MONTHLY HEALTH BULLETIN · Nutrition Nutritionist (Non Consultant) 18 34 74 22 75 205 11 ......

Source of Information: Data collected from all respective departments and units of the Hospital

Guidance;

Dr. R.M.S.K. Rathnayake (MBBS, MSc Medical Administration)

Director - THK

Software Designing and Overall Cordination;

Medical Officer Incharge - Health Information & Research Unit

Prepared By;

Mr. J.T.N.Pushpakumara

Development Assistant (B.Sc)

MONTHLY HEALTH BULLETIN

2017

February

OUT PATIENT DEPARTMENT

OUT PATIENT SERVICE

OUT PATIENT SERVICE MALE FEMALE TOTAL

OPD

No of First Visits 11,879 15,201 27,080

No of Subsequent visits 637 768 1,405

Daily average (OPD)include Saturdays & Sundays 447 570 1,017

Daily average (OPD) exclude Saturdays & Sundays & PH 498 741 1,239

Highest no of out patients on any one day(13/02/17) 790 857 1,647

lowest no of out patients on any one day(28/02/17) 33 42 75

Total number of OPD patients 12,256 15,969 28,225

Blood drowing patients 2,280 3,248 5,528

Clinics

No of All clinics patients 31,158 38,494 69,652

OPD + CLINICS

Grand total (OPD+clinics) 43,414 54,463 97,877

Daily average (OPD & cllinics) 1,550 1,945 3,495

ECG & EEG

No of ECG recordings done in the OPD 2,115 1,449 3,564

No of EEG recordings done in the OPD 49 57 106

Surgical

Total no of Dressings 1,336 711 2,047

No of Minor operations done in the OPD 53 102 155

Malaria

No of Malaria patients 0 0 0

No of Plasmodium Vivax patients 0 0 0

No of Plasmodium Falciparum patients 0 0 0

No of Mixed patients 0 0 0

Deaths

Total no of OPD deaths 16 7 23

Total no of ETU deaths 12 2 14

PATIENTS IN THE ETU

ETU Patients

2,993TOTAL ETU PATIENTS

Page 1Health Information and Research Unit - TH Kandy

SPECIALIZED CLINICS

CLINICS BY SPECIALTY

Consultant's name Clinics Male Femal Male Female

1st visit 2nd visit

TOTAL

Average per Clinic

ANC

Dr. W. Abeykoon 4 0 115 0 288 403 101

Dr. S.B. Ekanayake 4 0 148 0 456 604 151

Dr.W.S. Hemapriya 4 0 188 0 408 596 149

12 0 451 0 1,152 1603

Anti Coagulant

Dr. Mrs. Sunethra Athauda 4 1 3 50 79 133 33

4 1 3 50 79 133

Breast

Dr. H. Perera 4 0 65 8 204 277 69

4 0 65 8 204 277

Cardio Thoracic

Dr.M.Abewickrama 4 24 6 121 58 209 52

Dr. K. Gnanakanthan 4 21 11 62 48 142 36

Dr. M. Lansakkara 4 28 15 126 70 239 60

12 73 32 309 176 590

Cardiology

Dr. G. Weerakoon 6 21 6 241 109 377 63

Dr. Mrs S.R. Jayawickrama 18 40 13 4003 1395 5451 303

Dr. S.N.B. Dolapihilla 6 11 5 522 193 731 122

30 72 24 4,766 1,697 6559

Dental

Dental Surgeons (Non Consultant) 28 675 1199 90 180 2144 77

28 675 1,199 90 180 2144

Dermatology

Dr. Mrs. M. Dissanayaka 8 45 57 336 320 758 95

Dr. Mrs. M.H.A.J.P.Chandani 13 71 78 422 496 1067 82

Dr. C.J. Wijekoon 13 108 147 418 474 1147 88

34 224 282 1,176 1,290 2972



1st visit 2nd visit

TOTAL

Average per Clinic

Diabetes

Dr. C.N. Antonypillai 32 28 63 1241 2239 3571 112

32 28 63 1,241 2,239 3571

Echo

Dr. G. Weerakoon 4 116 70 0 0 186 47

Dr. Mrs S.R. Jayawickrama 4 30 24 0 0 54 14

Dr.A.Kularathna 4 95 51 0 0 146 37

Dr.T.Serisena 4 103 63 0 0 166 42

Dr. S.N.B. Dolapihilla 2 22 9 0 0 31 16

18 366 217 0 0 583

