Health white paper

Report on the Sensitive Disease/Ailments cases registered in theState Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai (April 2008 to March 2011) June-2011 Supported by: FORD FOUNDATION 1

Table of ContentSr. PageNo. Title No. Section I Foreword 4 II City Statistics 5III Ward Statistics 12IV Working of Public Health Committee 24 Table Table 1. Number of sensitive diseases registered in Mumbai across all 121 wards ( April 2008 to March 2011) Table 2. Ward wise registered cases for Malaria 152 (April 2008 to March 2011) Table 3. Ward wise registered cases for Diarrhoea 173 (April 2008 to March 2011) Table 4. Ward wise registered cases for Hyper tension 194 (April 2008 to March 2011) Table 5. Ward wise registered cases for Tuberculosis 215 (April 2008 to March 2011) Table 6. Ward wise registered cases for Diabetes 236 (April 2008 to March 2011) Table 7. Attendance of Health committee members 257 ( April 2008 to March 2009) Table 8. Category wise percentage attendance 268 (April 2008 to March 2009) Table 9. Attendance of Health committee members 279 (April 2009 to March 2010) Table 10. Category wise percentage attendance 2810 (April 2009 to March 2010) Table 11. Attendance of Health committee members 2911 (April 2010 to March 2011) Table 12. Category wise percentage attendance 3012 (April 2010 to March 2011) Table 13. Number of Question asked in Public Health Committee 3113 (April 2008 to March 2009) Table 14. Category wise number of Question asked in Public Health 3214 Committee (April 2008 to March 2009) Table 15. Number of Question asked in Public Health Committee 3315 (April 2009 to March 2010) 2

Table 16. Category wise number of Question asked in Public Health 3416 Committee (April 2009 to March 2010) Table 17. Number of Question asked in Public Health Committee 3517 (April 2010 to March 2011) Table 18. Category wise number of Question asked in Public Health 3618 Committee (April 2010 to March 2011) Table 19. Issues raised/Questions asked by Councillors in Health 3719 Committee meeting (April 2008 to March 2011) Table 20. Number of Question asked on Health issues in Ward 3820 Committee meeting (April 2010 to March 2011) Table 21. Issues raised/Questions asked by Councillors in Ward 3921 Committee meeting (April 2008 to March 2011)22 Table 22. List of State and BMC Hospitals 4023 Table 23. List of Municipal Dispensaries 41 Graph Graph 1. Number of Quarter wise Sensitive Diseases /Ailment 51 registered during April 2008 to March 2011 Graph 2. Top Five Sensitive Diseases 62 (State Hospital + Municipal Hospital + Municipal Dispensary) Graph 3. Quarter wise registered cases for Malaria 73 (April 2008 to March 2011) Graph 4. Quarter wise registered cases for Diarrhoea 84 ( April 2008 to March 2011) Graph 5. Quarter wise registered cases for Hyper tension 95 (April 2008 to March 2011) Graph 6. Quarter wise registered cases for Tuberculosis 106 (April 2008 to March 2011) Graph 7. Quarter wise registered cases for Diabetes 117 (April 2008 to March 2011) Graph 8. Top five sensitive diseases across all wards 138 (April 2008 to March 2011) Graph 9. Quarter wise registered cases for Malaria 149 (April 2008 to March 2011) Graph 10. Quarter wise registered cases for Diarrhoea 1610 (April 2008 to March 2011 Graph 11. Quarter wise registered cases for Hyper tension 1811 (April 2008 to March 2011) Graph 12. Quarter wise registered cases for Tuberculosis 2012 (April 2008 to March 2011) Graph 13. Quarter wise registered cases for Diabetes 2213 (April 2008 to March 2011) 3

