Swine Flu

Swine Flu – H1N1

Causes of Swine Flu

Swine flu is contagious, and it spreads in the same way as the seasonal flu. When people who have it cough or sneeze, they spray tiny drops of the virus into the air. If you come in contact with these drops or touch a surface (such as a doorknob or sink) that an infected person has recently touched, you can catch H1N1 swine flu.

Despite the name, you can't catch swine flu from eating bacon, ham, or any other pork product.

Swine Flu Symptoms

People who have swine flu can be contagious one day before they have any symptoms, and as many as 7 days after they get sick. Kids can be contagious for as long as 10 days.

Most symptoms are the same as seasonal flu. They can include:

·                     cough

·                     fever

·                     sore throat

·                     stuffy or runny nose

·                     body aches

·                     headache

·                     chills

·                     fatigue

Like seasonal flu, swine flu can lead to more serious complications, including pneumonia and respiratory failure. And it can make conditions like diabetes or asthma worse. If you have symptoms like shortness of breath, severe vomiting, abdominal pain, dizziness, or confusion, call your doctor.

Tests for Swine Flu

It's hard to tell whether you have swine flu or seasonal flu, because most symptoms are the same. People with swine flu may be more likely to feel nauseous and throw up than people who have seasonal flu. But a lab test is the only way to know for sure. Even a rapid flu test you can get in your doctor's office won't tell you for sure.

Tests for Swine Flu continued...

To test for swine flu, your doctor takes a sample from your nose or throat. You may not need to be tested. The CDC says the people who need to be tested are those in the hospital or those at high risk for getting life-threatening problems from the flu, such as:

·                Children under 5 years old

·                People 65 or older

·                Children and teens (under age 18) who are getting long-term aspirintherapy, and who might be at risk for Reye's syndrome after being infected with swine flu. Reye's syndrome is a life-threatening illness linked to aspirin use in children.

·                Pregnant women

·                Adults and children who have chronic lung, heart, liver, blood, nervous system, neuromuscular, or metabolic problems

·                Adults and children who have suppressed immune systems (including those who take medications to suppress their immune systems or who have HIV)

·                People in nursing homes and other long-term care facilities

 How Is Swine Flu Treated?

Some of the same antiviral drugs that are used to treat seasonal flu also work against H1N1 swine flu. Oseltamivir (Tamiflu) and zanamivir(Relenza) seem to work best, although some kinds of swine flu are resistant to Tamiflu.

These drugs can help you get over swine flu faster. They can also help keep it from being too severe. They work best when taken within 48 hours of the first flu symptoms, but they can help when taken later.

Antibiotics won't help, because flu is caused by a virus, not bacteria.

Over-the-counter pain remedies and cold and flu medications can help relieve aches, pains, and fever. Don't give aspirin to children under age 18 because of the risk for Reye’s syndrome. Check to make sure that over-the-counter cold medications do not have aspirin before giving them to children.

Vaccine for Swine Flu

 The same flu vaccine that protects against seasonal flu also protects against the H1N1 swine flu strain. You can get it as a shot or as a nasal spray. Either way, it "teaches" your immune system to attack the real virus.

Besides a flu shot, there are other things you can do to stay healthy:

·         Wash your hands throughout the day with soap and water. Sing the "Happy Birthday" song twice to make sure you've washed long enough. Or use an alcohol-based hand sanitizer.

·         Don't touch your eyes, nose, or mouth.

·         Avoid people who are sick.

Contract Continuation GO. MS.No. 1

GOVERNMENT OF ANDHRA PRADESH

ABSTRACT

Human Resources - Services of contract and outsourced personnel functioning in various Government Departments from 1st January 2015 to 31 march 2015 – Orders - Issued.

FINANCE (HR.I) DEPARTMENT

G.O. MS. No. 1                                                                Dated: 05.01.2015

 Read the following

1. G.O.Rt.No.4271, Finance (SMPC) Dept., dt:01.01.2008.

2. Cir. Memo No. 9522-A/417/A1/SMPC.II/13 dated 13.9.2013.

3. A.P. Reorganisation Act 2014 (Act 6 of 2014)

4. GO Ms No 84 Finance (SMPC.II) Dept.dated 17-04-2014.

5. GO Ms No 248 General Administration (SR) Dept. Dt.1-06-2014.

6. GO Ms No 250 General Administration (SR) Dept. Dt.1-06-2014.

7. GO Ms No 146 Finance (HR.I) Dept. dated 27-06-2014.

@@@

ORDER:

1.   With a view to supplement the workforce to meet the short-term requirements, the Government has been permitting the departments to obtain the services of individuals on contract/ outsourcing basis for a limited duration with the prior approval of Finance Department.

