Saturday, 19 September 2015

MILK BORNE DISEASES AND PREVENTION




Introduction.

Comparing the nutritive value of one foodstuff with that of another, milk is the the best fluid secreted by female mammals.It contents almost all nutrients except iron.It can become a carrier of many diseases like tuberculosis ,Brucellosis, septic sore throat, cholera, typhoid, jaundice, poliomyelitis,etc. Milk borne out breaks are common like food poisoning may occur where milk from various source is pooled to provide to large feeding establishments like student hostels or large hotels and restaurants.

The live-stock of milking cattle is initially healthy, free from infections and protected against any of the illness; sick animals are isolated and contacts are separated, to spread if inspection, and ill animals are not milked. Surroundings are maintained at high sanitary standards, milk handlers are healthy, free from and protected against infections and prohibited from handling milk if evidence of diseases are seen;water supply is pure and protected, containers are clean, regularly washed, sterilized  and protected from contamination; and also milk is protected against contamination of flies, dust or other extraneous matters from its production, through processing and bottling up to its delivery to the consumers ; and milk is treated to destroy disease producing organisms and thereafter kept protected.

Preventive measures.

Care of cattle.. The quality of and the quantity of milk depend upon the particular breed. but mainly upon the care that is devoted to the milk cattle. The milk yield is also sensitive to their comfort, feeding, watering, cleanliness. Hence a clean , airy, cool, and sufficient space of cattle shed is of the first importance. Water supply to wash the cattle sheds and the cattle should be available.The arrangements made for washing of the cattle be sufficient. It is healthier to wash the cattle daily with cool water in extreme summer and with warm water in extreme winter. But in any case a wash must be given twice a week at least. Cattle should be groomed and their udders washed and then wiped with a damp cloth every time the the animal is milked. Ample water supply for drinking is necessary. Fodder and other eatable items like cotton seed, oil cake, bran and meal consisting of a crushed mixture of grains must be given to each animal.Meal, cotton seed and fodder stores should be rat proofed. Rat and flea nuisance are as much detrimental to the health and comfort of animals as they are for human beings. Sick animals must be immediately isolated and contacts segregated. Those animals should be inspected by veterinary doctors at least once in a month or often to ensure,if required. Isolation sheds must be available.
Preventive inoculation against common diseases must be ensured. In well developed farms, tuberculin tests followed by segregation, examination, treatment and sacrificing of sick and infected animals according to their stage of disease, is resorted to. So that herds free from tuberculosis have  been raised and the prevalence in a  majorities of firms in countries like Holland, U.S.A, U,K, etc, is nil. Good care of the animal, and affection shown to it increases the milk yield , reduces non-milking days and reducing ailments.

The cow sheds.. Properly constructed cow shed and its cleanliness is one of the main requirements for production of safe milk. The side should be well drained, higher than the surrounding ground , and the approaches to the shed never cross a manure yard. The flour area per cattle head  should be a minimum 6 sq meters.The space allowed per cow should be 18 cubic meters if the cows are allowed to graze, or 24 cubic meters if the cows are not turned out.  The shed must be washed every day and cleaned twice a day. They should be sprayed with insecticide once a week. An isolation shed for sick animal must be provided.

Disposal of manure and sullage..All manure should be removed from the depot. It is a potent source of fly breeding and pollution of milk.All channels carrying liquid manure and sullage should be made of concrete and continued for some distance beyond the shed to a convenient place of disposal out side,like vegetable garden, septic tank with large soak age pits  or broad drainage.

Health and hygiene of workers..There are people working in farm, out side the plant houses, those working inside the plant houses and the administrative staff or disposal of manure,etc. those persons not engaged with milk. All employees except administrative staff should be permanent,and selected after a medical inspection and issued with identity cards. medical examination of such persons be carried out regularly often and strict attention being done to personal cleanliness. They should be free from diarrhea, dysentery, infected fingers or boils, running ears, sore throat,typhoid group of fevers or cough among employees. All workers inside should remove their clothes on arrival for work and keep in a cupboard.They should wash and scrub with nail brush their hands thoroughly with soap and water and put on their working clothes which should be clean and suitable for duties. Milkers should change into their milking suits and overalls and must wear cotton milking caps. Workers handling milk should wear gauze masks. All workers sanitary and washing facilities and should be made to use them by education. When a pail is full it should be covered soon as a protection against flies and dust and removed to the milk room immediately.