Electro Cardio Physiology

Dr. Mrs D.S. Gunawardana 6 51 36 233 220 540 90

6 51 36 233 220 540

Endocrinology

Dr. C.N. Antonypillai 8 12 49 149 593 803 100

8 12 49 149 593 803

ENT

Dr.W.M.C.Narampanawa 13 187 236 242 333 998 77

Dr. S. Selwarathnam 8 170 184 175 295 824 103

21 357 420 417 628 1822

Epilepsy

Dr. K.P.I. Wijeweera 4 23 26 801 735 1585 396

4 23 26 801 735 1585

Eye

Dr. Mrs. W.M.S.P.K. Samarakoon 4 15 11 73 88 187 47

Dr. Mrs.D. Beminiwaththa 23 655 760 716 1122 3253 141

Dr.Siriharanathan 14 92 88 258 226 664 47

Dr.I.Jayasekara 6 25 35 94 107 261 44

Dr. N.S. Senanayaka 19 772 970 639 1055 3436 181

66 1,559 1,864 1,780 2,598 7801

Familly Planning

Medical Officers (Non Consultant) 19 8 110 0 134 252 13

19 8 110 0 134 252



1st visit 2nd visit

TOTAL

Average per Clinic

Gastro Intestinal

Dr.C.Keppetiyagama 1 7 7 14 15 43 43

Dr. U. Kalubowila 6 85 66 237 222 610 102

7 92 73 251 237 653

GI Surgery

Dr.C.Keppetiyagama 4 50 61 115 168 394 99

4 50 61 115 168 394

Gyn Onco

Dr. B.J.B. Alagoda 4 0 9 0 28 37 9

4 0 9 0 28 37

Gynaecology

Dr. W. Abeykoon 2 0 59 0 90 149 75

Dr. S.B. Ekanayake 4 0 126 0 140 266 67

Dr.W.S. Hemapriya 4 0 168 0 157 325 81

10 0 353 0 387 740

Haematalogy

Dr. Mrs. Sunethra Athauda 7 35 31 153 213 432 62

7 35 31 153 213 432

Leprosy

Consultant Dermatologists 34 0 0 19 8 27 1

34 0 0 19 8 27

Medical

Dr.S.Kularathna 8 20 15 420 573 1028 129

Dr.Mrs. T.Kannangara 8 16 25 431 497 969 121

Dr.S.Ponnamperuma 8 28 35 761 1071 1895 237

24 64 75 1,612 2,141 3892

Neonatal

Dr. Mrs. Henwallagegera 4 65 38 105 110 318 80

Dr. Mrs. Nalika Manike 4 43 38 127 109 317 79

8 108 76 232 219 635

Nephrology

Dr. P.K. Harischandra 2 19 2 62 40 123 62

Dr A.W.M. Wazil 28 157 77 920 631 1785 64



1st visit 2nd visit

TOTAL

Average per Clinic

Dr. D.C.P. Fernando 4 26 13 55 34 128 32

Dr. N.N.P.G.K.N. Nanayakkara 12 175 71 378 241 865 72

46 377 163 1,415 946 2901

Neuro Surgical

Dr. W.D.L. Siriwardhana 8 66 41 249 168 524 66

Dr. D.R.P.A. Wickramasingha 5 56 75 350 274 755 151

13 122 116 599 442 1279

Neurology

Dr. K.P.I. Wijeweera 8 64 97 790 670 1621 203

8 64 97 790 670 1621

Neurophysiology

Dr. Kamal Gunarathna 14 181 194 0 0 375 27

14 181 194 0 0 375

Nutrition

Nutritionist (Non Consultant) 18 34 74 22 75 205 11

18 34 74 22 75 205

OMF

Dr. Mrs. W.M.S.D. Abeyrathna 6 52 58 126 104 340 57

6 52 58 126 104 340

Onco Surgery

Dr.R.Manathunga 3 0 5 1 8 14 5

Dr. H. Perera 2 1 7 10 48 66 33

5 1 12 11 56 80

Oncology

Dr.Yoganathan 7 56 43 499 1128 1726 247

Dr.S.L.Kandegedara 6 45 51 220 520 836 139

Dr. A.J. Hilmi 8 46 34 478 1253 1811 226

21 147 128 1,197 2,901 4373

Orthodontic

Dr. Mrs. W.A.M.D.P.Wettasingha 21 19 38 509 736 1302 62

21 19 38 509 736 1302

Orthopaedic

Dr.K.Ranasinha 4 184 156 417 421 1178 295



1st visit 2nd visit

TOTAL

Average per Clinic

Dr. B.M.S. Udagedara 3 198 168 522 856 1744 581

7 382 324 939 1,277 2922

Paed Neurology

Dr.Jagath Munasinghe 4 4 5 24 26 59 15

4 4 5 24 26 59

Paed Surgical

Dr.M.M.Jeewanadan 6 20 11 31 13 75 13

Dr. P.D.R. Sisil Kumara 8 38 18 58 22 136 17

14 58 29 89 35 211

Paediatric

