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Mahajan & Gupta Textbook of Preventive and Social Medicine
Rabindra Nath Roy, Indranil Saha
PART I:: GENERAL
1:
Evolution of Preventive and Social Medicine
Historical Background
Public Health, Preventive Medicine, Social Medicine and Community Medicine
Public Health
Preventive Medicine
Social Medicine
Preventive and Social Medicine
Community Medicine
2:
Basic Concepts in Community Medicine
Why to Study Community Medicine?
Concepts of Health
Determinants of Health
Indicators of Health
Characteristics of an Indicator
Types of Indicators
VITAL INDICATORS
BEHAVIORAL INDICATORS
Concepts of Disease
Nature of Disease
Cause of Disease
Concepts of Prevention
Primordial Prevention
Primary Prevention
Secondary Prevention
Tertiary Prevention
PART II:: EPIDEMIOLOGICAL TRIAD
3:
Epidemiological Approach in Preventive and Social Medicine
Concept of Epidemiology
Definition of Epidemiology
Events
Population
Distribution
Determinants
The Epidemiological Triad
The Agent
Biological Agents
Nutrient Agents
Chemical Agents
Physical Agents
The Host
The Environment
Web of Causation
Epidemiological Wheel
Natural History of Disease
Prepathogenesis
AGENT FACTORS
HOST FACTORS
ENVIRONMENTAL FACTORS
Pathogenesis
PRECLINICAL PHASE
CLINICAL PHASE
INFECTIOUS DISEASE MORBIDITY
SPECTRUM OF DISEASE
Surveillance
GEOGRAPHICAL INFORMATION SYSTEM (GIS)
Epidemiological Studies
Aim and Objectives of Epidemiology
Clinical vs Epidemiological Approach
Applications and Uses of Epidemiology17
Frequency Measures
Morbidity and Mortality Frequency Measures
Secondary Attack Rate (SAR) and Attack Rate
PERSON-TIME RATE
Risk Ratio (Refer General Epidemiology—Chapter 4, Page 35)
ATTRIBUTABLE RISK (AR)
POPULATION ATTRIBUTABLE RISK
Methodology of Epidemiological Studies
INTERNATIONAL CLASSIFICATION OF DISEASES
BASIC STRUCTURE OF ICD
CLIMATE EPIDEMIOLOGY
SOME PUBLIC HEALTH SOFTWARE
4:
General Epidemiology
Definition
Types of Epidemiological study
Experimental Study (Interventional study)
OBSERVATIONAL STUDY
EXPERIMENTAL STUDY (INTERVENTIONAL STUDY)
EVALUATIVE STUDY
Types of Evaluative study
Study design
Cross-sectional
Retrospective (Backward Looking Study)
Prospective (Forward Looking)
Choice of Study Design
Descriptive Epidemiology
MEASURING FREQUENCIES
TIME TREND
PLACE DISTRIBUTION
TYPES OF DESCRIPTIVE STUDY
CASE REPORTS AND CASE SERIES
STATEMENT OF THE HYPOTHESIS
COHORT STUDY (FOLLOW-UP STUDY)
Features of a Cohort Study
Type of Cohort Study
Methodology (Steps) of Cohort Study
SELECTION OF STUDY SUBJECT
GENERAL POPULATION
SPECIAL GROUP
Selection of Comparison Group
Evaluative Study
USES OF EPIDEMIOLOGY
Experimental Studies
TYPES OF EXPERIMENTAL STUDIES
Types of Therapeutic or Clinical Trials
Randomized Control Studies
Nonrandomized Concurrent Control Studies
Historical Control Studies
Crossover Design
Withdrawal Studies
Factorial Design
Group Allocation Design
Studies of Equivalency
COMMUNITY (FIELD) TRIALS
SUMMARY OF THE METHODOLOGY OF INTERVENTION TRIALS
BLINDING IN EXPERIMENTAL TRIALS
Bias in Epidemiological Study
DEFINITION
TYPE
CONTROL OF BIAS
CLINICAL TRIAL
NEW DRUG DEVELOPMENT PROCESS
PRECLINICAL DEVELOPMENT
REGULATORY FRAMEWORK
GOOD CLINICAL PRACTICE
RATIONALE OF GOOD CLINICAL PRACTICE
CLINICAL TRIAL STAKEHOLDERS
CONDUCTION OF CLINICAL TRIALS
ETHICS IN CLINICAL TRIALS
5:
Physical Environment: Air
Air
Factors Affecting Atmospheric Environment
METEOROLOGICAL VARIABLES
GEOGRAPHICAL CONDITIONS
HUMAN ACTIVITIES AND INDUSTRIES
Physical Agents in Atmosphere
Acclimatization to Physical Agents in the Air
HIGH TEMPERATURE
LOW TEMPERATURE OR COLD CLIMATE
HUMIDITY
MOVEMENT OF AIR
LOW ATMOSPHERIC PRESSURE
HIGH ATMOSPHERIC PRESSURE
Chemical Agents in Atmosphere
Sources of Pollution
INDUSTRIAL PROCESSES IN DIFFERENT INDUSTRIES
COMBUSTION
MOTOR VEHICLES
MISCELLANEOUS
REDUCTION VEHICULAR POLLUTION
Assessment of Air Pollution7
DUSTFALL
SUSPENDED PARTICLES
SMOKE INDEX
SULFUR DIOXIDE
Temperature Inversion
Effects of Air Pollution on Health
Prevention and Control of Pollution
GENERAL PRINCIPLES
PRACTICAL MEASURES
Biological Agents in Atmosphere
Ventilation
USES OF VENTILATION
CAUSE OF ILL-EFFECTS IN UNVENTILATED ROOM
VENTILATION STANDARDS10
Cubic Space Per Person
Floor Area
METHODS OF VENTILATION OR AIR EXCHANGE IN ROOM
Natural Ventilation
Artificial Ventilation
6:
Physical Environment: Water
Sources of Water
Water Cycle
RAINWATER
SURFACE WATER
GROUNDWATER
WELLS
SANITARY WELL
PRIMARY MEASURES
SECONDARY MEASURES
WATER QUANTITY, YIELD AND AREA OF DRAINAGE
Water Supply and Quantitative Standards
Water Quality and Qualitative Standards8,9
Biological
Chemical
Physical
Standards of Quality
PHYSICAL STANDARDS
CHEMICAL STANDARDS
MICROBIOLOGICAL STANDARDS
Fecal Streptococci and Clostridium Perfringens
Pathogens
AMMONIA
NITRITES
BIOLOGICAL OXYGEN DEMAND OF WATER
DISSOLVED OXYGEN
Collection of Water Samples
Purification of Water
Purification on Large Scale
STORAGE
FILTRATION
CHLORINATION
ALTERNATIVES TO CHLORINATION
TESTS OF FREE CHLORINE
Purification on Medium Scale
Purification of Tube Well
Purification of Pond
HORROCK'S TEST
Purification on Small Scale (Domestic Level)
BOILING
DISTILLATION
CHEMICALS
FILTRATION
Special Treatments in Water Purification
Swimming Pool Hygiene
Water Problem in India
7:
Physical Environment: Housing
Types of Soil
Soil and Health
Physical Agents
Chemical Agents
Biological Agents
Housing
Rural Housing
LAYOUT
SITE
BUILDING PLAN
CATTLE SHED
Urban Housing
Harmful Effects of Improper Housing
Recent Trends in Housing
Cleaning of Air
Lowering of Temperature
Rajiv Gandhi Gramin LPG Vitarak Yojana9
8:
Physical Environment: Wastes and their Disposal
Wastes and Health
Recycling of Wastes
Refuse or Solid Waste
Sullage
Refuse Disposal
Excreta Disposal
Conservancy Method
Sanitary Latrines
Pit Latrines
SHALLOW PIT LATRINE
BORE HOLE LATRINE
DUG WELL LATRINE
