ABSTRACT
Introduction: Water borne and communicable diseases:Gastrointestinal disorders, particularly dysentery, diarrhoeaand parasitic infections are very common among tribalregions of Maharashtra, leading to marked morbidity andmalnutrition. The present study was a epidemiologicalsurveillance in the vicinity of Sardar Sarovar HealthProjects and its impact of health and morbidity status of thepopulation.Material and methods: It was a cross sectional, analyticalstudy. The study was conducted in Nandurbar districtMaharashtra. The affected villages by Narmada Sarovar waterkept under active surveillance during study period by the healthstaff and selected local leaders from villages.Results: There were total 872 cases of malnutrition reportedwithin two year. Out of this 85% were from >1 yrs of age groupand 15% were from below one year of age group. Out of 872cases of malnutrition 44% were Male and 56% were females.Majority of malnutrition Cases were from >1 yrs of age groupas compared to the below one years of age group, this data issubjected to statistical analysis the difference is found statisticallynot significant.Conclusions: Strengthening of the existing health servicesand existing infrastructure in the affected and rehabilitatedarea and active involvement of local leaders with someincentives (Pada worker, ASHA). NGOs and CBOs in diseasessurveillance system.
ABSTRACT
Background: Diarrhoeal diseases represent a major health problem in developing countries. Conservative estimates place the global death toll from diarrhoeal diseases at about two million deaths per year (1.7 - 2.5 million deaths), ranking third among all cases of infectious disease death worldwide. The prime purpose of an outbreak investigation is to control the outbreak, limit its spread to other areas and assess how preventive strategies could be further strengthened to reduce or eliminate the risk of such outbreak in future. Methods: It was a descriptive cross sectional study of epidemic occurred in Khetiya village, Dist Barwani (MP), population of 67,500 during 17 October 2016 to 17 November 2016. All the cases reported within last one week around the market place village in Khetiya, presenting with symptoms and signs of AGE (as per standard case definition of IDSP) and willing to participate in the investigation. Results: Males were 56.96%, & female cases were 43.03%. Majority of the study subjects lied between 20-40 years. The mean age was 30.15±5 years. Majority of the cases belonged to lower middle class SES (38%). 87% population was tribal, 48% cases were labourers, 42% were farmers and 10% were others. Conclusions: Males were 56.96%, & female cases were 43.03%. Majority of the study subjects lied between 20-40 years. The mean age was 30.15±5 years. Majority of the cases belonged to lower middle class SES (38%). 87% population was tribal, 48% cases were labourers, 42% were farmers and 10% were others.
ABSTRACT
Background: Rabies is an acute viral disease, which causes encephalomyelitis in virtually all the warm blooded animals, including man. Almost 20000 deaths occur in India. The present study conducted with objective to analyze the delays and compliance for anti-rabies vaccination as per schedule and its some factors among the animal bite cases. Methods: Retrospective cross sectional record based study of cases attended Anti-Rabies Vaccination (ARV) clinic during the period of April 2012 to March 2013. The data extracted from records included socio-demographic variables, animal bite history treatment received and completion of ARV schedule. Data entered and analyzed using SPSS 21. Results: Total of 3548 animal bite cases attended the ARV clinic. Out of these cases, 18.2 %, 20.3% and 14.2% of cases not reported on scheduled date for 2nd, 3rd & 4th dose of ARV respectively. Only 34.3% of cases completed the schedule. Delay for receiving ARV among women, cases from rural area & class II animal bite was statistically significant. Conclusions: Counselling regarding follow up of ARV schedule at the time of first visit to the anti-rabies vaccine clinic must be strengthened to avoid poor compliance and delaying of schedule.