Genetic Disease Burden, Nutrition and Determinants of Tribal Health Care in Chhattisgarh State of Central-East India: A Status Paper

Balgir, RS (2011) Genetic Disease Burden, Nutrition and Determinants of Tribal Health Care in Chhattisgarh State of Central-East India: A Status Paper. [Journal (On-line/Unpaginated)]

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Tribal health is an important aspect of development and progress of the people. This study pertaining to genetic disease burden, nutritional status and biomedical anthropological assessment with particular reference to determinants of tribal health care has been carried out among the four tribes, namely, Bhatra, Gond, Kondh and Paraja of Orissa residing adjacent to the bordering districts of Chhattisgarh The population genetic structure of a tribe is the outcome of socio-cultural practices, bio-psychological behavior, genetic constitution, and eco-environmental conditions. Tribal communities in India, in general and of Chhattisgarh state in particular, are highly vulnerable to various genetic diseases, nutritional deficiencies and unrealistic practices and lack of access to basic health facilities. A total of 815 blood samples comprising of 166 Bhatra, 219 Gond, 254 Kondh and 176 Paraja tribes were collected randomly under aseptic conditions. The frequency of sickle cell hemoglobinopathy (3.2-22.5%), β-thalassemia trait (0.5-8.5%), and G6PD enzyme deficiency (6-16%) is very high among the tribes of Chhattisgarh. However, the prevalence of Rhesus negative blood group is very low (0-0.6%). The frequency of hereditary hemolytic anemia is also high among the tribals of Chhattisgarh. Both communicable and non-communicable diseases harbor the tribal population. The nutritional deficiencies are rampant. Tribal people are engrossed with superstitions and have faith in traditional healers who practice magico-religious rites along with indigenous herbal treatment for the common ailments. Traditional folk medicine and health culture play a significant role in shaping tribal life. These health practices differ from one tribe to another. Unless locality specific, tribe specific and need-based health care system is evolved which should be appropriate, acceptable, accessible, and affordable, the true goal of health for all cannot be achieved in India.

Item Type:Journal (On-line/Unpaginated)
Keywords:Tribal health; Genetic disease burden; Nutrition; Communicable disease; Non-communicable disease; Biomedical anthropology; Chhattisgarh
Subjects:JOURNALS > Online Journal of Health and Allied Sciences
ID Code:7789
Deposited By: Kakkilaya Bevinje, Dr. Srinivas
Deposited On:16 Dec 2011 00:02
Last Modified:16 Dec 2011 00:02

References in Article

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1. Balgir RS. Human genetics, health and tribal development in Orissa. In: Environment, Health and Development: Anthropological Perspective. Dash Sharma P. Ed. Ranchi: SC Roy Institute of Anthropological Studies. 2000. pp 87-104.

2. Balgir RS. Tribal health problems, disease burden and ameliorative challenges in tribal communities with special emphasis on tribes of Orissa. Jabalpur: Regional Medical Research Centre for Tribals (ICMR). 2007;161-176.

3. Daland GA, Castle WB. Simple and rapid method for demonstrating sickling of red blood cells, use of reducing agents. J Lab Clin Med 1948;53:1082.

4. Weatherall DJ. The Thalassemias. In: Methods in hematology. Weatherall DJ. Ed. Vol. 6. New York: Churchill Livingstone. 1983. pp 27-53.

5. Dacie JV, Lewis SM. Practical Hematology. 7th Edn. Edinburg: Churchil Livingstone.1991. pp 227-258.

6. Bernstein RE. A rapid screening dye test for detection of G6PD deficiency in red cells. Nature 1962;194:192.

7. WHO Report. Standardization of procedures for study of glucose-6-phosphate dehydrogenase. WHO Tech Rep Ser 366. 1967. pp 1-53.

8. Beutler E, Blune G, Kaplan JC, Lohr GW, Ramot B, Valentine WW. International committee for standardization in hematology:recommended screening test for glucose-6-phosphate dehydrogenase deficiency. Br J Hemat 1979;43:465-467.

9. Balgir RS. Biomedical anthropology in contemporary tribal society of India. In: Contemporary Society: Tribal Studies (Tribal Situation in India). Vol.6. Behera DK, Pfeffer G. (Eds). New Delhi: Concept Publishing Company 2005. pp 292-301.

10. Balgir RS. Ethnic and regional variations in the red cell G6PD deficiency in India. Indian J Hemat 1989;7:101-109.

11. Balgir RS. The prevalence of sickle cell hemoglobinopathy in India. In: Madhava Menon T, Sivathanu C, Prasanth KP, Sasikumar M, Mathur PRG. (eds.) Encyclopedia of Dravidian Tribes. Trivendrum: The International School of Dravidian Linguistics.1996. pp 21-29.