VIP LATRINE (FIG. 8.1)
HANDFLUSH WATER SEAL LATRINE (POUR FLUSH LATRINE OR PF LATRINE)
SEPTIC TANK
AQUA PRIVY
SULABH SHAUCHALAYA
Sewerage System
House Drainage
WATER CLOSET (WC)
BATHROOM
WASHBASIN
SINK
RAIN WATER PIPES SYSTEM
Drains and Sewers
Sewage Disposal
RAW SEWAGE DISPOSAL
SEWAGE DISPOSAL AFTER PURIFICATION
PRELIMINARY TREATMENT
PRIMARY TREATMENT
SECONDARY TREATMENT
FINAL TREATMENT OF DISINFECTION OF SEWAGE
OTHER METHODS OF SEWAGE DISPOSAL
Sullage Disposal
9:
Physical Environment: Place of Work or Occupation (Occupational Health)
Physicochemical Agents
Physical Agents
Temperature and Humidity
Air Pressure
Vibrations
Noise
EFFECTS ON HEALTH
NOISE CONTROL
Radiant Energy
LONG WAVELENGTH RADIO WAVES
Microwaves
INFRARED RADIATION
LIGHT RADIATION
ULTRAVIOLET RADIATION
EFFECTS OF ULTRAVIOLET RADIATION
IONIZING RADIATION
HAZARDS OF IONIZING RADIATIONS
Force and Friction
Chemical Agents
Dusts
Fumes
Mists
VAPORS
GASES
Effects of Chemical Agents
EFFECTS ON SKIN
EFFECTS ON RESPIRATORY SYSTEM
Effects on Gastrointestinal Tract
Biological and Social Factors
Biological Agents
Social Factors
Offensive Trades and Occupations
Occupational Diseases and Hazards
Lead Poisoning/Plumbism
PREVENTIVE MEASURES
Pneumoconiosis
Pathogenesis
Prevalence
PREVENTIVE MEASURES
Occupational Hazards of Agricultural Workers
Other Occupational Hazards
Prevention of Occupational Diseases
Rehabilitation
Occupational Health Legislation
Factories Act, 1948
Scope and Definitions (Chapter I)
Health (Chapter III)
CLEANLINESS (SECTION 11)
DISPOSAL OF WASTES AND EFFLUENTS (SECTION 12)
VENTILATION AND TEMPERATURE (SECTION 13)
DUST AND FUMES (SECTION 14)
ARTIFICIAL HUMIDIFICATION (SECTION 15)
OVERCROWDING (SECTION 16)
LIGHTING (SECTION 17)
DRINKING WATER (SECTION 18)
LATRINES AND URINALS (SECTION 19)
Safety (Chapter IV)
Welfare (Chapter V)
WASHING FACILITIES (SECTION 42)
FACILITIES FOR SITTING (SECTION 44)
FIRST AID APPLIANCES (SECTION 45)
CANTEENS (SECTION 46)
CRECHES (SECTION 48)
WELFARE OFFICER (SECTION 49)
Working Hours for Adults (Chapter VI)
ADULT WEEKLY HOURS (SECTION 51)
WEEKLY HOLIDAYS (SECTION 52)
DAILY HOURS (SECTION 54)
INTERVALS FOR REST (SECTION 55)
WOMEN WORKERS (SECTION 66)
Employment of Young Persons (Chapter VII)
Annual Leave with Wages (Chapter VIII)
Special Provisions (Chapter IX)
The Employees State Insurance Act, 1948
Worker Absenteeism
Some New Initiatives
ESIC PEHCHAN CARD14
SKILL DEVELOPMENT INITIATIVE SCHEME (SDIS) BASED ON MODULAR EMPLOYABLE SKILLS (MES)15
INCENTIVE SCHEME FOR EMPLOYERS TO EMPLOY PERSONS WITH DISABILITIES16
10:
Environmental Pollution
Air Pollution
Gaseous Pollutants
CARBON MONOXIDE
SULFUR DIOXIDE
HYDROGEN SULFIDE AND ORGANIC SULFIDES
OXIDES OF NITROGEN
OZONE
Particulate Pollutants
Source of Pollution
STATIONARY COMBUSTION
Effects of Air Pollution
EFFECTS ON MAN
EFFECTS ON ANIMALS
EFFECTS ON PLANTS
EFFECTS ON MATERIALS
EFFECTS ON ATMOSPHERE
Prevention and Control of Air Pollution
MOTOR VEHICLE EMISSION CONTROL
Water Pollution
Sources of Water Pollution
Types of Water Pollutants
PHYSICAL AND CHEMICAL POLLUTANTS
BIOLOGICAL POLLUTANTS
Effects of Pollution on Quality of Water
COLOR
TURBIDITY
FOAM
TASTE
ODOR
Soil and Land Pollution
Types of Soil Pollution
BY INDUSTRIAL AND URBAN WASTES
BY AGRICULTURAL PRACTICES
BY RADIOACTIVE MATERIALS
BY BIOLOGICAL AGENTS
Radioactive Pollution
Thermal Pollution
Global Warming
DIFFERENT GREEN HOUSE GASES1
IMPLICATIONS
Noise Pollution5
Levels of Noise6
NOISE TRAUMA AND ITS PREVENTION7
11:
Biological Environment
Rodents
Arthropods
Mosquitoes
LIFE CYCLE
DISEASES TRANSMITTED BY MOSQUITOES IN INDIA
METHODS OF CONTROL
Flies
SANDFLIES
TSETSE FLIES
BLACK FLY
DEER FLY
Housefly
Fleas
Life Cycle (Fig. 11.6)
Diseases Transmitted
Control Measures
Lice
Life Cycle
Diseases Transmitted
Control Measures
Bugs
Control
Scorpions
Treatment for Scorpionism
Control
Ticks
LIFE CYCLE
DISEASES TRANSMITTED
CONTROL MEASURES
Mites
ITCH MITE (SARCOPTES SCABIEI)
TROMBICULID MITE (REDBUGS OR CHIGGERS)
CYCLOPS
Insect Control
Insecticides
CHARACTERISTICS OF A SUITABLE INSECTICIDE
Classification of Insecticides
CONTACT POISONS2
STOMACH POISONS
Fumigants
Repellents
Larvicides
Safety Measures while Using Insecticides
Insecticide Resistance
Biological Control of Insects
Genetic Control
12:
Social Environment
Social Sciences
Sociology
Society
ORIGIN OF SOCIETY
STRUCTURAL ASPECTS OF SOCIETY
FUNCTIONAL ASPECTS OF SOCIETY
Cultural Anthropology
Social Psychology
Economics
Political Science
Relationship Amongst Social Sciences
Medical Sociology and Social Medicine
Family
FUNDAMENTAL FEATURES OF FAMILY
FUNCTIONS OF FAMILY
TYPES OF FAMILY
Household
Socioeconomic Status
Social Causes of Disease
Social Aspects of Treatment
Social Environment and Health
13:
Health and Law
Laws Related to Health
Law and the Rural Masses
Law as a Tool to Improve People's Health
Medical Negligence and Inefficacy of Indian Medical Council Act, 1956
CONSUMER PROTECTION ACT, 1986
MRTP Act, 1969
Drugs and Cosmetics Act, 1940
National Legal Services Day
The Prenatal Diagnostic Techniques (PNDT) Act and Rules
STRUCTURE AND CONTENT OF THE ACT
The Registration of Births and Deaths Act, 1969
Law of Tort
Public Interest Litigation (PIL)
14:
Host Factors and Health
Age, Sex, Marital Status and Race
Age and Sex
Marital Status and Parity
Race
Physical State of the Body
Psychological State and Personality
Genetic Constitution
Inheritance and Expression of Genes
Nontransmission or Abnormal Transmission of Characters
Application of Genetic Principles in Preventive Medicine
HEALTH PROMOTION
SPECIFIC PROTECTION
EARLY DIAGNOSIS AND TREATMENT
DISABILITY LIMITATION
REHABILITATION
Defense Mechanisms
Physical and Chemical Barriers
Innate Defense Mechanisms
Adaptive Immunity
Principles of Immunization
Nutritional Status
Nutrition and Immune Response
Habits and Lifestyle
Healthy Habits
ORAL HYGIENE
