Rural Area Of South India Research Articles

An Intervention Study on Worm Infestation among School Going Children in Rural Areas of South India

Background: World Health Organization had estimated that about 1400 million people worldwide are infected with any one of the three kinds of intestinal helminths. They are a roundworm, hookworm and whipworm infestation. In that 200 million children suffer from diseases associated with these infestations. In India, 25 to 30 children’s were positive with hookworm. The poor standard of living includes improper disposal of faecal and other wastes, overcrowding, unhygienic health practices and poor environmental sanitation are the reasons for the worm infestation among the children. The worm infestation will cause due to unhygienic practices that’s why the Government of India started the National deworming day programme in 2015 with yearly two-phased observation to prevent the worm infestation. So in this study, we wanted to assess the knowledge about worm infestation among the service receiving children, servicing providing school teachers and civil society participation and cooperation. Objectives: Assessment of knowledge about worm infestation among School Children, school teachers and General population. To assess the health education impact on the study participants. Materials and Methods: A school-based cross-sectional intervention study was conducted to assessing the knowledge about worm infestation among the children, school teachers and general population using a pre-tested questionnaire. Systematic random sample, Universal sampling and convenient sampling technique were adapted to choose the students, teachers and community people respectively. The knowledge about worm infestation was assessed through pre-test and after providing the health education the Post-test was done using the same questionnaire for the same participants. Results: Among the school children in the pre-test have 51.36% and in the post-test, it is increased to 83.73 %. In the pretest 57.11% and the post-test, it is increased 92.17 % among the school teachers and the general population in the pre-test knowledge was 41.91 % and it increased to 88.16 % in the post-test. Conclusion: Though the government of India started the national deworming day program in 2015, the knowledge about worm infestation is below 60 percent in the studied population. This study proved that health education is the key to improve their knowledge about worm infestation.

Chronic Kidney Disease among Diabetes and Hypertensive Patients in a Remote Rural Area of South India: A Population-based Cross-sectional Study.

Chronic Kidney Disease among Diabetes and Hypertensive Patients in a Remote Rural Area of South India: A Population-based Cross-sectional Study.

The chunampet community health information management system: A health and demographic surveillance system from a rural South India.

BACKGROUND:Developed countries have strong health and demographic surveillance system (HDSS), whereas there is a dearth of such system in developing countries like India. India depends on national surveys and individual studies for public health information. At present All India Institute of Medical Sciences – New Delhi HDSS and Vadu HDSS are well established HDSS in India.MATERIALS AND METHODS:We developed a HDSS in a remote rural area of South India and named as Community Health Information Management System (CHIMS) This covered 20 villages around Rural Health Training Centre – Chunampet. We collected the family and demographic information from March 2018 to October 2018. Pregnancy, birth, under-five and mortality data were collected once in every 3 months with the help of interns, Medical Social Workers. Data collection done using CHIMS Guide and entered in EpiData software. EpiAnalysis, Quantum Geographic Information System, Dropbox were the other freely available software used in this program.RESULTS:CHIMS HDSS covered 14924 individuals belonging to 4486 households in the surrounding twenty villages. Population density was 213/km2. CHIMS consumed very limited resources in terms of workforce, materials, and transport. CHIMS database was used as a baseline database for many other studies. This CHIMS HDSS helped in many publications, postgraduate thesis dissertations and mainly attracted many extramural research funds from leading government Research Institutes from India.CONCLUSION:CHIMS proved to be a robust surveillance system in providing vital public health information about the community and attracted more extramural funds to the institute.

Review on traditional diagnosis and management of snakebite in Ayurveda

Toxicology started right from the prehistoric era when man lived in caves of forests. Reptiles originated nearly 240 million years ago, but man was born only nearly about 4 million years back. A man had to survive; he had to fifth against many odds. Snake venom is one of these odds, and treatment of poisonous would have started with the first affliction by poison on man. It is believed that in India, about 2 million people are bitten by snakes annually of which 15,000 to 30000 cases prove fatal. The problem became more after urbanization and deforestation. In the early decades of the 19th century, it has been recorded by the scholars that the mortality rate in snakebite victims was higher chiefly in rural India by the unavailability of emergency medicines and poor transportation facilities. Still, recently this has been changed significantly by providing ASV (anti snake venom) as a primary treatment through hospitals of tertiary levels. Traditional poisoning healing system was also parallel to this in rural areas of south India, especially in the state of Kerala, belief in the Traditional poisoning healing system were the main motives for it. Here an attempt has been made to explore the Traditional Visha chikitsa Sampradaya of Kerala, which is quite different from classical Granthas of Ayurveda (textbook) such as Bruhatrayees along with mainly used formulations in Visha chikitsa.