Dr. Mrs. S.C. Wickramasingha 8 22 24 119 122 287 36

Dr. W.M.M. Arambepola 9 17 27 203 191 438 49

17 39 51 322 313 725

Plastic Surgical

Dr. Mrs. D. Kanapatipillaie 4 26 38 48 88 200 50

4 26 38 48 88 200

Psychiatry

Dr. Mrs. S.C.A. Arabepola 7 30 22 305 335 692 99

Dr. W.A.L. Wickramasingha 6 21 31 596 626 1274 212

13 51 53 901 961 1966

Respiratory

Dr. Mrs. A.D. Siribaddana 2 9 4 35 49 97 49

Dr. R.M.D. Medagedara 4 32 39 116 178 365 91

6 41 43 151 227 462

Restroactive Dentisty

Dr. W.N. Kularathna 21 46 53 147 227 473 23

21 46 53 147 227 473

Rheumatology

Dr. V.W.J.K. Vasanthatilaka 13 21 47 161 840 1069 82

13 21 47 161 840 1069

SFC

Dr. W. Abeykoon 4 0 4 0 12 16 4

Dr. S.B. Ekanayake 4 0 22 0 72 94 24



1st visit 2nd visit

TOTAL

Average per Clinic

8 0 26 0 84 110

Sports Medicine

Dr. B.M.S. Udagedara 22 331 28 252 26 637 29

22 331 28 252 26 637

Surgical

Dr. Udaya Kumara 8 198 164 220 601 1183 148

Dr. P.R. Pitigalaarachhi 8 210 239 148 605 1202 150

Dr. S.M.M. Niyas 6 114 100 109 387 710 118

22 522 503 477 1,593 3095

Urology

Dr.M.Herath 5 97 34 578 136 845 169

Dr.K. Edirisinghe 4 120 46 393 99 658 165

9 217 80 971 235 1503

V/Paed OPD

Dr. Priyanthimala Abenayaka 28 37 54 58 52 201 7

28 37 54 58 52 201

Vascular

Dr. D.C.P. Fernando 4 33 32 67 55 187 47

4 33 32 67 55 187

VP OPD

Dr. Mrs. I.K. Jayasingha 38 78 98 1715 3234 5125 135

38 78 98 1,715 3,234 5125

Well Baby

Dr. Mrs. Henwallagegera 2 8 9 8 8 33 17

Dr. Mrs. S.C. Wickramasingha 2 4 8 11 12 35 18

Dr. W.M.M. Arambepola 1 1 3 6 5 15 15

Dr. Mrs. Nalika Menike 2 6 4 15 5 30 15

7 19 24 40 30 113

Youth Friendly Health

Medical Officers (Non Consultant) 24 9 16 16 32 73 3

24 9 16 16 32 73

809 6,709 7,903 24,449 30,591 69652 86


IMMUNIZATION

Ante Natal TOTAL

Tetanus Toxoid - Anti natal mothers - 1st dose 1

Tetanus Toxoid - Anti natal mothers - 2nd dose 1

2

OPD TOTAL

O.P.D. Tetanus 292

O.P.D. Insulin 54

O.P.D. Penicillin 82

O.P.D. ARV 1,199

Other injections 259

1,886

Well Baby TOTAL

MMR 3 13

Pentavalent 1st dose 17

Pentavalent 2nd dose 9

Pentavalent 3rd dose 11

Pentavalent 4th dose 11

Polio vaccine 1st dose 17

Polio vaccine 2nd dose 11

Polio vaccine 3rd dose 11

Polio vaccine 4th dose 11

Polio vaccine 5th dose 19

1 PV 2/12 8

1 PV 4/12 7

DT 20

JE 1 15

MMR 9/12 16

196

STS/AIDS CONTROL PROGRAMME

INDICATOR MALE FEMALE COMMON

No.of Participants Participated In Awareness Programmes /Work Shops /Seminars 5800

NO.of Rapid HV Tests Done 25

No.of HIV Antiibody (ELISA) Tests Done 2693

No.of TPPA Tests Dne 240

No.of VDRL Tests Done 2525

No.of Slides Examined (Microscopy) 213

No.of Attendees Attended For Blood Test Without Registering as Patients 46 55


No.of Attendees Attended To Medical Report For Foreigen Employment 10 2

No.of Attendees Attended For Govt. Medical Report VDRL Test 109 125

No.of ANC Mothers Screened for HIV/AIDS 1913

No.of HIV AIDS Death Reported (Cumulative Total Sine January 1992) Up to 31.05.2015 50

No.of Follow Up Vist 109 174

No.of New HIV Patients Dignosed 1 1

No.of New Patients Registered 29 44

No.of Adult & Children With HIV On Treatment 12 Month Reported After The Initiation Of ART 36