DIGESTIVE SYSTEM
RESPIRATORY SYSTEM
CIRCULATORY SYSTEM
EYES
NERVOUS SYSTEM
Lifestyle
SMOKING
SEXUAL BEHAVIOR
PHYSICAL FITNESS AND EXERCISE
Spirituality
15:
General Epidemiology of Communicable Diseases
16:
Respiratory Infections
Nonspecific Viral Infections
Common Cold (Acute Coryza) (ICD-J00)
Influenza (ICD-J11.1)
CLINICAL FEATURES
EPIDEMIOLOGY
CHANGING NATURE OF VIRUS
CHARACTERISTICS OF INFLUENZA PANDEMICS
CAUSATIVE AGENT
HOST FACTORS
MODE OF TRANSMISSION
TRANSMISSION OF INFLUENZA VIRUSES FROM ANIMALS TO PEOPLE
THREAT FROM AVIAN INFLUENZA
TRANSMISSION
CONTROL OF INFLUENZA
TYPES OF INFLUENZA VACCINES
WHO RECOMMENDS THE FOLLOWING PRIORITY CASES FOR VACCINATION
RECOMMENDED DRUGS AND DOSAGE FOR PROPHYLAXIS OF INFLUENZA
H1N1 Influenza (Swine Flu)
H1N1 INFLUENZA IN PIGS
H1N1 INFLUENZA IN HUMANS
Specific Viral Infections
Smallpox (Variola) (ICD-BO3)
CLINICAL FEATURES
LABORATORY DIAGNOSIS
EPIDEMIOLOGICAL BASIS FOR SMALLPOX ERADICATION
VACCINATION—THE CURRENT STATUS
SAFETY OF SMALLPOX VACCINATION
CURRENT STATUS OF POXVIRUS DISEASE
Chickenpox (Varicella) (ICD-B01.9)
CLINICAL PICTURE
Breakthrough Varicella
Progressive Varicella
Congenital Varicella Syndrome
DIAGNOSIS
TREATMENT
COMPLICATIONS
EPIDEMIOLOGY
PREVENTION
Measles (Rubeola; Morbilli) (ICD-B05.9)
CLINICAL PICTURE
COMPLICATIONS
EPIDEMIOLOGY
PREVENTION
Mumps (ICD-B26.9)
CLINICAL FEATURES
COMPLICATIONS
EPIDEMIOLOGY
PREVENTION
INDIAN PERSPECTIVE
MMR AND AUTISM
SAFETY OF MUMPS VACCINE
German Measles (Rubella) (ICD-B06.9)
CLINICAL FEATURES
SUSCEPTIBILITY
TRANSMISSION
CONGENITAL RUBELLA SYNDROME (CRS)
PREVENTION
Nonspecific Bacterial Infections
Pneumonias (ICD-J18.9)
VACCINES
Streptococcal Sore Throat (ICD-J02.0)
Specific Bacterial Infections
Diphtheria (ICD-A36)
CLINICAL ASPECTS
STANDARD CASE DEFINITION3
COMPLICATIONS
DIAGNOSIS
Suspect (History)
INCUBATION PERIOD
THIOMERSAL IN DPT VACCINE
Whooping Cough (Pertussis) (ICD-A37.9)
IDENTIFICATION
STANDARD CASE DEFINITION 1
DIAGNOSIS
EPIDEMIOLOGY
SOURCE OF INFECTION
Spread
Incubation Period
Methods of Control
Meningococcal Meningitis (ICD-A39.0)
CLINICAL FEATURES
COMPLICATIONS
DIAGNOSIS
OCCURRENCE
TREATMENT
Tuberculosis (ICD-A16.9)
OCCURRENCE
CAUSATIVE AGENT
SOURCE OF INFECTION
MODES OF TRANSMISSION
SUSCEPTIBILITY AND RESISTANCE
HOST FACTORS
INCUBATION PERIOD
PATHOGENESIS
CLINICAL IDENTIFICATION
PREVENTION AND CONTROL
EARLY DIAGNOSIS AND PROMPT TREATMENT
DISABILITY LIMITATION AND REHABILITATION
Revised National Tuberculosis Control Programme 19,20
Program Goals
Objectives
Five Key Components of DOTS
Organization Structure
Identification of TB Suspects
PULMONARY TB SUSPECT
CASE FINDING METHODS
Definitions Under RNTCP
PULMONARY TUBERCULOSIS
Extrapulmonary Tuberculosis
Diagnosis of TB in Children: Standard Case Definition 21
SUSPECT (HISTORY)
PROBABLE (HISTORY AND CLINICAL EXAMINATION)
Definition of Types of Cases
NEW
RELAPSE
TRANSFERRED IN
TREATMENT AFTER DEFAULT
FAILURE
CHRONIC
OTHERS
Outcomes
CURED
TREATMENT COMPLETED
DIED
TRANSFERRED OUT
Seriousness of Illness
Directly Observed Treatment (DOT)
Drugs and their Dosage
CATEGORY I
CATEGORY II
Achievements of RNTCP
Multi-drug-Resistant Tuberculosis (MDRTB)
Causes of Drug-resistant Tuberculosis
Who is an MDR Suspect?
What is DOTS Plus
Components of DOTS Plus
Treatment of MDR-TB
Extensively-drug-Resistant Tuberculosis (XDR-TB)
Category V Regimen
Stop TB Strategy, the Global Plan to Stop TB, 2006-2015
Millennium Development Goals in Relation to TB Control
Special Initiatives
PUBLIC PRIVATE MIX (PPM)
TOTALLY DRUG RESISTANT TUBERCULOSIS (TDR-TB) 25-27
Acute Respiratory Infections ICD-J22
CLASSIFICATION OF ARI
MAGNITUDE OF THE PROBLEM
AGENT FACTORS
HOST FACTORS
TIME FACTOR IN PROGNOSIS OF ARI
ARI Component of RCH Program2,5
GOAL
CLINICAL ASSESSMENT
CLASSIFICATION OF ARI
Management of Cases (2 Months-5 Years)
Pneumonia
FOLLOW-UP
17:
Water and Food-borne (Alimentary) Infections
Cholera and Diarrhea
Cholera (ICD A00.9)
HISTORY AND PREVALENCE
CAUSATIVE AGENT
VIABILITY
SOURCE OF INFECTION
MODES OF TRANSMISSION
SUSCEPTIBILITY AND RESISTANCE
INCUBATION PERIOD
CLINICAL PICTURE
LABORATORY DIAGNOSIS5
MEASURES OF PREVENTION AND CONTROL
Diarrhea (ICD-A0.9)
CONTROL OF DIARRHEAL DISEASES
RATIONALE
GOAL
COVERAGE
STRATEGY
ASSESSMENT OF A CHILD WITH DIARRHEA
MANAGEMENT OF A CHILD WITH ACUTE DIARRHEA
WHEN THERE ARE NO SIGNS OF DEHYDRATION (TREATMENT PLAN A)
WHEN THERE IS SOME DEHYDRATION (TREATMENT PLAN B)
TO PREPARE ORS SOLUTION
WHEN THERE IS SEVERE DEHYDRATION (TREATMENT PLAN C)
INTRAVENOUS THERAPY FOR SEVERE DEHYDRATION
POLICY ON USE OF ZINC IN THE NATIONAL PROGRAM FOR MANAGEMENT OF DIARRHEA
MANAGEMENT OF A CHILD WITH DYSENTERY
MANAGEMENT OF A CHILD WITH PERSISTENT DIARRHEA (TABLE 17.13)
Food Poisoning
Clinical Features
Causes of Food Poisoning
Features of Non-bacterial Food Poisoning
Prevention
Control
TRACING THE SOURCE OF INFECTION
Enteric Fevers
Typhoid (1CD-A01.0)
IDENTIFICATION
COMPLICATIONS
INCUBATION PERIOD
PREVENTION AND CONTROL
IMMUNIZATION
TREATMENT OF CASES, CONTACTS AND CARRIERS
Paratyphoid Fevers (ICD-A01.4)
Brucellosis (ICD-A23.9) (Undulent Fever, Malta Fever)
Identification
LABORATORYTESTS
HISTORY AND PREVALENCE
CAUSATIVE ORGANISMS, INFECTIVITY AND SOURCE OF INFECTION
MODES OF TRANSMISSION
Susceptibility
Incubation Period
Prevention and Control
Treatment
Bacillary Dysentery or Shigellosis (ICD-A03.9)
Clinical Picture
Epidemiology
Causative Agent
Modes of Spread
Susceptibility
Incubation Period
Measures of Prevention and Control
Treatment
Amebiasis (ICD-A06.9)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
Modes of Transmission
Incubation Period
Susceptibility and Resistance
Methods of Control
Control of Patients, Contacts and Immediate Environment
Giardiasis (ICD-A07.1)
Identification
Epidemiology
Methods of Control
Balantidiasis (ICD-A07.0)
Viral Hepatitis (ICD—B15-B19)
Hepatitis A
IDENTIFICATION
INFECTIOUS AGENT
