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The health policy prepared by a panel of experts has recommended a complete reorganization of the government health system by introducing primary care providers along the lines of the family physician concept. The policy also expresses concern over the surveillance system for communicable diseases since most of the data from private hospitals are not collected, hence, many a time, increase in the number of cases is not noticed in time. It also stresses need for improving the sanitation facilities in Alappuzha, especially in Kuttanadu area. Solid waste management in Thiruvananthapuram, Ernakulam, Kozhikode and Thrissur also require attention.