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

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Deaths (Total 10.3 million) 11% 29% DALYS (total 291 million) 14% 11% 4% 3% 1% 36% 7% 42% 25% 8% 7% 2% Cardiovascular diseases Cancer Chronic respiratory diseases Diabetes Other chronic diseases Communicable diseases, perinatal & maternal conditions, & nutritional deficiencies Injuries SIHFW: An ISO:9001:2008 certified Institution 48
Answer to the problem: ACT NOW Preventive Strategies for NCDs SIHFW: An ISO:9001:2008 certified Institution 49
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 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: 2% annual reduction in Chronic Dise
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,
Page 85 and 86: Risk factors May be truly causativ
Page 87 and 88: NHD of NCD Changes in life style st
Page 89 and 90: The WHO STEP approach to Surveillan
Page 91 and 92: STEPS emphasizes that small amounts
Page 93 and 94: SIHFW: an ISO 9001: 2008 certified
Page 95 and 96: Step1:Questionnaire Based Assessmen
Page 97 and 98: Step 3: Biochemical Measurements D
Page 99 and 100:
Core Items Expanded Items Optional
Page 101 and 102:
Behavioral Risk Factors “Actions/
Page 103 and 104:
Modifiable Risk Factor: 2008 estima
Page 105 and 106:
B. Diabetes ‣ Obesity ‣ Sedenta
Page 107 and 108:
D. Cancer ‣ Environment ‣ Life
Page 109 and 110:
Risk factors and level of NCD preve
Page 111 and 112:
Goals of implementing these guideli
Page 113 and 114:
Follow up Once the condition of th
Page 115 and 116:
High risk With established cardiov
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If cholestrol can not be measured S
Page 119 and 120:
Prevention of CVD (according to ind
Page 121 and 122:
NPCDCS Components Prevention throu
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Thank you SIHFW: An ISO:9001:2008 c
Page 125 and 126:
Problem on the rise : NCDs MI HT CO
Page 127 and 128:
Major diet related NCDs Diabetes Ca
Page 129 and 130:
Type of cancers Risk factors Diet R
Page 131 and 132:
Prominent risk factor Disease Heart
Page 133 and 134:
Life Style Modification Primary Pr
Page 135 and 136:
Burden of the Bulge In India 1 in
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Android : Upper-body obesity--apple
Page 139 and 140:
Assessment of central obesity Wais
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Why is this happening Drivers of th
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Nutrition transitions: Absolute cau
Page 145 and 146:
Body Mass Index (BMI ) Quetlet’s
Page 147 and 148:
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
Page 155 and 156:
Lifestyle medicine: Need for change
Page 157 and 158:
Dietary interventions Managing g /
Page 159 and 160:
Life style modification & Diet Bala
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SIHFW: an ISO 9001: 2008 certified
Page 163 and 164:
Total energy requirement Total ener
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Diet for NCD: Main focus ‣ Gradua
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Promoting Healthy lifestyle le Tra
Page 169 and 170:
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
Page 197 and 198:
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
Page 205 and 206:
Cancer patterns Predominance of To
Page 207 and 208:
Prevention ention and screening Se
Page 209 and 210:
Early diagnosis ‣ Individual’s
Page 211 and 212:
Diagnosis Radiological Biochemica
Page 213 and 214:
Cancer Interventions in different E
Page 215 and 216:
350 Age wise distribution of deaths
Page 217 and 218:
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
Page 235 and 236:
Cryotherapy (ablation) Management
Page 237 and 238:
Age - wise distribution of Deaths d
Page 239 and 240:
Sign and Symptoms A lump or thicke
Page 241 and 242:
SIHFW: An ISO:9001:2008 certified I
Page 243 and 244:
Diagnosis Breast awareness & breas
Page 245 and 246:
Health professionals can - Key Mess
Page 247 and 248:
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
Page 257 and 258:
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
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
Page 277 and 278:
Cerebrovascular Accident Anatomy of
Page 279 and 280:
Ischemic Cascade Cerebrovascular Ac
Page 281 and 282:
