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Lecture on Health and HygieneLecture on Health and Hygiene
By Dr. Sabir hussainBy Dr. Sabir hussain
MBBS, MRCPMBBS, MRCP
HealthHealth
Health is defined as beingHealth is defined as being
"a state of complete"a state of complete
PhysicalPhysical,, MentalMental, and, and
SocialSocial well-being and notwell-being and not
merely the absence ofmerely the absence of
disease or infirmity".disease or infirmity".
HygieneHygiene
Hygiene is the practice of keeping theHygiene is the practice of keeping the
body clean to prevent infection andbody clean to prevent infection and
illness, and the avoidance of contactillness, and the avoidance of contact
with infectious agents.with infectious agents.
Health careHealth care
Health care is the prevention,Health care is the prevention,
treatment, and management oftreatment, and management of
illness and the preservation ofillness and the preservation of
mental and physical well beingmental and physical well being
through the services offered by thethrough the services offered by the
medical, nursing, and allied healthmedical, nursing, and allied health
professions.professions.
Public healthPublic health
Public health is "the science and art ofPublic health is "the science and art of
preventing disease, prolonging life andpreventing disease, prolonging life and
promoting health through the organisedpromoting health through the organised
efforts and informed choices of society,efforts and informed choices of society,
organizations, public and private,organizations, public and private,
communities and individuals."communities and individuals."
The focus of public health interventionThe focus of public health intervention
is to prevent rather than treat a diseaseis to prevent rather than treat a disease
through surveillance of cases and thethrough surveillance of cases and the
promotion of healthy behaviors.promotion of healthy behaviors.
Health educationHealth education
Health education can be defined asHealth education can be defined as
the principle by which individuals andthe principle by which individuals and
groups of people learn to behave in agroups of people learn to behave in a
manner conducive to the promotion,manner conducive to the promotion,
maintenance, or restoration ofmaintenance, or restoration of
health.health.
DiseaseDisease
Dis + Ease = AnyDis + Ease = Any
condition which causescondition which causes
uneasinessuneasiness
Disease = physiological/PsychologicalDisease = physiological/Psychological
dysfunction.dysfunction.
Illness= Subjective state of a person who feelsIllness= Subjective state of a person who feels
aware of being not well.aware of being not well.
Sickness= A state of social dysfunction, i.e., aSickness= A state of social dysfunction, i.e., a
role that the individual assumes when he is illrole that the individual assumes when he is ill
(sickness role).(sickness role).
Causes of DiseasesCauses of Diseases
Epidemiological TriadEpidemiological Triad
Environment
Agent Host
Causes of Diseases the AyurvedaCauses of Diseases the Ayurveda
ConceptConcept
Dosha TriadDosha Triad
Vata
Pitta Kaffa
Various Systems Of TreatmentVarious Systems Of Treatment
Modren Medicine (Allopathy)Modren Medicine (Allopathy)
Indian Medicine –Ayurveda and siddhaIndian Medicine –Ayurveda and siddha
SystemsSystems
Chinese MedicineChinese Medicine
Egyptian MedicineEgyptian Medicine
Mesopotamian MedicineMesopotamian Medicine
Greek MedicineGreek Medicine
Roman MedicineRoman Medicine
HomeopathyHomeopathy
Alternative MedicineAlternative Medicine
Types of DiseasesTypes of Diseases
According to Causes:According to Causes:
Infective/ Communicative dideasesInfective/ Communicative dideases
Non Infective DiseasesNon Infective Diseases
Life style DiseasesLife style Diseases
Deficiency DiseasesDeficiency Diseases
Hereditary DiseasesHereditary Diseases
Genetic DiseasesGenetic Diseases
CommunicableCommunicable DiseasesDiseases
Spread from one person toSpread from one person to
otherother
Caused by GermsCaused by Germs
Mode Of spreadMode Of spread
AirAir
WaterWater
SoilSoil
Close contactClose contact
Mode Of SpreadMode Of Spread
FingersFingers
FoodFood
FomitesFomites
Communicable Disease:Communicable Disease:
Are Caused by GermsAre Caused by Germs
Germs Spread throughGerms Spread through
AirAir
WaterWater
SoilSoil
Close ContactClose Contact
VectorsVectors
– House flyHouse fly
– MosquitoMosquito
– MammalsMammals
– Bugs etcBugs etc
Communicable Deseases can beCommunicable Deseases can be
Prevented byPrevented by
Maintaining HygieneMaintaining Hygiene
Washing handsWashing hands
BathingBathing
Using handkerchief while Coughing andUsing handkerchief while Coughing and
sneezingsneezing
Not spitting, Urinating, defecating in openNot spitting, Urinating, defecating in open
Using ToiletsUsing Toilets
Life style diseasesLife style diseases
These are caused by our Changing HabitsThese are caused by our Changing Habits
of lifeof life
More in developed NationsMore in developed Nations
Increasing rapidly in IndiaIncreasing rapidly in India
These areThese are
High B.P.High B.P.