I) FOREWORDThey say statistics do not lie. Indeed they don’t. Stats also depict a trend. And trends dictate ouractions. At least they ought to. Praja Foundation has collected data about 5 sensitive diseasesacross the city of Mumbai from Municipal dispensaries and municipal hospitals all across the cityfor the past three years, from 2008 to 2011. The five sensitive diseases as defined by WorldHealth Organisation are Malaria, Diarrhoea, Hypertension, Tuberculosis and Diabetes. Thetrends that these data reveal are truly shocking.Now consider this: Each year, from 2007-2008, incidences of sensitive diseases in Mumbai hascontinued increasing. Malaria cases grow more than thrice in the last three years; in themonsoon quarter (July to September) the same growth is more than four times; diarrhoea casesgrew by 70% in the last three years. The picture gets grimmer when one analyses data at theward level and that to only for the Municipal Dispensaries: total number of cases registered forsensitive diseases grew by more than 100% in seven wards in the last three years and across allwards by 69%; in the same time Malaria grew by 3.8 times, Diarrhoea by 57% and Diabetes by76%; take the monsoon quarter and the rise in Malaria is 4.75 times; F/S ward the Headquarterof 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 ofour civic body to ensure that the unabated trend of sensitive diseases is curtailed? If the civicbody and its custodians had kept proper track of such trends from way longer than the pastthree years, perhaps pragmatic solutions might have emerged. What’s worse, the periodicity ofthe diseases has also continued exactly in the same manner each year.Another pertinent question that this White paper raises is the role of Municipal ElectedRepresentatives regarding the health issues plaguing our city. The Municipal Corporation has aPublic Health Committee with 36 elected corporators as its members. In 2008-09, 12 of thesemembers attended less than 60% of the meetings held by the Public Health Committee. Of thosewho did, 23 members did not ask even a single question. In the last three years, 36 councillorsasked less than three questions per meeting; the highest questions being on cemeteries andcrematoriums (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 lastyear there were just four questions. The picture is even grimmer if you consider the questionsasked on health in the ward committees by the 227 councillors: councillors from 10 wards out of24 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 collectivelyresponsible 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 thepaucity of any foresight or planned strategy to safeguard the health of its citizen who aredependent on municipal dispensaries and hospitals. More significantly, it reminds and rebukesthe elected representatives of our city custodians who seem to be failing in their job as the civiccustodians 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 in25 Municipal Hospitals and 160 Municipal Dispensaries across Mumbai. Comparison is betweenquarters of three year data on sensitive Diseases /Ailments registered cases from April 2008 toMarch 2011.The above graph shows highest number of 71,020 sensitive diseases cases registered in theMunicipal Dispensaries and 44,405 in the Municipal hospitals in the quarter July 2010 toSeptember 2010 and the previous year quarter July 2009 to September 2009 cases registeredwere 51,473 in the Municipal dispensaries and 29,569 in the Municipal hospitals. In July 2008 toSeptember 2008 cases registered were 35,452 in the Municipal dispensaries and 27,621 in theMunicipal 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, HepatitisA, 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 Hospitalsand 160 Municipal Dispensary across Mumbai. Comparison is between top five sensitiveDiseases /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 theMunicipal dispensaries and the Municipal hospitals for the year April 2010 and March 2011 andthe previous year in April 2009 to March 2010 cases registered were 1, 16,295 and 81,321 in theyear April 2008 to March 2009. Malaria cases has registered the second highest with 78,448 inyear in the year April 2010 and March 2011, previous year of April 2009 to March 2010 casesregistered 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 isbetween 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 quarterJuly 2010 to September 2010 and the previous year quarter July 2009 to September 2010registered cases were 15,149; in quarter July 2008 to September 2008 cases registered were9,919. Second highest Malaria cases registered were 17,253 in quarter October 2010 toDecember 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 isbetween 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 July2010 to September 2010 and the previous year quarter July 2009 to September 2009 registeredcases 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 December2009. 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 theState Hospitals, Municipal Hospitals and Municipal Dispensaries across Mumbai from April 2008to March 2011.The above graph shows highest number of 11,564 cases of Hyper tension registered in quarterJanuary 2011 to March 2011 and the previous year quarter January 2010 to March 2010registered 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 December2010.The number of Hyper tension cases registered from January 2009 to March 2009 quarter tothe 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. Comparisonis 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 quarterApril 2008 to June 2008 and the next year quarter April 2009 to June 2009 registered cases were7,667; in quarter April 2010 to June 2010 cases registered were 7,303. Second highestTuberculosis 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 isbetween 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 July2009 to September 2009 and the next year quarter July 2010 to September 2010 registeredcases were 5,889; in quarter July 2008 to September 2008 cases registered were 6,017. Secondhighest Diabetes cases registered were 6,797 in quarter April 2008 to June 2008. 11