RESERVOIR
OCCURRENCE
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
PREVENTION AND CONTROL
Vaccines
Hepatitis B
IDENTIFICATION
STANDARD CASE DEFINITION7
INFECTIOUS AGENT
OCCURRENCE
RESERVOIR
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
PREVENTIVE MEASURES
HEPATITIS B VACCINATION AND RHEUMATOID ARTHRITIS
Hepatitis C
IDENTIFICATION
INFECTIOUS AGENT
OCCURRENCE
RESERVOIR
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Hepatitis D
IDENTIFICATION
INFECTIOUS AGENT
Occurrence
MODE OF TRANSMISSION AND METHODS OF CONTROL
INCUBATION PERIOD
Hepatitis E
IDENTIFICATION
INFECTIOUS AGENT
OCCURRENCE
RESERVOIR
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
METHODS OF CONTROL
Hepatitis G
Poliomyelitis (ICD-A80.9)
Identification
CLINICAL ASPECTS
STANDARD CASE DEFINITION OF POLIOMYELITIS
RESIDUAL PARALYSIS
DIFFERENTIAL DIAGNOSIS OF ACUTE FLACCID PARALYSIS
DIAGNOSTIC TESTS
TREATMENT OF PARALYTIC POLIOMYELITIS
INFECTIOUS AGENT
OCCURRENCE
RESERVOIR
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
PREVENTION AND CONTROL
OPV VS. IPV
PULSE POLIO IMMUNIZATION (PPI)
POLIO ERADICATION
STRATEGIES FOR POLIO ERADICATION
Vaccine-derived Polioviruses
RISK FACTORS FOR VDPV EMERGENCE
MANAGEMENT OF cVDPVs
DEFINITION OF ACUTE FLACCID PARALYSIS
SURVEILLANCE INDICATORS
Background Rate of AFP
Adequate Sample Rate
RECENT INTERVENTIONS IN ERADICATION
18:
Contact Diseases
Leprosy (ICD-A30.9)
History and Prevalence
Epidemiology
AGENT FACTORS
HOST FACTORS
ENVIRONMENTAL FACTORS
Pathogenesis and Classification
INDETERMINATE LEPROSY
DETERMINATE LEPROSY
Prevention and Control
MEDICAL MEASURES
SOCIAL MEASURES
MANAGERIAL ASPECTS
EVALUATION
Leprosy Organizations in India
National Leprosy Eradication Program
STRATEGIES
INFRASTRUCTURE
Sexually Transmitted Diseases or Venereal Diseases
Classification 1
History and Prevalence
Syphilis (1CD-A53.9)
CLINICAL FEATURES
CAUSATIVE AGENT
SOURCES OF INFECTION
MODE OF TRANSMISSION
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
INCUBATION PERIOD
METHODS OF CONTROL
Gonorrhea (ICD-A54.9)
CLINICAL FEATURES
COMPLICATIONS OF GONORRHEA
DIAGNOSIS
CAUSATIVE AGENT
SOURCE OF INFECTION AND PERIOD OF INFECTIVITY
MODE OF SPREAD
INCUBATION PERIOD
METHODS OF CONTROL
TREATMENT
Trichomonal Vaginitis and Urethritis (ICD-A59.0)
SYMPTOMS
TREATMENT
Chancroid (Soft Sore) (ICD-A57)
Lymphogranuloma Venereum (LGV) ICD-A55
Granuloma Inguinale (Donovanosis) (ICD-A55)
HEALTH AND SOCIAL SUPPORT
MONITORING AND EVALUATION
National STD Control Program
Acquired Immunodeficiency Syndrome (AIDS) [ICD-B24]
Occurrence
PROBLEM STATEMENT IN INDIA
WOMEN AND AIDS
INFECTIOUS AGENT
Immunity
Immunopathology
ROLE OF COFACTORS
MODES OF TRANSMISSION
EFFICIENCY OF DIFFERENT ROUTES OF TRANSMISSION
AT RISK PEOPLE
FACTORS FAVORING SPREAD OF HIV
NATURAL HISTORY
CLINICAL FEATURES
Acute Seroconversion Illness
Asymptomatic Carrier Stage
Persistent Generalized Lymphadenopathy (PGL) Syndrome
AIDS Related Complex (ARC) and HIV Constitutional Disease
“Full Blown” AIDS
DIAGNOSIS
LABORATORY DIAGNOSIS
AIDS
WHO CASE DEFINITION FOR AIDS SURVEILLANCE (IRRESPECTIVE OF THE TEST)
METHODS OF CONTROL14
HIV VACCINE
National AIDS Control Program
Integrated Counseling and Testing Center (ICTC)
Postexposure Prophylaxis (PEP)
INDICATIONS
OBJECTIVE
PROMPT MEASURES
Regimen
Duration
PREVENTION OF PARENT TO CHILD TRANSMISSION (PPTCT)
CARE AND SUPPORT
CARE AND SUPPORT FOR CHILDREN
PEDIATRIC CARE AND SUPPORT
MONITORING AND EVALUATION AND RESEARCH
Monitoring
Evaluation
Research
Surveillance
Syndromic Approach to STD
ETIOLOGICAL DIAGNOSIS APPROACH
CLINICAL DIAGNOSIS APPROACH
SYNDROMIC APPROACH
ADVANTAGES OF SYNDROMIC CASE MANAGEMENT
LIMITATIONS OF SYNDROMIC CASE MANAGEMENT
STD SYNDROMES
COMPONENTS OF SYNDROMIC CASE MANAGEMENT
PATIENT EDUCATION
Trachoma (ICD-A71.9)
Identification
Occurrence
CAUSATIVE AGENT
SOURCE OF INFECTION
Transmission
SUSCEPTIBILITY AND RESISTANCE
INCUBATION PERIOD
PREVENTION AND CONTROL
Fungus Infections
Ringworm (Tinea) (ICD-B35.9)
CLINICAL FEATURES
CAUSATIVE AGENT
INCUBATION PERIOD
PREVENTION AND CONTROL
Yaws (ICD-A66.9)
CLINICAL FEATURES
AGENT
HOST FACTORS
ENVIRONMENTAL FACTORS
TRANSMISSION
INCUBATION PERIOD
METHODS OF CONTROL
YAWS ERADICATION PROGRAM (YEP)
Scabies
19:
Arthropod-borne Diseases
Malaria (ICD-B54)
Identification
RELAPSES
RECRUDESCENCE
CHRONIC MALARIA
INFECTIOUS AGENT
PROBLEM STATEMENT
BURDEN IN SEA REGION
RESERVOIR
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
TREATMENT OF MALARIA
SEVERE MALARIA
Chemoprophylaxis
OUTLINE OF VECTOR CONTROL METHODS
Malaria Control Activities and Program in India
National Anti Malaria Programme
SURVEILLANCE AND CASE DETECTION
DIAGNOSIS AND TREATMENT OF MALARIA
URBAN MALARIA CONTROL ACTIVITIES
Filariasis (ICP-B74.9)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
National Filaria Control Program (NFCP)
ORGANIZATIONAL ASPECTS
Arboviruses
Yellow Fever (ICD-A95.9)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Dengue (ICD-A90)
Identification
LABORATORY FINDINGS
COMPLICATIONS
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Chikungunya Fever (ICD-A92.0)
Japanese Encephalitis (ICD-A83.0)
Identification
STANDARD CASE DEFINITION2
INFECTIOUS AGENT
Occurrence
Reservoir
Transmission
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
METHODS OF CONTROL
Sandfly Fever (ICD-A93.1) (Pappataci Fever)
Identification
INFECTIOUS AGENT
INCUBATION PERIOD
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Leishmaniasis (ICD-B55.9)
Visceral Leishmaniasis (Kala-azar or Black Fever)
IDENTIFICATION
DIAGNOSIS OF KALA-AZAR3
POST KALA-AZAR DERMAL LEISHMANIASIS (PKDL)3
INFECTIOUS AGENT
OCCURRENCE
RESERVOIR
Local Leishmaniasis
DERMAL LEISHMANIASIS
TROPICAL OR ORIENTAL SORE
TREATMENT
Plague (ICD-A20.9)
Identification
Diagnosis
Infectious Agent
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTOL
PLAGUE IN INDIA
WAS IT PLAGUE?
