The document discusses the importance of nutrition during the COVID-19 pandemic. It begins with an introduction to coronaviruses and COVID-19. It then discusses how the disease spreads and common symptoms. The link between nutrition and immunity is explained, with various nutrients that can boost immunity highlighted such as vitamins A, C, D, B6, B9, B12, zinc, selenium, magnesium, omega-3 fatty acids, and protein. Maintaining good hydration and gut health through probiotics and prebiotics is also discussed. The role of nutrition in supporting the immune system during the pandemic is emphasized. A multi-level framework is proposed to support nutrition at the individual, community and national levels.
IroNext 200 ml (Ferrous Ascorbate with Methylcobalamin, Vitamins & minerals). IroNext Syrup 200 ml is an iron supplement to prevent anemia and also give nutrition to the body. Vitamin C improves iron absorption through the stomach. Powerful haematinic. Categories: Gynecology Care, Non-Chronic Medicines, Pharmaceutical, Vitamins and Minerals.
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Coronavirus Pandemic: 5 Foods Items To Boost Your Immunity And Safeguard You ...John Smith
A nutritious diet and an optimally functioning immune system can never go wrong. If you have a healthy immune system, your body can safeguard you from any disease, even the novel coronavirus or COVID-19. While as of now, there is neither any vaccine available nor proven home remedy to protect you from the COVID-19, there are some vitamins and foods which you can inculcate in your diet to have a strong immune system and in turn, fight the infectious disease.
How Nutrition Can Help Fight Against the COVID-19 PandemicUN SPHS
By Dr. Randah Miqbil Alqurashi Assistant Professor, King Faisal University, delivered at the Global Forum 2020 Food Safety and Risk Assessment session.
IroNext 200 ml (Ferrous Ascorbate with Methylcobalamin, Vitamins & minerals). IroNext Syrup 200 ml is an iron supplement to prevent anemia and also give nutrition to the body. Vitamin C improves iron absorption through the stomach. Powerful haematinic. Categories: Gynecology Care, Non-Chronic Medicines, Pharmaceutical, Vitamins and Minerals.
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Coronavirus Pandemic: 5 Foods Items To Boost Your Immunity And Safeguard You ...John Smith
A nutritious diet and an optimally functioning immune system can never go wrong. If you have a healthy immune system, your body can safeguard you from any disease, even the novel coronavirus or COVID-19. While as of now, there is neither any vaccine available nor proven home remedy to protect you from the COVID-19, there are some vitamins and foods which you can inculcate in your diet to have a strong immune system and in turn, fight the infectious disease.
How Nutrition Can Help Fight Against the COVID-19 PandemicUN SPHS
By Dr. Randah Miqbil Alqurashi Assistant Professor, King Faisal University, delivered at the Global Forum 2020 Food Safety and Risk Assessment session.
Adding Fruit in our Diet: The Only Solution to Hidden HungerReetika Sharma
In present times forty four nations have "severe" or "alarming" levels of hunger. The fight against hunger has mostly stagnated internationally in recent years. The cumulated effect of war, climate change, economic effects of the COVID-19 pandemic and the crisis in Ukraine, have driven up the price of food, gasoline and fertilizer around the world. According to the Global Hunger Index 2022, India is ranked at 107 out of 121 nations and is classified as "severe" with a score of 29.1. At 19.3%, India has the highest child wasting rate in the world, which is worse than the levels seen in 2014 (15.1%) and because of India's large population, this rate raises the average for the region. Insufficient dietary intake and absorption of vitamins and minerals (such as zinc, iodine, folate, vitamin A, vitamin B12, and vitamin D, among others) hinders the growth and development of an individual. Thus, increasing the problem of hidden hunger, a type of undernutrition. Micronutrient deficiencies are caused by a poor diet, increased micronutrient requirements during particular life phases, such as pregnancy and lactation and health issues like illnesses and infections or parasites. According to the Food and Agriculture Report, 2018, India is home to 195.9 million of the 821 million malnourished people worldwide and has a 14.8% prevalence of undernutrition, which is greater than the average for Asia and the rest of the world. According to the National Health Survey, about 19 crore individuals in the country were estimated to be forced to sleep on an empty stomach every night in 2017.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdf
Credit covid-19
1. DEPARTMENT OF FOOD and NUTRITION
COLLEGE OF COMMUNITY SCIENCE
DR. RAJENDRA PRASAD CENTRAL AGRICULTURAL UNIVERSITY
Pusa, BIHAR
CREDIT SEMINAR ON:
IMPORTANCE OF NUTRITION DURING COVID-19
COURSE INSTRUCTOR:
DR. GITANJALI CHAUDHARY
Assistant Proffessor
Deptt. Of Food and Nutrition
PRESENTED BY:
ANJALI YADAV
MSc. Food and Nutrition
M/FN/372/2019-20
2. CONTENT
• Introduction of Coronavirus
• Vulnerable sections during COVID-19
• Spreading of disease
• Symptoms
• Immune System
• Link between Nutrition and Immunity
• Immune response to COVID-19
• Role of Nutrition during Pandemic
• Immune Boosting Nutrients
• Misinformation and Disinformation durig Covid-19
• Infodemic and Infodemic Monikers
3. INTRODUCTION
Coronaviruses are a large family of viruses that are known to cause
illness ranging from the common cold to more severe diseases such
as Middle East Respiratory Syndrome (MERS) and Severe Acute
Respiratory Syndrome (SARS).
