{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:38:06Z","timestamp":1786649886422,"version":"build-2736575974"},"reference-count":47,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>India has a tribal population of 8.6%. Health concerns of the high-altitude tribal population in India play a vital role in overall socio-economic development and health transformation of the country. Therefore, the aim of this study was to determine the current health problems among the tribal population of Lahaul and Spiti district of Himachal Pradesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods:<\/jats:title>\n                    <jats:p>The study area encompasses one regional hospital (RH) in Keylong (the district headquarters), three community health centers (CHCs), and 16 primary health care centers (PHCs). In addition, the district has 37 sub-centers (SCs) and 21 Ayurveda dispensaries to serve the district. The data for this study were gathered over a 4-year period from records of daily out-patient department registration from the various health centers (RH, CHCs, and PHCs) from 2017 to 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In terms of communicable diseases, the population in the concerned region was more likely to have acute respiratory infection, enteric fever, tuberculosis, and typhoid. Hypertension, asthma, bronchitis, and diabetes mellitus type II were determined to be the most common non-communicable diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Acute respiratory disease, hypertension, diarrhea, accidental injuries, and eye problems were shown to be prevalent in the study area. The population\u2019s position in relation to these five diseases indicates the community\u2019s sensitivity to a variety of common conditions. There is a need to review the needs and priorities of the concerned population and create goals and targets to meet those needs using validated public health measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1416_22","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T07:52:27Z","timestamp":1682495547000},"page":"660-665","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Recent public health concerns of the high-altitude tribal population of Lahaul and Spiti, Himachal Pradesh"],"prefix":"10.4103","volume":"12","author":[{"given":"Tanuja","family":"Mishra","sequence":"first","affiliation":[{"name":"Scientist-C, ICMR-RMRC Field Station, Keylong, Lahaul and Spiti, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Goswami","sequence":"additional","affiliation":[{"name":"Medical Scientist-B, Field Station, Keylong, Lahaul and Spiti, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirawati","family":"Deval","sequence":"additional","affiliation":[{"name":"Dr. Hirawati Deval, PhD, Scientist- D, ICMR- Regional Medical Research Centre, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit","family":"Vaid","sequence":"additional","affiliation":[{"name":"District Program Officer and Immunization Officer, Regional Hospital Keylong, Lahaul and Spiti, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajni","family":"Kant","sequence":"additional","affiliation":[{"name":"Scientist G and Director, ICMR- Regional Medical Research Centre, Gorakhpur, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4,17]]},"reference":[{"key":"R2-20260109","doi-asserted-by":"crossref","first-page":"508","DOI":"10.4103\/jfmpc.jfmpc_992_19","article-title":"Tribal population in India:A public health challenge and road to future","volume":"9","author":"Kumar","year":"2020","journal-title":"J Family Med Prim Care"},{"key":"R3-20260109","first-page":"299","article-title":"Tribal health in India:A need for a comprehensive health policy","volume":"9","author":"Negi","year":"2019","journal-title":"Int J Health Sci Res"},{"key":"R4-20260109","year":"2019","journal-title":"National Family Health Survey-5:District Fact Sheet, Lahul &Spiti, Himachal Pradesh. 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