PROFESSIONAL PROTECTION SCHEME & HOSPITAL PROTECTION SCHEME Celebrating Fraternal Fellowship 201 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
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PROFESSIONAL EQUIPMENT & EMPLOYMENT PROTECTION SCHEME INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 212
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IMAGE (INDIAN MEDICAL ASSOCIATION GOES ECO FRIENDLY) 86th Managing Committee Report WĂŐĞŝŝ IMA Goes Eco-friendly [IMAGE] NOTICE No. IMAGE/IMA/KSB/0192/24 The 92nd Managing Committee of the IMAGE (Indian Medical Association Goes Eco-friendly) will be convened at IMA Periyar House, on January 28th, 2024 (Sunday) at 9 a.m., with the following Agenda. You are requested to attend the meeting. Thiruvananthapuram Dr. Sharafudheen. K. P 05.01.2024 Secretary, IMAGE AGENDA 1. Meeting Called to Order : 2. Welcome Address : Dr. Rajagopalan Nair P., Vice Chairman 3. Address by State President : Dr. Joseph Benaven, (State President, IMA KSB) 4. Address by Chairman : Dr. Abraham Varghese (Chairman, IMAGE) 5. State Secretary’s Remarks : Dr. Sasidharan K. (State Secretary, IMA) 6. Presentation of Minutes & Activity Report : Dr. Sharafudheen K. P. (Secretary, IMAGE) [91st Management Committee Minutes and the IMAGE Activity Report - from 01. 10. 2023 to 31. 12. 2023] 7. Presentation of IMAGE Accounts : Dr. Krishnakumar P. V. (Treasurer, IMAGE) [Quarterly Accounts Statement for the period from 01. 10. 2023 to 31. 12. 2023] 8. Reports i) District Representatives, IMAGE ii) Joint Secretaries, IMAGE 9. Reports: i) IMAGE Purchase Committee ii) IMAGE Technical Committee iii) IMAGE Vigilance Committee iv) IMAGE Committee for New Projects 10. Discussions on the Minutes, Activity Reports and Accounts & the Approval 11. Addresses by the Past State Presidents, Senior Leaders & Invited Members 12. Any other matters for discussion 13. Closing Remarks - Chairman, IMAGE 14. Closing Remarks - State President, IMA KSB 15. Vote of thanks - Joint Secretary IMAGE IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE Celebrating Fraternal Fellowship 229 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭ IMAGE [Indian Medical Association: Goes Eco-friendly] Minutes of the 91st Management Committee Meeting IMAGE Date: October 15, 2023 [Sunday] Venue: Hotel Wyte Portico, Adoor, Pathanamthitta IMAGE MCM91 [Management Committee Meeting] Attended by: 1. Dr. Sulphi N., State President 2. Dr. Samuel Koshy, IPP 3. Dr. Joseph Benaven, State Secretary 4. Dr. Abraham Varghese Chairman IMAGE 5. Dr. Sharafudheen K.P. Secretary IMAGE 6. Dr. Krishnakumar P.V., Treasurer IMAGE 7. Dr. Sajeev Kumar 8. Dr. Velayudhan K. 9. Dr. Ramaraju P., 10. Dr. Sidharthan B., 11. Dr. K. Manimaran 12. Dr. T.U. Sukumaran 13. Dr. Jolly Varghese 14. Dr. Hareendranathan A.M. 15. Dr. Rasitha Gireesh 16. Dr. Bennet Chacko 17. Dr. K.V. Devadas 18. Dr. A.V. Babu 19. Dr. M. Suresh Kumar 20. Dr. Babu Ravindran 21. Dr. Alex Franklin 22. Dr. Sreejith N. Kumar 23. Dr. Jayakrishnan A.V., 24. Dr. M.E. Sugathan 25. Dr. T.S. Zacharias 26. Dr. K.M. Abdulla 27. Dr. M. Bhaskaran 28. Dr. K. Jayaram 29. Dr. K.A. Sreevilasan 30. Dr. P. Gopikumar 31. Dr. Kamarudheen A.I. 32. Dr. N. Syam 33. Dr. Joson Varghese 34. Dr. Ramalingam A., 35. Dr. Abraham C. Peter 36. Dr. Binoy 37. Dr. V. Murugesan 38. Dr. Manish Nair 39. Dr. P. Sivaprasanth 40. Dr. R. Krishnaveni 41. Dr. Deepak Nair 42. Dr. P.J. Venugopalan 43. Dr. Arun Kumar A. 44. Dr. Swapna S. Kumar 45. Dr. K.A. Pareed 46. Dr. Nigar Pareed 47. Dr. Saju Sahadevan 48. Dr. Prasanth C.V., 49. Dr. C.V. Jacob 50. Dr. Jose Abraham 51. Dr. Mohan Roy 52. Dr. Jose Kuruvilla 53. Dr. Joshy Joseph • Meeting “Called to Order” by the State President Dr. Sulphi N. • Started the MCM91 with a Silent Prayer • Welcome by Dr. Krishnakumar P.V., Treasurer IMAGE INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 230
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϮ IMA Goes Eco-friendly [IMAGE] • Presidential Address: State President Dr. Sulphi N.: Started his speech by highlighting the importance of MCM of the various schemes, so that we can discuss and to decide on the solutions of the respective related important matters and, hence invited the keen attention of all the members to this management committee meeting. Regarding the IMAGE, we have to discuss on the various matters related to the proposed new CBWTF project coming up in Adoor at the Kinfra Park, as well as the various challenges we are facing at the IMAGE Plant at Palakkad. • Address by the IMAGE Chairman Dr. Abraham Varghese: Begun his speech by congratulating the Pandalam Branch for organizing this MCM in a wonderful manner. And continued further regarding the various activities of the IMAGE starting with the Onam-sadya organized at the Palakkad Plant gone very well attended by few officials from Palakkad and the expenses got sponsored by Canara Bank to the tune of Rs.2 Lakhs, likewise we could organize the World Environment Day Function wherein the expenses were sponsored by the Federal Bank and the South Indian Bank. As done last year, we plan to distribute an IMAGE Paristhithi Mithra Awards 2023, during this year also on various categories [State Awards]; to those hospitals with 50 beds & to those below 50 beds, Clinical Laboratories, Dental Clinics and to the other Clinics also. The criteria for selection of the best HCEs and other essential factors are: i) Proper Segregation & Adequate Storage-facilities ii) Positive relations with our collection staff & accessibility of vehicles iii) Timely payments & Accurate Records & Effective Barcode Scanning iv) Also, Eco-friendly environment created inside the HCE premises Accordingly, the Chairman requested the State President and the State Secretary for permission to distribute the IMAGE Paristhithi Mithra Awards 2023 during the next State Conference, or else we have to arrange a separate meeting. He also added that we had more than 700 applicants during this year competing for winning this award which become a prestigious one. Citing the ongoing case at the Hon’ble Supreme Court, Chaiman Dr. Abraham Varghese informed that our case is being getting postponed and till date no definite date for further hearing is listed yet. Regarding the issue of “Stoppage of IMAGE Services” in any HCE; we have a standard protocol like giving warning notices and in the case of non-payment for three months continuously, IMAGE service will be suspended and after a further period of three more months, that HCE will be marked