Laboratory Strengthening under
IDSP
Current Strategy
• Strengthening of 50 district priority labs
• Establishing state referral lab network for
etiological diagnosis of outbreaks of
epidemic prone diseases in the districts (in
9 states)
Strengthening of district priority labs
Expected outcomes:
• Undertake laboratory confirmation of epidemic prone
diseases on a routine basis
• Tests to be performed
• Blood culture for typhoid
• Serological test for typhoid
• Stool Culture for Cholera
• Dengue IgM ELISA
• ELISA/Rapid test for Leptospirosis (in endemic
areas)
• Other tests for diagnosis of epidemic prone
diseases
• Support outbreak investigations in the district
• Participate in EQAS
• Report weekly data in L form to CSU for monitoring
Current status of District priority labs
Tests
Microbiologi Equip proc Reporting of
st posted
weekly L reported in
L form
form to CSU
Status
State
Microbiolog
ist posted at
SSU
Name of District
Priority Lab
Andaman
& Nicobar
Island
Andhra
Pradesh
No
G B Pant Hospital,
Port Blair
No
No
No
NA
Yes
District hospital
lab, Mahbubnagar
District hospital
lab, Ongole
General Hospital ,
Naharlgun
K.K. Civil Hospital,
Golaghat
Medical College,
Patna
Civil Hospital,
Manimajra
Yes
Yes
Yes
Malaria
Estb
Yes
Yes
No
NA
Estb /
Yes
Yes
No
NA
Estb /
Yes
Yes
Yes
Widal
Estb
No
No
No
NA
Yes
Yes
Yes
Widal
Arunachal
Pradesh
Assam
No
Yes
Bihar
No
Chandiga
rh
Yes
Estb
Current status of District priority labs
State
Microbiolo
Name of
Microbiolo
gist
District Priority gist posted
posted at
Lab
SSU
Chattisg
arh
Dadar
Nager &
Haveli
No
Daman
& Diu
Yes
Delhi
No
No
JLN Medical
College, Raipur
District Hospital,
Silvassa.
Equip
proc
Tests
Reporting of
weekly L reported in
L form
form to CSU
No
No
No
Yes
No
requireme
nts
Yes
District hospital,
Daman.
Yes
Yes
No
Pt. Madan. Mohan
.Malviya Hospital,
Delhi
No
No
No
Status
NA
ELISAFunctional
Dengue &
leptospirosis,
Culture-stool &
blood
NA
Estb /
No
Current status of District priority labs
State
Goa
Gujarat
Haryana
Himachal
Pradesh
Tests
Microbiol Name of District Microbiolo Equip proc Reporting
ogist
Priority Lab
gist posted
of weekly reported in
L form
posted at
L form to
SSU
CSU
No
No
Yes
No
Goa Medical
No
No
College, Bambolin,
requirements
Hospicio Hospital
Yes
Incomplete
,Margao
General Hospital
No (posted by
Yes
Mehsana
state govt)
General Hospital,
No
Yes
Sabarkantha
Govt. Public Health
Yes
Yes
lab, Karnal
No
NA
No
NA
Yes
DPHL, Hissar
DPHL, Bilaspur
No
No
Yes
No
No
No
DPHL, Mandi
No
No
No
Yes
Yes
Status
Estb /
Widal, Dengue **
ELISA
Widal
Stool Culture, Functional
Widal, Dengue
ELISA
NA
No
No
Current status of District priority labs
Microbio
logist
posted
at SSU
Name of
District
Priority Lab
Microbiolo
gist posted
Equip
Proc
Reportin
g of
weekly L
form to
CSU
Tests reported in
L form
Status
Jammu &
Kashmir
Jharkhand
No
Yes
Yes
No
NA
Estb /
No
No
No
NA
Karnataka
Yes
Provincial
Lab, Srinagar
District
Hospital
Laboratory,
Ranchi
District
public
health lab,
Chitradurga
District
hospital Lab,
Udupi
Yes
Yes
Yes
Yes
Yes
Yes
State
No
Widal, Cholera
Functional
culture, Dengue,
Chikengunya & Lepto
ELISA, Blood culture
Widal, Cholera
Functional
culture, Dengue &
Lepto ELISA, Blood
culture
Current status of District priority labs
State
Kerala
Equip
Proc
Reportin
g of
weekly L
form to
CSU
Tests reported in
L form
No
No(1 deep
freezer)
No
NA
Yes
No
requirement
Yes
Functional
No
No
No
ELISA for dengue,
Hepatitis A,
leptospirosis, stool
culture for cholera,
blood culture for
typhoid
NA
Yes
Yes
Yes
Widal
Estb
Yes
Yes
Yes
Widal
Estb
Yes
Yes
Yes
Widal
Estb
Microbiol Name of District Microbiolo
ogist
Priority Lab
gist posted
posted at
SSU
Yes
Lakshad
weep
No
Madhya
Pradesh
Maharash
tra
Yes
No
Regional Public
Health Lab,
Kozhikode
Regional Public
Health Lab,
Ernakulam
Indira Gandhi
Hospital,
Kavaratti
JP Hospital,
Bhopal
District hospital
Lab, Beed
District hospital
Lab, Nasik
Status
Current status of District priority labs
State
Microbiolog
ist posted at
SSU
Name of District
Priority Lab
Manipur
No
Meghalaya
Yes
Mizoram
No
District-Hospital,
Churachandpur
Tura Civil Hospital,
Tura.
