The Indian Journal of Pediatrics

, Volume 54, Issue 3, pp 441–444 | Cite as

Acute respiratory infections in Kangra district: Magnitude and current treatment practices

  • Jai P. Narain
  • T. D. Sharma
Original Articles


A review of medical records of health centres in Kangra districts, Himachal Pradesh during October 1984 to September 1985 revealed that of 3,72,000 attendances, 18% were for acute respiratory infections (ARI) and 12% for diarrheal diseases. The annual incidence of visits for ARI among children below five was higher than that of general population (8·2/1000 vs. 6·7/1000). ARI was more common during the post-monsoon period and among people living in mountainous areas. The case fatality rate in hospitalised ARI patients was 10·5%. Interview of health centre physicians regarding ARI management practices indicated that chest indrawing (considered by WHO as pathognomonic of severe ARI) was not recognised as an important sign by majority of physicians. Ninety-one per cent of physicians disagreed (69% in strong terms) with the idea of providing health workers with antimicrobials for management of ARI at the community level.


Case Fatality Rate Acute Respiratory Infection Diarrheal Disease Primary Health Centre Epiglottitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Datta Banik ND, Krishna R, Mane SIS, Ray L. A longitudinal study of morbidity and mortality pattern of children under the age of five years in an urban community.Indian J Med Res 1969;57: 948–956PubMedGoogle Scholar
  2. 2.
    Kameth KR, Feldman RA, Sundar Rao PSS, Weble JKG. Infection and disease in a group of South Indian families and family members.Am J Epidemiol 1969;89: 375–381Google Scholar
  3. 3.
    Man Mohan, Bhargava SK. Acute respiratory infections.Indian Pediatr 1984;21: 1–3Google Scholar
  4. 4.
    Office of the Registrar General, Ministry of Home Affairs, New Delhi, India, 1977Google Scholar
  5. 5.
    WHOScientific Working Group Meeting on acute respiratory infections, SEA/CD/83, New Delhi, 25–28 July, 1983Google Scholar
  6. 6.
    Dixit OP.Indian J Prev Soc Med 1974;5: 23–26Google Scholar
  7. 7.
    Johns Hopkins Centre for Medical Research and Training.Annual Report 1967–68, 1969–70Google Scholar
  8. 8.
    Gulati PV. Preventive and social medicine New Delhi: AIIMS, 1965. Thesis for MDGoogle Scholar
  9. 9.
    Bhargava SK, Bannerjee SK, Choudhury P, Kumari S. A longitudinal study of morbidity and mortality pattern from birth to six years of age in infants of varying birth weight.Indian Pediatr 1979;16: 967–70PubMedGoogle Scholar
  10. 10.
    The WHO Technical Advisory Group Report on acute respiratory infections—March 1985Google Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1987

Authors and Affiliations

  • Jai P. Narain
    • 1
  • T. D. Sharma
    • 2
  1. 1.National Institute of Communicable DiseasesDelhi
  2. 2.District Health DepartmentDharamsala

Personalised recommendations