III) Ward StatisticsTable 1. Number of sensitive diseases/ Ailments registered in Mumbai across all wards (April 2008 to March 2011) Number of cases registered Ward April08 to March09 April09 to March10 April10 to March11 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 2,601Inference:The above data presents ward wise division of Sensitive diseases/ Ailments registered in theMunicipal 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 numberof cases registered for the all the last three years. Similarly G south is amongst the top three forthe year April 2008 to March 2009 and April 2009 to March 2010; K east for April 2008 to March2009 and April 2010 to March 2011; and L ward for April 2009 to March 2010 to April 2010 toMarch 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 MunicipalDispensaries 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 Municipaldispensaries for the year April 2010 and March 2011 and the previous year in April 2009 toMarch 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 2010and March 2011, previous year of April 2009 to March 2010 cases registered were 19,867 and inyear 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 isbetween quarters of three year data on Malaria cases registered only in the MunicipalDispensaries across Mumbai from April 2008 to March 2011.The above graph shows highest number of 20,383 cases of Malaria registered in year quarterJuly 2010 to September 2010 and the previous year quarter July 2009 to September 2009registered cases were 7, 937; in quarter July 2008 to September 2008 cases registered were4,287. Second highest Malaria cases registered were 7,937 in year quarter July 2009 toSeptember 2009.The increase between quarter July 2008 – September 2008 to July 2010- September is 4.75times 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 242Inference:The above data presents ward wise division of registered cases for Malaria registered in theMunicipal 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; Hwest ward has second highest registered cases (1,062) and D ward has third highest registeredcases (940) for year April 2008 to March 2009. The next year April 2009 to March 2010 F southward 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 March2011 F south ward has highest registered cases (4,499) for Malaria; K east has second highestregistered 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 isbetween quarters of three year data on Diarrhoea cases registered in the MunicipalDispensaries 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 quarterJuly 2010 to September 2010 and the previous year quarter July 2009 to September 2009registered cases were 34,731; in quarter July 2008 to September 2008 cases registered were23,321. Second highest Diarrhoea cases registered were 26,650 in year quarter October 2009 toDecember 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 1976Inference:The above data presents ward wise division of registered cases for Diarrhoea in the MunicipalDispensaries 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, Keast 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 hashighest registered cases (11,971), E ward has second highest registered cases (8,174) and K eastward has third highest registered cases (7,219). In the year April 2010 to March 2011 L ward hashighest 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 theMunicipal 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 yearquarter January 2011 to March 2011 and the previous year quarter January 2010 to March 2010registered cases were 4,959; in quarter January 2009 to March 2009 cases registered were4,405. Second highest Hyper tension cases registered were 5,317 in year quarter July 2010 toSeptember 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 176Inference:The above data presents ward wise division of registered cases for Hyper tension in theMunicipal 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 registeredcases (1,618) for year April 2008 to March 2009. The next year April 2009 to March 2010 F southward has highest registered cases (3,868), G south ward has second highest Hyper tensionregistered cases (3,241) and K east has third highest registered cases (1,715). In the year April2010 to March 2011 F south ward has highest registered cases (3,586) for Hyper tension, K eastward has second highest registered cases (2,241) and G south ward has third highest registeredcases (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. Comparisonis between quarters of three year data on Tuberculosis cases registered only in the MunicipalDispensaries 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 quarterJanuary 2010 to March 2010 and the previous year quarter January 2009 to March 2009registered cases were 2184; and next year quarter January 2011 To March 2011 casesregistered were 2,877. Second highest Tuberculosis cases registered were 2,923 in year quarterApril 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 191Inference:The above data presents ward wise division of registered cases for Tuberculosis in the MunicipalDispensaries 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, Fnorth ward has second highest registered cases (858) and L ward has third highest registeredcases (760) for year April 2008 to March 2009. The next year April 2009 to March 2010 K eastward has highest registered cases (1,391), F north ward has second highest Tuberculosisregistered cases (1,274) and L ward has third highest registered cases (1,118). In the year April2010 to March 2011 S ward has highest registered cases (1,551) for Tuberculosis, F north wardhas 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 isbetween quarters of three year data on Diabetes cases registered in the Municipal Dispensariesacross 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 quarterJanuary 2011 to March 2011 and the previous year quarter January 2010 to March 2010registered cases were 1,194; and in the year quarter January 2009 to March 2009 casesregistered were 770. Second highest Diabetes cases registered were 1,124 in year quarterOctober 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 16Inference:The above data presents ward wise division of registered cases for Diabetes in the MunicipalDispensaries 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 northward has second highest registered cases (292) and K west ward has third highest registeredcases (246) for year April 2008 to March 2009. The next year April 2009 to March 2010 F northward has highest registered cases (878), K east ward has second highest Diabetes registeredcases (597) and G south ward has third highest registered cases (291). In the year April 2010 toMarch 2011 F north ward has highest registered cases (938) for Diabetes; K east ward hassecond highest registered cases (613) and G south ward has third highest registered cases (492). 23

