COMMUNITY MEDICINE with Recent Advances
COMMUNITY MEDICINE with Recent Advances
Fifth Edition
AH Suryakantha MD DHA
Family Physician Amberkar Virupanna Clinic
Davangere, Karnataka, India
Formerly
Professor Department of Community Medicine Basaveshwara Medical College and Hospital
Chitradurga, Karnataka, India
Professor and Head Department of Community Medicine JJM Medical College
Davangere, Karnataka, India
Professor Department of Community Medicine SS Institute of Medical Sciences and Research Center
Davangere, Karnataka, India
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Community Medicine with Recent Advances
First Edition: 2009
Second Edition: 2010
Third Edition: 2014
Fourth Edition: 2017
Fifth Edition: 2019
9789388958813
Printed at
The Revered Memory
of Public Health Stalwarts,
My Parents
and
Teachers
It gives me a great pleasure and satisfaction to bring out the fifth edition, having the same elegant cover page. This outcome is because of the encouragement and the feedback, I received from my professional colleagues, from various parts of the country.
As the subject is ever growing, so is the transition in the book. As per the title, many recent advances in the field of Community Medicine have been updated. New topics included are National Health Policy – 2017, National Health Insurance Schemes, Integrated Management of Neonatal and Childhood Illness, Epidemiology of Stress, Epidemiology of Leptospirosis, Health Hazards of Internet, National Kala-azar Elimination Programme, Epidemiology of Asian Lineage Avian Influenza H7N9 Virus, National Strategy for Malaria Elimination, National Strategic Plan for HIV/AIDS and STI 2017–2024, National Oral Health Programme, Floods and Health, and Nipah Virus Disease.
New small topics included are Swachh Bharat Abhiyan, Biomedical Waste Management Rules – 2016, ICMR Recommended Daily Allowances of the Nutrients, Global Vaccine Action Plan, National Operational Guidelines on Introduction of Measles – Rubella Vaccine, Global Health Sector Strategy on Viral Hepatitis, National Deworming Day, Suraksha Clinic, Revised Guidelines on Anti-retroviral Therapy, Modified Kuppuswamy's Method of Socio-economic Classification, Mother's Absolute Affection Programme, Mother and Child Tracking System, Sample Registration System, Meta-analysis, Fish-Bowl Technique, “All-In” initiative, Rashtriya Kishor Swasthya Karyakram, Gantt chart, Focus Group Discussion, Poisson Distribution, Ayushman Bharat, Rapid tests for detection of Food Adulterants, List of Health Policies and many more.
Focus is also given on updating National Immunization Schedule – 2017, Zoonoses, Zika vaccine, Mycobacterium indicus pranii vaccine, Opened Multidose Vial Policy, Intensified Mission Indradhanush and Post-exposure Prophylaxis for Leprosy.
Revised topics are Epidemiology of Dengue Fever, Revised National Tuberculosis Control Programme and National Programme on Cancer, Diabetes, Cardiovascular Diseases and Stroke.
Readers are requested to give the feedback, both positive and negative, which will be accepted sportively for further improvement.
My special thanks to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Dr Madhu Choudhary, Head-Publishing (Education), Ms Pooja Bhandari (Production Head) and Dr Priyanka Manchanda (Development Editor) and team members of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India for their encouragement given to me and for making this book popular both at the national and international levels.
I sincerely thank Mr Venugopal V (Director-South) of Jaypee Brothers Medical Publishers (P) Ltd., who inspired me to take up the task and go ahead.
I also thank Mrs Usha S Amberkar for her cooperation throughout the period of my work.
I will be failing in my duty, if I do not thank Mr Sanjeev Kumar GP, M/s Gundal Compu Center, Davangere, Karnataka, for his valuable help in preparing the manuscript.
I earnestly hope this book will help not only the medical students, but also Medical Officers, Health Policy Makers and Health Administrators.
AH Suryakantha
Preface to the First Edition
The publication of this book is the end result of teaching community medicine to undergraduate and postgraduate students for more than three decades. Though the book is written primarily for undergraduates, it would also be useful for postgraduate students of community medicine. Considering an ever-increasing demand for a comprehensive book on community medicine, an attempt has been made to make the book, student-friendly, teacher-friendly, examiner-friendly and doctor-friendly.
The book is student-friendly because it is written in an understandable way, covering the entire syllabus prescribed by the Medical Council of India (MCI), including the recent advances. The matter is presented in such a way as to avoid confusion and to make the reading of the book a pleasurable experience. Topics like Biostatistics would encourage the students to take up the research activities. The lucid language of the book would facilitate quick revision.
The book is teacher-friendly because they may appreciate the presentation of the subject matter exhaustively and clearly, having tentacles attached to various other branches of medicine such as obstetrics, pediatrics, dermatology, psychiatry and general medicine, in order to conform to the changing profile of community medicine.
The book is examiner-friendly because it covers the vast areas of the subject to enable asking questions vertically, horizontally and tangentially.
The book is doctor-friendly because it would help the general practitioners and the rural medical officers in providing not only curative services, but also preventive and promotive services to the community at large, motivating them to a healthier, and happier life.
In spite of sincere attempt to make the book a comprehensive one, there may be some gaps, imperfections and mistakes. Readers are requested to give the feedback in the form of remarks and suggestions, which will be accepted sportively for the improvement of the next edition.
I sincerely thank Mrs Jyothi and staff members of Zen Computers for their excellent typing work and helpful services.
I would like to express my appreciation of the patient forbearance borne by my wife Smt Usha during the entire period of preparation.
Lastly, I am grateful to Mr Venugopal, Branch Manager, Bengaluru, Karnataka, India and the entire team of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for making my dream a reality.
AH Suryakantha