International Plan, Policy & Guidelines

Emergency Drug list of Nepal 2002

by Public Health Update
written by Public Health Update
List of EMERGENCY DRUGS 2002 
DownloadPDF Document Click Here

S.No. Name of Drug Dosage Form & Its Strength

1 Acetylcystene Powder

2. Activated Charcoal Powder 25G, 50G, Suspension

3. Adrenaline Injection, 1mg/ml 

(Epinephrine) 1:1000 solution

4. Acetazolamide Tablet, 250mg

5. Aminophylline Injection, 25mg/ml in 10-ml ampoule

6. Atenolol Injection, 5mg /ml

7. Atropine Sulphate Injection, 0.6mg in 1-ml ampoule

8. Adenosine Injection, 3mg/ml

9. BAL(Dimercaprol) Injection, 50mg/ml

10. Calcium Gluconate Injection, 10%

11. Chlorpromazine Injection, 25mg/ml in 2-ml vial

12. Dexamethasone Injection, 4mg/ml in 2ml ampoule

13. DICA-EDTA (EDTA Clacium Parenteral)

14. Digoxin Injection, 0.25mg/ml in 2ml ampoule

15. Diazepam Injection, 5mg/ml in 2ml vial

16. Dobutamine Injection, 12.5mg/ml in 20 ml ampoule

17. Dopamine Injection, 40mg/ml in 5ml ampoule

18. Frusemide Injection, 10mg/ml in 2ml ampoule

19. Glyceryl Trinitrate Sublingual tablet, 0.5mg,

20. Heparin Injection, 5000 Units/vial

21. Haloperidol Injection, 5mg/ml in 1ml ampoule

22. Hysocine n-butylbromide Injection, 20mg/ml in iml ampoule

23. Hydrocortisone Powder for Injection, 100mg

24. Insulin (Soluble) Injection,40IU/ml in 10ml vial

25. Ipecauanha Syrup

26. Isoprenaline Injection, 20mcg/ml


27. Isosorbide dinitrate Subligual tablet, 5mg

28. Intravenoue Fluids(IV fluids) 5% Dextrose 540ml  10%Dextrose 540ml  5%Dextrose with sodium chloride 540ml Ringer lactate 540ml 0.9% Sodium Chloride 540ml

