Social Contribution

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As part of the social commitment of the our society , we are undertaking a very useful and socially relevant programme of checking the inmates of all the district jails in our jurisdiction, for presence of hepatitis B and C and immunizing them against hepatitis B and helping them to get appropriate treatment for those positive for hepatitis B & hepatitis C . With the jail inmates, we plan to also cover the police personnel and administrative staff of these jails . The dates fixed are either 11thor 18th September 2016, depending on your convenience. With this aim in mind we undertook a pilot project in Sangli jail on 31 July 2016 and successfully covered approx. 450 personnel ( and found 11 positive for HBsAg and none for Hepatitis C ) All those HBsAg negative , were given Hepatitis B vaccine & the vaccines will be repeated on 4th Sept 2016 & 5th February 2017. The problems & issues we faced is the basis for a better & faster plan to formulate, in all the district jail. Even then every jail will have its own problems for which a dedicated team will have to be formed with one / two volunteer leader ( s ) to tackle them as they arise . This whole project is totally team based and will not work without the dedication & efforts of all DSGE members. Team Sangli succeeded ONLY because of all the team members’ time, dedication & will to succeed. The first step is to meet the superintendent of the district jail with a written request to carry
out this social activity there ( Figure 1). You could modify the written request to suit your requirements.
Building a rapport with him & the jail warden is essential. The DSP is not concerned with the jail, so please meet directly with the jail superintendant and fix the date with him ( September 11 or 18 ). Normally there is a hospital / dispensary whose premises should be sufficient for the camp. Please have a look at it to plan smooth functioning . You will need 2-3 tables in the verandah for Registration purposes & labelling the tubes before hand with the name & serial number of the person. The main room should have 10-15 tables for the phlebotomists. The person carries the labelled test tube and after blood collection the phlebotomist keeps the test tube on the rack. Plasctic cover & dustbins/ Buckets to be kept near the tables to dispose the alcohol swabs , Plastic covering of syringes & other disposables & one for the used syringe/ needles . Chairs are needed for the phlebotomists and the jail inmates while collecting blood. A separate large room for the pathologist & his team of technicians. Approximate 8-10 Centrifuges to be there & so , that many electric connect ions or a ‘ board’ on which multiple connections are possible. Then 3-5 large tables on which the tests can be carried out simultaneously by multiple technicians. The pathologist has to monitor this very carefully so that no mistakes are made . Once report is made on the test slides, these have to be written down on paper ( fullscape sheets in duplicate) to be then passed on to the vaccination team. This process of collecting blood, then centrifuging & doing the tests takes about an hour , for getting the results. Thus the inmates go back to the barracks & are again called for the vaccination. Documenting who got the vaccinations is very important for follow up vaccination. To make this whole process quicker and fool proof , we got a list of the inmates ( jailed person and Police personnel ) from the jailor before hand with serial number. The jailors, the reception /
registration team , the vaccination team and the pathologist’s team all had copies of this list. That makes it easy so that the test tubes can be numbered and labelled accordingly, before hand And the pathologist can document Hep B & C result too fast & the vaccination team can manage vaccination process also smoothly. Keeping carefully these ready made computerized lists also helps for the next vaccination schedules. Before hand we also had an informed consent from signed by the jail inmates & police personnel (figure 2 ). This covers the medicolegal aspects of this project. At a small ceremony ( you could call the district collector / D H O as chief guest ) in front of all the staff & inmates , a short talk on hepatitis B & C and the usefulness of vaccination can be delivered for updating everyone about Hepatitis B and C and prevention aspects. Publicity for this project is done by the jail authorities themselves; we did not do anything for this. Documentation was done by taking photographs on a camera, which was allowed by the jail warden / superintendant. ( mobile cell –phones are not allowed within the jail premises ) The material you need for these camps viz, syringes/ needles , alcohol swabs
Test slides, vaccines etc will be supplied by us, from the central fund. So cost is not an issue at individual centers. For an academic touch , the pooled data of all the camps together will be collected and a scientific paper will be made and presented for publication in the name of D S G E . Getting such a data from so many district jails will be accepted by any indexed journal. ( In the consent from to be signed , a clause has been put that the data from the camp
will be used for scientific purposes ) The bottleneck in this camp is the pathologists’ role . Speeding up that segment
is the crucial point . Accuracy & speed is the most important part of it. While the other jails possibly will have 400-500 inmates, the Kolhapur jail will have approx. 3 to 4 times this number . As usual the Kolhapur team will manage this with their enthusiasm, teamwork and dedication! There are many more points to be discussed on individual basis and I am free, anytime, to respond & discuss these with you. Let DSGE shine evermore as a socially relevant organization & as a fantastic extended family.


Dr. Rajesh Dharamsi
4 / 8 / 2016

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