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Tongue is the Face of the Malady? Differentiating in Desolate Distance: Locus -Tropical Field India

Deepak Bhattacharya, Pradhan PK

Koraput town, Odisha and the plateau peripheries is core malaria endemic region of India, Is well known for high drug resistance, year round obstinate manifestation and re-emergence of mutants. OMARIA (Odisha Malaria Research Indigenous Attempt) a field level effort (1997-2012) to Fight Malaria at Home led to a new anti-malaria. In dist., Koraput poly infestations with cross infections are quite common. There were no roads; no power; only natural stream water. Distances were covered on foot. Availability of pathology investigation tools and human resources were nonexistent. Therefore, neo ways and means were innovated to differentiate distinctions (clinic level) in such disconnected remote of the tropical-moist lush afforested rural India. Clinical conditions were varied and challenging. Observing the tongue and deciding the pathology, the diagnosis and the prognosis was attempted as choice tool (long period {>decadal use} multi-disciplinary team based approach).