as a ‘Defaulter’. Celebrating Fraternal Fellowship 231 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϯ We have to put in lots of pressure and efforts for collecting our pending dues from the HCEs. At the proposed new CBWTF at the Adoor Kinfra Park, we have already conducted the ‘Environment Impact Assessment Study’ and have already uploaded the EIA Study Report on the website of SEIAA. After perusal they are sending the Chairman and few members to visit our site for inspection. He added that if anybody wishes to visit our Adoor CBWTF Plant site, inside the Kinfra Park which is located very near to this venue today, only 25 minutes’ drive. Hence, please contact the District Representative Dr. Manimaran., for arranging a conducted tour, accordingly. CBWTF Association Meeting which was held at Goa was attended by self and the Secretary Dr. Sharafudheen on July 23rd. We have attended the unveiling/inaugural function of the Gandhi-statue, which was installed at the Forest-office near our Palakkad Plant, and we have sponsored Rs.1 Lakh towards the same, as already discussed earlier. Another point he reiterated is with regard to the various complaints we receive on Improper segregation as reported from the various HCEs and hence, the Chairman advised each office bearer to take a special interest in this matter personally and if possible, try to visit such HCEs where the complaints are marked, also to ensure that the general waste is never mixed up with biomedical waste. Regarding the issue of Non-IMA Members seeking affiliation to the IMAGE; even though its not mandatory, we always insist them to take a membership with IMA as a pre-condition to get IMAGE Affiliation and he happily announced that we could bring 39 new memberships to IMA using this method. Regarding the discussion on starting Biomedical Waste Management Course Curriculum; the discussion with KUHS is still continuing. GJM is demanding a rate hike as an ultimatum and hence we have to decide on either to run the Plant by ourselves or we have to find out some other contractors, which may not be an easy task considering the factor that GJM is continuously working with us since our inception and the decision will be hard, in this regard. Eight office bearers are absent today from attending this meeting. Even though leave of absence is requested by them, being the office bearers of the IMAGE, your attendance is imperative in this crucial quarterly meeting of the Management. He concluded by stating that “The positions which we hold are temporary, the ranks and titles are limited, but the way we treat people is something which is always remembered. Always see that we are remembered by our rank and file so that people know about us and our contribution to the project”. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 232
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϰ IMA Goes Eco-friendly [IMAGE] • Presentation of Minutes and Activity Report for the Quarter ending 31.12.2023 by the IMAGE Secretary Dr. Sharafudheen K.P., Today is the 91st Management Committee Meeting of the IMAGE, softcopy of the Activity Report is already circulated among the members, last week itself. The Minutes of MCM 90 held on July 16, 2023, is printed on the pages 1 to 18 of the IMAGE Activity Report. The Chairman asked for any corrections or suggestions or deletions on the presented Minutes. Resolutions of the last Management Committee Meeting [MCM90]: i) Ayush HCEs: We have decided to reduce 20% reduction in the bedstrength if the Ayush DME officially requests for a bed-strength reduction. ii) Course on Biomedical Waste Management: As per the discussion with the KUHS; it’s suggested by them to conduct a course in M.Sc. [Safety, Healthcare and Hygiene] and we have decided to request KUHS to offer this course in both Government & Private Teaching Institutions. Already conveyed this but their Curriculum Committee has not decided yet. iii) Auditors Fee: Increased to Rs.30,000/- per Quarter, accepted the request from our Chartered Accountant Sridhar & Co. iv) Adoor Kinfra Project: We have decided to proceed ahead with the implementation of this new CBWTF, inside the KINFRA Park at Adoor. v) Govt. Mental Hospitals: We have decided to allow 50% bed strength reduction for both the Trivandrum & Kozhikode Govt. Mental Hospitals. vi) Gandhi Statue: Decided to give Rs.100,000/- as a donation to instal a Gandhi-statue at the Walayar Forest office. vii) Regularization of the Buildings inside the Plant-premises: Application given for exemption of the ‘Building Rules’, insisting ‘7mtr. Width’ for the ‘Forest Approach Road’ to our Palakkad Plant. [Presently we are allowed by the Forest Dept., to use only, the existing 5mtr. approach road]. • IMAGE Activity Report for the Quarter ending 31.12.2023: Affiliation Details given on pages 19 to 21 of the Activity Report Booklet: HCEs Affiliation Status as on 30.09.2023: 19,396 HCEs Discontinued after taking affiliation: 6,277 25,673 [New Affiliations during this Quarter: 737 HCEs] Details of total biomedical waste collected and treated are given on the page 22 of the IMAGE Activity Report Booklet: Celebrating Fraternal Fellowship 233 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϱ Total Quantity of 5,478 Tons of Biomedical Waste collected & treated in our CBWTF Plant, during this quarter ending 30.09.2023. [Per Day Average Qty. 59.54 MT]. Details of Pending Dues [Page 23]: Total pending dues from the Private HCEs Rs.47,84,900 Total pending dues from the Govt. HCEs Rs.30,71,928 Total pending dues as on 30.09.2023 Rs.78,56,828 Pending Dues: Active HCEs [Defaulters more than 6 months] Rs.47,55,883/- Pending Dues: Discontinued HCEs [non-active 6,277 HCEs] Rs.2,69,91,946/- [Even though this amount is huge; we have no way to collect these pending dues from the discontinued HCEs]. Once the HCE is closed permanently, we find it very difficult to collect the pending dues from them, despite our repeated phone calls and reminders. We could reduce this amount from Rs.6.5 crores to Rs.2.69 crores since the last six years. We have given training/re-training sessions to 1,000 HCEs on BMW Management, during this quarter [Details given on pages 23 & 24 of the IMAGE Report Booklet]. Affiliation processed during this quarter 737 HCEs [Details on page 24 & 25]. Other requests’ processed details are given on page 24 of the Activity Report. IMAGE Office has handled 17,465 phone calls during the quarter [243 phone calls per day] Details of Field Visits to the 87 