National Health Mission Tamil Nadu, Department of Health & Family Welfare Govt. of Tamil Nadu, India

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National Health Mission – Tamil Nadu

Department of Health & Family Welfare Govt. of Tamil Nadu, India

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Poison / Bite & Sting Management

Tamil Nadu has strengthened emergency management systems for poisoning cases and animal bites across government healthcare institutions through advanced treatment protocols, specialized therapies, and improved reporting systems.

Rodenticide Poisoning Management

A total of 3,24,144 poisoning patients were successfully treated across Tamil Nadu between January 2022 and April 2026. Plasma Exchange Therapy (PLEX) for severe rodenticide poisoning is operational across 22 hospitals. Out of 18,909 rodenticide cases treated, 2,509 patients underwent PLEX, yielding an exceptional 64.9% survival rate for high-toxicity ingestions.
18,909Patients Admitted
2,509PLEX Therapy Performed
64.9%Deaths Averted

International Recognition

The innovative treatment model implemented by the Government of Tamil Nadu received international recognition from the scientific journal The Lancet. The initiative was highlighted under the title: “The Hub and Spoke Model: A Pathway for Urgent Plasma Exchange to Treat Patients with Rodenticide Ingestion Induced Acute Liver Failure in Tamil Nadu.”

Expansion of PLEX Services

Plasma Exchange therapy services have been expanded to seven additional Medical College Hospitals including:
  • Namakkal
  • Karur
  • Krishnagiri
  • Trichy
  • Tiruvannamalai
  • Virudhunagar
  • Kanyakumari
Equipment has been procured for these centres through TNMSC at a cost of ₹2.33 Crore.

Bites & Sting Management

The Government of Tamil Nadu has prioritized the management and prevention of snake bites, scorpion stings, and other animal bites in all Government Hospitals and Primary Health Centres.
4,68,986 PatientsBites & Stings Treated (2021–2026)
1%Current Death Rate
To support effective treatment, Anti-Snake Venom (ASV) is made available in all government hospitals to move towards the goal of zero mortality due to snake bites and animal envenomation.

Disease Notification System

Snake Bite Envenomation has been declared a Notifiable Disease under the Public Health Act (1939), effective from 04 November 2024. All hospitals including private hospitals are required to notify snake bite cases to the Government. A dedicated reporting system has been created through the Integrated Health Information Platform (IHIP) portal.
Training: A one day refresher training has been conducted on Intensive Medical Care and Poison Management at Rajiv Gandhi Government General Hospital, for 142 emergency physicians on poison bites and sting management.