Volume : 6, Issue : 8, August - 2017

Comparative study of G.I.T carcinoma in tribal and non-tribal population of Jharkhand coming to RIMS, Ranchi

Dr. Alok Kumar, Dr. Kamlesh Prasad Sinha, Dr. Ratna Chaudhary, Dr. Mohit Pradhan

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">A </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">great </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">evidence </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">is </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">now </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">available </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">to </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">show </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">that </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">rise </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">in </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">the </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">incidence </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">of</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">GIT </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">carcinoma.</span><b style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">^[1] &nbsp;</b><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">It </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">varies </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">from </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">race </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">to </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">race </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">and </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">place </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">to </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">place </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">as </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">per </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">time.</span><b style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">^[1] &nbsp;</b><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">The </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">incidence </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">among </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">the </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">tribal </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">population </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">is </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">higher </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">than</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">non-tribal </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">population. </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">It </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">is </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">evident </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">therefore </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">that </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">environmental </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">factors, </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">food </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">habits </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">and </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">excess </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">consumption </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">of </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">alcohol </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">and </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">tobacco </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">play </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">an </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">important </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">role </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">in </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">the </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">development </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">of </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">GIT </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">cancer,</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">that </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">may </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">be </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 14pt; text-align: justify;">preventable.</span></p> <p class="MsoNormal" style="text-align:justify"><span style="font-size:14.0pt;&#10;line-height:115%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p>