HCEs conducted by the operations-team, during the last quarter is given on pages 26 to 30 along with details of their findings which are already shared to the IMAGE District Representatives and other office bearers. We have noticed Improper Segregation in 62 HCEs during the last quarter and the details are given in the pages 31 to 38 of the IMAGE Activity Report Booklet. All the details are given like the nature of improper segregation detected and the action taken [whether training given & whether issue closed, etc...] Environmental Report is given on pages 38 & 39. Reports on Office visits by the IMAGE Office bearers and details of various meetings attended are depicted on the pages 40 to 43., also regarding the Plant visits by the Office bearers, Govt. officials, and other visitors are given in the pages 43 & 44 of the Activity Report Book. Regarding the Brahmapuram Project; its status quo as the request for lease agreement is not approved by the Government, yet. Regarding the Adoor Kinfra Project, the EIA Study Report was presented to the SEAC on 7th September, and they have furnished us with a copy of their minutes of SEAC meeting wherein the SEAC have asked us: INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 234
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϲ IMA Goes Eco-friendly [IMAGE] i) To add more CER activities [Corporate Environment Responsibility] as per the norms, to be included in our EIA Report, without mentioning the nature/type of the proposed CER activities. ii) That the ‘Environmental Management Plan’ needs revision considering the site-specific issues. iii) Also, the SEAC Chairman and the team plans to visit our Plant site. Palode Project continues to be in status quo. Regarding the Developments at the IMAGE Plant at Palakkad [Page 46]; we have completed eight major works/purchases during this quarter. Most important among them is the “Overhead Tank [capacity of Two Lakh litres of water] with plumbing work”; the construction work is completed. Regarding the Work in Progress at the Plant site: Most important among these nine items is “the Air & Stack Emission Particulate Monitoring Devices” [Ambient air quality monitoring stations] which is under installation, as per the revised consent given by the KSPCB; accordingly, we are asked to submit a compliance report to the KSPCB on completion of this work. Regarding the upcoming works/requirements, the major work requisitions: i) ETP [Plastic-wash Pre-treatment Unit] because our BOD [Biological Oxygen Demand of the ETP] is rising beyond the standard and hence the remedy recommended is a ‘Pre-treatment Unit’ [to wash the blood contents from the lab-waste] has to be installed. We have to install/upgrade the ‘Batch Reactor’; and the budgeted cost comes to Rs.50 to 60 lakhs. The proposal has been submitted to the Technical Committee for consideration. ii) Barcode Based Biomedical Waste Management for Realtime Integration with the Central Pollution Control Board Software and Server: [This process is going on presently in active phase. Whenever, a barcode is scanned from the collection bag, the data is passed on to the CPCB Server in ‘Real Time”]. Even though discussions were going on since the last two years, presently became in active phase. Accordingly, there are three phases of integration as recommended by the CPCB and the first two phases are already completed by us [First Phase: IMAGE integration with the CPCB Server & the Second Phase: HCEs integration with the CPCB Server] and now this third phase, which is the integration of the “Realtime monitoring of the Barcode-scanning”, which is under pipeline, awaits further guidance from the CPCB to complete this integration process. iii) Fire installation augmentation & maintenance; for the New Barcode Yard Building and the New Canteen cum Office Complex. For this work alone we need an estimated amount of Rs.25 Lakhs. Celebrating Fraternal Fellowship 235 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϳ iv) We need a Diesel Generator to be kept as a standby in the Plant. Being a mandatory requirement to pump water throughout the plant area during the firefighting, in the incidence of any fire breakout in the Plant-premises. We need one 85 HP Kirloskar Pump, costing Rs.6 lakhs, to cover the entire area. Also, we need another amount of Rs.4 lakhs to augment the existing fire installation. Accordingly, the total estimated cost comes to Rs.35 lakhs for the entire requisition. v) For the Plant 2 Rotary Incinerator 4 [Alfatherm]; “Duct Replacement & Refractory Work” is impending. The existing ducts are almost damaged and has to be replaced at the earliest to facilitate the air pollution control device spare parts also has to be revised. Total estimated cost Rs.25 lakhs. vi) Requisition for an additional Bottle-washing-machine. In the Scrap machinery, we already have one bottle washing machine. But the backlog of bottles qty., is getting larger due to the massive inflow of glass bottles. vii) Also, we need one more plastic shredding machine in the Plant. Reports from the District Representatives: [Given in the pages 48 to 53]: All the District Representatives have given their Activity Reports for this quarter except Dr. Jolly Varghese Idukki, Dr. Aneenkutty Kozhikode, Dr. George Tukalan Ernakulam, and Dr. Bennet Chacko Kannur. Regarding the Quarterly Activity Reports from the Joint Secretaries; we have received reports from only Dr. Ramaraju P., and Dr. Sajeev Kumar P. Activity Reports from Dr. Haneesh M.M., and Dr. Velayudhan K., are not received. Regarding the IMAGE Committee Reports, the Purchase Committee Report is printed in the pages 56 to 59 and the Technical Committee Report is printed in page 60 of the IMAGE Activity Report. Vigilance Committee Report is given in pages 61 to 62 of the Activity Report. Points for Discussion: i) Our MoU with the Govt., got expired on 15.12.2022: Despite the fact that we have not made any changes at all, from the last MoU; and despite the fact that we are continuously following up with the various Govt. officials right from the Health Secretary to the KSPCB; we are yet to receive the revised MoU; but we continue to deliver IMAGE services to all the affiliated Govt. HCEs. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 236
