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Your childs wellness is your happiness

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Health

Morals

What is Wellness of your child?

Education

Behavior

Sports
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We do our best to treat Childhood illnesses

But Remember.

Prevention is always better than cure


Think Wellness Think Prevention

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You leave no stone unturned


By Providing right nutrition Maintaining hygienic atmosphere at home Prompt medication at the first sign of illness Moral Support

Schools Strive Towards Mental & physical development of children. Managing emergencies Periodic medical check ups
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Still. diseases prevail


Measles Mumps Rubella Tuberculosis Polio Diphtheria Pertussis Tetanus

Hepatitis B
Chicken pox Hepatitis A

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The Impact
Mental & physical trauma for the child & parents. Missing out on
School Exams

Fun & play.


Work- in case of parents

Temporary or permanent debilitation of the child

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Why Vaccines ???


Every year.

Over 30 lacs deaths are prevented.1 750,000 children are saved from disability.1 due to vaccines. Polio Eliminated except India, Pak, Afghanistan & Nigeria2

Polio

Diseases controlled worldwide


Smallpox Eradicated 3. Measles - Controlled (in America & parts of Europe)3.

Smallpox
Measles

Tetanus, Diphtheria, Rubella, Meningitis & Liver cancer due to Hepatitis B - Dramatic reductions.

Tetanus
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1. Ehreth J. The value of vaccination: a global perspective. Vaccine 2003; 21: 596-600; .2. Fine PE, Griffiths UK. Global poliomyelitis eradication: status and implications. Lancet 2007; 369(9570):1321-1322.; 3 IFPMA May 2003.

With the exception of clean drinking water, vaccines are the most effective intervention in reducing and preventing infectious diseases.1 26 diseases are now vaccine preventable.2

Clean Drinking Water Vaccination

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1. European Vaccine Manufacturers paper. Out of Sight. Out of Mind. 2003.; 2. IFPMA May 2003.

GLOBAL SCHOOL VACCINATION LAWS


Some countries that have compulsory school immunization laws are:

USA Canada Australia Germany Singapore Brazil Hungary Mexico Poland and many others
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Br Med J (Clin Res Ed). 1987 May 16;294(6582):1270-1.Ministry of Education Website, Singapore

The Indian Scenario

?
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All India School Survey


SCHOOL CONTACT
278 school across India
Jaipur Delhi Ludhiana Kolkata

In ten cities
Pune Mumbai

Ahmedabad

Hyderabad

Reached 1,62,000 children

Bangalore Chennai

Response received from 75,000 children


Age group - 5 to 10 years

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The Indian Scenario


Diseases Percentage of children that may be unprotected Up to 59% Up to 61% Up to 57%

Chickenpox Hepatitis A Measles, Mumps, Rubella


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Economic impact of infection


Medical costs
Medication Transmission to others Complications Nurse advice Visits to clinic, home and emergency department Hospitalization

Indirect/intangible costs
Loss of earnings and productivity (Patients, parents or carers) Missing out on schools Isolation up to 2 weeks Impaired quality of life Scarring

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Immunisation An Investment or Cost

?
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Common Childhood Vaccine Preventable Diseases


Hepatitis A & Hepatitis B Chicken Pox Measles, Mumps. Rubella (MMR) Diphtheria, Tetanus & Pertussis (DTP) Typhoid
Measles Mumps Jaundice Chickenpox

Tetanus

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Hepatitis What is Hepatitis?


Hepatitis A virus

Hepatitis means inflammation of the liver Hepatitis can be caused by a virus that gets into your body

and attacks the liver.


There are five known hepatitis viruses: A, B, C, D & E.

Jaundice is only a symptom of Hepatitis.

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Hepatitis A is a serious liver disease caused by infection with the Hepatitis A virus.

Symptoms of Hepatitis A
Jaundice (yellow skin and eyes) Dark urine Light-colored stools Diarrhea Tiredness Loss of appetite Fever Stomach-ache Not everyone has symptoms. Adults and teens will have symptoms more often than young children
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Hepatitis A: A Serious disease


Hepatitis A is one of the more common causes of acute liver failure in young children in India. Severe complications can occur, including: Cirrhosis (scarring) of the liver Liver failure Death.

