The following common
diseases are found among rural children due to lack of balanced diet.
|
Name of diseases |
Occurs in deficiency of |
|
(i) Beri-Beri |
Vitamine ‘B’ (Thiamin) |
|
(ii) Cheilosis |
Riboflavin |
|
(iii) Glossiest |
Riboflavin |
|
(iv) Goitere |
Iodine |
|
(v) Kwashiorkar |
Protein-calory mal nutrition |
|
(vi) Marasmas |
Protein-calory mal nutrition |
|
(vii) Night blindness |
Vitamin ‘A’ |
|
(viii) Rickets |
Vitamin ‘D’ |
|
(ix) Scurvy |
Vitamin ‘C’ |
|
Name of diseases |
Symptoms |
|
(i) Beri-Beri |
Mental depression, oedema, loss of
appetite, lean and thin health, cardiac problem, forgetfulness, etc. |
|
(ii) Cheilosis |
Crack in both sides of the lips with
sometimes bleeding |
|
(iii) Glossiest |
Inflamed and red colour small
pimples like eruptions on tongue |
|
(iv) Goitere |
Enlargement of thyroid gland, both
physical and mental growth retardation |
|
(v) Kwashiorkar |
Swollen face, palm and feet, pot
belly |
|
(vi) Marasmas |
Thin body, rib bones, face looking
like old persons |
|
(vii) Night
blindness |
Unable to see in dim light |
|
(viii) Rickets |
Bow
shaped bones in leg and hand, joints of wrist, ankle and knee widens
disproportionately |
|
(ix) Scurvy |
Inflamed,
red, swollen and bleeding from gums, delayed wound healing |
The suggested weaning foods
are: (i) kitchri (porridge), boiled and smashed potato, papaya, banana, carrot,
etc, orange juice, ragi kheer, rice kheer to be given from 4 to 5 months while
egg yolk, dal, wheat dalia, all fruits and vegetables after 9 to 10 months of
age. All the above mentioned foods may be started with two spoons in a day and
gradually it should be increased to 50 gm or as per acceptability of the child.
At a time, only one type of weaning food should be introduced and if the child
has some allergy to it then immediately it should be stopped. Rather may be
given after few days.
The
common symptoms are as following:
·
Body
weight reduces than normal
·
Skin
becomes dried
·
Feels
breathlessness after a little work
·
Loses
appetite
·
Hairs
become weak and easily pluckable
·
Mid
arm circumference becomes low among infants
The
symptoms of anemia are as following:
·
The
eyelids and nails become pale
·
Feels
more anxiety
·
Feels
breathlessness after a little exertion
·
Feeling
of reeling head
·
The
nail shapes like spoon in severe cases
Some
low cost locally available food stuffs may be used in our daily diet like:
·
Ragi:
rich source of calcium and iron than rice and wheat
·
Guava:
more nutritious and rich in vitamin ‘c’ as compared to apple
·
Jaggery:
more nutritious having energy and rich in iron than sugar
·
Mushroom:
rich in protein and cheaper than animal protein
Other than these, the
locally produced pulses (green gram, black gram, horse gram, bengal gram,
kandula, etc), small millets, fruits (banana, mango, pine apple, custard apple,
palm, dates, black berry, coconut, bel, ber, jack fruit, etc), local nuts,
ground nuts, green leaves (drum stick, amaranthus, palak, mint, sunusunia,
madaranga, muthi, etc) should be included in daily diet.
To minimize the loss of
nutrients, the following steps may be followed.
·
Food
should be covered to save the nutrients lost by air
·
Extra
water should not be discarded to save the water soluble vitamins
·
Vegetables
should be washed before cutting to reduce nutrient loss through water
·
Cut
pieces should be big in size
·
Some
of the germinated grams should be eaten in raw form without cooking to save
vitamin ‘C’, riboflavin and iron.
·
Peels
of certain fruits and vegetables like apple, cucumber, etc should not be
removed
·
Cooked
water from rice should not be discarded which is rich in B-complex and
carbohydrates
·
Cheese
water may be used in preparation of dal or dough
To make the food more tasty
and palatable it needs cooking. The various cooking methods are:
·
Boiling
·
Steaming
·
Shallow
frying
·
Deep
frying
·
Stewing
·
Roasting
·
Simmering
·
Baking
The food value may be
enhanced through:
·
Combination
of foods like rice + pulse + nuts + vegetable, etc. can make khichiri which
provides energy, protein, fat, etc.
·
Sprouting
or germination of various grams increases vitamin ‘C’ content
·
Fermentation
of batter to make idli and dhokla enhances vitamin ‘B’
·
Substitution
of mixed vegetable pulao may be taken in place of plain rice
·
Supplementation
may be done by addition of skimmed milk, pulses and vegetables with cereal rich
diets
·
Puffing
is a process to puff up cereals to take as breakfast items
·
Parboiling
of rice increases the ‘B’ group of vitamin which is very less in polished rice
·
Liming
means to add chuna which enhances calcium to the diet
·
Micro-organisms
like yeast, bacteria, virus, moulds, etc. spoil the food.
·
Moisture
is a great factor which facilitates the bacteria to grow and spoil food.
·
Enzymes
in the food itself contaminate the foods.
·
Insects
like worms, bugs, weevils, fruit-flies, moths cause extensive damage to food.
Different
items from ragi are:
·
Ragi
pitha (cakes)
·
Ragi
halwa
·
Ragi
roti / paratha
·
Ragi
zau (porridge)
·
Ragi
pakoda
·
Ragi
kheer
·
Ragi
biscuit
Ragi is very rich in
calcium which helps for the growth of bones and teeth among children. It also
contains high iron. A combination of ragi flour, pulse powder and milk can be
given in cooked form to small children in place of ‘Farex’ or ‘Cerelac’
available in market.
·
The
cooked food should be kept covered. The waste food should also be kept covered
and kept away from the main food so that files do not get chance to grow.
Sometimes due to indigestion diarrhea may occur, so the food should be cooked
properly and be eaten in small quantity to avoid indigestion.
·
The
surroundings should be neat and clean, so the chances of breeding of files get
reduced.
Food adulteration includes
the intentional addition or substitution or abstraction of inferior substances
which adversely affect the nature, substance and quality of foods. Incidental
contamination during the period of growth, harvesting, storage, processing,
transport and distribution also occurs.
·
Stone,
chips may be added to the rice, metanil in pulses, ergot in bajra seeds, coal-tar
dye in roasted gram.
· Water
and starch may be added to milk.
· Pure
ghee may be adulterated with vanaspati, mashed potato with butter, cheap edible
oil with vanaspati, agrimonies with mustard oil, etc.
· Artificial
dye may be with tea leaves, powdered date seeds or tamarind powder in coffee,
etc.
· Chalk
or any other dust or dirt in sugar, jiggery with metanil yellow, bura sugar
with washing soda may create adulteration.
· Extraneous
colouring matter in turmeric or chilly powder, grit in spices, talc powder in
cardamom, grit or clay in common salt may be added for adulteration.
· Fenugreek
· Black
pepper
· Turmeric
· Ginger
· Onion
· Garlic
· Coriander
· Chilli
· Mustard
· Cardamom
· Sinnamon
· Bay
leaves