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Page 1 Page 2 Page 3 トンガ 日本/WH。 』照隅 LiBRARY 生検査所

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1. ORR ARRE KK 5 dA Summary of Discussions 5 8 2
2. RADOT a x2 HERR CO 5 0 0 0 IC TB Lo EXER of CC WHO Dr Geizer CPHL WHO 2 3 MOCKER 4 2 HB odG TBSULCo S 3 MIER ARTE IBI 5 8 6 WHO Undergraduate J ICAI Post graduate
3. T 6 0 Dr Moala 4 5 9 4E BE BAEE OO SE PAZE GR COD OC 59 EbEOXGEPO chon 149g Ch OAM K BOLT
4. CE HACA Lro 9e e e SS CG e 8 op TART IC E RAMESH ABO ee Krees ebe J TCA d 1 2 FB h D _ WHO Workshop LC
5. Miss Uta e Site op CPHL 6 0 K 41 WHO 5 8 6 OD Mr Foliaki KAR HEL DOL KRATRE Ep WE gt y Hug RR v COLD B 0 D 1 5 CC Mr Foliaki Mr Foliaki 1 98 4 9 Primary Report HO List of
6. LOL HARKER C 2 Ke 1 25 4 J CA of 5 C o 103 1
7. WHO CP K C WHO Dr Rao 59 1 CPHL 5 9 2 CPHL WHO ut mj vx 10 7 OR wo RENS NIE pte CIS o TRC BHR Bie d TM L 5 7 SE Sp KER SEH ROX BRE 7 HH Ei Ken a W H QO CPHLSEK 10 26 te Net g RH i ES E GU e Lo R s A 78S Kae
8. LGD BUCH gt CFE YD REEMA LR EBL SH 1 PIERII A EEN L L CS ORMBRU AAT L d RRE el AER PRR O MMBC ONDAS LOWE gt h Ria EIS OR A ENT K 2 1 Central Public Health Laboratory 5 8 n 2 9 K HINTED KK
9. 198 5 C BEADS Be Rb Tn OAK HB C RO bo 1990 1 9 8 4 MARERA X ERORMEREL B OSEE ED FEE gk by Sh Se Hd Ben ROB OE EO HC LOCH 50 C K
10. C KUHL CORORIEIT CIO RA AICGE EN BO CHAE OBS COB M d E Moa cul AORERSVOT TEEN CD kh 6 WHO C 7 ge Bond PEE OFM RUM WHO WPRO WHO C VR ah A JTCA
11. WHS HC COM WHO WHO TCA B KEIER LENS 5 6 1 2 61 12 mem Mie 5 9 9 EL 1 2 ORMICR SOM ROERE BAR en CHE CORASIOSE ED RACH d AE dee AN Lok ib MES Wu d px do D a 5
12. 1985 12 912 i986 9 12 9 12 BA 45 V CPL 6 CPHL OREH LAL Laboratory MC MER on e BREEDE Tonga M WHO TIE o KE WH 0 tripartite mic 2
13. C D C P LOLab x2 7 OMKL SOR DOYIR olt ICH ERORE C PH LO electromedical technician a C P H LOLab C port graduate JI CA 5 BRE ONE BI SE Eo 6 JICAOTA ORHPH TC CPHL Project KATHAL ME ORRROMA OM CIMT BEL Ai J C A J IC WHO OMA KC 5 M Z ACE SEE LO E3513 Ask SOBICIOIES DeC 2 DAM YP GIRS
14. b 3 5 9 5 9 Dr Moala Sengili HA APA1 PERTE K E EE WoW Che 1 2 RM BORN Mr T Non CHER CA 5 EES Ebene I MET Inn Sege LE Leben LT C
15. SRHERBALOBMAE C JTCA KC WHO Workshop VC 27 WHO 2 6 1 0 JTCA FIA Y
16. 5 9 3 1 Mr Sione Foliaki 6 0 KC 2 5 9 WHO THE WHO
17. L RRE O 2 2 fi 2 3 dated 4 5 989 e evel Ei dI XR LC bo ng PX wy R Dg P E SCH AR 7 BBL HE MI CR it Amt 5 9 RERO D C L fe RSE eat Na KLEER IT K e Ci Ca P R RR K Ii SE de FE TEE a ART oO GPT TH RA774 E LDH 743 U CPK CK fih fa dw IL AC Fes BAR C Sel OO t RAS HBs HBs TPHA GE CRP C RA
18. 5 C FRA ME OME CMKICRMLIZE CCH LA C D ri984 C KK Mr IKa K a RIK b c d e
19. Ce 180 000 540 000 W 5 Im 3 30 000 90 000 12 _ NEM l E T 6 RES RC URS m 4 40 000 160 000 240V 50Hz NEHME NN be D 3 000 De o 11 u 240V 50H2 18324 PERENNE 8 4 8 000 32 000 a 2 LE Oe 9 3 52 00 156 000 4211 ERU ONES Gott 5 240V 50Hz EI DE Go 1 TL NAE 3 12 NM NOMEN 11 NIES FUVAR 2 660 000 1 320 000 240V 50Hz BHS 113 2 500 30 000 PARUE x w P R WT 5A EN EIA AS Aog PvE SS SARI 240V 50Hz 3 cou j ab 18 PH 240V 50Hz 1 PH6 838 Buffer 450ml 477068 1
20. mH 1 Summary of discussions on development of Central Public Health EE Kingdom of Tonga P February 10 3984 At Meeting room Central Public Health Laboratory Particinantes X Ministry of Health E E Dr Supileo Foliaki Director of Health Dr Tilitili Puloka Senior Medical Officer Public Health See e Hospttar Mr Busby Kautoke Assistant Secretary brad Mr Sonny Wolfgramm Health Planning Officer Mr Sione Foliaki Microbiologist in charge WHO _ Dr Imre Geizer Regional Laboratory Adviser Dr Tadeusz Olakowski Medical Officer Dr Nutulapaty M Rao Microbiologist Japan International Cooperation Agency Dr Makoto Ohashi Expert of Microbiology and Serology Dr Yashima Hodate Team Leader of Health Laboratory Project Mr Hiroshi Kato Staff of Medical Cooperation Peper inent Summary l REP 1 A draft of the fist of equipments to be by Tonga in 1984 was improved in which priority was put on those for strengthening activities of n a the collection of specimens for examination from peripheral health service instituttions and b clinical biochemistry 2 Equipments for chemical analysis of water and foods will be considered with the top priority in 1985 e Training 1 Candidates to be requested to JICA in 1984 are as follows in order of priority Candidate Field Duration Dr Moala Sengili His
21. ut 16000 nm 5 2 0 0 S d de e e M JE oz n o 3 550 s E A y z H 2 200 7 x PT Le A y i o 750 2 So Me w Fe y 3 H H 1500 A Lg H 5002x2 1 840 9 a 4 1002 1 000 x C 10 0 o 2007 6000 SONAR CA B2 8G vH o 1 3600 No 5A lim 10 0A 1 78 740 o N 5B it H 740 A No 5C o o 740 o No 5D 2X40cg100 4 o 430 o 11000 ZS X E JSF 1 o 1 60200 3B RM E E 93 157 SET o 43 000 TU 1 7 7 24 000 HPS 204 o 39 800 2 DELE Vaio la om x outer Vai ola EICHI be bA TIRRAN LR MA Es E CP HL CPH db ok ORC C PH LIB bI SHMO DAI 5 MOHECPHLEOBJKCIDES ER EN A CRATE tik SICH oT D MAR
22. 5 8 6 W HO K OXR E DRT bhk COMICS FR IP MUAH RAIMI E 2 BM ONE 3 4 5 WH EE Reeg 1 C Viola WBE TRIER LC 2 RR B Ud LX o Ed 2 3 HUE DY EMEC K TA CRMT NE CHD K 1 MAAK 2
23. 2 DOMAENTH ICA ME gt SAME 5 8 6 K PRAR HARA Central Public Health Laboratury C PHL KI 5 9 2 5 8 6 ROR D IC DRE Tir 2 CPHL C 8 CPHL BAP 4 WHO CPHL COLI
24. ES WH 0 K 1 5 KC HROT 0 B Ten Central Public Health Laboratory K e BRRR
25. CO CPHLOD RYT ACE Se c PORRA fact bici om BARRING 210V 240YV K 7 D d mM 4 RE x b B bo XC bo ims E 3 a 5 H8 ps x 959 B 57 8 8 59 12 8 15 7 914 60 913 di 58 123 58 212 58 123 58 2 d a B 59 812 5912 8 5911 4 6011 3 F 60 118 60 717 E COC PHLRBICKSEMR 2H
26. HAWPOA700 4 15 000 60 000 ee 1 2 E 1004A GSWPO4700 4 15 000 60 000 3 4 3 000 12 000 4 XKEM0010 4 5 000 20 000 DD eu cech 4 r 10 000 40 000 D 21 Eggs es FYNI S 320 000 SEM BSL 240V 50Hz 1 6V 2A 2 20W IM 6 500 3 000 57 eae 6 500 3 000 tO ite GA Do L c 2 gcc ut pM Q2 ce H y a Ob zeegee 31 He gt af Wa 2 e 5 H Asics U UALE i 240V 508Hz cbe VP 2 Fe 1 Sieg Na K Ca Li 1 100V Al 5 a VS AM re D 145 000 290 000 1 430 000 100 000 200 000 15mj X84 amp 28 1 10004 STEI Sr 240V 50Hz 6 30 2 700 81 000 PB Ripe 3 C Reve DES Kri 240V 50Hz 100 000 300 000 NE 1 BPR BIB PH6 96 500m1 X10 NNNM NE 63 7 REROEM s a s 3 2
27. C 5 9 2 ARC MWA CALE ORESTE bN K CPHL WHO TIntercountry Workshop on the Strengthening of Surveillance Systems and Utilization of Existing Hcalth Records LORS 9 8 A 1 C K 60 1 6 Je 4 a R ZS cd koCO0SMERB x AS fiR y5CF CmS Miss Ane Tone Aeg FW Ms Akanesi a gt k ap Ww Mr Sione Foliaki 5 9 22 6 NNI E 60 2 25 Hen Dr Sengili Moala 5910 7 Bk aaen SIE 6010 3 Z2 M 59 1 1 4 RHE een
28. IM RET a BORRUR EO HL eene nennen c b Bas LAUR O SE eee ETT ON y EU er ES asp Na be E Ee ege e ee d ROULETTE a boe Sasa oer c Ee 2 PHO EA Tre MUI A B es 1 BAURMUMERUT S Ra e GIU 2 eee RUNS mn C BLA eee EE GEN XN PL TO A E Eege LETTE 11 1 il i 2 12 12 14 14 14 14 14 15 18 19 19 19 20 20 20 2 0 V Zu S FN A D Zaya ETE Z OB E LICROCCOBS eee V JICAMAM WHO i Geen CHO T Bacons M 8 4E eM TENT EE ere eer ere a MM NE WE E ELE eben eg E l MED Ed A E M R MTEC UAT BH A 9 9 B 9 0 dos 97703 OKI 20 11 21 22 11 14 14 14 ao 8I CH 00 E 10 1085 00 30 on 00 20 40 du BC SERIES IUR 3E BAe AR BEES BIS o HIER Ok CIBC Be AEE eem DAR a E T E 024A4IH3 PH 74 8 by ARTE E Mrs L Kefu A Assistant Secretary for Health BESSER
29. 3 H A 1 a ZR SU WS WHO 56 7 BBR C PHL 5 9 BRETVA 5 Hi HBAS 6 0 C Non V cholerae 0 1 ERE _ FERR 6 0 4p ORME APR
30. EI 0 b sf i 59 6 3 0 Kd CPHL CPIIL C wm CPHL K K LA LABS EI HABER LOC ORARE RM OR DIC ED CH C C CPHI CP HL
31. 2 5 9 C A 9 RE LLC 5 9 6 0 6 1 59 E BEC ERE ORD OBUR BA TVT Eb POW Tb bo M 5 9 HE C 4s E D UR VA VAUR RU HA APAT
32. ARAL RAE IC Inter Country Seminar Ait L Lab CHC 10 C 1 19 8 5 OR DED SOM SICH L RM ROWHO BHATARA C 1 4 can cxi 1985 Mr L Uta Dr S Moala _ C C PIE Ai
33. Summary of Discussions c _ CC E TII EEN Dr S Foliaki FJ 251 TOT 43 WHO Study team TE 02 3C FJ 016 ASH 1 CA Grand Pacific Hotel3 HLA RE 9717 lt 9 10 ae oe db SR TIME E 9 18 9 i 6 30 00 ER 0 0 00 on 15 45 JI CA OKEERE EMARE MARRY WHO zt RAK Dr T OLAKOWSKI WHO Representative SI CA Sigatoka CAE Bl CC 776 _ BEE dE EE ZussiPtk d43 8 CUXERCSBNo2AS Ad 22380 4 fk c xU req THETIC PC 2445017 HB 2 858 LC 2 LOW
34. 2 5 1 2 Viola C LoL JTCA 5 8 5 9 ec KIK A 3 _ Ce SUT Lic BIEL v MICOWT OBL RHENE Lro Lel SKETCHER 2 4
35. International Dateline Hotel S K UTE WHO Dr 8 Foliaki Director of Health Dr O Lutui Medical Superintendent Dr S Moala Medicai Officer in charge Laboratory Section Mr P Tupou Laboratory Technician Mrs L Kefu AAAssistant Secretary for Health Mr S T Wolfgramm Health Planning Officer Secretary WHO Dr I Geizer Regional Adviser on 9 1 2 9 13 7k 9 14 4 amp 9 15 9 16 H PI l5 I5 20 1 4 18 i2 15 13 20 12 14 ES 19 10 30 00 30 0 0 30 00 00 30 00 00 00 30 30 3 0 3 0 50 05 30 05 10 00 00 Laboratory Health dere ss WPRO Dr N U Rao WHO Micrbiologist Tonga R e JS mom SC DRE emo S PER NR Dateline Hotel b 855 EU WH O fll ProposaliC ELI AE CPHL C 2 RERA amp amp 35 VC C8 Me X er AR Vaiola A f OS WHO
36. K 6 0 K 2 0 MAMI MBSHEMROREZE da HH A d CPHL
37. WHO 59 11 WHO JE LIBRARY AUN Il A159 11 FR i3 85 4 E 1 WW e TELA WH ORIENT SH Y 7 RMS 6 2 Den DARE Lg CIC AMM OMEMERT LTV 2 TOM EENKCAAEP EOS Rem oot BU Fad 2 MEDION EET LA REG AP Lc ARIC ann 5 9 9 9 9 19 ORES EGUICEE E Dd uy IC KC 82 POM MAT OR DICH EDO He Colo LET BKM C
38. O Mr V Ika DAT ICCP HL Lab 1 7 2 1 1 K ME CIM L PISO AR TEAE CRAT SOUL Miss A Tone Mr S Pokaki ORRISICA S E354 bh C PH LO x a REA REM NND ON HN C EN M1 MICH D bY 3 a CPHL KK
39. 6 10 000 40 000 MEE CE el ve Gi S m 1 050 000 SEN og l AC 3 5 NP 1 d W SL T30 1 Ee RST mgr n 7 BNC 2m 1 7r UGC 2 8 1m 1 RK 50A 0 POP Zei SU 502 0 L 500HG 24 r FAVED Gort 240V 50Hz 1 5X1 5m 1 4 HW 3 ib o IN Dass A ow ji x HEWRABUbSY at SF R352 00 1 3 3 415V HAH 1 K 220 000 aer mcm MEN SE ERE 210 000 vi o3 EN GA e 10 as Era e m AIRE 2 240V KEI 180 000 360 000 St Gm 2 240V A TM _ AKVA 50Hz st E M 20 3 200 64 000 Si 3t 28 430 000 S ft E E lll D IA LIST OF BQUIPEERT AND SUPPI Biochemistry 1 Hefrige for serum separation 2 PH meter digital ES POR rated pente fuge with appropriate sotor amp carrier
40. CPHL RETNA 5 8 3 5 9 1 2 2 0 _ 5 9 2 J CPHL 5 0 0 0 4 ME WAS KEHA ER MES 6 0 0s CH RMS 2 1 5 CC 2
41. 2 a 1 9 8 2 19 8 3 1 2 K 8 2 1 4 CC TF 1 2 3 6 0 0 SEP ET amp OP RE IE A LIC AERA A T d Cb OR RL LCRA DY OF E EMS OM EE AMIE I b CHE CHC 8 0 0 0 DB db IC WES 6 8 A C WHO mz Ae bn ie E boah
42. C Hb ORMOKERSHOT As A POMEL ADOTE So tol RC RMON NE RT ENN ESE ON OSs 5 9 5 SRI Mr IKa KWHO Dr Rao ER DT ERB KC i BERL Cs ME ET DS LARE WHO Bu J mdi 6 0
43. k me 4 9 E P KK MO aa CPHL 59 1 Thy HATRIA FREER BEBIA EMR LURENRA bE LK RSC 4 MOH VIS SEE MIC I ME 20 CN GER L Summary f 0 i 1 dep 5 VC ap Rt oS iir d IC AY C BRE LCARRB TES C MO HAA M 0 HORS E ME Moon BERI IE RIC EE DU A Lab ERAN 594 9 KWHO PH E UCHR Le LabiCMATRMSRKT LIED WHO WHO 59 10 ab
44. CPHL C b C Yaiola C PHL Vaiola amp Vaiola K CPHL AB ees Vaiola
