Health status of india

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Health status of india

  1. 1. Health Status of IndiaDr. Muhammedirfan H. MominAssistant ProfessorCommunity Medicine DepartmentGovernment Medical College, Surat.
  2. 2.  5,000 year old ancientcivilization 325 languages spoken 18 official languages>1 Billion population.Worlds largestdemocracy. DR IRFAN MOMIN
  3. 3. Largest English speakingnation in the world. 3rd largest standing armyforce 2nd largest pool ofscientists and engineers inthe World. DR IRFAN MOMIN
  4. 4.  India is a union of 28 states and 7 union territories. DR IRFAN MOMIN
  5. 5. DR IRFAN MOMIN
  6. 6. Urban and Rural Population in Gujarat in2011 DR IRFAN MOMIN
  7. 7. The Measurement of Health Status Disease Frequency Cases Prevalence rate Incidence rate Deaths ◦ Case Fatality Rate Disability adjusted life years: Years of life lost to premature death and years lived with disability adjusted for the severity of the disability. DR IRFAN MOMIN
  8. 8. The Measurement of Health Status Disease Distribution By time, place person Seasons, geographic area and age, sex, caste, religion, ethnicity etc. Determinants of Disease DR IRFAN MOMIN
  9. 9. Human Development Index (HDI)1. Life expectancy at birth.2. Education index.3. GDP index. DR IRFAN MOMIN
  10. 10. Human Development Index (HDI)- 2011 Rankings Very High Human Development 01-47 High Human Development 48-94 Medium Human Development 95-141 Low Human Development 142-1691 = Norway4 = United States 101 = China 134 = India 187 = Congo DR IRFAN MOMIN
  11. 11. Health ProblemsClassification1) Communicable diseases2) Non Communicable diseases3) Nutritional problems4) Environmental Sanitation5) Medical Care problem6) Population Problems DR IRFAN MOMIN
  12. 12. Demographic issues orpopulation problems • Population-1,21 ,01,93,422 • Density of population – 382 per sq.km. • 17.5% of world population is in India. DR IRFAN MOMIN
  13. 13. DR IRFAN MOMIN
  14. 14. • Gujarat• Population – 6,03,83,628 (5% of India)• Density – 308 per sq. km.• Gujarat 10th on population• 26 Districts DR IRFAN MOMIN
  15. 15. India Total Rural Urban Birth Rate1 22.5 24.1 18.3 Death Rate1 7.3 7.8 5.8Natural Growth Rate1 15.2 16.3 12.5Infant Mortality Rate1 50 55 34 Sex-ratio 940 947 926 Population in 0-6 13.12 14.11 10.93 age group Child sex-ratio 914 919 902 Literacy rate 74.04 68.91 84.98%(1=SRS 2011) DR IRFAN MOMIN
  16. 16. Gujarat Total Rural Urban Birth Rate1 22.3 23.8 19.9 Death Rate1 6.9 7.7 5.6 Natural Growth Rate1 15.4 16.1 14.3 Infant Mortality Rate1 48 55 33 Sex-ratio 918 947 880 Population in 0-6 age 12.41 13.49 10.96 group Child sex-ratio 886 906 852 Literacy rate 79.31 73 87.58(1=SRS 2011) DR IRFAN MOMIN
  17. 17. Statistics for Surat Municipal Corporation*CENSUS 2011 Surat CitySEX RATIO 758 / 1000 Male*CHILD SEX RATIO 813 / 1000 Boys*CRUDE BIRTH RATE 18.25 / 1000 populationCRUDE DEATH RATE 4.37 / 1000 populationINFANT MORTALITY RATE 16.08 / 1000 live birthsMATERNAL MORTALITY 0.41 / 1000 live birthsRATELITERACY RATE 89.03 %*MALE 92.76 %*FEMALE 84.05 %*IRFAN MOMIN DR
  18. 18. States literacy rate 2011 DR IRFAN MOMIN
  19. 19. Sex ratio DR IRFAN MOMIN
  20. 20. DR IRFAN MOMIN
  21. 21. - 940 Sex-ratio (Adult)DR IRFAN MOMIN
