Health Education 1.2
Health Education 1.2
Health Education 1.2
HEALTH EDUCATION
HEALTH
Health is of prime concern for all. You must be familiar with the famous saying "health
is wealth”. When you are healthy, you enjoy your work and life to the fullest. It is the
solid foundation on which your happiness rests. To attain good health we need to make
efforts and develop certain habits. Health is a very commonly used term and can be
interpreted in different ways by different people.
DEFINITION OF HEALTH
People enjoying good health are more cheerful, energetic, full of life, more efficient at
work and therefore more productive.
Signs of good health:
Given below are some of the signs of good physical, mental and social health of a
person. They help in assessing our state of health.
A. Signs of good physical health When you are in good physical health you
o are energetic and alert;
o have normal weight for your age and height;
o have bright and shiny eyes;
o have clean and clear skin;
o have normally growing hair of natural colour and texture;
o have odourless breath;
o have good appetite and
o have sound sleep.
Such people are active, responsive and happy, can work hard and perform well.
В. Sign of good mental health If you have good mental health, you shall have
C. Signs of good social health If you have good social health you shall
Care of oneself to remain healthy and free from diseases constitutes personal health. Different aspects
of personal health are given below:
1. Balanced Diet
As you have already studied, a balanced diet is one containing carbohydrates, proteins, fats, vitamins,
minerals and fibers in correct proportion to meet the nutritional requirements of a person at a certain
age. The energy requirement for an adolescent (teenage) boy is about 2400 to 2600 calories whereas for
an adolescent girl, it is 2050 calories. The food pyramid depicts the different categories of food and the
quantities that we need to include in our diet.
2. Personal Hygiene
Health and hygiene go together. To keep yourself free from diseases and to have good health you need
to practise hygiene constantly. The various practices that help in maintaining health constitute hygiene.
The word hygiene comes from a Greek word Hygeia that means goddess of health. Adoption of
hygienic practices prevents many diseases such as diarrhea, cholera, typhoid, worm infections,
jaundice, skin diseases, tuberculosis and many more. Maintaining good health is a desirable goal. It is
important to know how we could possibly achieve good health. Elders in the family and community
often advise you to remain healthy.
3. Domestic Hygiene
We dust and mop our house to keep it clean and free from dirt, flies and germs. Disposal of garbage in
bins ensures that our immediate surrounding remains clean and do not become a breeding ground for
disease causing organisms. Used sanitary napkins need to be wrapped in an old paper and put only in a
dust-bin and not anywhere else as they too provide ground for germs to grow.
4. Food Hygiene
Fruits and vegetables should be washed in clean water to make them free from germs and
pesticides(chemicals sprayed on plants to keep them insect free) before cooking and consumption.
Water used for drinking, cooking, washing utensils should be from a clean source such as tap, hand
pump set up by the municipal corporation or panchayats and covered well.
Food should be prepared in a clean kitchen and in a clean manner.
While cooking food, it is important to heat it at high temperature to kill germs present in it.
Cooked food should be eaten fresh or covered and stored in cool, dry and insect proof place.
Milk should be stored either in the refrigerator or if kept outside, it should be boiled again before
use to make it germ free.
5. Exercise Regular walking and physical exercise have good effect on health. Outdoor games and
sports keep the heart and circulatory system in good condition. Walking keeps the joints and bones
healthy.
6. Regular sleep and relaxation after the day's hard work you become tired. Your mind and body
need rest. A little nap, regular sleep and relaxation for some time will make your body and mind fresh
again. You are filled with energy again. These play an important role in maintaining good health. This
also helps in the repair of body tissues.
7. Avoid smoking, alcohol and drugs to keep healthy, one should avoid smoking, chewing of betel
nut, gutka and tobacco and drinking alcohol. Intake of these substances may lead to health problems
such a sliver damage, kidney failure, heart failure and cause damage to teeth, gums, and other tissues
of the mouth. You may have noticed, spitting is quite common among people who chew betel nut,
gutka and tobacco. Spitting in public places not only disfigures them, it creates an unhygienic
condition also. You must stay away from such habits and try to convince others also.
