The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
The Public Health Journey

Forty Years, Two Threads — Eliminating Childhood TB and Keeping Polio From Ever Coming Back

कल के भारत का सपना, हर बच्चा हो स्वस्थ अपना

In 1986, a young medical resident walked into the slums around Delhi's Rajan Babu TB Hospital, uninvited and unpaid. That same conscience later turned Mittal Nursing Home into a polio surveillance reporting unit, and now runs a district-wide pediatric TB task force in Sonipat. Two connected but distinct records — TB elimination, and polio & vaccine-preventable disease surveillance — told here on one page, in full.

1986Where it began
40Years, uninterrupted
CountlessChildren treated free
2026Still on the ground
The Measurable Impact

Numbers That Matter

Forty years of camps, contact tracing, and training don't stay abstract — they show up in the district's own case data, inside a national trend moving in the same direction.

35.8% Fewer pediatric TB cases in Sonipat district, Q1 → Q2 2026 (53 → 34 cases; 19 fewer cases district-wide) — confirmed by the District TB Officer, coinciding with the Task Force's coordinated screening and follow-up. Source: Nikshay data, District TB Office, Sonipat
21% India's national decline in TB incidence — nearly twice the global average, built district by district from exactly this kind of sustained, community-embedded work. Source: WHO Global TB Report 2025
1,200+Ni-Kshay Mitra enrollments supporting nutrition & treatment adherence
2TB-Free Gram Panchayats declared under his model — Shekhpura & Purkhas
28+Years of continuous polio & VPD surveillance reporting, unbroken since 1997
ExtensiveFood basket distribution via the Ni-Kshay Mitra programme (Outstanding Ni-Kshay Mitra, ID 423699751)

One district's numbers can't move a national percentage on their own — that isn't the claim. The claim is smaller and more honest: this is what one committed district, with the right structure behind it, looks like when it's pulling in the same direction as the national effort. Dr. Mittal is one part of that larger movement, not separate from it. Appointed State PAED TB Nodal Officer, IAP Haryana, and State IAP Nodal Person for the WHP–SAATHII Global Fund GC-7 Integrated Pediatric TB Project (Punjab & Haryana); in May 2026, the Central TB Division reposted his pediatric TB awareness content — national-level amplification of a model built, tested, and proven at district level.

Part One

"Nobody sent me to those slums. I went because a child coughing through the night doesn't wait for a program to be launched. Everything since — the clinic, the task force, the villages we've cleared of this disease — grew out of that one decision to simply show up."

Dr. N.K. Mittal — Career & TB Elimination Timeline

From village school to national pediatric TB leadership
Early Life & Medical Training
1961
March 22 — Born into a farming family, Village Purkhas
Primary education up to 8th standard, village school · 9th–12th standard, Sonipat Hindu School
1980–85
MBBS, PGIMS Rohtak
1986
Begins voluntary service at Rajan Babu TB Hospital (RBTB), Delhi
1987–89
MD Pediatrics, PGIMS Rohtak
Early Career & Public Service
1989–90
Rural medical service, Rohtak district
1990–92
Civil Hospital, Sonipat (government service, including SNCU initiation work)
Founding Mittal Nursing Home
1992
Co-founds Mittal Nursing Home with Dr. Deepmala Mittal — establishing the region's first NICU and a dedicated immunization hub
1996
Grows into a family-run multispecialty hospital
1999
Establishes Haryana's first neonatal ventilation facility
National Immunization Milestones
Up to 2014–15
Sustained immunization outreach through weekly/tri-weekly free BCG and UIP vaccination camps, alongside NICU care and active contribution to national Polio and Maternal-Neonatal Tetanus elimination efforts
2014
India declared polio-free (March 2014)
2015
India eliminated maternal and neonatal tetanus
2015 onward
Sustained focus on pediatric TB treatment, alongside continued NICU care and community health outreach
Institutional & Leadership Roles
2016
President, IAP Haryana
2024
IAP National Executive Board Member; Honorary Professor, IMA
2025
Member, Grievance Redressal Cell, Central IAP
2026
Chief Returning Officer, IAP National Election Committee
2026
State PAED TB Nodal Officer, IAP Haryana
2026
Founder & Lead Organizer, Baal Kshay Rog Mukt Sonipat Task Force
TB Elimination Milestones
Q1–Q2 2026
District pediatric TB notifications decline 35.8% (53→34), DTO-confirmed via Nikshay data
April 2026
Invited to present the Sonipat Model at the State TB Cell consultation, Panchkula
May 23, 2026
Founds and leads the Baal Kshay Rog Mukt Sonipat Task Force, in coordination with the District TB Office
2026–2027
State IAP Nodal Person, WHP-SAATHII Global Fund Integrated Pediatric TB Project (Haryana & Punjab)
Milestone
Shekhpura and Purkhas declared TB-free Gram Panchayats
Ongoing
1,200+ Nikshay Mitra enrolled for nutritional & emotional TB patient support (Nikshay-verified)
The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
Part One

"Nobody sent me to those slums. I went because a child coughing through the night doesn't wait for a program to be launched. Everything since — the clinic, the task force, the villages we've cleared of this disease — grew out of that one decision to simply show up."

The Journey, In Order

Four Decades, One Continuous Thread

Every stage below fed the next. A residency became a habit; a habit became a clinic; a clinic became a district-wide mission. Nothing here happened in isolation.

