World polio day-Mission "Zero Polio"
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World Polio Day 2018: Check out about information and the theme of this year on world Polio Day in this Presentation. Here you can get all the related information about World Polio day and what are the steps taking by people towards “Zero Polio” mission.
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In this presentation you will find summary for poliomyelitis. what is polio ? what are the causes ? and what will be the prevention?
here you'll also find about the rehabilitation program for polio as well..
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A brief discussion about POLIO... Though WHO declare Bangladesh as a polio free country it had a lot of hazardous effects in the past and we were the most sufferer country among all the countries... We thank our Govt. without their help we could not be able to call ourselves a polio free country... In this document I try my best to give you all a clear concept...... Hope it'll help everyone.....
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The document describes a case of poliomyelitis in a 13-year-old patient who wanted to be a dancer. Within two weeks, they lost coordination and 20 pounds and became paralyzed, turning their passion into pain. Poliomyelitis is a highly infectious viral disease that destroys motor neurons and damages the brain and spinal cord, causing muscle weakness and paralysis. It is classified based on symptoms, and while most cases are asymptomatic or mild, some can result in paralysis affecting the legs, breathing, or both.
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Poliomyelitis, also known as polio, is a crippling and potentially deadly infectious disease caused by the poliovirus. It has been affecting humans for thousands of years. Major developments in the 20th century included identifying the three types of poliovirus, developing the Salk and Sabin vaccines, and launching global eradication efforts. Today, polio remains endemic in only Afghanistan, Nigeria and Pakistan. Barriers to eradicating polio in Pakistan include terrorism, lack of security, natural disasters, political instability and economic challenges.
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This document provides an overview of poliomyelitis (polio) presented by Dr. Y. Shravan kumar at PIMS Department of Orthopaedic Surgery. It defines polio, discusses its history, epidemiology, virus, pathogenesis, motor pathways in the spinal cord, clinical features including systemic, meningeal irritation and paralytic stages, and treatment. The presentation aimed to educate attendees on the basics of polio.
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This document discusses poliomyelitis (polio) and post-polio syndrome (PPS). It describes how polio is caused by poliovirus, spreads through the fecal-oral route, and can cause acute flaccid paralysis. It outlines the pathogenesis, clinical manifestations including monophasic or biphasic illness, and methods for diagnosis of polio. It then discusses PPS, which involves new muscle weakness or fatigue in polio survivors decades later, and the role of electrophysiological testing in evaluating PPS.
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The document summarizes information about polio virus and poliomyelitis. It describes polio virus as a contagious virus that causes paralysis and sometimes death. The virus has three serotypes and is transmitted via the fecal-oral route. It infects the pharynx and gastrointestinal tract before potentially spreading to the central nervous system. Clinical presentations range from asymptomatic infection to paralytic poliomyelitis. Effective vaccines including Salk's inactivated polio vaccine and Sabin's live attenuated oral polio vaccine were developed to prevent the disease. Global vaccination efforts have led to a significant reduction in polio cases worldwide.
Poliomyelitis- cause, pathology, affected parts, treatment
hey friends, i have uploaded this topic of POLIOMYELITIS with its basic concept and treatment. I have added some animations. Hope this will help you to understand the topic in better way. Thank you.
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Polio
In this presentation you will find summary for poliomyelitis. what is polio ? what are the causes ? and what will be the prevention?
here you'll also find about the rehabilitation program for polio as well..
Poliomyelitis
A brief discussion about POLIO... Though WHO declare Bangladesh as a polio free country it had a lot of hazardous effects in the past and we were the most sufferer country among all the countries... We thank our Govt. without their help we could not be able to call ourselves a polio free country... In this document I try my best to give you all a clear concept...... Hope it'll help everyone.....
Polio myelitis - DISEASE CONDITION IN DETAIL
The document describes a case of poliomyelitis in a 13-year-old patient who wanted to be a dancer. Within two weeks, they lost coordination and 20 pounds and became paralyzed, turning their passion into pain. Poliomyelitis is a highly infectious viral disease that destroys motor neurons and damages the brain and spinal cord, causing muscle weakness and paralysis. It is classified based on symptoms, and while most cases are asymptomatic or mild, some can result in paralysis affecting the legs, breathing, or both.