Kyasanur Forest Disease (ICD-A98.2)
Clinical Features
Reservoir and Transmission
Control Measures
Epidemic Typhus (Louse borne Typhus) (ICD-A75.0)
Identification
Occurrence
INFECTIOUS AGENT
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Trench Fever (ICD-A79.0)
Endemic Typhus (ICD-A75.2)
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
METHODS OF CONTROL
Scrub Typhus (Tsutsugamushi fever) (ICD-A75.3)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PROPHYLAXIS AND CONTROL
Tick Typhus (ICD-A77.9) (Rocky Mountain Spotted Fever)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
Relapsing Fever (ICD-A68.9)
Identification
INFECTIOUS AGENT
Occurrence
Reservoir
MODE OF TRANSMISSION
INCUBATION PERIOD
PERIOD OF COMMUNICABILITY
SUSCEPTIBILITY AND RESISTANCE
METHODS OF CONTROL
20:
Miscellaneous Zoonoses, Other Infections and Emerging Infections
Miscellaneous Zoonoses
Rabies (ICD-A82.9)
IDENTIFICATION
OCCURRENCE
RESERVOIR
SUSCEPTIBILITY
PREVENTION OF DISEASE IN MAN
ADVANTAGE OF INTRADERMAL SCHEDULE
CONTROL OF DISEASE IN DOGS
Rat Bite Fever (ICD-A25.0 and A25.1)
IDENTIFICATION
OCCURRENCE
Leptospirosis (Weil's Disease) (ICD-A27.9)
IDENTIFICATION
DIAGNOSIS
OCCURRENCE
Anthrax (ICD-A22.9)
IDENTIFICATION
EPIDEMIOLOGY
Glanders (ICD-A24.0)
Other Infections
Tetanus (1CD-A33, A34, A35)
IDENTIFICATION
OCCURRENCE
RESERVOIR
STANDARD CASE DEFINITION7
Emerging Infections1
21:
Epidemiology of Noncommunicable Diseases
Cancer
Introduction
History and Prevalence
Noncommunicable Diseases
Prepathogenesis
AGENTS FACTORS (CARCINOGENIC STIMULI)
HOST FACTORS
ENVIRONMENTAL FACTORS
Pathogenesis
SURVIVAL RATES
MEASURES OF PREVENTION
Cervical Cancer
EPIDEMIOLOGY
SCREENING METHODS28
VACCINES29,30
CANCER CONTROL AT NATIONAL LEVEL
National Cancer Control Program (NCCP)
GOALS AND OBJECTIVES OF NCCP (REVISED STRATEGY)
SCHEMES UNDER NCCP
MODIFIED DISTRICT CANCER CONTROL PROGRAM
Cardiovascular Diseases
Ischemic Heart Disease (IHD)
Rheumatic Fever (RF) and Rheumatic Heart Disease (RHD)
Primordial and Primary Prevention
ANTIBIOTIC TREATMENT OF ACUTE RHEUMATIC FEVER11
BENZATHINE HENZYLPENICILLIN
PHENOXYMETHYLPENICILLIN
ERYTHROMYCIN
Secondary Prophylaxis (Prevention)
DURATION OF PROPHYLAXIS11
Hypertension
DEFINITION
CRITICISM OF JNC DEFINITION25
HYPERTENSION IN CHILDREN AND ADOLESCENTS
DILEMMA OF ADOLESCENT HYPERTENSION
BLOOD PRESSURE MEASUREMENT24
TYPES OF HYPERTENSION
HYPERTENSION DURING PREGNANCY
TREATMENT OF HYPERTENSION
Cor Pulmonale
PILOT PROJECT ON CONTROL OF CARDIOVASCULAR DISEASES AND STROKE
WHO STEPS37
Obesity
Risk Factors for Developing Overweight and Obesity3–6
Assessing Health Risks Associated with Overweight and Obesity7
BMI Classification
Complications
Prevention and control
Diabetes
Classification of Diabetes Mellitus
TYPE 1 DIABETES
TYPE 2 DIABETES
Diagnostic Tests Used to Define Glycemic Status (Table 21.8)
Prevention and Control
National Diabetes Control Program
Accidents
Motor Accidents
Accident and Trauma Services
Haddons Matrix5,6 (Table 21.10)
Suicide
Blindness
Definition
Global Magnitude
Magnitude in India
Major Blinding Disorders
Cataract
Nutritional Blindness
Glaucoma
Trachoma
AGE-RELATED MACULAR DEGENERATION (ARMD)
Onchocerciasis
OCULAR LEPROSY
Measles
Control Measures for Blindness
PRIMARY PREVENTION
SECONDARY PREVENTION
TERTIARY PREVENTION
National Program for Control of Blindness
SCHOOL SCREENING PROGRAMME
STOP THE GLOBAL EPIDEMIC OF CHRONIC DISEASE
VISION 2020: THE RIGHT TO SIGHT: GLOBAL INITIATIVE FOR ELIMINATION OF AVOIDABLE BLINDNESS
Disease Surveillance
Integrated Disease Surveillance Project (IDSP)
Objectives of IDSP
Definition of Surveillance
Types of Surveillance
Diseases Under the Surveillance Project
Syndromes Under Surveillance
Methods of Surveillance
Collection and Transmission of Data
Feedback and Sharing Information
Analysis
RESPONSE TO THE SURVEILLANCE INFORMATION
Integrated Management of Childhood Illness (IMCI)
Adaptation of IMCI to IMNCI in India
Integrated Management of Neonatal and Childhood Illness (IMNCI)
22:
Food and Nutrition
Epidemiological Aspects
Food and Nutrition as Environment
Food and Nutrition as Host Factors
Food and Nutrition as Agent Factors
Nutrients and Proximate Principles of Food
Proteins
Recommended Protein Intakes for Indians
Sources of Protein in Diet
ANIMAL FOODS
VEGETABLE FOODS
Fats
SOURCE OF FAT
RECOMMENDED INTAKE5
CHOICE OF COOKING OILS5
ESSENTIAL FATTY ACIDS
Vanaspati
Carbohydrates
STARCH VS SUCROSE
DIETARY FIBER
Minerals
Iron
SOURCE
Iodine
RECOMMENDED INTAKES FOR IODINE9
Calcium
SOURCES
DAILY REQUIREMENT
Vitamins
FATS SOLUBLE VITAMINS
Water Soluble Vitamins
VITAMIN B COMPLEX
VITAMIN C (ASCORBIC ACID)
Food and Food Groups
Milk and Milk Products (Table 22.5)
MILK
MILK PRODUCTS
Eggs and Meat
EGGS
MEAT
Cereals and Millets
WHEAT
RICE
MAIZE OR CORN
Pulses, Oil Seeds and Nuts
PULSES (LEGUMES)
OILSEEDS AND NUTS
Vegetables
LEAFY VEGETABLES
NON-LEAFY VEGETABLES
STARCHY VEGETABLES
Fruits
Sugar, Jaggery and Honey
Condiments and Spices
Beverages
TEA
COFFEE
COCOA
ALCOHOLIC OR FERMENTED DRINKS
Preservation of Foods and Conservation of Nutrients
Food Preservation
Methods of Preservation
Conservation of Nutrients
GUIDELINES FOR PREVENTING NUTRIENT LOSS DURING COOKING
Diet Standards and Diet Planning
Reference Indian Adult Man And Woman5
Energy
UNITS OF ENERGY
ENERGY REQUIREMENTS
ENERGY EXPENDITURE OF PHYSICAL ACTIVITY
Assessment of the Energy Requirements of a Group or Family
Assessment of Nutritional Status
CLINICAL EXAMINATION
NUTRITIONAL ANTHROPOMETRY
BODY MASS INDEX (BMI)
BIOCHEMICAL TESTS
BIOPHYSICAL METHODS
MORBIDITY DATA
MORTALITY DATA
NUTRITIONAL INTAKE ASSESSMENT
FOOD PRODUCTION DATA
Nutritional Deficiency States
EPIDEMIOLOGICAL ASPECTS
COMMON NUTRITION PROBLEMS IN INDIA
AGENT FACTORS
HOST OR HUMAN FACTORS
ENVIRONMENTAL FACTORS
Protein Energy Malnutrition (PEM)
CLASSIFICATION OF PEM
SEVERE MALNUTRITION
CLINICAL FEATURES
Iron Deficiency
IRON DEFICIENCY ANEMIA
PREVENTION STRATEGIES
Vitamin A Deficiency
Iodine Deficiency
PREVALENCE
AGENT FACTORS
HOST FACTORS
ENVIRONMENT FACTORS
CLINICAL FEATURES
SPECTRUM OF IODINE DEFICIENCY DISORDERS53
MAIN CAUSES OF IODINE DEFICIENCY IN INDIA
National Nutrition Programs
Integrated Child Development Services (ICDS)
Special Nutrition Program (SNP)
Applied Nutrition Program (ANP)
Mid-day Meal Program
National IDD Control Program
IODIZATION OF SALT
SPOT TEST
National Prophylaxis Program for Prevention of Blindness due to Vitamin A deficiency
Prevention of Vitamin A Deficiency
Treatment of Vitamin A Deficient Child
National Nutritional Anemia Prophylaxis Program (NNAPP)
