tailieunhanh - Recent advances of community medicine: Part 2

(BQ) Continued part 1, part 2 of the document Recent advances of community medicine has contents: Epidemiology of noncommunicable diseases, family planning, maternal and child health services, social science, preventive geriatrics, human genetics, mental health, adolescent health, and other contents. Invite you to refer. | CHAPTER 21 Epidemiology of Noncommunicable Diseases NONCOMMUNICABLE DISEASES Burden Socioeconomic Implications Policies and Program for Prevention and Control of Noncommunicable Diseases in India A Report on National Summit on NCDs Noncommunicable diseases NCDs and injuries are replacing communicable diseases as the most common causes of disability morbidity and premature mortality thus showing an epidemiological transition in low and middle income countries including India. e leading causes are cancer diabetes hypertension cardiovascular disease stroke chronic obstructive pulmonary disease chronic kidney disease mental disorders and trauma. Besides presenting a serious threat to public health NCDs hamper socioeconomic development of the country. ey account for 52 percent of deaths 43 percent of disability adjusted life years DALYs and 62 percent of total disease burden in India. is burden is likely to increase in the years to come. Cardiovascular diseases CVDs gure at the top among the ten leading causes of adult 25-69 years deaths in India. WHO has projected that by the year 2030 CVDs will emerge as the main cause of death 36 in India and majority of these deaths are premature. e expenditure associated with the long-term e ects of NCDs is high and about 10 to 25 percent of families with CVDs or Cancer respectively are driven to poverty. e economic burden would be in the range of 5 to 10 percent of GDP which is signi cant and this slowing down of GDP hampers the development of the country. Associated with this the demographic transition . raise in aged population the epidemiological transition . increase in the incidence of NCDs compared to communicable diseases and social transition like eating habits smoking and alcoholism pose serious challenge to the health system for providing treatment care and support. Besides the industrialization urbanization and globalization are also contributing to the epidemic of NCDs by increasing the risk factor levels. As a .

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