Health Problems in Kerala

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Abou tcommon health problems in Kerala

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Presentation Transcript

Our Health Problems: 

Our Health Problems Dr.Kanam Sankra Pillai MS.DGO Deputy DHS,Kerala(Rtd) KVMS Hospital,Ponkunnam

Our major problems: 

Our major problems Communicable diseases Life style diseases Untimely deaths (Accidents ,suicides,Homicides)

Communicable disease : 

Communicable disease Small Pox (Eradicated) Chicken Pox Rubella Mumps Poliomyelitis Viral hepatitis Malaria

Communicable(Contd): 

Communicable(Contd) Dengue Rabies Diphtheria Whooping Cough Meningitis TB Food Poisoning

Communicable(Contd): 

Communicable(Contd) Filariasis (yearly Mass MDA) Amoebiaisi Worms Leptospirosis Taenia Hydatid

Communicable (Contd): 

Communicable (Contd) Trachoma Tetanus Leprosy STD AIDS

Life Style Diseases: 

Life Style Diseases Diseases due to Modernisation Urbanisation Prosperity

Metabolic Diseases: 

Metabolic Diseases Insulin Resistance OBESITY Changes in Cholesterol levels Abdominal(Trunkal) Obesity Hypertension Heart Diseases

Causes: 

Causes Hereditary –(thrifty genotype theory) Dietary – (change to vegetables & fruits) Drinks-soft drinks Habits Sleep Exercise -walk for 30 mts Meditation Prayer Yoga –20 mts

Only care,No Cure: 

Only care,No Cure

Diabetes: 

Diabetes World 20 crores Inida 3.5 crores By 2030 world 80 crores India 8 crores

Obesogenic enviornment: 

Obesogenic enviornment

Body weight: 

Body weight Height in Cms –100 X 0.9 Eg: heght 170 cms Ideal weight is 170-100 equals 70 70X .9 equals 63 kgms

Umbilical measurement: 

Umbilical measurement Men > 90 cms (Apple) Women > 84cms (Pear) (Look at buttocks, thigh & umbilicus for excess fat) (Excess Leptin,Adiponectin, Resitin hormones)

Male 0.90 / female 0.85: 

Male 0.90 / female 0.85 Umbilical measurement ----------------- Hip measurement Male 0.90 Female 0.85

Modern gadgets: 

Modern gadgets Mobile phone Remote control Play station Computer Micro oven

Tv viewing: 

Tv viewing Upto 16 hrs /week 2hrs/day increases chance of getting Diabetes by 14 % Obesity by 32%

TV & TV Viewers: 

TV & TV Viewers TV size decreases day by day Viewers Size Increase day by day

BMI Basal (Metabolic Index): 

BMI Basal (Metabolic Index) Weight in Kgm/ht in mts X mts 30/ 1.2x 1.2= 20.8 If more than 22 obese

To prevent obesity: 

To prevent obesity Breast feeding Avoid Bakery items Avoid Fast Food Semisolid from 5th month Rice /kanji after 5th month Eat with family

AVOID: 

AVOID Bakery Pissa Colas Sweets Fatty foods

PLAY in Sunlight: 

PLAY in Sunlight Prevents osteoporosis in old age Dance Skipping Cyclig tabletennis shuttle badminton walking running

Parameters: 

Parameters Hb 14 gms % Male Female usually 10 Menstural loss MOTION- no ova

Parameters : 

Parameters FBS 70-110 HBA1C less than 5.6 Lipid Profile Serum Cholesterol less than 200 Triglyceride less than 150 LDL(Bad) less than 100 HDL(good) more than 55 VLDL

Food: 

Food Avoid frying and roasting Steamed food best Minimum sault Avoid pickles Avoid dry fish/pappadom

Vegetables: 

Vegetables Fresh No chemical mannure Raw washed/steamed Never over cook

Alcohol: 

Alcohol 2007 New year day 14.92 crores 2007 Onam 128 crores for 8 days (16 crores /day)

Smoking: 

Smoking Free radicals Active Passive Harm wife Fetus in uterus too

Panmasala,Samba,Tulasi: 

Panmasala,Samba,Tulasi Oral cancer Even in young people

Ectopic pregnancy: 

Ectopic pregnancy

Free radicals: 

Free radicals When fried & roasted Boiling again & again Metabolism smoke

Fruits: 

Fruits Fresh Ony for 2 days Not kept in fridge Raw fruit Never juice FIBRE GOOD

Not Juice but fruit: 

Not Juice but fruit Juice has no fiber Fiber is GOOD

ANTI OXIDENTS: 

ANTI OXIDENTS Fresh Fruits Fresh vegetables Gooseberry lemon

Drinks: 

Drinks Avoid synthetic Avoid drinks from market Lemon juice best Tender coconut Sambharam Karingaly/jeeraka water etc better

Strokes-Brain attack: 

Strokes-Brain attack rtPA (Recombinent Tissue Plasminogen Activator) Rs 45000 To be given with in 3 hrs After CT Scan only No if bleeding

> 40: 

> 40 Close friend to tell problems Inform relative health problems Reduce food Regular exercise Diabetes-HT checkup/3 months ECG/6 months Full checkup/year relax

Baby weight and diseases: 

Baby weight and diseases

Baker hypothesis: 

Baker hypothesis

Syndrome- X (Metabolic syndrome): 

Syndrome- X (Metabolic syndrome)

On AIDS: 

On AIDS