Rural Telangana Research Articles

Burden and awareness of anemia among adolescent girls of residential school in Telangana.

Adolescence is an important transition phase and the burden of anemia among adolescent school-going children is not well explored. The present study was carried out to determine the prevalence of anemia among school-going adolescent girls and to explore their awareness on anemia. A cross-sectional study was conducted among 217 adolescent girls studying in a residential school of Bibinagar village, Telangana. A pre-tested, semi-structured questionnaire was administered to collect the data. Hemoglobin (Hb) was estimated using TrueHb. Data was entered into excel and was analyzed using SPSS software version 21. The mean (±SD) age of the adolescent girls was 13.8 (±0.99) years. About 74.2 % of the girls were in 12-14 years' age group. About 91.7 % had attained menarche. The prevalence of anemia was 81.6 % with a mean (±SD) Hb of 9.5 (±2.7) g/dl among adolescent girls. Among the adolescent girls, 32.7 % had severe anemia, 31.8 % had moderate anemia and 17.1 % had mild anemia. About 86.2 % adolescent girls had heard of anemia while 60.8 % adolescent girls felt that anemia is preventable and only 27.6 % were aware about iron-rich foods. About 38 % of adolescent girls were not aware of any causes of anemia. The prevalence of anemia was very high among the school-going adolescent girls of rural Telangana. The awareness regarding causes of anemia and iron-rich foods was low among study adolescent girls. Thus, there is a dire need to conduct frequent Test, Treat and Talk (T3) Anemia camps in schools through district school health program.

Study of Nutritional Anemia in Children Admitted to Pediatric Department in Rural Teaching Hospital of Telangana

Abstract Background: Globally, around 600 million preschool and school aged children are affected by anemia. According to World Health Organization, 65.5% of preschool children in southeast asia are anemic. Nutritional anemia is the commonest cause of anemia resulting from deficiencies of nutrients essential for red blood cell formation. Iron deficiency anemia is the most common nutritional deficiency amounting to 50%, followed by vitamin B12 and folate deficiency. This study is conducted to study the incidence of nutritional anemia among hospitalised children in a territory care teaching hospital in rural Telangana, in the age group of 6 months to 18 years and to bring awareness regarding the diet requirements in children in order to prevent deficiencies thereby the consequences of nutritional deficiencies. Method: This was a prospective hospital-based study conducted to study the incidence of Nutritional anemia along with clinical and hematological profile of nutritional anemia amongst children admitted to the Department of pediatrics in the age group of 6 months to 18 years at Mediciti Institute of Medical Sciences, Ghanpur, Telangana, from January 1st 2020 to June 30th 2021. All the children who had satisfied the inclusion criteria after taking consent from their parents were included in the study. Result: The incidence of nutritional anemia in the present study was found to be 52.08%, with both males and females equally affected. The age group of 6–12 years was particularly impacted, accounting for 49.3% of the cases. A significant 94% of the cases were associated with inadequate protein intake as per ICMR guidelines. Children from socio-economic classes 2 and 3, as per the Kuppuswamy scale, were more frequently affected. Severe anemia was observed in 8.7% of the cases. Peripheral smear analysis revealed microcytic, hypochromic red blood cells in 64.4% of the cases, with 94% of the children showing decreased serum iron levels. Conclusion: Nutritional anemia is the major cause of anemia in hospitalised children affecting majorly children in the age group of 6-12 years. Inadequate protein intake is the major contributor accounting to 94%, which can be prevented with proper dietary measures

Evaluation of readiness kit to stimulate early chilhood behvaiour in rural Telangana

Evaluation of readiness kit to stimulate early chilhood behvaiour in rural Telangana

Prevalence of Amblyogenic Risk Factors Among School Children in India Using the Spot Vision Screener.

Amblyopia is a common cause of preventable visual impairment in children, affecting 1% to 6% globally. This study assesses amblyopia prevalence and risk factors among school children in rural Telangana, India, using the Spot Vision Screener (Welch Allyn, Inc., Skaneateles Falls, New York, USA), a portable, noninvasive device recommended for automated vision screening. A cross-sectional study was conducted on 714 schoolchildren aged 5-10 years. Screening was performed using the Spot Vision Screener, evaluating refractive errors, ocular alignment, and other amblyopia risk factors. Children identified with potential amblyogenic factors were referred for comprehensive ophthalmological evaluation to confirm diagnosis. Out of 714 children screened, 84 were referred by the Spot Vision Screener for further evaluation. Subsequent examination by ophthalmologists confirmed amblyopia in 65 children, resulting in a prevalence of 9.10%. Myopic refractive error was the most prevalent (69.23%), followed by astigmatism (21.53%) and hypermetropia (9.23%) among amblyopia cases. The Spot Vision Screener proved to be a reliable tool for identifying amblyopia risk factors in school children, facilitating early detection and referral for appropriate management. This study underscores the importance of implementing effective vision screening programs in rural settings to mitigate preventable childhood blindness.