Poliomyelitis
Poliomyelitis, also known as polio, is a crippling and potentially deadly infectious disease caused by the poliovirus. It has been affecting humans for thousands of years. Major developments in the 20th century included identifying the three types of poliovirus, developing the Salk and Sabin vaccines, and launching global eradication efforts. Today, polio remains endemic in only Afghanistan, Nigeria and Pakistan. Barriers to eradicating polio in Pakistan include terrorism, lack of security, natural disasters, political instability and economic challenges.
Poliomyelitis 1
This document provides an overview of poliomyelitis (polio) presented by Dr. Y. Shravan kumar at PIMS Department of Orthopaedic Surgery. It defines polio, discusses its history, epidemiology, virus, pathogenesis, motor pathways in the spinal cord, clinical features including systemic, meningeal irritation and paralytic stages, and treatment. The presentation aimed to educate attendees on the basics of polio.
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This document discusses poliomyelitis (polio) and post-polio syndrome (PPS). It describes how polio is caused by poliovirus, spreads through the fecal-oral route, and can cause acute flaccid paralysis. It outlines the pathogenesis, clinical manifestations including monophasic or biphasic illness, and methods for diagnosis of polio. It then discusses PPS, which involves new muscle weakness or fatigue in polio survivors decades later, and the role of electrophysiological testing in evaluating PPS.
Polio disease and its prevention
The document summarizes information about polio virus and poliomyelitis. It describes polio virus as a contagious virus that causes paralysis and sometimes death. The virus has three serotypes and is transmitted via the fecal-oral route. It infects the pharynx and gastrointestinal tract before potentially spreading to the central nervous system. Clinical presentations range from asymptomatic infection to paralytic poliomyelitis. Effective vaccines including Salk's inactivated polio vaccine and Sabin's live attenuated oral polio vaccine were developed to prevent the disease. Global vaccination efforts have led to a significant reduction in polio cases worldwide.
Poliomyelitis- cause, pathology, affected parts, treatment
hey friends, i have uploaded this topic of POLIOMYELITIS with its basic concept and treatment. I have added some animations. Hope this will help you to understand the topic in better way. Thank you.
Poliomyelitis (2015)
Poliomyelitis is a viral disease caused by the poliovirus that infects the nerves and can cause paralysis. It is transmitted through direct contact with infected individuals or their feces or respiratory secretions. While most infections cause no symptoms, some lead to muscle weakness and paralysis of the legs. There is no cure for poliovirus infection but vaccination has nearly eradicated it globally, except for a few remaining countries in Africa and Asia. Proper immunization is the best prevention against this disabling disease.
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Post-polio syndrome (PPS) is a condition that affects polio survivors years after recovery from an initial acute attack of the poliomyelitis virus
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This document provides information about poliomyelitis (polio). It begins by defining the objectives of the document, which are to define polio, explore its history and pathogenesis, describe the types and clinical manifestations, discuss management, and explain the nurse's role in prevention. It then provides key facts about polio, statistics on outcomes of paralysis, highlights from the history of polio research, global eradication efforts and statistics on cases in Pakistan. The document discusses the virus, pathogenesis, clinical manifestations including paralysis, management including rest and ventilation, and the nurse's role in vaccination and education.
Poliomyelitis and its management
This document discusses poliomyelitis (polio), including its causes, clinical presentation, complications, management, and prognosis. Polio is caused by infection with the poliovirus, which destroys motor neurons and can cause flaccid paralysis. It primarily affects children under 5 years old and presents as aseptic meningitis or flaccid paralysis that is usually asymmetric. Long-term complications include deformities of the limbs from muscle imbalances. Management involves vaccination to prevent transmission and treatment of complications through bracing, therapy, or surgery. Prognosis depends on the initial severity and extent of paralysis.
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Polio is an acute viral disease that usually affects children and young adults, caused by one of three polioviruses. It can be transmitted through direct contact with an infected person, or indirect contact with infected mucus, phlegm, or feces. The disease may cause no symptoms or mild symptoms like headache and muscle pain. In more severe cases, it can cause paralysis or breathing problems. Prevention includes vaccination and hygiene practices to avoid contact with infected bodily fluids.