Epidemiological evaluation of patients with Hyperlipidemia in a tertiary care Hospital set up in rural area of South India: A Cross sectional Study

Epidemiological study is a simple, reliable method for quantifying body size and proportions. This study was aimed to evaluate the association of selected & established demographic parameters of patients with Hyperlipidemia in a rural hospital set up. This study was a hospital-based cross sectional study conducted in patients with newly diagnosed Hyperlipidemia in an age group of 30 to 70 years attending Cardiology Department of a tertiary care hospital in south India. Based on the lipid profile, the subjects were grouped into Normal and Test groups and demographic data and serum lipid profile were recorded in previously designed Data Collection form and statistically analyzed. The result from this study shows that the body weight, height, Body Mass Index and waist circumference of the test population were significantly higher than that of the control population. Also Fasting Blood sugar level, Systolic BP and Diastolic BP were found to be significantly higher in Test group when it compares with the control group. Based on the result from this study, we shall conclude that Body Mass Index, Waist Circumference, Fasting Blood Sugar, and Blood Pressure are very sensitive indices for predicting the elevated biomarkers of Hyperlipidemia.

Prevalence and determinants of tobacco use in a remote rural area of South India: a community based cross sectional study

Background: Tobacco use is a major public health problem in India. We intended to study the tobacco use and its risk factors from a rural area of South India.Methods: This study was conducted in 2018, among twenty villages located around a rural health training centre, in South India.Results: Total population surveyed was 14925. Among them 11995 individuals were in the age group of 15 years and above. In this group 739, 6% (5.7-6.6) of tobacco users, 423, 3.5% (3.2-3.9) of smokers and 369, 3% (2.8-3.4) of tobacco chewers were included in the study. Individuals belonging to lower caste were four to five times more likely to be a tobacco user. Tobacco use increases with age. Illiterates were 1.8 times more likely to be a tobacco user, married and Widows were two times more likely to be a tobacco user. Alcoholics were 13 times and hypertensive patients were 1.5 times, non-vegetarians were 1.4 times, individual preferring open defecation were 1.7 times more likely to be a tobacco user. Smoking was more associated with male gender, lower caste, increase in age, married individuals, alcoholics, hypertension and having semi-pucca house. Tobacco chewing was more associated with female, lower caste, increase in age illiteracy, married and widow, alcoholic, hypertension, non-vegetarian diet, open defecation, having kutcha or semi-pucca house.Conclusions: Tobacco use in a remote rural area is high among the socially deprived community who are illiterate, belonging to lower caste and those who prefer open defecation.

Occupational Health: Farmers Knowledge on Pesticide usage and it�s Harmful Effects on Human Health in Rural Areas of South India

An estimated 1.3 billion workers are engaged in agricultural production worldwide. This represents half of the total world labor force. Almost 60% of them are in developing countries. Pesticides can enter the human body by three common ways: Through the skin (contact), the mouth (ingestion) and the lungs (inhalation). The state of the chemical, i.e. solid, liquid or gas, affects the chances of pesticide penetration into the body. During the usage of pesticides farmers reported problems such as eye irritation, headache, dizziness, breathing difficulty, skin rashes and all of these symptoms at least once during their exposure to pesticides. A field based cross sectional study was conducted in the rural areas of Karnataka state, Gadag district, to assess the farmer’s knowledge, attitudes and practices about pesticide usage and its harmful effects on human health. A pre-tested semi-structured questionnaire was used to obtain the data from January to February 2020. Data was collected at the rural settings by visiting their house and agriculture fields. Totally 265 farmers were interviewed, out of that more than half of them have good knowledge about pesticide usage but only few of them have knowledge about the harmful effects of pesticide on their health. In our study findings majority of the farmers are not aware about the health hazards due to usage of pesticides, they showed good attitude and poor practices about pesticide usage.

