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Chaptar-13

VERITASIANS ACTIVITIES

Date Activities
07.01.1986 Veritasians Alumni International Association is holding a lecture of “ACUPUNCTURE AND HYPONOSIS” in Dentistry at Pearl Continental Hotel, The Mall, Lahore.
The speaker of the night is Dr. Qazi Mohammad Jehangir, M.D, (USA), MRCS (Med) London and will be presided by Dr. Saeed Ahmad Malik, MDS, FDS, RCS, HDD.
30.12.1985 Inauguration of Dental Teaching Material and Hasan Raza Shah Memorial lecture is being held on 30th December 1985 at 11.00 a.m at College of Community Medicine, 6-Birdwood Road, Lahore (Allama Iqbal Medical College, Lahore). Speaker is Dr. Mian Hanif Anwar, under the Chairmanship of Professor Rustam A Nabi. Minister for Health Syed Afzal Ali Shah is Chief guest. It sponsored jointly Alumni International Association D.M.C.D. and Department of Dental Public Health, College of Community Medicine, Lahore.
15.05.1985 Letter from Dr. Ijaz Ahmed Sheikh: Dear Dr. Soofi
The other day it was pleasure to read from the Karachi Dental Newspaper, “Dentist” that you have very recently formed an Old Boys Association of the de'Montmorency College of Dentistry. This is undoubtedly a healthy sign towards digging out the deep foundations of the dental profession. I pray to Almighty that the Old Boys Association of de'MCD proves a strong body in bringing back the unity amongst the dental surgeons and it also plays a constructive role in the development of the profession towards new directions. On its recent formation I extend my heartiest felicitations to your goodself for having organized the association and pray to Almighty that all the dental surgeons join their hands on this plateform and hold the dental flag for marching towards the long awaited cherished goal. My observation even today is that there is no authorized organization formed so far which is functioning effectively for the cause of our honourable dental profession. I have a feelingas if we are not one amongst ourselves. Unity and movement of the people towards the right direction is the need of the time. Eversine the establishment of Pakistan almost all the other profession have been given their full rights, their demands have been fulfilled, but we thedental surgeons who are the intellingentia of the countryhave never joined hands to press for our right demands, because we are not united.
Unity as you know is a big force. If we are united the task to achieve our objectives and demands will become easier. On the contrary if this is not followed we shall remain fanned out to form no alignment to show off our oriented beauty.
The evergreen message of the father of the Nation Unity, Faith and discipline, which is the basis of the prosperity of a nation, has not been followed up in our case.
I feel honoured of myself being associated with the dental profession. What this profession has not given us? Respect, Status, Decent and Comfortable living with all the amenities of life. What else we want? So can't we sincerely do some thing for the profession? Of course we can. This would require us to come out of our self-created groups and devote sincere efforts in a required and emicable way for the glory of the dental profession. I have no hesitation in saying that I do not belong to any group or party. If at all I can be of some help, my services would be at your disposal.
In the end I again wish the newly formed Old Boys Association of de'Montmorency College of Dentistry to really prove a great success.
01.12.1984 Message for Veritasian: By Dr. M. A. Soofi
It is my profound pleasure in sending my sincere good wishes for your health and happiness. In our new venture of creating an old boys association in the hope that feeling and goodwill, will be experienced by remin and us with us, and there is need to seek the solution with certainty immediately. In the present circumstances, the generation of heat and emotion is inevitable. To create collective thoughts a sturdy independent outlook is being treasured, which, I am sure will contribute in our profession for strengthening the thoughts and feelings of collaboration. And this plateform shall provide opportunity for the profession for honest opinion and the personal animosity will fade away.
Among our many resolations at the forum of Association need a firm persuation for strength and usefulness for the profession but the effort need more help to be provided by its members, thus the special gifted graduates of de'Montmorency College of Dentistry, held special obligations for having better capacity for organization of Symposium - Seminars and for balanced movements for obtaining judgements from authorities. This Enterprise have been created to help the Association to achieve “AIMS” which are the aims of us all.
Let us forget each other, those who have fallen upon misfortune of postgraduations or those who have adequate provision of luck. Now, is the time for every member of this profession, (old boys) to ensure that his membership is there and subscription is paid up to date. The services, which shall be rendered to promote the profession, shall be due to all its members. Therefore, each member whether engaged in general practice or in service should contribute, a proportion from the resources as a devotee of dental profession. We also need resources to increase our teaching, in our practice and research. I trust that this new foundation will act well and truly for the spirit of the association and service to the profession and public.
And so a happy Old Boys Association to you all men and women God bless you.
- Information to Doctors:
I hope this shall find you in the best state of health and spirit. I take immense pleasure to communicate to you, regarding Old Boys Association, which has now been renamed as de'Montmorency College of Dentistry Alumni International Association, established by few lovers of the mother Institution at Lahore in December, 1984. Dr. Abdus Samad Khan from NWFP has been chosen as Convenor. The main objective of the Association are as follows: -
  • To promote love and sense of fraternity among the profession.
  • To promote social get together meetings and celebrate national events and arrange clinical symposia's and seminars.
  • To promote the professional knowledge by providing latest scientific literature through publication of Biannual Digest “Veritasians Digest” (free distribution) consisting of Scientific, social, cultural and academic reports and informations.
  • To celebrate the Golden Jubilee of de'Montmorency College of Dentistry in 1985.
  • And to create an international linkage between the veritasians all over the world by arranging an international seminar.
  • To hold professor Dr. Hasan Raza Shah Memorial Lecture each year by outstanding Veritasian Dental Surgeon from abroad or in land.
  • To arrange Public Dental Health Education Service and information's to masses by various audio visual aids and Epidemiological surveys.
  • To arrange Annual Convention/ Symposium/ dinner of Veritasians in December 1985 for election of office bearers of the DMCD Alumni International Association.
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The first Alumni International Association function was held on December 30th 1984. Guest speaker was Saeed A Malik from U.K, the topic was “Cervico facial Sinuses” was attended by many Veritasians from U.K. USA Saudia Arabia, Army, Private sector and Professors of de'Montmorency College of Dentistry.

Lady Hasan Raza Shah also attended the lecture in capacity of guest of honour. Pro-vice Chancellor, Punjab University Dr. Muniruddin Chughtai and Finance Minister Mian Nawaz Sharif were Chief Guest.
Indeed, it is a milestone in the History of Dentistry in Pakistan, the Alumni International Association, with its beginning started channelizing the individual efforts of the old, and new graduates of the Institution to have a bright future of Dental Profession.
Kindly join DMCD Alumni International Association and extend your love to you almameter and please do advice anything, which you want to contribute. For your convenience membership fee in different categories is given below: -
Patron Rs. 1,000/-
Life Member Rs. 500/-
General Member Rs. 20/- per Annum
Foreigner Veritasians $ 10/- per Annum
02.04.1985 Notice for Meeting:
Dr. Mohammad Safdar Chadda an old boy of de'Montmorency College of Dentistry Lahore a leading Dental Practitioner and teacher in New York, currently in Pakistan has very kindly agreed to deliver a few lectures to the members of Dental Profession on various aspects of clinical dentistry.
He will deliver his first lecture with slides “AESTHETIC DENTISTRY” at 4.00 PM on Friday, 5th April 1985 at 48-Lawrence Road, Lahore and second lecture on “CURRENT CONCEPT OF CROWN AND BRIDGE IN DENTISTRY” will be delivered on 6th April at 8.30 a.m at College of Community Medicine, Lahore.
Dr. M. A Soofi will preside the session. All the professionalist in Dentistry are cordially invited please.
20.04.1985 Symposium on Oral Cancer and Social Get Together on Tuesday 23rd April, 1985 at Hotel Hilton under the auspicious of alumni International Association of de'Montomorency College of Dentistry, Lahore.
Prof. Dr. Rafiq Ahmad, Vice Chancellor, University of the Punjab, has kindly consented to preside over, and Mr. Abdul Ghafoor Chaudhry, former Minister for education and Law, Punjab shall grace this occasion as a guest of Honour.
Dr. Prof. Ghulam Shabbir, Professor of Dermatology, King Edward Medical College, Lahore will address and show the slides on oral Leukoplakia as a consultant. Similarly Dr. Professor Asan Ullah Lone, and Professor M. Rashid Chaudhry, King Edward Medical College will be resourceful persons on this topic.
Dr. M.A.Soofi, Regent International College of Dentists for Pakistan, Afghanistan and Bangla Desh and a Secretary Royal Society of Tropical Medicine, London for Pakistan, will read a paper on “Oral Cancer and its Prevention”.
Symposium will be followed by contributory dinner. Kindly attend alongwith your spouse and inform your friends and colleagues.
30.12.1984 Welcome Address by Dr. M. A. Soofi on 30th Dec. 1984 at College of Community Medicine Lahore organized by Alumni International Association de'Montmorency College of Dentistry, Lahore.
It is my profound pleasure to welcome you all in this historical and first H. R. Shah Memorial lecture this afternoon. Dr. Shah was the pioneer for the development and progress of Dentistry in Pakistan. After his taking over as the Principal de'Montmorency College of Dentistry in 1953, he worked hard for reshaping the institution, which was left without staff and students, at the time of independence in 1947. Dr. H.R. Shah in his capacity as a Principal of the College and Dean of Dental Faculty worked out a programme for expansion of postgraduate education and the senior teachers at that time were blessed with Master degrees (MDS), in the beginning, the MDS was granted without thesis. His object was to expand the education, and for this purpose teaches were essential for teaching in different specialities. The present Principal of the College broke the ice and got MDS in Dental Surgery, the Second MDS was given to another former Principal, who had a brilliant career and postgraduate training in Orthodontics. Similarly Department of Prosthetics ws enriched with another MDS (now retired), and lastly the Army Dental Surgeons, were granted this privilege by Dr. H. R. Shah.
Dr. Shah strived for creation of Dental Clinics in West and East Pakistan, through his efforts, the Dental Section in East Pakistan and at Liquat Medical College Hyderabad were created. He toured to Baluchistan for expanding the Dental Clinics and elsewhere. His concept of priority for preventive Dentistry was evolved and new block for preventive Dentistry was added in the premises of Dental Hospital through WHO assistance to care for children for the purpose of protection of Dental Health throughout the life. He had a idea to introduce the postgraduate diploma in Dental Public Health.
For his idea of public Health, a building was created for mass prevention, education, research and administration, now is being converted into a treatment Laboratory.
Dr. Saeed Ahmad Malick, speaker of the day, possess lot of qualities, in addition to having the last degree, diploma in dental field. He is a devoted teacher and a seasonal Dental Surgeon. He has a special approach to knowledge and education and remained as an excellent teacher and the examiner.
Dental illness like all forms of illness, does not exists as a separate phenomenon, it is a feature of people and their suffering. Beliefs about the Dental Health and health care are integrally bounded into our culture in our society. The health care services have bee evolved from early time to the present day, in the beginning the health care was promoted by holy personals and indigenous Hakims and other healers. Now the treatment has taken a shape of modernization. But still the disease rate is very high, according to our study and survey report, 95% of the population in the country is the sufferer in the dental disease, both in the rural and urban area of Pakistan, and thus there is a need to organize the Health System to control the dental disease. There are many ways but the following four ways approach is essential: -
  • Mass Education through T.V. Radio and Newspapers - through Health weeks celebration Symposium and Seminar.
  • To increase the Dental Manpower, that the Dental graduates may be increased in number this can be achieved through creating dental sections in all Medical Colleges.
  • To create the Postgraduate Dental Public Health, expert by the arranging Postgraduate courses in Dental Public Health and development of courses like DDPH, M.Phil, FCPS Community Dentistry creation of the Dental hygienist course.
  • By creating Dental Science as a Postgraduate sub-speciality and opening shall be more for medical graduates to join this profession for diploma or degree course.

