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W-iM
A
REPORT
ON
MEASLES IMMUNISATION
AT
ACTIONAID/ACCORD PROJECT
GUDALUR, NILGIRIS
BY
DR. ROOPA DEVADASAN
DR. N. DEVADASAN
DECEMBER 1987
ACTIONAIDF PB 2527, 10/1 BRIDE STREET,
BANGALORE 560 025
r
_4I.I
ir
A
REPORT
ON
MEASLES IMMUNISATION
AT
ACTIONAID/ACCORD PROJECT
GUDALUR, NILGIRIS
BY
I
DR. ROOPA DEVADASAN
DR.N. DEVADASAN
DECEMBER 1987
ACTION AID, PB 2527, 10/1 BRIDE STREET,
BANGALORE 560 025.
A
FOREWORD
report
This
is
among
f irst
the
few
reports
technical
1987 .
we have received from our projects m S . India in
Both
Dr.Roopa
jobs
after
Vellore,
m
and
Dr.
graduating
1987 .
N.Devadasan
from
Their
are
Christian
enthusiasm,
on
their
Medical
energy
f irst
College,
and
caring
the hearts
work have aIready won them a special place m
of the tribals of Gudalur taluk where they work.
And in our hearts.
This
to
is
Dr.
thanks
an appropriate place to record a word of
Mona Saxena of CHIRAC tor helping us to persuade
Roopa and Deva to join us.
STAN THEKAEKARA
MARI THEKAEKARA
SALIL SHETTY
AJIT MANI
11/2/1988
Bangalore
I
1.
INTRODUCTION
is
(anj ampanni/podipanni/chinnamma)
Measles
benign
m
disease
is
it
child
under-nourished
well-nourished
the
m
but
child,
veritable
a
relatively
a
killer
the
is
and
a
leading cause of death in the developing countries. Rightly
"paediatric priority"
cons idered a
it was
by J.T.Grayston
way back m 1972 but unfortunately its potential as a kil-
ler was recognised rather belatedly by the medical profesof
the
it
was
only
In
since
1964
of
an effect ive
late
seven!ies
ex istence
spite
sion.
m
the.
vaccine.
that
WHO
included it m among the diseases against which all children
should be immunised.
Meas les
is
It
secret ions.
ora 1
a nd
caused by a RNA virus which is spread via nasal
is
by fever
characterised
for
4-
5 days followed by the appearance of a maculo-popular rash
which lasts for 5-7 days. The maximum period of infectivity
is
5
days
before
upto
and
It
after the rash.
days
5
is
present in epidemic and endemic forms throughout the world;
2
usually occur once every
epidemics
The susceptible
an accumulation of susceptible population.
is
epidemics
e ve n
6
3-5
the
us ually
population
months
o Id
year
age
children
owing to
3 years
or
group,
have
though
m
reported
been
to have the disease.
Measles
to
per se
is
bronchopneumonia,
tuberculos is
countries
t he
diarrhoea,
secondary
mortality
from
(Krugman).
is
meas les
mortality
na tions
The
risk of death is due
complications
like.
re. crude s ce nee of p uImo ny
and
(complication rate
developing
reported
other
and
maInutrit ion
the
seIdom fatal.
10% ) .
is
only
ra t es
malnourished
the developed
In
0.002%
of
child
5%
but
have
may
m
been
have
a
mortality 400 times higher than his well-nourished counter-
part .
It
that
we
is
m t he light of all the above -mentioned facts
gave priority
to the containing of this epidemic.
-2-
2.
MEASLES EPIDEMIC - ERUMADU (1987)
The first news of this epidemic was brought in by our animator K.G.Bharathan on 16.10.87.
He reported that children
m Nedungode and Kappala tribal villages had
come out m
a rash following four to five days of
of fever.
fever. Due to logis
tic problems we could go there only on
on 19.10.87. In both
the villages we saw children in various stages of measles,
While some were still m the rhinitis/fever/koplik ’s
spots
stage others had florid rash, and yet others
showed the
typical brawny desquamation which follows the rash.
On enquiry we managed to trace
the epidemic-‘to its source.
A family from Nedungode had gone over to Kerala
for Onam
(5.9.87) and returned by 12.9.87. On questioning, the mother
said the children in that Kerala village had measles
while
they were there. On their return her child.
Satish developed high grade fever and soon the
full fledged symptoms
of measles . A week later the neighbours’ child.
