Background: Anaemia is a major public health problem affecting children, adolescent, women of reproductive age groups and lactating mothers worldwide. As per NFHS-IV data, prevalence of anaemia in India is 53%. This study was done to assess the prevalence of anaemia and its epidemiological correlates among women in reproductive age groups in an urban slum of Mumbai. Methods: This community based cross-sectional study was carried out in an urban slum in Mumbai. Total 315 women in the reproductive age groups (15-49 years) were enrolled in the study. Samples were selected by stratified random sampling from various sectors. All respondents were interviewed and haemoglobin estimation was done with Sahli’s method. Data was analysed using SPSS version 20.0 and chi-square test was used to find out the association between two qualitative variables. Results: The prevalence of mild, moderate and severe anaemia was 37.1%, 9.5% and 2.9% respectively. The factors associated with anaemia were education (p value=0.0001), socio-economic status (p value=0.001), consumption of iron rich food (p value=0.0001) and interval between two successive pregnancy in years (p value=0.0001). Conclusions: The findings of the present study revealed that education, socioeconomic status, consumption of iron rich food, interval between successive pregnancies affect the overall blood haemoglobin level on a long run. Community awareness regarding education and schooling of girls will help to increase the education level of women and would indirectly help to increase the health awareness and decrease the prevalence of anaemia.
Background: Occupational injuries are matter of consideration and purport to be raising cost directly like in illnesses and accidents, loss of employment, disability and loss of productivity and subsequently to families and Society. However, there is paucity of studies to elucidate the state of affairs in most of the part of India. The Present study dictates the prevalence of injury and associated factors among Bridge Construction workers in urban area of Mumbai. Objectives are (1) to study prevalence of injury among bridge construction workers, (2) to identify the factors related to such occupational injuries. Methods: A cross-sectional study was conducted among bridge construction workers in urban area of Mumbai from August 2017 to December 2017. Sample size was 150 by convenient method sampling which were selected randomly.Results: The prevalence of injury among Bridge making was 25.7% in past 3 months. Factors like not using protective devices, smoking, tobacco chewing, lack of sleep, work experience were factors associated with suffering.Conclusions: In the study dictating construction workers health and safety in an urban area of Mumbai, where higher prevalence of injury (25.7%) reported in bridge workers in an urban area of Mumbai. If intense mediation are not established then work absenteeism, drooping of work output, occupation related ailments, disabilities and casualties would remain in existence a major problem among construction workers .Therefore programmes to alleviation the load exhibited by construction related injuries should focus on work safety training, monitoring of health and substance abuse in work area.
Background: Rabies is a zoonotic disease, caused by the rabies virus, of the Lyssavirus genus, within the family Rhabdoviridae. The study was designed with the objective to assess the compliance of post exposure rabies vaccination among patients attending anti-rabies OPD in the government medical college, Nagpur.Methods: The study was retrospective record based study conducted from 1st July 2016 to 30th June 2017. The data was collected from the anti-rabies vaccination OPD register and analysed.Results: In the present study there were total 873 study subjects with male preponderance (66%) over female (34%). About 35.5%, 27.9%, 18.6%, 16.6% and 13.7% of subjects were in the age between 1-20years, 21-40 years, 41-60 years, 61-80 years and above 80 years respectively. Majority 91.2% were bitten by dog. Majority 52.6% followed by 46.6% and 0.80% were in anti-rabies category III, II and I respectively. Majority 73.5% subjects had completed 5 dose of anti-rabies vaccination given by intra muscular route. Only 27.8% of subjects had not washed the wound excluding anti rabies category I.Conclusions: In our study majority of animal bite was by dog between 1-20 years. More than 50% of subjects were in Cat III. More than70% subjects had completed 5 dose of anti-rabies vaccination.
Background: Scrub typhus is the most common rickettsial infection in the Indian subcontinent with the manifestation ranging from mild symptoms to serious disease with or complication or death. The objective of this study was to study epidemiology and clinical profile of scrub typhus outbreak in a tertiary care centre of central India. Methods: Present study is a record based retrospective study enrolling 173 confirmed positive cases with ELISA test during the period from 1 st August to 31 st December 2018. Results: Maximum number of the cases 94 (54.3%) had occurred in September 2019. Majority of the female 94(54.3%) were Ig M positive for scrub typhus. Maximum cases 134 (77.5%) were from rural area. Most common symptoms were fever 170 (98.3%), followed by fever with chills 65 (37.6%), breathlessness 49 (28.3%), cough 35 (20.2%), and 28 (16.2%) each with altered sensorium and headache. Mortality was recorded in 30 (173%) and amongst them 10 (34.5%) and 4 (13.8%) cases had ARDS and septicaemia as complication respectively. Conclusions: This study shows that majority of the cases occurred in the month of September 2018 with female preponderance. Most of the residence were from rural areas with common presenting symptoms as fever or fever with chills followed by breathlessness, cough and altered sensorium and headache.
Background: Hypertension is one of the commonest health related risk factor in India, with the largest contribution to burden of disease and mortality. Awareness of hypertension in India is low while appropriate treatment and control among those with hypertension is even lower. This mainly effects the middle age adult populations especially in urban slum area are more vulnerable for hypertension as they are so busy with their job responsibilities, family commitments, economic stress etc. If hypertension is detected early it is possible to minimize the risk of heart attack, heart failure, and stroke and kidney failure. An estimated 18 per cent of men and 13 per cent of women with high blood pressure are not receiving treatment that could protect them from an early death. So it is necessary to study the prevalence of hypertension in adult population of 40 to 60 years in an urban slum and to study the socio- demographic profile of this population.Methods: A cross-sectional study was carried out in the field practice area of the T. N. Medical College, Mumbai during the period of July 2015 to June 2016. A total 350 participants in the age group of 40 to 60 years using systematic sampling technique from urban slum area were interviewed and examined. A pre-tested interview tool was used to collect necessary information. Blood pressure <120/80 mmHg (normal), 120/80 to 139/89 mmHg (pre hypertension) and >140/90 mmHg (hypertension).Results: Out of the 350 participants, 148 (42.3%) participants had normal blood pressure and 81 (23.1%) participants had pre-hypertension, 79 (22.6%) participants had stage I hypertension and 42 (12.0%) participants had stage II hypertension.Conclusions: Prevalence of hypertension and pre-hypertension was 34.5% and 23.1% respectively. Various factors like gender, increasing age, low physical activity (exercise), high BMI, history of addiction, history of extra salt intake and family history of hypertension was associated with hypertension.
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