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INFORMATION ON DEPARTMENTAL SERVICE DELIVERY BY METRO PUBLIC HEALTH DEPARTMENT

The Environmental Health Department is responsible for the software aspects of Environment Health in the Districts and Sub Metros and provides the following services delivery, rules and processes to ensure a clean and healthy environment.

1)      Monitoring all Environmental Management activities in the District.  

These include.
        Providing Environmental Health and Sanitation profile for policy formulation
        Premises inspection
        Receiving and abatement or sanitary complaints
        Hygiene/Health Education
        Disposal of the dead
        Collaborating with Health Centers on Diseases Control
        Monitoring and reporting of all Waste Management issues in the District / Sub-Metros
        Prosecuting sanitary offenders.
        
Providing Environmental Health and Sanitation profile
Process
        Survey
        Geographical boundary
        Population
        Identify socio-economic/cultural activities
        Identify stakeholders/opinion leaders
        Identify sanitary sites and other facilities e.g. schools, Hospitals, churches etc
        Identify hard core sanitary problems existing within the community
        
Premises Inspection/Public Places
Process
        Name and Address
        Inspection
        Identification of sanitary problems and abatement of nuisance
Methods
        Health Education
        Issue of notices and court summons
        Prosecution
        Bench warrant execution
        Public places (markets, lorry parks, terminals)
        Sanitary facilities(abattoir, slaughter slabs, public toilets, cemeteries)
        
Receiving and abatement of Sanitary Complaints
        Investigation
        Health Education
        Notices and Summons
        Prosecutions
        
Resources Needed
        Statutory notice books, summons books
        Fuel and transport
        Noise measuring and sound metres
        Vehicle emission detectors
        Stationery
        
Hygiene/Health Education
Food hygiene and market sanitation

What is food hygiene?
Food hygiene is the clean way of handling food and food products to avoid contamination or food poisoning.  The principal aim of food hygiene is to prevent the contamination of food at all stages of production, it involves proper:
        Collection
        Preparation /Manufacture
        Transportation
        Storage and sale of Food

What measures can be put in place to maintain high food hygiene standards?
Prepared foods
Sale of prepared food must be controlled at all levels through the underlined measure;
        Eating and Drinking? Establishments should be properly inspected and registered
Raw Foods
Raw foods should be sold in suitable and hygienic market facilities established by the DA or private sector:
Dealers in unprepared foods must be advised to make adequate provisions for the transportation, handling, display and preservation of meat, fish and other perishable foods so as to prevent contamination and decomposition.
Advise dealers to undergo periodic medical examination to safe guard their own health and that of others.
Advise dealers to observe proper personal hygiene standard, and hand washing at critical periods.
Advise and monitor and enforce by-laws on better sanitation practice in their selling places.

Eating and drinking establishments
(Hotels, restaurants/catering houses, chop bars etc)
        Eating and drinking establishments should be properly inspected and registered.
        Effective inspection, hygiene education and enforcement of by-laws must be put in place to ensure compliance with set standards.
Slaughtering facilities
(Slaughter house and slaughter slabs)
        Environmental health officer should advocate for the setting up of slaughter slabs in communities that need such slaughtering facilities for sheep and goats (in accordance with the sanitation policy of November 1999)
        All animals meant for food (meat) must be slaughtered in a slaughterer house or in an approved slaughter slab to facilitate effective and efficient inspection by authorized officers.
        Environmental Heath officers must undertake regular of fish and fish products.
        Education campaigns and enforcement of by-laws on slaughter and sale of meat and fish meant for food must be undertaken periodically.
        Arrangements should be made for operatives of slaughter houses and slabs to undergo routine medical examination and certification.
        Officers should ensure adherence to proper sanitation (including waste management) and hygiene practices to avoid contaminations of meat and fish.

Process
        Identification of Community Health problems and needs
        Set strategic objectives
        Design of programme manuals, handbooks, brochures, leaflets etc
        Implementation and evaluation

Disposal of the Dead
Process
        Record keeping on deaths
        Sanitary disposal of the dead
        Ordinary burial
        Cremation
        Exhumation
        Disinfection

Management and control of Cemeteries
        Allocation of grave space
        Clearing of overgrowth of weeds in cemeteries
        Enforcements of cemeteries and burial bye-laws

Resources Needed
        Chemicals
        Standby Ambulance /Hearse

Collaboration with Health Centers on Diseases Control
Process
        Prioritizing of disease cases in community e.g. in malaria
        Larviciding
        Hygiene Education (e.g. Distribution of mosquito bed net)
        Enforcement of sanity bye-laws

Monitoring and Reporting of all Waste Management issues in the Districts /Sub-Metros
Process
        Refuses collection and disposal
        Drain cleansing
        Liquid and Solid Waste disposal e.g. supervision of drain cleaning, refuse and public toilet contractors
        Prosecution (enforcement of bye-laws)

Prosecution of offenders
Process
        Serving of statutory notice
        Serving of summons
        Prosecution
        Arrest of bench warrant

2)      Providing Back-up support to the lower levels of the Assembly /Sub Metro
        Training of Assembly members, opinion leaders in Sub  Metros on Health Related issues
        Provided logistics / resources to other stakeholder

3)      Monitoring large industries in collaboration with other Ministries, Departments and Agencies (MDA involved in Environmental Management e.g. EPA, WRC etc 
 

Premises inspection
        Name and address of industry
        Inspection location, structure, facilities, products)
        Health and safety of workers
        Identification of sanitary problems and abatement of nuisances
        Enforcement of bye-laws on industries

Methods
        Health Education
        Issue of notices and court summons
        Prosecution
        Bench warrant arrest

4)      Serving on the Statutory Planning Committee and Site Advisory Board of the Assembly

5)      Prosecutions, effecting bench warrant arrest
Process
        Serving statutory notice
        Serving of court summons
        Prosecution
        Effect arrest

6)      Responsible over the Sanitation Gang (Sanigang) which is responsible for pest control, control of stray animals and disposal of unclaimed corpses (where applicable)
Pest Control
Process:               survey i.e. identification of breeding sites, disinfection/larviciding

Control of Stray Animals
        Health Education, awareness creation on stray Animals, bye-laws(AMA bye-laws on control of cattle, sheep and goat, bye-law 1995)
        Arrest
        Impound
        Fine/Auction

Disposal of unclaimed corpse
        Organize transport
        Ensure sanitary disposal of the dead