kerala floods 2018

1. PUBLIC HEALTH UPDATES
Dr. Vannya. M S
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2. KERALA PUBLIC HEALTH UPDATES
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3. This year, the south-west Monsoon brought
three spells of rains to Kerala —
first during mid-June, second during mid-July
and the third in mid-August.
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Aug 16

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As rainfall increased, the inflow of
water to reservoirs also increased

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The graph below shows inflows to major reservoirs in the past month

7. • The steep increase in inflows has led to storage levels in reservoirs
nearing the maximum.
• The graph below shows storage levels in major reservoirs in the past
month.
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8. • After storage levels peaked, the spills have increased, flooding nearby
places.
• The chart below shows spills in major reservoirs in the past month.
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9. Red alert
• According to the Central Water Commission, if a river's water level
crosses the ‘Highest Flood Level’ (HFL), then it should be labelled as
‘severe’ and a special red bulletin should be issued.
• Three stations — Arangali, Kalampur and Vandiperiyar — has already
breached the HFL and the levels were rising.
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A migrant worker being rescued at Kampanipady in Aluva,
Kerala on August 16, 2018. The worker, who was holding
on to a raft, lost his grip due to a strong current but was
saved by locals

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Aug 17

13. District Collector K.Vasuki :
1. The police authorities-ready to tackle any situation.
2. The District Tourism Promotion Council-prevent the entry of tourists
in the hilly regions and near water bodies.
3. The Transport Department- responsibility of deploying cranes and
earth movers when required.
4. Emergency repair teams of the KSEB and the Public Works
Department.
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14. 5. Tahsildars and village officers- necessary steps in case more relief
camps are required to be opened.
6. Tahsildars- relocating those who are staying in regions which are
under the threat of landslide.
7. Primary health centres - function round the clock.
8. Health workers who have the capability of providing emergency life
support should be on duty in these centres.
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15. 9. An emergency medical team-prepared at the taluk level.
10. The district supply officers - asked to stock 100 kg - rice, 50 kg -
green gram, 10 litres -coconut oil and 75 litres - kerosene at all the six
taluks in the district.
11. Warning for fish workers against going to the sea and lake.
12. Requested the public to stay indoors.
13. Those staying in land slip-prone areas need to shift to safer
locations.
14. People will not be allowed to gather near river banks and on
bridges to watch the flooding and take selfies.
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16. • District Medical Officer V.V. Shirley (Kollam) -instructed the persons in
relief camps:
1. To use only boiled water for drinking.
2. Open defecation should be avoided.
3. The camp premises should be kept clean.
4. Food should not be left open.
5. Medical assistance should be sought if symptoms like fever and
diarrhoea are seen.
6. Instructions of health volunteers should be followed.
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17. • Hundreds of volunteers and fishworkers in Kerala joined teams from
the armed forces, the National Disaster Response Force, and State
government agencies to rescue over 82,000 persons from flooded
locations in four districts.
• Helicopters and boats -Pathanamthitta, Alappuzha, Ernakulam and
Thrissur to locate flood victims, drop food supplies, and shift people
to higher locations.
• More than 3,14,000 people have been shifted to 2,094 relief camps
and more than 160 people have been killed. 40,000 State police
officials and 3200 fire force officials were working on ground.
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18. Financial support.
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Central government aid ₹600 crore
Tamil Nadu ₹10 crore
500 metric tonnes of rice, 300 metric tonnes of milk powder and 15,000 litres of
milk, among other relief materials
Karnataka ₹10 crore
Gujarat ₹10 crore
Bihar ₹10 crore
Delhi ₹10 crore All Aam Aadmi Party legislators are donating their one-month salary.
Andhra Pradesh ₹10 crore
Telangana ₹25 crore
Reverse Osmosis machines worth ₹2.5 crore are being sent . 'Balamrutham', food
for children, worth ₹52.5 lakh.
Haryana ₹10 crore
Punjab ₹10 crore
Maharashtra ₹20 crore
Food packets of ₹1.5 crore and 11 ton of dry food. Rajasthani Welfare
Association & JITO International contributing ₹51 lakh each.
Odisha ₹5 crore
Chhattisgarh ₹3 crore A train full of rice worth around ₹7.5 crore
Aug 18

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Aug 19

20. • Chief Minister Pinarayi Vijayan said- “As per the initial estimate, the
State has suffered a loss of Rs. 19,512 crore. The actual loss can be
ascertained after the water recedes in the affected areas.”
• Prime minister also announced an ex-gratia of Rs. 2 lakh per person to
the next of kin of the deceased and Rs. 50,000 - seriously injured
from the Prime Minister’s National Relief Fund (PMNRF).
• Total death-194.
• 58,506 rescued.
• Helicopters had carried out a total of 900 airlifts in the operation.
• More than 4,00,000 were shifted to relief camps from flooded
localities.
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21. Aug 20
• The Kerala Water Authority started a 24-hour control room in the
district to coordinate alternative measures as pumping had to be
stopped in several areas.
• Took steps to conduct quality checks and ensure the safety of drinking
water before distributing it in tankers.
• Provide water from borewells in tanker lorries, coordinating with local
self-governing bodies for foolproof supply.
• Animal Husbandry Department gathered cattle feed from all possible
locations and deliver it free of cost to needy farmers in flood-hit
areas.
• They were given timely medical aid and food.
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23. Chief Minister Pinarayi Vijayan:
1. Priority-restoring power and water supply, cleaning drinking water
sources and damaged houses.
2. The government- free uniforms and textbooks to students affected
by the flood.
3. An IT-enabled system - issuing certificates and documents to the
flood victims.
4. Treatment would be provided to the elderly and those afflicted by
diseases such as diabetes.
5. Panchayats would organise medical camps.
6. Pharmaceutical companies have offered to supply medicines.
7. Local self-government institutions have been directed to inspect
houses and precincts before those presently staying in the relief
camps move in.
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24. 8. They would elicit the support of residents’ associations and
volunteers for the cleaning drive.
9. Health inspectors would coordinate the cleaning operations.(Each
panchayat has six health inspectors)
10. Railways have agreed to resume full-fledged operations.
11. The KSRTC too would soon operate services, including long-distance
ones.
12. Work on roads and bridges.
13. Fishermen- rescue operations- paid Rs. 3,000 a day as fuel cost.
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25. Immediate plans
• Free uniforms and textbooks will be given to students affected by
flood
• Houses will be inspected before their occupants move back from
camps
• Fishermen who took part in rescue efforts to be given Rs. 3,000 a
day as fuel cost.
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Aug 21

