National Institute of Communicable Diseases
Directorate General of Health Services
Ministry of Health and Family Welfare (GOI)
22, Sham Nath Marg, New Delhi-110 054

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ANNUAL REPORT 1997
 
CONTENTS
1.   Introduction
          Organisation Chart
          NICD Faculty/Administration/Staff
          Budget at a Glance (1997)
2.   Objectives and Functions of the Institute
3.   National Health Programmes
          National Surveillance Programme for Communicable Diseases (NSPCD)
          Guinea Worm Eradication Programme (GWEP)
          Yaws Eradication Programme (YEP)
4.   Scientific and Research Activities
       Headquarters
          Division of AIDS & HIV
          Division fo Biochemistry/Biotechnology
          Division of Epidemiology
          Division of Helminthology
          Division of Microbiology
          Division of Medical Entomology/Vector Control
          Division of Training & Malariology
          Division of Zoonosis
       Branches
          Alwar
          Bangalore
          Calicut
          Coonoor
          Jagdalpur
          Patna
          Rajamundry
          Varanasi
5.   Manpower Development/Training Courses, Workshops, Seminars
6.   Outbreak Investigations
7.   Participation in Conferences, Workshops, Seminars and Symposia
8.   WHO/Other International Fellowships
9.   Membership of Expert Committes/Advisory Panel/Honours
10. Important Visitors during the Year
11. Publications/Presentations
Annexures
          Central Library
          Central Animal Facility

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Division of Biochemistry & Biotechnology

The Division is carrying out operational research work on communicable as well as on non-communicable diseases or disorders of greater public health importance.

Organisational Structure:

§         Biotechnology & Molecular Biology Laboratory

§         Molecular Diagnostics & Gene Cloning Laboratory

§         Environmental Biochemistry & Texicology Laboratory

§         Immunochemistry & Clinical Biochemistry Laboratory

§         IDD Laboratory

Major thrust areas of activities

§         Molecular Epidemiology and Molecular diagnostics of diseases of larger public health importance, particularly Polio, Dengue, HIV, Viral Hepatitis, Malaria, Leishmania etc. besides other non-communicable diseases i.e. Apo-B Gene Polymorphism related CHD and gene defect in haemophilia patients.

§         Gene cloning and Hybridoma work related to analysis of expressed genes Plasmodium vivax and development of immunodiagnostics for malaria and leishmania

§         National Reference Centre for IDD Monitoring under the National Iodine Deficiency Disorders Control Programme (NIDDCP).

§         Environmental Biochemistry and Texicology where heavy metal poisoning, chemical analysis of water particularly anions, cations and studies on pesticides are carried out.

§         Imparts specialised referral services and support to outbreak investigations in the form of providing supportive data related to haematology and biochemistry profiles clinical specimens collected during the investigation.

§         Involved in the activities of teaching & training, conference & workshop, seminar symposia organised by the Institute from time to time to support the National Health Programmes.

Major achievements of the Division during 1997

The division has contributed significantly to following areas:

Molecular Biology Unit

        i.      Developed completely indigenous facility for automated gene sequencing of wild polio virus type 1 This is contributes to the global polio eradication programme by providing unique molecular epidemiology data. Earlier, the country was dependent on US and other foreign labs for the said data. Technique of RNA isolation from polio viruses converting into cDNA by RT-PCR and synthesising own primers followed by gene sequence analysis are well established.

       ii.      Molecular probes, PCR primers specific for Polio, Dengue, HIV, Viral Hepatitis, Leishmania, have been synthesised in the lab.

     iii.      Fool proof facility for molecular diagnosis (PCR/RT-PCR) of following pathogens has been well established: Polio, Enteroviruses (Evs), Dengue, HIV, P. falciparum, Viral Hepatitis, P.vivax, Leishmania.

    iv.      Screening of vector mosquitoes for dengue virus by molecular biology technique.

      v.      Procedures for nucleotide sequence analysis of some of the expressed genes of P.vivax by screening of gene library have been established. This will help in providing useful data for future diagnostic/therapeutic deductions, as well as for strain differentiation studies.

    vi.      Methods for gene cloning and construction of gene library are in the initial stages of establishment. These would be important “intermediary methods” for in-depth molecular epidemiology / diagnostics work.

