Infant Toddler Development Essay Example

Infant Toddler Development Paper 1 Definition of infancy period between birth and 12-18 months, when baby begins to talk 1 Definition of toddler infants between 18 and 36 months 1 Maturationist believes babies develop acc. To genes 1 empiricists believe babies develop based on experience (Lockes tabla rasa) 1 nativist believe babies come equipped with inborn feelings, ideas, traits 1 transactional perspective nature AND nurture believes babies develop based both on biology and social interactions 1 cephalocaudal perspective development proceeds from head to foot 1 proximodistal principle development proceeds from center of body to outer extremeties 1 Six categories of Child Development Theories 1) Nativistic/maturational 2) Behavioral 3) Psychoanalytic 4) Cognitive 5) Social contextual 6) Developmental systems theories 1 Methods of studying infants 1) Habituation-Dishabituation/Novelty, 2) Visual Preference Technique 3) Violation of Expectation Method 4) Physiological Repsonses 5) Facial Expressions 6) Parent Reports 7)Nonnutritive Sucking 1 Developmental Assessment Instruments Denver II, Hawaii Early Learning Profile (HELP) 2 Order of stages of an infant (names of the cell clusters) zygote,morula, blastocyst, embryo, fetus 2 Percentage of pregnancies that result in miscarriage, and when 50% of pregnancies, usually within the 1st 3 weeks 2 Length of prenatal period 266 days or 38 weeks 2 gestational age from 1st day of last menstrual period (280 days, or 40 weeks) 2 zygote newly fertilized egg. 2 where does the zygote travel? it gets fertilized in the fallopian tubes and travels in the tubes towards the uterus 2 within 36 hours, the zygote does this it divides into 2 cells within 36 hours of fertilization 2 morula what the zygote becomes after dividing into 12-16 cells, knobby looking 2 blastocyst how many days old? four days old, 58 cells 2 What does the blastocyst do during its existence? it floats free in the uterus 2-3 days, then on 6th day attaches to lining of uterus. Enzymes break down cells to help it attach. Enzymes stop on 10th day. 13th or 14th day, implantation has healed over in scarlike cyst. 2 percentage of ertilized ova that fail to attach to uterus 30-50% of ova fail to do this 2 placental previa blastocyst implants in extreme lower region of uterus, DANGEROUS 2 cervical pregnancy blastocyst implants in cervix; usu. Results in spontaneous abortion 2 ectopic pregnancy blastocyst implants outside the uterus; usu. Causes excessive bleeding and spontaneous abortion 2 embryo define, and how old? when blasocyst has developed cells called embryonic disk, it becomes an embryo (around 14th day) 2 embryonic disk group of cells inside blastocyst (now an embryo) that composes the beginning of major structures of the body 2 gastrulation development of the body form, beginning with the formation of 3 germ layers 2 germ layers how many and why? 3 germ layers, form through gastrulation, will become major body structures (ectoderm, endoderm, mesoderm) 2 ectoderm germ layer in embryo that will form nervous system, backbone, skin, hair, nails, parts of eyes and ears 2 endoderm germ layer in embryo that will form digestive tract, respiratory system, liver, glands 2 mesoderm germ layer in embryo that will form circulatory, excretory, and reproductive systems, skeleton, muscles, connecting tissues 2 chorion outer layer of the embryo, around 3 weeks; one side attached to uterus, and later develops into placenta; other side has cavity that will form the amniotic sac 2 placenta develops from chorion, it is the link between mother and child, exchanges all nutrients, waste products, oxygen, hormones, etc. 2 umbilical cord how long and thick? links uterus to embryo; at full term, is 1/2 to 3/4 inches thick and 20-24 inches long 2 How often is fluid in amnotic sac replaced? the fluid is changed every 3 hours through the placenta 2 secondary yolk sac (first yolk sac disappears) this one transfers nutrients to embryo before placental connection is made 2 neurulation ectoderm folds over to make neural tube; nervous system begins to develop 2 primitive spinal cord is formed when? by 9th or 10th week 2 what do neurons do, and until when? they migrate until the 28th week 2 what is th most critical period for brain development? between the 3rd and 16th week is most critical 2 when will the embryos tail disappear? it disappears around the 8th week 2 when does the embryo has facial features? by 6 weeks 2 somites the foundations of skeleton, appear as tiny buds around 8th week 2 when do teeth start forming? they start forming around the 12th prenatal week 2 when do kidneys and urinary tract develop they develop by aound the 4th and 5th weeks 2 when does heart begin to flutter? it begins to flutter around the 3rd week (21st day) 2 fetus when do we start calling it this? we start calling it this name around the 9th week (end of 8th) 2 What is the length of the fetal period? (what to what week? this period is 9-20 prenatal weeks 2 vernix caseosa and lanugo what are they, and during what prenatal period do they appear? one is a waxy cheeselike covering of the skin and the other is downlike hairs; during fetal period, around 17-20 weeks 2 Klinefelter Syndrome a chromosomal abnormality; male child is born with two X chromosomes, and one Y; males later develop breasts, small testes, sparse pubic and facial hair, low IQ 2 Turner syndrome a chromosomal abnormality; infant has only 1 X chromosome; delayed growth, webbed neck, ovaries do not function, normal intelligence, visual-perceptial problems 2 cri du chat syndrome a chromosomal abnormality; unusual facial features, reduced head and brain size, heart disease, severe mental disabilities 2 Huntingtons chorea a single gene disorder; a progressive degeneration of the nervous system 2 single gene disorder examples examples include dwarfism, glaucoma, Huntingtons chorea, PKU (phenylketonuria; cant digest amino acids in milk), cycstic fibrosis, sickle cell anemia 2 what is the most common form of prenatal assessment (maternal blood tests, ultrasound, or amniocentesis)? ultrasound is the most common form of this 3 What parecentage of babies are born within 2 weeks of their due date (280 days gestation)? 95% of babies are born at this time 3 What percentage of babies are born in the head-first position? 96% of babies are born in this position 3 what is breech position? this is when baby is born with butt, feet, or knees first 3 what is frank breech position? when baby is born butt first, feet extended straight up past ears 3 What is the most difficult phase of delivery called? The transition phase (contractions are very close together and very strong) 3 How wide is a fully dilated cervix? 8 inches (normally it is the width of a pencil) 3 What is the Leboyer method? it involves controlling te birth environment (warm, quiet room, dim lights, gently handled baby, massaged on mothers belly, baby put in warm water) 3 couvade fathers in the northwest Amazon hold magical beliefs about childbirth, mimic symptoms and delivery 3 neonatal period/infancy length? usu. 2 weeks, or up to 4-6 weeks 3 meconium black, semisolid poo of newborn 3 Name the 6 states of arousal (Wolff 1966) 1) Regular sleep/quiet sleep (non REM) 2)Irregular sleep/active sleep (REM) 3)Drowsiness 4)Alert inactivity (quiet alert) 5) Waking activity (bursts of vigorous movement) 6) Crying 3 Regular sleep is also called: quiet sleep 3 Irregular sleep is also called: active sleep 3 Alert inactivity is also called quiet alert 3 What are the 3 leading causes of infant death in the first year? Congenital abnormalities, prematurity/low birthweight, SIDS 3 What is low birth weight? (under what weight?) under 5 1/2 lbs 3 What is considered full-term birth? (between what weeks?) between 37 and 42 weeks 3 respiratory distress syndrome (RDS) the most common cause of death of pre-term infants; babies have incomplete lungs and not enough surfectant 3 What does APGAR stand for? Appearance, Pulse, Grimace, Activity, Respiratory Effort 4 What is HGH and why is it important? It is Human Growth Hormone and it is important for growth after the baby is born. Growth may be stunted if deficient (GHD = Growth hormone deficiency) 4 By what month is babys growth doubled (after birth)? Babys weight doubles by 4 or 5 months 4 When is babys weight tripled? It triples by 1 year 4 What is the average birthweight (females, males)? Females average 7 1/2 lbs, males 7 3/4 lbs 4 What is average birth length? (females, males) females average 19 1/2 inches, males 19 3/4 inches 4 BMI how do you calculate it for babies? BMI = pounds divided by inches divided by inches x 703 (average BMI for 3 year old is 15.7) 4 Fontanels wide sections of cartilage that hold together the eight pieces of bone on the infants skull; AKA soft spots 4 When do teeth start to come in? (roughly) normally around 8 months, sometimes earlier =-) 4 When does baby have all 20 teeth cut? around 30-36 months 4 At birth, what percentage has brain grown to? brain is around 25% of full size at birth 4 at 6 months, babys brain is what percentage of full size? at 6 months, babys brain is 50% of adult weight 4 At what prenatal week does baby have a complete set of neurons? at the 20th week, baby has the full 80 million 5 When are babys immunities from mom mostly gone? They are gone by 6-12 months of age 5 otitis media middle ear infection 85% of kids in U.S. have one before age 3 5 what may be a cause of colic? possibly allergic reaction to protein in formula or allergens in breast milk; OR maybe IBS or reflux 5 What is the chance of mother infecting baby with AIDS/HIV? the chance of mother-baby infection is 20-25% 5 What is the leading cause of death for infants ages 6-12 months of age? maltreatment is the leading cause of death in this age group 5 What are the 2 most common forms of maltreatment of babies? the two most common forms are neglect and physical abuse 5 What are the top 3 causes of unintentional infant death? 1) Motor vehicle 2) drowning 3) fires/burns 5 Can AIDS be transmitted through breast milk? Yes, it can be transmitted 5 What age do Americans typically wean their babies? around 1 year (67%) 5 Kwashiorkor malnutrition caused by lack of protein; results in swollen belly, little muscle tissue, loss of hair, lethargy 5 Marasmus malnutrition caused by lack of calories (essentially, starvation); can cause chronic diarrhea, vomiting, irritability, apathy 6 maturation theory theory that children can be taught early, but others who are not taught will catch up easily due to maturation 6 dynamic systems approach a theory that compromises between maturation theory and learning; body systems must work together for baby to accomplish tasks (i.e. walking) 6 Moro reflex baby stretches arms out and brings together in hugging motion, in response to sudden noise or drop (disappears by 3 or 4 months 6 Babinski reflex big toe goes up while other toes go down, in response to tickle on bottom of foot (12-16 months) 6 tonic neck reflex reflex where one side of body is dominant, one arm and leg are extended in direction of which way head is facing (fades out 4th month) 6 stepping reflex rhythmic steps when feet touch flat surface (gone by 5 months) 6 Reflex must disappear before†¦ †¦before voluntary motor movement can be established 6 Two stages of Fine Motor Development 1) prereaching (swatting for things in visual field) 2) Visually Directed reaching (locate item with eyes first) 6 prehension grasping object between fingers and thumb 6 when does baby learn to use thumb for grasping? around 9 months 6 when can baby sit up alone? (roughly) around 6-7 months 6 when do average infants begin to crawl? around 7 months 6 when do babies creep? around 9 months 6 when do babies walk? around 12 months 6 when do babies stand? around 8-10 months 6 cruising walking sideways, using furniture to hold oneself up 6 when do babies run? around 18 months 6 what scale is used to measure motor movement? Bayley Scales of Infant Development II 7 can babies feel pain? of course!! More stress when given less anesthesia 7 haptic perception rubbing hands on surface of objects 7 what is the least-developed sense at birth? (hearing, smelling†¦ etc) vision is the least developed sense 7 when can babies see color about as well as adults? around 3 months, babies can see color as well 7 which do babies prefer more? Faces or patterns? they prefer faces more 7 when can babies discriminate between one or two objects from three (counting)? around 4-5 months 8 what are the two best predictors of IQ and language development later in life? home-environment quality and parent-infant interactions are the best predictors 8 Piagets theory believes that intelligence develops through what two kinds of influences? he believed it develops based on interaction between genetic and environmental (external) influences 8 scheme a basic pattern of action, thought, or knowledge 8 adaptation what is it the key to, according to? making changes in thought and actions to fit into new situations; Piaget believed it is the key to intellectual functioning 8 assimilation making the environment fit YOU 8 What two processes make up adaptation? Assimilation and accommodation 8 Accomodation making yourself fit the environment 8 what are Piagets basic stages? sensorimotor, preoperational thought, concrete operations, formal operations 8 sensorimotor period (age, how many stages) birth to 2 years, six stages 1)Exercising Reflex schemes, 2)primary circular reactions 3)secondary circular reactions 4) coordination of secondary circular reactions 5) Teritary Circular reactions 6)Invention of new Means through Mental Combinations 8 Acc. To Piaget, thought arises from†¦ †¦arises from action 8 Stage 1 Sensorimotor (name, age, char) Exercising reflex schemes (Birth-1 month) sucking, looking, crying. Goal is to become efficient at reflexes to satisfy nutritive needs 8 Stage2 Sensorimotor (name, age, char) Primary Circular Reactions (1-4 months) primary = centered in babies own body. Circular reaction: response that stimulates its own repetition (i.e. thumb sucking). Understands order of events (put in position to nurse, followed by nursing) basis for concept of time 8 Stage 3 Sensorimotor Secondary Circular reactions (4-8 months) secondary = based on events or objects outside the body, ie. kicking a mobile stimulates repetition of kicking, object permanence emerges 8 Stage 4 Sensorimotor Coordination of Secondary Circular Reactions (8-12 months) schemes are flexible, can be generalized to more situations. Babies can solve simple problems or obstacles. Cause and Effect emerges. (i.e. moving pillow to get box) true imitation emerges (imitate actions they cant see themselves perform i.e. wrinkle nose 8 Stage 5 Sensorimotor Tertiary Circular Reactions (12-18 months) baby deliberately varies repetitive activities to produce new results. (curiosity and creativity) cause and effect is extended to other people. Babies seek to understand functions and properties of objects (i.e. weight) object permanence improves 8 Stage 6 Sensorimotor Invention of New Means Through Mental Combinations (18-24 months) ability to represent objects using mental images emerges. Invents solutions using mental schemes. 