|SOME ASPECTS OF CHANGES IN RURAL POPULATION AND
FATE OF TB CASES AFTER AN INTERVAL OF TWELVE YEARS
|MS Krishnamurthy, KR Rangaswamy, AN Shashidhara &
GC Banerjee: NTI Newsletter, 1974, 11, 1-7.
During second epidemiological survey carried out
in 1972-73, special efforts were made in 21 of 62 villages belonging
to first survey (1961-62) to study the demographic changes and fate
of TB cases after an interval of 12 years.
The findings were: The increase of dejure population
was about 20% over a period of 12 years i.e., an annual increase
of 1.7%. The age structure had altered mainly due to significant
increase in the age group 60 years and above 51% to 64% indicating
aging of population. The loss of original population after 12 years
was 44%, of which 33% was due to migration and 11% due to death.
The overall migration was more among females. The migration rate
was higher in younger age group, being highest in 10-19 years (49%),
next in 0-9 years (38%). Thus, overall migration in 0-19 years was
43%. The death rate was highest in 60 years and above (58%). It
varied from 4-9% in age group 0-39 years. Original population available
after 12 years for re-examination was 56%. Distribution in different
age groups were; 0-9yr = 57%, 10-19yrs = 47%, 20-49yrs = 66%, 50-59yrs
= 44%, 60yrs and more = 28%.
Out of 88 X-ray suspect cases of earlier survey,
87 could be identified and present status of 72 were known. Of them,
16 were normal, 12 and 4 found to be suspect cases and bacillary
cases respectively and 40 had died. Of the remaining fifteen, 11
migrated and 4 not examined. Out of 14 bacillary cases, 13 could
be identified. Of them, 3 were sputum negatives (2 normal and 1
suspect case) 9 had died and 1 migrated.
|KEYWORDS: FATE, CASE, SUSPECT CASE, MORTALITY,
MIGRATION, RURAL POPULATION, DEMOGRAPHIC CHANGES, SURVEY.
|REPORT ON THE FIRST AND SECOND PASSIVE FOLLOW-UPS
OF CHILD POPULATION IN 0-14 YEARS AGE GROUP IN A SLUM AREA OF BANGALORE
|S Dwarakanath, Sukant Singh and R Rajalakshmi: NTI
Newsletter 1977, 14, 97-104.
The findings of the two follow-ups conducted passively,
in a slum area of Bangalore city, each at an interval of one year,
are presented here. The objectives of the follow-ups were to study
the migration, episodes of sickness and health status of sick people
of initial survey over a period of time in the pediatric age group.
The information was collected by two ways: (1) by visiting each
house to collect information on sickness among them during the preceding
year as per the questionnaire. (2) Going through the records of
the Area Health Centre about various morbidities among the residents
of the area pertaining to symptoms, diagnosis and treatment during
any year noted.
Migration had occurred upto 7% in 0-9 year age
group within first year and no migration during second year in 0-4
year age group. Out of 400 children belonging to 0-14 years, had
symptoms related to respiratory system. In all, 5 children were
diagnosed as case of active primary tuberculosis, non-e died in
two years and one had persistent respiratory symptoms. Hospital
records showed that only 1 out of 5 had attended any health facility
with respiratory symptoms. The usefulness of passive follow-up without
clinical investigations as a tool, needs to be reviewed. Most of
the symptomatics do not go to hospital. Diagnosis cannot be arrived
at by passive follow-up. It may be necessary to decrease the interval
of follow-ups if it is desired to get precise idea on frequency
of episodes of sickness, as most of the sicknesses are forgotten
by the population with passage of time.
|KEY WORDS: PASSIVE FOLLOW-UP, URBAN, SLUM COMMUNITY,
CHILDREN, SICKNESS, MIGRATION.