25th Edition Park Update PDF

COMMUNITY MEDICINE WITH VELZ
#Updates in PARK 25th edition - 2019
RECENT UPDATES IN 25 TH EDITION OF PARK – 2019
#velz
This document is only for academic use and not for any
commercial use
Reference: Park 25th edition, 2019.

SOME UPDATES NOT INCLUDED IN 25th EDITION:

1. TB TREATMENT updates
#velzupdated – Both New and Previously
2. New TB categories not
treated cases come under the same category now
2HRZE + 4HRE
3. Anemia Mukt Bharat not included – change in dose of
elemental iron from 100mg to 60 mg for Pregnant and
lactating women not included
UPDATES NOT INCLUDED IN 25th EDITION
4. Poshan abhiyaan not included - MALNUTRITION FREE INDIA BY

#velz
2022
5. Cash assistance for Nutritional support to TB patients not
included
CONCEPT OF HEALTH AND DISEASE:

1. Pg. no. 23 – Table modified
#velz
All India and Kerala Health statistics for 2016
ALL INDIA KERALA INDICATOR
34 12 IMR (2016)
130 46 MMRatio
(2014-16)
Recent WHO estimates of 2016 published in

2018 ,NHFS 4 data and other recent data have
#velz
been updated for almost all tables throughout
the book
2. Pg. no. 32
Health index of India (NITI AAYOG) has been added

#velz
with categorization of states and Union territories
into 3 groups – Larger states, smaller states and UT.
Health index – table added

3. Pg. no. 57
The tentative classification of ICD-11 to be

#velz
presented in world health assembly in 2019 is
updated
4. Pg. no. 135

Recently updated immunisation schedule by govt.
of India (2017) has been added
#velz
The line “Td vaccine to replace TT vaccine” added in

the bottom of the table
Bivalent OPV, Fractional IPV, Pentavalent, Rotavirus,

PCV, MR vaccine added in the table
5. Pg. no. 190 - Table

TB estimates for India in 2017 updated from
WHO 2018 report
#velz
INDICATOR NUMBER IN RATE / 1,00,000
THOUSANDS POPN.
INCIDENCE 2740 204
(INCLUDES HIV + TB)
MORTALITY 410 31
(EXCLUDES HIV + TB)
INCIDENCE 135 10
(MDR/RR-TB)
INDICATOR NEW CASE PREVIOUSLY

TREATED
ESTIMATED % OF TB CASES#velz2.8% 12%
WITH MDR/RR-TB
MORTALITY 410 31
(EXCLUDES HIV + TB)
INCIDENCE 135 10
(MDR/RR-TB)
6. Pg. no. 200

Eligibility criteria for Bedaquiline therapy
Delamanid added
#velzafter Bedaquiline
Drug controller general of india has issued

permission to use Delamanid (50 mg) for
intolerant/ resistant MDR-TB cases
7. Pg. no. 200

Grouping of anti-TB drugs WHO PMDT
Guidelines 2016
#velz
8. Pg. no. 202

Diagnostic algorithm for Pulmonary TB added
9. Pg. no. 203-212

Management of Drug resistant TB (2017) added
Integrated DR-TB diagnostic
#velz
algorithm added
Drug resistant TB in children also added
NEW 2018 TB GUIDELINES FOR INDIA NOT

ADDED – REMOVAL OF CAT II NOT INCLUDED -
10. Pg. no. 236-239

WHO 5c’s
Summary algorithm #velz
for diagnosis, treatment
and monitoring of chronic HBV infection
Summary algorithm for diagnosis, treatment
and monitoring of chronic HCV infection
Service coverage indicators on Viral hepatitis
added
11. Pg. no. 250

Figure on Integrated global action plan for
prevention and control of pneumonia and
diarrhoea #velz
12. Pg. no. 309, 310

New guidelines - Yellow fever vaccination certificate
validity updated to lifelong from 10 years
Epidemic preparedness and response included
13. Pg. no. 310

Topic on Nipah virus infection included
Transmission to #velz
humans occurs after direct
contact with infected bats, infected pigs or from
other nipah virus infected animals
14. Pg. no. 343

New data on prevalence
15. Pg. no. 392 #velz

Epidemiological transition ratio for Non-
communicable diseases included
It is the ratio of DALYS caused by

CMNDs(Communicable, Maternal, Neonatal and
Nutritional Diseases) to those caused by NCDs.
16. Pg. no. 412, 413

New cancer statistics – global and for india
17. Pg. no. 431 #velz
Name change for NPCB to NPCBVI

National Programme for control of Blindness and
visual impairment
Change of NPCB definition of blindness to WHO
definition
18. Pg. no. 434 -436

Chapter on Oral diseases added
Twice daily brushing with flouride containing
toothpaste (1000 to#velz
1500 ppm) is recommended
19. Pg. no. 457

Sparsh leprosy awareness campaign – to create
awareness, reduce stigma and improve self
reporting of cases
20. Pg. no. 459

Structure of RNTCP lab updated
21. Pg. no. 460 #velz

Direct benefit transfer schemes – linking TB patients
reported in NIKSHAAY with AADHAR
22. Pg. no. 461, 462, 463