8 Vygotsky believed that these two things are critical factors in intellectual development: environment and social interactions 8 Vygotsky also believed this was central to shaping mental functioning: language 8 Sensorimotor play play through body movements that provide sensory pleasure; i.e. kicking, sucking, shaking, banging 8 double substitution the most sophisticated form of pretend (symbolic) play ie. stick is a doll (1) and bottle cap is cup the doll drinks from (2) 8 scaffolding (and who termed it?) Vygotsky termed it) tutoring, encouraging 9 When does private speech appear? around 30 months (2 1/2- 3 years) 9 phonology the sound features of speech and rules for their combination 9 phoneme basic, distinctive sounds used to form language 9 morphology the way sounds are combined to form words and other units of meaning 9 semantics the definitions of words and relations to other words (context) 9 Syntax the way words are combined to form sentences 9 pragmatics the practical functions of language and ways it is used to communicate 9 When does babbling emerge? 6 months 9 When does echolalia emerge? 9 months 9 when does first word emerge? 12 months 9 canonical babbling well-formed vowel and consonant combos, around 10 months (da da) 9 morpheme unit of meaning (ie. in choirboy, the words choir and boy are morphemes; also opened is open and ed) 9 age when vocabulary starts multiplying a lot: 18 -21 months (gain of 100 words) 9 word comprehension begins at age†¦ at 9-10 months (meaning of words like no) 9 age when babies start to put sentences together (2 words) 18 months 9 holophrases single words that are intended to mean a whole sentence (like ball means bring me the ball 9 two-word utterances what pattern do they follow? subject-verb Daddy eat! (not Eat Daddy!) 9 Three-word sentences appear at†¦ 2 to 2 1/2 years 9 Seven language functions: (Halliday) 1) Instrumental (I want) 2)Regulatory (do as I tell you) 3) Interactional (me and you) 4) Personal (Here I come) 5) Heuristic (exploring the environment) 6) Imaginative (Lets pretend) 7) Informative (Ive got something to tell you) 9 when do babies start the 7th funciton of language (informative) around 22 months 9 when does pointing gesture appear? 9-14 months 9 when do babies look at objects other people point to? 1 year 9 crib talk begins when? around 2-3 years 9 motherese special language mothers use to talk to their babies; baby talk (higher pitch, short, simplified words, slower pace, whispering, restriciton of topics to childs world 9 idioglossia private twin language, consisting of jargon and gestures 10 Freuds oral stage what ages, what bx? ages birth to 18 mo., baby must receive gratification throguh mouth (ie. sucking, feeding) or he/she will stay orally fixated 10 Freuds anal stage what ages, what bx? ages 18 mo. To 3 years; Baby must have a positive toilet training experience or he/she will remain anally fixated 10 Eriksons Trust Versus Mistrust ages? Char? ages Birth to 18 mo., baby must feel that the world is to be trusted, requires consistency and continuity, or baby will have difficulty separating from mother and have emotional problems later in life 10 Eriksons Autonomy vs. Shame/Doubt 18 mo. To 3 years; baby must explore environment on its own, must establish bowel control (like Freuds anal stage); parents should not be overpermissive or overrestrictive. If child feels incompetent or insecure, they cannot progress to next stage 10 What is required to advance through Eriksons stages? each stage represents a conflict; conflict must be resolved before personality can proceed smoothly to the next stage. 10 What are the 9 dimensions of personality? 1) Activity level 2)Rhythmicity (regularity of schedule, eating, sleeping) 3) Approach or withdrawal (to people, food) 4) Adaptability (to change) 5) Sensory threshold (level of stimulation to elicit a response) 6) Intensity of response 7) Quality of mood 8) Distractibility 9) Persistence of attention span 10 65% of babies fall into one of three categories of child: 1) Easy Child (regular schedule, positive mood, easy to comfort, 40% of babies) 2) Difficult Child (irregular body functions and routines, cry a lot, not adaptable (10% of babies) 3) Slow-to-Warm-Up Child (mild intensity of reactions, not easily adaptable, mild negative responses, eventually makes appropriate adjustments, and displays quiet interest and enjoyment, 15 % of babies) 10 goodness-of-fit when child and caregiver match each other in personality 10 self-recognition (in mirror) when does this begin? starting around 15-18 months 10 by this age, babies can distinguish between picture of themselves and picture of another baby around 2 years 10 verbal self when baby can refer to him/herself with verbal labels (I, me, my) 10 when do babies first use verbal self labels? (I, me, my) around 20-22 months (I is usu. First) 10 When do babies start using self-descriptive statements (like I play)? around 2 years 10 perceived personal effectance infants learn the extent to which they can control their world; a 1-year-old is less afraid of a scary toy when they can control the toy 10 theory of mind 1) others have thoughts and beliefs that may be different from mine 2) understand that others sometimes have false beliefs (like when playing hide-and-seek, mommy may think you are in the closet when youre not) 11 7 abilities of Social Competence 1) getting, holding adults attention 2) Expressing affection and annoyance appropriately 3) Using an adult as resource when task is too difficult 4) Showing pride of personal accomplishments 5) Engaging in role-play/make-believe 6) Leading and following peers 7) Competing with peers 11 First social smile appears when? 2-3 months 11 social laughter appears when? 3-4 months 11 Notices/interacts with peers when? 3-6 months 11 Plays peek-a-boo when? 5-8 months 11 shy with strangers when? 8-10 months, peaks at 12 months 11 endogenous smile triggered by changes of arousal in nervous system; not socially produced 11 exogenous smile triggered by stimuli outside of body, changes in nervous system produced by others, ie. babytalk or blowing on tummy 11 Whaleys 5 stages of adult-infant play 1) Complementary/Reciprocal Social Play (face-to-face, smiles, sounds, adult as object) 2) Complementary/Reciprocal Play with Manual Awareness (focus of play is object provided by adult) 3) Simple Social/Simple Object Play (7-13 months infant locates own objects, playthings, parallel play with peers 4) Object Play wtih Mutual Regard (13-18 months infant attends to objects and adults at the same time thru games, conversations) 5) Simple Parallel Play (18-24 months, toddler plays independently with adults and peers nearby) 11 Uzgiris and Raeffs 3 types of infant-adult play 1) Interpersonal Play 2) Object Play 3) Symbolic Play 11 Interpersonal Play face-to-face interactions, social games, routines; peek-a-boo; imitaiton 11 Object Play parents are the audience and facilitators to infant playing with toy or object 11 Symbolic Play i.e. a block becomes a hammer, 1-2 years old infants will engage in joint episodes of symbolic play. Older kids will do it more independently 11 Earliest peer interactions infants notice other babies when? around 2 months 11 infant reaches toward other infants when? 3 months 11 infants vocalize and smile at other infants when? 6 months 11 Infants make physical contact when? around 1 year, exploring eyes, mouths, ears 11 Negative behaviors increase between what ages? between 1-2 years 11 By 2 years of age, toddler interactions are characterized by more: repetitive, reciprocal, cooperative patterns 11 Playmate preferences appear by: 18 months 11 By this age, most toddlers perfer same-sex peers as playmates 2 years 11 Between these ages, toddler find amusement in forbidden behaviors and share in laughter of others in challenge to adult authority: ages 14-24 months 11 moral development internalizing the rules and principles of human behavior 11 the moral dilemma experiment involving a hurt peer and bandages on a forbidden shelf showed: most children struggled with the dilemma but found a way to achieve a positive outcome 11 Prosocial behaviors, examples positive, socially desirable activities; ie. sharing, nuturing, helping, cooperation 11 Sharing behavior begins around age 1 (and declines afterwards, becoming more individualized 11 Children become more obedient between ages 1-3 years 11 by this age, most toddlers have adopted much of their cultures sex-typed division of activities and attributes by age 3 12 socialization of emotions infants emotions are influenced by the responses of parents and other caregivers 12 Mothers give a greater variety of emotional responses to (boys or girls?) girls 12 at what age to infants display anger? 4-7 months 12 at what age do infants display fear/wariness? 4-9 months 12 at what age do infants display rage? 7-18 months 12 display affection/love? 18-36 months 12 display empathy/symapthy? 18-36 months 12 display embarrassment? 24-36 months 12 display guilt, pride, shame? 24-36 months 12 when does stranger anxiety peak? 12 months 12 stranger anxiety declines after 1 year, then peaks again between ages: 18-24 months 12 separation anxiety begins at†¦ and peaks at†¦ begins at 8-9 months, peaks at 12 months 12 empathy may also correspond with infants achievement of: self-recognition (concept of self and others) 12 social referencing baby looks to adult to decide how to react in uncertain situations if mom smiles at a strange toy, baby is more willing to explore the toy 12 at this age, most babies can point to pictures of happy and sad faces by age 2 12 securely attached def and percentage? 66 % explored while mother was there, reacted positively to stranger, distressed when mother left, was easily comforted and resumed play when mom returned 12 avoidant attachment 12 % did not protest when separated from mother, avoided or ignored mother when she came back 12 ambivalent attachment 22 % very upset when mothers left room, ran to mothers when reunited, but was clinging and resistant (kicking and pushing away) 12 disorganized-disoriented attachment screaming for parent upon separation, moving silently away when parent returns, freezing all movement, approaching parent with head averted, stereotypies like rocking on hands and knees (their mothers often have early psychological trauma and loss) 13 Effects of divorce on children under age 2: less basic trust, more guilt and shame, less industry, more feelings of inferiority; more behavior problems in preschool 13 Effects of Father absence children score lower on cognitive tests, educational achievement is negatively affected 13 Percentages of children cared for by: parent, relative, daycare, non-relative family childcare parent 27%, relative 27%, daycare 22%, non-relative family childcare 17% 13 Six characteristics of home environment likely to foster early development: 1) Emotional and verbal responsivity of mother 2) Avoidance of restriction and punishment 3) Organization of physical env. And schedule 4) Provisions of appropriate play materials 5) Maternal involvement with child 6) Opportunities for variety in daily stimulation 13 Four types of discipline that result in Negative Outcomes: 1) inconsistent discipline 2) irritable, explosive discipline 3) low supervision and involvement 4) inflexible, rigid discipline 13 If punishment is necessary, it should be: brief and clearly linked to what the child has done

Sanitary conditions in Mauritius slaughter houses Essays

Sanitary conditions in Mauritius slaughter houses Essays Sanitary conditions in Mauritius slaughter houses Essay Sanitary conditions in Mauritius slaughter houses Essay Introduction A abattoir, besides known as an butchery is a topographic point where animate beings are sacrificed for nutrient. It can besides be defined as any premises used for the slaughter of animate beings whose meat is intended for human ingestion. The slaughtering of animate beings for community ingestion is inevitable in most states of the universe and dated back to the ancient times ( Bello and Oyedemi, 2009 ) . Public slaughter houses had been traced to Roman civilisation and in France by 15th and 16th centuries, and were among the populace installations. In Italy, a jurisprudence from 1890 stipulated that public butchery should be provided in all communities comprisingof more than six 1000 dwellers. Similar things were reported in Norway, Sweden, Denmark, Netherlands and Rumania ( Jode Loverdo et Al. 1906 ) . The animate beings most normally killed for nutrient are cowss, sheep ( for caprine animal and mouton ) , hogs ( for porc ) , caprine animals ( for chevon ) , and poultry, mostly chickens, Meleagris gallopavos, and ducks, for domestic fowl meat. The most of import issue in all meat-processing workss is care of proper hygiene and equal healthful conditions to forestall taint and in this manner caters for a merchandise which is safe and sound for the populace. An butchery as defined above is a edifice approved and registered by the controlling authorization for hygienic slaughtering and review of animate beings, processing and effectual saving and storage of meat merchandises for human ingestion ( Alonge, 1991 ) , as such the sanitation line in a slaughter house must be flawless. Butchering animate beings on a big graduated table brings about important proficient jobs and public wellness concerns. Furthermore, some faiths insist on certain specific conditions for butchering patterns so that slaughter within slaughter houses may alter. As such butcheries commence the concatenation of the meat industry, where farm animal come from farms for processing and dressing and passes through markets to come in the nutrient concatenation ( Wikipedia Encyclopedia ) . The values, ethical motives, moralss and ordinances governing slaughter houses changes significantly throughout the universe. In several states the slaughter of animate beings is delimited by folklore and traditions alternatively of the jurisprudence. In the non-Western universe, including Moslem states both signifiers of meat are gettable, that is merchandise from modern mechanized slaughter houses, and the other from local meat stores. The state of affairs in Mauritius is typically representative of the struggle between modern procedures and spiritual patterns with respects to the slaughtering of animate beings for the supply of meat to the