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