REPORT OF FIELD VISIT TO NATIONAL CENTRE FOR DISEASE
CONTROL
INTRODUCTION:
As part of the fulfillment of requirement of M.sc Nursing 1st year, a educational visit was arranged to
NCDC for B.Sc(H) Nursing 2nd year students of Rajkumari Amrit Kaur College of Nursing
on19/09/2018under the guidance of Madam Mrs. Sarita Shokhanda after obtaining prior permission from the
same.
PRE VISIT PHASE
Formulation of the objective
Objectives and guidelines are formulated for Msc. Nursing students and for Bsc. Nursing students and
checked by teacher guide Madam Mrs. Sarita Shokhanda.
GUIDELINES FOR THE VISIT
Prepared the guidelines for the students based on the objectives.
PERMISSION FOR THE VISIT FROM THE PRINCIPAL ,RAK COLLEGE OF NURSING
permission for conducting the visit was taken from principal of our college,Madam Dr.(Mrs.)Harinderjeet
Goyal.
PERMISSION FOR THE VISIT
Permission sought from the NCDC Director, for the visit, and found out the working hours of the NCDC
and requested for tentative date and time for visit.
CONFIRMATION OF THE VISIT
The confirmation of visit to NCDC was received telephonically for 19.9.18.
ARRANGEMENT OF THE TRANSPORT
A letter of request for the arrangement of transport was given to Mr. Chend tansport in charge after
forwarding from Madam Mrs. Sarita Shokhanda.
PREVISIT MEETING WITH THE STUDENTS
A pre visit meeting was held with students in their classroom and made them aware about:
Information regarding date and time of the visit and preparation for the visit.
Explanation about objectives and guidelines for the visit.
Explain about expected behavior.
Explain regarding objectives of visit assignment.
VISIT PHASE
9.15 AM bus left from rakcon
10 am we reached NCDC and introduction to NCDC and an outline of up gradation given
by Mr.Harish chander Gahlot
11 am-11.30 epidemiology session
11.30-12 noon microbiology session
12-12.30 pm session on DPD
12.30-1.00 PM Session on centre for medical epidemiology and vector management
POST VISIT PHASE
Collected guidelines from the students after the visit.guidelines evaluated and score given to students.
INSTITUTIONAL PROFILE
NCDC
HISTORY OF NCDC
The National Institute of Communicable Diseases (NICD) had its origin as Central Malaria Bureau,
established at Kasauli (Himachal Pradesh) in 1909 and following expansion was renamed in 1927 as the
Malaria Survey of India. The organization was shifted to Delhi in 1938 and called as the Malaria Institute of
India (MII). In view of the drastic reduction achieved in the incidence of malaria under National Malaria
Eradication Programme (NMEP), Government of India decided to reorganize and expand the activities of
the institute to cover other communicable diseases. Thus, on July 30, 1963 the erstwhile MII was renamed as
NICD to shoulder these additional responsibilities.
The institute was established to function as a national center of excellence for control of communicable
diseases. The function of the institute also included various areas of training and research using multi-
disciplinary integrated approach. The institute was, in addition, expected to provide expertise to the States
and Union Territories (UTs) on rapid health assessment and laboratory based diagnostic services.
Surveillance of communicable diseases and outbreak investigation also formed an indispensable part of its
activities.
LOCATION OF NCDC:-
The NICD campus at Delhi covers approximate areas of 15.35 acres which includes the former official
residence of Commander in Chief of the Indian Army and now houses the administrative block, library,
divisions of epidemiology and parasitic diseases. The Institute is one of its unique kind in the city of Delhi
having so much of green area with about 80% as open area. The Institute has got three large sprawling lawns
with well maintained plants as well as a number of smaller garden islands. The headquarters of the
directorate of National Anti Malaria Programme (NAMP), now named as National Vector Borne Disease
Control Programme (NVBDCP) is also located in the NCDC campus. The facilities available in the campus
include research laboratories, a large lecture hall, well equipped conference and seminar rooms, animal
house, fish hat cheries and two hostels with a total capacity to accommodate about 125 trainees and a well
maintained canteen. The campus has the facilities of play grounds for volleyball, badminton etc. as well as
for indoor facilities like carom, gymnasium etc.
