Suneela Garg

Suneela Garg
Maulana Azad Medical College | MAMC · Department of Community Medicine

MD Community Medicine

About

205
Publications
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2,484
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Publications

Publications (205)
Article
Full-text available
Background: India has over 50 million workers employed in industries with exposure to very high sound levels, predisposing them to noise-induced hearing loss (NIHL). Methods: We conducted a systematic review and meta-analysis by using the following criteria: (1) Observational or experimental studies conducted in India; (2) English language studies;...
Article
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The current MPX outbreak is one rare example of a DNA virus gaining international attention, just because it has a zoonotic potential. Most other DNA viruses lack this special feature seen only with RNA viruses, most of which are zoonotic. MPX can assume significance in poor nations where public health infrastructure is not strong enough to contain...
Article
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The present study was conducted among accredited social health activists (ASHAs), female frontline health workers of India, to assess their knowledge of self-care management for diabetes mellitus (DM) and hypertension (HTN) and understand their readiness to promote medical adherence. Only 21 (41.2%) participants (n = 51) were aware of all the four...
Article
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Objective: This study aimed to determine the effect of a mHealth (text message) intervention compared with a structured health educational session on the oral care and hygiene practices of pregnant women. Materials and methods: We conducted a pilot randomized control trial, parallel design superiority trial, with a 1:1 allocation ratio. A total...
Article
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Background: Smokeless tobacco (ST) use is common among youth in South Asia where 85% of the world’s 300 million ST users live and use the most lethal ST forms. Little is known about the impact of tobacco control policies on the youth ST uptake in those countries. We planned to conduct longitudinal surveys among school going adolescents to evaluate...
Article
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R value of Omicron strain has been recorded at 10 globally and in India the R value has been found to be at 2.69. The R value greater than 1 means that the numbers of cases are growing rapidly and clearly this variant is more contagious than the previous one. More over this wave is affecting children across the country. The data for this review wer...
Article
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Background: Domestic violence during pregnancy endangers the health of the mother and her child. Aim and Objective: To ascertain the knowledge and attitudes towards domestic violence among pregnant women in India and to find out their sociodemographic predictors. Settings and design: This cross-sectional analysis of baseline data from a prospective...
Article
The Covid-19 pandemic continues to stalk the globe, ever since the first outbreak in December 2019. Variants of concern and fear of subsequent pandemic waves continue to challenge every nation. The virus has caught communities off-guard many times with grave consequences.
Article
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Introduction: Timely and quality antenatal care (ANC) is an essential element of universal health coverage and a key determinant for the prevention of maternal mortality. Nevertheless, evidence from large-scale health surveys in developing countries highlight a lack of access and utilization of antenatal care especially among socioeconomically dis...
Technical Report
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This document is an advisory from IAPSM on resumption of physical classrooms in educational institutions. It outlines the background, rationale and safeguards for the same. The advisory applies to educational institutes across age-groups - starting from pre-school (including Anganwadi centres) to professional institutions.
Conference Paper
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Objective to determine the effect of a mHealth (text-message) intervention compared with a structured health educational session on the oral care and hygiene practices of pregnant women. Methods We conducted a pilot Randomized Control Trial parallel design superiority trial with a 1:1 allocation ratio. A total of 76 pregnant women up-to 20 weeks o...
Article
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As the world has become a global village with increasing socioeconomic interdependence, health, security and stability issues are imposing interrelated global impacts. Thus, activities supporting epidemic and pandemic preparedness are needed to minimize vulnerability to acute public health events. Coordination mechanisms must be pre-established for...
Article
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Background: It was observed that adult users start tobacco use in childhood or adolescence. The influence of digital and print media, social acceptance among peers, and in order to mimic role models from films attracts youth towards tobacco. Hence this study was conducted to assess the prevalence of smokeless tobacco (SLT) use among school-going a...
Article
Background: Smokeless tobacco (SLT) consumption poses serious health problems and is considered to be a signicant risk factor for oral, esophageal and pancreatic cancers. Estimation of the magnitude of consumption of SLT would be useful in planning for tobacco control activities in the community. Objectives: The study was conducted to estimate the...
Article
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Background: Government schemes for the promotion of Menstrual Hygiene Management (MHM) among adolescent girls in India are underpinned by crucial implementation efforts from the frontline health workers, community health workers, and school teachers. Aim: The aim of the study is to identify the perspectives on menstrual health and hygiene manage...
Article
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The entire world seems to have responded to COVID-19 pandemic in a knee-jerk manner with a short mindset without building on the existing strengths of public health infrastructure. National governments cannot be blamed for this as we are dealing with a crisis that comes once in a lifetime. Realising this, the Organized Medicine Academic Guild (OMAG...
