A)  Goals 

Recent surveys and statistics showed an alarming increase in Hypertension, Diabetes Ischemic Heart Disease, Cardiovascular Disease, Cancer etc all leading to a high morbidity & mortality. The spurt in these cases in mainly attributed to the stressful life and change in lifestyle like food habits and a sedentary and affluent life. 

This cell aims to develop overall integrated programme for the prevention, early detection and management of lifestyle disorders and other non communicable diseases, as a part of primary health care, to bring down the morbidity and mortality, and thus to promote health in general for better productivity, and directly to promote financial savings in health care costs in terms of decreased Angioplasties, CABGs, Amputations, renal transplants etc and indirectly in terms of loss of man days.

B)  Objectives: 

To identify early indicators for cardiac and other metabolic diseases so as to have early intervention and prevent complications arising from theses diseases

To strengthen intensive coronary care units at district hospitals for management of cardiovascular diseases, with central oxygen supply and 24 hours monitoring. 

To strengthen intensive care units at district hospitals for management of pulmonary circulatory diseases and occupational or work related pollution hazard, with central oxygen, infusion pumps, nebulizers, spirometers. 

Training and advancement of personnel delivering specialty treatment is under consideration of Govt.

To bring awareness about life-style disorders including alcohol, drug abuse and smoking. Adult education, informative booklets, and media campaign for the prevention of alcohol and drug abuse in vernacular languages will be undertaken by National Service Scheme (NSS) volunteers, and Youth Red cross (YRC) volunteers of XI and XII standard students. Kripa foundation NGO is already working in this direction of smoking cessation clinics, strict implementation of anti-smoking act, Act to prevent production of spurious liquor, revision of views on country liquor by graded taxation. 

To strengthen surveillance programme with the help of PHC Medical Officers. 

As schools are ideal medium of intervention, strengthening of school health activities comprising of eye care, dental care and detection of congenital cardiac anomalies, maintenance of hygiene by active school health education with the help of PHC Medial Officers and PHC public health dentist. “Adopt one School” scheme has been launched in Mormugao by IMA Doctors and nurses of TNAI (Trained Nurse Association of India) to detect and prevent obesity in children studying in convent schools (KG to XII). 

Management of micronutrient/ nutritional deficiencies coupled with nutrition education: - 

• Promotion of micronutrients in balanced diet 

• Fortification of common salt with iodine in collaboration with Industries Dept. 

• Mid-day meal provision to children with the help of Education Dept. and Women and Child Development Dept. 

• Discouraging salted items like chips. 

• Promoting of whole grain chapattis brown bread. 

• To promote Goa beans which are superior to even Soyabeans. (Soyabeans have high gamma tocoferrol levels). As per recent reports gamma tocoferrol increases risk to chronic diseases. 

• Promotion of tender coconut water. 

• Discouraging pickles, coloured Dahl, soft drinks 

• Promotion of indigenous oil like groundnut and sesame and even canola. Use of coconut oil to be restricted. 

• Promotion of vegetable food at least 400 gm/day. 

• To promote local fruit consumption viz. jackfruit, jamun, jagmas etc. 

• To promote local vegetable consumption viz. drumstick leaves, curry leaves 

Stress management and spiritual health services for management of stress and obesity by promoting yoga, meditation etc. Siddha Samadhi Yoga (SSY) is already working in this direction

To take up pilot project for cardiovascular disease in Goa Medical College. 

Provision of counseling services to special clinics at district hospitals. 

IEC
Cigarette and other Tobacco Products Act, 2003

Status as on Nov 2010

Cigarettes and Other Tobacco Products Act, 2003

Design of  No Smoking Board