1986Delhi
Where it began

Rajan Babu TB Hospital, Kingsway Camp

As a senior resident from PGIMS Rohtak, Dr. Mittal arrived at RBTB Hospital, Kingsway Camp — one of Asia's largest tuberculosis hospitals — and began voluntary screening work in the surrounding resettlement colonies of Jahangir Puri, Seelam Pur, and Nand Nagri. In his own words: this journey began in 1986, and the work never really stopped since. What he found in those colonies — children with a persistent cough going undiagnosed for months — became the question his entire career would try to answer. The same year, both the Municipal Corporation of Delhi and RBTB Hospital's Medical Superintendent formally certified his voluntary contribution to the rehabilitation, employment, and diversion therapy of poor tuberculous patients — the earliest paper trail of a career that would run for the next four decades.

"Those children in the resettlement colonies of Delhi were my first teachers. They taught me tuberculosis is a problem of neglect — and neglect can be cured with attention."
Municipal Corporation of Delhi appreciation certificate, 1986
MCD Delhi — appreciation certificate, 1986
RBTB Hospital Medical Superintendent letter, 1986
Dr. R.P. Bhagi, Medical Superintendent, RBTB Hospital — 1986
1989Rohtak & Samargopalpur
Foundation

MD Pediatrics, then a Year in Rural Practice

After completing MD Pediatrics at PGIMS Rohtak, Dr. Mittal chose a year of rural service in the remote village of Samargopalpur — first-hand exposure to what village-level medicine actually looks like, and the resolve that took root there: that care for the underserved could not be occasional, it had to be structural.

1990–92Sonipat
Building the base

Civil Hospital Sonipat, and the Founding of Mittal Nursing Home

Dr. Mittal joined Civil Hospital Sonipat under Dr. S.K. Puri, contributing to the district's first government-run SNCU. In 1992, he and his wife Dr. Deepmala Mittal founded Mittal Nursing Home — which grew into Haryana's first private NICU with neonatal ventilation and, later, the region's first Kangaroo Mother Care unit. This is the base from which every free TB camp since has been run.

1997–2007Sonipat
Three enemies, one clinic

Beyond TB: Becoming a Reporting Centre for Polio

In Dr. Mittal's own description of these years, his routine clinical work was fought alongside three enemies at once — tuberculosis, tetanus, and polio. Mittal Nursing Home became a committed reporting centre under the National Polio Surveillance Project (a Government of India & WHO collaboration), reporting AFP (Acute Flaccid Paralysis) cases since 1997, formalised by a designation letter from the District Immunization Officer, Sonepat, dated May 8, 1998, requiring a case report — even a "nil" report — every Monday. The WHO thanked the centre again in 2007 for a decade of unbroken reporting toward polio eradication — sustained, unglamorous work that never made the news. This surveillance thread runs on in full on its own page — see the complete Polio & VPD Journey below ↓

2009–2010Sonipat & Haryana
Recognised

District and State Felicitation

The District Administration, Sonipat honoured his work on Independence Day 2009. In 2010, the Chief Minister of Haryana felicitated him for contributions to disease control and epidemic management — two decades of quiet clinical work beginning to register at the state level.

2015–2018Sonipat & Haryana
A second thread begins

President, IAP Haryana

From 2015 onward, the clinical work never paused — pediatric TB treatment continued alongside NICU care and community health outreach, the same routine that had defined the practice since 1992. But these years also marked the start of a second, parallel thread: growing engagement with IAP, his parent organisation, in progressively larger capacities. That engagement reached a first peak in 2018, when Dr. Mittal was elected President of IAP Haryana — the state chapter's top office, and the base every later state and national IAP role would build on.

2023National platform
A bridge to policy

IAP National Certification in the TB Elimination Program

On April 7, 2023, Dr. Mittal was certified by the Indian Academy of Pediatrics as Delegate/Faculty in the National Tuberculosis Elimination Program (NTEP) — signed by IAP's national and Sonipat leadership. It was the formal, national-level credential that connected his four decades of ground-level TB work to India's official elimination program, and the bridge to the state nodal appointment and district task force that followed two years later.

2024Haryana
Recognised

WHO Appreciation, Brand Ambassadorship & National IAP Board

A year of formal recognition on three fronts, alongside a national institutional step. On July 9, 2024, the WHO's National Public Health Surveillance Network (Rohtak Unit) wrote directly to Dr. Mittal, commending his sustained work on polio eradication, measles-rubella elimination, VPD surveillance, and outbreak reporting as a benchmark for public–private health collaboration — the full letter is featured on the Polio & VPD Journey below ↓. On September 16, 2024, the Municipal Corporation of Sonipat appointed him Brand Ambassador for Swachh Sarvekshan 2024. The same year, he was elevated to IAP National Executive Board Member — moving from state to national leadership within his parent organisation — and, on Independence Day, a Cabinet Minister of Haryana felicitated him for his contributions to child health. Together, this cluster of recognition set the stage for the district-wide TB push that followed.

Municipal Corporation Sonipat Brand Ambassador appointment letter, September 2024
Municipal Corporation Sonipat — Brand Ambassador letter, 16 Sept 2024
2025District-wide
Scaling up

Baal Kshay Rog Mukt Sonipat — the Task Force Takes Shape

The Baal Kshay Rog Mukt Sonipat Pediatric TB Task Force was constituted, bringing together the District TB Officer Dr. Tarun Yadav, every child specialist in the district, and ASHA/ANM workers under one coordinated structure — with Dr. Mittal serving as clinical lead and State PAED TB Nodal Officer, IAP Haryana. The same year, Central IAP appointed him Member of its Grievance Redressal Cell — a national-level institutional role running alongside the district clinical work, not instead of it. For the first time, pediatric TB in Sonipat had administrative authority behind it, not just clinical will.

