Chizoba project

I

““PPRREEVVAALLEENNCCEE OOFF HHYYPPEERRTTEENNSSIIOONN AAMMOONNGG DDRRIIVVEERRSS AANNDD CCOONNDDUUCCTTOORRSS OOFF NNOORRTTHH -- WWEESSTT

KKAARRNNAATTAAKKAA RROOAADD TTRRAANNSSPPOORRTT CCOORRPPOORRAATTIIOONN IINN BBEELLGGAAUUMM DDIIVVIISSIIOONN,, BBEELLGGAAUUMM –– AA CCRROOSSSS

SSEECCTTIIOONNAALL SSTTUUDDYY””

By

DDrr.. JJOOSSHHII AARRUUNN VVIISSHHNNUUPPAANNTT..

D I S S E R T A T I O N

Submitted to the Rajiv Gandhi University of Health Sciences,

Karnataka, Bangalore

In partial fulfillment

of the requirements for the degree of

DOCTOR OF MEDICINE (M.D)

IN

COMMUNITY MEDICINE

Under the Guidance of

Dr. S. M. KATTI MD

DEPARTMENT OF COMMUNITY MEDICINE, JAWAHARLAL NEHRU MEDICAL COLLEGE,

BELGAUM-590010.

APRIL - 2008

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II

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,

KARNATAKA

DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation entitled ““PPRREEVVAALLEENNCCEE OOFF

HHYYPPEERRTTEENNSSIIOONN AAMMOONNGG DDRRIIVVEERRSS AANNDD CCOONNDDUUCCTTOORRSS OOFF

NNOORRTTHH -- WWEESSTT KKAARRNNAATTAAKKAA RROOAADD TTRRAANNSSPPOORRTT

CCOORRPPOORRAATTIIOONN IINN BBEELLGGAAUUMM DDIIVVIISSIIOONN,, BBEELLGGAAUUMM ––

AA CCRROOSSSS SSEECCTTIIOONNAALL SSTTUUDDYY”” is a bonafide and genuine research

work carried out by me under the guidance of DDrr.. SS.. MM.. KKAATTTTIIMMDD

Professor, Department of Community Medicine, Jawaharlal Nehru Medical

College, Belgaum.

Date: Signature of the Candidate Place: Belgaum (Dr. JJoosshhii AArruunn VViisshhnnuuppaanntt)




III


KARNATAKA

CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled ““PPRREEVVAALLEENNCCEE

OOFF HHYYPPEERRTTEENNSSIIOONN AAMMOONNGG DDRRIIVVEERRSS AANNDD CCOONNDDUUCCTTOORRSS

OOFF NNOORRTTHH -- WWEESSTT KKAARRNNAATTAAKKAA RROOAADD TTRRAANNSSPPOORRTT


AA CCRROOSSSS SSEECCTTIIOONNAALL SSTTUUDDYY”” is a bonafide research work

done by DDrr.. JJoosshhii AArruunn VViisshhnnuuppaanntt which is being submitted to Rajiv

Gandhi University of Health Sciences, Karnataka, Bangalore in partial

fulfillment of the requirement for the degree of Doctor of Medicine

(M.D) in Community Medicine, examination to be held in April 2008.

Date: Place: Belgaum

Signature of the Guide Dr. S. M. KATTI M.D Professor, Department of Community Medicine, J. N. Medical College, Nehru Nagar, Belgaum-590010.




IV


KARNATAKA

ENDORSEMENT BY THE HOD, PRINCIPAL/HEAD OF

THE INSTITUTION

This is to certify that the dissertation entitled ““PPRREEVVAALLEENNCCEE

OOFF HHYYPPEERRTTEENNSSIIOONN AAMMOONNGG DDRRIIVVEERRSS AANNDD CCOONNDDUUCCTTOORRSS

OOFF NNOORRTTHH -- WWEESSTT KKAARRNNAATTAAKKAA RROOAADD TTRRAANNSSPPOORRTT


AA CCRROOSSSS SSEECCTTIIOONNAALL SSTTUUDDYY”” is a bonafide research work done by

DDrr.. JJoosshhii AArruunn VViisshhnnuuppaanntt under the guidance of DDrr..SS..MM.. KKAATTTTIIMMDD

Professor, Department of Community Medicine, Jawaharlal Nehru

Medical College, Belgaum.

Signature of HOD Dr. A.S.Wantamutte MD, (BHU) Professor & Head, Department of Community Medicine, J. N. Medical College, Nehru Nagar, Belgaum-590010

Siganture of the Principal Dr. V. D. Patil MD, DCH. Principal, J. N. Medical College, Nehru Nagar, Belgaum-590010.






V

COPYRIGHT

Declaration by the Candidate

I hereby declare that the Rajiv Gandhi University of Health Sciences,

Karnataka shall have the rights to preserve, use and disseminate this

dissertation in print or electronic format for academic / research purpose.


Signature of the Candidate (Dr. JJoosshhii AArruunn VViisshhnnuuppaanntt)

© Rajiv Gandhi University of Health Sciences, Karnataka




VI

ACKNOWLEDGEMENT

At the outset, I wish to thank Almighty GOD for his guidance and blessings in

every steps of my life. It is an immense pleasure for me on the occasion, to convey my

gratitude and regards to all the personalities to whom I owe a lot.

I wish to express my deep sense of gratitude to Dr. S.M. Katti M.D. Professor,

Department of Community Medicine, J. N. Medical College, Belgaum, for his

multifaceted guidance, continued support and most helpful attitude at every stage of

this study, which made my dissertation to see the light of the day.

I gladly utilize this opportunity to express my deep sense of gratitude and

indebtedness to Dr. A. S. Wantamutte M. D.(BHU) Professor and Head, Department of

Community Medicine, J. N. Medical College, Belgaum, whose everlasting inspiration,

constant encouragement and constructive criticism, with valuable suggestions in

framing this work right from its inception.

I wish to express my deepest gratitude to Dr. V. D. Patil M.D., D.C.H., Principal,

J. N. Medical College, Belgaum, for his consistent help and blessings.

I am extremely obliged to Dr. (Mrs.) Vijaya A. Naik M.D., D.P.H., Vice-Principal,

Professor of Community Medicine, J. N. Medical College, Belgaum, for her

motivation, constant encouragement and formation of ideas and thoughts in

completion of this study.

I express my sincere thanks to Shri. M. D. Mallapur M.Sc Department of

Community Medicine, for his valuable guidance throughout the course.

My sincere thanks to Dr. H. N. Sangolli M.D, Dr. (Mrs.) Padmaja

Walvekar M.D,, Shri. V. B. Patil M.A,, Dr. (Mrs)Shobha Karikatti M.D,

Dr.(Mrs) Chandra S.Metgud M.D, Dr. (Mrs) Asha Bellad M.D, Dr. Sanjay Kambar M.D,

Dr.(Mrs) Girija Ashtagi M.D, Dr. Shivaswamy M.D, Dr. Yogeshkumar M.D,

Dr. (Mrs.) Deepti M.D, and Smt. S. A. Hukkeri M.A., Department of Community

Medicine, for their valuable suggestions, encouragement and support.

I am very much thankful to all the higher officials of NWKRTC for giving me

permission to conduct study in their department.




VII

I would also like to sincerely thank the Labour Officer Shri. Satyanarayan,

Depot Managers, Shri. R.B. Jadhav, Shri. B.D. Jadhav, Shri. Naik, Shri. R.B. Rogi,

Mr. Deepak and Mr. Dongre for their kind co-operation and help during the study.

I wish to express my special thanks to Shri. N. B. Totiger, Mr. Harshad and

Mr. Mahesh for their affectionate concern and support throughout my study period.

I express my deep sense of gratitude to Dr. Nitin, Dr. Shivappa,

Dr. Sharat, Dr. Talikoti, Dr. Lokesh, Dr. Gouri, Dr. Shivaram, Dr. Mayur,

Dr. Madhusudhan, Dr. Kantesh, Dr. Shakeel, Dr. Poornima, Dr. Anil,

Dr. Praveenkumar B.A, Dr. Veena and Dr. Rudramma for their helpful attitude

throughout the study.

I express my special thanks to Dr. Satishchandra D. M. Dr. Charishma,

Dr. Praveena, Dr. Muralidhar Kulkarni and Dr. Rakesh Mittal for their utmost

helpful attitude, moral support and valuable suggestions in every stage of my study.

I would also like to acknowledge Dr. Siddheshwar, Dr. Amit, Dr. Aashish,

Dr. Muralidhar and all my friends for their affectionate concern and support.

I am very much thankful to Mr. Nagappa and Mr. Kempanna for their

cooperation and help in the study period.

I express deep sense of gratitude and love to my parents Shri. Vishnu Joshi

and Smt. Sharada Joshi, my brother Kiran, for their encouragement and support

without which this dissertation work would never have been completed.

I express my sincere thanks to Miss. Veena, Mr. Deepak and Mr. Subhash of

Sai Xerox & DTP for designing, printing and binding of my dissertation.

I express my deep sense of love and gratitude to my wife Dr. Bhagyashri Joshi

for her patience and co-operation without which it would have been difficult to

complete the dissertation.

Finally, I would like to thank all the study participants for their support

without whom it would have been impossible to conduct the study.

Dr. Arun Joshi




VIII

LIST OF ABBREVIATIONS

BMI Body Mass Index

BP Blood pressure

JNC Joint National Committee

NWKRTC North-West Karnataka Road Transport Corporation

WHR Waist-Hip Ratio




IX

ABSTRACT

Background:

Hypertension is an iceberg disease. It remains, silent, being generally

asymptomatic during most of its course. Since hidden beneath the outward

asymptomatic appearance, the disease does immense harm to the body. It was against

this back drop of the importance of hypertension, coupled with lack of community

based studies in these subjects, i.e. in bus drivers and conductors, that prompted to

take up the present study.

Objectives:

To study the prevalence of hypertension among bus drivers and conductors of

NWKRTC in Belgaum and study its association with certain risk factors.

Methods:

Structured personal interview using questionnaire and physical examination

which includes height, weight, waist, hip measurements and blood pressure recording

was done.

Results:

The prevalence of hypertension among drivers was 23.8% and conductors was

14.8%.

Among drivers, hypertension was significantly associated with age,

socioeconomic status, education, religion, duration of service, job satisfaction, extra

salt and fat intake, BMI, WHR, tobacco smoking and alcohol consumption and among

conductors, it was significantly associated with age, socioeconomic status, duration of




X

service, job satisfaction, extra salt intake, BMI, WHR, tobacco smoking, smokeless

tobacco use and alcohol consumption.

Interpretation and Conclusion:

Considering the prevalence of hypertension among drivers and conductors and

its association with risk factors, necessary preventive measures need to be promoted.

More studies need to be done to identify the role of known and unknown factors in

blood pressure variations in this community.

Key words: Hypertension; Risk factors; NWKRTC; Drivers; Conductors.




XI

T ABLE OF CONTENTS

Sl. No. Particulars Page No.

1. INTRODUCTION 1

2. AIMS AND OBJECTIVES 3

3. REVIEW OF LITERATURE 4

4. METHODOLOGY 33

5. RESULTS 47

6. DISCUSSION 84

7. CONCLUSION 100

8. SUMMARY 101

9. LIMITATIONS OF THE STUDY 105

10. RECOMMENDATIONS 106

11. BIBLIOGRAPHY 108

12. ANNEXURES

ANNEXURE – I (PROFORMA) 120

ANNEXURE – II (MASTER CHART) 126




XII

LIST OF TABLES

Table No. Particulars Page

No.

1. Distribution of study participants according to age 47

2. Distribution of study participants according to education 48

3. Distribution of study participants according to religion 49

4. Distribution of study participants according to socio-economic status 50

5. Distribution of study participants according to marital status 51

6. Distribution of study participants according to diet 51

7. Distribution of study participants according to type of family 52

8. Distribution of study participants according to family history of hypertension 52

9. Distribution of study participants according to physical exercise 53

10. Distribution of study participants according to duration of service 53

11. Distribution of study participants according to job satisfaction 54

12. Distribution of study participants according to dietary extra salt intake 54

13. Distribution of study participants according to dietary extra fat intake 55

14.A) Distribution of study participants according to smoking history 55

14.B) Distribution of smokers according to number of cigarettes/ beedies smoked per day 56

14.C) Distribution of smokers according to duration of smoking 56

15.A) Distribution of study participants according to use of smokeless tobacco 57

15.B) Distribution of smokeless tobacco users according to duration 57

16.A) Distribution of study participants according to alcohol consumption 58

16.B) Distribution of study participants who were consuming alcohol in a week according to quantity 58

16.C) Distribution of study participants who were consuming alcohol according to duration 59

17. Distribution of study participants according to weight (BMI) 59

18. Distribution of study participants according to waist hip ratio 60

19. Prevalence of hypertension in drivers and conductors 61




XIII

Table No. Particulars Page

No.

20. Distribution of study participants (hypertensives) according to past history of hypertension 62

21.A) Distribution of hypertensives according to the level of blood pressure 62

22. Association between Hypertension and Age 64

23. Association between Hypertension and socio-economic status 65

24. Association between Hypertension and educational status 66

25. Association between Hypertension and religion 67

26. Association between Hypertension and diet 67

27. Association between Hypertension and family history of hypertension 68

28. Association between Hypertension and type of family 69

29. Association between Hypertension and physical exercise 69

30. Association between Hypertension and duration of service 70

31. Association between Hypertension and job satisfaction 72

32. Association between Hypertension and Extra salt intake 73

33. Association between Hypertension and Extra fat intake 74

34. Association between Hypertension and overweight 75

35. Association between Hypertension and Waist hip ratio 76

36.A) Association between Hypertension and Tobacco Smoking 77

36.B) Association between Hypertension and number of cigarettes/ beedies smoked per day 78

36.C) Association between Hypertension and duration of smoking 78

37.A) Association between Hypertension and use of smokeless tobacco 79

37.B) Association between Hypertension and duration of use of smokeless tobacco 80

38.A) Association between Hypertension and alcohol consumption 81

35. A) Association between Hypertension and quantity of alcohol consumed in a week 82

36. Association between Hypertension and duration of alcohol consumption 83




XIV

LIST OF GRAPHS

Graph No. Particulars Page

No.

1. Distribution of study participants according to age 47

2. Distribution of study participants according to education 48

3. Distribution of study participants according to religion 49

4. Distribution of study participants according to socio-economic status 50

5. Prevalence of hypertension in drivers and conductors 61

6. Association between Hypertension and Age 64

7. Association between Hypertension and socio-economic status 65

8. Association between Hypertension and duration of service 70

9. Association between Hypertension and job satisfaction 72

10. Association between Hypertension and Extra salt intake 73

11. Association between Hypertension and overweight 75

12. Association between Hypertension and Waist hip ratio 76

13. Association between Hypertension and Tobacco Smoking 77

14. Association between Hypertension and alcohol consumption 81




XV

LIST OF FIGURES

Figure No. Particulars Page

No.

1. Map of Belgaum city showing study area 33

2. View of one of the Depots 44

3. Personal Interview of the study participant 44

4. Measuring weight of the study participant 45

5. Measuring height of the study participant 45

6. Measuring waist circumference of the study participant 46

7. Recording of blood pressure of the study participant 46




Introduction




Aims & Objectives




Review of Literature




Methodology




Results




Discussion




Conclusion




Summary




Limitations of the Study




Recommendatio

ns




Bibliography




Annexure - I Proforma




Annexure - II Master chart




Introduction

1

INTRODUCTION

Hypertension represents one of the most formidable dilemma, the world has

faced in modern times. It is an ubiquitous disorder. The importance of this chronic

condition needs no emphasis due to its role in causation of coronary heart disease,

stroke and other vascular complications. It is one of the major risk factors for

cardiovascular mortality, which accounts for 20-50% of all deaths.1

Hypertension is an interesting disease entity of its own. It remains silent, being

generally asymptomatic, during most of its clinical course. The disease does immense

harm to the body in the form of “target organ” (end organ) damage. Hence it has been

given the term “silent killer”.2

Although hypertension is a major risk factor for many diseases, there are many

risk factors for hypertension it self. Some of these are nonmodifiable but a large

number of them are easily modifiable by appropriate life style modifications.1

Prevalence estimates from several parts of world indicate that high blood pressure is

an important public health problem of global dimensions. The total number of

hypertensive cases worldwide is estimated to be more than 69 million and prevalence

wise it ranks fourth.3

Hypertension is emerging as a major health problem even in developing

countries including India. It has been reported by the Indian council of medical

research, as the second most common cardiac problem encountered in clinical practice

in India.4 From the various epidemiological studies in India, it is estimated that there

would be approximately 50 million cases in India, with prevalence of 2.3% to 15.4%

at the beginning of next millennium.5




Introduction

2

Hypertension is one of the diseases of occupational origin. It is ranked fifth

amongst the ten most important categories of occupational illness. As per the report of

National Institute of Occupational Safety and Health USA, the percentage of

hypertensives increases more when selected occupational groups are screened.6

Transport personnel particularly the bus drivers and conductors are one such

group who are at risk of developing hypertension due to nature of their profession.

They form one of the largest groups employing personnel of different caste and creed,

various age groups, subjected to severe stress and strain, having irregular hours of

duty , having habits like smoking, alcohol etc. Once they develop hypertension they

are prone to develop coronary heart disease and stroke putting them and their road

users to risk.

There are many studies conducted in western countries in drivers and

conductors. But these studies were not conducted specifically on hypertension but on

coronary risk factors in general and covering hypertension as a part thereof.7,8,9 Also

very few studies have been conducted in bus drivers and conductors in Indian context.

Hence there is need to enquire into the prevalence, distribution and

determinants of hypertension in the community setting of bus drivers and conductors.

It was against this backdrop of importance of hypertension, coupled with lack of

community based studies in this subject in bus drivers and conductors, that prompted

us to take up the present study.




Aims and Objectives

3

AIMS AND OBJECTIVES

1. To study the prevalence of hypertension among bus drivers and conductors of

North West Karnataka Road Transport Corporation in Belgaum division,

Belgaum.

2. To study its association with certain risk factors like smoking, obesity,

alcohol, physical inactivity etc.





4

REVIEW OF LITERATURE

HISTORICAL PERSPECTIVE:

The ancient Chinese appeared to have some understanding of circulation,

Huang ti, the yellow emperor had quoted “ The blood current flows continuously in a

circle and never stops…… the heart influences the force and fills the pulse with

blood………. if too much salt is used in the food, the pulse hardens”.10

Ancient Egyptians recognized the pulse and heart. Some information was also

known to Greeks about the heart and vascular dynamics as early as 600 BC. 10

The Ayurvedic texts dating back to 1000 BC have described “ Sira Kanchan

and Pooruta” as tension of blood rising from within due to provocation and

constriction of arterioles and venules.11

Hippocrates (460-370 BC), the father of medicine, changed the destiny of

medicine by raising it to a status of science. He stressed on the medical examination

including pulse.12

Though the disease was believed to exist since antiquity it was possible to

recognize it only after the discovery of a devise to measure it. William Harvey and

Lennaec discovered blood circulation in 1616 and stethoscope in 1819 respectively.

Stephen Hales an English clergyman, first measured intraarterial pressure by

inserting a long glass tube inside the crural artery of a horse12. This manometer was

further improved up by Carl Ludwig, who attached a float and writer to it, providing

one of the earliest methods of graphic recording of pulse and blood pressure 13.

The modern day inflatable cuff was developed by Riva Rocci who introduced

pneumatic cuff which was further modified by Von Reckling Hausen14.





5

The auscultatory technique for indirect measurement of blood pressure was

introduced by Nicholai Korotokoff.12

An association of renal disease with fullness and hardness of pulse was shown

by Richard Bright. Harry Goldblatt also demonstrated the role of kidney in the genesis

of hypertension by his experiments14.

Since 1939, American Heart association has been publishing guidelines for

standardization of blood pressure measurement techniques11.

The WHO has been concerned with hypertension since 1950. Expert

committees on hypertension were convened in 1958, 1961, 1978 and recent one in

1994. The latest committee reviewed the epidemiology of hypertension in order to

increase the awareness particularly in developing countries to analyze the experience

gained by community control programmes and to discuss options for prevention and

management strategies15.

DEFINITION AND CLASSIFICATION:

Definition:

Various International health agencies and experts have worked from time to

time on the question of developing a definition and classification of hypertension.

One of the earlier definition stated that “blood pressure is distributed in a typical bell

shaped curve within the overall population. The relationship between arterial pressure

and mortality is quantitative, the higher the pressure, the worse the prognosis. The

dividing line is in fact nothing more than an artefact”.14





6

Another conceptual definition of hypertension is given as “ the level at which

benefits (minus the risk and costs of action) exceed the risks and costs (minus the

benefit) of inaction”.15

Few authors have defined it as that level of blood pressure at which detection

and treatment do more good than harm.16

Until recently, there was no unanimity about the level of arterial pressure to

be considered as normal and high. Uniformity was achieved after publication of a

WHO report on proper measurement techniques of BP and criteria for diagnosis of

hypertension in 1959, after which a systolic BP>160 and /or diastolic BP>95mmHg

were considered abnormal. The current definition of hypertension according to WHO,

is the level of systolic blood pressure of 140 mmHg or above, or a level of diastolic

blood pressure of 90 mmHg or above.15

Joint National Committee VI and European working group on hypertension

adopted similar definition.17

Classification:

Though all classification of hypertension are based on arbitrary choices,

arterial hypertension may be classified based on 3 factors.

a) Blood pressure

b) Extent of damage to the organs

c) Etiology





7

a) Blood Pressure:

Since 1977, a series of formulations have been suggested by the Joint

National committee (JNC). JNC-I18, 19 classified hypertension by diastolic blood

pressure only and did not include systolic blood pressure. In JNC-II, hypertension was

classified as mild, moderate or severe. JNC-III introduced “high normal” for those

with diastolic BP of 85-89 mmHg. No further changes were suggested in JNC-IV.

JNC-V (1993) on detection, evaluation and treatment of high blood pressure used the

term “stage” to categorize the severity of hypertension and classified hypertension in

four stages. It used cut off point as 140 mmHg for systolic and 90 mmHg for diastolic

BP.

The Joint National Committee in its 6th report (JNC-VI) has reclassified

hypertension in 3 stages instead of 4 and gave the following classification of

hypertension for adults of age 18 years and above 17 (Table I).

