Adilabad district is a famous natural, Forestry, Tribal district. It is one of the backward district more percentage of land occupied by forest area. Plenty of lakes have this district it is useful for daily activities. Forest region people use of this water cause to generate water born disease like: kalara, diarrhea, skin desease. In research period discuss with RIMS Doctors in rainy season Malaria, dengu fever spread fastly. Forest lakes sarroundings cause to musquito development, it is cause Malayria, Dengu fevers, it is avoid the awareness of people. Forest area lake sarrounding living people use this water drinking purpose it is cause to kalara, diarrhea, ittching disease. Forest living people using lake water, cleanness of lake sarroundings and take precautions are aviod this problem. Establishment of PHC in forest village (tribals) areas very simple avoid this problem.