On June 10, 2025, that structure was tested at scale: a free TB detection and child health camp at Geeta Vidya Mandir, village Purkhas — Dr. Mittal's own birthplace — screened 495 individuals in a single day, one of the largest single-day drives in the district's history. Free TB screening, BCG vaccination, nutrition kits, X-ray, blood tests, and sputum testing were offered entirely free, in partnership with the District TB Office, Sonipat under NTEP. Welcomed en route at a related camp by Bharat Vikas Parishad, Ganaur, and covered by Action India, Haribhoomi, and Dainik Jagran — each reporting the 495-screening figure and the Mayor of Sonipat's felicitation at the event.

Sustained household screening, contact tracing, and free treatment in the months that followed led to Shekhpura and Purkhas being declared Sonipat's first two TB-Free Gram Panchayats — the district's first, built on a simple replicable model: identify, treat, educate, declare. That same year, TB-awareness sessions reached students at Rishikul School and others across the district, including a poster competition under the 100 Days TB-Free campaign and a public pledge-taking ceremony.

Lamp-lighting with the Mayor of Sonipat and DTO Dr. Tarun Yadav
Lamp-lighting with the Mayor of Sonipat & DTO Dr. Tarun Yadav
Distributing nutritional and medical kits to TB patients
Distributing nutrition & medical kits at the Purkhas camp
Nutrition kit sponsored by Dr. N.K. Mittal for children under TB treatment
The nutrition kit itself — sponsored by Dr. N.K. Mittal, Mittal Nursing Home
Welcomed at the TB Detection Camp by Bharat Vikas Parishad, Ganaur
Welcomed at the Ganaur TB Detection Camp by Bharat Vikas Parishad
Ni-Kshay Mitra certificate of appreciation, District Health and Family Welfare Society Sonipat, August 2025
Ni-Kshay Mitra certificate — District Health & Family Welfare Society, Sonipat, Aug 2025
Students taking the TB-free pledge at Rishikul School
Students taking the TB-free pledge, Rishikul Vidyapeeth
TB poster competition at Rishikul School
TB poster competition, 100 Days TB-Free campaign
2026Ongoing
The mission today

World TB Day, the 100 Days Programme, and Building Capacity That Outlasts Any One Camp

March 22 is both World TB Day and Dr. Mittal's birthday. For most people a birthday is a day of celebration; for Dr. Mittal it is a day of work. In 2026 he marked it with a major free TB detection and child health camp at Kundli, Sonipat — organised with Civil Surgeon Dr. Jyotsna, DTO Dr. Tarun Yadav, Dr. Baldev Raj, and Dr. Nishant Mittal, opened with ceremonial lamp-lighting and a ribbon-cutting before school principals, students, and the wider community. Nutrition kits, routine and HPV immunization, pediatric and general check-ups, on-site Hb and blood-sugar testing, chest X-ray, and sputum testing were all offered free. The camp was documented on video and in a personal interview on why he chooses to spend his birthday this way — the same answer, every year: more work. That parallel institutional thread also reached its own peak this year: IAP appointed him Chief Returning Officer of its National Election Committee — the culmination of a decade of IAP leadership that began with the Haryana presidency in 2018.

Under the national 100 Days TB-Free Programme, Dr. Mittal led the pediatric component across Sonipat district — running multiple detection camps so that children, the demographic TB programmes miss most often, were actively screened rather than left behind. Alongside those camps, he personally trained ANMs and nursing staff in gastric aspirate technique — the gold-standard method for collecting TB samples from children too young to produce sputum — permanently strengthening the district's diagnostic capacity.

Then, on April 8, 2026, came the moment the Sonipat model stopped being a district story and became a state template. World Health Partners (WHP), in collaboration with the State TB Cell Haryana and SAATHII, convened a State Level Pediatric TB Consultation Meeting at Panchkula — bringing together the State TB Officer Haryana, the Director of Health Services / MD-NHM as chief guest, a WHO Haryana TB consultant, and the state's RKSK, RBSK, and WCD nodal officers under one roof to align pediatric TB with India's broader child health programs. Of everyone in that room, Dr. Mittal was the one given the district case-study slot: "Sonipat Pediatric TB Action Model: From Detection to Elimination," presented in his capacity as State IAP Nodal Officer, Haryana — immediately followed by group work on district-level collaboration, so the model could be discussed as something other districts might replicate, not just admired.

On February 26, 2026, the State TB Cell, Haryana had already invited him as the featured speaker for an ECHO session hosted on the Cell's official state portal — addressing "End TB: Where We Stand, Why We Struggle & Why We Must Change" and "BCG in India" before an audience moderated by IMA Haryana President Dr. Sunila Soni, Dr. AVS Ravi, and Dr. Gaurav Aggarwal. Then, on May 10, 2026, IAP Haryana and AHA Haryana invited him as keynote speaker at their Annual State CME in Kurukshetra, delivering "Update on Ped TB: From Detection to Prevention" — three state-level platforms in under three months, each one carrying the same message further.

State Consultative Meeting
Panchkula, 8 April 2026 — presented "Sonipat Pediatric TB Action Model: From Detection to Elimination" as State IAP Nodal Officer
Official State TB Cell Portal
ECHO Session, 26 February 2026 — featured speaker, invited directly by the State TB Cell, Haryana

Nikshay data from the district tracked a marked reduction in pediatric TB cases between Q1 and Q2 of 2026 — 19 fewer cases district-wide — coinciding with the Task Force's coordinated screening and follow-up. Dainik Bhaskar covered the decline, noting the campaign continues with a further review scheduled three months on — this is a standing effort, not a one-time result. It is one local thread inside a larger national picture: the WHO Global TB Report 2025 recorded a 21% national decline in TB incidence — nearly twice the global average — built, district by district, from exactly this kind of sustained, community-embedded work.