Category Systolic BP (in mmHg)

Diastolic BP (in mmHg)

Optimal <120 and <80

Normal <130 and <85

High normal 130-139 or 85-89

Hypertension

Stage 1 140-159 or 90-99

Stage 2 160-179 or 100-109

Stage 3 >180 or >110

(when the systolic blood pressure (SBP) and diastolic blood pressure (DBP) falls into

different categories, the higher category should be selected to classify the individuals

blood pressure status)





8

The following are criteria suggested by WHO expert committee in 1996. 15

Category Systolic BP (in mmHg)

Diastolic BP (in mmHg)

Normotension <140 and <90

Mild hypertension 140-180 or 90-105

Subgroup-Borderline 140-160 or 90-95

Moderate and severe hypertension

>180 or >105

Isolated systolic hypertension (ISH)

>140 and <90

Sub GP – Borderline ISH 140-160 and <90

Since the blood pressure is quite variable, before declaring a person as

hypertensive and deciding to start treatment, it is necessary to confirm the diagnosis

by repeated measurements of blood pressure over a period of several weeks.15

b) Extent of Organ damage:

This classification uses “stages” to indicate the progression of the severity of

disease with time, which varies from one individual to another depending on many

influences. The stages of hypertension are as follows.1

a) Stage I: No objective signs of organic changes

b) Stage II: At least one of the following signs of organ involvement is present

i. Left Ventricular Hypertrophy

ii. Generalised and focal narrowing of retinal arteries





9

iii. Microalbuminuria Proteinuria and/or slight elevation of plasma

creatinine (1.2-2.0 mg/dl)

iv. Ultrasound or radiological evidence of atherosclerotic plaque.

c) Stage III: Both symptoms and signs have appeared as a result of organ

damage. These include

Heart

Angina pectoris

Myocardial infarction

Heart failure

Brain

Stroke

Transient ischaemic attack

Hypertensive encephalopathy

Vascular dementia

Optic fundi

Retinal hemorrhages and exudates with or without papilloedema (these

features are pathognomonic of malignant or accelerated phase

Kidney

Plasma creatinine concentration >2.0 mg/dl

Renal failure

Vessel

Dissecting aneurysm

Symptomatic arterial occlusive disease





10

The raised arterial pressure has also been described to follow two different

courses, which has been called the bad and the good or the malignant and the benign.

The “malignant” phase of hypertension is characterized by neuroretinopathy and by a

rapid decline in renal function. Pressure is very high. The “benign” phase of

hypertension usually occurs in much older subjects, in whom the pressure is not as

high. There is either no retinopathy or if present without papilloedema.14

“Labile hypertension” has been described in subjects who sometimes but not

always have arterial pressures within the hypertension range.19

“Isolated Systolic hypertension” (ISH) is usually described in elderly, where

in the systolic pressure rises disproportionately as the arteries lose their compliance.

This is not innocuous and affected persons experience a two fold increase in risk of

cardiovascular disease.20

“White coat hypertension” is an interesting phenomenon which has received

attention in recent years, which is described as persistently elevated office readings

but persistently normal out of office readings. This has been found in 20-30% of

patients and has been suggested that physical examination by the physician may cause

a rise in blood pressure.19 It has been seen in a cross sectional survey in Ausburg

Germany in 1998 that this is more common in men than women and is seen to be

associated with increased prevalence of left ventricular hypertrophy.21

c) Classification of hypertension by etiology:

On the basis of etiology, hypertension is divided into “primary” and

“secondary” hypertension. The specific cause remains unknown in over 95% of

subjects with hypertension. These subjects without any definable cause are said to





11

have primary or idiopathic or essential hypertension.15 However, several mechanisms

have been suggested like dysfunction of sympathetic nervous system, rennin

angiotension system defect, increased salt sensitivity, sodium transplant defect,

deficiency of renal vasodilators, endothelial dysfunction etc.19

In a small minority of patients in whom a specific cause can be identified, are

diagnosed as having “secondary hypertension”. The possible causes that can be

identified are - 22

A) Systolic and diastolic hypertension

a. Renal Causes – These include renal parenchymal diseases (like

glomerulonephritis, chronic nephritis, polycystic kidney disease,

diabetic nephropathy, hydronephrosis), Renovascular disorders (like

renal artery stenosis intra renal vasculitis), renin producing tumors.

b. Endocrinal causes- These include disorders like acromegaly, hypo and

hyperthyroidism, hypercalcemia, adrenal diseases (Cushings

syndrome, primary aldosteronism, congenital adrenal hyperplasia,

apparent mineralocorticoid excess, pheochromocytoma),

extramedullary chromaffin tumours and exogenous substances

including estrogen, glucocorticoids, mineralocorticoids,

sympathomimetics, tyramine containing foods and monoamine

oxidase inhibitors.

c. Coarctation of aorta

d. Pregnancy induced hypertension





12

e. Neurological disorders- These include raised intracranial pressure like

brain tumours, encephalitis, respiratory acidosis), sleep apnoea,

quadriplegia, acute porphyria, familial dysautonomia, lead poisoning,

Guillain – Barre syndrome.

f. Acute stress including surgery- It includes psychogenic

hyperventilation, hypoglycemia, burns, pancreatitis, alcohol

withdrawal, sickle cell crisis, post resuscitation, postoperative.

g. Increased intravascular volume

h. Alcohol and drug use

B) Systolic hypertension –

a. Increased cardiac output- Possible causes are aortic valvular

insufficiency, Arteriovenous fistula. Patent ductus arteriosus,

thyrotoxicosis, Paget’s disease of bone, Beri-Beri, hyperkinetic

circulation.

b. Rigidity of aorta

MAGNITUDE OF PROBLEM:

Hypertension is an “ice berg” disease. It became evident in early 1970’s that

only about half of the hypertensive subjects in general in most of developed countries

were aware of the condition, only half of those aware of problem, are being treated. If

this is the situation in developed countries, the proportion being treated in developing

countries would naturally be far too less.1





13

a) Global situation

It is now clear that hypertension has become an ubiquitous cause of

morbidity and a leading contributor to mortality in most countries.23 It has

become a staggering health problem of global dimensions. Though there is a

large body of literature estimating the prevalence of hypertension in various

parts of the world, because of the differences in definition of hypertension,

measurement methods used, observers and age structures of population, these

should be compared cautiously.15

Worldwide high blood pressure is estimated to cause 7.1 million

deaths, about 13% of the total. WHO has estimated that high blood pressure

causes 1 in every 8 deaths world wide.25 The burden of hypertension in terms

of DALY’s is 64.3 million (4.4% of the total). Of this 20% occurs in Western

Pacific region, 19% in South-East Asia region and 16% in Europe.24

When threshold values are taken as 160/95 mmHg, prevalence has

been reported to be between 10% and 20% in several adult populations. With

the currently recommended limit for hypertension of 140/90 mmHg, the

prevalence rates would be even higher.4

According to a WHO report (1996), hypertension affects some 50

million people in China, 12 million people in Brazil, 1.8 million people in

Bangladesh, 0.86 million in Thailand and 0.56 million in Srilanka.15

Hypertension Detection and Follow up programme (HDFP) revealed a

prevalence of hypertension among adults aged 39-59 years in USA as high as

25.3%.25





14

There is a epidemiological shift with upward trend in developing

countries. The prevalence seems to be similar to that in European and

technically developed countries ranging from 10% to as much as 20%.26 Only

a few populations either living at high attitudes or belonging to primitive

culture like small number of ethnic groups in Pacific islands, Asia, Africa and

South America seem to have exceptionally low levels of blood pressure

control.27

b) Situation in India:

According to a WHO report (1992), it is estimated that there are likely

to be around 40 million people with hypertension in our country, if cut off

point is 140/90 mmHg 2.

Data collected from population studies in Rothak (Urban population)

and a village in Haryana showed a prevalence of hypertension as 5.9% in men

and 6.9% in females in urban population, where as in rural population it was

3.5% in males and 3.6% in females.1

In a meta analysis of prevalence of hypertension in India, it was seen

that the prevalence of hypertension is more than 10% in Bombay, Jaipur and

Delhi.28 A recent review has shown higher prevalence of hypertension among

urban adults ie, men 30% and women 33% in Jaipur, men 44%, women 45%

in Mumbai, men 31%, and women 36% in Thiruvanantapuram; 14% in men

Chennai. Among the rural population, the prevalence is 24% in men and 17%

in women in Rajasthan.29





15

A review of community surveys analyzing the trends in hypertension

in India, has noted an increase in the prevalence of about 30 times in urban

and about 10 times in rural population over a period of 55 years. Changing life

style factors including diet, stress, increasing population and shrinking

employment etc have been implicated for this increasing trend.29

c) Hypertension in drivers and conductors

Bus drivers and conductors in our country form one of the largest

group, employing personnel of different cast and creed. They provide

transportation for millions of people every year.6 The health condition of

public transport personnel is one of the factors playing a role in assuring safety

of passengers taking use of this transportation.30 They form a distinct group

which includes various age groups, subjected to severe stress and strain and

irregular hours of duty, having habits like smoking, alcohol etc.31

As per report of transport and general workers union in 1995, driving

is an occupation where work does not take place at a fixed location but

involves a large number of tasks associated with control of vehicle and

exposure to all hazards of a heavily trafficked environment. For the transport

personnel there has been deterioration in working conditions and this

deterioration is largely result of traffic congestion and its associated air and

noise pollution and also the pressures of maintaining a demanding schedule in

circumstances that make the task almost impossible. They also have to absorb

the failures of transport system in the form of increased stress levels, conflict

with customers and intensification of a wide range of work pressures in hostile

environment. These circumstances damage the health of drivers that is

unacceptable.32





16

The environment in which the drivers spend the majority of their time

is polluted, noisy and dangerous. It is an environment over which they have no

control whatsoever and is an environment that wrecks their schedules, disrupts

their home life and makes social activities and regular breaks very hard to plan

and supplies constant hassle. To make the matters worse, they frequently bear

the brunt of criticism for problems that crop up while driving.32 In an

extensive review and synthesis of epidemiological studies at university of

California, it was consistently observed that the bus drivers have higher rates

of morbidity and absence due to illness when compared to the employees from

a wide range of other occupational groups. 9,33

In a study analyzing the health reasons for work disability among

municipal transport drivers, analysis of 940 drivers, including 788 men and

152 women during the years 1996-2000, revealed that diseases of circulatory

system form a major group of pathologies responsible for total sickness

absence and early retirement among bus drivers (43%) and tram drivers

(27%). These mainly included ischemic heart disease and hypertension.30

Another study based on Brazilian National sample household survey of health

condition in cargo and passenger road transportation industry in 2005 revealed

that, being a driver was one of the factors significantly associated with odds of

cardiovascular and musculoskeletal diseases.34

In a study conducted on 376 urban bus drivers in Newyork city, in

1991 it was observed that ischemic heart disease was an important cause of

mortality with proportional mortality rate of 1.73 and 1.72 in blacks and

whites respectively.35 A study conducted at Copenhagen revealed that there is

an increased incidence and prevalence of ischemic heart disease among urban





17

bus drivers.8 Another study conducted in Stockholm, centre of Public Health in

Sweden in 1996, revealed an increased risk of myocardial infarction among

professional drivers. This risk was partly explained by the unfavourable life

style factors and social factors and the work environment.7

Hypertension assumes a special importance in context of drivers and

conductors where it is one of the leading causes of death, disability, hospital

stay and invalidment from service. A cross sectional study conducted to

evaluate the prevalence of hypertension in 1500 black and white male bus

drivers from the large urban transit system in US, revealed significantly

greater rates of hypertension among bus drivers as compared to the

comparison groups.36 This has been supported by a study conducted in 1997,

where data from transit vehicle operators of Sanfrancisco Muncipal Railway

and control group were used to investigate the prevalence of hypertension,

which showed an increased prevalence of hypertension (28.9%) among the

drivers who are exposed to driving for more than 20 years as compared to

28.8% in a group with no exposure.37

Not many studies have been conducted in India in this context. An

Indian study conducted in 2005 at Miraj, Maharashtra, to know the health

profile of the state transport employees, it was seen that out of 30% morbidity

among the employees, hypertension and overweight were the most common

disease conditions.38

This pattern of morbidity was more related with the type, duration of

work, lack of physical exercise, unhealthy habits and obesity. There was also a

small increase in prevalence of hypertension among long distance bus

drivers.38





18

Another study conducted in 2004 at Thane, to know the health and

socio demographic profile of transport workers, observed that there is

increased prevalence of hypertension. It is associated with irregular working

hours, irregular eating habits, unhealthy habits like alcohol, smoking and

exposure to noise.31

A recent study in 2004 at Bangalore on BMTC bus drivers, revealed a

prevalence of hypertension of 16% among bus drivers aged 30 years and

above. A positive association was seen with sociodemographic determinants

like increasing age, family history and percapita income. Also various risk

factors like habit of tobacco chewing and increased body mass index were

significantly associated with hypertension.39

Hypertension as a risk factor for other diseases:

It is a known fact that hypertension is a major risk factor for coronary,

cerebrovascular, renal and peripheral vascular diseases. Higher the level of blood

pressure, more is the likelihood that various disorders will develop prematurely.

As per a WHO report (1998) in India alone, nearly 8 lakh people die of

ischaemic heart diseases and more than 6 lakh die from stroke, every year. According

to a study done by Eastern stroke and Coronary Heart disease research group in 1998,

blood pressure is an important determinant of stroke risk and population wide

reduction of 3 mmHg in diastolic blood pressure eventually reduce the number of

strokes by about a third.40

If left untreated, about 50% of hypertensive patients die of coronary heart

diseases or heart failure, about 33% of stroke and 10-15% of renal failure.15





19

Quantitative estimates indicate that the individuals with diastolic blood pressure of

105 mmHg and above have 10 times higher risk of stroke and 5 times higher risk of

coronary events as compared to those having diastolic blood pressure of 76 mmHg .15

Various studies have shown the increased risk of stroke with increase in systolic and

diastolic blood pressure. The National Health and Nutrition Examination Survey

(NHANES III) conducted between 1991 and 1994 showed that only 68% of patients

with hypertension knew that they had hypertension, only 55% were being treated and

only 27% of treated patients had good blood pressure control.28

Joint National committee (JNC VI) states that even isolated systolic

hypertension (ISH) is a powerful risk factor for cardiovascular disease. Treatment of

ISH and hypercholesterolemia in older people reduces the frequency of coronary

events.18

In 1998 the North Kerelia project in Finland studied the relationship of blood

pressure to 5 year risk of stroke and it was observed that the risk rates of systolic

blood pressure of 150 mmHg and above was 4.3 and of diastolic blood pressure of

atleast 90 mm Hg was 4.4.41

Data from Framingham study clearly indicates that the relative risk of

hypertension in males is 2 times for coronary heart disease. 3.8 times for stroke, 4

times for cardiac failure and 2 times for peripheral vascular disease. Similarly, 10

mmHg increase in systolic blood pressure is associated with 1.65 times higher risk of

developing end stage renal diseases.15

Studies conducted on drivers in 1991 at Newyork and Copenhagen had also

shown that hypertension was one of the risk factors for coronary heart diseases.8, 35





20

RISK FACTORS FOR HYPERTENSION

As hypertension is a major risk factor for many diseases, a number of risk

factors are responsible for elevation of blood pressure. Some of them being

modifiable by life style changes and some are not.1

a) Age – A positive relationship between age and blood pressure has been clearly

demonstrated by numerous epidemiological studies in most populations with

diverse geographical cultural and socioeconomic characteristics.42,43,44,45,46

According to third National Health and Nutrition Examination survey

(NHANES III), the prevalence and severity of hypertension increases with

age.46 There is a progressive rise in average systolic BP with advancing age,

where as diastolic BP increases with age at a slower rate than for systolic BP

and peaks during fifth to sixth decade and tends to remain flat or decline

thereafter.17 In the younger age groups, the distortion of blood pressure takes a

Gaussian shape and after the age of 20 years, it becomes more skewed towards

higher level, for each successive older age group. According to WHO report

(1983) it has also been noticed that the age related rise of blood pressure is

greater in those with high initial blood pressure.25

The Framingham study showed an average 20 mmHg systolic and 10

mmHg diastolic increase from age 30 to 65 years.47

However in some isolated populations (Eg. Yanamato Indians in

Brazil, Kenyan nomads), this age related rise in blood pressure is not evident.

This is especially true of populations with low salt intakes. It has also been

observed that unacculturated societies acquire a predisposition to age related





21

increase in blood pressure when they adopt a western life style indicating an

environmental influence.42

b) Ethnicity – Various population based studies have seen that the incidence of

hypertension among blacks is greater at every age beyond adolescence and

they have a higher proportion of more severe disease with high mortality rates

than whites at every level of income.15 It has also been reported that the black

Americans of African origin have higher blood pressure than black Africans,

suggesting the environmental augmentation of ethnic predisposition.42

c) Heridity and Genetic factors – Familial resemblance of blood pressure levels

among the first degree relatives has been found to be statistically significant in

a large number of studies.48 As per a report of WHO expert group,25 a family

history of elevated blood pressure is one of the strongest risk factor for future

development of hypertension in individuals.15

In a population based study in Jamaica, it was observed that there is a

familial resemblance of blood pressures scores in adults with a regression

coefficients approximates 0.2 to 0.3 for blood pressure of individuals against

blood pressure of their first order relatives (Parents and Siblings).48 Various

studies have shown that, adults tend to retain their blood pressure ‘rank’

relative to others and this phenomenon of tracking can be followed from early

childhood. In Tecumsch study, people in their forties with elevated blood

pressure, as a group, had higher blood pressure readings than normal at the

age of 7 years. While tracking is effective in predicting group experience, the

ability to predict adult levels of blood pressure in childhood is limited.15, 42





22

The role of genetic factors in the development of high blood pressure

has been gaining interest in the recent years and hypertension is and currently

regarded to be polygenic. Twin studies have confirmed the importance of

genetic factors in hypertension. It has been shown that blood pressure levels of

monozygotic twins are more strongly correlated that those of dizygotic

twins.25 In a study conducted in California to determine the concordance of

hypertension in adult male twins and to examine the environmental factors, it

was seen that, while genetic factors have an important bearing in influencing

hypertension, its progress and clinical course is likely to be largely modified

by various behavioral factors like weight gain, alcohol consumption and

physical activity.49

A large number of candidate genes are being studied, especially the

Angiotension II converting enzyme, angiotensin gene polymorphisms and

chreomogranin.50 Current attempts to develop DNA markers focus on the

‘candidate gene’ and a study conducted in 1998 to know the concept and

potential of gene therapy in cardiovascular disease, has also shown the role of

in-vivo gene transfer in improving vascular reactivity to endogenous

vasodilation and controlling hypertension.51

d) Socioeconomic status – As per the WHO report (1996) higher prevalence of

hypertension has been observed in lower socioeconomic groups in countries,

that are in post transistional stage of economic and epidemiological changes.

This inverse relationship has been noted with levels of education, income and

occupation. On the contrary high level of blood pressure and higher

prevalence of hypertension is seen in upper socioeconomic group in countries

that are in transitional or pretransistional phase.





23

However a population based study in south India in 1994 observed that

the prevalence of hypertension was higher among those in higher

socioeconomic group (22.5%) while it was low in lower socioeconomic

group (8%).52

e) Occupation - A WHO report (1983) shows that white collar occupational

group had the highest prevalence of hypertension of 29.5%, followed by

housewives 13.8% and farmers / labourers (13%). The difference was found to

be statistically significant (p<0.01).25

The prevalence of hypertension is also seen to be more in transport

personnel.36,37 In a Indian study conducted in Miraj in Maharashtra in 2005

revealed that hypertension was an important cause of morbidity among the

transport employees. This was more related to type of work, lack of physical

activity, unhealthy habits and obesity.38

f) Religion – In Indian study conducted in Chittur it was observed, that the

prevalence of hypertension was found to be highest among Christians (42.9%)

followed by Muslims (20.9%) and Hindus (15.7%), but the difference was not

found to be statistically significant (P>0.05). These findings may be possibly

influenced by very small number of Christians in the study.53

g) Marital Status – In one Indian study the prevalence was found to be more

among unmarried persons (33.3%) followed by 12.56% among married.

However another study at Pune did not find any significant difference between

the married and unmarried indicating that the hypertension was not associated

with marital status of the individual.54





24

h) Alcohol - The cause and effect relationship between regular alcohol

consumption and blood pressure elevation was first suggested in 1915 by Lian.

Since then sporadic reports linking alcohol and hypertension have continued to

appear suggesting a major contribution of alcohol to blood pressure elevation

in drinking communities.55

A review of about 30 cross sectional epidemiological studies revealed

a direct association of alcohol intake with blood pressure and an apparent

threshold at approximately three drinks (about 40gm ethanol) per day. It has

also been observed that significant lowering of systolic BP and diastolic BP by

3-5 mmHg was associated with reduction in alcohol intake to about 80%, i.e.

to a level of about 3 drinks per week.56 INTERSALT STUDY showed positive

independent relationship between alcohol and raised blood pressure.57 In a

Cohort study in US on nurses in 1990, it has been demonstrated that the

independent risk of hypertension was almost two times higher among those

consuming alcoholic drinks containing absolute alcohol equivalent of 35

grams or more per day.58

The question of mechanism of blood pressure raising effect of alcohol

is still unresolved. Possible mechanisms include sensitization of blood vessels

to presser substances like catecholamines and stimulation of sympathetic

nerve activity possibly due to fluctuating blood levels of adrenocorticoid

hormones.56

According to world hypertension league 1991, the pressor effect of

alcohol is probably linear throughout the entire range of alcohol consumption

but appear to increase in magnitude with the amount consumed daily

particularly in those drinking three or more standard drinks a day.55 It has also





25

been suggested by another study conducted in 1991, that this pressor effect of

alcohol is quite likely to be reversible if it is given up.59

i) Physical activity – In a study in UK in 1991 and a study in Germany in 1994,

an inverse association between physical activity and blood pressure has been

observed.60,61 This association has been seen to be independent of age, BMI

and cholesterol level.60 As per a report of WHO group sedentary

normotensives have 20% to 50% higher risk of developing hypertension than

those who are undertaking physical exercise regularly.62 Exercise lowers

systolic and diastolic BP by 5-10 mmHg. It has also been recommended that

dynamic isometric exercise viz walking is better than static isometric exercise

viz weight lifting.15 In one of the reviews it has been concluded that lower

intensity / higher frequency activity is probably as effective as or more

effective than higher intensity exercised and this finding was confirmed by a

subsequent trial in Japanese patients.63

A number of mechanisms have been suggested to link the association

of physical activity with the hypertension. These include effect on body

weight, insulin sensitivity, electrolyte balance, sympathetic nervous system,

fine effects on vascular structure and neural and baroreflex mechanisms.15

j) Body weight and obesity – Several epidemiological studies have correlated

excess body weight with levels of blood pressure. Obesity, whether expressed

as skinfold thickness, Body Mass Index (BMI) or waist to hip ratio (WHR) has

shown to be an independent risk factor for hypertension.