Chandran,
developed the same symptoms. Being a school
going boy,
he spread the disease to his classmates and in this
manner
the disease entered the neighbouring tribal
village of
Kappala
through Suresh. By the time we appeared on the
scene, 9 children had been affected
at Kappala, 10 at Nedungode and 4 at Muttilmoola ai nearby hamlet of the Kattunayacken tribe. This spread occured through'1' the
Balwadi
(See Appendix I ) . The surrounding villages
had not been
hit by the epidemic yet, but it was just
a matter of time,
for there were active foci of the disease and
s uscept ible
carriers
a n ideal combination for the spread of an epide
mic . In this case the s uscept ible
population was not the
usua 1 0-5 years a ge group ( a measles
epidemic comes once
m three years ) but 0-12 years (as
the last epidemic m
the. region was 12 years ago). It was
t he older children
who were spreading the disease to the
neighbouring villages
through their school contact.
. .3
-3-
In. Summary: -
The measles epidemic was present in 3 villages.
(i)
There
was
danger of spill-over due to the trans
a
mission via the older Balwadi and school children.
None of the: susceptible population had been immumsed by the local Government health worker.
(iii )
3.
IMMUNIZATION
The options open to us were :
all
the
under-fives
however
this
would
Immunising
(i)
belt ;
the surrounding
m
invoIve
area,
large
a
as
children from distant villages attend the GTR school.
transmitters of
Immunis ing
the
susceptible
sease
i. e .
the
u n d e. r -1 we 1 v e s
as
the
under-fives
we 11
as
attending
the
the
di-
school
m the immediate neigh-
bourhood.
As the latter seemed logistically more feasible.
we opted .
for this course of action.
The nex t problem wa s obtaining the vaccine. The local medical shops did not have the requisite amount and whe n we
approached the local PHC we were requested to come back
a week later. It was at this moment of need that the Rotary
Club, Gudalur proved most helpful . Through them we were
able
obtain
to
300 vaccines
from Rotary Club, Ooty on the
22nd of October.
The.
As
f irs t
the
with
vaccination was
GTR school was
the
Kappala,
round of
under-f ives
Kappala
on
24th October.
given a holiday that day we started
of the surrounding tribal villages,
Colony,
morning and Oommoola,
done
Nedungode
were
finished
m
in
the
Kothamangalam and Theyakuni by eve n-
. .4
-4-
ing.
In all the villages
tion. with one exception.
parents
had
gone
for
we met with excellent
co-opera-
In Oonimoola Paniya Colony, many
work
and
the
people
available were
unwilling to take responsibility for immunising the child
ren. The children meanwhile took to their heels when they
realised what we had come for.
The
second round of vaccination was done on the 28th when
(Government Tribal Residential) School
we finished the GTR
and
the
remaining
villages
Manalvayal
Chomara,
Colony
and Edapara (Ref. Appendix 2)
AGE-SEX DISTRIBUTION OF CHILDREN WHO HAD MEASLES
Age in months
Ma les
Females
Total
0
36
4
4
8
37
60
4
4
8
61
120
4
2
6
120
1
0
1
Total No. of Children Who had Measles
23
Total No. of Children who had complications
3
Bronchopneumonia
2
Malnutrition
1
% age of Children with complications $ - 13 %
Total No. of under-fives in villages covered
81
Total under-five population immunized
71
Immunization coverage
87.65%
Total No. of children immunized
16 1
No . of doses wasted
37
. .5
-5-
DISCUSSION
It must be understood that the population that we are talking of m the above-mentioned data refers specifically
to the tribal population who from about 40% of the population m the area . The reasons why we limited outselves
to the tribals is mainly because the epidemic appeared
to
located
be
specifically
non-tribal
the
negligible contact
there was
as
seemed remote
among
children
between the
non-tribal children (the tribal children
rarely went out of their respective villages and the school
children went to special tribal schools and Balwadis where
tribal
the
and
the non-tribals did not come).
The striking fact that appears from the above data is that
7 out of 23 children (30%) were in the older age group.
This
is
a
high figure and also accounts for the mode
very
of spread of the disease.
The
male/female
is
ratio
more
less
or
equal,
13/10,
and
is consistent with what is expected.
The
of
percentage
higher
the
than
complications
average
of cases IS so small,
s ignif icance.
of
Due
bronchopneumonia
to
of
10%.
is
13%
and
a
little
But
as
the total
number
is
we cannot comment on its statistical
appropriate intervention, the cases
and malnutrition were treated immedia-
tely and there was no mortality.