District Hospital
Lab, Lunglei
Civil Hospital Lab,
Aizawal
Dimapur District
Hospital
State IDSP
laboratory, Kohima
District
Headquarters
Hospital, Koraput
Nagaland
Orissa
Yes
No
Microbiolo Equipment Reporting
gist posted procured of weekly L
form to
CSU
Tests
reported in
L form
Status
No
Yes
No
NA
Yes
Yes
No
NA
Estb /
Yes
Yes
No
NA
Estb /
Yes
(trained)
Yes
Yes
No
NA
Estb /
No
No
NA
Yes
No
No
NA
No
No
No
NA
Current status of District priority labs
Name of District
Priority Lab
Microbiolog
ist posted
Equipment
procured
Reporting
of weekly L
form to
CSU
Tests
reported
in L form
Status
State
Microbiol
ogist
posted at
SSU
Puducherry
Yes
Yes
Yes
No
NA
Estb /
Punjab
Yes
Indira Gandhi Govt.
General Hospital,
Pondicherry
Civil Hospital,
Mohali
Yes
Yes
Yes
*Functional
Rajasthan
Yes
District hospital Lab,
Ajmer
District hospital Lab,
Sikar
Yes
Yes
Yes
Widal,
Dengue
ELISA
NA
Yes
Yes
Yes
*Functional
STNM Hospital,
Gangtok
District hospital Lab,
Cuddalore
Yes
Yes
No
Widal,
Dengue
ELISA
NA
Yes
Yes
Yes
* Functional
District hospital Lab,
Ramanathapuram
Yes
Yes
Yes
Widal,
Dengue
ELISA
Widal
Sikkim
No
Tamil Nadu
No
Estb /
Estb /
Estb
Current status of District priority labs
State
Microbiolo
gist posted
at SSU
Tripura
No
Uttarakh
and
Yes
Uttar
Pradesh
West
Bengal
No
Yes
Equip
proc
Reporting
of weekly
L form to
CSU
Tests
reported in
L form
Status
No
Yes
Yes
Widal
Estb
Yes
Yes
Yes
District hospital,
Almora
Yes
Yes
Yes
Regional Lab,
Swasthya
Bhawan, Lucknow
Disrict hospital,
Ghaziabad
District Hospital
Laboratory, Malda
District Hospital
Laboratory,
Murshidabad
No
No
No
No
No
No
No
Yes
No
Yes
Widal
Yes
No
No
NA
Name of District Microbiologis
Priority Lab
t posted
RGMHospital,North
Tripura,
Kailashahar
District hospital,
Pauri
Functional
Widal, stool
culture,
Dengue ELISA
Widal, stool
Functional
culture, blood
culture
NA
Important issues related to functionality
of district priority labs
• State and District IDSP officers to facilitate
generation of lab based surveillance data of
epidemic prone diseases from district hospitals
– Integration of IDSP lab, including the microbiologist, as a
part of the main laboratory of the district hospital
– Routine referral of specimens for testing of epidemic
prone diseases
– Upgrading the microbiology component of the district
labs and ensure availability of resources in terms of
manpower and consumables
State Referral Lab Network
• Functional laboratories of states, primarily
in medical colleges linked to adjoining
districts for etiological diagnosis of
outbreaks of epidemic prone diseases
• Annual grant of Rs. 2 lakhs to maintain
performance standards, subsequent
reimbursement based on tests performed
(ceiling of 3 lakhs per annum/lab)
Tests to be performed
1.
Cholera and other enteropathogens : culture and sensitivity and
serotyping
2. Typhoid: Serological tests (TyphiDot) and Culture & antimicrobial
sensitivity (including isolate confirmation with specific antisera)
3. Bacterial meningitis-rapid latex agglutination test, CSF
examination-wet mount, gram stain and culture & antimicrobial
sensitivity.