WHO has recommended Body Mass Index (BMI) as a useful measure

of obesity, BMI is calculated as weight (in Kg) divided by height (in meter)





26

squared. BMI values of 25 and more indicate overweight and 30 and above

indicate obesity among males.64 With this standard of BMI as recommended

by WHO, obesity seems to be a major problem.45

The WHO – MONICA Project data indicate that among males aged

35-64 years the median value of BMI was 25 and above in all the study areas

except Beizing.65

In most studies, overweight has been found to be associated with a 2 to

6 fold increase in the risk of developing hypertension and has been

recommended as the strongest predictor of hypertension.66

In an Indian study in Urban population of North India, it was observed

that the overall prevalence of obesity to be as high as 56.2% in males and

57.3% in females.67 A study conducted in south India in 1991 found that

38.11% of hypertensive studied were having a BMI of 25 and above.68

Various mechanisms have been suggested as explainations for

association between obesity and hypertension like dysregulation of endocrine

system, metabolism, alteration in the fluid volume distribution with

hemodynamic changes and cardiac morphological alterations.69 It has been

shown that weight loss successfully reduced the BP and that when weight loss

is added to antihypertensive regimen, BP was better controlled in those

patients who met their body mass index goal than those who did not (95% Vs

20%).70

During the recent years, increasing interest has been showed by

epidemiologists and clinicians in the utility of waist hip ratio (WHR) as a

simple indicator of hypertension, ischemic heart disease and diabetes mellitus.





27

In a study to know the relation between anthropometric indicators with

blood pressure levels in rural Wardha in 2006, it was seen that there was a

significant positive correlation of obesity indicators with both systolic and

diastolic blood pressure. For systolic BP, the correlation coefficient was 0.23

with BMI , 0.23 with waist circumference (WC), 0.11 with WHR and 0.22

with WHtR (Waist Height Ratio). For diastolic BP it was 0.13 with BMI, 0.12

with WC, 0.04 with WHR , and 0.11 with WHtR.71

It has been confirmed by WHO expert committee report that “central

obesity” as indicated by WHR has positive relationship with high blood

pressure 15. In a study in urban population in North India it was observed that

the prevalence of coronary artery disease, diabetes mellitus and hypertension

are significantly higher among individuals having a WHR of more than 0.88

as compared to those having WHR of less 0.81.67

In a hospital based study comparing the bodymass index and waist-to-

hip ratio as indicators of hypertension risk in an urban Argentine population

conducted in 2005, it was concluded that there was a increased prevalence of

overweight-obesity in the hypertensive group and that the WHR offers

additional information beyond BMI and WC to predict the hypertension risk.72

In the Framingham study it was noticed that approximately 1 mm rise

of systolic BP was attributed to every 900 gm of weight gain and central

obesity may account for 70% of hypertension in men and 61% in women.14

As per JNC V report, it was alleged that hypertension associated with

obesity is not as serious as that which occurs in a lean person.18 However a





28

study in Korean men and women have indicated that a strong association

between BMI and WHR exists for lean as well as obese subjects.73

k) Psychosocial Stress – The relationship between acute stress and blood

pressure along with numerous physiological and hormonal mediators have

stimulated many studies. According to an expert committee of WHO (1983), it

is quite possible that modification of psychosocial influences may be an

important approach in primary prevention of hypertension while the

association between psychosocial stress and hypertension need to be further

clarified.25

One of the most promising formulations of chronic stress concept has

been “Job strain” defined as work with high psychological demand and low

decision latitude. Similarly “suppression of anger” has been implicated as an

important factor in the development of hypertension.74 The relative importance

and exact role of various psychosocial stress factors like decision latitude,

personality type, suppression of anger and lack of social support etc is yet to

be established.66

As per a WHO report, various forms of acute mental stresses increases

blood pressure. However there is little evidence that long term stress has long

term effect.15 A review of 25 randomized control trials, it was seen that about

half of all trials showed significant reduction, but rest half of the trials, there

was little evidence of an overall blood pressure effect.46

In a critical review in Cornell University Ithaca, it was seen that city

bus operators suffer elevated health risks and striking levels of absenteeism

and medical disability that may be related to occupational stress.75





29

It is difficult to establish a firm relationship between role of continued

stress and hypertension, because of the difficulties involved in evaluating

degrees and various types of stress and therefore require further exploration in

large prospective studies.66

l) Dietary Salt intake - Experimental as well as observational studies have

shown that the intake of sodium chloride in excess physiological requirement

is associated with high blood pressure.15 Unfortunately there is no easy way to

measure salt intake accurately. Self assessment can be grossly misleading,

dietary questionnaires fail in case of sodium and duplicate diets are

cumbersome and expensive. Urinary sodium excretion is the best guide to

measure salt intake. 24 hour collection of urine are needed to measure salt

intake, since the day and night ratio of sodium excretion varies.14

Intersalt study gathered data on blood pressure and 24 hrs urinary

excretion of sodium and potassium excretion for subjects of both sex aged 20

to 59 years and observed that for every 10 mmol rise in a populations sodium

intake, there was an increase of 0.9 mmHg systolic and 0.45 mmHg diastolic

in the populations mean rise in blood pressure.

The mechanisms for the pressor effect include deficit in Na+ transport

across cell membrane, resulting in increase in concentration of Ca+ which may

increase the vascular wall tension and smooth muscle contract ability there by

increasing the blood pressure.14

In Dietary Intervention Study of Hypertension (DISH), it was

demonstrated that when salt intake was reduced to 40 mmol, 46% of the

patients with hypertension remained normotensive.70





30

However the results of National Health and Nutritional Examination

Survey (NHANES-1) did not support current recommendation for routine

reduction of sodium consumption, nor do they justify increased salt intake.76

Perhaps, the trials of hypertension Prevention (TOHP) phase I was the largest

trial in normotensive that achieved long term reduction in sodium intake,

through dietary consulting and significant blood pressure reduction was seen

in these trials.77

m) Tobacco use - Tobacco use, particularly smoking is a most important public

health hazard in the world today. The main reason for its ubiquity is the

addicting drug nicotine present in all forms of tobacco leaf, which is delivered

in various amounts by various methods of tobacco use and affects the blood

pressure probably through nicotine induced release of epincphrine from

adrenergic nerve endings.78

Tobacco has been used in various forms viz in the form of smoking,

chewing, snuffing etc. As per WHO report (1997) in India, 65% of all men

and 3% of women use some form of tobacco (about 35%, smoking , 22%

smokeless tobacco and 8% both) and 47% of men and 12% of women smoke

globally.79 A study comparing the effect of smokeless tobacco, cigarettes and

nicotine gum have reported that all tobacco use increase the heart rate and

blood pressure.80 However it has been found that no significant elevation of

diastolic B.P. is seen in young snuff users.81

Though effect of tobacco on coronary vascular disease has received

less attention than its effect on cancer, large epidemiological studies have

demonstrated that smoking multiples the risks of cardiovascular disease in the

presence of hypertension.15 It has been concluded that nicotine use, alcohol





31

consumption and a sedentary life style are frequently associated and these

adverse habits contribute to the genesis of hypertension.82

It has been found that smoking cesation reduces both systolic and

diastolic blood pressure for at least six hours.83 There are also evidences that

smoking reduces the efficacy of drugs in hypertensive patients. In a study

analyzing the role of smoking and stroke in 1998, it was observed that

treatment of hypertension is much less effective in hypertensive smokers than

hypertensive non smokers.84

Another study had also recorded incremental increase in heart rate and

blood pressure following tobacco chewing.85

It is interesting to note that though smoking as well as hypertension

are major independent risk factors for cardiovascular disease, smoking by

itself does not seem to be causally related in the genesis of hypertension as

shown in a report of WHO expert committee.15 The reasons of this lack of

association and role of tobacco smoking and smokeless tobacco in the

development of hypertension needs further research to elucidate, whether the

relation is causal or prognostic.15

n) Dietary factors:

Although, observational studies suggest the association of several

macronutrients (fat, fatty acids, carbohydrate, fibre and protein) with blood

pressure, as yet no causal relationship between hypertension has been

proved.15 In a study to know the ambulatory blood pressure and heart rate

response to vegetarian meals, it has been noted that vegetarians tend to have

lower blood pressure, which may be attributable to a lower glycemic index of





32

their diet.86 It has also been suggested that there is likelihood of having lower

blood pressure levels among vegetarians as compared to those having mixed

diet.87 One of the feature of vegetarian diet in the increased fibre content and

that increasing the plant fibre in diet lowers the BP by about 5mmHg in

hypertensives but not in normotensives.88 However one of the study based on

urban community in India in 2005 had pointed out the protective effect of non-

vegetarian diet, but the study participants were predominantly fish eaters and

consumed mustard oil which have protective fatty acids.45

The role of dietary fibre, vegetables, fruits and vitamins like vitamin E

and C is also receiving interest in determining certain chronic diseases like

ischemic heart disease and cancers, though their independent roles in

hypertension has not much been studied.83 The lipoproteins are fundamental to

the atherosclerotic process and pace of atherogenesis and helps to assess the

risk among hypertensives.14 Little if any effect is noted in multiple controlled

trials of varying the amount of total dietary fat or the ratio of polyunsaturated,

monounsaturated and saturated fatty acids in mild hypertensives.89

Little is known about the effect of proteins on the blood pressure.

However an inverse relationship between the blood pressure and protein intake

was observed in the INTERSALT study of over 2000 people from 12

countries, which has been supported by series of analysis from large

observational studies that higher vegetable protein intake might decrease the

blood pressure.90




Methodology

33

Fig No. 1: Map of Belgaum city showing study area

J.N.M.C

Depot 3

Depot 1 Depot 2




Methodology

34

METHODOLOGY

1. Study design:

The present study was a cross sectional study undertaken to study the

prevalence of hypertension and its association with certain risk factors/determinants

among Drivers and Conductors of NWKRTC in Belgaum division, Belgaum.

2. Place of study:

The study was conducted in three depots of NWKRTC in Belgaum city.

3. Duration of study:

The present cross sectional study was conducted for a period of one year from

1st January 2006 to 31st December 2006.

4. Sample size:

Since the prevalence of hypertension among NWKRTC Bus Drivers and

Conductors is not known, to calculate the sample size, the prevalence was presumed

to be 50% with 10% relative error of the prevalence. The sample size arrived at was

400 viz 400 drivers and 400 conductors (Out of 496 drivers and 508 conductors) by

using the formula.

n= 4 x pq

d2

Where n=sample size

p=% of Prevalence

q=(100-p) %

d=Error in the estimation of p




Methodology

35

All the drivers and conductors enrolled in 3 depots of NWKRTC were

numbered and 400 drivers and 400 conductors were selected at random by using 4

digits random number table.

5. Instruments used for data collection:

The instruments used in the study included the physical instruments and a

questionnaire.

a. Physical instruments:

The physical instruments used in this study included a mercury

sphygmomanometer, stethoscope, height stand measuring tape and weighing

machine. All these physical instruments and technique were initially standardized

during pilot study and were regularly standardized throughout the period of data

collection.

b. Questionnaire:

A detailed questionnaire was prepared and was pre tested and validated

during the pilot study. It consisted of three sections, section one included

information on socio-demographic variables, section two contained information

on risk factors for hypertension and Section. Section three was a record of the

result of the physical examination.

6. Measurement of study variables:

a) Age: Age was recorded to the nearest completed year.

b) Education: Study participants were asked about their highest educational standard




Methodology

36

i) Primary school education:

The person who had studied from first to seventh standard

ii) High school education:

The person who had studied from eighth to tenth standard

iii) PUC/Diploma:

The person who had completed PUC 2nd year (XIIth) examination or

completed Diploma after 10th Standard.

iv) Graduate:

The person who had completed Graduation in any dicipline.

c) Type of family:

i) Nuclear family:

The family consisting of married couple and their dependent children

ii) Three generation family:

It consists of three generations related to each other by direct descent living

together

iii) Joint Family:

It consists of number of married couples and their children who live in the

same household.




Methodology

37

d) Socio economic status:91,92

Social class B.G. Prasad’s classification 1961 (Per capita income in Rs per

month)

Modified B.G.Prasad classification in the study period

(Per capita income in Rs per month)

I 100 and above 2800 and above

II 50-99 1400-2799

III 30-49 840-1399

IV 15-29 420-839

V Below 15 Below 420

Modification was done with aid of multiplication factor which was obtained as below.

Multiplication Factor = Value of consumer price index X 4.93

100

= 569 X 4.93 = 28.05

100

28

As the study period was from 1st January 2006 to 31st December 2006, the

mean consumer price index for that period was taken.

e) Occupation:

Study participants were classified in to Drivers and Conductors according to

their working pattern.

f) Diet:

Study participants were classified in to vegetarian and mixed (Vegetarian +

Non-vegetarian) according to their food habits.




Methodology

38

g) Martial status:

Study participants were classified in to unmarried, married, divorced and

widower.

h) Tobacco smoking:

Study participants were questioned regarding their smoking habits

i) Non-smoker: Is defined as a person who has never smoked tobacco

or smoked <100 cigarettes/beedies in his life time.

ii) Ex-smoker: Is defined as a person who had smoked >100

cigarettes/beedies in his life time before one year and is not

smoking since last one year.

iii) Current smoker: Is defined as a person who has smoked >100

cigarettes/beedies and is currently smoking everyday or some day.

They were asked regarding the details of smoking habits like

number of cigarette or beedies and the duration of smoking.93

i) Smokeless Tobacco:

Study participants were questioned regarding their habits of using smokeless

tobacco like chewing tobacco, snuff inhalation, chewing ghutkha etc.

i) Non user: A person who had never used smokeless tobacco

ii) Ex user: A person who was using smokeless tobacco before one year

and is not using it at present.

iii) Current user: A person who is using smokeless tobacco at present.

They were asked about the total duration of tobacco use, in above

forms.




Methodology

39

j) Alcohol consumption:

Study participants were questioned regarding their habit of consuming alcohol.

i) Non alcoholic: A person had never consumed alcohol.

ii) Ex alcoholic: A person who used to consume alcohol before one

year and is not consuming alcohol at present.

iii) Current alcohol consumer: A person who is consuming alcohol at

present.

They were enquired in detail regarding their drinking habit, number

of times they consume alcoholic drinks in a week, quantity of

alcohol consumed on the day they drink and the duration of alcohol

consumption.

k) Physical activity:

Study participants were questioned regarding their physical activities during

leisure time. This included morning walk, jogging, evening games, cycling,

swimming etc. according to this they were classified in to 3 categories.

i) Non-Exerciser: A person who was not performing any of the

above activity.

ii) Ex-Exerciser: A person who was doing exercise one year back

and not doing at present.

iii) Current Exerciser: A person who is doing exercise at least 3

days in a week of at least 30-45 minutes duration at present.94




Methodology

40

l ) Assessment of Extra salt intake:

Assessment of extra salt intake was undertaken by asking the study

participants regarding regular use of those items in his diet, which contain high salt

content and are usually included in standard Indian diet like pickle, papad, sauce etc

and they were also asked whether he was adding additional table salt to his dishes.

Interpretation was made as “no extra salt” intake and “extra salt” intake accordingly.

m) Assessment of Extra Fat intake:

Assessment of extra fat intake was undertaken by asking the study participants

regarding regular use of those items in his diet which contains high fat content like

butter, cheese etc. Adding extra ghee, oil or butter to their dishes was also enquired.

Interpretation was made as “no extra fat” intake and “extra fat” intake accordingly.

n) Family history of hypertension:

For the purpose of assessing the family history, study participants were asked

whether a confirmed history of elevated blood pressure, among their mother/

father/brother/sister, is known to them. The information obtained was recorded as

family history of high BP “present” or “absent”. Those participants who were not

knowing it, were marked as Not Aware.

o) Personal history of hypertension:

For assessment of already known cases of hypertensive included in the study,

study participants were asked whether he had been diagnosed as having high blood

pressure earlier and if he was taking any treatment for hypertension.




Methodology

41

p) Assessment of psychosocial stress:

Assessment of psychosocial stress was based on the total duration of service in

the department, job satisfaction and prolonged mental stress due to personal and /or

family problems. Job satisfaction was categorized in three categories. Satisfied,

dissatisfied and neutral (no comments).

q) Weight:

Body weight of the participant was measured without any footwear and with

minimal clothing using a standard portable weighing machine and the scale was

zeroed before each session.

r) Height:

Height was measured without any footwear using a standard calibrated

stadiometer. The person stood straight and looking straight, with heels, buttocks and

back touching the vertical limb of the instrument. The horizontal movable limb was

then lowered until it touched the head firmly and the height was recorded.

s) Body Mass Index:

Body mass index was calculated using formula

B M I = Weight ( In Kg)

Height2 (in Meter)

Participants were classified as normal weight when BMI <25 and over weight

when BMI >25.1, 95




Methodology

42

t) Waist circumference:

It was measured on the unclothed abdomen, by asking the participant to stand

in erect posture and placing the tape horizontally around the waist at the mid point

between lower border of rib cage and the iliac crest.

u) Hip circumference:

It was measured with the participants standing erect both thigh and feet

touching to each other and the tape was placed horizontally at the level of greater

trochanters.

v) Waist Hip Ratio:

Waist Hip ratio was calculated by using the formula

Waist Hip ratio= Waist circumference

Hip circumference

Waist-hip-ratio <1 was considered normal while waist-hip-ratio >1 was

considered high.1, 95

w) Blood Pressure Measurement:

Blood pressure was measured indirectly using mercury sphygmomanometer

and the ausculatory method. The participant was first asked to sit quietly and

comfortably on a chair with back supported for about five minutes in a quiet room.

The arm muscles were relaxed and the forearm was comfortably supported on a table

with the cubital fossa at heart level. A standard adult size cuff of 13X30 cms was

applied evenly to the exposed right arm. The cuff was first inflated simultaneously

palpating the radial pulse. The reading was noted at which the radial pulse




Methodology

43

disappeared to palpation. The cuff was then deflated and the chest piece of

stethoscope was placed over the brachial artery, below the lower margin of the cuff.

The cuff was now rapidly inflated until the manometer reading was about 30 mm Hg

above the radial palpatory pressure and slowly deflated at a rate of 2 mm Hg per

second. The systolic blood pressure was determined by the first perception of

Korotkoff’s sound, while the diastolic blood pressure was determined when the sound

completely disappeared (Phase V). Two readings of systolic BP and diastolic BP were

taken and recorded at an interval of at least 3 minutes and the mean value for each is

calculated.15

x) Categorization of participants by blood pressure levels:15, 17

Participants will be classified in to normotensives and Hypertensives on the

basis of there blood pressure levels as per the latest definition criteria

Normotensives:

Systolic blood pressure<140 mm Hg

Diastolic blood pressure <90 mm Hg

Hypertensives:

Systolic blood pressure >140mm Hg

Diastolic blood pressure > 90 mm Hg

Participants who were known hypertensives also included in the study for

calculating prevalence of hypertension.

8) Statistical analysis:

Summary figures like rates were calculated. Chi square test was used to test

the association between hypertension and various risk factors.




Methodology

44

Fig No. 2: View of one of the Depots

Fig No. 3: Personal Interview of the study participant




Methodology

45

Fig No. 4: Measuring weight of the study participant

Fig No. 5: Measuring height of the study participant




Methodology

46

Fig No. 6: Measuring waist circumference of the study participant

Fig No. 7: Recording of blood pressure of the study participant




Results

47

RESULTS

Table 1. Distribution of study participants according to age

Drivers Conductors Age in Years

No. % No. %

20-29 30-39 40-49 >50

55 123 134 53

15.1 33.7 36.7 14.5

70 129 106 65

18.9 34.9 28.6 17.6

Total 365 100.0 370 100.0

0

5

10

15

20

25

30

35

40

% o

f Par

ticip

ants

20-29 30-39 40-49 >50

Age in Years

Graph 1. Distribution of study participants according to age

DriversConductors

In the present study, out of 365 drivers, 55 (15.1%) were in the age group of

20-29 years, 123 (33.7%) were in the age group of 30-39 years, 134 (36.7%) were in

the age group of 40-49 years and 53 (14.5%) were in the age group of >50 years.

Out of 370 conductors, 70 (18.9%) were in the age group of 20-29 years, 129

(34.9%) were in the age group of 30-39 years, 106 (28.6%) were in the age group of

40-49 years and 65 (17.6%) were in the age group of >50 years.

>50




Results

48

Table 2. Distribution of study participants according to education

Drivers Conductors Education

No. % No. %

Primary Secondary

PUC/ Diploma Graduate

139 148 59 19

38.1 40.5 16.2 5.2

7 180 126 57

1.9 48.6 34.1 15.4

Total 365 100.0 370 100.0

05

101520253035404550

% o

f Par

ticip

ants

Primary Secondary PUC/ Diploma Graduate

Education

Graph 2. Distribution of study participants according to education

DriversConductors

Out of 365 drivers, 139 (38.1%) had studied up to primary level, 148 (40.5%)

had studied up to secondary level, 59 (16.2%) had studied up to PUC/diploma level

and 19 (5.2%) had studied up to graduate level.

Out of 370 conductors, 7 (1.9%) had studied up to primary level, 180 (48.6%)

had studied up to secondary level, 126 (34.1%) had studied up to PUC/ diploma level

and 57 (15.4%) had studied up to graduate level.




Results

49

Table 3. Distribution of study participants according to religion

Drivers Conductors Religion

No. % No. %

Hindu Muslim

Christian

296 68 1

73.7 18.6 0.3

323 47 0

87.3 12.7

-

Total 365 100.0 370 100.0

0

10

20

30

40

50

60

70

80

90

% o

f Par

ticip

ants

Hindu Muslim Christian

Religion

Graph 3. Distribution of study participants according to religion

Drivers

Conductors

In this study, out of 365 drivers, 296 (73.7%) were Hindus, 68 (18.6%) were

Muslims and 1 (0.3%) were Christians.

Out of 370 conductors, 323 (87.3%) were Hindus and 47 (12.7%) were

Muslims.