Awareness on Tuberculosis and Factors Determining it among Migrant Brick Kiln Workers in a Rural Area in South India

Background: Awareness of the subjects on Tuberculosis is an important factor in early reporting by symptomatics as well as early case finding by the program. Aim: The current study was done to find out the awareness of migrant brick kiln workers, a key population as per RNTCP, on various parameters of Tuberculosis. Method: This was a cross sectional study conducted among all migrant brick kiln workers working in the brick kilns in the field practice area of the Rural Health Centre of a medical college hospital. A pretested structured questionnaire was used for the interview. SPSS version 16.0 was used for analysis. Results: Among 580 brick kiln workers, the mean age was 36.47. The awareness on TB was as follows – germs as cause -8.3%, cough and sputum as main symptoms – 21%, that TB spreads – 28%, availability of free treatment for TB – 19% and TB is preventable – 16%. Their educational status was directly associated with their knowledge. (p<0.05) Conclusion: The awareness on TB is very low among this population. Targeted health education will have a positive impact on the migrants’ health as well as overall public health by reducing transmission.

Nutritional status assessment among elderly population in a rural area of South India

Background: With growing science and technology, the proportion of elderly population is increasing worldwide. Ageing with coupled with increased risk of malnutrition in elderly and is often the neglected part resulting in increased morbidity and mortality. Early identification and intervention of the malnutrition among elderly population plays a crucial role in improve the health of the elderly. Objective of the study was to estimate the prevalence of malnutrition among elderly in rural south Indian population.Methods: A Community based cross sectional study was conducted over a period of 2 months among 392 elderly population residing in a rural field practice area of a tertiary care hospital in Coimbatore. Elderly population both males and females > 60 years of age were screened for malnutrition and at risk for malnutrition using Mini Nutrition Assessment (MNA) tool. Data was analysed using Excel. p<0.05 were considered significant.Results: Majority of the study participants were in the age group of 60-70 years. 21.4% of the study participants were malnourished and 32.65% were at risk for malnutrition. The risk of malnutrition (40.57%) and malnutrition (25.71%) were high in females and is statistically significantly (p<0.05).Conclusions: Malnutrition among elderly is increasing at high rate even in rural areas. Early identification and intervention has to be done.

Cardiovascular risk using WHO-ISH chart among Diabetes and Hypertensive patients in a remote rural area of South India.

Introduction:Cardiovascular diseases (CVDs) are major problems in India and many other developing and developed countries. As India is committed to provide universal health care for the population, there is a need to find out the prevalence and determinants of CVD risk among high-risk individuals (Diabetes and Hypertensive patients) in the remote rural area of India to deliver appropriate services, as they are considered as neglected population.Methods:We screened high-risk individuals (Hypertension and Diabetes patients) for CVD risk using WHO/ISH chart, in a remote rural area of south India, covering ten villages surrounding the Rural Health Training Centre (RHTC), in August–September 2017. After line-listing the participants from the electronic database of RHTC, screening with questionnaire and biochemical tests was done at village level as the first step. Thereafter, the participants were invited to the hospital on a particular day where electrocardiography (ECG) and echocardiography (ECHO) were done with special consultation.Results:Among the total of 303 individuals screened at the village level, 64 [21%(CI 17–25)] had a higher risk for CVD. 235 people attended the special consultation; among them, 212 underwent ECG and 88 underwent ECHO. Among those screened with ECHO, 18 had some cardiac pathologies. The relationship between CVD risk and other factors is shown in. After final adjustment, illiteracy [adjusted prevalence ratio (aPR) 1.8 (0.1–3.1)], anemia [aPR 1.8 (1–3.6)], and chronic renal diseases [aPR 1.8 (1.0–3.4)] were found to be associated with high risk for CVD among hypertension and diabetes groups.Conclusion:Cardiovascular disease risk assessment using WHO/ISH chart showed an association with poor education, anemia, and chronic kidney disease.

A cross sectional study on awareness of breast self-Examination and its practice in women of rural area in South India

A cross sectional study on awareness of breast self-Examination and its practice in women of rural area in South India

Prevalence of alcohol use and the interventions needed among adults: A community study in a rural area in South India.