IN PATIENT DEPARTMENT

INPATIENT SERVICES

INPATIENTS SERVICE TOTAL

Resources

No of patients Beds 2419

Admissions

No of patients admitted 16588

No of patients admitted from other hospitals 1876

Total no of patients transferred from other wards 3591

Daily Average Admission 592

Inpatient care

Total days of Care to patients during the month 52723

Average Daily Sick 1883

Average Length of Stay - Days 3.2

Bed Occupancy % 77.8

Turn Over Rate 6.8

Turnover Interval - Days 0.91

Leavings

Total no of patients transfer to other wards 3675

Total no.of patients discharged - Home 15341

Total no.of patients transfer to other hospitals 52

Total no.of patients missing or left against medical advice 812

Total no.of live discharges 16205

Daily Average Discharges 579

Deaths

Total no.of inpatients deaths 251

Gross death rate % 1.53

Net death rate % 0.01

OPERATIONS BY SPECIALTY AND ANAESTHESIA

Specialty Consultant Major Inter Minor GA Spinal Epidural Local without

Type of Surgery Type of Anaesthesia

Cardiothorasic Surgery

Dr. K. Gnanakanthan 15 0 0 15 0 0 0 0

Dr. M. Lansakkara 17 0 0 17 0 0 0 0

Dr.M.Abewickrama 6 0 0 6 0 0 0 0

38 0 0 38 0 0 0 0


ENT Surgery

Dr. S. Selwarathnam 32 52 119 81 0 0 112 10

Dr.W.M.C.Narampanawa 24 35 150 66 0 0 132 11

56 87 269 147 0 0 244 21

Eye Surgery

Dr. N.S. Senanayaka 335 0 89 22 0 0 402 0

Dr. S.M.D.K. Samarakoon 17 0 3 11 0 0 9 0

Dr. A.N.I. Jayasekara 19 0 21 15 0 0 25 0

Dr. Sririharanathan 34 0 5 4 0 0 35 0

Dr. Mrs.D. Beminiwaththa 126 0 64 28 0 0 162 0

531 0 182 80 0 0 633 0

Gastro Intestinal Surgery

Dr. U. Kalubowila 0 1 0 1 0 0 0 0

Dr.C.Keppetiyagama 10 5 2 14 2 0 1 0

10 6 2 15 2 0 1 0

General Surgery

Dr. P.R. Pitigalaarachhi 21 76 406 62 67 0 318 56

Dr. S.M.M. Niyas 33 63 464 65 71 0 359 65

Dr.E.A.D.UDAYAKUMARA 37 42 383 60 52 1 269 80

91 181 1253 187 190 1 946 201

Gynaecological Surgery

Dr.W.S. Hemapriya 26 56 0 76 5 0 1 0

Dr. W. Abeykoon 29 0 54 70 12 0 1 0

Dr. S.B. Ekanayake 45 0 66 98 12 0 1 0

100 56 120 244 29 0 3 0

Gyn-Onco Surgery

Dr. B.J.B. Alagoda 3 0 6 8 1 0 0 0

3 0 6 8 1 0 0 0

Nephro Surgery

Dr. P.K. Harischandra 13 13 0 13 0 0 13 0

Dr. D.C.P. Fernando 5 0 0 5 0 0 0 0

18 13 0 18 0 0 13 0


Neuro Surgery

Dr. D.R.P.A. Wickramasingha 73 19 4 75 0 0 21 0

Dr. W.D.L. Siriwardhana 25 16 4 29 0 0 9 7

98 35 8 104 0 0 30 7

Obstetric

Dr.W.S. Hemapriya 129 0 3 8 124 0 0 0

Dr. W. Abeykoon 76 0 0 4 72 0 0 0

Dr. S.B. Ekanayake 64 0 1 1 64 0 0 0

269 0 4 13 260 0 0 0

Onco Surgery

Dr. H. Perera 27 3 1 29 2 0 0 0

27 3 1 29 2 0 0 0

Orthopaedic Surgery

Dr. B.M.S. Udagedara 80 49 154 77 65 6 48 87

Dr.K.Ranasinha 65 72 117 91 69 0 66 28

145 121 271 168 134 6 114 115

Paediatric Surgery

Dr. P.D.R. Sisil Kumara 21 11 19 51 0 0 0 0

Dr.M.M.Jeewanadan 22 9 20 51 0 0 0 0

43 20 39 102 0 0 0 0

Plastic Surgery

Dr. Mrs. D. Kanapatipillaie 22 3 2 22 1 0 4 0

22 3 2 22 1 0 4 0

Urological Surgery

Dr.M.Herath 28 23 68 22 29 0 68 0

Dr.K. Edirisinghe 51 18 70 38 30 0 71 0

79 41 138 60 59 0 139 0

Vascular Surgery

Dr. D.C.P. Fernando 14 8 9 3 2 0 19 7

Dr. D.C.P. Fernando 1 0 0 1 0 0 0 0

Dr. D.C.P. Fernando 6 0 3 4 2 0 3 0

21 8 12 8 4 0 22 7


Dental & Maxilofacial Surgery

Dr. Mrs. W.M.S.D. Abeyrathna 0 0 200 0 0 0 200 0

Dr.Mrs.S.Abeyrathna 10 2 10 17 0 0 5 0

10 2 210 17 0 0 205 0

1561 576 2517 1260 682 7 2354 351

GASTRO INTESTINAL

Test Dr_ C Kappetiyagam

Dr_Udaya Kumarana

Dr_SMM Niyas

Dr_P Pitigala-

Dr_Harsha Perera

Dr_ Udaya Kalubowila

Colonoscopy 19 15 7 3 2

ERCP 015 2 0 0 0

Haemorrhodal Banding 2 2 9

SIG+APC 00 1 0 0 0

SIG+ST 00 0 0 1 0

Sigmoidoscopy 66 26 15 6

UGIE +Stenting 1 3

UGIE Banding 9 3 2 1

UGIE Glue Injection 01 0 0 0 0

UGIE+Dialatation 01 1 0 0 0

Upper GI Endoscopy 9111 93 37 19 10

16155 146 70 29 13


MATERNITY STATISTICS

MATERNITY STATISTICS WD_5 WD_6 WD_7

Resources

Beds 77 53 108

No of labour room beds 8 11 11

No of labour rooms 1 1 1

Admissions

Maternal Inpatients days 2253 1619 1421

No of Admissions 322 318 203

Deliveries

No of Deliveries 253 228 134

No of Deliveries - Singale 250 222 133

No of Deliveries Twin 3 6 1

No of given B.C.G 247 155 234

Mode of Delivery

Breech Delivery 7 0 0

Caesarean section rate % 51.8 33.3 47.0

Forceps Delivery 2 5 1

ANAESTHESIA STATISTICS

Category GA Spinal Epidural Local Without Consultant Anaesthetists Total

