Silent Digestive Disorder-Health Camp

PROJECT- 3
JUNE 2010 – JULY 2011
Total no of Camps- 24

Early detection of silent digestive disorders and Hepatitis ‘B’ virus – free medical camp for visually and hearing impaired school students.

Project Prelude
Hepatitis B & C in India – A Status Report

Hepatitis B Virus affects Liver and causes Jaundice. It can in some cases can lead to longstanding Liver Damage, Blood vomiting and Liver Cancer. Hepatitis B virus is more infectious than AIDS virus. Children are more severely affected by Hepatitis B virus. Hepatitis B if acquired can lead to various long standing diseases in 5% to 15% of children.

About 3.5% to 5% of the India population suffers from Chronic Hepatitis B infection, leading to chronic disease and liver cancer. Hepatitis B virus infection can remain silent in 5% of individuals and it shrinks the liver and finally the patient presents with a full blown liver disease.

Hepatitis B results in swelling of legs & stomach, muscle wastage, blood vomiting, liver coma, liver cancer and death. Every minute 2 persons die in this world due to Hepatitis B. Hepatitis B is a preventable disease by preventive vaccination. 3 doses of vaccine can prevent Hepatitis B, which is the easiest and the best way to prevent Hepatitis B.

Studies indicate that 3.5% of the Indian population was suffering from Hepatitis B virus, 1.5% from Hepatitis C, both of which are silent killers, which may lead to permanent and serious liver damage ending in blood vomiting and liver cancer.

Gastrointestinal cancers – A brief Overview
As per WHO estimates, during 2005, in India, the incidences of Digestive Cancer were Esophagal cancer 11 per lakh, Stomach cancer 7.5 per lakh, Colon & Rectal cancer 6.5 per lakh and Liver cancer 4 per lakh in men and and in women the incidences were Stomach cancer 5 per lakh, Colon & Rectal cancer 5.5 per lakh and Esophagal cancer 9 per lakh.

Project Description
The project covered 2 years, 2010 and 2011 during which 24 camps had been conducted in Kanchipuram, Thiruvallur, Thiruvannamalai, Tiruppur & Coimbatore districts.

1587 differently abled school children attended the camp and all were screened for Hepatitis “B” surface antigen, a marker for a serious liver disease, namely cirrhosis of the liver.

Camp Details & Results
Focused Free Health Camps for Differently abled Children conducted by MedIndia Hospitals, Chennai & Coimbatore, 2010

S. No	Date of Camp	Place of Camp	Camp No.	No.attended	District	Result
1	12.06.10, Saturday	Thiruppur Deaf School, Murugapalayam, Thiruppur District.	33	67	Tiruppur	Hepatitis B+ve-2Anaemia- 7 Diabetic -3
2	12.06.10, Saturday	Thiruppur Deaf School, Murugapalayam, Thiruppur District.	34	70	Tiruppur
3	16.06.10, Wednesday	Infant Jesus School for Deaf and Dumb, Thekkupalayam, Coimbatore Dist.,	35	64	Coimbatore	Hepatitis B+Ve- NilAnaemia -5 Diabetic-Nil
4	17.06.10, Thursday	Red cross School for Deaf and Dumb, Goundapalyam	36	73	Coimbatore	Nil
5	30.06.10, Wednesday	National Institute of Visually Handicapped, Karayanchavadi.	37	658	Thiruvallur	Hepatitis B+Ve- 2Anaemia -6 Diabetic-5
6	05.07.10, Monday	Govt. High School for Blind, Poonthamallee	38	53	Thiruvallur	Hepatitis B+Ve- NilAnaemia -7 Diabetic-3
7	05.07.10, Monday	Govt. Higher Sec. School for blind, Poonthamallee	39	50	Thiruvallur	Hepatitis B+Ve- NilAnaemia -8 Diabetic-3
8	07.07.10, Wednesday	MCJ School for Deaf, Annanagar West, Chennai	40	56	Chennai	Hepatitis B+Ve- 1Anaemia -6 Diabetic-1
9	07.07.10, Wednesday	MCJ School for Deaf, Annanagar west, Chennai	41	59	Chennai	Hepatitis B+Ve- NilAnaemia -8 Diabetic-Nil
10	08.07.10, Thursday	Star Rehabilitation School, Ondiduthur, Coimbtore	42	58	Coimbatore	Hepatitis B+Ve- NilAnaemia –3 Diabetic-Nil
11	09.07.10, Friday	Ajai Hr. Sec. School for Deaf, Mugappair west, Chennai.	43	52	Chennai	Hepatitis B+Ve- NilAnaemia -8 Diabetic-Nil
12	09.07.10, Friday	Ajai Hr. Sec. School for Deaf, Mugappair west, Chennai.	44	60	Chennai
		Total		720