  22. 22.  Sex-ratio India - 940 Gujarat – 918 Surat Dist-788 Surat city– 758 Sex-ratioat 0-6 age group India – 914 Gujarat – 886 Surat city- 813 DR IRFAN MOMIN
  23. 23. - 914 Sex-ratio (0-6 yrs) DR IRFAN MOMIN
  24. 24. Sex-ratio 2011 DR IRFAN MOMIN
  25. 25. Child (0-6years) Sex-ratio 2011 DR IRFAN MOMIN
  26. 26. Sex Ratio & Child Sex-Ratio DR IRFAN MOMIN
  27. 27. Rank Sex- ratio Rank Districtin 2011 2011 2001 in 2001 01 The Dangs 1007 987 02 02 Tapi 1004 996 01 03 Dohad 986 985 04 24 Kachchh 907 942 10 25 Ahmadabad 903 892 25 26 Surat 788 810 DR IRFAN MOMIN 26
  28. 28. The Measurement of Health Status Maternal mortality rate ◦ The number of women who die as a result of childbirth and pregnancy related complications per 100,000 live births in a given year DR IRFAN MOMIN
  29. 29. Maternal Mortality Ratio• India – 212 per 1,00,000 live births• Gujarat – 148 per 1,00,000 live birthsSource – Special bulletin on MMR in India (SRS) June 2011 DR IRFAN MOMIN
  30. 30. The Measurement of Health Status Infant mortality rate ◦ The number of deaths in infants under 1 year per 1,000 live births for a given year DR IRFAN MOMIN
  31. 31. Infant Mortality Rates 79 65 6457 57 27 11 6 DR IRFAN MOMIN
  32. 32. Infant Mortality Rate NFHS-1 NFHS-2 NFHS-3 85 79 73 68 62 56 57 47 42 Urban Rural Total DR IRFAN MOMIN
  33. 33. Marital StatusPercent of women age 20-24 married by 54 53 50 age 18 45 28 NFHS-1 NFHS-2 NFHS-3 Urban Rural NFHS-3 DR IRFAN MOMIN
  34. 34. Desire for No More Childrenamong Women with 2 Children 83 90 88 72 76 66 61 47 37 NFHS-1 NFHS-2 NFHS-3 2 sons 1 son and 1 daughter 2 daughters DR IRFAN MOMIN
  35. 35. Diseases DR IRFAN MOMIN
  36. 36. Leading contributor in global diseases1990 20201.Lower Rasp. Infec. 1.IHD2.Diarrhoea 2.Major Depression3.Prenatal condition 3.Road Traffic Injury4.Unipolar major 4.Stroke depression 5.COPD5.IHD 6.Lower Resp. Inf.6.Stroke 7.TB7.TB /HIV 8.Perinatal condition8.Measles 9.Diarrhea Diseases9.Road traffic Injury 10.HIV10.Congenital DR IRFAN MOMIN
  37. 37. Top ten risk factors leading to Disease, Disability or Death Poorest countries Developed countries1. Underweight 1. Tobacco2. Unsafe sex 2. High blood pressure3. Unsafe water & sanitatio 3. Alcohol4. Indoor smoke & solid 4. High cholesterol fuels 5. High BMI5. Zinc Deficiency 6. Low Fruits and Veg Intake6. Iron Deficiency 7. Physical inactivity7. Vitamin A Deficiency 8. Illicit Drugs8. High blood pressure 9. Unsafe sex9. Tobacco use 10. Iron Deficiency10. High cholesterol DR IRFAN MOMIN
  38. 38. Trends in Global Deaths 2002-30 Source: WorldIRFAN MOMIN DR Health Statistics 2007
  39. 39. Major causes of death in children under 5 withdisease-specific contribution of undernutrition DR IRFAN MOMIN
  40. 40. COMMUNICABLE DISEASES DR IRFAN MOMIN
  41. 41. Diseases Eradicated Small pox Guinea worm Polio DR IRFAN MOMIN
  42. 42. Small pox It was endemic in 33 countries in 1967 The last indigenous case in India occurred on 17th may 1975 in Bihar. In April 1977 India was declared small pox free. The worlds last case occurred in Somalia (Africa) on 26 October 1977. The WHO declared on 8 May 1980 that small pox has been eradicated. DR IRFAN MOMIN
  43. 43. Guinea worm or Dracunculosis Zero Incidence has been maintained since August 1996 in India In February 2000, India has been certified by WHO for the elimination of Guinea worm Disease and on 15th February 2001 WHO declared India as “Guinea worm Disease free”. DR IRFAN MOMIN
