Anjum Ilahi, Mansur E.
A survey of health problems and total disease burden in a group of senior managerial officers in an autonomous organization.
Isra Med J Jan ;4(4):239-43.

OBJECTIVE: To evaluate the spectrum of common health problems in a group of male senior managerial officers in an autonomous organization in Pakistan and to analyze the results obtained for any expected or unexpected patterns of total disease burden. STUDY DESIGN: A Cross-sectional study PLACE AND DURATION: Out patients of PTCL (Pakistan Telecommunication Company limited) health centers over a six months period from Jan 2004 to June 2004. METHODOLOGY: Fifty senior managerial officers of BPS (Basic Pay Scale) 18 to 21 were selected for the purpose of this study. The survey was done over a six month period on outpatient basis (Jan 2004 to June 2004).The subjects ranged from 45y to 59y (mean age 53y). All the subjects were assessed first with a detailed history and physical examination followed by a health questionnaire (to be filled by the subjects). Subjects were then tested for Complete blood count, fasting serum lipids , Renal function tests, liver function tests, chest X-ray, ECG, abdominal and pelvic ultrasound and a second layer of tests as guided by physical examination , answers to the questionnaire and the first battery of tests. RESULTS: Eosinophilia and raised triglycerides were both seen in 30% (n=15) of the subjects each. Other derangements of lipid were also seen in 10% (n=5) percent of patients. Osteoarthritis of the knee (clinically suspected and radiological confirmed) was seen in 12% (n=6) of the subjects. Prostatic symptoms, Diabetes, Systemic Hypertension and renal stones were seen in 8 %( n=4) of the patients. Raised serum uric acid and other problems were seen less frequently. Lipid derangements and Eosinophilia were seen as the most frequent abnormal finding and osteoarthritis leads as most frequent health problem CONCLUSION: There are very few officers in this group without any health problems or deranged lab indices. However significant serious disease burden (especially cardiovascular disease) was not a very a prominent feature in this group.

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