Participation Levels of Scheduled Castes in Gram Panchayat and Gram Sabha: A Sociological Study in Rural Telangana

The constitutional protections in India have a moderately good effect on the lives of Scheduled Castes (SCs). Additionally, the social movements helped marginalized communities’ voices to some extent by empowering them to assert their rights and participate in the decision-making process. The Constitution has opened up political entry to underprivileged groups as a part of the decentralization movement at the grassroots level. Given an opportunity on par with other social groups, the SCs are showing more interest and are ahead in contesting in the elections with the support of their respective political parties. An effort has been made in this context to emphasize the problems and difficulties experienced by the elected SC members in local bodies in rural Telangana. The main objectives of the study are to examine the participation rates of SC representatives in Gram Sabha, analyse experiences in the political system in terms of gender and examine the discriminatory practices that elected officials have to deal with. The findings show that the SC representatives’ participation in Gram Sabha is weak and lacking in the decision-making process because of a lack of official backing and covert discrimination by the officials. Additionally, the SC representatives experience covert prejudice on the part of other castes. Since the bulk of the representatives are new to the election process, they are unaware of the duties that they are expected to carry out. According to the findings, the Gram Sabha should plan and finalize the village development plans in front of the people without the involvement of the local MLAs.

Awareness of Language Learning Strategy Use of the ESL Students of Rural Telangana

Language learning strategies are methods that help users improve their English proficiency. We conducted a survey of 3012 rural students to assess their awareness of communication strategies in English. The survey revealed that students from rural areas in Telangana struggle with English proficiency, which affects their professional performance. Previous research has shown a link between language learning strategies and proficiency. Therefore, it is important to investigate the strategies used by these students and create an intervention program to teach them language learning strategies explicitly. The study suggests incorporating specific strategies into the undergraduate English language curriculum to enhance proficiency in professional settings.

Quantity and quality of physical activity during adolescence: Evidence from a mixed-method study in rural Telangana, India.

Adolescence is a unique transitional stage of physical and psychological development. As preferences and behavioural choices adopted in adolescence influence lifelong physical activity habits and health outcomes in adulthood, rural transformation in low- and middle-income countries has the potential to significantly change traditional roles and shape the next generation. By using a mixed-method approach that integrates energy expenditure estimates from accelerometer devices with 24-hour recall time-use data from adolescent boys and girls and qualitative interviews with adolescents and their caregivers, this study sheds light on the patterns of quantity and quality of physical activity of 395 adolescents in Khammam and Mahbubnagar districts of rural Telangana, India. The study shows that energy expenditure and time use are highest for educational-related activities followed by leisure in both adolescent boys and girls. However, notwithstanding the process of rural transformation and the educational infrastructure and economic opportunities provided to adolescent boys and girls, social and cultural norms allow boys, especially in late adolescence to spend more time and energy in activities outside the home such as pursuing economic work, sports and socialising, while girls spend more time and energy at home doing domestic work. The quantitative and qualitative exploration of physical activity and time use among adolescents, as expounded in this study cutting across age groups and gender, highlights the need for changes in gendered norms and renewed government strategies and investments in that direction.