DiabetesDiabetes
Heart DiseasesHeart Diseases
StrokeStroke
ObesityObesity
CancersCancers
AccidentsAccidents
Life style diseasesLife style diseases
Can be prevented byCan be prevented by
Regular Exercise/ Physical workRegular Exercise/ Physical work
Eating vegetables and fibrous foodEating vegetables and fibrous food
Balanced DietBalanced Diet
Not SmokingNot Smoking
Not drinking alcoholNot drinking alcohol
Leading Tension free LifeLeading Tension free Life
Deficiency Diseases/ NutritionalDeficiency Diseases/ Nutritional
diseasesdiseases
Caused by deficiency of vitamins andCaused by deficiency of vitamins and
minerals in the bodyminerals in the body
Cause - Poverty and ignoranceCause - Poverty and ignorance
PEMPEM
Protein MalnutritionProtein Malnutrition
Vitamin deficiencyVitamin deficiency
– Vit. A –Night BlindnessVit. A –Night Blindness
– Vit B deficiencyVit B deficiency
– Vit C deficiencyVit C deficiency
– Iron DeficiencyIron Deficiency
Health Care Facilities in UttrakhandHealth Care Facilities in Uttrakhand
Govt. Health systemGovt. Health system
Private Clinics and HospitalsPrivate Clinics and Hospitals
Govt. Health systemGovt. Health system
At Village LevelAt Village Level
AshaAsha
Trained DaiTrained Dai
ICDS- AnganvadiICDS- Anganvadi
Sub CenterSub Center
At a population of 5000 in plains andAt a population of 5000 in plains and
3000 population in hills3000 population in hills
Female MPHWFemale MPHW
Assisted by AshaAssisted by Asha
Trained DaiTrained Dai
FacilitiesFacilities
– ImmunizationImmunization
– RCHRCH
– Institutional deliveriesInstitutional deliveries
– Referral servicesReferral services
Primary Health CentrePrimary Health Centre
1 for 30000 people in plains and for 200001 for 30000 people in plains and for 20000
peoples in hills.peoples in hills.