45. AUGUST JANUARY APRIL SSSA AES EAU ES se ae d x6 V ERA ED MES beet IRR AS S ME aR rr cP eg ee INS RI MRS Ee A FO Re or 2 Years Months Ns JANUARY Discussion Team 4 persons 1 week Expert of JICA Expected Expert of JICA Expert of WHO Expected Expert of WHO mark indicates the submission of Al Proposal ACTUAL RESULT OF DISPATCH OF JICA amp WHO EXPERTS AND FUTURE PLA WING 1982 1984 1985 AUGUST JANUARY Gu Serologist amp Project Consultation Team 1 month Form on May 31 84 d Biochemist 3 weeks SUBacteriologist 4 Months Consultation Team 5 persons 1 week E Engineer for maintenance of equipment 2 weeks RE TR TE TT dy Nn mt Os NE meom Pm mmm m P EN Eh AA qi i Biochemist 1 Year GE Eh LE EA EE EE j Experr of WHO BENE i lo ACTUAL RESULT amp FUTURE PLAN ON ACCEPTANCE OF TRAINEE BY JICA amp WHO AND FLUCTUATION OF PERSONNEL NUMBER OF LABORATORY STAFF 1983 1984 PPAR TA ee t SICH ID ARI 1982 1985 Undergraduated trainee training 1983 1984 V Ika d T Microbiology 12 m A Wee 3 START OF JOINT PROJECT WHO intercountry training course in Wellington 3 months WHO s ee auat training at School of Medicine in Fiji based on Joint Project Expected undergraduate training course as above JICA s postgraduated
46. O ASO 104 AY SL 2 RARER COT 2 8 oO CC D RRB RA e eee ee Mult pH up oda Po m o iB zd barco ERI 2 K 3 Ho Sak Ter 4 TSAR ONIA 5 CRP Rika 105 gO e JAA Fate 1 d H BI M t gt pt oU Ale tte EEN i EE GER CR Lr wr OEE Oe OA SUIT OER oss rT ELIT si Tu 24 i des oc je vse LE x D a iu 2a D b b D b H i y SE L i zu L Z A i H k 1981 E D d T D i d IHS NN 7 A ken j ir i j i i Th wins cope rk t di Nei 9 T H i Ho R ine 4d E R RI kat i Vi 4 x e P 4 m x TEN lig Hin A 8 ann ae toe EN k T LN d I ke T Mw tow Ze E To SS S e A A TET m et JIEN
47. PH4 01 AY 5 000 15 000 M M pe a eA A 3 KCL 100ml 1 000 3 000 t i BH ZME EL 400 000 BRZUYES 2307 1000 ERE 6 000 1 1200 3 oe Lat 7 2 fa 1200 d aen oA ss seoo mee 2 490 000 18 000 240V 50Hz SDA 24 1 2 EE EIRE P d 130 000 ERUE BS SS ant TOP E 500 c E CG d Se i gt 4 M T a IM VD 10 NENNT ek ia ps i2A Parsi tom ep II _ pu peus weenie rs ant ermsoeol a lusm sse ww ep 2 fal B4 80 000 9 ek dE Bs 50 000 4 Kg 200 000 5 150g 60 000 i 6 RK DARL 30 000 7 5 6 000 30 000 13 O Er i13 2 200 000 400 000 Im
48. f Sexally frausmitted diseases Ab b Campylobacter enterotoxigenic E coli V parahaemolyticus Y enterocolitica Rota virus WH C 19 8 4 C Ab C
49. Ms Uta 6011 3 K 5 7 1 58 3 5 9 3 3 7 A 2 Gute BD oe 10 E M EN T Ces SAS Ae LEE HU Rt CPHL tab CPH Lii 5 9 2 FOIE C K WHO P 1 8 ho HAD ARH A E
50. m ZAC LIS DP 3 A Y D 3 3 heal diseases and typhoid fever here in ont exo still holding an impor cl 1 easy Set d vant position to be solved among various diseases AO i LN nt DI EN 3 a D a t 4 The actuel condition of these Giseases are however not yotb uscer US d Mherfor VM TA a ICC e ade gt criore this survey will bs done f 26 CLO or Pinding oui ine cowed Gi Nese diseases and will contribute to Mudy the epidemiology f exa c daacadco Ze Period of activity SCH A AT Tonda 12 months after approval by Director of Health Ae Sphere of activity Tongatapu island only d Kind of specimens 1 Stool 2 Blood 4 Vw berey 3 Urine Well and tap water A ft Food 6 Sea food 7 Sea water 5 Eind of pathogens to be detected cf Preheat 1 Bacteria Ge typi Separatyphi A B and OG 1 Shigella V cholerae o 1 ilon V cholerae 0 1 V parahaemolyticus EPEC HTC PAG Campylobacter Y enterocolitica Staphylococcus 2 Virus tote virus 3 Perasites Ascaris lumbricoi es ncylostome u uocenale jrichuri irichiurc ba Sampling metAous staff of Publio ealth Vaiola nospital niealti UMKGPB O ofe md svo Clinic Will De in charge oi taking Geaaples P oss uus treat e and ironsportal i specimen Te iethod of sonpliug treatment and tronsportolion ol iy 1 S coimen of puticnl opezimen tahen ut Vaiola hospital H
51. J 3317 4 1 500 46 000 ELE ee 2 0ml 1 000 J 3318 5 0 25ml 1 0007 A J 3319 25ml 659520 4 2 000 8 000 K SBF y 7 2 22 000 44 000 K SE 64 000 128 000 Nagi 2 56 000 112 000 D RE 2000m 1 NE gt e w oo 2 200 000 1 el 2 50 amp en l 5 3 R 4 CPK 5 LDH 6 7 a iL 9 3 9 4 M M M uu MEN 4 EE IN Gu 240V 50Hz UUY y7i8 0 amp 8 240V 5OHz XN 70 a a a la Nery hk 4 0314A la xo2aMmom ann Wu 30 mi 100 p MEN 3 2 2 140 000 280 000 EME ERS AS 240V 508z KA 2200 ES 70 000 140 000 2 Hee 12 5X 75mm 15 000 1 000 je
52. Bo ET XE gt 2 n 1 ve Ss 2 HEED ae uy D D B orp f m d H KW SC i e a d L su Be s p 1 f iu b e e s E ET n KS g d D a li uM LT D e e e D gt H to D 5 e E e A D e D Et e sf se e Sch D A P D H S D lt Fy E F D D 7 KR E ABA RH C t S Y HGR SL OBR LC i s Ge B Pd r DH s SAS t H 2 HE PSR ORE ET 3 pene ES AE NEE zunn I B m Metern eee ennemis Ve adis emm We d emp epn EE n TT dH CORI EBEA I Vw en T BEE Ap A zo A ia WC TR bu ML L PRA ABUS COP HL OM eee T 2 repre TAT P 3 bus eeeeese en I 4 C ERA B Ko E M M T 1 A NE RN ege 2 ee I 3
53. C C Reference Service Center MIE CHS CHC RERED y FIT PRAOMML QU CREARNE ET LRAD Central Laboratory lt SF 6BAL GIS K BRM ABA ODE CH A FREE TOM LBNL ROEM V 4 Jv A FEES MOM SD Te DOREA AE LC bo VC
54. DD gt p Ee and V cholerec Poticnt to be isolated kel bw es 2 Specimens to be token fron ll of the members of povioni os family for detecting pathogen 3 Investigation of diet of petiont to be cone 4 Investigation of enviroment like wetor food and so on m 4 Investigation of sick person to be done around the paiient C 0 tion to be one for the patient s house C vore uetecited men such pathogen was detected the laboratory sta t who was in charge of omtantion should let ruolic Health pept Know e weli us medical doctor m KEN who ig responsible for the patient a5 BOON 8 pOSSlL redu A S moms l2 Others l Wocessary suppli sor the survey lik uc a vill be provided hy Japanese side 2 Au long es this survey fucl churge Lor the vuiiclo for collesting specimens end overtine wllowence for the Labor tory staff will be considered by Jipensse side 12 10 Ae l2 EC 14 15 i6 iT Fr LATOSiTONY SCULPMENYS DONATSD BY JALGA TN 982 Autoclave 2 E Drying oven abs 2 E NE t L000 pp Y g autostil GD exo tir S GRE Peioniger 1 ZU 34 7f doin A Hoiling water bath 1 itp 212 yer lnoubatorlintermodiate 517 6 ta vig D ge ammm LL H water jacket 1 Wuffle furnances 1 Spectrophotometer 1 PH meter 1 Microsco
55. simple and accurate 5 Reagents for following tests kit one set each Strep antibodies Hepatitis D surface antigen Leptospira Toxoplasma Infectious mononuoleosis Thyroid function Rheumatoid factor C reactive protein 4 Sigma urease Type lx powder 5 Essentials for flame photometer Standards for K Na Cat li one set each Procedure manual Maintenance manual Manufacturer s instruction manual 6 Following reagents kit one each set Serur Bilirubin Alkaline phosphatage ALT SGPT AST SGOT Gamma GT rie ctropholesis Cholestercl Triglycerides Phosphate L D 3 and C P K Ethanol Digoxin Lithium Dilamtix Phenobarb Nysoline Tegretol Parace tamol Calcium serum Amylase Acid phosphatease Haematologv 1 3 Micr Refregerated centrifuge for blood fractionation with the procurement of this ins trument ihere will definately be an improvement in blood transfusion Neces ssary appar atus and eavipment and rea agents for serum iron studies Currently serum iron studies are sent overseas if the necessary items are available these will be performed locally Dis sposal Westergren tube with stand Por ESR Lrythrocyte Sedimentation Rate Glass Westergren tubes ere in used now with the disposable tubes in hand this will save time AcoesSaries for Coulter counter Five sets Vitamin 8 12 folate folic acid obiolory Top pan ba
56. 2 OL CHS B W HO WHO WH 0 Dr Geizer Regional Adviser on Laboratory H a l th Servi eas C K ot Ce BAM WHO Dr Geiger Dr Rao by HOLHAMCRAN A T C 5 2 Central Pablic Health Laboratory gc Rc b WEE LC LAE ED AUR AED Orts WilO JTCA ECL ROME ETI V 2o D Ss eg D o E d Tf f LI D d HE Pow ae ou CS de at H Bas x am D t D D D R m u ees D E R D A D H ra A HIE D t suas H ee D B v LA D e D M GE m E LB D D DN DEM 9 s A d M79 2 de n e P D sad esr 3 rer A ECH POSEE H p M ae D E m Z sa EM ae et 1 V D frg ER D H ep s ke E ge Se
57. 250A ditto 500ml Cat 1704 500A ditto 1000m1 Cat 1704 1000A Bottle weighing 18X30mm Bottle for B 0 0 incubation 100ml Cat 8053 1003A Bottie laboratory screw cap 1S0 thread GL 100ml at 1720 001A Support Lab Frame set A Cat 4500 01 Nebulizer set four bottles two sprays Cat 4156 0 fees cylindorical Cat 50 B 4171 1 ditto rectangular Cat 200 B 4171 2 Rings support 5Omm Cat 4551 ditto 72mm ditto 125mm Clamp fixed Cat 4530 12A iunit 5pcs Clamp versatile vinylized jaws lunit 5pcs Cat 4562 50A ditto Cat 4562 100A Beaker with spout 200i Cat 1002 200A ditto 1000m Cat 1002 310008 ditto 200091 Cat 1002 2000A Dishes Evaporating 150m Cat 1228 100A ditio 100m Cat 1228 9DA 5m1 Cat 0838 25A Tube sopports colour comparison Cat 4722 5010 itto Cat 4722 10010 Cylinders graduated stopper 100a7 Cat 2353 100 ditto 500ql Cat 2253 500 Gitto 1000ml Cat 2353 1000 tubes colcur comparison 50ml Cat 0848 521A Tubes tesi stepner QUANTITY B Forward 10 10 10 10 w ES Ce 10 20 lset i 2 l 10 20 10 4 units ho ho ft 1 p oO DM Mm o CiForward PRICE YEN 832 600 11 600 13 200 16 500 17 500 14 100 16 000 10 000 20 500 33 200 22 000 27 800 71 000 17 000 8 000 18 000 10 000 11 500 12 500 10 600 28 000 44 000 5 400 9 600 31 786 20 006 Ee 15 475 14 60
58. 82 NUNaphty11 ethylenediamine hihydrochloride 0 210g 31150 PSE SOAS RENEE OTT 25m 450 84 Griess Roni jin Nitrite reagent 0TT 01852 55 6 400 85 0 o1 idine Hydrochloride solution 205 0 16345 50GmL 1 150 66 O Tolidine Dihydrochloride 201 07052 25g 2 700 87 Eriochrome Black T 344 00372 2398s 240 88 Hydrxylemine Hydrochloride 089 01472 25g 600 89 Ethanol 050 00446 2 5 3iter X 4 30 000 From Horiba Co 90 Puffer solution standard ph 4 4 00 100 4 500m e 900 91 ditto ph 7 6 88 160 7 500m1 1 900 92 ditto ph 9 9 22 100 9 500ml 1 900 RB chc 456 4 10 bag 5 000 84 itte 456 10 bag 3 000 95 ditto 156 9 40 bag 5 000 From Katayama Co 96 8 10 Makes iun Chloride 19 0210 500 ml 1 200 oi M 10 Ethylenediaminetera acetic acid E Disodium salt solution 09 14440 500 ml 1 200 Brom Sanko Plastic Co 98 PVC Chrome Sulphuric Acid Jar D l Type cat 1665 01 2 25 000 og PVC Pipette washing basket B 1 Type ca 1062 01 4 20 000 14 2 PMENT A LIST OF EOUI LJ IET DESCRIPTION 00 QUANTITY From Shibata Chemical App Meg C Ltd 1 25 Ikenohata 3 chome Taito ku Tokyo Tel 03 822 2111 Soxlet Apparatus set iset unit for liauid sample to use with above d Funnel separatory 50ml Cat 1421 50A 10 ditto 100ml Cat 1421 100A 10 ditta 200ml Cat 1421 200A 0 ditto 300ml Cat 1421 300A 10 ditto 500ml Cat 1421 500A w ditt