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴ IMA Goes Eco-friendly [IMAGE] Secretary suggested that we should get an advance amount of minimum one month as a pre-condition from the applicants for new Govt. HCE Affiliations. Also, some Govt. HCEs are asking us for an MoU directly with them. It’s also suggested by the Secretary to get an advance amount for the MoU period so that we can ensure that our money is intact, since we do not have the blanket MoU with the Govt. ii) Pending Dues from the Discontinued HCEs: There are 6,277 HCEs which got discontinued since the year 2004 and among this 3,425 HCEs are having pending dues. After the Affiliation of an HCE, we used to provide our services for one month and then only we raise the invoice against the newly affiliated HCE. Usually it’s found that Private Labs, Private Dental Clinics, and Other Private Clinics used to stop functioning all on a sudden without informing the IMAGE and without paying the dues pending. Once the invoice is generated, we are bound to pay 88% of the invoice amount to the GJM, as per the agreement we have with them and such payments gradually cumulated to the huge pending dues amount of Rs.2.69crores from the discontinued HCEs since the year 2004. Despite our repeated efforts, it’s very difficult to collect these pending dues. Moreover, only few Govt. HCEs are discontinued likewise [268 Govt. HCEs] and among this 90% have gone to the KEIL from the districts of Pathanamthitta, Alappuzha, Kottayam, Idukki and Ernakulam. But on a detailed analysis it’s found that 85% of these pending dues are related to Private clinics and Private labs. And hence, its recommended to collect at least two/three months operational charges in advance from the Private Dental Clinics, Private Labs, and Private Clinics so that our amount will be intact with us even when they discontinue their services without notice. For the Clinics run by IMA Members, we can give an exemption, if this management committee approves so. iii) Rate Revision of Operational Service Charges: GJ Multiclave was continuously asking us for a rate revision and given an ultimatum that they will not be renewing the mutual agreement unless we increase their rate of operational service charges. It’s almost four years since we have revised their rates which was in July 2019. GJM claims that they incur a loss of Rs.15 to 20 Lakhs each month and have shown their books of accounts to the chairman and to me and we are convinced that their claim of incurring monthly loss is true. Celebrating Fraternal Fellowship 237 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϵ It may not be an easy task for the IMAGE to go for a “Rate Revision” with the Govt., as presently KEIL Ltd., is also a player in the biomedical waste management of the state. Hence, both the IMAGE and the KEIL Ltd., has to apply for increased rates simultaneously and jointly. But our issue is to keep the GJ Multiclave continue with us despite their demand for an increased rate. The mutual agreement with the GJM will be expiring by March 2024 and we have to find out ways and means to keep the GJM with us. Since they have not distributed bonus for this year to their employees; their workers also, are planning for a strike, shortly. iv) IMA IMAGE Paristhithi Mithra Awards 2023: This year we have received 713 Online-Applications from our affiliated HCEs to be considered for the prestigious IMA IMAGE Paristhithi Mithra Award. We have given a questionnaire [13 questions on the scientific biomedical waste management inside their premises] to all the applicants. We plan to do a four-level scrutinizing committee is formulated to screen these applications. First Prize, Second Prize and Third Prize will be given in the State Level in six categories [Hospitals with above 50 Beds, Hospitals having below 50 beds, Private Clinics, Labs, Dental Clinics and Other categories]. The State-award winners [First & the Second only] will be distributed with the prizes, at the next IMA State Annual Conference with the approval of the State President and State Secretary. v) Kerala Govt. Industries Department Exhibition ‘Keraleeyam 2023’: This exhibition proposed to be conducted at Trivandrum from November 7th onwards for one week at the Putharikkandam Ground. They have officially invited IMAGE and given a free stall at the exhibition ground. vi) HDFC Bank and their Payment Gateway in the Customer Portal: In addition to the existing ‘SIB Payment Gateway’; joining hands with the HDFC Bank, we are offering one more “HDFC Payment Gateway” also, in the IMAGE Customer Portal. Comments by the Chairman Dr. Abraham Varghese: i) He reminded the IMAGE Office-bearers to submit their respective Quarterly Activity Reports, in time so that we can get it printed in time. ii) He explained about the CER as mentioned by the SEAC in their Minutes: When CSR relates to a share of profit to be given to any particular project as the ‘Corporate Social Responsibility’, but CER relates to ‘Corporate Environment Responsibility’ during the project INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 238
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϭϬ IMA Goes Eco-friendly [IMAGE] implementation stage itself on how this particular project will affect the environment and how well we support the environment. iii) Pending dues: This being a continuing affair, the Office-bearers has to take extra efforts to collect the maximum pending dues as we have to pay our contractor GJM in time for the smooth and efficient operational activities. In other words, we have to keep in mind that only if we get the pending dues from the HCEs in time, we can pay the dues to GJM in time. iv) Visits to the IMAGE Plant by the IMA Branches: It’s heartening to note that more and more IMA Branches are sponsoring and visiting the IMAGE Plant at Palakkad. Accordingly, we have to motivate more and more branches to visit the Plant and if the branch itself sponsor the visit; then only, we will reimburse the travelling expenses. Presentation of Accounts by IMAGE Treasurer Dr. Krishnakumar P.V.: He presented both the Annual Statements of Accounts for the year ended 31.03.2023 & the Statements of Accounts for the Quarter ending 31.12.2023. The Treasurer read out each item of the respective statements of accounts [both the incomes as well as the expenditures] for approval of the members. i) Audited Profit & Loss Account for the year ending 31.03.2023 o Total Income Rs.46,71,12,747/63 o Total Expenditure Rs.43,73,16,688/48 o Excess of Income over Expenditure: Rs.2,97,96,059/15 ii) Audited Balance Sheet as on 31.03.2023 o Total Assets: Rs.52,28,24,124/79 o Capital Account: Rs.22,96,76,602/30 iii) Receipts & Payments Accounts for the Quarter ending 