The present curriculum of 4 years BDS is insufficient and cannot work with the changing society or increase of specialization because there are no basic subjects in length, therefore, like another sub-speciality of the body, Dentistry should be considered an integral part of body, therefore dental education should be a postgraduate medial sub speciality or the curriculum may be converted to five years adding the full basic subject Eye, E.N.T. and Community Medicine.
The Government should plan for absorbing manpower in the Dental field, there is no incentive to the Dentist and thus there is need that a new chapter may be added by creating Deputy Secretary Dental health and Deputy Directors Dental Health Services and Assistant Director Health Services at Divisional level for chanalization of theproper process and working. This shall help the individual dentist, quality of the Health Services will be improved, and the broad range of services standard shall be created.
At the same time the Department of Dental Public Health should be equipped with the staff, so that the proper preventive programme may be carried out.
The object of the creation of this Alumni Association is to faster the spirit of Cooperation, to promote Dental Science and research and to maintain honour and dignity of Dental profession. I hope the veritasian will in future continue the spirit of working. I welcome the member of the Medical profession, leader of the PMA and the staff of the College of Community Medicine.

22.01.1985

Letter to General Ata Ur Rehan Khan, Commandant Armed Forces, Institute of Dentistry, Rawalpindi
Since long I have not heard from you, though I have sent my congratulation, on your promotion and on your being conferred FCPS. During conference of 1983, I proposed your name as President of PDA Centre, nd it was awfully opposed by Morven, Aqeel and Khalid, thus the PDA election was held, and crystilized all the offices at Karachi. I nominated one boy from Lahore Khalid Almas who gave defeat to nominee of “him” in that election.

We have constituted Veritasian Association Internatinal alumni at Lahore and held a very successful first function at Lahore -“Hasan Raza Shh Memorial Lecture” by Dr. Saeed A Malik of U. K. We displayed a portrait of late Hasan Raza Shah and also banners were placed with his name on the stage held at the College of Community Medicine on 30th Dec, 1984 and was highlighted in all the leading news papers and telecasted in the “Khaber Nama”.
It was presided over by Pro-vice Chancellor of the University of the Punjab and Minister for Finance was the Chief Guest. Lady Hasan Raza Shah was also present. The function was attended by Dental Surgeons from private practice, Army, foreign countries like United Kingdom United States of America and Saudia Arabia. It was a very good function and image of Hasan Raza Shah was discussed in many respects. We ended inaugural session and all the Dental Surgeons had a lunch at my residence. Everybody was happy. It was a fantastic social get together and we paid lot of tributes to our Old Teacher. We missed you very much. We held this function hurriedly, because Dr. Saeed Ahmad Malik was to leave on 31st December for United Kingdom and we wanted to have hisreputed lecture in recognition of his talents and career. We are looking forward to hold such functions in future you shall be invited as Guest of Honour and speaker.
I have created this organization to form a family of the dentists for a change in social contacts and exchange of the views on life and structure, and in this way I am sure, we shall be able to get benefit from each other experience. I shall request you to become the member of this Alumni Association and this shall be turning point in our history.
May I take this opportunity to remind you for FCPS which has become essential for my promotion to fight against common “enemy”. My experience is O.K. amendment of the Government of the Punjab is in my favour PMDC regulation are in my favour, Health Department is in my support and has recommended my case for promotion to the higher authorities of S&GAD but “he” dramatically creates some quarry that he is not MDS, when Easia Arain, Sheikh Raza and Hamid Akhtaer with DPD have been promoted and they are making progress. I am only person withheld for promotion.
I am proposing to hold convocation of the ICD in the middle of February 1985 in which your role shall be important.
14.12.1984 Welcome address to Professor Iftikhar Ahmad, President Pakistan Medical Association and Principal, Allama Iqbal Medical College, Lahore by Dr. M. A. Soofi on 14.12.1984.
Professor Iftikhar Ahmad my colleagues ladies and Gentlemen.
It is our great pleasure to welcome you at this evening after achieving fantastic event against your rival as being elected a President of the galaxy of PMA Centre, and has excelled the previous record of polling. This is behind the shadows of doubts that your succes in election is due to your creativity belief and collective efforts of your admirers. The increase in PMA membership at Lahore is the recent development under your guideline and it has touched record in the history of PMA. Your success is due to, by the dint of your hard work, your pleasing personality and convincing thoughts. You have got a special approach to view a person and automatically, he comes under your fold, and work with your image and contribute to the profession. Your colourful intimacy with the members is most engaging characteristic, with your this quality the phenomena of your personality is reflected. Perhaps you have abstracted this image of your life from the world of nature, because it is selected and stands everywhere with your projects and channel of your education.
Your achievement in this regard are the detail of nature and through your smiling temperament you could make the visibility of your personality against the odds.
You were essence to us, during your Secretaryship of Health Department, Govt of Punjab and you kept us as inseparable from Medical field. We have got fast relation because you have inaugurated the Department of Dental Public Health at that college, which was initiated basically by your respected late father Dr. Professor Niaz ud Din. The Department is rich with this experience of Dental Public Health and is training the Dental hygienists in addition to postgraduate teaching and research. The Department is not traditional type but it has got revolutionary activities as well. We therefore, suggest for our closer relation that Dentistry may be given opportunities to flourish in the following way: -
  • Social Programme: Dental doctors, in your organization may be invited to social programme i.e. get together and other such activities which shall provide attraction to all the members of the profession.
  • Scientific Programme: Contribution of Dentistry in Medical Science is of paramount importance and its further participation will promote the concept of sceintific programme with close cooperation under the scientific committee or under scientific programme. The presence of experts in different fields of dentistry from the country will develop research and medical science will be benefited from the new knowledge. Preventive measures are responsible for longevity similarly the longevity of human dentition is an important factor to look into and it shall contribute to the Medical Science. Similarly “Hepatitis” is a common for both the dental and medical science, if there is an forum both the sciences can be assessed for need of the treatment, research and epidemiology. Therefore the dentists should be incorporated in all the scientific lecture - special exhibition, depicting various aspects of medical and dentistry.
  • Academic Expansion Programme. There are many advances in the recent years of life and dentists are dealing very important portion of the human body. In addition to the human dentition, the dentists are in a position to check the cancer of the oral cavity for increasing the quality of life. Similarly blood dyscrasias, hypovitaminosis, virus diseases, allergic conditions are also lookafter by the Dentists. Focal infection play important role in general medicines, by focal infection in the gums there is a spread of bacteria, through lyjphatics and blood stream from the site to another part of the body. Maxillary sinus is the nearest site for cysts and sinusitis. Periositis, Osteomyelitis and Necrosis of the Jaws, Syphilis of the Jaws Actinomycosis of the jaws. All such involvement and Maxillo facial injuries, diseases of the nervous system and muscles. All such conditions require complete basic knowledge of the basic subjects, but due to the present system of education, the Dental Students are not well versed in the basic subjects thus the approach to solve such problems to prevent the manifestation of systemic diseases and Dental Practitioner are be equally to the basic subject like Medical Graduates. Particular exposed attention is to be paid to the etiology, histopathology and other causation of the disease. Thus the dental graduate should be exposed to the basic subjects completely and curriculum of 4 years may be increased to five years by adding Eye ENT and Community Medicine. It may be added that a specialist in any Medical Science dealing with any portion of the body is fully equipped with the basic subjects and expose to all parts of the medicine except that of the caretaker of the oral cavity. Similarly, medical grduates should be exposed to lecture and demonstration on oral health for providing better services to the community. And this step shall be a move towards fastening the relationship of the Medical Graduates and Dentistry.

4. Patron of Education. Basically dentistry should be considered postgraduate sub- specialty like any other sub speciality. In the beginning the Dental College of Lahore, was meant for Medical graduates who obtaining degree of BDS for two years and later on it became under graduate institution for producing Dental graduates with during of 4 years. In many European countries like Italy, Spain, Portugal, Dentistry is postgraduate sub speciality. In USSR the dentistry is considered a special speciality and dentists are called stomatalogist. In Scandinavia, similar nomenclature is given to a dentist. In many placed in U.K. the curriculum is five years.
Since there are availability of many medical graduates, channels of opening may be created for giving them admission for period of one or two years at each medical college. If Allama Iqbal Medical College under your dynamic leadership takes a lead and initiate it shall be another history of your achievement. We therefore suggest that the Dental Section may be started, like another speciality and the Dentistry may be taught in Allama Iqbal Medical College as a Postgraduate speciality
I once again congratulate on your success and for your many innovative ideas which have provided you 2 years of presidency of PMA and we wish you the solidarity and unity. We also wish you for your slogans and goals for which you have struggled. We also wish for success and responsibility for promoting Dental Care and its Prevention.
We express our thanks to Professor Iftikhar Ahmad who have joined this gathering, is jointly convince to give a new look to social look of Old Boys of DMCD and the members of Pakistan Dental Association. The Dental Association stands for solving the problems of dentists and helping in trends of new technology in the field and advances in Dentistry.
Whereas Old Boys of Dental College, Lahore are meant for mutual association and improving the quality of Dental Institutions in Pakistan.

RELATION OF SYSTEMIC ILLNESS AND CHRONIC PERIODONTAL DISEASE

The relation of systemic illness and chronic periodontal disease as focal of infection has long been demonstrated and referred to repeatedly in literature and numerous miscellaneous disturbances in the body have been considered due to presence of this disease. Richards (1932), Round et al (1936) Fish (1937) Winslow (1938) Murray (1941) Elliot (1939) Robinson (1958) Stone (1948), Soofi (1968) Wilkinson (1967) Rarritt et al (1960) Garrod et al (1960). If proper steps are not taken in planning Health Services for further checking of the dental ailment the general health of the Pakistanis shall be affected as referred to above the work of the various workers.

IMMEDIATE PROBLEMS OF THE COUNTRY

Before making any plan for any service, we must understand the need of the population and the problems confronting it in the field of dental surgery. After knowing the problems of the country, and keeping in view, the financial position of the State, one can suggest, the means to prevent the incidence of the disease under the health.

KNOWLEDGE ABOUT THE POPULATION IN WEST PAKISTAN

According to census of 1961 of Pakistan, 86.9% of the population lives in villages, whereas 13.1% devils in urban areas. There are 35, 412 villages are in West Pakistan. 74. 3 % of the population is dependent on agricultural or pasture land.
Literacy rate is 15.9 % for the whole country, 23.4 % males and 7.6% females are literate. The majority of the literate people live in cities and majority of the rural population are illiterate. In West Pakistan there are 9, 123,004 children between the ages of 5 to 14 years.

There are four provinces in West Pakistan, 51 districts, 193 tehsils, 37067 villages, 3302 union councils and 23 cantonment boards whereas the province of Punjab has got 19 districts, 72 tehsils, 103 towns, 42 health centres and 9 cantonment boards.

PROBLEMS OF THE POPULATION

The majority of the population comes from rural areas, therefore, attention shall be paid for their problems in our planning. The problems are: -

  1. complete absence of dental aid
  2. complete ignorance about the dental health
  3. lack of guidance through the medical team for dental problems

NEED OF THE POPULATION

The immediate need of the population is : -

  1. the elimination of oral sepsis
  2. prevention and relief of pain
  3. assurance and guidance

Many young adults suffer from pyorrhoea in which there is profound loss of supporting bone and loosening of teeth. The relation of this disease has been discussed above. Relief of pain is a major problem and there should be management so that the worker and villagers should not suffer. Guidance is always helpful.

