Background: Considering the burden of Iodine Deficiency Disorders in our country, Government of India has an exclusive national health program to prevent it from becoming a major public health concern. To attain its objectives, National Iodine Deficiency Disorder Control Program (NIDDCP) undertakes routine evaluation of the Program all over the country. Aim & Objective: To determine the prevalence of Goitre, to estimate Iodine content in salt samples and Iodine excretion in urine samples of schoolchildren aged between 6 to 12 years in Mandya district. Settings and Design: A cross sectional institutions based survey was conducted among schoolchildren from the villages in selected clusters of Mandya district. Materials and Methods: Probability Proportional to Size sampling method was used to select 30 clusters. 90 children aged between 6 to 12 years from each cluster were screened. Salt Iodine content was ascertained by Iodometric titration method and urinary Iodine excretion was estimated by Sandell-Kolthoff method. Statistical analysis used: Frequency, proportions and mean were calculated and inferential statistics were used. Results: Prevalence of Goitre was 4.4%, with higher prevalence among girls. 49.8% salt specimens lack adequate iodine (<15ppm) at household level. Median UIE was 164 Micrograms /litre. Conclusions: As per the impact indicators, IDD is not a public health concern in Mandya district as of now.
Background: Ending the tuberculosis (TB) epidemic by 2030 is among the health targets of the sustainable development goals. Side effects to anti-TB drugs are common and may lead to reduced compliance to treatment. These adverse effects must be recognized early to reduce associated morbidity and mortality. Objective of this study was to determine the adverse drug reactions (ADR) to anti-tubercular therapy among patients visiting directly observed treatment, short-course (DOTS) centre MIMS, Mandya.Methods: A cross sectional study was conducted at DOTS Centre MIMS, Mandya. TB patients registered at DOTS Centre during the year 2018 were selected for the study. Verbal informed consent was taken from the TB patients and interviewed using pretested semi-structured questionnaire. Data analysis was done using descriptive statistics and chi square test.Results: Among the study population (n=90), 67 (74.4%) experienced ADR among which 47.7% took treatment for ADR and the remaining 52.3% patients were given reassurance. In this study, gastrointestinal manifestations (42.3%) were the most common adverse drug reaction (ADR). Of the TB patients who experienced ADR, 9.0% of them had interrupted ATT, however they completed full course of ATT.Conclusions: A considerable number of TB patients taking ATT experience ADRs and some of them may have to interrupt treatment. However, they need to be counselled or supervised with caution to complete their course of treatment to reduce the chances of treatment default and also reduce the occurrence of drug resistance.
Background: Low birth weight (LBW) is an important known risk factor associated with neonatal morbidity and mortality. LBW infants are at risk of growth impairment and poor cognitive development. The reduction of LBW is an important contribution to the achievement of Sustainable Development Goal (SDG) for reducing child mortality. Objective was to determine the morbidity pattern among the low birth weight infants in the rural field practice area of Mandya Institute of Medical Sciences, Mandya.Methods: A cross sectional study was conducted over a period of one year in the rural field practice area of Mandya Institute of Medical Sciences (MIMS), Mandya. Using a pre-tested semi structured questionnaire, data was collected by interviewing parents/ caregivers of infants at their homes. Data was collected from households of 166 infants by house to house visit after obtaining informed consent. Descriptive statistics and inferential statistics like chi-square test were used for analysis of the data.Results: The common morbidity among LBW infants were acute respiratory infections (18.7%) and fever (12.5%). Most of the LBW infants had delayed vaccination (50%) and developmental milestones as compared to that of the normal birth weight infants.Conclusions: Acute respiratory infections (18.7%) and fever (12.5%) were the common morbidities among the infants. Delayed vaccination (50%) and delayed developmental milestones were common among LBW infants. Health care services should be strengthened in rural area to reduce the morbidities among the LBW infants.
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