Focused Free Health Camps for Differently abled Children conducted by MedIndia Hospitals, Chennai (2011)

S.No.	Name of camp	Date held	Camp No.	No. attended	No. of Differently abled attended
1	MGR School Ramavaram Chennai	24.02.2011 (ForeNoon)	45	–	96
2	MGR School Ramavaram Chennai	24.02.2011 (Afternoon)		–	90
3	CSI School, CBE	23.03.2011 (Forenoon)	47	–	134
4	CSI School, CBE	23.03.2011(Afternoon)	48	–	88
5	Nettrodaya Chennai	30.03.2011	49	–	82
6	Kinathukadavu, CBE	07.04.2011	50	–	84
7	Thiruttani	29.04.2011	51	–	93
8	Anamala, CBE	22.06.2011	52	–	95
9	Amrit, CBE	23.06.2011 (Forenoon)	53	–	52
10	Amrit, CBE	23.06.2011 (Afternoon)	54	–	53
11	MedIndia Chennai	01.07.2011	55	34	–
12	MedIndia CBE	01.07.2011	56	45	–
			Total		867

2010
Total attended: 720
Out of total attended, Differently abled attended: 720

S.No	Deformity	No. of attended	Percentage
1	Deaf	304	49%
2	Deaf & Dumb	177	22%
3	Blind	171	21%
4	Physically orthopaedic	68	8%
	Total	720

2011

Total attended: 867
Out of total attended, Differently abled attended: 867

S.No	Deformity	No. of attended	Percentage
1	Deaf	343	40%
2	Deaf & Dumb	238	27%
3	Blind	223	26%
4	Physically orthopaedic	63	7%
	Total	867

Disease Profile – Focussed Free Health camp for
Differently Abled Children

2010
Total attended: 720

S.No	Disease	Total	Percentage
1	Hepatitis	5	1%
2	Anaemia	58	7%
3	Diabetic	15	2%
	Total	78

2011
Total attended: 867

S.No	Disease	Total	Percentage
1	Hepatitis	7	1%
2	Anaemia	13	2%
3	Diabetic	2	0.2%
	Total	22

Followup

Results were communicated to the Principals of the schools. – Parents were informed by the school authorities to arrange treatment to the children on the basis of prescription issued by the doctors during camp. School authorities are under followup of children.

Conclusion

This project aims to be innovative in its approach to creating awareness and knowledge of various silent digestive diseases leading to timely diagnosis and treatment of digestive diseases providing long term sustainable benefits for the general public. It has the additional benefit of presenting a long term disease prevention strategy for the health planners and the medical community while dealing with epidemics.

As per our campus results, it is observed that cases of Hepatitis “B” +ve have been increased to 7 from 5 for the years 2011 and 2010 respectively.

Year	Cases	Percentage
2010	5	6%
2011	7	9%

Whereas

Anaemia has decreased from 7% to 1.5%

Diabetes has decreased from 2% to 0.9%

Therefore more concentration has been given to reduce incidence of Hepatitis “B” +ve cases by conducting Free Medical Camps among Differently Abled School Children and proper follow up of Hepatitis “B” virus positive individuals.