59. 9 months training in clinical microbiology Dr As Fua Fhysicien with Medical Ward Vaiola Hospital had 1 month observetion tour of the Japanese medical system r Sione Foliaki Labosstory Technician currently in Japan training in Food and Water technology for 12 months kiss Ane Tone microbiologist is expected to return from Japan in November 84 after her training in clinicel microbiology Under reducte Tvesirnis in Fiji Kr Taniela Taufu i Lab Assistent Grede II is currently studying in Fiji for a certificate in Laboratory technology for 5 years WHO Scholarship The Government of Tonga will sponsor a similar scholarship for 1995 The Nanistry of Health had requested a similar scholarship from the Tonga Government fer 1985 3 LE AES TER OYK ON hy d WO sponsored workshops were conducted at the CFHL Conference and Hducstion rooms in July August 04 Leboratory Utilisation ALl Nedical Officers in the Hospital and all Health Officers in Tongatapu participated The objective is to improve the dialogue between the users and the Laboratory Staff Laboratory support for Primary Health Care Most District Nurses Assistant Health Inspectors end Health Officors participated The aim is to demonstrated simple and basic Laboratory tests which could be undertaken at ihe peripheral Health Centres and also bettor handling and transportation of a specimens to t
60. 900 Test tube for pH measurement Sml LI 10 0 2 000 From WAKO PURE CH MICAL INDUSTRIES LTD 3 10 Dosho machi Higashi ku QSAKA 541 Tel 06 203 3741 Colour standard solution cat 035 08451 Man _100m1 3 300 Platinum iv Potassium Chloride Cat 163 02881 cg 9 600 Cobalt ii Chloride Cat 036 GC E i 259 PLE EM Ey 750 Turbidity standard solution cat 206 06701 7 AOC E EEN 27 500 Kaolin Cat 117 00025 LA20i 500g 580 Sodium Pyrophosphate Cat 195 03025 500g gt 850 Formalin 4 litres 4 160 Bromothymol Blue Cat 029 03051 KR 1 200 Broncoresol Purple Cat 029 02691 2 g 1 200 Bromocresol Green Cat 022 02681 TEE 1 200 Phenol Red Cat 165 01121 za o aen Thymol blue Cat 209 01431 ss raes aotan Sodium Hydroxide pellets Cat 197 02125 500g X 2 1 220 Sodium Thiosulfate crvst Cat 197 03585 500g X 2 1 700 Nitrate Nitrogen Standard solution N 0 img ml 2 a d 4 000 Potassium peroxodisulfate Cat 164 11101 XX E 5 200 Potassium Nitrate Cat 160 04035 2 500q x 2 1 800 Ammonium Chloride Cat 017 02995 500q X2 1 790 Nessler s solution Cat 143 04481 100mtx 2 4 200 Sodium Potassium Tartrate Cat 194 02995 300 g 1 890 Sulfanilamide Cat 191 04502 25g X 2 1 400 N 1 Naphthvl ethylenediamine Dinydrochloride Cat 147 00763 10 g 3 706 Sodium 25 X 2 EE Griess Romijn Nitrite gent Cat 077 01852 O54 X 2 6 407 O Tolidine Hydrochloride solution Cat 205 01835 1
61. Associate Professor of Juntendo University School of Medicine 5 Mr Kazuhiro Hikichi Staff Officer Administration Division Medical Co operation Department JICA WHO Representative 1 Dr I Geizer Regional Adviser on Laboratory Health Services WPRO 2 Dr N U Rao WHO Microbiologist Tonga Local Japanese Project Team 1 Dr Yashima Hodate Team Leader Health Laboratory Project 2 Mr Kohei Nakajima Co ordinator Health Laboratory Project 3 Mr Toshio Imanari Bacteriologist Tonga Side 1 Dr S Foliaki Director of Health 2 Dr O Lutui Medical Superintendent 3 Dr S Moala Medical Officer in charge Laboratory Section 4 Mr P Tupou Laboratory Technician 5 Mrs L Kefu A Assistant Secretary for Health 6 Mr S T Wolfgramm Health Brannan Officer Secretary WHO Study Mission consisted of the following members from the Ministry of Health and Welfare Japan w o attended the meetiug as observers l Dr Nobuo Koinuma Deputy Director International Affairs Division 2 Dr Tsuneo Kato Deputy Director Planning Division Pharmaceutical Affairs Bureau 3 Mr Yutaka Iwabuchi Staff official International Affairs Division 1 PROGRESS REPORT ON THE CENTRAL HEALTH LABORATORY PROJECT Dr Y Hodate Team Leader Health Laboratory Project presented a progress report on the Japan WHO Joint Technical Co operation Project He made reference to the record of discussions
62. E 2 2 GEHE ORE Te MESI TT ONSE HAIN CR St 5 9 2 CPHLIEZBIEOSXP3X CH C Gi 1 9 D 4 amp 8 Bt C LAE DE HG O ERURB d COR D EDS 5 9 6 0 6 1 2 5 9 PPR HM PN Bl OR A AE a ptione cubili A CHE LEAD E PARC LB DAE AE PR 9 Mega ig 2 EAR OV CIE RA BRAOT RC A bere Beem ACHATA Hief 5 9 O C a b c KRU Peis OM EE ZS A d e i Sexually transmitted diseases RERA BCP HLAO C CARRERA
63. MA SERRE Lab qURPFUPBORUGUE GA IB LOICTAR CHS b eb A MC 1 2 mz GOT GPT LDH y GTP 3 4 5 YR vO A KR
64. Skin scraping Leprosy skin biopsy and nasal smear Specimens sent Overseas Number and percentage distribution of laboratory examinations by type of test performed and hospital 1980 1983 All hospitals Vaiola hos Ngu hos Niu eiki Tangatapu Me u s hoss i Eua is Type of test TOTAL Stool and rectal swabs Pus and other swabs Cerebro spinal fluid Pleural and other body fluid Skin scraping Leprosy skin biopsy and nasal smear Semen Water Tests performed overseas 16 Article examined Name and Address of Applicant Purpose of Examination Result of Examination Method of Examination JAPAN FOOD HYGIENE ASSOCIATION No 6 1 2 chome Jingu Mae Shibuya ku TOKYO Spring water of Tonga Name Vai o Hina Spring on the North East Seashore of Eua Island which was first CERTIFICATE found in Janaury 1983 Nuku alofa Tongatapu Kingdom of TONCA THE KING OF TONGA S Most Excellent Majesty Water testing Date Feb 14 1983 A fresh water Examination of Calcium Magnesium Sodium and Potassium Nitrate nitrogen Nitrat nitrogen Cyanide ion Water testing Sample Less than 1 0mg Not detected The value of Standard Less than lOmg Z Chloride ion l4 2mg Less than 200mg 2 Potassium permanganate 60 0mg 2 Less than 10mg consumed i SEENEN 270 jak Less th
65. and the minutes of the meeting signed by the Japanese Implementation Survey Team the World Health Organization and the Government of Tonga in August 1981 which specified various activities to be carried out such as dispatching of experts accepting trainees and providing equipment and supplies Mr Nakajima the Co ordinator of the Project began to work in August 1982 followed by the Team Leader in September the same year Dr Hodate further reported the acceptance of a trainee Mr V Ika for 9 months on microbiological training in Japan The construction of the new Health Laboratory building commenced at the beginning of April 1983 which was officially opened by His Majestry King Taufa ahau Tupou IV in February 1984 Dr Hodate in his progress report referred to the Planning and Consultation Team from JICA that visited Tonga in June 1983 to continue setting up plans for future implementation of the Project Dr Hodate also referred to the visit made by Dr Ohashi and Dr Igari as the members of a JICA Mission to further discuss the future plan in more details He also referred to the contribution from WHO when they recruited Dr Rao as WHO Microbiologist for a 2 years assignment for the Project The WHO Microbiologist Dr Rao also made a brief progress report to date on the Central Public Health Laboratory Project in which he outlined the New Central Public Health Laboratory consisting of 4 laboratories namely clinical mi
66. as described below a Ii front of vateline hotel b In front of Vaiole hospital c In front of bute villas Lagoon water in Zopu Se Kethods of diagnosis 1 Specimen of patient 1 Bacteria X The diesnosis will bo done nainly c d to tne nenual for the Laboratory Diagnosis oZ Bacterial food poiso ing published by iv ik Ohashi X Kudoh et al who belony to Tokyo Hctropolitan Research Dabo ratory of Publio licalih 2 Virus Rota virus only It will be diagnosed by using sneyme Linked Immuno Sorpent assey Rota virus will be tried to detcct only for the children unger tro years of age 3 Porasites They will he diagnosed by using collonhzne tepe method 2 Tep and well water They will be tested for faecal coliforms ant coliform organisms only according to the HHU Guidelines for Drinkin water cuelity 3 Food They will be tested for coliform orgenism and sit only eccoraing to the Henual for the Laboratory Diagnosis of Bacterial ood Poisoning 9 Final confirmation of isolated bacteria which vill not be able to be identi iO 11 Information channel such pese fied all of the bacteria which cantt be confirac here in Tonga will be sent to Dr H Ohsshi s Laboratory in Tokyo to have them confirmed finally All of the expense for ii will be aviilebic by Japenece side Countermeasures when pathogen was detected from specimen of parviens CH in case of detection of 9 1
67. training course based on Joint Project Acceptance of trainees as above in 1984 A2 3 Form was approved Accetance plan by JICA after 1985 Vacation leave of lab staff 1983 1984 1986 course 3 years Food and Vater 12 m S Foliaki E FE Histo Pathology 12 m S Moala Biochemistry 12 m L Uta CR EE H Haematology and Histopathology 12 m FR nm E Er me SS eS T Se Biochemistry 9 12 m LS 3 Years 3m EBEN 10 14 11 14 3 n Ratio working VACATION LEAVE 9 14 SI 9710 14216 aS Food amp Water Tes t 9 12 m pocta AAT CETERAE Lu Haematology 9 12m staff against registered personnel I 42 GALT SI GMM LIPS RO Zn zik GITO ZNALO RKI T CE cca LPEQUu NMEA AE yup YEBDE v XE GELER UH HORT AM AES OCULIMBS CLE ZHI TY 096 IYWPA MAMBNIiIEUArv4n29 EA z ne REE XE CUMMLCUYGMAS HIRR 7 e RWWA Ed XE IE EE 5 e umm OAI CRIEIBHROSUxOKsda Dou I SURE ME CH RI GVYOLR RO SEL IL ue os ls run Od TYPOS S CH EE EECH Ge dP tity UT K2ojouuoel psR LS TIE o I v LU IHE 8 6 I gt OHM X jo TOONOS 3e suTApnis UE 3uspn38 2861 TngneL vI9TUEL d QM seq THIS NTN Z86T oo rerrueitg n II 29 35S9 qe SOU PTOTEA nuoN Cie PFO 95 EE fea tag tassy tqeg ou nor TATSO TSYT E86t 44
68. undergraduates training of assistant laboratory technicians is not within the JICA s terms of reference the Consultation Team would explore any possibilities of such assistance Dr Geizer informed the Tonga side that official application for fellowship should be forwarded for the consideration of the WHO LABORATORY MANPOWER Dr S Moala briefly described the laboratory staff organizational structure with regard to the existing staff and the proposal for new recruitments to cater for the expansion in both the clinical and public health laboratories and also to the Ngu Hospital and the Niuatoputapu Health Centre This includes the staff proposed for the establishment of the new histopathology unit and also for the food and water laboratories for 1985 m i e New recruitments proposed for the Project were five laboratory assistants locally trained staff and three assistant laboratory technicians to receive undergraduate training in Fiji It was noted that only two technicians were working in the CPHL which left two laboratories with no technical staff to work there in EXTENSION OF LABORATORY PROJECT The Health Planning Officer requested the JICA Consultation Team and WHO for possible extention of the Health Laboratory Project to all existing hospitals and health centres in Tonga through provision of new equipment and supplies and training of health personnel The Health Planning Officer further requested the JICA Con