Poliomyelitis uploaded by Samrat Gurung
Polio is a highly infectious disease caused by an RNA virus that affects children under 5 years old. It can cause paralysis if the virus infects the central nervous system. Three types of poliovirus exist. While most infections are asymptomatic, paralysis occurs in less than 1% of cases. Transmission is primarily through the fecal-oral route. Nepal was declared polio-free in 2014 through vaccination efforts. Oral polio vaccine is effective at inducing immunity and spreading to non-immunized individuals. Maintaining high vaccination coverage is important to prevent new outbreaks.
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Polio is a viral disease spread through person-to-person contact or fecal contamination. It primarily affects children and causes paralysis in a small percentage of cases by infecting the central nervous system. While most infections cause mild flu-like symptoms, it can also damage respiratory muscles and require use of an iron lung. Developing countries with poor sanitation are most at risk. An effective vaccine was developed in the 1950s, reducing cases dramatically.
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Poliomyelitis, or polio, is a viral disease that was a major cause of disability until widespread vaccination in the 1960s. Some polio survivors later develop Post-Polio Syndrome, characterized by new muscle weakness and fatigue decades after the initial infection. Management of Post-Polio Syndrome is multidisciplinary and focuses on symptom management through rehabilitation, orthotics, energy conservation, and treatment of comorbidities like sleep apnea. While polio has been eradicated in most countries, Post-Polio Syndrome remains an issue for aging polio survivors and further research is still needed.
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This document provides information about poliomyelitis (polio) including defining it as a viral disease that mainly affects children under 5 years old, describing its signs and symptoms which are spread via the fecal-oral route and include paralysis in rare cases, outlining treatments which focus on symptom relief and prevention of complications, discussing the two main polio vaccines (OPV and IPV), and noting the global efforts led by WHO, UNICEF, and others to eradicate polio through widespread vaccination which has reduced cases by over 99% since 1988.
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Poliomyelitis is an acute viral infectious disease caused by the poliovirus. It has affected humans for thousands of years. While effective vaccines were developed by the mid-20th century, polio outbreaks were still common worldwide. The presentation provides an overview of the history, epidemiology, pathogenesis, clinical features, diagnosis, treatment, prognosis, and prevention of poliomyelitis. It also describes rehabilitation programs and case studies of polio survivors.
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This document provides information about poliomyelitis (polio). It defines polio as a viral illness caused by poliovirus that can lead to paralysis. There are 3 types of poliovirus. Polio spreads through the gastrointestinal tract and sometimes to the central nervous system. Most polio infections are asymptomatic, but some cause abortive or nonparalytic illness. Rarely, it causes paralytic polio. Treatment involves supportive care, while vaccines can prevent the disease.
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Polio is an acute viral disease spread through contaminated food, water, or contact with the feces of an infected person. It can cause paralysis and affect breathing or be deadly in rare cases. The poliovirus attacks the nervous system and can cause total paralysis in some cases by destroying nerves that control muscles. Prevention efforts include worldwide immunization programs sponsored by WHO to provide free polio vaccines and eliminate the disease globally.
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This document discusses poliomyelitis (polio), an acute viral infectious disease that can cause paralysis. It is caused by three types of poliovirus and primarily affects children and the unvaccinated. The document covers the history, causes, clinical presentation, investigations, treatment, complications, differential diagnosis, prevention, prognosis, and references regarding polio. Polio cases have declined over 99% since vaccination programs were implemented globally for its eradication. Prevention focuses on vaccination, education, and early detection/treatment.
Poliomyelitis
This document provides an overview of poliomyelitis (polio), including:
- Polio is caused by infection of the anterior horn cells of the spinal cord by polioviruses, leading to paralysis.
- It primarily affects children under 5 and spreads through the gastrointestinal and respiratory tracts.
- The disease course involves an acute viral infection followed by recovery or post-polio syndrome with new muscle weakness.
- Common complications include muscle imbalances, contractures, and orthopedic deformities that may require long-term management including physical therapy, bracing, and occasionally surgery.
Poliomyelitis
Poliomyelitis, commonly known as polio, is a highly infectious viral disease that mainly affects children under 5 years old. It is caused by poliovirus which spreads through fecal-oral transmission or contaminated food and water. While most cases are asymptomatic, it can cause paralysis in some cases. There are three types of poliovirus and three forms of the disease - spinal, bulbar, and bulbospinal. Treatment focuses on managing symptoms and prevention through vaccination with either the inactivated polio vaccine or oral polio vaccine.