population. Over the last few decennaries at that place have been of import developments meat review systems in slaughter houses. As compared to the most extremely developed states which have taken the lead in conveying about alterations in the meat review processs in abattoirs by ordaining new statute laws ( These new Torahs have been reproduced by the Codex Alimentarius in its Codes of Good Practice and this resulted in the homogenisation of the universe trade in groceries ) ( Schnoller, 2006 ) , we, on the national degree, are covering with a more pious expression over the slaughtering industry which is delimited by spiritual patterns. As per the statute law enforced in Mauritius, the Mauritius Meat Authority is the lone establishment empowered to cover with the slaughtering of animate beings. Purpose The purpose of the survey is to transport out an appraisal on the healthful conditions predominating in slaughter houses in Mauritius. Aims The chief intent of this study is to cognize to what extent are the workingmans of slaughter houses aware of importance of healthful patterns and what it entails, to see if healthful patterns are respected and analyze the possible path by which taint by infective micro beings may happen in slaughter houses. LITERATURE REVIEW Sanitation in the slaughter house Thewordsanitationcomesfromthelatinwordsanitas, whichmeans wellness , it has many different significances but it can be by and large defined as the hygienic agencies of advancing wellness through bar of human contact with the jeopardies of wastes. Such jeopardies can be physical, microbiological, biological or chemical agents of disease ( Wikipedia Encyclopedia ) . The slaughter house should be constructed in such a manner as to esteem all the norms and ordinances and planned such that all procedures runs swimmingly without polluting or impeding the quality of the terminal merchandise. Chiefly there are several cardinal factors that a slaughter house should detect to be able to fulfill the necessary conditions which will lend to adequate sanitation for the bar of taint. Proper INFRASTRUCTURES AND PLANNING OF THE SLAUGHTER HOUSE Site of edifice Ideally the abattoir should be located off from residential countries to forestall possible incommodiousness to dwelling-places either by manner of pollution from slaughter wastes or by manner of nuisance from noise ( FAO Animal Production and Health Paper 49 ) . There must be free entree for animate beings to the site by route and the abattoir should be situated in countries where implosion therapy is improbable to go on. If the abattoir is of regular edifices building the land should be free of shrubs or flora in the locality of the construction ( FAO, 1985 ) . Size The sum of animate beings to be slaughtered should take into history the the size of slaughter installation and the figure of animate beings to be slaughtered is of great importance to avoid healthful jobs due to overcrowding ( Tove, 1985 ) . Building / installation The edifice or installation of such procedure has usually been described as topographic points which stands for good sanitation and hygiene. Harmonizing to the norms qualifying such procedure the edifice should usually hold clean and dirty procedures separated. Walls and Floors The flooring of the installation which is one of the major beginning of taint must be difficult, free of clefts, equally leveld and imperviable, and inclining adequately towards a drain to let cleaning with H2O and disinfection. The walls as good must be smooth adequate to be easy cleaned by H2O, and recommended stuffs are, for case, rock, lava blocks, bricks or concrete. To supply shadiness, a good environment and eventually to maintain down the internal temperature in the slaughter line, a roof made up of concrete would be ideal ( P.J. Eriksen, 1978 ) . illuming system As a affair of hygiene, the abattoir should hold a proper lighting system inside the slaughter line to let proper operation and avoid accidents and moreover will move as a hindrance to insects and gnawers. Ventilation system The internal temperature inside the slaughter house shall be maintained to forestall proliferation of unwanted micro beings and besides to provide for a good working environment. Equipment Equipment for undergoing such procedure, usually have to follow certain norm and ordinance, it has been reported that such equipments have to be of non-corrosive stuffs, for illustration chromium steel steel and constructions like tabular arraies, maulerss and machines should be that they are easy to dismantle to ease cleansing and disinfection. The cardinal measure for the hygienic handling of carcases is the equipment for promoting the carcase when slaughtered. In the processing line Cranes are preferred to working tabular arraies due to hygienic patterns. Procedures guaranting uninterrupted cleansing of hoists are recommended and should be performed on a periodical footing. However the cleansing and disinfection is normally complicated or merely impossible because of the complexness of the machines ( Tove, 1985 ) . Water supply Water is a vehicle for the transmittal of several agents of disease and continues to do important eruptions of disease in developed and developing states ( Kirby, 2003 ) . A cholera epidemic in Jerusalem in 1970 was traced back to the ingestion of salad veggies which were irrigated with natural waste H2O ( Shuval, 1986 ) . In Canada, an eruption of E.coli was reported ( Kondro, 2000 ) and In the USA, Cryptosporidium affected about 400,000 consumers and caused 45 deceases and in 1993 due to the ingestion of contaminated H2O ( Kramer, 1996, Hoxie, 1997 ) . Since slaughtering is a procedure which generates a batch of wastes, to provide for the good running of the procedures and minimise taint, there should be a good supply of H2O of imbibing quality to let processing and cleansing processs which will guarantee hygienic quality merchandises. Working modus operandis should be planned in such a manner as to economically utilize the ingestion of H2O because of waste H2O disposal ( Tove, 1985 ) . Sanitary installations Several H2O points, autoclaves for manus tools, hosieries and cleaning equipment is the key to supply a good criterion of hygiene and must be provided sufficiently. The handiness of hot H2O in penchant to chemical germicides should be supplied with the autoclaves where possible ( Tove, 1985 ) . Sanitary installations must besides include an equal figure of lavatories and agreements for hand-washing and even for bathing ( lavishing ) . Such installations must be clean and good maintain at all times and the lavatories should possess manus wash basins along with soap, germicides, antiseptics, nailbrushes and clean towels readily available. A muss room for resting and eating should be provided to the staff and as such be separated from the processing line to guarantee that the carcases and the nutrient for the forces can non be assorted ( FAO animate being production and wellness paper ; 53 ) . ENVIRONMENTAL HYGIENE As in all sectors of hygiene, the external and internal environment of the slaughter house should be protected against any infestation. Insects, birds and gnawers have been recognized as of import bearers of pathogens and other micro beings ( Olsen and Hammack, 2000 ) . To avoid these, a rigorous control should be exerted over the followers: Plagues Control Good Hygienic Practices ( GMP ) should be employed to avoid bring forthing an environment favourable to plagues ( CAC, 1997 ) . A control system for plague control must include the undermentioned: Good Hygienic Practices should be used to avoid making an environment conducive to plagues Pest control plans could include forestalling entree to principle site, extinguishing harborage and set uping monitoring sensing and obliteration systems. Physical, chemical and biological agents should be decently applied by appropriately qualified forces. Souce: hypertext transfer protocol: //www.fao.org/docrep/005/Y1579E/y1579e02.htm Proper fence The purpose is to forestall entree of unauthorised individuals, the populace in general, Canis familiariss and other animate beings around the abattoir premises. The fence should hold direct contact with the land and should be sufficiently high to forestall entree inside the premises. Bird control The best control is to forestall them from accessing the edifices by puting cyberspaces on the gaps and Windowss. Leting birds to wing inside the slaughter house might do taint through its dungs. Bird are frequently attracted by nutrient supplies, H2O, particular flora around edifices, and these attractants should be removed. SLAUGHTERING Processing The trademark for hygiene rule in processing is that the processs considered as clean and considered as dirty should be expeditiously separated. This requires a well-structured works layout, where the intent of any construction should be the protection of the terminal merchandise against inadvertent taint ( Tove, 1985 ) . Conveyance The animate beings are hauled from grazing lands or farms to the abattoir. All necessary safeguards during transit should be considered to minimise emphasis and hurt to the animate beings and as such will provide for the good quality of the terminal merchandise ( Tove, 1985 ) . Road conveyance is likely the cheaper and more convenient agencies for conveying animate beings. Below are some safeguards that are worthwhile during route transporting of the animate beings to butcher: The conveyance installation should be designed and modified to convey the stock ; they should supply for sufficient airing and lighting ; for unfastened trucks the top should be covered with a tarpaulin to protect the animate beings from bad conditions conditions, they should be equipped with appropriate burden and droping mechanisms to forestall hurts, and most significantly ; they should be every bit comfy as possible for the animate beings. Beginning: FAO Animal Production and Health Paper 49, Manual for the slaughter of little ruminants in developing states, 1985. Lairage Lairage is a topographic point where farm animal are kept temporarily ( Microsoft Encarta 2008 ) and in our present state of affairs is a specific country inside the premises of a slaughter house where the animate beings are conveyed for remainder. Rest is an of import factor because when animate beings are stressed, carcases of lower quality consequence from slaughter. There should be sufficient infinite for the animate beings and a good supply of drinkable H2O for imbibing intents. A lavation system where the animate beings can be cleaned before go throughing to the slaughter house is by and large recommended ( FAO animate being production and wellness paper ; 53 ) . Beginning: Heinz G, Abattoir development. Options and designs for hygienic basic and moderate-sized butcheries, 2009 ( hypertext transfer protocol: //www.fao.org, Annex 7 ) . Stuning, butchering and shed blooding Common methods for stupefying consists of: Captive Bolt Pistol ( CBP ) This arresting method is extensively used for all agricultural animate beings. Gun pulverization ( cartridge ) , compressed air and spring under tenseness propels the bolt through the skull of animate beings. The name captive agencies that the bolt is shot out of the barrel but remains in the handgun. Concussion stunning: A automatically operated instrument which delivers a blow to the encephalon. Used for cowss, sheep and calves. Another method which consisted of strike harding or striking a cock on the caput of the animate being is now banned with respects to humane patterns in some states. Free slugs: are by and large used on animate beings which are hard to manage for case, wild hogs, bison and cervid. Electric Stuning Head-Only Stunning: by and large cowss, sheep, porc and are all stunned by the usage of this method. The technique involves the application an electric daze utilizing a brace of tongs on either side of the animate being s caput. An electric current is passed through the encephalon and this leads to the impermanent loss of consciousness. Beginning: The Slaughter of Livestock ( portion 2 ) : Modern Techniques of Butchering by M.Abdulsalam ( www.IslamReligion.com ) . Butchering and Bleeding After stupefying, the animate being is vertically hanged raising the animate being ( head down ) to a convenient tallness. The hemorrhage operation is made by infixing a knife through the cervix behind the jaw bone and below the first cervix bone. The purpose is to break up the carotid arteria and jugular vena ( Pig slaughtering, www.Hyfoma.com ) and allow the blood to run out out. The exsanguination procedure should be as fast and complete as possible due to hygienic norms since insufficient hemorrhage and decelerate decease could ensue in blood curdling in the deep tissues and this might be risky in the ulterior phases of butchering. Elevation hemorrhage is more hygienic and is preferred other options as it decreases the possible hazard of polluting the carcase ( Heinz, 2008 ) . This procedure is normally separated from the operations which will follow. If the blood is non intended for usage it should be drained off into a separate cavity and should non be allowed to run out into the waste H2O ( Tove, 1985 ) . Clambering /dehairing The procedure will change harmonizing to animate being ( hogs and cowss ) . Such procedure consists of taking the tegument of animate beings. Cuting of the tegument is made around the leg with the position of exposing and loosen the sinew of the animate being s lower leg articulation to be used for hanging the carcase, following which the full tegument is removed and the organic structure is prepared for evisceration ( Heinz, 2008 ) . This procedure is normally meant for cowss, caprine animal, cervid and sheep. Whereas dehairing is a procedure usually done in the slaughter of hogs which consists of let go ofing the bled animate being into a pool of boiling H2O for a twosome of proceedingss and so drawing it out for remotion of the hairs before continuing for evisceration. Evisceration Evisceration is the procedure which consists of taking the internal variety meats of the abdominal and pectoral pits. The internal variety meats are besides known as offal and they falls into two classs: Red offal such as the bosom, liver and lungs ( gutsiness ) . Grey offal such as the tummy or bowel ( belly ) . To avoid taint of the carcase through inadvertent punctures of the bowels and tummy, it is of import that the carcase is placed in the hanging place. The organic structure pit is severed and the enteric mass and the tummy ( the belly ) are pushed somewhat out. The liver is held out attention is taken non to slop its acrimonious contents onto the carcase and as such spoil the gustatory sensation of the meat. The last phase in