IV) Working of Public Health CommitteePublic Health Committee:The Corporation under Section 38A (1) of the M.M.C. Act, appoint the Public Health Committeeout of their own body consisting of 36 members in their meeting after general election anddelegate any of their power and duties to such Committee and also define the sphere ofbusiness of Committee so appointed and direct that all matters and questions included in anysuch sphere shall be submitted to the Corporation with such Committee’s recommendation.Conduct of BusinessThe Public Health Committee meets once in a month and such other times if find necessary {thenotice of meeting specifying the day, the time and the place at which such meeting is to be heldand the business to be transacted in the meeting (agenda and accompaniments) is prepared bythe 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 CorporationResolution 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 GordhandasSunderdas Medical College, Kasturba Hospital for infectious diseases, Medical Relief in theMunicipal outdoor dispensaries, Medical and Nursing assistance to the poor in their homesVenereal Diseases Dispensaries, Anti Tuberculosis League and any Medical Institution to whichmonetary assistance is given by the Corporation.Health Department (including Street Cleaning, Conservancy, etc.) with the exception ofquestions pertaining to the Mechanical Branch so far as they fall within the province of theWorks 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 12Inference:The above data presents attendance of health committee member’s during April 2008 to March2009.The above table shows that two Councillors have attended 90% to 100% meetings and 12Councillors have attended 59% and below percentage meetings out of 16 health committeemeetings. 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 17Inference:The above data presents attendance of health committee member’s during April 2009 to March2010.The above table shows that one Councillor have attended 90% to 100% meetings and 17Councillors have attended 59% and below percentage meetings out of 12 health committeemeetings. 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 21Inference:The above data presents attendance of health committee member’s during April 2010 to March2011.The above table shows that one Councillor have attended 90% to 100% percent meetings and 21Councillors have attended 59% and below percentage meetings out of 14 health committeemeetings. 30

Table 13. Number of Question asked in Public Health committee (April 2008 to March 2009) QuestionWard 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 0G/N Indian National Congress Mangala Gaikwad 1G/S Shiv Sena Madhukar Dalvi 1G/S Independent Parshuram Desai 0H/E Shiv Sena Baliram Ghag 0H/E Bharatiya Janata Party Krishna Parkar 0H/W Independent Rahebar Khan 0K/E Shiv Sena Manohar Panchal 0K/E Indian National Congress Nitin Salagre 3K/W Shiv Sena Yashodhar Fanse 6K/W Shiv Sena Rajul Patel 6K/W Indian National Congress Abdul Barudgar 0K/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) 1M/E Republican Party Of India (RPI) Sujata Waghmare 0M/W Shiv Sena Prakash Phaterperkar 2M/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 0P/N Maharashtra Navnirman Sena Supriya Pawar 0P/N Bharatiya Janata Party Ramnarayan Barot 0P/N Nationalist Congress Party Sarika Austin Gracious 0R/C Bharatiya Janata Party Pravin Shah 0R/C Nationalist Congress Party Sandhya Vipul Doshi (Sakre) 0R/S Indian National Congress Ajanta Yadav 6R/S Shiv Sena Shubhada Gudhekar 0R/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 3Inference:Above data present the number of questions asked by Councillors in the Health Committeemeeting during the year April 2008 to March 2009.The above data shows that three Councillors asked five and above questions, Ten Councillorsasked one to four questions and 23 Councillors asked no questions in the Health Committeemeetings. 32

