The present city condition in terms of air pollution, stench, dirt, water pollution, open sewerage, unregulated clinics and shortage of parks and playgrounds is very injurious to public health.

The Mayor must meet the special challenge of protecting public health. Primary schools should be made the frontline defence in public healthcare. The City Corporation must safeguard our kids against contagious diseases and avoidable ailments. The City must increase its focus on preventive medicine. That means the city must integrate clinical attendance with preventive services in the schools, homes and mahallas. The City Corporation health department should be reinvented and redesigned to ensure that the department has the ability and intention to respond promptly to any health problem or threat. This may be achieved by setting up an “Integrated Surveillance System” to monitor diseases in each ward or mahalla. This group should work very closely on a day to day basis with community leaders, CBOs, NGOs, hospitals and clinics to ensure that the city has proper statistics of diseases as well as an updated health status of each ward. To lay the foundation and groundwork for sound community health programs:

• In cooperation with Ministry of Health, D. G. Health, public and private hospitals, clinics and dispensaries, CBOs, and NGOs, the City Corporation should monitor the outbreak of all types of infectious diseases. Preventive measures should be undertaken against all types of epidemics.
• An awareness campaign should be undertaken so that every citizen becomes fully educated about health hazards. The City Corporation should ensure that each and every child is immunized from various diseases and proper records are kept.
• Primary schools should be made the frontline defence for public healthcare.
• The City Corporation should appoint doctors to cover every ward, to independently monitor infectious and injurious diseases.
• The City Corporation should set up health centres and dispensaries in each ward where such facilities are lacking.
• In cooperation with the private sector, NGOs, CBOs and the Directorate of Health, and with funds from its own resources, the City Corporation should ensure that there is at least one high-quality maternity centre in each ward. Priority should be given to wards where such facilities are not available in either the public or the private sector.
• The City Corporation should keep proper statistics of hospitals, clinics, medical practitioners, medical centres, pathological centres, medical research centres, etc. within the city limits. Each of these facilities should be graded according to their quality of service, range of services, cleanliness, pricing, etc.
• In cooperation with the private sector, the City Corporation should set up modern medical centres combined with medical colleges and colleges of nursing.
• The number of slaughterhouses should be increased to cover the needs of the whole city. Experienced inspectors and supervisors should be deputized to ensure that sick animals are not slaughtered for human consumption and to enforce strict adherence to the law. Except during the Eid festival, the slaughtering of animals should not be allowed in public places.
• The City Corporation should ensure that all rubbish, waste and refuse is disposed of on a daily basis, without exception.
• Every birth and death should be registered. The whole system should be computerized.
• The eradication of mosquitoes should be a top priority of the City Corporation.
• The City Corporation should ensure that restaurants and places selling foodstuff strictly adhere to hygienic rules. Existing rules should be amended to meet contemporary public health standards.
• Primary health care services including homeopathic medical centres should be set up wherever possible and necessary.
• Rules and regulations of an international standard should be introduced to ensure the quality of health services provided by hospitals, clinics and laboratories.