Covid-19 is the name of the disease caused by virus Severe Acute
Respiratory Syndrome Coronavirus 2 (SARS-CoV-2).
In 2019, the CoV infection began in Wuhan, Hubei, China.
Source: WHO(2020)
4. STRUCTURE
Coronaviruses are a group of related RNA virus that cause disease.
Coronaviruses constitute the subfamily Orthocoronavirinae, in the
family Coronaviridae order Nidovirales.
They have characteristic club-shaped spikes that project from their surface.
Their size is highly variable and generally is an average diameter of
120 nm.
They are enclosed in an envelope embedded with a number of protein
molecules.
The Lipid bilayer, Envelope, Membrane proteins, and Nucleocapsid
protect the virus when it is outside the host cell.
5. VULNERABLE SECTIONS DURING COVID 19
OLDER PEOPLES
People with chronic medical conditions such as- Diabetes, heart
disease, lung disease, and immuno-compromised individuals,
appear to be a greater risk of developing severe symptoms.
COVID-19 is projected to hit particularly hard the food, nutrition,
and health security of vulnerable groups including young children,
pregnant and lactating women social and health inequities.
Source :WHO, FAO, 2020).
6. How does the disease spread?
Droplets from
mouth or nose
are releasing
when a covid-
19 person
coughs
Droplets falls
on Surface or
Object.
These droplets
are too heavy
to hang in the
air. They
quickly fall on
floors or
surfaces.
Directly - when contaminated hands
touch the mouth, nose, eyes
Indirectly: when contaminated
surfaces are touched.
7. SYMPTOMS
• Fever
• Dry Cough
• Shortness of breath
• Chills
• Muscle pains
• Sore throat
• Runny nose
• Tiredness
• Loss of taste and smell
• Nausea or Vomiting
• Loss of appetite
Source: WHO(2020)
Symptoms appear
on average 5-6 days
from when
someone is infected
with the virus
however it can take
up to 14 days also.
8. IMMUNE SYSTEM
An immune system is a system of
biological structures and processes
within an organism that protects
against disease.
In order to function properly, an
immune system must detect a wide
variety of agents from bacteria and
viruses to parasitic worms and
distinguish them from the organisms
own healthy tissue.
Immunity deals with the functioning
of immune system and protects our
body from harmful external
influences.
11. LINK BETWEEN NUTRITION AND IMMUNITY
Nutrition has an important role in supporting
the immune system and maintaining proper
immune function.
Diet has a profound effect on people’s
immune system and disease susceptibility.
Adequate nutrition is required for all cells to
function optimally.
An “activated” immune system further
increases the demand for energy during
periods of infection.
12. • The immune system’s demands for nutrients
can be met from exogenous sources i.e. diet,
or if dietary sources are inadequate, from
endogenous sources such as body stores.
• Micronutrients and dietary components have
very specific roles in the development and
maintenance of an effective immune system
throughout the life course or in reducing
chronic inflammation.
Source: Caroline et.al. (Aug, 2019)
13. ROLE OF NUTRITION DURING PANDEMIC
• Good nutrition is always important, but during this pandemic, it’s even more
important because a well-balanced diet of nutritious foods helps support a
strong immune system.
• A proper diet can ensure that the body is in proper state to defeat the virus
and preventing non-communicable diseases that are risk factors for higher
COVID-19 morbidity and mortality.
• Optimal nutrition and dietary nutrient intake impact the immune system
through gene expression, cell activation, and signaling molecules
modification.
