Background: Bio-medical waste management is vital issue not only to hospitals, but also to the environment, law enforcement agency, media and to the general public.The objectives of the study were to find out level of knowledge, attitude and practices of health care workers (HCWs) about bio-medical waste management in a rural hospital of Delhi. Methods: A cross sectional study was carried out in rural hospital, Delhi on 155 HCWs. Pre-designed, pretested, structured questionnaire were administered on 155 HCWs of hospital. Data collected and analyzed by using SPSS-17. Results: Total of 155 HCWs were selected. Majority of HCWs were in the age group of 30.3 years±5.6 (mean age±SD) Almost half (54.2%) of study population comprised of female. Most of them were nursing staff. Mean years of experience in service was 4.8±3.7 (mean age±SD). Majority HCWs in this study took education up to senior secondary and they possess respective professional qualification. Statistically significant numbers of HCWs vaccinated with HBV vaccine and received training of bio-medical waste management (p<0.05). Almost all (97.4%) HCWs aware of bio-medical waste management rules and have very positive attitude. Practice of HCWs regarding bio-medical waste management was relatively poor. Conclusions: Nursing staff have not only best knowledge and attitude but also good practices among all HCWs. Additional training have been required to Paramedics and group-D workers.

Introduction: Food can be a potential source of infection and disease, right from the point of preparation to the point of consumption. It is more likely in the food service establishments where mass food is prepared.Objectives: To study the physical environment and hygiene status at food service establishments in a tertiary care teaching hospital in central Delhi. Materials and Methods:  An observational cross sectional study was conducted from June-August, 2014 in medical college and associated hospital in Delhi using questionnaire to assess sanitation and environmental hygiene status. The checklist contained 12 categories with a maximum possible score of 139 for the vegetarian and 140 for the non-vegetarian food establishments. The classification of the establishments on the basis of score obtained is as follows: Grade 1 = 0-25%, Grade 2= 26-50%, Grade 3= 51-75%, Grade 4 = 76-100% Data analysis: The data was analyzed using SPSS version 20.Results: A total 13 food service establishments were included of which most (92.3 %) were operated on contractual basis. Majority (84.6 %) provided non-vegetarian food. None of the food handlers were given uniform to wear during their working hours. Few (15.2%) were using caps but those were not covering the entire hair.Conclusion: The conditions of the food establishments in the medical college campus are not of prescribed standard and needs improvement. DOI: http://dx.doi.org/10.3126/ajms.v6i4.11533 Asian Journal of Medical Sciences Vol.6(4) 2015 76-79

Background: Knowledge of HIV status of a TB patient is critical from both patient and public health point of view. Early HIV diagnosis among TB patients could serve as an entry point for HIV care and treatment. Surveillance of HIV among TB patients has been recognized to be important as the HIV epidemic continues to fuel TB epidemics. Hence, this study was conducted with an objective to assess the socio-demographic profile and the prevalence of HIV among TB patients.Methodology: Cross sectional study was carried out in eight DOTS cum DMCs of Delhi. Data was collected from January 2012 to December 2012. Registered TB patients (new and retreatment) were interviewed on a predesigned questionnaire at the end of five months of treatment.Results: In 2012, out of the total 552 TB patients interviewed, 524 (94.9%) had been tested for HIV by the end of fifth month of their TB treatment. In them, 13 patients (2.4%) were HIV positive. All of them had been initiated on ART and CPT during continuation phase of TB treatment. In present study no variable was found to be significantly associated with HIV status except number family member and patients on retreatment category.Conclusions: The prevalence of HIV infection in TB patients in current study was (2.4%) substantially lower than reported in studies from other states. If HIV testing done by all TB patients then routine reporting of HIV status for all TB patients would provide even better information on which to base future planning.Asian Journal of Medical Sciences Vol.7(1) 2015 53-58

The Revised National Tuberculosis Control programme has continuously innovative and progressive in addressing issues related to Tuberculosis control in India. With the implementation of RNTCP, India has taken huge stride in reduction of mortality and morbidity due to TB. The programme has actively incorporated various new ideas, innovations and information communication technology to curb this menace. These newer initiatives provide unprecedented opportunities to control Tuberculosis more efficiently if it implemented effectively. India has made enormous progress towards TB control through their honest effort. Innovations will effectively leverage India's endeavour. Programme must continue and sustain these efforts to make India TB free.

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