Immunization
You are exposed to a large number of disease causing agents every day. Your body is able to ward off
most of these foreign agents. This overall ability of the body to protect itself against the foreign agents
including the disease causing organisms is called immunity. It is of two types:
a) Natural immunity
b) Acquired immunity
Natural immunity
It is present from the time of birth and provides a general protection against the entry of any foreign
agents into our body. Even if pathogens gain entry into the body, they are destroyed. Some of the
components of natural immunity are the various types of barriers such as the skin and the mucous
membranes that prevent entry of foreign agents into the body. Hydrochloric acid in the stomach kills
the germs entering our body along with food. If a foreign agent enters the blood stream, special type of
white blood cells (WBC) known as phagocytes destroy it. Phagocytes engulf the foreign particles and
digest or destroy them.
Acquired immunity
It develops during one's life time and is therefore known as acquired immunity. It works on the simple
principle of producing antibodies in response to antigens. Any foreign particle or micro organism
against which an antibody is generated is called an antigen. Antibodies are protein molecules produced
by special defence cells of the body called lymphocytes. As you may recall, they are a type of WBC.
ENVIRONMENT
WHAT IS POLLUTION ?
Pollution is the addition of any substance to the environment in excess to what is normally present, thereby,
making the environment impure. River water gets polluted and become unsafe for human consumption. Air
gets polluted due to smoke and fumes. All these make it difficult for us to breathe. You know that smoke is
emitted by, human and animal waste. In addition to these, noise pollutes the atmosphere.
These pollutants affect air, water and soil and therefore the pollution is categorized into:
Air pollution
Water pollution
Soil pollution
Noise pollution
AIR POLLUTION
Simran was suffering from chronic cold and cough for the last one year. She had breathing problem.
The doctor diagnosed that she has bronchial asthma due to smoke and dust. Simran was allergic to
smoke and dust. She was living in a rented house in a congested industrial locality, doctor advised her
to shift to a cleaner and pollution free environment. As she changed her living environment her health
improved. We know that oxygen is the most important component of air. All living beings are
dependent on it for life. Human beings and animals breathe in oxygen and breathe out carbon di-oxide.
During the day, plants take in this carbon-di-oxide and give out oxygen. This helps in maintaining a
balance in the composition of oxygen and carbon-dioxide in the air. If things remain this way there is
no problem. Most of the time, especially in and around cities, the air that we breath in contains various
pollutants.
Think of the ways to control air pollution. You can do it through the following:
I. Use a smokeless chulha at home. Provide a tall chimney to the chulha to carry the
smoke away.
II. Use biogas which is a smokeless fuel.
III. Use a solar cooker at home which uses heat from the sunlight.
IV. Factories should have chimney filters. This will help in trapping the poisonous
substances in the gases that are let out by the factories.
V. Factories emitting smoke must be located far away from the residential areas.
VI. Vehicles must be fitted with special devices to reduce air pollution.
VII. Use unleaded petrol and CNG (Compact Natural Gas) for private and public transport.
VIII. Garbage should not be burnt. It should be disposed of hygienically, preferably through
sanitary landfills.
IX. Roads must be pucca so that dust does not rise and mix with air.
X. Trees should be planted and cared for, so that these keep the air fresh and pure.
XI. Crops should be grown in the fields all the year round so that the soil is not exposed to
erosion.
WATER POLLUTION
Many of us receive safe water for drinking from taps. It is sent to your houses after cleaning by the
municipal authorities. It is also treated to kill the germs. Can you list the characteristics of this
water? It is water which has no taste, smell, colour, dirt or germs. Therefore it is called safe water
and is suitable for drinking. Do you know that all water is not safe for drinking or even for
performing other chores in the houses. Unfiltered water from a tap in a public park is muddy and
smelly. Sometimes it also has solid particles. Water from well/hand pump/pond/river may also have
some or all of these characteristics. You would not like to use this water for drinking, cooking or
even for washing your clothes and utensils. This water is polluted.
Who gets affected by polluted water? Yes, all those who consume this water, i.e. human beings, animals
and plants
You must have read in the newspaper, particularly in rainy season that in a particular locality, a large
number of people have suffered from cholera or gastroenteritis. Often it is reported that the major cause
of such epidemics is non-availability of clean water in that area. Drinking unsafe water causes diseases
like cholera, typhoid, diarrhea and dysentery. Bathing in polluted water causes skin diseases and
allergies. Plants and animals such as fish, sea weeds and sea plants also get affected by polluted water.