Anaesthesia Common Dr. Mrs D.P.A.K. Vithana

Dr. S.A.S. Karunatilaka

Dr. Miss W.P.M.S.C. Fernando

Dr. C.V. Uduvela

1016 682 7 2324 344 4373

Cardiothoracic Dr. A.N.I. Jayasekara

38

Neuro Surgery Dr. R.K.Weerakoon

104 30 7

Paediatric Surgery Dr. Mrs. S.N.K. Kiriwattuduwa

102

1260 682 7 2354 351 4373

ANAESTHESIA FOR ECT SERVICE

Male Female Total

97 217 314


Lower segment caesarean section - EM 58 35 31

Lower segment caesarean section EL 73 41 32

Normal Delivery 123 71 153

Others 0 0 0

Births

No of live Births - Birth Weight >2500 g 215 183 106

No of live Births - Births Weigth < 2500 g 37 49 29

Still Births 4 2 0

Complications

Anti partum Haemorrhage 0 1 0

Ectopic pregnancy 0 2 0

Manual removal of placenta 6 5 1

Post partum Heamorrhage 3 2 0

Ruptured uterus 0 0 0

Deaths

Early Neonatal Death rate % 0.39 0.42 0.74

Early Neonatal deaths 1 1 0

Maternal death rate % 0 0 0

Maternal death rate % 0 0 0

Maternal deaths 0 0 0

Maternal deaths 0 0 0

Still Birth rate % 1.58 0.88 0

MATERNAL DEATHS AT OTHER UNITS

Unit Transferred From Count

WD 12(OTA) Kandy 1

Respiratory Unit

Test Total

Thorascopy 14

Bronchoscopy 45


LACTATION MANAGEMENT CENTRE

Out Side In Side

1st sub 1st sub

self visitPrivate Visit

1st sub 1st sub

Re.from Wd Total Subsequent visits

Total 1st

visits1st sub

Reason for Referal

Difficult Attachments 696 4 0 0 1 1 1 0 2 2

Feeling of not enough milk flow 697874 65 0 0 0 0 0 0 4 4

Fever 12129 9 0 0 0 0 0 0 3 3

Reduce Urine Output 52019 5 0 0 0 0 0 0 1 0

Jaundice 171711 11 0 0 0 0 0 0 6 6

Small Baby 15157 7 0 0 0 0 0 0 8 8

Infrequent suckling 354337 29 0 0 0 0 1 1 5 5

Babies with Congenital Detects 220 0 0 0 0 0 0 0 2 2

Excessive Crying 010 0 0 0 0 0 1 0 0 0

Poor Weight Gain 232315 15 1 1 1 1 0 0 7 7

Incorrect Burping Technique 011 0 0 0 0 0 0 0 0 0

Vomiting 232 2 0 0 0 0 0 0 1 0

Other Reasons 0118 0 0 0 0 0 0 0 3 0

186235189 147 1 1 2 2 3 1 42 37

Final Dignosis

Flat or Inverted Nipples 221 1 0 0 1 1 0 0 1 1

Engorged Breast 365 3 0 0 0 0 1 0 0 0

Cleft palate + / - cleft Lip 110 0 0 0 0 0 0 0 1 1

Lack for demand feeding 163196166 136 1 1 1 1 2 1 27 25

Other Dignosis 0118 0 0 0 0 0 0 0 3 0

In Correct Positioning and Attachment 15179 7 0 0 0 0 0 0 8 8

Other Neonatal Conditions 220 0 0 0 0 0 0 0 2 2

186235189 147 1 1 2 2 3 1 42 37


PHYSIOTHERAPY DEPARTMENT

VISITS MALE FEMALE MALE FEMALE

OPD WARDS

MALE FEMALE

Total

number of first visits 173 276 564 680 737 956

Number of subsequent visits 1,070 1,246 1,644 1,734 2,714 2,980

1,243 1,522 2,208 2,414 3,451 3,936

OCCUPATIONAL THERAPY UNIT

VISITS MALE FEMALE MALE FEMALE

OPD WARD

MALE FEMALE

Total

number of first visits 2 4 12 30 14 34

Number of subsequent visits 16 8 50 115 66 123

SPEECH AND LANGUAGE THERAPY

First Visit Subsequent Visit

MALE FEMALE MALE FEMALE

129 135 214 213Number of Patient Visits

264 427

691

ORTHOPTIC UNIT

VISIT MALE FEMALE

Total Number of New Orthoptic Assesments 60 65

Total Number of Second Visit Orthoptic Assesments 55 59

Hess Recording Charts 12 5

Visual Activity Assesments below 3 years 26 34

153 163


TRANSFUSION MEDICINE

PERFORMED BLOOD GROUPING TESTS

Samples From Number

Ante Natal Clinics 240

Blood Donors 1,756

OPD 36

Patients 6,033

Private section 310

8,375

COLLECTION SUMMARY

Type Total

No of 1st time donors 359

No of in home donars + Mobile Donar 1,608

No of repeat donors 1,238

Total no of units collected 1,597

No. of Mobile Programmes 16

No of apheresis donors 24

SPECIAL PROCEDURES

Procedure Menual Automated Total

Therapeutic Plasma Exchange patients 0 36 36

No. of patients 0 8 8

No. of cycles 0 36 36


NOTIFIABLE DISEASES

REQUESTS AND ISSUES OF RED CELL CONCENTRATE

AND PRODUCTS

RCC

R C/M I

FFP

R I

PLT

R I

Cryo

R I

CSP

R I

Plasma

R I

Buffy

R I

Type

1802 1260 701 149 149 593 593 186 186 27 27 0 0 0 0Medical Wards

1543 309 284 159 159 102 102 30 30 0 0 0 0 0 0Surgical Wards

967 77 64 28 28 9 9 10 10 0 0 0 0 0 0Gyn & Obs Wards

378 457 236 70 70 37 37 11 11 0 0 0 0 0 0Paediatric Wards

379 66 70 49 49 113 113 214 214 3 3 0 0 0 0Cardiothoracic

170 78 93 257 257 200 204 91 91 70 70 0 0 0 0A & E/ICU

310 181 129 26 26 5 20 542 542 100 100 0 0 0 0Private Hospital

20 0 97 6 116 25 182 0 0 0 0 0 0 0 0Stock(Gvt.Hos)