A cross-sectional study of lipid profile among school-going children with subclinical hypothyroidism in rural Telangana

Abstract Background: Subclinical hypothyroidism (SCH) is defined as serum thyroid-stimulating hormone (TSH) concentration above the statistically defined upper limit of the reference range and serum-free thyroxine (fT4) concentration within its reference range. The correlation of higher levels of TSH and dyslipidaemia in children is controversial. This study was done among school children to document the prevalence of SCH and to investigate the association between the lipid profile and TSH in children with SCH. Methods: A cross-sectional study among 982 school-going children (6-12 years) was conducted and 91 children with SCH were included. Their weight, height, body mass index (BMI), fasting lipid profile (serum total cholesterol [TC], triglycerides [TG] and high-density lipoprotein [HDL]) were converted to z scores and compared with the reference population data. Results: The prevalence of SCH was 11%. Mean TC, TG and HDL levels (mg/dL) were 169 ± 8.8, 66.4 ± 7.7 and 40.5 ± 4.1, respectively. The mean HDL value in the study population was significantly lower, whereas the mean TC levels were significantly higher than the population mean. There was no correlation between TC z scores and TSH (ρ = 0.071) and HDL z scores and TSH (ρ = −0.01371). Multiple linear regression showed a statistically significant association between TSH and HDL z scores (P = 0.006) and TSH and TC z scores (P = 0.008) after adjusting for age and BMI z scores. Conclusions: Children with SCH have an abnormal lipid profile. There is association between TSH and dyslipidaemia (decreased HDL and increased TC) in SCH.

Clinical analysis of ectopic pregnancy in a tertiary center in rural Telangana

Aims: To find the incidence, risk factors, morbidity and mortality in ectopic pregnancy in a tertiary center in rural Telangana. Methods: This retrospective observational study was conducted in the Department of Obstetrics and Gynecology, Mamata Medical College, Khammam, Telangana State, India, over 5 years from 2017 to 2021. Detailed informative data of all admitted and treated cases of ectopic pregnancy were collected, analyzed and discussed. Result: The incidence of ectopic pregnancy was 1.3 per 100 pregnancies and 2.5% case fatality. The majority of cases were in the 20-30 years of age group (82.5%); multipara (50%) and gestational age of ≤ 8 weeks (62.5%). History of abortion was the most common risk factor (67.5%). The classical triad of amenorrhoea, pain abdomen and bleeding per vagina was present in 45% of cases; and amenorrhea (97.5%), pain abdomen (87.5%) and vaginal bleeding (42.5%), abdominal tenderness (85%) and unstable hemodynamic (22.5%) were reported. The fallopian tube was the commonest site and operative management was required in 97.2% of cases. Conclusion: Prevention of known risk factors, early reporting and referral in need, diagnosis and effective management is the way to a better outcome in ectopic pregnancy.

Impact of COVID-19 on cardiovascular diseases: experience at a teaching hospital from rural Telangana

Background: COVID-19 is drastically affecting the health of millions of people globally. Further, the restrictions imposed during lockdowns to curtail the spread of COVID-19 have also shown impact on the economy, psychology and lifestyle of the people. Currently, little is known about the prevalence and clinical manifestations of COVID-19 in coronary heart diseases in rural India. The present study aimed to find the effect of COVID-19 and lockdown on the prevalence of coronary heart diseases in rural Telangana.Methods: The present retrospective study was carried on 197 medical reports of cardiac inpatients who visited RVM Institute of Medical Sciences and Research Center, Siddipet, Telangana during the period 17th January 2020 to 6th August 2020. The data obtained was analyzed by descriptive statistics using IBM SPSS Statistics version 21.0.Results: Admission of patients with STEMI (53.6% prelockdown; 26% lockdown period; 36.4% post lockdown) and arrhythmia (7.3% prelockdown; 1.3% post lockdown) decreased while there was a significant increase in hospitalization of myopericarditis patients (1% pre lockdown vs. 10.5% lock down, 9.2% post lockdown) after the initiation of lockdown period. Further, STEMI (mean age 42.07±15.06) and myopericarditis (mean age 30.8±9.02 years) was commonly seen in younger age group patients less than 45 years after the initiation of lockdown period. The mortality rate was 6.6% (n=13) in the total study period of which 57.5% (n=7) deaths were due to myocardial infarction. 63.6% of the cardiac patients tested by RT-PCR were found to be positive for COVID-19.Conclusions: The prevalence of cardiovascular diseases varied with lockdown periods. Young adults in rural Telangana were also affected by COVID-19 and lockdown.