Pasteurization..Boiling kills the microorganism in any liquid. It is likely to affect its quality, taste and flavour,if the components of such a liquid are heat-labile, such as are found in milk.Theory of pasteurization is that, rapidly heating a liquid to a degree of temperature lower than the required for boiling it and maintaining it uniformly for a certain period destroys most of the disease producing organisms, reduces the total quantity of the microorganisms and makes all of them less viable with out affecting its inherent qualities or its taste and flavour. It may not sterilize the liquid but make non-infective, retains its nutritive and improves its keeping quality. The important pathogenic organism are destroyed by pasteurization of milk are Bacterium tuberculosis, strep to and staphylococci  and the non-lactose fermenting pathogenic organisms of salmonella-shillelagh group. The rapid cooling of the heated liquid to such a low degree as to destroy the multiplication of any viable residual microorganisms. It is, therefore, a complete process of pasteurization comprises;rapid heating with out boiling, uniformly maintaining that temperature for a definite period, and rapid cooling. Its fat, protein, calcium, phosphorus, and vitamin contents are not affected. The tests for nutritional ingredients, adulteration, bacterial contamination, pasteurization and keeping quality should be carried out before distribution and sales.






























































































































































































































































































































































































































































































Monday, 7 September 2015

PREVENTION AND CONTROL OF HIGH BLOOD PRESSURE

Definition of hypertensin.

Hypertension or high blood pressure means raised arterial blood pressure above normal. It is a symptom and not a disease. It is one of the variety of disorders like kidney failure, lead poisoning, toxaemia of pregnancy, rough of aorta, etc. but in the most of the cases, causes is not known.

Varieties of hypertension.

Hypertension or hypertensive disease when accompanied with clinical manifestations of blood pressure, the condition is said as hypertention or hypertensive disease. Hypertensive heart disease means if the cardiac function is disturbed or myocardiu is involved. If the blood pressure is due to renal disease or any other condition is known as secondary hypertension, or other wise any other condition of blood pressure raises,it known as primary or esential hypertension. Primary hypertensive disease progress soon to heart enlagement and failure and also towards a fatal end, it is called malignant hypertension.It will vary above 180/120 mm of hg and patient should be admitted to hospital for reducing blood pressure to avoid damage of organs like kidney, heart,liver, etc.PAH means pulmonary arterial hypertension.  which can be diagnosed through ecko cardiogram. To find out the gradation of conditions are give below.
1. Ascertain BP at variuos times during day, while resting in bed and when uder treatment with antihypertensive medicines. Find any primary cause like kidney dieases, diabetes, pregnancy or albumen in blood. Finding out any change in heart functions, pulse rate, electro-cardiographic changes, etc. And also ascertain secondary hypertensive complaints such as blood in urine, albumen, and disturbed kidney functions.
2. Hypertension is a socio-medical problem due to its high incidence with hypertensive heart diseases. It is increasing in the world with modern living conditions such as industrailisation, etc, high morbidity and mortality involving disability and economic loss.Next to heart disease and cerebral disease, it has the highest mortality rate.out of over the one fifth of all deaths over the age of 50. Above 30 percentage of population over 50 years of age may be suffering from it. Malignant forms of this disease are less common in eastern than western countries.
3. When hypertension is found out to a specific primary condition, some of the following factors believed to be responsible in the causation of high blood presure,is known as hypertensive risk factor like overweight and obesity,smoking,genetic factors,etc. Salt restriction brings down high blood presure levels,but if an excessive salt intake raises normal blood presure or not and if so whether it is one of the causes of persistant hypertension,is not known.

Preventive and control measures of hypertension.

Detection and treatment of early cases is an important measure due to even established hypertension may remain uncompliated for long time. Early,mild and uncomplicated high blood pressure with a view of arresting further progression of the disease and to increase long life under the category of secondary prevention of essential primary hypertension.By the care of certain factors like mode of life, habits, diet and body weight and treatment of antihypertensive medicines and psychotherapy,it is possible to obtain partial or complete cure in such cases towards longer and healthier lives so that the passive attitude based on high blood pressure is incurable. Certain secondary hypertensions are primarily preventable.Corrective surgery  in early childwood for coarctation, early intensive treatment of urinary infections,prevention and early treatment for throat infections in children, quick detection and removal of adrenal tumour, efficient antenatal or prenatal care for detection and treatment of the toxaemia arrest for the development of secondary hypertension. The object of prevention and control of hypertension should be to get rid of, arrest, undo or impede the progress of
the primary and secodary hypertensive disease in its early and late stages with complications. Other measures are the treatment of advanced cases and rehabilitation of the affected persons and health education of public,etc.The preventive approach to hypertension was grasped and professed long back in 1876 Handfield Jones when he said 'If I were bold enough to be a prophet, I should point to the time when the elder folks,instead of waiting till they had a stroke of apoplexy or a touch of paralysis....and then hurriedly summoning a physician to do impossibilities, will seek his advice, asking him to supervise their vital functions, regulate their mode of life and teach them to stay the morbid changes which they know may be silently progressing'