FacilitiesFacilities
Medical CareMedical Care
MCH and family PlanningMCH and family Planning
Safe water supply and basic sanitationSafe water supply and basic sanitation
Prevention and control of Locally endemic diseasesPrevention and control of Locally endemic diseases
Collection of vital statisticsCollection of vital statistics
Health educationHealth education
National Health ProgramsNational Health Programs
Referral servicesReferral services
Basic Lab servicesBasic Lab services
CHCCHC
One in Each community BlockOne in Each community Block
30 bedded hospital30 bedded hospital
Specialist doctorsSpecialist doctors
X ray and Lab servicesX ray and Lab services
Higher CentersHigher Centers
Composite hospitalsComposite hospitals
Base HospitalsBase Hospitals
District hospitalsDistrict hospitals
Medical colleges- Tertiary CareMedical colleges- Tertiary Care
HospitalsHospitals
First aidFirst aid
The help given to a person beforThe help given to a person befor
proper Medical aid is available to himproper Medical aid is available to him
Given mainly to accident victimsGiven mainly to accident victims
AccidentsAccidents
Vehicle accidentsVehicle accidents
Fall from heightFall from height
ElectroductionElectroduction
BurnBurn
BitesBites
VaccinationVaccination
Some diseases can be prevented bySome diseases can be prevented by
VaccinesVaccines
UIPUIP
NATIONAL IMMUNIZATIONNATIONAL IMMUNIZATION
SCHEDULESCHEDULE
Age Vaccine Name Diseases Prevented
At Birth or within 48 Hrs Hepatitis B & Polio drops. Hepatitis B & Polio
0-1 month B.C.G T.B. (Tuberculosis)
1 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus,
Polio & Hepatitis B
2 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus,
Polio
3 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus,
Polio & Hepatitis B
9-12 months Measles Measles
15-18 months 9-12 months Measles, Mumps & Rubella
16-24 months DPT, Polio(Booster dose) Diphtheria, Whooping cough, Tetanus
& Polio
5 Years DT
Diphtheria & Tetanus
DT Diphtheria & Tetanus
.For Pregnant women
As Early as possible In pregnancy
After 1 month
T.T.
T.T.
Tetanus
PregnancyPregnancy
It is not a disease but requires Medical CareIt is not a disease but requires Medical Care
Covered in RCH programCovered in RCH program
T.T. immunizationT.T. immunization
Minimum 4 visits to Health care centreMinimum 4 visits to Health care centre
100 IFA Tablets100 IFA Tablets
200 Calcium Tablets200 Calcium Tablets
Proper FoodProper Food
Rest and tension free EnvironmentRest and tension free Environment
Timely detection of high risk casesTimely detection of high risk cases
Delivery under supervisionDelivery under supervision
Pregnancy and Family supportPregnancy and Family support
Emotional SupportEmotional Support
Physical supportPhysical support
Medical SupportMedical Support
Medical SupportMedical Support
T.T. InjectionsT.T. Injections
Iron and Folic acid tabletsIron and Folic acid tablets
Calcium TabletsCalcium Tablets
Regular Attending Health ClinicRegular Attending Health Clinic
Warning Signs Of Emergency:Warning Signs Of Emergency:
Warning Signs Of Emergency:Warning Signs Of Emergency:
Uncontrolled VomitingUncontrolled Vomiting
Bleeding P.V.Bleeding P.V.
Pain in AbdomenPain in Abdomen
Swelling on body and HeadacheSwelling on body and Headache
No baby movement for 6 hoursNo baby movement for 6 hours
ConvulsionsConvulsions
Leaking P.V.Leaking P.V.
Labor Pains for more than 6 hoursLabor Pains for more than 6 hours
Family Planning MethodsFamily Planning Methods
Temporary- Spacing MethodsTemporary- Spacing Methods
Permanent methods:Permanent methods:
Family Planning MethodsFamily Planning Methods
Temporary- Spacing MethodsTemporary- Spacing Methods
CondomCondom
Oral PillsOral Pills
Copper TCopper T
JellyJelly
DiaphragmDiaphragm
InjectionsInjections
Family Planning MethodsFamily Planning Methods
Permanent methods:Permanent methods:
For Man- VasectomyFor Man- Vasectomy
For Woman- TubectomyFor Woman- Tubectomy
Sexually Transmitted diseasesSexually Transmitted diseases
and AIDSand AIDS
Spread from Person to personSpread from Person to person
Through sexual contactThrough sexual contact
High risk – ppl. with multiple sexualHigh risk – ppl. with multiple sexual
partnerspartners
Can be preventedCan be prevented
Remember SabakRemember Sabak
Dr.sabir hussain

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Dr.sabir hussain

  • 1. Lecture on Health and HygieneLecture on Health and Hygiene By Dr. Sabir hussainBy Dr. Sabir hussain MBBS, MRCPMBBS, MRCP
  • 2.
