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DEMOGRAPHY
• DEMOGRAPHIC CYCLE
TERMS
• Demographic transition: high birth rate to low
birth rate..
• Demographic Window: working age group is
more..
• Demographic Trap- high birth rate and low
death rate..
• Crude birth rate- 21.6 per 1000 ,
• Crude death rate -7.1 per 1000
• Growth rate : B-D..
• Annual growth rate: 1.64
• Decadal growth rate -17.64..
• POPULATION PYRAMID
• SEX RATIO:
• no of females per 1000 males
• 940
• States-
• Kerala(1084),Haryana(876)..
• Union territory-
• Pondicherry/Diu daman..
• Child sex ratio (1-4 years): 914
TFR( Total fertility rate)
• Average number of children born to a woman
during her reproductive span..
• Complete family size
• Target- 2.1 ( recent-2.5)..
• GROSS REPRODUCTIVE RATE
• Average number of girls a woman has during
her reproductive span..
• Assumes only fertility pattern..
NET REPRODUCTIVE RATE :
• Number of girls a newborn female will have in
the future.
• Both fertility and mortality pattern..
• Target- NRR=1..
FAMILY PLANNING:
• Eligible couples-
• A couple with wife in reproductive age
group(15-45)..
• Couple protection rate-
• Couples using atleast one of four
contraceptives( OCP,IUD,barrier,sterilization) /
total couples..
• CPR= 60%
• To acheive NRR=1..
• CPR in India is 56% according to NFHS-3.
IUD
1ST GENERATION IUD
2nd GENERATION IUD
–Copper-bearing IUDs: Made of plastic
with copper sleeves and/or copper wire
on the plastic, such as TCu-380A,
MLCu-375.
• Effectiveness: Pregnancy rates for all major
IUDs are less than one per 100 women per
year.
• MOST COMMON COMPLICATION-
BLEEDING
• MOST COMMON COMPLICATION OF
REMOVAL OF Cu-T: PAIN
• Hormone-releasing IUDs:
• LNG-20 (MIRENA)
• LEVONORGESTREL-20 IUD (LNG-20)
• It contains 52 mg of levonorgestrel released at
the rate of 20 micrograms per day and lasts for
at least 5 years.
• For the LNG-20 a pregnancy rate of 0.3 has
been reported after 5 years.
BARRIER CONTRACEPTIVES
Male Condoms
• Most condoms are made of latex rubber
• With correct and consistent use every time,
there are 3 pregnancies per 100 women in the
first year of use.
Female condom
• Is a thin, soft, loose-fitting polyurethane
plastic pouch-like device that lines the vagina.
• Pregnancies per 100 women in the first year of
use as commonly used is 21. If used correctly
and consistently there are 5 pregnancies per
100 women.
NORPLANT
RISUG
• Reversible Inhibition of Sperm Under
Guidance
• Invented by an Indian S K Guha.
• RISUG is an injectable compound that
partially blocks the vasa deferentia (tubes
that carry sperm).
Vaginal rings-
Nuvaring
• Etonogestrel/ethinyl estradiol containing
vaginal ring.
MOTHER AND CHILD
HIGH RISK CHILD:
• LBW-<2.5 Kg..
• Twins..
• Birth order>5..
• Grade 2/3 malnutrution..
• Failure to gain (3 successive months)..
• working mother/ single parent..
HIGH RISK MOTHER:
• <140 cm,
• > 30 year,
• Malpresentations,
• APH,
• PE,
• History of caeserian section,
• >5: grand multipara,
• Twins,
• Prolonged pregnancy( crossed EDD > 2
Weeks)..
 MMR:
• Upto 6 weeks
• LIVE BIRTHS
• PER 1 LAKH
• MDG-5
• 178
• INFANT MORTALITY RATE
• NEONATAL MORTALITY RATE
• PERINATAL MORTALITY RATE
• (ONLY CHANGE IN NUMERATOR)
• GROWTH CHARTS-
• Weight for age charts,
• David morley,
• Road to health chart..
