OFFICE OF THE DIRECTOR OF PUBLIC HEALTH AND FAMILY WELFARE

:: A.P :: HYDERABAD

Rc.No. 9008/Epid./2013 Dated : 04-04-2013

Sub:- Epidemics – Heat Waves/Sun Strokes – Certain instructions for

prevention and control measures – Reg.

*****

In pursuance of the instructions already issued to all the District Medical and
Health Officers from time to time about the precautionary measures for
prevention and control of Heat Waves/Sun Strokes.

The following instructions are issued for strict implementation with

immediate effect by the District Medical and Health Officers.

 ORS Packets shall be made available in all the Primary Health Centers, Sub
Centers, Anganwadi Centers and in all the Village Gram Panchayats.
 Instructions are to be issued to all the Medical Officers, Health Assistants
Male and Female, Anganwadi workers to give wide publicity on Heat
Waves/Sun Strokes, risks involved and preventive measures to be taken for
Heat Stroke.
 Most vulnerable age groups i.e Infants, children, pregnant women and old
age people are to be considered for special care and not to expose
themselves in Hot Sun.
 In Urban areas and Municipalities special vigilance to be kept for supply of
safe drinking water through “CHALIVENDRAM” by NGO’s and
Philanthropists.
 The labourers are to be advised not to expose themselves in Hot Sun
between 12:00 Noon to 3:00 P.M.
 They may also be provided safe drinking water through special tankers at
their working place.
 Provide temporary shelter sheds keeping them in Community Halls near by
to work place to prevent the exposure in Hot Sun.
 In Slum areas and weaker section colonies special ORT centers shall be
established under the guidance of Health Assistants (F) and Anganwadi
workers with the co-operation of local leaders wide publicity to be given
through pamphlets.
 DO’s and DON’Ts may be circulated to Health Personnel, NGO’s and Public
representatives.
 Train all Para Medical Staff on First Aid about Sun Stroke thus prevent
complications.
 They should also be taught the short term and long term measures i.e.
immediate transport, early Hospitalization and prompt treatment etc. to
Sun Stroke victims.
  All Health care facilities are to be provided with sufficient stocks of ORS, I.V
Fluids and emergency drugs.
 Co-ordination teams to test the drinking water for residual chlorine, any
leakages of drinking water pipelines to avoid contamination and remedial
measures to be taken immediately.
 Critical cases should be identified and shifted promptly to nearest
Hospitals.
 Co-ordination Committee meetings are to be conducted with all concerned
departments at Primary Health Center and District Level.
 All the District Medical and Health Officers should send daily report of Sun
Stroke cases/deaths and preventive measures taken by 02:00 P.M to the
Director of Public Health and Family Welfare, A.P., Hyderabad to this e –
mail i.d dhepid@gmail.com without fail.

                                                                                          for Director of Public Health & Family Welfare

To

All the District Medical and Health Officers in the State.

Copy to Regional Director of Medical and Health Services in the State.
Copy submitted to Principal Secretary to Govt., HM&FW Dept., A.P., Hyderabad.
Copy submitted to the Commissioner of Health & Family Welfare, A.P.,Hyderabad.