DEWORMING AND FOLIFER TABLET
DOSE SCHEDULE OF IRON AND FOLIC ACID (IFA) IN DIFFERENT GROUPS
Food Hygiene
Food-borne or Food-related Diseases
PREVENTION AND CONTROL
National Nutrition Policy
Introduction
Need for a Nutrition Policy within the Development Context
The Nutrition Status of India
THE AGGREGATE POSITION REGARDING INTAKE
THE DISAGGREGATED PICTURE
UNDERNUTRITION
SEASONAL DIMENSIONS OF NUTRITION
NATURAL CALAMITIES AND NUTRITION
EFFECT OF MARKET DISTORTION AND DISINFORMATION
URBANIZATION
NUTRITION PROBLEMS OF SPECIAL GROUPS
OVERNUTRITION AND OBESITY
The Existing Policy Instruments for Combating Malnutrition
Nutrition Policy Instruments
DIRECT INSTRUMENTS: SHORT-TERM INTERVENTIONS
INDIRECT INSTRUMENTS: LONG-TERM INSTITUTIONAL AND STRUCTURAL CHANGES
Administration and Monitoring
IMPLEMENTATION OF NATIONAL NUTRITION POLICY
MONITORING OF NUTRITION SITUATION
ROLE OF STATE GOVERNMENTS
COMMUNITY MOBILIZATION
WORLD FOOD DAY-OCTOBER 16, 2009
PART III:: HEALTH STATISTICS, RESEARCH AND DEMOGRAPHY
23:
Biostatistics
Presentation of Statistics
Tabulation
MASTER TABLE
SIMPLE TABLE
FREQUENCY DISTRIBUTION TABLE
Drawings
HISTOGRAM
SCATTER OR DOT DIAGRAM
PIE OR SECTOR DIAGRAM
MAP DIAGRAM OR SPOT MAP
Variability and Error
Variability
Errors
Analysis and Interpretation of Data
Measures of Central Tendency
Measures of Dispersion
RANGE
Standard Deviation (SD)
USES OF STANDARD DEVIATION
COEFFICIENT OF VARIATION (CV)
Normal Distribution or Gaussian Distribution
NORMAL CURVE
Sampling
Characteristics of a Random or Representative Sample
Methods of Selecting a Random Sample
Sampling Variations
Sampling Distribution
Confidence Limits
Standard Error
Tests of Significance
Null Hypothesis
Standard Error of the Mean
Standard Error of the Difference between Two Means
‘t’ Test
Standard Error of Proportions
Standard Error of Difference between Two Proportions
Chi-Square (χ2) Test
YATES’ CORRECTION
WITHOUT YATES’ CORRECTION
Correlation Coefficient
Regression Coefficient
24:
Research Methodology
Purpose of Research and Broad Areas of Research
Exploratory Research
Observational Research
PURE OBSERVATIONAL TYPE
OBSERVATIONAL INTERVIEW TYPE
OBSERVATIONAL ANALYTICAL TYPE
Research Approaches in Public Health
Quantitative Research Methods
Qualitative Research Methods
Case Studies
Surveys
Uses of Surveys
Planning for Surveys
Essential Prerequisites for Surveys
Survey Instruments
OBSERVATION
INTERVIEW
QUESTIONNAIRES AND SCHEDULES
PROJECTIVE METHODS
FOCUS GROUP DISCUSSIONS
DELPHI TECHNIQUE
Designing Research Protocol
Selecting a Researchable Topic
Formulating the Research Problem
Search for Related Work
Statement of Objective
Selection of Variables
Formulation of Research Hypothesis
Research Methodology
SELECTION OF RESEARCH STRATEGIES
SELECTION OF RESEARCH SETTING
SAMPLING CONSIDERATIONS
CONTROLS
DESCRIPTION OF STUDY INSTRUMENTS
DESCRIPTION OF DATA COLLECTION
DESCRIPTION OF PLANS FOR DATA ANALYSIS AND INTERPRETATION OF RESULTS
REPORTING AND PUBLISHING OF RESULTS
Ethical Considerations in Research
Ethical Guidelines for Biomedical Research on Human Subjects
25:
Demography and Vital Statistics
Demography
Demographic Transition
Demographic Gap
Demographic Stages
Growth Rate
Population Trends in the World
ESTIMATES OF WORLD POPULATION (TABLE 25.1)
DOUBLING TIME OF WORLD POPULATION (TABLE 25.3)
Population Trends in India
World Population Day: 11th July
Vital Statistics
Uses and Applications of Vital Statistics
Collection of Vital Statistics
SOURCES OF DATA
GENERAL PRACTITIONER AND VITAL STATISTICS
INTERNATIONAL DEATH CERTIFICATE
Compilation, Tabulation and Presentation of Statistics
Analysis of Vital Data
CALCULATION OF VITAL AND HEALTH INDICES
MID-YEAR POPULATION
POPULATION DENSITY
POPULATION PYRAMID
RATES AND RATIOS
Interpretation, Conclusions, and Recommendations
Birth and Fertility Rates
Death Rates
DIRECT STANDARDIZATION
INDIRECT STANDARDIZATION
Sex Ratio
Vital Statistics as Indicators of Health
Comprehensive Indicators that Measure Health
PROPORTIONAL MORTALITY
CRUDE DEATH RATE
EXPECTATION OF LIFE
Specific Indicators that Measure Health
PART IV:: HEALTH CARE AND SERVICES
26:
Health Planning, Administration and Management
Health Planning
Levels of Planning
Steps In Planning
MAKING A PLAN
EXECUTION OF THE PLAN
CONTROL AND SUPERVISION
EVALUATION
OPERATIONAL RESEARCH
Health Planning In India
PLANNING COMMISSION
NATIONAL HEALTH PLANNING
NINTH PLAN: HEALTH AND FAMILY WELFARE
URBAN HEALTH CARE SERVICES
DEVELOPMENT OF HUMAN RESOURCES FOR HEALTH
INDIAN SYSTEMS OF MEDICINE AND HOMEOPATHY
Draft Approach Paper to the Tenth Five- year Plan (2002-2007)
Chapter 1: Objectives, Targets and Strategy
INTRODUCTION
OBJECTIVES OF THE TENTH PLAN
MONITORABLE TARGETS FOR THE TENTH PLAN AND BEYOND
National Health Committees
BHORE COMMITTEE, 19464
CHOPRA COMMITTEE
MUDALIAR COMMITTEE, 19629
CHADHA COMMITTEE, 196310
MUKHERJEE COMMITTEE, 1965
MUKHERJEE COMMITTEE 196611
JUNGALWALLA COMMITTEE, 196712
KARTAR SINGH COMMITTEE, 197313
SHRIVASTAV COMMITTEE, 197514,15
BAJAJ COMMITTEE, 1986
Health Manpower Planning
ANOMALIES IN HEALTH MANPOWER STRUCTURE
ANOMALY REGARDING DISTRIBUTION
ANOMALIES REGARDING JOB OPPORTUNITIES
Health Administration and Management
Administration
Management21
DEFINITIONS
FUNCTIONS
Organization
Principles of Organization
Organizational Behavior
Overview of Management, Administration and Organization
Management Techniques
ORGANIZATIONAL DESIGN
PERSONNEL MANAGEMENT (HUMAN RESOURCE DEVELOPMENT)
MANAGEMENT INFORMATION SYSTEM (MIS)
MANAGEMENT BY OBJECTIVES (MBO)
ADMINISTRATION, MANAGEMENT AND ORGANIZATION
MANAGEMENT BY EXCEPTION
COST METHODS
SYSTEMS ANALYSIS
NETWORK ANALYSIS
CRITICAL PATH ANALYSIS
WORK SAMPLING
LINEAR PROGRAMMING
Characteristics of a Good Health Service
Challenges in Health Care Administration
Government Health Organization in India
Central Level
UNION LIST
CONCURRENT LIST
UNION MINISTRY OF HEALTH AND FAMILY WELFARE
State Level
STATE MINISTRY OF HEALTH
STATE HEALTH DIRECTORATE
District Level
HEALTH ORGANIZATION IN URBAN AREAS
HEALTH ORGANIZATION IN RURAL AREAS
SUGGESTED MODIFICATIONS IN DISTRICT HEALTH SET-UP
NEW INITIATIVE IN HEALTH CARE DELIVERY SYSTEM
DISABILITY RULE
National Health Policy
Comments about National Health Policy
REVISED DRAFT NATIONAL POLICY
National Health Policy-2001
INTRODUCTORY
CURRENT SCENARIO
OBJECTIVES
NHP-2001—POLICY PRESCRIPTIONS
SUMMATION
Health and Development
How Health Promotes Development?
How Development Affects Health?
HOW DEVELOPMENT MAY LEAD TO III-HEALTH THROUGH ENVIRONMENTAL DEGRADATION?