Background:The health issues and social problems associated with alcohol use are well known. This study seeks to identify the prevalence of alcohol consumption and dependence among alcohol users in a rural area of Trivandrum district.Objectives:To assess the prevalence of alcohol use among adults of Nellanad Panchayat, a rural area in Trivandrum, Kerala, to find out the interventions required among the alcohol users, and to identify persons with harmful and hazardous use of alcohol using AUDIT.Settings and Design:Cross-sectional study in Nellanad Panchayat, Trivandrum district, Kerala.Methods and Materials:A cross-sectional study was carried out among 1545 residents in Nellanad Panchayat, a rural area in Kerala, by interviewing adults with the help of a questionnaire. Data were analyzed using SPSS.Results:The overall prevalence of current alcohol use was 146 (9.5%). The prevalence among males was 143 (18.3%) and females was 3 (0.4%). ASSIST scores showed that 99 (50%) of ever users required health education, 74 (37.8%) required counseling, whereas 23 (11.7%) required de-addiction.Conclusions:Among males, the alcohol consumption is still as high as 18.3%. The most important factor affecting alcohol use is peer pressure. Health education is the most required intervention to reduce burden of alcohol use.

Prevalence and determinants of Alcohol use in a remote rural area in South India: A community-based cross-sectional study.

Introduction:Alcohol use is a major public health problem in India. We sought to study the use of alcohol and its risk factors in a rural area in South India.Methods:This study was conducted in 20 villages surrounding a Rural Health Training Centre, located in South India. The study was done from March 2018 to October 2018 with the help of Medical Interns and Medical Social Workers using a pretested questionnaire.Results:In a total population of 14,925, 11,995 individuals are in the age group of 15 years and above, among whom 1,005 were reported to be using alcohol. The prevalence of alcohol among 15 years and above is 8.4% (7.9–8.9) and the overall prevalence in the total population is 7% (6.3–7.1). Prevalence of alcohol use among males and females are 16% and 1%, respectively. The alcohol use is higher among those who prefer open defecation (adjusted Odds Ratio (aOR) 1.2 (1.0–1.4)), Kutcha house (aOR 1.7 (1.4–2.2)) or semi-pucca house (aOR 1.3 (1.121.6)), lower caste (Most Backward Castes (MBC) aOR 1.7 (1.2–2.2), Scheduled Castes (SC) aOR 2.1 (1.6–2.9)), male gender (aOR 41 (29–59)), Married 5.0 (3.7–6.8), or Separated 2.6 (1.5–4.4) and Diabetes 1.6 (1.1–2.3).Conclusion:Alcohol use in a remote rural area is high among socially deprived communities who live in kutcha and semi-pucca houses and belong to a lower caste. This needs serious public health interventions to improve their socioeconomic status.

A community-based study to assess the perceptions and barriers in utilization of no-scalpel vasectomy among married men in a rural area of South India

Background: India is the second most populous country in the world after China. In 1992, the government introduced an innovative technique “no-scalpel vasectomy” (NSV), a simpler, safer, and cheaper method aimed at increasing male participation in family planning. Despite the many advantages over female sterilization techniques, NSV still accounts for Materials and Methods: A community-based cross-sectional descriptive study was carried out for 6 months in the rural field practice area of a tertiary care hospital in Chengalpet district among a total of 170 married men in the age group of 21–60 years. Systematic random sampling was used to identify the study participants, and all the eligible participants were interviewed using a pretested semi-structured schedule. Data entry was done in Microsoft Excel, and analysis was done using the Statistical Package for the Social Sciences, version 23. Results: Good knowledge level about NSV was found in only 21 (12.4%) participants. Among the 170 study participants, only 2 (1.2%) had undergone vasectomy. The most common barriers to utilization of NSV were found to be availability of alternative methods of contraception by 136 (80%) participants followed by misconceptions about the procedure of NSV in 134 (78.8%) participants. Conclusion: The study highlights the urgent need to overcome the misconceptions and sociocultural concerns not only regarding NSV but also about the importance of male involvement in family welfare by targeted interventions in order to boost the acceptance of this simpler terminal contraception method.

Status of coverage of MR vaccination, after supplementary immunization activities in a rural area of South India: a rapid immunization coverage survey.