Aman and Masood et.al. (May,2020)
14. IMMUNE RESPONSE EVENTS AND NUTRIENTS
REQUIREMENTS
Activation demand for energy yielding
substrates
Glucose, amino acids and fatty acids
Metabolic machinery involved in energy
generation and biosynthesis
Many different vitamins and minerals
Maturation, Differentiation and responsiveness
of immune cells
Vitamins A and D.
Cellular proliferation, increasing the number of
immune cells available
Requires proteins and various
micronutrients
Induces production of lipid-derived mediators
(prostaglandins and leukotrienes )
Requires fatty acids
16. VITAMIN-E:
Function: Act as an Antioxidant and radical scavenger
and helps in modulating the host immune responses in
elderly.
Sources: Sunflower oil, Safflower oil, Almonds,
Pistachios, Wheat germ oil.
VITAMIN-D
Function: Antimicrobial effect, reduces pro-
inflammatory effects and Promotes healthy Gut
Microbiota.
Sources: Milk and its product, Sunlight exposure.
VITAMIN-B6
Function: Intestinal immune regulation, Cytotoxic
activity, Reduces inflammation, Amino acid synthesis,
Metabolism.
Sources: Soyabean, Lentil, Moong dal, etc.
17. VITAMIN-B9
Function: Cytotoxic activity, Antibody production &
Metabolism, Antibody response to Antigens.
Sources: Liver, Green leafy vegetables, Broccli,
Beet roots, etc.
VITAMIN-B12
Function: Gut Microbiota, Intestinal immune
regulation.
Sources: Fish, Meat, Poultry, Eggs, Milk and its
products, Shellfish.
VITAMIN-C
Function: Stimulates Antibody formation, Supports
cellular functions.
Sources: Citrus fruits(orange, lemon, mausmi), Raw
mango, Amla, Green chilli, Capsicum.
18. VITAMIN-A
Function: Protects by keeping skin and tissues in the
mouth/stomach/intestines & respiratory system healthy.
Source: Sweet potatoes, carrots, mango, papaya, egg.
OMEGA-3 FATTY ACIDS
Function: Enhances the function of immune systems.
Source: Fish (Tuna, Mackerel, Saloman), Other sea
foods, Flax seeds, Walnut etc.
ZINC& SELENIUM
Function: Helps to reduce Oxidative stress Altering Host
Response to Viral infections.
Source: Sea foods, meat, poultry, eggs, Pulses, Legumes
19. MAGNESIUM
Function: Plays a role in Innate and Acquired
Immunity by boosting Immunoglobulins.
Source: Nuts, Whole grains, Sunflower seeds
etc.
PROTEIN
Function: Plays a role in the body’s healing
and recovery.
Sources: Egg& Poultry, Soy products, Beans
& Pulses, meat, Fish & Sea foods.
20. HYDRATION
Function: Hydration helps to relieve
congestion and flushing of toxins and
maintain the mucous membrane of
the nose and upper respiratory tract
intact.
Sources: Coconut water, Nimbu Pani,
Green Tea, Soups, Milk, Buttermilk.
21.
22. PREBIOTIC- Special forms of Dietary Fibers
that stimulates the growth of gut microflora.
Source: Garlic, Onion, Banana, Barley, Oats,
Wheat Bran.
PROBIOTIC- Special strains of Live Bacteria
found in foods.
Sources: Yoghurt, Fermented milk, Fermented
food product
Bacteria: Lactobacillus, Streptococcus,
Enterococcus, Bifidobacteria.
23. GUT HEALTH THROUGH PROBIOTIC BACTERIA
They Promote human health by inhibiting the growth of
pathogenic bacteria .
Probiotics compete nutrients for growth and proliferation that
would be utilized by pathogens.
It strengthen the intestinal barrier.
Bacteria such as Lactobacillus and L. plantarum can inhibit
attachment of Enteropathogenic Escherichia coli (gram-ve) in the
GI tract.
24. HERBS, CONDIMENTS AND SPICES
Function: Immune Boosters From the
Kitchen Possess Antiviral/ Antimicrobial
activity which helps to fight infections.
Sources: Ginger, Tulsi, Lemon grass,
Turmeric, Mint, Anise, Cumin seeds,
Cinnamon, Black pepper, Ajwain, Cloves,
Fenugreek seeds.
Source- FSSAI, Eat Right during
COVID-19
www.fssai.gov.in/cms/coronavirus.php
25. FOODS TO AVOID/
MINIMIZE TO PREVENT LOW IMMUNITY
▪ Saturated fats
▪ Trans fats
▪ High salt
▪ High sugars
▪ Refined sugars
▪ Refined flours
26. PREVENT OXIDATIVE STRESS THROUGH FOOD
Oxidative stress is an
imbalance of free radicals
and antioxidants in the body.