The
WHO recommends
cation
of
measles
a
of more than 90% for eradicoverage fell shortl by 2.5%.
coverage
and
our
This was mainly due to the non-cooperation of the Paniya
families. It will require much more intensive effort on
our part to obtain their co-operation.
. .6
-6It
was
to
disheartening
Health
Multipurpose
note
Worker
that
knowledge
had
the
though
of
Government
the
measles
epidemic, nothing constructive had been done.
The epidemic
curve
(Refer Appendix
III) shows the typical
pattern for an acute highly infections communicable disease;
with a steady increase in the number of cases over a period
of time. We intervened before the; curve peaked and during
the surveillance period
(of 2 incubation periodsi.e.20
days)
there
either
m
has
the
no
been
villages
villages.
surrounding
So
further report
which
we
we
had
can
of
new cases,
any
immunised or
conclude
safely
m
the
that
the
epidemic has been contained.
5.
LIMITATIONS :
The
cases
of
meas les
could
not
be
serologically
confirmed and had to be based on clinical assessment.
ii)
The exact susceptible population could not be computed as the children over 5 years also were suscepti-
ble .
For
the
sake of
immunisation we immunised all
the children under twelve.
iii )
Our
surveillance was
to
inform
o ur
passive
As our animators visit
larly
we
if
animators
assumed
have
as
we told the people
new cases
a ny
occured.
the concerned villages regu
that
the
surveillance
was
fairly reliable.
iv)
The
number
of
doses
of
measles
vaccine
wasted
was
very high as
is expected in a field condition using
a
vial
multi - dose
which
becomes
unstable
60
mts
after reconstitution.
6.
COMMENTS
The purpose of the ent ire exercise was to contain the epi-
. .7
-7-
demic thus preventing the disease and its attendant complications m the susceptible population. Many may question
shortage of
the strategy adopted but keeping in view the
time
and
the
vast
to
distances
individual tribal villages,
covered
be
it was
to
reach
the
decided to prevent the
those who could transmit the disease
rather than immunising the "at risk" population. Only time
Kurumba
will tell whether we have been successful. In all
villages there was enough awareness and motivation for
thed mothers to seek immunisation. At Oonimoola, some moth
spread by immunising
had
ers
e ve n
to
the
to
gd
fields
catch their fleeing
to
the Pamchildren• The situation was just the opposite in
ya villages where the apparent indiffe-rence- resulted in
10 children not getting the immunisation. More health education will be necessary among them before they are motivated
enough.
Our animators,
luable
for
Bharathan and Subramani proved inva
their
through
contacts
our
introduction
into
each of the villages was easy.
7.
ACKNOWLEDGEMENTS
record
This
will
not
be
complete
without
thanking
the
following people:
Philip of Rotary Club - Gudalur
1.
Mr.
2.
Dr. Ramakrishnan of Rotary Club.
3.
Dr. Chandrasekhar of Pandalur P.B.C.
4.
Mr.
Mohan
f or
driving the Land Rover to the most inac-
c e s s i ble places .
5.
Mr.
Bharadan.
6 .
Mr .
K.T .Subramani.
u
Reference:.
Park & Park
( 1) Text book of preventive & Social Medicine ( 2)
Br it is h Medical Journal July
1987.
APPENDIX - I
CHILDREN WHO HAD MEASLES
No.
Name
Age
Sex
Fathers Name
Mother’s Name
Vi 1 lage
1.
Sathi sh
21
M
Krishnan
Thangamani
Nedungode
2.
Chandran
6
M
Balan
Sikku
n
3.
Crnana
10
F
Balan
Sikku
H
4.
Shobana
4
F
w
n
5.
Rathish
5
M
6.
Sa t hi ya
4
F
II
If
7.
Sharmi la
8/12
F
n
w
8.
Vinod
10/12
M
Govindan
Madhavi
9.
Suni 1
2
M
Balan
Sikku
10.
Suresh
10
M
Kunj ukannan
Pancha1i
11.
Bindu
7
F
Kumba 1 i
Thanga
12.
Raj an
6
M
Raman
Amman i
13.
Sandhya
1
F
Krishnan
Thangamani
14.
Surendran
13
M
Kunj uraman
Valli
Kappa la
15.
Subedara
4
F
I!