   vii.      Preliminary experiments have been designed to study Apo-B gene polymorphism in primary hyperlipidemia

 viii.      Sequence analysis of 6 Kb mini circle gene of P.vivax would be of great help in diagnosis of drug resistance cases and may also have therapeutic uses, as mitochondria is a power house and genes encoded by the mini circle are expressed at erythrocytic stages and exoerythrocytic stages. Since keeping in view that only those genes are expressed which had some functional role, these studies are being carried out and may have important role in future malaria control programme.

     ix.      DNA primers for W.bancrofti and B.malayi were synthesised on the request of a Scientist from VCRC, Pondicherry and the same were tested there and the results were found to be satisfactory.

Biochemistry Unit

        i.      As a national reference centre for IDD monitoring, this division has contributed immensely to NIDDCP by imparting extensive training to programme associated personnels from almost all States & UTs of India. This is also one of the four National Reference Centres which has developed expertise in Urinary Iodine Estimation and Thyroid Function Tests for evaluation of field surveys.

       ii.      The division has now fully established facility for detecting pesticides like op-DDT, pp-DDT, op-DDE, Malathion and Propoxur in serum samples on highly sophisticated HPLC system.

     iii.      The laboratory is also equipped with hi-tech Iron-chromatograph for chemical analysis of water including detection of anions (chloride, fluoride, bromide, nitrate, phosphate and sulphate), cations (lithium, sodium, potassium, ammonium, calcium, magnesium) and heavy metals (lead, iron, copper, mercury, zinc, manganese and nickle) etc.

    iv.      The division extended material and technical support in monitoring and evaluation studies of a machine, based on fiber optic fluorescence immunosensor, being developed by the Deptt. of Biomedical Engineering, IIT, New Delhi under a collaborative project sponsored by DBT/DST for immunodiagnosis of Kala-azar and other diseases.

      v.      The division is providing biochemical diagnostic facilities during the epidemics and disease outbreaks.

Specialised laboratory services

Molecular Characterization of Disease pathogens

One of the newest diagnostic tools is hybridization using genetic probes. These assays are extremely sensitive and specific. A new HI-tech Biotechnology laboratory with most modern sophisticated instrument has been established which includes:

§         Automated DNA sequencer ABI Prism 373 for DNA fingerprinting

§         DNA/RNA Synthesizer for primers and probes synthesis

§         Robotic Molecular Biology Labstation (Catalyst-800) for genetic manipulation.

§         PCR Thermal Cycler Model 2400

The new set-up will also provide opportunity to study the molecular epidemiology of diseases to trace down the origin and source of an infection and to develop better disease surveillance mechanism in the country particularly for emerging and re-emerging diseases.

Synthesis of various primers for PCR

POLIO

M13 tailed Polio primers for 293 bp region for VP1/2A junction

F 5’-CAG GAA ACA GCT ATG ACC  AAG ACG TCT CTA TTC CAC AT-3’

R 5’-TGT AAA ACG ACG GCC AGT  GTC AAT CAC AAC CC-3’

DENGUE

Dengue Primer Sequence of Envelop region (2.2 Kb)

F 5’-CAT ATA GTT AGC CCT AGG TGT GAA TAT CAA GCA GGA CAT A 3’

R 5’-TGG GAG TGA ATT AGC CCT TCC AGT CCC CCC TIT TCT TTTA 3’

Dengue Primer Sequence of PreM-M region (511 bp)

D1 with M13 F tailed primer (46 mer)

D2 -5' TGT AAA ACG ACG GCC AGT TCA ATA TGC TGA AAC GCG CGA GAA ACC G-3’

D2 with M13 Rev. tailed primer (47 mer)

D2 -5' CAG GAA ACA GCT ATG ACC TTG CAC CAA CAG TCA ATG TCT TCA GGT TC-3’

Dengue Type Specific Primers (within D1-D2 region)

TS1 - 5’ CGT CTC AGT GAT CCG GGG G - 3'                 (19 mer)

TS2 - 5’ CGC CAC AAG GGC CAT GAA CAG -3'                (21 mer)

TS4 - 5’ CTC TGT TGT CTT AAA CAA GAG A-3’              (22 mer)

