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Government
of Andhra Pradesh Commissioned[1] the Institute
to prepare a comprehensive manual to achieve better control of the
gastroenteritis (GE) situation in the state. This manual departs
from traditional program implementation manuals and is addressed
to every one who have a role towards control of gastroenteritis.
The manual starts with a brief overview of the causes of GE and
basic insights relevant for an understanding of control measures.
The book describes proper use of water for drinking, and personal
hygiene to avoid gastroenteritis. Tips of recognition of
gastroenteritis are provided. Steps for preparation of oral
rehydration solution and its usefulness in management of GE are
described. The book gives instructions about surveillance of
drinking water and food quality, early detection of GE outbreaks
and medical management of GE
cases. The need for proactive information and education strategy
to secure community involvement in control of GE outbreaks is emphasized.
Health officers are expected to proactively release press notes
giving information about the cause of outbreak, and what can
people do to avoid or minimize its adverse effect. Myths and
misconceptions about the role of vaccination and the futility of
running after vaccination to control adverse effect of a GE
outbreak is highlighted. Case studies of a few actual GE outbreaks
reported by the public health department are given. To facilitate
work of public health officials and empower general public in
testing of water or food quality, addresses and where ever
available contact telephone numbers of public health laboratories,
water and / or food testing laboratories, both in public and
private sector have been given. Food hygiene tips for caterers and
food handlers are provided. The manual is a comprehensive handbook
for health workers, health educators and a good reference for the
general public. Government of AP have printed 5000 copies and
distributed among health workers in the state. The book has also
been published by the IHS for general reference[2].
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