II
16.
Rathi sh
4
M
Koravan
Madhavi
n
17.
Ani sh
2
M
Ambadi
Sumi't ra
n
18.
Murali
4
M
Nambiar
Janaki
n
19.
Santhosh
4
M
Krishnan
Sharada
n
20.
Sandhya
2
F
n
21 .
Bindu
1
F
Raman
Airman i
22.
Gopi
3
M
Ramakri shnan
Shanta
n
23.
Lakshmi
4
F
Vaili than
Thangamani
w
Kariyan
n
Noom
w
n
Kappa la
n
Mutt iImoola
Nedungode
n
Mut t iImoola
LAST YEAR
24.
Jayan
4
M
Achuthan
Ruckmani
25.
Raj endrakumar
4
M
Raman
Meenakshi
Theyyakunni
APPENDIX - H
CHILDREN WHO RECEIVED MEASLES VACCINE
No.
Name
Age
Sex
Father's Name
Mother's Name
Vi 1lage
1.
Siddharthan
2
M
Sekaran
Thanga
Kappala
2.
Sundar
4
M
Sekaran
Devi
3.
Preetha
3
F
4.
Sa j it ha
4
F
Kumaran
S i r i da
5.
Ma no j
4
M
Sr idharan
Paru
6.
Lekha
3
F
Achu
• Nani
7.
S i ndhu
10
F
Damodaran
Madhavi
8.
Karunakaran
9
M
Nambiar
Janaki
9.
Rekha
9
F
Achuthan
Nani
10.
Vinu
10
M
Nambiar
Janaki
11.
Raj esh
2
M
Kariyan
Noom
12.
Sathyaraj
2
M
Sekharan
Madhavi
13.
Suni 1
1
M
Sankaran
Koyima
14.
Vini ta
2
F
n
n
w
II
n
»»
Nedungode
KAPPALA COLONY
15.
Baby
1
F
Vai li
Leela
16.
Vi j ayan
6/12
M
Chadayan
Keera
17.
Leels’s Baby
6/12
M
Valli
Leela
18.
Karnan
5
M
Kongula
Ona t h i
19.
Badi chi
1
F
Borrman
Devi
K.Colony
H
n
Kothamangalam
V
20.
Ketan
3
M
21 .
Borrman
2
M
n
w
It
Vi 1 lage
No.
Name
Age
Sex
Father's Name
Mother’s Name
Badichi
4
F
Maran
Mari
w
22.
Sreja
3
F
Velayudhan
Janaki
n
23.
24.
S i ndhu
3
F
25.
Latha
4
F
26.
Janagi
2
F
27.
Achuthan
5
M
Chippan
Chakki
28.
Naranan
3
M
Chippan
Chakki
29.
Sureshbabu
4
M
Balan
Ka1yani
30.
Raju
3
M
Soman
Arrmafhi
31.
Babu
2
M
Sangu
Thangan
32.
Bi ndu
5
F
h
33.
Sari tha
2
F
34.
Ramani
4
F
35.
Bini ta
4
F
36.
Sowmini
2
F
37.
Saj i tha
1
F
Thangappan
Savi thri
38.
Sumi tra
21
F
Narayana
Shanta
39.
Ra j anni
31
F
Thambi
Thangamani
40.
Sumi tra
4
F
Payyan
Karppai
41 .
Sibu
3
M
Kokkilan
Karthyani
42 .
Sheeb
5
F
43.
Sas i
4
M
tyfadhavan
Kamalakhi
44.
Esodha
6
F
Ve lukkan
Sarada
45 .
Pushpa
3
F
Narayanan
Chi vangi
46.
Di nesh
5
M
47.
Raj ani
3
F
H
E1 umba n
Chandu
Sanna
n
w
n
»»
•»
Theyyakunni
Madevi
it
I!
Krishnan
it
Unni
n
n
w
Theyyakunni
fl
Theyyakunni
w
If
n
G.T.R.
u
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n
w
Raghavan
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326, V Main, I block
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Oonomoola
n
No.
Name
Ag.e
Sex
48.
Rathish
5
M
•t
49.
Sari tha
41
F
Bot tan
50.
Bandhya
1
F
51.
Suni tha
5
F
Go pa lan
Rukmi ni
52.
Sabi tha
21
F
Balia
Thanka
tf
53.
Sawemeni
4
F
p
n
n
54.
Pa t hyva
11
F
Madhavan
Qnana
55.