31.12.2023 o FD Deposits Opening Balance on 01.07.2023 Rs.20,33,89,214/- o FD Closing Balance as on 31.12.2023 Rs.22,33,89,214/- iv) Income & Expenditure Account for the Quarter ending 31.12.2023 o Total Income Rs.12,65,83,587/54 o Total Expenditure Rs.11,12,08,153/97 o Excess of Income over Expenditure Rs.1,53,75,433/57 v) Schedule of the Assets & Liabilities as on 30.09.2023 o Assets as on 30.09.2023 Rs.19,95,08,601/71 o Work In Progress as on 30.09.2023 Rs.12,80,472/- o Liabilities as on 30.09.2023 Rs.21,47,79,794/74 Celebrating Fraternal Fellowship 239 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭϭ Reports by the District Representatives: Dr. B. Sidharthan, Trivandrum: Activity Reports of Trivandrum for the Quarter is printed in the page 48 of the IMAGE Report Booklet. He explained each item in the report in detail. And, he opined that its high time, we should invite a global tender to replace the GJM. Dr. K. Manimaran, Pathanamthitta: Activity Report of Pathanamthitta, for the last quarter is printed on page 49 of the Report Booklet. And he seconded the proposal to collect three months operational charges in advance from the HCEs. Dr. T.U. Sukumaran, Kottayam: Activity Report of Kottayam is printed on the pages 50 & 51 of the IMAGE Report Booklet. He added that during the oncoming National Conference on Child Health & Environment Protection; to be held at Bangalore, on the 28th & 29th instant; being the Chief Orator, he will highlight and will be talking about the IMAGE. Dr. Jolly Varghese, Idukki: Everything going smooth regarding the operations of the IMAGE in Idukki District. He also, seconded the suggestion to collect three months advance operational service charges, during the affiliation stage itself. Dr. A.M. Hareendranathan, Thrissur: Activity Report from Thrissur is printed on page 51 of the Activity Report Booklet. Everything is going very smooth in Thrissur district, and he suggested that we have to collect three months advance against the operational service charges on new affiliations and but from the IMA members, only one month advance to be collected. To increase the popularity, we may give a compliment/prize to leading HCEs, such as tumblers with IMAGE logo. He is of strong opinion that since the GJM was doing good service since so many years; we have to continue with them as our contractor. Dr. Rasitha Gireesh, Palakkad: Activity Report from Palakkad is printed on page 51 of the IMAGE Report Booklet. Everything going smooth in Palakkad as reported by her and added that junior doctors are willing to join IMA but reluctant due to financial difficulties. Dr. Bennet Chacko, Kannur: There were 52 new applications in Kannur District during the last quarter and nine out of them are not IMA members yet. Three months operational service charges have to be collected in advance, from the new applicants for affiliation. Improper Segregation reported from 11 HCEs and we have collected explanations and given trainings. Two HCEs have requested bed-strength INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 240
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϭϮ IMA Goes Eco-friendly [IMAGE] reduction and after proper verification, approved the same. Facility enhancement request from six HCEs were approved. There were no huge amounts of pending dues as reported from Kannur and is actively followed up. Comment by the Chairman Dr. Abraham Varghese: Regarding the ‘Activity Report Format’ as given to the District Representatives; the Chairman informed that such an easy format gives a uniformity in the reporting. Report by the Joint Secretary North Zone Dr. Sajeev Kumar P., Regarding the ‘Palode-land - new project-proposal’, a team is working on it and will be submitted to the State President in two weeks’ time. Regarding the reported ‘Improper Segregation’ and payment issues at Kozhikode and Malappuram. Met the Lay Secretary and Medical Suptd., and we could get the dues released. Similarly, in Malappuram also, actively following up for clearing the pending dues. Also, its suggested by him that we have to collect three months operational service charges in advance from the new affiliations. It’s reported that without any affiliations, more and more healthcare establishments are found working in Kozhikode, Malappuram, Palakkad areas; we have to take the initiative to report and expose such HCEs to the KSPCB as well as to the respective DMOs. The rate hike requested by the GJM is only justifiable as they are keenly associating with us for so many years and hence, we have to consider their demand. Comments by the Chairman Dr. Abraham Varghese: Reported that letter of absence requested by the following office bearers: i) Dr. Rajagopalan Nair, Vice Chairman ii) Dr. Haneesh M.M., Joint Secretary Mid Zone iii) Dr. Sen CR., Kollam iv) Dr. Rajesh P., Malappuram v) Dr. Geroge Tukalan, Ernakulam vi) Dr. Sunny George, Wayanad vii) Dr. Aneen Kutty, Kozhikode viii) Dr. Kishor Kumar, Kasaragod Report by the Joint Secretary Northeast Zone Dr. Velayudhan K., He started his reports by positively commenting on the new format given for reporting by the Office-bearers. Independence Day and Onam Celebrations were conducted at the Plant in a good manner. Trying level best to collect the pending dues. All the activities of the IMAGE are going on smoothly. He added that that presently political intervention is increasing in the Plant as he feels it. Report by the Joint Secretary South Zone Dr. Ramaraju P., The Activity Report is given in the page 54 of the IMAGE Report Booklet. He Celebrating Fraternal Fellowship 241 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭϯ started his presentation by mentioning about the pending dues collection from the various HCEs. The stoppage notice given at Parippally Medical College and the strict follow ups at the Trivandrum Medical College has brought good results in clearing the pending dues. Considering the continuing pending dues from Pathanamthitta and Alappuzha, wherein the Govt. HCEs have already gone to the Keil Ltd., we had an active follow-up discussion with the respective DMOs of Pathanamthitta and Alappuzha. Report by IMAGE Purchase Committee: Purchase Details and Report are given on the pages 56 to 59 of the IMAGE Report Booklet. Committee Chairman Dr. V.U.Seethi informed that daily we need to buy certain items for the smooth functioning of the Plant activities, along with the instructions from the PCB given from time to time. Committee Member Dr. Devadas K.V., added that during