It may render your child bedridden for a month. If this happens during exams, it can negatively impact a young minds academic progress.

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1: Bhowmick K, Mammen A, Moses PD, Agarwal I, Mathew L, Kang G. Hepatitis A in pediatric acute liver failure in southern India. Indian J Gastroenterol 2005; 24(1):34

Prevention of Hepatitis A
There is no specific medical treatment for hepatitis A. It can be prevented by: Good Hygiene Clean drinking water; avoidance of food contamination Immune globulin Vaccination (pre-exposure)

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Source : http://www.cdc.gov/ncidod/diseases/hepatitis/a/index.htm

Hepatitis A and Hepatitis B are different


HEPATITIS B VIRUS Found in: Blood and certain body fluids1 Spreads through: Transfer of body fluids from an infected person1 Mother to child at birth1 Contaminated needles1 Blood transfusions1 Sexual contact1 HEPATITIS A VIRUS Found in: Stools of infected people2 Spreads through: Contaminated food and water2 Unwashed & insufficiently cooked vegetables2 Food handled by infected people2 Refrigerated foods2 Swimming pools2

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1: Hepatitis B vaccines: WHO Position Paper 2: Fiore AE. Hepatitis A transmitted by food. Clin Infect Dis. 2004 Mar 1;38(5):705-15.

Good news! Both Hepatitis A and Hepatitis B are vaccine preventable!

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Hepatitis A and Hepatitis B vaccine are different


Hepatitis B vaccine 3 doses
1

Hepatitis A vaccine 2 doses


3

Given soon after birth

Given after the 1st year of life

After seroconversion, it provides life-long protection from Hepatitis B


2

Provides life-long protection from Hepatitis A


4

1: Engerix-B Prescribing Information 2: Banatvala JE, Van Damme P. Hepatitis B vaccine -- do we need boosters? J Viral Hepat. 2003 Jan;10(1):1-6 3: Havrix Prescribing Information 4: Van Damme P, Banatvala J, Fay O, Iwarson S, McMahon B, Van Herck K, et al. Hepatitis A booster vaccination: is there a need? Lancet. 2003 Sep 27;362(9389):1065-71

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Hepatitis Public Awareness Campaign

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Chickenpox
Chickenpox is an infectious disease caused by the varicella-zoster virus. It results in: blister-like rash (200-300 blisters) itching tiredness and fever.

Child should not attend school and be isolated for at least 5 days after the spots first appear and until all the blisters have dried.
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http://www.cdc.gov/nip/diseases/varicella/

How do you get chickenpox?


Varicella-zoster virus (VZV) is transmitted by:
Coughing Direct contact Sneezing

Once a case has occurred in a susceptible population, it is very hard to prevent an outbreak.
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http://www.who.int/vaccines/en/varicella.shtml

Did you know?


Almost every individual born on this earth would suffer from chickenpox in his/her lifetime, either as a child or as an adult.

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http://www.who.int/vaccines/en/varicella.shtml

Chickenpox is not a benign disease

Complications in adolescents and adults

Neonatal varicella
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Herpes Zoster (Nagin)

Clinical presentation of herpes zoster (Nagin)

Congenital varicella syndrome

Ophthalmic neuralgia
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Prevention of Chickenpox
Control of Chickenpox can be achieved only by widespread vaccination. Doses : Up to 12 years One dose > 13 years - 2 doses

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http://www.who.int/vaccines/en/varicella.shtml

Chicken Pox Public Awareness Campaign

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Information

Knowledge

Your Power To Protect


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Mission
To instill the importance of protection and preventive healthcare in creating a sense of WELLNESS in children, families and society at large

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Vision
Healthy Children, Advantage India

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Next Step:
Collect your Health Record Card. Visit your Pediatrician. Get the Health Record Card updated. Follow your Pediatricians advice. Submit the Health Record Card back to school within a fortnight.
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Thank you for attending


Your Power To Protect Program

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