Non-Communicable Diseases: NPCDCS ... - SIHFW Rajasthan

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Proportional mortality (% of total deaths, all ages) Cardiovascular 24 chr. Respiratory 37 cancer others 11 Injuries 2 Source: World Health Organization - NCD Country Profiles , India, 2011. 10 11 6 <strong>SIHFW</strong>: an ISO 9001:2008 certified Institution Diabetes communicable, nutritio nal, maternal, perinatal 24
Metabolic Risk factor Trends 126 Mean Systolic BP 124 122 120 Male Female 118 116 1980 1984 1988 1992 1996 2000 2004 2008 <strong>SIHFW</strong>: an ISO 9001:2008 certified Institution 25
Page 1 and 2: Non-Communicable Diseases: NPCDCS &
Page 3 and 4: Risk factors and NCDs largely preve
Page 5 and 6: Drivers of NCDs SIHFW: an ISO 9001:
Page 7 and 8: SIHFW: an ISO 9001:2008 certified I
Page 9 and 10: Epidemiological Transition Communi
Page 11 and 12: Challenges Many communicable disea
Page 13 and 14: SIHFW: an ISO 9001:2008 certified I
Page 15 and 16: Magnitude SEAR-2008: 14.5million t
Page 17 and 18: 50 45 40 35 30 25 Estimated %of pre
Page 19 and 20: Trends in estimated %of deaths 80%
Page 21 and 22: Estimated and Projected Deaths due
Page 23: Pop.(2010): 1 224 614 327 Age stand
Page 27 and 28: 26 Mean BMI 24 22 Male 20 Female 18
Page 29 and 30: Reported Cases & Deaths due to NCD-
Page 31 and 32: Total Number of Diabetic Cases - Ra
Page 33 and 34: Reported Deaths :Type 1 DM- Distric
Page 35 and 36: District Reported Deaths of Type 2
Page 37 and 38: Reported Cases of Deaths Due to Can
Page 39 and 40: District -wise reported Cancer Deat
Page 41 and 42: SIHFW: An ISO:9001:2008 certified I
Page 43 and 44: Implications of ↑ burden of NCDs
Page 45 and 46: MDG-6 NCD burden threatenst the (Co
Page 47 and 48: 2% annual reduction in Chronic Dise
Page 49 and 50: Answer to the problem: ACT NOW Prev
Page 51 and 52: Risk factor/disease Tobacco use: Us
Page 53 and 54: Action at National Level: Two comp
Page 55 and 56: Strategies Prevention through beha
Page 57 and 58: Services Preventive, promotive , c
Page 59 and 60: Facility DH Services Early diagnosi
Page 61 and 62: Institutional Framework Integratio
Page 63 and 64: SIHFW: An ISO:9001:2008 certified I
Page 65 and 66: Screening MO to do: To conduct com
Page 67 and 68: Work closely with other sectors/ de
Page 69 and 70: Surveillance Surveillance is the on
Page 71 and 72: Risk Factor Surveillance: Focus …
Page 73 and 74: Risk factors common to major non-co
Page 75 and 76:
Levels of Risk Factor Surveillance
Page 77 and 78:
Actions at Hospitals Proper depict
Page 79 and 80:
SIHFW: An ISO:9001:2008 certified I
Page 81 and 82:
Structure re of presentation Risk
Page 83 and 84:
Risk factor in NCD Any attribute,
Page 85 and 86:
Risk factors May be truly causativ
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NHD of NCD Changes in life style st
Page 89 and 90:
The WHO STEP approach to Surveillan
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STEPS emphasizes that small amounts
Page 93 and 94:
SIHFW: an ISO 9001: 2008 certified
Page 95 and 96:
Step1:Questionnaire Based Assessmen
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Step 3: Biochemical Measurements D
Page 99 and 100:
Core Items Expanded Items Optional
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Behavioral Risk Factors “Actions/
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Modifiable Risk Factor: 2008 estima
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B. Diabetes ‣ Obesity ‣ Sedenta
Page 107 and 108:
D. Cancer ‣ Environment ‣ Life
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Risk factors and level of NCD preve
Page 111 and 112:
Goals of implementing these guideli
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Follow up Once the condition of th
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High risk With established cardiov
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If cholestrol can not be measured S
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Prevention of CVD (according to ind
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NPCDCS Components Prevention throu
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Thank you SIHFW: An ISO:9001:2008 c
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Problem on the rise : NCDs MI HT CO
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Major diet related NCDs Diabetes Ca
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Type of cancers Risk factors Diet R
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Prominent risk factor Disease Heart
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Life Style Modification Primary Pr
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Burden of the Bulge In India 1 in
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Android : Upper-body obesity--apple
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Assessment of central obesity Wais
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Why is this happening Drivers of th
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Nutrition transitions: Absolute cau
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Body Mass Index (BMI ) Quetlet’s
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Classification BMI Classification W
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Sleep apnea and respiratory problem
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Weight management Weight gain Calor
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Weight loss goals Realistic Achie
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Lifestyle medicine: Need for change
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Dietary interventions Managing g /
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Life style modification & Diet Bala
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SIHFW: an ISO 9001: 2008 certified
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Total energy requirement Total ener
