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Milestone Masala Feb 2016

Two diseases in the news are KFD (monkey fever) and H1N1 (swine flu). Here is the summary of the disease and some recommendations. Kyasanur Forest Disease (Monkey fever) It is a viral fever which has been confined for long to certain provinces in the interior forests of Karnataka, wynad.Few cases have been reported in Kerala recently. Here is the summary • It is a viral disease transmitted by infected ticks • Forest staff, tribes people,trekkkers,tourists who venture into forests are more prone • Monkey deaths in a locality is often an indication that human infection might follow • Symptoms closely mimics Dengue Hemorrhagic fever, highly pathogenic.fever,body pain,bleeding.renal failure, • Can be tested in labs with high biosafety standards • No Human-human transmission reported so far • No vaccine for routine use H1N1 (swine flu) HINI (swine flu) is a deadly disease caused by H1N1 virus which is a member of the flu family. Symptoms are fever, body pain, and cough, breathing difficulty and not improving with usual medication. There are no typical features which help in distinguishing from other common disorders. At risk patients are children, pregnancy, morbidly obese, asthma, children below 2 years, adults above 65,. Vaccination available,not in the list of routine vaccinations.can be given after one to one discussion with your doctor Less than 9 years 2 doses 1 month apart, followed by 1 dose every year Above 9 years 1 dose every year No major side effects NO consultation charges or registration charges for adults Cost of Vaccine +procedure vaccine disposables-900 rupees Recently Our Prime Minister has stressed the importance of Hand wash "Hand-wash is the need of the hour instead of just a habit. Hand-wash is the first basic and cost effective step that we can adopt to prevent any disease. It was taught to us when we were kids, but we have forgotten about it," Thank you Clinic opening hours 8 to 1, 4 to 7.30pm Sundays closed Online apt available via www.milestonesclinic.in

Milestone Masala April 2016

This month has 2 important days World Autism day and world Health day. Few words about Autism Autism-it is a disease characterized by social communication difficulties, repetitive, obsessional and perfectionistic behavior. Language delay is present and it is usually seen before 3 yrs. Boys are more affected. Low IQ is usually associated with this condition. Epilepsy is seen in some of these children. It is a brain based disorder and there is probably a genetic aspect to this disorder. Treatment involves a multi-disciplinary output with involvement of pediatrician, child psychiatrist, speech therapist; occupational therapist.Hyperacttivity is sometimes associated with this condition. It is not associated with any vaccination. Few clinical features include -aloof in manner, avoids eye contact, no understanding of fear and real danger, lack of pretend play, inappropriate attachment to objects, difficulty in mixing and playing with others, echoes words and pharses,crying tantrums, extreme unusual behaviors or bodily movements like flapping, rocking self,spinning,does not like being hugged. World Health day-April 7/4/16 The World health day is celebrated every day on April7.This year the WHO celebrates this day with the slogan small bite, big threat. Few examples of Vector borne diseases include malaria, dengue, filariasis.In Kerala mostly mosquitoes are the carriers of Vector-borne diseases. Every individual should take an effort to eradicate mosquitoes. Most the mosquitoes breed in dirty water. Prevent collection of dirty water in your surroundings. To prevent mosquito bites people should wear full sleeve shirts and pants and cover the legs while sleeping. Use of anti-repellent creams, nets, bats is advocated.

One common recurring theme which I hear day in and out is the poor eating habits of our children. He

Why to be concerned At an early age growth potential is maximum. In fact a child gains 5 times in increase in birth weight by age 5 and 2 times increase in height by age 4.Catch up growth is difficult if growth is affected in early age So fussy eating may impact overall growth. Here are the 6 steps to smile away fussy eating 1-Manage meal time-establish set meal and snack times to help your child understand hunger and fullness. For example, breakfast to be given between 7.30 to 8.30 is, snack between 19.30 am to 11 am, lunch 1 to 1.45 pm, and snack 4.30 to 5 pm and dinner 8 pm to 8.45.Nonthing but water to be given in between. Step 2-chooose healthy food-plenty of fruits, vegetables, whole cereals, grains, pulses, fish, nuts and seeds Step 3-choose the family table. Sit together and eat as a famil.Use a high chair. Eat as you feed your child. Please praise your child and do not pressurize the child to take a bite of everything. Let your child make a mess. Do not put the TV on during eating. Step 4-understand your child’s hunger signals-Ask yourself, how do I know when my child is hungry and how do I know when my child is full. If you can’t answer these questions, watch your child around meals for a week. Feed your child when hungry and end meal when full. Step 5-Adopt a responsive feeding style-Feed your child when hungry.Dont make your child eat when he/she is full. Eat with your child and model good eating. Trust your child to eat as much as he/she needs. Talk positively with your child about food and eating. Establish set meals and snack times. Give nothing but water in between. Serve a variety of food. Step 6-consistently offer new food.at least once a day, offer your child a food he/she doesn’t eat or hasn’t tried before. Put a small amount of new food on the plate. Make sure there are 1 or 2 items food items he/she likes on the plate. Do not pressurize your child to try the new food. Talk positively about all food on the plate.