193 74 25 2 2 16 10ETU

310 181 129 26 26 5 20Private Sector

210 104 64 14 14 0 0 0 0 0 0 0 0 0 0SPH

50 39 38 12 12 5 20 0 0 0 0 0 0 0 0LAH

18 15 13KPH

22 15 7 0 0 0 0 0 0 0 0 0 0 0 0KNH

9 9 6 0 0 0 0 0 0 0 0 0 0 0 0RCH

1 1 1 0 0 0 0 0 0 0 0 0 0 0 0MMC

6382 2866 1957 798 908 1110 1310 1084 1084 200 200 0 0 0 0Total

R - Received , I - Issued , CM - Cross Matched

SCREENING TESTS DONE FOR TRANSFUSION

TRANSMITTED INFECTIONS

HIV

ECI ELISA RAPIDP_AGGLUTIN

HBs Ag

ECI ELISA P_AGGLUTI

RAPID

HCV

ECI ELISA RAPID

VDRL

CARDIOLIPIN

CARBON AG

Type

1765 539 - - 1765 539 - - 1765 539 - 2304 -Total No of units screened

4 1 5 1 17 1Total no of screening +ve


NOTIFIABLE DISEASES

DISEASE MOH AREA NO OF CASES NUMBER OF DEATHS

Dengue Fever

Akurana 1 0

Galagedara ( Tumpane) 1 0

Gangawatakorale (University park) 2 0

Harispattuwa (Werellagama) 2 0

Hataraliyadda 3 0

Hataraliyadda 1 0

Kundasale 8 0

MC Kandy 5

Medadumbara/Medamahanuwara 1 0

Menikhinna 3 0

Others 8 0

Pasbage (Nawalapitiya) 1 0

Poojapitiya 2 0

Talatuoya (Pathahewaheta) 2 0

Walapane 1 0

Yatinuwara 1 0

42 0

Human Rabies


Panwila 1 0

2 0

Influenza

Akurana 1 0


Kundasale 1 0

Kurunduwatta (Ganga Ihala) 1 0

MC Kandy 1 0

Others 3 0

Wattegama (Pathadumbara) 1 0

Yatinuwara 1 0

10 0

Leptospirsis

Galagedara ( Tumpane) 1 0

Medadumbara/Medamahanuwara 1 0



JUDICIAL MEDICINE

DEPARTMENT OF JUDICIAL MEDICINE

Reasons Male Female

medico-legal examinations

Wards 413 110

413 110TOTAL

postmortum examinations

Natural deaths 50 30

Road traffic Accidents 14 0

Suicide 5 2

Accidental 9 2

78 34TOTAL

3 0

Meningitis

Yatinuwara 1 0

1 0

Typhus Fever


Yatinuwara 1 0

2 0

60 0


TRANSFERS FROM OUTSIDE

TRANSFERS FROM OTHER HOSPITALS

HOSPITALS NO OF TRANSFERS

Central Province

Kandy

Akurana 50

Ankubura 48

Bambaradeniya 4

Bokkawela 85

Cancer - Home 3

Deltota 16

Digana 14

Dunhinna 3

Galagedara 59

Galaha 6

Galpihilla 9

Gampola 52

Hataraliyadda 33

Jambugahapitiya 15

Kadugannawa 43

Katugastota 54

Kotaligoda 3

KPH 7

Madawala Bazar 35

Madolkele 48

Mampitiya 5

Manikhinna 64

Marassana 21

Medamahanuwara 23

Muruthalawa 3

Nawalapitiya 42

Pallekele aurwedaya 7

Pattiyagama- pallegama 5

Peradeniya 165

Sangarajapura 9

Sirimavo Bandaranayake 5

Teldeniya 99

Thalathuoya 80


Thiththapajjala 71

Ududumbara 34

Uduwela 16

Wattappola 5

Wattegama 44

Yakgahapitiya 12

Matale

Dambulla ( Dencil Kobbekaduwa ) 36

Matale 41

Nuwaraeliya

Dickoya 68

Gonagastenna 39

Gonapitiya 1

Haguranketha 12

Mandaaramnuwara 7

Mathurata 10

Muloya 2

Nuwara Eliya 23

Rikillagaskada 137

Walapane 6

Eastern Province

Ampara

Akkaraipattu 2

Ampara 16

Kalmunai North 5

Mawanawela 32

Batticaloa

Batticaloa 10

Trincomalee

Kanthalai 3

Kinniya 2

Muthur 1

Trincomalee 11

North Central Province

Anuradhapura

Anuradhapura 13

Polonnaruwa

Polonnaruwa 13

North Western Province

Kurunegala

Kurunegala 12

Northern Province


Kilinochchi

Kilinochchi 1

Malativu

Mulativu 2

Vauniya

Vavuniya 2

Sabaragamuwa Province

Kegalle

Karawanella 1

Kegalle 38

Uva Province

Badulla

Badulla 4

Diyatalawa 2

Girandurukotte 8

Mahiyangana 11

Monaragala

Monaragala 4

Western Province

Colombo

National Hospital Colombo 3

Welisara 1

SUMMARY OF TRANSFERS

Central Province 1679

Kandy 1297

Matale 77

Nuwaraeliya 305

Eastern Province 82

Ampara 55

Batticaloa 10

Trincomalee 17

North Central Province 26

Anuradhapura 13

Polonnaruwa 13

North Western Province 12

Kurunegala 12

Northern Province 5

Kilinochchi 1

Malativu 2

Vauniya 2

Sabaragamuwa Province 39

Kegalle 39

Uva Province 29

Badulla 25


COUNCELLING AND HEALTH EDUCATION

MITHURU PIYASA

TYPE NUMBER

Domestic violence 1

Other 1

Sexual Abuse 3

TOTAL 5

Monaragala 4

Western Province 4

Colombo 4

1876TOTAL


HOSPITAL DEATHS

HOSPITAL DEATHS

Hospital Death Male Female Total

Total No. of. Hospital daeths (Inpatients) 138 108 246

Number of deaths on admission 16 7 23

Number of ETU deaths 12 2 14

Deaths within 24 hours of admission 42 21 63

Deaths within 48 hours of admission 14 19 33

Deaths after 48 hours of admission 87 68 155

still births (According to the death register) 4 3 7

HOSPITAL DEATHS BY AGE

Age Group TOTAL

<1 9

1-4 3

17-49 40

50-69 107

5-16 2

HEALTH EDUCATION

Programme count

For Patients

"Kuludul ma piya hamuwa" programs 3

Individual discussions 22

Lectures giving at all Clinics 11

Addressing O.P.D. patients for oriantate to the hospital services & given massges

19

55TOTAL

For Staff

Public awareness programme (Cancer control) 1

Participation as resource 1

Inservice education programs for the staff 2

Staff screening programme 2

6TOTAL


INVESTIGATIONS

CARDIOLOGY UNIT X - RAY

INVESTIGATION TOTAL

X-Ray

In Ward Chest X Ray 484

Other X Rays 29

Pace Makers

Permanent Pace Makers 24

Temporary Pace Makers 21

Angiograms

Coronary Angiograms 154

PCI 45

PDA 1

PTMC 3

RHCC 1

Used Films

14 x 14 35

15 x 12 17

17 x 14 476

CARDIOLOGY UNIT ECG

TYPE TOTAL

ECG

CLINIC - E.C.G. 243

EX.E.C.G 210

70+ 90

Age N/A 0

251

CARDIAC INVESTIGATION UNIT (ECHO)

