Near CST Stn. 4 Centenary Hospital, Govandi (W) 5 Centenary Hospital, Kadivali, 6 Dr. R.N. Cooper Mun. Gen. Hospital Juhu (E) 7 Ear-Nose-Throat Hospital Napiar Road 8 Gokuldas Tejpal Hospital Near CST Stn. (State Hosp.) Near CST Stn. 9 Harilal Bhagwat Mun. Gen. Hospital, Borivali (W) 10 Kasturba Hospital for Infectious Diseases, Sane Guruji Nagar, 11 Khan Bahadur H.K. Bhabha Hospital,Kurla , Mumbai - 400 070 12 Khurshadji Bhabha Hospital,Waterfild Rd. Bandra 13 King Edward Memorial Hospital, K.E.M. Hospital & Seth G.S. Medical college) 14 Lokmanya Tilak Municipal Genral hospital sion Ambedkar Road 15 M.W. Desai Nemorial Mun. Gen. Hospital Malad (E) 16 Maa Hospital, Diwalabai Mohanlal Mehta Hospital Chembur, 17 Mahatma Jyotiba Phule Hospital, Vikhroli, 18 Municipal Group of T.B. Hospital, Sewree 19 Municiple Eye Hospital North Brook Garden, Kamtipura 20 S. V. D. Sawarkar Municipal Gen. Hospital, Mahatma Phule Rd, Mulud (E) 21 S.K Patil Hospital, Malad (East) 22 Sant Muktabai Mun. Gen. Hospital Ghatkoper (W) Seth Wadilal Chaturbhai Gandhi J.P. & Seth Monji Aminadas Vora Mun. Gen. 23 Hospital Rajawadi, Ghatkopar. 24 Siddarth Nagar Hospital, Goregaon (W) 25 Sir JJ Hospital,( State Hosp.) Byculla (W) 26 Smt. Mansadevi T. Agaewal Mun. Gen. Hospital, Mulund (W), 27 St. Georges Hospital (State Hosp.) Near CST Stn. 28 Vishnuprasad Nandraj Desai Mun. Gen. Hospital Santacruz (E) Summary: BMC HOSPITAL - 24 STATE HOSPITAL- 4 Note: Three hospitals (in italic formatting) do not maintain treat patients of diseases/ailments being studied in this white paper. 40
  • 41. Table 23. List of Municipal Dispensaries Sr. No. List of Municipal Dispensaries Ward 1 Colaba Municipal Dispensary 2 Paltan Road Dispensary 3 Maruti Lane Dispensary A 4 S.B.S Raod Dispensary 5 H.O. Dispensary 6 S.V.P. Road Municipal Dispensary 7 Walpakhadi Muncipal Dispensary 8 Jail RD municipal Dispensary. B 9 Jail Road Unani Dispensary. 10 Kolsa Mohalla Unani Dispensary. 11 Chandanwadi Dispensary 12 Thakurdwar Dispensary 13 Ghogari Mohalla Dispensary C 14 Panjarapol Dispensary 15 Duncan Road Dispensary 16 Nana Chwak 17 R.R Marg Road 18 R.S. Nimkar Marg D 19 Bane Compound 20 Tardeo Path Municipal 21 R.J. Compound Dispensary. 22 N.M. joshi marg Dispensary 23 Souter street Dispensary 24 Gaurabhai Dispensary. 25 Siddarth nagar Dispensary. 26 Huzaria Street Dispensary. E 27 Tadwadi Mun. Dispensary 28 Motishah Dispensary 29 Tank Square Garden Mun. Dispensary 30 D.P. Wadi Mun. Dispensary 31 ES Pathanwala Dispensary 32 Nawab Tank Mun. Dispensary 33 Parel Dispensary 34 Naigaon Dispensary 35 Sewree Cross Road Dispensary 36 Gautam Nagar Dispensary F/S 37 Kidwai Nagar Dispensary 38 A.D. Marg Dispensary 39 Abhuday Nagar Dispensary 40 Ambewadi Dispensary 41