TS3 - 5’ TAA CAT CAT CAT GAG AGA GAG C-3’    (22 mer)

HAPATITIS B

Hepatitis B1 Primer (20 mer)

5’ - CAA GGT ATG TTG CCC GTT TG-3’

Hepatitis B2 Primer (20 mer)

5’ - AAA GCC CTG CGA ACC ACT GA-3’ 

Hepatitis B3 Primer (21 mer)

5’ – CTT CCA GGA ACA TCA ACT ACC-3’

HAPATITIS C

Hepatitis C-1, Dow Stream Primer (19 mer)

5’- CCC AAC ACT ACT CGG CTA G-3’

Hepatitis C-2 Sense Upstream Printer (24 mer)

5’ - AAC TAC TGT CTT CAC GCA GAA AGC-3’

HIV-1

HIV-I gag region, (28 mer)

5’ - ATA ATC CAC CTA TCC CAG TAG AG AAA T-3’ (SK-38)

5’ - TTA GGTCCT TGT CTT ATG TCC AGA ATG C-3’ (SK-38)

MALARIA

rplu-6 Plasmodium Genes Specific Forward Primer (23 mer)

5’ - TTA AAA TTG TTG CAG TTA AAA CG-3’

rplu-5 Plasmodium Genes Specific Reverse Primer (21 mer)

5’ – CCT GTT GTT GCC TTA AAC TTC-3’

Plasmodium falciperum Specific Forward Primer fal -1 (30 mer)

5’ - TTA AAC TGG TTT GGG AAA ACC AAA TAT ATT-3’

Plasmodium falciperum Specific Forward Primer fal -2 (30 mer)

5’ - ACA CAA TGA ACT CAA TCA TGA CTA CCC GTC -3’

Plasmodium falciperum Knob Associated Histidine Rich Protein KAHRP Gene Specific Forward Primer-Ff (19 mer)

5’ - GAA ACA AAA AAC ACC GCT G - 3’

Plasmodium falciperum Knob Associated Histidine Rich Protein KAHRP Gene Specific Reverse Primer-Fi (24 mer)

5’ - GTA CTG CAC TAG CTC CTG TAG TTG - 3’

P.falciperum Thrombospondin Related Anonymous Protein Gene Specific Forward Primer TRAP 3(28 mer)

5’ – ATG TAA CTT GTA TGC TGA TTG TGC ATG G - 3’

P.falciperum Thrombospondin Related Anonymous Protein Gene Specific Reverse Primer TRAP 3(31 mer)

5’- TAT CTT CAC TAT TAG GTA CGT GCC TAT TCC C-3’

FILARIA

Hna-1I B. malavi Primer (18 mer)

5’ - gGg CAT AAA TTC ATC AgC - 3'

NVI-W.bancrofti (21 mer)

5’CgT gAT ggC ATC AAA gTA gCg - 3'

NV2 – W.Bancrofti (22 mer)

5’ - CCC TCA CTT ACC ATA AgA CAA C-3’

UNIVERSAL PRIMERS

21 M13 Forward Primer (18 mer)

5’ - TGT AAA ACG ACG GCC ACT-3’

M13 Reverse Primer (18 mer)

5’ - CAG GAA ACA GCT ATG ACC-3’

T3 Primer (20 mer)

5’ - AAT TAA CCC TCA CTA AAG GG-3’

T7 Primer (22 mer)

5’ - GTA ATA CGA CTC ACT ATA GGG C-3’

Primers for Apo-B gene polymorphism study

For inc/del site

Forward Primer 5’-CAG CTG GCG ATG GAC CCG CCG A -3’

Reverse Primer 5’- ACC GGC CCT GGC GCC CGC CAG CA -3'

For Xal-I site

Forward Primer 5’-CGA GAC TAT TCA GAA GCT AA -3’

Reverse Primer 5’- GAA GAG CCT GAA GAC TGA CT -3'

For EcoRI site

Forward Primer 5’-CTG AGA GAA GTG TCT TCG AAG -3’

Reverse Primer 5’- CTC GAA AGG TGT AAT CAC -3'

Biochemical estimations

Division is providing various clinical & public health related biochemical estimations as supportive parameters for disease diagnosis and surveillance.