Table 15. Number of Question asked in Public Health committee (April 2009 to March 2010) QuestionWard Political Party Councillors name Asked D Indian National Congress Anahita Mehta 4 D Shiv Sena Minal Juwatkar 0 D Bharatiya Janata Party Kokila Parmar 0F/S Shiv Sena Prakash Chalke 0G/N Indian National Congress Mangala Gaikwad 0G/S Shiv Sena Madhukar Dalvi 5G/S Independent Parshuram Desai 0H/E Shiv Sena Baliram Ghag 0H/E Bharatiya Janata Party Krishna Parkar 0H/W Independent Rahebar Khan 2K/E Shiv Sena Manohar Panchal 0K/E Indian National Congress Nitin Salagre 1K/W Shiv Sena Yashodhar Fanse 2K/W Shiv Sena Rajul Patel 1K/W Indian National Congress Abdul Barudgar 0K/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 2M/E Republican Party Of India (RPI) Sujata Waghmare 0M/W Shiv Sena Prakash Phaterperkar 0M/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 0P/N Maharashtra Navnirman Sena Supriya Pawar 0P/N Bharatiya Janata Party Ramnarayan Barot 0R/C Bharatiya Janata Party Pravin Shah 1R/C Nationalist Congress Party Bhaskar Khursange 1R/S Indian National Congress Ajanta Yadav 3R/S Shiv Sena Shubhada Gudhekar 2R/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 1Inference:Above data present the number of questions asked by Councillors in the Health Committeemeeting during the year April 2009 to March 2010.The above data shows that one Councillors asked five and above questions, 14 Councillors askedone 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 1F/S Shiv Sena Prakash Chalke 0G/N Indian National Congress Mangala Gaikwad 2G/S Shiv Sena Madhukar Dalvi 1G/S Independent Parshuram Desai 1H/E Shiv Sena Baliram Ghag 0H/E Bharatiya Janata Party Krishna Parkar 0H/W Independent Rahebar Khan 0K/E Shiv Sena Manohar Panchal 0K/E Indian National Congress Nitin Salagre 1K/W Shiv Sena Yashodhar Fanse 1K/W Shiv Sena Rajul Patel 1K/W Indian National Congress Abdul Barudgar 0K/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 11M/E Republican Party Of India (RPI) Sujata Waghmare 2M/W Shiv Sena Prakash Phaterperkar 3M/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 0P/N Maharashtra Navnirman Sena Supriya Pawar 2P/N Bharatiya Janata Party Ramnarayan Barot 0R/C Bharatiya Janata Party Pravin Shah 0R/C Nationalist Congress Party Bhaskar Khursange 5R/S Indian National Congress Ajanta Yadav 2R/S Shiv Sena Shubhada Gudhekar 0R/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 3Inference:Above data present the number of questions asked by Councillors in the Health Committeemeeting during the year April 2010- March 2011.The above data shows that three Councillors asked five and above questions, 16 Councillorsasked one to four questions and 17 Councillors asked no questions in the Health Committeemeetings. 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 0Appointment/ 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 3Inference:The above data presents issues raised in the Health committee meeting during the year April2008 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 onHealth infrastructure Related, in 2009-2010 highest numbers of questions were asked on Staffbehaviour (Medical/health services staff), in 2010-2011 highest numbers of questions wereasked 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 14Inference:Above data present the number of questions asked on health issues by Councillors in the wardCommittee meetings during the year April 2008 - March 2011.The above data shows that Councillors from seven wards have asked seven questions during2008-2009, Councillors from six wards asked nine questions in 2009-2010 and 14 questionsasked 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 1Inference:The above data presents issues raised on health issues in the Ward committee meeting duringthe 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 questionswere asked on Malaria. 39