12. Balgir RS. The prevalence of colour impairment disorders in India. Indian Practr 1999;52:256-268.

13. Balgir RS. The burden of hemoglobinopathies in India and the challenges ahead. Curr Sci 2000;79:1536-1547.

14. Balgir RS. Genetic epidemiology of sickle cell anemia in India. Indian Practr 2001;54:771-776.

15. Balgir RS. The genetic burden of hemoglobinopathies with special reference to community health in India and the challenges ahead. Indian J Hemat Blood Transfus 2002;20:2-7.

16. Balgir RS. Genetic dimensions of sickle cell hemoglobinopathy among five scheduled caste populations of Orissa, India. Indian Practr 2002;55:503-514.

17. Basu Salil. Genetic, socio-cultural and health care among the tribal groups of Jagdalpur and Konta Tehsils of Bastar district (Madhya Pradesh).In: Anthropology Development and Nation Building. Kalla AK, Singh KS. Eds. New Delhi: Concept Publishing Company.1987. pp 87-105.

18. Kaeda JS, Chhotray GP, Ranjit MR et al. A new glucose-6-phosphate dehydrogenase variant, G6PD Orissa (44 Ala>Gly), is the major polymorphic variant in tribal populations in India. Am J Hum Genet 1995;57:1335-1341.

19. Balgir RS. Indigenous and independent origin of the βS-mutation in ancient India: Is it a myth or reality? Mankind Quarterly 2001;42:99-116.

20. Balgir RS. Genetic markers in the tribal health, development and welfare with special reference to North Eastern India. In: Anthropology, Population and Development. Sharma JC.(Ed.) New Delhi: Inter-India Publications 1995. pp 151-171.

21. Balgir RS. Genetic burden of red cell enzyme glucose-6-phosphate dehydrogenase deficiency in two major scheduled tribes of Sundargarh district in Northwestern Orissa. Curr Sci 2007;92:768-774.

22. Basu Salil, Mitra K. Health development of tribal communities of India: Need for action research. Indian J Social Develop 2001;1:134-156.

23. Balgir RS. The spectrum of hemoglobin variants in two scheduled tribes of Sundargarh district in Northwestern Orissa, India. Ann Hum Biol 2005;32:560-573.

24. Balgir RS. Genetic diversity of hemoglobinopathies, G6PD deficiency and ABO and Rhesus blood groups in two isolates of primitive Kharia tribe in Sundargarh district of Northwestern Orissa, India. J Community Genet 2010;1:117-123. DOI 10.1007/s12687-010-0016-y.

25. Balgir RS. Biomedical anthropology in the service of mankind in the new millennium: Are we ready? In: Anthropology: Trends and Applications. Bhasin MK, Malik SL. (Eds). New Delhi: Kamalaraj Enterprises 2002. pp 141-147.

26. Sharma JC. Role of nutrition in physical growth and development. In: Anthropology Development and Nation Building. Kalla AK, Singh KS. (Eds.) New Delhi: Concept Publishing Company. 1987. pp 175-188.

27. Balgir RS. Khonds – Health Status. In: Madhava Menon T, Sivathanu C, Prasanth KP, Sasikumar M, Mathur PRG (Eds.) Encyclopedia of Dravidian Tribes.Trivendrum: The International School of Dravidian Linguistics. 1997. pp 21-29.

28. Balgir RS. Biomedical anthropology and health status of the tribal Muslim Gujjars of Himachal Pradesh, India. In: Health, Healers and Healing: Studies in Medical Anthropology. Sengupta Sarthak. (Ed) Dibrugarh: National Library Publishers. Chapter: I.1999. pp 1-19.

29. Balgir RS, Kerkatta AS, Murmu B and Dash BP. Clinical assessment of health and nutritional status of Gond children in Kalahandi district of Orissa. Indian J Nutr Dietet 2002;39:31-37.

30. Balgir RS. Detrimental intrinsic factors contain population explosion for sustainable development in 18 indigenous communities of Orissa, India. In: Pati RN & Jain Atul Kumar. Eds. Biodiversity and Sustainable Development. (40th Chapter). New Delhi: Sarup Book Publishers Private Limited. 2010. pp 507-516.

31. Srinivasan S. Health care in rural India: Problems and Challenges. In: Anthropology Development and Nation Building. Kalla AK, Singh KS. Eds. New Delhi: Concept Publishing Company. 1987. pp 211-220.


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