January-March 2019 Issue

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Status of Iodine Deficiency Disorders Control Program in district Jashpur of Chhattisgarh

Ashish Sinha, Shweta Shalini, Hemant Sharma
Author Affiliation: Dept of Community Medicine Pt JNM Medical College Raipur

Abstract

Introduction: Globally Iodine Deficiency Disorders (IDDs) are a major public health problem. The single most important preventable cause of mental retardation is Iodine deficiency (ID). Iodine deficiency disorders (IDDs) refer to all the consequences of Iodine deficiency in a population. However, all these disorders can be easily prevented before they occur by consuming iodated salt daily. Present study was done in district Jashpur Chhattisgarh to assess the impact of Iodine Deficiency Disorder Control Program with the following objectives:

  1. To estimate the prevalence of goiter among children of age group 6-12 years
  2. To evaluate the iodine uptake status reflected by Urinary Iodine Excretion (UIE) levels in sub sample of study population.
  3. To assess coverage of iodized salt at community level by using Rapid Salt Testing Kit. To assess storage practice and Knowledge regarding benefits of Iodized salt.

Study Design: A Cross-sectional study was conducted in selected schools of Jashpur district. Children in the age group of 6-12 years were selected for study using latest NIDDCP guidelines of Government of India. Clinical examination of 90 children (45 boys and 45 girls) in each school/cluster for goiter was done. Sub sample of study population were selected by systematic random sampling for urine sample and Median Urinary Iodine excretion (MUIE) was estimated. Salt samples were collected from 4 randomly selected households and 1 sample from retail shop from each identified clusters using rapid salt testing kit and storage practices were also observed at the same time.

Results: Prevalence of Goiter was found to be 16.29%. The prevalence of Goiter was higher among boys than in girls. The prevalence was highest in female children with age group of 8-9 years. Median urinary Iodine excretion (MUIE) was found to be 53mcg/l. 53.52% salt samples brought by school children were found inadequately iodized (Iodine content<15 ppm). 45% salt samples among visited households had unsatisfactory (< 15PPM) iodine content. 88.51% of children had insufficient iodine intake.

Conclusion: Jashpur district is highly endemic for Iodine Deficiency Disorders (IDD). This needs immediate public health measures. Universal salt iodization with periodic monitoring of IDD should be undertaken with top priority.

Key Words

Iodine Deficiency Disorder (IDD), NIDDCP, Goiter, Urinary Iodine excretion (UIC)

Opsoclonus Myoclonus Ataxia Syndrome Case Reports

Anoop Verma Swapnil Institute of Child health Raipur

Abstract

This paper describes four cases of Opsoclonus myoclonus syndrome (OMS), which is a rare autoimmune neurological disorder. Patients present with irritability, ataxia and chaotic eye ball movements. There are no specific features differentiating paraneoplastic OMS from non paraneoplastic OMS. Acute symptoms are responsive to immuno-modulatory treatment but long term follow up can reveal neurological (mainly cognitive) sequels.

Key Words

Opsoclonus Myoclonus Syndrome, ataxia, chaotic eye ball movements, neuroblastoma

PERIODONTAL HEALTH IN SICKLE CELL DISEASE - A CASE CONTROL STUDY

Kuldip Singh Sangha¶®, Surangnama Debnath ‡®, Aena Jain Pundir §®, Swati M ?®, Shruti Bhatnagar¶®, Saket Banchor¶®


®Department Of Periodontology,Rungta College Of Dental Sciences And Research, ¶Post Graduate Student, ‡Professor & Head of Department Of Periodontology, §Reader Department Of Periodontology, ?Assistant Professor Department Of Periodontology

Abstract

Patients with Indian haplotype of SCD although exhibit milder symptoms of disease, this factor may be contributory to our finding of no significant higher periodontal breakdown in SCD,SCT as compared to healthy group. Yet the basic pathophysiology of SCD raise questions on our understanding of periodontitis, which require further research.

Key Words

Sickle Cell Disease, Periodontitis

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