The fate of the 90-bed Punjab Institute of Burns and Reconstructive (Plastic) Surgery at the local Allied Hospital hangs in the balance due to strong opposition of an influential lobby in the province which wants to get it shifted from Faisalabad to Lahore.
This project was conceived on the persistent demand of various medical associations and an NGO, Association for Treatment of Acute Burns and Imperative Rehabilitation (TAABIR). The Pakistan Baitul Maal had undertaken to inject capital for the construction of the building and provision of equipment.
The Allied and DHQ Hospitals attached to the Punjab Medical College for under-graduate and post-graduate training have 1,660 beds providing medical care and management to the patients of Faisalabad and Sargodha divisions, besides some far-flung areas of the province.
Currently, there is a Department of Burn and Reconstructive Plastic Surgery having 30 beds 12 of which have been allocated for acute burn patients. Due to lack of space, facilities and staff, most burn patients are admitted to the Emergency Department under the care of the general surgeon.
Patients can only be shifted when beds become vacant, which usually takes 10 or more days. The remaining 18 beds are for reconstructive plastic surgery patients.
In fact, facilities for burn patients are quite insufficient to cater to the demand. Moreover, no modern burn unit is available either in the government or private sector in Faisalabad or anywhere else in the province.
The need of an independent burn unit was felt acutely owing to the incident of Rodu Sultan, district Jhang, in which 120 people were burnt by fire on an oil tanker.
The vehicle slipped on the road causing tons of inflammable liquid to leak and catch fire. The fire destroyed almost everything within radius of 500 metres. As many as 16 persons died on the spot.
The patients were immediately shifted to Allied Hospital. However, due to rush of burn patients and lack of medical facilities, 30 of them died. Another incident took place at Toba Tek Singh in October 1999, when the main Suigas pipeline (Multan-Faisalabad) caught fire during repair.
Resultantly, 40 people were burnt, 10 of whom died on the spot. Thirty patients were shifted to the Allied Hospital where four died and the rest were discharged after treatment and recovery.
Statistically, on an average one person gets burned every eight minute in Pakistan. Fortunately, most of these burns are minor and transient in nature and no hospitalization is required for such injuries.
Record of burn patients at the burn unit of the Allied Hospital revealed that from 1997 to 2002, as many as 975 patients were treated out of whom 412 were male, 328 female, 117 minor boys and 118 minor girls. Out of a total of 975, up to 390 expired and 136 remained under treatment for months.
In this backdrop, a modern burn centre was considered to be set up at the Punjab Medical College Complex for saving patients having critical burn injuries caused by gas-cylinder blast, flame, electricity, chemical and acid as well as bomb explosions and other mishaps.
Experts were of the view that there should be at least one burn unit in Punjab and Faisalabad. The latter because of its location, could easily cater to the needs of Faisalabad, Jhang, Toba Tek Singh, Sargodha, Bhakkar, Khushab and Mianwali, having a population of more than nine million.
They opined that due to lack of a proper and model burn and reconstructive plastic surgery unit in the government and private sectors, serious burn patients could not be properly managed and saved and the only way was to set up a centre duly equipped with all facilities for taking care of critical patients as only 40 percent of the total body surface burnt can be salvaged according to latest research.
A number of medical and technical experts and organizations after in-depth study and inspection of various sites were unanimous that it was not possible to start an independent reconstructive plastic surgery unit in the present building of PMC Complex owing to shortage of space and other required facilities.
According to experts, there were different types of burn injury including thermal burns (flame burns and scalding), inhalation burns, electric burns, chemical and radiation burns.
No government agency took cognizance of this state of affairs and came out with the idea of setting up a full-fledged burn unit. Finally an NGO - 'TAABIR'- undertook the responsibility of constructing and developing an independent burn centre at Faisalabad.
This NGO after a lengthy exercise of more than 10 months succeeded in formulating a PC-I and completing other requirements for approval and establishment of a full-fledged, independent burn unit here. Not only this, the NGO also succeeded in prevailing upon the Pakistan Baitul Maal to sanction a grant for the project.
According to the building plan, an area measuring four kanals on northern side of the main road leading from CCU to PMC was earmarked for the Burn Centre to be constructed through donation of PBM. Additional two kanals were allocated as open area or for parking.
The institute will consist of 85,000 square feet with 26 beds for Burn Unit, 24 beds for Plastic Surgery, 12 beds for private rooms, eight beds each for private room (burns), Emergency and ICU and four beds for side room (burns).
The total cost of the project was Rs159.523 million. The Pakistan Baitul Maal after securing approval of various bodies gave the go-ahead for construction of the centre.
In fact it was a unique project in that on the one hand a vast population of the province could avail of the facility of burn treatment in consonance with the present-day requirements without any burden on the government and, on the other hand, precious human lives could be saved, especially of women who reportedly formed the majority of burn victims and the poor patients could be given free treatment.
However, due to red-tapism and the stiffneck attitude of the top hierarchy of the provincial government who could not digest the fact that the countryside would have such sophisticated and modern facilities, impediments were created in the smooth implementation of this project.
A senior officer of the provincial Health Department told Dawn on condition of anonymity that Faisalabad had no more been left a choice for establishment of the burn institute.
What a pity that a project which had been got sanctioned by hectic and painstaking efforts and made ready for takeoff had been put in jeopardy by an influential lobby.