India: "Neither rain nor snow or gloom of terrorism deter them" ADEPT's "never say die" medical team in Kashmir update 16 Feb 2006

The ADEPT medical team treated a total of 8075 patients in Phase 1 of operations in quake hit Kashmir, until the onset of unprecedented excessive rain and intermittent snowfall since 29 Nov 2005. Of these 45% were men, 30% women and 25% children.
The team resumed operations on 16 January 2006 after a break of six weeks. They drive as far as possible on the snowbound road, sometime having to push the vehicle through difficult snow drifts, and then climb through the snow to the quake affected villages.

On instructions from the Commissioner for Kashmir, a new set of villages were taken up for operations. These include:

Bandi, Machikaran, Lagama, Gundi, Brijala, Sarai, Jabda, Kamalkote, Noorkhana, Kinari, Median, Gowalan, Sangrian, Sultandaki, Sukhdar, Salamabad, Kadniyar, and Rohama.

The most common conditions being treated are severe respiratory infections, fevers, and frostbite. Operating out of Baramulla, the doctors treat patients, identify a villager with enough skills who can serve as a community health attendant, stock enough medicines with him to last till they revisit the village, and then move on. Special attention is given to children, the elderly, and women. Community health attendants are trained to identify common conditions and manage them till the doctors next visit the village.

More than five thousand and five hundred patients (5,626) have been treated between 16 January and 15 February 2006 covering a population of forty thousand (39,800). Of these 30% are men, 33.5% women and 36.5% children.

A detailed breakup is given below:

Village
Male
Fem
Child
Tot
Pop
BANDI
120
46
28
194
1,600
LAGANA
196
32
24
252
1,550
MACHIKARAN
42
142
270
454
1,600
GUNDI / KAMALKOTE
36
24
52
112
2,000
BRIJALA / KAMALKOTE
101
98
91
290
300
BANDI / KAMALKOTE/URI
149
102
98
349
900
KHADNYAR / BARAMULLA
72
196
88
356
10,000
LADU/LADOORA/ROAMA
122
136
66
324
550
NOORKHAU/URI
96
144
112
352
3,000
KINARI / KAMALKOTE
26
46
43
115
200
MAIDIAN / KAMALKOTE/URI
32
64
84
180
600
GOWALAN/URI
132
144
136
412
2,000
SANGREAN / GOWOLAN
92
66
72
230
400
SULTAN DAKI / KAMALKOTE
58
132
206
396
3,000
SUKHDR / URI
32
56
118
206
350
SALAMABAD/URI
54
72
24
150
4,000
JABRAKAMALKOTE
32
48
36
116
250
SARAI / KAMALKOTE
38
64
102
204
500
CHOLANMEHURA
64
58
78
200
800
KAISAN / URI
34
32
40
106
200
ZAMBOR PATTAN / URI
20
64
184
268
2,000
DANISYDEEN
132
116
112
360
4,000
Total
1,680
1,882
2,064
5,626
39,800

The rising carpet of the first snows that drifted over the quake-hit villages since 29 Nov 2005 resulted in bringing Himalayan trek of the doctors to treat patients in affected villages to a halt. St. Joseph's hospital was snowbound and the evaluation team had to find an alternate method of reaching medical care to the snow bound villages.

During this period reports of worsening of respiratory infections combined with health hazards due to exposure to snow and cold were received. After exploring various options it was decided to reform the medical team with local doctors supported by health workers and porter/health attendants who are adapted to local winter conditions and skilled enough to climb through the snow to the affected villages.