Results

50

Table 4. Distribution of study participants according to socio-economic status

Drivers Conductors Socio-economic Status No. % No. %

Class I Class II Class III Class IV Class V

11 153 99 97 5

3.0 41.9 27.1 26.6 1.4

25 155 93 92 5

6.7 41.9 25.1 24.9 1.3

Total 365 100.0 370 100.0

0

5

10

15

20

25

30

35

40

45

% o

f Par

ticip

ants

Class - I Class - II Class - III Class - IV Class - V

Socio-economic Status

Graph 4. Distribution of study participants according to socio-economic status

Drivers

Conductors

Out of 365 drivers, 11 (3.0%) belonged to class I B.G. Prasad’s classification,

153 (41.9%) belonged to class II, 99 (27.1%) belonged to class III, 97 (26.6%)

belonged to class IV and 5 (1.4%) belonged to class V.

Out of 370 conductors, 25 (6.7%) belonged to class I, 155 (41.9%) belonged

to class II, 93 (25.1%) belonged to class III, 92 (24.9%) belonged to class IV and 5

(1.3%) belonged to class V.




Results

51

Table 5. Distribution of study participants according to marital status

Drivers Conductors Martial Status

No. % No. %

Unmarried Married

23 342

6.8 93.7

35 334

9.4 90.6

Total 365 100.0 370 100.0

Out of 365 drivers, 23 (6.8%) were unmarried and 342 (93.7%) were married.

Out of 370 conductors, 35 (9.4%) were unmarried and 334 (90.6%) were married.

Table 6. Distribution of study participants according to diet

Drivers Conductors Diet

No. % No. %

Vegetarian Mixed

45 320

12.3 87.7

79 291

21.4 78.6

Total 365 100.0 370 100.0

Out of 365 drivers, 45 (12.3%) were vegetarian and 320 (87.7%) were having

mixed diet.

Among conductors, 79 (21.4%) were vegetarian and 291 (78.6%) were having

mixed diet.




Results

52

Table 7. Distribution of study participants according to type of family

Drivers Conductors Type of Family

No. % No. %

Nuclear Joint

Three Generation

335 23 7

91.8 6.3 1.9

350 14 6

94.6 3.8 1.6

Total 365 100.0 370 100.0

Out of 365 drivers, 335 (91.8%) belonged to nuclear family, 23 (6.3%) joint

family and 7 (1.9%) three generation family.

Out of 370 conductors, 350 (94.6%) nuclear family, 14 (3.8%) joint family

and 6 (1.6%) three generation family.

Table 8. Distribution of study participants according to family history of

hypertension

Drivers Conductors Family history of hypertension No. % No. %

Present Absent

Not aware

46 300 19

12.6 82.2 5.2

42 312 16

11.3 84.3 4.4

Total 365 100.0 370 100.0

Out of 365 drivers, 46 (12.6%) were having family history of hypertension,

300 (82.2%) were not having family history of hypertension and 19 (5.2%) were not

aware about it. Among conductors, 42 (11.3%) were having family history of

hypertension, 312 (84.3%) were not having family history of hypertension and 16

(4.4%) were not aware about it.




Results

53

Table 9. Distribution of study participants according to physical exercise

Drivers Conductors Status of Physical Exercise No. % No. %

Non-exerciser Exerciser

Ex-Exerciser

331 14 20

90.7 3.8 5.5

340 14 16

91.9 3.8 4.3

Total 365 100.0 370 100.0

Out of 365 drivers, 331 (90.7%) were not doing exercise, 14 (3.8%) were

doing exercise and 20 (5.5%) were ex-exerciser.

Among 370 conductors, 340 (91.9%) were not doing exercise, 14 (3.8%) were

doing exercise and 16 (4.3%) were ex-exerciser.

Table 10. Distribution of study participants according to duration of service

Drivers Conductors Duration of Service (In Years) No. % No. %

1-10 11-20 21-30 >30

177 116 65 7

48.5 31.8 17.8 1.9

167 107 85 11

45.1 28.9 23.0 3.0

Total 365 100.0 370 100.0

Out of 365 drivers, 177 (48.5%) were having their duration of service between

1-10 years, 116 (31.8%) were having duration of service between 11-20 years, 65

(17.8%) were having duration of service between 21 to 30 years and 7 (1.9%) were

having duration of service >30 years.

Out of 370 conductors, 167 (45.1%) were having their duration of service

between 1-10 years, 107 (28.9%) were having it between 11-20 years, 85 (23%) were

having it between 21-30 years and 11 (3%) were having duration of service >30 years.




Results

54

Table 11. Distribution of study participants according to job satisfaction

Drivers Conductors Job Satisfaction

No. % No. %

Dissatisfied Satisfied Neutral

14 313 38

3.8 85.8 10.4

9 327 34

2.4 88.4 9.2

Total 365 100.0 370 100.0

Out of 365 drivers, 14 (3.8%) were not satisfied with their job, 313 (85.8%)

were satisfied with their job and 38 (10.4%) were neutral on this issue.

Among 370 conductors 9 (2.4%) were not satisfied with their job, 327 (88.4%)

were satisfied with their job and 34 (9.2%) remained neutral.

Table 12. Distribution of study participants according to dietary extra salt intake

Drivers Conductors Dietary extra salt intake No. % No. %

No Yes

290 75

79.5 20.5

319 51

86.2 13.8

Total 365 100.0 370 100.0

Out of 365 drivers, 290 (79.5%) were not taking extra salt in their diet and 75

(20.5%) were taking extra salt in there diet.

Out of 370 conductors, 319 (86.2%) were not taking extra salt in their diet and

51 (13.8%) were taking extra salt in their diet.




Results

55

Table 13. Distribution of study participants according to dietary extra fat intake

Drivers Conductors Dietary extra fat intake No. % No. %

No Yes

288 77

78.9 21.1

313 57

84.6 15.4

Total 365 100.0 370 100.0

Out of 365 drivers, 288 (78.9%) were not taking extra fat in there diet and 77

(21.1%) were taking extra fat in there diet.

Among 370 conductors, 313 (84.6%) were not taking extra fat in there diet

and 57 (15.4%) were taking extra fat in there diet.

Table 14(A). Distribution of study participants according to smoking history

Drivers Conductors Smoking Status

No. % No. %

Non-smokers Smokers

Ex-smokers

247 91 27

67.7 24.9 7.4

278 76 16

75.1 20.6 4.3

Total 365 100.0 370 100.0

Out of 365 drivers, 247 (67.7%) were non-smokers, 91 (24.9%) were smokers

and 27 (7.4%) were ex-smokers.

Among 370 conductors, 278 (75.1%) were non-smokers, 76 (20.6%) were

smokers and 16 (4.3%) were ex-smokers.




Results

56

Table 14(B). Distribution of smokers according to number of cigarettes/ beedies

smoked per day

Drivers Conductors No. of cigarettes/ beedies per day No. % No. %

1 – 10 11 – 20

>20

73 11 7

80.2 12.1 7.7

66 9 1

86.8 11.9 1.3

Total 91 100.0 76 100.0

Out of 91 drivers who were smoking currently, 73 (80.2%) were smoking 1-10

cigarettes/beedies per day, 11 (12.1%) were smoking 11-20 cigarettes/beedies per day

and 7 (7.7%) were smoking >20 cigarettes/beedies per day.

Out of 76 conductors who were smoking currently, 66 (86.8%) were smoking

1-10 cigarettes/beedies per day, 9 (11.9%) were smoking 11-20 cigarettes/beedies per

day and 1 (1.3%) were smoking >20 cigarettes /beedies per day.

Table 14(C). Distribution of smokers according to duration of smoking

Drivers Conductors Duration of Smoking (in years) No. % No. %

Up to 5 6 – 10 >10

21 25 45

23.1 27.5 49.4

26 24 26

34.2 31.6 34.2

Total 91 100.0 76 100.0

Out of 91 drivers who were smoking, 21 (23.1%) were smoking for upto

5 years, 25 (27.5%) were smoking between 6-10 years and 45 (49.4%) were smoking

for more than 10 years.

Among 76 conductors who were smoking, 26 (34.2%) were smoking for less

than 5 years, 24 (31.6%) were smoking between 6-10 years and 26 (34.2%) were

smoking for more than 10 years.




Results

57

Table 15(A). Distribution of study participants according to use of smokeless

tobacco

Drivers Conductors Use of smokeless tobacco No. % No. %

Non-users Users

Ex-users

219 142

4

60.0 38.9 1.1

246 115 9

66.5 31.1 2.4

Total 365 100.0 370 100.0

Out of 365 drivers, 219 (60%) were not using smokeless tobacco, 142 (38.9%)

were using smokeless tobacco and 4 (1.1%) were ex-users.

Out of 370 conductors, 246 (66.5%) were not using smokeless tobacco, 115

(31.1%) were using it and 9 (2.4%) were ex-users.

Table 15(B). Distribution of smokeless tobacco users according to duration

Drivers Conductors Duration (in years)

No. % No. %

Up to 5 6 – 10 >10

51 55 36

35.9 38.7 25.4

34 46 35

29.6 40.0 30.4

Total 142 100.0 115 100.0

Out of 142 drivers, who were using smokeless tobacco, 51 (35.9%) were using

it for upto 5 years, 55 (38.7%) were using it between 6-10 years and 36 (25.4%) were

using it for more than 10 years.

Among 115 conductors who were using smokeless tobacco, 34 (29.6%) were

using it for less than 5 years, 46 (40%) were using it between 6-10 years and 35

(30.4%) were using it for more than 10 years.




Results

58

Table 16(A). Distribution of study participants according to alcohol consumption

Drivers Conductors Alcohol use

No. % No. %

Non-users Users

Ex-users

212 128 25

58.1 35.1 6.8

228 121 21

61.6 32.7 5.7

Total 365 100.0 370 100.0

Out of 365 drivers, 212 (58.1%) were not consuming alcohol, 128 (35.1%)

were consuming alcohol and 25 (6.8%) were ex-consumer.

Out of 370 conductors, 228 (61.6%) were not consuming alcohol, 121 (32.7%)

were consuming alcohol and 21 (5.7%) were ex-consumer.

Table 16(B). Distribution of study participants who were consuming alcohol in a

week according to quantity

Drivers Conductors Quantity (in ml)

No. % No. %

Up to 90 91 – 360

>360

70 38 20

54.7 29.7 15.6

59 45 17

48.8 37.2 14.0

Total 128 100.0 121 100.0

Out of 128 drivers who were consuming alcohol, 70 (54.7%) were consuming

it up to 90 ml per week, 38 (29.7%) were consuming it between 91.360 ml per week

and 20 (15.6%) were consuming it more than 360 ml per week.

Out of 121 conductors, who were consuming alcohol, 59 (48.8%) were

consuming it up to 90 ml per week, 45 (37.2%) were consuming it between 91-360ml

per week and 17 (14%) were consuming it more than 360 ml per week.




Results

59

Table 16(C). Distribution of study participants who were consuming alcohol

according to duration

Drivers Conductors Duration (in years)

No. % No. %

Up to 5 6 – 10 >10

38 47 43

29.7 36.7 33.6

31 51 39

25.6 42.2 32.2

Total 128 100.0 121 100.0

Out of 128 drivers who were consuming alcohol, 38 (29.7%) were consuming

alcohol for past 5 years, 47 (36.7%) were consuming it for the past 6-10 years and 43

(33.6%) were consuming it for more than 10 years.

Among 121 conductors who were consuming alcohol, 31 (25.6%) were

consuming alcohol for past 5 years, 51 (42.2%) were consuming it for the past 6-10

years and 39 (32.2%) were consuming it for more than 10 years.

Table 17. Distribution of study participants according to weight (BMI)

Drivers Conductors Status

No. % No. %

Normal weight (BMI<25) 207 56.7 266 71.9

Overweight (BMI>25) 158 43.3 104 28.1

Total 365 100.0 370 100.0

Out of 365 drivers, 158 (43.3%) were overweight i.e., their body mass index

was equal to or more than 25 and 207 (56.7%) were having normal weight i.e. their

BMI is less than 25.

Among 370 conductors, 104 (28.1%) were overweight i.e. their BMI was

equal to or more than 25 and 266 (71.9%) were having normal weight i.e. their BMI is

less than 25.




Results

60

Table 18. Distribution of study participants according to waist hip ratio

Drivers Conductors Waist Hip Ratio

No. % No. %

<1 288 78.9 318 85.9

>1 77 21.1 52 14.1

Total 365 100.0 370 100.0

Out of 365 drivers, 77 (21.1%) were having their waist-hip-ratio more than 1

and 288 (78.9%) were having there waist-hip-ratio equal to or less than 1.

Among 370 conductors, 52 (14.1%) were having their waist-hip-ratio more

than 1 and 318 (85.9%) were having waist-hip-ratio equal to or less than 1.




Results

61

Table 19. Prevalence of hypertension in drivers and conductors

Hypertension Occupation Total Numbers

No. %

Drivers 365 87 23.8

Conductors 370 55 14.8

Graph 5. Prevalence of hypertension in Drivers and Conductors

365

87

Total Hypertensives370

55

Total Hypertensives

Out of 365 drivers, 87 (23.8%) were having hypertension and out of 370

conductors and 55 (14.8%) were having hypertension.

Drivers Conductors (23.8%) (14.8%)




Results

62

Table 20. Distribution of study participants (hypertensives) according to past

history of hypertension

Drivers Conductors Past history of Hypertension No. % No. %

Present Absent

26 61

29.9 70.1

22 33

40.0 60.0

Total 87 100.0 55 100.0

Out of 87 drivers who are hypertensive, 26 (29.9%) were having past history

of hypertension and were taking medications and 61 (70.1%) were not having past

history of hypertension.

Among 55 conductors who are hypertensive, 22 (40%) were having past

history of hypertension and 33 (60%) were not having past history of hypertension.

Table 21. A) Distribution of hypertensives according to the level of blood pressure

Drivers Conductors Category

No. % No. %

I] Mild hypertension: (SBP 140-180 mmHg or DBP 90-105 mmHg) Sub-group: i) Borderline (SBP 140-160 mmHg or DBP 90-95 mmHg) ii) Higher than borderline (SBP >160-180 mmHg or DBP >95-105 mmHg)

52

22

30

59.8

25.3

34.5

38

18

20

69.1

32.7

36.4

II] Moderate and severe hypertension (SBP >180 mmHg or DBP >105 mmHg)

6 6.9 6 10.9

III] Isolated systolic hypertension (SBP >140 mmHg and DBP <90 mmHg)

19 21.8 7 12.7

Total 77 88.5 51 92.7

B] Hypertensives with normal blood pressure because of regular treatment

10 11.5 4 7.3

Total 87 100 55 100




Results

63

Out of 87 drivers who are hypertensive, 52 (59.8%) were having mild

hypertension, of that 22 (25.3%) were in borderline group and 30 (34.5%) were in

higher than borderline group, 6 (6.9%) were having moderate and severe

hypertension, 19 (21.8%) were having isolated systolic hypertension and 10 (11.5%)

were having normal blood pressure because of regular treatment.

Out of 55 conductors who were hypertensive, 38 (69.1%) were having mild

hypertension, out of that 18 (32.7%) were in borderline group and 20 (36.4%) were in

higher than borderline group, 6 (10.9%) were having moderate and severe

hypertension, 7 (12.7%) were having isolated systolic hypertension and 4 (7.3%) were

having normal blood pressure because of regular treatment.




Results

64

Table 22. Association between Hypertension and Age

Drivers Conductors

Hypertensives Hypertensives

Age Group (in years)

Total No. No. %

Total No. No. %

20-29 30-39 40-49 >50

55 123 134 53

0 17 41 29

0 13.8 30.5 54.7

70 129 106 65

0 11 19 25

0 8.5

17.9 38.6

Total 365 87 23.8 370 55 14.8

2 = 51.224; df = 2; p<0.000 2 = 43.092; df=2; p<0.000

0

10

20

30

40

50

60

% o

f Par

ticip

ants

20-29 30-39 40-49 >50

Age in Years

Graph 6. Association between Hypertension and age

DriversConductors

In the present study, hypertension was not found in both drivers and

conductors below 30 years of age.

In drivers, hypertension was found in 17 (13.8%) participants between 30-39

years, 41 (30.5%) participants between 40-49 years and 29 (54.7%) participants in 50

years or more.

In conductors, hypertension was found in 11 (8.5%) participants between 30-

39 years, 19 (17.9%) participants between 40-49 years and 25 (38.6%) participants in

50 years or more.

>50




Results

65

Thus an upward trend was observed with increase in age in both the drivers

and conductors and the association was statistically significant in both the drivers and

conductors.

Table 23. Association between Hypertension and socio-economic status

Drivers Conductors


S.E. Status

Total No. No. %

Total No. No. %

Class I Class II Class III Class IV Class V

11 153 99 97 5

5 56 21 5 0

45.5 36.6 21.2 5.1 0

25 155 93 92 5

7 37 8 3 0

28.0 23.8 8.6 3.2 0

Total 365 87 23.8 370 55 14.8

2=37.083; df=3; p<0.000 2=26.847; df=3; p<0.000

05

101520253035404550

% o

f Par

ticip

ants

Class - I Class - II Class - III Class - IV Class - V

S.E. Status

Graph 7. Association between Hypertension and socio-economic status

DriversConductors

In the present study, hypertension was found in 5 (45.5%) drivers in class I of

modified B.G. Prasad classification, 56 (36.6%) drivers in class II, 21 (21.2%) in class




Results

66

III, 5 (5.1%) in class IV and no one was hypertensive in class V. The results were

statistically significant.

Among conductors, hypertension was found in7 (28%) participants in class I,

37 (23.8%) in class II, 8 (8.6%) in class III, 3 (3.2%) in class IV and no one was

hypertensive in class V. The results were statistically significant.

Table 24. Association between Hypertension and educational status

Drivers Conductors


Educational Status

Total No. No. %

Total No. No. %

Primary Secondary

PUC/ Diploma Graduate

139 148 59 19

56 23 08 00

40.3 15.5 13.5

0

7 180 126 57

0 32 15 8

0 17.8 11.9 14.0

Total 365 87 23.8 370 55 14.8

2=34.256; df=2; p<0.000 2=1.650; df=2; p=0.438

In the present study, hypertension was found in 56 (40.3%) drivers who had

studied up to primary level, 23 (15.5%) drivers who had studied up to secondary

level, 8 (13.5%) drivers who had studied up to PUC/ diploma level and no one was

hypertensive who had studied till graduate level. The results were statistically

significant.

Among conductors, no one was hypertensive who had studied up to primary

level, 32 (17.8%) were hypertensive who had studied up to secondary level, 15

(11.9%) were hypertensive who had studied up to PUC/diploma level, 8 (14%) were

hypertensive who had studied up to graduate level. The results were statistically not

significant.




Results

67

Table 25. Association between Hypertension and religion

Drivers Conductors


Religion

Total No. No. %

Total No. No. %

Hindus Muslims

Christians

296 68 1

64 22 1

21.6 32.3

100.0

323 47 0

47 8 0

14.5 17.0 0.0

Total 365 87 23.8 370 55 14.8

2=4.228; df=1; p=0.040 2=0.106; df=1; p=0.744

In the present study, among drivers, out of 296 Hindus, 64 (21.6%) were

hypertensives, out of 68 Muslims and 22 (32.3%) were hypertensives. The results

were statistically significant.

Among conductors, out of 323 Hindus, 47 (14.5%) were hypertensives, out of

47 Muslims and 8 (17%) were hypertensives. The results were not statistically

significant.

Table 26. Association between Hypertension and diet

Drivers Conductors


Diet

Total No. No. %

Total No. No. %

Vegetarian Mixed

45 320

6 81

13.3 25.3

79 291

10 45

12.6 15.5

Total 365 87 23.8 370 55 14.8

2=3.118; df=1; p=0.077 2=0.386; df=1; p=0.534

In the present study, among drivers, out of 45 vegetarian, 6 (13.3%) were

hypertensives. Out of 320 participants who had mixed diet and 81 (25.3%) were

hypertensives. The results were not statistically significant.

Among conductors, out of 79 vegetarian 10 (12.6%) were hypertensives, out

of 291 participants who had mixed diet and 45 (15.5%) were hypertensives. The

results were not statistically significant.




Results

68

Table 27. Association between Hypertension and family history of hypertension

Drivers Conductors


Family history of Hypertension Total

No. No. %

Total No. No. %

Present Absent

Not aware

46 300 19

16 68 3

34.8 22.7 15.8

42 312 16

14 38 3

33.3 12.2 18.7

Total 365 87 23.8 370 55 14.8

2=3.940; df=2; p=0.139 2=13.289; df=2; p<0.000

Among drivers, 16 (34.8%) were hypertensives who gave family history of

hypertension, 68 (22.7%) were hypertensives who did not give family history of

hypertension and 3 (15.8%) were hypertensives who were not aware of the status. The


Among conductor, 14 (33.3%) were hypertensives who gave family history of

hypertension, 38 (12.2%) were hypertesives who did not give family history of

hypertension and 3 (18.7%) were hypertensives who were not aware of the status. The

results were statistically significant.




Results

69

Table 28. Association between Hypertension and type of family

Drivers Conductors


Type of Family

Total No. No. %

Total No. No. %

Nuclear Joint

Three generation

335 23 7

82 4 1

24.4 17.4 14.3

350 14 6

53 2 0

15.1 14.3

0

Total 365 87 23.8 370 55 14.8

2=0.954; df=2; p=0.621 2=0.395; df=1; p=0.529 In the present study, among drivers, 82 (24.4%) were hypertensives, who

belonged to nuclear family, 4 (17.4%) were hypertensives who belonged to joint

family and 1 (14.3%) were hypertensives who belonged to three generation family.

The results were not statistically significant.

Among conductors, 53 (15.1%) were hypertensives who belonged to nuclear

family and 2 (14.3%) were hypertensives who belonged to joint family and no one

was hypertensive in three generation family. The results were not statistically

significant.

Table 29. Association between Hypertension and physical exercise

Drivers Conductors


Status

Total No. No. %

Total No. No. %

Exerciser Non-exerciser Ex-Exerciser

14 331 20

2 82 3

14.3 24.8 15.0

14 340 16

1 52 2

7.1 15.3 12.5

Total 365 87 23.8 370 55 14.8

2=1.721; df=1; p=0.190 2=0.611; df=1; p=0.435 Among drivers, 2 (14.3%) were hypertensives who were exerciser, 82 (24.8%)

were hypertensives who were non-exerciser and 3 (15%) were hypertensives who

were ex-exerciser. The results were not statistically significant.




