Page 97 - English Grammar - IX-X
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III.  Read the following passage carefully.


                                INDIA
                                INDIA’S HEALTH REPORT CARD’S HEALTH REPORT CARD
            (1)  India’s most recent and comprehensive health report card contains both good news and
                 cause for concern. The good news is that female life expectancy has increased from
                 59.7 years in 1990 to 70.3 years in 2016, while male life expectancy has increased from
                 58.3  years  to  66.9  years.  Although  communicable  diseases  affect  a  smaller  number
                 of people, the prevalence of non-communicable diseases is increasing. Furthermore,
                 there are significant disparities between states.
            (2)  For all of India’s states, experts have identified 333 illness conditions and 84 risk factors.
                 This is the first time a state-level study of illness burden has been conducted. Until
                 now,  only  national-level  data  was  accessible,  which  obscured  state-specific  disease
                 patterns. This has significant policy consequences since it implies that a single health
                 policy and uniform health schemes may not be feasible in all jurisdictions.
            (3)  In  India,  the  proportion  of  deaths  (as  shown  in  graphical  representation)  caused  by
                 communicable, maternal, neonatal, and nutritional diseases decreased from 53.6 per
                 cent  in  1990  to  27.5  per  cent  in  2016,  while  deaths  caused  by  non-communicable
                 diseases increased from 37.9 per cent to 61.8 per cent, and deaths caused by injuries
                 increased from 8.5 per cent to 10.7 per cent.
            (4)  “We have recommended monitoring of health status in each state, and the NITI Aayog
                 Action Agenda 2017–2020 envisions data-driven and decentralised health planning to
                 more  effectively  improve  population  health,”  said  Dr  Vinod  Paul,  a  member  of  NITI
                 Aayog. He suggested that generation of such comprehensive estimates for each district.
                 While air pollution and tobacco use continue to be major causes of health problems,
                 the amount to which these risk factors are present differs greatly between states.

                  Communicable, maternal, neonatal       Non-communicable diseases  Injuries
                      and nutritional diseases


                                 8.5%                                    10.7%


                                                                  27.5%


                      53.6%           37.9%
                                                                            61.8%






                                1990                                       2016
              Figure: Contribution of major disease groups to total deaths in India, 1990 and 2016
                                                                                               95
   92   93   94   95   96   97   98   99   100   101   102