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Facdity, the hazarelous bia Jacke | IS only Jo-38 ‘} —> Earkhosake = Fectone tr LS —s Expactahen of Life which Zz ee of dveabri'hy Sullivan's rarnice «= (Geran os) wn Care je Known a6 3 Wealth Cove of aged Oe —> Adelesence +o-I9 Years. | Waste water From SR 3 iy p+ —> Kata “Thesmoreter 4 an clley, nn = Sullage2 folio days are raf Pavstan. athe Population: 6 TS hoe accidents. Failure vate = lo-!2-)- OMG CRnN OG ia). (15S! & Amit. =e Are Criethatene oe ron 8h Green Be he, mele of ——. Taifreatin ata gle hock vn Malaria Gmigelact - peripherally > Scrob Ty © Typhus = Louse . ip Cire = tire Way Py “° to pecome fe Maleusiar . Fever + ¢ OD. Joriag = 72h. of Plasmedy es ae per a Pxoto infection. ’ E @ batkeata | HOA : ECrcult be preven pert 4 Coye Fatality Ny —> Nok Catleo Beas phiceonme od, , Conjuch Wits Cholera (Nok Ped alee re long He, | nasi") Cal . Vaccinahen{ ; i & Pipes were aol mate = residual envorine fe 7 bacteria’ qashroenter tie vives Aikerieuissva| pnd — yogintrentes meshemaglebul nema, 4 opid sand) Filtration = teack usashing - = Tar. axailabie Chiotine--- thy Contack —> Rechig _ Multiple “Tue Method = Colifenrns = Organi J Bleaching powder» taste nok attered Lis teuel of vesidual chiar A _ preventing acute dinmrhea Cases + Sanital nine f= risernte — 8 Cartes : * Flaurosic. mers # + Person werking J fouah pease Compressed aty Chamleer Taint Sain iteat [fawn =+- CO estening yee rvsanes & weindows » Weal eet piety 4s 6? ihn. sles wduese rae Ber inpecslrioy OE sor, ~ Major contaminant Trait afr 1 jo women with “Cemyrcald CA- “Bo Pash SV- TE CAk = q= ie One es eat cy yauerion Tinea t thywies eco * 2 - mu, -* a Sen ae owas . < Se cancer’ Tea as aes 85. oud onugg"4 pute 2 : warner % “ x Bou. ew pa oF ee Sw MAR Os attr prick 1109 Pathe sé eee © opare ws 2 And veped) de w. so Hye Fem, Sey price wee OM i : f ee cent: oe sxe waccine [nah ay 7 em Rad . inactivated! PO ar ea Sherpa halon trocte ngey sri) Masay Beco oe Mee age ‘dratibulssn. eYariairy * one lace aeprnd pry qeusar hee 2h |= °MR gudied by gal ainigey - BY Senile Fray =in Veg Fer ny — ~ Milenm desp. goals! @evrecrve wen of > ee ~ Tahal s of people compeled Family Sam be estimated Fiony, fer lity Rete. " se ~ Pepthadien Pyramid Jarernien = Popdabion Mannentaay, ~ Bee ee Mon &- fer Age. ‘ Girls Hin BO WeaTs > Pe jeadexs hiP= Educd Mion - depends pyimatity 89 ‘Gaur rial envian. aA Se Mogg tients, love eB pene sen ERIE Camo lenient (OP sigan se « Queuon od — F teolated Litt Cuibrer —ye tas Cree : meee Corrs > Amoiectin Pisbeneca Pa AL Week wn SUPP lamented Nive oll Capaales . Ma Oe yhte poate amin Bia Avtnuta) NEL AQ. (Maite ey ferences. 2 ¢ pp: Pyewiclex ine & rca Vik Ph deR = 1m. + fe Chine i EMR.wewge —? Fishy adew vogicnt OTT ay sieeephihr” “A = te awl + Wee Liaw - | —> Tenia Salto Mocemveis's ae : Accaure 33 Pee Z9 lan) — only seserv ps werght > Me {behing 4 rol ‘ MING femmes in blood Souja Sctrand Fy etaused dy Weak ain fasfa. wnele’s {nel ice paclerial |4 eache | _af Eats —> Pediculasts . ih Care I1_ achoal > & Pomsey | beaith_educabibn.Spectal ey seme Petochial hemo. Ses Patsy» Avai voradaitienal to. usb aes = Xe | Are immune — = faurce = Glucose. esas berly’s vequlakery Diabetes a. raxaid antacn\ AOE ee |Some imp points from communicable and non communicable May help you in meqs and maybe in seqs VALCOR ( a rodenticide) also causes DM rubella also causes DM TRUCKERS Are a vital link for hiv betwéen general population and high risk groups In pakistan males are more hiv infected 7:1 Yellow fever monkeys are reservoir.of inf Aedes aegypti is vector of yellow fever Aedes aegypti index should be/less than one percent acc to who to be safe