Academic

5th H0WEU 2017

Kalikot Health Camp 2017

Introduction

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Hospital Services

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Community Services

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28th May 2015
DH has started conducting outbreak prevention and management surveillance project. So far, DH is carrying out water sample testing in various communities of different outreach centers. Water sample testing has been completed in Baluwa, Bhaunepati and Dhading outreach centers . A total of 32 sample were tested, out of which 15 samples were from Baluwa , 8 from Bhaunepati and 9 from Dhading. In Baluwa, the water source that provides clean drinking water to 150 families of that area was found to be contaminated with faecal coli . In response to this result , DH team carried out water purification as an intervention and provided Piyush to 150 families. The water source was chlorinated and awareness program on Water and Sanitation Hygiene (WASH) was carried out in the area.


Capacity Building Training
Training was conducted from 23rd May 25th May in pathshala building. On 23rd and 24th May training was given on "management of large scale diarrheal disease outbreaks". Dr Eric Nelson from Stanford Medicine gave the outline of management of cholera disease and management during large scale outbrreaks. Total no of 61 person benefited from the training which includes doctor, nurses, paramedics, outreach staff, interns, public health staff and others. On 25th May training on "WASH in emergency" was conducted in collaboration with ENPHO and total no of 44 person were trained for WASH in emergency

Other Snaps From Hospital and Outreach Visit

22nd May 2015
The President of Nepal, Dr Ram Baran Yadav visited Dhulikhel Hospital on 20th May, 2015. Dr Rajendra Koju, the Administrative Director of Dhulikhel Hospital gave a brief presentation about the disaster response of Dhulikhel Hospital and about the earthquake survivors in the hospital. President Dr Yadav also visited the wards where the earthquake survivors are being treated.The care givers of the injured are still being provided with free meals courtesy of Dhulikhel Community. A number of tents have been set up in the premises of the hospital for the safety and shelter of the patients and visitors to be used during powerful aftershocks. Till date, 251 aftershocks (≥ 4 Richter scale) have been felt in Nepal.
We have now made renovation and restoration plans of Dhulikhel Hospital and different outreach centers damaged by the earthquake, please email us at This email address is being protected from spambots. You need JavaScript enabled to view it. for more information about how you can support us in our rebuilding and restoration efforts.
The ongoing activities in the hospital apart from running normal medical services and caring for the earthquake survivors are:
• Water sample testing and water purification in outreach centers for outbreak prevention and conducting training and workshops to health care providers*
• Providing relief packages to earthquake survivors discharged from Dhulikhel Hospital
• Providing relief packages to local community in earthquake affected areas
• Building toilets in outreach centers and earthquake affected areas like Bahunipati and Kuttal
• Health camps and relief aid distribution in 27 different villages of Sindhupalchowk, Dhading, Sindhuli and Kavre
• Distribution of medicine and medical supplies to rural health posts, health workers, local youth clubs and doctors in various medical treatment camps of Sindhupalchowk, Kavre, Nuwkot, Dhading, Lalitpur, Sindhuli and Dolakha
• Providing health awareness and education about water purification and sanitation to different communities in outreach centers as well as in earthquake affected areas of Sindhupalchowk, Kavre, Nuwkot, Dhading, Lalitpur, Sindhuli and Dolakha
• Distribution of nine large scale water filters to Kathmandu University, local school in Dhading, Baluwa and Ramechaap
* We have also put in place cholera surveillance system to prevent outbreaks and are conducting trainings to our health workers
14th May 2015


13th May 2015


Till date, 67 people injured in yesterday's earthquake have received treatment in Dhulikhel hospital. The 7.3 Richter scale earthquake triggered many landslides near the epicenter which was near Mount Everest. Dolakha and Sindhupalchowk, the nearby districts were the worst hit. So far, at least 65 people are feared to be dead and more than a thousand injured. A US Army helicopter carrying 6 marines and 2 Nepali soldiers is missing since yesterday. Many villages are now cut off around Central Nepal due to the latest earthquake. A series of powerful aftershocks followed. Aftershocks are still expected today and in the days to come which will undoubtedly affect many more people of this area. We have heightened our Disaster Medical Response, set up temporary emergency services in the courtyard and put our medical team on high alert.
12th May 2015
Yesterday, another powerful earthquake (measuring 7.3 richter scale) shook Nepal. Six more aftershocks followed soon after. At the hospital, we were better prepared this time; emergency tents, medical supplies, stretchers and wheel chairs as well as color coding were in place in record time. All the staff got the admitted patients out in safe places and awaited the arrival of the injured. The phone network was jammed for a while. Another wave of destruction but we are committed to do what we can.