Results

70

Among conductors, 1 (7.1%) was hypertensive who were exercising, 52

(15.3%) were hypertensives who were non-exerciser and 2 (12.5%) were

hypertensives who were ex-exerciser. The results were not statistically significant.

Table 30. Association between Hypertension and duration of service

Drivers Conductors


Duration of service (in years) Total

No. No. %

Total No. No. %

1 – 10 11 – 20 21 – 30

>30

177 116 65 7

13 38 31 5

7.3 32.7 47.7 71.4

167 107 85 11

7 17 27 4

4.2 15.9 31.8 36.3

Total 365 87 23.8 370 55 14.8

2=60.714; df=3; p<0.000 2=38.322; df=3; p<0.000

0

10

20

30

40

50

60

70

80

% o

f Par

ticip

ants

1 - 10 11 - 20 21 - 30 >30

Duration of Service

Graph 8. Association between Hypertension and duration of service

DriversConductors

In the present study, among drivers, 13 (7.3%) were hypertensives who were

working between 1 to 10 years, 38 (32.7%) were hypertensives who were working

between 11 to 20 years, 31 (47.7%) were hypertensives who were working between




Results

71

21 to 30 years and 5 (71.4%) were hypertensives who were working more than 30

years.

Among conductors, 7 (4.2%) were hypertensives who were working between

1-10 years, 17 (15.9%) were hypertensives who were working between 11-20 years,

27 (31.8%) hypertensives who were working between 21-30 years and 4 (36.3%)

were hypertensives who were working more than 30 years.

As the duration of service increased, the prevalence of hypertension also

increased in both drivers and conductors. The results were statistically significant in

both drivers and conductors.




Results

72

Table 31. Association between Hypertension and job satisfaction

Drivers Conductors


Job satisfaction

Total No. No. %

Total No. No. %

Satisfied Dissatisfied

Neutral

313 14 38

51 8 28

16.3 57.1 73.7

327 9

34

38 3

14

11.6 33.3 41.2

Total 365 87 23.8 370 55 14.8

2=70.374; df=2; p<0.000 2=40.018; df=2; p<0.000

0

10

20

30

40

50

60

70

80

% o

f Par

ticip

ants

Satisfied Dissatisfied Neutral

Job Satisfaction

Graph 9. Association between Hypertension and Job satisfaction

DriversConductors

Among drivers, 51 (16.3%) were hypertensives who were satisfied with their

job, 8 (57.1%) were hypertensives who were dissatisfied with their job and 28

(73.7%) were hypertensives who were neutral on this topic. The results were


Among conductors, 38 (11.6%) were hypertensives who were satisfied with

their job, 3 (33.3%) were hypertensives who were dis-satisfied with their job and 14




Results

73

(41.2%) were hypertensives who were neutral on this topic. The results were


Table 32. Association between Hypertension and Extra salt intake

Drivers Conductors


Dietary extra salt intake Total

No. No. %

Total No. No. %

No Yes

290 75

34 53

11.7 70.7

319 51

20 35

6.3 68.6

Total 365 87 23.8 370 55 14.8

2=114.037; df=1; p<0.000 2=135.105; df=1; p<0.000

0

10

20

30

40

50

60

70

80

% o

f Par

ticip

ants

No Yes

Graph 10. Association between Hypertension and extra salt intake

DriversConductors

In the present study, among drivers, 34 (11.7%) were hypertensive who were

not taking extra salt in their diet and 53 (70.7%) were hypertensive who were taking

extra salt in their diet. The results were statistically significant.




Results

74

Among conductors, 20 (6.3%) were hypertensive who were not taking extra

salt in their diet and 35 (68.6%) were hypertensive who were taking extra salt in their

diet. The results were statistically significant.

Table 33. Association between Hypertension and Extra fat intake

Drivers Conductors


Dietary extra fat intake Total

No. No. %

Total No. No. %

No Yes

288 77

58 29

20.1 37.6

313 57

42 13

13.4 22.8

Total 365 87 23.8 370 55 14.8

2=10.277; df=1; p=0.001 2=3.358; df=1; p=0.067

In the present study, among drivers, 58 (20.1%) were hypertensive who were

not taking extra fat in their diet and 29 (37.6%) were hypertensive who were taking

extra fat in their diet. The results were statistically significant.

Among conductors, 42 (13.4%) were hypertensive who were not taking extra

fat in their diet and 13 (22.8%) were hypertensive who were taking extra fat in their

diet. The results were not statistically significant.




Results

75

Table 34. Association between Hypertension and overweight

Drivers Conductors


Status

Total No. No. %

Total No. No. %

Normal weight (BMI<25) Overweight (BMI >25)

207 158

7 80

3.4 50.6

266 104

15 40

5.6 38.4

Total 365 87 23.8 370 55 14.8

2=110.200; df=1; p<0.000 2=63.648; df=1; p<0.000

0

10

20

30

40

50

60

% o

f Par

ticip

ants

Normal weight (BMI<25) Overweight *BMI >25)

Hypertensives

Graph 11. Association between Hypertension and Overweight

DriversConductors

Among drivers, 7 (3.4%) were hypertensives who were having normal weight

i.e., BMI less than 25 and 80 (50.6%) were hypertensives who were overweight i.e.

BMI equal to or more than 25. The results were statistically significant.

Among conductors, 15 (5.6%) were hypertensives who were having normal

weight i.e. BMI less than 25 and 40 (38.4%) were hypertensives who were overweight

i.e. BMI equal to or more than 25. The results were statistically significant.

(BMI > 25)




Results

76

Table 35. Association between Hypertension and Waist hip ratio

Drivers Conductors


Waist Hip Ratio

Total No. No. %

Total No. No. %

<1 >1

288 77

28 59

9.7 76.6

318 52

25 30

7.8 57.6

Total 365 87 23.8 370 55 14.8

2=149.789; df=1; p<0.000 2=87.690; df=1; p<0.000

0

10

20

30

40

50

60

70

80

% o

f Par

ticip

ants

<1 >1

Hypertensives

Graph 12. Association between Hypertension and waist hip ratio

DriversConductors

In the present study, among drivers, 28 (9.7%) were hypertensives whose

waist hip ratio was equal to or less than 1 and 59 (76.6%) were hypertensives whose

waist hip ratio was more than 1. The results were statistically significant.

Among conductors, 25 (7.8%) were hypertensives whose waist hip ratio was

equal to or less than 1 and 30 (57.6%) were hypertensives whose waist hip ratio was

more than 1. The results were statistically significant.

WHR < 1 WHR > 1




Results

77

Table 36(A). Association between Hypertension and Tobacco Smoking

Drivers Conductors


Smoking Status

Total No. No. %

Total No. No. %

Non-smokers Smokers

Ex-smokers

247 91 27

35 36 16

14.2 39.5 59.3

278 76 16

28 23 4

10.0 30.2 25.0

Total 365 87 23.8 370 55 14.8

2=43.768; df=2; p<0.000 2=20.584; df=2; p<0.000

0

10

20

30

40

50

60

% o

f Par

ticip

ants

Non-smokers Smokers Ex-smokers

Smoking Status

Graph 13. Association between Hypertension and Tobacco smoking

DriversConductors

Among drivers, 35 (14.2%) were hypertensives who were non-smokers, 36

(39.5%) were hypertensives who were smokers and 16 (59.3%) were hypertensives

who were ex-smokers. The results were statistically significant.

Among conductors, 28 (10%) were hypertensives who were non-smokers, 23

(30.2%) were hypertensives who were smokers and 4 (25%) were hypertensives who

were ex-smokers. The results were statistically significant.




Results

78

Table 36(B). Association between Hypertension and number of cigarettes/

beedies smoked per day

Drivers Conductors


No. of cigarettes/ beedies per day Total

No. No. %

Total No. No. %

1 – 10 11 – 20

> 20

73 11 7

26 6 4

35.6 54.5 57.1

66 9 1

16 6 1

24.2 66.6 100

Total 91 36 39.5 76 23 30.2

2=2.401; df=1; p=0.121 2=8.165; df=1; p=0.003

Among drivers, 26 (35.6%) were hypertensives who were smoking 1-10

cigarettes/beedies per day, 6 (54.5%) were hypertensives who were smoking 11-20

cigarettes/beedies per day and 4 (57.1%) were hypertensives who were smoking more

than 20 cigarettes/beedies per day. The results were statistically significant.

Among conductors, 16 (24.2%) were hypertensives who were smoking 1-10

cigarettes/beedies per day, 6 (66.6%) were hypertensives who were smoking 11-20

cigarettes/beedies per day and 1 (100%) was hypertensive who was smoking more

than 20 cigarettes/beedies per day. The results were statistically significant.

Table 36(C). Association between Hypertension and duration of smoking

Drivers Conductors


Duration of smoking (in years) Total

No. No. %

Total No. No. %

Up to 5 6 – 10 >10

21 25 45

3 7

26

14.3 28.0 57.8

26 24 26

3 6 14

11.5 25.0 53.8

Total 91 36 39.5 76 23 30.2

2=13.254; df=2; p=0.001 2=11.488; df=2; p=0.003




Results

79


smoking up to 5 years, 7 (28%) were hypertensives who were smoking between 6-10

years and 26 (57.8%) were hypertensive who were smoking for more than 10 years.

Among conductors, 3 (11.5%) were hypertensives who were smoking up to 5

years, 6 (25%) were hypertensives who were smoking between 6-10 years and 14

(53.8%) were hypertensives who were smoking for more than 10 years.

As the duration of smoking increased, the prevalence of hypertension also

increased in both drivers and conductors. The results were statistically significant in

both drivers and conductors.

Table 37(A). Association between Hypertension and use of smokeless tobacco

Drivers Conductors


Use of smokeless tobacco

Total No. No. %

Total No. No. %

Users Non-users Ex-users

142 219 4

30 57 0

20.5 26.0

0

115 246

0

17 33 5

14.8 13.4 55.5

Total 365 87 23.8 370 55 14.8

2=0.939; df=1; p=0.332 2=12.184; df=2; p=0.002


using smokeless tobacco and 57 (26%) were hypertensives who were not using it and

no one was hypertensive in ex-users. The results were not statistically significant.

Among conductors, 17 (14.8%) were hypertensives who were using smokeless

tobacco, 33 (13.4%) were hypertensives who were not using it and 5 (55.5%) were

hypertensives who were ex-users. The results were statistically significant.




Results

80

Table 37(B). Association between Hypertension and duration of use of smokeless

tobacco

Drivers Conductors


Duration (in years)

Total No. No. %

Total No. No. %

Up to 5 6 – 10 >10

51 55 36

5 6

19

9.8 10.9 52.8

34 46 35

1 7 9

2.9 15.2 34.6

Total 142 30 20.5 115 17 14.8

2=29.013; df=2; p<0.000 2=7.112; df=2; p=0.029

Among drivers, 5 (9.8%) were hypertensives who were using smokeless

tobacco till 5 years, 6 (10.9%) were hypertensives who were using it between 6-10

years and 19 (52.8%) were hypertensives who were using it more than 10 years.

Among conductors, 1 (2.9%) was hypertensive in a group who were using

smokeless tobacco till 5 years, 7 (15.2%) were hypertensive between 6-10 years and

9 (34.6%) were hypertensive for more than 10 years.

As the duration of use of smokeless tobacco increased, the prevalence of

hypertension also increased in both drivers and conductors. The results were

statistically significant in both drivers and conductors.




Results

81

Table 38(A). Association between Hypertension and alcohol consumption

Drivers Conductors


Alcohol Use

Total No. No. %

Total No. No. %

Users Non-users Ex-users

128 212 25

47 31 9

36.7 14.6 36.0

121 228 21

27 20 8

22.3 8.7 38.0

Total 365 87 23.8 370 55 14.8

2=23.652; df=2; p<0.000 2=20.949; df=2; p<0.000

0

5

10

15

20

25

30

35

40

% o

f Par

ticip

ants

Non-Users Users Ex-Users

Alcohol Use

Graph 14. Association between Hypertension and alcohol consumption

DriversConductors

Among drivers, out of 128 alcohol users, 47 (36.7%) were hypertensives, out

of 212 alcohol non-users, 31 (14.6%) were hypertensives, out of 25 ex-users and

9 (36%) were hypertensives. The results were statistically significant.

Among conductors, out of 121 alcohol users, 27 (22.3%) were hypertensives,

out of 228 non-users, 20 (8.7%) were hypertensives, out of 21 ex-users and 8 (38%)

were hypertensives. The results were statistically significant.




Results

82

Table 38(B). Association between Hypertension and quantity of alcohol

consumed in a week

Drivers Conductors


Quantity (in ml)

Total No. No. %

Total No. No. %

Up to 90 91 – 360

>360

70 38 20

12 21 14

17.1 55.2 70.0

59 45 17

6 15 6

10.1 33.3 35.3

Total 128 47 36.7 121 27 22.3

2=26.702; df=2; p<0.000 2=9.824; df=2; p=0.007

Among drivers, out of 70 participants who were consuming alcohol up to 90

ml, 12 (17.1%) were hypertensives, out of 38 participants who were consuming

alcohol between 91 to 360 ml, 21 (55.2%) were hypertensives, out of 20 participants

who were consuming alcohol more than 360 ml and 14 (70%) were hypertensives.

Among conductors, out of 59 participants who were consuming alcohol up to

90ml, 6 (10.1%) were hypertensives, out of 45 participants who were consuming

alcohol between 91 to 360 ml, 15 (33.3%) were hypertensives, out of 17 participants

who were consuming alcohol more than 360 ml and 6 (35.3%) were hypertensives.

As the quantity of alcohol consumption increased, the prevalence of






Results

83

Table 38(C). Association between Hypertension and duration of alcohol

consumption

Drivers Conductors


Duration (in years)

Total No. No. %

Total No. No. %

Up to 5 6 -10 >10

38 47 43

7 11 29

8.4 23.4 67.4

31 51 39

2 9 16

6.5 17.6 41.0

Total 128 47 36.7 121 27 22.3

2=26.529; df=2; p<0.000 2=13.018; df=2; p=0.001

Out of 38 drivers who were consuming alcohol up to 5 years, 7 (8.4%) were

hypertensives, out of 47 drivers who were consuming alcohol between 6 to 10 years,

11 (23.4%) were hypertensives, out of 43 drives who were consuming alcohol for

more than 10 years and 29 (67.4%) were hypertensives.

Out of 31 conductors who were consuming alcohol up to 5 years, 2 (6.5%)

were hypertensives, out of 51 conductors who were consuming alcohol between 6-10

years, 9 (17.6%) were hypertensives, out of 39 conductors who were consuming

alcohol for more than 10 years and 16 (41%) were hypertensives.

As the duration of alcohol consumption increased, the prevalence of






Discussion

84

DISCUSSION The present study was conducted among drivers and conductors of North-

West Karnataka Road Transport Corporation in Belgaum division, Belgaum. The

study population included 365 drivers and 370 conductors.

I. Demographic Profile:

Distribution of study participants according to age (Table 1)

In the present study, majority of drivers (36.7%) were in the age group 40-49

years, followed by those (33.7%) who were in the age group of 30-39 years.

Among conductors majority (34.9%) were in the age group of 30-39 years

followed by those (28.6%) who were in the age group of 40-49 years.

Distribution of study participants according to education (Table 2)

In the present study, majority of drivers had studied up to secondary (40.5%)

and primary (38.1%) level.

Among conductors, majority of drivers had studied up to secondary (48.6%)

and PUC/Diploma (34.1%) level.

Distribution of study participants according to religion (Table 3)

In the present study, majority of drivers (73.7%) and conductors (87.5%) were

Hindus.

Distribution of study participants according to socio-economic status (Table 4)

In the present study, majority of drivers (41.9%) and conductors (41.9%)

belonged to class II, modified B.G. Prasad’s classification.




Discussion

85

Distribution of study participants according to marital status (Table 5)


married.

Distribution of study participants according to diet (Table 6)


having mixed diet.

Distribution of study participants according to type of family (Table 7)

In the present study, majority of driver (91.8%) and conductors (94.6%)

belonged to nuclear family.

Distribution of study participants according to family history of hypertension

(Table 8)

Among drivers, 82.2% didn’t give family history of hypertension, 12.6% gave

family history of hypertension and 5.2% were not aware of it.

Among conductors, 84.3% didn’t give family history of hypertension, 11.3%

gave family history of hypertension and 4.3% were not aware of it.

Distribution of study participants according to physical exercise (Table 9)


non-exercisers.




Discussion

86

Distribution of study participants according to the duration of service (Table 10)

In the present study, majority of drivers (48.5%) and conductors (45.1%) had

their duration of service up to 10 years.

Distribution of study participants according to job satisfaction (Table 11)


satisfied with their job.

Distribution of study participants according to dietary extra salt intake (Table

12)

Among drivers, 79.5% were not taking extra salt in their diet and 20.5% were

taking extra salt in their diet.

Among conductors, 86.2% were not taking extra salt in their diet and 13.8%

were taking extra salt in their diet.

Distribution of study participants according to dietary extra fat intake (Table 13)

Among drivers, 78.9% were not taking extra fat in their diet and 21.1% were

taking extra fat in their diet.

Among conductors, 84.6% were not taking extra fat in their diet and 15.4%

were taking extra fat in their diet.

Distribution of study participants according to smoking history, number of

cigarettes/ beedies per day and duration of smoking (Table 14 A B and C)

In the present study most of the drivers were non-smokers 67.7%, 7.4% were

ex-smokers and out of 24.9% smokers most of them (49.4%) were smoking for more

than 10 years 80.2% were smoking less than 10 cigarettes /beedies per day.




Discussion

87

Among conductors, most of them were non smokers (75.1%), 4.3% were ex-

smokers and out of 20.6% smokers, majority of them (86.8%) were smoking less than

10 cigarettes/ beedies per day and most of the smokers (34.2%) were smoking for

more than 10 years.

Distribution of study participants according to use of smokeless tobacco and the

duration of its use (Table 15 A and B)

In the present study, among drivers, most of them were not using smokeless

tobacco (60%), 1.1% were ex-users and out of 38.9% current users of smokeless

tobacco 38.7% were using it between 6-10 years 35.9% were using it up to 5 years

and 25.4% were using it for more than 10 years.

Among conductors, most of them were not using smokeless tobacco (66.5%),

2.4% were ex user and out of 31.1% current users, 40% were using it between 6-10

years, 30.4% were using it for more than 10 years and 29.6% were using it up to 5

years.

Distribution of study participants according to alcohol consumption, quantity of

alcohol and its duration (Table 16 A B C)

In the present study, majority of drivers were not consuming alcohol (58.1%),

6.8% were ex-users and out of 35.1% drivers who were consuming alcohol majority

of them were consuming it up to 90 ml per weekly and majority of them were

consuming it between 6-10 years (36.7%).

Among conductors, majority of them were not consuming alcohol (61.6%),

5.7% were ex-users and out of 32.7% conductors who were consuming alcohol




Discussion

88

majority of them were consuming it up to 90 ml (48.8%) and majority of them were

consuming it between 6-10 years (42.2%).

Distribution of study participants according to overweight (Table 17)

In the present study among drivers, 56.7% were having normal weight

(BMI<25) and 43.3% were overweight (BMI>25)

Among conductors 71.9% were having normal weight (BM<25) and 28.1%

were overweight (BMI>25)

Distribution of study participants according to Waist Hip Ratio: (Table 18)

In the present study among drivers, 78.9% were having waist hip ratio equal to

or less than 1 and 21.1% were having waist hip ratio more than 1.

Among conductors, 85.9% were having waist hip ratio equal to or less than 1

and 14.1% were having waist hip ratio more than 1.

Prevalence of hypertension in Drivers and Conductors (Table 19)

In the present study the prevalence of hypertension in drivers was 23.8% and

in conductors it was 14.8%

A study conducted in urban slum area of Tirupati town, Andhra Pradesh in

2003 to know the prevalence and risk factors of hypertension in adults aged 20-60

years showed that overall prevalence of hypertension was 8.6%.43

In another study, conducted in rural area of Belgaum in 2002, the prevalence

of hypertension was 11.73%.96

Compared to both studies in our study the prevalence of hypertension among

drivers and conductors is more.




Discussion

89

Distribution of hypertensives according to past history of hypertension (Table 20)

Out of 87 drivers who were hypertensives only 29.9% had been diagnosed

with hypertension and were under treatment, the rest (70.1%) were newly diagnosed.

Out of 55 conductors who were hypertensives only 40% had been diagnosed

with hypertension and were under treatment the rest (60%) were newly diagnosed.

Distribution of hypertensives according to level of blood pressure (Table 21)

In the present study, out of 87 drivers who were hypertensives, 59.8% were in

the mild hypertension group, in that 25.3% were in borderline subgroup and 34.5% in

the higher than borderline subgroup 6.9% were in the moderate and severe

hypertension group and 21.8% were in isolated systolic hypertension group. The rest

11.5% were having normal blood pressure due to regular anti-hypertensive treatment.

Out of 55 conductors, 74% were in the mild hypertension group, in that 35.3% were

in the borderline subgroup and 39.2% were in the higher than borderline subgroup and

39.2% were in the higher than borderline subgroup, 11.7% were in moderate and

severe hypertension group and 13.7% were in isolated systolic hypertension group.

The rest 51% were having normal blood pressure due to regular anti-hypertensive

treatment.

Association between hypertension and age: (Table 22)

In this study the association between hypertension and age, in both drivers and

conductors was found to be statistically significant. The study revealed that, the

prevalence of hypertension increased with increase in age and was highest in those

who were more than 50 years i.e 54.7% in drivers and 38.6% in conductors.




Discussion

90

These findings compare well with a study conducted in urban slum area of

Tirupati town in 2003, to know the prevalence and risk factors of hypertension in

adults aged 20-60 years which showed that the prevalence of hypertension steadily

increased with age and was highest in the 50-60 years group (38%).43

The finding of the present study is in accordance with the study report of third

National Health and Nutrition Examination survey (NHANES III) which revealed an

increase in prevalence of hypertension with advancing age.

Association between hypertension and socio-economic status (Table 23)

In the present study the prevalence of hypertension was found to be 45.5%

among drivers and 28% among conductors belonging to class I modified B.G.Prasad’s

classification and steadily decreased to 5.1% among drivers and 3.2% among

conductors belonging to class IV. The association in both the drivers and conductors

was found to be statistically significant, showing that hypertension was positively

associated with higher socioeconomic status.

