WHO DAY 1981 HEALTH CARE FOR ALL BY 2000 A,D.,

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Title: WHO DAY 1981 HEALTH CARE FOR ALL BY 2000 A,D.,
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JOHN’S

MEDICAL

COLLEGE,

Class x

Roll No.

Semester

Subject

Examination

Date

BANGALORE

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ST JOHN’S MEDICAL COLLEGE BANGALORE 34
(Dept of Community Medicine)
C 0 N J U NCTIV'ITI S
Conjunctivitis .is a highly infectious eye disease. It is caused by
bacteria, fungus or virus. It is the inflammation of the thin
transparent sheet that oovers the white of the eye (sclera) and
innerside of the lids. Though the disease is normally not dangerous ■
delay in proper treatment may affect the eye-sight.

Conjunctivitis starts quite suddenly and may become severe within four
to six hours sincethe onset of its early symptoms.

All age group is equally affected by Conjunctivitis.
SYMPTOMS : The disease begins with irritation in one or both the eyes.
The eyes lock red and more painful and the eye-lids are swollen. There
is watery or thin mucus discharge from the eyes in the beginning,
followed by thick white or yellowish-white discharge that may collect
in the eye.
There is inability to open the eye and the patient shuns bright light.
If untreated, it can lead on to ulceration of the cornea and permanent
corneal c; rcity (Safedi, Madhu, Phoola) and permanent impairment of
vision.

HOW IT SPREADS : The disease spreads through the contaminated fingers,
clothings such as towels, handkerchief, etc., and other articles of the
patient suffering from this disease. Flies and other eye-gnats also
spread the disease from a sick person to others. It also occurs due
to dust, dirt, smoke, use of dirty water for bathing, or using the common
Surma Salai from the patient of this diseaseor by use of the same finger
for application of Kajal to more than one person.

If treated properly the disease can be cured within four to seven days.
Patients do not require hosoitalisatioh.
the
PREVENTION : - Personal cleanliness, hygienic care and keeping
____
________
____
Towels,
surroundings clean arc the best prevention against the^disease^
handkerchiefs and other clothes of daily use of the patients should not
be mixed with the clothes of others until they are washed, Over-crowding
should be avoided.
Wash the clothes including the towels and handkerchiefs of the patient
preferably in hot water, before use again.

Children suffering from the disease should not go to the school till
they arc cured.
Use sun-glasses to protect the eyes from too much light orjorotcct
the eyes from the flare by use of umbrella or by coveringj the
---- head
------ with
Sun-glasses
of a
a clean piece of cloth which also protects the eyes. '
patient should not be used by others.

2
Avoid bathing in ponds or swimming pools when there are lai-ge nuirbcr of
cases.

Wash the eyes

with clean luke warm water three to four timea a day.

Take rest for three to four days in the house. Consult th: doctor immediately
This will help in speedy recovery on the one hand and reduce the chances
of spreading the diseasein the community on the other hand

Do not use common Sufrma Salai (applicator) meant for all members of the
family.

Avoid use of Kajal.

REMEMBER :
Conjunctivitis is a highly infectious eye disease.-

The disease is not dangerous except where the treatment is de^ay^e.

Irritation, watering of eyes, selling of eye-lids, redness of ey-o- and
discharge from the eyes, arc the symptoms of the disease.
The disease spreads through contaminated fingers, clothing anJ other
articles of the patient.

Systematic treatment will cure the disease within four t-o scv n uays.
Personal cleanliness and hygienic care will help prevent Lhe cisease.
Keep your surroundings clean to avoid flies.

YOU TAKE CARE OF EYES - THEY TAKE CARE C? YOU

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Extract from the TECHNICAL SERIES issued
by the QLrector of .Health & Family Welfare
Services, Bangalore .(Ref ,HEEy35/gO-8l dt.5/1/81)
ho.3/160/bl

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-“31PL J. SENSES -

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THE!

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1!1Aji.k£10EAL_v1SEASE3 - THEIK SIGNIFICANCE

Jan.,81

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1.

Diarrhoea is the most common cause of sickness and
death among children below three years of age.

2.

Repeated attacks of diarrhoea during early childhood
precipitate malnutrition which makes the children
susceptible to diarrhoea thus setting in a vicious
cycle.

3.

It is a |popular practice to withhold milk and other
food from a child suffering from diarrhoea. This is
wrong, as a child with diarrhoea requires more fluid
and nourishment.

4.

Diarrhoeal diseases are ccausedJ 2by ar-number of pathogenic germs including cholera vibri and these harmful
germs thrive in places where sanitary conditions are
poor.
UHAT HAPPENS IN DIARRH0EA?

There is an enormous
c—
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loss of water (dehydration) and
salts
from
the
body
due
to
....
/ "J"- -- vomiting
-- iLl,,g and diarrhoea- in these

conditions. This loss of water & sa^ts from the body causes
various symptoinsrlike-lntens-e- thirst; restlessness, cold
hands. & feet, weak pulse, ;lowering of blood pressure .and st’opr
page
urine;£ when.(severe
.• this cnndit.inn
1 O o H 4"
n n 4- k
of theof pgtien
uhen-iSByere,;
condition max?'
may'.lead
ton death

■

TREATMENT OF DIARRHOEA PRIMARILY WEANS THE TREATMENT OF DEHYDRATION
-----------------Replacement of uater and s<51ts , •“which
u/ ,1^., have been lost
fflomatWihod§A-oeGr«n^hfc||ecb©s*3 -of treatment
---- j sf all diar^
rhoeal diseases.
This can be done with :

1)

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ORAL GLUCOSE-SALINE

It has been shown that c_
oral glucose solution' increases
the absorption- of water & salts
-^3 in the body.
Based on this,
a glucose-salt solution has been developed by the Cholera
!runDneh. ?entre’.Calcutta- This P^eparation named as
CHUROSOL contains the" following ingredients per litre of
water :