EXISTENCE PATTERN OF SERVICE

The dental services are provided by the State under the control of Provincial and Central Governments respectively. The Army and Railway Dental Services are rendered under their medical authority. All the services are allied with medical services. In a province of Punjab the Health Department is headed by Secretary Health, assisted by two Joint Secretaries i.e. Medical and Public Health. There are certain preventive departments like B.C.G., T. B Control, Small Pox etc. under the control of Secretary Health. The Province of the Punjab is further divided into five health Regions. Each region is headed by Deputy Director. Under the each regional office, the District Health Officer and other hospitals provide the medical treatment to the population. (See the chart and prevention, including school medical service).

BRAIN DRAINAGE OF DENTISTS OF FOREIGN COUNTRIES

Since the nation does not place a proper value to dentistry or financial support or any link between output of graduates and employment of dental surgeons. Inadequate facilities to foreign trained and research workers, which bring the dis-satisfaction among the graduates of the country. This has brought dearth of the teachers for the teaching institutions of West Pakistan. (Recently reported in the press by the Medical Council of Pakistan). In Lahore, premier institution of Pakistan, requires certain chairs for various departments but where from to get? Many dentists have left the country and many are ready to leave, if they get a chance. Those who have left the country their number is more than 100 and they have settled down in USA, U.K., Saudi Arabia, Libya, Japan and other Middle East and African Countries. This brain drainage is a serious problem for the country. So far, Punjab University has produced about 406 graduates after 1948. Some of the graduates have permanently settled down in abroad even after acquiring postgraduate degrees, if they turn up, the dearth of teaching staff might be minimized why they are not coming back? - wrong attitude of the Government and personal motives of some interested persons. If the finances are properly developed, the brain drainage can be checked up and the country can have better brains for promotion of dental profession and the dental science. Let there should be a pool of talents without restriction of zones, regions, or domicilary binding. The talents should be utilized for utility of the talents. It shall develop the country. It shall help the people and it shall help the dental profession, ultimate help to the medical profession, based on a “Pakistani”, instead of any geographical position.

DENTAL MANPOWER IN PAKISTAN

According to WHO Chronical (1967) dental manpower is lowest in Pakistan in the world i.e. 1:435,000 persons per dentists whereas in Afghanistan 1:18900. If we look at our district population where there is one dental surgeon, this ratio is distressing and in future years, if this status maintained, there is increase of trend of the population and one dental surgeon cannot do any justice to the profession or to the service. The dental surgeons at the district headquarter hospitals is over worked, that is obvious and he can only cope with emergency treatment or I should say he just disposes of the patients. He cannot do any conservative treatment or preventive work or health education or research techniques, the advantage of his training is not properly utilized. Control of diseases is need of the hour, which is missing.
There are 19 districts in Punjab, 72 tehsils, 42 primary health centres, (3 health centres of Thal Development Authority). If we equip all the tehsil headquarters and primary health centres of the Punjab there shall be less load to the district headquarter hospitals and dental surgeon shall find a chance to practice actual dentistry. The minor ailment shall be dealt with at the health centre and at the tehsil headquarter clinics. The creation of the posts shall minimize the problems of : -

  1. un-employed dental surgeons,
  2. stress and strain of the parents of the dental surgeons
  3. the population shall have easy approach to dentists
  4. it shall minimise the trouble of the travelling and ,

last but the least prime factor of the time of the villagers or factory workers shall be saved.

W.H.O. DAY 7TH APRIL 1985

HEALTHY YOUTH OUR BEST RESOURCE

According to the census of 1981, the population of Pakistan was 8,37,82,000 (average 105 person in each kilometer) and the Urban population constituted 28.28 %. In the previous census, the average per kilometer population was 82 persons as compared to 105 persons per kilometer in 1981. This reflects increase in the population, and migration towards the urban areas. About 71% of the population of Pakistan lives in rural areas and their major source of income is the agriculture resources. In the rural areas, the life is not so easy. There are limited education facilities, no reasonable water supply, no roads, no adequate medical care outlets, and no electricity. Inspite of this, rural man works very hard for increasing productivity in grains for national use and export.

Out of this population, children from 1 to 15 years of age make 45% of the population. The old people are 8 to 10 % of the population. The result is that our work force remains to be 30 to 32%. The youth of the nation from 30 to 32% of the total population And these persons are engaged to look after their families and our national productivity. It means the youth are under burden and are passing through the tension and strains and those are likely to be physically and mentally unhealthy or at least not upto their maximum efficiency.

It is true that resources of the nation depend upon our physical and mental health, skill in professions and level of technology. The social organizations dealing with the promotion of the education amongst young adults have to be redesigned according to our circumstances and resources. The delivery of education system may have to be corrected, because in Pakistan the literacy ratio is less than 25%. Therefore we are lacking in modern technology, and increase in economic production stands obstructed or retarded. We appreciate that the Government of Pakistan is taking keen interest in education, both in professional and non-professional fields. The country by the grace of Allah possesses 20 Universities and a few open Universities, which are helping to raise our educational level.

Health can be preserved if the population is educated and economic resources are adequate. Then planning for Public Health Services can best be made and effective inputs can be provided to increase the highest achievable level of the health.
The WHO came into being in 1948 as a special agency of the United Nations with objective to create Public Health awareness for achieving highest possible health level throughout the World. Through this agency and with the cooperation of other International Organizations many new activities have been organized for promoting the exchange of scientific knowledge for dissemination epidemiological information for improvement of Maternal and Child Health, nutrition and Dental Health etc.

To provide good health to youth of the population, we have to plan following actions:-

  1. Situation analysis. Identification of major problems and their causes.
  2. Problems identification and formulation of objectives.
  3. Formulation and analysis of alternative strategies.
  4. Identification of special efforts.
  5. Programme formulation—Education.

Current data available shows that the performance of health services delivery system is not dynamic and fails to obtain the ideal of improving the health. Many areas of the country are in the stage of having primitive health delivery system. The basic principle of the situation analysis cannot be achieved without proper statistical data, and data in most of the places is not correct. The priorities and goals need to be refixed in overall national policies for optimum governmental responsibility for developing feasible delivery system of health services. The Health legislation is also becoming a problem get allows the legislative rights to the unqualified quacks. This creates further problems for the doctors and the population. With the present system of Health Planning there is little hope or indication for the emergence of a suitable system ensuring reasonable health for the youth or any other part of the population. This requires introduction of Health Insurance Scheme.

The West has made great progress in the past centuries, and in the 20th century the Western Economic growth has gone very high as compared to our country.

There are certain areas in Pakistan called active sandy desert regions e.g. Thall (2.4 million hectares). Thar (2.8 million Hectares) and Cholistan (1.8 million hectares). They are facing diverse problems of desertification. According to the study carried out by Pakistan Space and Upper Atmosphere Research Commission, in collaboration with Pakistan Desertification Monitoring Unit area of Cholistan desert, vegetation was decreasing at a rate of 0.2%whereas dahars and sand dunes were increasing at the rate of 0.1 percent and 0.15 percent per annum respectively. If this situation is allowed to continue, the productivity shall decline and it shall increase the stress on the youth population of the country. Therefore the cooperative assistance should be planned through the aid of International agencies to help Pakistan in agricultural cultivation and the development of the rural areas with the modern technology of cultivation and live stock.

The Health System needs complete overhaul with respect to problem eradication of the adulterated drugs, because the adulterated drugs are very commonly available in the market and are being used by the unqualified people which shall spoil the health of the young and old.

The drug addiction is another menace. The young are getting increasingly involved in the addition of Heroin due to the external factors mentioned above is alarming and involves education institutions. If there is no check, the youth shall not remain healthy and cannot constitute our good resources.
Opium addiction in the country is also worth mentioning. It is said that 60 tons Opium was produced, whereas 240 tons was spent (daily Jang 25th February, 1985). It is evident that the rest of the Opium must be imported.

To provide good healthy environment to the youth, it is important that the Government and the private agencies conduct some research.

In this regard Quaid-e-Azam Muhammad Ali Jinnah, Founder of Pakistan, on 30th October, 1947, at the city of Lahore (University Grounds) addressed the nation in the following way: -
“You are member of that nation who is known historically for paucity, tolerance and bravery. Continue your tradition and add new chapters of history. I have to say one thing for each person that for achieving the prosperity and the goals of the nation, determine to sacrifice each bit of thing for the development of this country because Pakistan is the fort of Islam and its duty is to lead the other nations and stand for peace in the world”.

We can only progress if we posses knowledge values and good thoughts and do good deeds, Allama Iqbal says: -
“Knowledge takes up residence in the thoughts
Love's lodge is the unsleeping heart”
So long as knowledge has no portion of love,
It is a mere picture gallery of thoughts”

We cannot deny that healthy young man of 17 years age Muhammad Bin Qasim in 712 century invaded Sind and conquered this area. Similarly Sir Syed Ahmad Khan's educational revolution has created awareness among the youth which later on became the resource for ideology of Pakistan and liberation of the country. The educational system of Sir Syed Ahmad Khan provided us with ideology, and created a sense of collective efforts to change the environments. Such mentally equipped healthy youth acted as the resource for further leadership. Allama Iqbal also said” I love those who are determined to capture the Universe”. Similarly Allama Iqbal started his movement of creation of the separate muslim country in 1926 (December) and the youth of the nation acted accordingly. The Resolution of Lahore were passed on 23rd of March, 1940. The Muslim Students Federation responded to the call of Quaid-e-Azam and acted as best resources. This happened, because our youth were healthy and were not deviating from religion and belief.
The creation of Pakistan by the efforts of the youth, under the dynamic leadership of Muhammad Ali Jinnah, is a blessing of God Almighty Allah. Look at hundred million Indian Muslim. They are on the lowest level of the socio-economic scale: statistics show that Muslims are on a average 50% behind the Harijans (untouchable). We should also realize the screams and strains of Kashmiri Muslims. We should study the current upheavals and revive the Islamic atmosphere for promotion of health of the population, for purpose of bettering our economic resources.

KEY NOTE ADDRESS BY PROF. DR. M. A. SOOFI
CHAIRMAN,
4TH PAKISTAN INTERNATIONAL DENTAL CONFERENCE
18-21 DECEMBER 1991

I feel honour to avail this opportunity of presenting the key note address to this 4th Pakistan International Dental Conference whose theme is “AESTHETICS IN DENTISTRY AND ITS CHALLENGES”.

This conference is being attended by eminent international scholars, planners, representatives of various countries and related agencies in order to exchange their respective specific knowledge regarding various areas of research activity in the dental sciences. I am sure, that the presentations of research papers, discussions and recommendations will be treasured by the delegates attending this conference.

It is indeed an honour for us to hold this conference and welcome particularly the foreign delegates, scholars, private practitioners, dental trade representatives, and students of various dental Institutions of Pakistan.

PAKISTAN DENTAL ASSOCIATION

Allow me to briefly review the contributions of PDA towards the theme of this conference. Pakistan Dental Association was established in 1948 and the founders were deeply concerned to improve the dental conditions through broad based dental education in Pakistan. As we know, that as a result of partition of sub-continent, Dentists/Teachers of de'Montmorency College of Dentistry and those in private practice migrated to India. In the beginning there were no funds, academic staff was insufficient, literature was not available and the equipment was lacking, but the continuous efforts have culminated in re-structuring of de'Montmorency college of Dentistry, Lahore as a Premier Institution and later on subsidiary Dental Section at Peshawar, Multan, Hyderabad and Quettta Medical Colleges were added.