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Diet for NCD: Main focus ‣ Gradua
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Promoting Healthy lifestyle le Tra
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Strategies for Obesity Prevention e
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Tips for weight reduction Slow and
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‣ Avoid fried foods and bakery pr
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When to eat Set aside a time for
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Way to eat Eat slowly. Chew prop
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Recommendations in preventing diabe
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Calculating balanced diet Know Rec
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How to calculate balance diet Step
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Key recommendations -Diet • Frui
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Thank you SIHFW: an ISO 9001: 2008
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Structure re of presentation Basic
Page 191 and 192:
What is Cancer SIHFW: an ISO 9001:
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Growth of Cells • Undesirable •
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Common Cancer sites Male- • Mout
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Prefix adeno- chondro- Meaning Nami
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India 0.8 million new cases/year
Page 201 and 202:
Five Common Cancers Rank World Indi
Page 203 and 204:
Issues in Cancer control Burden of
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Cancer patterns Predominance of To
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Prevention ention and screening Se
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Early diagnosis ‣ Individual’s
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Diagnosis Radiological Biochemica
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Cancer Interventions in different E
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350 Age wise distribution of deaths
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Common Cancer in Male 50000 45000 4
Page 219 and 220:
No of Cancer Deaths -India 350 300
Page 221 and 222:
Cancer Deaths -Rajasthan 60 50 40 5
Page 223 and 224:
District wise Reported Cancer Death
Page 225 and 226:
Projected Cases of Oral Cancer in I
Page 227 and 228:
Age - wise distribution of Deaths d
Page 229 and 230:
Symptoms of Cervical Cancer Post-m
Page 231 and 232:
Evaluation and Management after Pap
Page 233 and 234:
VIA Category Negative Positive Crit
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Cryotherapy (ablation) Management
Page 237 and 238:
Age - wise distribution of Deaths d
Page 239 and 240:
Sign and Symptoms A lump or thicke
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Page 243 and 244:
Diagnosis Breast awareness & breas
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Health professionals can - Key Mess
Page 247 and 248:
Projected Cases of Lung Cancer in I
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Symptoms Persistent cough or worse
Page 251 and 252:
National Programme SIHFW: An ISO:90
Page 253 and 254:
National Cancer Registry Programme
Page 255 and 256:
Schemes under NCCP Recognition of
Page 257 and 258:
Page 259 and 260:
District Services under NCCP Healt
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Medical college Health Promotion &
Page 263 and 264:
Why include Cancer In NPCDCS No u
Page 265 and 266:
Objective e of TCC Scheme Develop
Page 267 and 268:
Thank You For more details log on t
Page 269 and 270:
Definition ‣ Group of brain dysfu
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Burden of Disease 7000000 6000000 5
Page 273 and 274:
Risk Factors ‣ Age and Sex ‣ Hy
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Cerebrovascular Accident Risk Facto
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Cerebrovascular Accident Anatomy of
Page 279 and 280:
Ischemic Cascade Cerebrovascular Ac
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‣ Trouble in walking Symptoms ‣
Page 283 and 284:
Identification of an acute event S
Page 285 and 286:
Diagnosis: CT without contrast Cer
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Cerebrovascular Accident Classifica
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CVA Recognition SIHFW: An ISO:9001:
Page 291 and 292:
Cerebrovascular Accident Thrombotic
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Cerebrovascular Accident Common Sit
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Page 297 and 298:
Cerebrovascular Accident Embolic St
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Cerebrovascular Accident Goals for
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Cerebrovascular Accident Hemorrhage
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Page 305 and 306:
Cerebrovascular Accident Hemorrhagi
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Delayed Neurological deficit in Re
Page 309 and 310:
Page 311 and 312:
Hemorrhagic-Subarachnoid Cerebral A
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Cerebrovascular Accident Clinical i
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Cerebrovascular Accident Clinical M
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Cerebrovascular Accident Treatment
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Cerebrovascular Accident Diagnostic
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CVA - Treatment Goals Surgical Tre
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Drug Therapy Cerebrovascular Accide
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Cerebrovascular Accident Rehabilita
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Cardio-Vascular Diseases SIHFW: An