§         About 2000 blood samples were tested for various biochemical/haematological parameters including blood sugar, urea, liver function test, kidney function test, lipid profile etc. It also includes 109 samples of hypertension cases collected by the trainee participants during a field visit from Alwar District, in which 20 samples showed high total cholesterol level and 19 samples showed low cholesterol level, in 30 samples triglyceride level was high and in 11 samples HDL Cholesterol level was low.

§         Total 150 salt samples collected by Epid Div. NICD from J.J. Clusters were processed for the estimation of iodine content via titration method. Out of them, 148 salt samples were found deficient in iodine content. In 103 salt samples iodine content was found Nil, in 45 samples it was < 5 ppm, where as only in 2 samples it was found adequate, that is more than 15 ppm.

§         That 283 urine samples collected through different sources (IDD Nut.Cell, DGHS-200, AIIMS-24 and NICD-59) were processed for Urinary Iodine Excretion Assay, out of them only 5 were found deficient.

§         About 402 sera samples of clinically diagnosed patients at various Govt. Hospitals and dispensaries were referred to test thyroid hormone levels. These sera samples were tested for T3, T4 and TSH, out of them clear cases of 7 Hyper (1.74%) and 73 Hypo (18.13%) were detected. However, in 7 cases T4 high and TSH normal, in 14 cases T3, T4 high and TSH normal, I 1 case T3, T4, TSH all high, in 1 case T4 high T3 low and TSH normal and in another case T4 low and T3 and TSH normal were observed.

§         A total of 71 samples including 39 water samples collected from National Zoology Park Complex, New Delhi by Entomology Division, 8 from DGHS, Nirman Bhavan, were analysed for the quantitation of anions and cations. The level of anions and cations in DGHS water samples and normal tap water samples were found to be in the permissible limit. However, the samples from National Zoological Park Complex, New Delhi contained excess amount of chloride, nitrate, sulphate, calcium and magnesium.

§         A total of 10 serum samples obtained from patients who had attempted suicide were analysed for the presence of pesticides. These samples were found to contain high amounts of malathion and propoxur.

Support to National Iodine Deficiency Disorders Control Programme (NIDDCP)

Iodine is an essential micronutrient required by human body in trace amounts i.e. 100-150 microgram per day to produce thyroid hormones. These hormones are essential for normal development and function of the brain and nervous system and also for maintenance of body’s heat and energy. The deficiency of iodine has several important health consequences that together are called “Iodine Deficiency Disorders” or I.D.D. It can affect from the development of foetus to all ages of human beings. The consequences may include abortion, still births, mental retardation, deafmutism, squint, dwarfism, goitre of all stages, neuromotor defects, cretinism etc. Thus it affects the human resource development and ultimately the socio-economic development of a country in two ways. Firstly, by affecting human beings – the people would mentally be slower and less vigorous. They would be harder to educate and motivate, less productive and will depend on others for their care. Secondly, by affecting the livestock, the domestic animals of the area will be less productive in terms of yields like meat, eggs, wool etc. It is estimated that 1.6 billion population of the world is at the risk of iodine deficiency disorders, out of which 200 million people are in our country. About 64.0 million people are suffering from endemic goitre and another 8.8 million are victims of mental or motor handicap. To monitor the proble, surveys are in progress and 235 out of 275 districts surveyed so far have been found to be endemic for IDD. Iodine is consumed by the human beings mainly through air, water and food. Iodine is present in the top soil but glaciers, snow, rains, winds, floods sweep away the top soil and make the soil iodine deficient. Deforestation, industralization, urbanisation and even excessive agriculture of the land is also making the soil depleted in iodine. The air, water and crops grown on iodine deficient soil will not provide sufficient quantity of iodine for normal functioning of the thyroid gland. To meet the requirement, the easiest way is to iodise salt as it is the cheapest and essential consumable commodity taken by each and every individual in more or less equal amount. Division of Biochemistry & Biotechnology at NICD is functioning as a National Reference Laboratory for monitoring of IDD since 1992. Two major activities are undertaken:

Training : The laboratory is conducting IDD courses for medical and paramedical staff belonging to different States and Uts. So far 10 such courses have been completed and more than 200 health professionals from different parts of the country have been trained.