Health is basis human right and one of the major elements which affects the process of development of a country. Dental Health is a part of general health and almost all nations of the world are striving to shape their health systems to give proper priority. WHO is particularly making lot of development in the designing of dental health because there has come need for change in the concept of health care specially in the developing nations. Country of ours, is facing more dental problems as compared to the developed world. Therefore, there is need to adopt a system of scientific to fulfill the need of the health care to our own environment and resources.

Dentistry is a universal symbol of prestige, elegance and art of healing. It has become a profession of choice for those who believe in ultimate reliability in service and consistently want to enjoy their beauty of this science are what to be included in group of international figures over the globe.

This profession provides a chance to persue a policy of total commitment for fame and prestige and averting technical development and research and it enhances the image because of its helping to break way the disease to establish the health. It possesses a mission an elegant source of functional values for human. It is also architectural science designed for making external appearance more distinctive and precision of arches and normal occlusion becomes a quality and efficiency.
Dentistry is oldest profession. The old craftsman was carrying on false teeth making tradition that began to expand, when some industrious false teeth makers imbued with removal of teeth dynasties were founded in which teeth makers craft was handed over from father to son. By 1947 there were 2000 master quacks inhabitant in Pakistan even at Lahore and Karachi.

Education during the end of 19th century brought about a marked change and improvement in making false teeth technique which had to produce qualified personnel in dental science. With the time the false dentist gave away their profession, to their off-spring and added into numbers. At this point, unqualified or quack damages the masses to the extent of shock and introduced many other infectious ailment to the public. Though they do not possess or not given a certificate, from any authority, to enable them to use the instrument full of dust and infection there is a need to screw down winding their crown of practice which is perpetual and harmful to public.

PDA has been inviting special attention towards this system that it does not provide security to those who are ignorant about this unrecognized practice of service. Therefore it should be a part of government policy exclusively for dentistry or medicine. The art of healing may be in hands of qualified personnel who by virtue of scientific training possess commitment to their society. And it should be a move in National Assembly because this becomes a science which involves delicate anatomy physiology, pathology, accompanied with operation on human.

The case, need not be carved, it is already in block, it requires steps towards into legal shape and a person of your calibre and prestige and sincerity is to put for final placement in law. This will be a great service to research and security to both public and to those who have designed the dial of life in this field.

Dentistry in the world of today is in a state of electronic equipment. The profession is full of skill and a person with meticulous work and 4 years vigorous training is capable of handling special equipment designed by the companies for its quality and procedure.

To maintain the lead to research and professional science, who are exploring the frontiers of basic and applied science and research even at micro-electronic research, they may be provided help through law that “only officially certified men and women awarded certificate are entitled to practice and for healing and no other individual is allowed to practice modern science of dentistry”.

Dental diseases being a major health problem in Pakistan is ironically not recognized as such. Because it has not been identified fully by the experts in health planning. There is no representative of this speciality in central and provincial health departments probably because no one considers it a priority although most of dental ailments affect the system of the body, and add to miseries. This inappropriate health planning needs to be checked. In every health project and Government should undertake preventive and curative oral care because it is a common or dominant problem of the rural as well as urban population of Pakistan. However, it is consoling that government is recently beginning to show interest. National health planning is the process by which government makes choice between alternative, health needs of the people of the country and their foreseeable results, solution is suggested according to the need of resources.

The goals of oral health are, to improve the health conditions to the extent, possible in each village and at primary health care centres. The easier and cheaper way will be through appointment of trained dental surgeons/hygienists, who will work in collaboration to publicize dental information and promote orientation programs at the village level.

In my view, there is a need for study of main factors of our dental health problems for proper programming and solutions. The villages selected will be treated for the need of improvement in dental health care. After viewing this strategy in the field of health planning will be very useful and will provide opportunity for close cooperation between the medical and dental health.

The process of the planning of the health in Pakistan has got historical background and now in the 7th five year plan (1988-93) some of the importance and emphasis have been given to oral health and primary health care. But there is need for proper procedure to adopt system in accordance with requirements of the WHO “health for all by year 2000”.

There are many problems in the dental health centres as there are problems in other sectors. The solution with these of course, must be found at national level. However, presenting these problems. Because we have been fighting for this which have been indicated by the number of the conferences and nothing of the significance has come out. Dental diseases are enormous, children of today are more sufferers. There is need to preventive and curative services. At present population manpower ratio is very lowest and there is a need of each primary health care centre should have hygienist, dental surgeons for curative and preventive purposes.

Therefore, emphasis should be stressed to shift from curative to preventive dentistry and for this we need to set up more dental hygienist classes/courses to train for primary health care as health educator. At the same time, it is felt that an Institute of Preventive Dentistry for specialization in the Postgraduation for the dentists in various branches may be set up so that the academically educated staff and manpower is available to lower the incidence of diseases in Pakistan. Therefore, we ask for setting up Postgraduate Dental Institute, in this regard at Lahore, the Dental programmes will be provided by us.

The growing demand of dental treatment among the patients of Pakistan requires need to train the highly technical staff for a system to develop “Transfer of Technology for Training the dental Graduates with the modern equipment and technology like laser application, nuclear medical diagnosis and computer Examination analysis. This type of Institute with high modern technology will fill up our deficiency and will add to a developing step in this direction. The government will be benefited by the local trained staff and there shall be less foreign exchange expenses. The government will have to introduce merit fellowship scheme for the Dentists of Pakistan to be trained in the foreign universities.

With the high growing rate of population, there shall be more demand of the dental graduates in this country and thus there shall be need to expand our existing dental colleges with increase of the trained teachers and there should be need in building, staff equipment and books for academic standard upto the level of Pakistan Medical and Dental Council. Thus the Federal and Provincial Governments should keep separate budget to fulfil the future requirement in their planning. More so the student hostels must be given the first priority. As such at present our students are at the mercy of Medical Colleges. For example in Lahore, the Hassan Raza Shah Hall is not sufficient for the male students. Our girl students are without proper arrangements.

There might be more emphasis for increasing the yearly admissions without providing the corresponding facilities. This shall be an invitation to lower standards of education. And at present de'Montmorency College of Dentistry, Lahore needs to be shifted to a bigger campus with a name of “dental sciences complex nearby the Allama Iqbal Medical College Complex with full fledged facilities of basic sciences and modern technological based, on technical centre with the research facilities and audio visual library. This will add to prestige of the country, as almost all Muslim countries send their students to Pakistan.

The maxillofacial unit and emergency accidental training for the dental graduates is of paramount importance to deal with the road accident. Therefore, in future each operation theater for emergency should have such facilities having the services of trained maxillofacial surgeon for reconstruction of the loss, to the level of rank of Professor because medial colleges, however ignore this speciality.

With the rapid increase in the number of dental patients visiting the dental hospital, Lahore and increase number of population and traffic will radically change the picture in the future five years. And the time is ripe that the expanded facilities to the patients may be planned to meet the growing needs of the population. Thus there is need of additional place as suggested before to be build up like the children complex, Jinnah Hospital Complex of Allama Iqbal Medical College.

All these matters can be dealt with i.e. eradication of quackery, merit fellowship award non-practicing allowances to dental surgeon, and their employment problems, checking and coordination of the various public dental clinics, dental education and other preventive measures, problems of the practitioners can easily be dealt with if the dental surgeons are involved in the administration i.e. the post of Director General Dental Health Services at Centre and Director Dental Health at different provinces for liaison for the local channelization and for international agencies.

Once again I express my thanks for your joining this venture, specially of the Chief Guest, Foreign Delegates, and the Delegates from various parts of Pakistan & Trade Exhibition.


PROMOTIVE AND PREVENTIVE SIDE OF RURAL HEALTH, PRESENT AND FUTURE

Before we discuss the promotive and preventive side of the Rural Health it is essential that we should have the knowledge regarding the Province of Punjab in respect of statistical data. Total population of Province of Punjab is 5,44,87,000 (Five Crore Forty Four lac Eighty Seven Thousand) whereas the Urban Population is 15031000 (One Crore Fifty Lac Thirty One Thousand) comprising of 8002000 (Eighty Lac Two Thousand) male and 7029,000 (Seventy Lac Twenty Nine Thousand) female. Similarly the Rural population is 39456000 (three crore ninty four lac and fifty six thousand) comprising of 20607000 (two crore six lac and seven thousand) male and 1,88,49,000 (one crore eighty eight lac forty nine thousand) that of female. The area of Punjab is 2,05,346 ( 2 lac 5 thousand 346 k.m) Sq. K.M. and its population density 265 person per Sq. Kilometer.

Punjab is divided into 8 civil division, having 29 districts, 86 tehsils. The total number of the villages are 25094 and number of the union council are 2367 and there are 290 rural development marakiz. There are 18 cannts, 63 Municipal Committees, 132 Town Committees and 7 Corporations. It is estimated that the infant mortality rate is 115-120 per 1000 live births, and as maternal mortality rate is 7 per 1000 live births. Morbidity rate is 31% and death rate is 14.6% population. The annual growth rate is 2.95% against annual growth rate of Pakistan which is 3.1%.

The health delivery system in Punjab at present is in the form of Hospitals, Dispensaries, Rural Health Centres, Sub Health Centres, T. B. Clinics, MCH Centres, and Basic Health Units. There are 3941 centres in both Rural and Urban areas. There are 28 Hospitals, 853 Dispensaries, 144 Rural Health Centre, 547 sub health centres, 101 MCH Centres, 1395 Basic Health Units in the Rural Areas.

There are 2947 sanctioned posts of medical officers, 503 Women Medical Officers, and 109 Dental Surgeons among these 489 Medical Officers, 233 Women Medical Officers and 22 Dental Surgeons Jobs are lying vacant.

The Government of the Punjab has granted the budget grant of Rs.82,05,86,86,550 (Rupees 82 crore, 5 lac, 86 thousand 5 hundred and 50 only) for the year 1986-87. The budget is to be spent by the institutions run under the control of Director, Health Services of Punjab, whereas there is another grant of Rs. 681660350 (68 crore 16 lac 60 thousand 3 hundred and 50 only) for special institution for expenditure of professional technical and general hospitals and clinics Rs. 1013100 (10 lac 13 thousand and 1 hundred) is to be spent for administration. Therefore, total budget for health under grant number 16 Non-Development for 1986-87 is Rs. 1,50,32,60,000 ( 1 Arab 50 crore, 32 lac 60 thousand).

The Government of Pakistan has got the intention to increase the Rural Health Centres and Basic Health Units and the number of Doctors, which is evident from the data, that in 1951 we had 2, 621 doctors and in 1984, we had 38,322 doctors. Similarly the number of dental surgeons increased from 377 to 1,303 in 1984. The Health Centres have increased to 319 in 1984, which has started with 217 in 1980. The Government is keen to have 9,939 Rural Health Centres in 1988, population per facility of 73,800. Similarly basic Health Units, Dispensaries, MCH, etc. to 9, 154 in 1988 population per facility 9,750. Similarly the number of the will increase in Pakistan to 36,000 for population per facility to 2, 940 and Dentists would be 1700 for 62350 population per facility.

TARGETS

  1. Conversion of 2,620 existing of facilities into BHUs with residences.
  2. Construction of 2,665 new BHUs with attached residences for doctors and staff.
  3. Construction of 625 new Rural Health Centres.
  4. Construction of 1,715 doctors residences at the existing BHUs.
  5. Provision of 4000 teaching beds in existing medical Colleges and another 4000 in District and Tehsil Hospitals and 1220 beds in Tehsil Hospitals for referral care.
  6. Hostel accommodation for House Surgeons, Physicians & Trainee Registrars.

