Scarabiasis or Canthariasis or Beetle disease is an ectoparasitic infection of the gastrointestinal tract, in which the beetles temporarily infest the digestive tract and rarely the urinary tract. Dung beetle belongs to Scarabiaediae family.  It is mostly seen in children aged between 2 to 5 years, who play outdoor for prolonged hours without undergarments. It is a temporary infestation in which early stages of development of beetle takes place in the anus and the adult beetle flies, out of the anus while defecation. A boy aged 3 years and four months presented to the pediatric OPD with complaints of peri umbilical abdominal pain, vomiting, nausea, mucus in stool along with “black insects” in his stool. The clinical examination revealed that the pulse rate, blood pressure and temperature were normal. Per rectal examination and ultrasound of the abdomen was normal. Routine examination of stool and urine was also found to be normal. The beetle was identified by the medical entomologist as dung beetle belonging to family Scarabidae. This report implies that the boy had an infestation with the larvae of dung beetle in the gastro intestine. The family belonged to the high range area of Mundakayam. Agriculture is the main source of income for people and main plantation being Rubber. Natives breed cattle for their livelihood and agriculture. During contact with mud or while playing outdoors naked, he would have come into contact with the eggs or the beetle, which hatched into larvae and caused canthariasis.

The rising burden of non-communicable diseases and the number of people with non-Communicable diseases (NCDs) missing out on regular care due to the fear of contracting COVID-19 paved way for a new health policy called Tamil Nadu Doorstep Healthcare Scheme (Makkalai Thedi Maruthuvam) in 2021. Though the process of policy making has been described through various frameworks, Kingdon's multi stream policy is a dynamic model that explains political agenda setting for specic health issues. Kingdon suggests that public policy comprises of three independent streams namely problem stream, policy stream and political stream.

Introduction : Diabetic foot has got a high prevalence of 52% among diabetics. The duration of hospital stay and physical disability are likely to cause depression and affects overall quality of life. So it is important for general population, to know about Self Care activities which include foot care practice to avert long term complications and improve quality of life which is likely to be effective in reducing the burden of diabetic foot ulcer. Objective: To assess the knowledge, attitude and practice about foot care among Type 2 DM patients in a Tertiary health care center, Tamil Nadu. Method: A cross-sectional study was done during August and September 2021 among diabetic patients after obtaining consent at a Tertiary Hospital in southern district of Tamil Nadu. Results: The mean age of the study participants was 47.56 ± 9.718 years with 55.9% being male and 44.1% female and the majority (65.6%)of subjects was residing in rural areas. Among the participants, 103 (92.8%) were found to have good attitude towards self-care activities whereas69 (62.2%) respondents practiced proper footcare. Age, gender and education were found to have significant association with the practice of proper foot care. Female gender was found to be an independent predictor for practice of adequate foot care. Conclusion: Regardless of good attitude towards diabetic foot care there is considerable resistance in practising it.