Health Problems in Kerala

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Abou tcommon health problems in Kerala

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Our Health Problems:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 1 Our Health Problems Dr.Kanam Sankra Pillai MS.DGO Deputy DHS,Kerala(Rtd) KVMS Hospital,Ponkunnam

PowerPoint Presentation:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 2

Our major problems:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 3 Our major problems Communicable diseases Life style diseases Untimely deaths (Accidents ,suicides,Homicides)

PowerPoint Presentation:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 4

Communicable disease :

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 5 Communicable disease Small Pox (Eradicated) Chicken Pox Rubella Mumps Poliomyelitis Viral hepatitis Malaria

Communicable(Contd):

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 6 Communicable(Contd) Dengue Rabies Diphtheria Whooping Cough Meningitis TB Food Poisoning

Communicable(Contd):

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 7 Communicable(Contd) Filariasis (yearly Mass MDA) Amoebiaisi Worms Leptospirosis Taenia Hydatid

Communicable (Contd):

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 8 Communicable (Contd) Trachoma Tetanus Leprosy STD AIDS

Life Style Diseases:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 9 Life Style Diseases Diseases due to Modernisation Urbanisation Prosperity

Metabolic Diseases:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 10 Metabolic Diseases Insulin Resistance OBESITY Changes in Cholesterol levels Abdominal(Trunkal) Obesity Hypertension Heart Diseases

Causes:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 11 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 12 Only care,No Cure

Diabetes:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 13 Diabetes World 20 crores Inida 3.5 crores By 2030 world 80 crores India 8 crores

Obesogenic enviornment:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 14 Obesogenic enviornment

Body weight:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 15 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

PowerPoint Presentation:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 16

Umbilical measurement:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 17 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 18 Male 0.90 / female 0.85 Umbilical measurement ----------------- Hip measurement Male 0.90 Female 0.85

Modern gadgets:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 19 Modern gadgets Mobile phone Remote control Play station Computer Micro oven

Tv viewing:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 20 Tv viewing Upto 16 hrs /week 2hrs/day increases chance of getting Diabetes by 14 % Obesity by 32%

TV & TV Viewers:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 21 TV & TV Viewers TV size decreases day by day Viewers Size Increase day by day

BMI Basal (Metabolic Index):

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 22 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 23 To prevent obesity Breast feeding Avoid Bakery items Avoid Fast Food Semisolid from 5 th month Rice /kanji after 5 th month Eat with family

AVOID:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 24 AVOID Bakery Pissa Colas Sweets Fatty foods

PLAY in Sunlight:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 25 PLAY in Sunlight Prevents osteoporosis in old age Dance Skipping Cyclig tabletennis shuttle badminton walking running

Parameters:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 26 Parameters Hb 14 gms % Male Female usually 10 Menstural loss MOTION- no ova

Parameters :

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 27 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 28 Food Avoid frying and roasting Steamed food best Minimum sault Avoid pickles Avoid dry fish/pappadom

Vegetables:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 29 Vegetables Fresh No chemical mannure Raw washed/steamed Never over cook

Alcohol:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 30 Alcohol 2007 New year day 14.92 crores 2007 Onam 128 crores for 8 days (16 crores /day)

Smoking:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 31 Smoking Free radicals Active Passive Harm wife Fetus in uterus too

Panmasala,Samba,Tulasi:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 32 Panmasala,Samba,Tulasi Oral cancer Even in young people

PowerPoint Presentation:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 33

Ectopic pregnancy:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 34 Ectopic pregnancy

PowerPoint Presentation:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 35

Free radicals:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 36 Free radicals When fried & roasted Boiling again & again Metabolism smoke

Fruits:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 37 Fruits Fresh Ony for 2 days Not kept in fridge Raw fruit Never juice FIBRE GOOD

Not Juice but fruit:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 38 Not Juice but fruit Juice has no fiber Fiber is GOOD

ANTI OXIDENTS:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 39 ANTI OXIDENTS Fresh Fruits Fresh vegetables Gooseberry lemon

Drinks:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 40 Drinks Avoid synthetic Avoid drinks from market Lemon juice best Tender coconut Sambharam Karingaly/jeeraka water etc better

Strokes-Brain attack:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 41 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 42 > 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:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 43 Baby weight and diseases

Baker hypothesis:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 44 Baker hypothesis

Syndrome- X (Metabolic syndrome):

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 45 Syndrome- X (Metabolic syndrome)

On AIDS:

11/21/2013 Dr.Kanam,KVMS Hospital,Ponkunnam 46 On AIDS

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