Sodium chloride (common salt)
Sodium.bicarbonate [baking, soda}
Potassium chloride
Glucose

i

3.5 grams
■

2.5

- 1.5
- 20.0

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The above salts and glucose can be dissolved in one
litre of drinking water & then given to patients liberally.
2)

INTRA/EMOUS 5ALINE

:

A small number of patients with severe dehydration who
nr a?Opi u?hPP{a'
■ 05aL.glucose-saline or . who .cannot be given
oral fluids because of unconsciousness may require intra
venous saline. Treatment with intravenous saline can only
be given in hospitals and dispensaries under the supervision
Qin an te’XpacianC’ed^rdocytwor
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Cases . of se^era- diarrhoea . arsd,.t.hosg';^
and<.
mucus in the stools may be treated ..with ^tetracycline, .2.
capsules (500 mg.) 6 hourly in adults and one capsule (or
2 te’a’s’poonfuls of syrup) every 12 hbur.§_;ln2 /
days. Furazolidona or chloram.phenico’T'tan ' also-lDe used in
place ofi.tetr;?cyclinGz...,_;
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ASSESSMENT -OF.pEGREL •QF-.DEHYDRATJQ,^

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Pgt ients .with.\wat cry di.ar rhpea^and vomit inp.-may r pres.efit
with various degrees of dehydration.
Uhen mildly dehydrated,
a patient may appear almost normal whereas those with severe
dehydration mqy-bg in comatose ...(^Imo^t . unions ci-jau^.^ J ©.©fid i-.
tion.
Therefore,*' the- degree p.p, ■_diehyd rat ion' jUiust; b^l assessed
before initiation Lof -treatment.
Certain symipt o^.s and. signs
help in-this assessment.
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HOU PEBVQ.RATEP, .IS -T.^.E .PAT.IENT..?. ,,. ,; -*
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Severe,
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H y i. Z-^ .P-ro wsy^ or unG,&n.&oiqus;.-'

Mild.

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1. Thirsty
2. .Alert u ,*jh /••■'
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3'" Radial
'' L pulse normal
3. Radial pulse weak or absent
4. Urine., flow reduced or ..absent
4. Urine flow normal
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5-. • Skin,'.elasticity poor >
5. Skin
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oral 'fluid' therapy
Ho-w to make the fluid
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Fixed quantities of s a Its..-a nd. g.lucbse as indicated
earlier aTe, to be. dissolved in. one litre of drinking water
and‘ shquid .be ' used..uithin ’ 24 hours., T^hp- solLjti,onhouj.4 .rwt
6e bqiled.
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How to administer, the Fluid s Infants .& younger children :

A small quantity of Glucose-salt solution (2-3 tea
spoonfuls) .should -/be' given by mouth pvery.fiye minutes to
infants and<youpg children.
Large, quantity- of fluid- given
at a time may result„in vomiting.. Thereforey fluid, should
not be given in -too-, large a quantity . * But as much. a.S’ a
patient is willing to drink may be given.
Older Chi 1 drery.and,. Adults

r

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‘
as much fluid '.as
Patients may be instructed to drink
'jfl'afge
container uith
they like from .a clean glass or cup.
glucose-salt, s.olutiqn, may. ..be kept al the bed side,.

HOU MUCH FLUID TO BE. GIVEN?

'

In a. mild state , of dehydration, a child may require
about a litre and an adult may ]require. ■.2—3 ■■li't’res af- oral
fluid per day.

In severe cases, however, the requirement may be much:
more. The fluid should be continued until the diarrhoea
stops and dehydration is. compensated and the p.ati.ents . look
normal,
..
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WHAT HAPPENS WHEN THE PATIENT

IS VOMITING?

A patient may sometimes vomit out a part of the oral
fluid; however, the rest of the fluid gets rapidly absorbed
and once the dehydration is co rrected. the patient stops
vomiting.
ADVANTAGES OF ORAL FLU ID. THER.AP Y

:

1.

The patient need not be hospitalized and can be treated
at home by para-medical staff or by the relatives.

2.

Oral fluid therapy is cheap and the ingredientsj are
available locally. JA packet of CHOROSOL cost„s abojjt a
rupee._

3. •

The solution can be made with ordinary drinking water.
No sterilization is required.

4.

* '
, A packet
Storage and transportation cost is minimum.
of CHOROSOL can be stored at room temperature for long.

INTRAVENOUS FLUID THERAPY
fi

:

:

I

Experience at the Infectious Diseases Hospital, Calcutta,
has shown that as many as 95% of a11 cases of gastroenteritis including_cholera can be treated witTi oral fluid
alon.e^
Less than 5% of cases who come with severe dehydra
tion may require intravenous saline to start with, followed
by oral glucose-salt solution. However, the number of such
severely d'ehydrated cases can be reduced if oral fluid therapy
is given during the early stage of dehydration.

The severely dehydrated cases should be transported to
the nearest hospital or dispensary for intravenous rehydra
tion. Oral glucose-saline must be started, however,, even
before this, and should be continued till the patient reaches
the hospital and till such time intravenous therapy could
be started.
WHAT INTRAVENOUS. FLUIDS L.RE TO BE USED?

D

RINGER’S LACTATE SOLUTION is the best commercially
available solution which can be used for children and
adults. However, it is not readily available in most
places-.

2)

NORMAL SALINE has been in use at the Infectious Diseases
Hospitalp Calcutta, for the last few years.
Intravenous
normal saline alongwith oral glucose-salt solation can
be successfully used for the treatment of all degrees
of dehydration.

HOW MUCH TO BE GIVEN?

