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Situation in many areas of the Malakand, Swat, Dir, Bajaur and Buner has become devastated due to the current armed conflict. Hundreds and thousands of innocent civilians (including women and children) have been killed and more than a million have become homeless due to the continuous unrest & uncertainty in the area. There is paucity of funds and facilities provided to these Internally Displaced Persons. PIMA is putting up its best efforts to extend all possible help in these hard times “YOU”, who are our eyes, ears and tongue can listen to the cry and feel the agony of these people. We remember the efforts and concerns that you showed during the natural disasters like the 2005 earthquake of Kashmir & Hazara, 2008 earthquake of Baluchistan, Famine in Sindh and Floods in NWFP.

These were all Natural disasters but this time, we are facing the man made disaster, perhaps one of its kinds in the history of our country. Again, there is a flood, but not of water. It is the flood of people. The people, who like us owned property, were wealthy but were compelled to leave their places in only two clothes on their body. They are men women, elderly and children, living in various camps scattered from Peshawar to Swabi. The people who used to pay Zakat are now themselves deserving the same. They are looking towards you in this hour of need.

This misery, agony and pain is not only affecting the people of Swat, Buner, Dir and Bajaur, but it’s the agony and pain of the whole of Pakistan. This is the time to condole, support and encourage them to fight this calamity. Let’s not only protect their bodies but also their souls and prove to them that we are ONE in accordance with the saying of the Holy prophet (SAW), which says, “All Muslims are like a body. If one of its parts has pain, the whole of it feels”
Today, doctors from the whole of PIMA Pakistan are standing with us shoulder to shoulder and hand in hand. PIMA has immediately responded to the situation and has set Medical relief camps in different areas. The PIMA ambulance service is also on road to cater the needs of the patients who are still walking to their camps.

MEDICAL RELIEF CAMPS

The details of different Medical relief Camps is as follows:

    Releif Centers (Already Running):

    1. Outside Katland where 500 to 600 patients are being treated daily
    2. Mardan road Charsadda. Soon an MCH center with a qualified lady doctor and LHV will be established.
    3. PIMA clinic at Mardan road Swabi. It is a centre to cater the needs of different Releif clinics in the Swabi district.
    4. PIMA Releif camp, Batakra road Topi
    5. PIMA Releif camp, Bakar.
    6. PIMA clinic, Malakand road, Mardan. It also caters for all other Relief clinics in the district Mardan
    7. PIMA Disaster Management Center Nawagai, District Buner.

    Relief Centers (Proposed):

    1. Jalala,
    2. Palo Dheri,
    3. Rustam,
    4. Aur Dheri and
    5. Zardad.

We have also established a proper referral system. The referred patients are shifted to the attached teaching hospitals of Peshawar Medical College (Kuwait Teaching & Mercy Teaching hospitals). Focal persons in these tertiary care hospital have been identified, who will guide and help the patients. The treatment expenses of all such patients are met with by the PIMA.

We are looking forward to YOU and the doctors near you. Step forward and facilitate us meet our goal, which is of course your goal as well. Help PIMA in the relief activities voluntarily or through Donations.

Deposit your Donations at:

PIMA Relief NWFP
A/C No: 2661-3,
Muslim Commercial Bank, GT Road branch,
Peshawar (Code: 0639)

OR

PIMA Relief Islamabad
A/C No: 1306-9
Muslim Commercial Bank, Jinnah Super branch,
Islamabad (Code: 1160)



FMC’s (Field Medical Centers)