Prakash
5
M
Thondan
Ka 1 1 yani
56.
Sukanthy
5
F
Achuthan
'Devaki
57.
George
5
M
Kellu
Aemini
w
58.
Jeyan
5
M
H
n
H
59
Peruma 1
5
M
Kumaran
Leela
60.
Baby
11
M
kavelan
n
61.
Baby
3
F
Ravi
62.
Vasantha
4
F
Ravi
63.
Vi j ayan
4
M
Elumban
64.
Susheela
3
F
65 .
Ruckmani
3
F
Vai 1i than
66.
Mani
4
M
Ke 1ukka
tt
67.
Shippi
4
F
Kunj an
If
68.
Kai 1ingari
3
F
E1 umba n
H
69.
Mani
4
F
Cha thn
ff
70.
Sredevi
3
F
Cha thu
tt
71.
Thanka
9 months
F
Narayanan
Ka 1 ya n i
72.
Chandran
6 months
M
Baskaran
Leela
73.
Gopa1kr i shnan
6
M
Ma 11yappan
Sara swa thy
74.
Manoj u
6
M
Kappchani
Leela
Father’s Name
Mother’s Name
Village
n
Kama la
H
H
w
Mana Ivaya1 Colony
w
n
Nagayani
If
w
u
rt
Cherangode
Ma-pel a
Vi 1lage
No.
Name
Age
Sex
Father's Name
Mother's Name
75.
Paramasivan
6
M
Sayandy
Ranthasy
76.
Ma du
6
M
Baskaran
Janaki
77.
Venode
6
M
Sreetharan
Paru
Kappa la
78.
Rajan
6
M
Raman
Ami ni
Moodelmala
79.
Manikandan
6
M
NagaraJan
Easwary
80.
Palani
6
M
Karian
Nuni
81.
Vasat j e
6
M
Kr i shnan
Mala rwe 1y
82.
Santhan
6
M
Thampy
•Janaki
Ragaswamy
7
M
Govintharaj
Soil yam
it
83.
84.
Maran
7
M
Thondan
Karuppy
Somara
85.
Chikunan
8
M
Chadyan
Ka1yani
Kudade
86.
Saravanan
7
M
Armugan
Sanda
Kappa la
87.
Veluthan
7
M
Chikunan
Seenama
Kappa la
88.
Karalan
7
M
Verku
Kanndiche
Somara
89.
Nani
7
M
Kannaran
Karuppy
90 .
Sevan
7
M
Sindan
Kera
91.
Vasu
7
M
Kurukkan
Se 1 ve
92.
Kovalan
7
M
Chikunan
Sennarrma
Kudade
93.
La 1ytha
6
F
Kanj ekan
Vellura
Nedungode
94.
Pereya
6
F
Sekaran
Devu
Kappa la
95.
Suj atha
6
F
Kunj uraman
Va 1 1 y
Kappa la
Mavetha
6
F
Sertharan
Paru
n
96.
97.
Visa 1akshi
6
F
Ne1yappan
Saraswa thy
98.
Raj esh
6
M
w
Narivalappu
Kappa la
Nedungode
Kappa la
w
Ka ppa1 a
tf
Gudalur
u
Kariyan
Nuni
Nedungode
No.
Name
Age
Sex
Father’s Name
Mother's Name
Vi 1lage
99.
Nera
6
F
Velukkan
Podave
Kappa la
100.
Deva
7
F
Kumpany
Tanka
101.
Giri j a
6
F
Koravan
Mathavi
102.
Manj ula
6
F
Ar mu gam
Santa
103.
Latha
6
F
Kanj ukkan
Vellura
104.
Venkadaranan
7
M
Kuppuswamy
Leela
w
105.
Lisa
6
F
Lorense
Mari
Kappa la
106.
Nal lu
7
F
E1 umba n
Amnu
w
107.
Thankamani
6
F
Karuppan
Leela
Nedungode
108:
Benu
7
F
Nanj an
Leela
Uluvade
109.
Govalan
6
M
it
n
n
110.
Santa
7
F
Lee 1 a
Kappa la
111.
Seetha
6
F
n
Uluyade
112.
Rathi sh
5
M
Koravan
Mathavi
113.
Raj an
11
F
Paytha1
Nani
H
114.
Sakukala
11
F
Koravan
Mathavi
n
115.
Rathi
12
F
Sukura
Devaki
rt
116.