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Source: WHO Burden of Disease Numb
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Cardiovascular Diseases group of di
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Newly emerging CVD risk factors ‣
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Resource Scenario-1 Scenario-2 Scen
Page 339 and 340:
Prevention of CVD Heart disease and
Page 341 and 342:
Hypertension “ high blood pressur
Page 343 and 344:
Classification Primary / Essential
Page 345 and 346:
Epidemiological Determinants Risk/
Page 347 and 348:
Symptoms ‣ Headache ‣ Drowsines
Page 349 and 350:
Criteria for diagnosing high blood
Page 351 and 352:
Headache (severe hypertension) < mo
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Physical examination should include
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Desirable: (at CHC/sub-district/dis
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Life style advice is advocated for
Page 359 and 360:
Treatment Goals The aim should be
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Diuretics Thiazide Inhibit Na + /C
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Beta blockers Act by decreasing ca
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α adrenergic blockers Lower BP by
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Medicines are tailored depending on
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‣ Start with calcium channel bloc
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Compelling Indications for Compelli
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Management of Hypertension at diffe
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Follow-up and Monitoring Patients
Page 377 and 378:
Ischemic Heart Disease Myocardial i
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Burden of IH Disease 10000000 22367
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Symptoms ‣ Abrupt, unexpected car
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Treatment of IHD ‣ Medical treatm
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Management & Prevention: Modifying
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‣ Weakness in sternocleidomastoid
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Prevention ention ‣ Strokes are p
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‣ Physical therapy to improve str
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Rheumatic heart diseases ‣ Compli
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‣ Breathlessness ‣ Fatigue ‣
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Prevention ‣ Seek immediate medic
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Page 401 and 402:
Conceptualization ation of NPHCE U
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Objectives es Provide Preventive,
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Ageing Ageing is a progressive biol
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Ageing means….. Demographers: A
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Ageing Progressive and generalized
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Some Facts! World population of 6.
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Projections 60+ 24 million in 1961
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India: Some Facts! Life expectancy
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Household population p + 60 Age By
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Ageing: Common Myths Most elderly
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Integumentary System Production of
Page 423 and 424:
Circulatory System Heart muscle be
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Nervous System Progressive loss of
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Urinary System Decreased circulati
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Reproductive e System Female: vagi
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Psychosocial Changes of Aging Lone
Page 433 and 434:
Psychosocial changes can be a major
Page 435 and 436:
Dementia Term used to describe a l
Page 437 and 438:
Alzheimer’s Disease (continued)
Page 439 and 440:
Meeting the Needs of the Elderly G
Page 441 and 442:
Page 443 and 444:
Gender and Ageing g in India Discr
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Care - Services for Elderly l in In
Page 447 and 448:
Primary Health Center Training of
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How to achieve it Ati Active advoc
Page 451 and 452:
Mental Health : Problem, Strategies
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Health "Health is a state of compl
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Mental Health Problems in India 1%
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Extent of the problem… Mental He
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Mental Health Resources In India Ma
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Mental Health Resources In India…
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Mental Health Resources in India 2
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Objectives National Mental Health P
Page 467 and 468:
Essentials of DMHP 1. A decentraliz
Page 469 and 470:
Restrategised NMHP 2003 Components
Page 471 and 472:
Integration of NMHP in NRHM Nation
Page 473 and 474:
DMHP Evaluation Independent evalua
Page 475 and 476:
NMHP Achievement Scheme Financial S
Page 477 and 478:
Failures It is top down approach
Page 479 and 480:
Urban Mental Health Meta analysis b
Page 481 and 482:
NGO Work In INDIA SCARF (Schizophr
Page 483 and 484:
Mental Health NGO Activities Treat
Page 485 and 486:
Community Awareness Role of media
Page 487 and 488:
Tobacco As per Global Adult tobacc
Page 489 and 490:
Stepped Care Approach in Substance
Page 491 and 492:
Future Direction Vision i 2020: Roa
Page 493:
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