Do you know why? This is because pollution in water causes lesser availability of oxygen to them. They
die because they cannot breathe without oxygen.
WAYS TO CONTROL WATER POLLUTION
Make sure that untreated sewage water is not thrown into the sources of water.
Industries should not be allowed to throw untreated wastes into the river or pond.
Defecation in open and near the water source should be discouraged. Use latrines for
defecation. Latrines, soakage pits, dumping grounds and land fills should be far away
from sources water. Bathing, washing clothes or bathing animals in or near the
harvested water sources should be banned. Rain water in special ponds or wells should
be used for washing clothes and bathing animals. Rivers and seas should not be used
for disposal of garbage. If you are using a well or a pond as your source of water, see
that it has a concrete wall or parapet and proper pucca or firm flooring around it. Water
should be stored in clean containers which are kept covered. Use a ladle with a long
handle to take water out from its container. Never dip your hand in the water.
SOIL POLLUTION
Soil pollution can be defined as change in the physical, chemical and biological nature
of soil to the extent that it has a harmful effect on humans beings and other living
beings. Soil becomes polluted when wastes from factories in the form of chemicals and
metals are not disposed off properly.
Some chemicals can make the soil totally infertile. If insecticides, pesticides and fertilizers are
added in excess, then they penetrate into the plants or fruits and vegetables growing near by.
These chemicals then enter our digestive system and make us sick. When somebody walks bare
foot on this soil these germs and worms enter their system and cause stomach disorders. They
enter into animal and plant systems also through food chain, thus infesting all living beings. You
must have observed that defecating and urinating in the open is a common practice in India. The
urine and excreta may contain germs and worms which enter the soil and pollute it. If it rains, the
dirt flows into the nearby source of water. Some people have a bad habit of spitting anywhere and
everywhere. The sputum not only spoils the surroundings but may carry disease germs. It may
dry up and disappear but the germs remain and pollute the soil.
Effects
What happens when you hear loud noises for a long period of time? They tend to disturb
us, strain our nerves, cause headache and mental disturbance. They can also affect the
hearing ability of an individual. You must have noticed that quite often factory workers,
pilots and drivers who are exposed to very loud noise over a long period of time,
gradually loose the ability to hear soft sounds properly. They become hard of hearing,
their ear drums get damaged ,sometimes leading to deafness. Exposure to noise pollution
can also cause stress and mental instability.
WAYS TO CONTROL NOISE POLLUTION
It is impossible to get rid of all noises completely, but we can definitely reduce them.
Following are some of the suggestions for reducing noise pollution:
Functions of food
There are basically three important functions of food:
1. Social function
Food and eating have significant social meaning. Sharing food with any other person
implies social acceptance. Food is also an integral part of festivity everywhere in the
world. Have you noticed that certain occasion such as birth of child or a marriage or
birthdays, are celebrated by having feasts and serving delicacies? Food also has a
specific significant and meaning in the religious context.
2. Psychological function
We all have emotional needs, such as need for security, love and affection. Food is one way
through which these needs are satisfied. For example, how do you feel when your mother
prepares your favorite food or dish? You feel that she loves you and cares for you. Food is often
served as a reward also. Do you recall giving a chocolate because someone had been good to
you? Similarly, certain foods become associated with sickness, such as khichri and bland foods.
Sickness is an unpleasant experience, hence, even the food served during the state may be
associated with unpleasant feelings.
3. Physiological function
There are three physiological functions performed by food. These are energy giving, body
building, regulating body process and providing protection against diseases. Let us see them in
detail.
Have you ever wondered how a small child grows into an adult? Our body is already made up of
thousands of small cells. New cells are added to these to help the body to grow. Food is needed
for
the formation of new cells. Cells also die or are damaged due to injury. New cells need to be
formed and this repair work is done with the help of food.