FAT (RATIO 4.56)
SUGAR (RATIO 2.92)
ENERGY (RATIO 34.58)
NEWSPRINT (RATIO 103.6)
Current Trends in Development
Physical Quality of Life Index
Human Development Index
Human Poverty Index
THE THREE INDICATORS OF THE HUMAN POVERTY INDEX (HPI)
Gender Development Index (GDI) and Gender Empowerment Measure (GEM)
27:
Health Economics
Basic Concepts
Economics
STUDY OF WEALTH
STUDY OF WELFARE
STUDY OF SCARCITY
Health Economics
Scarcity
Demand
GNP and GDP
Poverty Line
Cost
OTHER CONCEPTS RELATED TO COSTS
Benefits
Cost Benefit Analysis (CBA)
Cost-effectiveness Analysis (CEA)
EXAMPLES OF CEA
Cost Utility Analysis
Budget
Allocations
Health Financing
Some Practical Considerations
Cost of Medical Care: Government System vs Privatization
DALY vs Health Care Costs
PUBLIC HEALTH PACKAGE
ESSENTIAL CLINICAL SERVICES PACKAGE
Medical Quality and Audit
28:
Health Care of the Community
World Health Day 2009: Make Hospitals Safe in Emergencies
Imbalance in Health Care and its Causes
Lack of a Positive, Dynamic and Multidimensional Concept of Health
Social Injustice
Other Socioeconomic, Cultural, Religious and Political Factors
Health Problems in India
Population Problem
MALNUTRITION
Lack of Environmental Sanitation
High Prevalence of Communicable Diseases
Lack of Medical Care Facilities
Health Care
Levels of Health Care
Primary Health Care
CHARACTERISTICS OF PRIMARY HEALTH CARE
COMPONENTS OF PRIMARY HEALTH CARE
Rural Primary Health Care
Background
Evolution of Primary Health Centers
Functions of the PHC
MEDICAL CARE, REFERRAL AND LABORATORY SERVICES
CONTROL OF COMMUNICABLE DISEASES
ENVIRONMENTAL SANITATION AND SAFE WATER SUPPLY
MCH SERVICES
FAMILY PLANNING
SCHOOL HEALTH SERVICE
HEALTH EDUCATION
VITAL STATISTICS
NATIONAL HEALTH PROGRAMS
TRAINING OF PERSONNEL
Duties of the PHC Medical Officer
GENERAL
SUPERVISORY
ADMINISTRATIVE
Rural Health Training Centers
Rural Health Scheme
VILLAGE LEVEL
SUBCENTER LEVEL
Primary Health Center Level
IPHS FOR PRIMARY HEALTH CENTERS
BASIC LABORATORY SERVICES
COMMUNITY HEALTH CENTER LEVEL
Urban Primary Health Care
URBAN REVAMPING SCHEME
URBAN FAMILY WELFARE CENTRES
National Health Programs
Appendix
RECOMMENDATIONS OF ALMA ATA CONFERENCE21
29:
Information, Education, Communication and Training in Health
Definitions and Concepts
Information
Education
Communication
Health
HEALTH EDUCATION
HEALTH PROMOTION
PRINCIPLES OF HEALTH PROMOTION
LEARNING
PERCEPTION
KNOWLEDGE
ATTITUDE
MOTIVATION
DECISION
BEHAVIOR
PROPAGANDA
Role and Need of Health Education and Promotion
Objectives of Health Education and Promotion
Informing People
Motivating People
Guiding into Action
The Process of Change in Behavior
Principles of Health Education5
The Challenge of Health Education
The Thirteen Principles
Characteristics of Effective Health Education
Communication in Health Education and Training5
Principles of Communication
Education and Training Methodology
Systems Approach
TRAINING NEED ASSESSMENT (TNA)
FORMULATION OF OBJECTIVES
CURRICULUM DESIGNING AND IMPLEMENTATION
COMMUNICATIONS SKILLS
EDUCATIONAL AIDS
EVALUATION
Planning of Health Education
Levels of Health Education
Group Approach
Family Approach
Individual Approach
Experience and Examples of Health Education
Child to Child Program
Education and Training System in Health and FW Institutions
IEC Training Scheme
Rationale
Objectives
Major Components
VISIT SCHEDULES
TRAINING
SUPERVISION
MONITORING AND EVALUATION
Role of HFWTCs
Social Marketing
Elements of Social Marketing
UNDERSTAND “CUSTOMER NEEDS”
DISTRIBUTION CHANNELS: MAKING THE “PRODUCT” AVAILABLE
PRICING
OPPORTUNITY COSTS—THE COST OF ADOPTION
Examples of Social Marketing
IN DEVELOPED COUNTRIES
IN DEVELOPING COUNTRIES
30:
Maternal and Child Health
World Health Day 2005: Make Every Mother and Child Count
Maternal and Child Health
Mothers and Children as a Special Group
Mother and Child as One Unit
Definitions
Prenatal Period
The Nature of MCH Problem
Maternal Morbidity and Mortality
Maternal Morbidity
Maternal Mortality
CONTROL OF MATERNAL MORBIDITY AND MORTALITY
“At Risk” Mothers
Pediatric Morbidity and Mortality
Pediatric Morbidity
Pediatric Mortality
CAUSES OF PEDIATRIC MORTALITY
IDENTIFICATION OF CHILDREN “AT RISK”
LOW BIRTH WEIGHT
Maternal and Child Health Services
Components of MCH Care
SERVICES FOR THE MOTHER
SERVICES FOR THE CHILD
Services for the Mother
PRECONCEPTIONAL
ANTENATAL CARE
NATAL CARE
POSTNATAL CARE
FAMILY PLANNING
Services for the Child
HEALTH PROMOTION
NEW ICDS GROWTH CHART
STEPS OF GROWTH MONITORING
HEALTH PROTECTION
INTERPRETATION OF DIRECTION OF CHILD'S GROWTH CURVE (TABLE 30.6)
EARLY DIAGNOSIS AND PROMPT TREATMENT
DISABILITY LIMITATION
REHABILITATION
UNDER-FIVES CLINIC
OTHER WELFARE SERVICES REQUIRED FOR CHILDREN
National Programs for Maternal and Child Health
Reproductive and Child Health (RCH) Program
Components
ESSENTIAL NEWBORN CARE
FOR PREGNANT WOMEN
Strategy
Implementation
NATIONAL RURAL HEALTH MISSION (NRHM)
National Immunization Program
Integrated Child Development Services
Objectives
THE CONCEPT OF ICDS AND THE PACKAGE OF SERVICES
Services
Beneficiaries
ADMINISTRATIVE SET-UP15
WHEAT BASED NUTRITION PROGRAM (WBNP)
INTERNATIONAL PARTNERS
RECENT INITIATIVES
ACHIEVEMENTS
31:
Family Planning and Population Policy
Scope of Family Planning Services
Birth Control
TIMING OF BIRTHS
SPACING OF BIRTHS
NUMBER
Management of Sterility and Low Fertility
Education about Sexuality
Advice Regarding Wise Parenthood
Other Aspects
Demographic Considerations in Family Planning
Qualities of a Good Contraceptive
Unmet Need
Methods of Family Planning
Coitus Interruptus or Withdrawal
Periodic Abstinence (Safe Period Method)
Spermicidal (Chemical) Methods
Diaphragm Method
Vaginal Sponge
Condom
Intrauterine Devices (IUD)
ADVANTAGES OF IUD
Advantages and Disadvantages of Copper IUD
ADVANTAGES
DISADVANTAGES
INSERTION
MODE OF ACTION
TIME OF INSERTION
SELECTION OF CASES
COMPLICATIONS
CONTRAINDICATIONS
Progestasert IUD
ADVANTAGES
DISADVANTAGES
Levonorgestrel IUD
ADVANTAGES
DISADVANTAGES
Hormonal Methods
COMBINED PILL
MINIPILL [PROGESTIN-ONLY PILL (POP)]
INJECTABLE PREPARATIONS
SUBDERMAL IMPLANTS
VAGINAL RING
FEMALE CONDOM
Emergency Contraceptive
Indications
Types of Emergency Contraception21,24
Postconceptional Methods
MENSTRUAL REGULATION
MENSTRUAL INDUCTION
ABORTION
RU-486 (MIFEPRISTONE)
Medical Termination of Pregnancy Act, 1971
THERAPEUTIC
EUGENIC
HUMANITARIAN
SOCIAL
Sterilization
VASECTOMY
TUBECTOMY
Antifertility Vaccines
EARLY CLINICAL TRIALS
Miscellaneous
PRECAUTIONS
CONTRAINDICATIONS
National Family Welfare Program
Objective
Steps to Achieve the Target and Implement the Program
Motivation of Eligible Couples
Definitions in Family Planning
CURRENT CONTRACEPTIVE PREVALENCE
EFFECTIVE CONTRACEPTIVE PREVALENCE
TOTAL FERTILITY RATE
NET REPRODUCTION RATE
MATERNAL MORTALITY RATIO
EQUIVALENT STERILIZATIONS
EQUIVALENT ACCEPTORS
POSTPARTUM PROGRAM
RESEARCH AND TRAINING
Administrative Set-up
Budget
Newer Initiatives
PERFORMANCE DURING LAST FIVE YEARS
ESSENTIAL OBSTETRIC CARE AND ADDITIONAL ANM IN CATEGORY ‘C’ DISTRICTS
Reproductive and Child Health Program
PHN/STAFF NURSES
HIRING OF PRIVATE ANESTHETIST
24 HOURS DELIVERY SERVICES AT PHCS/CHCS
REFERRAL TRANSPORT TO INDIGENT FAMILIES THROUGH PANCHAYATS
SAFE MOTHERHOOD CONSULTANT
DAI TRAINING
THE RCH OUTREACH SERVICES
Child Health
RECANALIZATION SERVICES (CENTERS OF EXCELLENCE)
SUPPLY OF LAPAROSCOPES AND TUBAL RINGS
TESTING FACILITY AT IIT, NEW DELHI
Nonscalpel Vasectomy
Involvement of Ngos in the Family Welfare Program
RCH-IEC ACTIVITIES THROUGH ZILA SAKSHARTA SAMITIS
VILLAGE HEALTH GUIDE SCHEMES
POSTPARTUM PROGRAM
URBAN REVAMPING SCHEME AND URBAN FAMILY WELFARE CENTER
STERILIZATION BED SCHEME
COMMUNITY NEEDS ASSESSMENT APPROACH (CNAA)
POPULATION RESEARCH CENTERS
RAPID HOUSEHOLD (DISTRICT LEVEL) SURVEY
FACILITY SURVEY
NATIONAL FAMILY HEALTH SURVEY52
National Population Policy
Short-term
Medium-term
Long-term
Nongovernmental Organizations (NGOs)
INPUTS
PROCEDURE FOR SANCTION/CONDITIONS REGULATING ASSISTANCE
Social Dimensions of Family Planning and Population Control
32:
School Health Services
Health Status of School Children
School Health Service in India
Special Needs of the School Child
School Health Program
Objectives1
Components
HEALTH TEACHING AND HEALTH EDUCATION
MAINTENANCE OF HEALTH GIVING ENVIRONMENT
COMPREHENSIVE HEALTH CARE
HOW TO START A SCHOOL HEALTH PROGRAM1
33:
Geriatrics: Care and Welfare of the Aged
World Health Day 2012: Aging and Health
The Problems of the Old
Economic Problems
Social Problems
Mental Problems
Physical Problems
Nutritional Status
Assessment of Malnutrition in the Elderly
Assessment Tools18
Administrative Aspects
34:
Mental Health
Prevalence of Mental Illness
Etiology
CONSTITUTIONAL FACTORS
PHYSICAL FACTORS
PSYCHOLOGICAL FACTORS
ENVIRONMENTAL FACTORS
Types of Mental Disorders
Mental Deficiency or Retardation
Behavior Disorders Among Children
Juvenile Delinquency
Mental Disease
Psychosomatic Disorders
Drug Addiction
Definitions
Dependence
Addiction as a Disease
IT IS A PRIMARY DISEASE
IT IS A PROGRESSIVE DISEASE
THE DISEASE IS TERMINAL
IT IS A PERMANENT DISEASE
Types of Drug Abuse
Reasons for Using Drugs
How to Identify Drug Abusers?