  44. 44. Wild poliovirus cases, India 2000 1 WPV case in 2011 compared to 42 in 1750 2010 1500 1250 1000 750 500 250 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* P1 wild P3 wild* data as on 2 March 2012
  45. 45. WPV1 cases, India, 1998 - 20111750 1735 1487150012501000750 648500 397 212 203250 139 127 62 83 75 80 18 1 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011* Year * data as on 2 March 2012
  46. 46. Location of wild poliovirus cases by type,India WPVs 2011* State P1 P3 Total West Bengal 1 1 Total 1 1* data as on 2 March 2012 Onset of paralysis - 13 January Howrah, West Bengal DR IRFAN MOMIN
  47. 47. Polio Last case occurred in 13th January 2011 in West Bengal. DR IRFAN MOMIN
  48. 48. Disease does not occur inIndia Yellow Fever DR IRFAN MOMIN
  49. 49. Communicable Diseases Malaria Tuberculosis Leprosy Diarrhea ARI HIV DR IRFAN MOMIN
  50. 50. MalariaCases 1.52 million (0.12%)Deaths 924PF % 49.56 DR IRFAN MOMIN
  51. 51. DR IRFAN MOMIN
  52. 52. TuberculosisGlobal Rank 1Incidence ( all 170cases) /100,000/yearIncidence ( new 75 /100,000/yearsp)Prevalence 185/ 100,000( all cases) (0.18 %)TB mortality 24 /100,000/ DR IRFAN MOMIN
  53. 53. Diarrhea Pathogen % of CasesViruses Rotavirus 15-25Bacteria Escherichia coli 10-20 Shigella 5-15 Compylobactor jejuni 10-15 Vibrio Cholerae 01 5-10 Salmonella 1-5Protozoan Cryptosporidium 5-15s DR IRFAN MOMIN
  54. 54. CholeraCases 3482Deaths 12Case Fatality 0.34%Rate DR IRFAN MOMIN
  55. 55. Typhoid Fever  Endemic in IndiaCases 1.03 million ( 10 lac)Deaths 421 DR IRFAN MOMIN
  56. 56. Amoebiasis Prevalence 15% DR IRFAN MOMIN
  57. 57. Hookwarm Infection Heavily infected areas are Assam, West Bengal, Bihar, Orissa, Andhra Pradesh, Tamilnadu, Kerala, Maharashtra. More than 200 million people are infected in India DR IRFAN MOMIN
  58. 58. Dengue Haemorrhagic FeverCASES 15,509DEATHS 89 DR IRFAN MOMIN
  59. 59. Japanese EncephalitisCases 4482Deaths 774 DR IRFAN MOMIN
  60. 60. Leptospirosis Occurs in South Gujarat, Kerala, Maharashtra, Andaman Nicobar. DR IRFAN MOMIN
  61. 61. Plague Epidemic in 1994 in Surat Epidemic in 2004 in Uttarakashi DR IRFAN MOMIN
  62. 62. TetanusCases 2051Deaths 160 DR IRFAN MOMIN
  63. 63. Neonatal TetanusCases 889Deaths 31 DR IRFAN MOMIN
  64. 64. Global Leprosy SituationLEPROSY HAS BEENELIMINATED FROM THEWORLD DR IRFAN MOMIN
  65. 65. Leprosy: 6 top countries•6 top endemic countries: India, Brazil, Myanmar, Madgascar, Mozambique, Nepal contribute 85% of global case load: (69% from India)• 91% of global case new cases (81% from India) DR IRFAN MOMIN
  66. 66. Leprosy India achieved leprosy elimination in December 2005 By the end of march 2009, prevalence rate of Leprosy was 0.72 cases per 10,000 population. DR IRFAN MOMIN
  67. 67. Trend of Leprosy Prevalence & Annual New Case Detection (ANCDR) Rates 30 25.9 PRPrevalence & ANCDR 25 20.0 ANCDR 20 15 13.7 10.9 8.9 10 8.4 7.0 5.9 5.9 5.8 5.5 5.5 4.4 5 3.3 6.4 5.1 5.6 2.3 1.4 5.9 6.2 5.7 4.9 4.6 5.3 5.3 1.17 4.2 1.2 3.7 3.2 2.4 1.3 0 0.84 0.72 0.74 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08 19 19 19 19 19 19 19 19 19 20 20 20 20 20 20 20 20 20 Year (March End) IRFAN MOMIN DR