TARGETS IN HUMAN TERMS

  1. Protection of 24 million children against six major killers of children.
  2. Protection of 8 million children against complications and mortality of diarrhoeal disease through oral rehyderation salts.
  3. Protection of 1.25 million children suffering from third degree malnutrition.
  4. Providing help during pregnancy and childbirth from the present 24 percent to 100 percent of mothers through 45,000 trained birth attendants, backed by Lady Health Visitors and Female Doctors.
  5. Rehabilitation of 1 million disabled and prevention of occurrences of disabilities.
  6. Availability of Primary Health Care to all and referral where needed.

The 6th and 7th Plan will shift from the objectives to practical side for providing a systematic link between the village community and supper structure of the modern health system, depending upon the density and scatter of the population, basic health unit will be provided to serve about 5000 to 10000 population. This will include among other things midwifery, child care, immunization, diarrheal disease, malaria control, child spacing, mental health and school health services within its area. Out of such research services will be provided for maternity and child health care through trained birth attendants: -

POLICY SHIFTS OF THE SIXTH PLAN

  1. Emphasis on preventive care by protecting all children by poly immunization against the six preventable diseases of children diarrhoeal diseases control and improved maternal care.
  2. Consolidation of existing facilities in contrast to expansion and development of Rural Health Infrastructure. Expansion is only envisaged in unserved areas.
  3. Each rural health facility to be manned by one qualified doctor and by substitute.
  4. Double shifts in the out patient department of all teaching Hospital and District, Tehsil Taluka Headquarter Hospitals.
  5. Freezing of seats in medical colleges and stress on quality rather than quantity.
  6. Rehabilitation of disabled and prevention of disabilities.
  7. Government patronage to traditional medicine.
  8. Involvement of the Community (local bodies) in Primary Health Care.
  9. Proper management training to health functionaries.
  10. Introduction of users charges to reduce subsidy.
  11. Rapid expansion of Private Sector.

Under the 5 points programmes, Socio-Economic Development of Prime Minister of Pakistan 1.41 Billion rupees have been financially allocated for Rural Health similarly
Rs. 1.25 billion has been allocated for rural water supply and sanitation, and 1.98 billion has been allocated for rural roads and 5.27 billion has been allocated for electrification. Total amount stands 23.19 billion for Socio-economic uplift of the rural and Katchi Abadies.

Under the Health Section of the 5 points programmes, basic health units is to be set up in each of the Union Council. In addition of Rural Health Centre would be set up in a group of 4 to 5 union council during 1986-87, 343 new basic health units and Health Centres are to be set up in the country. These units besides providing normal health care, takes steps for prevention of disease.

These Health Units would be provided adequate number of doctors and paramedics and modern hospital equipments. Each basic Health unit would be provided with the Laboratory facility for maternity and child health care. Each rural health centre would have doctors including lady doctors with necessary complementary staff, operation theatre, Laboratory and Ambulance in addition to facility for the prevention of the disease. In this way we shall be able to overcome the health problems of the rural population in Punjab and elsewhere.

There is a need that the medical professionals should identify the critical problems being faced by the country. One of the major problems is increase of birth rate. The birth rate all over the globe is becoming very high. It is estimated that by year 2000 the population of the world will be 6 Arab, 20 crore, which in 1960 was 3 Arab and in 1980 4 Arab 80 crore. It is said that half of the population of the world is located in China, Bahart, Russia and America. Russia has reached the population of 28 crores.

The population rate of Pakistan is 3.1 % annually whereas unemployment rate is 4% which has reached to 20,40,000. If the population is unchecked it shall create more health problem, un-employment housing and education etc. We should also control the communicable disease.

Over the last few years, a deadly and mysterious disease has erupted and begun to spread around the world. It a global pandemic with its victims doomed to certain death. The disease is called AIDS, the initials of its full name, acquired immune deficiency syndrome. Medical researchers are still puzzled about the origin of AIDS. Today, AIDS appears to be most prevalent in central Africa, the United States, Haiti, and Europe. The World Health Organization is preparing a worldwide campaign to combat AIDS.

Our own well-being is dependent on the well being of the others. We as a Pakistani have to learn that we have to live as a Muslim and better citizen as members of human community. It is true that to change our system we have to adopt the comfort of our religion and its tradition to struggle against such problems faced by our society. Islam has defined the concept of human community and after adopting its principal much of the preventive work is being carried out for the well being of our nation. Let us enrich the Islamic education to our population and work for Health and Peace of the Country.

SOURCE OF INFORMATION:

  1. Pakistan Health and Social Welfare (1982), Ministry of Information and Broadcasting, Director of Films and Publications, Government of Pakistan, Islamabad.
  2. Basic Facts of Pakistan (1984-85), Government of Pakistan Ministry of Finance, Islamabad.
  3. Socio-economic Development under 5-Points Programme, by Abdul Majid Khan, Pakistan Times 23 March 1987.
  4. Statistical and Budget Section, Director of Health Services, Punjab.

Activity Report Concerning WHO
Prof. Dr. M. A. Soofi, Former Principal, CCM, Lahore &
WHO Oral Health Project Coordinator in Pakistan

Since taking over as National Coordination of WHO Oral Health Project in Pakistan, Prof. Dr. M. A. Soofi took up the assignment and chalked out a long term plan to utilize the available resources. To achieve the national oral health goals in Pakistan. Some Workshops, Seminars, Celebrations and other programmes were organized. A little are summarized below:

WHO Workshop (June 4-8, 1990)

A five day national workshop from 4th of 8th June, 1990 was organized. The main objective was to infuse concept of preventive dentistry and develop national thinking among the dental surgeons/ graduates of Pakistan through such efforts on scientific lines. The workshop proved to be a part of campaign which resulted in improving public health movement based on solid and well structured organizational net work. Dental Surgeons/Graduates all over the country were invited to participate with the action plan to be adopted to achieve the ultimate goals. The main objectives of the WHO Project of Oral Health in Pakistan were highlighted in detail.

WHO Health Day

It was observed on April 7, 1991 at College of Community Medicine, Lahore by Prof. Dr. M. A. Soofi. Provincial Health Minister was the Chief Guest. Emphasis were laid to achieve the goals of WHO under the theme: Complete Preparedness if Disaster strikes:

Prof. Dr. M. A. Soofi, Principal, College of Community Medicine, Lahore highlighted the precautionary and preventive measures with regard to WHO day theme.

Family Health Workshop

With the collaboration of World Bank and Asian Development Bank, a one day workshop was organized under the Chairmanship of Professor Dr. M. A. Soofi, Principal, College of Community Medicine, Lahore on May 17, 1991.

WHO Workshop on Sanitation (July 27, 1991)

Preventive measures, promoting of the provision of safe water for drinking was stressed. The Workshop was organized by Prof. Dr. M. A. Soofi, Principal, College of Community Medicine, Lahore sponsored by WHO. It was attended by 40 delegates comprising of Sanitary Engineers and Medical Officers from all over the country of Pakistan.

WHO Day (October 1, 1991)

On the occasion of “elderly people day” designated by WHO. In the symposium organized at Pakistan National Centre by Prof. Dr. M. A. Soofi welfare system for “Old Age Peoples” was planned. It was presided over by the Health Minister, Government of the Punjab.

7th April, 1991 -- WHO Day

WHO designated 7th April as ‘Environmental Pollution Day'. It was celebrated at Conference Hall of College of Community Medicine. The symposium was presided over by Prof. Dr. M. A. Soofi. Prof. Dr. M. A. Soofi presented a detailed study report reflecting causes of pollution and diseases spreading due to Environmental Pollution all over the world as well as in Pakistan.

No Tobacco Day - WHO Day

Keeping in view the WHO commitment to improve health services in the world ‘No Tobacco Day' was observed on 31st May, 1992, by Prof. Dr. M. A. Soofi at Pakistan National Centre, Lahore. It was prresided over by Ch. Iqbal Ahmed, Minister for Agriculture, Government of Punjab. Preventive measures and steps to be taken was discussed in detail.

Press Conference

With the collaboration of Public Health Association of Pakistan Prof. Dr. M. A. Soofi organized a press conference. In his press conference he stressed that smoking creates a large number of diseases. Therefore it must be discouraged at public places and urged upon the government that regulation should be passed in this connection.

Walk against Tobacco (May 29, 1992)

To highlight the dangers of smoking ‘walk against tobacco' was demonstrated which was headed by Punjab Health Minister, Prof. Dr. M. A. Soofi, Principal (Retd) College of Community Medicine, and others. The participants showed unity to discourage smoking and stressed upon the community to quit this uneconomical and dangerous habit.

WORKSHOP ON ORAL HEALTH CARE, LAHORE
4TH - 8TH JUNE, 1990

INTRODUCTION

A national workshop on strengthening concept of public health dentistry/communications at a professional level was held at Department of Dental Public Health, College of Community Medicine, Lahore (Pakistan) from 4th- 8th June, 1990. Workshop was sponsored by WHO with the cooperation of Federal Government of Pakistan and the Government of Punjab. This was the first workshop on the subject sponsored by the WHO. Follow up according to protocol and action plan is expected at country level.

The workshop brought together 23 participants from the provinces, 12 from Punjab, 3 from Sind 2 from Baluchistan, 3 from Azad Kashmir and 2 from Social Security. One of the participant was from the Directorate of Health Services, Punjab, Lahore. From WHO, Prof. M. A. Soofi acted as a temporary Advisor whereas Prof. Asad Ullah Lone, acted as a Facilitator. The Department of Dental Public Health, College of Community Medicine, Lahore was the main department involved in this workshop and took active part in the activities of the workshop.

In addition to Prof. M. A. Soofi, ten senior teachers of various specialities cooperated in extending their knowledge to the participants. Senior teachers of the faculty of College of Community Medicine, Lahore acted as Coordinators in the plenary session groups.

Theopening ceremony at the campus of CCM, was conducted on 4th June, 1990. Senior Prof. and Paediatric Specialist Prof. S.M.K. Wasti was the Chief Guyest, and Prof. A. U. Lone inaugurated the ceremony. Speeches were made by Prof. S.M.K. Wasti, Prof. A. U. Lone, Prof. M. A. Soofi and President of Pakistan Dental Association. Messages from Chief Ministers of Punjab and Baluchistan and Governor of Punjab were read by Dr. Shahid Anwar. Speakers appreciated the WHO for sponsoring such workshops and credit of organization was mentioned for the coordinator. (The participants were sent a questionnaire for bringing in data to the coordinator regarding vital statistics & incidence of dental problems in their areas).

OBJECTIVES OF THE WORKSHOP

The objectives of the workshop were according to the action plan prepared before, however:

1. Principal Objectives:

To improve training of dental health personnel in preventive dentistry in order to enable them to effectively assume the task of oral health physicians in their areas of duties and in context of primary health care.

2. Specific Objectives:
  1. To identify areas of interest in training dental health personnel in preventive dentistry and mass education for dental health in the context of primary health care.
  2. To strengthen the concept of utility of dental auxiliaries in the health program and to provide such facilities in the teaching centres.
  3. To create the sense of integrated dental health care with medical care in MCH centres, educational institutions.
  4. To examine the existing school health services and adding dental care in school health program.
  5. To examine the existing health system and organization in the context of developing a suitable dental health administrative setup or modification and adoption in present system according to present needs.

