Health Problems

Our Health Problems Dr.Kanam Sankra Pillai MS.DGO

Deputy DHS,Kerala(Rtd) KVMS Hospital,Ponkunnam

11/07/08

Dr.Kanam,KVMS Hospital,Ponkunnam

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11/07/08

Dr.Kanam,KVMS Hospital,Ponkunnam

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Our major problems Communicable diseases  Life style diseases  Untimely deaths 

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(Accidents ,suicides,Homicides)

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Communicable disease       

Small Pox (Eradicated) Chicken Pox Rubella Mumps Poliomyelitis Viral hepatitis Malaria

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Communicable(Contd)       

Dengue Rabies Diphtheria Whooping Cough Meningitis TB Food Poisoning

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Communicable(Contd)      

Filariasis (yearly Mass MDA) Amoebiaisi Worms Leptospirosis Taenia Hydatid

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Communicable (Contd)     

Trachoma Tetanus Leprosy STD AIDS

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Life Style Diseases    

Diseases due to Modernisation Urbanisation Prosperity

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Metabolic Diseases      

Insulin Resistance OBESITY Changes in Cholesterol levels Abdominal(Trunkal) Obesity Hypertension Heart Diseases

11/07/08

Dr.Kanam,KVMS Hospital,Ponkunnam

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Causes Hereditary –(thrifty genotype theory)  Dietary – (change to vegetables & fruits)  Drinks-soft drinks  Habits  Sleep  Exercise -walk for 30 mts  Meditation  Prayer  Yoga –20 mts 11/07/08 Dr.Kanam,KVMS Hospital,Ponkunnam 

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Only care,No Cure

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Diabetes World 20 crores  Inida 3.5 crores By 2030  world 80 crores  India 8 crores 

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Obesogenic enviornment

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Body weight Height in Cms – 100 X 0.9 Eg: heght 170 cms  Ideal weight is 170-100 equals 70 70X .9 equals 63 kgms 

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Umbilical measurement Men > 90 cms (Apple)  Women > 84cms (Pear) (Look at buttocks, thigh & umbilicus for excess fat) (Excess Leptin,Adiponectin, Resitin hormones) 

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Male 0.90 / female 0.85 Umbilical measurement

----------------Hip measurement

Male 0.90 Female 0.85

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Modern gadgets     

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Mobile phone Remote control Play station Computer Micro oven

Dr.Kanam,KVMS Hospital,Ponkunnam

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Tv viewing 

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Upto 16 hrs /week 2hrs/day increases chance of getting Diabetes by 14 % Obesity by 32%

Dr.Kanam,KVMS Hospital,Ponkunnam

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TV & TV Viewers 

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TV size decreases day by day Viewers Size Increase day by day

Dr.Kanam,KVMS Hospital,Ponkunnam

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BMI (Basal Metabolic Index) Weight in Kgms ----------------------ht in mts x mts 

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70/ 1.7x 1.7= 20.8 If more than 22 obese

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Dr.Kanam,KVMS Hospital,Ponkunnam

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To prevent obesity  

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Breast feeding Avoid Bakery items Avoid Fast Food Semisolid from 5th month Rice /kanji after 5th month Eat with family

Dr.Kanam,KVMS Hospital,Ponkunnam

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AVOID     

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Bakery Pissa Colas Sweets Fatty foods

Dr.Kanam,KVMS Hospital,Ponkunnam

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PLAY in Sunlight 

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Prevents osteoporosis in old age Dance Skipping Cyclig tabletennis shuttle badminton walking running

Dr.Kanam,KVMS Hospital,Ponkunnam

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Parameters   

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Hb 14 gms % Male Female usually 10 Menstural loss MOTION- no ova

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Parameters    

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FBS 70-110 HBA1C less than 5.6 Lipid Profile Serum Cholesterol less than 200 Triglyceride less than 150 LDL(Bad) less than 100 HDL(good) more than 55 VLDL

Dr.Kanam,KVMS Hospital,Ponkunnam

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Food 

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Avoid frying and roasting Steamed food best Minimum sault Avoid pickles Avoid dry fish/pappadom

Dr.Kanam,KVMS Hospital,Ponkunnam

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Vegetables  

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Fresh No chemical mannure Raw washed/steamed Never over cook

Dr.Kanam,KVMS Hospital,Ponkunnam

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Alcohol 

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2007 New year day 14.92 crores 2007 Onam 128 crores for 8 days (16 crores /day)

Dr.Kanam,KVMS Hospital,Ponkunnam

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Smoking     

Free radicals Active Passive Harm wife Fetus in uterus too

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Panmasala,Samba,Tulasi  

Oral cancer Even in young people

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Ectopic pregnancy

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Free radicals 

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When fried & roasted Boiling again & again Metabolism smoke

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Fruits      

Fresh Ony for 2 days Not kept in fridge Raw fruit Never juice FIBRE GOOD

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Not Juice but fruit  

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Juice has no fiber Fiber is GOOD

Dr.Kanam,KVMS Hospital,Ponkunnam

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ANTI OXIDENTS    

Fresh Fruits Fresh vegetables Gooseberry lemon

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Drinks  

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Avoid synthetic Avoid drinks from market Lemon juice best Tender coconut Sambharam Karingaly/jeeraka water etc better

Dr.Kanam,KVMS Hospital,Ponkunnam

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Strokes-Brain attack rtPA (Recombinent Tissue Plasminogen Activator) Rs 45000 To be given with in 3 hrs After CT Scan only No if bleeding 

11/07/08

Dr.Kanam,KVMS Hospital,Ponkunnam

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> 40 

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Close friend to tell problems Inform relative health problems Reduce food Regular exercise Diabetes-HT checkup/3 months ECG/6 months Full checkup/year relax

Dr.Kanam,KVMS Hospital,Ponkunnam

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Baby weight and diseases

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Baker hypothesis

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Dr.Kanam,KVMS Hospital,Ponkunnam

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Syndrome- X (Metabolic syndrome)

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Dr.Kanam,KVMS Hospital,Ponkunnam

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On AIDS

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Dr.Kanam,KVMS Hospital,Ponkunnam

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