69. 0 6 700 67 000 2 PH7 382 Buffer 450ml 477073 7 600 3 Flush solution Concetrate 47799 10 12 000 4 PO2 Electrolyte 475m1 477019 3 4 10 000 5 PCO2 Electrolyte 475ml 477020 3 4 10 000 6 4M KCL 125m1 7 IN KOH 477434 8 Electrode Cleaning Solutipn 477009 30 000 9 Reference Electrode 477378 6 2 20 000 120 000 us de 477966 15 7i 6 000 90 000 zi Membrane Kit 10 KCL Donut Kit 11 PO2 Electrode Membrane 477576 6 WH 20 000 220 000 6 i i Kit 7 12 PCO2 Electrode Membrane 477575 6 20 000 120 000 47622 470054 13 PH Electrode 140 000 14 Reference Electrode XS mm d 2 S 15 PO2 Electrode 476217 1 140 000 16 PCO2 Electrode 476219 1 7r HON 140 000 17 Rotary Sample Port 0 Rimg 477746 6 000 4 000 mi 19 tT A IN ES A a 2s A6 OU ES ERIS Is Go d _ 60626 1 10 70303 10 5 6 600 66 000 2 100 70504 2 7 9 000 18 000 3 10 20 3 000 60 000 20 3E Y h 2 86 000 172 000 25001 XX1004700 MEN ME AR EDN ES et 1
70. 15 600 29 per APVT m Bi CT LP ZC Era DESCRIPTION QUANTITY Con t from SE B Farward Tubes colour ETT 100m1 Cat 0848 101A EA ditto 100ml special Cat 8052 068 0 v Pipettes volumetric 1m Cat 2040 1A 20 v ditto 2m l Cat 2040 2A 20 ditto 3m1 Cat 2040 3A 20 ditto 5ml Cat 2040 5A 20 V ditto l0ml Cat 2040 10A 20 ditto 20ml Cat 2040 20A 90 ditto 25ml Cat 2040 25A 20 ditto 50ml Cat 2040 50A 10 ditto 100ml Cat 2040 100A 2 Pipettes measuring graduated for partial delievery 1ml Cat 2010 1A 20 ditto 2ml Cat 2010 2A 20 ditto 5ml Cat 2010 5A 20 ditto l10ml Cat 2010 10A 10 Pipettes Komagome lm Cat 2051 JA 40 L ditto 2m Cat 2051 2A 40 ditto 3m Cat 2051 3A 39 L ditto 5m Cat 2051 5A 30 ditto l0ml Cat 2051 10A 20 Comparator Chlorine Model 0 Tolidine Cat 8054 03 1 set Cuvettes to use with above Cat 8054 021A 5 From luchi Seiei Do 4 10 15 Tenma Kita ku Osaka 530 Te 06 3525 1561 Tubing rubber inside diameter 4mm l unit ikg 2ko ditto 7imnm 2kg ditto l mm 2kg Test Tube support Cat 6 253 15 o Funnel support two holes Cat 2 036 01 2 Buret support Cat 6 286 01 C Forward PRYCE YE 1 515 550 536 020 22 000 7 400 7 400 8 400 8 400 11 400 14 600 16 400 13 000 sa 10 250 2 00 7 20 9 00 5 70 ETS 128 400 18 00 38 00 16 00 9 B 6 50 UESCRIPTION L
71. 21 000 30 ditto 100 ml cat 0048 101A 15 ot GTIO00 jl Nessler tubes special for drinking water 100 ml cat 8052 068 s 5 11 000 42 Pipettes 20 ml cat 2040 204 10 T 300 33 ditio 25 ml cat 2040 25A 40 8 200 54 ditio 50 ml cate2040 50A 5 6 500 5 ditto 100 ml cat 2040 100 E M 10 250 56 Test tubes siopper 2 ml cat 0858 254 20 15 400 531 Mlask filtering 10CO mi cat 1781 1000 6 200 58 Dishes evaporating 150 ml cat 1226 100A 10 20 000 49 Chlorine comparator model O Tolidine cat 6054 05 1 9 800 40 Test tubes square for chlorine determination cat 06055 0214 E 6 500 Prom Yamato Co 41 Shaker SA 21 1 151 000 429 Separaticn funnel holder 4 24 000 45 Hiyer holder m 1 16 060 44 Aspirator handy WP 45 1 98 000 45 Yamato RE 46A Armjack JK 20 Waterbath Rotary evaporator 140 000 From Nippon 1 Rikagaku Kikai Co 46 Bottle suction VEU 200 S19 100X160mm 2 25 000 41 Plesk holder diameter 7 5cm FR COTS 5 2 000 AG ditto 6 cis diameter 5 2 500 49 ditto 8 5 cm 5 5 500 Prom Kelayama Kagaku CO 50 Soiling stone cat 03 2650 500g 2008 X 4 9 600 From Soyo Roshi Co Lid Jt 72 51 Extraction thimble size 20X100m 2 boxes E 6 820 From Toyo Kagaku Co 52 PH NT sei No C ITEM S 35 000 53 Standard color tube t use with above 1 4 500 54 Indicator BCP 30 ml 900 55 Test
72. 383S qeT T 103 rr 344TP SS A UT asanod 8oToud TROTUTTS KO DU SM 8urpunj ssoueder UTA papTAozd Er On A ORE OM c ES jueuerdd ns o3 serTddns S GE 1013002 SesEesrp 103 3i ddns gef 0 m PN Morc dea n a nan id DISSE UE xxm EA INS Em um PME HST 4227350 TeDTPam T 9 FFPIS get 7 103 Mo er ur V V Ke 2U TUTEl EES Seriddns 9 3ueudrubo SE S 33Bdxe 104 L p c 64S qeT 203 SOo tesog 0331P SNC qeT T 103 Uo383uTfTTak UT esanoo uyaren Aog 861 uOrjonijsuoo OST 410g safiddns 9 iueudpnbe or 00 577 ui mnOT3 2TTT3n eT Sururei3 X07 4909 TEDO QSZ G EES 399f0Zd 39exodgT TBSH tot ouM uedep SSuot O33TP Ose LT HW 1j93s oer I 103 uo33uTlT9eM UT osinoo SuruTei3 xog Um 400 T OT Res Loss 1861 O23TP X EEN get T 203 UOSUFTTOM ur asanoo SUTGTBX ior pu AY ER S 1Gguid nbDo xoq o0c 0961 oaitP OOL ZI O SoI ddns 9 1uoudinbo XOF 00c Tee 6L6T 0331P QCSEZT TI qep spue ur 193no 3TSTA oi 4SQOO evol oss 8 61 OOS ET O33TP Ul Lb S FIOZEIOQET SPUBTUT 19470 3QUTPnToUT seas 29A0 UT uouroeds 0 oS1eqo guf1so3 pue sor d ns EE iod 000 00 000 0z O00 ST 000 OT giga O00 OSZ 000 00Z 000 0ST 000 001 786T 6T OHFOSd INIO FHL u4l4V NO4d8 VOID ANY OHM HOW AG INANI A0 LNSIY IWALOV 6 KE 0
73. 4 39 QTTqng o Yeap N i 3 NOTSTATCG UOI39X1STUTUDV S x i A S9 A SS 2TUTTI Teardsor WIBS OTTHdO BIO EKQ roi1eroqeTqTQO mE BEOWOCHEIOTWSOLis 100 T 038 S uoraoeg iooqog Sursxny MER E Go STAT peausg 1TOTSTATG 20FS nN WITBON FO 1032e11g YATES 103 I93STUTIN SNEM UCE GEES TUNE EWBOSU orrqng Teams 27 uoraoeg Surpuuetg oK rued s U3reeH PT dO DEER 9 AAA UOT STANN 1TH TqT Ret FCP HU b Ad O8 amp EotU o RAR OAR Minister of Health Director of Health Dr Spileo Foliaki Senior Laboratory Medical Officer Dr Sengili Moala Chief of Haema Chief of Bioche Chief of Micro Chief of Food amp Chief of T B Chief of Other lt tology Section mistry Section biology Section Water Section Section Hospital Lab em m E JOINT REE TRA nunt Ga s VERSA ota Nds cS RE t ep e AT EES TT Gir WV Pakalaniy Ge A Tone o Qr S Foliaki merde Lab Technician Lab Technician Lab Technician Asst Lab Tech KSE az Mr V Ika xL Mr T Nonu een Asst Lab Tech Asst Lab Tech Asst Lab Tech GC Asst Lab Tech Lab Asst er I Lab um Gr Y Lab Asst Gr I Lab Asst Gr I CES restart euenit Ee cond o BT JICA LAM CR
74. 9 2 0 8445 os ii EIE CIC C P H Loft fg OU amp BM HEU SI KC IF BRAT OM RI Eo AEST LAB 1980 198 4 1980 1984 Eua Island JTCAC 1982 1 9 8 4 Ji 9 8 5 CPHL 1984 1985 5 9 2 SERIE BPR HG HC 5 9 2 RI SUMMARY OF DISCUSSIONS BETWEEN JAPANESE CONSULTATION TEAM WHO REPRESENTATIVE AND THE MINISTRY OF HEALTH OF THE GOVERNMENT OF THE KINGDOM OF TONGA ON THE JAPAN WHO JOINT TECHNICAL CO OPERATION PROJECT IN THE KINGDOM OF TONGA HELD AT MINISTRY OF HEALTH CONFERENCE ROOM ON 11 12 AND 14 SEPTEMBER 1984 PRESENT Japan Side l Dr Hiromasa Inoue Leader President Aichi Prefectural Institute of Public Health 2 Dr Yutaka Hasegawa Director Medical Co operation Department JICA 3 Dr Sadahiko Nozaki Director Infectious Diseases Surveillance Division Ministry of Health and Welfare A Dr Jun Igari
75. E E 1 9 gs 10 1984 10 12 Miss Ane Tone DRE nud FREAR ty A T 1 9 8 4 1 0 3 1 9 84 2 12 Mr S Foliaki DKA L Tk BOC IC Mr V Ika KC BUbSpi O DHE RT L 20 3 AL METETE AMARA CPHL C ARM K
76. EE RENE NAMAWO chief RON J TCAIC Lg WHO CLA Fiji Sei Bois XR T eres 1987418 amp SEASHCRRan a TEOR RENE SAY ARTE MARON HOF IRHN Co SRO E Director of Health MALL RIN s section ic2 9 section IC REESE EC Z ob ki ABA amp SE section 2 gradeOT v7 kN bo RE chief LCRA Ee 7 ICA section Cspecialist Asst Lab tech grade up Lab tech undergraduate DA 2 7 t CPHL CHF LEE grade up lL x eae 1 11 ARMA AER kt 2 5 7 45 8 Number and percentages distribution of laboratory examinations K type of specimen 1980 1983 D d ALL hospitale Vaiola hos Neu hos Niu ui Niu ea E Lund Eb hos 22 6301 100 19 723 25 8 22 540 19 167 15 033 Stool and rectal swabs Pus and other swabs Cerebro spinal fluid Pleural and other body bluid
77. Equipment E Facilities C o 6 0 BAS EE RO OR BIC 6 0 6 1 AMER BRE BERCA KR MR xx MC Mr Foliaki K Aie Mr Foliaki OY K BOX BH do 2 B v 01N Bod
78. Wisi C Ove CU MET EIER DE LH C a r5 UC BIIC BRO Win K BARI WHO CC WHO WHO MIEHCH 2 Dr I Geizor Aen MCKBLATE RSD TT CARE WHO 9 1 1 1 2 1 3 ile 9 a Problems report on the C P H L Project D b Problems TIT by C P H L je Training of NET personnel lt d Laboratory manpower e Extension of laboratory project f Programme on surveillance of infectious diseases g Grant of eguipment for 1985 h Dispatch of experts i Bxperts on laboratory equipment T
79. al timer 4 a 25 000 e Kagnetic stirrer a 55 500 Binocular microscope 2 Olympus a 680 000 Y 10 Coagulyser 1 700 000 Y 11 Slide holder 20 a 9 000 Y 12 Hema tek slide stains 1 2 100 000 Y 13 Coming ph b1ood gas system 1 R 008 000 Y 14 Gas exchange unit 1 for micro aerophiles 95 000 Y 15 Millipore filtration unit E a 10 700 Y 16 Dark ground microscope 1 220 00 Y 11 Vaccum pump for item 15 1 145 000 Y 18 Safety cabinet 1 1 410 000 Y 19 Angle centrifuge a T0 000 Y 20 Bunsen burner de a 2 710 Y 21 PE meter 3 a 215 000 Y 22 Photo BH meter 1 328 000 Y j MutvtoCcrewve a e 210 000 X 24 balance 5 a 100 000 Y 25 Blood pressuer meter 5 dezital a 40 000 Y 26 Intercom 27 Copy machine bs 1 256 000 Y op Electrononic typewriter 2 a 298 COO i eg Video camera sei beter 1 set 30 Projection screen 1 39 060 Y 51 Polishing machine 1 32 Electric stabilizer 3 a 400 000 1 55 5 ton truck 1 1 900 060 Y 24 Toyota long glass van 1 1 500 000 Y S 1 kk ui a 39 OGruijZzer 1 RES Y BOR 1 3 VOR SG 1984 10 amp RU E P A 1 sa iu ALLEE 659306 gk qi M Eu A 4 4 000 40 000 2 000 84 000 2 EERE v 3 Weg ned 1 3 0 5m1
80. alyses of the water samples that were to be sent to Japan Dr Rao disputed Dr Hodate s statement by informing the members that there were standard chemical aud physical tests for water and the results of the proposed chemical analyses would make no difference in confirming the request for supplies and materials from Mr S Foliaki Dr Inoue the JICA Consultation Team Leader fully endorsed Dr Rao s statement and supplies and materials for the standard chemical and physical tests recommended by WHO or by some countries should be procured Dr Igari made specific reference to the equipment and supplies for biochemistry and the need for biochemical laboratory tests Dr Moala responded by referring to the Project Plan for 1984 85 indicating that more than half of the specimens of biochemical tests were sent overseas and therefore the idea was to try to minimise this practice by introducing more tests to be done locally Dr Rao then requested Dr Igari to spend sometime in the Central Public Health Laboratory to review the whole set up and to advise on what types of biochemical tests could be introduced in Tonga DISPATCH OF EXPERTS Dr Hodate outlined the current proposal for dispatching of experts from Japan and tbat the following experts would be sent to Tonga 9 10 one biochemist for 1 year from November 1984 b three bacteriologists for 4 months each in 1984 85 a haematologist in 1985 as fi
81. an 100 rm of Bacteria Coliform Group Negative Negative Must not detected Copper Not detected Less than 1 0mg Iron 0 04mg 2 Less than 0 3mg 2 Manganese Not detected Less than 0 3mg Zinc 0 02mg Less than l 0mg Lead Not detected Less than 0 1mg Chromium VI Not detecred Less than 0 05mg Cadium Not detected Less than 0 01mg 2 Arsenic Not detected Less than 0 05mg Fluorine Not detected Less than 0 8mg Hardness _180 0mg Less than 300mg Total residues 264 Omg 2 Less than 500mg Phenols Not detected Less than 0 005mg as Sen pH value pH 7 8 pH 2 8 pH 8 6 Odor Usual Usual Taste Usual Usual Color LI Less than 5 Turbidity I Less than 2 Calcium 55 5mg Magnesium 4 4umg X Sodium 16 8mg Potassium 0 9mg Examination was carried out in accordance with Drinking water Standard of Ministry of Health and Welfare Ordinance No 56 Water Works Law 1978 Examination of Calcium Magnesium Sodium and Potassium Atomic absorption spectrometry Th I hereby certify that the result of examination was as stated above Signed Kiyoshi Nozu MD Director Institute of Food Hygiene Japan Food Hygiene Association Authorized by Ministry of Health and Welfare 1 1 Dr Supileo Poljaki Director of Health Ministry of Health Dear Sir Re Survey on diarrhoeal diseases ana typhoid fevor in Tonga PESA ya pee wo mb T wish to in
