Dr. Mahboub Siddiqui Clinical Education Manager GE Healthcare, MEA HEALTH FOR ALL Seminar on Preventive Medicine. Pakistan Welfare Society. Jeddah.K.S.A Feb 24,2012 Dr. Mahboub Siddiqui Clinical Education Manager GE Healthcare, MEA

Preventive Health Care Prevention is better than cure Goal is to Protect, Promote, Maintain health and wellbeing. Prevent disease & disability.

Be your own best friend ! Medical screenings detect problems early and save lives! What’s needed will depend on multiple factors like age, gender and family history. 1)Cholesterol/BP/BS/CBC: Male/Female 35+ every year. 2)Mammography/breast self exam/Pap smear for cervix: Females 35/40+ every 1-2 yrs. 3) Prostate exam/PSA: Males 50 + years every 2-3 yrs. 4) Colonoscopy for Colon: Male/Female 55 + every 5-10 yrs.

Health By Numbers

Includes all forms of smoking(cigarettes, shesha),Chewing Pan/Ghutka/Niswar/Supari etc. WHO :tobacco is #1 cause of all cancer deaths. Tobacco,Obesity,unhealthy junk food, sedentary life style & air pollutions are major cancer risk factors. Most fatal and aggressive cancers are: Lung, Stomach, Liver, Colon & Breast.

You Are What You Eat

Walking is best exercise 1 GulabJamun contains 250 Calories.

Maintain Your Ideal Body Weight

What is Your ideal body weight?? 1)Ideal weight.(select gender and height, calculate) Helps determining under/over weight 2)Waist to hip ratio(WHR)(gender, waist,hips,calculate) Helps in determining body shape and risks for IHD,DM 3)Body Mass Index(BMI)(select height & weight, calculate) Ideal 15-25. www.healthstatus.com/calculators

Water Is The Best Drink Drink 2-3 liters of water daily. Drink more in hot weather/outdoors/air travelling. Limit your tea/coffee/all soda drinks/artificial juices. Drink more during pregnancy, breast feeding. Patients with renal failure/dialysis should consult their doctors for how much amount is taken in 24 hrs.

Vaccines are not only for children Make sure your kids get all necessary vaccines. Seasonal vaccines: e.g.Influenza.above 60 yrs. Pneumococcal vaccine: COPD,immunocompromised and above 65 yrs. Hepatitis A(single shot) & B(0,1,6 months):for all & specially healthcare workers, barbers, meat/food handlers etc. Human Papilloma Virus vaccine: to prevent cervical cancer in females of reproductive age.

HYGIENE Good Hygiene Can Prevent Infections & disease. (1)HANDWASHING: 80 types of infective viruses & bacteria present on surfaces we touch everyday. They can survive up to 2 hrs. on trolleys, hand railings, door knobs etc. specially flu & Urine infection from public toilets(WHO) Infections spread in public places,schools,offices,malls etc. CDC recommends: Regular hand washing and sanitizers use after visiting public places, hospitals, touching surfaces, covering mouth when coughing, sneezing, handling food. Educate your children/family about hygiene.

(2) ORAL HYGIENE -Brush/Miswak your teeth after waking up, after every meal, before Sleep, after taking sweets etc. -change your toothbrush every 3 months. -Regular dental checkups to prevent tooth & gum infections which relates bad smell & heart diseases as well. (3) BODY HYGIENE -Proper nails cutting(kids/elderly/diabetics). -Frequent change of under garments/socks etc. -Take bath daily, avoid using other’s towels, hair brushes, nail cutters. - Avoid too much cosmetics/perfumes/shampoo/hair colors.

Blessed foods of Prophet Mohammad(PBUH) Vinegar/Sirka/Khal. وفى "سنن ابن ماجه" عن أُمِّ سعد رضى الله عنها عن النبىِّ صلى الله عليه وسلم: "نِعْمَ الإدَامُ الخَلُّ، اللَّهُمَّ بَارِك ْ فى الخَلِّ، فإنه كان إدامَ الأنبياء قبلى، ولَمْ يَفْتَقِر بيتٌ فيه الخَلُّ “ . Narrated by Umm Sa'ad Radi Allaho Anha that Prophet Muhammad Sallallaho Alaihe Wasallam said : "Vinegar is the best curry / condiment, O Allah, Descend your blessings in Vinegar, because it was the food for Prophets before me & a house having vinegar (where it is consumed) will never face FAQR (poverty)". (Ibn-e-Majah) Poverty indicated above can be the poverty in actual, PLUS the poverty caused by diseases. حدثني يعقوب بن إبراهيم الدورقي حدثنا إسمعيل يعني ابن علية عن المثنى بن سعيد حدثني طلحة بن نافع أنه سمع جابر بن عبد الله يقول أخذ رسول الله صلى الله عليه وسلم بيدي ذات يوم إلى منزله فأخرج إليه فلقا من خبز فقال ما من أدم فقالوا لا إلا شيء من خل قال فإن الخل نعم الأدم قال جابر فما زلت أحب الخل منذ سمعتها من نبي الله صلى الله عليه وسلم وقال طلحة ما زلت أحب الخل منذ سمعتها من جابر ~ رواه مسلم Reported by Talha Bin Naf'e Abu Sufyan who narrates it from Jaber Bin Abdullah Radiallaho Anh that "Prophet Muhammad Sallallaho Alaihe Wasallam took me to his house one day & Rasoolullah was offered a piece of bread, he asked if a curry / condiment was also available, he was answered that there was nothing except some vinegar". Prophet Muhammad Sallallaho Alaihe Wasallam said, "Khall (vinegar) is the best curry / condiment", Jaber Bin Abdullah Radi Allaho Anh said that as I heard this from Prophet Muhammad Sallallaho Alaihe Wasallam, I LOVE Khall from that time, & Talha Radi Allaho Anh said that I LOVE Khall from the time I heard it from Jaber.