  • 3. HealthHealth Health is defined as beingHealth is defined as being "a state of complete"a state of complete PhysicalPhysical,, MentalMental, and, and SocialSocial well-being and notwell-being and not merely the absence ofmerely the absence of disease or infirmity".disease or infirmity".
  • 4. HygieneHygiene Hygiene is the practice of keeping theHygiene is the practice of keeping the body clean to prevent infection andbody clean to prevent infection and illness, and the avoidance of contactillness, and the avoidance of contact with infectious agents.with infectious agents.
  • 5. Health careHealth care Health care is the prevention,Health care is the prevention, treatment, and management oftreatment, and management of illness and the preservation ofillness and the preservation of mental and physical well beingmental and physical well being through the services offered by thethrough the services offered by the medical, nursing, and allied healthmedical, nursing, and allied health professions.professions.
  • 6. Public healthPublic health Public health is "the science and art ofPublic health is "the science and art of preventing disease, prolonging life andpreventing disease, prolonging life and promoting health through the organisedpromoting health through the organised efforts and informed choices of society,efforts and informed choices of society, organizations, public and private,organizations, public and private, communities and individuals."communities and individuals." The focus of public health interventionThe focus of public health intervention is to prevent rather than treat a diseaseis to prevent rather than treat a disease through surveillance of cases and thethrough surveillance of cases and the promotion of healthy behaviors.promotion of healthy behaviors.
  • 7. Health educationHealth education Health education can be defined asHealth education can be defined as the principle by which individuals andthe principle by which individuals and groups of people learn to behave in agroups of people learn to behave in a manner conducive to the promotion,manner conducive to the promotion, maintenance, or restoration ofmaintenance, or restoration of health.health.
  • 8. DiseaseDisease Dis + Ease = AnyDis + Ease = Any condition which causescondition which causes uneasinessuneasiness Disease = physiological/PsychologicalDisease = physiological/Psychological dysfunction.dysfunction. Illness= Subjective state of a person who feelsIllness= Subjective state of a person who feels aware of being not well.aware of being not well. Sickness= A state of social dysfunction, i.e., aSickness= A state of social dysfunction, i.e., a role that the individual assumes when he is illrole that the individual assumes when he is ill (sickness role).(sickness role).
  • 9. Causes of DiseasesCauses of Diseases Epidemiological TriadEpidemiological Triad Environment Agent Host
  • 10. Causes of Diseases the AyurvedaCauses of Diseases the Ayurveda ConceptConcept Dosha TriadDosha Triad Vata Pitta Kaffa
  • 11. Various Systems Of TreatmentVarious Systems Of Treatment Modren Medicine (Allopathy)Modren Medicine (Allopathy) Indian Medicine –Ayurveda and siddhaIndian Medicine –Ayurveda and siddha SystemsSystems Chinese MedicineChinese Medicine Egyptian MedicineEgyptian Medicine Mesopotamian MedicineMesopotamian Medicine Greek MedicineGreek Medicine Roman MedicineRoman Medicine HomeopathyHomeopathy Alternative MedicineAlternative Medicine
  • 12. Types of DiseasesTypes of Diseases According to Causes:According to Causes: Infective/ Communicative dideasesInfective/ Communicative dideases Non Infective DiseasesNon Infective Diseases Life style DiseasesLife style Diseases Deficiency DiseasesDeficiency Diseases Hereditary DiseasesHereditary Diseases Genetic DiseasesGenetic Diseases
