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

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Diseases wise Reported Cases Source-DM&HS SIHFW: an ISO 9001:2008 certified Institution 30
Total Number of Diabetic Cases - Rajasthan 40000 35000 30000 25000 20000 15000 379 992 26535 29973 20565 5 3820 08 25 5056 15164 34 104 Male Female 10000 5000 3575 2727 0 2007 2008 2009 2010 2011(Till July) Source: DM &HS-Rajasthan SIHFW: an ISO 9001:2008 certified Institution 31
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 and 24: Pop.(2010): 1 224 614 327 Age stand
Page 25 and 26: Metabolic Risk factor Trends 126 Me
Page 27 and 28: 26 Mean BMI 24 22 Male 20 Female 18
Page 29: Reported Cases & Deaths due to NCD-
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 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 81 and 82:
Structure re of presentation Risk
Page 83 and 84:
Risk factor in NCD Any attribute,
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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
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SIHFW: an ISO 9001: 2008 certified
Page 95 and 96:
Step1:Questionnaire Based Assessmen
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Step 3: Biochemical Measurements D
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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
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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
Page 189 and 190:
Structure re of presentation Basic
Page 191 and 192:
What is Cancer SIHFW: an ISO 9001:
Page 193 and 194:
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
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Five Common Cancers Rank World Indi
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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
Page 213 and 214:
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
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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
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Projected Cases of Oral Cancer in I
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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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SIHFW: An ISO:9001:2008 certified I
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Diagnosis Breast awareness & breas
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Health professionals can - Key Mess
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Projected Cases of Lung Cancer in I
Page 249 and 250:
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
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Page 259 and 260:
District Services under NCCP Healt
Page 261 and 262:
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
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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 ‣
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Identification of an acute event S
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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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Page 319 and 320:
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
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Prevention of CVD Heart disease and
Page 341 and 342:
Hypertension “ high blood pressur
Page 343 and 344:
Classification Primary / Essential
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Epidemiological Determinants Risk/
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Symptoms ‣ Headache ‣ Drowsines
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Criteria for diagnosing high blood
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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
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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
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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
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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
Page 431 and 432:
Psychosocial Changes of Aging Lone
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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)
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Meeting the Needs of the Elderly G
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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
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Essentials of DMHP 1. A decentraliz
Page 469 and 470:
Restrategised NMHP 2003 Components
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Integration of NMHP in NRHM Nation
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DMHP Evaluation Independent evalua
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NMHP Achievement Scheme Financial S
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Failures It is top down approach
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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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Non-Communicable Diseases: NPCDCS ... - SIHFW Rajasthan

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