2.   In the reference third cited, the Government of India notified the Andhra Pradesh Re-organisation Act, 2014. Accordingly, the residual State of Andhra Pradesh has come into existence on the Appointed Day of June 02, 2014. In references fifth and sixth cited, the General Administration (SR) Department issued orders for apportionment of personnel working on contract/outsourcing basis between the successor States of Andhra Pradesh and Telangana.

3.   The Government issued a general order continuing the services of individuals serving the government on contractual and outsourcing basis up to December 31, 2014, in the reference seventh cited.

4.   In order to avoid hardship to those personnel providing contractual / outsourced services to the Andhra Pradesh Government on December 31, 2014, the Government has decided to review the services of those personnel who have been providing services to the State of Andhra Pradesh, from 01 January,2015 to 31 March,2015

5.   Accordingly, the Government hereby order that the services of those persons who have served the Andhra Pradesh Government on contract/outsourcing basis continuously from June 2 2014 to 31 December 2014, with the prior approval of the Finance Department, be extended up to March 31, 2015, subject to the existing terms and conditions as mentioned in reference seventh cited.

6.   These orders are applicable only to those persons directly contracted by the government departments with the prior concurrence of the Finance Department and persons whose services have been procured from manpower agencies currently serving the field offices located in Villages, Urban Local Bodies, Mandals, Divisions, Districts, Zonal and Multi-zonal offices etc., in the territories that constitute the State of Andhra Pradesh and those working in the Secretariat departments, Head of Departments, State Level Offices if any, where such persons have been apportioned and provisionally allocated to the State of Andhra Pradesh as per the G.Os fifth and sixth read above.

7.   In addition to the conditions mentioned in GO seventh read above, the Departments concerned shall follow following conditions specifically in respect of contractual services.

a.    The contract with the individual employees or with the Manpower Agencies shall not be treated as continuing from the past but as new contractual arrangement for a limited duration.

b.    The departments shall not issue a generic order of contractual and shall refer to the arrangement as ‘contracting services for specific duration with specific terms-of reference.

c.    The departments shall define specific Terms-of-Reference (TOR), supervision system, performance management system, terms and conditions of contract and monitor fulfilment of these conditions.

8.   Based on these orders, the Secretariat Departments concerned shall dispose off requests for continuation of Contract/outsourcing services relating to HODs under their control without referring the files to Finance department.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

DR PV RAMESH

 PRINCIPAL SECRETARY TO GOVERNMENT (R&E)

To

All Special C.S’/Principal Secretaries/Secretaries to Government of A.P.

All the Secretariat Departments, Government of Andhra Pradesh.

The Director of Treasuries and Accounts, A.P., Hyderabad

The Pay and Accounts Officer, A.P., Hyderabad.

The Director of Works Accounts, Andhra Pradesh, Hyderabad

All Heads of Departments/ All District Collectors/ All Superintendent

 of Police in A.P

The Principal A.G., A.P., Hyderabad

The General Administration (SU.IV) Department

SF/SC’s.

//FORWARDED: BY ORDER//

SECTION OFFICER

Contract Employees Continuation upto March 2015 Government Order

GOVERNMENT OF ANDHRA PRADESH

ABSTRACT

Human Resources - Services of contract and outsourced personnel functioning in various Government Departments from 1st January 2015 to 31 march 2015 – Orders - Issued.

FINANCE (HR.I) DEPARTMENT

G.O. MS. No. 1                                                                Dated: 05.01.2015

 Read the following

1. G.O.Rt.No.4271, Finance (SMPC) Dept., dt:01.01.2008.

2. Cir. Memo No. 9522-A/417/A1/SMPC.II/13 dated 13.9.2013.

3. A.P. Reorganisation Act 2014 (Act 6 of 2014)

4. GO Ms No 84 Finance (SMPC.II) Dept.dated 17-04-2014.

5. GO Ms No 248 General Administration (SR) Dept. Dt.1-06-2014.

6. GO Ms No 250 General Administration (SR) Dept. Dt.1-06-2014.

7. GO Ms No 146 Finance (HR.I) Dept. dated 27-06-2014.

@@@

ORDER:

1.   With a view to supplement the workforce to meet the short-term requirements, the Government has been permitting the departments to obtain the services of individuals on contract/ outsourcing basis for a limited duration with the prior approval of Finance Department.