The result of the present study is similar to that of the study conducted in

south India in 1994 which observed that the prevalence of hypertension in the highest

socio economic group was 22.5% and it was only 8.8% in the lowest socioeconomic

group showing significant positive association between socio-economic status and

hypertension.52

It appears that in high in-come group; it is the lifestyle and dieting factors

which contribute to hypertension. They suffer from more stress of life; have low

physical activity and high caloric diet leading to obesity and hypertension.




Discussion

91

Association between hypertension and educational status (Table 24)

The present study revealed that, among drivers, the prevalence of hypertension

was higher (40.3%) in lower education group i.e who studied up to primary level. It

was lowest among drivers who studied up to PUC/ Diploma (13.5%) and no one was

hypertensive who had studied up to graduate level. This association among drivers

was statistically significant.

Among conductors the prevalence of hypertension was higher (17.8%) among

those who studied up to secondary level, lowest (11.9%) among those who studied up

to PUC/ Diploma level. However this association among conductors was not


The finding of the present study among conductors correlates well with the

study conducted in 2002 among tea garden workers of Assam which did not find any

association between hypertension and educational status.97

Association between hypertension and religion (Table 25)

In the present study among drivers hypertension was more in Muslims

(32.3%) compared to Hindus (21.6%). There was only 1 Christian in our study who

was hypertensive. The results were statistically significant.

Among conductors also, hypertension was more in Muslims (17%) compared

to Hindus (14.5%). However the results were not statistically significant.

In a study conducted in chittoor in 2001, the prevalence of hypertension was

found to be highest among Christians (42.9%) followed by Muslims 20.9% and

Hindus 15.7%, however this difference was not found to be statistically significant.53




Discussion

92

Association between hypertension and diet (Table 26)

In the present study, the prevalence of hypertension was more among drivers

(25.3%) and conductors (15.5%) who were having mixed diet. It was less in drivers

(13.3%) and conductors (12.6%) who were vegetarian. The results in both drivers and

conductors were not statistically significant.

The results of the present study was similar to that of study conducted in rural

south India in 1994 where it was observed that there was no significant difference in

prevalence of hypertension among vegetarians and those having mixed diet.52

Association between hypertension and family history of hypertension (Table 27)

Among drivers, 34.8% were hypertensive who gave family history of

hypertension, 22.7% were hypertensive who didn’t give family history of

hypertension. The results were not statistically significant.

Among conductors, 33.3% were hypertensives who gave family history of

hypertension, 12.2% were hypertensive who didn’t give family history of

hypertension. The results were statistically significant (p<0.000).

In a study conducted in urban slum area of Tirupati in 2003 to know the

prevalence and risk factors of hypertension in adults aged 20-60 years, it was seen

that 23.3% were hypertensives who gave family history of hypertension and this

association was statistically significant (p<0.001).43

The results in the present study among conductors showed similar results as

the study conducted in Tirupati in 2003.

However, in the present study among drivers, a significant association of

hypertension and family history could not be established, most probably because

hypertension remains silent being generally asymptomatic during most of its course




Discussion

93

and large majority of the cases are likely to be hidden or undetected. Therefore a

number of participants may not be even aware that their first degree relatives may be

having hypertension or had died because of complications of hypertension.

Association between hypertension and type of family (Table 28)

In the present study, prevalence of hypertension is more in both drivers

(24.4%) and conductors (15.1%) who lived in nuclear family. It was 17.4% in drivers

and 14.3% in conductors who lived in joint family.

The results were not statistically significant. There is hardly any data that is

available where the type of family is considered as a variable in studies of

hypertension.

Association between hypertension and physical exercise (Table 29)

In the present study, prevalence of hypertension was more in drivers (24.8%)

and conductors (15.3%) who were not exercising. It was less in drivers (14.3%) and

conductors (7.1%) who were exercising. However the results were not statistically

significant.

However in a study conducted in Tirupati in 2003, 15.8% were hypertensives

who were not exercising regularly and thus showed a strong association between

hypertension and lack of physical exercise (p<0.001).43

Association between hypertension and duration of service (Table 30)

In the present study, prevalence of hypertension is least in drivers (7.3%) and

conductors (4.2%) whose duration of service in the department is less than 10 years.

Prevalence of hypertension was gradually increased as the duration of service




Discussion

94

increased and it is highest in drivers (71.4%) and conductors (36.3%) whose duration

of service in the department is more than 30 years. The results were statistically

significant in both drivers and conductors (p<0.000).

In a study, conducted in San Francisco Municipal Railway among transit

vehicle operators based on data in 1983 to 1985 showed that there was increases

prevalence of hypertension with increases duration of service. Duration of service is

one of the indicator of psychosocial stress. Hence as the duration of service increased,

psychosocial stress also increased which leads to increased prevalence of

hypertension, as seen in the present study.37

Association between hypertension job satisfaction (Table 31)

In the present study, prevalence of hypertension was more in drivers (57.1%)

and conductors (33.3%) who were not satisfied with their job compared to 16.3% in

drivers and 11.6% in conductors who were satisfied with their job.

The results in both drivers and conductors were statistically significant

(p<0.000).

Job satisfaction is also one of the indicator of psychosocial stress.

Psychosocial stress would be definitely more in those who were not satisfied with

there job which leads to increased prevalence of hypertension in them as seen in our

study.

Association between hypertension and extra salt intake (Table 32)

In the present study, it was found that prevalence of hypertension was higher

in driver (70.7%) and conductors (68.6%) who consumed extra salt in their diet

regularly. It was 11.7% in drivers and 6.3% in conductors who were not consuming




Discussion

95

extra salt regularly. The result in both drivers and conductors were statistically

significant (p<0.000).

In a study conducted in a rural area of Belgaum in 2002, the prevalence of

hypertension was higher among extra salt users (14.6%) as compared to non-users

(7.41%). This difference was statistically significant (p<0.01), thus correlating well

with the results of the present study.96

However, in a study conducted in Bangalore on BMTC drivers, there was no

significant association between hypertension and extra salt intake as only 1(20%) of

the driver was hypertensive among 5 drivers who were taking extra salt in their diet.39

Association between hypertension and extra fat intake (Table 33)

In the present study the prevalence of hypertension among drivers was higher

who consumed extra fat in their diet (37.6%) compared to those who were not

consuming extra fat in their diet (20.1%). The results were statistically significant

(p=0.001).

Among conductors also, the prevalence of hypertension was higher in those

who consumed extra fat in their diet (22.8%) compared to those who were not

consuming extra fat in their diet (13.4%). However the results were not statistically

significant.

In a study conducted in Tirupati in 2003, the prevalence of hypertension was

8.8% who consumed extra fat in their diet, which was statistically significant

(p<0.05).43

The results of present study among drivers correlates well with the above

study.




Discussion

96

Association between hypertension and over weight (Table 34)

In the present study, higher prevalence of hypertension was found among

drivers (50.6%) and conductors (38.4%) whose BMI was equal to or greater than 25.

It was lower in drivers (3.4%) and conductors (5.6%) whose BMI was less than 25.

The results were statistically significant in both drivers and conductors (p<0.000).

In a study conducted in rural area of Belgaum in 2002, the prevalence of

hypertension was higher (20.2%) among participants whose BMI>25 compared to

those whose BMI<25 (10.9%). This difference was statistically significant (p<0.05).96

In another study conducted in Tirupati in 2003, the prevalence of hypertension

was 14.9% among participants whose BMI>25. The results were statistically

significant (p<0.001).43

The results of the present study correlates well with the above studies.

Association between hypertension and Waist-Hip ration (Table 35)

In the present study, high prevalence of hypertension was found in both

drivers (76.6%) and conductors (57.6%) whose waist-hip ratio was more than 1. It is

lower in drivers (9.7%) and conductors (7.8%) whose waist hip ratio was less than 1.

The results were statistically significant in both drivers and conductors (p<0.000).

In a study conducted in rural area of Belgaum in 2002, the prevalence of

hypertension was higher among participants whose WHR>0.9 (21.3%) compared to

those whose WHR<0.9 (11.0%). This difference was statistically significant

(p<0.05).96

The results of the present study co-relates well with the above study.




Discussion

97

Association between hypertension and Tobacco smoking (Table 36 A, B, C)

In the present study, the prevalence of hypertension was higher in smokers

among drivers (39.5%) and conductors (30.2%) compared to non-smokers which was

14.2% in drivers and 10% in conductors. The prevalence of hypertension was also

high in ex-smokers among driver (59.3%) and conductor (25%). This was because

most of the drivers and conductors left smoking when they have been diagnosed as

hypertension and started antihypertensive treatment (p<0.000).

The results were statistically significant in both drivers and conductors. The

prevalence of hypertension was also increased as the number of cigarettes or beedies

per day increased. It increased from 35.6% in drivers who smoked 1-10

cigarettes/beedies per day to 57.1% who smoked more than 20 cigarettes per day. The

prevalence of hypertension in conductor who smoked 1-10 cigarettes/beedies per day

was 24% and increased to 100% who smoked more than 20 cigarettes per day.

The results of present study among drivers was not statistically significant,

however among conductors it was statistically significant (p=0.003).

The prevalence of hypertension also increased as the duration of smoking

increased. It was 14.3% in drivers and 11.5% in conductors who were smoking for

more than 10 years. The results were statistically significant in both drivers (p<0.001)

and conductors (p=0.003).

In a study conducted in Tirupati in 2003 to know the prevalence and risk

factors of hypertension in adults, there was significant association between

hypertension and smoking (p<0.01), the prevalence of hypertension being higher

among smokers (22.4%).43.

The results of the present study correlates well with the above study.




Discussion

98

However, in a study conducted in Bangalore among BMTC bus drivers, the

prevalence of hypertension was only 17.2% among smokers and this result was not

statistically significant.39

Association between hypertension and use of smokeless tobacco (Table 37 A and B)

In the present study, the prevalence of hypertension among drivers who used

smokeless tobacco was (20.5%) compared to non-users (26%). This was because,

most of the drivers who used smokeless tobacco belonged to younger age group. The


Among conductors, the prevalence of hypertension in ex-users was 55.5%,

13.4% in non-users and 14.8% in current smokeless tobacco users. The results were

statistically significant when compared with non-smokers and ex-smokers (p=0.002).

The prevalence of hypertension also increased as the duration of use of

smokeless tobacco was increased. It was 9.8% in drivers and 2.9% in conductors who

were using it upto 5 years and increased to 52.8% in drivers and 34.6% in conductors

who were using it for more than 10 years.

The results were statistically significant in both drivers (p<0.000) and

conductors (p=0.029).

The results of the present study were similar to a study conducted in

Bangalore among BMTC bus drivers which showed significant association between

hypertension and use of smokeless tobacco (p<0.01). The prevalence of hypertension

was 38.1% among these individuals.39

The present study co-related well with the above study.




Discussion

99

Association between hypertension and alcohol consumption (Table 38 A, B, C)

In the present study, the prevalence of hypertension was higher in drivers

(36.7%) and conductors (22.3%) who were using alcohol and it was only 14.6% in

drivers and 8.7% in conductors who were not using alcohol. The results were

statistically significant in both drivers and conductors (p<0.000).

The prevalence also increased as the quantity of alcohol increased. It was

17.1% in drivers and 10.1% in conductors who were consuming it upto 90ml per

week and increased to 70% in drivers and 35.3% in conductors who were consuming

alcohol more than 360ml per week. The results were statistically significant in both

driver (p<0.000) and conductors (p=0.007).

The prevalence of hypertension also increased as the duration of alcohol

consumption increased. It was 8.4% in drivers and 6.5% in conductors who were

consuming it for less than 5 years and increased to 67.4% in drivers and 41% in

conductors who were consuming it for more than 10 years.

The results were statistically significant in both drivers (p<0.000) and

conductors (p=0.001).

In a study conducted in Tirupati in 2003, to know the prevalence and risk

factors of hypertension in adults, the prevalence of hypertension was 20% among

alcohol users and this association was statistically significant (p<0.001).43

The results of the present study correlate well with the above study.

However, in a study conducted in Bangalore among BMTC bus drivers, out of

161 participants who were consuming alcohol, 33 (20%) were hypertensive and this

association was not statistically significant.39




Conclusion

100

CONCLUSION

1) The prevalence of hypertension was 23.8% among bus drivers and 14.8%

among conductors (using latest WHO criteria).

2) Among hypertensives, 70.1% drivers and 60% conductors were not aware of

their hypertensive status.

3) The sociodemographic determinants, found to be significantly related to

hypertension in drivers in present study were increasing age, high

socioeconomic status, low education status and religion.

4) The sociodemographic determinants found to be significantly related to

hypertension in conductors were increasing age and high socioeconomic

status.

5) The various risk factors found to be significantly associated with hypertension

in drivers were duration of service, job satisfaction, extra salt intake, extra fat

intake, BMI, waist hip ratio, tobacco smoking, alcohol consumption.

6) The various risk factors found to be significantly associated with hypertension

in conductors were family history of hypertension, duration of service, job

satisfaction, extra salt intake, BMI, waist hip ratio, tobacco smoking, use of

smokeless tobacco and alcohol consumption.




Summary

101

SUMMARY

The present study was a cross sectional study undertaken to study the

prevalence of hypertension among drivers and conductors of NWKRTC and to

study its association with certain risk factors. The study included 365 drivers

and 370 conductors working in NWKRTC in Belgaum division, Belgaum. The

duration of study was one year from January 2006 to December 2006. Data

collection procedure used in the study, consisted of physical examination and

personal interview. Categorization of participants into normotensives and

hypertensives was in accordance with the latest WHO criteria (Normotensive

– SBP<140mmHg and DBP<90mmHg, hypertensive-SBP>140mmHg or

DBP>90mmHg).

Sociodemographic characteristics of study population revealed that majority of

drivers (40.5%) and conductors (48.6%) had studied upto secondary level,

majority of drivers (73.7%) and conductors (87.7%) were Hindus, most of

drivers (41.9%) and conductors (41.9%) belonged to class II socio-economic

status, majority of drivers (93.7%) and conductors (90.3%) were married,

most of drivers (87.7%) and conductors (78.6%) were having mixed diet,

majority of drivers (91.8%) and conductors (94.6%) belonged to nuclear

family.

The overall prevalence of hypertension was found to be 23.8% in drivers and

14.8% in conductors. Out of 87 drivers and 55 conductors who were having

hypertension, only 29.9% of drivers and 40% of conductors were aware of

their hypertensive status. Among hypertensives, majority of drivers (59.8%)

and conductors (69.1%) were having mild hypertension, while 6.9% of drivers




Summary

102

and 10.9% of conductors were having moderate to severe hypertension, 21.8%

of drivers and 12.7% of conductors were having isolated systolic hypertension

and 11.5% of drivers and 7.3% of conductors were having normal blood

pressure because of antihypertensive treatment.

A significant association between hypertension and increasing age was found

in the present study in both drivers and conductors (p<0.000). The prevalence

was highest in drivers (54.7%) conductors (38.6%) among those who aged

>50 years.

Hypertension was found to be significantly associated with socioeconomic

status in both drivers and conductors (p<0.000). The prevalence of

hypertension was highest in drivers (45.5%) and conductors (28%) who

belonged to class I socioeconomic status according to modified B.G. Prasad’s

classification.

A significant association was found between hypertension and educational

status among drivers (p<0.000) but it was not found in conductors. The

prevalence of hypertension was highest in drivers who studied upto primary

level (40.3%).

A significant association was found between hypertension and religion among

drivers (p=0.040). However it was not found in conductors. The prevalence of

hypertension among drivers was highest in Christians 100%, followed by

32.3% in Muslims.

A significant association was found between hypertension and family history

of hypertension among conductors (p=0.001), but it was not found in drivers.




Summary

103

The prevalence of hypertension was highest in conductors who had family

history of hypertension (33.3%).

Hypertension was not found to be significantly associated with diet, type of

family and physical exercise.

Hypertension was found to be significantly associated with duration of service

and job satisfaction in both drivers and conductors (p<0.000). The prevalence

of hypertension was highest in drivers 71.4% and conductors 36.3% whose

duration of service was >30 years. Similarly prevalence was more in drivers

57.1% and conductors 33.3% who were not satisfied with their job compared

to those who were satisfied with their job.

A significant association between hypertension and extra salt intake was found

in both drivers and conductors (p<0.000). The prevalence of hypertension was

highest in drivers (70.7%) and conductors (68.6%) who were consuming extra

salt in their diet.

A significant association between hypertension and extra fat intake was found

in drivers (p=0.001). But it was not found in conductors. The prevalence of

hypertension was higher in drivers who consumed extra fat in their diet

(37.6%) compared to those who were not consuming extra fat.

Hypertension was found to be significantly associated with BMI and waist-hip

ratio in both drivers ad conductors (p<0.000). The prevalence of hypertension

was higher in drivers (50.6%) and conductors (38.4%) whose BMI >25.

Similarly the prevalence was higher in drivers (76.6%) and conductors

(57.6%) whose waist-hip ratio was >1.




Summary

104

A significant association between hypertension and tobacco smoking was

found in both drivers and conductors (p<0.000). The prevalence of

hypertension was increased as the number of cigarettes/beedies smoked per

day increased in both drivers and conductor, however the results only in

conductors were found statistically significant (p=0.003). Hypertension was

also found to be significantly associated with duration of smoking in both

drivers (p=0.001) and conductors (p=0.003). The prevalence was highest in

drivers (57.8%) and conductors (53.8%) who were smoking for more than 10

years.

A significant association was found between hypertension and use of

smokeless tobacco in conductors (p=0.002), but it was not found in drivers,

hypertension was also found to be significantly associated with the duration of

use of smokeless tobacco in both drivers (p<0.000) and conductors (p=0.029).

A significant association was found between hypertension and alcohol

consumption in both drivers and conductors (p<0.000). Hypertension was also

significantly associated with the quantity of alcohol consumed in both drivers

(p<0.000) and conductors (p=0.007). It was also significantly associated with

the duration of alcohol consumed in both drivers (p<0.000) and conductor

(p=0.001).




Limitations of the Study

105

LIMITATIONS OF THE STUDY

1) The sample size of 400 drivers and 400 conductors could not be achieved

because of inability to contact few of the study participants even on repeated

visits. Thus only 365 drivers and 370 conductors were included in the present

study.

2) Few of the variables analysed in the present study were based on the

information given by the study participants. Hence an element of unavoidable

recall bias could be present in the study.




Recommendations

106

RECOMMENDATIONS

Based on the observations and conclusion of the present study, the following

recommendations are made regarding prevention and control of hypertension.

A comprehensive approach will improve the care of hypertension in the

community. The control of hypertension should fit in to overall policy of health

promotion aimed at controlling several lifestyle related disease. The distribution of

hypertension in our population is still less compared to that in developed countries.

Therefore, control measures must be initiated now because maintaining the curve to

the lesser side is easier than starting a control program late, when the need for

resources will become enormous.

Periodic examination to be followed atleast once in three months. Health

education measures are recommended about the hazards of risk factors of

hypertension among bus drivers and conductors. The significant association between

hypertension and body mass index (BMI) and waist hip ratio (WHR) as brought out in

the present study indicates that the measurement of BMI and WHR should be

incorporated as a routine part of clinical assessment in all periodic medical

examinations. All the people with increased BMI or WHR should be educated about

the benefits and methods of weight reduction and should be followed up at regular

intervals.

The finding that a large proportion of drivers and conductors were smoking,

consuming alcohol, consuming smokeless tobacco regularly and its significant

association with hypertension is a cause of serious concern. Medical and

administrative authorities must educate the people about the risk associated with such

habits and motivate them to avoid such habits.




Recommendations

107

The finding of large proportion of personnel consuming extra salt and fat

regularly in their diet and its significant association with hypertension is a cause of

serious concern. Medical and administrative authorities must educate the personnel

about the risk associated with the extra salt and fat consumption and motivate them

not to consume extra salt and fat in their diet.

An educational programme has to be conducted to raise the awareness among

bus drivers and conductors regarding risk factors, complications, prevention and

control of hypertension, focusing more on modifiable risk factors and consequence of

high blood pressure.

Implimentation of interventional measures including stress management by

alternative medicine like Yoga are recommended.

Lastly, it is suggested that, the finding and recommendations of this study be

reconfirmed by other large scale studies on hypertension.




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108

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Annexure-I

120

PROFORMA

QUESTIONNAIRE:

PREVALENCE OF HYPERTENSION AMONG BUS DRIVERS AND

CONDUCTORS OF NWKRTC, BELGAUM DIVISION BELGAUM – A

CROSS SECTIONAL STUDY

PART I- INFORMATION ON SOCIO DEMOGRAPHIC VARIABLES

1. (a) Serial No.__________________

(b) Date __________________

2. Name ________________________________________________________

3. Age (to the nearest completed years)______________ years

4. Sex : M / F

5. Address

6. Occupational Status:

7. Educational status

Primary / Secondary/ PUC /Diploma / Graduate

8. Religion: Hindu / Muslim / Sikh / Christian / Other

9. Marital Status : Married / Unmarried / Widower / Divorced

10. Diet : Vegetarian Diet / Mixed: diet /

11. (a) Total Income of family

(b) Monthly per capita income

(c) Total family members

12. Type of family : Nuclear / 3 Generation / Joint / Others

PART II : INFORMATION ON RISK FACTORS

13. TOBACCO SMOKING

(a) Do you smoke tobacco in any form? (during the past one year)--

Yes / No

(b) If ‘yes’, in which form do you smoke tobacco?

Cigarettes / Beedies / Cigar / Pipe / other (specify)




Annexure-I

121

(c) For how many years or months have you been smoking?

________________ yrs __________________months

(d) How many days in a week do you smoke? (recall for past one year)

______________________________ days per week.

(e) On an average, about how many cigarettes or other form of tobacco (Eg.

Beedies etc.) do you smoke in a day ? (recall for past one year)

___________________________________ in a day.

(f) If you have not smoked during the past one year did you ever smoke

earlier?

Yes (Ex smoker) / No (Non Smoker)

Computation:

i. Status – Current smoker / Non smoker / Ex smoker

ii. No. of cigarettes or other form of tobacco (eg. Beedies etc) smoked per

day = No. of days in a week on which smoking was undertaken X No. of

cigarettes / other forms of tobacco smoked on the day of smoking 7.

iii. Duration of smoking _____________ years___________months.

14. CONSUMPTION OF SMOKELESS TOBACCO (VIZ. CHEWING)

(a) Do you use tobacco in any other than smoking (during past one year) --- No

Yes / No

(b) If ‘Yes’, in which form do you consume tobacco?

Chewing / Snuff / Ghutka / Other (specify)

(c) For how many years / months have you been using tobacco in this form?

