October-December 2018 Issue

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Need for Structured Early Detection and Identification Program for Hearing Impairment

Preeti Sahu1, Abhiruchi Galhotra 2, Yeramareddy Vijaya Mariya Nakshatram 3


1- Audiologist, ICMR-NTF HI Project, Dept of ENT & HNS, AIIMS Raipur, 2- Additional Professor, Dept. of CFM, AIIMS, Raipur 3- Staff Nurse, ICMR-NTF HI Project, Dept of ENT & HNS, AIIMS Raipur

Abstract:

Every year over 100,000 new born babies are born with hearing deficiency. World Health Organization (WHO) estimates that around 60% of childhood hearing loss could be avoided through preventable measures. Studies have found that children who received earlier amplification or cochlear implantation had better language outcomes. Critical period for language learning is within the first 36 months of life. Late detection of significant hearing impairment in infants and young children results in permanent disability. Early detection and consequent treatment leads to better speech development in children, enhanced scholastic achievements in school, and limitless professional opportunities. The program initiated by the Indian Academy of Pediatrics (IAP) in 2003, is one of the largest programs with a unique centralized screening facility. It includes 20 major hospitals in Cochin, Kerala (South India), with maternity units. Government of India initiated efforts towards prevention and control of deafness in which neonatal hearing screening at a grass-roots level was envisioned as NPPCD. There is need for implementation of universal New Born Hearing Screening plan at all level to provide effective treatment at the earliest opportunity, thereby reducing suffering due to the impairment which can eventually improve the linguistic and educational outcomes for the child and reduce overall economic burden in India.

Key Words

Hearing loss, amplification, cochlear implant, early detection

Epidemic Investigation of Dengue outbreak in Bhilai Khursipar Durg district, Chhattisgarh, 2018

Sinha A1 Khare R L2 Kurre V3 Barapatre R4
1 Assistant Professor Dept of Community Medicine, 2 Associate Professor Department of Medicine, 3 Associate Professor Department of Pediatrics, 4 Assistant Professor Department of Microbiology, Pt JNM Medical College Raipur

Abstract:

Epidemiological investigation of outbreak of Dengue fever which occurred in Bhilai town of district Durg of Chhattisgarh was done by our team at the request of State authorities. It was found in this investigation that there is high concentration of vector and human reservoir of virus. Spot map of cases shows high concentration of cases in some areas. Cases were managed in both private and public sector hospitals. Mortality was 1% which was significantly lower than a similar outbreak in Delhi a few years back. There is a need for better vector control measures including Indoor Residual Spray. There is also a need for effective surveillance system. The State needs to improve capabilities of health staff for better communication skills for behavior change communication among the people.

Key Words

Dengue, Epidemiology, Prevention, Surveillance, Monitoring, Spot map

NASAL DISCHARGE IN CHILDREN

Anil Kuamr Jain1, Sanyogita Jain2
1- Professor & HOD ENT, Chirayu Medical College and Hospital, 2- Associate Professor, Microbiology Chirayu Medical College and Hospital, Bhopal

Abstract

Short duration nasal discharge of less than 10 days duration and not worsening in 5 days is mostly due to common cold. Only supportive treatment is required. No antibiotics are to be given. Longer duration and recurrent nasal discharge can be because of Rhino-sinusitis which needs antibiotic treatment. Enlarged adenoids due to allergy and infection can act as septic foci and should be removed surgically.

Key Words

Nasal Discharge, Common cold, Rhino-sinusitis

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