Health Current Affairs - 2019

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National Diabetes and Diabetic Retinopathy Survey, 2019

On October 10, 2019, at the Conference of Central Council of Health and Family Welfare, Union Minister Harsha Vardhan released National Diabetes and Diabetic Retinopathy survey, 2019. The survey was conducted between 2015 and 2019. Diabetes and Diabetic retinopathy have been emerging as significant non – communicable diseases that lead to ocular morbidity.

The survey was conducted by Rajendra Prasad Center for Ophthalmic sciences and AIIMS, New Delhi

Key findings of the survey – Diabetes

  • One in 46 diabetic patients in India become visually impaired due to diabetes. And one in 7 diabetic patients have vision impairment
  • The prevalence of Diabetes has remined at 11.8% in the last four years. Prevalence of known diabetes cases were 8% and new cases were 3.8%
  • Males showed prevalence of 12% and females 11.7%
  • The highest prevalence was observed in the age group of 70 – 79 years
  • Around 5.3% of the patients were diagnosed in past one year. While, 5.3% of cases were known diabetic cases

Key findings of the survey – Diabetic Retinopathy (DR)

  • DR was prevalent in diabetic population aged up to 50 years. Around 16.9% of the population suffered from DR
  • Among males DR was prevalent among 17% of males and 16.7% of females
  • DR among different age groups were observed as follows
    • 60 – 69 years – 18.6%
    • 70 – 79 years – 18.3%
    • Above 80 years – 18.4%
  • Prevalence of blindness among diabetic patients was 2.1% and visual impairment was 13.7%

The report says that lack of data on DR is a major concern in India. This is the first survey to include DR along with diabetes.

Diabetic Retinopathy

It is a diabetic eye disease. It affects 80% of those who have diabetes. DR is a condition in which damage occurs in retina due to diabetes mellitus. The longer a person suffers from diabetes higher are his chances to develop DR.

WHO on Diabetes

The WHO estimated that in 2014 around 8.4% were diabetic globally. In India around 72.96 million diabetes cases were identified. It was between 10% and 14% in urban areas and between 3% and 7% in rural areas.

Reasons

  • Poor Awareness is the major cause of diabetes in India. Around 60% of Indians have poor control over their sugar level according to the survey
  • Majority of the diabetic patients never sought an eye check up
  • 90% of diabetic patients never gone for fundamental evaluation for diabetic retinopathy
  • The main reason for diabetes leading to vision impairment or blindness is mainly due to poor blood sugar control. Around 85.7% of surveyed patients were on oral tablets while only 39.5% had controlled blood glucose level.

CCHFW – Conference of Central Council of Health and Family Welfare

The 13th Conference of Central Council of Health and Family Welfare was inaugurated by the Union Minister of Health and Family Welfare. The conference is to be held for one and half days on various issues in seven sessions.

About the Conference

The purpose of the conference is to build a consensus on National wealth priorities. It includes Universal Health Coverage through various flagship programs like Ayushman Bharat, National Control of Tuberculosis Program, National Nutrition Mission, etc. The conference also aims to promote steps towards the target of National Health Policy 2017, that is, to allocate 2.5% of GDP to health by 2025.

Highlights

  • The conference is to be conducted on 4 pillars of healthcare namely
    • Universal Health Coverage
    • Mission mode interventions
    • Quality and accessible affordable healthcare services
    • Adequate Infrastructure
  • At the inaugural function the Union Health Minister Dr Harsha Varshan released the following reports
    • National Diabetes and Diabetic Retinopathy Survey India (2015 – 19)
    • Report on National Diabetes and Diabetic Retinopathy survey India (2015 – 19)
  • The minister also unveiled leaflets on Suicide Prevention marking the World Mental Health Day
  • The following guidelines were released
    • Guidelines on Drugs and Diagnostic Service Initiative
    • Guidelines for Biomedical Equipment Management and Maintenance Program
    • Guidelines for Peritoneal Dialysis under Pradhan Mantri National Dialysis Program.
  • SUMAN – Surakshit Matritva Aashwasam – A new initiative for zero preventable maternal and new born deaths was launched.

Issues included in the agenda of the conference

  • Strengthening National Health Mission
  • Control programs for TB, Vector Borne diseases, Leprosy, Viral Hepatitis
  • National AIDS program
  • Reproductive health
  • Cardio – vascular diseases, Non – communicable diseases
  • Regulation in medical education
  • National Organ Transplant program
  • Clinical establishment acts