____________________ Yrs __________________months.

(d) Did you ever use tobacco earlier?

Yes (Ex tobacco user ) / No (Non tobacco user)




Annexure-I

122

Computation:

i. Status – Current tobacco user / Non tobacco user / Ex tobacco user

ii. Duration of tobacco use ___________________ years

___________months.

15. ALCOHOL CONSUMPTION

a) In the past one year have you consumed any alcoholic drink?

Yes / No

b) If ‘yes’, what type of alcoholic drink(s) you usually consume?

Rum / Whiskey / Brandy / Gim / Beer / Other (Specify)

c) For how many years/ months have you been drinking?

______ year_______________ months

d) How many times in a week do you usually drink? (recall for past one

year)

___________ ___________ times in a week.

e) How much alcoholic drink do you usually consume at the time you

drink?____________ large pegs. ____________ bottles (in case of Beer)

(One large peg= 60 ml, One bottle of Beer = 650 ml)

f) If you have not consumed the alcohol during past one year, did you use to

drink earlier?

Yes (Ex drinker) No (Non drinker)

Computation:

(i) Status – Current drinker / Non drinker / Ex drinker

(ii) Quantity of alcohol consumed per week = ________ large pegs / week

(No. of times in a week alcohol was consumed (large pegs) X No. of large

pegs consumed at the time of drinking alcohol.)

(iii) Duration of alcohol consumption ______ years _______ months.




Annexure-I

123

16. PHYSICAL ACTIVITY

(a) I have been undertaking any type of physical exercise for past one year?

Yes / No

(b) If ‘Yes’, you have been undertaking what type of physical exercise? –

PT / Drill (parade) / evening games / Walking / Running / Cycling / Swimming /

Other form. In any (Specify) _________.

(c) Usually how many times in a week do you undertake the above physical

exercise?__________ times in a week.

(d) How much time do you spend in a day on above physical exercise?

(e) Did you ever exercise in past, if have not undertaken for past one year?

Yes (Ex- exercise) / No (Non exercise)

Computation:

i. Status : Exerciser , Ex-exerciser, Non-exerciser

ii. Frequency of physical exercise per week – Nil / Once / twice / three or more

iii. Duration of physical exercise in minutes per week =_______ minutes / week.

(Frequency of exercise per week X time spend on exercise in minutes in the

days of exercise)

17. EXTRA SALT INTAKE

(a) Do you regularly consume Pickle / Papad / Cheese / Sauce or any other

food preparation containing high salt content? Yes / No

(b) Do you regularly and extra table salt to your dishes on dining table?

Yes/ No

18. EXTRA FAT INTAKE

Do you regularly add visible fat like Ghee / Butter Cheese to chapatti and / or

any food preparation on dining table? Yes / No




Annexure-I

124

19. FAMILY HISTORY OF HYPERTENSION

Do you have any member in your family suffering or had suffered from high

blood pressure?

Father / Mother / Brother / Sister / None / Not aware

20. PSYCHOSOCIAL FACTORS

(a) Related to Service

i.. How many years / months you are serving in this department ______ years

_______ months

ii. Are you satisfied with your service / job conditions?

Yes / No / No Comments

Interpretation : Satisfied / Dissatisfied / Neutral

(b) Related to personal and / or family factors.

i) Are you having any major personal or family problem ( not related to

your service) disturbing you mentally for a long period? (in past one

year) Yes/ No

ii)

21. PERSONAL HISTORY OF HYPERTENSION

Have you ever diagnosed as a case of hypertension? Yes / No

(a) If ‘yes’, since how long you having high blood pressure ?________ years.

(b) Are you taking nay drug for hypertension, since the time of diagnosis?

Yes / No

PART III – PHYSICAL EXAMINATION

22. Height ____________ cms

23. Weight ______________ kg

24. Body mass index (BMI) =______________ = ______________

(Height in meters)2

25. Waist circumference ___________cms

26. Hip circumference ____________ cms




Annexure-I

125

27. Waist Hip Ratio (WHR)_________________

Blood pressure

Systolic BP Diastolic BP

1st reading ____________________mmHg ________________________ mmHg

2nd reading ___________________mmHg ________________________ mmHg

Mean ______________________mmHg ________________________ mmHg

Interpretation : Status – Normotensive / Hypertensive




Annexure-II

126

KEY TO MASTER CHART

Column No. Key

3) Sex M – Male

F- Female

5) Occupation C- Conductor

D – Driver

6) Education 1 – Primary education

2 – Secondary education

3- PUC or diploma

4 – Graduate

7) Religion H – Hindu

M – Muslim

C – Christian

8) Marital Status M – Married

U – Unmarried

9) Diet V – Vegetarian

M – Mixed food

11) Type of Family N – Nuclear family

J – Joint family

T – Three generation family

14) Tobacco smoking E – Ex-Smoker

15) Use of smokeless tobacco U – Users

17) Use of smokeless tobacco E- Ex-users

20) Alcohol consumption E-Ex-drinker

21) Physical activity

22)

23)

Y- Exerciser

Y- Non-Exerciser

Y – Ex-Exerciser

24) Extra salt intake

+ Yes

- No

25) Extra fat intake + Yes

- No




Annexure-II

127

26) Family history of hypertension Y – Yes

N – No

NA – Not Aware

28) Job satisfaction S – Satisfied

D – Dis-satisfied

N – Neutral

29) Personal/Family problem + Present

- Absent

30) Past history of hypertension + Present

- Absent

31) Interpretation N – Normotensive

H – Hypertensive




Annexure-II

128

MASTER CHART OF DRIVERS

Tobacco Smoking

Use of Smokeless Tobacco

Alcohol Consumption

Physical Activity

Psycho-Social Stress

Personal history of

hypertension

Sr.N

o.

Age

(in

year

s)

Sex

Dep

ot N

o.

Occ

upat

ion

Educ

atio

n

Rel

igio

n

Mar

ital S

tatu

s D

iet

Soci

o-ec

onom

ic s

tatu

s

Type

of F

amily

No.

per

day

Dura

tion

(in y

ears

)

Ex- S

mok

er

Use

rs/

Non

-Use

rs

Dura

tion

(in

yea

rs)

Ex-U

sers

Qua

ntity

(in

ml)

Dura

tion

(in

yea

rs)

Ex-D

rink

er

Exer

cise

r

Non

-Exe

rcis

er

Ex-E

xerc

iser

Extr

a Sa

lt In

take

Extr

a Fa

t Int

ake

Fam

ily h

isto

ry o

f hyp

erte

nsio

n

Dur

atio

n of

ser

vice

(in

year

s)

Job

satis

fact

ion

Pers

onal

/ Fam

ily

Prob

lem

Pa

st h

isto

ry o

f hy

pert

ensi

on

Dura

tion

(in y

ears

)

Reg

ular

Tre

atm

ent

Body

Mas

s In

dex

Wai

st-H

ip-R

ato

Syst

olic

B.P

.

Dia

stol

ic B

.P.

Inte

rpre

tatio

n

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

1 39 M 3 D 1 H M V IV J - - - U 25 - - - - - Y - - - Y 11 S - - - - 18.42 0.88 120 70 N

2 29 M 3 D 2 H M M III N - - - - - - - - - - Y - - + N 1 S - - - - 18.92 0.85 110 70 N

3 32 M 3 D 2 M M V III J - - - U 10 - - - - - Y - + + N 1 S - - - - 20 0.89 110 70 N

4 50 M 3 D 1 H M V II N 8 8 - - - - - - - - Y - + + NA 25 N - - - - 29.7 0.99 160 90 H

5 52 M 3 D 1 H M M III N - - - U 8 - - - - - Y - - - N 25 S - - - - 21.1 0.95 120 70 N

6 37 M 3 D 2 H M M III N - - - - - - - - - - Y - + - N 11 S - - - - 22.8 0.96 100 70 N

7 53 M 3 D 1 H M M II N - - - - - - - - - - Y - + - N 27 S - - - - 27.57 0.98 120 86 N

8 48 M 3 D 1 H M V II N - - - - - - - - - - Y - + - Y 16 N - - - - 21.76 0.92 124 76 N

9 35 M 3 D 1 M M M III N - - - - - - 180 10 - - Y - - + N 11 S - - - - 22.55 0.99 130 80 N

10 26 M 3 D 2 H U M III J - - - - - - - - - - Y - - + Y 1 S - - - - 20.3 0.95 110 70 N

11 28 M 3 D 4 H M V III N - - - - - - - - - - Y - - - N 1 S - - - - 20.2 0.96 110 70 N

12 40 M 3 D 2 M M M V J - - - - - - - - - - Y - - - Y 11 N - - - - 19.8 0.86 116 76 N

13 43 M 3 D 1 M M M III N 4 15 - - - 60 15 - - Y - - - N 15 S - - - - 21.4 0.94 110 70 N

14 51 M 3 D 1 M M M II N - - - - - - - - - - Y - - - N 26 S - - - - 25.1 0.99 138 80 N

15 47 M 3 D 2 H M M III N - - - U 20 - 630 25 - - Y - + - N 6 S - - - - 25.2 0.95 144 94 H

16 49 M 3 D 1 H M M III N 12 20 - - 60 10 - - Y - - - N 16 S - - - - 26.7 0.99 120 80 N




Annexure-II

129

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

17 36 M 3 D 2 H M M III N - - - - - - - - - - Y * - - Y 1 S - - - - 18.5 0.86 110 90 N

18 31 M 3 D 2 M M M IV N - - U 10 - - - - - Y - - - NA 1 S - - - - 24.23 0.98 110 80 N

19 26 M 3 D 2 H U M IV N - - - U 1 - - - - - Y - - - Y 1 S - - - - 18.52 0.86 120 80 N

20 44 M 3 D 2 H M M III N - - - - - - 60 10 - - Y - + - Y 21 S - - - - 25.08 0.99 120 86 N

21 32 M 3 D 2 H M M IV N - - - U 10 - - - - - Y - - - N 1 S - - - - 21.05 0.86 110 80 N

22 26 M 3 D 2 H U M III N - - - U 3 - - - - - Y - - - N 1 S - - - - 20.07 0.86 130 86 N

23 33 M 3 D 4 H M M IV N - - - U 10 - - - - - Y - - - N 1 S - - - - 24.82 0.98 130 86 N

24 32 M 3 D 3 H M M IV N - - - U 2 - 60 5 - - Y - - - N 1 S - - - - 17.72 0.86 110 70 N

25 29 M 3 D 2 H M M IV N 1 6 - - - - - - - - Y - - - N 1 S - - - - 25 0.96 130 80 N

26 35 M 3 D 3 H M M IV N - - - U 3 - - - - - Y - - - N 1 S - - - - 19.08 0.89 100 70 N

27 27 M 3 D 2 H M M IV N - - - - - E - - - - Y - - - N 1 S - - - - 17.38 0.86 100 80 N

28 32 M 3 D 3 M M M IV N - - - U 10 90 10 - - Y - - - N 1 S - - - - 18.22 0.84 130 86 N

29 34 M 3 D 4 H M M IV J - - - - - - - - - - Y - - - Y 1 S - - - - 21.58 0.86 100 60 N

30 29 M 3 D 2 H M M III T 2 3 - - - - - - - Y - - + N 1 S - - - - 24.8 0.96 110 70 N

31 27 M 3 D 4 H M V III N - - - - - - - - - - Y - - + N 1 S - - - - 21.4 0.93 110 80 N

32 33 M 3 D 4 H M V III N - - - U 2 - - - - - Y - - - N 1 S - - - - 25.19 0.98 130 80 N

33 56 M 3 D 1 H M M III N - - E U 3 - - - - - Y - - - N 36 S - - - - 18.04 0.86 120 70 N

34 43 M 3 D 2 H M M II N - - E - - - E - Y - + - Y 18 N - + 1 Y 25.23 1.01 126 80 H

35 38 M 3 D 3 H M M II N - - - U 7 - - - E - Y - - - Y 11 S - - - - 26.70 0.86 110 70 N

36 40 M 3 D 2 H M M II N - - - U 10 - - - - - Y - - - N 12 S - - - - 26.71 0.99 136 70 N

37 43 M 3 D 2 H M M II N - - - U 6 - 30 10 - - Y - - - Y 14 S - - - - 25.39 0.98 138 86 N

38 35 M 3 D 2 H M V III N - - - U 2 - 10 2 - - Y - - - NA 7 N - - - - 20.61 0.96 120 70 N

39 32 M 3 D 2 H M M III N - - - U 12 90 8 - - Y - - - N 3 S - - - - 26.6 1.00 120 70 N

40 43 M 3 D 1 H M V II N - - - - 90 6 - - Y - - - NA 11 S - - - - 19.86 0.86 110 70 N

41 43 M 3 D 2 H M V III N - - - U 8 60 4 - - Y - + - Y 12 S - - - - 19.60 0.89 136 84 N

42 56 M 3 D 1 H M M I N - - - - - - - - - - Y - - - NA 25 N - + 1 Y 29.7 1.06 140 80 H

43 40 M 3 D 2 H M M II N - - - - - - - - - - Y - - - N 13 S - - - - 25 1.01 120 80 N

44 32 M 3 D 2 M M M IV N - - E - - - - - E - Y - - - N 3 S - - - - 23 0.98 130 80 N

45 50 M 3 D 2 M M M II N - - - - - - - - - - Y - - + Y 22 S - - - - 28.2 0.98 120 70 N




Annexure-II

130

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

46 40 M 3 D 1 H M M III N 1 1 - - - - - - E - Y - - + Y 11 S - - - - 28.3 1.01 110 80 N

47 35 M 3 D 2 H M M III N - - - U 5 - - - - - Y - - - N 11 S - - - - 21.5 0.94 130 86 N

48 46 M 3 D 2 H M M III N - - E - - - - - E - Y - - - N 18 S - - - - 23.52 0.97 110 70 N

49 37 M 3 D 2 H M V II N 12 25 - - - - - - - - Y - - - N 15 N - + 6 Y 38.21 1.05 150 84 H

50 53 M 3 D 1 H M M II N - - - U 8 - - - - - Y - - - N 22 S - - - - 25.61 0.99 130 80 N

51 36 M 3 D 2 H M M II N - - - U 4 - 90 3 - - Y - + - N 10 N - - - - 26.15 0.99 140 100 H

52 49 M 3 D 1 H M M III N - - - - - - 90 5 - - Y - - - N 20 N - - - - 24.8 0.97 130 84 N

53 48 M 3 D 1 H M M II N - - - - - - 30 10 - - Y - - - N 18 S - - - - 23.44 0.96 120 80 N

54 51 M 3 D 3 H M V II T - - - - - - 60 7 - - Y - - - N 26 S - - - - 29.68 1.05 144 90 H

55 45 M 3 D 2 H M M II T - - - U 16 - 90 10 - - Y - - - N 10 S - - - - 17.92 0.86 100 60 N

56 50 M 3 D 1 M M M II N 12 25 - - 180 7 - - Y - + + N 24 N - - - - 25 0.99 180 90 H

57 43 M 3 D 1 H M M III N - - - U 10 - - - - - Y - - - Y 15 N - - - - 28.90 1.04 140 94 H

58 49 M 3 D 1 H M M III T 24 15 - - - - - - - - Y - - - N 10 S - - - - 21.37 0.86 136 90 N

59 56 M 3 D 1 H M M II N - - E - - - - - E - Y - + - Y 34 N - + 10 Y 30.07 1.04 170 96 H

60 52 M 3 D 1 H M M II N - - - - - - 360 15 - - Y - + + N 29 N - + 3 Y 29.13 1.01 110 80 H

61 41 M 3 D 2 M M M II N - - - U 15 - - - - - Y - - - N 12 S - - - - 25.08 0.99 130 80 N

62 44 M 3 D 1 M M M III N - - - U 2 - 270 3 - - Y - - - Y 11 N - - - - 22.90 0.98 110 84 N

63 41 M 3 D 1 M M M II N 5 3 - - - - - - Y - - + N 18 S - - - - 22.14 0.93 110 70 N

64 31 M 3 D 2 H M M IV N - - - U 5 - 60 10 - - Y - - + N 2 S - - - - 23.65 0.96 130 86 N

65 36 M 3 D 3 H M M II N 20 15 - U 3 - 540 15 - - Y - - - N 14 N - - - - 26.32 0.96 130 96 H

66 47 M 3 D 2 H M V II N - - - - - - - - - - Y - - - N 10 S - - - - 23.41 0.93 110 86 N

67 51 M 3 D 1 H M M II J 5 6 - - - - 180 8 - - Y - + + N 32 S - - - - 28.51 1.02 180 86 H

68 44 M 3 D 1 H M M III T 30 20 - - - - 630 20 - - Y - - - N 12 S - - - - 29.3 0.96 110 80 N

69 29 M 3 D 3 H U M III T - - - U 3 - - - - - Y - - - N 1 S - - - - 19.60 0.98 110 80 N

70 38 M 3 D 3 H M M IV T 1 6 - - - - 60 5 - - Y - - - N 1 S - - - - 16.61 0.85 130 86 N

71 31 M 2 D 2 M M M IV N - - - - - - - - - - Y - - - N 3 S - - - - 17.3 0.98 130 80 N

72 38 M 2 D 2 H M M II N - - - U 6 - - - - - Y - - - N 7 S - - - - 28 0.99 110 80 N

73 41 M 2 D 2 H M V II N - - - U 5 - - - - - Y - - - Y 15 S - - - - 27.34 0.99 130 86 N

74 34 M 2 D 3 H M M II N - - - - - - 90 10 - - Y - - - N 8 S - - - - 20.83 0.97 130 86 N




Annexure-II

131

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

75 35 M 2 D 3 H M V IV N - - - - - - - - Y - + - N 1 S - - - - 24 0.98 110 80 N

76 33 M 2 D 2 H M M III N - - - - - - 90 10 - - Y - - - N 7 S - - - - 27.6 0.96 110 80 N

77 32 M 2 D 2 H M M I N 3 6 - U 10 - 180 8 - - Y - - - N 7 S - - - - 23 0.96 110 80 N

78 32 M 2 D 3 H M M IV N - - - U 12 - 120 3 - - Y - + + Y 1 S - - - - 27.34 0.86 146 100 H

79 30 M 2 D 4 H M M IV N - - - U 16 - - - - - Y - - + N 2 S - - - - 17.56 0.87 110 70 N

80 24 M 2 D 2 H M M III N - - - U 1 - - - - - - * - + N 1 S - - - - 15.1 0.85 110 80 N

81 27 M 2 D 2 H M M IV N - - - - - - - - - - * - - N 1 S - - - - 20 0.85 110 70 N

82 31 M 2 D 3 M M M IV N - - - - - - - - + - - - - N 1 S - - - - 26 0.99 110 70 N

83 26 M 2 D 2 M M M IV N - - - U 10 - - - - - - * + + N 1 S - - - - 26.6 0.97 130 80 N

84 30 M 2 D 3 H M M IV J 1 1 - U 10 - 60 4 - - Y - - - N 1 S - - - - 20 0.89 110 60 N

85 29 M 2 D 2 H U V III N - - - U 8 - - - - - Y * + - N 1 S - - - - 23.8 0.98 120 66 N

86 32 M 2 D 2 H M M V N - - - - - - - - - - Y - - - N 1 S - - - - 21.7 0.97 136 80 N

87 32 M 2 D 2 H M V II J - - - - - - - - - - Y - + - N 1 S - - - - 20.2 0.96 110 84 N

88 31 M 2 D 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 21.3 0.95 110 70 N

89 28 M 2 D 3 H U M II N - - - U 2 - - - - - Y - - + N 1 S - - - - 18.9 0.86 110 60 N

90 27 M 2 D 3 H U M IV N - - - - - - - - - Y - + + Y 1 S - - - - 17.6 0.85 110 76 N

91 29 M 2 D 2 H M M IV N - - - U 2 - 60 4 - - - * - + N 1 S - - - - 26.6 0.96 130 84 N

92 30 M 2 D 2 M M M IV N 11 10 - - - - - - E - - * - - Y 1 S - - - - 29 1.02 126 80 N

93 33 M 2 D 2 H M M IV J - - - - - - - - - - Y - - - NA 9 S - - - - 23.3 0.96 124 76 N

94 29 M 2 D 2 H M M V J - - - U 3 - 60 3 - - Y - - - N 1 S - - - - 20.8 0.86 110 74 N

95 26 M 2 D 2 H U M IV N - - - - - - - - - - Y - - - NA 1 S - - - - 18.9 0.85 110 70 N

96 32 M 2 D 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.1 0.86 120 86 N

97 30 M 2 D 3 H U M III N - - - - - - - - - - Y - - - N 1 S - - - - 20.7 0.95 110 70 N

98 25 M 2 D 3 H U M III N - - - U 5 - - - - - - * - - NA 1 S - - - - 19.03 0.85 126 70 N

99 26 M 2 D 3 H M M III N - - - - - - 90 10 - - - * - - N 1 S - - - - 22.1 0.96 120 86 N

100 33 M 2 D 2 H M M IV N 1 8 - - - - - - - - Y - - - N 1 S - - - - 22.7 0.96 130 86 N

101 32 M 2 D 2 H M M IV N - - - - - - - - - - Y - - + NA 1 S - - - - 22.9 0.97 130 70 N

102 30 M 2 D 3 H M M IV N - - - U 10 - 90 4 - - - * + - N 1 S - - - - 22.9 0.97 120 80 N

103 25 M 2 D 2 H U M III N - - - U 4 - - - Y - - - N 1 S - - - - 17.3 0.86 110 70 N




Annexure-II

132

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

104 40 M 2 D 2 H M M IV N 2 5 - - - - 270 25 - - Y - - - N 21 S - - - - 25.3 0.98 110 70 N

105 25 M 2 D 3 H U V IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.6 0.95 120 84 N

106 36 M 2 D 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20 0.85 110 70 N