Name of FMC: Katlang
Incharge: Dr, Fazal Azeem
Contact: 0333-9704913
Distance from PRIME: 70 – 75 Km
Distance in Hours: 02 ½ Hrs
Security Status: Safe
Set Up: 03 Rooms
Services: OPD, Small lab, Detention, Govt Ambulance
Name of FMC: Jalalah (Malakand)
Incharge: Dawa Khan / Dr. Fazle Maula
Contact: 0344-9603242
Distance from PRIME: 65 – 70 Km
Distance in Hours: 02 Hrs
Security Status: Safe
Set Up: 03 – 04 Rooms
Services: OPD Ambulance
Name of FMC: Bakar
Incharge: Dr. Khateer
Contact:
Distance from PRIME: 95 Km
Distance in Hours: 03 Hrs.
Security Status: Safe
Set Up: Dispensary
Services: OPD
Name of FMC: Topi
Incharge: Dr. Behr ul Amin & Dr. Abdul Bais
Contact: 0333-3572257
Distance from PRIME: 90 Km
Distance in Hours: 03 ½ Hrs.
Security Status: Safe
Set Up: Free Available clinic
Services: OPD
Name of FMC: Mardan
Incharge: Sheikh Yasin
Contact: 0346-9014284
Distance from PRIME: 60 Km
Distance in Hours: 02 Hrs.
Security Status: Safe
Set Up: Tent setup in Camp
Services: OPD Ambulance
Name of FMC: Charsadda (Mardan Road)
Incharge: Dr. Zulfiqar Durrani
Contact: 0345-936242
Distance from PRIME: 25 Km
Distance in Hours: 01 Hour
Security Status: Safe
Set Up: 05 – 06 Rooms (rental 6000/ )
Services: OPD, Detention in Place MCH start soon
Name of FMC: Nawagai (Bunner)
Incharge:
Contact:
Distance from PRIME: 120 Km
Distance in Hours: 04 Hrs.
Security Status: Not Safe
Set Up: Dispensary
Services: OPD
Name of FMC: Pallu Deri Rustam (Mardan)
Incharge: Dr. Zulfiqar Durrani
Contact: 0345-936242
Distance from PRIME: 100 Km
Distance in Hours: 03 ½ Hrs
Security Status: Safe
Set Up: Dispensary
Services: OPD


PIMA RELIEF REPORT

OPD Disease Summary - All Camps 
May to Sep 2009
  Mrdn Bakar Chrsda
Col Sher Haripur Jalalah Swat Ktlng Mnshra Nwgai
(Buner)		 Palu
Dheri
Rustm		 Skhkt Shkh
Mltn		 Shkh
Ysn		 Topi Wah Total Total %
Acute Diarrhoea 200 1996 892 578 1715 1449 592 3148 149 377 152 1176 412 509 255 142 13742 11%
Suspected Cholera 0 408 0 0 0 1 0 0 0 2 0 0 0 0 0 0 411 0%
Bloody Diarrhoea 17 432 26 146 0 130 58 0 0 21 40 119 36 50 0 0 1075 1%
Acute Flacid Paralysis 33 20 0 0 0 8 0 1 0 0 0 3 0 0 0 0 65 0%
Malaria 250 240 81 19 980 152 96 2648 166 10 91 132 20 73 167 378 5503 5%
Acute Upper
Respiraory Infection		 0 1293 2392 977 2695 1834 769 3921 43 180 110 1447 165 631 483 250 17190 14%
Acute Lower
Respiraory Infection		 0 590 1 53 1470 7 40 2171 82 2 82 0 0 0 113 98 4709 4%
Measles 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0%
Meningitis 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0%
Acute Jaundice Syndrome 0 0 0 0 0 0 0 165 17 4 5 0 0 0 8 0 199 0%
Neonatal Tetanus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0%
Suspected Hemorrhagic Fever 0 0 0 14 0 1 0 0 0 0 0 0 0 0 0 0 15 0%
Unexplained Fever >38.5 50 24 39 297 3675 363 154 6036 169 366 155 261 32 118 387 252 12378 10%
Scabies 34 1048 161 517 1470 388 129 2048 120 258 133 206 26 89 226 155 7008 6%
PTSD & other Stress Reactions 0 0 0 135 0 0 34 2 0 0 30 0 0 0 0 0 201 0%
Depression 0 0 0 0 0 0 9 2 0 0 0 0 0 0 0 0 11 0%
Neurotic Disorders 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0%
Psychosis 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 6 0%
Seizure Disorders (Epilepsy) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0%
Others 1084 3529 4739 0 12495 7527 3495 13158 534 1737 305 5605 398 2591 1052 1302 59551 49%
Pregnancy related deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0%
Neonatal Deaths 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0%
                                     
Total 1668 9583 8332 2736 24500 11860 5376 33300 1280 2963 1103 8949 1089 4061 2691 2577 122068 100%
Total % 1% 8% 7% 2% 20% 10% 4% 27% 1% 2% 1% 7% 1% 3% 2% 2%   100%

