<p>Mysuru: Gruha Arogya Yojana, meant to facilitate screening, management and control of non communicable diseases (NCD) at the doorsteps of the people, is likely to be launched in Mysuru, by month end. </p><p>Dr D G Nagaraj, District Surveillance Officer and NCD control officer, said, "The Health and Family Welfare department of Karnataka launched Gruha Arogya Yojana as a preventive measure, for early identification of individuals with NCDs; timely initiation of treatment; regular followup and control, to reduce complications and premature mortality".</p><p>He said, "The State government has earmarked Rs 92.75 crore for the programme, to promote and sustain people's health. Even as the department is already screening diabetes and hypertension at every household, they will also screen three common cancers - oral, breast and cervical cancer,Diabetic Retinopathy, Diabetic food ulcer, Chronic Obstructive Pulmonary disease, chronic kidney disease, signs and symptoms of Obstructive Sleep Apnea (OSA) and even mental health disorders and neurological disorders".</p><p>Burden of NCDs (diseases affecting people over an extended period of time) is on a rise, leading to significant mortality and morbidity. Among 3,05,60,617 people screened in Karnataka by the Health department, 81,49,733 people (26%) were diagnosed with hypertension, with the highest of 32% each in Bengaluru, Kodagu and Udupi, and 26% in Mysuru. Also 47,10,493 people in Karnataka (15%) were diagnosed with Diabetes Mellitus with the highest of 20% in Bengaluru and 13% in Mysuru. About 63% (17,000 deaths per day and 700 deaths per hour) of all deaths in India are due to NCDs, including 27% due to cardiovascular diseases, 11% due to chronic respiratory diseases, 9% due to cancers, and 3% due to Diabetes, Dr Nagaraj said. </p>.Seasonal ailments on the rise in Bengaluru, doctors concerned about vector-borne diseases .<p>He informed that NCDs, which were common among urbanites about a decade or two ago, are now found in large numbers among rural people. In the survey conducted by the Health department, while 14,07,878 people were screened in rural areas of all taluks of Mysuru district, 1,69,241 (10.88%) are diagnosed with hypertension and only 23,836 (14.09%) are coming for followup; 1,09,076 (7.01%) are diagnosed with diabetes mellitus and only 15,398 (14.12%) come for followup. </p><p>According to Health department officials, teams comprising Community Health Officers, PHCOs (Primary Health Care Officer), Health Inspecting Officers, ASHA volunteers will carry out door-to-door visit under their Ayushman Arogya Mandir area limits, for screening major NCDs among individuals above 30 years of age, under the Gruha Arogya Yojana. The screening is done on Tuesdays, Wednesdays, Fridays, and Saturdays until all houses are covered. They will counsel the patients on lifestyle modification measures to prevent and control NCDs. Individuals who are diagnosed with Diabetes and Hypertension will be provided medicines for two months at their doorsteps. Additionally, medicines will be provide to treat NCDs in senior citizens, specially abled patients and patients who are on palliative care on a regular basis.</p><p>In order to ensure adherence to treatment by patients and to promote better control of NCDs among the patients, they will conduct monthly camps at Ayushman Arogya Mandirs, on fixed days, where the medical officer will conduct followup of identified patients suffering from NCDs. Depending on their condition, they will refer and treat patients at PHC, Taluk hospital or District Hospital. They will be issued ABHA (Ayushman Bharath Health Account) IDs to digitally link health records, to access them during emergency, ID cards and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PMJAY)-Arogya Karnataka (ArK) health card and treated under it. </p><p>Dr Nagaraj said that NCDs are a result of genetic, physiological, environmental, behavioral factors, lifestyle, and food habits apart from aging. Use of tobacco, alcohol, inadequate physical activity, overweight or obesity, increased fat, sugar and sodium intake, low fruit and vegetable intake are the risk factors. There is a target to reduce NCDs by one third by 2030, with initiatives like Gruha Arogya Yojana.</p>