WORKSHOP ACTIVITIES

A 5 days program with 9 workshop modules was planned to achieve the above objectives, each module and specific teaching were followed by exercises and group discussions under supervision of learned teachers. Plenary sessions were used to make the presentation to introduce the module theme as well as to the discussion on reports. Each group leader, different in each session presented the module as part of exercise in front of other participants, for approval of recommendations. The group composition remained same but the facilitator/teachers were rotated for effective teaching. National representation and experience consideration guided the formulation of groups, and groups were designated A, B, C, & D and each module was further divided into sub-topics.

Module-1, was concerned with dental health challenges and goals of WHO, the introduction was given by Prof. Dr. M. A. Soofi, who devoted much of time in explaining the need for training teachers and etiology and risk factors regarding the dental diseases. Later on plenary groups were assigned to discuss this matter in sub-topics.

Mudule-2, was titled Dental Health Care for mother and child. Prof. M. A. Soofi emphasised on the need for dental clinics in MCH centres to fulfil the needs for participation and dental health care of very important part of society. And through this goals of WHO can be achieved through such integrated system. Associate Prof. Shamim Manzoor also discussed in length the need for dental clinics in MCH centres as there are lot of problems. She mentioned in her speech the dental Act, 1918 of England in which dental examination of pregnant mother was made essential. This will be better for understanding the social and cultural habits and will prove more effective approach in achievement of WHO goals.

Module-3, was concept of development of auxiliary worker, and community participation for motivation of the public and working for minor ailments and treatments. The dental hygienist who are trained at College of Community Medicine, Prof. Soofi emphasised the appointment of trained dental hygienist at rural health centre for Basic Health Unit, for school health programme and each existing dental clinic at Tehsil & District Headquarter Hospitals. Discussions included the fact that in the absence of dental act large proportions of qualified dental hygienist/ professionalists who have received their training from the Department of Dental Public Health find difficulties in getting the jobs according to their training and they practice dentistry privately which shall damage the private practice of qualified practitioners. Prof. Soofi demanded that training of such type of health workers is to only provide dental health information to the community and emphasis is made that they had to work under direct supervision and physical presence of a dental surgeon and mentally they are tammed that their role is assistance of the dental surgeon who is the planner and policy maker in diagnosing a case and he writes instruction to the hygienists for performance of his/her jobs.

Module-4, ‘Health System in Pakistan' was introduced and discussed by Prof. M. A. Soofi and Dr. Saeeda Rashid, Head of the Department of Public Health Practice. The group discussions finalised that present health systems talks the provisions of management of dental services by dental surgeon. It was formulated that dental surgeon may be included in the health system to provide supervision for harmony and better achievement of the dental clinics by the dental surgeons. Since the dental surgeon does not hold any post in the present health system the proper motivation and emphasis on the oral health care not be passed onto the public with the presence concept of the integrated approach does not prove bright.

Module-5, ‘Epidemiology & Biostatists' was introduced by Prof. M. A. Soofi and Dr. Khalid Almas, Dr. Ayyaz Ali Khan, Sheikh Zaid Hospital talked about the need of epidemiological studies in dentistry. This session was spent on explaining how to fill the simplified WHO chart of CPTIN introduced by FDI and WHO. Keeping in view the importance of this subject discussion with all participants tok place. The participants were taken to the clinic for practical training in use of WHO probes and filling out simplified CPTIN charts. They were also introduced to the teaching models available in the Department of Dental Public Health, like empty teeth periodontal problems, caries, canceral tooth, morphology etc.

Module-6, ‘Dental Health Planning' was introduced by Prof. Soofi. Dates and slides shown and main dental prblems and their solution according to the need and demand of community trained dental physician, he emphasized training of dental surgeon in public health dentistry at under and postgraduate level. Because the dental disease can only be controlled by trained manpower who have a proper service structure in the ministry of health. Prof. Soofi also said that there is a considerable shortage of trained instructors in this field in undergraduate institutions. There is a need that this training will gear up the promotion of this science and this shall solve the primary health problems. He also said that there is a lack of knowledge in the public and in present dental graduates thus there is a need to enhance their understanding with suitable teaching materials and techniques to approach the public. He felt that such training will improve the performance of dental health worker in controlling the diseases. Number of areas were identified where dental surgeons are not involved in management. Therefore, much os the dental manpower is without proper job.

Module-7, ‘Dental Health Education'. Prof. M. A. Soofi highlighted the importance of dental health education and communication based upon social and cultural values, he said the dental surgeons should enhance their commitments through dental health education by involving the religiously effective persons, by training the school teachers and effective personalities like councellors MPAS and MNAs. He emphasized that for mass communication a plan may be formulated for public relationing with mass media, administration for better results, he further said that there is a need to train all categories of health workers by the dental surgeons to provide them dental health education.

Percentage Tabulation of the Results obtained from the Evaluations forms filled by the Participants during the WHO Workshop on Oral Health from 4th - 8th June, 1990.

QUESTIONS ANSWERS
50% 75% 100%


1

Are you satisfied with oral health workshop?

10.52

36.08

52.63

2

Have you learnt during this workshop?

21.00

36.08

42.00

3

How much your mind is motivated towards Public Health Dentistry?

21.00

26.32

47.37

4

How much have you learnt from lectures?

31.06

42.00

21.00

5

How much have your learnt from group discussions?

26.32

42.00

31.06

6

How much have you learnt from practical training?

31.06

36.08

21.00

7

How much have you learnt about addressing a gathering as leader?

21.00

36.08

42.00

8

How far group discussion have been beneficial to you?

5.26

32.06

58.00

9

Do you think the programme was heavy?

26.32

   

10

Are you satisfied with the participation allowance paid by WHO?

79.00

 

26.32

11

Do you recommend that coordinator should have arranged for participants accommodations?

79.00

 

26.32

12

Are you satisfied with the duration of the workshop?

47.37

 

47.37

13

Do you think such workshops should be conducted often?

100.00

   

14

Do you recommend younger persons or senior persons for such workshops?

100.00

 

68.40

15

Do you agreed to the recommendations chalked out by plenary groups?

100.00

   

16

What step you shall take to motivate the community?

A
100.00

B
52.63

C
52.63

RECOMMENDATIONS OF NATIONAL WORKSHOP ON ORAL HEALTH AS W. H. O. ORAL HEALTH PROGRAMME IN PAKISTAN

  1. Dental Surgeons should give utmost attention to encouraging and promoting preventive measures in their areas.
  2. Dental Surgeons should incorporate teachers, religious scholars and local leaders into preventive health education activities at all levels.
  3. Dental Association and Medical Association and other such organizations should recommend through Seminars and discussions the practice of breast feeding and comfortable environment of diet etc. to pregnant and lactating mothers as tooth Bud is on formation, a good food to a mother is a better source of reservation to future teeth. Similarly breast feeding helps the child for proper development of oral soft tissues, dental tissues and dental arches for proper occlusion. Moreover, mother's milk is protected from germs and no risk of diseases occurs and there is production of antibodies - means better dental health as healthy child possess non-susceptible tooth.

In order to implement goals of Workshop six (6) specific areas needed to be developed.

  1. CONSCIOUSNESS, RAISING DENTAL HEALTH MOTIVATION

Increase Awareness and appreciation for values of Quran and Hadis, on Oral Hygiene among the masses in order to prevent dental diseases from Community.

Targets: The community at large - school teachers, leaders, health workers, mothers, children's Association or such other Associations be considered for teaching of dental hygiene.

Strategies

  1. Need for multi-sectorial approach, need for influencing decision makers Administrations, Schools Health Executives and Politicians.
  2. Need for optimum use of relatively culturally accepted mass media, posters, leaflets, booklets, sermons in mosque etc. etc.

II. DENTAL HEALTH EDUCATION & NUTRITION

Promotion of dental health through nutrition, all type of food, raw vegetables, breast-feeding and fluoridation of water.

Targets.

The community at large including all health workers, children sports, and nurses, midwives, hospital administration, nutritionist, private practitioners and others may be guided for this topic.

Strategies.

This must be consistent, health education and nutrition must be explained - practical instructions given if possible.

PROJECT FORMULATION

Strengthening and implementing curriculum of B.D.S. with up-to-date knowledge of preventive dentistry.

ADMINISTRATION & LEGISLATION

Objective.

Implementation for suggestion for dental health Administration set-up, like Doctor Medical Health Services Cadre, Service Structure and Seniority, promotion and dental Act. Ban on quackery, facilities to dental graduates at par with Medical Graduates.

Targets

Smooth service structure and post-graduate training and education, through Institute of Public Health Dentistry.

Strategies

To obtain influence of pressure groups. To move bill in the National Assembly for Medical and Dental Act.

Incentive

Project formulation and activities through Pakistan Dental Association.

IV. HEALTH SERVICES & DENTAL CARE

Objective

To improve dental health services throughout Pakistan.

Targets

All health personnel be involved and trained and educated about the importance of dental care and hence to obtain better budget.

Strategies

To involve men of importance and executives.

Incentives

To modify the present administration set-up with dental surgeons.

V. COMMERCIAL FIRMS OF TOOTH PASTE

Objective

Control advertisement without any authority in PTV or News Paper Advertisement of toothpaste powder may be approved by the Government and Pakistan Dental Association. Sensitize health administration to subtle profession by commercial firms and to educate them to monitor the activities of these firms.

Monitoring of advertisements in Medical and Dental Journals for formulas, which are processed for preparation of materials.

Targets

Tooth-paste industry- health workers and consumers to be involved.

Strategies

Formulation of code of esthics for toothpaste/tooth brush industry.

VI. PERFECT FORMULATION & ACTIVITIES

Increasing by trade and commercial boards. Mass media - Dental Health Education.

Objective

Maximum use of dental health education - message must be simple with concent of Pakistan Dental Association.

Target

General public and Health Workers.

Strategies

Association effective as possible.

Project Formulation

Through all relevant areas - Dental Surgeons Dental Hygienist, religious leaders lectures.


LADY WITH THE LAMP

Florence Nightingale was one of the nineteenth century's most remarkable woman. The founder of the modern nursing professions, she was the first female nurse to accompany a British army abroad. Working in frightful conditions in the hospitals at Scutari, she and her colleagues cut the death rate among the wounded of the Crimes from 42 to 2 per cent. In June, 1960 her training school for nurses the first in the world was opened at St. Thomas's Hospital, London and has a world wide influence. Nightingale nurses are to be found in almost every country, and many other training centres based on Nightingale principles have been opened. An astonishing fact is that from 1857 until her death Miss Nightingale was a chronic invalid. She advised, prompted and controlled from her sick room, writing endless letters. Only once did she manage to visit St. Thomas's Hospital.

Ref: The Pakistan Observer, Dacca Sunday Nov. 17, 1968.

HIPPOCRATIC OATH

The son of Heraclides, a physician priest. Hippocrates was born on the Island of Cos around 469 B. C. and died in about 377 B.C. He is mentioned as a prominent physician twice in the dialogues of Plato and once in the writings of Aristotle. He was the first to institute an oath to be taken by all the medical practitioners a translation of which appears below: -

I swear by Appollo Physician, by Aesculapius by Hygela, by Fanacca and by all the gods and goddesses, that I will carry out, according to my ability and judgement, this oath and this indenture.

To hold my teacher in this art equal to my own parents, to make him partner in my livelihoods when he is in need of money to share mine with him, to consider his family as my own brothers and to teach them this art, if they want to learn it, without fee or indenture; to impart precept oral instruction, and to indentured pupils who have taken the physician's oath, out to nobody else.