Ringer’s lactate or normal saline may be given at a
dose of 100 ml./kg. body weight initially during the first
6 hours. Oral glucose-salt solution may also be given
liberally.

It is absolutely of no use to given subcutaneous saline
and this practice must be stopped.

1

4

EDUCATING THE MOTHERS IN HOME-CoRE

Treatment of a child with diarrhoea should begin at
home and therefore, mothers should be educated on the basic
principles of home-care. A mother should know that :

1)

A child who has diarrhoea, should be given as much
fluid as he/she will drink.
For this purpose, the
glucose-salt solution can be prepared by dis-solving" a’
packet of ’CHOROSOL1 in one litre (2 pints) of drinking
water. In case of infants, a teaspoonful of fluid may
be given every five minutes until the diarrhoea stops.
Large quantity of fluid, if given at a time, may cause
vomiting.

2)

A child with diarrhoea should get his normal food to
maintain his nutrition. With—holding milk and other
food will make the child weak.
If the infant is being
breastfed, breastfeeding should be continued.

3)

A child gets infection through contaminated food or
drink and diarrhoea can be prevented by following hygie
nic practices in child care, particularly in feeding.
A child should be given freshly prepared f.ood in clean
utensils.

4)

A child with poor health suffers more often from diar
rhoeal diseases. Therefore, the general health, of the*
child should be improved to prevent diarrhoea. The
following basic facts should be remembered i

a) A child’s body is just like a running machine and
it needs food (fu&l) to keep the machine in running
condition. Therefore, a child should not be allowed
to starve at any time - in health or in disease.
b)

child’s body is growing all the time. The child
needs food containing the building materials such
as proteins (egg, fish, meat, milk, dal, etc.,) as
well as energy-giving food (rice, wheat, potato,
sugar, etc.',) to build the body.

c) It is a common practice to keep a child on bar.leywater for days when he is sick, This is wrong since
barley water is the most inferior food and contains
no protein.
FEnough quontities of simple food stuffs
like rice, chapsti; and dal canI support th-G ixo-rmal
or eggs, are not
growth of a- child -if meat, fish
1
available.

Copy to
1. Interns
.2. Staff, Department of Paediatrics
3. Staff, Community Medicineo
E. A M

HOSS INSTITUTE UNIT OF
OCCUPATIONAL HEALTH
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BANGALORE-S60034.

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Health Ed-upation in St*John1 s Lfecfecal College Hospital
Che of the important functions to be served by any hospital
and particularly a teaching hospital is HEALTH E DUCAT I GM.
Health Education attempts to close the gap between what is
known about optimum health practices and that which is actually
practised.

J The ultimate goal is improvement of Health of the •
people,.reduction of preventable illness, disability and death,
and assistance to people to achieve optimal stage of health by
their own activities and efforts .

Activities, ; (1) Inform people about health, illness and disability
and ways in which they can improve their health
or protect their health
(2) Motivate people to want to change to more
healthful practices.
(3) Help people to learn the necessary skills for
healthful practices
(4-) Foster communication skills and knowledge in all
those engaged in health.
(5) Advocate changes in environmsnt to facilitate
healthful living.

For Whom ; Patients/relatives/attendants
Who : Medical Cfficers/medico-social workers/Nurses/Dieticians/
Pharmacists /Radiographers /laboratory Technicians /ifelpers/
aides/voluntary workers /Everyone working in Hospital.

What : (1 ) Educate people coming to the Hospital as patients
or
attendants regarding treatment, mintenance and
improvement of health
(2) Guide the.patients and relatives about the services
and facilities available in the hospital

(3) Dispel wrong beliefs and fears about diseases
(4) Educate people about prevention of diseases
(5) Inform people of ways of achieving and maintaining health.

Where : 0<P.D., Inpatient wards. X-ray department, Lis pens ary,
clinical laboratory, kitchen, anywhere in the hospital.
How ? let w P L A N

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Roll No.

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Subject

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---

DECLARATION ON THE RIGHTS OF DISABLED PERSONS

DISABLED PERSONS HAVE THE INHERENT RIGHT TO RESPECT FCR

1.

THEIR HUMAN DIGNITY.

DISABLED PERSONS, WHATEVER THE ORIGIN, NATURE

AND SERIOUSNESS OF THEIR HANDICAPS AND DISABILITIES, HAVE THE SAME

FUNDAMENTAL RIGHTS AS THEIR FELLOW-CITIZENS OF THE SAME AGE, WHICH

IMPLIES FIRST AND FOREMOST THE RIGHT TO ENJOY A DECENT LIFE, AS

NORMAL AND FULL AS POSSIBLE.
2.

DISABLED PERSONS HAVE THE SAKE CIVIL AND POLITICAL RIGHTS

AS OTHER HUMAN BEINGS; PARAGRAPH 7 OF THE DECLARATION ON THE

RIGHTS OF MENTALLY RETARDED PERSONS APPLIES TO ANY POSSIBLE
LIMITATION OR SUPPRESSION OF THOSE RIGHTS FOP. MENTALLY DISABLED
PERSONS.
3.

DISABLED PERSONS ARE ENTITLED TO HAVE THEIR SPECIAL NEEDS

TAKEN INTO CONSIDERATION AT ALL STAGES OF ECONOMIC AND SOCIAL

PLANNING.
4.

DISABLED PERSONS HAVE THE RIGHT TO LIVE WITH THEIR FAMILIES

OR WITH FOSTER PARENTS AND TO PARTICIPATE IN ALL SOCIAL, CREATIVE OR
RECREATIONAL ACTIVITIES.