Complimentary feeding practices in rural areas of Telangana

Infant feeding practices are critical determinants of survival, growth and development during infancy. Breast feeding is required for child survival, birth spacing and prevention of childhood infections.Complementary feeding is essential from six months of age while continuing breast feeding to meet the needs of the growing baby.To study the existing practices of complementary feeding and assess the knowledge and practice gap. Study design: Hospital based, cross-sectional, descriptive study. Setting: In a tertiary care teaching hospital of rural Telangana. Total 140 mothers with children in the age group of 6-23 months of age. Participants were randomly selected after informed consent. Data regarding currently following complementary feeding practices was collected in the predesigned, semi-structured questionnaire and analyzed. Only 56.4% of mothers in the current study initiated feeds at recommended time. Demand feeding was practiced by only 53%. A detailed analysis on the practice of clean feeding methods showed only 37.1% followed cleaning of hands before feeding. Only 28.6% have gained knowledge on infant feeding practices from a qualified person. A majoirty of them followed cultural practices (23.6%) and advices from friends and relatives (40%). Thus, Information, Health education and Communication activities are required to improve breast feeding and weaning practices especially among the low-socio-economic and rural groups. A detailed analysis on the practice of clean feeding methods showed only 37.1% followed cleaning of hands before feeding. Since good complimentary feeding practices helps in the overall growth and development of child, there should be renewed focus on public health education regarding this in the form of advisory to new parents while discharge from the hospital, regular advisories from community health care workers in the rural areas to the parents.

Factor Structure of the Telugu Version of the COVID-19 Pandemic-Related Perceived Stress Scale (PSS-10-C) Administered on Grassroots Frontline Health Care Workers of Rural Telangana.

Background:During the COVID-19 pandemic, perceived stress is an important determinant of mental health problems, especially in health care workers (HCW). By and large, regional language tools to assess perceived stress in the context of the pandemic have not been validated in India. We aim to explore the factor structure of the Telugu translated version of the COVID-19 pandemic-related Perceived Stress Scale (PSS-10-C) administered on grassroots frontline HCW of rural Telangana, India.Methods:Data relating to 311 grassroots frontline HCW consisting of accredited social health activists (ASHA), multipurpose health workers (MPHW), and auxiliary nurse and midwives (ANMs) working in rural primary health centers (PHC) in five districts of Telangana were analyzed. An exploratory factor analysis was conducted to identify latent factors. Convergent validity was assessed by computing Pearson product-moment correlations between the scores of PSS-10-C and Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9) scales.Results:The principal component analysis showed that the 10 items of the scale were significantly loaded by two latent factors with eigen values of 2.792 and 2.009, respectively. Factor solution showed that six and four items correlated with each of the two factors, respectively. Significant correlations between PSS-10-C, GAD-7, and PHQ-9 scores showed convergent validity. The two factors may represent substantive factors “perceived self-efficacy” and “perceived helplessness.” There may be an influence of the reverse-coded method on the factor solution.Conclusion:The Telugu translated version of PSS-10-C holds fair-to-good psychometric properties.

Changing Scenario of Rural Economy in Telangana State: Insights from the Selected Villages of Mahabubnagar District

This study assess and document the changes in the rural economy with special focus on agrarian indicators and modernization of rural economy between 2009 and 2019 through focused-group discussions in ten randomly selected villages in Mahabubnagar district of Telangana State. The data were analyzed by simple statistical tools like averages, percentages to quantify the changes in key indicators. Findings indicated that number of actual cultivators declined by about 30% while, number of tenant farmers has been significantly increased by about 80% between 2009 and 2019 in the selected villages. About three-fourths of farmers and agriculture labourers owned mobile phone and motor-bikes. On an average, 3% of agricultural land every year has been diverted into non-farm uses over the past ten years. There was not much increase in the yield of many crops except paddy over the past ten years. The increase in farm gate prices of major crops are not in par with the increased input prices leading to decline in real profitability in farming. This is the key source of rural crisis in rural Telangana rural distress. Therefore, rural people are facing the problems of poverty and exploitation which is impacting the rural economy.

Factor Structure of the Telugu Version of the Insomnia Severity Index Administered to Primary Care Health Workers of Rural Telangana During the COVID-19 Pandemic

Objective: Prevalence of insomnia has been high during the coronavirus disease 2019 pandemic, especially in health care workers. The 7-item Insomnia Severity Index (ISI) is the most commonly used tool to assess insomnia severity and its impact. The ISI has not been translated and validated for use among Telugu-speaking health care workers. The objective of this study was to explore the factor structure of the Telugu-translated version of the ISI, administered among primary care health workers in rural Telangana, India.Methods: The Telugu version of the ISI was administered to 315 grass-root primary care health workers in rural primary health centers of 5 districts of Telangana. Exploratory factor analysis was conducted to measure the factor structure of the translated version of the ISI. Data were collected in August 2021.Results: The principal component analysis showed that the 7 items of the scale significantly loaded on to 1 latent factor with an eigenvalue of 4.036, explaining 57.66% of the total variance. The factor reliability (Cronbach α) was 0.876.Conclusions: The results show that the Telugu translated version of the ISI conforms to previously found factor solutions and is valid to assess insomnia severity in primary care health workers.