2.   In the reference third cited, the Government of India notified the Andhra Pradesh Re-organisation Act, 2014. Accordingly, the residual State of Andhra Pradesh has come into existence on the Appointed Day of June 02, 2014. In references fifth and sixth cited, the General Administration (SR) Department issued orders for apportionment of personnel working on contract/outsourcing basis between the successor States of Andhra Pradesh and Telangana.

3.   The Government issued a general order continuing the services of individuals serving the government on contractual and outsourcing basis up to December 31, 2014, in the reference seventh cited.

4.   In order to avoid hardship to those personnel providing contractual / outsourced services to the Andhra Pradesh Government on December 31, 2014, the Government has decided to review the services of those personnel who have been providing services to the State of Andhra Pradesh, from 01 January,2015 to 31 March,2015

5.   Accordingly, the Government hereby order that the services of those persons who have served the Andhra Pradesh Government on contract/outsourcing basis continuously from June 2 2014 to 31 December 2014, with the prior approval of the Finance Department, be extended up to March 31, 2015, subject to the existing terms and conditions as mentioned in reference seventh cited.

6.   These orders are applicable only to those persons directly contracted by the government departments with the prior concurrence of the Finance Department and persons whose services have been procured from manpower agencies currently serving the field offices located in Villages, Urban Local Bodies, Mandals, Divisions, Districts, Zonal and Multi-zonal offices etc., in the territories that constitute the State of Andhra Pradesh and those working in the Secretariat departments, Head of Departments, State Level Offices if any, where such persons have been apportioned and provisionally allocated to the State of Andhra Pradesh as per the G.Os fifth and sixth read above.

7.   In addition to the conditions mentioned in GO seventh read above, the Departments concerned shall follow following conditions specifically in respect of contractual services.

a.    The contract with the individual employees or with the Manpower Agencies shall not be treated as continuing from the past but as new contractual arrangement for a limited duration.

b.    The departments shall not issue a generic order of contractual and shall refer to the arrangement as ‘contracting services for specific duration with specific terms-of reference.

c.    The departments shall define specific Terms-of-Reference (TOR), supervision system, performance management system, terms and conditions of contract and monitor fulfilment of these conditions.

8.   Based on these orders, the Secretariat Departments concerned shall dispose off requests for continuation of Contract/outsourcing services relating to HODs under their control without referring the files to Finance department.

(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

DR PV RAMESH

 PRINCIPAL SECRETARY TO GOVERNMENT (R&E)

To

All Special C.S’/Principal Secretaries/Secretaries to Government of A.P.

All the Secretariat Departments, Government of Andhra Pradesh.

The Director of Treasuries and Accounts, A.P., Hyderabad

The Pay and Accounts Officer, A.P., Hyderabad.

The Director of Works Accounts, Andhra Pradesh, Hyderabad

All Heads of Departments/ All District Collectors/ All Superintendent

 of Police in A.P

The Principal A.G., A.P., Hyderabad

The General Administration (SU.IV) Department

SF/SC’s.

//FORWARDED: BY ORDER//

SECTION OFFICER

Dharna for TB Contract Employees Salaries

Job Chart of MPHA (M)

MPHA (M) JOB CHART

5. Job Responsibilities of MPHW

5.1

The MPHW (Male) course envisages to adequately train the MPHW (Male) to carry out the responsibilities assigned to him. He should make a visit to each family once a month. MPHW (Male) will mainly focus on activities which are related to disease control programs, detection and control of epidemic outbreaks, environmental sanitation, safe drinking water, first aid in emergencies like accidents, injuries, burns etc., treatment of common/ minor illnesses, communication and counselling, life style diseases and logistics and supply management at sub-centre. In addition he will also facilitate ANM in MCH, Family Welfare, and Nutrition related activities. Due importance should be given in assessment of MPHW (Male) training both at institutional and field level accordingly. The broad areas of job responsibilities of MPHW (Male) would broadly include the following –

5.1.1        Malaria

a.       Conduct domiciliary house-to-house visits covering all the assigned population as per the schedules approved by the PHC Medical Officer. During his visits, he shall enquire about fever cases in each family and verify the cases diagnosed positive after the last visit.

b.       Collect blood smears and perform RDT from suspected fever cases and appropriately maintain records in M-1.

c.       Ensure immediate dispatch of collected blood smears for laboratory investigations and provide treatment to positive cases as per the guidelines.