‣ Trouble in walking Symptoms ‣
Page 283 and 284:
Identification of an acute event S
Page 285 and 286:
Diagnosis: CT without contrast Cer
Page 287 and 288:
Cerebrovascular Accident Classifica
Page 289 and 290:
CVA Recognition SIHFW: An ISO:9001:
Page 291 and 292:
Cerebrovascular Accident Thrombotic
Page 293 and 294:
Cerebrovascular Accident Common Sit
Page 295 and 296:
Page 297 and 298:
Cerebrovascular Accident Embolic St
Page 299 and 300:
Cerebrovascular Accident Goals for
Page 301 and 302:
Cerebrovascular Accident Hemorrhage
Page 303 and 304:
Page 305 and 306:
Cerebrovascular Accident Hemorrhagi
Page 307 and 308:
Delayed Neurological deficit in Re
Page 309 and 310:
Page 311 and 312:
Hemorrhagic-Subarachnoid Cerebral A
Page 313 and 314:
Cerebrovascular Accident Clinical i
Page 315 and 316:
Cerebrovascular Accident Clinical M
Page 317 and 318:
Page 319 and 320:
Cerebrovascular Accident Treatment
Page 321 and 322:
Cerebrovascular Accident Diagnostic
Page 323 and 324:
CVA - Treatment Goals Surgical Tre
Page 325 and 326:
Drug Therapy Cerebrovascular Accide
Page 327 and 328:
Cerebrovascular Accident Rehabilita
Page 329 and 330:
Cardio-Vascular Diseases SIHFW: An
Page 331 and 332:
Source: WHO Burden of Disease Numb
Page 333 and 334:
Cardiovascular Diseases group of di
Page 335 and 336:
Newly emerging CVD risk factors ‣
Page 337 and 338:
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
Page 353 and 354:
Physical examination should include
Page 355 and 356:
Desirable: (at CHC/sub-district/dis
Page 357 and 358:
Life style advice is advocated for
Page 359 and 360:
Treatment Goals The aim should be
Page 361 and 362:
Diuretics Thiazide Inhibit Na + /C
Page 363 and 364:
Beta blockers Act by decreasing ca
Page 365 and 366:
α adrenergic blockers Lower BP by
Page 367 and 368:
Medicines are tailored depending on
Page 369 and 370:
‣ Start with calcium channel bloc
Page 371 and 372:
Compelling Indications for Compelli
Page 373 and 374:
Management of Hypertension at diffe
Page 375 and 376:
Follow-up and Monitoring Patients
Page 377 and 378:
Ischemic Heart Disease Myocardial i
Page 379 and 380:
Burden of IH Disease 10000000 22367
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Symptoms ‣ Abrupt, unexpected car
Page 383 and 384:
Treatment of IHD ‣ Medical treatm
Page 385 and 386:
Management & Prevention: Modifying
Page 387 and 388:
‣ Weakness in sternocleidomastoid
Page 389 and 390:
Prevention ention ‣ Strokes are p
Page 391 and 392:
‣ Physical therapy to improve str
Page 393 and 394:
Rheumatic heart diseases ‣ Compli
Page 395 and 396:
‣ Breathlessness ‣ Fatigue ‣
Page 397 and 398:
Prevention ‣ Seek immediate medic
Page 399 and 400:
Page 401 and 402:
Conceptualization ation of NPHCE U
Page 403 and 404:
Objectives es Provide Preventive,
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Ageing Ageing is a progressive biol
Page 407 and 408:
Ageing means….. Demographers: A
Page 409 and 410:
Ageing Progressive and generalized
Page 411 and 412:
Some Facts! World population of 6.
Page 413 and 414:
Projections 60+ 24 million in 1961
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India: Some Facts! Life expectancy
Page 417 and 418:
Household population p + 60 Age By
Page 419 and 420:
Ageing: Common Myths Most elderly
Page 421 and 422:
Integumentary System Production of
Page 423 and 424:
Circulatory System Heart muscle be
Page 425 and 426:
Nervous System Progressive loss of
Page 427 and 428:
Urinary System Decreased circulati
Page 429 and 430:
Reproductive e System Female: vagi
Page 431 and 432:
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
Page 445 and 446:
Care - Services for Elderly l in In
Page 447 and 448:
Primary Health Center Training of
Page 449 and 450:
How to achieve it Ati Active advoc
Page 451 and 452:
Mental Health : Problem, Strategies
Page 453 and 454:
Health "Health is a state of compl
Page 455 and 456:
Mental Health Problems in India 1%
Page 457 and 458:
Extent of the problem… Mental He
Page 459 and 460:
Mental Health Resources In India Ma
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Mental Health Resources In India…
Page 463 and 464:
Mental Health Resources in India 2
Page 465 and 466:
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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