sheeloopoonam@yahoo.com's blog

Reference:
K. Park, 2019. Environment and Health, In: Park’s Textbook of Preventive and Social Medicine, 25th ed. Jabalpur, 2019

The important genera of mosquitoes that are of public health importance are Anopheles, Aedes, and Culex.
The stages of a mosquito’s life cycle are as follows:
1. Eggs
2. Larva
3. Pupa
4. Adult mosquito

This blog presents a complete, easy-to-use general history taking format designed to help MBBS students ensure they never miss essential components. It also highlights additional headings required for special cases such as obstetric, pediatric, geriatric and adolescent patients. The blog includes visual tables for review of systems, explains how beginners can refine their questioning, and guides readers on integrating positive findings into HOPI or past history. A printable version is available on request.

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Single blinding: when the patient does not know if he/she is getting the drug or placebo

Double blinding: where the patient and the dispensing doctor also does not know whether the patient is getting the drug or placebo

1. To study the disease trend since past
2. Community diagnosis
3. Planning and evaluation of health services
4. Evaluation of a new therapy or a new health measure
5. Determining the risk to an individual
6. Identification of syndromes
7. Filling in the gaps in the natural history of the disease
8. Searching for the cause of a disease

1. Proceeds from the outcome to cause
2. Starts with cases of disease
3. Tests if the suspected risk factor occurs more often in the cases than that in the controls
4. Usually the first study for testing a hypothesis
5. Requires fewer number of participants
6. Yields the results relatively earlier
7. Suitable for rare diseases
8. Cannot directly estimate the relative risk hence calculates the ‘Odd’s ratio’ (OR)
9. Only one outcome (disease) can be studied
10. Inexpensive

Definition of ‘Monitoring’:
Monitoring is the performance and analysis of routine measurements aimed at detecting changes in the environment or health status of the population.
Monitoring can be of variety of activities like:
• Health program
• Air quality
• Water quality
• Intrauterine growth
• Nutritional status
• Functioning of a health facility etc.

Definition of ‘Surveillance’:

Advantages

• Easy to conduct as no follow up is required
• No attrition, as no follow up is needed
• Gives faster results
• Inexpensive
• Suitable for rare and newly identified diseases
• More than one risk factors can be studied simultaneously
• Ethical problem lesser as disease has already occurred

Disadvantages

Advantages

• Incidence can be directly calculated
• Direct estimation of the relative risk (RR)
• More than one outcome of the risk factor can be studied
• Dose response relationship with exposure can be studied
• Temporal association of the exposure with the outcome can be seen
• Certain biases like recall bias, interviewer’s bias are not a problem

Disadvantages