evisceration is the remotion of the contents from the chest pit. By cutting the stop which separates the pectoral pit from the belly, the gutsiness can be pulled out as a unit ( Heinz, 2008 ) . Escape from the rectum is prevented by binding the anus with a procedure called sacking . Dividing and paring The carcase is cut down along the anchor and split into two sides utilizing a brisket proverb and is so subjected to review from an authorised officer for sensing of diseases. Trimming is a procedure that should be performed by trained employees and consists of the remotion of seeable taint. All equipment ( maulerss and knives ) should be sanitized between each usage to cut down cross-contamination between countries. Carcases which have been railed out for seeable taint, such as faecal taint, should be re-conditioned every bit rapidly as possible to acquire the carcase through the procedure and back into the system ( Harris and Savell et al. , 2003 ) . Delivery After undergoing all procedures in the slaughter line, the carcase is weighed and eventually labeled for designation and send for bringing on the local markets. Precaution THAT HAVE TO BE MAINTAINED IN THE SLAUGHTERING PROCESS AS PER HEINZ ( 2008 ) INVOLVES THE Following: Disinfection on come ining the premises Every clip an authorised officer or member of the staff is to come in the slaughter house, he should undergo a procedure of disinfection by dunking his boots in a footbath, which is a basin situated at each entryway of the slaughter line, to avoid transporting infective agents that might lodge to the boots via dirt atoms. Bleeding and exsanguinations The knife used to butcher each animate being should be cleaned and rinsed in hot H2O. It is known that a contaminated knife can go through on bacteriums into the carnal tissues during the initial phases of hemorrhage, that is, when the bosom is still in pumping. Clambering Knife skinning and the usage of bare custodies can likewise hosts polluting beings on the surface of the carcase. As such lavation of the custodies is a must after the transition of each carcase to avoid taint of same. Evisceration Extreme attention should be emphasized on non to puncture the bowels. The slaughtermen should follow the process of binding the terminal portion of the bowel and the cut off terminal of the gorge, so taking bowel and tummy foremost, followed by the gutsiness ( bosom, liver, and lungs of an animate being used as meat, Microsoft Encarta, 2008 ) . The gutsiness should be hung on a hook while the belly ( tummy ) should be dropped in a paunch container. As a affair of hygiene, the tummy and bowels should non be processed while carcase dressing is in operation as any minor splash from same can easy do taint of the meat. Washing Is a procedure by which the carcases undergoes rinsing with clean drinkable H2O. If H2O is a job so a dry slaughter procedure by trained slaughtermen should be used every bit alternate as it is more appropriate as a safety step for carcases to be dry clean than to pollute them with contaminated H2O. Offal handling The offals ( tummy and bowels ) are the variety meats from the carcase which contains the greatest burden of infective beings and for preventative step must be moved to a detached chamber provided for them. At first they should be emptied of their contents, dried, so cleansed with H2O. Forces The personal hygiene of the workingmans is a aboriginal factor in butchering operations, the ground is merely that taint of nutrient and disease transmittal as such depend equivalently upon the human factor every bit good as on the tools and manner of operation. Transportation of micro-organisms by forces peculiarly from custodies is of critical importance ( Chen et al.2001, Montville, 2001, Bloomfield, 2003 ) . During managing, bacteriums are transferred from contaminated custodies of workers to the nutrient and later to other surfaces ( Montville, 2002 ) . Low infective doses of beings such as shigella and infective Escherichia coli have been linked to custodies as a beginning of taint ( Snyder, 1998 ) . Poor hygiene, peculiarly deficient or absence of manus lavation has been identified as the causative manner of transmittal ( Reji, 2003 ) . Proper manus lavation and disinfection has been recognized as one of the most effectual ways to command the spread of pathogens, particularly when considered along with the limitation of ill workers ( Alder, 1999, Montville, 2001 ) . Furthermore individuals with unhygienic wonts like ptyalizing, coughing and nose-blowing should non be under umployment. As such it is of import to let entree merely to the staff into the premises at the clip of slaughter and they should be have oning the proper garb, e.g. clean pants and have oning appropriate rainproof aprons. Boots as good should be worn with the pants neatly folded interior. And the trademark is that the workers must purely stay to a formal codification of hygiene. Hand-washing As stated by the Centers for Disease Control and Prevention ( CDC ) : It is well-documented that one of the most of import steps for forestalling the spread of pathogens is effectual manus rinsing ( hypertext transfer protocol: //en.wikipedia.org/wiki/Hand_washing ) . Basically the good wont of careful and frequent hand-washing will decidedly cut down taint. Therefore hand-washing installations with sufficient H2O supply is a must in such a delicate procedure of this sort. Basically the muss room and the on the job country is where there should be several hand-washing points. If it is situated off from working topographic points, the hazard that they will non be used is higher and would likely ensue in taint of the meat ( Tove, 1985 ) . Hand-washing should be done by all members if the on the job staff: before get downing slaughter after being to the lavatories after being into contact with soiled objects and stuffs after smoking and eating The staff should understand that hands is prone to taint if used for rubing the tegument, the hair, apparels and picking the nose. Such Acts of the Apostless may do bacteriums to be transmitted to the custodies and thenceforth infect the meat which is handled by the same custodies. The direction of slaughter house should supply antiseptic soap or germicidal, coupled with the usage of coppice for rinsing of custodies since bacteriums are frequently under the nails ( FAO animate being production and wellness paper ; 53 ) . Cleaning Operationss For the intent of sanitation clean H2O is normally required for the cleansing of equipment, tools floors and walls. Such operation usually starts with remotion of solid waste of meat and fat fixingss, pieces of castanetss, blood coagulums by scouring them off the floor. High force per unit area H2O cleaning Begins from the walls and eventually ends with the floors. Hot H2O hosing under force per unit area would be ideal for taking gluey waste from corners and drains. For scouring of other surfaces such as tabular arraies, and tools, the usage of difficult fiber coppices and detergents is suggested. Liquid detergents are more effective than ordinary soaps, since they dissolve easy in H2O while absorbing soil, which is eventually removed by blushing. Powdered soap may besides be dissolved in H2O and used. Knifes besides should be sterilized or boiled in H2O. Beginning: FAO Animal Production and Health Paper 49, Manual for the slaughter of little ruminants in developing states, 1985. DISEASES ASSOCIATED WITH UNHYGIENIC SLAUGHTERING There are many different ways by which an infective being can do its manner through the slaughtering procedure of animate beings and do really subsequent diseases. Below is some of the common diseases related to slaughter houses: There are many different ways by which an infective being can do its manner through the slaughtering procedure of animate beings and do really subsequent diseases. Below is some of the common diseases related to slaughter houses: Anthrax is a naturally-occurring bacterial disease of animate beings caused by Bacillus anthracis, which forms spores that by and large survive for old ages in the environment. Cattle, sheep, and caprine animals are at the highest hazard but worlds can besides contract the disease. Most animate beings are infected by unwritten consumption of dirt contaminated with the spores. Peoples may get splenic fever when in contact with septic fells or hair of animate beings. The being is inhaled from contaminated dust, or is eaten in undercooked meat from septic animate beings, or even penetrates a lesion in the tegument. Animals that died of splenic fever may hold blood secreted from the oral cavity, nose, and anus ( Pelzer.K and Currin.N ) . In butchering procedure, the bacteriums can be transferred from fells of septic animate beings to the fells of the healthy 1s during the immediate pre-slaughter stage in lairage ( Small and Buncic, 2009 ) . As such if no peculiar safeguard is taken when taking the fells, the chance of polluting the carcase is really high. Brucellosis Brucellosis is an infective disease caused by contact with animate beings transporting bacteriums called Brucella which affects a broad assortment of animate beings including Canis familiariss, cowss, hogs, sheep, caprine animals and Equus caballuss. The disease has been known as Malta febrility, Bang s disease, Mediterranean febrility, stone febrility, and caprine animal febrility ( Microsoft Encarta, 2008 ) . Worlds can be infected if in contact with septic meat or placenta of septic animate beings. The slaughter of undetected a morbid animate being is a menace since taint may ensue if, for case, blood from the septic carcase came into contact with the knife of the slaughterman and the same knife is being used for treating another clean carcase during the slaughtering. In instance of consumption of septic meat, symptoms in worlds are rippling febrility, concern, joint hurting, failing, and dark workout suits ( Pelzer.K and Currin.N ) . Peoples who handle meat should have on PPE such as protective spectacless and vesture for protection of lesions from infection. Detecting septic animate beings prior to butcher controls the infection at its beginning. Vaccination is really available for cowss, but non worlds ( Franco et al, Goldman et al. 2007 ) . Escherichia coli Escherichia coli ( E. coli ) are bacteriums which is usually found as a normal vegetation in the bowels of people and animate beings. One can acquire infected after managing or being exposed to fecal matters of a bearer animate being ( Pelzer.K and Currin.N ) . Animals normally carry it without doing disease nevertheless when worlds are infected, the toxins causes serious unwellness which ranges from diarrhea to kidney failure. Personal hygiene is really of import, peculiarly after contact with carnal fecal matters, since really few beings are required to do infection in worlds ( Stevenson and Hughes, 1988 ) . E-coli can be easy pollute the carcase in the slaughtering procedure if ; for case the worker does non rinse his custodies after being to the lavatory, the bacteriums will be transferred when managing the meat. attention is non taken at the evisceration measure when eviscerating the carcase, as such if the bowels get perforated and enteric affair comes into contact with the meat ( Heinz, 2008 ) Prevention focuses on manus lavation and proper hygiene. Handss and all equipments should be decently disinfected after touching or managing natural meat ( Pelzer.K and Currin.N ) . Salmonellosis ( Gastroenteritis ) Salmonella sp. are bacteriums that live in the enteric piece of land of bearer animate beings. The bacteriums are shed into the fecal matters of animate beings which are peculiarly stressed during stairss such as being yarded and transported ( Stevenson and Hughes, 1988 ) . As in E-coli taint, salmonella can be transferred to the carcase in the slaughtering line by: slaughtermen who are managing meat after being to the lavatory without proper manus lavation, faecal affair being in contact with the meat at the evisceration procedure, if the anus is non bagged decently, and besides if the bowels get punctured upon remotion and enteric affair is in contact with the meat. If custodies are non decently washed after contact with septic fecal matters, the inadvertent consumption of bacteriums may happen ( Pelzer.K and Currin.N ) . Infection besides occurs as a consequence of equipments that are insanitary. Symptoms by and large includes febrility, disgusting smelling diarrhoea, and terrible desiccation, particularly in immature kids and babies. Dangerous diseases like meningitis and blood poisoning may besides happen ( Montes and DuPont, 2004 ) . Q-fever ( Query fever ) Q febrility is a bacterial infection that can impact the lungs, liver, bosom, and other parts of the organic structure. It is found around the universe and is caused by the bacteriums Coxiella burnetii. The bacterium affects sheep, caprine animals, cowss, Canis familiariss, cats, birds and gnawers every bit good as some other animate beings ( Goldman and Ausiello, 2007 ) . Humans usually get febrility, dark workout suits, and pneumonia and hepatitis in the worst instances ( Pelzer.K and Currin.N ) . Abattoir workers ( peculiarly those covering with fetuss ) , veterinaries and farm workers ) are the people who are most at hazard of undertaking this disease ( Stevenson and Hughes, 1988 ) . In butchering meat can be contaminated in the procedure of evisceration whereby fecal matters of contaminated animate beings have been transferred to the custodies of the slaughterman which in bend contaminates other healthy carcases. To forestall farther spread of Q febrility, dead foetuss and generative tissues should be buried or burned. Wearing of protective equipment such as baseball mitts and eyewear ( PPE ) when helping in parturitions and lavation of custodies exhaustively subsequently are extremely recommended ( Pelzer.K and Currin.N ) . LAWS PERTAINING TO THE SLAUGHTERING INDUSTRY IN MAURITIUS Presents non all people are entitled to butcher animate beings as it used to be in the yesteryear. There are norms and criterion which have been set up by the necessary authorization to vouch the safety of the terminal merchandise to the populace. As such in each state there is an establishment which is responsible for keeping this trademark. In our present state of affairs the modulating organic structure responsible for butchering in Mauritius is the MAURITIUS MEAT AUTHORITY ( MMA ) . The chief lines of the duties of this organic structure ( as stated in the Meat Act 1974 ) lies in the slaughter, dressing and transit of cowss, caprine animals, hogs, sheep and cervid meat to the local markets and for the issue of licenses of meat stores and to individuals and premises in connexion with slaughter of animate beings for meat. The