I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrong-doing. Neither will I administer a poison to anybody when asked to do so nor will I suggest such a course. Similarly, I will not give to a woman an abortive remedy. But I will keep pure and holy both my life and my art.

I will not use the knife, not even, verily on sufferers from stone but I will give place to such as are craftsmen therein. Into whatever houses I enter, I will enter to help the sick, and I will abstain from all intentional wrong-doing and harm, especially from abusing the bodies of man or woman, bond or free.

And whatsoever I shall see or hear in the course of my profession in my intercourse with men, if it be what should not be published abroad, I will never divulge, holding such things to be holy secrets.

Now if I carry out this oath, and break if not, may I gain forever reputation among all men for my life and for my art, but if I transgress it and forswear myself may the opposite befall me.

Ref: The Pakistan Observer, Dacca Sunday Nov. 17, 1968.

Formation of Pakistan Dental Association, Lahore Branch

Dr. M. A. Soofi was the President of United Pakistan Dental Association in 1969-70 and the General Secretary from 1966-68. After the dismemberment of One Unit, he had to go outside Lahore therefore in election of 1971 at Jinnah Hall he handed over the Association to the new office bearers. Again on his joining private practice in 1973 at Lahore, he organized three days seminar on dental health planning, in which Federal Health Minister Sheikh Rasheed Ahmed inaugurated under the auspices of Public Health Association of Pakistan. This was the most successful and historical symposium and was attended by dental surgeons from all over the country. They (dental surgeons) observed the potentialities of Dr. Soofi and organizing capacity and he was offered any post of PDA Centre, Province or District. So in 1973 Lahore Branch of Pakistan Dental Associaiton was formed. Under these circumstances he was elected. Since then he is holding the same position.
Nov. 25, 1973: A meeting of the General Body of PDA was held at Hotel Salateen, The Mall Lahore which was attended by Dr. Saleem Cheema, Dr. B. A. Yazdanie, Dr. M.Z,K. Niazi, Dr. M. Rafiq Chatha, Dr. Dara Hormasjee, Dr. Masood Akhtar, Dr. Tanvir Hussain, Dr. Muhammad Aslam Ch., Dr. Shuja ud Din Qureshi, Dr. Javd Sultan, Dr. Syed Ikhlaq Ahmed, Dr. Syed Ayub Shah, Dr. M.D. Sethi and few more. This was an historical meeting and Dr. M. A. Soofi was elected as President PDA Lahore and Dr. Shuja ud Din Qureshi as General Secretary. Since then veteran members remained Executive Members and the Association started his achievements.

SYNOPSIS OF PDA ACTIVITIES
Jan. 4, 1974 Meeting of the executives to finalise the problems of Dental Surgeons with Provincial Health Minister, Government of Punjab.
Feb.8, 1974 Executive Meeting was held for solving the problems and holding of symposium with collaboration of Beecham Company at Lahore.
Apr. 26, 1974 Executive Meeting at Hotel Salateen to discuss organizing the National symposium.
1975 1st Convocation of International College of Dentists (FICD) alongwith PDA Lahore.
1976 Letters written to College of Physician and Surgeons Pakistan for introduction of Postgraduate courses of Dentistry like FCPS and MCPS.
Jan.1, 1977 Celebration of Quaid-e-Azam Centenary, Symposium & Dinner Meeting at Gymkhana.
July, 1979 Address to College of Physician Surgeons of Pakistan, Karachi for introduction of fellowship in Dentistry FCPS, MCPS as an appeal of PDA Lahore the President Dr. M. A. Soofi.
Sep. 1979 Meeting of executive held to form RCD Dental Federation.
Dec. 1979 Health Education through Ptv. Group Discussion.
Jan. 17, 1980 Meeting of the executives for Problems of the Dental Surgeons.
Jan. 27, 1980 Meeting of the executives of PDA at Tung Fung, Prof. A. H. Awan was the Chief Guest.
Mar. 13, 1980 Public Health Programme Lecture at Lahore College for Woman and other institutions.
Apr. 7, 1980 Smoking & Oral Cancer - Public Lecture & Publication of a Booklet and Seminar in Urdu.
Apr. 15, 1980 Executive Meeting for Decision to organize Muslim World Moot at Lahore.
Nov. 18, 1982 Symposium on dental problems - inaugurated by Federal Minister Dr. Nasir ud Din Jogezai, Guest of Honour, Dr. Khirat Ibn e Rasa, Vice Chancellor, Punjab University and Annual dinner.
Dec. 1982 Letters to various Dental Leaders for formation of central PDA and thus Karachi Branch PDA - conducted election and central body formed.
Mar. 25, 1983 International Conference at Rawalpindi, Dr. Soofi was Secretary publicity and coordination, inaugurated by President Gen. Muhammad Zial ul Haq (late).
Lectures delivered by various Experts such as:
  1. Prof. J. D. Stranhan, University of London.
  2. Prof. Valic, University of Bulgaria
  3. Prof. W. M. Barsum, University of Cairo
  4. Prof. Duckworth, University of London
  5. Dr. Neuton, from New Zealand
  6. Brig. Gordon Rowell from Australia.
May, 1984 Dental Camp at Farooqabad, Fountain House.
June, 1984 PDA Executive Council Meeting
Oct. 12, 1984 PDA Executive Members Meeting
Nov. 2, 1984 PDA Executive Council Meeting
Nov. 16, 1984 PDA Executive Council Meeting
Dec. 17, 1984 Reception for Dr. Iftikhar Ahmed on his appointment as Secretary Health Punjab.
Feb. 8, 1985 Dental Camp at Ferozewala with the help of rotary Club, Dr. G. M. Kullu.
Feb. 19, 1985 Symposium on Dental Health in Nawa e Waqt Daily.
Apr. 23, 1985 Oral Cancer Symposium at Avari Hotel.
May 31, 1985 PDA Executive Meeting.
July, 1985 PDA Meeting at Residence of Dr. Shamim Ahmed.
Nov. 3, 1985 Executive Council Meeting at Ali Baba Hotel.
Nov. 17, 1985 Executive Council meeting at Turkish Grill Hotel, Lytton Road, Lahore.
Nov. 29, 1985 PDA Meeting at Hilton Lahore.
Dec. 15, 1985 Symposium on Dental Hygiene at College of Community Medicine.
Mar. 4, 1986 Addressed to PDA, Karachi on Periodontal Diseases Dr. Soofi as Guest Speaker.
Apr. 7, 1986 WHO Day at Pakistan National centre and on PTV. Lahore.
June 26, 1986 Lecture on Periodontal Diseases at Oslo (Norway) International Conference on Dental Hygiene by Dr Soofi, as a representative of PDA Lahore.
June, 1986 Dinner of PDA Executive Council.
Sept. 1986 Workshop on Acupuncture at Hilton, Guest of Honour Mrs. Afsar Raza Qazilbash.
Oct. 14, 1986 17th National Health Conference on Water and Health at Hilton, read, a paper on Safe Water and Dental Health.
Oct. 31, 1986 Symposium on dental health at Pakistan National Centre - read a Paper.
Nov. 28, 1986 Award Ceremony to Dr. M. A. Soofi, Bazme e Danish.
Dec. 12, 1986 Executive Meeting on Oral and Dental Health
Feb. 8, 1987 Meeting with Clinical Oncology Society of Pakistan at Radium Ward for Oral Cancer.
Mar. 12, 1987 Meeting with Clinical Oncology Society of Pakistan.
Mar. 30, 1987 Inauguration of Oncology Society Symposium at hotel Hiltoon and participation.
Apr. 9, 1987 Meeting at Hilton, Lahore. Dr. Soofi read, paper on Bleeding of Gums.
Apr. 23, 1987 4th National Conference of Gen. Med. Practitioners at Pearl Continental Hotel, Chief Guest Gen. Zia ul Haq, read, Paper.
Aug. 23, 1987 Prof. Dr. M. A. Soofi visited Jail, Kot Lakhpat, made survey of Prisoners almost all of whom were suffering from periodontal diseases and decay of teeth.
Oct. 19, 1987 Prof. Dr. M. A. Soofi chaired WHO Workshop and delivered Lecture on Control of Dental Diseases through Surveillance of Water at CCM Lahore.
Nov. 26-29, 1987 3rd Pakistan International Dental Conference at Karachi, Dr. Soofi read, paper, “Bleeding of Gums”.
Jan. 22, 1988 Dr. M. A. Soofi Read a paper in annual conference of Graduate Association.
Feb. 5, 1988 2nd Convocation of International College of Dentists, at Lahore Governor NWFP was Chief Guest
May 27, 1988 Meeting of Executive Council at Hilton, Lahore.
Sept. 12, 1988 Reception in honour of PDA President Dr. M. A. Soofi after after his Haj. Mr. Naseer Mohammad Khan, Provincial Minister for Health was Guest of Honour and problems of Dental Surgeons were explained and Creation of Institute of Dental Surgery was pressed by the President.
Apr. 14, 1988 Dr. M. A. Soofi read his research paper in Tokyo, Japan, in International Conference of Periodontology.
May 3, 1988 Iftar Party by Dental Hygienists Association given to Dr. M. A. Soofi, President for his initiative to start Dental Hygienist Course.
Dec. 8, 1989 One day symposium - International College of Dentist's Key Distribution Ceremony. Mr. Waseem Sajjad Chairman Senate was Chief Guest Dr. Abdul Hafeez, BDS MBBS was guest of Honour. He was father-in-law of Mian Nawaz Sharif.
Feb. 16, 1990 Pakistan Dental Association's Meeting at Hotel Falletis for election of Chairman 4th International Dental Conference (Prof. Dr. M. A. Soofi).
Mar. 30, 1990 Executive Meeting of PDA, Lahore -- Iftar Party
Apr. 28, 1990 Pakistan Dental Association Meeting at Civil Officer's Mess -Eid party
Sept. 27, 1990 Dinner of PDA at Hotel Avari, for WHO experts
Sept. 11,1990 6th National Conference and Dr. Soofi read paper.
Oct. 23, 1990 Pakistan Dental Association Executive Meeting.
Feb. 11, 1991 Food Adulteration Programme - Symposium by LMC Dr. Soofi Chaired Technical Session & Addressed - how Adulterated Food is bad for dentition?
Apr. 4, 1991 4th International Dental Conference Meeting of the Executive Committee under the Chairmanship of Prof. Dr. M. A. Soofi.
Apr. 7, 1991 WHO Day - PDA Iftar Party; Provincial Health Minister attended.
Apr. 12, 1991 Welcome Dinner by Pakistan Dental Association, Lahore to Prof. Muhammad Waheed Sheikh at Lahore Gymkhana on becoming Principal
May 10, 1991 PDA Meeting of 4th International Dental Conference
May 16, 1991 Participated in Symposium on “ Oral Surgery” at Chakwal.
May 5, 1991 Oral Health Workshop (CPSP Karachi) organized by WHO read, paper.
June 3, 1991 National Nursing Conference Dr. Soofi presided as a Chief Guest
June 9, 1991 Inauguration of Symposium on Blood transfusion, HIV & AIDS and Oral Health Inaugurated Dr. M. A. Soofi Chief Guest as being Principal, College of Community Medicine, Lahore.
June 16, 1991 Meeting of Pakistan Dental Association, Centre at Art Council, Lahore.
June 20, 1991 Attended symposium organized by WHO - Sheikh Zayed Hospital Lahore
June 28, 1991 4th International Dental Conference - Executive Committee Meeting under Chairmship of Prof. Dr. M. A. Soofi.
July 8, 1991 Meeting of the Dental Hygienists
Aug. 1, 1991 4th International Dental Conference - Executive Committee Meeting Lecture for general practitioners participation.
Sept. 1, 1991 4th International Dental Conference - Executive Members Meeting.
Dec. 18, 1991 4th International Dental Conference inaugurated by Mr. Waseem Sajjad.
Mar. 3, 1992 Pakistan Dental Association Dinner Meeting at Falletis Hotel.
May 13, 1992 Symposium and Workshop at King Khalid Hospital, Jeddah (Saudi Arabia)
Dec. 1, 1992 Represented Pakistan Dental Association Lahore in Sri Lanka - South Asian Dental Associations Federation's and 60th Anniversary of Sri Lanka Dental Association and Elected President SADAF for 1994.
Dec. 24, 1992 2nd World Zoraistrain Dental Congress 7th Central Street, Defence Housing Society, CPSP, Karachi.
Jan. 5, 1993 Resolution of executive regarding creation of new posts - Letters sent to Punjab Chief Minister, Health Minister, Secretary Health, Principal de'Montmorency College of Dentistry, Lahore
Jan. 6, 1993 Press conference for demands regarding problems of Dentists.
Apr. 14, 1993 Dental Health Week inauguration at Jinnah Hall, subsequently symposium on 25.4.93 at Sheikh Zayed Hospital.
Apr. 16, 1993 Anti Drugs & Dental Health Walk
Apr. 17, 1993 A symposium on Oral Cancer in KEMC Auditorium
Apr. 25, 1993 Symposium on HIV, AIDS and Oral Health.