Table 22. List of BMC AND STATE HOSPITALsSr.No. List of BMC AND STATE HOSPITAL1 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 Road8 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 07012 Khurshadji Bhabha Hospital,Waterfild Rd. Bandra13 King Edward Memorial Hospital, K.E.M. Hospital & Seth G.S. Medical college)14 Lokmanya Tilak Municipal Genral hospital sion Ambedkar Road15 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, Sewree19 Municiple Eye Hospital North Brook Garden, Kamtipura20 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 DispensariesSr. 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 Dispensary42 Transit Camp Dispensary43 Raoli Camp. Dispensary44 Antop Hill Dispensary. F/N45 Korba Mithabai Dispensary46 Wadala Dispensary.47 LBS Dispensary48 Curry Road Dispensary49 Fergusson Road. Dispensary50 Prabhadevi Dispensary51 B.D.D. Chawl Dispensary52 Beggar Home Dispensary53 Maharashtra High school Dispensary54 Welfare center Dispensary G/S55 Sasmira Dispensary56 633, Senapati Bapat Marg Hill Cross Dis57 Jijamata Nagar K. Moses Dispensary58 Worli Koliwada Dispensary59 Zandu Ayurvedic Municipal Dispensary60 Prbhadevi Ayurvedic Municipal61 Matunga Labour camp Dispensary62 Gulabai Dispensary63 Dharavi Main Road Dispensary.64 Walkarwadi Dispensary65 Shahu Nagar Dispensary G/N66 Kumbharwada Dispensary67 Pilla Bunglow Dispensary68 Transit Camp Dispensary69 Welfare camp Near Shri cinema Dispensary70 Kherwadi Dispensary71 Prabhat Colony Municipal Dispensary72 Kalina Dispensary H/E73 Jawahar Nagar Dispensary74 Bharat Nagar Dispensary Bandra75 S.V. Nagar Dispensary. Santacruz76 Khar-Danda village Dispensary77 G.N. Station Road Dispensary78 Guru Nanak Dispensary H/W79 Old Khar Dispensary80 Shastri Nagar Linking Rd. Dispensary81 Kaldongari Dispensary82 Squatters Colony Dispensary, Jogeshwari83 Marol Dispensary K/E84 Gundawali Dispensary85 Sambhji Nagar Ayurvedic Dispensary 42

86 Paranjape Dispensary.87 Natwar Nagar Dispensary88 Sunder Nagar Dispensary89 Hari Nagar Dispensary90 Sambhji Nagar Dispensary91 N.J. wadiya Dispensary92 Vileparle Market Dispensary93 Juhu Dispensary K/W94 Vrasova Dispensary95 Oshivara Dispensary96 Safad Pool Dispensary.97 Asalpha Village Dispensary98 Christain Municipal Dispensary99 Chunnabhatti Dispensary.100 Mohill village Dispensary101 Budda Colony Dispensary L102 Kajupada Muncipal Dispensary103 Bail Bazar Mun. Dispensary104 Chandivali MNP Dispensary105 Neharu Nagar Dispensary106 Quereshi Nagar107 Ayodhya Nagar Dispensary108 Cheeta Camp Dispensary109 Deonar Colony Dispensary M/E110 Trombay Mun. Dispensary111 Gavanpada Dispensary112 Anik Nagar Dispensary113 Chembur Colony Dispensary114 Mahul Dispensary115 Lal Dongar Dispensary M/W116 Tilak Nagar Dispensary117 Chembur Naka Mun. Dispensary118 Labour Camp Dispensary119 Chincholi Square Colony Dispensary P/S120 Topiwala Lane Dispensary121 Choksey Municipal Dispensary.122 Goshala Municipal Dispensary.123 Malvani. Municipal Dispensary124 Nemani Municipal Dispensary.125 School Road Municipal Dispensary P/N126 Valnai Municipal Dispensary127 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/S134 Charcop Secondary - I Dispensary.135 Babrekar Nagar Municipal Dispensary.136 K. K. Mun Dispensary137 MHB Dispensary138 Eksai Road Dispensary R/C139 Charkop Sector Dispensary140 Gorai MHADA Dispensary141 Gorai Village Dispensary142 L.T. Dhaiser Dispensary R/N143 Y.R. Tawde Nagar Dispensary144 Pant Nagar Dispensary145 Parksite Dispensary146 Sarvodaya Pantnagar Dispensary147 Kirol Dispensary N148 Parshiwadi Dispensary149 Ramabai Colony Dispensary150 Sai Nath Nagar151 M.V. R Shinde Dispensary152 Tulshetpada Dispensary.153 Shivaji Talav Mumbai Dispensary. S154 Tembhipada Shivaji Nagar Dispensary155 Tagor Nagar Dispensary156 Kanjur Village Dispensary157 Tirandaz Nagar158 PJK Dispensary159 DDU Dispensary T160 Mulund Colony Dispensary 44

Health white paper

by Milind Mhaske

Accessibility

Categories

Upload Details

Usage Rights

1 Embed 1

Statistics

Health white paper Document Transcript