How to control Diseases in Animals in India?
भारत में पशु रोगों पर नियंत्रण कैसे संभव?
Tenets of Disease Control.
1. Stop false vaccination and vaccination programs.
2. Punish developers, approvers, and producers of fake and substandard and false vaccines and drugs.
3. Adopt test and segregation policy, test every 6 months for TB, JD, and Brucellosis.
4. Deworming regularly.
5. Disease mapping to assess the gravity of different problems. Involve true epidemiologists in disease control rather than false, self-acclaimed epidemiologists or those who have become epidemiologists due to managing their selection to high chairs.
6. At the national level, Instead of spending on useless vaccines and fake vaccination programs, spend that money compensating the farmers against their animals taken for segregation.
7. All Gaushalas and all veterinary Institutions having dairy farms in the name of teaching and education should be used as the house for the segregation of sick animals.
8. All such Gaushalas and Institutional farms should be used for research and management of sick animals. This program may also evaluate the efficacy of our so-called researchers having large claims.
9. The majority of the scientists should be allowed to work only on major disease problems in India rather than on fancied ideas and diseases.
10. Making the detailed program only after discussions with critics not with the approvers (chaploos) in light of our socioeconomic scenario and after prior testing of the program in the area of scientists working on the disease, if they can prove the program worked in the adopted villages for the study at least for 5 continuous years and evaluated independently only then National programs should be developed and implemented. Some people can say that it will further delay disease control in India, reply to them is what happened with the National disease control program for FMD after 15 years of intense hard work and money waste, Brucellosis and PPR control programs, all are big failures and only chaploos community can appreciate the success.
However, I know very well that my suggestions are useless and it is my mania to talk about. Neither the planners are going to correct nor myself is going to sit silently.
Then, why not to control diseases in India? Because:1. Doing nothing is also an established epidemiological technique for disease control. Over time, the host and pathogen learn to live together harmoniously, and endemic stability will automatically take care of every worry.
2. However, it is an inbuilt error in the human genome not to sit idle thus the wise planners of India have devised a way to show that they are doing a lot (if they do a lot, the diseases may not exist for long and the continuous source of income from corruption in so many different disease control program may be drying) but doing nothing for disease control but everything for maintaining those.
3. It is a well-known fact in epidemiology that half-hearted attempts to control disease mean feeding the nectar to the disease to stay forever.
4. Thus Indian planners are going in the right direction to fulfill their motives to keep half of India's slaves, hungry and crawling.
Tenets of Disease Control from Dr. OS Habib (Professor of epidemiology and health care, University of Basrah, Al Başrah, College of Medicine)
(https://www.researchgate.net/post/What_you_need_to_understand_before_attempting_any_disease_control_program?59caafabf7b67e8b6b7d3eea#59cb046096b7e4f02826a002)
The first step is a thorough situational analysis and environmental examination to gather information about:
a. Population size, age, and sex composition
b. Epidemiological analysis of morbidity and mortality. Define the types of problems, extent, severity, causes, and impact on the community as a whole.
c. identify financial, manpower, legal, ethical and other constraints.
d. Identify complaints and expectations of the population.
e. Available health care facilities (for training and services delivery).
The second step is to decide on priorities. To decide on which problem to prevent first, when we have limited resources and we face more than one problem. The usual criteria used in this context are
- The extent of the problem.
- The severity of the problem.
- Manageability of the problem.
- Community concern about the problem.
The third step is to state clearly the short-term and long-term objectives or goals to be achieved. These are the desired end results of an action. They are the guide to action and the yardstick to measure work after it is done. It is preferable that objectives are phrased in quantitative and measurable terms and made logical and feasible within available resources.
The fourth step is to explore and formulate alternative strategies to be adopted: their feasibility, operational choice, and the likely outcome and cost of each alternative are carefully studied. What methods are available to prevent a particular disease?
The fifth step. Once these alternative strategies are fully explored, an operational plan or programming is selected. The allocation of resources, authority, timetabling, and monitoring system is decided upon.
The sixth step. The selected program or plan is then implemented and the collection of monitoring data is initiated. At this phase, the effects of the program on clients and on adjacent systems such as the housing and educational systems are also evaluated. Any deviation from the planned activities is sorted out and corrective measures are undertaken. Implementation requires effective organization and adequate resources.
The seventh step. The last step in the planning process is an evaluation, which might be applied at three stages of the planning process:
a. Before plan implementation: evaluation of the plan itself. Is it going to work and achieve the stated objectives?
b. During implementation (monitoring). Day-to-day follow-up of activities. Is the plan achieving the stated objectives?
c. At the end of the implementation: Final evaluation. Has the plan achieved the stated objectives?
For evaluation purposes of disease prevention, one might suggest indicators of success like herd immunity, reduction in incidence, severity, or mortality due to the targeted disease (s).
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