29. Ipratopium Bromide Aerosol Inhalation

30. Ketamine Injection, 10mg/ml, 50mg/ml in 10 ml vial

31. Lignocaine Injection, 1%, 25 in 30 ml vial, Gel 2%, Topical 

32. Lignocaine (Xylocard) Injection, 21.3mg/ml in 50ml vial

33. Mannitol Injection, 20% in 300ml vial

34. Magnesium Sulphate Injection, 50%, 10ml (5gm ampoule)

35. Methyl-ergometrine Injection 0.2mg/ml in 1 ml ampoule

36. Metoclopramide Injection, 5mg/ml in 2ml ampoule

37. Morphine Injection, 10mg/ml in 2-ml ampoule

38. Naloxone Injection, 0.4mg/ml in 1 ml ampoule

39. Noradernaline(norepinephrine) Injection,1mg/ml in 1 ml ampoule

40. Nitroprusside Injection – 50mg

41. Nifedipine Capsule, 5mg

43. Oxytoxin Injection, 5units /ml in 1ml ampoule

44. Paracetamol Injection, 150mg/ml in 2ml ampoule

45. Pethidine Injection, 50mg/ml in 1 and 2 ml ampoule

46. Pheniramine maleate Injection, 22.75 mg/ml in 2ml ampoule

47. Phenobarbitone Injection, 200mg/ml in 1ml ampuole

48. Phenytoin sodium Injection, 50mg/ml in 5 ml ampuole

49. Pilocarpine Eye drop, 2%,4%

50. Polygeline with Electrolytes IV solution, 3.5%

51. Polyvenum Antisnake venum Injection

52. Propanolol Injection, 1 mg / ml

53. Phytomenadione (Vit K) Injection 10mg/ml

54. Potassium Chloride Injection,150mg/ml in 10ml ampoule

55. Pralidoxime (PAM) Injection,25mg/ml in 20ml ampoule

56. Protamine Sulphate Injection, 10mg/ml in 10ml ampoule solution,4%

57. Quinine Sulphate Tablet, 200mg

58. Ranitidine Injection, 25mg/ml in 2ml ampoule

59. Salbutamol Respiratory solution, 5mg/ml in 15ml vial

60. Silver sulphadiazine cream 1%

61. Sodium bi-carbonate Injection, 75mg/ml in 10ml ampoule

62. Sodium Stibogluconate Injection, 100mg/ml

63. Streptokinase Injection,1.5million IU

64. Tetanus Toxoide Injection, 0.5ml

65. Thiopentone Injection,0.5gm 1gm per ampoule

66. Verapamil (Isoptin) Injection, 2.5mg/ml in 2ml ampoule

67. Suxamethonium ( Succinylcholine choloride) Injection 50mg/ml – 2ml ampuole or 10ml 

68. Ephidrine Injection 30mg/ml – 1ml ampoule

69. Hydrallazine Injection, 20mg/ml – vial

70. Paraldehyde injection, 5ml

71. 25% Dextrose Injection

72. Amiodarone Injection 50mg/ml, tablet 100mg
73. Ipratopium Bromide  (Respiratory Solution) Nebulizer vial

DownloadPDF Document Click Here


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PH Important DayPublic HealthPublic Health Events

World Immunization Week 24-30 April 2015: Close the immunization Gap

by Public Health Update
written by Public Health Update
World Immunization Week – celebrated in the last week of April (24-30) aims to promote the use of vaccines to protect people of all ages against disease.

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Protection throughout life

Immunization is widely recognized as one of the most successful and cost-effective health interventions. It prevents between 2 and 3 million deaths every year and now protects children not only against diseases for which vaccines have been available for many years, such as diphtheria, tetanus, polio and measles, but also against diseases such as pneumonia and rotavirus diarrhoea, 2 of the biggest killers of children under 5. Now adolescents and adults can be protected against life-threatening diseases such as influenza, meningitis, and cancers (cervical and liver), thanks to new and sophisticated vaccines.

But 1 in 5 children is still missing out: in 2013, an estimated 21.8 million infants did not receive lifesaving vaccines. Inadequate supply of vaccines, lack of access to health services, a shortage of accurate information about immunization and insufficient political and financial support all play a part.

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Close the immunization gap
World Immunization Week 2015 will signal a renewed global, regional, and national effort to accelerate action to increase awareness and demand for immunization by communities, and improve vaccination delivery services.
This year’s campaign focuses on closing the immunization gap and reaching equity in immunization levels as outlined in the Global Vaccine Action Plan (GVAP). The Plan – endorsed by the 194 Member States of the World Health Assembly in May 2012 ― is a framework to prevent millions of deaths by 2020 through universal access to vaccines for people in all communities.
The GVAP aims to:
  • strengthen routine immunization to meet vaccination coverage targets;

  • accelerate control of vaccine-preventable diseases with polio eradication as the first milestone;
  • introduce new and improved vaccines; and
  • spur research and development for the next generation of vaccines and technologies.
    WHO%2Bdata

    Global immunization coverage 2013

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PH Important DayPublic Health Events

World Malaria Day 2015: Invest in the future. Defeat malaria

by Public Health Update
written by Public Health Update

On World Malaria Day 2015, the World Health Organization is calling for high-level commitment to the vision of a world free of malaria. The theme, set by the Roll Back Malaria Partnership, is Invest in the future: Defeat malaria. This reflects the ambitious goals and targets set out in a draft post-2015 strategy to be presented to the World Health Assembly in May. The new strategy aims to reduce malaria cases and deaths by 90% by 2030 from current levels. Four countries have been certified free of malaria in the last decade and the post-2015 strategy sets the goal of eliminating the disease from a further 35 countries by 2030.

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World Malaria Day is a chance to highlight the advances that have already been made in malaria prevention and control, and to commit to continued investment and action to accelerate progress against this deadly disease.

Key facts
  • Malaria is a life-threatening disease caused by parasites that are transmitted to people through the bites of infected mosquitoes.
  • In 2013, malaria caused an estimated 584 000 deaths (with an uncertainty range of 367 000 to 755 000), mostly among African children.
  • Malaria is preventable and curable.
  • Increased malaria prevention and control measures are dramatically reducing the malaria burden in many places.
  • Non-immune travellers from malaria-free areas are very vulnerable to the disease when they get infected.
    Cycles Malaria 810


WHO
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Trick, Technique & Skills

COMMON BEHAVIOURAL INTERVIEW QUESTIONS(Part 2)

by Public Health Update
written by Public Health Update
COMMON BEHAVIOURAL INTERVIEW QUESTIONS
 
1. Describe a time when you were faced with problems or stresses at work that tested your coping skills. What did you do?
download
 
2. Give an example of a time when you could not participate in a discussion or could not finish a task because you did not have enough information.
 