Article
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Background: School absenteeism during menstruation and its related effects are preventable through identification of factors associated with it and implementation of region specific appropriate public health measures. Objectives: The authors aimed to assess the prevalence of school absenteeism during menstruation and its associated factors among t...
Article
Background: School absenteeism during menstruation and its related effects are preventable through identification of factors associated with it and implementation of region specific appropriate public health measures. Objectives: To assess the prevalence of school absenteeism during menstruation and its associated factors among adolescent girls res...
Article
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Background: Suboptimal adherence to anti-tuberculosis medication in patients is associated with adverse treatment outcomes including treatment failure, relapse, and emergence of drug resistance. Objectives: : We conducted the present study with the objectives of evaluating the effectiveness of a mHealth package on the medication adherence of pat...
Article
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Significant public health events of the 21st century include epidemic prone diseases such as severe acute respiratory syndrome (SARS), Middle East respiratory syndrome (MERS), influenza A (H1N1), Ebola virus disease, and coronavirus (SARS-COV-2). Preparedness as well as risk mitigation strategies play an integral role for the success of responses t...
Article
Background: In India, laboratory diagnosis of SARS - CoV-2 infection has been mostly based on real-time reverse transcriptase-polymerase chain reaction (RT-PCR). Studies have shown that Viral titres peak within the first week of symptoms but may decline later hampering RT-PCR-based diagnostic strategies. Exact estimate is difficult under high-risk...
Article
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Introduction: Countries globally are evaluating the concept of herd immunity and its critical role in the control of pandemic. The current paper attempts to conduct a critical interpretative synthesis (CIS) on the role of herd immunity in current COVID-19 pandemic. Methods: CIS is tool for developing theoretical framework using interpretation dr...
Article
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Background: Child-To-Child Approach is an innovative strategy for preventing and reducing the morbidity and mortality burden of unintentional childhood injuries. Objectives: To test effectiveness of Child-To-Child Approach in preventing unintentional childhood injuries and their consequences. Study design: Community-based non-randomized cluste...
Article
Difficulties of the hearing impaired have increased due to COVID-19, leading to lack of inclusiveness along with the breakdown of their mental, physical, and social health. The study objective was to assess the challenges faced by the deaf and hearing-impaired people during COVID-19 by a literature review. Literature search was done using keywords...
Article
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Introduction: Menstruation, a physiological phenomenon, till date is associated with myths, taboos, and malpractices. These interfere with the emotional, physical, and mental health of adolescent girls. This study attempts to draft a validated questionnaire to measure menstruation-related activity restriction. Objective: The objective was to stu...
Article
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Background: . Diabetes-related health education promotes patient efficacy for diabetes self-management. However, sub-optimal knowledge of diabetes in people with diabetes is recognized as a challenge in overcrowded public health facilities in India. We aimed to determine the effect of health education through mobile phone text messages (short mess...
Article
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Introduction: Adherence to Iron-Folic Acid Supplementation (IFAS) in pregnant women can safeguard them against nutritional anemia and the related adverse pregnancy outcomes. The objective of this study was to assess the adherence to oral IFAS in women attending an antenatal clinic in an urban resettlement colony of Delhi, India. Material and Method...
Experiment Findings
Domestic violence as reported by study subjects, was higher during the initial 445(29.7%) and 1st follow up 359(25.8%) as compared to 339(24.6%) and 287(22.8%) study subjects at the 2nd and 3rd follow up visits. � New cases of domestic violence amongst study subjects at the 1st, 2nd and 3rd follow up visits was found to be 30(8.35%), 11(3.24%) and...
Research
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Origin Context: Violence against women is a major public health problem and a violation of their human rights. Intimate partner violence (IPV) during pregnancy has been linked to various adverse maternal health outcomes and birth outcomes. Aims: The aim of this study is to assess the magnitude of maternal complications and adverse birth outcomes in...
Article
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Background: Despite the cultural sanctity and elevation of breastfeeding practices, nearly one in two Indian women nationwide are unable to practice exclusive breastfeeding (EBF). Early identification of mothers at risk of reduced breastfeeding through a suitable instrument can enable targeted interventions for breastfeeding support. Objectives: We...
Article
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Telemedicine and related e-health facilities facilitate care from a distance through electronic information systems. COVID-19 pandemic is establishing telemedicine in the health care delivery system of countries. Telehealth is contributing significantly in health care delivery during the COVID-19 crisis. For mild-to-moderate symptoms of COVID-19 or...
Article
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Communicable diseases are on an increase and technical solutions alone cannot ensure the effective control and prevention of communicable diseases. Hence, strategies to mobilize all levels of society are also essential. Healthcare is shifting towards person-centered care and patient empowerment. Along with patient empowerment, medical education is...
Article
Background: Smokeless tobacco (ST) use is common among youth in South Asia where 85% of the world's 300 million ST users live and use the most lethal ST forms. Little is known about the impact of tobacco control policies on the youth ST uptake in those countries. We planned to conduct longitudinal surveys among school going adolescents to evaluate...