Active case finding in campaign mode added, New
matter on drug resistant TB management
23. Pg. no. 465,466

National strategic plan for 2017 to 2024 added in
NACP, Structure of NACO added
#velz
24. Pg. no. 470

Third line ART added
25. Pg. no. 472

National strategic plan for HIV/AIDS and STI 2017-24
26. Pg. no. 476

Immunization milestones added
#velz
27. Pg. no. 478
Intensified Mission Indradhanush, MR vaccine,
PCV added
28. Pg. no. 509

Tertiary component of National Programme for
healthcare of the elderly – renamed as
#velz
RVJSY – Rashtriya Varishth Jan Swasthya Yojna
29. Pg. no. 513

Mental Healthcare act, 2017 added
30. Pg. no. 515

Ayushman bharat programme included – Health
and wellness centres, National Health Protection
#velz
scheme.
31. Pg. no. 519

20 points included under 20 point programme
32. Pg. no. 530

Updates on data(2018) in demography
#velz
33. Pg. no. 565
Mission Parivar Vikas included
Injectectable MPA Antara and OCP centchroman
Chhaya included
34. Pg. no. 614

MMRatio table update – MMR of 130 (2014-16)
35. Pg. no. 642 #velz
Figure on impact of adverse childhood experiences
36. Pg. no. 761-764

Chapter added on Tribal health – demography and
disease burden
37. Pg. no. 855

Types of disasters added
a. Natural – Geophysical, Hydrological,
Meteorological, #velz
Climatological, Biological
b. Human induced
38. Pg.no. 893, 894

Data from National Mental Health Survey 2015
included and prevalence of mental disorders
39. Pg. no. 896, 897

New data and matter on Alcohol added
#velz
40. Pg. no. 898
GATS 2 survey (2016-17) results added
41. Pg. no. 901

Comprehensive mental health action plan added
42. Pg. no. 936

National Health Policy 2017 added
43. Pg. no. 941 #velz
Three year action agenda of NITI AAYOG
44. Pg. no. 954

Demographic profile of india updated in table for
2018.
43. Pg. no. 954
INDICATOR SURVEY OR ALL INDIA

ESTIMATION LEVELS
YEAR
#velz
TOTAL POPULATION 2018 1,359.8 million
CRUDE BIRTH RATE 2018 20
CRUDE DEATH RATE 2018 6
SEX RATIO 2014-16 898 / 1000 males

44. Pg. no. 977

Upper limit of wages for inclusion of employees
under ESI act increased from 15,000 to 21,000
#velz
per month
MISSED UPDATES
#velz
MISSED UPDATES
#velz
MISSED UPDATES
#velz

25th Edition Park Update PDF

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COMMUNITY MEDICINE WITH VELZ

#Updates in PARK 25th edition - 2019

RECENT UPDATES IN 25 TH EDITION OF PARK – 2019

Reference: Park 25th edition, 2019.

SOME UPDATES NOT INCLUDED IN 25th EDITION:

UPDATES NOT INCLUDED IN 25th EDITION

4. Poshan abhiyaan not included - MALNUTRITION FREE INDIA BY

5. Cash assistance for Nutritional support to TB patients not

CONCEPT OF HEALTH AND DISEASE:

Recent WHO estimates of 2016 published in

Health index of India (NITI AAYOG) has been added

Health index – table added

The tentative classification of ICD-11 to be

4. Pg. no. 135

The line “Td vaccine to replace TT vaccine” added in

Bivalent OPV, Fractional IPV, Pentavalent, Rotavirus,

5. Pg. no. 190 - Table

INDICATOR NEW CASE PREVIOUSLY

6. Pg. no. 200

Drug controller general of india has issued

7. Pg. no. 200

8. Pg. no. 202

9. Pg. no. 203-212

NEW 2018 TB GUIDELINES FOR INDIA NOT

10. Pg. no. 236-239

11. Pg. no. 250

12. Pg. no. 309, 310

13. Pg. no. 310

14. Pg. no. 343

15. Pg. no. 392 #velz

It is the ratio of DALYS caused by

16. Pg. no. 412, 413

17. Pg. no. 431 #velz

Name change for NPCB to NPCBVI

18. Pg. no. 434 -436

19. Pg. no. 457

20. Pg. no. 459

21. Pg. no. 460 #velz

22. Pg. no. 461, 462, 463

23. Pg. no. 465,466

24. Pg. no. 470

25. Pg. no. 472

26. Pg. no. 476

28. Pg. no. 509

29. Pg. no. 513

30. Pg. no. 515

31. Pg. no. 519

32. Pg. no. 530

34. Pg. no. 614

35. Pg. no. 642 #velz

Figure on impact of adverse childhood experiences

36. Pg. no. 761-764

37. Pg. no. 855

38. Pg.no. 893, 894

39. Pg. no. 896, 897

41. Pg. no. 901

42. Pg. no. 936

43. Pg. no. 941 #velz

Three year action agenda of NITI AAYOG