Background:Diabetes mellitus (DM) is recognized as an important risk factor to tuberculosis (TB). India has high TB burden, along with rising DM prevalence.Aim:This study was conducted to document the coexistence of DM and TB in persons with established TB under the Revised National Tuberculosis Control Program.Type of Study:This was a cross-sectional, descriptive observational study conducted at selected Directly Observed Therapy center in Gwalior North Central India.Materials and Methods:A total of 550 patients with confirmed diagnosis of TB and on treatment were recruited. The study participants were screened for DM and diagnoses were made on the basis of the World Health Organization criteria. Clinical parameters were compared between persons with DM and those without DM.Results:DM/TB co-morbidity was noted in 85 individuals and these made up 15.4% of the study population. The mean age was higher in DM patients with TB (43.4 ± 15.4 vs. 33.1 ± 16.2 years, P = 0.000); the mean duration of symptoms of TB with DM was more (124 ± 16.4 vs. 107.49 ± 10.3 days). Multinomial logistic regression analysis showed that increasing age, positive family history of diabetes, sedentary occupation, and presence of pulmonary TB were significantly associated with diabetes among TB patients.Conclusions:Diabetes is an important co-morbid feature to be sought in patients with TB. This study re-echo the need to raise awareness on screening for DM in persons with TB.

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BACKGROUND:The state of Madhya Pradesh has 1.3 million severely malnourished children. Nutrition rehabilitation centers (NRCs) were started in the state to control severe malnutrition and decrease the prevalence of severe malnourished children to less than 1% among children aged 1-5 years. OBJECTIVE: To assess the effect of nutritional interventional measures for children with severe acute malnutrition (SAM) admitted in Nutrition Rehabilitation Center by reviewing anthropometric indicators. Material and methods: The present study was conducted from July 2014 to December 2014; all children admitted during the study period in NRC civil hospital Bairagarh, Bhopal were observed during their stay at NRC to analyze the effect of interventional measures on select anthropometric and outcome indicators. The data were entered into Microsoft excel spreadsheet and analyzed. RESULT: 61.8 % of the total 102 children admitted were female, 42.1% were in the age group of 13-24 months and 34.3% in the age group of 0-12 months. About 60% of the population belonged to schedule caste and tribe. The mean weight at admission was 6.4 kg and on discharge 7.09 kg. Of the total 102, 8 children defaulted and 92 were discharged amongst them 66.3% were recovered. CONCLUSION: The study reveals a proportion of 66.3% children amongst the study group recovered with at least 15% weight gain of initial weight

Background: Currently 947 million people globally live in areas having endemic lymphatic filariasis and require preventive chemotherapy to stop the spread of infection. LF is transmitted by many mosquitoes particularly Culex and in some areas by Anopheles and Aedes too. This study was conducted to assess the programme implementation with respect to process and outcome indicators and to assess the reasons for non-compliance among population.Methods: We conducted a cross sectional study in Datia district, Madhya Pradesh during September 2014. We determined the sample size for survey based on standard guidelines for MDA coverage assessment. We identified four separate clusters, each with thirty households, for the survey. We selected three clusters from rural areas and one cluster from urban area to ensure adequate representation. We used stratified sampling technique for selection of three rural clusters.Results: We surveyed 859 study participants of Indergarh block, Datia district, residing in 120 households across four clusters. Among 859 study participants, the eligible population (excluding less than two year child and pregnant females) was 92% (790/859). District health authorities reported coverage of MDA across entire district to be 91%. We determined the distribution rate of DEC across all four clusters to be 84% (±9%). We identified highest drug distribution rate in Uchad (97%; 193/200) and lowest in Bargai (75%; 133/178).Conclusions: Non-compliant individuals are potential reservoir for the parasite which may serve as source of infection and transmission even after the mass drug administration ceases. As the prevalence of lymphatic filariasis continues to decrease with the implementation of control measures, addressing the issue of non-compliance holds primary importance to further substantiate the effect of our efforts.

INTRODUCTION"Disaster, by Oxford dictionary's simple definition is an unexpected event, that kills a lot of people or causes huge damage". 1 The Centre for Research on the Epidemiology of Disaster (CRED) in Brussels, Belgium has come up with a modified definition i.e., "A disaster is a situation or event which overwhelms local capacity, necessitating a request to a national or international level of external assistance".2 As per CRED an event can be classified as a disaster if, it kills more than 10 people/impacts or displaces more than 100 people/it is declared a national emergency/the country had to receive international assistance. The classical characterization of disaster are unfamiliarity, unpredictability, uncertainty, vulnerability, urgency, intensity and danger. Broad objective of the study was to assess the extent of awareness about disasters and their management among school going ABSTRACT Background: The classical characterization of disaster is unfamiliarity, unpredictability, uncertainty, vulnerability, urgency, intensity and danger. Major disasters include earthquake, landslides, volcanic eruptions, floods hurricanes, fires, tornados, blizzards, tsunamis, cyclones. Apart from causing deaths and severe ill health, disasters also lead to large scale displacement, injuries, epidemics and substantial economic losses to the communities. Though every emergency or disaster has it's own characteristics and demands but the basic measures under disaster management include prevention, mitigation, preparedness, response and recovery for which regular training and awareness activities are needed especially among students. The objective of the study was to assess the extent of awareness about disasters and their management among school going children. Methods: It was an educational interventional design with an exploratory research approach adopting nonprobability purposive sampling technique. Kendriya vidhyalaya no: 4 affiliated to CBSE was randomly selected, which is situated in mid of the Gwalior town. Survey method was employed, on 110 participants aged between 12 and 16 years using a pre-tested semi structured questionnaire data sheet. Results: The outcome revealed that out of 110 students 87.2% (before intervention) and 98.2% (after intervention) had knowledge of disaster management. Conclusions: These findings emphasize that the extent of knowledge is not yet satisfactory and there is a severe need of providing knowledge to the school children. Disaster management can be compulsorily included in academic curriculum of all the students. Effective, purposeful training and awareness programmes are to be timely conducted.