3. Give an example of a time when you had to be relatively quick in coming to a decision.
 
4. Tell me about a time when you had to use your spoken communication skills in order to get a point across that was important to you.
 
5. Can you tell me about a job experience in which you had to speak up and tell other people what you thought or felt?
 

6. Give me an example of when you felt you were able to build motivation in your co-workers or subordinates.
 
7. Tell me about a specific occasion when you conformed to a policy even though you did not agree with it.
 
8. Describe a situation in which you felt it necessary to be very attentive and vigilant to your environment.
 
9. Give me an example of a time when you used your fact-finding skills to gain information needed to solve a problem; then tell me how you analyzed the information and came to a decision.
 
10. Give me an example of an important goal you had to set and tell me about your progress in reaching that goal.
 
11. Describe the most significant written document, report, or presentation that you’ve completed.
 
12. Give me an example of a time when you had to go above and beyond the call of duty in order to get a job done.
 
13. Give me an example of a time when you were able to communicate successfully with another person, even when that individual may not have personally liked you.
 
14. Describe a situation in which you were able to read another person effectively and guide your actions by your understanding of his/her individual needs or values.
 
15. What did you do in your last job in order to be effective with your organization and planning? Be specific.
 
16. Describe the most creative work-related project you have completed.
 
17. Describe a time when you felt it was necessary to modify or change your actions in order to respond to the needs of another person.
 
18. Give me an example of a time when you had to analyze another person carefully or a situation in order to be effective in guiding your action or decision.
 
19. What did you do in your last job to contribute toward a teamwork environment? Be specific.
 
20. Give me an example of a problem you faced on the job, and tell me how you solved it.
 
21. Describe a situation in which you were able to positively influence the actions of others in a desired direction.
 

22. Tell me about a situation in the past year in which you had to deal with a very upset customer or co-worker.
 
23. Describe a situation in which others within your organization depended on you.
 
24. Describe your most recent group effort.
 
25. Describe the worst customer or co-worker you have ever had and tell me how you dealt with him or her.
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Trick, Technique & Skills

Common Interview Questions/Tips for Answering Difficult Questions (Part 1)

by Public Health Update
written by Public Health Update
Sample Interview Questions

Experience, Skills, Potential

  • Tell me about yourself.

  • Tell me how your past experiences have prepared you for this position.
  • What have been your greatest accomplishments in your career?
  • Do you think you have been effective at your current/most recent job? In what ways?
  • Why have you changed jobs so frequently? Why have you been unemployed for so long?
  • Have you ever been fired? Asked to resign?
  • What kinds of decisions did you make in your last position?
  • What are your greatest strengths/weaknesses? What are you doing to improve your weaknesses?
  • What would your previous employer tell me about you?
    download

Educational Background
  • What is your educational background? What have you studied? Why did you select this major?

  • How does/did your educational background prepare you for this job?
  • You have a low grade point average, could you explain why this is the case?
  • Do you plan to continue your education? How? Why?
  • What are you most proud of in your educational experience?
  • How does your academic research relate to our work?
  • Organization/Position Knowledge
  • What do you know about our company? What do you know about this position?
  • Why do you want to work for this organization? Why do you want this job?
  • What interests you about our products or services?
  • What is your ideal job/career?
  • What challenges does our company currently face and what would you suggest we do to address them?




Self -Assessment
  • How would you describe your own personality?

  • What do you think has contributed the most to your development? What has hindered your development?
  • Can you describe for me a difficult obstacle you have had to overcome? How did you handle it? How do you feel this experience affected your personality or ability?
  • Do you consider yourself to be thoughtful, analytical or do you usually make up your mind fast? Give an example. (Watch time taken to respond.)

Goal Orientation/Motivation/Initiative
  • Describe your short and long-range goals. Where do you want to be in five years?

  • What things have you done that show initiative & willingness to work?
  • Why are you changing fields? Jobs?
  • How long would you stay with the company if you were offered this job?
  • Why did you get into this field?
  • Interpersonal Skills
  • What kind of person appeals to you the most as a co-worker? What type of person annoys you?
  • How well do you get along with people?
  • How have you handled problems with customers/co-workers?
  • Do you work well on a team? Tell me about an experience working with a team.

