Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0085632 (apathy)
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A community investigation was conducted in 2 villages of east Delhi, having 15,000 population. Ten per cent households were selected from both the villages by systematic random sampling and all the under 3-year children in selected households were included in the study. A total of 126 under 3-year children from 360 households were investigated. Total children immunised against measles were 86. Most of the 86 immunised children were vaccinated between 9 and 11 completed months. Of the 80 children aged 12 months or above, 12(15%) were unimmunised. Main reason behind non-immunisation was parental apathy. Of the total 126 surviving under 3-year children, 12(9.52%) had a history of probable measles. Two of these children had already measles before they could be eligible for measles vaccination as per the current schedule.
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PMID:Measles, immunisation and disease: rapid epidemiological assessment in two trans-Yamuna villages of Delhi. 1114 58

India has formulated a nationally applicable, socially acceptable, and epidemiologically effective National Tuberculosis Program (NTP), which served as an example for many other countries. In the 1940s, the New Delhi Tuberculosis Center pioneered organized domiciliary treatment of TB cases; the Union Mission Tuberculosis Sanatorium, Madanapalle, had started conducting epidemiological surveys in the late 1930s; the 1954-56 national sample survey of TB is still considered a classic; and this was followed by outstanding longitudinal surveys and epidemiological studies demonstrating that BCG does not provide protection to adults against TB. Halfdan Mahler joined P.V. Benjamin in launching the National BCG Campaign in the 1950s. India demonstrated in the 1950s that home treatment of patients is as efficacious as sanatorium treatment. The National Tuberculosis Institute was set up in 1959 with the specific mandate of making TB services available to larger masses of people. Social science data were also collected to show that TB patients were seeking help from health institutions; they helped diagnose patients in remote rural areas, they proved that the TB program had to be part of the general health services, and they demonstrated the epidemiological potential of a felt-need oriented TB program. The NTP diagnosed TB cases in rural institutions by sputum examination and treated them with chemotherapy. The Tuberculosis Center at district headquarters (DTC) was responsible for providing training to health workers, keeping track of all TB cases and referring them. By 1983-84, the NTP program had been implemented in 353 districts and during that year 1,308,880 cases were treated. Nevertheless, hundreds of thousands of infectious patients are not treated because health authorities put priority on child immunization and are preoccupied with malaria and family planning. The indifference of the bureaucracy and public health leadership is to be blamed for thousands of TB deaths. The solution lies in strengthening the practice of public health.
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PMID:The National Tuberculosis Programme and its implementation. 1228 91