32. • Set up two separate helplines that could take 10 calls each
concurrently-took the calls and identified their GPS coordinates or
approximate locations.
• Areas in threat of immediate submergence were given priority.
• Rescue operations – defence forces with 4 Army units, 5 units of the
National Disaster Response Force (NDRF), 20 units of the Navy, 4
Coast Guard units and fishermen along with their boats(213).
• 3 Air Force helicopters and two Naval helicopters were used for air-
dropping food materials.
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33. Health department
• Arranged anti snake venom at all government hospitals from taluk
hospitals upwards.
• The patient should be taken to the hospital without wasting time
searching for the snake.
• The antivenom is the same for all snakebites, contrary to popular
belief.
• Issued an advisory against the spread of jaundice in the district.
• MO- The debris and waste being collected after the receding of
floodwaters should not be dumped into rivers, rivulets or isolated
fields.
• They should be sorted and disposed under the supervision of the
local bodies.
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34. Railways:
1. Supplied 24 lakh litres of drinking water in addition to 2.7 lakh water
bottles.
2. Made arrangements for supply of bed sheets and blankets.
3. Trains on all sections have resumed.
4. Transports relief materials from various States to Kerala free of cost.
Health ministry:
1. Supply three crore chlorine tablets in addition to one crore tablets
supplied earlier.
2. Thirty tonnes of bleaching powder
3. 1.76 lakh sanitary pads.
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Aug 23

36. • K.K. Shylaja, Minister for Health-Free medicines will be given to all
those affected by the floods.
• Shortage of medicine in any camp would be sorted out if the doctor
in-charge or the Medical Relief Control Centre at the General Hospital
was contacted.
• Any shortage of doctors too will be taken care of if the control rooms
at the State or district levels are notified.
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Aug 25

38. • The District Child Care Unit and the Women and Child Development
Department conducted training for professionals for the Social and
Mental Health Protection programme.
• The trained persons will visit families affected by floods at their
homes and offer counselling.
• People returning home from relief camps are in a shock seeing their
earnings of a lifetime all ravaged by floodwaters.
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39. Kerala State Legal Services Authority (KELSA)
• The District Legal Services Authorities will open help desks at all the
villages to help victims file application forms and retrieve lost and
damaged documents.
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Aug 26

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45. People from various walks of life lend support to make flood-hit homes liveable…….
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Aug 27

46. • A large number of people from both nearby and far-off places have
come in to help with clean-up operations.
• Kerala Forests and Wildlife Department in association with the
Wildlife Trust of India and the Parassinikadavu Snake Park is involved -
snakes from the flood-ravaged houses.
• The Jail Department distributed 1.17 lakh chapathis and 20,000 plates
of curries to volunteers participating in the drive.
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Aug 29

48. • Patients approach the government medical college hospital only after
it affected their brain, liver or heart.
• The health department directed doctors even in private hospitals and
clinics to examine the possibility of leptospirosis in each fever case.
Details :
1. Job of the patients and their native place.
2. contact with contaminated water during the course of their job and
if they belonged to flood-hit areas.
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49. • Over 1.13 lakh residential premises across 10 districts-cleaned and
made habitable by the Kudumbasree workers.
• Packaged meals available to affected people.
• Each cleaning team - 20 to 25 women equipped with bleaching and
cleaning lotions.
• They were supported by the respective panchayats, Health
Department and ASHA workers.
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Aug 30

51. Health dept renews leptospirosis warning - The Hindu
• Those exposed to floodwaters - 200 mg of Doxycycline every Week- 6
consecutive weeks.
• 15 leptospirosis deaths in the State since August 24 and in none of
the cases, except one, the patients had taken Doxycyline.
• Any person- fever and myalgia-Doxycycline.
• Any indication of pulmonary distress- refer to a tertiary care centre
and administer Crystalline Penicillin injection as soon as possible.
• Pulmonary haemorrhagic syndrome emerging as the primary cause
for death.
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Aug 31

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Sep 2

53. Alappuzha.
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Sep 3

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Sep 4

55. • Between August 15 and September 3, the State -638 suspected cases
and 267 confirmed cases of leptospirosis.
• 11 confirmed leptospirosis deaths, 42- suspected leptospirosis
deaths.
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Sep 5

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Sep 8

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Sep 25

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65. National
Public Health Updates

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75. Section 377 IPC

77. 2009
2013
Jan
2018

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