82. atories which called for the provision of air conditioners or fans Dr Hasegawa informed the members that the advance submission of the A 4 formwould solve the third problem to a large extent Dr Hasegawa further stated that the arrangements by the Government of Tonga for the self reliance in the provision of necessary supplies were of prime importance In reference to the problems on the equipment Dra NESE eer stated the JICA would send a few experts on laboratory equipment in the latter part of this year to solve these problems at the CPHL Dr Geizer indicated that it was not an unusual problem for new Laboratories of this size to have a few items of non commissioned equipment at its initial stage and it would take some time for its rectification He also indicated that supplies were taking quite a while to be supplied by WHO as well as JICA Dr Rao recommended that essential supplies and equipment should be ordered by trainees intheir first 2 months in Japan so that these supplies could be available by the time they returned to Tonga He enquired whether JICA could accept more than one A 4 request forms within a fiscal year Dr Hasegawa definitely stated that JICA could accept more than one 4 request forms within a fiscal year and also it would take from 6 to 7 months for supplies to reach their destination from the time the official request was received Dr Hasegawa further stated that a quick provi
83. be Nolton cep for test iube test iube Epiton cap for above Stainless steel test Whe basket 15 x 15 x 25cm Benker 100ml 300ml 50Um1 and 1 000mi l0 pcs eash jr enmey r flesk 300m Urlenmeyer tlesk 5 UUml flask 1 000ml flask 2 0UU0m1 x Tomm w out irlengseyer WY incubator Micro kieldehl nitrogen deteroi nation DOtalniess steel steriliging cese 0 005 2en 0 UZ2mnl PCB eash Volumeteric pipetter 10m1 l each heasureing pipetter 0 5m 1 earch Heeturing pipetter 25ml 1 each Micro pipetter Juster LIDD each of A 50 100 end S0001 set 250 pcs oi tip for above i Bet 14 2 95 10 we Folypropilene test tube rack 40 tubes of Xk 21 x 25um rolypropilene tesi tube rack i 40 iubes of 16 x 20m Polypropilene test iure rack zt tubes of 21 x 25mm ror 1 1 1 1000 1 000 600 600 1 200 1 200 112 140 20 10 0 Krk a u 10 20 i20 mE 0 1 0 2 ena 120 280 x lo be continued 330 155 860 paarp po 242 yer 0 5 EQUIPMENT LIST OF THE WISCAL YEAR 1984 SO O AW AX ITEN CUANTITY _SPECTPICATION svear iucluaes parus about i145 000 00 l Electrolytes sysieu l set Beckman 5 256 002 Y 2 Sero fuge 7 450 000 Y 2 oe a 197 000 Y Rotator 0 a 173 000 Y Slide glass cabinet a a 27 000 Y Agglutination viewer 4 a 38 500 Y Coulter thrombocounter 1 235 000 Interv
84. chasing of equipments be used for purchasing of consumable items 1 HHO to provide separate allocation for training of Laboratory staff for undergraduate training at Fiji School of Medicine Short term attachment to specialized Laboratories short term courses 8 Ap ropriate Catalogues for equipments and supplies should he provided to help obtain suitable materials 9 Equipments and Supplies needed for the utilization of newly acquired skills of Trainees in Japan should reach Tonga by the time they returne 88 10 Provision of air conditioners for the TB and Food Laboratory and ceiling fan for Water Laboratory tis Expangion Programme to upgrade Laboratory activities a Other existing Hospitals wil neod new equipments and supplies training oa eeu b Health Centres at peripheral area equipments and supplies training of Health personnel at CPHL ET provision of staff quarters sd us d Won d dB ok hh MM WIG TREK MAAR 1 14 83 NOISE AE ER DEE RE EE Xx WHO
85. crobiology food water and T B It was revealed in his statement that it was unfortunate that the New Laboratory was encountering manpower shortages which was amongst the barriers for achieving the objectives of the New Laboratory Project Dr Rao informed the members that JICA continued to provide post graduate training for the local staff He also made reference to the 3 year fellowship provided by the WHO to Mr Taniela Taufu i Laboratory Assistant Grade II to receive training at Fiji School of Medicine on laboratory technology Dr Rao also informed the members that there were 2 WHO sponsored Workshops couducted during July and August 1984 where WHO JICA and Ministry of Health were involved in the planning and execution of the same The main aims of the workshop were to improve the dialogue between the clinicians and the laboratory technicians to discuss the deficiencies in specimen collection to identify problems encountered in thc laboratory and to fiud out what the clinicans expect from the New Central Public Health Laboratory The other workshop was on laboratory support for primary health care which focussed on demonstration of simple and basic laboratory tests which could be carried out at the peripheral health centres Dr Rao also made reference to the introduction of viral transport medium to send specimens to New Zealand Dr Geizer indicated that the workshops were funded by the WHO local cost and the purpose wa
86. d A3 forms procedure He promised that he would find out why the MOH of Tonga had not seen the CVs of Japanese experts Dr Hasegawa drew the attention of the members to the present channel of communication which needed to be revised by changing the name of Dr Olakowski to the WHO Represnetative and Programme Co ordinator WRC in Fiji Dr Geizer raised an important issue for discussion of any need for replacement of Dr Rao Dr Geizer further informed the members that Tonga side should forward an official request to WHO specifying their need Dr Hasegawa suggested that when there was any international training course workshop to be held at the CPHL JICA should be informed gt of the programme in writing for their information CONCLUSION The Tonga side requested for the following which were accepted the JICA Consultation Team To continue dispatching experts from Japan under the Health Laboratory Project for training of laboratory staff and to assist in expanding of the range of laboratory tests To dispatch experts on equipment to complete the installation of equipment and to train local staff on proper operation of particularly sophisticated equipment To consider provision of immediate training for the electromedical technician of CPHL in Japan so that the necessary maintenance work of the laboratory equipment could be done locally To continue funding of post graduate training of Tongan nationals
87. ealth centers anc kon clinico i dll bo collected and treated us below and fin lly sent to Ubun for testing Vaiola hospitel hencevor specimen wes Leen fron patient it is ver proushi directly to Urnh Health centers and LOCH Clinic Specimens vere tiken from petiont ii should be informed to Zi by telephone at around 15 30 every day from Londay to l ridey Then staff of CHL or and Fublic Health pept will so around to collect it Du vehicle 2 Specimen of water and food l fap and well water e Mon det lale cd moe On the first for estern part ond first hurmi ior waster parv every month the staff of Public fieulth Dept orfend CPNL Will go around to take sampile of water from public Trap end private viell water systems 2 Food On the 2nd and 4th Monday of every month staff of UML ox and Publio Health Dept will go around to take semple of food mainly described below a Kate ial of ice cream ice cream itself una the water used for it 5 Food susp cted to be contamine ted with pathogenic bacterium water and swap on choppinz poerd in the hotels guest houses s restaurents ond Snack DES o c Meat ond swab on choppinz board in the covernment marxet meat shops 1 and chicken factory in Loan by a Sea food like shellfish fish sezweea and dried octopus end fish Gn the first hondey every month staff of Urb or and Public Health ept will fo roura to take sample of sea water
88. equent flooding is at ihe region of the steam outflow tract This needs immediate edtrfrcHtions The T B and Pood Laboratory are facing with the problems of inad quate ventilation which call for provision of a Mechanical means at these areas e g air condition and fanse 85 GA FIAN 1594 with the return from Japan of 2 Senior Rothorn of our technical Staff at the latter port of this year und early x exi year and also the proint digputch of experts and essential upplies from japan we are confident of achieving our objec tives ror the ubove period ATH To ups rude Laboratory activities in all Sections so ET to increase the range cf Laboratory tes is and examinations onto eel in both the Clinical and Public Health Laboratories This con be achieved la Stoff Development HL nost graduate training of technical staff overseas undergraduate training of Laboratory State Gverse an inservice and local training progran conducted by Eenior staff and overseas consultants 2 Procurement of essential Supplies 4 1d appropriate equipments As Biochemistry Ali Increase the range of Ve done locally and thereby decreasing tne number of specimen sent oversea s for expensive Laboratory tests Biochemical tests account for more than half of specimens sent overseas 70 of these tests were for LET and TFT Neger 2 T m It is at this area we will concentrate
89. form yoria zu ie isis to caxry out the factual survey on diarrhoeal diseases and typhoid fever in the whole of Tonca as described as the attached pepers from August in 1984 to July 1985 I think this survey has amp very inportant neaning not only as a first trial to realize to link DEL with the hospitals Health Centres and KGI Clinics ail over Tonga but also in keeping the essential qualities o the aro ject to fulfil a part of the CIL by testins snecinens collected from such a clinical field and a nublic health icid Turther i m expect tiny that P this curves will curciy clear the real situation of euch dis oben hore in Tonqa and uen to your counterm easuro against them in th future Theref CO it will be very appreciated if T could get your arreenent and approval of above plen And I vili be also very hapoy if you could send your official letter to your personnels related to this survoy and ask for the cooperation of this plan in connection with Sanpling collecting transporting and so on Thank TOU AM A s ssnseroosnoortos Ya shine OESO Teader of Japenese Tesem Nonra Janen i20 Joint Health Laboratory Project se Pl A Y H ty z 1 A gt zx a of implementing the survey on diarrheal Gisciso084 typhoid fiver m e M X e And e m l hein purpose of tais survey Di arr z
