Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Health status of india
1. Health Status of
India
Dr. Muhammedirfan H. Momin
Assistant Professor
Community Medicine Department
Government Medical College, Surat.
2. 5,000 year old ancient
civilization
325 languages spoken
18 official languages
>1 Billion population.
Worlds largest
democracy.
DR IRFAN MOMIN
3. Largest English speaking
nation
in the world.
3rd largest standing army
force
2nd largest pool of
scientists and engineers in
the World.
DR IRFAN MOMIN
4. India is a
union of
28 states
and
7 union
territories.
DR IRFAN MOMIN
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. 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. Human Development Index (HDI)
1. Life expectancy at birth.
2. Education index.
3. GDP index.
DR IRFAN MOMIN
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. Health Problems
Classification
1) Communicable diseases
2) Non Communicable
diseases
3) Nutritional problems
4) Environmental Sanitation
5) Medical Care problem
6) Population Problems
DR IRFAN MOMIN
12. Demographic issues or
population 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
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. India
Total Rural Urban
Birth Rate1 22.5 24.1 18.3
Death Rate1 7.3 7.8 5.8
Natural Growth Rate1 15.2 16.3 12.5
Infant 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. 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. Statistics for Surat Municipal Corporation
*CENSUS 2011 Surat City
SEX RATIO 758 / 1000 Male*
CHILD SEX RATIO 813 / 1000 Boys*
CRUDE BIRTH RATE 18.25 / 1000 population
CRUDE DEATH RATE 4.37 / 1000 population
INFANT MORTALITY RATE 16.08 / 1000 live births
MATERNAL MORTALITY
0.41 / 1000 live births
RATE
LITERACY RATE 89.03 %*
MALE 92.76 %*
FEMALE 84.05 %*IRFAN MOMIN
DR
27. Rank Sex- ratio Rank
District
in 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. 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. Maternal Mortality Ratio
• India – 212 per 1,00,000 live births
• Gujarat – 148 per 1,00,000 live births
Source – Special bulletin on MMR in India (SRS) June 2011
DR IRFAN MOMIN
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
33. Marital Status
Percent 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. Desire for No More Children
among 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
36. Leading contributor in global diseases
1990 2020
1.Lower Rasp. Infec. 1.IHD
2.Diarrhoea 2.Major Depression
3.Prenatal condition 3.Road Traffic Injury
4.Unipolar major 4.Stroke
depression 5.COPD
5.IHD 6.Lower Resp. Inf.
6.Stroke 7.TB
7.TB /HIV 8.Perinatal condition
8.Measles 9.Diarrhea Diseases
9.Road traffic Injury 10.HIV
10.Congenital
DR IRFAN MOMIN
37. Top ten risk factors leading to Disease,
Disability or Death
Poorest countries Developed countries
1. Underweight 1. Tobacco
2. Unsafe sex 2. High blood pressure
3. Unsafe water & sanitatio 3. Alcohol
4. Indoor smoke & solid 4. High cholesterol
fuels 5. High BMI
5. Zinc Deficiency 6. Low Fruits and Veg Intake
6. Iron Deficiency 7. Physical inactivity
7. Vitamin A Deficiency 8. Illicit Drugs
8. High blood pressure 9. Unsafe sex
9. Tobacco use 10. Iron Deficiency
10. High cholesterol DR IRFAN MOMIN
38. Trends in Global Deaths 2002-30
Source: WorldIRFAN MOMIN
DR Health Statistics 2007
39. Major causes of death in children under 5 with
disease-specific contribution of undernutrition
DR IRFAN MOMIN
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. 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. 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. WPV1 cases, India, 1998 - 2011
1750 1735
1487
1500
1250
1000
750 648
500 397
212 203
250
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. 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. Polio
Last case occurred in 13th January
2011 in West Bengal.
DR IRFAN MOMIN
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
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. 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
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. 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. HIV Prevalence by Residence
and Sex, India
Women Men Total
Sex (%) (%) (%)
HIV prevalence rate is 60% higher
Urban among males than females and 40% 0.35
0.29 0.41
higher in urban areas than rural areas
Rural 0.18 0.32 0.25
India 0.22 0.36 0.28
DR IRFAN MOMIN
75. HIV
High Prevalence states are
Maharashtra,
Tamilnadu,
Karnataka,
Andhra Pradesh,
Manipur
Nagaland.
DR IRFAN MOMIN
76. HIV
Groups Prevalence
IDU 9.2
MSM 7.4
FSW 4.9
Migrants 3.6
Truckers 2.5
STD 2.5
ANC 0.5
DR IRFAN MOMIN
77. AIDS Awareness
Percent of women and men age 15-49 who have
heard of AIDS
Urban Rural Total
Women 81
46
57
Men 94
73
80
DR IRFAN MOMIN
79. Coronary Heart Disease
Indices Urban Rural Total
Prevalen 6.4 2.5 3.7
ce
Death 0.8 0.4
rate
Per 1000
DALY per 2703.4 986.2
DR IRFAN MOMIN
80. Prevalence ( %) of Hypertension
among adults (> 25 years) , WHO
Male Female
India 23.1 22.6
China 29.8 25.6
Bangladesh 27.4 27.9
Sri Lanka 31.0 26.2
US 17.0 14.2
UK 27.7 19.1
Japan 26.4 16.7
DR IRFAN MOMIN
81. RULE OF HALVES
Total
Employees Employees on
1493 (100%) regular
Treatment 139
(9.3%)
Total
Hypertensive
455 (30.5%)
Employees
having
controlled
Known
Hypertension
Hypertensive
71 (4.7%)
197 (13.2%)
DR IRFAN MOMIN
82. Rheumatic Heart Disease
Prevalence 5-7/1000 in 5-15 years
There are 1 million cases of RHD in
India
DR IRFAN MOMIN
84. Cancer
World
Every year- 10 million diagnosed
6 million die
Worldwide - 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. 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 bile
lymphoma (5%) duct (4%)
DR IRFAN MOMIN
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. 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. NUTRTIONAL PROBLEMS
Under nutrition
Obesity
Anemia
Vitamin A deficiency
Vitamin B 12 deficiency
Iodine Deficiency Disorders
Zinc Deficiency
DR IRFAN MOMIN
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
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. Malnutrition of Women by
Residence and Education
Percent of women age 15-49
60
50
7 7
13 13 14 11
40 24 21
30
20 41 42
36 35 35 36
25 25
10
0
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. Malnutrition of Men by
Residence 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. Vitamin B 12 Deficiency is in
increasing trend in Gujarat
?
DR IRFAN MOMIN
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
35
All Vaccines 42
44
NFHS-1 NFHS-2 NFHS-3
DR IRFAN MOMIN
97. Selected Household Characteristics
Percent of households
93
Electricity 56
68
51
Piped water 12
25
83
Any toilet facility 26
45
Urban Rural Total
DR IRFAN MOMIN
98. India’s population to be the largest in
the world
India is set to overtake China as the
world's 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. Goldman Sachs Report of 1 October, 2003 –
"Dreaming with BRICs: The path to 2050"
India's 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