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ABSTRACT: A community-based cross-sectional survey was carried out amongst the tribal population of Jhabuain Madhya Pradesh. A total of 1385 individuals from randomly selected villages were interviewed using structured questionnaire. Eighty five per cent respondents had knowledge of the symptoms of tuberculosis. About a quarter of the respondents were not aware of any method for preventing TB. Though majority of the respondents (68.2%) stated that TB is a curable disease, most of them (67.2%) were not aware of the DOTS programme. The study emphasizes the need for extensive health education programme to create awareness about tuberculosis in tribal population of the region.
The Indian journal of tuberculosis 10/2012; 59(4):243-8.
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The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberculosis and Lung Disease 09/2011; 15(9):1276-7. · 2.73 Impact Factor
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ABSTRACT: There is little information on the recovery of Mycobacterium tuberculosis complex from sputum samples collected in the field for bacteriological examination.
Tribal areas in the State of Madhya Pradesh, in central India.
Sputum specimens collected from subjects with chest symptoms in a disease prevalence survey were refrigerated until transportation to the laboratory. The specimens were processed for microscopy and culture. The samples were grouped based on the delay in processing for culture from the day of collection into three groups: 0-3, 4-7 and ≥8 days, and the recovery of M. tuberculosis complex in these groups was analysed. The statistical analysis was performed using χ(2) test.
Of the 3651 processed specimens, 114 were positive for M. tuberculosis complex by culture and 96 by smear microscopy. The differences in the proportion of 'smear-positive, culture-positive', 'smear-positive, culture-negative' and 'smear-negative, culture-positive' samples between the three groups were not significant.
In difficult-to-reach areas with limited resources, refrigeration of sputum specimens until they are transported for processing at a reference laboratory for culture seems not to significantly affect the recovery of M. tuberculosis complex isolates.
The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberculosis and Lung Disease 04/2011; 15(4):478-82. · 2.73 Impact Factor
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ABSTRACT: A cross sectional tuberculin survey was undertaken to estimate the Annual Risk of Tuberculosis Infection (ARTI) amongst tribal children aged 1-9 years in Jhabua district, Madhya Pradesh, India. Of the 1056 test-read children, 774 (73.3%) had no BCG scar. The prevalence of infection was estimated as 6.3% (95% CI: 4.8-7.7) and ARTI as 1.2% (95% CI: 0.9-1.5). The findings suggest that the tuberculosis situation in the tribal population of Jhabua district is not that different from the situation among the non-tribal population in the country. However, there is a need to further intensify tuberculosis control measures in the area.
Indian pediatrics 08/2010; 48(1):43-5. · 1.05 Impact Factor
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ABSTRACT: A community-based cross-sectional tuberculosis (TB) disease prevalence survey was undertaken amongst the Baiga primitive tribal community of Baiga Chak in central India.
A population of 2,359 was covered under the study. Sputum samples were collected from chest symptomatics and examined for smear microscopy and culture.
Overall prevalence of PTB was 146 (95% C.I: 0-318) per 100,000 population.
The findings suggest that TB is not a major public health problem amongst this tribal group. However, there is still the need to maintain and further strengthen TB control measures on a sustained and long term basis in the area.
The Indian journal of tuberculosis 04/2010; 57(2):114-6.
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ABSTRACT: A cross-sectional survey was undertaken to estimate the prevalence of pulmonary tuberculosis (TB) among the primitive Bharia tribe of Madhya Pradesh, India. Virtually the entire community in Patalkot valley of Chhindwara District was covered. Individuals aged > or =15 years were questioned about chest symptoms relating to TB. Sputum samples were collected and examined by smear microscopy and culture. The overall prevalence of pulmonary TB was found to be 432 per 100 000 population-not dissimilar to that seen in the wider population in India. There is, however, an urgent need to strengthen TB services in the area to improve access for this group.
The international journal of tuberculosis and lung disease: the official journal of the International Union against Tuberculosis and Lung Disease 03/2010; 14(3):368-70. · 2.73 Impact Factor
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ABSTRACT: A syndromic approach has been advocated for identification and management of sexually transmitted diseases (STDs) in countries where diagnostic laboratory tests are not consistently available. A community-based cross-sectional study was conducted to discover the prevalence of STD syndromes in tribal population of central India.
All married men and women in the age group of 15-49 years from selected villages were enumerated by house-to-house visit. Individuals were interviewed using pre-coded, pre-tested questionnaires about STD syndromes of urethral discharge, vaginal discharge, dysurea, genital ulcer, inguinal swelling, scrotal swelling and lower abdominal pain.
