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Abstract

Kumbakonam is famous for old temple culture with many number of temple tanks, now being the stagnant water areas which creates a conducive atmosphere for the growth of vectors. The town has many disease ecological problem zones with its deltaic character and the place is well-known for malaria and elephantiasis. The town does not have proper drainage system and the water is let on roads or drained in a sump. Rapid growth of population makes this temple town with many environmental impacts in the deltaic region, particularly the improper drainage system in the high density household zone, presence of number of stagnant water areas, presence of solid waste disposal sites in the centre of the town and so on. Earlier studies indicate that the rainfall is closely associated with the vector borne diseases in this town. The doctor population ratio was low during 1980's and at present the ratio is 1:875 which is higher than expected. At present there are 160 private medical practitioners are providing services to the needy people. The PMP's are clustered in two zones and the people who are in need of the PMP's have to travel widely from the peripheral wards and nearby villages.