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indian council of medical research - Pondicherry University DSpace ...

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eing 12.6 years when compared w~th girls from rural areas where it was 13.9 years<br />

(Joseph et a1.,1997). Thus the age at menarche could be an indirect indicator <strong>of</strong> a girl's<br />

nutrilional status.<br />

(iii) General disorders<br />

Compared to the under five's, the school age children are generally healthier. Both<br />

hospital and community based studies have been carried out to study the morbidity<br />

pattern in them<br />

The data available on the health status <strong>of</strong> school age children are<br />

heterogeneous. Different studies include different age groups, focus either on a single<br />

illness or on general morbidity conditions. A community survey near Calcutta showed<br />

that the average illness in children between 6-14 years <strong>of</strong> age was 3.21girl and 3.7lboy.<br />

It was hlghest in chlldren between 1-3 years <strong>of</strong> age and lowest in children between 6-14<br />

years (Choudhun and Choudhuri,l962). The average disorderlchild in other studies<br />

var~ed from 1.3 to 3.2 (Gupta et a1.,1973; Ananthakrishnan et a1.,1987). Surveys have<br />

shown that the percentage <strong>of</strong> children suffering from some disorder or the other to vary<br />

from<br />

46.5% In Lucknow to 83.0% in Bombay (Bansal et a/.,1973, Tragler,l981:<br />

Khanna et a1,1995).The morbidity rate was higher in children below 10 years <strong>of</strong> age<br />

(87.1%) than in older children (67.7%; Bansal et a1.,1973). Some <strong>of</strong> the common<br />

causes <strong>of</strong> morbidity as revealed by different studies were nutritional disorders, diseases<br />

<strong>of</strong> the skin, hair, eye, ear, nose and throat, respiratory system, dental wries,<br />

helminth~asis, tuberculos~s, convulsions and anemla (Gupta et a1.,1973, Bansal et<br />

a1,1973, Aganval et a1.,1976; Tragler,l981; Ananthakrishnan et a1.,1987; Bhattacharya<br />

and Tandon,1992, Khanna el a1.,1995;Table 5.1). The prevalence <strong>of</strong> these disorders<br />

as revealed by different studies showed a wide variation. The reasons for thls vanatlon<br />

have not been looked into. The morbidity in school children from <strong>Pondicherry</strong> as

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