Daemography Summary -- All Camps Details - May, June, July & August 2009 May - Aug 2009
Camps Male Female Males Females Children Total
<1 1-4 5-14 15-44 45+ <1 1-4 5-14 15-44 45+ All % All % All % All %
Bakar PHC 172 1039 1468 1373 457 110 607 1207 2385 765 1830 19% 3150 33% 4603 48% 9583 11%
Charsadda PHC 138 540 992 1450 488 143 407 823 1739 676 1938 26% 2415 33% 3043 41% 7396 8%
Colonal Sher Khan 42 317 373 403 110 36 232 271 728 224 513 19% 952 35% 1271 46% 2736 3%
Mardan 17 150 234 267 115 17 117 200 434 117 382 23% 551 33% 735 44% 1668 2%
Swat 104 426 670 581 477 42 275 509 1368 509 1058 21% 1877 38% 2026 41% 4961 5%
Jalalah 158 1006 1222 2308 882 136 565 912 2204 619 3190 32% 2823 28% 3999 40% 10012 11%
Buner 20 122 128 307 89 9 68 92 222 58 396 36% 280 25% 439 39% 1115 1%
Katlang 578 1711 4023 6814 2342 506 2350 4224 7462 1823 9156 29% 9285 29% 13392 42% 31833 35%
Mansehra 26 98 158 280 98 21 82 145 283 89 378 30% 372 29% 530 41% 1280 1%
Palu Dheri Rustam 29 84 148 226 73 17 73 133 234 86 299 27% 320 29% 484 44% 1103 1%
Sakhakot 179 690 1125 1924 671 160 550 1029 2020 601 2595 29% 2621 29% 3733 42% 8949 10%
Sheikh Shahzad 34 47 148 362 79 19 52 104 201 43 441 40% 244 22% 404 37% 1089 1%
Sheikh Yasin 57 264 520 804 164 104 249 510 1025 364 968 24% 1389 34% 1704 42% 4061 4%
Topi PHC 82 197 222 709 211 61 158 278 608 165 920 34% 773 29% 998 37% 2691 3%
Wah PHC 52 180 309 567 180 52 180 309 567 181 747 29% 748 29% 1082 42% 2577 3%
                                     
Total 1688 6871 11740 18375 6436 1433 5965 10746 21480 6320 24811   27800   38443   91054 100%
Total% 2% 8% 13% 20% 7% 2% 7% 12% 24% 7% 27%   31%   42%     100%


Daemography Summary - All Camps Details - August 2009
Camps Male Female Males Females Children Total
<1 1-4 5-14 15-44 45+ <1 1-4 5-14 15-44 45+ All % All % All % All %
Bakar PHC 15 149 243 137 37 12 92 242 368 118 174 12% 486 34% 753 53% 1413 7%
Charsadda PHC 30 160 278 341 110 40 155 252 543 178 451 22% 721 35% 915 44% 2087 11%
Swat 104 426 670 581 477 42 275 509 1405 544 1058 21% 1949 39% 2026 40% 5033 26%
Jalalah 83 387 523 770 252 66 359 440 1144 240 1022 24% 1384 32% 1858 44% 4264 22%
Katlang 13 373 713 708 227 15 264 589 1039 297 935 22% 1336 32% 1967 46% 4238 21%
Mansehra 19 112 122 276 83 7 64 89 199 54 359 35% 253 25% 413 40% 1025 5%
Mardan 17 150 234 267 115 17 117 200 434 117 382 23% 551 33% 735 44% 1668 8%
Sheikh Shahzad 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Sheikh Yasin 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Topi PHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Wah PHC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 281 1757 2783 3080 1301 199 1326 2321 5132 1548 4381   6680   8667   19728 100%
Total% 1% 9% 14% 16% 7% 1% 7% 12% 26% 8% 22%   34%   44%     100%
Daemography Summary - All Camps Details - May, June & July
Camps Male Female Males
 Females
 Children
 Total
<1 1-4 5-14 15-44 45+ <1 1-4 5-14 15-44 45+ All % All % All % All %
Bakar PHC 157 890 1225 1236 420 98 515 965 2017 647 1656 20% 2664 33% 3850 47% 8170 12%
Charsadda PHC 106 375 702 1099 373 101 248 562 1181 493 1472 28% 1674 32% 2094 40% 5240 7%
Colonal Sher Khan 42 317 373 403 110 36 232 271 728 224 513 19% 952 35% 1271 46% 2736 4%
Jalalah 71 605 674 1510 624 66 293 455 998 366 2134 38% 1364 24% 2164 38% 5662 8%
Katlang 547 1272 3206 6015 2080 461 2040 3549 6250 1464 8095 30% 7714 29% 11075 41% 26884 38%
Mansehra 26 98 158 280 98 21 82 145 283 89 378 30% 372 29% 530 41% 1280 2%
Palu Dheri Rustam 29 84 148 226 73 17 73 133 234 86 299 27% 320 29% 484 44% 1103 2%
Sakhakot 179 690 1125 1924 671 160 550 1029 2020 601 2595 29% 2621 29% 3733 42% 8949 13%
Sheikh Shahzad 34 47 148 362 79 19 52 104 201 43 441 40% 244 22% 404 37% 1089 2%
Sheikh Yasin 57 264 520 804 164 104 249 510 1025 364 968 24% 1389 34% 1704 42% 4061 6%
Topi PHC 82 197 222 709 211 61 158 278 608 165 920 34% 773 29% 998 37% 2691 4%
Wah PHC 52 180 309 567 180 52 180 309 567 181 747 29% 748 29% 1082 42% 2577 4%
                                     
