INTRODUCTIONIn many countries including India developed speedily in every sector and with development of different sectors all over India population based problems also rises in significant manner.1 Railway accidents do occur and for which both human error and mechanical failures have always been blamed. Moreover, Railway premises being the most suitable shelter for homeless and beggars, it also accounts for deaths due to natural causes in persons who are victims of poverty and trafficking.2 Accidental deaths on railway tracks are also a common occurrence. They are usually because of a person trying to cross the track/collision between trains, automobile accident in unmanned crossings, passengers who hang out of doors and are hit by trees/poles or during outbreak of fire. 3Railways being one of the most comfortable means of transportation have a long history and an unprecedented ABSTRACT Background: Railway accidents according to the NCRB, 25,006 people died and 3,882 were injured in a total of 28,360 railway accidents across the country in last year. Railway crossing accidents like India has an extensive rail network with high levels of injury and violence. Methods: This study was conducted at Forensic medicine department, PIMS (pondicherry institute of medical sciences). The study group consisted of all the victims reporting to PIMS hospital Mortuary, during the period of study (January 2015-January 2016) were subjected to thorough post mortem examination and the pattern of injuries were noted. Results: A total of 300 postmortems, performed at the mortuary of the Dept. of Forensic Medicine, DMC during the period of January to December 2016, were studied. Of them 164 (54.89%) cases were of accidents, 72 (23.19%) cases were suicide, 54 (17.12%) cases homicide, 8 (2.46%) cases undetermined and 2 (0.80%) cases were of natural deaths. In this study accidental deaths were commonest, seen in (72.12%) cases followed by suicidal (20.63%) and least was homicidal seen in (7.16%) cases. Conclusions: Deaths have occurred in association with railway since the inception of railway in the present study males are commonest victims of railway deaths which concurs with studies conducted by other authors. Helpline numbers should be printed inside the coaches to inform the authorities in case of emergency. Railway should strictly implement the laws of railway acts and the people should be penalized for breaking the rules for the safety of passengers.

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INTRODUCTION:Ten to thirty percent of the patients admitted to hospitals in India acquire nosocomial infections as against 5% in the developed world. The first and foremost principle of Universal Safety Precaution is "HANDWASHING". But the Health Care Workers often forget to wash their hands before interacting with the patient. Such contaminated hands plays major role in transmitting infections. HCWs are also at an increased risk of needle stick injuries. According to data from EPINet system, hospital workers incur approximately 30 needle stick injuries per 100 beds per year on average -an alarming figure by no exaggeration. (5) OBJECTIVE: To assess the knowledge and perception of HCWs towards hand hygiene and to know the incident of NSI and the factors associated with it. STUDY METHOD: Cross sectional study with purposive sampling was carried out in a tertiary care hospital. Out of 275 participants 55 were doctors, 143 nurses and 77 interns. Self administered questionnaire was used to collect information. RESULTS: Ninety one percent doctors, 86% interns and 81% nurses had good knowledge about hand hygiene. 73% doctors, 61% interns and 56% nurses knew the duration required for hand rub. The main hindrance for not practicing hand hygiene was due to lack of resources (37%). Knowledge about recapping of the needle was poor and incident of injury due to needle stick was 50% among nurses. CONCLUSIONS: Study demonstrated adequate knowledge regarding hand hygiene. The knowledge should be converted into practice. There is a need for educational programme about universal precautions especially about handling of the sharps.

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