Unusual Questions
  • Be prepared for possible unique questions that get at creativity and ability to think on your feet:

  • What is your favorite tree? Why?
  • If you could be any color in the rainbow, what color would it be? Why?
  • Why are manhole covers round?

Tips for Answering Difficult Questions
Tell Me About Yourself
  • Avoid personal information such as age, marital status, hobbies or home town.

  • Focus on key items from your background that relate to the position including aca
  • demic preparation, related experiences, activities and/or career goals.
  • Your answer should be roughly 2-3 minutes long…remember that more questions will be asked that allow you to go into more detail about these experiences.




Weaknesses Questions
  • Don’t select a good quality and turn it into a weakness, employers see this as an attempt to avoid the question. “I am such a hard worker that sometimes I get burned out.”

  • Avoid selecting a weakness that is a core-personality characteristic that is unlikely to change.
  • Pick a weakness that is not critical to being successful in the position.
  • Select a weakness that you can quickly learn or one where you have already shown improvement.
  • Conflict/Mistake Questions
  • Spend a minimal amount of time explaining the conflict or mistake and spend the majority of your answer on the steps you took to resolve the situation and what you learned from the experience.
  • When discussing conflict don’t talk about other individual in a negative way. Simply explain that you had a different approach or way of doing things without assigning blame.




© 2010 – 2011 Regents of the University of Minnesota. All rights reserved.

Interview Questions
198 McNeal Hall (St. Paul) • 411 ST&SS (Minneapolis) • 612-624-2710 • www.careerhelp.umn.edu • careerhelp@umn.edu
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Public Health

Jajarkot Outbreak (Update…..)

by Public Health Update
written by Public Health Update
Three more die; Jajarkot flu toll 24

Himalayan News Service

Jajarkot, April 18
Three more persons succumbed to flu in Jajarkot pushing the death toll to 24 since the epidemic started three weeks ago. 
Amrita Adhikari, just 27days old, of Pajaru VDC-5 died yesterday. Sher Bahadur Rawat, 28, of Dashera-8 and Bire Karki, 68, of Nayakwada-8 died today.

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The District Health Office claimed the disease is under control in Nayakwada, Sakla, Paink, Archhani, Talegaun and Pajar, but Rana Bahadur Shahi, a local teacher at Archhani said patients are still dying in Talegaun, Nayakwada, Archhani and Pajaru.

“Though some patients have been treated, everyday there are new flu patients,” he said.
Lack of health workers and medicine in flu-affected areas has worsened the situation. More than 1,000 persons have fallen ill in Talegaun, Archhani, Nayakwada, Rokayagaun and Majkot, but health facilities only have brufen, cetamol and rehydration solution. 

Even health workers have started falling ill. Assistant Health Worker Ramchandra Giri of Paink Health Post has been brought to Teku Hospital for treatment. Similarly, Dr Deepak Pun, deployed in Paink; and Dr Gunanidhi Sharma, deployed in Sakla VDC, have developed health complications. “As health workers are themselves falling ill, manpower crunch has aggravated the problem,” said Krishna Khatri, focal person at district hospital, who said 3,450 patients had been treated by Saturday in flu-affected areas.While Dr Pun and Dr Bibhant Sah of the district hospital are deployed in Paink, Dr Sharma of World Health Organisation is serving in Sakla, and Dr Panilman Singh Pradhan of Patan Hospital is on duty in Pajaru. Dr Pranaya Karki of Nepali Army and Dr Suman Rai of Chaurjahari Community Hospital are deployed in Talegaun and Archhani respectively.

They are assisted by local health workers. The DHO has not sent additional health workers and medicine to flu-affected areas citing lack of budget. “As we don’t have separate budget for flu outbreak, we don’t know how to manage money to control the outbreak,” said DHO chief Dhirjung Shah, adding, “We’ve got 150,000 rupees for disaster management, which is not enough.”Shah said health desks have been set up at Chhedachaur, Thalahabazaar, Dalli and Khalanga’s Shanti Chautara to examine those who enter the district.An army team led by Brigadier General Khadga Bahadur Malla observed the flu-affected areas and distributed medicine today. Also, a team of health workers from the Epidemiology and Disease Control Department is serving in Limsa and Thalahabazaar.
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