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COMMUNITY MEDICINE WITH VELZ

#Updates in PARK 25th edition - 2019

RECENT UPDATES IN 25 TH EDITION OF PARK – 2019

#velz
This document is only for academic use and not for any

commercial use

Reference: Park 25th edition, 2019.


COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

SOME UPDATES NOT INCLUDED IN 25th EDITION:


1. TB TREATMENT updates
#velzupdated – Both New and Previously
2. New TB categories not
treated cases come under the same category now
2HRZE + 4HRE
3. Anemia Mukt Bharat not included – change in dose of
elemental iron from 100mg to 60 mg for Pregnant and
lactating women not included
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

UPDATES NOT INCLUDED IN 25th EDITION

4. Poshan abhiyaan not included - MALNUTRITION FREE INDIA BY


#velz
2022

5. Cash assistance for Nutritional support to TB patients not

included
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

CONCEPT OF HEALTH AND DISEASE:


1. Pg. no. 23 – Table modified
#velz
All India and Kerala Health statistics for 2016
ALL INDIA KERALA INDICATOR
34 12 IMR (2016)
130 46 MMRatio
(2014-16)
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

Recent WHO estimates of 2016 published in


2018 ,NHFS 4 data and other recent data have
#velz
been updated for almost all tables throughout
the book
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

2. Pg. no. 32

Health index of India (NITI AAYOG) has been added


#velz
with categorization of states and Union territories
into 3 groups – Larger states, smaller states and UT.

Health index – table added


COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

3. Pg. no. 57

The tentative classification of ICD-11 to be


#velz
presented in world health assembly in 2019 is
updated
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

4. Pg. no. 135


Recently updated immunisation schedule by govt.
of India (2017) has been added
#velz

The line “Td vaccine to replace TT vaccine” added in


the bottom of the table

Bivalent OPV, Fractional IPV, Pentavalent, Rotavirus,


PCV, MR vaccine added in the table
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

5. Pg. no. 190 - Table


TB estimates for India in 2017 updated from
WHO 2018 report
#velz
INDICATOR NUMBER IN RATE / 1,00,000
THOUSANDS POPN.
INCIDENCE 2740 204
(INCLUDES HIV + TB)

MORTALITY 410 31
(EXCLUDES HIV + TB)

INCIDENCE 135 10
(MDR/RR-TB)
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

INDICATOR NEW CASE PREVIOUSLY


TREATED
ESTIMATED % OF TB CASES#velz2.8% 12%
WITH MDR/RR-TB

MORTALITY 410 31
(EXCLUDES HIV + TB)

INCIDENCE 135 10
(MDR/RR-TB)
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

6. Pg. no. 200


Eligibility criteria for Bedaquiline therapy
Delamanid added
#velzafter Bedaquiline

Drug controller general of india has issued


permission to use Delamanid (50 mg) for
intolerant/ resistant MDR-TB cases
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

7. Pg. no. 200


Grouping of anti-TB drugs WHO PMDT
Guidelines 2016
#velz

8. Pg. no. 202


Diagnostic algorithm for Pulmonary TB added
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

9. Pg. no. 203-212


Management of Drug resistant TB (2017) added
Integrated DR-TB diagnostic
#velz
algorithm added
Drug resistant TB in children also added

NEW 2018 TB GUIDELINES FOR INDIA NOT


ADDED – REMOVAL OF CAT II NOT INCLUDED -
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

10. Pg. no. 236-239


WHO 5c’s
Summary algorithm #velz
for diagnosis, treatment
and monitoring of chronic HBV infection
Summary algorithm for diagnosis, treatment
and monitoring of chronic HCV infection
Service coverage indicators on Viral hepatitis
added
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

11. Pg. no. 250


Figure on Integrated global action plan for
prevention and control of pneumonia and
diarrhoea #velz

12. Pg. no. 309, 310


New guidelines - Yellow fever vaccination certificate
validity updated to lifelong from 10 years
Epidemic preparedness and response included
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

13. Pg. no. 310


Topic on Nipah virus infection included
Transmission to #velz
humans occurs after direct
contact with infected bats, infected pigs or from
other nipah virus infected animals
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

