Wellness

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• Wellness

Your childs wellness is your happiness
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We do our best to treat Childhood illnesses
But Remember. Prevention is always better
than cure Think Wellness Think Prevention
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You leave no stone unturned

• By
• Providing right nutrition
• Maintaining hygienic atmosphere at home
• Prompt medication at the first sign of illness
• Moral Support

• Schools Strive
• Towards
• Mental physical development of children.
• Managing emergencies
• Periodic medical check ups

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Still. diseases prevail

• Measles
• Mumps
• Rubella
• Hepatitis B
• Chicken pox
• Hepatitis A

• Tuberculosis
• Polio
• Diphtheria
• Pertussis
• Tetanus

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The Impact

• Mental physical trauma for the child parents.
• Missing out on
• School
• Exams
• Fun play.
• Work- in case of parents
• Temporary or permanent debilitation of the child

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Why Vaccines ???

• Every year.
• Over 30 lacs deaths are prevented.1
• 750,000 children are saved from disability.1 due
  to vaccines.
• Polio Eliminated except India, Pak, Afghanistan
  Nigeria2

Diseases controlled worldwide

• Smallpox Eradicated 3.
• Measles - Controlled (in America parts of
  Europe)3.
• Tetanus, Diphtheria, Rubella, Meningitis Liver
  cancer due to Hepatitis B - Dramatic reductions.

• Ehreth J. The value of vaccination a global
  perspective. Vaccine 2003 21 596-600 .2. Fine
  PE, Griffiths UK. Global poliomyelitis
  eradication status and implications. Lancet
  2007 369(9570)1321-1322. 3 IFPMA May 2003.

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• With the exception of clean drinking water,
  vaccines are the most effective intervention in
  reducing and preventing infectious diseases.1
• 26 diseases are now vaccine preventable.2

1. European Vaccine Manufacturers paper. Out of
Sight. Out of Mind. 2003. 2. IFPMA May 2003.
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GLOBAL SCHOOL VACCINATION LAWS

• Some countries that have compulsory school
  immunization
• laws are
• USA
• Canada
• Australia
• Germany
• Singapore
• Brazil
• Hungary
• Mexico
• Poland
• and many others

Br Med J (Clin Res Ed). 1987 May
16294(6582)1270-1.Ministry of Education
Website, Singapore
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The Indian Scenario
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All India School Survey SCHOOL CONTACT

• 278 school across India
• In ten cities

Delhi
Ludhiana
Jaipur
Kolkata
Ahmedabad
Pune
Mumbai

• Reached 1,62,000 children
• Response received from 75,000 children
• Age group - 5 to 10 years

Hyderabad
Bangalore
Chennai
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The Indian Scenario
Diseases Percentage of children that may be unprotected
Chickenpox Up to 59
Hepatitis A Up to 61
Measles, Mumps, Rubella Up to 57
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Economic impact of infection

• Medical costs
• Medication
• Transmission to others
• Complications
• Nurse advice
• Visits to clinic, home and emergency department
• Hospitalization

• Indirect/intangible costs
• Loss of earnings and productivity (Patients,
  parents or carers)
• Missing out on schools
• Isolation up to 2 weeks
• Impaired quality of life
• Scarring

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Common ChildhoodVaccine Preventable Diseases

• Hepatitis A Hepatitis B
• Chicken Pox
• Measles, Mumps. Rubella (MMR)
• Diphtheria, Tetanus Pertussis (DTP)
• Typhoid

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Hepatitis What is Hepatitis?

• Hepatitis means inflammation of the liver
• Hepatitis can be caused by a virus that gets into
  your body and attacks the liver.
• There are five known hepatitis viruses A, B, C,
  D E.
• Jaundice is only a symptom of Hepatitis.

