Poliomyelitis is an infectious viral disease caused by the poliovirus that affects the gastrointestinal tract and central nervous system. While once widespread globally, polio has been eliminated from most developed countries due to vaccination programs. India was the last country still reporting cases but has been polio-free since 2011 due to efforts like the Pulse Polio Immunization program. There are now strict surveillance measures and border control to maintain India's polio-free status.
Polio is a viral disease that destroys the nerve cells present in the spinal cord causing paralysis or muscle weakness to some part of the body.
Pulse Polio Programme was launched in 1995 after a resolution for a global initiative of polio eradication was adopted by World Health Assembly (WHA) in 1988.
Polio is a viral disease that destroys the nerve cells present in the spinal cord causing paralysis or muscle weakness to some part of the body.
Pulse Polio Programme was launched in 1995 after a resolution for a global initiative of polio eradication was adopted by World Health Assembly (WHA) in 1988.
Pulse Polio is an immunisation campaign established by the government of India to eliminate poliomyelitis (polio) in India by vaccinating all children under the age of five years against the polio virus.
Pulse Polio is an immunization campaign established by the government of India to eliminate poliomyelitis (polio) in India by vaccinating all children under the age of five years against the polio virus.
The project fights polio through a large-scale , pulse vaccination programme and monitoring for poliomyelitis cases.
Vellore(Tamil Nadu) was the first Indian state to become 100% polio-free through the pulse strategy, and rest of India adopted the strategy in 1995.
this ppt contain history, causes, symptoms, who ,india , pulse polio programme, vaccination,future benefits of vaccination
Polio viruses and polio immunisation ppt by Dr Prince C PDR.PRINCE C P
The causative agent of poliomyelitis (commonly known as polio), is a human Enterovirus and member of the family of Picornaviridae.
Poliovirus was first isolated in 1909 by Karl Landsteiner and Erwin Popper.
Poliovirus is one of the most well-characterized viruses, and has become a useful model system for understanding the biology of RNA viruses.
A breakthrough came in 1948 when the virus was successfully cultivated in human tissue in the laboratory by John Enders.
Enders, Weller and Robins, passaged the same strain in non neuronal cell culture.
Vaccines against poliomyelitis: the formalin-inactivated vaccine (IPV) by Jonas Salk(1953) and the live-attenuated vaccines (OPV) by Albert Sabin (1956)
Universal Immunization Program is a vaccination program launched by the Government of India in 1985.
It became a part of Child Survival and Safe Motherhood Program in 1992 and is currently one of the key areas under National Rural Health Mission(NRHM) since 2005.
Program consists of vaccination for 12 diseases -
Tuberculosis
Diphtheria
Pertussis
Tetanus,
Poliomyelitis,
Measles,
Hepatitis B,
Diarrhea,
Japanese-Encephalitis,
Rubella,
Pneumonia
Pneumococcal diseases
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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Pulse Polio is an immunisation campaign established by the government of India to eliminate poliomyelitis (polio) in India by vaccinating all children under the age of five years against the polio virus.
Pulse Polio is an immunization campaign established by the government of India to eliminate poliomyelitis (polio) in India by vaccinating all children under the age of five years against the polio virus.
The project fights polio through a large-scale , pulse vaccination programme and monitoring for poliomyelitis cases.
Vellore(Tamil Nadu) was the first Indian state to become 100% polio-free through the pulse strategy, and rest of India adopted the strategy in 1995.
this ppt contain history, causes, symptoms, who ,india , pulse polio programme, vaccination,future benefits of vaccination
Polio viruses and polio immunisation ppt by Dr Prince C PDR.PRINCE C P
The causative agent of poliomyelitis (commonly known as polio), is a human Enterovirus and member of the family of Picornaviridae.
Poliovirus was first isolated in 1909 by Karl Landsteiner and Erwin Popper.
Poliovirus is one of the most well-characterized viruses, and has become a useful model system for understanding the biology of RNA viruses.
A breakthrough came in 1948 when the virus was successfully cultivated in human tissue in the laboratory by John Enders.
Enders, Weller and Robins, passaged the same strain in non neuronal cell culture.
Vaccines against poliomyelitis: the formalin-inactivated vaccine (IPV) by Jonas Salk(1953) and the live-attenuated vaccines (OPV) by Albert Sabin (1956)
Universal Immunization Program is a vaccination program launched by the Government of India in 1985.
It became a part of Child Survival and Safe Motherhood Program in 1992 and is currently one of the key areas under National Rural Health Mission(NRHM) since 2005.
Program consists of vaccination for 12 diseases -
Tuberculosis
Diphtheria
Pertussis
Tetanus,
Poliomyelitis,
Measles,
Hepatitis B,
Diarrhea,
Japanese-Encephalitis,
Rubella,
Pneumonia
Pneumococcal diseases
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
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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.
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to prevent antimicrobial overuse, misuse and abuse.
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polio eradication program ROLL NO-10.pptx
1.
2. Poliomyelitis is an acute highly
infectious viral disease caused by an
RNA polio virus basically affecting
the human alimentary tract but may
also infect the central nervous system
I.e :the brain,spinal cord and nerves.
3. Poliomyelitis was widely
Spread in all countriesof the world in the
prevaccination since 1954. Due to
extensive polio vaccinaction,The disease
has been eliminated from the developed
countries.The resolved to eradicate
Poliomyelitis from the world in 1988.
4. India was the only country
reporting polio cases in 2005. It reported 66
cases in 2005.during January 2011 to
march 2012 there was interruption of
endemic wild polio Virus circulation in
india last case of WPV3 was reported on 2
nd october 2010 in pukar jharkhand and
WPV1 on 13th January 2011 in howrah
West Bengal.