Echo Male Femele TOTAL

Bubble Contrast Echocardiogram 6 6 12

Bubble Contrast Echocardiogram 10 7 17

Dobutamine Stress Echo 5 3 8

Trans Thoracic Echocardiogram 664 764 1428

685 780 1465


RADIOLOGY UNIT X - RAY

Patient Category

No.Of Wards Cases 10,107

No.of O.P.D & Clinics Cases done 1,283

11,390

X-Ray

Dental Occlusion 54

Shoulder /Extremities 4,013

Neck/Spine 1,680

Skull/Mandible 881

Abdo/GU/Pelvis 1,055

Chest 3,788

11,471

Radiological Procedure

Lithotripsy 191

Mammogram 94

IVP 20

305

US Scans

UFR 6

PCNL 11

U/S Scan 2,708

2,725

CT images

CT Renal Angiograme 10

HRCT 34

CT Spine 278

HOLTER RECORDING 232

IN WARD WALKING E.C.G. 469

PPM

P.P.M. IMPLANTING 17

CATH LAB

ASD 0

C. L. C. ANGIO 154

C.L.C. PCI 46

C.L.C. RTMC 3

Others 2


CT Myelogram 1

CT Abdomen 106

CT Chest 90

CT Brain 572

CT Peripheral Angiogram 10

CT Cerebral Angiogram 31

CT Pulmonary Angiogram 6

CT Aortogram 16

1,154

MRI

MRI 836

836

Used Films

10 x 08 426

12 x 10 3,331

15 x 12 2,743

14 x 14 647

17 x 14 4,258

11,405

INTERVENTIONAL RADIOLOGY UNIT

Major Procedure

Adrenal vein Sample Collection 1

BAE 1

Biliary Stenting 3

Cerebral DSA 20

Hamangioma Embolization 1

Intramuscular Absess Aspiration 2

Liver Biopsy 1

Lower Limb DSA 7

Nephrostogram 1

Psedocyst aspiration 1

Vericocele Embolization 1

39

Minor Procedure

Amputation Site Biopsy 2


EEG and ECG

TYPE MALE FEMALE MALE FEMALE

INDOOR PATIENTS OUTDOOR PATIENTS

MALE FEMALE

TOTAL PATIENTS

(E.C.G) 1,823 2,876 2,115 1,409 3,938 4,285

(E.E.G) 75 68 49 57 124 125

LABORATORY INVESTIGATIONS

Biochemistry Lab

AFP 29

Albumin 1913

Alkaline Phosphatase 1755

Breast FNAC 5

Breast wall biopsy 8

Buttock Lump Biopsy 3

Intramuscular Absess Aspiration Under GA 2

Liver Abscess/Cyst Aspiration 2

Liver Biopsy 9

Lung Biopsy 4

Neck Abscess 2

Paraotoid Abscesn Aspiration 1

Perinephric Collction Aspiration 2

Peritonial Tap 3

Psoas Absess Aspiration 3

Renal Abscess 2

Spleen Biopsy 1

Thyroid Fnac 12

Trus Guided 4

65

Other Procedures

Drain Tube Removal 2

IJC 1

Nephrostomy 16

Perm Cath 1

Wire Localition of Breast Lump 1

21


ALT 5942

Amylase 313

AST 5355

BHCG 36

Bilirubin 4077

BJP 24

Blood & CFS Sugar 5738

Blood Urea 6584

CA 125 101

CEA 81

Certisol 141

CK 190

Createnine Clearance 2

CRP 3345

Cryoglobulin 1

EGFR 305

Ferritin 287

FSH 49

FT3 278

FT4 740

GGT 1203

HBA1C 284

HDL 912

Iron 205

K+ 13725

LH 46

Lithium 115

Prolactin 82

PSA 93

Se.Calcium 961

Se.Cholesterol 1157

se.Creatinine 8013

Se.Magnesium 376

Se.Phosphorus 348

Se.Protein 1967

Sodium 13753

Testesterone 50

TIBC 155

Triglyccerides 942

Tropi 790


TSH 1419

U.Protein 5

Uric Acid 118

Urine ca2+ 1

84006

Cancer Unit Lab

ESR 52

HB 717

Platelet Count 717

WBC/DC 717

2203

Dialysis Unit Lab

24 H's U.Protein 22

Albumin 1602

Alkaline Phosphatase 190

Bilirubin 188

Blood Urea 1816

BT/CT 340

Calcium 1600


CRP 420

ESR 360

FBC 3060

Ferritin 170

FT3 6

FT4 8

Glucose 330

Hepatitis B 112

Hepatitis C 112

Iron 110

K+ 2700

Na+ 2700

Osmotic Fragility 116

PGR 290

S.G.O.T 440

S.G.P.T 460

Se.Cholesterol 36

se.Creatinine 4022

Se.Phosphorus 1516


Se.Protein 1602

TIBC 140

TSH 20

UFR 2812

Urinary Uric Acid 960

Urine PH 10

28292

Emergency Lab

Blood Sugar 868

Blood Urea 4347

BT/CT 130


CSF 22

FBC 6188

HB 112

K+ 4840

Na+ 4847

Platelet Count 132

PTT 1062

S.G.O.T 3264

S.G.P.T 3274

33546

Haematology Lab

Anti Thrombin lll 6

Blood Picture 1842

Bone Marrow 55

BT/CT 363

Coagulation Profile 2

ESR 2245

Factor Assay 1

FBC 12266

Fibronogen 3

GPD Screening 15

Haemosiderin Urea 5

HAMS 7

HB 232

Hb A2 Estimation 92

HBA1C 116

Lups Anticogulant 6


M.Haemoglobin 1

Osmotic Fragility 3

PCV 2

Protein Activity 1

Protein C 7

Prothrombin Time & INR 6538

PTTK 692

Retic Count 101

Se Protein Immunotyping 8

Se.Protein 7

Se.Proten Electrophoresis 79

Trombo Elastrometry 5

24700

Histology & Pathology Lab

Biopsy 1127

Cytology 166

Fine Needle Aspiration 168

Immunology 140

PAP 347

Section Slides 7237

9185

Microbiology Lab

Blood Culture & ABST 1426

CSF & Body Fluids FR 230

CSF Culture ABST 249

Direct Smears 3100

Fungal Studies 180