Ceremonial lamp-lighting to inaugurate the World TB Day camp, Kundli
Lamp-lighting inaugurates the World TB Day camp, Kundli
Ribbon cutting at World TB Day camp, Kundli
Ribbon-cutting at the camp entrance
Families and children gathered for free TB screening
Families gathered for free screening & check-ups
Gastric aspirate training — step-by-step guidance
Step-by-step gastric aspirate training for ANMs & nurses
Gastric aspirate training demonstration
Hands-on demonstration on a young patient
100 Days TB-Free Programme consultation banner
100 Days TB-Free Programme — free consultations, Model Town
Dr. Mittal presenting the Sonipat Pediatric TB Action Model at the State-Level Pediatric TB Consultation, Panchkula
Presenting the Sonipat model, State-Level Pediatric TB Consultation, Panchkula — 8 April 2026
The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
Not Just Treating — Teaching

Countless CMEs, One Trained Doctor at a Time

Treating a child cures one case. Training a doctor multiplies into hundreds. For 40 years Dr. Mittal has carried what he learned in the slums of Delhi into lecture halls and training rooms across India — as faculty for WHO, UNICEF, IAP, and NNF.

ManyCMEs as faculty — WHO · UNICEF · IAP · NNF
ManyPeer-reviewed research papers published
40Years of continuous academic engagement
CountlessChildren treated, day and night, across the full career
Organiser Focus Level
WHO India TB elimination in children — diagnosis, treatment, community outreach WHO
UNICEF India Child immunization, nutrition, neonatal care UN
IAP National Pediatric TB, neonatal medicine, child health policy National
NNF / NEOCON 2017 & 2022 Neonatal intensive care, KMC, ventilation — faculty & award recipient National
NEOCON Haryana 2025 Organising Chairperson — 200+ delegates, BCG & TB prevention panel State Chair
State TB Cell Haryana Featured speaker — ECHO session, official state portal: "End TB" & "BCG in India" (26 Feb 2026) Govt
IAP Haryana & AHA Haryana Keynote speaker — "Update on Ped TB: From Detection to Prevention," Annual State CME, Kurukshetra (10 May 2026) State Keynote
ANMs & Nurses, Sonipat Gastric aspirate technique — hands-on frontline training District

His teaching has covered pediatric TB diagnosis, neonatal resuscitation, gastric aspirate technique, Kangaroo Mother Care, childhood immunization, pediatric nutrition, and national programme implementation — carried out alongside, never instead of, the camps and clinics.

The Method Behind the Mission

The Sonipat Model — How We Find Every Child

Childhood TB is notoriously difficult to diagnose. Children often cannot produce sputum. Symptoms are mistaken for malnutrition or common respiratory infections. The Sonipat Model was built from the ground up to overcome every single one of these barriers.

🔍

Household Contact Tracing

When an adult is diagnosed with TB, we screen every child in the household — regardless of symptoms.

🫁

Gastric Aspirate Sampling

Training health workers in the gold-standard technique for paediatric TB diagnosis — gastric aspirate collection.

💊

Free Treatment & Nutrition

Every child receives full treatment and nutrition support — free of cost — through the Ni-Kshay Mitra programme.

🏫

School-Based Education

Children learn to recognise TB symptoms and break the stigma — becoming TB ambassadors in their communities.

👩‍⚕️

ANM & Nursing Training

Building capacity at the grassroots level so that every primary health centre can screen for paediatric TB.

🌾

Village-Level Certification

Systematic screening, treatment, and education at Gram Panchayat level — declaring villages TB-free.

District-Level Leadership

Baal Kshay Rog Mukt Sonipat — the Structure Behind the Camps

A task force anchored by the District TB Officer and State IAP leadership gives this mission administrative authority — the kind no clinic can build alone.

TB Programme
Dr. Tarun Yadav, District TB Officer
IAP Leadership
Dr. N.K. Mittal, State IAP TB Nodal Officer
Pediatric Specialists
All Child Specialists of Sonipat District
Community Health
ASHA Workers, ANMs & Nursing Staff
Child Health Programme
RBSK (Rashtriya Bal Swasthya Karyakram) Nodal Team

Every pediatric TB patient identified in Sonipat is now personally followed up for nutrition, medicine supply, and treatment adherence. Zero drop-out. Zero patient left behind. Haryana's state NTEP tracking lists Dr. Mittal among the district's Outstanding Ni-Kshay Mitras (ID 423699751), with free OPD consultations and free aspiration services for TB patients cited as the reason for the distinction.

Shekhpura — TB-Free
Purkhas — TB-Free (Dr. Mittal's Native Village)

Declared through years of household screening, contact tracing, free treatment, and stigma-breaking education — identify, treat, educate, declare. Purkhas is Dr. Mittal's own birthplace; this village-level model is exactly what India's TB Mukt Bharat programme now envisions at national scale.

Not a Finished Story

The Journey Doesn't End Here — It Continues Every Week

There is no closing chapter here because the work hasn't stopped. Every school term brings a new awareness session. Every quarter brings fresh Nikshay data to act on. Every March 22nd brings another camp, whichever village needs it most. The task force keeps meeting. The nurses keep training. The next TB-Free Gram Panchayat is already being worked toward.

What started as one resident walking into a Delhi slum in 1986 is now a standing, government-linked structure in Sonipat — built to keep running long after any single person's involvement in it, day and night, seven days a week.

40Continuous years of free TB & immunization work
CountlessPediatric TB patients treated free, ages 0–14
CountlessBCG vaccinations administered free
2TB-Free Gram Panchayats — Shekhpura & Purkhas
1,200+Ni-Kshay Mitra adoptions for nutrition & adherence support
495Individuals screened in a single day, Purkhas, June 2025
The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
Documented & Featured

Certificates, Recognitions & Press

From the Ni-Kshay Mitra recognition under the Pradhan Mantri TB Mukt Bharat Abhiyaan to academic certifications in pediatric TB — and features in IAP's Pedinews. Each document below is explained in brief.