NO DISABLED PERSON SHALL BE SUBJECTED, AS

FAR AS HIS OR HER RESIDENCE IS CONCERNED, TO DIFFERENTIAL TREATMENT
OTHER THAN THAT REQUIRED BY HIS CR HER CONDITION OR BY THE IMPROVEMENT

WHICH HE OR SHE MAY DERIVE THEREFROM.

IF THE STAY OF A DISABLED

PERSON IN A SPECIALIZED ESTABLISHMENT IS INDISPENSABLE, THE ENVIRON
MENT AN? LIVING CONDITIONS THEREIN SHALL BE AS CLOSE AS POSSIBLE TO
THOSE OF THE NORMAL LIFE OF A PERSON OF HIS OR HER AGE.

5.

DISABLED PERSONS SHALL BE PROTECTED AGAINST ALL EXPLOITATION,

ALL REGULATIONS AND ALL TREATMENT OF A DISCRIMINATORY, ABUSIVE OR
DEGRADING NATURE.

6.

DISABLED PERSONS, THEIR FAMILIES AND’ COMMUNITIES SHALL BE

FULLY INFORMED, BY ALL APPROPRIATE MEANS, OF THE RIGHTS CONTAINED IN
THIS DECLARATION.

Excerpts of 2433rd plenary meeting
9 December 1975
U N General Assembly

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XM£X OF SLlns/FILM smiPVM **• MOVIES AVAILABLE IN TUT CtPAATitNT
OF COMMUNITY KMCItE.
on

There are 3 Kodak slide cabinets with 9 trays in each. There
are 3 rows of slides (each row having a capacity of 50 slides) in
each of these tray. The rows of each of these trays numbered
a, b and c from left to right.

I Kodak slide cabinet fcto.l:Frojection slides on Health Adminlstratlont
Mallur Health Oo-operative, R»es Institute Unit, Occupational
Hazards, Occupational Health and First /id Slides etc. sre kept
in this cabinet.

II. Kodak Slide Cabinet Nb.2i~

Fntomology, Communicable Diseases,
Food IHygine etc are kept in the second
cshine
net._
III. Kodak Slide Cabinet N».3:Family Haiming, t€H, Nutrition etc., ?re in this
cabinet.
IV. List of 35 mm. film strips available in this department.

V. List tf movies (16 mm. sound) available.

••Description pamphlets are available for these sets of slides from
their original sources namely, W.H.O., Institute of Child Health,
London, VHAI etc.
Arranged by \
1.07.1991.

Joseph Psnackel,
Senior Laboratory Technician.

B1!1!S^TR^SFERMICESj
/KODAK SLIDE CABINET M)tl/
HEALTH AEMINISTIUTIOiyMAlLUR/ROSS INSTITUTIOiy
OC^FAJTKJNAL HtAlTH^FIRST-AlD_SLIEES ETC..

TRXY M). lA-l-Pt
1A-JO-16*
1A-2S-39:
1A 40-50:

Planning and Health ServicesstFHS)
Hospital waxds-EWors etc. (HD) 6 9W
Caro of Cownuntty Health (OCH) 14 B t W slides
Hospital Linen and Laundry (HIX) 9 B 8 W slides
Concept of Health (CH) 16 BKW slides

1 B 1-16:
1 B 20-25 IQ-poirrt declaration on Health (3 blutfoshado slides)
B 32 - 31: Hospital Lauddary (HL)
1 C 1-40 : Public Health Administration (PHA) (B < W slides)
1 B 35-50: Health eduostion in Hospital Practice (HEHP)
16 B & W slides
1 c 40-47 Public Health Administration (PHA) (S.V.R.)7 B t W Slides.
2 A 1 -24: Communication in Health (CM) 24 Colour Slides*
2 A 27-39: Thematic Apexcepticm Test (TATj/Intemship
Rural Health Evaluatio^Tes t (XRHET)
2 A 40-46: EWaft National Health Policy.
2 B X
Water voerninar (plantations) slides.
2 b2 C I -50 Environmental Sanitation (ES) 46 B t W Slides.'
2 C
3 A X -37 Water analysls/vster supply (W) Btw Slides
3 B XMallur Health CO-operetive (UHOC) BW Slides
3 B3 CX Mallur Sericulture (MS) BtW and Blue colour.shade.
4A X Mallur Waving (BM) B 4 W Slides
4 A-25-50 Domaasandra Project (CP) 26 BKW Slldes.
4 B:
4 B:
C X -15
Organization and Function of Boss Institute
(RI) B t W Colour Slides.4

4 C
:
5 A 1-50
5 C I 5 C
5 C :
5 C :

Occupational Health Slides

6 A 1
Drug Dependence asnd AlocohoUsm (DBA) BtW Slides.
6 A 24.34i Ecology.

. •.. .2

a» 2 •»

TRAY MO. 6C 1-6 t Injuries to Hand (XH) B & W Slidds
a
6C
t
0
7 A 1-241 Goitre Survey (GS) B & W Slides
*
7 A X -47»Health Planning (HP) S.V.R. 47 B t W all dos
w
7 B X - 121 Health Statistics (HS)
0
7 B I
0
7 C i
e
7 C I
Cooprehensive Rural Health Project • 24 colour
slides^
Bf VHAX (Jm* - Available with Dr.Ravi

PROJECTI0NwSLI^S/TRAffiPEREr4gIES

/mtUK SLTEE CAfflMMT MB.2/
ENTOMDWgf^OOimWlCAgLE PISEASES^FOOD gY^I^ t-

TRAY NO. IAI - SO
w
J ~B I‘ -30
•
X B3 1
•
X B
•
X C X -33
2 C 34-50
2 A - 24
2 A 26-50

2 C 1-26
2 C I-26t
2 C 27 i
2C3 A I - 31
3 A 32 t
3 A
3 B I -33
3 B 34 - 46
3 C X -38
3 C 39-47
4 A I - 36

Istalning of Blood film (BFS) WHO
J80 Colour slides*

Preparation of thick and thin film (BF) WHO
33c«leur slides*

mattgi Ibunting of Moequita Larv0 (ML)
W.H.O.' >4 Colour*
Anthropodos of Msdical Imp ortgnce (AMI)
25 colour sslldos*
Enta»»logy 76 B I W Slides