Laboratory Support: The laboratory is estimating the iodine content of salt and urinary iodine estimation in urine samples collected during IDD surveys conducted by IDD & Nutrition Cell, DGHS and NICD. The Laboratory is providing diagnostic services by estimating T3, T4 & TSH hormone levels in the blood samples of suspected patients referred from various Govt. Hospitals/Dispensaries of Delhi and adjoining areas. For this purpose, preferably a fasting blood sample of 3ml in a plain vial or 1 ml separated serum of the patient alongwith detailed clinical history on the prescribed proforma is being collected. For urinary iodine estimation, a casual urine sample of 5ml layered with few drops of toluene alongwith clinical history of the patient is being collected.

Maintenance of cell for gene cloning and hybriodoma work

E. coil DH-alpha 5, XL-1 Blue cells, M13 K07 helper phage etc. are being maintained for gene cloning and excision work. In-virto culture of P. falciparum, L. donovani and SP2 Myeloma cell lines are being maintained.

Storage and supply of reagents and materials

In-vitro culture of L.donovani is being maintained regularly for the production of promastigote. Antibodies were raised against the crude sonicated promastigotes in normal rabbits. The L. donovani sonicated promastigote antigens and the raised antibodies were supplied to Centre for Biomedical Engineering, IIT New Delhi under an ongoing DST sponsored collaborative project to develop a simple machine based on fiber optic fluorescence immunosenser to replace the conventional, more sophisticated and costlier Spectro-fluorophosphometer or Fluorescent Microscope for the diagnosis of Kala-azar and oter diseases. In addition to clinical biochemistry services the division is providing specialised diagnostic services to patients referred from Govt. hospitals and dispensaries.

Diseases

Tests

Polio/Dangue

RT-PCR, Gene sequencing

HIV/Hepatitis

PCR, Gene sequencing

Diabetes

B/sugar by autoanalyser

Jaundice & other liver disorders

Liver function tests (SGOT, SGPT, ALP, Bilirubin) by autoanalyser

Cardiac disorder

Lipid profile (Total cholesterol, triglyceride. HDL & LDL-cholesterol) by autoanalyser

Renal disorders

B/urea, S/creatinine. S/ protein by autoanalyser

Arthritis

R.A. Factor, S/uric acid by autoanalyser

Thyroid disorders

S/T3, T4 & TSH by ELISA

Pesticide poisoning

IgG, IgM, IgA and IgE Immunoglobulin levels by immunodiffusion Tri-Patigen Plates, and Serum choline esterase activity by spectrophotometer, etc.

Quality Control

Quality control for all the specialised laboratory tests is being carried out regularly.

Public health and other bacteriological, biochemical services

The division is conducting various tests under Public health biochemistry serviceslike chemical analysis of water, assay of base content of antimalarial drugs, assay of available chlorine in chlorine tablets, assay of urinary iodine excretion (UIE) in urine and estimate of iodine content in salt samples, etc.

Research Projects

1.     Molecular Epidemiology of Wild Polioviruses by Sequencing of 150 bp (VPI/2A junction) Gene of Polio type 1)

Global efforts are on to eradicate Poliomyelitis by 2000 AD. India being the largest contributor to the disease, the global success of the programme depends on how surveillance mechanism is strengthened to keep a vigil on the Wild Poliovirus circulation in the community.  NICD is recognised as the WHO’S South-East Asia Regional Centre for Poliomyelitis for the past several years. Facilities for virus isolation and intratypic differentiation using probe hybridisation and ELISA are being effectively used to support the programme. However, for molecular characterisation and further genotyping within Polio type 1, 2 or 3, the country was earlier dependent on CDC, Atlanta. Now these unique facilities have been well established in the Division of Biochemistry & Biotechnology at NICD.

Wild Poliovirus type 1 isolates (originally characterised by Dr. Shashi Khare, Incharge of Poliovirus laboratory at NICD, Delhi) were used to perform gene sequence analysis. Standard Sabin type 1 was used at control; the Hep-2 cell grown virus was disrupted by repeated freezing and thawing. RNA from the virus was extracted and converted into cDNA using reverse transcriptase. The cDNA thus obtained was subjected to PCR to amplify 293 bp region of the gene located at the VP1 / 2A junction at nt 3235-3527, using M13-tailed upstream and downstream primers, sysnthesised in the lab on DNA/RNA synthesizer. PCR product was purified and further subjected to sequencing kit (Perkin-Elmer). The product was again purified and subjected to sequencing gel on DNA  Sequencer, and the following day the data were analysed. Results indicated a high degree of homology (about 99%) within Wild Polio type 1 isolates studied. The unique facility for molecular epidemiology of Poliovirus will strengthen the Polio Eradication Programme.