Municipal Corporation of Delhi appreciation letter, 1986
Municipal Corporation of Delhi · 1986

MCD Delhi — Letter of Appreciation

The Social Service Department, R.B.T.B. Hospital certifies excellent voluntary work for the rehabilitation, employment, and diversion therapy of poor tuberculous patients in Delhi's resettlement colonies — Jhangir Puri, Seelam Pur, and Nand Nagri — the earliest written record of this work, from the very first year.

Rajan Babu TB Hospital appreciation letter, 1986
R.B.T.B. Hospital, Delhi · 1986

Rajan Babu TB Hospital — Certificate from the Medical Superintendent

Signed by the Medical Superintendent, R.B.T.B. Hospital, this letter certifies commendable social work with the hospital's Social Welfare Department — visiting resettlement colonies in spare time for the rehabilitation of poor tuberculous patients, as a young resident with no obligation to do so.

District Administration Sonipat Certificate of Appreciation, August 15, 2024
District Administration, Sonipat · 2024

Certificate of Appreciation, Independence Day 2024

Presented by the District Administration, Sonipat on August 15, 2024, in recognition of exemplary service in the field of health, signed by the Deputy Commissioner, Sonipat — formal district-level acknowledgement of sustained public-interest health work.

Ni-Kshay Mitra certificate
Ministry of Health & Family Welfare, GoI

Ni-Kshay Mitra Registration Certificate

Issued by the Ministry of Health & Family Welfare under the Pradhan Mantri TB Mukt Bharat Abhiyaan, acknowledging registration as a Ni-Kshay Mitra to provide nutritional and treatment-adherence support to persons undergoing TB treatment.

IAP NTEP certificate
Indian Academy of Pediatrics · NTEP

National Tuberculosis Elimination Programme — Certificate of Participation

Issued by IAP for participation as Delegate/Faculty in the National Tuberculosis Elimination Programme (NTEP) session, signed by the IAP National President, Hon. Secretary General, and Haryana State leadership.

Pediatric TB & Respiratory Update 2002
L.R.S. Institute of TB & Allied Diseases · 2002

Paediatric Tuberculosis and Respiratory Update — 2002

Certificate of Participation in the scientific session held under the auspices of IAP Delhi, organised by the Department of Paediatrics, L.R.S. Institute of TB & Allied Diseases, New Delhi — early evidence of sustained academic engagement with pediatric TB, two decades before the Sonipat Task Force.

Nutrition kit distributed to pediatric TB patients, sponsored by Dr. N.K. Mittal
Mittal Nursing Home · Patient Support

Nutrition Kits for Children Under Treatment

Nutrition kits distributed free to children undergoing TB treatment, sponsored personally by Dr. N.K. Mittal and branded with the national campaign line "TB Haarega, Desh Jeetega" — the same nutritional support extended through the Ni-Kshay Mitra programme, made tangible at camp level.

Pedinews September 2025 feature
Pedinews · IAP Haryana · September 2025

Pedinews Feature on the Sonipat Pediatric TB Model

A two-page feature in IAP Haryana's official newsletter profiling the Baal Kshay Rog Mukt Sonipat Task Force and its district-wide screening model, carrying the work from clinic-level practice into state-level professional record.

Tap any document to view it full-size.

Formal Recognition

Acknowledged at Every Level, 1986–2026

Four decades of the same work, recognised in stages — from a Delhi hospital's appreciation certificate to a state-level nodal appointment.

  • Municipal Corporation of Delhi — appreciation certificate for voluntary TB rehabilitation work (1986)
  • RBTB Hospital, Medical Superintendent Dr. R.P. Bhagi — commendation letter for social work (1986)
  • National Polio Surveillance Project (NPSP) — AFP reporting centre certificate, since 1997 (full record on the Polio & VPD Journey page)
  • IAP Delhi / LRS Institute of TB & Allied Diseases — Pediatric TB & Respiratory Update, delegate/speaker (2002)
  • World Health Organization — National Polio Surveillance Project appreciation for AFP reporting since 1997 (2007)
  • Chief Minister, Haryana — felicitation for disease control & epidemic management (2010)
  • District Health Department, Sonipat — certificates for preventing measles & chicken pox epidemics (2015)
  • President, IAP Haryana (2018)
  • Indian Academy of Pediatrics (National) — NTEP Certificate of Participation, Delegate/Faculty (7 April 2023)
  • World Health Organization, NPSN Rohtak Unit — appreciation letter for public health contributions (9 July 2024)
  • Municipal Corporation, Sonipat — Brand Ambassador, Swachh Sarvekshan 2024 (16 September 2024)
  • IAP National Executive Board Member (2024)
  • Cabinet Minister, Haryana — Independence Day felicitation for child health (2024)
  • District Administration, Sonipat — Certificate of Appreciation, Independence Day (2009 & 15 August 2024)
  • Honorary Professor, IMA — conferred at NATCON 2024, Hyderabad (26 December 2024)
  • Ministry of Health & Family Welfare, Government of India — Ni-Kshay Mitra recognition under PM TB Mukt Bharat Abhiyaan
  • District Health & Family Welfare Society & NTEP, Sonipat — Ni-Kshay Mitra Certificate of Appreciation (2025)
  • Haryana State NTEP — listed among Sonipat's Outstanding Ni-Kshay Mitras: 1,200 patients adopted, 3,600 food baskets distributed (ID 423699751)
  • Member, Grievance Redressal Cell, Central IAP (2025)
  • IAP Sonipat — Baal Kshay Rog Mukt Sonipat Task Force constituted under his leadership (2025)
  • Chief Returning Officer, IAP National Election Committee (2026)
  • NTEP / World Health Partners — State IAP Nodal Officer, Pediatric TB Project, Haryana (2026)
The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal

Pediatric TB — Review, Advocacy & Prevention

Writing the Case for a TB-Free Childhood

Beyond clinical case reports, Dr. Mittal has authored a body of review and advocacy writing arguing that childhood tuberculosis — paucibacillary, underdiagnosed, and underreported — is the decisive front in India's TB elimination effort. These articles, published in the official journals of IAP Haryana and IMA Haryana, move the conversation from detection to prevention.