H.pylori 160

Leprosy 2

MRSA Screaning 337

Pus Culture & ABST 793

Salmonella Shigella Detection 2

Seminal Analysis 1

Sputum Culture & ABST 291

Steptocococas group 28

Stool Culture & ABST 21

Urine Culture & ABST 1825

Vaginal Smears 1


8646

OPD Lab

Acetone 91

BT/CT 46

ESR 662

FBC 2423

Specific Gravity 245

Stool FR 101

UFR 4053

Urine Bile 56

Urine Sugar 293

WBC/DC 76

8046

Virology Lab

Anti HB Score 7

BK PCR 26

CMV IgG 4

CMV PCR 25

Dengue Igm Ab 5

Dengue NSI Ag 113

EBV Igm 26

Elisa Dengue Igm 96

Elisa Hbs Ab 10

Elisa Hbs Ag 344

Hautann Virus 3

HAV Igm 30

HBS Ag Mini vida 15

HSV PCR 17

Influenza PCR 121

Rapid Hep B S Ag 4

Rubella 5

Toxa Plasma IgG 5

Toxa Plasma Igm 10

866


LAB INVESTIGATIONS SUMMARY February2017

NAME OF THE TEST TOTAL TESTS 2224 H's U.Protein

91Acetone 29AFP

3515Albumin 1945Alkaline Phosphatase

5942ALT 313Amylase

7Anti HB Score 6Anti Thrombin lll

5355AST 36BHCG

4265Bilirubin 1127Biopsy

24BJP 26BK PCR

5738Blood & CFS Sugar 1426Blood Culture & ABST

1842Blood Picture 868Blood Sugar

12747Blood Urea 55Bone Marrow

879BT/CT 101CA 125

1600Calcium 81CEA

141Certisol 190CK

4CMV IgG 25CMV PCR

2Coagulation Profile 4484Createnine Clearance

3765CRP 1Cryoglobulin

22CSF 230CSF & Body Fluids FR

249CSF Culture ABST 166Cytology

5Dengue Igm Ab 113Dengue NSI Ag

3100Direct Smears 26EBV Igm

305EGFR 96Elisa Dengue Igm

10Elisa Hbs Ab 344Elisa Hbs Ag

3319ESR 1Factor Assay

23937FBC 457Ferritin

3Fibronogen 168Fine Needle Aspiration

49FSH 284FT3

748FT4 180Fungal Studies

1203GGT 330Glucose

15GPD Screening 160H.pylori

5Haemosiderin Urea 7HAMS

3Hautann Virus 30HAV Igm

1061HB 92Hb A2 Estimation

400HBA1C 15HBS Ag Mini vida

912HDL 112Hepatitis B

112Hepatitis C 17HSV PCR

140Immunology 121Influenza PCR

315Iron 21265K+

2Leprosy 46LH

115Lithium 6Lups Anticogulant

1M.Haemoglobin 337MRSA Screaning

7547Na+ 119Osmotic Fragility

347PAP 2PCV

290PGR 849Platelet Count


82Prolactin 1Protein Activity

7Protein C 6538Prothrombin Time & INR

93PSA 1062PTT

692PTTK 793Pus Culture & ABST

4Rapid Hep B S Ag 101Retic Count

5Rubella 3704S.G.O.T

3734S.G.P.T 2Salmonella Shigella Detection

8Se Protein Immunotyping 961Se.Calcium

1193Se.Cholesterol 12035se.Creatinine

376Se.Magnesium 1864Se.Phosphorus

3576Se.Protein 79Se.Proten Electrophoresis

7237Section Slides 1Seminal Analysis

13753Sodium 245Specific Gravity

291Sputum Culture & ABST 28Steptocococas group

21Stool Culture & ABST 101Stool FR

50Testesterone 295TIBC

5Toxa Plasma IgG 10Toxa Plasma Igm

942Triglyccerides 5Trombo Elastrometry

790Tropi 1439TSH

5U.Protein 6865UFR

118Uric Acid 960Urinary Uric Acid

56Urine Bile 1Urine ca2+

1825Urine Culture & ABST 10Urine PH

293Urine Sugar 1Vaginal Smears

793WBC/DC


EXPENSES FOR THE MONTH

MONTHLY EXPENDITURE

Expenditure Details Total

Hospital

Recurrent

Allowances 107,624,034.20

Electricity & water 26,365,819.30

Food & Uniform 17,468,508.25

Fuel & Lubricants 1,205,531.00

Hospital Equpment 846,000.00

Hostal for Du Patients 2,445,470.51

Machinery repairs 1,850.00

Maintenance of Building 11,303,753.63

Medical supplies 8,647,682.90

Others 741,202.00

Overtime & Holiday pay 90,854,221.95

Salaries 143,411,251.65

Stationary & Consumable 52,165.00

Stationary & Consumable 103,750.00

Telecommunication & postal 3,451,553.22

Travelling expenses 320,524.40

Vehicles repairs 231,176.40

415,074,494.41

Capital

Buildings 150,000.00

Medical equipment 54,625,000.00

54,775,000.00

Recurrent

Property loan 3,482,537.80

3,482,537.80

473,332,032.21

NTS

Recurrent

Electricity & water 205,544.15

Other allowance 30,636,051.51

Overtime & Holiday pay 332,182.00

Salaries 1,157,426.66

32,331,204.32

Recurrent

Property loan 28,512.35


28,512.35

32,359,716.67

Other

Recurrent

Comman 99,640.84

99,640.84

Other

Distress Loan 799,420.00

799,420.00

Recurrent

Petty cash 889,672.94

889,672.94

1,788,733.78

507,480,482.66


MONTHLY HEALTH BULLETIN · Nutrition Nutritionist (Non Consultant) 18 34 74 22 75 205 11 ......

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Transcript of MONTHLY HEALTH BULLETIN · Nutrition Nutritionist (Non Consultant) 18 34 74 22 75 205 11 ......