ADMINISTRATIVE CONTROL:-
The Institute is under administrative control of the Director General of Health Services, Ministry of Health
and Family Welfare, Govt. of India. The Director, an officer of the Public Health sub-cadre of Central
Health Service, is the administrative and technical head of the Institute.
Ministry of health & family welfare
Directorate General of Health Services
National Centre for Disease control
Scientific Centre’s/Divisions head
1) Centre for Epidemiology & parasitic diseases
2) Division of microbiology
3) Division of Zoonosis
4) Centre for HIV/AIDS & related Disease
5) Division of Malariology & Coordination
6) Division of Biochemistry & Biotechnology
7) Centre for medical entomology & vector management
Eight Branches all over India
1. Alwar (Rajasthan),
2. Bengaluru (Karnataka),
3. Kozikode (Kerela),
4. Coonoor (Tamil Nadu),
5. Jagdalpur (Chattisgarh),
6. Patna (Bihar),
7. Rajahmundry (Andhra Pradesh)
8. Varanasi (UttarPradesh).
BRANCHES:- The Institute has its headquarters in Delhi and has 8 out-station branches located at Alwar
(Rajasthan), Bengaluru (Karnataka), Kozikode (Kerela), Coonoor (Tamil Nadu), Jagdalpur (Chattisgarh),
Patna (Bihar), Rajahmundry (Andhra Pradesh) and Varanasi (Uttar Pradesh).
There are several technical Divisions at the headquarters of the institute i.e. Centre for Epidemiology and
Parasitic Diseases (Dept. of Epidemiology, Dept. Parasitic Disease) Division of Microbiology, Division of
Zoonosis, Centre for HIV/AIDS and related diseases, Centre for Medical Entomology and Vector
Management, Division of Malariology and Coordination, Division of Biochemistry and Biotechnology.
In each division there are several sections and laboratories dealing with different communicable diseases.
The divisions have well equipped laboratories with modern equipment’s capable of undertaking tests using
latest technology. The activities of each division are supervised by an officer in-charge, supported by
medical and non-medical scientists, research officers and other technical and paramedical staff. Every
Division is equipped with its own independent Seminar Room. The institute has a 24 x 7 Disease
Monitoring Cell operating round the clock to respond to enquiries related to disease outbreak along-with
video-conferencing facility to interact with the network of disease surveillance centers in the states and
districts. The branches are also well equipped and staffed to carry out field studies, training activities and
research.
MANDATE:-
The mandate of the Institute broadly covers three areas viz. services, trained health manpower development
and research
1. Services
The Institute takes leading role in undertaking investigations of diseas outbreaks all over the country
employing epidemiological and diagnostic tools. It also provides referral diagnostic services to individuals,
community, medical colleges, research institutions and state health directorates. The service component
provided by the Institute also includes making available scientific research material, teaching aids, storage
and supply of vaccines and quality control of biological. A brief of different services provided are
mentioned below:
A. OUTBREAK INVESTIGATIONS
The institute investigates and recommends control measures for the out-break of various communicable
diseases in the States/UTs all over the country as well as to some neighboring countries in the South East
Asia Region. The institute also undertakes monitoring of outbreaks through-out the country, especially
during its early rising phase by collecting information from the states and districts. The institute conducts
emergency preparedness training for the officials in the state as well as investigates rumors in cases of
diseases that have been considered as eradicated e.g. Smallpox case rumors.
B. REFERRAL SERVICES
1) Referral Diagnostic Services: The institute provides referral diagnostic services for various
communicable diseases of microbial origin specially for those for which diagnostic facilities are ordinarily
not available in hospitals and medical colleges. These include:
Viral diseases- Poliomyelitis, Measles, Coxsackie virus, other Enteroviruses,Hepatitis virus, AIDS,
Rabies, Arbo-viral infections, Rubella, Cytomegalovirus etc.