Regulatory functions refer to the role of food in controlling body processes, for example, our
body temperature is maintained at 98.6F or 370C. Similarly, the heart beats are maintained at 72
beats/minute. Exertion of waste products from the body is also regular. If not, the body suffers
from a disease called constipation which can lead to further complications. All these processes
are
regulated by food that you eat. The food that we eat gives us strength to fight against disease
germs.
WHAT IS NUTRITION EXPLAIN THEIR TYPE
Meaning of Nutrition
All of us eat food. Food provides nourishment to body and enables it to stay fit and
healthy. The food that we eat undergoes
many processes, like, first the food is digested, then it is absorbed into the blood and
transported to various parts of the body
here it is utilized. The waste products and undigested food are excreted from the body.
NUTRITION is the process by which food is taken in and utilized by the body.
NUTRITION= Eating Digestion Absorption Transportation Utilization
These are present in large quantities in foods and are also required in large amounts by
the body.
Carbohydrates, proteins, fats and oils are macronutrients.
Both macronutrients and micronutrients are equally essential for the good health. Each
nutrient
plays a significant role in the body.
CARBOHYDRATES
Carbohydrates are as important to our body as fuel is to a car. As fuel makes a car run,
similarly carbohydrates provide energy to our body, which keeps it going throughout
the day. Which food items in our diet contain carbohydrates? Yes, foods like potatoes,
rice and sweets give carbohydrates. There are two types of carbohydrates in food sugar
and starch. Sugar: Sugar is also called simple carbohydrate. Fruits, honey and sugar are
some sources of sugar. Plants store energy in the form of starch. When we eat plant
products containing starch, our digestive system breaks down starch into glucose. Some
foods give carbohydrates to our body in the form of starch. These are cereals, potatoes,
Functions of carbohydrates are summarized as follows:-
Carbohydrates provide energy
Sugar, jiggery
PROTEINS
Proteins are needed in the body for body building.
1gm of protein gives 4kcal of energy
Proteins are made up of smaller units known as amino acids. There are all 22 amino acids,
out of which there are 8 amino acids which our body cannot manufacture. Rest of the
amino acids can be manufactured by the body.
Essential amino acids are those which our body cannot manufacture and hence have to be
supplied through the diet.
Non essential amino acids are those amino acids which our body manufacture.
Functions
Needed for growth, maintenance and repair of tissues.
Necessary for production of enzymes, hormones, antibodies, haemoglobin, etc.
Help in clotting of blood
Provide energy, if necessary
SOURCES
• Meat, poultry, fish, eggs
• Milk, cheese, paneer, curd-soyabeans, peas, pulses,
• Cereals, nuts and oilseeds like til, groundnuts, etc.
FATS AND OILS
Fats and oils are the concentrated source of energy in our diet. 1 gm of fat gives 9 kcal of
energy. Fats are made up of small units called fatty acids. The nature of fats is dependent on
the type of the fatty acids present. Fatty acids maybe saturated or unsaturated fatty acids.
Vegetables oils are rich in unsaturated fatty acids. Do you know there is a difference between
fats and oils? If a substance is liquid at room temperature it is called oil and if it is solid at the
room temperature, it is known as fat.
FUNCTIONS
Provide concentrated source of energy
Reduce the use of proteins for energy
Carry fat soluble vitamins (A, D, E, K) into the body and help in the absorption of these
vitamins
Help to maintain body temperature. The layer of fat under the skin helps to conserve body
heat
Act as a cushion to certain vital organs
Help in growth of tissues
SOURCES
Cooking oils, ghee, butter
Oilseeds, nuts- Meat, poultry, fish, eggs
Whole milk, cheese
MINERALS
Minerals constitute a very small amount of the total body tissues. However, these are
essential for many vital processes and also for the maintenance of the body. In total,
there are about 19 minerals required by the body in various amounts.
o The major function of calcium is the formation and development of bones and
teeth. Calcium is also required in blood clotting and muscular contraction.
o Calcium is necessary for bone formation, blood clotting and muscular contraction.
Iodine
Iodine is an important substance present in thyroxine hormone produced from thyroid
gland. Thyroxine regulates various functions of the body. We get iodine from water
and food. The foods which grow in iodine rich soil provide iodine for us. Sea foods
are also rich in iodine. Iodine deficiency disorder is known as goitre or enlargement
of the neck region.