5. Agent factors: The causative agent is an RNA
polio virus which has three serotype 123.
serotype 1 is the cause of most of the cases of
paralytic poliomyelitis. The virus can live in
feces for 6 months and in water for 4 months.
It is very well adapted for orofecal route
transmission.It can be easily inactivated
pasteurization and other physical and
chemical methods.
6. Age: All ages are affected but
children are more susceptible than
adults most vulnerable age is
between 6 months to 3 years.
Sex: ratio of males to female is 3:1
7. During rainy season i.e
june & September most cases occurs
.flies contaminated food and water
are environmental factors which
transmit the infection
8. Transmition of polio occurs
indirectly through feco-oral route by
flies contaminated food water and
milk and directly by contaminated
fingers the infection may spread
during the acute as well as later stage
of the illness.
9. Droplet infection may
occurs during acute phase of the
disease when the virus is present in
the nasopharynx close personal
contact witb the infected person can
facilitate droplet spread.
11. About 91-96%of infection are subclinical. i.e
inapperent infections.
About 4-8% of infections are minor self limiting
infection with no symptoms.The patient quickly.
These are called abortive Polio infections
About 1%infections with Polio virus are non
Paralytic symptoms like those of meningitis.i.e
stiffness of neck ,pain in the neck and back
recovery is rapid. The disease is synonymous
with aseptic meningitis
12. There are two types of Polio vaccine
for active immunization.
1. Inactivated (Salk) Polio vaccine
(IPV)
2. Oral (Sabin) Polio vaccine (OPV)
13. IPV is Conastituted from all the
three WPV stains namely meihoney
(Salk type -1) ,MEF-1 (Salk type-2)
and saukett (Salk type-3) which are
grown in Vero cell culture or in
human diploid cells. The harvested
viral component are then inactivated
with formaldehyde.It is killed
vaccine.
14. IPV is administered by
intramuscular injection. The primary or
initial course of IPV consist 4 inoculation.
The first 3 doses are given at intervals of 1-
2months and 4th dose 6-12 months after the
third dose. The first dose is given usually
when the Infant is 6 weeks old prior to
school entry additional dose is given and
then every 5 years till the age of 18 years
15. It is most widely used vaccine .It contain
live attenuated( type -123) Polio vaccine virus.
It is given In 3 doses at monthly intervals as
part of national immunization programme.
First dose is given at 6 weeks of age of the
Infant and 2nd 3rd doses are given at 10th and
14th weeks. A zero dose is given to all infants
delivered in health institutions.opv is given
concurrently with DPT and BCG.The booster
dose Is given between 16-24 months.
16. Dose & mode transmission:
Two drops Of the OPV are
given orally with the dropper
supplied with the viral vial of
oral Polio vaccine.
17. Child having
diarrhoea,vomitting, dysentery and
fever should be given OPV. There is
no significant effect of breastfeeding
on the response of older infants to
OPV. Hot fluid such as milk should
not be given for at least ½ after giving
the vaccine.
18. They Can be stored at
4°c For An year and at room
temperature at 25°c for a month
19. During the may 1988 World
health assembly resolution was passed to
achieve the goal of polio eradication by
the year 2000.
The goal of polio eradication is
defined as no cases of poliomyelitis
associated with wild poliovirus
transmission found despite intensive
effort to do so.
20. Pulse polio immunization programme is
the largest ever conducted program for
immunization in the world in India is health
sector also, pulse polio immunization (PPI)
program is the largest endeavour PPIis a
gigantic program to control poliomyelitis
which is one of the six vaccine preventable
diseases.
. PPI in India launch date in December
1995 which is part of the global initiatives to
eradicate poliomyelitis by end of the year 2000
21. Conduct PPI days every year.
sustain high levels of routine
immunization coverage
Monitor opv coverage at district
level and below.
Improve surveillance
Ensure rapid case investigation
22. South east Asia region of wHo has been
certified polio free the regional certification
commission (RCC)on 27th March 2014 issued a
certificate which states that the commission
concludes From the evidence of provided by the
national certificate committee of the 11th
member states that the transmission of
indigenous wild poliovirus has been
interrupted in all countries of the region.
23. India has achieved the goal of polio
eradication as no polio case has been
reported for more than three years after
last case reported on 13th January 2011
There are 24 lakh m and 105 lakh
supervisor in world in the successful
implementation of the PPI program.
24. Wh o on 24th February 2012
removed India from the list of
countries with active endemic Wild
polio virus transmission and on 27
March 2014 w h o declared India A
polio free countries with no case of
disease being reported in the last 3
years.
25. Steps taken by the government to
maintain polio free status in India:-
A unit called National polio
surveillance unit (NPSU) established
in 1997 is located in New Delhi. NPSV
is needed by a program manager who is
an incumbent of WHO. so the entire
information systems on surveillance is
under the control of NPSU.
26. Special booths are established in
areas bordering neighbouring
countries like Wagah border and
Attari train station in Punjab and
manabo train station in Barmer
district of Rajasthan to ensure that
all children under 5 years of age
coming from across the border are
given polio drops.
27. Set up national committees
Ensure adequate financial resources
Assess vaccine requirements and
place indent
Establish Structure and designate
responsibility
28. Develop A time schedule for each level
Ensure excellent logistics for posts and
house teams
Ensure effective social mobilization in all
Villages
Supervision
Transportation
Keep the press informed
29. Listing of under 5 years children
area wise in a primary health centre
Calculate the vaccine requirements
including 10 percent wastage.
Establish of booths in different
locations
Develop time schedule or plan of
action
30. Implementation of the programme as per
the schedule
Supervision and monitoring at each level
Transportation of staff and vaccine to the
concerned Booth
Evaluation of the programme
Dipstick survay
Replanning