  • 13. CommunicableCommunicable DiseasesDiseases Spread from one person toSpread from one person to otherother Caused by GermsCaused by Germs
  • 14. Mode Of spreadMode Of spread AirAir WaterWater SoilSoil Close contactClose contact
  • 15. Mode Of SpreadMode Of Spread FingersFingers FoodFood FomitesFomites
  • 16. Communicable Disease:Communicable Disease: Are Caused by GermsAre Caused by Germs Germs Spread throughGerms Spread through AirAir WaterWater SoilSoil Close ContactClose Contact VectorsVectors – House flyHouse fly – MosquitoMosquito – MammalsMammals – Bugs etcBugs etc
  • 17. Communicable Deseases can beCommunicable Deseases can be Prevented byPrevented by Maintaining HygieneMaintaining Hygiene Washing handsWashing hands BathingBathing Using handkerchief while Coughing andUsing handkerchief while Coughing and sneezingsneezing Not spitting, Urinating, defecating in openNot spitting, Urinating, defecating in open Using ToiletsUsing Toilets
  • 18. Life style diseasesLife style diseases These are caused by our Changing HabitsThese are caused by our Changing Habits of lifeof life More in developed NationsMore in developed Nations Increasing rapidly in IndiaIncreasing rapidly in India These areThese are High B.P.High B.P. DiabetesDiabetes Heart DiseasesHeart Diseases StrokeStroke ObesityObesity CancersCancers AccidentsAccidents
  • 19. Life style diseasesLife style diseases Can be prevented byCan be prevented by Regular Exercise/ Physical workRegular Exercise/ Physical work Eating vegetables and fibrous foodEating vegetables and fibrous food Balanced DietBalanced Diet Not SmokingNot Smoking Not drinking alcoholNot drinking alcohol Leading Tension free LifeLeading Tension free Life
  • 20. Deficiency Diseases/ NutritionalDeficiency Diseases/ Nutritional diseasesdiseases Caused by deficiency of vitamins andCaused by deficiency of vitamins and minerals in the bodyminerals in the body Cause - Poverty and ignoranceCause - Poverty and ignorance PEMPEM Protein MalnutritionProtein Malnutrition Vitamin deficiencyVitamin deficiency – Vit. A –Night BlindnessVit. A –Night Blindness – Vit B deficiencyVit B deficiency – Vit C deficiencyVit C deficiency – Iron DeficiencyIron Deficiency
  • 21. Health Care Facilities in UttrakhandHealth Care Facilities in Uttrakhand Govt. Health systemGovt. Health system Private Clinics and HospitalsPrivate Clinics and Hospitals
  • 22. Govt. Health systemGovt. Health system At Village LevelAt Village Level AshaAsha Trained DaiTrained Dai ICDS- AnganvadiICDS- Anganvadi
  • 23. Sub CenterSub Center At a population of 5000 in plains andAt a population of 5000 in plains and 3000 population in hills3000 population in hills Female MPHWFemale MPHW Assisted by AshaAssisted by Asha Trained DaiTrained Dai FacilitiesFacilities – ImmunizationImmunization – RCHRCH – Institutional deliveriesInstitutional deliveries – Referral servicesReferral services
  • 24. Primary Health CentrePrimary Health Centre 1 for 30000 people in plains and for 200001 for 30000 people in plains and for 20000 peoples in hills.peoples in hills. FacilitiesFacilities Medical CareMedical Care MCH and family PlanningMCH and family Planning Safe water supply and basic sanitationSafe water supply and basic sanitation Prevention and control of Locally endemic diseasesPrevention and control of Locally endemic diseases Collection of vital statisticsCollection of vital statistics Health educationHealth education National Health ProgramsNational Health Programs Referral servicesReferral services Basic Lab servicesBasic Lab services
  • 25. CHCCHC One in Each community BlockOne in Each community Block 30 bedded hospital30 bedded hospital Specialist doctorsSpecialist doctors X ray and Lab servicesX ray and Lab services