14. Pg. no. 343


New data on prevalence

15. Pg. no. 392 #velz


Epidemiological transition ratio for Non-
communicable diseases included

It is the ratio of DALYS caused by


CMNDs(Communicable, Maternal, Neonatal and
Nutritional Diseases) to those caused by NCDs.
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

16. Pg. no. 412, 413


New cancer statistics – global and for india

17. Pg. no. 431 #velz

Name change for NPCB to NPCBVI


National Programme for control of Blindness and
visual impairment
Change of NPCB definition of blindness to WHO
definition
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

18. Pg. no. 434 -436


Chapter on Oral diseases added
Twice daily brushing with flouride containing
toothpaste (1000 to#velz
1500 ppm) is recommended

19. Pg. no. 457


Sparsh leprosy awareness campaign – to create
awareness, reduce stigma and improve self
reporting of cases
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

20. Pg. no. 459


Structure of RNTCP lab updated

21. Pg. no. 460 #velz


Direct benefit transfer schemes – linking TB patients
reported in NIKSHAAY with AADHAR

22. Pg. no. 461, 462, 463


Active case finding in campaign mode added, New
matter on drug resistant TB management
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

23. Pg. no. 465,466


National strategic plan for 2017 to 2024 added in
NACP, Structure of NACO added
#velz

24. Pg. no. 470


Third line ART added

25. Pg. no. 472


National strategic plan for HIV/AIDS and STI 2017-24
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

26. Pg. no. 476


Immunization milestones added
#velz
27. Pg. no. 478
Intensified Mission Indradhanush, MR vaccine,
PCV added
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

28. Pg. no. 509


Tertiary component of National Programme for
healthcare of the elderly – renamed as
#velz
RVJSY – Rashtriya Varishth Jan Swasthya Yojna

29. Pg. no. 513


Mental Healthcare act, 2017 added
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

30. Pg. no. 515


Ayushman bharat programme included – Health
and wellness centres, National Health Protection
#velz
scheme.

31. Pg. no. 519


20 points included under 20 point programme
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

32. Pg. no. 530


Updates on data(2018) in demography
#velz
33. Pg. no. 565
Mission Parivar Vikas included
Injectectable MPA Antara and OCP centchroman
Chhaya included
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

34. Pg. no. 614


MMRatio table update – MMR of 130 (2014-16)

35. Pg. no. 642 #velz

Figure on impact of adverse childhood experiences

36. Pg. no. 761-764


Chapter added on Tribal health – demography and
disease burden
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

37. Pg. no. 855


Types of disasters added
a. Natural – Geophysical, Hydrological,
Meteorological, #velz
Climatological, Biological
b. Human induced

38. Pg.no. 893, 894


Data from National Mental Health Survey 2015
included and prevalence of mental disorders
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

39. Pg. no. 896, 897


New data and matter on Alcohol added

#velz
40. Pg. no. 898
GATS 2 survey (2016-17) results added

41. Pg. no. 901


Comprehensive mental health action plan added
COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019

42. Pg. no. 936


National Health Policy 2017 added

43. Pg. no. 941 #velz

Three year action agenda of NITI AAYOG

44. Pg. no. 954


Demographic profile of india updated in table for
2018.
COMMUNITY MEDICINE WITH VELZ

43. Pg. no. 954

INDICATOR SURVEY OR ALL INDIA


ESTIMATION LEVELS
YEAR
#velz
TOTAL POPULATION 2018 1,359.8 million

CRUDE BIRTH RATE 2018 20

CRUDE DEATH RATE 2018 6

SEX RATIO 2014-16 898 / 1000 males


COMMUNITY MEDICINE WITH VELZ

44. Pg. no. 977


Upper limit of wages for inclusion of employees
under ESI act increased from 15,000 to 21,000
#velz
per month
COMMUNITY MEDICINE WITH VELZ
MISSED UPDATES

#velz
COMMUNITY MEDICINE WITH VELZ
MISSED UPDATES

#velz
COMMUNITY MEDICINE WITH VELZ
MISSED UPDATES

#velz

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