  68. 68. Five endemic states are as follows: 1. Bihar 2. Chattisgarh 3. Jharkhand 4. Chandigarh 5. West Bengal DR IRFAN MOMIN
  69. 69. State wise ContributionNew Leprosy Cases - year 2007-08 Karnataka, Tamilnadu, 3.28, Delhi, Orissa, Others, 4, 3% 0.97, 4.13, 4.85, 4% 1% 4% 5% Uttar Pradesh, 22.54, Madhya Pradesh, 23% 4.4, 4% Jharkhand, .94, 5% Bihar, Gujarat, 13.83, 5.25, 14% 5% Chhattisgarh, West Bengal, 5.67, Andhra Pradesh, Maharashtra, 9.84, 6% 7.3, 9, 10% 7% 9% Contribution by six states 20.8% pop & 34.5% new cases DR IRFAN MOMIN
  70. 70. Endemicity of Leprosy – March.09 P.R.- 0.87 PM Dahod-2.25 2.22 Vadodara – 1.10 Bharuch Narmada- 1.26P.R. 2.77 >5 Surat-1. 39 3-5 Navsari Dang – 4.26 2-3 2. 04 Valsad –2. 18 1 - 2 Gujaratachieved elimination as <1 on Oct-04 DR IRFAN MOMIN
  71. 71. DR IRFAN MOMIN
  72. 72. Situation in Surat: Leprosy not eliminated from Surat The prevalence rate 1.44 The new case detection rate 2.57 in the year 2006. Male:female ratio as 58:42 (2006). Child cases among new cases of leprosy 12.8% (2006). Multibacillary cases among new cases 50.1%, 2006. Grade II disability 1.38% (2006). DR IRFAN MOMIN
  73. 73. HIV Provisional estimates shows there are 22.7 lakh people living with HIV /AIDS. Estimated adult HIV Prevalence rate is 0.28 % DR IRFAN MOMIN
  74. 74. HIV Prevalence by Residence and Sex, India Women Men TotalSex (%) (%) (%) HIV prevalence rate is 60% higherUrban among males than females and 40% 0.35 0.29 0.41 higher in urban areas than rural areasRural 0.18 0.32 0.25India 0.22 0.36 0.28 DR IRFAN MOMIN
  75. 75. HIV High Prevalence states are Maharashtra, Tamilnadu, Karnataka, Andhra Pradesh, Manipur Nagaland. DR IRFAN MOMIN
  76. 76. HIVGroups PrevalenceIDU 9.2MSM 7.4FSW 4.9Migrants 3.6Truckers 2.5STD 2.5ANC 0.5 DR IRFAN MOMIN
  77. 77. AIDS Awareness Percent of women and men age 15-49 who have heard of AIDS Urban Rural TotalWomen 81 46 57 Men 94 73 80 DR IRFAN MOMIN
  78. 78. Non Communicable DiseasesIschemic heart PrevalenceDisease %Urban 9.6Rural 2.7 DR IRFAN MOMIN
  79. 79. Coronary Heart DiseaseIndices Urban Rural TotalPrevalen 6.4 2.5 3.7ceDeath 0.8 0.4ratePer 1000DALY per 2703.4 986.2 DR IRFAN MOMIN
  80. 80. Prevalence ( %) of Hypertensionamong adults (> 25 years) , WHO Male FemaleIndia 23.1 22.6China 29.8 25.6Bangladesh 27.4 27.9Sri Lanka 31.0 26.2US 17.0 14.2UK 27.7 19.1Japan 26.4 16.7 DR IRFAN MOMIN
  81. 81. RULE OF HALVES Total Employees Employees on 1493 (100%) regular Treatment 139 (9.3%) Total Hypertensive 455 (30.5%) Employees having controlledKnown HypertensionHypertensive 71 (4.7%)197 (13.2%) DR IRFAN MOMIN
  82. 82. Rheumatic Heart Disease Prevalence 5-7/1000 in 5-15 years There are 1 million cases of RHD in India DR IRFAN MOMIN
  83. 83. AccidentsWorld:In developed countries - 57% of male death and 43% of female death in 10-24 yrs are due to accidents. DR IRFAN MOMIN
  84. 84. CancerWorld Every year- 10 million diagnosed 6 million dieWorldwide - Lung Cancer (12.3 %) Breast Cancer(10.4%) Colorectal Cancer(9.4%)Death from cancer - Lung (17.8%) Stomach (10.4%) Liver (8.8 %) DR IRFAN MOMIN
  85. 85. Male most common (by most common (by occurrence) mortality)[12]prostate cancer (25%) lung cancer (31%)lung cancer (15%) prostate cancer (10%)colorectal cancer colorectal cancer (8%)(10%)bladder cancer (7%) pancreatic cancer (6%)non-Hodgkin liver & intrahepatic bilelymphoma (5%) duct (4%) DR IRFAN MOMIN