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Hepatitis A is a serious liver disease caused by
infection with the Hepatitis A virus.
Symptoms of Hepatitis A

• Jaundice (yellow skin and eyes)
• Dark urine
• Light-colored stools
• Diarrhea
• Tiredness
• Loss of appetite
• Fever
• Stomach-ache
• Not everyone has symptoms.
• Adults and teens will have symptoms more
  often than young children

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Hepatitis A A Serious disease

• Hepatitis A is one of the more common causes of
  acute liver failure in young children in India.
• Severe complications can occur, including
• Cirrhosis (scarring) of the liver
• Liver failure
• Death.
• It may render your child bedridden for a month.
• If this happens during exams, it can negatively
  impact a young minds academic progress.

1 Bhowmick K, Mammen A, Moses PD, Agarwal I,
Mathew L, Kang G. Hepatitis A in pediatric acute
liver failure in southern India. Indian J
Gastroenterol 2005 24(1)34
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Prevention of Hepatitis A

• There is no specific medical treatment for
  hepatitis A.
• It can be prevented by
• Good Hygiene
• Clean drinking water avoidance of food
  contamination
• Immune globulin
• Vaccination (pre-exposure)

Source http//www.cdc.gov/ncidod/diseases/hepati
tis/a/index.htm
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Hepatitis A and Hepatitis B are different
HEPATITIS B VIRUS Found in Blood and certain body fluids1 Spreads through Transfer of body fluids from an infected person1 Mother to child at birth1 Contaminated needles1 Blood transfusions1 Sexual contact1 HEPATITIS A VIRUS Found in Stools of infected people2 Spreads through Contaminated food and water2 Unwashed insufficiently cooked vegetables2 Food handled by infected people2 Refrigerated foods2 Swimming pools2
1 Hepatitis B vaccines WHO Position Paper 2
Fiore AE. Hepatitis A transmitted by food. Clin
Infect Dis. 2004 Mar 138(5)705-15.
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Good news!

• Both Hepatitis A and Hepatitis B are vaccine
  preventable!

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Hepatitis A and Hepatitis B vaccine are different
Hepatitis B vaccine 3 doses1 Given soon after birth1 After seroconversion, it provides life-long protection from Hepatitis B2 Hepatitis A vaccine 2 doses3 Given after the 1st year of life3 Provides life-long protection from Hepatitis A4
1 Engerix-B Prescribing Information 2 Banatvala
JE, Van Damme P. Hepatitis B vaccine -- do we
need boosters? J Viral Hepat. 2003
Jan10(1)1-6 3 Havrix Prescribing
Information 4 Van Damme P, Banatvala J, Fay O,
Iwarson S, McMahon B, Van Herck K, et al.
Hepatitis A booster vaccination is there a need?
Lancet. 2003 Sep 27362(9389)1065-71
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Hepatitis Public Awareness Campaign
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Chickenpox

• Chickenpox is an infectious disease caused
• by the varicella-zoster virus.
• It results in
• blister-like rash (200-300 blisters)
• itching
• tiredness and
• fever. 

Child should not attend school and be isolated
for at least 5 days after the spots first appear
and until all the blisters have dried.
http//www.cdc.gov/nip/diseases/varicella/
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How do you get chickenpox?
Varicella-zoster virus (VZV) is transmitted by

• Once a case has occurred in a susceptible
  population, it is very hard to prevent an
  outbreak.

http//www.who.int/vaccines/en/varicella.shtml
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Did you know?

• Almost every individual born on this earth would
  suffer from chickenpox in his/her lifetime,
  either as a child or as an adult.

http//www.who.int/vaccines/en/varicella.shtml
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Chickenpox is not a benign disease
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Prevention of Chickenpox

• Control of Chickenpox can be achieved only by
  widespread vaccination.
• Doses Up to 12 years One dose
• gt 13 years - 2 doses

http//www.who.int/vaccines/en/varicella.shtml
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Chicken Pox Public Awareness Campaign
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Information
Knowledge
Your Power To Protect
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Mission

• To instill the importance of protection and
  preventive healthcare in creating a sense of
  WELLNESS in children, families and society at
  large

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Vision

• Healthy Children, Advantage India

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Next Step

• Collect your Health Record Card.
• Visit your Pediatrician.
• Get the Health Record Card updated.
• Follow your Pediatricians advice.
• Submit the Health Record Card back to school
  within a fortnight.

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Thank you for attendingYour Power To Protect
Program
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