creators_name: Balgir, RS creators_id: balgirrs@yahoo.co.in editors_name: Kakkilaya, Srinivas editors_id: BS Kakkilaya type: journale datestamp: 2011-12-16 00:02:02 lastmod: 2011-12-16 00:02:02 metadata_visibility: show title: Genetic Disease Burden, Nutrition and Determinants of Tribal Health Care in Chhattisgarh State of Central-East India: A Status Paper ispublished: pub subjects: OJHAS full_text_status: public keywords: Tribal health; Genetic disease burden; Nutrition; Communicable disease; Non-communicable disease; Biomedical anthropology; Chhattisgarh abstract: 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. date: 2011-04-15 date_type: published publication: Online Journal of Health and Allied Sciences volume: 10 number: 1 publisher: BS Kakkilaya refereed: TRUE referencetext: 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. 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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. citation: 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)] document_url: http://cogprints.org/7789/7/2011-1-4.pdf