ENVIRONMENT HEALTH
• WATER: CHLORINATION:
• HOCL ions..
• FREE RESIDUAL CHLORINE-
• Contact period- 60 minutes..
• Concentration: 0.5 ppm,
• Post disaster: 0.7 ppm,
• Swimming pool: 1 ppm,
INSTRUMENTS
• DOSE/ DEMAND- Horrocks apparatus,
• Free residual chlorine-
• Instrument-chloroscope..
• TESTS-
• Ortho toluidine test,
• Ortho toluidine arsenite test..
• BIOLOGICAL INDICATORS
• OF WATER CONTAMINATION
• Presumptive coliform count-
• MPN per 100 ml,
• Mc ardey table,
• Membrane filter concentration method..
• Fecal streptococci- recent contamination ,
• Clostridium pirefringes- remote..
AIR POLLUTION
• Best index- sulphur dioxide
• Best biological indicator- lichens..
GLOBAL WARMING..
• KYOTO PROTOCOL- For all green house
gases..
• MONTREAL PROTOCOL- only for CFC s
..
• RADIATION:
• Coulumbs,
• Gray
• Seivert- best unit.
• 5 rads/ year..
• I 131: So pottassium iodide tablets to be
given..
NOISE POLLUTION
• 20 th century- of noise..
• >160 db: rupture of tympanic membrane..
ENTOMOLOGY
Anopheles mosquito
Culex mosquito
Aedes mosquito
Anopheles larva
Culex larva
Aedes larva
Sand fly
RAT FLEA
Itch mite, Sarcoptes scabiei
Hard ticks (Ixodidae)
Soft ticks (Argasidae)
Reduvid bug
INSECTICIDES
Three groups (Based on mode of
action)
• Contact - through the skin Eg: Pyrethrum,
DDT, BHC, Dieldrin.
• Stomach - oral – through the mouth. Eg: Paris
Green & Sodium fluoride.
• Fumigants. Eg: Sulphur Dioxide
DDT
DDT (Dichloro-diphenyl
trichloroethane)
• 1874,By Zeidler
• White amorphous powder with mild smell.
• Contact poison: Acts on nervous system to
cause paralysis of wings & legs.
• 18 mo. of residual action.
• Application: 100-200 mg. per square foot
area.
• Either 5% suspension or 5-10% dust form.
BHC/HCH( Hexachlorocyclo-hexane)
• 1825 ,by Michael Faraday
• White or chocolate colored with musty smell.
• Lindane is pure BHC (99% GAMMA ISOMER)
• DIRECT CONTACT AS WELL AS VAPOUR
• 3 mo. Residual effect
• More powerful than DDT.
• Dose: 25-50 mg per square foot
for residual effect.
Abate (Temephos)
• Larvicidal.
• Brown viscous liquid/Granules.
• For anopheles stephensi at 1.00 ppm.
• For dengue .
Fenthion(Baytex)
• Brown garlicky liquid.
• Used in filaria control.
Pyrethrum
• Vegetable origin(chrysanthemum
cinerariafolium)
• Nerve poison, kills on contact
• Spray contains: 0.1% of pyrethrum
• Doors and windows should be kept closed for
½ hours after spray.
• Pyrethrum + DDT = synergistic effect.
Paris green
• Copper Aceto-arsenite
• A stomach poison
• Contains 50% of arsenious oxide
BIOTERRORISM
Category A
Agents/Diseases
• Anthrax (Bacillus anthracis)
• Botulism (Clostridium botulinum toxin)
• Plague (Yersinia pestis)
• Smallpox (variola major)
• Tularemia (Francisella tularensis)
• Viral hemorrhagic fevers [e.g., Ebola ]
Category B
Agents/Diseases
• Brucellosis (Brucella species)
• Glanders (Burkholderia mallei)
• Q fever (Coxiella burnetii)
Category C
Agents
• Emerging infectious diseases such as-
• Nipah virus
• Hantavirus
• SARS
• H1N1
NUTRITION
• QUALITY OF PROTEIN-
• PDCAAS-Protein Digestability Corrected
Amino acid score
• NPU( Net protein utilization)
• Biological value of x Digestibilty co efficient/
100..