Polio
This document discusses poliomyelitis (polio), including:
1. Polio is caused by an RNA virus that infects the human digestive tract and sometimes the central nervous system, potentially causing paralysis or death.
2. India has made great progress against polio through vaccination programs like the Universal Immunization Programme and National Immunization Days.
3. Surveillance of acute flaccid paralysis cases and environmental sampling are important to detect poliovirus transmission and ensure polio is truly eradicated.
Poliomyelitis
Poliomyelitis, commonly known as polio, is an acute viral infectious disease that is spread through the fecal-oral route. There are three types of poliovirus that can cause the disease. While most infections cause mild symptoms, in rare cases the virus infects the central nervous system and causes paralysis. The disease was once widespread but vaccination programs have largely eradicated it in most countries. Immunization is the primary method of prevention and treatment focuses on relieving symptoms since there is no cure for the viral infection.
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Poliomyelitis is a viral disease caused by the poliovirus that infects the nerves and can cause paralysis. It is transmitted through direct contact with infected individuals or their feces or respiratory secretions. While most infections cause no symptoms, some lead to muscle weakness and paralysis of the legs. There is no cure for poliovirus infection but vaccination has nearly eradicated it globally, except for a few remaining countries in Africa and Asia. Proper immunization is the best prevention against this disabling disease.
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This document provides information about poliomyelitis (polio). It begins by defining the objectives of the document, which are to define polio, explore its history and pathogenesis, describe the types and clinical manifestations, discuss management, and explain the nurse's role in prevention. It then provides key facts about polio, statistics on outcomes of paralysis, highlights from the history of polio research, global eradication efforts and statistics on cases in Pakistan. The document discusses the virus, pathogenesis, clinical manifestations including paralysis, management including rest and ventilation, and the nurse's role in vaccination and education.
Poliomyelitis and its management
This document discusses poliomyelitis (polio), including its causes, clinical presentation, complications, management, and prognosis. Polio is caused by infection with the poliovirus, which destroys motor neurons and can cause flaccid paralysis. It primarily affects children under 5 years old and presents as aseptic meningitis or flaccid paralysis that is usually asymmetric. Long-term complications include deformities of the limbs from muscle imbalances. Management involves vaccination to prevent transmission and treatment of complications through bracing, therapy, or surgery. Prognosis depends on the initial severity and extent of paralysis.
Polio power point
Polio is an acute viral disease that usually affects children and young adults, caused by one of three polioviruses. It can be transmitted through direct contact with an infected person, or indirect contact with infected mucus, phlegm, or feces. The disease may cause no symptoms or mild symptoms like headache and muscle pain. In more severe cases, it can cause paralysis or breathing problems. Prevention includes vaccination and hygiene practices to avoid contact with infected bodily fluids.
Poliomyelitis uploaded by Samrat Gurung
Polio is a highly infectious disease caused by an RNA virus that affects children under 5 years old. It can cause paralysis if the virus infects the central nervous system. Three types of poliovirus exist. While most infections are asymptomatic, paralysis occurs in less than 1% of cases. Transmission is primarily through the fecal-oral route. Nepal was declared polio-free in 2014 through vaccination efforts. Oral polio vaccine is effective at inducing immunity and spreading to non-immunized individuals. Maintaining high vaccination coverage is important to prevent new outbreaks.
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Polio is a viral disease spread through person-to-person contact or fecal contamination. It primarily affects children and causes paralysis in a small percentage of cases by infecting the central nervous system. While most infections cause mild flu-like symptoms, it can also damage respiratory muscles and require use of an iron lung. Developing countries with poor sanitation are most at risk. An effective vaccine was developed in the 1950s, reducing cases dramatically.
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Poliomyelitis, or polio, is a viral disease that was a major cause of disability until widespread vaccination in the 1960s. Some polio survivors later develop Post-Polio Syndrome, characterized by new muscle weakness and fatigue decades after the initial infection. Management of Post-Polio Syndrome is multidisciplinary and focuses on symptom management through rehabilitation, orthotics, energy conservation, and treatment of comorbidities like sleep apnea. While polio has been eradicated in most countries, Post-Polio Syndrome remains an issue for aging polio survivors and further research is still needed.