<p>Mysuru: Gruha Arogya Yojana, meant to facilitate screening, management and control of non communicable diseases (NCD) at the doorsteps of the people, is likely to be launched in Mysuru, by month end. </p><p>Dr D G Nagaraj, District Surveillance Officer and NCD control officer, said, "The Health and Family Welfare department of Karnataka launched Gruha Arogya Yojana as a preventive measure, for early identification of individuals with NCDs; timely initiation of treatment; regular followup and control, to reduce complications and premature mortality".</p><p>He said, "The State government has earmarked Rs 92.75 crore for the programme, to promote and sustain people's health. Even as the department is already screening diabetes and hypertension at every household, they will also screen three common cancers - oral, breast and cervical cancer,Diabetic Retinopathy, Diabetic food ulcer, Chronic Obstructive Pulmonary disease, chronic kidney disease, signs and symptoms of Obstructive Sleep Apnea (OSA) and even mental health disorders and neurological disorders".</p><p>Burden of NCDs (diseases affecting people over an extended period of time) is on a rise, leading to significant mortality and morbidity. Among 3,05,60,617 people screened in Karnataka by the Health department, 81,49,733 people (26%) were diagnosed with hypertension, with the highest of 32% each in Bengaluru, Kodagu and Udupi, and 26% in Mysuru. Also 47,10,493 people in Karnataka (15%) were diagnosed with Diabetes Mellitus with the highest of 20% in Bengaluru and 13% in Mysuru. About 63% (17,000 deaths per day and 700 deaths per hour) of all deaths in India are due to NCDs, including 27% due to cardiovascular diseases, 11% due to chronic respiratory diseases, 9% due to cancers, and 3% due to Diabetes, Dr Nagaraj said. </p>.Seasonal ailments on the rise in Bengaluru, doctors concerned about vector-borne diseases .<p>He informed that NCDs, which were common among urbanites about a decade or two ago, are now found in large numbers among rural people. In the survey conducted by the Health department, while 14,07,878 people were screened in rural areas of all taluks of Mysuru district, 1,69,241 (10.88%) are diagnosed with hypertension and only 23,836 (14.09%) are coming for followup; 1,09,076 (7.01%) are diagnosed with diabetes mellitus and only 15,398 (14.12%) come for followup. </p><p>According to Health department officials, teams comprising Community Health Officers, PHCOs (Primary Health Care Officer), Health Inspecting Officers, ASHA volunteers will carry out door-to-door visit under their Ayushman Arogya Mandir area limits, for screening major NCDs among individuals above 30 years of age, under the Gruha Arogya Yojana. The screening is done on Tuesdays, Wednesdays, Fridays, and Saturdays until all houses are covered. They will counsel the patients on lifestyle modification measures to prevent and control NCDs. Individuals who are diagnosed with Diabetes and Hypertension will be provided medicines for two months at their doorsteps. Additionally, medicines will be provide to treat NCDs in senior citizens, specially abled patients and patients who are on palliative care on a regular basis.</p><p>In order to ensure adherence to treatment by patients and to promote better control of NCDs among the patients, they will conduct monthly camps at Ayushman Arogya Mandirs, on fixed days, where the medical officer will conduct followup of identified patients suffering from NCDs. Depending on their condition, they will refer and treat patients at PHC, Taluk hospital or District Hospital. They will be issued ABHA (Ayushman Bharath Health Account) IDs to digitally link health records, to access them during emergency, ID cards and Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PMJAY)-Arogya Karnataka (ArK) health card and treated under it. </p><p>Dr Nagaraj said that NCDs are a result of genetic, physiological, environmental, behavioral factors, lifestyle, and food habits apart from aging. Use of tobacco, alcohol, inadequate physical activity, overweight or obesity, increased fat, sugar and sodium intake, low fruit and vegetable intake are the risk factors. There is a target to reduce NCDs by one third by 2030, with initiatives like Gruha Arogya Yojana.</p>