the discussions of the three purchase items as given in the report; it’s evident that Rs.90,000/- is found reduced from the original purchase values quoted by the suppliers; which is gained due to strict negotiations by the IMAGE Secretary Dr. Sharafudheen K.P. Comments by the State President Dr. Sulphi N.: As per the Bylaw, all the purchases above Rs.1 Lakh should be approved by the Finance Committee to get is more transparent and more acceptable. Chairman Dr. Abraham Varghese readily agreed to this suggestion by the State President and added that from the next time onwards, it will be done accordingly. Report by IMAGE Technical Committee: Technical Details and Report are given on page 60 of the IMAGE Report Booklet. Chairman Dr. Jayakrishnan A.V., informed that all the three items mentioned in the Technical Committee Report are discussed in detail and considered approved since all these items are urgently needed for the day to day functioning of the Plant. Also, he added that the reported pending dues of Rs.2.69Crs., arising out of the discontinued HCEs; has to be examined deeply and analyse in detail so that we understand whether any big HCEs are falling under this list, and whether any HCE is still working under a different name. Classify this list again and to follow-up for collecting the pending dues as per the derived classified details. He raised his genuine doubts of any chances to get advance amounts from any Govt. HCEs., and hence suggested not to collect any advance amount from the Govt. HCEs while directly entering into MoU with any one of them, individually. Also, he added that we should not entertain getting advance amount from a few HCEs and exclude another set of HCEs; which will be considered as INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 242
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϭϰ IMA Goes Eco-friendly [IMAGE] discriminatory. We should follow a uniform policy as to get one month advance of operational service charges from each new affiliation. Regarding continuing association with the contractor GJM and their demand for increased rate in the operational service charges, Dr. Jayakrishnan commented that since the past so many years the service rendered by GJM is really commendable. But when we analyse the income and expenditure details during the last one year its wondered, when we have a yearly turnover of around 50crores, our profit share is only Rs.2.97crores, which is a matter of concern; may be due to the increase in the fuel and electricity charges, presently bearing by the IMAGE. IMAGE Secretary Dr. Sharafudheen replied that as per the existing agreement with them, 88% of the invoice amount has to be paid to GJM including the GST. In order to reduce the GST, it’s mutually agreed to directly pay the Diesel charges and Electricity charges to the concerned parties for and on behalf of the GJM so that we get the benefits of the GST/Income Tad. Later, when we calculate and make the payments to the GJM, we are deducting the amount of diesel charges and electricity charges from their share of 88% on the Invoice amount. Dr. Jayakrishnan added that we have to meet all our expense including the capital expenditures from the remaining percentage of the invoice amount [after paying the GJM] and the amount received from the scrap sales. Moreover, GJM is not concerned about the developments of the Plant and major maintenance and other related works in the Plant. Accordingly, we have to be very careful before allowing them any increase in their rates. He advised that a detailed analysis of this issue and a separate detailed discussion is needed in this matter by a committee. Further comments by the IMAGE Secretary Dr. Sharafudheen K.P.: In a nutshell, the basic demand by the GJM is to increase the operational service charges only. When comparing with the rates of other states which is more than Rs.11/- per bed per day but in Kerala, we are charging only Rs.6/10 & 6/35 per bed per day. On the other hand, Kerala has the highest operational expenses among other states as reported by the GJM. Contrary to the mutually agreed terms the GJM is presently; not doing the minor repair works at the Plant, not recruiting sufficient labour, not deploying additional vehicles on the pretext of increasing operational cost. We will be ultimate loser, as the minor maintenance/repair works culminates to major maintenance/repair works, which will be respectively costly. Moreover, we cannot increase the rates unilaterally, without considering Keil Ltd. Discussion on the Minutes, Activity Report, and the Accounts: Comments by the State Secretary Dr. Joseph Benaven: i) Regarding the suggestion to collect three months advance from the Labs, State Secretary stated that Labs are the most vulnerable groups among the HCEs as they start getting income only after Celebrating Fraternal Fellowship 243 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭϱ completing the affiliation; mostly single proprietor Labs or those associated with small clinics; and mostly it’s their livelihood, moreover, the affiliation fee we collect is non-refundable. ii) Regarding the pending dues of Rs.2.69crores from the HCEs discontinued since the year 2004; when considering the huge business turnover, and these dues accumulated over such a long period of 20 years; this amount is not at all sizable, even though it looks a bit alarming. iii) Regarding the suggestion to take a global tender to replace the GJM; but the tender amount will be almost triple the amount we are presently paying the GJM. It may not be viable. iv) Earlier, when we have done a Cost-audit on the GJM; and the Cost Accountant reported that GJM is over staffed on its overall operations and the wages paid to their staff are disproportionate in the industry. The monthly salary paid to a driver is Rs.45,000/- [which is unheard of anywhere] which shows clear indication of financial as well as operational inefficiency in their management system. Even though we have a historical relation with the GJM, instead of efficiently managing their affairs well of which they are not too much concerned. It’s a fact that the GJM always come to us for an increase in their operational charges, whenever they face demand from their labour force, for pay raise. Even if we bring another operator, the same staff demand will be there. In the Adoor project, when become operational we have to be more careful in staff deployment and should have a lean operation; bare minimum staff with better