Meat Authority was established by the Meat Act 1974 under subdivision 3 for the intent of carry throughing the undermentioned operations ( as stated in the Act ) : Ensure that slaughter is done in line with hygienic, healthful and environmental norms. Ensure that lone carcases fit for human ingestion are released for sale. Operate a fleet of meat new waves for bringing of carcases. License individuals and premises for the sale of fresh meat. Aid in the selling of locally produced meat. Help the parent Ministry in modulating the imports of farm animal for slaughter. Act as facilitator to all members of the meat farm animal industry. And under subdivision 4 of the same Act, the powers of the Meat Authority are to: set up and pull off butcheries: purchase and import farm animal for slaughter ; market meat, meat merchandises and byproducts of the slaughtering procedure ; concept, maintain, and rent topographic points for the sale of meat, meat merchandises or byproducts of the slaughtering procedure ; control and modulate the sale of meat and meat merchandises ; license individuals and premises in connexion with the slaughter of animate beings for meat, and the readying, processing, wadding and selling of meat ; with the blessing of the Minister of Commerce and Industry, fix the monetary value of meat and meat merchandises. Health AND SAFETY CONTROL Harmonizing to Section 5, PART II, of theOccupational Safety and Health Act 2005( Appendix 2 ) employers must supply employees with a safe working environment, and harmonizing to Section 14 of theDuties of employees of Occupational Safety and Health Act 2005, employees should utilize Personal Protective Equipment ( PPE ) includes caput caps, gum elastic boots, aprons, baseball mitts, inhalators, goggles while executing work where there could be injury hazards. Therefore both employers and employees must stay to these Torahs severally. A First Aid Kit Box should be available on site in instance of hurt. Methodology Approach For this undertaking, audiences of related web sites, books, notes and scientific diaries in certification Centres have been carried out. Information assemblage was made possible by questioning officers and staff in the field of butchering and upon the site visits to three different slaughter houses ( as there are merely three major slaughter houses which are entitled to the slaughtering of animate beings in Mauritius as per the Meat Act 1974 ) , to help at the processing and dressing stairss of the slaughtering of cowss, caprine animal, cervid and hog. A study was carried out in the different slaughter houses whereby all the staff of the cardinal butchery ( beef slaughter house = 41, caprine animal slaughter house =17 and hog abattoir =22 ) was interviewed. The usage of interviews as a information aggregation started with the premise that the participants positions are meaningful and precise. Interviews consisted of meticulously elaborated inquiries with chief mark of obtaining information on the province of the slaughter houses, the norms and criterions governing the slaughtering processes in relation to healthful patterns. Information aggregation All interviews were done face to confront in Creole and it took approximately 20 proceedingss per interview. All respondents were really acute to take part in replying the inquiries with the exclusion of certain who were loath. Utmost attention was taken so that all the inquiries were clearly understood by the interviewers as any misinterpretation might lend to inaccuracies in the information collected. Problems encountered The slaughter houses could non supply me with information as to how much meat is processed on a annual footing which might be an jussive mood of the disposal. In a position to avoid biasness from the staff interviewed, several surprise visits had to be effected to corroborate their replies to the questionnaires. As such the study lasted for about 12 hebdomads. RESULTS AND FINDINGS All the observations and result that follows resulted from several site visits and interviews carried out at the cardinal butchery over a period of approximately 12 hebdomads to measure the healthful conditions predominating in the different slaughter houses. The chief edifice comprises of three different slaughter houses for butchering of cowss ( beef ) , caprine animal ( besides sheep and cervid ) and hog, together with their several bringing services. Due to societal, cultural and spiritual grounds, each subdivision of the butchery is manned by a separate squad of workers and, as such, there is no flexibleness of the staff between the different slaughter houses. The consequences have been sub-divided into different classs and are as follows: Site of edifice and substructure The premises of the butchery is enclosed by a concrete wall of about 3 metres in tallness. The lone entree to the slaughter house is through the forepart gate which is guarded by a security officer. As such unauthorised people, the populace in general, Canis familiariss and other animate beings can non near the site. Floors and Walls Degree centigrades: UsersGro La ZouDesktopproject serious nowAbattoir+ wedd yohanDSC01914.JPGIt was noted that the walls and floors of the three slaughter houses have been constructed in the same manner and were made up of concrete. Furthermore, they were covered with a thick xanthous anti-slippery picture which allows easy cleansing. The walls are besides recovered by a Grey painting which facilitates the cleansing processes. As per observation it was noted that the walls from the three slaughter houses were free from clefts and crevices. Drains Degree centigrades: UsersGro La ZouDesktopproject serious nowAbattoir+ wedd yohanDSC01914.JPGThe floors have been designed in such a manner that it slopes down towards a cardinal drain situated in the center of the slaughter line in both the beef, caprine animal and hog slaughter houses. It is big plenty to let all wastewaters ( waste H2O and faecal affairs ) to be easy washed off. Furthermore the drain can besides be easy cleansed since the metallic screen is removable. Equipments All the equipments provided in the slaughter houses consist of non-corrosive stuffs, by and large made up of chromium steel steel. Water supply The cardinal butchery is provided with an external H2O pump which distributes a really good H2O supply to the different slaughter houses. There is no deficit or decrease in the supply of H2O to the butchery therefore leting the slaughter houses to work at full government without break and moreover cleansing processs can be carried out decently. A good airing is provided inside all the slaughter houses. The beef slaughter line consists of broad gaps situated on the walls above 2 metres from the floor and they are fitted with fly cogent evidence gauzes together with several air extractors ( see the circles in the exposure ) whereas the caprine animal and hog slaughter houses have merely extractors as airing. Sanitary installations Upon several site visits to the different slaughter houses, It was noted that each slaughter house is provided with lavatories which are separated from the slaughter line and sanitizers and germicides for custodies are placed at the diaposal of the staff together with soaps. Furthermore, they were found to be in a comparatively clean province. The lone subtraction is that there is no proviso for hot H2O in these lavatories. Shower installations are besides given to the staff as a affair of hygiene and these besides are separated from the slaughter lines. Environmental hygiene The cardinal butchery is really undertaking a private company for gnawer and pest control. The responsible officers of the several slaughter houses have confirmed that gnawer control is carried out on a monthly footing. It was besides noted that come-ons and traps were placed in several different topographic points in the slaughter houses premises. A wire gauze is really placed above the corridor of the beef slaughter house to forestall birds and other animate beings to entree inside the slaughter line. Furthermore all Windowss present are fitted with fly proof cyberspaces. Cleaning processs To keep a good criterion of sanitation in the different slaughter houses, cleaning operations are carried out several times per twenty-four hours. During the site visits it was noted that the cleaning of the slaughter line was done, utilizing a high force per unit area hydro jet industrial machine, after each batch of slaughtered animate beings. And at the terminal of each working twenty-four hours a general lavation was done utilizing a chemical germicide ( Cernol ADP ) for the floor. Percept OF HYGIENE BY THE STAFF As per the study, the bulk of the employees of the slaughter houses has been up to the primary degree of instruction ( see table below ) and by and large they seems to hold a comparatively good cognition of what is hygiene, which is explained by their on the job experience. Discussion The first purpose of this study was to see to what extent healthful patterns are held in slaughter houses and besides to hold an overview of the perceptual experience of hygienic processs in same. The general conditions of the sanitation with respects to the care of the cleanliness on the slaughter line of the different slaughter houses is done in position of supplying an good working environment and a topographic point which is unfavourable to the taint of animate being carcases since the policy of the cardinal butchery is to supply a safe merchandise to the populace. It should be pointed out that slaughter houses are topographic points where there is changeless presence of organic structure fluids, waste H2O and other possible contaminations and that taint of carnal carcases during slaughtering may took topographic point if the processing equipment or members of the forces are already loaded with infective bacteriums. But in contrast, it is besides possible that the farm animal were already contaminated before geting at the butchery since unrecorded animate beings are regarded as of import beginnings of taint in abattoirs ( Bouvet et al. 2003 ) . A recent survey showed that harbourage of Escherichia coli and Salmonella on animate being fells at slaughter is the chief beginning of carcase taint during processing ( Arthur et al. 2007 ) . This bring about the importance of taking attention for non wounding and doing the animate beings to be stressed during transit since they might stool and as such be contaminated with the above mentioned pathogens which are of course present in fecal matters. Furthermore many surveies such as the one carried out by Montville ( 2002 ) established that during handling, bacteriums may be transferred from contaminated custodies of workers to nutrient and later to other surfaces. This point is really of import since the forces of the slaughter houses can be straight responsible for the taint of the slaughtered carcases. For case it should be stressed that the slaughter house forces is to stay by a codification of hygiene to avoid such taint. Surely if one staff has been to the lavatories and afterwards resumed his responsibility on the slaughter line without proper manus lavation and get down pull stringsing carnal carcases, evidently the hazard of taint with E-coli or salmonella. But upon what have been observed during the site visits, there is a deficiency of proper cognition of the good hygienic patterns, to be used in butcheries, from the working staff of the slaughter houses. The forces is witting that they are working with for the populace and that they should supply good hygienic merchandise. The fact is that they observe personal hygiene refering to their egos but really they are non cognizant of the true effects of an action like, for case rinsing off blood from the floor of the slaughter line or equipment with a hosiery while carcases are still being dressed will hold ( from observations made on the processing and dressing line see the fig. below ) .There might be splashes which will come onto contact with the carcase and this finally can do taint. The ground for which the forces is working like this is due to the fact that they have been working in the slaughter houses since really long when the cardinal butchery has merely been set up in 1974 ( see the tabular arraies below for working experience in the butchery and the age group of the staff ) . Most of the staff is more than 40 old ages of age, so finally at that clip there was no rigorous control as it is nowadays sing hygiene at work and furthermore as per the consequences there is a great bulk of the forces who does non possess a medical certification, which show that they have non undergone preparation on good hygienic patterns for nutrient handling. There are besides several small inside informations that have been noticed like transporting the gutsiness of animate beings in platic crates. This is a normal action for presenting the meat after being inspected by a veterinary officer, but the point is that puting the crate straight on the floor ( as shown in the diagram ) which filled with infective beings will decidedly do taint of the merchandise and as such is Not recommended should be avoided at all cost. Decision The truth is that taint is likely to go on at any phase of the slaughtering procedure, get downing from the transit to the terminal of the slaughter and dressing to the concluding bringing. Lack of appropriate and unsatisfactory butchering techniques may do unneeded losingss in meat. However the most likely beginning of taint is the forces since they are the possible beginning of coliform in contact with the meat. Actually we can state that bacteriums can be transferred by the forces to the carcases and later to other surfaces which itself can do farther taint or frailty versa. The last word would be that taint can be limited and minimized if the staff is adhering to strict hygienic and healthful patterns. Recommendations Improvements are needed in slaughter houses construction and installings, in the manner slaughter house workers do their occupation. Pathogenic micro-organism may be transferred to the carcases as described in the literature reappraisal, nevertheless the forces could be the most of import beginning for polluting the meat and the processing equipment. To cut down the degree of these micro-organisms at that place need to be the application of good hygiene and healthful processs. One of the cardinal factors in accomplishing such end is through the proper preparation of the forces with respects to the good hygienic patterns to be adopted in butchering and that the disposal should supply for the procurance of a nutrient animal trainer s certification ( medical certification ) for the employees, even though all the forces undergoes regular medical cheque ups.

