PUBLIC HEALTH Improving Surveillance system

CONTENTS CHANGE STRATEGIES STRATEGY SHORT TERM I MID TERM I LONG TERM IMPACT ASSESSMENTS IMPACTS SHORT TERM MID TERM LONG TERM

5. PUBLIC HEALTH Improving Surveillance system

Improving the surveillance system and near-real ime Management informaion systems and improving linkage with Hydraulics and sanitaion departments needs urgent atenion. Moreover, vector borne diseases are complex issues that need to be understood beter with ongoing research and surveillance systems. For instance: The Urban Service Monitoring System UrSMS project was developed for improving the monitoring and grievance redressal for health, water supply, sewerage and solid waste services. for more see: htp:surat.ursms.netcmshome.aspx. All water bodies should integrate ecologicalbiological vector control systems so that proliferaion of mosquitoes is minimized. Surat has one of the largest network of canals passing through the city. These also should be regularly monitored for mosquito breeding in their neighborhoods. Awareness IEC aciviies to ensure ciizens awareness and involvement in disease reporing and household colony level monitoring and control systems. IEC aciviies to educate public, especially the vulnerable secions is necessary. The new migrants, especially poor, should be one of the target groups for IEC aciviies. The IEC aciviies should elad to beter reporing and surveillance of diseases, especially the vector-borne diseases. Anicipate problems Focused research to anicipate possible impacts due to climate change and urban growth. Also all water storage structuresnatural and manmade should incorporate either biological control measures or screening system to prevent breeding of mosquitoes. Increasing the distance between animals and human habitat as well as implementaion of city wide rodent control measures will be necessary to reduce the risk of zoonoic infecions like plague, Leptospirosis. Improving Sanitaion at the wet markets and food stalls will be another issue that needs sustained intervenions Given a signiicant populaion of households depending on dairying within the city now, it would be a challenge. Systemaic eforts towards reducion of domesic animals within the city over medium term can reduce traic, sewerage and solid waste management to some extent. Educaion, skill building and alternaive employment generaion programmes will be necessary over medium term to address these issues. Infrastructure for weaker secions Incorporaing the venilaion and other passive cooling systems in Weaker secion housing programmes. Surat has an eicient Community development department, which can be used to generate awareness about sanitaion and health linkages. The current programme of EWS housing is also supported with awareness generaion of beter sanitaion to new residents, which can be further strengthened and extended unil the new residents are able to appreciate and maintain healthy surroundings. Indoor Thermal comfort Increased temperature will have an impact on human health and eiciency. While the heat stroke related morbidity and mortality is currently rare in Surat, it may increase and impact vulnerable populaion including infants, old aged people and poor who live in houses with low venilaion and couldn’t aford space cooling costs. Development of opions for more afordable thermally comfortable houses with passive cooling and mainstreaming them among the builders, prospecive buyers is necessary. The government buildings and schools may be retroited with some of the features and a demonstraionsupport center may be created within Town Planning department to promote these.

6. SOCIAL COHESION EQUITY