Accupuncture can causeraids Diet is not a risk factor,in.DM AIDS-- TLC. below00 mm3 Tb and kaposi sarcoma’seen early in aids Antiretroviral therapyfor aids is not a cure but prolongs life Menningococcal.meningitis : rifampicin Cryptococeal.meningitis : fluconazole Hbv motherean breastfeed infant Salmonella typhi has three antigens -- o shows active inf , h flagellar antigen shows past inf or immunization and vi shows carriers In pakistan typhoid is hyperendemic Step ladder fever in typhoid Rose spots in typhoid Do Widal test for typhoid Schick test for diphtheriaThe weakest link in chain of transmission of typhoid is sanitation that is amneable to control Enteric fever includes typhoid and paratyphoid fever Enteric fever is milder than typhoid has less casé fatality Salmonella typhi can be demonstrated indood:and milk Rubella is also called german measles If rubella infects a mother during First trimester: cataract deafness ; pda Second trimester : microencephalopathy Third/after 20 weeks : nothing in baby RA 27/3 vaccine for rubella .. Contraindicated in pregnancy Itchy red papules : scabies. Mumps caused by myxovirus, Children under six months are immune to mumps die to maternal antibodies. Mumps pts develop lifelong immunity after one attack In mumps swab is taken from body surface lodine mumps is:the commonest type Mercurialism.may also produce parotid enlargement Pertusis oceurs in all countries of world Most common type of plague is bubonic plague After bubonic plague pneumonic plague occurs Drug ‘of choice for plague is streptomycin Babies aged 6 months to three years are most at risk for polio 3 serotypes of polio Type 1 is most important DD iS Non paralytic polio is in 1% cases Non paralvtic polio resembles aseptic meningitisIt is essential to immunize all infants by six months of age for polio Measles is endemic in all parts of world Koplik spots are pathognomic sign for measles Antimeasles antibodies are seen in csf Yellow fever is due to flavi birus of togaivirus family Tb is more common in females above 35.and males above 45 Person with hiv is 100 times more.prone to tb Tb kills more adults than any other.infectious disease In tb 8/10 struck are in economically productive age Pakistan is ranked sixth in tb cases Kashmiris and swatis are more prone to tb Tb : droplet inf within range of 30 cm 1TU is equal to 0.01 Mhof old tuberculin or 0.002mg of ppd Who advocates a,ppd tuberculin called ppd rt 23 Dots has six elements Tetanus is most common in agricultural areas/ agriculture workers Neonatal tetanus is a killer disease First symptom of neonatal tetanus is seen around 7th day Risus‘sardonicus in tetanus Antitoxih of tetanus : immediate temporary protection Toxoid of tetanus : long lasting protection Diagnosis of tetanus is only on clinical grounds Tetanus organism is isolated in anaerobic qi Childhood deaths in malria are due to cereBre conten ee ema aedMalaria is the most common cause of economic distress Human shape gametocyte on thin film : falciparum Brassy cough in laryngeal diphtheria Antipyretics and body sponging in treatment of dengue Aspirin should be avoided in dengue An area is declared free of cholera when'twice the incubation period has elapsed since death recovery or isolation of last case In stage of collapse death occurs due to dehydration and acidosis In stage of recovery death’oceurs due to renal failure Gall bladder is infected.in.chronic cholera carriers No pleomorphism‘in small pox Aim of cancer education is to motivate people to seek early diagnosis and treatment Who has eéalled chd as our modern epidemic Peak incidence of rheumatic heart disease is in school age (5-15 years) Remember in duas 5 JazzakAllah ul khair S tamp