How to Stay Organized With Your Marketing [PODCAST]

How to Stay Organized With Your Marketing [PODCAST] Do you have too much on your plate? Are you spread too thin? Are you constantly putting out fires? All of these are symptoms of a bigger problem, and oftentimes, that problem is a lack of prioritizing and planning ahead. If you see yourself in any of this, you will not want to miss today’s episode. We are talking to Jana Barrett, the senior content marketing manager at GetFeedback. In her position, she needs to balance prioritizing with getting all of her projects done. Today we’re going to talk about setting priorities for your projects, coming up with great ideas, and getting it all organized so you don’t fall behind. Information about GetFeedback and what Jana does there as the head of content marketing. How Jana finds a balance between strategic work and executing projects, particularly on the importance of seeing the forest for the trees and not getting caught up in minutiae. Jana’s system for time management: How she uses calendars and spreadsheets. Why it’s important for a marketing team to get feedback from a sales team and how this strategy helps the marketing team get closer to the customer. Where Jana’s first marketing ideas came from during her earliest projects. What the typical workflow looks like at GetFeedback, how they do their scheduling, and how far out they plan their content. Jana’s best advice for someone trying to get more organized and set better work priorities. Links: GetFeedbackIf you liked today’s show, please subscribe on iTunes to The Actionable Content Marketing Podcast! The podcast is also available on SoundCloud, Stitcher, and Google Play. Quotes by Jana: â€Å"We were really focused on the big picture instead of tossing hours and minutes down the drain by getting caught up with data and charts.† â€Å"When you get feedback from the people that are having direct conversations with the humans on the other side of the phone or the computer or the table, you are able to connect to them.† â€Å"Being able to say no to things, to yourself, and to other people is really important in a content creation position.†

Provide an argument for the claim that (some) mental states are not Essay - 1

Provide an argument for the claim that (some) mental states are not identical to any brain state - Essay Example Furthermore, it will discuss the relevant concepts in philosophy that will either affirm or negate these suppositions. In order to make this possible, the monist and dualist concepts are also discussed. Some mental states (beliefs) are not identical to any brain state The first argument being focused in this paper is the difference between mental and brain states. As mentioned earlier, these two are different concepts. Many people are confused and often use these two interchangeably. The mental state has a deeper context compared to that of the brain state. This is so because it refers to the state of a person’s thoughts regarding pain or happiness, what a person believes in, and also ideas and aspirations. On the other hand, the brain state refers to the literal condition of the nervous system like a brain activity. According to Adam Sennet (chap. 5), some mental states, like beliefs, are not identical or similar to any brain state. This is because beliefs are not part of any physiological activities of the body particularly inside the brain. the famous philosopher Descartes (qtd. in Carruthers 7) postulated that the mind is not spatial but has the ability to think, while the body is spatial but is unable to think; hence, the body is only capable of biological and physiological activities. ... nd Y are very similar, then they should have the very same attributes, which is not true in the concept of the mind (beliefs) and the body (brain state). Hence, if X and Y have different attributes, they can never be considered as identical. The differences in the mental and brain states include the argument of certainty (Wright). The mind can be certain about pain or desires but the brain cannot be certain about anything because it lacks a logical attribute. There is a great disparity between the mental state and the brain state as clearly stated by this Law. There are, however, some arguments by other philosophers like Carruthers that the Leibniz’ Law does not apply to mental states including beliefs, pains, and desires. He argues that if X and Y are not very similar substances, then X and Y must have the same intrinsic attributes or properties (Carruthers 8). He believes that the mental state does not have a property of belief. Thus, he sticks to his argument that the two s ubstances are very similar because they are one (Wright). The Monist Concept This concept does not hold the proposition that there are two kinds of substances. It holds that there is only one kind of substance and that the brain and the mind are just the same. There are, however, two separate views about this one substance. These are: materialism and idealism (Carruthers 6). Materialism is an idea that all that exists are material or physical, while idealism is an idea which states that all that exists are ultimately mental. These are the two ideas in the Monist concept and there are philosophers who believe on either one or another but not both. The materialist does not believe that there is such a thing as the mental state and so they are similar or identical to absolutely nothing, because

Military National and International Security Studies Essay

Military National and International Security Studies - Essay Example It is stated by the researcher that today the interests of the security forces are centered on attainment of security, peace and prosperity among all the citizens of the nation and other nations with a similar focus to that of the U.S.A. The national security of the United States of America has been revolutionized through the promulgation of a security strategy document entitled, â€Å"National military strategy of the united nations (2011).† This was launched by the chairman of the joint security staff and endorsed by the president and the minister of state for defense. To succeed in its mission, the joint security forces were keen to overemphasize on the importance of integrating its security visions with those of the other elements of power in the state. The revolutionized American security strategy, that was a main focus of the discussion of the essay recognizes the application of principled leadership in the military intervention strategy with only a small allowance left for the use of force and coercion when diplomacy fails. The researcher mentiones that the success of this particular strategy requires that the security forces of the state are integrated well with the Americas’ power structure to facilitate its effectiveness. In conclusion, the researcher sums uo his study on the topic and states that American security agencies emphasize on the use of a more humble attitude with regards to other states relationships. Diplomacy is emphasized more and soft power such as foreign aid and less use of coercion and force.

Evaluation of Public Health Agenda in Community: Obesity

Evaluation of Public Health Agenda in Community: Obesity Module Title: Promoting the Public Health of Populations in Specialist Community Public Health Nursing Module Code: SHN3048 Critical evaluation of the current public health agenda in relation to a health need identified within a community profile. The purpose of this assignment is to critically analyse the current public health agenda in relation to a health need identified through use of community profiling. This paper will aim to provide recommendations as to how a Specialist Community Public Health Nurse (SCPHN) can proactively address high levels of obesity identified within the Cwmbwrla ward (Appendix 1). For the benefit of the reader Cwmbwrla is a suburban area of Swansea, with good transport links to the city centre. In considering the level of deprivation Cwmbwrla is ranked 181 0f 1,909 (LSOA) in Wales (Welsh Government, 2014a). Public health in the 21st century is defined by Riegelman (2010 p4) as the totality of all evidence-based public and private efforts that preserve and prolong health and prevent disease, disability and death thus, recognising public health as a varied approach which should be viewed holistically. Health visitors are a group of specialist community public health nurses (SCPHN), skilled in delivering a proactive Public health service which relies on evidence base research to enhance health and reduce inequalities for all families with children 0-5 (Royal College of Nursing, 2011; The National Institute for Health and Care Excellence (NICE) 2014). The current Public Health strategy in Wales aims to achieve a healthier, happier and fairer Wales, through improving health, reducing inequalities and supporting a good start in life (Public Health Wales (PHW), 2015; Welsh Assembly Government (WAG), 2010; WAG, 2011a; Welsh Government (WG), 2016). There is consistent evidence which suggests investment in the early years significantly improves the health of the child and has a positive impact on long term outcomes (Acheson,1998; Black,1980; Marmot, 2010). As a result of the reaffirmation of the public health role of the SCPHN in recent policy, it is believed that the health visitor is st rategically placed to empower individuals and positively influence the health outcomes of young children and their families (Department of Health (DoH), 2011; WG, 2012a). The four domains of SCPHN practice begin with Search for health needs (Cowley Frost, 2006), thus requiring health visitors to undertake an assessment of the populations health and well-being. A key part of this process is health needs assessment (HNA) (Nursing and midwifery Council, 2010).ÂÂ   In defining HNA, Stewart et al, (2009) suggests the purpose is to identify the health assets and need of a population in order to inform decisions regarding service delivery to improve health and reduce inequalities. Through use of HNA policies are developed and needs are prioritized across services, with the aim of targeting those in greatest need (Williams, 2013). Statistics from the profiled area of the Cwmbwrla ward (Appendix 1), identify high levels of obesity in adulthood as being a significant problem. Despite there being no local data to highlight the levels of childhood obesity specifically within the ward, research suggests a strong link between childhood obesity and obesity in later life (NHS, 2015). Findings from the child measurement program 2014-2015, recorded that 11.8% of 4-5 year olds in Swansea were obese (Public Health Wales Observatory, 2016), a trend mirrored throughout Wales, with findings from the Welsh health Survey (2011) identifying that 35% of children living in Wales were classed as overweight or obese. Obesity has fast become a global epidemic (World Health Organisation (WHO), 2003; 2016), with research suggesting that obesity is the worlds most common nutritional disorder (NICE, 2014). The 2007 Foresight report emphasized the need to tackle the problem of obesity in the United Kingdom, particularly in childhood. The prevalence of obesity in infants, children and adolescents is increasing rapidly both nationally, and internationally, which has a significant impact on both short and long term health (Hall et al, 2009; WHO, 2016 ). Exploration of the literature suggests that there are many risk factors associated with becoming overweight, with the key principles leading to obesity being laid down in childhood (WAG, 2010). Wanless (2004) and Jones et al (2005) identified that during the period of 1986-2002 weight gain in children translated to a doubling in the proportion of those classified obese.ÂÂ   Childhood obesity is becoming evident in younger ages, with studies documentin g a sizable increase in the percentage of overweight children between the ages of two and three years (Hall et al, 2009; Nelson, 2004). Studies linking overweight to psychological consequences show that obese children tend to have low self-esteem, increased rates of sadness, loneliness and are often bullied and socially excluded outside the home (Strauss,2000). Promoting healthy weight and preventing and managing obesity have become pressing public health priorities over recent years (Phillips et al 2011). The effects of addressing obesity in early childhood are not solely limited to its health benefits; improvements in the rates of obesity could potentially save the NHS millions. In Wales alone it is estimated that between 1.65 million a week is spent treating conditions linked to Obesity (PHW, 2016). Despite obesity being at the forefront of the Public health agenda within the UK, progress in tackling childhood obesity has been slow and inconsistent, with a clear lack of provision identified as a problem within Wales (WAG, 2010; WHO, 2016). It has long been recognized that socioeconomic class has a significant impact on health inequalities, with those living in the most deprived areas more at risk of becoming overweight or obese (Acheson, 1998; Black, 1980). This is of particular relevance to the Cwmbwrla ward (APPENDIX 1), which falls within the 20% most deprived areas within Wales (WG, 2014). NICE (2014) supports this, with statistics indicating that 29% of children living in the most deprived areas of Wales being overweight or obese compared to 21% in the least deprived areas. More recent findings have suggested that, despite improvements in the overall health of the general population, there continues to be significant gaps between the social classes (Dahlgren and Whitehead, 1991; Marmot, 2010). These differences have been tackled within Welsh Government policy, which aimed to target the most deprived areas of Wales, through the delivery of the Flying Start program, which promotes health and delivers intensive servi ces in areas of greatest need (WAG, 2005, 2011a; WG, 2016). While such services must be applauded for their proactive approach, it must also be considered that as a consequence of this, the availability services relies heavily on postcode (WG, 2013), resulting in many families in need being unable to access necessary support. However, more recent WG policy has identified the need to tackle inequality, and improve health outcomes for all children, delivering support in key areas