Homemade blenderized Ryles tube formula is equally efficient as commercial formula in terms of anthropometric and biochemical measurements in tertiary care neurologic intensive care unit: A single center study

Objectives: In Indian intensive care units (ICUs), malnutrition is a leading cause of death and morbidity. There is a scarcity of information on the state of malnutrition in India and the efficacy of homemade Ryle’s tube formula in neurologic cases as compared to commercial formula feed. The goals of the present study were to evaluate the nutritional status of neurological disorder patients, to prepare a home-based feed using locally available cereal and pulse combinations, and to investigate the impact of two different Ryes tube formulas on nutritional status. Material and Methods: A prospective, randomized comparative study was conducted in the neurological ICU of a tertiary care medical college hospital located in rural Telangana. Group A was given commercial formula, while Group B was given homemade Ryle’s tube formula, which was calorically equivalent to commercial formula. The Harris-Benedict equation was used to determine the patients’ caloric requirements. During hospital stay, both groups received a comparable amount of Ryle’s tube feeding. The impact of two different formulations was evaluated using quantitative indices including weight, body mass index, triceps skinfold thickness, and serum albumin over a period of 2 weeks. The standard deviation and mean were determined. The researchers used a paired t-test with a two-tailed distribution. If the P < 0.05, it was considered significant. For data processing, open-source software open Epi 2007 was used. Results: In both classes, thirty patients were enrolled. On admission, the demographic profiles of both groups were identical, as evidenced by non-significant P-values. According to the sample parameters, there was no substantial difference between the two formulas at the end of the study period. Both formulas were equally efficacious for the nutritional assessment parameters during the study period. Conclusion: On initial admission, malnutrition was uncommon in the neurologic ICU. In terms of study parameters, both formulas were equally efficient. The homemade blenderized formula was 50% less expensive than commercial formula, making it an important nutritional supplementation option for the deprived strata of the population.

Homemade blenderized Ryles tube formula is equally efficient as commercial formula in terms of anthropometric and biochemical measurements in tertiary care neurologic intensive care unit: A single center study

OBJECTIVES:In Indian intensive care units (ICUs), malnutrition is a leading cause of death and morbidity. There is a scarcity of information on the state of malnutrition in India and the efficacy of homemade Ryle’s tube formula in neurologic cases as compared to commercial formula feed. The goals of the present study were to evaluate the nutritional status of neurological disorder patients, to prepare a home-based feed using locally available cereal and pulse combinations, and to investigate the impact of two different Ryes tube formulas on nutritional status.MATERIAL AND METHODS:A prospective, randomized comparative study was conducted in the neurological ICU of a tertiary care medical college hospital located in rural Telangana. Group A was given commercial formula, while Group B was given homemade Ryle’s tube formula, which was calorically equivalent to commercial formula. The Harris-Benedict equation was used to determine the patients’ caloric requirements. During hospital stay, both groups received a comparable amount of Ryle’s tube feeding. The impact of two different formulations was evaluated using quantitative indices including weight, body mass index, triceps skinfold thickness, and serum albumin over a period of 2 weeks. The standard deviation and mean were determined. The researchers used a paired t-test with a two-tailed distribution. If the P < 0.05, it was considered significant. For data processing, open-source software open Epi 2007 was used.RESULTS:In both classes, thirty patients were enrolled. On admission, the demographic profiles of both groups were identical, as evidenced by non-significant P-values. According to the sample parameters, there was no substantial difference between the two formulas at the end of the study period. Both formulas were equally efficacious for the nutritional assessment parameters during the study period.CONCLUSION:On initial admission, malnutrition was uncommon in the neurologic ICU. In terms of study parameters, both formulas were equally efficient. The homemade blenderized formula was 50% less expensive than commercial formula, making it an important nutritional supplementation option for the deprived strata of the population.