Haryana Pedinews · IAP Haryana

TB Mukt Bharat: A Call to Pediatricians of Haryana

Dr. N.K. Mittal, Dr. Nishant Mittal

Haryana Pedinews — Official Publication of IAP Haryana State

A field-driven call to action positioning the child as the sentinel case whose illness points to an infectious adult in the household — turning every diagnosis into a chance to break the transmission chain. Lays out actionable steps for pediatricians: never miss a suspect, notify every case on NIKSHAY, and “adopt a family, adopt a village.”

Tap any page to view the full publication.

Haryana Pedinews · IAP Haryana

Pediatric Tuberculosis: Moving from Detection to Prevention

Dr. N.K. Mittal

Haryana Pedinews — Official Publication of IAP Haryana State

Argues for a paradigm shift from “TB control” to “TB elimination” — replacing passive, hospital-based detection with active case finding, early intervention, and community prevention. Frames children as the “silent seed” of future TB and the key to interrupting the cycle: “We have mastered treatment — now we must master prevention.”

Tap any page to view the full publication.

Feature · World TB Day

Pediatric Tuberculosis: A Hidden Epidemic Requiring Immediate Attention

Dr. N.K. Mittal

Pediatric TB advocacy article

Draws on first-hand experience in the polio eradication campaign to ask why TB elimination lacks the same nationwide enthusiasm. Reviews the global and national TB landscape, the challenges to the 2025 goal, and concrete recommendations — closing with a World TB Day pledge to eradicate TB.

Tap to view the full article.

Review · Position Paper

Childhood Tuberculosis: The Forgotten Pillar of TB Elimination in India

Hon. Prof. Dr. N.K. Mittal

Review article — MD (Pediatrics), FIAP, FNNF, FICMCH, PGPN (Boston)

A structured review making the programmatic case for pediatric-sensitive diagnostic thresholds, age-inclusive prevention, nutritional integration, and improved BCG coverage. Argues that low pediatric notification reflects the limits of detection — not true prevalence — and calls for recalibration within the NTEP.

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Review · Preventive Therapy

Pediatric Tuberculosis Preventive Therapy: An Essential Strategy for TB Elimination in India

Dr. N.K. Mittal, Dr. Nishant Mittal

Editorial review: Dr. Tarun Yadav, District TB Officer, Sonipat

A practical clinical review of TB preventive therapy under the NTEP — indications, recommended regimens (6H, 3HR, 3HP, 4R) with pediatric dosing, adverse effects, monitoring, and field implementation. Makes the case for extending TPT beyond the under-five paradigm to all eligible household contacts.

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HMJ · IMA Haryana

Management of BCG Lymphadenitis in Children

Dr. N.K. Mittal, Dr. Nishant Mittal

HMJ — Official Publication of IMA Haryana State

A clinical management review covering classification of BCG lymphadenitis, the role of needle aspiration in suppurative cases, the limits of CBNAAT in distinguishing vaccine strain from pathogenic MTB, and special considerations in immunodeficient children.

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Peer-Reviewed Case Reports · Indexed Medical Journals

Published Case Reports From Clinical Practice

Beyond advocacy writing, four peer-reviewed case reports — co-authored with Dr. Nishant Mittal and colleagues — document unusual and instructive presentations encountered in clinical practice at Mittal Nursing Home. Two are directly on tubercular disease in children; two are neonatal and pediatric-surgical reports from the same NICU.


Indian J Child Health · 2020

Granulomatous Peritonitis: An Under-Suspected Entity in Children

Vishrut Narang, N.K. Mittal, Anita Kumari, Rishi Garg

Case Report — Indian Journal of Child Health

A 7-year-old child with post-operative abdominal distension whose laparotomy findings — dense fibrous adhesions and small nodules studded across the intestine — closely mimicked abdominal tuberculosis. Biopsy instead revealed foreign-body granulomas from cellulose fibres, not TB. A clinically important reminder that not every "TB-like" abdomen in an endemic country is TB — a differential every pediatrician treating suspected abdominal TB must rule out.

Citation: Narang V, Mittal NK, Kumari A, Garg R. “Granulomatous peritonitis: An under suspected entity in children.” Indian Journal of Child Health, 2020.

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Indian J Basic & Applied Medical Research · 2025

Tubercular Abdomen and Its Varied Presentations

N.K. Mittal, Nishant Mittal, Vishrut Narang

Case Report — Indian Journal of Basic and Applied Medical Research

A 6-year-old girl presenting exactly like acute appendicitis was instead found at surgery to have multiple tubercles across the peritoneum and small intestine, with a stricture near the ileocecal junction — biopsy-confirmed abdominal TB. The child went on to develop adhesive bowel obstruction and, months later, a brain tuberculoma. The case underscores why TB must stay on the differential for acute abdomen in children in TB-endemic regions such as India — precisely the diagnostic vigilance this practice's TB elimination work is built on.