4. Hepatitis A-IgM µ capture ELISA
5. Hepatitis E- IgM µ capture ELISA
6. Measles- IgM µ capture ELISA
7. Dengue- IgM µ capture ELISA
8. Diphtheria-Smear examination, culture, toxigenecity testing
9. Leptospirosis-ELISA/Rapid test
10. Any other tests for locally prevalent epidemic prone disease (to
be identified by the state)
Current status of referral lab network
State
Microbiolog Referral
ist posted
lab plan
at SSU
finalised
and
endorsed
plan
received
by CSU
Lab
certificatio
n and MoU
signing
complete
Funds
Functional
disburse
ity of
d to
referral lab
referral network in
labs
state
Quarterly
report of
referral
labs
received
by CSU
Andhra Pradesh
Yes
Yes
Partial
Partial
Partial
No
Gujarat
No
Yes
Yes
Yes
Yes
Yes
Karnataka
Yes
Yes
Yes
Yes
Yes
Yes
Maharashtra
No
Yes
Yes
Yes
Yes
No
Punjab
Yes
Yes
Yes
Yes
Yes
No
Rajasthan
Yes
Yes
Yes
Yes
Yes
Yes
Tamil Nadu
No
Yes
Yes
Yes
Yes
No
West Bengal
Yes
Yes
No
NA
No
NA
Uttarakhand
Yes
Yes
Yes
Yes
Yes
No
Important issues related to functionality
of referral lab network
• State epidemiologist and state microbiologist to ensure
all outbreaks in the state undergo lab investigation
• Regular district level meetings conducted by District
surveillance officers and epidemiologists for streamlining
the bottle necks for optimum utilization of referral lab
network
• Good communication between DSOs of linked districts
and nodal microbiologists from referral labs
• State microbiologist to ensure timely reporting of
– lab results of outbreak samples by referral labs,
– submission of quarterly reports by referral labs to CSU
Public health laboratories being
developed under NRHM
for diagnosis of epidemic prone
diseases
Public health laboratories being developed under NRHM
for diagnosis of epidemic prone diseases
Name of the state
Number of labs
proposed by the
state in 2011-12
Remarks
Andhra Pradesh
21
State had proposed Rs 728.81 lakhs for strengthening of
21 district public health labs, advised to take up in phases
and propose under NRHM Flexipool. No budget
allocation in flexipool section of RoP
Andaman & Nicobar
Island
NIL
Arunachal Pradesh
NIL
Assam
NIL
Bihar
NIL
Chandigarh
NIL
Chattisgarh
NIL
Dadar Nager & Haveli
1
UT had proposed Rs 17.9 lakhs for strengthening of
District public health Laboratory, No budget allocation in
flexipool section of RoP
Public health laboratories being developed under NRHM
for diagnosis of epidemic prone diseases
Name of the state
Number of labs
proposed by the
state in 2011-12
Daman & Diu
NIL
Delhi
NIL
Goa
NIL
Gujarat
10
Haryana
NIL
Himachal Pradesh
2
Jammu & Kashmir
NIL
Jharkhand
NIL
Kerala
NIL
Remarks
The State has proposed Rs 224.89 lakhs for
strengthening district public health labs; No budget
allocation in flexipool section of RoP
Two labs (IGMC Shimla & RPGMC Tanda) have
been identified by the State for strengthening as
district public health lab with the total budget of 1.02
crores. No budget allocation in flexipool section of
RoP
Public health laboratories being developed under NRHM
for diagnosis of epidemic prone diseases
Name of the
state
Number of labs
proposed by the
state in 2011-12
Remarks
Karnataka
NIL
Lakshadweep
NIL
Madhya Pradesh
NIL
Maharashtra
30
Under the head of strengthening of public health labs, allocation
of Rs. 273 lakhs for 30 labs of Water Supply and Sanitation
Department (budget allocation under flexipool)
This fund is not allocated for public health labs for diagnosis of
epidemic prone diseases
Manipur
8
Rs. 2.77 lakhs has been allocated to the State for strengthening
of 8 district labs (budget allocation under flexipool)
In such small budget the labs may not be able to perform the
tests required
Meghlaya
1
Rs. 28.23 lakhs proposed by the State to strengthening of
district labs at Civil hospital Shillong; No budget allocation in
flexipool section of RoP
Mizoram
NIL
Nagaland
NIL
Orissa
2
Rs. 74.80 lakhs has been allocated to the State for
strengthening of 2 district labs (Kalahandi & Sundergarh)
(budget allocation under flexipool)
Public health laboratories being developed under NRHM
for diagnosis of epidemic prone diseases
Name of the state
Number of labs
proposed by the
state in 2011-12
Remarks
Puducherry
1
Allocation of Rs 34.71 lakhs for one model district public
health lab (budget allocation under flexipool)
Punjab
NIL
Rajasthan
6 PFA labs
Sikkim
NIL
Tripura
NIL
Tamil Nadu
6
Uttar Pradesh
NIL
Uttarakhand
NIL
West Bengal
4
Allocation of Rs 31.5 lakhs for PFA labs at 6 districts;
Ajmer, Jaipur, Udaipur, Jodhpur, Kota, Alwar (budget allocation
under flexipool)
This fund is not allocated for public health labs for diagnosis of
epidemic prone diseases
Allocation of Rs. 208.20 lakhs for one Public health
laboratory in each 6 districts; Thiruvannamalai, Erode, Tiruchi,
Nagapatnam, Kanyakumari, Dindigul (budget allocation under
flexipool)
Allocation of Rs. 138.82 lakhs for one Public health
laboratory in 4 districts (budget allocation under flexipool)
Weekly L form reporting by district priority labs to CSU
Format for quarterly reporting by referral labs to CSU, copy to SSU