  • 42. 41 Triveni Sadan Dispensary 42 Transit Camp Dispensary 43 Raoli Camp. Dispensary 44 Antop Hill Dispensary. F/N 45 Korba Mithabai Dispensary 46 Wadala Dispensary. 47 LBS Dispensary 48 Curry Road Dispensary 49 Fergusson Road. Dispensary 50 Prabhadevi Dispensary 51 B.D.D. Chawl Dispensary 52 Beggar Home Dispensary 53 Maharashtra High school Dispensary 54 Welfare center Dispensary G/S 55 Sasmira Dispensary 56 633, Senapati Bapat Marg Hill Cross Dis 57 Jijamata Nagar K. Moses Dispensary 58 Worli Koliwada Dispensary 59 Zandu Ayurvedic Municipal Dispensary 60 Prbhadevi Ayurvedic Municipal 61 Matunga Labour camp Dispensary 62 Gulabai Dispensary 63 Dharavi Main Road Dispensary. 64 Walkarwadi Dispensary 65 Shahu Nagar Dispensary G/N 66 Kumbharwada Dispensary 67 Pilla Bunglow Dispensary 68 Transit Camp Dispensary 69 Welfare camp Near Shri cinema Dispensary 70 Kherwadi Dispensary 71 Prabhat Colony Municipal Dispensary 72 Kalina Dispensary H/E 73 Jawahar Nagar Dispensary 74 Bharat Nagar Dispensary Bandra 75 S.V. Nagar Dispensary. Santacruz 76 Khar-Danda village Dispensary 77 G.N. Station Road Dispensary 78 Guru Nanak Dispensary H/W 79 Old Khar Dispensary 80 Shastri Nagar Linking Rd. Dispensary 81 Kaldongari Dispensary 82 Squatters Colony Dispensary, Jogeshwari 83 Marol Dispensary K/E 84 Gundawali Dispensary 85 Sambhji Nagar Ayurvedic Dispensary 42
  • 43. 86 Paranjape Dispensary. 87 Natwar Nagar Dispensary 88 Sunder Nagar Dispensary 89 Hari Nagar Dispensary 90 Sambhji Nagar Dispensary 91 N.J. wadiya Dispensary 92 Vileparle Market Dispensary 93 Juhu Dispensary K/W 94 Vrasova Dispensary 95 Oshivara Dispensary 96 Safad Pool Dispensary. 97 Asalpha Village Dispensary 98 Christain Municipal Dispensary 99 Chunnabhatti Dispensary. 100 Mohill village Dispensary 101 Budda Colony Dispensary L 102 Kajupada Muncipal Dispensary 103 Bail Bazar Mun. Dispensary 104 Chandivali MNP Dispensary 105 Neharu Nagar Dispensary 106 Quereshi Nagar 107 Ayodhya Nagar Dispensary 108 Cheeta Camp Dispensary 109 Deonar Colony Dispensary M/E 110 Trombay Mun. Dispensary 111 Gavanpada Dispensary 112 Anik Nagar Dispensary 113 Chembur Colony Dispensary 114 Mahul Dispensary 115 Lal Dongar Dispensary M/W 116 Tilak Nagar Dispensary 117 Chembur Naka Mun. Dispensary 118 Labour Camp Dispensary 119 Chincholi Square Colony Dispensary P/S 120 Topiwala Lane Dispensary 121 Choksey Municipal Dispensary. 122 Goshala Municipal Dispensary. 123 Malvani. Municipal Dispensary 124 Nemani Municipal Dispensary. 125 School Road Municipal Dispensary P/N 126 Valnai Municipal Dispensary 127 Pthanwadi Dispensary. 128 Kurar Village Municipal Dispensary. 129 Manori Dispensary. 130 Riddhi Garden Dispensary. 43
  • 44. 131 Hanuman Nagar Dispensary. 132 Akurli Road Municipal Dispensary. 133 Dahanuwadi Municipal Dispensary R/S 134 Charcop Secondary - I Dispensary. 135 Babrekar Nagar Municipal Dispensary. 136 K. K. Mun Dispensary 137 MHB Dispensary 138 Eksai Road Dispensary R/C 139 Charkop Sector Dispensary 140 Gorai MHADA Dispensary 141 Gorai Village Dispensary 142 L.T. Dhaiser Dispensary R/N 143 Y.R. Tawde Nagar Dispensary 144 Pant Nagar Dispensary 145 Parksite Dispensary 146 Sarvodaya Pantnagar Dispensary 147 Kirol Dispensary N 148 Parshiwadi Dispensary 149 Ramabai Colony Dispensary 150 Sai Nath Nagar 151 M.V. R Shinde Dispensary 152 Tulshetpada Dispensary. 153 Shivaji Talav Mumbai Dispensary. S 154 Tembhipada Shivaji Nagar Dispensary 155 Tagor Nagar Dispensary 156 Kanjur Village Dispensary 157 Tirandaz Nagar 158 PJK Dispensary 159 DDU Dispensary T 160 Mulund Colony Dispensary 44