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This document provides information about poliomyelitis (polio) including defining it as a viral disease that mainly affects children under 5 years old, describing its signs and symptoms which are spread via the fecal-oral route and include paralysis in rare cases, outlining treatments which focus on symptom relief and prevention of complications, discussing the two main polio vaccines (OPV and IPV), and noting the global efforts led by WHO, UNICEF, and others to eradicate polio through widespread vaccination which has reduced cases by over 99% since 1988.
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This document discusses poliomyelitis (polio), including its etiology, transmission, pathogenesis, clinical manifestations, management, and long-term treatment. Polio is caused by three serotypes of poliovirus that infect the anterior horn cells of the spinal cord, potentially causing flaccid paralysis. While most polio infections are asymptomatic, some can lead to nonparalytic or paralytic illness. Treatment focuses on supportive care, with physiotherapy and bracing important for long-term management of residual paralysis and deformities. Surgery may be needed to correct contractures or improve function. Routine polio vaccination has helped global eradication efforts.
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This document provides information about poliomyelitis (polio). It defines polio as a viral illness caused by poliovirus that can lead to paralysis. There are 3 types of poliovirus. Polio spreads through the gastrointestinal tract and sometimes to the central nervous system. Most polio infections are asymptomatic, but some cause abortive or nonparalytic illness. Rarely, it causes paralytic polio. Treatment involves supportive care, while vaccines can prevent the disease.
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Polio is an acute viral disease spread through contaminated food, water, or contact with the feces of an infected person. It can cause paralysis and affect breathing or be deadly in rare cases. The poliovirus attacks the nervous system and can cause total paralysis in some cases by destroying nerves that control muscles. Prevention efforts include worldwide immunization programs sponsored by WHO to provide free polio vaccines and eliminate the disease globally.
Poliomyelitis
This document discusses poliomyelitis (polio), an acute viral infectious disease that can cause paralysis. It is caused by three types of poliovirus and primarily affects children and the unvaccinated. The document covers the history, causes, clinical presentation, investigations, treatment, complications, differential diagnosis, prevention, prognosis, and references regarding polio. Polio cases have declined over 99% since vaccination programs were implemented globally for its eradication. Prevention focuses on vaccination, education, and early detection/treatment.
Poliomyelitis
This document provides an overview of poliomyelitis (polio), including:
- Polio is caused by infection of the anterior horn cells of the spinal cord by polioviruses, leading to paralysis.
- It primarily affects children under 5 and spreads through the gastrointestinal and respiratory tracts.
- The disease course involves an acute viral infection followed by recovery or post-polio syndrome with new muscle weakness.
- Common complications include muscle imbalances, contractures, and orthopedic deformities that may require long-term management including physical therapy, bracing, and occasionally surgery.
Poliomyelitis
Poliomyelitis, commonly known as polio, is a highly infectious viral disease that mainly affects children under 5 years old. It is caused by poliovirus which spreads through fecal-oral transmission or contaminated food and water. While most cases are asymptomatic, it can cause paralysis in some cases. There are three types of poliovirus and three forms of the disease - spinal, bulbar, and bulbospinal. Treatment focuses on managing symptoms and prevention through vaccination with either the inactivated polio vaccine or oral polio vaccine.
Polio
This document discusses poliomyelitis (polio), including:
1. Polio is caused by an RNA virus that infects the human digestive tract and sometimes the central nervous system, potentially causing paralysis or death.
2. India has made great progress against polio through vaccination programs like the Universal Immunization Programme and National Immunization Days.
3. Surveillance of acute flaccid paralysis cases and environmental sampling are important to detect poliovirus transmission and ensure polio is truly eradicated.
Poliomyelitis
Poliomyelitis, commonly known as polio, is an acute viral infectious disease that is spread through the fecal-oral route. There are three types of poliovirus that can cause the disease. While most infections cause mild symptoms, in rare cases the virus infects the central nervous system and causes paralysis. The disease was once widespread but vaccination programs have largely eradicated it in most countries. Immunization is the primary method of prevention and treatment focuses on relieving symptoms since there is no cure for the viral infection.
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Poliomyelitis, or polio, is a highly infectious disease that primarily affects children under 5 years old and can cause paralysis or death. While polio cases have been reduced by 99% since 1988 due to global vaccination efforts, it remains a risk in undervaccinated communities. The presentation focuses on polio's impact in Ghana, where a 1974 study found the annual polio incidence in children was over twice as high as in the pre-vaccine US, and polio caused disability in over 60% of lame children examined. Continued vaccination efforts aim to eradicate polio worldwide by 2026.