Barley Bread(Jaou,Sha’eer) عن ابن عباس رضي الله عنهما قال: كان رسول الله صلى الله عليه وسلم يبيت الليالي المتتابعة طاويًا هو وأهله، لا يجدون عشاء، وكان أكثر خبزهم خبز شعير - رواه أحمد والترمذي وابن ماجة Ibn Abbas radi Allaho Anh reports that Prophet Muhammad Sallallaho Alaihe Wasallam & his family spent many consecutive nights without food, because there would be no supper. The bread of Prophet Muhammad Sallallaho Alaihe Wasallam was mostly made of BARLEY. Narrated by Tirmizi & Ibn Majah حدثنا عبد الله بن عبد الرحمن. حدثنا عبيد الله بن عبد المجيد الحنفي حدثنا عبد الرحمن بن عبد الله بن دينار. حدثنا أبو حازم عن سهل بن سعد أنه قيل له: "أكل رسول الله (صلى الله عليه وسلم) النقيّ يعني الحُوَّارَي فقال سهل: ما رأى رسول الله (صلى الله عليه وسلم) النقي حتى لقي الله عز وجل، فقيل له: هل كانت لكم مناخل على عهد رسول الله (صلى الله عليه وسلم)، قال: ما كانت لنا مناخل، قيل كيف كنتم تصنعون بالشعير، قال كنا ننفخه فيطير منه ما طار ثم نعجنه". كتاب الشمائل المحمدية للترمذي الجزء الثالث Someone asked Sahl Bin Sa'ad radi Allaho Anh: "Did Prophet Muhammad Sallallaho Alaihe Wasallam ever ate bread made of white (fine) floor" ? He replied "Rasulullah Sallallaho Alaihe Wasallam never saw the white flour till he met Allah (till his death)". The questionaer then asked : "Did you people use sieved floor in the times of Rasulullah Sallallaho Alaihe Wasallam"? He replied "No, it was not". Then the questioner asked : "How was bread from barley prepared"? Sahl radi Allaho anh replied : "We used to blow into the flour & the big particles flew out, the rest was made into dough".

Olives and Olive oil. يُوقَدُ مِن شَجَرَةٍ مُّبَارَكَةٍ زَيْتُونَةٍ لا شَرْقِيَّةٍ وَلاَ غَرْبِيَّةٍ يَكَادُ زَيْتُهَا يُضِىءُ وَلَوْ لَمْ تَمْسَسْهُ نَار ٌ‏‏ “Lit from a blessed tree, on olive, neither of the east (i.e. neither it gets sun rays only in the morning) nor of the west (i.e. nor it gets sun rays only in the afternoon. but it is exposed to the sun all day long), whose oil would almost glow forth (of itself), though no fire touched it". (24:35)(Al-Noor) وفى الترمذىِّ وابن ماجه من حديث أبى هريرة رضى الله عنه، عن النبىِّ صلى الله عليه وسلم أنه قال‏:‏ ‏(‏كُلُوا الزَّيتَ وادَّهِنُوا به، فإنَّه من شَجَرَةٍ مُبَارَكةٍ‏)‏‏.‏ Tirmizi and Ibn Majah narrated that Abu Hurairah Radi Allaho Anh related from Prophet Muhammad Sallallaho Alaihe Wasallam that he said: "Eat the oil, and use it as an ointment, because it is produced by a blessed tree". وللبَيْهَقِى وابن ماجه أيضاً‏:‏ عن ابن عمر رضى الله عنه، قال‏:‏ قال رسول الله صلى الله عليه وسلم‏:‏ ‏(‏ائْتَدِمُوا بالزَّيتِ، وادَّهِنُوا به، فإنه من شَجَرَةٍ مُبَارَكةٍ‏)‏‏. Al-Bayhaqi and Ibn Majah also narrated that Abdullah bin Umar Radi Allaho Anh reported that Messenger of Allah Sallallaho Alaihe Wasallam said: "Use the oil in your curries and apply it as on ointment (for massaging) because it is from a blessed tree (olive tree)".

Honey, Dates,Nabeez, Talbinah A Hadith [narrated by Ibn Majah and others] stated that Prophet Muhammad Sallallaho Alaihe Wasallam said: علَيْكُم بالشِّفَاءَيْنِ‏:‏ العَسَلِ والقُرآن Make use of the two cures: Honey and the Quran". NOTE: Patients with diabetes should consult their physicians on how much quantity could be used. -------------------------------------------------------------------------------------------------------------------- References: Please visit www.tibbenabawi.orgِ   “TIBBE NABAWI” Book by Imam Ibn Alqayyam Al Jawzi available in Urdu ,Arabic & English.

SUMMARY/TAKE AWAYS 1)Discuss with your Doctor the kind of screening is required for you& your family. 2)Maintain your ideal body wt. with Balanced diet(Protiens, carbs, fats, minerals & vitamins. 4)Eat More : Things which are grown on plants.(Natural foods,Fruits,Vegetables, fresh meats. 4) Eat Less: Things which are made in plants (processed, canned, frozen, long-life, artificial juices, all soda drinks) 5) Try to do any physical activity of your choice at least 3 times/wk. (walking,swimming,gym,aerobics) for minimum 1hour. 6) Lead a simple, healthy & stress free life.

Shukriya Shukran Thank You Merci