2.     RT-PCR/Cloning and Sequencing of Pre M - M (511 bp), Env – NS1 (452 bp), and Env (2.2 Kb) region of Dengue Virus Type-2 Isolates

Molecular characterisation of the clinical isolates of Dongue virus type 2 is being done. Different gene regions such as core, pre-M-M, Env, NS1-NS5 have been chosen to study the molecular characteristics and the strain differentiation. Gene sequences obtained of 511 bp of Pre M and M region revealed mutations at three different places on the gene, which may be attributed to DHF nature of the disease. These results however, are preliminary and further studies are on. In addition to this, we have now started 452 bp region of Env and NSI region and 2.2 Kb Env region of the virus also for sequencing.

Dengue fever and DHF are cause of serious concern to health professionals in India. NICD being the apex institute is expected to keep a close vigil on the disease pattern so as to enable decision makers to institute appropriate prevention/control measures. Differential diagnosis of Dengue/DHF is often difficult and the conventional methods are not adequate. Molecular characterisation of the gene will help in providing early warning signals and also the strain differentiations, if any, during dengue/DHF outbreaks in India.

3.     Sequence Analysis of Expressed Genes of Plasmodium vivax

The aim of the study is to develop markers for future parasite genome project of P. vivax. It is planned to do complete sequence analysis of about 10-15 cDNA clones of P.vivax. For the study initially 50-100 cDNA clones would be screened from the dDNA library of P.vivax constructed in ZAP II vector, available with Dr. Y.D. Sharma’s Lab. at AIIMS, New Delhi. Sequence analysis of P. vivax would give a better understanding of the molecular genetics, expressed tag sequences, candidate genes for the development of vaccine and drug designing and recognising specifies specific probes for identification and diagnosis P. vivax is the most common human malarial parasite in the Indian Subcontinent, accounting for almost 70% of malarial infections. As a result, it causes great morbidity and accounts for a single largest disease related to loss of manpower in India and thus responsible for a great socio-economic problem. P.vivax, unlike P. falciparum can not be maintained in culture of more than one or two cycles. However, the work on P. vivax antigen expression and their role in parasitic functions as well as in host immunity has just begun with the help of genomic DNA libraries of P.vivax. The P.falciparum genome project has already begun whereas for P. vivax it has to be initiated. This study is to develop the expressed sequence tags which will be useful in future P.vivax parasite genome project of greater public health importance.

A small aliquot of the original library has been plated out on LB agar medium to prepare a low density plaque colony by incubating at 370 C for 6-8 hrs till the pin head shaped plaques appeared. The plaques were lifted on nitrocellulose filter disk and processed for plaque hybridization with human DNA probe to eleminate the human clones. The well isolated and corresponding plaques which did not react with human DNA probes than be picked up and stocks were made in SM medium. Homologous clones would be eliminated in the next round of screening by cross hybridization. These isolated clones have now been subjected to PCR amplification using forward and reverse primers M13 or T3/T7 and are being checked on agarose gel. The positive clones will then be processed for nucleotide sequencing with the help of automated DNA sequencer.

4.     Sequence analysis of 6 kb minicircular mitochondrial genome of P.vivax

The 6 kb minicircular genome of Plasmodium vivax code for Cytochrome oxidase subunit I & III, cyctochrome b and fragmented rRNA genes. This circular gene has been completely studied in its sister parasite i.e. Plasmodium falciparum. The 6 kb circle is proposed to be of diagnostic value (PCR based) because chloroquine resistance is related to mitochondrial genome only. The study will, therefore, help in tracing the drug resistant strains and their genotyping in future. Malaria positive blood sample from Delhi and adjoining region including relapse, chloroquine sensitive & resistance cases will be included for the study. The aim is to develop PCR diagnosis of Chloroquine resistance cases and also to develop some drug targets by using mitochondrial inhabitors. During 1997 N-terminal region of cytochrome oxidase subunit-I (900bp) and middle portion of cytochrome b (850 bp) was sequenced and confirmed by homology search using Malaria database P. vivax malaria continues to be a major health problem and any attempt for furtherance of knowledge, particularly in the field of molecular insight, will be a welcome addition.