d.       Advise all seriously ill cases to visit PHC for immediate treatment and refer all fever case with altered sensorium to the PHC / hospital and arrange funds for transportation of such cases from NRHM/ other funds.

e.       Undertake necessary measures to contain the spread of disease as advised by PHC Medical officer.

f.        Liaison with ASHA / Village Health Guide / Anganwadi Worker for early detection of malaria, replenish the stocks of microscopy slides, RDKs and / or drugs.

g.       Ensure treatment for all diagnosed cases as per the instructions by the PHC medical officer and also take prompt actions for adverse reactions reported.

h.       Intimate each house hold in advance regarding date of spraying and other public health activities as well as duly explain the benefits of such activities to the community.

i.        Supervise the spraying operations and deploy the two squads in adjoining areas for adequate supervision. Ensure the quality of spraying operations for uniformity in coverage of all the surfaces as well as due precautions regarding water sources and personal hygiene as per the guidelines.

j.        Maintain the records of domiciliary visits, blood smears collected, patients given anti-malarials, details of spraying operations etc in the prescribed formats.

5.1.2 Tuberculosis (RNTCP)

a.       Identify all cases of fever for over two weeks with prolonged cough or spitting of blood and refer to PHC for further investigation. Verify the TB patients self-reporting at health facilities.

b.      Function as DOTs provider to ensure that all confirmed cases are on regular treatment and motivate defaulters for regular treatment.

c.       Improve community awareness on signs and symptoms of tuberculosis and guide the suspected TB cases for referral to the designated microscopy centres and facilitate sputum examinations.

d.      Assist and supervise the ASHAs / Anganwadi Workers / Village Health Guides / local health volunteers to function effectively as DOTs providers by ensuring regularity of DOTS, schedule the DOTs as per patient’s convenience and collection of empty blister packs.

e.       Ensure that follow up smear examinations of sputum are carried out as per the schedules.

f.       Maintain the treatment cards and transmit the data weekly to the PHC.

g.      Maintain the records of domiciliary visits, records of patients on treatment, sputum examinations etc

5.1.3 Leprosy

a.       Identify Leprosy suspected cases of skin patches with loss of sensation and refer to PHC.

b.      Provide Multi Drug Treatment (MDT) to confirmed cases and ensure completion of treatment including retrieval of defaulters.

c.       Guide leprosy patients with deformities for management at appropriate health facilities.

d.      Assist and supervise the ASHAs / Anganwadi Workers / Village Health Guides / local health volunteers for early detection of Leprosy cases and treatment.

e.       Improve community awareness on signs and symptoms of Leprosy for early detection.

f.       Maintain the treatment cards and transmit the data to the PHC

g.      Maintain the records of domiciliary visits and records of patients on treatment.

5.1.4 Preventive Health Care

a.       Surveillance for unusually high incidence of cases of diarrhoeas, dysentery, fever, jaundice, diphtheria, whooping cough, tetanus, polio and other communicable disease and notify PHC.

b.      Ensure regular chlorination of all the drinking water sources. Collect water samples regularly, send for testing and undertake appropriate actions for provision of safe drinking water supplies.

c.       Generate community awareness regarding safe drinking water, sanitation, waste disposal and personal hygiene and ensure safe disposal of liquid / solid wastes.

d.      Assist and coordinate with the VHSC and SHC / PHC Committees as well community leaders for health awareness and preventive health care activities.

5.1.5 School Health including Nutrition

a.       Visit all the schools in the assigned area and advocate personal hygiene, nutrition, safe drinking water and sanitation and other public health measures.

b.      Undertake awareness generation of national health programmes (Malaria, TB, Leprosy etc) for early detection of communicable and non-communicable diseases.

c.       Ensure completion of immunisation schedules including Inj. TT as per guidelines.

d.      Assist Ophthalmic Assistant for eye screening of children for detection of visual defects.

e.       Identify cases of malnutrition in school children and refer cases to PHC Medical Officer. Guide teachers and parents on nutrition and anaemia. Educate the community about nutritious diet for mothers and children from locally available foods.

5.1.6 Maternal Health including Family Planning

a.       Assist in ensuring timely referral transport for pregnant women at the time of delivery

b.      Provide follow-up services for acceptors of male sterilization and also motivate males for sterilisation and spacing methods based on ANMs eligible couple register.

c.       Assist the ANMs and ASHAs in distribution of conventional contraceptives to eligible couples.