1. Role of culture and environmental in Health, diseases and disability
Fakir Yunus
September 14th 2018

2. Concept of etiology and cure
Cause of disease understood by rural people are
Supernatural
Causes of disease
Physical

3. Supernatural cause Wrath of gods: Chicken pox
Breach of taboo: STD due to sex with lower caste
Past sins: TB and leprosy
Evil eye: Amulet and incantations recited by exorcist- an exorcist is a person who is believed to be able to cast out the devil or other demons. A priest, a nun, a monk, a healer, a shaman or other specially prepared or instructed person can be an exorcist

4. Physical cause Weather: summer cause heat stroke
Impure water cause disease
Impure blood cause boils and scabies.

5. Environmental sanitation
Disposal of human excreta:
still considered harmless
open defecation exist
For city people

6. Waste disposal Waste water: mosquito breeding
Waste water is allowed to flow the street
Solid waste is thrown anywhere they want

7. Food habits
Diet influenced by local condition, religious culture and belief.
Beef vs pork
Food that generating heat in the body: Fish, meat, eggs
Food that cooling the body: Milk, vegetables and lemon.
Eating in a same plate shows brotherwood
Ghanja and Bhang are common among sadhus

8. Mother and child health
Marriage is incomplete without birth of a child
Not using contraceptives- creates population burden
Breastfeeding: colostrum is not pure.

9. Personal hygiene Oral hygiene Ceremonial bath
Using non-sterilized instrument: shaving
Smoking
Sleeping country side
Wearing shoes: Barefoot increase hookworm manifestation.
Circumcision.

10. Sex and marriage Child marriage Illegal abortion Poly society exist
Menstruation is impure- do not have sex for 7 days after
Religious restrictions using condoms

11. Physical/mental disability
Face discrimination in all levels of society
Different culture views disability in different ways
Fate
Spiritual
Violation of social taboos