90. gical and cytological examinations being currently sent overseas It therefore needs post graduate training for a medical officer and a Laboratory Fochnician and equally important new equipments and supplies for it s initial seting at the latter part of 19854 _ 18 Resommomeastions RS 1 Dianshch of mxsonis from Japan These cineris are recuirod to trating of local staff at the bench work at the bench and help xpend the range cf Laboratory tests have oxperience in Clirical Fublic Health Laborztory Work relieve the uorkload of the laboratory while the local technician ure under training in Japan 26 Expert Instrusent Technician for the installation and initial operation of the sophisticuted equipments end training of local staff in their operations 3 It is recommended that JICA should provide immediate training for the local 3lectro kedical technician in Jayan so that maintaining of the sophisticated equipments can be done locally 1oplieciion form forwarded alrcudy It is strongly recomended that JICA should include in its policies the training of undersraduates to ensure immidiate increments to the present laboratory uork force 5 It is recommended thet JICA should continue sending trainees or post _ ASS A Tt graduate training in Japana 6 Due to financial constraint on providing consumable items it is recommended that vant of the JICA allocation for pur
91. he Central Laboratory As a result Shere is a better understanding between the users and the Laboratory Viral Transport Medium VTE This was introduced for the first time to send specimens of throat swabs to New Zealand during an outbreak of influenza at Tongatapu in Feoruary O4 Influenza A was isolated form 4 cases Diarrhoeal stool specimens ere being routinely tested for V haemolyticus and y enterocolitica besides ihe usual enteric pathogens experts from Japan Mr Toshio manari microbiclogist arrived from Japan on 13th August 84 Ke is expected to work in the Microbiology Laboratory for months 16 As mentioned GS irlier this project therefor PROBLEMS ENCOUNTER BY THE ARCIBCI 1 4 a few problems tends to hinder the progress of since it s official eStebliunnont in February 04 DE e needs a dcfinitive solution end immediato rectification in order to achieve objectives in the future Ja Pers onnel punte a Shortage of technica staffs The needs for immediate overseas training of GRID laboratory staff has resulted in causing significant shortages of laboratory manpower which calls for temporaty replacement from the JICA as previously anticipated b Lack of technical mow hoy i Some or the sophisticated equipment d eenerous1y donated by JICA cen not be utilized because of the lack of technical knowledge either in assembling OR Operating these equipme
92. ial attention to the dM surveillance of typhoid fever 2 Development of a national network for clinical and 3 public health examination Activities for chemical analysis of water and foods and those for histopathological examination phoutabe considered BOUE 1985 2 2e DEVELOPMENT OF THE CENTRAL PUBLIC HEALTH LABORATORY PROPOSAL FOR 1984 AND 1985 Clinical Microbiology Ea Inpr vetent in th collection of specimens handling and culturing for deet gonorrhoea Introduction of sensitivity testing Work on enteris pathogens especially V Parahaemolyticus campylobacter des enterocolitica and EE E coli ETEC pp of TPHA Treponema Pallidum Haemogglutination test s a confirmatory test for VDRL in SAPORAS seroropy Introduction of work on Rotaviruses by ELISA ee auc using commercial kits i E Work should be started on Mycology Public Health Microbiology Intensiry work on water bacteriology This involves ai safety assessment b planning of regular monitoring 1 implementation of sampling and analysis d corrective measures to be implemented when water samples are found unsatisfactory Food microbiology to be started Bacteriological analysis of fish and fresh foods to assess their hygenic quality Geen contamination in the harbour area to be checked and also the shellfish quality Checking food handlers for their carrier status and hotel utensil sanita
93. lT4 p ox u I v M I PER Uv d 8 4 Bm 460 HA Tooo TRIE EE J de zs6T Teo PTSFuer SHY ro ouv le 3165 UD3Y Den FETA T ge GC TEE AOD HP2no Xve 4294 Dau jo Tooyos UoaL delT ise RU 6t eIn Diet o ERSTER QD Y Bt ed 3oTorqoroTD CY Fi Bre ALZI 27 j vageatzg xg9 K 9 9oueros JO ioljequoed STS0TOTIOXITH BU0T euy mz BWI JO EL ae CECR S e my z P EH 49 BY LAWOHM toT w MeV ET M T p BRB OUTATS ZEE E WW aseo oag paw FPA 2 Loire cdi excu rang PCBTg9Z ew IBI uel P R FO Tooq5S owt uu NUON OTOONe m T o oy qeT dyg assy US E osx IP ea TEE E4 SAR fain A09 UeTTezISny Ye9 puefsuoenb Fo an p EQ 6z6T ear TGETTTA V8 de Boe M FE PNIS a e e YN x i 0u tofeA 8 TuelOH 4TASr RE EIE O E o s PIT Ra S pede BEAN Il Eet LOS Teed POP PLEA Ez T 6 em zi m i ENG i Ek ET LR Doa ES s cS 6 6 Bee SC F ee ee Ec LN een get pap TETA TEE E SN a M CELZI ez oe DEED 499 ue3uor 3834 mei pen zo Tooyss UeroTuyoeL geil sou eToreA 0L6T FART Tog suors Hox oOx GE aw Is EE Bm Bre Las WEWIWESESIOORM VOILA DTE WR III WEE EECH TOFS JE NN 923005 Nuogas y f f ursznN j UoT453S saseasTrd Quotzequesy uorises tatean uoraeonpg BNR RRC IN SO 1S
94. lance for media preparation digital Cornwel syringe for media dicpensing 5 Microscope for TB smear 4 Portable gas range for disolving of media 2 Media reagents and so on A d LEES Ka att P cc Mag Conkey Agar 200cXS DHL Agar 200e X 5 TOBS Ager 300g X 2 Nutrient Agar 300g X 5 Heart Infusion Agar 200g X 5 Rutzient Broth 100 X 5 LB 100g X 10 EGLB 300g X 5 LIM 100g X 10 vSI 100g X 10 Skirrow Ager 500g X 3 Cary and Blair 400g X 5 Amies Transport medium Transwab Medical Wire amp Equipment Co Ltd 1 000 Selenite Broth 100g X 5 Copan for Selmoneila Shigella V cholerae 0 1 one set each Mueller amp Hinton Agar 300g X 5 qTri disk one set Plastic petridish 1 000 magt tube medium size 1 000 ana small size 1 000 lc Le Microbiolog ey requested by Ma P Tone from Japan 1 Aceianide l00 ms X 2 n2 King A Agavr 3C0gms X 2 p 3 king B Agar 500gms A Mucofilin solution 4 boxes of 10 viais each RIZAL UO Did the 6 STNImediue 21be 1 BiB Modified Drigal ski Agar ucs ds 8 Nacl pure 5 lbs 9 Rappaport Enrichment medium l ib 10 Cornmeal Agar 2 lbs 11 Phenylethyl alcohol Agar PEA 1 ER 12 Phade Bactria Strep 1 Test Antisera wee one set 3 wall Clock EN Food amp Water Tost From Shibata Co Item 1 2 from Mopon tikagaku Kikai Go ltd 1 S
95. litre 3 85 O Tolidine Dihydrochloride Cat 201 07052 E Ge 2 706 N 10 Silver Nitrate solution Cat 192 00855 a 500ml M 3 40 N 10 Sodium Chloride solution Cat 195 01685 500ml T BIC C Forward 2 663 88 C DESCRIPTION QUANTITY PRICE YER Con t from WAKO B Forward 2 663 880 Potassium Chromate Cat 163 03562 25g X 1 200 Silver Nitrate Cat 194 00832 25 gO 3 500 Eriochrome Black T Cat 344 00372 25g X 2 1 480 hydroxylamine Hydrochloride Cat 089 01472 25q X SC 1 200 Ethanol 99 5 v v Cat 050 00446 10 litres 30 000 Sodium Oxalate primary standard IS Cat 199 02641 50 o 4 200 Potassium E E Cat 169 08885 500g X 2 5 600 N 10 Potassium Permanganate solution PI RM AN Cat 168 04215 500m1 X 2 1 800 Methylene Blue Cat 539 00422 25 o 3 550 Methyl Red Cat 138 03032 258 g 2 200 From KATAYAMA CHEMICAL INDUSTRIES LTD 3 7 Dosho machi Higash i knu Osaka 541 Tel 06 203 3441 N 10 Magnesium chloride Cat 19 0210 500ml 1 200 M 10 Ethylenediaminetetraacetic acid Disodium salt solution Cat 09 1440 500ml 1 200 Boiling stone Cat 03 2850 500 g 2 400 From HORIBA WORKS LTD 2 Kichijoin Miya no higashi machi Minami ku KYOTO 601 Tel 075 313 8121 Buffer solution standard pH 4 4 00 Cat 100 4 500m 1 900 ditto pB 7 6 88 Cat 100 7 S00mil 1 900 ditoo pH 9 9 22 Cat 100 9 50Cmt 1 960 Solution No 300 250ml X 5 6 000 pH 4 Powder Cat 150 4 10 bag 3 0 pH 7 7 Cat 150 7 10 bac 3 000 pH 9 Cat 150 9 10 bag 000 C
96. n EEN H e Me Es d Pa Ms PER D LI e E E D Y Gi D D LG K Ge oe ae cg FACES ve PP eos E a EA SCH I art Pat 27 ED H Lr 6 wuchs DS i NES i AE He er e Ee H b s cds S 3 4 ua amp Easels n ZS e 7 h ep oe tt E DW DS sf R ap Hd KN V d KE D S t D Li ee a e H pc F M e ra PET MT D H m g eo 98 7 tt TA D H K Ve D m d KR a 8 ye D MA e ie i ES B s nate ET t t 2 oe DE R 2 s S od s D oe DL Cag E z d mE a IE QUU oe 0 en 5 D D S lt e en D 2 D D 1 amp icd Tf Summary of Discussions Joint Project K J ICA WHORUMOHOHAKM 1974 1984 J 1 CA WHO 1982 1984 J ICA WHOC Lab staff 1984 C CA WHOMKC 1984 7 1 13 14 1 14 2 1 5 1 6 I 1 8 1
97. nd Sanitation In this area the main tasks are the monitoring of the quality community water supply but investigation of the relevant environmental parameters of above communicable diseases must be an integral part community worker quality monitoring and control ater amp food analysis include bacterial contamination ante post mortem screening of potential food beasts when required screening of food handlers and shopkeepers 3 Virus Isolation A Personne1 Training Th s should be extended to staff in all areas because the importance and usefulness of laboratory rests heavily on these factors ability of staff to correctly interpret laboratory finding ability of staff to correctly collect specimens for testing ability of staff to order appropriate tests ability of staff to perform simple tests especially in isolated areas ability of laboratory staff to perform and maintain work quality at all times res ps B 7 0 0 i 5 f 1607 2 E a Ga Rue 1 ege ARMA EAL LARAMIE RMD ZC K
98. nts hy the Laboratory technicians or the local 3iectro medical techniciane Ieuipoments a Yon Coimission Equipments It is very unfortunate that auis a few of the equipments donated by JICA are lying idle in ihe CPHL duis 18 tis res juli of i Inappropriate equipments being requestod and the unayail lability of proper Gatalosues for the specifications of the equipments end supplies ordered from JICA Gege Vater Still in media Prep Room ii Lack of technical knowledge as mentioned above in assembling and operating sophisticated equipment let alone the future problems on efficient maintenance e ONE irte ae T iii Parts of the equipment are missing e g PH meter 3 Supplies a Unavailability of the necessary supplies and equipments to ater for the demand of Trainees returning from Japan in order to utilize their newly required skills The understanding is that JICA provides Equipments and supplies for the experts and only a Limited supplies provided to returned trainees from Japan Also it takes a long time to EE cquibssonts and supplies from JICA Does JICA supply conswnable itoms is very essential that necessary cauipments en cons urable supplies should arrive together with the returned trainees from Japan Otherwise their newly acquired skill is well forgotten vith the passage of time STRUCTURAL PROBLEMS 1 Defect in the steam system in the CPHL result in fr