Citation: Mittal NK, Mittal N, Narang V. “Tubercular abdomen and its varied presentations.” Indian Journal of Basic and Applied Medical Research, June 2025; 14(3):5–6.

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Int J Contemp Pediatr · 2019

Congenital Lobar Emphysema: A Rare Cause of Respiratory Distress in a Neonate

Nishant Mittal, Ankit Parakh, Prashant Jain, N.K. Mittal

Case Report — International Journal of Contemporary Pediatrics

A 3-day-old neonate with ventilation-refractory respiratory distress was diagnosed with congenital lobar emphysema after imaging showed hyperinflation with mediastinal shift. Early surgical lobectomy resolved the distress and the baby recovered fully — a case demonstrating the high index of suspicion and rapid escalation to surgery that neonatal intensive care at Mittal Nursing Home, Haryana's first private NICU, was built to provide.

Citation: Mittal N, Parakh A, Jain P, Mittal NK. “Congenital lobar emphysema: a rare cause of respiratory distress in a neonate.” International Journal of Contemporary Pediatrics, Jan 2019;6(1):218–220.

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Int J Contemp Pediatr · 2019

Meconium Pseudocyst Revisited

Bhavana Malhotra, Nishant Mittal, Abhishek Jha, N.K. Mittal

Case Report — International Journal of Contemporary Pediatrics

A preterm, low-birth-weight neonate presenting critically ill with a calcified abdominal lump was diagnosed with meconium pseudocyst — a rare, potentially lethal complication of in-utero intestinal perforation. Managed conservatively rather than surgically, feeds were successfully established and the child was discharged well — careful case selection in one of neonatology's less common emergencies.

Citation: Malhotra B, Mittal N, Jha A, Mittal NK. “Meconium pseudocyst revisited.” International Journal of Contemporary Pediatrics, Jul 2019;6(4):1753–1756.

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Part Two · A Separate Thread

Before TB Took Center Stage, There Was Two Decades of Reporting Polio, Silently

Long before the Baal Kshay Rog Mukt Sonipat Task Force existed, Mittal Nursing Home was already a designated AFP reporting unit under the National Polio Surveillance Project — one of the quiet surveillance links that helped India eradicate polio and now underpins its measles-rubella and broader immunization programmes.

1997AFP reporting begins
28+Years as a surveillance unit
5Diseases under active surveillance
2024Latest WHO appreciation

"Polio taught me what surveillance actually means — not treating the child in front of you, but reporting every single case so the next hundred children never get sick at all."

Before Polio Was Eliminated

Treating Polio, Not Only Reporting It

Surveillance was only one half of the work. In the years before India was certified polio-free, Dr. Mittal was treating the children in front of him — the same clinical hours that generated the AFP reports documented on this page.

Poliomyelitis
Clinical Management of AFP & Paralytic Polio Cases

Through the years of active wild poliovirus transmission, children presenting with sudden-onset limb weakness were examined, stabilised, and referred for confirmation and rehabilitation as part of routine pediatric practice at Mittal Nursing Home — the clinical counterpart to the formal AFP surveillance reporting documented above.

India certified polio-free by WHO — 2014

Polio-free certification in 2014 is a national achievement built from exactly this kind of sustained, unglamorous clinical and surveillance work repeated at thousands of centres like this one, over decades. Keeping polio from ever coming back — through continued AFP vigilance — remains part of the same standing effort.

The Record, In Order

From a Reporting Unit to a WHO Letter of Appreciation

Polio surveillance runs on a different logic than clinical treatment: a reporting centre's value lies in never missing a single case, year after year, whether or not one ever turns up. This is the paper trail of that discipline.

1997Sonipat
Where it began

Mittal Nursing Home Becomes an AFP Reporting Centre

Under the National Polio Surveillance Project — a joint Government of India and World Health Organization collaboration — Mittal Nursing Home was enrolled as a reporting centre for Acute Flaccid Paralysis (AFP), the clinical marker used to track wild poliovirus. From this year on, every case of sudden-onset limb weakness in a child had to be actively looked for and reported, whether or not it turned out to be polio.

1998Sonipat
Formalised

District Immunization Officer Designates the Nursing Home a Reporting Unit

A formal letter from the District Immunization Officer, Sonipat (dated May 8, 1998) confirmed Mittal Nursing Home as a designated AFP reporting unit and set out the reporting discipline: a case report — even a "nil" report — was to be submitted every Monday to the Civil Surgeon's office, which in turn reported weekly to the Director of Health Services, Chandigarh. It is the paperwork behind a surveillance system that left no week unaccounted for.

2007Confirmed
Certified

WHO Certificate of Appreciation — a Decade of Uninterrupted Reporting

The National Polio Surveillance Project issued a formal Certificate of Appreciation confirming that Mittal Nursing Home had been reporting AFP cases since 1997 — ten straight years without a lapse, at a time when India's Pulse Polio campaign depended on exactly this kind of unglamorous, consistent reporting from thousands of small centres like this one to certify the country polio-free.

2015Sonipat
Recognised

Swasthya Vibhag Sonipat — Two Certificates for Epidemic Response

The District Health Department, Sonipat issued two separate Certificates of Appreciation in 2015 — one (October 9) for health services rendered in the public interest in facilitating the prevention of a measles epidemic, and a second (December 18) for a chickenpox epidemic — recognition that surveillance work extends beyond polio into every vaccine-preventable outbreak a district health system has to contain.