Deficiency of iodine causes mental retardation in children.
MICRONUTRIENTS
Other important nutrients which are present in small quantities in foods but are
essential for our body are called micronutrients. These are minerals and vitamins and
required in very small quantities. If these micronutrients are not eaten in required
amounts, it results in deficiency diseases.
VITAMINS
Our body contains very little quantity of vitamins, however, you will be surprised to
know that they are responsible for all the major functions of the body.
We should drink plenty of water to replenish the loss. Body water need can also be fulfilled by
beverages like buttermilk (lassi), milk, fruit juices etc. On the other hand, our body's need for
water is less during winters. Now Mohan understands that water requirement vary with the
season. On an average, one should drink about 8-10glasses of water everyday. Water is not a
nutrient, yet it is very important for our body because;
• It is a constituent of all body fluids.
• It helps to digest food and takes the nutrients from the food to the different cells of your body.
• It helps to keep our body temperature constant. In summer, when we sweat, extra heat is
removed from the body.
• It helps to remove the waste products from your body in the form of urine.
FOOD GROUPS
THE FIVE FOOD GROUP SYSTEMS
Food Groups Food Major nutrients present
Cereals, grains and their Rice, wheat, ragi, bajra Carbohydrates, proteins,
products maize, jowar, barley, rice vitamin B, iron, fibre
flakes, wheat flour etc.
Pulses and legumes Bengal gram, black gram, Carbohydrates, protiens,
green gram, red grams vitamin B, iron fibre
lentil (whole as well as
dals), cowpea, peas,
rajmah, soyabean, soya
nuggets, etc.
Milk, egg and meat Milk, curd, paneer, cheese, Proteins, fat, vitamin B,
products chhachh, lassi, buttermilk, calcium, vitaminA
skimmed milk. Protien, fat, vitamin A
Meat- chicken, liver, fish,
egg, meat.
Food Groups Food Major nutrients
present
Fruits and vegetables Fruits viz. mango, guvava, Vitamin A, vitamin c,
orange, papya, banana, sweet fibre
lime, water melon, apple and
vegetables viz. carrot, pumpkin
tomato etc.
Green leafy vegetables like
amarnath, spinach, coriander
leaves, mustard leaves and
fenugreek leaves and fruitsblike
amla and pomenate.
You must have often being told to keep food and water covered. Can you say why you
are told to do so? Yes, you are right. Uncovered food and water are likely to get
contaminated with germs and spread diseases. Do you know how else food and
water can get contaminated? It can get contaminated through:
Drinking water should be taken from safe source. Water which you get from municipal
taps is safe to drink. Can you tell why? This is because tap water is cleaned and
treated by certain methods that can kill germs before it is sent to our homes but
water from wells, ponds, streams and even hand pumps is generally unsafe and
may contain disease- causing germs. Diseases such as diarrhea, hepatitis, cholera
and typhoid are spread in this way.
2. Air
Suppose a person suffering from influenza, conjunctivitis or mumps, coughs or speaks loudly
or sneezes what you think can happen? Yes, you’re right. The patient throws germs of that
disease into the air that enters our body when we breathe in. So we are likely to catch the
disease. The air in crowded places, poorly ventilated houses and cinema halls is more likely to
contain disease causing germs. That is the reason why we should avoid visiting crowded places
when we are suffering from communicable diseases.
3. Contact
A communicable disease can also spread through contact, which may be
a. DIRECT CONTACT
b. INDIRECT CONTACT.
a. DIRECT CONTACT
Direct contact means when you actually touch a person who has a disease or have sexual
contact with him/her. Diseases like common cold, diphtheria, cholera, tuberculosis,
pneumonia, measles and meningitis are caused through direct contact with the patient.
Diseases like hepatitis B, genital warts, herpes, syphilis, gonorrhea and HIV/AIDS are
caused by sexual contact with an infected person.
b. INDIRECT CONTACT
You are set to have indirect contact with a patient when you use anything that he/she
may have used like a comb, towel, cup etc. For example, suppose your brother is
suffering from influenza. He covers his mouth with his hands when he coughs and
shakes hand with his friends. The disease germs are passed through direct contact from
your brother to his friend. However, if he gives you a glass of water without washing
his hands, then the germs are passed from his hand to the glass and from the glass to
you. This is indirect contact. You may also contact diseases indirectly by touching
objects in public place like hospital, cinema halls and busses.
