Chapter 11 CONTROL OF NON-COMMUNICABLE DISEASES

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62. Control of non-communicable diseases.

Statutory text

(1) For the purpose of this Chapter, “noncommunicable disease” means non-communicable diseases or conditions and which are not included in the definitions in clauses (c) and (i) of sub-section (1) of section 2.
(2) A chronic disease means a non-communicable disease and deviations from normal and which includes one or more of the following conditions, namely:—
- (i) permanent impairment occurring due to disease or accident;
- (ii) persisting disability due to disease or accident;
- (iii) disability caused due to unidentifiable pathological condition;
- (iv) condition requiring special training for rehabilitation; and
- (v) requiring long term supervision and observation for cure.
(3) The following shall normally deem to be non-communicable diseases, namely:—
- (i) Diabetes Mellitus;
- (ii) High Blood Pressure(Hypertension);
- (iii) Cancer;
- (iv) Chronic Lung Disease;
- (v) Chronic Renal Disease;
- (vi) Blindness;
- (vii) Heart Disease;
- (viii) Dementia including Alzheimer's Disease;
- (ix) Injuries caused by accidents;
- (x) Musculoskeletal diseases and Arthritis;
- (xi) Neurological Diseases;
- (xii) Obesity;
- (xiii) Psychiatric disease;
- (xiv) Rheumatic heart disease;
- (xv) Stroke;
- (xvi) Liver Diseases; and
- (xvii) Genetic Diseases.
(4) Subject to the provisions specified in sub-section (1) or sub-section (2), the Government may notify any other disease as non-communicable disease and if it is deem to be not communicable that may be excluded through a notification.
(5) For the control of non-communicable disease, the Government shall bring guidelines for health providing, preventive, treatment, rehabilitative and palliative activities and shall ensure that the guidelines are followed by the Public Health Officers and the healthcare providers. The Government shall also formulate and frame policies for the prevention and control of the non-communicable diseases and for the implementation of such policies, shall give training to healthcare providers, through the Local Public Health Officers.
(6) Subject to the prevailing health conditions of the people in the locality, the Local Public Health Officers shall implement the policies and guidelines formulated by the Government in the prevention and control of non-communicable diseases. The Local Public Health Officers shall also ensure that a situation to nurture healthy habits is created and the physical environment for the people of the locality to follow such lifestyles is sustained.
(7) The Local Public Health Officers shall, as described, promote the prevention and control of non-communicable diseases through primary prevention, secondary prevention and tertiary prevention and shall include, namely:—
- (i) in primary prevention,
- (a) prevention of air pollution in and out of house;
- (b) arrangement of infrastructural facilities for exercise;
- (c) promotion of healthy food and eating habits;
- (d) promotion of healthy agricultural practices;
- (e) creation of health awareness among general public;
- (f) anti-addiction campaign and awareness thereof;
- (g) other health promotion activities; and
  - (ii) in secondary prevention, and
- (a) early diagnosis and proper treatment;
- (b) conducting of health check-ups at regular intervals;
- (c) control and avoidance of excessive and unscientific use of anitbiotics;
  - (iii) in tertiary prevention,
- (a) physical and mental rehabilitation schemes;
- (b) palliative care;
- (c) vocational rehabilitation.
(8) The Local Public Health Officer shall promote the following matters, namely:— programme.
- (i) activites for exercise and for change of lifestyles which adversely affect health by ensuring peoples’ participation through public groups in the health sub-centres;
- (ii) Yoga training and Yoga practicing for the physical and mental rejuvenation and health care;
- (iii) Required diet control and lifestyle changes for the prevention of diseases when people susceptible to lifestyle diseases are found in health check-ups;
- (iv) enlighten and create awareness about the serious physical and mental illness caused to person by the use of intoxicating substances;
- (v) training to health workers to find out those having non-communicable diseases and who are susceptible to disease;
- (vi) scientific awareness campaign related to health;
- (vii) training to health workers and others with respect to providing of essential first aid in situations of heart attack, burns etc.;
- (viii) programs and activitites proposed by the Government in the school health

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