Search

Background: The dynamicity and mobility of the population in a mass gathering setting pose a challenge to traditional disease surveillance methods and strain the local health services. Velankanni is one of the most sacred Christian pilgrimage places located in Nagapattinam, Tamil Nadu, India. We participated in the Velankanni festival to describe the public health preparedness, surveillance, and response activities carried out during the festival. Methods: This was a cross-sectional study. We reviewed the national and international guidelines and published literature and discussed with the key stakeholders. We developed a checklist to observe public health preparedness activities. We facilitated the staff and monitored the activities by the implementers. We established the syndromic surveillance in the designated locations of the event and used tracker software to capture the data. Emergency medical teams were formed with trained health personnel to respond to medical emergencies. Results: The team monitored all the public health activities. There are 59 primary care public health facilities and nine ambulatory Mobile Medical Units, with 160 medical officers available at the site. Of the 16,169 persons who attended the medical camps, 9863 (61%) were males and 8408 (52%) were aged 15–44. Acute diarrheal disease was the most frequent of the reported syndromes, followed by injuries, acute febrile illness, and animal bites. Conclusions: There was no outbreak of any disease either identified or reported. Our findings suggest that risk assessments should be used, and establishing an Incident Command Center is vital for executing command and control mechanisms during mass gatherings.

Background: The dynamicity and mobility of the population in a mass gathering setting pose a challenge to traditional disease surveillance methods and strain the local health services. Velankanni is one of the most sacred Christian pilgrimage places located in Nagapattinam, Tamil Nadu, India. We participated in the Velankanni festival to describe the public health preparedness, surveillance, and response activities carried out during the festival., Methods: This was a cross-sectional study. We reviewed the national and international guidelines and published literature and discussed with the key stakeholders. We developed a checklist to observe public health preparedness activities. We facilitated the staff and monitored the activities by the implementers. We established the syndromic surveillance in the designated locations of the event and used tracker software to capture the data. Emergency medical teams were formed with trained health personnel to respond to medical emergencies., Results: The team monitored all the public health activities. There are 59 primary care public health facilities and nine ambulatory Mobile Medical Units, with 160 medical officers available at the site. Of the 16,169 persons who attended the medical camps, 9863 (61%) were males and 8408 (52%) were aged 15-44. Acute diarrheal disease was the most frequent of the reported syndromes, followed by injuries, acute febrile illness, and animal bites., Conclusions: There was no outbreak of any disease either identified or reported. Our findings suggest that risk assessments should be used, and establishing an Incident Command Center is vital for executing command and control mechanisms during mass gatherings., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Journal of Family Medicine and Primary Care.)

The refraction of the 2004 Indian Ocean tsunami waves caused drastic devastation along East coast of India, mainly in the area of investigation. Here, we appraise and integrate the sedimentary characteristics and microfossil studies of the area. The gigantic tsunami waves caused the landward fining of sediments that were carried as suspended load. Tsunami sediments have distinctive characteristics, like fine-to-medium grained sand, moderately to poorly sorted sediments which indicating sudden winnowing followed by tranquil flood. Positively skewed grain size distribution indicating unidirectional transport, and mesokurtic to platykurtic character implying poorly sorted single source origin. The species of benthonic foraminifers and ostracods reside in marine environment indicating shallow water origin of sediments. The onshore deposits are vertically divided into three depositional units interpreted from Ground Penetrating Radar (GPR) signatures-Unit 1 is a relatively continuous parallel layer indicative of calm environment; Unit 2 has paleochannels and burial scarps, seen as oblique reflections that might be indicative of an intense erosional environment; Unit 3 is interpreted as 2004 tsunami layer, has three subunits. Each main units have been separated by Heavy Mineral Concentrated (HMC) layers, deposited by continuous wave action (~ 20 cm) and by the tsunami (> 30 cm) activity, evidenced by low magnetic susceptibility values at the bottom compared to the top of the HMC layers. GPR has been effectively utilized in this paper as subsurface imaging tool for the interpretation and reconstruction of stratigraphy, and also helped to unearth the erosional and depositional environments. [ABSTRACT FROM AUTHOR]