Aj eetha
11
F
Nanu
Devaki
Kailichal
117.
Leela
11
F
Sukura
Devaki
Kappa la
118.
Kawsa 1 ya
10
F
Thampy
Janaki
Kappa 1 a
119.
Manj ula
10
F
Sekaran
Devi
120.
Jayasri
10
F
Mohan
Suseela
121 .
Suma thy
10
F
Munlake
Sole
122.
Jayalakshmi
10
F
Thangave1
Lakshmi
123.
Ana de
10
M
Thoraraj u
Nan
Karuppan
ii
Nedungode
Ma-pela•
Kappala
n
Nedungode
Ma-pela
Cherangode
Ma-pa 1 a
No.
Name
Age
Sex
Father's Name
Mother’s Name
Vi 1lage
124.
Raines h
10
M
Kumaran
Seruda
Kappa la
125.
Sasikumar
10
M
Kanj ekan
Vellura
Nedungode
126.
Ramesh
10
M
Govindan
Madhavi
127.
Janasekaran
10
M
Ramj en
Fa kampal
128.
Alankarasamy
10
M
Muniandi
Sole
129 .
Venn
8
F
Kumba11y
Thanka
Kappa la
130.
Sara la
8
F
Karian
Nune
Nedungode
131.
Lakshmi
11
F
Govindasami
Solanroa
Kappa la
132.
Ganesh
8
M
Kumaran
Sertha
n
133.
Sulakaran
8
M
Ka lu
Mena
H
134.
Raj u
8
M
Kavelan
Kavery
•f
135.
Raj kumar
8
M
Somana than
Lakshmi
Ma-pa la
136.
Sathiyan
8
M
Thampy
Janaki
Kappa la
137.
Rajan
8
M
Kanakaraj
Saroj a
Kappakunnu
138.
Jayaseelan
8
M
Mohan
Suseela
Nedungode
139.
Saj eetha
9
F
Sekaran
Madhavi
140.
Ra j ami
9
F
Kar i yan
Nani
141.
Meni
9
F
Sertharan
Paru
Kappa la
142.
Vendu
9
F
Sankaran
Devu
Medungode
143.
Kunj anadeva
9
F
Arumugam
Saraka
Kappala
144.
Sera
12
F
Pa lan
Karuppy
Deva 1 a
145.
Devakaram
9
M
Kallu
Meena
Kappa la
146.
Kandasami
9
M
Muni ande
Rama thy
147.
Murugesh
9
M
Kr i shnan
Ma lava thy
Ka ppa1 a
148.
Sathyan
11
M
Sekaran
Madhavi
Nedungode
Ma-pela
n
n
u
Ma-pe1 a
a. „
No.
149.
150.
151.
152.
153.
154.
155.
156.
157.
Name
A. - 43. .
a
AOBL
Age
Sex
Father's Name
Mother's Name
Village
11
M
Arumugham
Santha
Kappa la
11
M
Sekaran
Devaky
Kallicha1
11
M
Konson
Janu
Mo dakundu
10
M
Koravan
Ma thavi
M
Chi pran
Janu
3
F
Kannaran
Saratha
Govelan
2
M
Samy
Kampy
Meena
5
F
Komaran
Saratha
1
M
Kurukkan
Sei vy
Verukku
Kandi chy
Gunasekaran
Muralidharan
Mohankumar
Rawa na n
Shanmughan
Malu
Seven
Kappa la
Modakondu
Komara
n
Komar a
H
158.
Sa r ya n
3
M
159.
Ma 1 u
1
F
160.
Thanga
9 mts
M
Narayanan
Kalyani Manalvayal Colony
Chandran
6
M
Bhaskaran
Leela
161.
n
I!
H
MEASLES IMMUNISATION - CHILDREN WHO RECEIVED VACCINE
ON NOVEMBER 11th 1987
No.
Name
Age
Sex
Father’s Name
Mother’s Name
1.
Mahesh
10m
M
C .Ma tha
Thayarrma
2.
Alama
F
Gurmala
Balli
n
3.
Rani
2
F
Krishna
Baswi
If
4.
Bag ya
5
F
Gurmala
Balli
5.
Si vanrna
21
F
Baswa
Nagi
w
6.
Gopi
4
F
Linga
•Shan tad
a
7.
Ganga
3
F
Pappa
Kali
n
8.
Kumar
8m
M
Mara
Go pa
H
9.