2024Rohtak, WHO NPSN
Latest recognition

World Health Organization — Formal Letter of Appreciation

On July 9, 2024, Dr. Aviral Sharma, Surveillance Medical Officer of WHO's National Public Health Surveillance Network (NPSN), Rohtak Unit, wrote directly to Dr. N.K. Mittal thanking him for sustained contributions to polio eradication, measles-rubella (MR) elimination, and the strengthening of surveillance for AFP, measles, rubella, diphtheria, and pertussis — along with support during outbreak response and advocacy during MR vaccination campaigns. Twenty-seven years after the first AFP report, WHO's own surveillance office was writing back.

The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
Featured Document

The WHO Letter, in Full Context

WHO letter of appreciation, July 9, 2024, from Dr. Aviral Sharma, Surveillance Medical Officer, WHO NPSN Rohtak

DO/WHO (Unit Rohtak)/001, Dated July 9, 2024

Addressed directly to Dr. N.K. Mittal at Mittal Nursing Home, this letter is the most senior institutional acknowledgement in the polio/VPD record — written not by a district office but by WHO's own surveillance unit for the region.

"Your unwavering dedication to Polio eradication, MR elimination, VPD surveillance strengthening, and diligent reporting of AFP, Measles, Rubella, Diphtheria, and Pertussis cases has been exemplary."

It credits specific, ongoing contributions: outbreak mitigation support, advocacy during the MR vaccination campaign, and strengthening of routine immunization efforts — describing the relationship as "one of the benchmarks in the collaborative partnership between public and private health systems."

The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
The Full Record

Certificates & Correspondence, Explained

Six documents, spanning 1997 to 2024 — each one a small piece of evidence that surveillance, not just treatment, has been part of this practice from the start.

National Polio Surveillance Project Certificate of Appreciation
NPSP · WHO & GoI Collaboration

Certificate of Appreciation — AFP Reporting Since 1997

Confirms Mittal Nursing Home's participation in the Global Polio Eradication Initiative by reporting AFP cases since 1997, signed by the Surveillance Medical Officer and Dr. Hamid Jafari, Project Manager, NPSP.

We Report AFP certificate, National Polio Surveillance Project
NPSP · Reporting Unit

"We Report AFP" — Reporting Unit Certificate

Names Mittal Nursing Home, Sonepat as a reporting unit under the National Polio Surveillance Project, acknowledging regular participation in AFP surveillance under the campaign tagline "Committed to a polio free India!"

1998 handwritten letter from the District Immunization Officer, Sonipat
District Immunization Officer · 1998

Original Designation Letter (May 8, 1998)

The handwritten Hindi-language letter (No. UIP-98/216) that formally designated the nursing home as an AFP reporting unit and set the weekly Monday reporting requirement to the Civil Surgeon's office, Sonipat.

Swasthya Vibhag Sonipat certificate for measles epidemic prevention, 2015
Swasthya Vibhag, Sonipat · Oct 2015

Certificate — Measles Epidemic Prevention

Issued by the District Health Department, Sonipat (dated October 9, 2015) in recognition of health services rendered in the public interest toward facilitating the prevention of a measles epidemic.

Swasthya Vibhag Sonipat certificate for chickenpox epidemic prevention, 2015
Swasthya Vibhag, Sonipat · Dec 2015

Certificate — Chickenpox Epidemic Prevention

A second certificate from the District Health Department, Sonipat (dated December 18, 2015), recognising public-interest health service in facilitating the prevention of a chickenpox epidemic.

WHO letter of appreciation, 2024
WHO NPSN Rohtak · July 2024

WHO Letter of Appreciation

Formal letter from Dr. Aviral Sharma, Surveillance Medical Officer, thanking Dr. Mittal for sustained polio, MR-elimination, and VPD surveillance contributions — featured in full above.

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The Public Health Journey — TB Elimination & Polio/VPD Surveillance — Dr. N.K. Mittal
Part Three · A Third, Separate Thread

Tetanus: Eliminated Once, and Keeping It From Ever Coming Back

Alongside TB and polio, a third disease ran through four decades of the same practice — maternal and neonatal tetanus, eliminated as a public health problem in India in 2015, and still guarded against every single day through immunization advocacy and case vigilance.

2015India validated MNTE-free by WHO
TTImmunization advocacy, ongoing
NICUNeonatal tetanus case management
NowVigilance continues, elimination is not permanent

"Elimination is not a finish line — it's a promise you keep renewing. Tetanus doesn't go away because we stopped seeing it; it stays away because someone keeps checking."

Before — and After — Elimination

Treating Neonatal Tetanus, and Reporting to Keep It Gone

Maternal and Neonatal Tetanus Elimination (MNTE) is validated at a national level, but it is sustained one delivery, one immunization record, and one NICU admission at a time — the same reporting discipline that underpins the polio thread, applied to a second disease.

Neonatal & Maternal Tetanus
Case Management & TT Immunization Advocacy

Neonatal tetanus case management in the NICU, alongside sustained advocacy for tetanus toxoid immunization in antenatal care, contributed to the broader public-health effort behind India's elimination of maternal and neonatal tetanus as a public health problem.

India validated MNTE-free by WHO — 2015
Ongoing Reporting
Vaccine-Preventable Disease Surveillance, Continued

The same District Immunization Officer network that carries AFP reports for polio also carries tetanus case reporting — every suspected case investigated, every antenatal TT coverage gap flagged, so elimination status is never taken for granted.

Reporting continues today, alongside the TB & Polio threads

Maternal & Neonatal Tetanus Elimination validation in 2015 is a national achievement built from exactly this kind of sustained, unglamorous clinical and surveillance work — repeated at thousands of centres like this one, over decades, and never assumed to be permanent.

"Every child I have treated for tuberculosis was a child whose future was nearly stolen — and every polio case never reported would have meant a system that failed. Two threads, one same reward: giving a future back."

— Dr. N.K. Mittal
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