Intensive Case Finding of Tuberculosis and Diabetes Mellitus-Bidirectional Screening of Patients Attending a Tertiary Teaching Hospital in Rural Telangana, India

Introduction: Tuberculosis (TB) is a communicable disease of global public health threat. Poor and vulnerable populations are mainly affected with it. In association with Diabetes Mellitus (DM), TB may get worsen as increased relapse rates, delayed sputum culture conversion, increase in the case fatality rates etc. Conversely, TB may increase the incidence of DM, and worsen glycaemic control in diabetes patients. Aim: To study the effectiveness of bidirectional screening for TB and DM in rural hospital. Materials and Methods: A cross-sectional cohort study conducted at Medicine and Pulmonology department of MediCiti Institute of Medical Sciences (MIMS) for a period of nine months in June 2019-February 2020. All TB patients were screened for DM and vice versa. All TB patients were followed-up for treatment outcome of TB and all DM patients were followed-up for glycaemic control. Relative risk was calculated using incidence of outcome or control of disease in TB with DM patients to TB patients and DM with TB patients to DM patients. Results: Of 256 TB patients, 38 (14.8%) were TB with DM cases. All 256 patients were followed-up for TB treatment outcome, 100% TB patients without DM had recovery, whereas 97.3% TB patients with DM had recovery after two months of therapy. Relative risk of DM on TB outcome was 0.97. Of 256 DM patients screened, 9 (3.5%) had been newly diagnosed with TB. All 256 people were followed-up for impact on glycaemic control. Relative risk of TB on glycemic control was 1.87. Conclusion: Bidirectional screening would potentially improve care and prevention of TB and DM.

‘Screen and Treat for Anaemia Reduction (STAR)’ strategy: study protocol of a cluster randomised trial in rural Telangana, India

IntroductionCurrent anaemia control programme focusing on prophylactic iron supplementation and facility-based screening with haemoglobin estimation is inadequate to reduce the high prevalence of anaemia in India. This study aims to...

Prevalence of smokeless tobacco consumption among women of rural Telangana

Background: Tobacco kills approximately 1 million people annually in India and is responsible for almost half of all cancers in men and quarter of all cancers in women. Smokeless tobacco (SLT) is one such form that is culturally and socially acceptable by women especially in rural India. The study was aimed to estimate the prevalence of smokeless tobacco consumption among women, prevalence of exposure to second hand smoke and to determine the factors associated with it.Methods: A community based cross sectional study was done among 190 women in the rural field practice area of department of community medicine of Kakatiya Medical College, Warangal during the period of October 2019 to December 2019. Data was collected using simple random sampling. A semi structured questionnaire was prepared with the help of global adult tobacco survey proforma. The data was analyzed using statistical package for the social sciences (SPSS) 20.00.Results: Prevalence of smokeless tobacco consumption was 57% and the most common form of tobacco being consumed was tobacco with pan (40.3%). The prevalence of exposure to second hand smoke at home was 61%. The most common reason for initiation was peer pressure. High prevalence of consumption of smokeless tobacco was seen in unemployed and illiterate women.Conclusions: The prevalence of smokeless tobacco consumption is higher among women in this study and this indicates the lack of awareness and the need for better strategies to reduce the burden.

Prevalence of Pollen Allergy in Rural Telangana (Bhongir) and the Need for Continuous Monitoring of Allergens - A Pilot Study

Prevalence of pollen allergies in the rural population of Telangana is under-studied. The objective of this work was to estimate the prevalence of pollen allergy in the rural town of Bhongir, Telangana and to evaluate the need for further investigation of environmental effects on the onset of pollen allergies. A pilot survey was conducted among fifty randomly selected individuals of Kisan nagar area in Bhongir, Telangana (India) and its nearby localities using a questionnaire. Patients with known allergies were further asked to provide information about their allergic conditions and treatment. Six out of the fifty participants (CI: 1.5-10.5) were found to be allergic to pollen. The allergic participants did not have symptoms from birth but rather developed them during the later stages of life. The study also identified the potential pollen allergens in the locality which might be the cause of the allergies in the affected individuals. Furthermore, the study revealed that the commonly recommended medications were neither the preventive measures nor the permanent cure against the symptoms of pollen allergy. The results suggest a trend of rural youth with no genetic predisposition, developing pollen allergies due to environmental sensitization. The study highlights the need for the establishment of regional monitoring stations, and future studies with larger samples to understand the sensitization pathways to help the locals take preventative measures.