M.P.Ufo Cycle (^C) w.H.O. 31 colour slides •

Rodents and their control, dlssoaso of the Dogs-(R)
33 B t W Slides ;
fhod Hygino Cours o - Parasitology 12 B I W
slides (Pl-12)
Feod Hyglne CourselSF) Safe Food 38 B t W slides.*
Ibod Hyglne CbursooGerm-their life
(G-1-G4) 4 B & W Slides)
Plasmodiuu Vlvax stages (PV) w.H.O. 36 colour
slides*
• •••••••oooooo >3

«• 3 •»

TRAY ND. 4 A 37-50:
«
4 B - 42

9

9
9

W

W

9

4 B 43-50:
4 C I -25
4 C 26-36
4 C
SAI -50)
5 B -1)
5 B 3 -37
5 B 27-50
5 C I -24
5 C 27 -50
6 A I -24
6 A 30 - 42

Pl. Falciparam stages (PF) W.H.O.
42 etikix colour slides *
P.Malaria stages (PM) 25 W.H.O. Colour slides
Monkey pox (MP)

Efcignosis of smallpox (S’-T) W.H.O. Colour slides*

Smallpox in children (SPC) 24 colour slides •
Severe I*-as eles (MS) 24 colour slides *
Leprosy in Childhood (LP) 24 colour selides*
Common skin Diseases (SK) 24 colour slides ♦
Natural History of untreated TB (TbNH) 24
colour slides *
T.B.Control, B.C.G. Vaccination, Chemotherapy
12 B & W slides

6 A 43 I
ii

w
9
9

6 B I - 6
6 0 15 6 0 :
6 C I -24
6 C
7 A
7 A

Trachoma - 6 B & W Slides
Immunisation

Cancrum Oris (COO) 24 colour slides ♦

- Food Handler (FHI-2-2 B£W
slides
w
7 BI - 23
food Hygine Course - food foisoning-FP 1 -23
S & W Slides.
9
7 0 -25-43
food flygine Course - Natural history of food
(NHF 1-18)
ii
7 B 44 - 50
Food Hygine Cours e - "Hygine* (H)
w
7 CI - 19:
Food Hyqine Course - Bateriology (B)
9
Acute Nephritis B 8. W Slides.
7 C 20 - 30
2 . -7-c-3l sPS-- . Chromic: Bronch^ties B & W ^1-ldesi
ii

7 A 49-50

food Hygln® Course

35 on. PnOJI CTION SLIDFS/TW^ili«CIFS
FAWJLX

r AY NO.
w

I A I -24 Contraceptive Devices (Cd) 24 colour slides *
I A 28 -50 Vasectomy operation (VD) 23 Agfa colour slides*
I BI -12
Tuhectomy operation (T.O.) 12 Agfa colour slides *
..4

- 4 -

TRAY NO. I B 13 I B-14-38
w
I C I -48
It
1 C
X C
w

2 A T -50

2 B I.)
2 C I 3 A I -24

3 A 27-50
3 B I -31
3 Bl 2
3 B3 C 1-24
4 A 1-50
AxfttSXxeSM
4 B 1-22
4 B 27-50

4 C 2-24
4 C 27-50
5 A 1-50)
5 B I-C)
5 B 6 -22
5 B
5 C I -24
5 C 27-50
6 A 1-24

6 A 27-SO
6 B I -24
6 B 27-50
6 C 1-44
7 A I -24

Population explosion (PE)
Clinical Genetics (OL.G) 24 colour slides*
Mental Retardation (MR) 48 colour ■elides*

Natural Family planning methods (?!FP)
evaluation method (OM) Mucus system
Mefchod, Basel tody tesspersture (T.M.) etc.,
Population Growth c-esee and its effects (P<XX)
-B & W Slides.
Physiology of women-(PIS';)-24 colour slides*
Breast Feeding (BF) 24 colour slides*
Feeding your Baby (ch-54) 30 B & » Hides

Kfenagent of child Ileal th Health (MnCH) 24 colour slides*
M>r« aoout child care (part I, XX, III, AIV

(MCC; 72 colour and Bfcri slides*
the Ilesha weight chart (CH) 24 colour slides*
The Road to Health Chart)
Growth (Q<) 24 colour elides *
Xerophthalmia (>taa) 24 colour slides *
Milestones in Development (B®}«
55 B & W slides*
Ifel nutrition slides (•lallur)-16 B&W slides
Ftedi®$ric Haemetology (PH) 24 colour slides •
X-rays in childhood (xrc) 24 colour slides*
Malnutrition in India (MI) 24 colour slides*
Jfenagemont of Severe Kwashiolur (KWM) 24 colour slides*
Protien calorie Deficiency (Ped) 24 colour slides «
Fibre in Human diet (F B F.) 24 colour slices*
Vitamin Deficiency (VD) B & W and colour slides
Training of Traditional Rrith Attendents (Deis)*
(M-8) 31 B & W slides*

7 A 32-30
7 B I
7 S7 C 1-24
7 C

1. Mrtrition Rehabilitation (NIR) 24 colour slides
VHAI Available with (if.Ravi ferayan (Personal)

1. Before the Baby comes
2. Organising a DPT immunization programme.
3. Balanced Diet for adults in India
4. Better Diet at low cost
5. Ney to health
6. Diarrhoea.
7. Riman reproduction
8. Family Planning Service C«pe
9. Integration of WCH & F.P.
10. Family Planning made easier.
11. Canpaign for . rily planning
12. Family planning workers
JTCQD.HXqi^.qam^
13. Introduction to Bacteriology*
14. Preventing Contamination*
15. Clean as you go*
16. Make itt easy

