Ahmedabad: The milk capital Anand may figure in chief minister Narendra Modi’s speeches in Delhi for the success of Amul, but the district could be a case study for its poor human development index. The district, which saw 21 cases of swine flu and three deaths till April 8, has no ventilator for babies, no portable X-ray machine to diagnose pneumonia, which is the most common complication of swine flu, no portable sonography machine and no pulse oxy-meter. What’s worse is that the public hospital there does not have a physician or a pediatrician, specialists crucial to diagnoseing and treating swine flu. Four years after the H1N1 virus first surfaced in the state in 2009, Gujarat government still has chinks in its armour in the fight against the epidemic which is in its worst avatar in 2013. After swine flu claimed over 180 lives this season, the preparedness report submitted by the health department to the Gujarat high court (HC) on Wednesday outlining the availability of isolation wards and life-saving equipment in government and private hospitals as well as human resources in the hospitals indicates that all is not well on paper too. Many districts have no ventilators for babies to enable critical care treatment, despite children under two years of age being categorized as high risk by World Health Organization guidelines and no X-ray machines to diagnose the pneumonia in lungs. Many districts do not have the critical link to treating patients — physicians and pediatricians in government hospitals who will diagnose and treat swine flu in the first place. HC had expressed dissatisfaction on the overall situation of health facilities and infrastructure in the backdrop of the rise in flu cases. “On paper it seems everything is perfect, but it clearly shows there is a lack of proper health facilities and infrastructure in rural areas and more particularly in tribal areas,” the court had observed. Saurashtra hard pressed: Data submitted to the HC shows that Junagadh district in Saurashtra — which is the epicentre of the epidemic and has recorded 43 swine flu cases and nine deaths — does not have any physician in the government hospital. Surendranagar district does not have a pediatrician and an anesthetist who puts the patients on the ventilator.