Bacterial diseases- Meningitis, Diphtheria, Acute Respiratory Infections, Cholera and newer Entero-
pathogens, Plague, Anthrax, Brucellosis ,Rickettsioses etc.
Mycotic diseases- Common fungal infections, superficial as well as deep.
Parasitic Diseases- Malaria, , Kala-azar, , Leptospirosis, Hydatidosis
C. OTHER SERVICES
The Institute also provides other important services some of which are as follows:
i. Quality Control of Biologicals: The institute routinely provides quality control services for
various vaccines like BCG, OPV and diagnostic test kits for AIDS, Hepatitis, Meningitis, etc.
ii. Storage and supply of vaccines and other biological materials: The institute stores
reagents, test kits and vaccines on behalf of the Directorate General of Health Services
(DGHS) and distributes to various state health directorates and medical colleges on request. It
also provides larvivorous fishes for the biological control of mosquitoes to various public
health agencies.
iii. Entomological investigations: Includes identification of arthropods of medical importance
specially during disease out-break situations,
iv. Evaluation of chemical compounds:The institute undertakes laboratory and field evaluation
of insecticides/biocides to meet the requirements of the registration committee of Central
Insecticide Board.
v. Assessment of biochemical parameters to establish clinical diagnosis e.g.Thyroid function
tests etc.
2. TRAINED HEALTH MANPOWER DEVELOPMENT
This component of the mandate of the Institute is addressed through the following activities
A. Training: Special emphasis is given to trained health man-power development that is essential for
the successful implementation of different health programs in the country. Besides the regular
training programs, numerous short-term training activities are conducted every year. The course
curricula of these training programs are designed to develop the necessary need-based skills. The
participants to these courses come from different States/Union Territories of India. In addition,
trainees from some of the neighbouring countries like Bangladesh, Bhutan, Sri Lanka, Myanmar and
Nepal also participate in some of the training programmes. The institute also conducts separate
training programmes specifically designed for international participants. Some of these courses are
sponsored by international agencies like WHO, UNICEF, World Bank and USAID. The institute has
developed training modules on different communicable diseases based on its field experiences,
which are extensively used during training programmes at NICD. The trainees in various
Epidemiology courses are exposed to the application of computers and related softwares in
Epidemiology and disease surveillance.
B. Expert group meetings: The Institute organizes meetings for formulation of guidelines for
surveillance, management, prevention and control of various communicable and non-communicable
diseases. The meetings are attended by experts of the respective field, senior administrators of health
services of the states, programme managers from medical, veterinary, agriculture and animal
husbandry departments.
C. Supply of teaching and research material: The institute provides teaching material on various
communicable diseases in the form of slides, charts, maps, procedure manuals, pamphlets, books etc.
to Medical Colleges and Teaching Institutions. Various bacterial and fungal isolates, cell lines, slides
of malaria, filaria, kala-azar, rabies, diphtheria, meningococcus, live cultures and preserved materials
of arthropods are also provided to medical colleges and research institutions on request.
D. Fellowships: Scientists, research workers and health professionals, from India and abroad on WHO
fellowships are placed in the institute for training and exchange of technical knowledge
3.RESEARCH
Applied integrated research in various aspects of communicable as well as some aspects of non-
communicable diseases has been one of the prime functions of the Institute. To achieve this, the institute
is actively engaged in research in the following broad areas.
i. Applied research in the field of bacteriology, virology, mycology, parasitology, immunology,
biotechnology, epidemiology, entomology and quality testing of vaccines and other biologicals with
an aim of improving diagnostic capabilities of diseases of public health importance and providing
laboratory support to the investigation and control of disease out breaks. The important diseases
include Cholera, Polio, Measles, Yaws, Diphtheria, Meningitis, Tetanus, Hepatitis, AIDS, Rubella,
Rabies, Dengue, Japanese Encephalitis, Kala-azar, Guinea Worm, Malaria, Filaria, Plague
,Leptospirosis, Anthrax etc.