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Poliomyelitis, or polio, is a highly infectious disease that primarily affects children under 5 years old and can cause paralysis or death. While polio cases have been reduced by 99% since 1988 due to global vaccination efforts, it remains a risk in undervaccinated communities. The presentation focuses on polio's impact in Ghana, where a 1974 study found the annual polio incidence in children was over twice as high as in the pre-vaccine US, and polio caused disability in over 60% of lame children examined. Continued vaccination efforts aim to eradicate polio worldwide by 2026.
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Poliomyelitis, or polio, is a highly infectious disease that primarily affects children under 5 years old and can cause paralysis or death. While global polio cases have decreased by 99% since 1988 due to vaccination efforts, eradication has not been fully achieved due to issues like limited health infrastructure, vaccine effectiveness in some climates, outbreaks of vaccine-derived poliovirus, and opposition to vaccination in some areas. Ghana has implemented initiatives like mass vaccination campaigns and public education to eliminate polio domestically.
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Poliomyelitis is a highly infectious viral disease that mainly affects children under 5 years old. While most infections cause no symptoms, it can sometimes lead to paralysis or death. There is no cure for polio, but vaccination provides lifelong protection. Global polio cases have decreased over 99% since 1988 due to vaccination efforts. Nepal eliminated indigenous polio in 2000 and participates in regional certification efforts. The national immunization program aims to provide equitable access to vaccines to prevent diseases like polio.
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World polio day-Mission "Zero Polio"
- 1. World Polio Day Mission “Zero Polio”
- 2. About Polio Day and Why It is celebrated • World Polio Day was instituted by Rotary club over a decade ago, commemorating, birth of virologist Jonas Salk who developed the vaccine for Polio. • It is celebrated to spread awareness & recognize the efforts of organization like WHO & others, working towards eradicating polio. • Theme for this year for World Polio Day is “End polio now”. • The virus is contagious and spreads mainly through the faecal-oral route or, less frequently, through, a common vehicle (for instance. contaminated water or food) and the virus multiplies in the intestine, from where it can enter the nervous system and cause paralysis.
- 3. World Polio Day 2018
- 4. Symptoms of this Viral • The initial symptoms of the virus are fever, headache, vomiting, fatigue, stiffness of the neck and also pain in the limbs. • 1 out of 200 infections leads to irreversible paralysis (generally in the legs). • Among those paralysed, 5% to 10% also die, if their breathing muscles, cannot function. • Polio can definitely be prevented through immunization. • The strategy to eradicate this deadly disease is preventing the infection by immunising each and every child until transmission is stopped and we can be assured of a polio-free World.
- 5. Countries where Polio Virus is still On • Afghanistan • Nigeria • Pakistan • Although, Polio cases have decreased by more than 99.9% since 1988. • WHO expects the planet, to be polio-free 2022. It could take longer, considering the rate at which vaccine-derived polio cases are now springing up, it’s hard to say.
- 6. Polio and Disability Prevention Camps by DSS
- 7. Polio Camp by DSS Volunteers • Dera Sacha Sauda is the organization who started campaigning and took initiatives to curb this hazard, way ahead of others, 2 decades ago. • DSS conducts surgeries, calibre distribution and offers follow up treatments, free, to the patients affected by the Polio virus already. • They Organizes “Polio and Disability Prevention Camps” in remembrance of its founding Father Shah Mastana Ji. • Treated and counselled close to 2500 patients and with 651 surgeries, till date, DSS is instrumental, in providing the confidence and awareness to people about Polio correction surgeries and providing them to the marginalised, at no cost.
- 8. Polio Camp by DSS Volunteers
- 9. Polio Prevention Camp in DSS Sirsa • Thus, helping a sizeable number of affected Patients, come back to their normal self and become self reliant. • Many prominent Orthopaedic Doctors, provide their services, in these camps. • Hundreds of patients, from all across the Country, visit the camps, held at Dera Sacha Sauda Sirsa Ashram, under the direction and guidance by Saint Gurmeet Ram Rahim Singh Insan, for examination and free treatment. • Free boarding, lodging and medicine with follow-up treatment is provided by the Ashram. • Treatment includes surgeries, artificial limbs calliper, crutches, walking stick and special shoes, medicines etc. as per the respective case.