RCD

I had the feeling that the dentistry should be a popular to form the RCD Federation on my way back I visited Turkey, Iran, 1969.

There was announcement of the New Health Policy by the Federal Government of Pakistan vide daily Mashriq 28. 2. 1972 Dental Association. Pleaded that the new policy dental surgeons should be given equal status and at the same time Dr. M. A. Soofi addressed the senior fellows of ICD that the dentistry should be given equal status. Articles were written in daily Mashriq, June, 24,1973 and we asked the government that the dental health services should be daily Nawa e Waqt Dental Surgeon should have their own Directorate and health services this was covered by almost all the news papers of Lahore.

References:

Pakistan Times 18 Nov. 1955.
Pak Times Marcy 27
Pak Times 15 Jan. 1956.
Pak Times 5.11.1962.
CMG 6.11.1962
CMG 8.11.1962 and Pak Times. 6.11.62.
Pak 20 May 1963.
Pakistan Times 67
Pakistan Times Jan 14, 1968:

CREATION OF NEW POSTS OF A. P. IN VARIOUS BRANCHES OF DENTISTRY

During the past two decades, there has been many advances in all the disciplines of dentistry and there has arisen many accepted concepts and practices relevant to the modern thoughts which stand no parallelism in the history of this science.

Vast new vistas in the practice of dentistry are opening up with exciting new developments like: -

  1. Use of lasers in the treatment of carious teeth.
  2. Implant-materials and techniques.
  3. New dental restorative material and technology.
  4. Computer assistant designer and fabrication of dental restorations.
  5. Zero-radiography and magnetic resonance in the diagnostic field.

The explosion of dental knowledge is becoming essential, practically both to the teachers and students to keep abreast of, and cope with rapidly changing dental scene. This also is essential for the patient of today who is better educated, more aware, more assertive and therefore he expects new techniques and the best expertise from his dentist.

The Dentists, who neglect to acquire the modern techniques will find himself stagnating in dull, routine, out-dated and un-rewarding practices. It is therefore, imperative that the teacher and the student in the teaching institutions may be provided modern dental programmes in order to provide the “hands on” experience for gaining expertise so as to render best possible services to the patients.

There are many sub-specialities in Dentistry, which the younger group have selected for preparing themselves to render the services in a particular field. For example in oral surgery young persons have done masters and fellowships and got their specialisation removing the deformity of the cleft palate through surgical technique and such other maxilo facial surgery specialists are available with advanced knowledge. Their skill and technique is needed in our country because such cases were dealt with previously be the general surgeon and that was not the proper service. Similarly some young boys have specialised in peodontitics, periodontics, public health dentistry, restorative dentistry and orthodontcs. There is a need, for that the services of such experts may be utilised in the better interest of the profession and of the patient. We also need teachers in these specialities.

SUGGESTIONS

To help such fortunate professional members of our community as well as the patients and the children regarding oral health and its importance, and ways and means, of achieving and maintaining dental health in all specialities, there is need of creation of new posts of Assistant Professors in the new sub-specialities of the new sciences in order to: -

  1. Promote and encourage the feelings of these dental surgeons who have obtained the Postgraduate knowledge from the world over Dental Institute, either through scholarship or self sponsorships and putting themselves in hard task.
  2. To help the dental students in the prosecution of their dental studies in the prosecution of their dental studies in the teaching institution with the modern science and technology.
  3. To promote the scientific feelings for creating new literature and research for the information and knowledge to the general practitioner.
  4. To raise the status of the education at par with the world level.

Keeping the above objectives, there is necessity and correct time to take stock and assess to curriculum and present staff for the above commitment, if we don't stand atleast 2/3of the world, in this scientific field there is need for culmination of such positive efforts when we may successfully organize the teaching system through these experts.

Since inception of the de'Montmorency College of Dentistry, Lahore, there used to be four professional chairs for the dental students for teaching purposes:

  1. Oral Surgery
  2. Operative Surgery
  3. Orthodontic Surgery
  4. Prosthetics

Instead the expansion of the sub-branches of these four specialities the previous organization, curtailed to two chairs and at present, the two professorial chairs i.e. Professor of Prosthodontics and Oral Surgery are working. The former professorial chair is heading the college as a Principal and Dean of Dental Faculty of Punjab University, other professor of oral surgery is under administration and planning of the Punjab Dental Hospital, the biggest curative centre for oral health healing. And the rest of two chairs (Operative & Orthodontics) are not actively functioning. Perhaps the chair of Restorative Dentistry has been infused to another set up by the previous organization and thus this is depressing environment for the young dentists and the students. Who neither can avail facilities of teaching nor of the posting. With the result the fresh young blood with Postgraduation stand disturbed, disgusted and disappointed, and many of them, for valid evidence, have left for Saudi Arabia or Europe to satisfy their thirst of service for their existence.

AIM OF DENTAL SERVICES

Aim of Dental Services is not merely to relive the dental pain or extract the tooth or fill up the cavity etc. etc. But is to create in the patient an awareness about the oral health which is more rewarding and desirable purpose motivating him to accept the oral health is preferable, and that can only be achieved through the modern science and technology. If our undergraduate students are not provided modern technology and science they shall not be able to provide the required services to the community.

The dental profession in Pakistan, with our continuous efforts of educating the masses is becoming recognized and the role of Dentists as a useful person to the community is becoming more and more clear. Therefore, to utilise the services, we need teachers of this branch, we need public health educators to prevent the public from hazards of smoking, Paan chewing and other pernicious habits which lead to AID and better healthful diet, regular exercise, breast feeding etc.

With the population of crore persons of the Punjab there exist three posts of Professor and 5 Associate Professors, so there is a well spell out necessity to create new post of various sub-specialities of such branches with immediate effect and special funds may be asked for to meet the expenses to absorb the fresh Postgraduate experts to impart knowledge to the students and better services to patients. If this is not being done the dental science in Pakistan will not become promotive.

POSTS TO BE CREATED

To utilize the services of these qualified people for maintaining productive treatment schedule to the patients of such specialities and to create promptness and interest among the younger students in the well interest of country and profession that at the premier institution, AP Paediatric Dentistry, AP Facio-Maxillary, AP Public Health Dentistry and AP Restorative Dentistry may be created and a professorial chair for preventive dentistry and Operative Dentistry post may be revived for maintenance of the control over potential Department of Conservation.

The previous AP post of periodontology and new post of paediatric and public health dentistry should come under the regular control of professorial chair of public health dentistry. Similar practice may be adopted at Multan and at College of Community Medicine Lahore, post of AP and Associate Professor may be created to make the Department at par with other Departments.

FINANCES

Finances which are to be spent will be much lesser as compare to the quality of the Postgraduates and their utility for the cause and promotion of dental science.

The sources may be pooled out from any corner so that those in profession should not leave country as many have left. This is the only way for saving the brain drainage.

PRESS CONFERENCE BY PROF. DR. M. A. SOOFI, PRESIDENT, PAKISTAN DENTAL ASSOCIATION, LAHORE BRANCH AND PRESIDENT ELECTED OF SOUTH ASIAN DENTAL ASSOCIATION'S FEDERATION - 6.1.1993.

The press conference was also attended by Dr Nazia Yazdani, Vice President, Dr. Shuja ud Din Qureshi and Dr. Ashiq Ghauri, President, PDA England Branch.

The Chief of PDA and Elect. President SADAF Prof. Dr. M. A. Soofi urged upon the government that Dental Surgeons having Postgraduate Degree/ Diploma in various sub-specialities of the Dentistry may be provided appropriate jobs in Teaching Institutions in Punjab i.e. de'Montmorency College of Dentistry, Dental Section, Nishter Medical College, Multan and College of Community Medicine, Lahore in the form of Assistant Professor, Public Dental Health, Paediatric and Preventive Dentistry, Restorative Dentistry, Facio-Maxillary Surgeon at each District Headquarter Hospital may be created for these specialities to help Accidents, Emergency and Trauma cases and in the field of mandible maxila. He too urged that problems of junior doctors may dealt with at par with the medical doctors in framing career structure, House Rent and Non-Practice Allowance.

Dr. Soofi invited the attention of government towards girls hostel for Dental Students. At present he said, there is no hostel for Girls Dental Students which number 150/175. Previously the girls used to stay in KEMC, Fatima Jinnah Medical College Hostels but they have been thrown out. Therefore, government should take immediate action to provide hostel for Dental Girls Students for continuing education, developing the research and science/technology of dentistry. He proposed establishment of Postgraduate Dental Institute attached with de'Montmorency College of Dentistry or College of Community Medicine to further provide opportunity to the updating science like laser, implant and cosmetic and preventive dentistry.

Prof. Dr. M. A. Soofi was very much concerned about the limitation of the practice of un-qualified quacks who, he said, were becoming a source of spreading AIDS virus un-knowingly while treating such patients who are silent carriers of these virus. Dr. Soofi said in order to control many side effects of other infectious diseases. There is possibility that AIDS may get through such resources, therefore, Dr. Soofi said ban should be imposed on quackery. He also asked for the government to control the vide un-ethical publicity for Tooth Paste and Tooth Powder and this mushroom of industry should be controlled by the Ministry of Health, Dental Association to save the public from hazards of such undesirable publicity. He was concerned about the prevention of dental diseases and asked for the government to arrange electronic publicity media to prevent dental diseases. He also appreciated the government efforts to establish 2 years Hygienist Course at Dental Public Health Department at College of Community Medicine because this trained personnel is meant for providing clinical assistance to the Dental Surgeons. Therefore a post of Dental Hygienist at each District/ Tehsil Headquarter Hospital may be created in place of Dental Technician or additional post in basic pay scale of 12 be sanctioned.

Dr. Soofi stressed for shifting of Dental College to Allama Iqbal Medical College, New Campus, Lahore and revision of the Undergraduate Curriculum. Dr. Soofi further stressed that all the posts of different sub-specialities should be in accordance with the PMDC's requirement i.e. Professor, Association Professor and two Assistant Professors in each sub-speciality. Dr. Soofi said that he has visited Sri Lanka, India and other SAARC countries and he wants Pakistan to lead in research, technique and technology.