Vi j aya
1
F
Krishna
Ba swi
If
10.
Kumar
2
M
Kunmari
Kut ty
n
11.
Mahadeva
5
M
Krishna
Baswi
12.
Lakshmi
4
F
Kunmari
Kut ty
H
13.
Mahadevi
1
F
Jabara
Masani
w
14.
Shiva
1
M
Ma tha
Kali
it
15.
Basavi
2
F
Jadian
Mara
16.
Gopi
4
F
Go pa
Jadama thi
Village’'
Kur umba pa 1 a yam
M
KODUMDOLA ON NOV. 6, 1987
1.
Ma ran
2.
Ma than
3.
Kodumoola
M
Ma than
Chi kkethi
4
M
Mudakethan
Odimari
If
Manbi
10
F
K.Nanj an
Chi ckmar i
II
4.
Mari
3
F
K.Kalan
Sunma thi
It
5.
Kethan
3
M
K.Ma than
Badchi
Vi 1lage
No.
Name
Age
Sex
Father's Name
Mother’s Name
6.
Mathan
2
M
C .Bonrnan
Jaya
7.
Mathan
U
M
M.Kalan
Kirnu
8.
Panman
4
M
M.Kalan
Gir j a
Ma thi
3
F
M.Kalan
Gi r j a
w
9.
Mari
1
F
B.Banman
M.Shanthi
•t
10.
11.
Bonrni
4
F
12.
Maran
4
M
K.Kalan
Sunma thi
n
13.
Badchi
3
F
Muradan
Mari
a
14.
Mathan
1
M
A .Borrman
• B.MazH
tt
15.
Maran
3
M
Muradan
B.Mari
it
16.
Mari
4
Muradan
B.Mari
If
17.
Bonrni
8
F
Murudan
B.Mari
18.
Maran
4
M
Ma than
K.Badchi
19.
Ma thi
4
F
B.Kethan
Manbi
*
»»
n
w
w
Kodumoola
ii
2 children in Bokkapuram
2 children in GTR School
1 child (mother away) ran away
1 mother refused to inmunise child.
* NAICKER POPULATION REFUSED
WASTED
1 dose
u
Roopa Devadasan
IMMUNISATION - MEASLES ON 12.11.87
No.
Name
Age
Sex
Father’s Name
Mother’s Name
1.
Manj ill
2
F
Mastha
Chenanj i
n
2.
Jaya
1
F
Siddha
Machi
H
3.
Shivappa
1
M
Basava
Madevi
n
4.
Madeva
4
M
Ranga swami
Dundi
n
5.
Fames h
II
M
Rama raj
Manbi
6.
Chi tra
II
F
Bo j an
Kama la
n
7.
Easwaran
21
M
Bantan
Lakshmi
H
8.
Sasi kumar
3
M
K.Ravi
. Thangamani
9.
Boirmi
3
F
Ma dan
Manbi
i*
10.
Chi tra
3
F
Ma dan
Boirmi
If
11.
Badchi
2
F
Krishnan
Madevi
12.
Manban
3
M
n
13.
Sarasu
2
F
Siddha
Jayamma
14.
Sathish
41
M
Mathan
Jaya
15.
Kami 1 i
3
F
Jadayan M.
Bal Ji
H
16.
Sarasu
H
F
17.
Chikki
2
F
Giddan
Pul li
ff
18.
Shiva
2
M
Jadayan
Kai li
n
19.
Chandri
II
F
Ma dan
Manbi
w
20 .
V i j a ya
41
F
Ma dan
Manbi
21.
Shant i
3
F
Rajan
Mara
22 .
Suresh
7m
M
Banta
Chi ka i
23.
Manj u
II
F
L i ngan
Mara
24.
Pushpa
3
F
Badra
Lakshmi
25 .
Suni 1
II
M
Vi 1lage
n
w
ti
If
n
n
No.
Name
Age
Sex
Father's Name
Mother's Name
26.
Masana
4
M
Borman
Valli
27.
Suj atha
3
F
Borman
Mar 1
28.
Ganesa
2
M
Ranga swami
Dhundi
29.
Anbarasi
1
F
Father absent
Lakshmi
30.
V i j a ya
li
F
Ma nba n
Ra j arma
31 .
Mathan
4
M
Manban
Ra j arma
32.
Raman
3
F
Muthu
Kamakshi
Vi 1lage
n
n
w
0
*
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