After a commendable achievement on polio-free status for the South-East Asian Region (SEAR), WHO is now focusing towards measles elimination, which is still a major contributor of under-five mortality in SEAR. India has introduced measles and rubella (MR) vaccination throughout the country through supplementary immunization activity, followed by introducing the same in the routine vaccination. Health indicators and public health system functioning in the southern states of India are good, so India introduced the MR campaign in the southern high-performing states as phase 1 on 5 April 2017. The aim of the campaign was to vaccinate more than 95% of eligible children (aged 9 months to 15 years). At the same time, rumors and negative campaigning about this initiative started in social media. This study aimed to measure the coverage of MR vaccination among the target population in South India. Data was collected immediately after phase 1 of the MR vaccine campaign in April 2017. Data was collected based on the WHO-recommended 30/7 rapid monitoring method. Thirty villages around the Rural Health Training Centre of Pondicherry Institute of Medical Sciences were selected and seven children aged 9 months to 5 years and seven children aged 6 to 15 years from each village were included. Children were classified as 'vaccinated' or 'not vaccinated' based on the WHO 'card or history' method. Among the total sample of 420 children, 380 children (90.5% (range 87.4-93.0%)) were found to be vaccinated and 40 children (9.5% (range 7.0-12.6%)) were found to be unvaccinated. Most of the people came to know about the MR vaccination through auxiliary nurses and midwives, followed by school teachers. The main reasons for not getting vaccinated was fear of an adverse event following vaccination or fear of injection. Reasons for not getting vaccinated were significantly associated with usage of smartphone by at least one of the parents (adjusted odds ratio (OR) 2.1 (1.1-4.2)), better literacy level among mothers (adjusted OR 5.2 (1.1-24.8)) and poor literacy level among fathers (adjusted OR 3.6 (1.1-11.5)). Despite the negative propaganda by social media, the coverage of vaccination by the public healthcare providers was near optimal in phase 1, which shows the strength of the public health system in this rural area of southern India. In accordance with the modern technology, public health policymakers should think about and plan information education and communication activities.

Cleistanthus collinus poisoning affects mitochondrial respiration and induces oxidative stress in the rat kidney

Cleistanthus collinus is a poisonous shrub used for deliberate self-harm in rural areas of South India and intake of boiled decoction of leaves is a common method of self-harm. Distal renal tubular acidosis (dRTA) is an important clinical symptom observed in C. collinus poisoning, and renal V-ATPases may be potential targets of damage. However, a lack of understanding of molecular mediators involved hampers medical management, which is mainly supportive. We hypothesized that C. collinus poisoning induces renal oxidative stress; probably by inducing mitochondrial uncoupling, which compromises V-ATPase activity to ultimately produce dRTA. This was tested by exposing renal BBMV, kidney cells in culture, and Wistar rats to C. collinus poisoning. Exposure to C. collinus aqueous extract resulted in significant elevations in the lipid peroxidation marker, conjugated dienes, in cell culture and in vivo. A significant decrease in mitochondrial respiratory control ratio was observed in kidneys from C. collinus-treated animals suggesting that mitochondrial oxidative phosphorylation is uncoupled. This was accompanied by significant increase in ADP levels and a decrease in proton pump activity. Thus, these results demonstrate that C. collinus poisoning induces oxidative stress which influences proton pump activity, probably due to feedback inhibition by elevated ADP levels because of mitochondrial dysfunction in the rat kidney.

Prevalence of Chronic Suppurative Otitis Media Among School Children Residing in Rural Area of Belagavi, South India.

To study the prevalence of chronic suppurative otitis media among school children in Belagavi, rural area of South India. A community based descriptive cross sectional survey was conducted in 7 schools of rural areas of Belagavi district in Karnataka over a period of 2months between 15thJuly and 15th September 2018. A survey demographic data collection was done on 694 school children aged between 6 and 14years attending these schools. A detailed history and otoscopic examination was done in the school premises. Data received from the study was entered and statistical analysis was done. CSOM was present in 36 (5.2%) out of 694 students examined among which 22 (6.8%) of them lived in families with overcrowding. H/o cleaning the ear with various materials was given by 27 (7.4%) of them. 29 (9.3%) of them had recurrent respiratory tract infection, 7 students had active disease. The prevalence of CSOM in this study is relatively lower in this part of the rural South India. There is a higher prevalence of safe disease with central perforation than unsafe disease. Recurrent respiratory tract infections and history of cleaning of ear were the predictors of CSOM among school children. There is a need for better knowledge of illness and screening programme for early detection and management.