17. * Rat • A deadly Enemy*
18. Village life lines*
19. Rural Housing*
20. Poor housing and poor roadst
21. Poor family lltingf
22. In farm and field*
23. How to prevent Cholera in the village*
24. Village ’ell*
25. Organization of clubs*
26. Water seal Latrine*
27. Gontinueous Gastro-Intestinal Drainage*
28. Fly. Your worst KBnemy*
29. Care of the Dyes*
30. Filariasis*
31. Visit to Rural Balwadi*
32. Education for life*
33. fin Adequate Teaching Environment*

34. Low cost Educational Toys.
35. Young Farmers Clubs*

36. Alcohol and your Health*
37. Tobaco and your Health*
38. Venereal Disease and your Health
39. Human Body Frame work*
40. Human Digestive System*
2

p

List^of

1. toman Fertility • 25 minutes . Black and kkifttaxltlitaia
2. To be a doctor • 25 minutes • colour- (UNZEF)

I
I

I -

■'• Js

I
★

s

............. . "<■ ■.

s

..._

LliiLlren Learn WLi II..-. l/.<11 A CHILI) LIVES WITH CRITICISM.
HE LEARNS TO CONDEMN.

f-

IE A CHILD LIVES WITH HOSTILITY.
HE LEARNS TO FIGHT.

IF A CHILD LIVES WITH RIDICULE
HE LEARNS TO BE SHY.

IF A CHILD LIVES WITH SH/k^jj&fe;
HE LEARNS I () FEEL
IF A CHILD LIVES WITH TOLW^^p^'
HE LEARNS TO BE PAlTENlT
IF A CHILD LIVES WITH ENCOURAGEMENT.
HE LEARNS CONFIDENCE.

IF A CHILD LIVES WITH PRAISE.
HE LEARNS TO APPRECIATE.
IF A CHILD LIVES WITH FAIRNESS.
HE LEARNS JUSTICE.

IF A CHILD LIVES WITH SECURITY.
HE LEARNS TO HAVE FAITH.
IF A CHILD LIVES WITH APPROVAL.
HE LEARNS TO LIKE HIMSELF.
IF A CHILD LIVES WITH ACCEPTANCE AND
FRIENDSHIP
HE LEARNS TO FIND LOVE IN THE WORLD.

| '-f G <^Y kLjp l-LlO-t^

/. bep<J-^ <4
Houac^ cj^-p p^-c:
'■) •i^^>mrvtU_AU_k /C-LlDt-'I

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7.

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WORIP EMVTRCWMENT DAYJUNB 5TH 1930

EXHIBITION O ENVIRONMENTAL POLLUTICN (ROSS INSTTTITE):
CATALOG?JE OF POSTERS?
(1) ’’Space slip earth” is an kxbm«sm encapsulated planet within whose confines
man and his fellow lodgers- the beasts and even the bugs have to Idora live

toother.

If w we foul up that living space, vitiat the atmosphere , person

the water, restrict out food rations, tamper with the heating system a wallow
in the excrement, domestic and industrial, and out tenancy will be limited, we
can irreversibly damafre the biosnhere on which all life depends. (Ref- World

Health August September 1971) •
(?) POLLUTWTS IN AIR ANT EFFECTS ON HOMAN HEALTH:
i) Prides of sulfur?- Aggravation of eristing respiratory diseases, impair
went of lung function; sensory irritation.
ii) Airborne particles?- Increase in the effects of gascans pollutants such
a8 sulfur dioride, possible toxic effects depending on chemical composition

(eg. particles containing lead or asbestos)
iii) Oridants including ozone?- Bye irritation, possible associate on with
association with asthmatic attacks, impairment of lung function

in diseased persons.
iv) Carbon Monoxide:-

By combining with haemoglobin

deprives tissues of

oxygen, individuals suffering from cardio-respiratory disease more sensitive;

p syc hop hysi ological effects•

(3) Air pollution - Contd.
v) Intake through food and water and air enhances the total body burden of

this element; in excessive amount it may develop poisoning.

vi) Asbestos: A possible factor in the incidence of lung disease along with

other air pollutants and smoking; pleural calcification abserved also in
non-occipational exposure®
viii) Beryllium: ”neighbourhood” cases of chronic

kwrylljtan

berylium poisoning

observed neat beryllium production plants*

4) Car Exhaust Kases?“ •
> Been identified in car
1) 150 cl if re rent chemicals have
the most abundant of these.
2) Carbon monoxide is

exhaust*
100 ppm is

concentrations of 500 ppm are common.
3) Tn heavy city traffic
concentration for working conditions.
is the accepted mximum
to petrol is absorbed by the body and accumulates
A)

Lead retracthyl added

e specially in brain tissue.

r

I
- 2 -

5)

Children are particularly sensitive to lead poisoning.

6)

Two British research workers have recently stated that average lead levels in
urban dwellers are very close to the levels which cause enzyme inhibition
in human metabolism.
The lead industry in this country takes BO mg per cent in the blood as the
level at which to show concern.
In xm Russia after extensive research the industrial limit has been reduced

7)
*)

9)

to 10 jng per cent.
Polycyclic hydrocarbons are more abundant in diesel engine exhaust.

They

are amongst the most potent cancer causing chemicals known.

(5) TWUSTRTAL:
1) Coal oil are still, major sources of power. Electrical generating plants using
these produce colourless sulfur dioxide in large amounts. It is claimed
that there is not an economical way of remeving it . Brick works and metals

melting also produce 30^.