to all families with children under 7, underpinned by the principle of progressive universalism (HCWP, 2016). As previously identified, the determinants of obesity are complex and varied, it is important to recognise than no single intervention is likely to prevent or improve childhood obesity alone (WHO, 2012). Availability of data is important in planning services at a local level. Collaboration, leadership and quality improvement play a leading role within WG policy (PHW, 2013; WG, 2011, 2016). These policies emphasize the importance of adopting a muti-agency approach in addressing health needs, thus, identifying the need for SCPHN to support existing programs when planning health interventions to address obesity, with the aim of strengthening current initiatives and reducing the need for later more expensive treatments (NICE, 2013). The all wales obesity pathway supports this, and sets out a multi-agency approach in targeting obesity, allowing the identification of gaps in provision and the determination of where to best focus efforts (WAG, 2010). Over recent years, the WG have invested millions on strategies targeting obesity; for example, Free swimming programme (2003), Health Challenge Wales (2005), Creating an active Wales (2009), Mend (2009), and Our healthy future (2009), despite this the number of overweight children and adults continues to rise (Mc Pherson Marsh, 2007). Research suggests it Is highly likely that obese children will have obese parents, thus indicating the possible detrimental effects of learnt behaviours in childhood such as poor eating habits (NICE,2015). The literature emphasises the need for family involvement in interventions to ensure improvements in outcomes (Public Health England, 2014). There is emerging evidence that programmes that aim to enhance parenting skills can have a positive impact on childhood obesity (Berge Everts, 2011). Therefore, within the Cwmbwrla area, a recommendation would be to build community capacity for healthy eating by setting up a 4 week weaning programme. The programme would be available to families between the 16 week clinic contact and 24 week health review as per the HCWP (2016), and will deliver education and advice within a group setting. The programme will cover topics such as, delayed weaning, healthy eating in childhood, controlling portion size and how to quickly create cheap but nutritio us meals, with the aim of encouraging behaviour change using an educational approach (Naidoo Wills, 2016). The programme would aim to build upon existing initiatives such as Change 4 Life, which has previously been judged for not fulfilling its full potential (WAG, 2014). However,ÂÂ   it is important to consider that in the past, group programmes have been criticised for failing to involve individuals and communities who are hard to reach resulting in poor engagement (PHW, 2013). A further recommendation for the Cwmbwrla ward would be the provision of Increased/intensive home visits to specific families identified during the antenatal or birth visit as being at risk of overweight or obesity. Research has indicated a correlation between parenting lifestyle and that of their children in terms of diet and physical activity (Rhee, 2008). Arguably, the most effective strategy we can employ in tackling obesity in childhood is to work with parents (Golan, Kaufman Shahar, 2006).The aim is to focus on parents and support them to making positive choices that facilitate a healthy start in life. The additional visits will enable SCPHN to facilitate behaviour change by addressing key influences such as; positive parenting, feeding behaviour and food and activities accessible within the home, while also allowing the SCPHN the flexibility toÂÂ   tailor the program specifically to the needs of the individual family. It is imperative that SCPHN are mindful that there is no one correct parenting style, it is therefore important when delivering the program not to stereotype, but to encourage a generally more authoritative approach. Delivering the program within the home will aim to address the possible barriers families experience in accessing services (PHW, 2013). To conclude, this paper has evaluated the current public health agenda in relation to high levels of obesity identified within the Cwmbwla ward, a trend mirrored throughout the UK. Findings suggest that effort needs to be invested in preventing obesity, particularly in children; targeting early intervention and encouraging and educating families to adopt a healthy varied diet and active lifestyle (NICE, 2006, 2014). Through raising awareness, and by influencing local and national policies, SCPHN can facilitate ways to combat the problem of childhood obesity and seek to change the patterns which lead to obesity and poor health in later life (Cowley Frost, 2006; WG, 2014). As a result, recommendations for practice were identified for implementation within the profiled area of Cwmbwrla. The overall aim is for SCPHN to identify, address and facilitating families to overcome the current obesity epidemic, which could potentially result in a huge gain in terms of both cost to the NHS and more importantly the health of children and the adults they become (WG, 2015). Congestive Heart Failure: Causes, Types and Symptons Congestive Heart Failure: Causes, Types and Symptons Heart failure is caused by the heart not pumping as much blood as it should and the body does not get as much blood and oxygen that it needs. The malfunctioning of the heart chambers are due to damage caused by narrowed or blocked arteries leading to the muscle of your heart. This Heart failure can also be described based on which area of the heart isnt operating properly.2 types of heart failure. 1) Diastolic dysfunction: The contraction function is normal but theres impaired relaxation of the heart, impairing its ability to fill with blood causing the blood returning to the heart to accumulate in the lungs or veins. 2) Systolic dysfunction: The relaxing function is normal but theres impaired contraction of the heart causing the heart to pump pump out as much blood that is returned to it as normally does. As a result of more blood remaining in lower chambers of the heart Causes Any disorder that directly affects the heart can lead to heart failure, as can some disorders that indirectly affect the heart. Some disorders cause heart failure quickly; others do so only after many years. Some disorders cause systolic dysfunction, others cause diastolic dysfunction, and some disorders, such as high blood pressure and some heart valve disorders, can cause both types of dysfunction. Systolic Dysfunction: In many cases, a combination of factors results in heart failure. Coronary artery disease is a common cause of systolic dysfunction. It can impair large areas of heart muscle because it reduces the flow of oxygenirich blood to the heart muscle, which needs oxygen for normal contraction. Blockage of a coronary artery can cause a heart attack, which destroys an area of heart muscle. As a result, that area can no longer contract normally. Myocarditis (inflammation of heart muscle) caused by a bacterial, viral, or other infection can damage all or part of the heart muscle, impairing its pumping ability. Some drugs used to treat cancer and some toxins (such as alcohol) may also damage heart muscle. Some drugs, such as nonsteroidal antiiinflammatory drugs, may cause the body to retain fluid, which increases the workload of the heart and may precipitate heart failure. Heart valve disordersinarrowing (stenosis) of a valve, which hinders blood flow through the heart, or leakage of blood backward (regurgitation) through a valveican cause heart failure. Both stenosis and regurgitation of a valve can severely stress the heart, so that over time, the heart enlarges and cannot pump adequately. An abnormal connection (septal defectsi(see Birth Defects: Atrial and Ventricular Septal Defects and Patent Ductus Arteriosus: Failure to CloseFigures) between the heart chambers can allow blood to recirculate within the heart, increasing the workload of the heart, and thus can cause heart failure. Disorders that affect the hearts electrical conduction system and produce prolonged changes in heart rhythms (especially if these are fast or irregular) can cause heart failure. When the heart beats abnormally, it cannot pump blood efficiently. Some lung disorders, such as pulmonary hypertension (see Pulmonary Hypertension), may alter or damage blood vessels in the lungs (pulmonary arteries). As a result, the right side of the heart has to work harder to pump blood into the lungs. The person may then develop cor pulmonale (see Cor Pulmonale: A Disorder Stemming From Pulmonary HypertensionSidebar), in which the right ventricle is enlarged and there is rightisided heart failure. Sudden, usually complete blockage of a pulmonary artery by several small blood clots or one very large clot (pulmonary embolism) also makes pumping blood into the pulmonary arteries difficult. A very large clot can be immediately life threatening. The increased effort required to pump blood into the blocked pulmonary arteries can cause the right side of the heart to enlarge and may cause the walls of the right ventricle to thicken, resulting in right sided heart failure. Disorders that indirectly affect the hearts pumping ability include a severe deficiency of red blood cells or hemoglobin (anemia), an overactive thyroid gland (hyperthyroidism), an underactive thyroid gland (hypothyroidism), and kidney failure. Red blood cells contain hemoglobin, which enables them to carry oxygen from the lungs and deliver it to body tissues. Anemia reduces the amount of oxygen the blood carries, so that the heart must work harder to provide the same amount of oxygen to tissues. (Anemia has many causes, including chronic bleeding due to a stomach ulcer.) An overactive thyroid gland overstimulates the heart, so that it pumps too rapidly and does not empty normally during each heartbeat. When the thyroid gland is underactive, levels of thyroid hormones are low. As a result, all muscles, including the heart, become weak because muscles depend on thyroid hormones to function normally. Kidney failure strains the heart because the kidneys cannot remove excess fluid from t he bloodstream, so the heart has a larger volume of blood to pump. Eventually, the heart cannot keep up, and heart failure develops Diastolic Dysfunction: Inadequately treated high blood pressure is the most common cause of diastolic dysfunction. High blood pressure stresses the heart because the heart must pump blood more forcefully than normal to eject blood into the arteries against the higher pressure. Eventually, the hearts walls thicken (hypertrophy), then stiffen. The stiff heart does not fill quickly or adequately, so that with each contraction, the heart pumps less blood than it normally does. Diabetes causes other changes that stiffen the walls of the ventricle. As people age, the hearts walls also tend to stiffen. The combination of high blood pressure and diabetes, which are common among older people, and ageirelated stiffening makes heart failure particularly common among older people. Heart failure may result from other disorders that cause the hearts walls to stiffen, such as infiltrations and infections. For example, in amyloidosis, amyloid, an unusual protein not normally present in the body, infiltrates many tissues in the body. If amyloid infiltrates the hearts walls, they stiffen, and heart failure results. In tropical countries, infiltration by certain parasites into heart muscle can cause heart failure, even in young people. Some heart valve disorders, such as aortic valve stenosis, hinder blood flow out of the heart. As a result, the heart muscle thickens and has to work harder, and diastolic dysfunction develops. Eventually, systolic dysfunction also develops. In constrictive pericarditis, the sac that envelops the heart (pericardium) stiffens, preventing even a healthy heart from pumping and filling normally. Types of Heart diseases affect the heart chambers include These are the heart diseases which leads to heart failures A) Pulmonary heart diseases B) Heart Disease affecting heart muscles C) Heart disease affecting heart valves D) Heart disease affecting coronary arteries and coronary veins E) Heart disease affecting heart lining F) Heart disease affecting electrical system G) Congenital heart disease A) Pulmonary heart disease Pulmonary heart disease is caused by an enlarged right ventricle. It is known as heart disease resulting from a lung disorder where the blood flowing into the lungs is slowed or blocked causing increased lung pressure. The right side of the heart has to pump harder to push against the increased pressure and this can lead to enlargement of the right ventricle In the case of heart diseases affecting heart muscles, the heart muscles are stiff, increasing the amount of pressure required to expand for blood to flow into the heart or the narrowing of the passage as a result of obstructing blood flow out of the heart. B) Heart diseases affecting heart muscles Cardiomyopathy Heart muscle becomes inflamed and doesnt work as well as it should. There may be multiple causes such as high blood pressure, heart valve disease, artery diseases or congenital heart defects. a) Dilated cardiomyopathy The heart cavity is enlarged and stretched. Blood flows more slowly through an enlarged heart, causing formation of blood clots as a result of clots sticking to the inner lining of the heart, breaking off the right ventricle into the pulmonary circulation in the lung or being dislodged and carried into the bodys circulation to form emboli . b) Hypertrophic cardiomyopathy The wall between two ventricles becomes enlarged, obstructing blood flow from the left ventricle. Sometimes the thickened wall distorts one leaflet of the mitral valve, causing it to leak. The symptoms of hypertrophic cardiomyopathy include shortness of breath, dizziness, fainting and angina pectoris. c) Restrictive cardiomyopathy The ventricles become excessively rigid, harder to fill with blood between heartbeats. The symptoms of restrictive cardiomyopathy include shortness of breath, swollen hands and feet. Myocarditis Myocarditis is an inflammation of heart muscles or weakens of heart muscles. The symptoms of myocarditis include fever, chest