Review: A Ten Year Review of Diseases in Rural Diseases in Rural Kankan

Abstract: An analysis of 11,984 cases admitted in an intensive care unit or general ward under general medicine department over a period of 10 years (2003 to 2013) at a rural secondary care Hospital in Ratnagiri was performed. Out of these 7670 (64%) were males and 4314 (36%) were females. 7294 patients got admitted in Intensive CareUnit (60.86%) and 4690 (39.13%) were admitted in wards. Analysis showed that largest group of patients had cardio vascular system related problems 3831 (31.96%), followed by 2559 (21.35%) having central nervous system related problems, Respiratory diseases 1402 (11.69%), infections 993 (8.28%), gastro intestinal 985 (8.21%), diabetes 804 (6.70%), renal disorders 517(4.31%), poisoning 296 (2.46 %), snake bites 288 (2.40%,) and scorpion bites 309 (2.57 %). Cardio vascular disease form a sizable majority of non communicable medical illness .This analysis indicates that the prevalence of coronary artery disease is increasing in rural India and there is an urgent need for development and implementation of accessible and approachable primary and secondary prevention and treatment approach for control of this epidemic. It also indicates that there is a need for development of nephrological services in rural area. Snake and scorpion bites were the diseases prevalent in this area, but mortality was lowest in this group because of goodICU back up. Overall mortality in 11984 patients was 6.14%.Highest mortality was seen in renal disorders that are 8.12%, in spite of having hemodialysis facility.