Mental Health Care
Prevention and Control of Mental Illness
Primary Prevention
Secondary Prevention
Tertiary Prevention
National Mental Health Program
Objectives
Personnel Involved in the Program
Services
TREATMENT
REHABILITATION
PREVENTION
Training of PHC Staff
World Mental Health Day: 10th October
35:
Health Services through General Practitioners
What is General Practice?
General Practice vs Family Medicine
General Practice vs Community Medicine
Components of Family Medicine or General Practice
Primary Care
CURATIVE ASPECTS
PREVENTIVE ASPECTS
Emergencies
COMMON SURGICAL EMERGENCIES
COMMON MEDICAL EMERGENCIES
COMMON OBSTETRIC EMERGENCIES
COMMON PEDIATRIC EMERGENCIES
Referrals
Community Skills Needed in a General Practitioner/Family Physician
36:
International Health
Pre-WHO Efforts
International Sanitary Conference (1851)
Pan American Sanitary Bureau (1902)
International Health
Office Internationale d'Hygiene Publique (1907)
Health Organization of the League of Nations (1923)
World Health Organization
Constitution
Organizational Structure
WORLD HEALTH ASSEMBLY
EXECUTIVE BOARD
SECRETARIAT
REGIONAL OFFICES
Functions of WHO
HEALTH SERVICE DEVELOPMENT
BIOMEDICAL RESEARCH
PREVENTION AND CONTROL OF SPECIFIC DISEASES
HEALTH STATISTICS
COOPERATION WITH OTHER AGENCIES
FAMILY HEALTH
ENVIRONMENTAL HEALTH
HEALTH LITERATURE AND INFORMATION
Other UN Agencies
UNICEF
FUNCTIONS
FAO
UNDP
ILO
World Bank
UNFPA
UNESCO
UNHCR
UNIDO
UNAIDS
Bilateral Agencies
Colombo Plan
USAID
DANIDA
DFID
Nongovernment Agencies
Rockefeller Foundation
Ford Foundation
CARE (Cooperative for American Relief Everywhere)
Red Cross
Freedom from Hunger
Agha Khan Foundation
Save the Children Fund
Oxfam
Others Voluntary Organizations
37:
Biomedical Waste Management
Concept and Definition
Health Care Wastes
Biomedical Wastes
Medical Wastes
Importance and Nature of Biomedical Waste
Health Hazards Associated with Poor Hospital Waste Management
Role of Disposable and Autodisabled Syringes (AD Syringes)
Correct Use of AD Syringes
Disposal of Biomedical Waste
Segregation
ADVANTAGES OF SEGREGATION
CATEGORIES FOR SEGREGATION
COLOR CODING SCHEME
Storage
Treatment
Methods Available for Treatment of Hospital Waste
Methods Suitable for Different Types of Wastes8
Equipment Required in a Biomedical Waste Management Facility
Individual vs Common Facility
Features of a Common Facility
DISPOSAL OF GENERAL WASTE
Biomedical Wastes (Management and Handling) Rules, 1998
38:
Anthrax and Bioterrorism
Anthrax
What are the Types of Anthrax Infection?
CUTANEOUS
INHALATION
GASTROINTESTINAL
What are the Case Fatality Rates for the Various Forms of Anthrax?
CUTANEOUS ANTHRAX
INHALATIONAL ANTHRAX
GASTROINTESTINAL ANTHRAX
What are the Symptoms for Anthrax?
What is Postexposure Prophylaxis for Prevention of Inhalational Anthrax after Intentional Exposure to B. Anthracis?
Is There a Vaccine for Anthrax?
Who should be Vaccinated Against Anthrax?
What is a Nasal Swab Test?
If Patients are Suspected of Being Exposed to Anthrax, should they be Quarantined or should Other Family Members be Tested?
What should be the Management When a Person has been Exposed to Anthrax?
What Antimicrobial Treatment should be Given?
Bioterrorism
What is Biological Warfare?
WHAT DISEASES POSE THE BIGGEST THREATS?
WHAT IS COMPARATIVE THREAT FROM ANTHRAX AND SMALLPOX AS TOOLS OF BIOTERRORISM?
39:
Nosocomial Infections*
40:
Oral Diseases
Major Statements
Oral Cancer
Oral Precancer
Oral Mucosal Diseases
Smoker's Palate
Oral Candidiasis
Periodontal Disease
Dental Caries
History of the Caries Epidemic
Older Concepts and Approach to Treatment
Present Concepts
FACTOR 1: CARIES IS A BACTERIAL DISEASE
FACTOR 2: CARIES IS DEPENDENT ON DIETARY SUCROSE
FACTOR 3: CARIES IS DRIVEN BY FREQUENCY OF EATING
FACTOR 4: CARIES IS MODIFIED BY FLUORIDE
FACTOR 5: CARIES IS MODIFIED BY SALIVA
41:
Disaster Management
World Health Day 2008: Protecting Health from Climate Change
General Concepts
Definition of Disaster
Classification of Disasters
NATURAL DISASTERS
MAN-MADE DISASTERS
Typical Course of a Disaster
Disaster Assessment3,4
Medical Care at the Disaster Site
Potential Risks at the Disaster Site
Management Aspects
COMMAND POST
FUNCTION OF THE COMMAND POST
MEDICAL COORDINATOR AT THE COMMAND POST
TRIAGE
MOBILIZATION AREAS
MOBILE UNITS
MEDICAL EQUIPMENT AND SUPPLIES
Natural Disasters
Guiding Principles for Health Sector Flood Management
PUBLIC HEALTH RISKS
LIST OF COMMON AILMENTS/DISEASES FOUND AFTER FLOODS
FLOODS—DO'S AND DON'TS10
SPECIFIC PUBLIC HEALTH ACTIVITIES FOR FLOOD
Guiding Principles for Health Sector Drought Management
CONTINGENCY PLAN FOR MEDICAL CARE DURING DROUGHT
Biological Disasters
Guiding Principles for Planning
BIOLOGICAL DISASTER AND EPIDEMIC
MICROORGANISMS PRODUCING CRISIS SITUATION
SOURCES
INTRODUCTION OF NEW FORM OF ENDEMIC DISEASES
SPREAD OF DISEASES FROM ENDEMIC TO NONENDEMIC REGION OF THE COUNTRY
New Diseases
Special Considerations for Bio-toxins
Emergency Immunization
STRATEGY FOR IMMUNIZATION
PRIORITY OF IMMUNIZATION
Indications for Passive Immunization in Emergencies
BOTULISM
DIPHTHERIA
PERTUSSIS
RABIES
TETANUS
VARICELLA
VIRAL
VIRAL HEPATITIS A
VIRAL HEPATITIS B
BIOLOGICAL WEAPONS/TYPES
Chemical Disasters
Introductory
Natural vs Chemical Disaster
The Disastrous Event
Consequences of the Disastrous Event
Health Effects of Massive Chemical Exposures
Assessment of Risk
Preparedness Plan for Meeting Chemical Disasters
IDENTIFICATION OF THE HAZARD
RISK ASSESSMENT
ON SITE AND OFF SITE PREPAREDNESS PROGRAM
FIRE—DO'S AND DON'TS10
Natural Disaster Management in India
Floods
Drought
Cyclones
CYCLONES—DO'S AND DON'TS10
Earthquakes
EARTHQUAKES—DO'S AND DON'TS10
Statewise Analysis
National Policy
Disaster Management Structure in India
State Level
National Level
Role of the Health Sector
PUBLIC HEALTH IMPACT FOLLOWING DISASTERS
Disaster Management Structure in Health Sector
National Level
State Level
District/PHC Level
Non-governmental Organizations
Indian Red Cross Society
International Day for Disaster Reduction: 14th October
INDEX
TOC
Index
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