ii. Applied field based research through longitudinal surveillance studies of various epidemic prone
diseases.
iii. Laboratory and field oriented research in the transmission dynamics of arthropod borne diseases with
the ultimate objective of vector control.
iv. Evaluation of new formulations of insecticides and biocides and screening of indigenous herbs to
evaluate their insecticidal properties. Studies on biological hazards of pesticides.
v. In- vitro cultures of organisms, development of reagents, rapid diagnostic tests including molecular
techniques using modern equipment and latest technology.
vi. Research on hormonal disorders
National Health Programme
Back
Guinea Worm Eradication Programme (GWEP)
National Programme on Containment of Anti-Microbial Resistance (AMR)
Yaws Eradication Programme (YEP)
National Viral Hepatitis Surveillance Programme
National Rabies Control Programme
Programe for Prevention and Control of leptospirosis
Inter-Sectoral coordination for Prevention and Control of Zoonotic Diseases
Integrated Disease Surveillance Programme (IDSP)
THE EIS PROGRAM
The India Epidemic Intelligence Service (EIS) training programme is a 2-year programme in applied
epidemiology based at the National Centre for Disease Control (NCDC), Delhi. The programme is modeled
after the EIS program at the US Centers for Disease Control and Prevention (CDC) and is implemented in
collaboration with CDC. India EIS trains officers to develop public health skills while working with various
public health agencies/programmes in the country. State and central public health agencies (or equivalent
local autonomous bodies) forward the applications of their employees interested in this programme. If
selected by the training programme, the state/central agencies excuse their public health employees from
their duties for 2 years to undergo the training. Individual candidates can also apply as self-sponsored
candidates. Selection is through a highly competitive process by a committee of experts. Selected applicants
become known as EIS officers during their training. EIS officers are assigned to a state/central public health
agency for two years under the guidance of a mentor and supervisor. EIS officers provide service to their
assigned agency while completing the Core Activities of Learning (CALs). Completion of all CALs is
required for successful completion of the programme. CALs include field investigation such as outbreak
investigations, evaluation of a surveillance system, in-depth epidemiologic data analysis, scientific abstracts,
oral presentations, and manuscript writing. While the EIS officers spend most of their time working at their
placement sites, short courses, weekly seminars, and an annual conference are also conducted. Officers are
obligated to work in public health for a prescribed period of time after completion of the two-year training.
Conclusion:-
It has been more than a century since its establishment as Central Malaria Bureau at Kasauli (Himachal
Pradesh) in 1909, the Institute has been carrying on its shoulder the prime responsibility of fighting against
the communicable diseases in the country. Its contribution in elimination and eradication of several diseases
of public health importance such as Small Pox, Guinea worm, Lymphatic Filariasis and Yaws in the country
has been phenomenal. The country has been burdened with epidemics of emerging and reemerging diseases
time and again. Emergence of hitherto unreported diseases like SARS, H1N1 infection, Avian Influenza,
recently reported outbreak of Crimean Congo Haemorhagic Fever as well as re-emergence of epidemics like
Plague, Scrub Typhus, Leptospirosis etc. have all posed epidemic threats in the country in the past. In each
of these instance the institute has been endowed with the responsibility of undertaking epidemiological
investigation on a war footing supported by the state of art laboratories providing prompt microbiological,
biotechnological and entomological diagnosis.
RAJKUMARI AMRIT KAUR COLLEGE OF NURSING
LAJPAT NAGAR NEW DELHI-24
VISIT REPORT
NATIONAL CENTRE FOR DISEASE CONTROL.
SUBMITTED TO SUBMITTED BY
MRS Anugrah Milton MRS Vaishali
TUTOR MSC 1ST YEAR
R.A.K.C.O.N R.A.K.C.O.N
