1. The document provides an overview of health basics for smart cities presented by Dr. P.P. Singh. It discusses key topics like the five basic elements of living, communicable vs. non-communicable diseases, and the factors that influence health. 2. Environmental health is defined as controlling factors that can negatively impact physical development, health, and survival. Public health aims to prevent disease through community participation and controlling infections, sanitation, health services, and legislation. 3. Creating smart cities requires considering aspects like affordable and accessible healthcare, reducing inequalities, and focusing on prevention and well-being. Public health programs must adopt a holistic approach involving epidemiological surveillance, sanitation barriers, and

1. ALL INDIA INSTITUTE OF LOCAL SELF
GOVERNMENT
DELHI
“ BASICS of HEALTH for SMART CITIES”
An- Overview
DR.P.P.SINGH
By
Dr. P.P.SINGH
Faculty AIILSGD
Ex Medical Superintendent Cum Consultant pathologist HRH
Delhi
Ex. Director India Population Project 8 Delhi..

2. INTRODUCTION
 All living have
essential 5
element .
 AIR
 WATER
 EARTH
 AGANI
 AKASH
DR.P.P.SINGH
AIR
SPACE
EARTHWATER
FIRE

3. “ H” THEORY
 HUMAN
 HOMOSEPNIS.
 HAPPINESS.
 HELP
 HAND
 HEALTH
 HOUSE TO HOUSE.
 Hepatitis / HIV
 H2O
 HOLESTIC APPROCH.
DR.P.P.SINGH

4. HEALTH
W HO has defined as
“ Physical ,Mental ,Social & Spiritual
Wellbeing of human not merely absence of illness”
Environmental Health as
“ The control of all those factors in
man’s physical environment which
exercise or may exercise a deleterious
effect on his physical development,
health or survival.
DR.P.P.SINGH

5. DR.P.P.SINGH

6. DR.P.P.SINGH

7. DISEASES
• Communicable
DOSE X
Virulence
•= --------------------------
-
IMMUNITY
•Non
communicable
- Congenital
. Environment.
. Life Style
. Genetics
- Metabolic/ Nutritional
DR.P.P.SINGH
• HEALTH
• NUTRITION
•SANITATION
PERSONNEL
HYEIGEN
ENIVIRONMENTAL

8. ENVIRONMENT
 “ The Sum total of all external conditions and
influences that effect the life and
development of an organism”
1. Physical Environment.
2. Biological Environment.
3.Social Environment.
4.Economic Environment.
DR.P.P.SINGH

9. DR.P.P.SINGH
Host Factors
Age/Sex
Occupation
Immunity
Pathological conditions
Life style
Congenital.
Nutritional
Accidents
Association with animal ( Zoonotic Diseases )

10. DR.P.P.SINGH
Agent Factors
Biological – Microbial
. Viruses
. Bacteria
. Recketesial
. Fungal
. Protozoan
. Insects
. Worms
 Physical
Chemical
Mechanical

11. S:-
Specific
/Sustainable
M:-
Measurable
A:-
Affordable
/Accessible
R:- Replicable /
Reliable
T:
Time Bound
SMART CITY
DR.P.P.SINGH

12. TYPES of HEALTH.
1 Preventive.
2.Promotive.
3.Curative
4.Rehablitative
Health Practices India.
1.Allopathy.
2.Indigenios AYUSH
A- Ayurveda
B-Yoga
C-Unani
D-Sidha
H-Homeopathy
DR.P.P.SINGH

13. Public health was defined by Winslow
(1951) as a science and art of preventing a
disease, prolonging life and promoting health
through the community participation to control
infections, sanitation, health services and
legislation etc as a state responsibility. The
public health therefore involves:-
A. Knowledge of all determinants of
diseases.
B. Administrative organization to provide
services for preventions of diseases .
C. Latest Scientific & Medical knowledge
applications to modify prevents all the factors
influencing the health.
D. Public health also to deal with
housing, water supply, disposal of waste etc.
DR.P.P.SINGH

14. Health Care
-Innovative, simple, low cost.
--Less expensive health care work force.
--state of art, electronic clinic support.
--evidence based quality affordable
Health Organizing Principals
1. Citizen driven & trusted.
2. Collaborative & Reciprocal.
3. Reduce inequalities
4. Making every asset accountable.
5. Transparent, inclusive & open.
6. Integrated & interoperable
7. Focused on wellbeing & Preventive.
DR.P.P.SINGH

15. ROLE OF MUNICIPAL
CORPORATION
Corporations are the main task force
Civilized Society to maintain the healthy environment of
the City. The role of sanitary inspector has pivotal role to
achieve the same. Keeping in view of their vast role from
the
Conception to the Cremation for health, nutrition and
sanitation.
It appears “C” is common to number of situation
specially the for sanitation another “3 C” can be added
Confine,
Collect and
Cover.
DR.P.P.SINGH

16. NUTRITION
SANITATION
HEALTH
DR.P.P.SINGH

17. A Food Hygiene
B Fluid ( water ) safe portable water supply
C Feaces - Proper sewer sewage system
D Flies - control of all insects vectors.
E Fomite - cleanliness at all level including personal
hygiene
FOOD
FLUID
FEACESFLIES
FOMITE
SANITATION BARIERS
DR.P.P.SINGH

18. FAMILY ENNUMERATION
Digital records of families ,On socioeconomic status of all families .
Groups;
I VERY POOR
II POOR ( BPL)
III Low Middle class
IV Middle Class
V Higher class (elite),
Required for sustainability of health care . ( To Charge or Not to charge)
ESI beneficiaries , CGHS beneficiaries , Railways , etc
DR.P.P.SINGH