Article
Background and aims to determine the oral health practices in patients with DM and to identify their perspectives on treatment-seeking for oral health. Methods We conducted a cross-sectional study in the diabetes clinic of a government hospital in Delhi, India. Data was collected through face-face interviews with the patients. Results We enrolled...
Article
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The lack of adherence to the recommended rabies post-exposure prophylaxis guidelines by physicians during encounters with cases of animal bite re-exposure results in enormous avoidable economic costs, wastage of scarce resources, and is a significant but neglected health concern. The challenges encountered in managing animal bite re-exposure cases...
Article
Objective: To determine the prevalence of unintentional injuries and its associated factors among under-five children in Rural Delhi. Methods: This community based cross-sectional study was conducted in Pooth Khurd village of Delhi during 2018 among under-five children and their care givers. Primary caregivers of the child in the randomly select...
Article
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We examined the magnitude of smokeless tobacco (SLT) use in India and identified policy gaps to ascertain the priorities for SLT control in India and other high SLT burden countries in the Southeast Asia region. We reviewed and analysed the legal and policy framework to identify policy gaps, options and priority areas to address the SLT burden in I...
Article
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Introduction South Asia is home to more than 300 million smokeless tobacco (ST) users. Bangladesh, India and Pakistan as signatories to the Framework Convention for Tobacco Control (FCTC) have developed policies aimed at curbing the use of tobacco. The objective of this study is to assess the compliance of ST point-of-sale (POS) vendors and the sup...
Article
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Covid-19 has once again brought into focus our limited preparedness to deal with epidemics. Most nations, across the globe, have responded with a resolve to come stronger out of this crisis and leaderships across the world have shown great commitment to protecting its people from Covid-19. Covid-19 has also taught us a few things for the future. On...
Preprint
BACKGROUND Primary healthcare centers (PHCs) represent the first tier of the Indian healthcare system, provides a range of essential outpatient services to people living in the rural, suburban, and hard to reach areas. Moreover, several secondary and tertiary care hospitals in India which cater to millions of daily outpatients have been converted i...
Article
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Background: Primary health centers (PHCs) represent the first tier of the Indian health care system, providing a range of essential outpatient services to people living in the rural, suburban, and hard-to-reach areas. Diversion of health care resources for containing the coronavirus disease (COVID-19) pandemic has significantly undermined the acces...
Article
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These are general guidelines following post COVID 19 lockdown in India prepared by members of Indian Association of Preventive and Social Medicine. It comprises of experts whose expertise is in epidemiology and health statistics.
Article
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One of the major steps to prevent damage due to any pandemic is to focus on risk factors related to the disease. Tobacco consumption is emerging as a major factor out of all for COVID 19. There is hardly any country who has warned the public about this or has made the Tobacco control measures stringent in view of COVID 19. Factors making tobacco co...
Preprint
UNSTRUCTURED COVID 19 pandemic needs deployment of novel surveillance strategies to curtail the spread of disease further in the community. Participatory disease surveillance may be deployed in countries like India with scarce resources and not so robust heath care system. The innovative surveillance mechanism will result in more accuracy in data c...
Article
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Unstructured: The coronavirus disease pandemic requires the deployment of novel surveillance strategies to curtail further spread of the disease in the community. Participatory disease surveillance mechanisms have already been adopted in countries for the current pandemic. India, with scarce resources, good telecom support, and a not so robust hea...
Article
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Complete postexposure prophylaxis with 4 doses of anti-rabies vaccine (ARV) in a previously vaccinated (nonnaïve) individual results in administration of two extra ARV doses resulting in wastages of precious resources comprising vaccine logistics, human resources, physician, and patient time. This cross-sectional study conducted in a secondary care...
Article
Public health response and measures are vital to contain an infectious disease outbreak/epidemic. The discipline of Community Medicine, which provides comprehensive primary health care to the entire population at all times, plays a crucial role in times of disease outbreak/epidemic also, being equipped with skills in providing managerial, clinical,...
Article
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Background & aim: Most maternal mortalities are preventable; however, there are significant regional and global disparities in this regard. Maternal Death Surveillance and Response (MDSR) launched in India is a continuous cycle of identification, notification, and review of maternal mortalities to improve the quality of care and prevent future deat...
Article
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Objective: Postpartum depression is a nonpsychotic mental health condition that impairs both the immediate and long‑term health of both the mother and her child. Materials and Methods: We conducted a cross‑sectional study from January to June 2019 at a primary care clinic in Delhi, India, to estimate the burden of postpartum depression in women ha...
Article
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Context: Domestic violence is violation of basic human rights, and poses a threat to the physical, mental, and social health aspects of women and her children. The causation of domestic violence is precipitated by many risk factors. Aims: Aim was to estimate the magnitude of domestic violence overall, and its sub-types, among pregnant women. The...