  • 26. Higher CentersHigher Centers Composite hospitalsComposite hospitals Base HospitalsBase Hospitals District hospitalsDistrict hospitals Medical colleges- Tertiary CareMedical colleges- Tertiary Care HospitalsHospitals
  • 27. First aidFirst aid The help given to a person beforThe help given to a person befor proper Medical aid is available to himproper Medical aid is available to him Given mainly to accident victimsGiven mainly to accident victims AccidentsAccidents Vehicle accidentsVehicle accidents Fall from heightFall from height ElectroductionElectroduction BurnBurn BitesBites
  • 28. VaccinationVaccination Some diseases can be prevented bySome diseases can be prevented by VaccinesVaccines UIPUIP
  • 29. NATIONAL IMMUNIZATIONNATIONAL IMMUNIZATION SCHEDULESCHEDULE Age Vaccine Name Diseases Prevented At Birth or within 48 Hrs Hepatitis B & Polio drops. Hepatitis B & Polio 0-1 month B.C.G T.B. (Tuberculosis) 1 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus, Polio & Hepatitis B 2 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus, Polio 3 & ½ month DPT, Polio, Hepatitis B Diphtheria, Whooping cough, Tetanus, Polio & Hepatitis B 9-12 months Measles Measles 15-18 months 9-12 months Measles, Mumps & Rubella 16-24 months DPT, Polio(Booster dose) Diphtheria, Whooping cough, Tetanus & Polio 5 Years DT Diphtheria & Tetanus DT Diphtheria & Tetanus .For Pregnant women As Early as possible In pregnancy After 1 month T.T. T.T. Tetanus
  • 30. PregnancyPregnancy It is not a disease but requires Medical CareIt is not a disease but requires Medical Care Covered in RCH programCovered in RCH program T.T. immunizationT.T. immunization Minimum 4 visits to Health care centreMinimum 4 visits to Health care centre 100 IFA Tablets100 IFA Tablets 200 Calcium Tablets200 Calcium Tablets Proper FoodProper Food Rest and tension free EnvironmentRest and tension free Environment Timely detection of high risk casesTimely detection of high risk cases Delivery under supervisionDelivery under supervision
  • 31. Pregnancy and Family supportPregnancy and Family support Emotional SupportEmotional Support Physical supportPhysical support Medical SupportMedical Support
  • 32. Medical SupportMedical Support T.T. InjectionsT.T. Injections Iron and Folic acid tabletsIron and Folic acid tablets Calcium TabletsCalcium Tablets Regular Attending Health ClinicRegular Attending Health Clinic Warning Signs Of Emergency:Warning Signs Of Emergency:
  • 33. Warning Signs Of Emergency:Warning Signs Of Emergency: Uncontrolled VomitingUncontrolled Vomiting Bleeding P.V.Bleeding P.V. Pain in AbdomenPain in Abdomen Swelling on body and HeadacheSwelling on body and Headache No baby movement for 6 hoursNo baby movement for 6 hours ConvulsionsConvulsions Leaking P.V.Leaking P.V. Labor Pains for more than 6 hoursLabor Pains for more than 6 hours
  • 34. Family Planning MethodsFamily Planning Methods Temporary- Spacing MethodsTemporary- Spacing Methods Permanent methods:Permanent methods:
  • 35. Family Planning MethodsFamily Planning Methods Temporary- Spacing MethodsTemporary- Spacing Methods CondomCondom Oral PillsOral Pills Copper TCopper T JellyJelly DiaphragmDiaphragm InjectionsInjections
  • 36. Family Planning MethodsFamily Planning Methods Permanent methods:Permanent methods: For Man- VasectomyFor Man- Vasectomy For Woman- TubectomyFor Woman- Tubectomy
  • 37. Sexually Transmitted diseasesSexually Transmitted diseases and AIDSand AIDS Spread from Person to personSpread from Person to person Through sexual contactThrough sexual contact High risk – ppl. with multiple sexualHigh risk – ppl. with multiple sexual partnerspartners Can be preventedCan be prevented Remember SabakRemember Sabak