99. o 1000ml Cat 1421 1000A 5 Funnel Cylindorical Cat 1311 302A 362 B ditto Cat 1311 303A 363 5 ditto Cat 1311 304A 364 5 y Flask volumetric plain stopper 50ml E Cat 2306 50A 20 V itoo 100ml Cat 2306 100A 20 w ditto 200mi Cat 2306 200A 20 W ditto 250ml Cat 2306 250A 10 y ditto 500m1 Cat 2306 500A 10 v ditto 1000n1 Cat 2306 1000A 5 Flask trlenmeyer 5 stopper 200m1 Cat 1033 200A 10 ditto 300m Cat 1033 300A 10 ditto 500ml Cat 1033 500A 10 ditto 1000ml Cat 1033 1000A 5 ditto 2900ml Cat 1033 2000A 5 Flask Filtering 1000ml Cat 1781 1000 2 Buret blue print iine teflon stopcock 25ml Cat 2183 25 ditto Amber glass 25ml Cat 2132 25 2 Buret automatic blue print line tefion stopcock 10m Cat 2255 10 d ditto Amber olass 10n Cat 2253 10 2 2 3 Buret double holder Cat 4568 C Farward LIT IE Eben o PRICE YE 18 900 2 000 44 000 46 000 55 000 58 000 64 000 50 000 8 400 3 400 8 400 32 000 34 000 45 000 26 000 30 000 18 000 12 000 14 000 18 400 15 000 23 500 6 200 j 00 2560 Po JS P3 69 400 59 400 9 400 32 600 DESCRIPTION Con t from Snibata Bottle reagent narrow mouth BE EE glass i20m Cat 1703 120A ditto 250ml Cat 1703 250A ditto 500ml Cat 1703 500A ditto l000ml Cat 1703 1000A ditto 120ml Cat 1704 120A ditto 250ml Cat 1704
100. oda ku TOKYO 102 Te 03 264 8005 Sep Pak C18 Cartridges part No 51910 1 box 50pcs 1 Sep Pak Silica part No 51900 1 box 50pcs 1 From GASUKURO KOGYO INC 6 12 18 Nishi Shinjuku Shinjuku ku TOKYO 160 Te1 03 345 1611 Syringe micro SGE 10A FN 10 i ditto SGE 50A FN 50u1 From TERAOKA CO LTD Shimoshinden 8 Su it shi OSAKA fe 06 386 386 0667 Laboratory Homogentz r gt Gat K 0652 f set GRAND TOTAL PRICE YEN 9 070 610 45 000 40 000 10 200 24 700 25 700 14 000 44 090 220 000 9 463 216 Y atum er IR rp Tm eee 15 PROGRESS REPCRT ON CENTRAL PUBLIC HEALTH LABORATORY The Mew Contral Public Health Laboratory Van constructed and equipped by JIGA and was officially opened by His Majesty the King of Tonga on the 9th February 1984 GE It contained 4 laboratorios namely Clinical Microbiology Food Water and TRB beside other accessory rooms Unfortunately due to staff shortage there are only 2 technicians working in the new Laboratory The personnel shortage and other problems listed below tends to hinder progress in terms of actual laboratory results for the pest 6 months However one is optimistic and confident that with the resolution of these problems and with better co ordination ond management we will achieve our objectives in the near future 1 Treining a Post graduate training in Japan r V Ika returned from Japan after
101. of CPHL in Japan To provide appropriate catalogues on equipment and supplies and to assist the CPHL in procurement of suitable supplies 6 That the Health Laboratory Project be expanded to all other existing hospitals and health centres in Tonga through provision of supplies and equipment as well as training of health personnel within the alloted budget for the Project The JICA Consultation Team promised to look into any possibilities to provide air conditioners for the T B and food laboratories ceiling fans for the water Laboratory and laboratory stools within the alloted budget for equipment in 1985 WHO was requested to provide separate allocation for the following trainings of laboratory staff s undergraduate training short term attachment to specialised laboratories short term overseas courses addu signed by Hiromasa INOUE M D Leader of Japanese Consultation Team on XE ver 1984 ECTS led bA ann signed by Supileo FOLIAKI M D Director of Health Tonga on d i 1984 GE KE Signed by I GEIZ Regional Adviser on Laboratory Health Services WHO Regional Office for Western Pacific Manila on 0 Ce 1984 octo t9an3lUang seppddas jaeudgabe Iod CY AT KW SZ ee I9 ggeas qeT z 103 vederi TU TARA 23S qeT 103 1SO TeooT Zo OO Z RIE 3
102. on t from TUCHT Spoon stainless steel 1 set 3 spoon Cat 6 366 UI ditto micro Cat 6 373 02 ditto Cat 6 373 03 ditto Plastic Cat 6 375 04 Mortar agate DU X 75 X 17 Cat 6 680 06 Gauze wire with asbestos Cat 6 391 04 From YAMATO SCIENTIFIC CO EE 2 9 5 Nihonrbashi honmachi Chuo ku Zo 103 Tel 03 279 0911 Shaker Yamato SA 1 Model Separation funnel holder Miyer holder Aspirator handy Model WP 45 Evaporator rotary Mode RE 46A A vrmjack un 20 water bath BM Mixer magnetic Cat MD 21 From NIPPON RIKAGAKU KIKAI LTD 1 7 12 Koraku Bunkyo ku TOKYO 103 Tel 03 B15 1611 Bottle suction VKU 200 19 100 X 160uiu Flask holder material diameter 7 5cm ditto 5cm ditto 8 5cm TOYO ROSHI CO LTD A From TOYO KAGAKU SANGYO CO LTD 3 7 Nihonbashi honnachi Chuo ku TOKYO 103 Tel 03 270 744 Extraction Thimble size 28 X 100mm 1 box 25pcs Comparator pH measurement set No C Cour tube comparison line B C P SE QUANTITY B Forward Cn set Ur te 4n ut ped ki 9 Gei set GA m Us tn Bo E 1 i C ForwaYd PRICE YE nme gt 1 852 550 1 050 550 1 000 3 000 18 000 8 000 151 000 24 000 16 000 98 000 140 000 111 000 25 009 3 000 2 500 3 500 6 820 35 000 4 590 2 505 670 DESCRIPTION QUANTITY PRICEN Con t from roxo KAGAKU B Forward 2 504 470 Indicator B B P 30ml d MED
103. our efforts in the Future Miss L Uta is cxpecitcd to undergo further training in biochemistry in Japan in the near future Bs Heematolory end Blood Trensfusion This section amounts for more than nal of all test ts done at the aim te include these special examinations pau Laboratory It wil listed below in it s range of tests cone DOCE EEN ane o currently being sent oversees Tor exeminations Tho quostion of technical imov how and proper equipment also applies here wm Bone marrow study Coagulation study A Sorun Iron 812 amp Wolate studios Cytochemistry TRT Blood fractions for packed cell and platelet transfusion Antibody Studies CG iicrobiology E le Publi Health ly Buric Wakes GE mier DUI eS iN both rural end urban areas of Tongatapu aud other Islands Food microhiology to be started Bacteriological analysis of Fish and fresh foods amp milk products to asess th ir hygienic quality Investigation of outbreaks of infectious diseases Surveillance of diarrhoeal diseases in Tongas 2 Clinical Microbiology Expand activities on enteric pathogen identification Routine anaerobic cultures pane Sense fed Syphillis in all ANC cases Kycology to be stertod D Histopathology and Cytology As seen in the Specimens sent overseas it accounts for 2555 of the specimens This will be a new unit and will aim at doing all the histolo
104. oxlet apparatus cat no 155 34242 set 21 000 Yon 2 Soxlet apparatus for liquid sample e 9 300 4 WFunnel separatory 1 liter cat 1426 1000 2 m 4 ditt 500mt cat 1426 500 4 200 5 ditto 300ml cat 1426 500 2 1 600 6 ditto 200m cat 1426 200 2 11 000 J diiie 1002 cat 1426 100 2 18 200 ditio 540ml cat 1426 50 2 16 200 9 Bottle voilghing 5 24 900 10 Botile two sprays cat 4156 0 2 34 000 11 Biulets blue print line teflon stopcork 25mi cat 216 35 25 1 10 500 12 ditto amber cat 2132 25 25ml 1 11 100 15 Automat c biurets blue print line teflon stopcork iOml cat 2255 10 1 34 100 14v ditto amber cat 2255 10 10ml 1 54 100 l 15 Piutet double holder cat 4566 2 2 5 600 16 Rings support 115mm cat 4551 2 2 500 17 ditio 72 rss 2 2 400 18 ditto 50 ma 2 2 000 iG Clamp fixed cav d5560 124 T 2 650 20 Clamp Versatile v jav amp cat 4562 50A duit 7 000 21 ditto 4562 1004 1 wit 11 000 22 Cylinder sradueted with glass stopper 1 000 ml 2 deg Support lab frane cat 4500 1 0 3 get 355 500 Yen 24 Funnels cylindorical cat 1311 2024 3e 4 6 720 25 dilto cai 1311 303A 365 4 6 120 26 ditto Cat 1511 3044 4G4 mE 5 5 4 E 6 720 27 Bottles reagent narrow mouth borosilicate brawn 1 liter cat 1704 1000A v 5 20 500 28 ditto cat 1704 5COA 500 ml m LLL 10 000 29 Tubes Nessler 50 ml cat OB48 51A 15
105. pe 4 3 a for training use Vooling centrifuge i Water bath 2 E Serum Protein FMlectrophoresis apparstus 1 1 Silirabinometer Blood gas analyser 1 Clean bench 1 Clean bench 1 Draft chamber 1 Bhood bank refrigerator x1 Fluorescent microscope 1 Analytical balance 2 Centrifuge x 4 000 1 Supply trolley 3 Kefrigerstor eee e el Freeger 20 309C 2 lypewriter eleocironic 1 E non electronio EK Nleciric culoulstor with printer 1 without printer 2 Copying Stebiliger 5 Uar ven 2 000 cc 1 mum Es le ka BR 2e an 8 6 T 9 EO tLe AP Lie ihe 356 16 39 AD 4l Erlenmeyer Micro pipetter ABUA ORY E yas Us bh ULI ll q3 A Vin Aire EUN Xs AR Ot 3 JK ACUSBION microscope lnoubator Autoclave tater bath Kercurial duci MEE Coulter counte ForocpB Standard D pe for ooulier counter Uyerhead projector Vonductivity meter Jurtici metor HMamne photometer ripette washer Gylindrical inside basket for pipette wucher Dpring weight gauge Steinless steel pipette sterili ging Gabe JigpenBer Socorex SPU Seni micro enelysis glass veres kit Folyethylein tube 12 x 75mm w cap sterilized rolyethylein tube OAD Test iu
106. rorward 2 442 111 engt E Ke DESCRIPTION QUANTITY PRICE Yi B Forward 2 744 110 From SANKO PLASTIC CO LTD 4 Tos 10 Tenma Kita ku OMA AE GO ROC E 4 2 amp 3 55 000 ditto A 3 Cat 1009 02 EN 38 000 Measuring cup 2 litre Cat 3005 05 10 8 000 Bottle washing 500m1 Cat 3011 03 lt 6 000 Tub for chromic acid mixture PVC Cat 1065 01 2 P 25 000 Basket for above B 1 Cat 1063 01 d gt e 10 000 Bottle polyethylene 2 litre Cat 2001 07 10t 4 000 ditto 10 litres Cat 2005 04 ER 10 000 ditto 250ml Cat 2001 04 So 3 500 From HITACHI CO Spectrophotometer UV VIS Cat 100 21 1 1 410 00Q From SHIMADZU CORPORATION Nijo Minami Kwaramachi dori Nakagyo ku KYOTO Dt 604 Tel 075 251 2811 Balance electronic eading EB 2800 2800 10mg 1 270 002 High Performance Liquid Chromatography LC 5A System 1 4 432 000 From SHOWA DENKO CO LTD 1 13 9 Shiba Omon Minato ku TOKYO Tel 03 432 5111 HPLC Column Snod r411A 4 6 odex 005 pak X 15 1 5 Urn 1 Kei 55 008 C Forward 9 976 616 DESCRIPTION NN QUANTITY B Forward From KANTO KAGAKU CO LTD 4 6 Nihonb shi Honmachi Chuo ku TOKYO 103 Tel 03 663 7631 MERCK PRODUCT Lichrosorb RP 18 Cat 50333 4 X 250mm 5um 1 Lichrosorb S1 60 Cat 50388 4 X 250mm 5um IL TLE Aluminium sheet Nieselget 60 F254 20 X 20cm 5554 25 sheets From JAPAN WATERS LTD Shuwa Kioicho Park Building Kloi cho 3 6 Chiv
107. rst priority a serologist for 6 months in 1985 EXPERTS ON LABORATORY EQUIPMENT The Health Planning Officer made urgent request to the JICA Consultation Team for an expert on laboratory equipment to comlete its installation and to advise local staff on how to operate it Dr Hasegawa indicated to the members that a few experts would be dispatched by JICA to Tonga for 2 weeks or more as required to look into this particular problem OTHER MISCELLANEOUS MATTERS Dr Geizer informed the members that WHO had already ordered the Micro computer Cannon As 100 and would like the JICA Consultation Team make any comments on the suitability of the brand with reference to installation and maintenance problems Dr Hasegawa stated that the Consultation Team had no specific comments to offer since this would be used by the Ministry of Health for other purposes besides providing good and reliable information at the CPHL The Tonga side expressed their concerns about the experts dispatched from JICA to be in accordance with the needs of the Ministry of Health This arised when the administrators concerned at the Ministry of Health did not have access to the curriculum vitae of the experts to be sent by JICA Dr Hasegawa clearly Stated that Japanese experts had been sent to Tonga only when the Government of Tonga had agreed on the JICA s proposals for those by 1 2 3 4 5 experts in accordance with the A2 an
