Vitamin A

For Para-medics Vitamin A Training Dr. SIRAJ VOHRA Block Health Officer, Anklav, Di. Anand, (Gujarat) INDIA (M) 0091-94284 90284, 94284 90384

Vitamin A Retinol Beta -carotine Vit. A Measured in - International Unit (IU) 1 IU of Vit. A = 0.3 microgram of Retinol 2 forms Pre-formed Pro-vitamins

Role of Vitamin A in Body ,[object Object],[object Object],[object Object],[object Object],[object Object]

Availability of Vitamin A A. Animal foods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Available as Natural Retinol & easily absorbed from Intestine

Availability of Vitamin A (cont..) B. Plant foods Available as Beta-Carotine, converts to Retinol in Intestine ,[object Object],Carrots ,[object Object],Highest source -------  Spinach, Amaranth ,[object Object],Papaya, Mango, Pumpkins

[object Object],[object Object],Availability of Vitamin A (cont..) C. Fortified foods ??

Daily Requirement of Retinol (Pure Vit A) in Mcgm Requrement of Beta carotine is 4 times higher than Retinol Vit. A is stored in liver & sufficient for body need of 6-9 months ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Result of Vitamin A Deficiency ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Progress of Occular complication (xerophthelmia) Keratomalasia Night Blindness Conjunctival Xerosis Bitot’s Spot Corneal Ulcer

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Night Blindness

[object Object],[object Object],[object Object],Conjunctival Xerosis

[object Object],[object Object],[object Object],[object Object],Bitot’s Spot

[object Object],[object Object],[object Object],[object Object],[object Object],Corneal Xerosis & Ulcer

[object Object],[object Object],[object Object],[object Object],[object Object],Keratomalasia

Prevalence in age group of 6 months – 6 Years) Night Blindness - > 1 % ( 100 / 10000 ) Bitot’s Spot - > 0.01 % ( 1 / 10000 ) Keratomalasia - > 5 % ( 500 / 10000 ) Corneal Ulcer - > 0.05 % ( 5 / 10000 ) Conjunctival Xerosis - > 0.5 % ( 50 / 10000 )

< 1% Kerala, Meghalaya, Sikkim 1-3% Andhra Pradesh, Karnataka, Manipur, Punjab, Chandigarh 3-6% Haryana, Himachal, J&K, Maharashtra, Tamilnadu, Delhi, Goa, > 6% ,[object Object]

Prevention ,[object Object],[object Object],[object Object],[object Object],[object Object]

Toxicity ,[object Object],[object Object],[object Object],[object Object]

1 st Dose must be given with Measels at complited 9 months of age Only 2 nd to 9 th Dose (Total 8 Doses) in Biannual round

What is Biannual round of Vitamin A ? Twice in a year Only during month of February & August 2 nd to 9 th doses (8 Doses only ) Each dose of 2,00,000 IU (2 ml)

Vitamin A Annual workload calculation Workload for 1 st dose = workload for Measels Workload for 2nd dose = workload for Measels Workload for 3rd dose = workload for Measels Workload for 4th dose = workload for Measels Workload for 5th dose = workload for Measels Workload for 6th dose = workload for Measels Workload for 7th dose = workload for Measels Workload for 8th dose = workload for Measels Workload for 9th dose = workload for Measels

Vitamin A Annual workload calculation Workload for 2nd to 9 th dose = workload for Measels X 8 (Annual)

Vitamin A Biannual workload calculation Workload for 2nd to 9 th dose = workload for Measels X 4 (For round of February) Workload for 2nd to 9 th dose = workload for Measels X 4 (For round of August)

Vitamin A Annual requirement calculation Workload for 1st dose (Requirement in ml.) X 1 ml. Workload for 2nd to 9 th dose X 2 ml. +

Vitamin A Annual requirement calculation Workload for 1st dose X 1 ml. Workload for 2nd to 9 th dose X 2 ml. + = Workload of measels. = Workload of measels X 8 = Workload of measels X 1 = Workload of measels X 16 + = Workload of measels X 17 (in ml.) (in ml.)

= Workload of measels X 17 (in ml.) = Workload of measels X 0.17 (in Bottles) Requirement of Vit A Solution Workload of Vit A 1 st dose = Workload of measels Workload of Vit A - 2 to 9 dose = Workload of measels X 8 All are Annual For Each Biannual round >> Devide it by TWO

End of the Vitamin A Training THE BIGGINING.. of your work

Vitamin A

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Vitamin A