Our Health Problems

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

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 Our major problems
 Communicable diseases
 Life style diseases

 Untimely deaths
 (Accidents ,suicides,Homicides)

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 Communicable disease

 Small Pox (Eradicated)

 Chicken Pox
 Rubella
 Mumps
 Poliomyelitis
 Viral hepatitis
 Malaria
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 Communicable(Contd)
 Dengue
 Rabies
 Diphtheria
 Whooping Cough
 Meningitis
 TB
 Food Poisoning
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 Communicable(Contd)
 Filariasis (yearly Mass MDA)
 Amoebiaisi
 Worms
 Leptospirosis
 Taenia
 Hydatid

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 Communicable
(Contd)
 Trachoma
 Tetanus
 Leprosy
 STD
 AIDS

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 Life Style Diseases
 Diseases due to
 Modernisation
 Urbanisation
 Prosperity

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

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 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

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 Only care,No Cure

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 Diabetes
 World 20 crores
 Inida 3.5 crores

By 2030
 world 80 crores

 India 8 crores

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 Obesogenic enviornment

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 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

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 Umbilical measurement
 Men > 90 cms
(Apple)
 Women > 84cms

(Pear)
(Look at buttocks,
thigh & umbilicus for
excess fat)
(Excess
Leptin,Adiponectin,
Resitin hormones)

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 Male 0.90 / female 0.85

Umbilical measurement

-----------------
Hip measurement

Male 0.90
Female 0.85

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 Modern gadgets
 Mobile phone
 Remote control
 Play station
 Computer
 Micro oven

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

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

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 BMI (Basal Metabolic
Index)

Weight in Kgms
-----------------------
ht in mts x mts

 70/ 1.7x 1.7=

20.8
 If more than 22
obese
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 To prevent obesity
 Breast feeding
 Avoid Bakery
items
 Avoid Fast Food
 Semisolid from 5th
month
 Rice /kanji after
5th month
 Eat with family
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 AVOID
 Bakery
 Pissa
 Colas
 Sweets
 Fatty foods

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 PLAY in Sunlight
 Prevents
osteoporosis in old
age
 Dance
 Skipping
 Cyclig
 tabletennis
 shuttle
 badminton
 walking
 running
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 Parameters
 Hb 14 gms %
 Male
 Female usually
10
 Menstural loss
 MOTION- no ova

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

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

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 Alcohol
 2007 New year
day
 14.92 crores

 2007 Onam
 128 crores for 8
days
 (16 crores /day)

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 Smoking
 Free radicals
 Active
 Passive
 Harm wife
 Fetus in uterus
too

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 Panmasala,Samba,Tulasi
 Oral cancer
 Even in young
people

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 Ectopic pregnancy

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

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

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 Not Juice but fruit
 Juice has no fiber
 Fiber is GOOD

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 ANTI OXIDENTS

 Fresh Fruits
 Fresh vegetables
 Gooseberry
 lemon

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

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

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 Baker hypothesis

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 Syndrome- X
(Metabolic syndrome)

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 On AIDS

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