11th May 2015
Currently, we have more than 500 earthquake survivors still being treated in Dhulikhel Hospital. Some of these patients need long-term intensive medical treatments as well as multiple surgeries and counseling in the days to come. While our hospital is still running normal services, we have additional goals of rehabilitation and rebuilding damaged infrastructure mainly focused on:
• Dhulikhel hospital
• Outreach centers and earthquake affected community
• Earthquake survivors currently being treated in the hospital

We are still distributing relief materials to the earthquake survivors in the hospital and outreach areas. We would like to thank the Chinese team that came to aid us in our efforts. They left Nepal on 10th May 2015. We would also like to thank Rita & Norm Stecklein and friends as well as to a number of other national and international supporters. We will be updating full information of all our supporters in our website soon. We are also focused on our rebuilding and restoration efforts of our infrastructure. We have assessed our disaster management capacity and have prepared a list of requirements needed to make us more prepared to meet both small and large scale disaster more effectively in the future.

8th May 2015

7th May 2015
Some patients well enough to go home have been discharged. Due to the support we received, we were able to send them home with a temporary relief package which contains:

  • Tent
  • Blanket
  • Mattress
  • Rice
  • Lentil
  • Vegetable oil
  • Sugar
  • Salt
  • Biscuits
  • Noodles
  • Spices
  • Towel
  • Toiletries including toothpaste, toothbrush, comb, soap
  • Sandal
  • Track Suit
  • Kitchen utensil
  • Water purifier
  • Bag


We are also currently assessing the damage sustained by our hospital buildings and the outreach centres and making plans for its restoration or rebuilding. We are collecting more relief materials for the earthquake victims. At present, we have a number of teams collaborating with us who are currently working in different areas of Nepal. Today a seventeen strong team of doctors, nurses and engineers have gone to Bahunipati with medical and other aid. We are running all other hospital services as usual. We are still giving free medical treatments to the earthquake survivors. Some of the discharged patients who do not have a home to go to are still staying in the hospital and are being provided with free food.
6th May 2015
While our emphasis is still providing free medical care to the injured we are now also focused on returning the recuperated survivors home. Rehabilitation is key and we are providing them with relief materials and other necessary supplies as they go back to piece their life back together. Our relief package contains non-perishable food items like rice, lentils, vegetable oil, noodles, salt, sugar and spices as well as water purifier, tent, mattress, blanket, a set of clothes, sandals and toiletries. We are also planning a long-term sustainable rehabilitation project for the earthquake survivors which will include livelihood opportunities, rebuilting homes as well as providing trauma and grief counselling and free long-term medical care to those who need it.
Our immediate response to the earthquake besides providing emergency medical treatment to the thousands of injured in the hospital, was to send food and medical supplies to our 18 outreach centres all over the country. We sent out our medical teams along with the engineering team to different outreach centres for emergency medical relief and to inspect and assess the damage to the area. Medical teams with food, tent and medical supplies were sent to Manekharka in an army helicopter on Sunday. So far medical supplies, tent and food supplies have been sent to Baluwa, Bahunipati, Manekharkha, Dapcha, Kartikedeurali, Salambu, Dhading, Thansing (Nuwakot), Godamchowr, Yangrima, Dhunkharkha, Bolde. On Monday, (Dr Sonam, Dr Arjun, Dr Pramod, Dr Rajeev, Srijesh Parajuli) in coordination with the Nepal Army visited Gati, Barhabishe and Last resort of SIndhupalchowk equipped with tent, food and medical supplies. On Monday (May 4th, 2015), a team of doctors left for Melamchi with food, tent and medical supplies. They plan to visit Melamchi, Manekharkha, Tipani, Dhap, Bhotang, Gunsa, Baruwa. We have also had international teams who helped us in our efforts including a team from China, American, Malteser International, Doctors without borders, Malaysia and Taiwan, Japan among others. The Nepal Army has played a major role in supporting the hospital during this difficult time.
1st May 2015
A powerful aftershock of 5.1 Richter scale shook Gorkha causing more destruction. Scenes of utter devastation flooded the media again. Dhulikhel Hospital was still coping with the large number of injured. Our medical staff had been on duty since Saturday.

30th April 2015
Public volunteers were now out in large numbers ferrying huge amount of food and other supplies to nearby affected areas. The number of injured in the hospital still was still rising. After six days, the hope for the ones trapped under the debris was dwindling. The death toll in Nepal rose to 6000. In Kathmandu 15 year old boy was pulled alive after 132 hours.

