Wednesday, July 3, 2013

Collaborative Program of Indian Association for Adolescent Health: Health checkup for non-communicable diseases and Stress Management training of Nursing students at SKIMS, Soura, Srinagar

 Team of Doctors headed by Dr. Anjum conducted health check up: A program of Department of Community Medicine and Indian Association for Adolescent Health
 Participating in Stress Management Training of Nursing students

 Dr. Majid and Dr Rouf attending the stress management training
Dr. Anjum with her PG discussing with Dr. Jugal Kishore
Dr. Jugal Kishore delivering the session on stress management

Sunday, June 2, 2013

Indian Perspective of Salutogenesis

Concept of salutogenesis was given by Antonovsky wherein health was seen as a movement
in a continuum on an axis between total ill health and perfect health. Person has ability to
comprehend the whole situation and the capacity to use the resources available and this is
called as Sense of Coherence (SOC) which can be measured by objective tool. This concept
of health is not new in Indian culture, rather well developed, and started in more than two
thousand five hundred years back when Gautam Buddha and Mahavira explained their
experiments to achieve perfect health. Their focus was on training of mind with moral and
ethical value system. The followers of those principles were ensured that they get the best
level of their health. There is a need to explore those principles in present context and
objective criteria should be developed to measure such phenomena and their effects on
human health.  
Keywords: Sense of coherence, Eightfolds path, Buddha,
Reference: Jugal Kishore, Tanu Anand. Indian Perspective of Salutogenesis. RR: Journal of Medicine. 2013; 3 (1): 25-28

Health Status of Sewage Workers in Delhi

Sewage contains numerous toxic substances which include poisonous gases and infective
agents. As a consequence of this, sewer workers often suffer from a constellation of
symptoms known as the sewer worker’s syndrome. Very limited data on the occupational
health and safety status of sewage workers is available in India. A cross-sectional study
was conducted in Delhi involving 200 sewage workers and their health profile was
studied using standard procedures. It was found that majority of workers have had cuts
or injuries, experienced irritation of eyes and suffered from skin rashes. One-fifth of
workers reported syncope, and some temporary loss of consciousness. The other major
chronic symptoms included headache (48.5%), skin rashes (45.5%), skin irritation
(41.5%) and body ache (41.5%). 8.5% had raised white blood cell count, 11.7% showed
raised ESR than normal and 30.2% had mild restrictive respiratory changes while 20.7%
showed changes ranging from moderate to severe restriction or obstruction. The study
concluded that sewage workers are suffering from high morbidity and need urgent
attention for the health and safety programs and training focusing more on preventive
measures and change in their life style.
Keywords: Sewer workers syndrome, Sewer, Occupational problem, Eosinophilia
Reference: Ashish Mittal, Pranjal J. Goswami, J. Kishore, J. John. Health Status of Sewage workers in Delhi. RR: Journal of Medicine. 2013; 3 (1): 17-24.  

Friday, May 17, 2013

Noncommunicable disease risk profile of factory workers in Delhi


Abstract
Background: Non communicable diseases are becoming more prevalent in India. The data for presence of non communicable diseases and its risk factors among factory workers is deficient in India. Materials and methods: A cross sectional comparative study was carried out among 37 factory workers and equal number of comparable subjects from general population. Screening for presence of diabetes along with its risk factors was made in both the groups using pretested predesigned WHO STEPS questionnaire in rural area of Delhi.  Data was analyzed using SPSS version 16 software. The estimation of risk in two groups was done with calculation of Odd’s ratio. P value less than 0.05 was considered significant. Results: A total of 74 participants were included in the present study. Hypertension and diabetes was present in 13.5% and 5.4% of factory workers and 4 (10.8%) and 3 (8.8%) in non-factory subjects. 7 (18.9%) factory and 8 (21.6%) non-factory subjects fell in category of current smoker or smokeless tobacco users. HDL levels were found abnormal among 1(2.7%) case and 9 (24.3%) controls (p value 0.01). Behavioral risk factors -alcohol consumption and fruits and vegetable intake were significantly different among two groups. Conclusion: Factory workers were having better profile than non-factory subjects except for risk factors such as alcohol intake and inadequate fruits and vegetable intake. However healthy worker effect phenomenon cannot be ruled out.
Key words: Non communicable diseases, factory, healthy worker effect phenomenon
Original article published in Indian Journal of Occupational & Environmental Medicine

Lead Poisoning


Rise in lead poisoning cases sparks alarm in Capital



Read more: http://www.dailymail.co.uk/indiahome/indianews/article-2325731/Rise-lead-poisoning-cases-sparks-alarm-Capital.html#ixzz2TYngX5NM
Follow us: @MailOnline on Twitter | DailyMail on Facebook


The increasing number of lead poisoning cases in city hospitals have raised an alarm, with doctors saying what was once a rare occurrence seems to be more common.
"We are attending to over a dozen cases of mild and moderate lead poisoning in a month. Severe cases of lead poisoning occur as an occupational hazard among people working in the metal industry. 
"People suffering from mild and moderate lead poisoning may have repeated anaemia, a low IQ level, headache, impaired fertility and hypertension," said Dr Jugal Kishore, professor, community medicine, Maulana Azad Medical College and Lok Nayak hospital. 
Doctors have called for surveillance of the lead content in humans because there are scores of factories running in violation of the law
Doctors have called for surveillance of the lead content in humans because there are scores of factories running in violation of the law

Officials from SRL Diagnostics claimed that they receive around 600 samples every month for Atomic Absorption Spectroscopy, which detects metal content in human body fluids. 
The officials claimed that at least 350 samples contain lead followed by copper (125), zinc (50) and other metals such as arsenic, mercury, aluminium and chromium. 
Recently, doctors at RML hospital attended to an 18-year-old non-smoker who came to the emergency department suffering from colicky abdominal pain for one week. 
The case was also published in The New England Journal of Medicine because of it being a rare manifestation of lead poisoning. Recently, five-year-old Diya died of lead poisoning at Kalawati Saran hospital after suffering kidney failure.
Her father worked for a battery factory in Uttam Nagar. Doctors call for surveillance of the lead content in human bodies because there are scores of recycled batteries and plastic factories running in rank violation of the law. 
Lead is dangerous because once it gets into the system, it is distributed throughout the body just like helpful minerals such as iron, calcium, and zinc.

Safdarjung Hospital Staff is trained in anti-tobacco program

  An awareness session on "Tobacco cessation" was held in Preventive Health and Screening OPD under Department of Community Medici...