108. s to foster better working relationships and to avoid clinicians blaming the laboratory technicians as well as technicians blaming that diagnosis made by clinicians was wrong PROBLEMS ENCOUNTERED BY CENTRAL PUBLIC HEALTH LABORATORY Dr S Moala gave a brief account of the problems encountered by the Project since the official opening of the Central Public Health Laboratory in February 1984 which tended to hinder the progress of the Project There was a shortage of technical staff caused by the current overseas training of three members of the staff which resulted in a significant decrease in laboratory manpower The lack of technical know how by the local staff in assembling and operating some of the items of sophisticated equipment generously donated by JICA resulted in a number of these equipments lying idle at CPHL Similarly the unavailability of proper catalogues needed for specification of equipments contributed to the above problem The third problem mentioned was concerned with the unavailability of the necessary supplies and equipment to cater for the needs of returned trainees from Japan in order to utilize their newly acquired skills The fourthand least of the problems related to a structured problem at the CPHL There appeared to be a defect in the steam system in the CPHL which resulted in flooding of the sterile room There were also problems of inadequate ventilation at the T B Food and Water labor
109. sion of the catalogues from two or three of the major supplying companies could be arranged for the CPHL Mr Nakajima informed the meeting that the combined catalogues will be available very soon but in Japanese TRAINING OF HEALTH PERSONNEL Dr Hodate made a brief report on the status of the post graduate training and that Mr V Ika completed his training on micro biology while Mr S Foliaki and Ms Ane Tone were currently receiving 12 months training on food and water and microbiology respectively The other two proposed for post graduate training are Dr Moala on pathology and Ms Latu Uta on bio chemistry Dr Hodate further discussed matters concerning training of laboratory staff in Japan for 1985 fiscal year that was endorsed by the Local co ordinating Committee in its meeting of 4th September 1984 The Local Co ordination Committee agreed that a trainee on hematology and cytology for 12 months should be requested as first priority The trainings on biochemistry and food and water testing techniques were to be requested as second priority The Health Planning Officer expressed his concern on the problem of manpower shortages and requested the JICA Consultation Team to consider extending their assistance in funding undergraduates training of assistant laboratory technicians so as to have an immediate effect ou current laboratory manpower Dr Hasegawa responded by stating that although the funding of
110. sultation Team for any possibilities of including provision of staff quarters at peripheral areas to enable laboratory technicians to be posted at those areas Dr Hasegawa indicated clearly that the current JICA policies did not include provision of staff quarters as it was the responsibilities of the government of a recipient country Dr Hasegawa further informed the members that the current financial allocation from the JICA could be utilized for the above mentioned expansion of the Project to other hospitals and health centers 6 PROGRAMME ON SURVEILIANCE OF INFECTIOUS DISEASES The Health Planning Officer informed the members especially the JICA Consultation Team that the Ministry of Health had agreed in principle to the proposed survey However the Local Co ordination Committee directed that the proposal be revised and be resubmitted for further discussions Dr Geizer indicated that it was important that the study proposal be formulated with close consultation with the Public Health Division of the Ministry of Health He further advised that the sample size should be determined as this will involve increasing of staffing Dr Hodate agreed to further discuss the proposed study with the Public Health Division of the Ministry of Health and to obtain their opinions Dr Geizer informed the members that it was of vital importance to consider what kind of specimens to be collected during the survey He pointed ou
111. t that blood specimens might only be useful if they were collected from typhoid patients and if serological tests were required Dr Hasegawa pointed out that the MOH required to prepare necessary measures for the outcome of this programme when it was implemented for example the treatment of carriers of the typhoid fever who might be detected by the surveillance programme GRANT OF EQUIPMENT FOR 1985 Dr Hodate gave a brief account of the tentative list of equipment and supplies to be requested from JICA for the 1985 fiscal year This included a long list of supplies requested by Mr Foliaki These were required for the establishment of the food and water analyses in the CPHL Dr Hodate made reference to a need to send water samples for chemical analyses in Japan as such analyses had not been done yet The Health Plauuing Officer informed the members for their information that the chemical analyses of water supplies for the Nuku alofa area and other rural supplies had been done on a number of occassions by gandiug samples to Fiji and New Zealand However the idea of sending samples for chemical analyses in Japan would be quite useful for comparison especially when there was a Kingdom wide drought which might affect the chemical quality of the water supplies Dr Hodate further informed the members that the list of supplies and materials requested by Mr S Foliaki from Japan would depend on the result of the chemical an
112. tion Parasitology surveys to be carried out whenever adequate staff are available Training l Training of ancillary health workers in peripheral areas on the collection handling and transportation of clinical specimens Training health officers formerly health assistants at the laboratory on microscopy blood sputum stool and urine and haemoglobin estimation Development of the Central Public Health Laboratory into a Regional Training Centre for laboratory technology and epidemiology Other MR Supply of media c and reagents to the other hospital laboratories Standardization of methods Introduction of quality control These proposed develupushital activities are in addition to the existing clinical diagnostic work Because of the limited number of laboratory workers it would be rather difficult to undertake any more activities 200 gt 3 LABORATORY PRIORITIES 1 Communicable Diseases The confirmation of cases coming into contact with the health service contact tracing case finding and monitoring of treatment regimes The following are the most important Communicable diseases to date typoid and paratyphoid f tuberculosis mE e diarrhoeal disease not edi viral studies en ote fever and streptococcal infection intestinal p rasites e g includes worms and protozoas bacterial food poisoning brucellosis 25 Environmental Health a
113. topathology 12 months and laboratory management Mr Touclo Nonu Biochemistry 12 months Dr Supileo Foliaki Health administ l month ration zd uc 2 3 In 1985 special attention should be focussed on the training of laboratory technicians in the field of haematology EE histopathology arid biochemistry or parasitology From the viewpoint of adequate utilization of ET new laboratory facilities short term visit to Japan of senior medical doctor and health planner of Ministry of Health should be encouraged des seats 8 be DE to e 1 EE 3 Bacteriologist 12 months E To assist workroad of public health and clinical D microbiology and serology cf anne ne Biochemist 12 months To support development of clinical biochemistry 8 Epidemiologist at least 6 months Epidemiologist may be assinged to the disposal of the Director of Health Services to work in close cooperation with the national epidemiologist to cooperate in integration of Central Public Health Laboratory and Epidemiological Unit of Ministry of Health His area of involvement will Der extended to communicable and non communicable diseases as well He may be involved in training of national health personnel at Ministry decides to have such training 4 Priority area in the workroad of the Central Public Health Laboratory 1 In 1984 special attention should be focussed on public health microbiology with spec
114. tube 2 5 ml for PH measurement E 090 4 000 EOM panko Plastic 56 Bottle polyethylene washing cat 3011 03 20 6 000 57 Cup polystylene measuring 2 liter 22 10 8 000 58 Cabinet pippettes cat 1028 0 ET 4 55 000 59 Large desicator cabinet A 3 type cat 1009 02 1 38 000 60 Bottle polyethylene 2 liter cat 2001 07 0 4 000 Gl ditto 10 liter nerrow mouth with stopcock cat 2005 4 Ay 10 000 From IU CET f E 62 Tubing rubber diameter 4 mu 1 kg 155 500 62 ditto 7 mn diameter 3 kg 4 600 64 ditto 10 mm diameter 1 kg 4 600 65 Punnel supports two holes 2 036 Ol a o 4 600 _ 66 Biurets supports 6 286 01 2 7 400 67 Vire gauze with asbes tors cat 6 391 04 40 8 COO Prom Wako Pure Chemical industries LTD P 68 Color standard solution 07 35 08451 1000 units 100 ml 2 700 69 Platinum iv Pottassium Chloride 165 02881 6g 69 600 70 Cobalt ii Chloride 036 03682 25g e 1750 71 Turbidity standard solution 206 06701 100units 100m1X10 ores 27 500 12 Kaoline 117 06025 oppe 580 15 Sodium Pyr phos Doe 195 03025 500g 850 2 liter 2 080 15 Bromocresol Green 022 02681 5g 6 000 76 Thy mol Blue 209 01451 5g 2 500 Tf Pottassium peroxodisul fate 164 11101 100g 5 200 78 Pottassium Nitrate 160 040 35 200g 900 19 Ammonium Chrolide 011 02995 5005 850 80 Nessler s solution 143 04481 100ml 4 200 81 Sulfanilemide 191 04502 25g 1 400 147 00763
115. y 5 i k 7 v fh ou oy o u v d y W B y gt O9 Y Sp y p SA RF b YY CH BR 0 Tic rR fi R y HO BE se 3 k ow RE E CH 2 A 6 BR k xk E Ka x a BE OM OM n x MU tt OR b S sat Sr gt S 9 sS m Et S gt BR BOR o e e e e e e e e 255 el 160 59 6 0 110 H d 0 5009x2 1 30 5007 1 8 0 e od 0 0 we x cc 0 0 0 0 0 0 0 a 500 800 850 5 0 Omex 5 2250 500mMx10 10 500 500m 1900 7 0 30 CG NN JN S d doo c E re i 500mx2 080 Foot w o 8500mgx5 4750 m E A X SA 6lct o 5 00mx10 16 500 Hood F wo 7o 0c E 5002 680 2 n n a 840 MW wu s 3 o 700 Z y E M amp B 1 100 AE R D 870 A 7170 o n 700 v 7 1 a 1000 a v v ze g He 259 580 X yw 5 d x H Hos 1000

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