Insects
Many diseases spread through insects. Flies and cockroaches carry germs from rubbish
and garbage on their bodies and infect the food on which they sit. This causes diseases
like cholera. Mosquito bite causes malaria, dengue and Japanese encephalitis.
WHAT ARE LIFESTYLE DISEASES AND HOW SHOULD ONE PREVENT
THEM?
Some diseases do not get spread from one person to another through touch, air, food, water or
sexual contacts. These diseases may develop in a person due to faulty eating and living habits e.g.
obesity, diabetes and hypertension. These diseases are called lifestyle diseases.
We very often hear about diseases like diabetes, hypertension (high blood pressure), obesity and
heart disease. Have you wondered what causes these diseases? There is no infection in the body,
yet these diseases occur. This happens because of the defective lifestyle that we follow. What is a
lifestyle? A lifestyle is the pattern of living that we follow- how we work, what and when we eat,
how and when we sleep, how much physical activity we do and whether we smoke or consume
alcohol.
Lifestyle of non-communicable diseases are chronic (long term) in nature and do not result from a
acute (short term) infection or do they spread from one person to another. These conditions cause
disfunctioning in the body and impair the quality of life. They may also lead to death. These
diseases usually develop relatively over long periods. In the beginning there may not be any
symptoms but after the disease sets in there may be a long period of impaired health. Lifestyle
diseases are now seen in developing countries like India and in younger or productive age group.
This leads to reduction in productivity and development of the country. As these are chronic
conditions they are a financial burden for lifetime.
Therefore, there is an increasing concern these days about lifestyle diseases that can be
easily prevented but not cured. The lifestyle factors associated with these diseases can
be of 2 types:
1. Modifiable (those that can be changed) like food habits, physical activity level,
addition (smoking, drinking) and stress.
2. Non modifiable (those that cannot be changed) like age and heredity.
You may have observed that More and more young people are seen smoking and
drinking despite knowing the fact that these are harmful to health.
Our nutritious and balanced meals are giving way to fast food and junk food, fresh
fruits and vegetables are being rejected in favor of processed and packed food and
soft drinks are replacing milk.
We prefer to use a bus or car instead of walking even for short distances.
More and more machines are being developed each day to reduce physical labor
work associated with our work.
All the above practices have led to our becoming over weight and obese. Obesity is
excess body-weight than normal or ideal weight for your height. Obesity is the
main underlying causes for other lifestyle diseases like diabetes, hypertension,
obesity, heart diseases etc.
PREVENTION OF LIFESTYLE DISEASES
People need to change their habits in the direction of healthier living. You can do a lot to
prevent the occurrence of lifestyle diseases. Some healthy tips are:-
Take up regular exercise like walking, yoga, dancing, aerobics and cycling.
Use stair case instead of lift or escalator.
Take a balanced diet at proper meal times. Do not over eat.
Avoid processed and packaged foods that are rich in sugar, fats, salt and calories and low in
fiber, good quality protein, minerals (iron and calcium) and vitamins.
Eat whole grains like cereals (wheat, whole wheat flour), millets(jowar, bajra) and avoid
refined foods like maida.
Eat 400-500 grams of seasonal fruits and vegetables in a day.
Drink plenty of water.
Practice yoga or meditation to avoid stress in life.
Keep away from smoking and drinking alcohol.
Spend less time in sitting and watching television and pursue outdoor games and activities
like gardening, playing a sport like football, cricket and badminton.
You can educate people around you regarding healthy lifestyle practices. It is possible to keep
these diseases under control, if you make sensible alteration in your lifestyle.
MEAL PLANNING
IMPORTANCE OF MEAL PLANNING
Most of us usually take three meals a day, these are breakfast, lunch and dinner. In
between the meals we also eat snacks. Our body gets the required nutrients from these
meals of the day. Therefore important that these three meals include food items from
all five groups. Thus we can say that meal planning is a process of making a plan about
what we should eat each day in every meal.