Total 1382 5019 8810 15135 5083 1196 4672 8310 16112 4723 20218   20835   29389   70442 100%
Total% 2% 7% 13% 21% 7% 2% 7% 12% 23% 7% 29%   30%   42%     100%

Drug Formulary:

All the Field Medical Centers (FMC) of PIMA in camps will have the following set of medicines. If any other medicine is required by some consultant, it will be provided on requested indent mentioning the details of the medicines & quantity required.

Antibiotics
1) Augmentin (Amoxillin, Clavulonate) 02) Ampiclox 250mg, 500mg 03) Clarithromycin 250mg, 500mg
04) Metronidazol 05) Ciprofloxacin 250mg, 500mg 06) Negram
NSAID
07) Aspirin 08) Paracetamol 09) Ibuprofen 400mg
10) Diclofenac
Antihistamine
11) Chloropheniramin Meleate 12) Citrizine
Steroids
13) Dexamethason 14) Deltacortil
Anti Emetic
15) Gravinate
Anti Diarrheal
16) Diiodohydroxy quinoline 17) Kaolin Pectin
Psychotropic
18) Benzodiazepine 19) Tryptanol
Anti Hypertension
20) Beta blocker Atenolol 21) Ace Inhibitor captopril 22) Co channel blocker Sofvasc
23) Diuretic (Moduretic)
Anti Diabetic
24) Glucophage
Antacid
25) Sodamint 26) Gelucil 27) Renitidine
Anti Spasmodic
28) Hyoscine 29) Piptal (Drops)
Emergency Drugs
30) ORS 31) Angisid 32) Inj: Solu Cortef 250mg
33) 25% Dextrose water 34) Inj: Avil 35) Ringers Lactate
36) 05 % Dextrose water 37) Dextrose / Saline 38) Xylocane
Others
NG Tube Foley Catheter 16”, 18”, 20”, 10” Urine Bag
Dressings 2”, 4” Pyodine Polyfex Skin Ointment
Gentacin drops for Eye/ Ears Disposable Gloves Crepe Bandage

PIMA Relief for IDP's - Departmental Heads

Coordination:
Dr. Muhammad Sherif		 PIMA
UNHCR
Media
Govt.
Record Keeping:
Dr. Subhan
 Volunteer Stocks
Supplies
Services
  1. Patients seen
  2. Referral Cases
  3. Tertiary Care
  4. Specialized Services
Stores:
Inventory (Dr. Abdul Samad)
 Receiving
Supplies
Stock
Finance:
Dr. Abdul Malik
 Receipt from Center
Direct Receipts
Payments Support and Evidence
Public Health:
Dr. Saeed Anwar
 Epidemic Control
Case Definition
Morbidity Pattern
Mortality Record and Audit
Volunteers:
Dr. Fazal Bari
Visiting Volunteers
Student Volunteers (PMC, IMDC)
Logistics:
Dr. Sherif
Transportation of HR to and from Field Medical Center (FMC)
Transportation of Supplies
Observers, Special Guests Accommodation and Transport

Some Pictures