efficiency should be the mantra. v) Referring to the IMAGE Accounts, the State Secretary stated that we are getting only 10% of the yearly turn over as the IMAGE profit for the year which is meagre, and hence it needs a detailed study and analysis. In other words, we have an operational income of almost Rs.37 crores and we are paying the GJM an amount of Rs. 32 crores. The difference amount of Rs. 5 crores plus the income from Scrap Sales Rs.7.43 crores come to Rs.12.43 crores. After deducting the Tax amount paid, the net profit should be around Rs. 8 crores. But as per the P & L Account for the year ended 31.03.2023, we have made a profit of only Rs.2.97 crores. Such a vast difference of around Rs. 5 crores should be looked into carefully, which calls for a detailed analysis. Dr. Samuel Koshy, IPP: After congratulating the Chairman & the Secretary of the IMAGE for their excellent work, he pointed out the following points: i) We cannot depend on only one contractor perennially and hence the time is nearing that we have to part with GJM but the decision to be INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 244
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϭϲ IMA Goes Eco-friendly [IMAGE] taken is whether we have to do it step by step or immediately. In this context we have only two options, either to bargain with the Government and to get a higher rate for the operational services and give the same to GJM or to deny the demand of GJM for rate increase and to gradually say goodbye. We have a two-tier Operation system. First one is collecting the BMW from the HCEs and to transport the same to our CBWTF and the second operation is to dispose the collected BMW at the Plant. It’s suggested whether we can divide the two operations separately to two different agencies and thus to reduce the total expenditure. When we request the Government to increase the rate of operational service charges, its certain that Keil will be joining with us, as they also will be benefitted by any increase in the rate of operations. ii) When we ask for three months advance from the HCEs, if they oppose the payment of any advance amount, and if they complain to the KSPCB; what will be the outcome. Whether PCB will direct us to provide the services without an advance amount from the HCEs. Whether we can deny affiliation, accordingly. iii) We have to speed up the pace of ‘Kinfra Plant Installation Process’ and he reminded that as per the lease agreement with the Kinfra, we have to inform them within a period of two years whether we are proceeding ahead with the implementation of the proposed project or else we will not get any refund of the instalment amount of the lease already given to them. iv) His next point is with regard to the ongoing case at the Hon’ble Supreme Court; contesting the impugned order of the KSPCB, wherein we have incurred huge expense in the form of legal fees. But our case is getting delayed as not yet posted for hearing. He advised to do the needful to expedite the process and to get listed our case for an immediate hearing. v) Regarding our property at Palode; we have already given an application for the survey of the property and to get us a sketch and plan of the property. Along with the survey activities, we should do the needful to construct a fencing, around the perimeter of the property. vi) Brahmapuram should be kept active and should take forward. Its better to have some correspondence regarding this project every six months. Celebrating Fraternal Fellowship 245 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭϳ Dr. Babu Ravindran T.N.: After congratulating the Chairman and the Secretary in doing the IMAGE activities meticulously and added the following payments: i) Regarding the pending dues, which is accumulated throughout the last twenty years, we have to do the needful to collect the dues as far as possible. ii) The suggestion to get three months advance of operational service charges is a good one. iii) Adoor Kinfra Project, after getting the EC., do the needful to proceed ahead with the implantation and installation without any delay. iv) Regarding the Palode land, do the needful to make it useful. Dr. Sreejith N. Kumar, Chairman PEPS: He thanked the IMAGE for the excellent cooperation and support and added that for the constant guidance. We should have an interface regarding the mutual issues faced by both the IMAGE and the PEPS. Regarding the mandatory requirement of 120-micron thickness for the plastic collection bags, he told that still they have not started to implement the same, intentionally. Dr. Bhaskaran M., After congratulating both the Chairman and the Secretary, he stated the following points: i) Regarding the impending judgement at the Hon’ble Supreme Court, if it’s against us, then our income will be adversely affected. Its better to do the proper follow up of the case actively. ii) As reported, we are getting more and more equipment at the at the Plant getting repaired due to wear and tear. So, we need to get the maximum dues collected to proceed ahead with the repairs and maintenance. iii) Regarding the suggestion to get advance from the new affiliations, its further suggested to collect the operational service charges as a pre-paid, instead of the present way of collecting the same after providing the service. Instead of receiving the bill amount on the 30th of every month; collect the same on the first day of the month itself. The three months advance during affiliation itself will not be easy for the new applicants. Dr. Sugathan M.E.: He raised the query why the Affiliation Fees is shown as a liability in the Balance Sheet. It’s replied by the Secretary that keeping the same as liability will absolve us from paying the income tax, which is only a technical aspect. Dr. Gopikumar P.: He advised to meet the Ministers and if possible, the Chief Minister himself; regarding the undue delay in executing the MoU with the Government. Most of the institutions are run by the local bodies, we have to make a direct MoU INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 246