• Egg- 96
• LIMITING AMINO ACIDS:
• Cereals- lysine,threonine..
• Pulses- methionine,cystine..
• Maize- Lysine, tryptophan..
FAT:
• Essential fatty acids,
• Deficiency: phrenoderma,
• Safflower oil- linoleic acid,
• Arachidonic acid- animal foods,
• Eicosa pentanoic acid- fish..
• VITAMIN B
• Thiamine:
• Beri beri, wernickes encephalopathy..
• Riboflavin- chelietis..
• Pellagra-
• 4ds: diarrhea,dermatitis,dementia,death..
• Casals necklace..
• maize,jowar,corn..
• B5:
• Pantothenic acid
• Burning feet syndrome..
• B7:
• biotin
• Avidin in raw egg
• B9
• Folic acid
• vitamin M,
• Megaloblastic anemia..
• E: Hemolytic anemia of newborn..
• K: Hemorrhagic disease of newborn..
URINARY IODINE EXCRETION-
• 1. Used as a impact indicator after
implementing d programme
• 2. Indicator preferred for Surveillance
NEONATAL HYPOTHYROIDISM-
sensitive indicator of environmental iodine
deficiency.
• FLUOROSIS:
• Normal levels- 0.5-0.8
• <0.5: dental caries
• >1.5= mottling of teeth,
• >3= skeletal
• >10= crippling food
ADULTERANTS-
• Epidemic dropsy
• Argemone oil
• Added to mustard oil,
• Paper chromatography test- most sensitive,
• Nitric acid test,
• Proteinuria - pedal edema
• Sanguinarine toxin,..
• Ergotism-
• Field fungus
• Claviceps purpura,
• Bajra seeds,
• Float in salt water..
• Endemic ascites-
• Crotolaria seeds
• Added to Junjhunia seeds.
• LATHYRISM-
• khesar dal
• MP
• BOAA
• Vit C prophylaxis
• Ban the crop
OCCUPATIONAL HEALTH
• ERGONOMICS:
• Mutual adjustment between man and his
working environment..
• Miners nystagmus: chronic exposure to
darkness..
• Welders flash- UV rays..
• White fingers- vibration..
• PNEUMOCONIOSIS- 0.5-3microns..
• Silicosis-
• Mica mines
• Dense nodular fibrosis
• Snow storm appearance of lung
• Risk factor for tuberculosis..
• Asbestosis-
• Amphibole- crocidolite type( blue)
• Mesothelioma..
• Anthracosis- coal..
• Byssinosis: cotton,
• Bagassosis: thermoactinomyces sacchari..
• Farmers lung- micropolyspora faeni..
• LEAD POISONING-
• Amino levulinic acid- absorption,
• Anemia: first sign,
• Burtonian lines-blue lead sulphide lines on
gums..
• Basophilic stippling of RBC..
• Coproporphyrin in urine: screening test..
• Constipation..
• Drops- wrist/foot..
• EDTA- chelating agent..
• Encephalopathy: organic lead..
• >70 microgram/ml..
Basophilic stippling of RBC..
Burtonian lines
• Cancers:
• Most common occupational cancer- skin
cancer..
• Bladder: dye,benzidine,rubber,aniline..
• Leukemia- benzol..
• Village-
• 1000
• Dai
• ASHA..
• SUBCENTRE-
• ANM / health worker female
• 3000-HILLY areas
• 5000: PLAINS.
• PHC-
• 20000/30000
• MO,
• LHV- LADY HEALTH VISITOR..
• CHC- 80000-1,20000..
• Specialists:
• Physician, pediatrician, surgeon, gynaecologist
• Anaesthetist,public health manager..
WHO
Psm PPT slides for fmge neetpg .dams lecture
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Psm PPT slides for fmge neetpg .dams lecture