pains, and congestive heart failure, palpitation. C) Heart disease affecting heart valves Heart diseases affecting heart valves occur when the mitral valve in the heart narrows, causing the heart to work harder to pump blood from the left atrium into left ventricle. Here are some types of heart disease affecting heart valves: a. Mitral Stenosis Mitral Stenosis is a heart valve disorder that involves a narrowing or blockage of the opening of mitral valve causing the volume and pressure of blood in left atrium increases. b. Mitral valves regurgitation Mitral regurgitation is the heart disease in which your hearts mitral valve doesnt close tightly causing the blood to be unable to move through the heart efficiently. Symptoms of mitral valve regurgitation are fatigue and shortness of breath. c. Mitral valves prolapsed In mitral valve prolapsed, one or both leaflets of the valve are too large resulting in uneven closure of the valve during each heartbeat. Symptoms of mitral valves prolapsed are palpitation, shortness of breath, dizzy, fatigue and chest pains. d. Aortic Stenosis With aging, protein collagen of valve leaflets are destroyed and calcium is deposited on the leaflets causing scarring, thickening, and stenosis is the valve therefore increasing the wear and tear on the valve leaflets resulting in the symptoms and heart problems of aortic stenosis. e. Aortic regurgitation Aortic regurgitation is the leaking of aortic valve of the heart that causes blood to flow in the reverse direction during ventricular diastole, from the aorta into the left ventricle. Symptoms of aortic regurgitation include fatigue or weakness, shortness of breath, chest pain, palpitation and irregular heartbeats. F. Tricuspid stenosis Tricuspid stenosis is the narrowing of the orifice of the tricuspid valve of the heart causing increased resistance to blood flow through the valve. Symptoms of tricuspid stenosis include fatigue, enlarged liver, abdominal swelling, neck discomfort, leg and ankle swelling. g. Tricuspid regurgitation. Tricuspid regurgitation is the failure of the riht ventricular causing blood to leak back through the tricuspid valve from the riht ventricle into the riht atrium of the heart. Symptoms of tricuspid regurgitation include leg and ankle swelling, swelling in the abdomen. D. Heart disease affecting coronary arteries and coronary veins Heart disease affecting coronary arteries and coronary veins: The malfunctioning of the heart may be due to damage caused by narrowed or blocked arteries leading to the muscle of your heart as well as blood backing up in the veins. Types of heart disease that affect the coronary arteries and veins include Angina pectoris Angina pectoris occurs when the heart muscle doesnt get as much blood oxygen as it needs. Here are 3 types of angina pectoris: a) Stable angina Stable angina is chest pain or discomfort that typically occurs with activity or stress due to oxygen deficiency in the blood muscles usually follows a predictable pattern. Symptom of stable angina include chest pain, tightness, pressure, indigestion feeling and pain in the upper neck and arm. b) Unstable angina Unstable angina is caused by blockage of the blood flow to the heart. Without blood and the oxygen, part of the heart starts to die. Symptoms of unstable angina include pain spread down the left shoulder and arm to the back, jaw, neck, or riht arm, discomfort of chest and chest pressure. c) Variant angina aiso known as coronary artery spasm Caused by the narrowing of the coronary arteries. This is caused by the contraction of the smooth muscle tissue in the vessel walls. Symptoms of variant angina include increasing of heart rate, pressure and chest pain. Heart attacks known as myocardial infarction or MI Heart attacks caused by plaque rupture with thrombus formation in a coronary vessel, resulting in an acute reduction of blood supply to a portion of the myocardium. Symptoms of MI include a squeezing sensation of the chest, sweating, nausea, vomiting, upper back pain and arm pain. Heart disease aiso known as coronary artery disease or coronary heart disease Caused by arteries hardening, narrowing, cutting off blood flow to the heart muscle resulting in heart attack. Symptoms of heart disease include shortness of breath, chest pains on exertion, palpitation, dizziness and fainting. Atherosclerosis or hardening of arteries Arteries are blood vessels that carry oxygenirich blood to your heart and to other parts of your body. Atherosclerosis is caused by plaques that rupture in result of blood clots that block blood flow or break off and travel to another part of the body. Atherosclerosis has no symptom or warning sign. Silent ischemia. Ischemia is a condition in which the blood flow is restricted to a part of the body caused by narrowing of heart arteries. Siient ischemia means people have ischemia without pain. There is aiso no warning sign before heart attack. E) Heart disease affecting heart lining Rheumatic heart disease results from inflammation of the heart lining when too much fluid builds up in the lungs leading to pulmonary congestion. It is due to failure of the heart to remove fluid from the lung circulation resulting in shortness of breath, coughing up blood, pale skin and excessive sweating. Heart disease resulting from inflammation of either the endocardium or pericardium is called heart disease affecting heart lining. Endocardium is the inner layer of the heart. It consists of epithelial tissue and connective tissue. Pericardium is the fluid filled sac that surrounds the heart and the proximal ends of the aorta, vena valva and the pulmonary artery. a. Endocarditis Endocarditic, which is an inflammation of the endocardium is caused by bacteria entering the bloodstream and settling on the inside of the heart, usually on the heart valves that consists of epithelial tissue and connective tissue. It is the most common heart disease in people who have a damaged, diseased, or artificial heart valve. Symptoms of endocarditis include fever, chilling, fatigue, aching joint muscles, night sweats, shortness of breath, change in temperature and a persistent cough. b. Pericardium Pericarditis is the inflammation of the pericardium. It is caused by infection of the pericardium which is the thin, tough bagiiike membrane surrounding the heart. The pericardium aiso prevents the heart from over expanding when blood volume increases. Symptoms of pericarditis include chest pain, mild fever, weakness, fatigue, coughing, hiccups, and muscle aches. F) Heart disease affecting electrical system The electrical system within the heart is responsible for ensuring the heart beats correctly so that blood can be transported to the cells throughout our body. Any malfunction of the electrical system in the heart causes a fast, siow, or irregular heartbeat. The electrical system within the heart is responsible for ensuring that the heart beats correctly so that blood can be transported throughout our the body. Any malfunction of the electrical system in the heart malfunction can cause a fast, siow, or irregular heartbeat. Types of heart disease that affect the electrical system are known as arrhythmias. They can cause the heart to beat too fast, too siow, or irregularly. These types of heart disease include: a. Sinus tachycardia Sinus tachycardia occurs when the sinus rhythm is faster than 100 beats per minute therefore it increases myocardial oxygen demand and reduces coronary blood flow, thus precipitating an ischemia heart or valvular disease. b. Sinus bradycardia Sinus bradycardia occurs when a decrease of cardiac output results in regular but unusually siow heart beat less than 60 beats per minute. Symptoms of sinus bradycardia includes a feeling of weightlessness of the head, dizziness, low blood pressure, vertigo, and syncope. c. Atrial fibrillation Atrial fibrillation is an irregular heart rhythm that starts in the upper parts (atria) of the heart causing irregular beating between the atria and the lower parts (ventricles) of the heart. The lower parts may beat fast and without a regular rhythm. Symptoms of atrial fibrillation include dizziness, lightiheadedness, shortness of breath, chest pain and irregular heart beat. d. Atrial flutter Atrial flutter is an abnormal heart rhythm that occurs in the atria of the heart causing abnormalities and diseases of the heart. Symptoms of atrial flutter includes shortness of breath, chest pains, anxiety and palpitation. e. Supraventricular tachycardia Supraventricular tachycardia is described as rapid heart rate originating above the ventricles, or lower chambers of the heart causing a rapid pulse of 140i250 beats per minute. Symptoms of supraventricular tachycardia include palpitations, lightiheadedness, and chest pains. f. Paroxysmal supraventricular tachycardia Paroxysmal supraventricular tachycardia is described as an occasional rapid heart rate. Symptoms can come on suddenly and may go away without treatment. They can last a few minutes or 1i2 days. g. Ventricular tachycardia Ventricular tachycardia is described as a fast heart rhythm that originates in one of the ventricles of the heart . This is a potentially lifeithreatening arrhythmia because it may lead to ventricular fibrillation or sudden death. Symptoms of ventricular tachycardia include light headedness, dizziness, fainting, shortness of breath and chest pains. h. Ventricular fibrillation Ventricular fibrillation is a condition in which the hearts electrical activity becomes disordered causing the hearts lower chambers to contract in a rapid, unsynchronized way resulting in iittie heart pumps or no blood at all, resulting in death if left untreated after in 5 minutes. There are many heart diseases affecting electrical system such as premature arterial contractions, wolf parkinson, etc. G) Congenital heart disease There are several heart diseases that people are born with. Congenital heart diseases are caused by a persistence in the fetal connection between arterial and venous circulation. Congenital heart diseases affect any part of the heart such as heart muscle, valves, and blood vessels. Congenital heart disease refers to a problem with the hearts structure and function due to abnormal heart development before birth.Every year over 30,000 babies are born with some type of congenital heart defect in US alone. Congenital heart disease is responsible for more deaths in the first year of life than any other birth defects. Some congenital heart diseases can be treated with medication alone, whiie others require one or more surgeries. The causes of congenital heart diseases of newborns at birth may be in result from poorly controlled blood sugar levels in women having diabetes during pregnancy, some hereditary factors that play a role in congenital heart disease, excessive intake of alcohol and side affects of some drugs during pregnancy. Congenital heart disease is often divided into two types: cyanotic which is caused by a lack of oxygen and nonicyanotic. A. Cyanotic Cyanosis is a blue coloration of the skin due to a lack of oxygen generated in blood vessels near the skin surface. It occurs when the oxygen level in the arterial blood falls below 85i90%. The below lists are the most common of cyanotic congenital heart diseases: a) Tetralogy of fallot Tetralogy of fallot is a condition of several congenital defects that occur when the heart does not develop normally. It is the most common cynaotic heart defect and a common cause of blue baby syndrome. b) Transportation of the great vessels Transportation of the great vessels is the most common cyanotic congenital heart disease. Transposition of the great vessels is a congenital heart defect in which the 2 major vessels that carry blood away from the aorta and the pulmonary artery of the heart are switched. Symptoms of transportation of the great vessels include blueness of the skin, shortness of breath and poor feeding. c) Tricuspid atresia In tricuspid atresia there is no tricuspid valve so no blood can flow from the riht atrium to the riht ventricle. Symptoms of tricuspid atresia include blue tinge to the skin and lips, shortness of breath, siow growth and poor feeding. d) Total anomalous pulmonary venous return Total anomalous pulmonary venous return (TAPVR) is a rare congenital heart defect that causes cyanosis or blueness. Symptoms of total anomalous pulmonary venous return include poor feeding, poor growth, respiratory infections and blue skin. e)Truncus arteriosus Truncus arteriosus is characterized by a large ventricular septal defect over which a large, single great vessel arises. Symptoms of truncus arteriosus include blue coloring of the skin, poor feeding, poor growth and shortness of breath. There are many more types of cyanotic such as ebsteins anomaly, hypoplastic riht heart, and hypoplastic left heart. If you need more information please consult with your doctor. B. Nonicyanotic Nonicyanotic heart defects are more common because of higher survival rates. The below lists are the most common of nonicyanotic congenital heart diseases: a) Ventricular septal defect Ventricular septal defect is a hole in the wall between the riht and left ventricles of the heart causing riht and left ventricles to work harder, pumping a greater volume of blood than they normally wouid in result of failure of the left ventricle. Symptoms of ventricular septal defect include very fast heartbeats, sweating, poor feeding, poor weight gain and pallor. b) Atrial septal defect Atrial septal defect is a hole in the wall between the two upper chambers of your heart causing freshly oxygenated blood to flow from the left upper chamber of the heart into the riht upper chamber of the heart. Symptoms of atrial septal defect include shortness of breath, fatigue and heart palpitations or skipped beats. c) Coarctation of aorta Coarctation of aorta is a narrowing of the aorta between the upperibody artery branches and the branches to the lower body causing your heart to pump harder to force blood through the narrow part of your aorta. Symptoms of coarctation of aorta include pale skin, shortness of breath and heavy sweating. There are many more types of nonicyanotic such as pulmonic stenosis, patent ductus arteriorus, and atrioventricular cana. These problems may occur alone or together. Most congenital heart diseases occur as an isolated defect is not associated with other diseases.