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϭϴ IMA Goes Eco-friendly [IMAGE] with individual HCEs along with the blanket MoU. He clarified whether the KINFRA [Project] EIA Report is prepared by qualified engineers and the Chairman replied that we have given this work to an accredited agency and certainly this EIA Study Report is prepared by qualified engineers of this agency Pragathi and the EIA Study Report is already submitted to the SEAC through them only; we were also present during the SEAC meeting. Also, he enquired whether those HCEs transferred to the KEIL Ltd., made any serious/adverse impact in our BMW collection/management. Secretary replied that the arrival of KEIL Ltd., not affected us in any way, and added that actually the total quantity of BMW collected daily by us, has only increased. The KEIL Ltd., has a sanctioned capacity of 16 Tons per day only against our sanctioned capacity of 55.8 Tons per day and hence, even if the Supreme Court verdict goes against us; we will not be adversely affected in any way. Moreover, given to understand that the KEIL Ltd., is presently concentrating more on “Domestic Biomedical Waste” management. Secretary also informed that from Palakkad an agency approached us to get affiliation for collecting domestic biomedical waste and we have insisted that they have to pay Rs.25,000/- towards the affiliation fee and Rs.30/- per kg., of segregated domestic biomedical waste, for disposal. Dr. Sreevilasan K.A., State President Elect: Our next dream to be fulfilled, is the installation of the Adoor KINFRA Project. We have done all the groundwork and have to expedite the process to make this project a reality as soon as possible. We all will work together to make this happen within a period of two years. As reported by the Scheme Secretary, KEIL Ltd., has only 16 tonnes against our 59 tonnes, has no comparison and there is no necessity of any shadow war with them. We will continue to go ahead in the coming years with renewed strength. Also, he added that the suggested to get three months advance from the new HCEs applying for affiliation can be approved. When the IMAGE Chairman Dr. Abraham Varghese requested the MCM whether the Minutes, Activity Report and the Accounts can be declared passed; it is approved by all the members together unanimously by clapping their hands. Closing Remarks by the State Secretary Dr. Joseph Benaven: Congratulated the IMAGE Chairman, Secretary, and the Treasurer for their 24x7 strenuous efforts to the continuous activities of the IMAGE. He added that the kind of work they are putting in, is unimaginable. IMAGE being a full-fledged industrial project going in full swing, we have to provide them with all the support and all the cooperation in all respects, so as to maximise the profits generated. Celebrating Fraternal Fellowship 247 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] WĂŐĞϭϵ Closing Remarks by the State President Dr. Sulphi N.: • The State President also congratulated the IMAGE Team working 24x7 on their wonderful work to the IMAGE. • The issue related to Ayush Bed-strength reduction, which is already discussed; the Govt. Health Secretary is constantly following up one this matter, please expedite. • We have even discussed about stopping the BMW collection from the Govt. HCEs, when pending dues got piled up but the tactics of IMAGE Committee succeeded and its commendable. As usual, they were doing the political liaison work very effectively, this time also. • This being the ideal time to start the ‘Biomedical Waste Management Course’ as our member Dr. Mohan Kunnummal is presently the Vice Chancellor, of both the Kerala University and the KUHS. • Any financial commitment by the IMAGE should come before the State Finance Committee and get their approval as per the Byelaw. • Also, the GJM rate revision also has to be brought before the Finance Committee; if needed a separate committee can be formulated for this issue. • The status of the Supreme Court case must be strictly followed up. • We have already allocated Rs.2 Lakhs to the National Conference this time but in the due course, we have to decide further about utilizing scheme finance for other purposes such as national or state conferences. IMAGE Secretary presented the decisions of the MCM91: i) All financial transactions above Rs.1 lakh, after the approval of the Purchase Committee, will be communicated to the Finance Committee. ii) Because the Govt. MoU is already expired, we shall get an advance of operational service charges, from the Govt. HCEs for two or three months. iii) To reduce the dues from ‘Discontinued HCEs’; we can collect ‘Onemonth Advance-billing’ from Private Labs, Private Clinics, and Dental Clinics. iv) Regarding the rate increase of operational charges, we cannot go ahead unilaterally and hence we will continue our discussions with the KEIL and will follow up and will inform the MCM further. v) Paristhithi Mithra Awards will be distributed during the State Conference. vi) Regarding the affiliation of ‘Hygiene Companies’ for the collection of Domestic BMW; we will proceed ahead with charging Rs.30/- per kg.; we will also allow a discount on the proposed affiliation fee of INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 248
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report Rs.25,000/- vii) Regarding the Biomedical Waste Management Course, we will approach the University of Kerala also; simultaneously will follow up with KUHS. viii) The discussion with GJM on their request of rate revision can be started. Vote of thanks proposed by the IMAGE Secretary Dr. Sharafudheen K.P. October 15, 2023, Dr. Sharafudheen K. P. Thiruvananthapuram Secretary, IMAGE IMA KSB Celebrating Fraternal Fellowship 249 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMAGoesEco-friendly[IMAGE]WĂŐĞϮϭ IMAGE – ACTIVITY REPORT FOR THE PERIOD JULY TO SEPTEMBER 2023 AFFILIATION STATUS AS ON 31. 12. 2023 HCEs Status No. of Private HCEs No. of Govt. HCEs Total Active HCEs 15,667 1708 17,375 Service on hold (temporary) 239 40 279 Payment Defaulters (Stopped) 563 29 592 Service Suspended 347 61 408 Service not Availed/Started 1073 148 1221 Total Affiliated HCEs (Current) 17,889 1,986 19,875 Discontinued (since 2004) 5,289 1381 6,670 Total 23,178 3,367 26,545 PRIVATE HOSPITALS/CLINICS/DENTAL CLINICS/LABS Type Hospital Ayush Clinics Dental Laboratories Total Alappuzha 77 8 131 295 498 1009 Ernakulam 153 23 349 833 714 2072 Idukki 78 3 83 148 200 512 Kannur 112 8 206 504 482 1312 Kasaragod 52 1 98 173 137 461 Kollam 139 10 270 452 569 1440 Kottayam 93 11 87 424 462 1077 Kozhikode 112 11 327 689 604 1743 Malappuram 141 11 425 795 652 2024 Palakkad 98 8 271 348 462 1187 Pathanamthitta 57 3 97 206 300 663 Thrissur 112 26 195 617 775 1725 Trivandrum 190 23 302 747 668 1930 Wayanad 41 5 65 124 125 360 Total 1455 151 2906 6355 6648 17515 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 250