29th April 2015
By this day, 1200 earthquake victims had been treated in Dhulilkhel hospital. A number of injured were referred to other hospital for lack of space. Most had been injured by falling objects as they ran out of their house or buried alive under the debris and rubbles. Many of them had lost precious members of their family as well as their homes. Medical aid, food and tent were still needed in majority of the hard hit areas. There was overwhelming support and help of the public as seen in the social media in Nepal and abroad. The phone networks were back, international aid and support started pouring in. There were still a large number of people missing, the Nepal army and armed police force were bent on rescuing people trapped under the debris. Dhulikhel Hospital was now slowly facing a shortage of medicines, food items, blankets and much-needed toiletries.

28th April 2015
The aftershocks showed no signs of stopping or slowing as the death toll in Nepal passed 5000. The news reported that the earthquake affected 8 million people living in 31 districts with Sindhupalchowk and Gorkha being the worst hit. By now, the number of injured treated at Dhulikhel hospital topped 700. Sixty five major and 200 minor surgery had been carried out. Our medical teams in the hospital were outdoing themselves. Most of the cases were fracture, wound and trauma from Kavrepalanchowk and Sindhupalchowk. The number of dead in Kathmandu alone topped 1000. Dhulikhel Hospital was now providing round the clock services for the injured. Any empty space in the hospital was turned into a makeshift ward to house the increasing number of patients. We learnt that a large tract of road in Sindhupalchowk and other part of Nepal was damaged and landslides and avalanches had occurred in various parts of Nepal. The death toll was bound to increase in the next few days as the Nepal army, Nepal Police Force, Nepal Armed Police Force and aid workers from other countries arrived to aid in the rescue.

27th April 2015
Small aftershocks continued throughout the night. The doctors had now been on duty for 48 hours. As the rain continued to fall, the death toll in Nepal rose to 4500. The hospital staffs were functioning to full capacity, the only intention of the doctors was to treat as many injured and save as many lives as possible. The rain continued to fall. Everyone worried about the survivors who were out in the cold without shelter and food. Till now, we had felt more than 45 tremors measuring above 4.5 on the richter scale.

26th April 2015
By this day, the news of the earthquake had spread far and wide. The scale of destruction and the loss of lives was far more than assumed. Phone networks were still down in Dhulikhel and many of the injured had missing relatives. Panic and chaos reigned in the villages nearby as whole villages were flattened and majority of the houses in the hills had fallen with the trapped still under the rubbles. The army helicopters diligently rescued where they could and brought back the injured. Another powerful aftershock measuring 6.7 richter scale with its epicentre in Kodari, Sindhupalchok, a district adjacent to Dhulikhel hit Nepal at 12:55 p.m. This aftershock brought with it another wave of destruction. Those houses left vulnerable by the powerful earthquake the day before fell as it triggered avalanches in the Himalayas and whole villages were wiped out. The medical staff of the hospital raced against time to save lives as the injured came in at all hours of the day and night. The community of Dhulikhel rallied around to provide food and other supplies to the families of the injured. The second day saw even more influx of the injured to the point where due to lack of space, some of the injured were relocated to an army barrack in Dhulikhel. The army rescued where they could and brought back the injured to the hospital. By afternoon, number of dead in Nepal reached 2300 with 217 missing in Everest alone. Fearful of the recurrent aftershocks, people slept outdoors inspite of the biting cold and incessant rain.

25th April 2015
The morning of the fateful day dawned gloomy as if heralding the impending doom. Most of the staff were undoubtedly enjoying their much needed weekend. The earthquake struck without warning at 11:56 a.m. with a loud rumbling noise. The forceful shake and jolts of the earthquake that measured 7.9 on the richter scale shook all the buildings violently. Some staff and patients fell down even as they tried to hold on and help each other towards safety. Powerful aftershocks followed soon after. The destruction in the nearby areas was almost immediate. As the staff in the hospital tried to quell the panic and prepare for the incoming flux of the injured, vehicles started arriving at the gate. The injured were met at the gate and given tetanus and Diclofenac shots. Tents were bought and set up in the front courtyard of the hospital. After two hours, the number of patients escalated to the point where almost every space in the courtyard was occupied. All the staff were called back to report for duty. Nepal army and Nepal Police Force arrived immediately after the earthquake and started their rescue efforts. Nepal army helicopters were brought in and flew to different areas to bring back the injured. The hospital staffs reported back to duty almost immediately despite the scary aftershocks, leaving their family and in some cases even their ruined homes. By then, everyone realised to some degree, the extent of the devastation and the immediate need. Surgeries were performed at all hours of the day and night as terrifying injuries were brought in and the injured teemed the courtyard and overflowed into the road in front. Food and tents were acquired and volunteers came in to help. By nightfall, the estimate death toll in Nepal rose over 2000.

Academics

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Research

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Conferences

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