2) Pisaolved in water sniffer dioxide produces on acidic solution.
3) Areas of Northern England are uncultivatable due to acidic rainfall,

The

sulfur dioxide comes from the Manchester industrial complex,
4) Sul-°ur dioxide also blackens and ”catsnaway stone buildings,

5) Canbustion of one ton of coal releases

150 lbs of "Soot”, BO lbs of sulphut

dioxide. Bibs nitrogen dioxide, 30 lbs of acids, 20 lbs misceUabeous
substance^.
6) New Yark city burns the equivalent of 32 million tons of eoal each year.
(6) Pollutant3 in hand and effects on human health1^ugan eyc.retat- Schistosomiasis, taeniasis, honkwarm and other infections,
ii) SewageUrban filariasis, flies and other disease vectors•

iii) Garbage and Vectors inhabiting it:- Rodent home diseases; pollution

of water and air from disposal practices^
Industrial and xajt radioactive waste:— Bfects from stored toxic metals
and other substances through food chains.

v) Pesticiales: - Contamination of vegetation and secondary foodstuffs and
and entry into food chain.

’«;lhl.... and skin
inflasma-tio11 from '’wiming*

3

i

- 3 ill) Protozoa and Metazoa?- Amoebiasis, schistosomiasis hydatidosls and other
parasitic infections®
(#) Pollutants m in food and water - contd®
Chemicals:
i) Metals:- Lead poisoning, methyl mercury poisoning (through food chains);
cadmium poisoning (through food chains) arsenic poisoning ("Blackfoot"

disease)•
ii) Nitrates;- Infant methoemoglobinaemia (a condition caused by changes in
the haemoglobin molceule)
iii) Nfctanr Fluorides:- Wattling of reeth when in excess, fluarosis.

iv) Oil, Petroleum, phenals, dissolved solids.--

Impaired potability.
(9) Pollutions child:- In 1953 the world saw to its horror, the accumulative
effects of dumping mercury polluted water into the sea at Minamata, Japan®
Minamata disease was born - The first sign of the horror was when the
local cats began to go beserk. Some even killed themselves by plunging! into
the sea® Soon after the people began appearing in the streets turtching with
paralysed hands and grotesquely dilated pupils, many children were affected
since their mothers had eaten polluted fish and mercury had affected the
child in the womb. Although its symptoms were final and absolute no known antidote its long tern implications are not fully understood. After
a major trial chisso chemical company lost the case and the victims got
compensation after 20 yeartf®

(10) Oil:- (i) Man puts at least 3 million tons of crude oil into the ocean
each yearii) There is an estimated 1 million tons at present floating on the surface
of oceans®
iii) The "do-it-yourse'’f" motorist uses over 20 million gallons of oil each
year,
of which goes down drains and into river systems®

n.

flu Sewage
i) The biggest polluter of fresh water is sewage,
ij) Tt makes enormous demands on the Oxygen capacity of the wateA
iii) Nitrates from sewage and fertilisers and phosphates from sewage and
detergents over stimulate plant growth®

This causes deoxygenation

of the water which bills most of the life forms present®
iv) Tn Switzerland bathing has been banned in lakes Lugarno, Constance,
Geneva, Bienne, Luzern, Vfechatel, Thun, Zurich, and Zug because of

pollution®

4

i

i -

»

i.

4*

-4TosQ-C chemicals and heavy metals:i) Tn the U.S* 12,000 toxic compounds enter the natural water system via
Sewage discharge and only a portion is r moved by normal sewage treatment*
ii) 14 states in the U.S* have reported cases of mercury poisoning in recent years*
iii) Minamata Bay, Japan - 112 cases of Mercury poisoning (44 deaths) as xsr

a

iv)

result of eating fish caught in the bay*
Briatal University school of Chemistiy recently reported "exceedingly

v)

high levels of cadonuion" in the Bristol channel (550 nom in limpets).
Symptoms O? mercury poisoning - low levels - headaches, fatigue, insomnia,

anxiety, lethargy, loss of annetite.

High levels-blindness, deafness,

conoulsions, coma, mental retardation*
vi) 6,000 poisonous products flow down the Rhine, including 16,150 tons of

sulfates everyday.
vii)

The river deposits 70 tons of mercury in Holland each year*

In the North Sea recently a layer of dead fish iras discovered stretching
#0 miles and packed several.

viii)

In 1^70, the world catch of fish was lower than in 1Q6Q*

(13)

ANTI-PCLLnTTON MEASURES:
Environment education

Anti-pollution checks/surveillance
Exhaust emission control devices inw vehicles.

Clean air/water/1 .and legislation
Environmental sanitation measures.

Reduction of use of pesticides, fertilisers, detergents.

(14)

TCGNCMICS OF POLLUTION?

Higher medical costa
Reduced or destroyed crops*
Loss of livestock
Higher food bills
Higher cleaning costs

Greater absenteeism
Costlier equipment
Increased maintenance costs
ENVIRCNMENTAL rBTERIORATION has continued and accelerated until it has reached

the point of crisis* We must understand the problems we face if we are
to solve them* It isn’t too late to learn* The more we know about
our world, the more effectively we can work to sa^e it* It’s the only

one we have*
National Geographic.
GOVERNMENT ACTION:-

for conservation of natural resources, and protection of

water and land from pollution* - In order to evolue and promote

national policies relating to environmental preservation, the Govemment

of India has constituted the national Ccmmitte on SjorxTHMnDtt Environmental

5

i

- 5 PlArnrlw and coordination (NCBPC).