5.     National Reference Laboratory for IDD monitoring under NIDDCP

It is estimated that 1.6 billion population of the world is at a risk of IDD, out of which 200 million people are in India. About 64 million people are suffering from Goiter & another 8.8million are victim of mental motor handicap. The aims of the project are:

To monitor thyroid function test in sera of suspected patients of IDD, to monitor Urinary Iodine excretion and to monitor iodine in common salt. The laboratory is functioning as National Reference Laboratory for IDD and providing diagnostic and referral services for iodine deficiency disorders. Assay of hormone levels of T3, T4 & TSH are being done in serum samples of suspected patients referred from Govt. hospitals and dispensaries by ELISA kits. The figure shows an increasing trend of hypothyroidism during the last three years. Quantitative assay of iodine levels in salt samples, collected during survey by DGHS or NICD teams, is being conducted by titration method. Urinary iodine excretion is also being estimated in urine samples collected during surveys. In addition to this, training courses are being conducted for State and U.Ts personnels in co-ordination with IDD & Nutrition Cell, DGHS for monitoring, management and other aspects of Iodine Deficiency Disorders Control Programme.

The study is expected to given an insight into the exact endemicity of an area. The study will also help in developing corrective control measures and enhancing the socio-economic status of the individuals as well as community in the country.

6.     To monitor the levels of anions, cations and heavy metals in drinking water

Water is essential to sustain life, and a satisfactory supply must be made available to consumers. Every efforts should be made to achieve a drinking water quality as high as practicable. Water that is highly turbid, highly coloured and has objectionable taste will be regarded as dangerous and will be rejected for drinking purposes. Today we know that we can no longer rely on our primitive senses in matter of judgement of water quality. The excess of anions, cations and heavy metals in drinking water may cause a number of health problems like fluorosis, renal function disorders, impairment of nervous system, carcinogenesis etc. Therefore, chemical analysis of water provides a way to ensure public health at large.

A total of 71 samples including 39 water samples collected from National Zoological Park Complex, New Delhi by Entomology Division, 8 from DGHS, Nirman Bhavan, were analysed for the quantitation of anions and cations. The levels of anions and cations in DGHS water samples and normal tap water samples were found to be in the permissible limit. However, the samples from National Zoological Park Complex, New Delhi contained excess amount of chloride, nitrate, sulphate, calcium and magnesium.

7.     Fiber optic based senser for biochemical and immunological estimations

This is a DBT sponsored collaborative project with Prof. Sneh Anand, Centre for Biomedical Engineering, I.I.T., New Delhi to develop a simple machine based on fiber optic fluorescence immunosenser to replace the conventional, more sophisticated and costlier Spectrofluorophosphometer or Fluorescent Microscope for the diagnosis of Kala-azar and other diseases. The I.I.T. group is involved in developing the basic fiber optic fluorescence immunosenser machine. For testing the machine NICD is providing sonicated L.donovani promastigote antigens and polyclonal antibodies. The evaluation of the machine for immunodiagnosis of Kala-azar and other communicable diseases during the subsequent years.

8.     Studies on lipid profile in breast cancer patients

This is a collaborative project with Institute of Cytology & Preventive Oncology (ICPO), New Delhi to study the lipid profile in breast cancer patients of LNJP Hospitals. The blood samples from pre and post therapeutic breast cancer cases are being processed for different parameters of lipid profile viz. total cholesterol, serum triglyceride, HDL, LDL-cholesterol by autoanalyser.

Thirty randomly selected cases each of breast and cervical carcinoma and 20 matched healthy control women were studied. Significantly, higher mean levels of triglycerides   (x = 192.1 mg/dl, SD ± 113.5), total cholesterol (x = 212.9mg/dl, SD ± 49.78) were observed in breast cancer patients as compared to controls or cervical cancer patients. Cervical cancer patients had low mean values for all lipid fractions.

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