  86. 86. Female most common (by most common (by occurrence) mortality)[12]breast cancer (26%) lung cancer (26%)lung cancer (14%) breast cancer (15%)colorectal cancer (10%) colorectal cancer (9%)endometrial cancer (7%) pancreatic cancer (6%)non-Hodgkin lymphoma ovarian cancer (6%)(4%) DR IRFAN MOMIN
  87. 87. India 3.4 % of all deaths – cancer 7 lakh new cases detected every year Males - Mouth/oropharynx oesophagus stomach Lower respiratory tract Females - Cervix Breast Mouth/oropharynx oesophagus DR IRFAN MOMIN
  88. 88. NUTRTIONAL PROBLEMS Under nutrition Obesity Anemia Vitamin A deficiency Vitamin B 12 deficiency Iodine Deficiency Disorders Zinc Deficiency DR IRFAN MOMIN
  89. 89. Trends in Child Nutritional Status Percent of children age under 3 years NFHS-3 NFHS-2 51 45 43 40 23 20 Stunted Wasted Underweight (Low-weight-for-(Low-height-for- (Low-weight-for- age) age) height) DR IRFAN MOMIN
  90. 90. DR IRFAN MOMIN
  91. 91. Anaemia among ChildrenPercent of children 6-35 months with anemia 79 81 72 74 Total Urban Rural NFHS-2 DR IRFAN MOMIN
  92. 92. Nutritional Status of Adults Percent of women and men age 15-49 Women Men 55 36 34 24 13 9 BMI below normal Overweight/Obese Anaemic DR IRFAN MOMIN
  93. 93. Malnutrition of Women by Residence and Education Percent of women age 15-496050 7 7 13 13 14 1140 24 213020 41 42 36 35 35 36 25 25100 al n an s l l s s ta ta ar io ar ar ur rb To to at ye ye ye R U uc 2 + 9 <8 S- 10 8- ed FH o N N Underweight Overweight MOMIN DR IRFAN
  94. 94. Malnutrition of Men byResidence and Education Percent of men age 15-49 50 45 3 6 40 5 5 8 35 14 30 14 25 20 38 40 38 40 34 15 Overweight 27 25 10 Underweight 5 0 an al l s rs n s ta ar ar io ur a rb To ye ye at ye R U uc <8 + 9 8- 10 ed o N DR IRFAN MOMIN
  95. 95. Vitamin B 12 Deficiency is in increasing trend in Gujarat ? DR IRFAN MOMIN
  96. 96. Child Immunization Trends Percent of children age 12-23 months vaccinated 62 BCG 72 78 54 Polio3 63 78 52 DPT3 55 55 42 Measles 51 59 35All Vaccines 42 44 NFHS-1 NFHS-2 NFHS-3 DR IRFAN MOMIN
  97. 97. Selected Household Characteristics Percent of households 93 Electricity 56 68 51 Piped water 12 25 83Any toilet facility 26 45 Urban Rural Total DR IRFAN MOMIN
  98. 98. India’s population to be the largest in the worldIndia is set to overtake China as the worlds most populous nation by 2050. India’s population is expected to grow from 1.08bn to 1.63bn people, overtaking China, which is forecast to reach 1.44bn from 1.3bn currently. India, will also have the highest working population in the World — 700 million people out of 1.1 billion people are young; the young population will continue till 2050. DR IRFAN MOMIN
  99. 99. Goldman Sachs Report of 1 October, 2003 – "Dreaming with BRICs: The path to 2050" Indias GDP will reach $ 1 trillion by 2011, $ 2 trillion by 2020, $ 3 trillion by 2025, $ 6 trillion by 2032, $ 10 trillion by 2038, and $ 27 trillion by 2050, becoming the 3rd largest economy after USA and China.In terms of GDP, India will overtake Italy by the year 2016, France by 2019, UK by 2022, Germany by 2023, and Japan by 2032. DR IRFAN MOMIN
  100. 100. Thank YouMobile: 9426845307 E-mail: drmhmomin@yahoo.co.in DR IRFAN MOMIN

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