19. Preventive Health :-
Epidemiological , surveillance ( Determinant &
Distribution),
Sanitary Barrier ( FIVE F )
Food
fluid
faces
Flies
Fomite
Fingers
DR.P.P.SINGH

20. PROMOTIVE HEALTH
From Conception to crimination
1 RCH
2.SHS – mid day meal, Adolescent
Health – personal hygiene .
3.Health life style.
4. Geriatric care
5. Healthy Nutrition ( GOOD & BAD
Habbits)
6. Physical Exercise / Rest
DR.P.P.SINGH

21. Community Participation
At grass Root Level
1. Public health worker.
2. Volunteers. 12. Teachers.
3. ASHA 13. Politicians
4. Dai
5. Safai karamchari
6. Baledar
7. DBC
8. RWA
9. Village health guide
10.Volunteers , etc
DR.P.P.SINGH

22. PUBLIC HEALTH
SIDE
PHW for 10000
population
1. ASI, for 20000
population
2. SI for 50000
population
3. CSI for every
ward for 100000
population
ZONAL level
ZHO
Distt. Level -
MHO
DR.P.P.SINGH

23. PROMOTIVE HEALTH
1. ANM for 10000
population .
2. PHN for 50000
population .
3. MO for 50000
population
Peripheral
level
ANM- sub
centre
Middle level (
MCH/RCH )
PHN & MO
Ward level
MATy Home
for 100000
population
ZONAL level
1.Emergency
OBST care
2.Poly Clinics
3. Diagnostic
centre
4. DOT clinic
5. Blood Bank
6. Transport
System
Distt. level
1. General
Hospital.
2. Super
specialty
Hospital
DR.P.P.SINGH
Curative
Health

24. RCH Programme
1. CSSM
2. Family Planning.
3. Care of women ( STD & AIDS)
4. Adolescent health
5. Quality Service.
Forms 5 ,6 , 7 , 8 & 9 beside 4 for annual
action plan
DR.P.P.SINGH

25. POPULATION1.Migration.
2.Marriage
3.Birth
1.Migration
out.
2.Marriage
3.Death
Eligible
Couple
Expected ANC Delivery
PNC, ()Janani
surksha
yojna,vandem
atram prog.)
Babies for
Immunization
ICDS
Mid day Meal
Schooling
Kinder Garden
Creech
Primary ,
Secondary
Higher
Skill, IIT ,
polytech.
Professional;
Primi.
Multipara.
Wants child
Infertile
Do not want
Child ( UMN)
FP- Temp.Or
Permanent
method(
Vasectomy
,Tubectomy)
DR.P.P.SINGH

26. Geriatric
group
1.Support Physical
Psychological
2.Paralytics
3.Diabetics
GD M
assistants,
Counselors'
Care takers
FOOD
HANDLERS
Accidents
First Aid ,
Transport,
triage
In man made
or natural
disasters
DR.P.P.SINGH
Rehabilitative Health Occupational
therapy
Reconstractive

27. ROLE OF IT
1. Family enumeration.
2. Disease surveillance (IDCS).
3. Vector density .
4. RCH – MIS
5. Blood banking .
6. National health schemes ex. DOTs,
AIDS etc
7. CAT transport .
8. Immunization .
9. Birth & Death
10.Health licensing (trades).
11.Diagnostic Reports.
DR.P.P.SINGH

28. Contd;-
12.Medico legal track system.
13.Health education ( IEC) .
14.Video conferencing .
15.Hospital Information System
16.Hospital Waste management.
17.Hospital equipment management (
Service & Repair)
18. Procurement system.
19. Stock management
20. Laundry management.
21. Kitchen Management.
DR.P.P.SINGH

29. Health
Tourism
1.State of Art Medical
care Hospital .
2. Good Transport –
Rail, Road, & Air
Hospital waste
management
DR.P.P.SINGH
Occupational Hazards &
Occupational Health

30. MULTIPLE HEALTH UNITS ,CLUSTERED . ENSURE
ONLY ONE TYPE IN ONE AREA , MAYBE IT GOVT OR
NON GOVT.
DR.P.P.SINGH

31. DR.P.P.SINGH
POINTS TO BE CONSIDERED
1.Identification of stress points & benefits.
2.Public engagement on benefits of sharing appropriate
information.
3.Community Health & wellbeing problem solving.
4. Smart work force – People & Skill
5. Change in legislation for appropriate data sharing ,
linkage between govt departments , health , social care
bodies and statutory bodies.
CNA & PLA

32. DR.P.P.SINGH
Engaged
Citizen
Consent
Data
Information
Institution
partnership
Integrated
Target ship
Outcome &
Impact
CITY LEADERSHIP

33. DR.P.P.SINGH
Requirement of Area
Depends on
1. no. of beds .
2.Annual rate 1: 50 population .
3.Average stay in the hospital 5 days
4. Bed occupancy rate .
Total area
Per bed is 125 m2
Floor space 7 m2 extra 2.4 m2 minimum 14 m2
Distance between two beds 2-3 feet.
Total allowance 36%
i. Columns / wall – 5%
ii. Air circulation --20%
iii. Utility area –8%
iv. General engineering 3.5%
Total build Area 1.36 x 125 = 170 m2
External services – External surface 15%, Foot path
10%, land scape 15%
Total land 1.4 x170 / No of floors m2 = 238 x M Beds)/
N Floors.

34. DR.P.P.SINGH