Sane of its terms of reference are - identi

fication and proposing solutions for problems of the human environment;

reviewing policies and programmes having bearing on the quality of the environ
ment, advising government departments, public authorities and xntHxtxiai
industries on environmental matters, promoting environmental research, public

awareness and cooperating with the UN and other international agencies on
.rtion to .ofoBmrf th. haon onvl™»»»t. Oulto a f»« rooo.TCh projooto 3» «»-

vtoontal pra.rv.tloo nod blotter, .toll., tar. be<m id.ntMirf
by this National Camnitte.
WHO is develooing an international kk

surveillance and monitaring network.

»

environmental

The incoming information re

or.mlr.tion., In.tltati™, lataratari.. »r ftiral ta.lth »mra a.
by UBO. It i.
ibtarnr.t.a » ttat .ny —
.houia ta notice and ta.tantly risrallM. lb. mtaork
1. .till m 1
initial rtw... ">»» «» coramnt. nl.y ttalr Ml part It will ta .
alert system for asteotliw .averse ehanses In the envlronmnt.
(15) Is pollution the partner of economic progress?
Must man pay for his economic well-being with foul water, naxious

Aimes and nerve-jarring noise?

Can we achieve the maternal benefits of industria

lization for all the peopleof the world without jeopardising out health and
BteHjncr despoiling out environmental heritage?
For centuries we have treated land, sea and sky as though they were limit’’ess.

*16)

They are not.

Vfe have pumped millions of tons of particulate matter and wxxnr

noxious gases into the atmosphere
lakes

polluted most of our rivers and

..... T'rrxsbrwd prodeuced so much trash that were running out of places to

put it------ allowed pesticides to travel all through the food chain--------- occiimulated

mercury, lead, DDT and strontium 9ft go in our bodies#
We have disrupted m natures systems - The self renewing cycles that have
automatically re .invented

out land, water and air#

systeror! we threaten the basis of life itself#

When we t temper with these

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1. CARE FOP. THE SICK, PROTECT THE HEALTH OF THE PEOPLE ATT LOOK AFTER
COMMUNITY HYGIENE.

2. GIVE CARE AND ADVICE TO ANYONE WHO CONSULTS HIM, IN ACCORDANCE WITH
THE INSTRUCTIONS CONTAINED IN THIS GUIDE OR GIVEN BY HIS SUPERVISOR.
3. SEND PATIENTS TO THE NEAREST HEALTH CENTRE OR HOSPITAL (EVACUATION
OR REFERRAL) IN ANY CASE IN WHICH THE GUIDE INSTRUCTS HIM TO DO
SO AND IN ANY CASE NOT COVERED BY THE GUIDE. THE PHW SHOULD,
THEREFCRE CONFINE HIS CARE AND TREATMENT TO THOSE CASES, CONDITIONS
AND SITUATIONS DESCRIBED IN THE GUIDE.

4. WITH THE AUTHORIZATION OF THE LOCAL AUTHORITIES, VISIT ALL DWELLINGS
AND ADVISE THE PEOPLE HOW TO PREVENT DISEASE AND LEARN GOOD HABITS
OF HYGIENE.
5. MAKE REGULAR REPORTS TO THE LOCAL AUTHORITIES ON THE HEALTH OF THE
PEOPLE AND ON CONDITIONS OF HYGIENE IN THE COMMUNITY. GET FROM
THE LOCAL AUTHORITIES AhE THE PEOPLE THE SUPPORT HE NEEDS FOR HIS
WORK.

6. KEEP AS CLOSE CONTACT AS POSSIBLE WITH HIS SUPERVISOR SO AS TO BE
ABLE TO GIVE OF HIS BEST IN HIS WORK AND TO OBTAIN THE EQUIPMENT

AND' SUPPLIES HE NEEDS

7. PROMOTE COMMUNITY DEVELOPMENT ACTIVITIES AND' PLAY AN ACTIVE PART
IN THEM.
TO DISCHARGE THESE FUNCTIONS THE PHW;

(a) IS AVAILABLE AT ALL TIMES TO RESPOND TO ANY

EMERGENCY CALLS

(b) ACTS IN ALL CIRCUMSTANCES WITH COMMON-SENSE AND DEVOTION TO
DUTY, AM? IS AWARE OF HIS LIMITATIONS AMD RESPONSIBILITIES
(c) DOES NOT LEAVE THE COMMUNITY WITHOUT FIRST INFORMING THE
LOCAL AUTHOR. ITIES

(d) TAKES PART IN THE TRAINING ORGANIZED BY

THE HEALTH SERVICE

THE PHW SHOULD SPEND SOME TIME WITH OTHER SOCIAL/DEVELOPMENTAL WORKERS
CONCERNED WITH IMPROVING AGRICULTURAL PRACTICES, FOOD PROTECTION, WATER
SUPPLY, HOUSE ECONOMICS, ETC.

HE MUST KNOW ABOUT SERVICES AND

OPPORTUNITIES FOR DEVELOPMENT AVAILABLE IN HIS DISTRICT AND KEEP HIS
COMMUNITY WELL INFORMED.

f

J)

2

IT FOLLOWS THEN THAT THE PHW IS THE PRACTICAL EXPRESSION OF A
COMMUNITY'S DETERMINATION TO BE RESPONSIBLE FCR ITS OWN HEALTH

CARE AND TO MAKE UP FCR ANY DEFICIENCIES THAT MIGHT EXIST IN
THE HEALTH SERVICE COVERAGE.

THE PHW SHOULD IMPROVE THE

COMMUNITY'S PARTICIPATION IN WHAT WILL BE PART OF A PROVINCIAL/

NATIONAL HEALTH PROJECT PLANNED AND RUN BY THE NATIONAL
HEALTH AUTHCRITIES WITH THE ACTIVE CONTRIBUTION OF THE PEOPLE.

K
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BANGALORE

COLLEGE,

MEDICAL

JOHN’S

ST.

hX
Class

Roll No.

Semester

Subject

Examination

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