Article
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The lack of an appropriately trained global hearing-care workforce is recognized as a barrier to developing and implementing services to treat ear and hearing disorders. In this article we examine some of the published literature on the current global workforce for ear and hearing care. We outline the status of both the primary-care workforce, incl...
Article
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Objective: Cervical cancer is one of the major concerns of public health importance in today's world. It is a leading cause of mortality in women of reproductive age group worldwide, mainly in developing countries. Reduction in mortality and morbidity due to cervical cancer is possible through early detection and treatment. The major factors influ...
Article
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Background: Comprehensive, age-stratified dengue surveillance data are unavailable from India and many more dengue cases occur than are reported. Additional information on dengue transmission dynamics can inform understanding of disease endemicity and infection risk. Methods: Using age-stratified dengue IgG seroprevalence data from 2556 Indian c...
Article
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Public-health facilities in the developing world often experience a high patient burden, low doctor-patient ratio, drug stock-outs and the lack of avenues for adequate patient-provider communication. We identified strategies for enhancing medication adherence for chronic disorders in Indian health settings that rely on improving patient-provider co...
Article
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Background-Gender based violence is now seen as a public health problem. The prevalence and incidence of this violence has been well documented in both clinic-based and population based studies. It is linked to physical injuries, poor mental health, including depression, anxiety, post traumatic stress disorder (PTSD), suicide ideation and to a wide...
Article
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The Launch of the Malaria Vaccine is a brief insight on where the vaccine has been started, what is the dose and how it came into play.
Article
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Air pollution is an invisible killer that is prevalent all around us, preying on all age groups. From smog hanging over cities to smoke inside homes, air pollution poses a major threat to health and climate. The combined effects of outdoor and household air pollution cause about 7 million premature deaths every year, largely as a result of increase...
Article
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Objective: To assess the determinants of out-of-pocket (OOP) expenses on diabetes-related treatment incurred in patients attending outpatient clinics in a tertiary care hospital in Delhi, India. Study Design: A cross-sectional analysis of baseline data from a quasi-experimental study was conducted over 8 months in 2016 in a major tertiary care hosp...
Article
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Improving patient survival and quality of life in chronic diseases requires prolonged and often lifelong medication intake. Less than half of patients with chronic diseases globally are adherent to their prescribed medications which preclude the full benefit of treatment, worsens therapeutic outcomes, accelerates disease progression, and causes eno...
Article
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Objective To determine the burden of vitamin D deficiency and its determinants and to assess the relationship of 25 hydroxycholecalciferol (25-OHD) levels with biochemical parameters linked to health outcomes in women with Type 2 Diabetes Mellitus (T2DM). Material and methods This was a hospital based cross-sectional study in the diabetes out-pa...
Article
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BACKGROUND: Over 1 billion young people globally are at risk of hearing loss and road traffic accidents due to unsafe listening practices while using personal audio devices (PADs). Rapid proliferation of mobile phones with built-in music playback facility has rendered nearly universal PAD access. The objective of this study was to ascertain the kno...
Article
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Japanese Encephalitis (JE) is an important re-emerging vector‑borne zoonotic disease of the 21st century which is the most important cause of morbidity and mortality due to pediatric viral encephalitis in Asian populations. India and China together report 95% of the disease burden where it is also an important cause of acute encephalitis syndrome....
Article
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INTRODUCTION The inappropriate use of drugs is a global health problem, especially in developing country like India. Irrational prescriptions have an ill effect on health as well as health-care expenditure. Prescription auditing is an important tool to improve the quality of prescriptions, which in turn improves the quality of health care provided....
Article
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Context Identification of risk factors of diabetes is required among youth as diabetes in young persons is now spreading in epidemic proportions. Indian Diabetes Risk Score (IDRS) is a validated and cost- effective tool to identify risk of diabetes among population. Aims Present study was conducted among young medical students to assess risk of ty...
Article
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Background Menopause is defined as the time of cessation of ovarian function resulting in permanent amenorrhea. Menopause is associated with various symptoms such as physical, vasomotor, sexual, and psychological symptoms. Depression is a common symptom in postmenopausal women as menopause is associated with the end of the fertile period of a women...
Article
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The constantly evolving microbial world has the potential for introduction of agents with unique epidemiological characteristics, that pose a great threat and challenge to mankind. Nipah virus (NiV) infection is a striking example of these threats in the recent times. It is a zoonotic virus, transmitted to humans, mainly from tissues and secretions...
Article
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In the era of the sustainable development goals, India is committed to reduce its maternal mortality ratio to less than 70 per one lakh live births by 2030. An important strategy that was adopted in the Reproductive and Child Health Programme in 2010 was maternal death review. Analysis of the progress so far has brought to light certain gaps which...