Level of insufficient physical activity among adults in a rural area of South India: A population-based cross-sectional study

Introduction: Insufficient physical activity is the fourth leading cause of death globally. Increased physical activity improves the physical and psychological well-being and decreases the incidence of type 2 diabetes mellitus, cardiovascular diseases, stroke, and cancer. Methods: This is a cross-sectional study conducted among 267 adults from a rural area of Kancheepuram District in Tamil Nadu, South India. Cluster sampling method was used. Clusters were selected randomly. Within each clusters, the simple random sampling method was used to select the individual participants. Data were collected using the World Health Organization's standard Global Physical Activity Questionnaire. Results: Overall prevalence of insufficient physical activity among adults in a rural area of South India was 22.5% (17.88–27.85) (n = 60), and the prevalence of sufficient physical activity was 77.5 (72.2–82.08) (n = 207). Among overall physical activity, major contribution was from work (75%) followed by transport time activity (18%) and the least by leisure-time physical activity, which was only 7%. With increase in age, level of adequate physical activity was decreasing (adjusted odds ratio (0.95 [0.92–0.98], P Conclusion: In a rural area of South India, the physical activity was contributed majorly by work domain and least by other domains. Leisure-time physical activity in rural community was poor and to be encouraged in future by community interventions.

Feasibility and outcome of community-based screening for cardiovascular disease risk factors in a remote rural area of South India: The Chunampet rural-Cardiovascular health assessment and management program.

Background:As committed by India in Global Action Plan, Sustainable Development Goals and National Health Policy 2017, India has the responsibility to provide accessible, affordable noncommunicable disease care to the people. Our study aimed to find out the burden of cardiovascular risk factors among hypertension and diabetic patients, through a community-based screening, in a remote rural area of South India.Methods:A special program named “Chunampet Rural–Cardiovascular Health Assessment and Management Program” (CR-CHAMP) was launched in August and September 2017 in a Rural Health Training Center (RHTC), functioning under a private medical college in South India. In this program, participants with hypertension (HT) and diabetes (DM) were line listed from 10 remote villages, and then history, initial biochemical, hormonal, and hematological screenings were done to assess the cardiovascular diseases (CVDs) risk factors among these patients, following which special consultation was offered in RHTC.Results:Out of 415 eligible patients with HT and DM, 389 were approached; among them, 328 were willing to participate and were screened initially; among them, 235 were attended special consultation. Higher CVD risk was found in 21%. Prevalence of chronic kidney disease was 14%, deranged lipid profile was more than 50%, metabolic syndrome was 49%, anemia was 68%, abnormal waist-hip ratio was 56%, abdominal obesity was 59%, and overweight and obesity using body mass index (BMI) was 59%. Females' participation was more in our community-based screening procedure (66%) than male participation (34%).Conclusion:CR-CHAMP demonstrated feasibility and value of implementing a screening program for high-risk individuals with HT and DM for CVD risk through existing primary care in a remote rural area of South India. This will help the National Program and policymakers to plan for interventions in the remote rural area in future.

Study on severity assessment of acute pancreatitis using BISAP score in rural area of south India

Background: Acute Pancreatitis is one of the most common disease in all parts of INDIA. The morbidity and mortality of the disease can be reduced by early detection of complications. In rural health centres, authors need a simple and easily accessible and reproducible scoring system to access the severity. The main aim of the study is, using BISAP score authors can easily identify the severity and complications of acute pancreatitis as early as possible even in rural health centres.Methods: This is a prospective study conducted at Koppal District Hospital, Karnataka. Authors included 80 acute pancreatitis patients admitted in present hospital from July 2015 to July 2017. BISAP score is used within 24 hours of admission to access the severity and complications of the pancreatitis. Complications are accessed with respect to duration of hospital stay, organ failure and necrotising pancreatitis against BISAP score less than 3 and more than 3.Results: In present study male (83.75%) patients are more affected than females (16.25%). Alcohol (52.5%) being the main culprit then biliary (32.5%) and idiopathic (15%) as causes of acute pancreatitis. Middle age group between 30 to 50 years (66.25%) are more affected. Severe pancreatitis features like organ failure (66.67%) and necrotising pancreatitis (71.4%) are seen in patients with score more than 3. And also, the duration of inpatient hospital stay is longer (more than 5 day) in same patients.Conclusions: Acute pancreatitis is one of the most common causes for acute abdomen and alcohol consumption being the main culprit in rural areas of south India. Of the many scoring systems, BISAP score can be easily done at rural health centres to early detection of severity and complication of acute pancreatitis.