Of the 2568 individuals interviewed, 326 (12.7%) had at least one STD syndrome. The prevalence was almost double in women (17.6%) than in men (8.4%). The highest prevalence (16.2%) was observed in the age group 30-34 years followed by 35-39 years (14.7%). The commonest syndrome in women was vaginal discharge (16.0%) while in men the commonest syndrome was dysurea (1.8%).
The low level of STD syndromes among tribal populations offers an opportunity to prevent a potential epidemic in this disadvantaged community. As no baseline data are available, the findings form the basis for future work in this area.
Journal of epidemiology and community health 07/2009; 63(10):805-6. · 3.04 Impact Factor
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V G Rao,
P G Gopi, R Yadav,
R Subramani,
J Bhat,
A R Anvikar,
K Sadacharam,
B K Tiwari,
V Gadge,
M K Bhondeley,
G P Shukla,
M Ukey,
S Jain,
D F Wares
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ABSTRACT: To estimate the annual risk of tuberculosis infection (ARTI) among tribal children of Madhya Pradesh, central India.
Community-based, cross-sectional tuberculin survey among children aged 1-9 years in the tribal population of Madhya Pradesh. Multistage stratified cluster sampling was used to select a representative random sample of villages predominated by tribal population from selected districts. A total of 4802 children were tuberculin-tested with 1TU of PPD RT 23 and the reaction sizes read after 72 h.
A total of 3062 (64%) children had no BCG scar. The frequency distribution of children by reaction sizes indicated a fair mode at 18 mm in the right hand side of the distribution. By mirror-image technique, the prevalence of infection among children with no recognizable BCG scar was estimated as 6.8% (95% CI: 4.8-8.9%). The ARTI was computed as 1.3% (0.9-1.7%). The corresponding figures for children irrespective of scar status were 7.1% (95% CI: 5.5-8.8%) and 1.3% (1.0-1.7%) respectively.
The risk of tuberculosis infection in tribal population of Madhya Pradesh, central India is not different from other areas of the country. There is, however, a need to further intensify tuberculosis control measures on a sustained and long-term basis.
Tropical Medicine & International Health 11/2008; 13(11):1372-7. · 2.80 Impact Factor
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V G Rao,
P G Gopi, R Yadav,
K Sadacharam,
J Bhat,
R Subramani,
A R Anvikar,
B K Tiwari,
M Vasantha,
M K Bhondeley,
V Gadge,
S I Eusuff,
G P Shukla
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ABSTRACT: A cross-sectional tuberculin survey was carried out to estimate the prevalence of tuberculous infection and the annual risk of tuberculosis infection (ARTI) among children of Saharia, a primitive ethnic group in Madhya Pradesh, Central India. A total of 1341 children aged 1-9 years were subjected to tuberculin testing with 1 TU of PPD RT 23 and the reaction sizes were read after 72 h. The proportion of BCG scar-positive children was 34.6%. The frequency distribution of children by reaction sizes indicated a clear-cut anti-mode at 11 mm and a mode at 18 mm at the right-hand side of the distribution. The prevalence of infection among children irrespective of BCG scar was estimated as 20.4% (95% CI 18.2-22.5%) and the ARTI was 3.9% (95% CI 3.5-4.3%). The corresponding figures were 21.1% (95% CI 18.3-23.8%) and 3.9% (95% CI 3.4-4.5%) among BCG scar-negative children and 19.0% (95% CI 15.4-22.5%) and 4.0% (95% CI 3.2-4.8%) among BCG scar-positive children. The findings of the present study show a high prevalence of tuberculous infection and high ARTI in this primitive ethnic group. There is an urgent need to further intensify tuberculosis control measures on a sustained and long-term basis in this area.
Transactions of the Royal Society of Tropical Medicine and Hygiene 09/2008; 102(9):898-904. · 2.16 Impact Factor
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ABSTRACT: A study to assess the status of intestinal parasitosis and anaemia was carried out among the pre-school children of Gond tribal community in Kundam block of Jabalpur district, Madhya Pradesh. A total of 985 pre-school children were covered. The results revealed that 48% pre-school children had intestinal parasitic infections. Common parasites observed among them were Hymenolepis nana, hookworms and roundworms. Mean epg for these parasites ranged from 371.2 to 1221.8. High prevalence of anaemia (86.7%) was also observed among them. This high prevalence of intestinal parasitic infections and anaemia could be due to indiscriminate defecation, low socio-economic status, ignorance and low standard of personal hygiene. Comprehensive control strategy with specific intervention measures need to be evolved and implemented specially in tribals as serious efforts are being madeby the Govt. for their overall development.
The Journal of communicable diseases 07/2002; 34(2):100-5.
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The National medical journal of India 23(6):372-3. · 0.60 Impact Factor