Which leads to cell and
tissue damage.
These pro-oxidants need to
be scavenged with the help
of antioxidants.
27. However, nutrition is an important element of care. Optimized nutrition
care of the ICU COVID-19 patients maintains GI tract function, sustain
immune defenses, and avoid severe loss of muscle mass and function.
The nutritional assessment and the early nutritional care management of
COVID-19 patients must be integrated into the overall therapeutic
strategy.
28. MULTI-LEVEL FRAMEWORK ACTION TO
SUPPORT NUTRITION DURING THE PANDEMIC
Individual • Try to eat well-balanced meals.
• Selection of foods rich in macro and micro nutrients
• Maintain a healthy lifestyle, regular sleep.
• Avoid smoking, alcohol, and drugs
• Refrain from spreading misinformation related to
nutrition and dietary intake .
Community • Spread awareness regarding hoarding and “panic-buy”
• Identify and support populations at risk of malnutrition
within the community, especially elderly and patients
with chronic diseases.
• Create a reliable support system to ensure availability,
access, and affordability of essential food commodities
to all members.
29. National • Mobilize resources in order to finance food purchases
and provisions .
• Support agricultural and food production industries.
• Closely monitor and inspect food prices and markets.
• Build networks with the private sector, the international
agencies, and local communities.
• Maintain high levels of transparency, critical to build
trust, support, and compliance.
Global • Assure continuous flow of global trade, avoiding any
trade restrictions would be beneficial to keep food and
feed supplies.
• Reduce import tariffs and other restrictions on food
commodities.
Farah and Rena et.al. (2020)
31. INFODEMIC
“A massive infodemic: an overabundance of information some
accurate and some not that makes it hard for people to find
trustworthy sources and reliable guidance when they need it.”
(WHO, 2020)
32. INFODEMIC MONIKERS
The fake news, misleading, and misinformation circulating on the internet
are referred to as “Infodemic monikers”
Fake News - News consisting of deliberate disinformation or hoaxes spread
via traditional news media or online social media
Misinformation - Spreading false or inaccurate information (including false
rumors, or insults and pranks
Disinformation - False information which is intended to mislead, especially
propaganda issued (government organization or the media) - malicious
content such as hoaxes, spear phishing and computational propaganda
Source: DR. Subbarao ICMR-NIN
33.
34. Many people believe false information about food safety
risks posed by COVID-19
• 3,781 respondents.
• Two-thirds were from the UK, U.S.,
India and Ireland.
• The results highlight how dangerous the
spreading of misinformation can be 43%
of participants wrongly believe that it is
safe to eat fruits and vegetables that have
been washed with soap or diluted bleach.
• 21% believed “drinking water flushes all
COVID-19 viral particles into the
oesophagus and then the stomach.
• False information to likely to be believed
Ruani and Reiss (2020)
35. Coronavirus Goes Viral: Quantifying the COVID-19
Misinformation Epidemic on Twitter
• Research Conducted on Twitter using 14 different
trending hash tags and keywords related to the
COVID-19 epidemic.
• Study included 673 Tweets.
• Most Tweets were posted by informal
individuals/groups (66%).
• 129(19.2%) belongs to verified Twitter accounts.
• In total 153(24.8%) Tweets included
misinformation and 107(17.4%) included
unverifiable information regarding the COVID-19.
• The rate of misinformation were higher among
informal group accounts.
Kouzy et.al
(2020)
37. CONCLUSION
Good nutrition is key to build immunity, protect against illness and infection,
and support recovery. Nutrition and immunity is not just for the present
covid-19 crises .It is a life long requirement to protect from these kinds of
diseases.
Healthy balanced diets are key for boosting immunity and preventing non-
communicable diseases that are risk factors for higher COVID-19 morbidity
and mortality.
Avoiding unsafe food such as from unknown source and improperly stored
food and infected food.
The responsibility of individuals is to avoid the spread of misinformation
related to nutrition and dietary intake, and the COVID-19.
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EAT RIGHT During COVID-19 Food Hygiene, Safety and Nutrition Guidelines for Consumers to Prevent
Spread of COVID 19. FSSAI www.fssai.gov.in/cms/coronavirus/php
Information has been taken from WHO (World Health Organisation).
www.who.int
en.wikipedia.org