Editorial

Promoting voluntary health screening among youth

The Ministry of Health and Family Welfare launching an Intensified Special Non-Communicable Disease (NCD) Screening Campaign is a laudable initiative to prevent and control NCDs

Sentinel Digital Desk

The Ministry of Health and Family Welfare launching an Intensified Special Non-Communicable Disease (NCD) Screening Campaign is a laudable initiative to prevent and control NCDs, including diabetes, hypertension, and three common cancers—oral, breast, and cervical cancers in the country. The screening camp will be conducted till March 31 to achieve 100% screening of all individuals aged 30 years and above. Apart from screening, making the targeted people aware of the need to voluntarily approach healthcare institutions for periodic screening for NCD symptoms and seek timely treatment is critical to achieving the end objectives of the nationwide drive. Rising cases of young people dying following cardiac arrest have set off the alarm bell on the health status of the country’s youth. These youth looked healthy and were living a busy and normal life with no apparent signs of any underlying health issues. Health experts have, however, been cautioning time and again that poor lifestyle habits, including unhealthy diets, lack of exercise, smoking, etc., are bound to give rise to incidents of cardiac arrest. Key highlights of the campaign include door-to-door outreach, real-time monitoring, daily progress review, and states ensuring the availability of essential medical supplies, including blood pressure monitors, glucometers, and necessary medications at all healthcare centres. Trained, accredited social health activists, nurses, and frontline health workers will conduct community visits to ensure maximum screening coverage reaching targeted individuals in their homes. Data on screening, treatment, and follow-ups will be uploaded daily on the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) portal. States ensuring a strong oversight mechanism will ensure the uploading of authentic data on the portal for transparency and accountability. Targeted individuals extending full cooperation during door-to-door screening will be crucial for the Health and Family Welfare Department to gather comprehensive data on the prevalence of NCDs in respective states. The planning for running the campaign looks meticulous, with the Ministry asking the states and Union Territories to provide updates by 6 PM daily to facilitate continuous monitoring and technical support at the Ministry level. The high incidence of cancer in the Northeast region, more than double the national average, calls for states in the region to take special initiatives to make the screening campaign successful. The region overcoming connectivity hurdles, more particularly in the hill states, will be crucial to reach out to 100% of the targeted population. The Health Ministry seeks to ensure early detection and timely intervention for NCDs, establish structured treatment and follow-up protocols, and reduce complications associated with NCDs. Early detection and treatment will go a long way in reducing the health expenditures of households compared to the high cost involved in the treatment of disease after detection in advanced or complicated stages. The young population staying healthy is essential for the country to reap a democratic dividend from the increased productivity of the workforce. It also has the double benefit of freeing a substantial amount of the health budgets of the central and state governments for strengthening medical research and increasing domestic production of medical devices. India imports nearly 80% of medical devices, which pushes up healthcare expenditures, including diagnostic costs. High diagnostic costs are a key factor for the majority of households, not only poor and downtrodden but also average middle-class families, to avoid undergoing volunteer screening for NCDs or any other disease. They go for diagnostics and pathological tests only when advised by a doctor when they find that they or any member of the household is suffering from some ailment or after some disease symptoms manifest. The special campaign, therefore, focuses on a parallel awareness drive among targeted individuals to visit the nearest healthcare centres routinely to undergo screening for different diseases. Young employees spending long hours before digital screening to deliver their assignments in offices or work-from-home ecosystems develop a sedentary lifestyle, which is a critical risk factor for NCDs, as it leads to metabolic dysfunctions. This has become more acute in the case of young employees who work from home, as many among them do not even make any physical movement, even drinking a glass of water or having lunch or dinner, which they prefer to have at the worktables. They also do not get enough sleep at night as they remain awake till late in the night to watch movies and surf the internet for entertainment or information. In the process, their exposure to digital screens also increases. Most of them prefer to order ready-to-eat or fast food delivered to doorsteps by food aggregators, and the lethal combination of such poor habits of unhealthy food and no exercise gradually makes them susceptible to various NCDs. Reaching out to these individuals to convince them to change their lifestyle habits and participate in the Eat Right Campaign run by the Food Safety Standards Authority of India needs to be prioritised as part of the screening campaign.