107 28 M 2 D 2 H M M IV N - - - U 1 - - - - - Y - - - N 1 S - - - - 19.5 0.89 110 80 N

108 27 M 2 D 2 H M M III N - - - - - - - - - - Y - + - N 1 S - - - - 18.6 0.89 120 70 N

109 34 M 2 D 2 H M M IV N 3 10 - U 10 - 30 6 - - Y - - - Y 1 S - - - - 27.34 0.91 120 86 N

110 31 M 2 D 3 M M M IV N - - - - - - - - - - Y - - - Y 1 S - - - - 25.4 0.97 104 66 N

111 35 M 2 D 4 H M V III N - - - - - - - - - - Y - - - N 1 S - - - - 19.5 0.89 104 74 N

112 28 M 2 D 2 H M M IV J - - - - - - - - - - Y - - - N 1 S - - - - 18.3 0.86 110 70 N

113 25 M 2 D 2 H M M III N - - - - - - - - - - Y - - + NA 1 S - - - - 20.2 0.89 120 74 N

114 27 M 2 D 2 H M M IV N - - - U 4 - - - - - Y - - + N 1 S - - - - 23.9 0.91 110 74 N

115 33 M 2 D 2 H M M IV J - - - - - - - - - - Y - - + NA 1 S - - - - 23.16 0.92 120 80 N

116 27 M 2 D 2 H U M II N - - - - - - - - - - Y - - + N 1 S - - - - 25.17 0.94 120 74 N

117 35 M 2 D 1 H M M III J - - - - - - - - - + - - - - NA 11 D - - - - 27.8 1.02 130 86 N

118 27 M 2 D 2 M M M IV N - - - - - - - - - Y - - - NA 1 S - - - - 20.8 0.88 130 80 N

119 44 M 2 D 1 H M M II N - - - - - - 90 5 - - Y - + - N 15 S - + 1 N 26.3 1.02 150 90 H

120 28 M 2 D 1 M M M III N 4 10 - - - - - - E - Y - - - Y 17 N - - - - 26.4 0.99 116 80 N

121 45 M 2 D 1 M M M II N 5 20 - - - - - - E - Y - - + N 15 N - - - - 21.45 0.97 120 70 N

122 43 M 2 D 1 M M M II N 3 6 - - - E - - - - - * - - NA 15 S - - - - 23.34 0.96 130 80 N

123 49 M 2 D 2 H M M III N - - E U 20 - - - - - Y - - - N 16 S - - - - 22.27 0.95 130 94 H

124 43 M 2 D 3 H M M II N - - - U 15 - - - E - Y - - - N 14 D - - - - 36.1 1.03 136 86 N

125 46 M 2 D 1 M M M II J - - E U 6 - - - E - Y - + + Y 20 D - + 4 Y 28.2 1.05 160 90 H

126 41 M 2 D 3 H M M III N - - - U 12 - - - - - Y - - + N 10 D - - - - 26.56 1.03 120 84 N

127 25 M 2 D 2 H U M III N - - - U 1 - - - - - Y - - + N 1 S - - - - 21.2 0.97 120 80 N

128 56 M 2 D 2 H M V I N - - - - - - 270 38 - - - * - - N 20 S - - - - 22.26 1.10 126 80 N

129 43 M 2 D 2 M M M III N - - E - - - - - - - Y - - - N 17 S - + 5 Y 29.4 1.07 130 90 H

130 52 M 2 D 1 H M M III N - - - - - - 60 1 - - Y - - - N 20 S - - - - 23.9 0.99 130 74 N

131 42 M 2 D 1 H M M II N - - E - - - - - E - Y - + - NA 15 S - + 8 N 26.9 1.03 160 100 H

132 37 M 2 D 2 H M M IV N - - - U 20 - - - - + - - - - N 9 S - + 5 Y 26.31 1.04 130 80 H




Annexure-II

133

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

133 53 M 2 D 1 H M M IV N - - - U 15 - 1260 20 - - Y - + + N 26 S - + 4 Y 29.61 1.07 130 90 H

134 48 M 2 D 1 M M M II N - - - U 20 - - - E - Y - - - N 14 N - + 2 Y 28 1.03 190 120 H

135 49 M 2 D 1 M M M III J - - - - - - - - - Y - + - N 21 S + - - - 29.3 1.04 160 80 H

136 49 M 2 D 1 M M M III N - - E - - - - - - Y - - - N 21 S + - - - 28.5 1.03 112 70 N

137 52 M 2 D 1 H M V II N 2 30 - - - 450 35 - - Y - + + N 25 D - - - - 28.5 1.01 130 94 H

138 37 M 2 D 1 M M M III N - - - U 15 - - - - - Y - - - N 19 N - - - - 23.3 0.96 110 80 N

139 36 M 2 D 3 H M M IV N - - - - - - - - Y - - - N 5 S - - - - 25.5 0.95 110 70 N

140 45 M 2 D 2 H M M III N - - - U 8 - - - - - Y - - - NA 17 S - - - - 25.6 0.98 110 80 N

141 30 M 2 D 2 H M M II N - - - U 10 - - - - - Y - - - N 5 S - - - - 20.9 0.86 130 86 N

142 42 M 2 D 1 M M M II N - - - U 5 - 60 5 - - Y - - - N 15 S - - - - 31.2 1.02 136 98 N

143 41 M 2 D 2 H M M III J 5 15 - - - - 1260 20 - - Y - + - N 17 S - - - - 26.8 1.04 160 100 H

144 40 M 2 D 1 H M V III N - - - U 20 - 30 8 - - Y - - - N 11 S - - - - 26.9 0.86 110 70 N

145 46 M 2 D 1 H M M II N 2 7 - - - 90 5 - - Y - - + N 18 S - - - - 27.7 1.03 120 70 N

146 47 M 2 D 1 H M V II N - - E - - - - - E + - - - + N 18 S - + 8 Y 30.5 1.05 136 80 H

147 48 M 2 D 1 M M M III N - - - U 20 - - - - - Y - + + N 29 S - - - - 29.5 0.94 160 90 H

148 32 M 2 D 3 H M M I J - - - U 6 - - - - - Y - - + NA 1 S - - - - 17.3 0.89 100 60 N

149 36 M 2 D 2 H M M III N - - - U 3 - - - - - - * - + N 1 S - - - - 25.5 0.98 110 80 N

150 57 M 2 D 1 H M M I N - - E U 20 - 90 30 - - Y - + - N 30 N - - - - 30.1 1.05 160 70 H

151 52 M 2 D 1 H M M II N - - U 10 - 180 6 - - Y - + - N 23 S - + 2 Y 27.34 1.04 150 80 H

152 56 M 2 D 1 H M M I N - - E - - - 1260 10 - - Y - + - N 29 N - - - - 26.5 1.05 180 110 H

153 51 M 2 D 1 M M M II N 12 25 - - - 90 20 - - Y - + - Y 24 S + - - - 31.7 1.11 160 90 H

154 44 M 2 D 1 M M M III N - - U 1 - - - - - Y - + - Y 19 S - - - - 29.5 1.07 150 100 H

155 47 M 2 D 1 H M M II N - - E U 20 - 1260 2 - - Y - + + N 15 S - - - - 29.5 1.10 160 110 H

156 42 M 2 D 3 H M M II N - - E - - - 45 12 - - Y - - + N 20 D - - - - 23.2 0.97 126 70 N

157 46 M 2 D 1 M M M III N 2 5 - - - 30 5 - - Y - + - N 15 S - - - - 32.2 1.12 150 100 H

158 41 M 2 D 2 H M V II N - - - - - - - Y - - - N 16 S - - - - 27.5 0.99 120 70 N

159 38 M 2 D 2 H M M III J 4 6 U 15 - 540 6 - - Y - - + Y 10 S - - - - 19.8 0.88 130 80 N

160 50 M 2 D 3 H M M IV N - - - - - - - - - - Y - - - NA 14 S - - - - 20.36 0.97 120 76 N

161 40 M 2 D 1 H M M II N - - - - - - 45 12 - - - * - - Y 20 S - - - - 22.5 0.98 110 72 N




Annexure-II

134

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

162 47 M 2 D 1 M M M III N 1 1 - - - - - - - - Y - - - N 15 S - - - - 38.3 1.08 120 84 N

163 48 M 2 D 1 M M M II N 2 18 - - - - 90 5 - - Y - - - N 18 S - - - - 25.7 0.97 122 84 N

164 43 M 2 D 2 H M M I N - - - U 2 - - - - - Y - + - N 12 N - - - - 25.8 0.94 120 96 H

165 54 M 2 D 1 M M M II N 2 20 - - - - - - - - Y - + + Y 22 N - + 1 Y 30.11 1.03 130 86 H

166 49 M 2 D 1 H M M II N 5 20 - - - - 90 8 - - Y - - - N 14 S - - - - 23.8 0.94 120 78 N

167 50 M 2 D 1 H M M II N 1 6 - - - - 180 15 - - Y - + + Y 22 N - - - - 25.8 1.02 150 100 H

168 52 M 2 D 1 H M M II N - - - - - - - - - + - - - - N 24 S - - - - 27.3 1.01 140 86 N

169 37 M 2 D 1 H M M IV N - - - - - - - - - - Y - - - N 9 S - - - - 30.1 1.07 146 92 H

170 49 M 2 D 1 M M M II N - - E U 4 - - - - - Y - - - N 23 S - - - - 23.8 0.97 130 76 N

171 45 M 2 D 1 M M M II N - - - U 20 - - - - - Y - + + N 10 S - + 2 Y 25.8 1.05 150 100 H

172 36 M 2 D 2 H M M IV N - - - - - - - - - - Y - - NA 11 S - - - - 22.8 0.96 110 70 N

173 54 M 2 D 1 H M M II N 6 11 - U 25 - 90 20 - - Y - + - N 27 S - - - - 22 0.98 144 86 H

174 41 M 2 D 1 M M M III N - - - U 8 - - - - - Y - - + N 14 N - - - - 31.3 1.04 146 94 H

175 45 M 2 D 1 M M M II N 5 10 - - - - - - - - Y - + - N 19 S - - - - 29.3 1.06 110 70 N

176 46 M 2 D 1 H M M II N - - - - - - 45 10 - - Y - - + N 24 S - - - - 28.7 0.96 120 70 N

177 48 M 2 D 1 H M V II N - - - - - - - - - - Y - - + N 20 S - - - - 20.6 0.94 110 70 N

178 57 M 2 D 1 H M V II N 17 20 - - - - - - E - Y - + + N 28 S - - - - 18.8 0.88 110 80 N

179 41 M 2 D 1 H M V II N 3 6 - - - - - - - - Y - - - N 19 S - - - - 24.2 0.98 120 86 N

180 37 M 2 D 2 H M M III N - - E U 27 - 630 20 - - Y - + + N 10 N - - - - 26 1.07 130 100 H

181 51 M 2 D 1 M M M I N 6 30 - - - - 90 10 - - Y - - + N 26 D - - - - 27 1.06 120 80 N

182 41 M 2 D 1 H M M IV N - - - U 20 - - - E - Y - - - N 21 S - - - - 23.5 0.95 110 70 N

183 39 M 2 D 2 H M M II N 2 10 - - - - - - - - Y - + - N 8 S - - - - 26 1.02 150 94 H

184 45 M 2 D 2 H M V II N - - - - - E - - - - Y - - - N 18 S - - - - 27 0.86 130 86 N

185 55 M 2 D 2 H M M II N - - E U 30 - 270 30 - - - Y + - N 15 S - + 3 Y 30 1.12 126 80 H

186 40 M 2 D 1 H M M IV J - - E U 7 - 180 6 - - Y - - - N 16 N + - - - 20.9 0.86 120 70 N

187 42 M 2 D 1 H M M II N 50 20 - - - - 360 22 - - Y - - + N 12 S - - - - 25.7 0.97 120 76 N

188 37 M 2 D 1 H M M III N 6 6 - - - - - - - - Y - - + N 7 S - - - - 23.3 0.97 120 78 N

189 51 M 2 D 1 H M V III N - - - U 15 - 90 30 - - - Y + + N 12 S - - - - 25.3 1.01 150 90 H

190 46 M 2 D 1 H M M III N - - - U 1 - 60 10 - - Y - - - N 22 S - - - - 29.4 0.96 110 80 N




Annexure-II

135

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

191 50 M 2 D 1 H M M II N 12 40 - - - - 45 5 - - Y - - - N 16 S + - - - 25.7 0.96 120 80 N

192 46 M 2 D 2 H M M II N - - - - - - 45 4 - - Y - - - N 21 S - - - - 27.5 0.94 130 70 N

193 44 M 2 D 1 H M M II N 5 20 - - - - 180 10 - - Y - - - N 24 S - - - - 25.6 1.02 140 100 H

194 46 M 2 D 2 H M M III N - - - U 25 - 90 25 - - Y - - - N 21 S - - - - 26 0.96 110 70 N

195 42 M 2 D 3 M M M II N 5 20 - - - - - - - - Y - + - Y 11 S - - - - 22 0.98 150 100 H

196 34 M 2 D 2 H M M IV N 2 10 - - - - 45 8 - - Y - - - N 1 S - - - - 26.2 0.89 110 70 N

197 53 M 2 D 1 H M M II N 24 25 - - - - 840 20 - - Y - + - Y 27 D - + 3 Y 26.3 1.05 200 120 H

198 39 M 2 D 2 C M M II N 2 10 - - - - 540 6 - - Y - - - N 12 D - - - - 26.9 1.04 150 90 H

199 47 M 2 D 1 H M V III N - - - - - - - - - - Y - - - N 17 S - - - - 25.9 0.96 124 84 N

200 52 M 2 D 1 H M M II N 3 30 - - - - - - E - Y - - - Y 26 S - - - - 23.4 0.94 120 74 N

201 52 M 2 D 1 M M M II N 3 20 - - - - - - - - Y - - - N 26 S - - - - 24.3 0.97 114 74 N

202 41 M 2 D 1 H M M II N - - E - - - - - - - Y - + - N 12 S - - - - 25.5 0.96 134 86 N

203 53 M 2 D 1 H M V II N - - E - - - 60 5 - - Y - - - N 27 S - + 3 Y 33.6 1.05 150 84 H

204 45 M 2 D 1 M M M III N 10 21 - - - - 1260 21 - - Y - - - N 17 S - - - - 27.5 0.94 140 94 H

205 43 M 2 D 2 H M V IV J 3 12 - - - - 90 20 - - Y - - - N 2 S - - - - 26.4 0.96 124 80 N

206 42 M 2 D 1 H M M III N 3 20 - U 15 - 90 15 - - Y - - - N 8 S - - - - 24 0.95 124 80 N

207 57 M 2 D 1 H M V II N - - - - - - - - - - Y - - + N 25 S - - - - 32 1.05 120 80 N

208 43 M 2 D 2 M M M III N - - - - - - - - - - Y - - - N 10 S - - - - 25 0.94 130 80 N

209 49 M 2 D 1 H M M II N 30 30 - - - - 1260 30 - - Y - + + N 28 N - + 1 N 26 1.02 190 110 H

210 38 M 2 D 2 H M M IV N - - - - - - 90 2 - - Y - - - N 4 S - - - - 24 0.93 120 74 N

211 43 M 2 D 1 H M M III N 12 15 - - - - 90 12 - - Y - - - N 21 S - - - - 25.7 0.99 130 86 N

212 32 M 2 D 2 H M M II N - - - - - - 20 10 - - Y - - - Y 5 S - - - - 27.9 0.93 120 80 N

213 37 M 2 D 2 H M M IV N - - - U 8 - - - - - Y - + - N 8 S - - - - 29 0.98 134 86 N

214 40 M 2 D 1 M M M III N - - - U 3 - 90 5 - - Y - - - N 16 S - - - - 32 0.98 136 84 N

215 32 M 2 D 2 H M M II N 1 3 - - - - - - - - Y - - - N 8 S - - - - 26.9 0.96 110 74 N

216 49 M 2 D 1 M M M III N 4 12 - - - - - - - - Y - - - N 16 S - - - - 21.3 0.95 130 80 N

217 51 M 2 D 1 M M M II N 10 25 - - - - 90 10 - Y - - - Y 22 N - - - - 32.9 1.02 140 94 H

218 46 M 2 D 1 M M M III N - - - U 2 - - - - - Y - + - N 18 N - - - - 29.3 1.06 160 90 H

219 40 M 2 D 2 H M V I J 10 2 - - - - - - E - Y - - + N 18 S - - - - 22 0.86 120 80 N




Annexure-II

136

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

220 39 M 2 D 2 H M V II N - - - - - - - - - - Y - + + N 10 N - - - - 24.4 0.92 120 80 N

221 43 M 2 D 1 H M M II N - - - - - - - - - - Y - - + N 13 S - - - - 27 0.96 136 86 N

222 47 M 2 D 2 M U M II N - - - - - - - - - - Y - - + Y 16 S - - - - 27 0.95 120 80 N

223 42 M 2 D 1 H M M III N 4 15 - - - - - - E - Y - + + N 9 S - + 2 Y 26.7 1.01 150 100 H

224 43 M 2 D 1 H M M II N - - - - - - - - E - Y - - - N 14 N - + 2 Y 26 0.93 130 84 H

225 42 M 2 D 2 H M M II N 1 2 - - - - - - E - Y - - - N 18 S - - - - 23 0.92 110 70 N

226 42 M 2 D 2 H M M II N - - - - - - - - - - Y - - - N 7 S - - - - 18.5 0.89 110 60 N

227 40 M 2 D 2 H U V II N - - - - - - - - - - Y - - - N 15 S - - - - 22 0.93 122 70 N

228 43 M 2 D 1 H M M II N 3 25 - - - - 90 4 - - Y - - - N 11 S - - - - 23.9 0.96 110 70 N

229 43 M 2 D 1 H M M II N 7 15 - - - - 540 10 - - Y - - - N 13 S - - - - 19.5 0.88 110 70 N

230 49 M 2 D 1 H M M II N - - E - - - 20 15 - Y - - - - N 18 S - - - - 25.4 0.96 126 80 N

231 53 M 2 D 1 M M M II N 20 40 - - - - 360 30 - - Y - - - N 25 D + + 1 Y 27.4 1.01 150 86 H

232 57 M 2 D 1 M M M II N - - - - - - - - - - Y - + + N 25 D - - - - 31.6 1.01 150 84 H

233 45 M 2 D 2 H M M II N - - - - - - - - - Y - - - + Y 14 S - - - - 22.5 0.85 136 86 N

234 35 M 2 D 2 H M M III N - - - U 5 - 540 12 - - Y - - - N 5 S - - - - 20.1 0.86 120 80 N

235 42 M 2 D 2 M M M IV J - - - - - - - - - - Y - - - N 10 S - - - - 18.7 0.84 120 76 N

236 48 M 2 D 1 M M M II N - - E U 20 - 20 12 - - Y - - - N 14 D - - - - 22 0.95 130 80 N

237 38 M 2 D 1 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 25.9 0.96 120 80 N

238 42 M 2 D 1 M M M II N - - - - - - - - - - Y - + + N 16 S - - - - 27.6 0.92 126 86 N

239 49 M 2 D 1 H M M II N - - - - - - - - - - Y - - - N 15 S - - - - 24.4 0.95 130 80 N

240 45 M 2 D 3 M M M II N - - - - - - - - - Y - - - + N 15 D - + 2 Y 32.4 1.09 130 80 H

241 52 M 2 D 1 H M M II N - - - U 4 - 180 10 - - Y - - + N 26 S - - - - 27 1.14 120 86 N

242 57 M 2 D 1 H M M I N 2 30 - - - - 45 20 - - Y - - - N 27 D - + 4 Y 26.3 1.03 130 80 H

243 54 M 2 D 1 H M M II N - - E U 30 - 180 10 - - Y - + - N 24 S - - - - 22.9 0.97 150 90 H

244 42 M 2 D 1 H M M II N - - E U 5 - - - E - Y - + - N 16 S - - - - 23 1.02 170 100 H

245 28 M 2 D 4 H U M III N - - - - - - - - - - Y - - + N 1 S - - - - 21.24 0.89 110 74 N

246 38 M 1 D 1 H M M II N - - - U 10 - 450 10 - - Y - - - Y 20 S - - - - 24.9 0.97 100 60 N

247 34 M 1 D 3 H M M IV N 3 10 - U 5 - 125 10 - - Y - - - N 1 S - - - - 20.7 0.89 110 80 N

248 31 M 1 D 3 H M M IV N - - - - - - - - - - Y - - - Y 1 S - - - - 19.1 0.89 110 80 N




Annexure-II

137

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

249 53 M 1 D 3 H M M II N - - E - - - - - E - Y - - - N 30 N - + 1 Y 26.5 0.98 120 80 H

250 26 M 1 D 4 H U M III N - - - U 2 - - - - - Y - - - Y 1 S - - - - 28.3 0.96 130 86 N

251 38 M 1 D 2 H M M IV N - - - - - - 45 8 - - Y - - - N 2 S - - - - 26.8 0.95 114 80 N

252 45 M 1 D 3 H M M II N 12 25 - - - - 1260 25 - - Y - + + Y 22 S - - - - 26.3 1.01 150 94 H

253 26 M 1 D 3 M U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 18.9 0.89 110 74 N

254 33 M 1 D 2 H M M IV N - - - U 8 - - - - - Y - - - N 1 S - - - - 25.3 0.93 120 80 N

255 28 M 1 D 3 H M M IV N - - - U 6 - - - E - Y - - - N 1 S - - - - 21.1 0.86 110 70 N

256 32 M 1 D 3 H M M IV N - - - U 10 - - - - - Y - - - N 1 S - - - - 26.3 0.94 130 86 N

257 26 M 1 D 2 H M M IV N - - - U 7 - - - - - Y - - - N 1 S - - - - 18.6 0.89 130 86 N

258 31 M 1 D 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 17.9 0.86 100 60 N

259 25 M 1 D 3 H M M IV N 2 5 - U 4 - 180 2 - - Y - - - N 1 S - - - - 20.6 0.89 110 70 N

260 36 M 1 D 2 H M M IV N - - - U 8 - - - - - Y - - - Y 1 S - - - - 17.1 0.87 110 84 N

261 29 M 1 D 2 H M M IV N - - - U 7 - - - - - Y - - - N 1 S - - - - 20.7 0.89 110 80 N

262 32 M 1 D 2 H M M IV N - - - U 8 - - - - - Y - - - N 5 S - - - - 26.7 0.93 132 84 N

263 32 M 1 D 3 M M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 18.6 0.86 120 70 N

264 28 M 1 D 3 H U M III N - - - - - - - - - - Y - - - N 1 S - - - - 21.9 0.84 110 70 N

265 33 M 1 D 2 H M M III N 2 5 - - - - 360 5 - - Y - - - N 2 S - - - - 21.5 0.86 120 86 N

266 32 M 1 D 2 H M M IV N - - - U 8 - - - - - Y - - - N 2 S - - - - 23.5 0.96 110 80 N

267 34 M 1 D 3 H M M V N - - - U 7 - - - - - Y - - - N 1 S - - - - 22.8 0.86 120 76 N

268 38 M 1 D 1 H M M V N - - - U 3 - - - - - Y - - - N 10 S - - - - 21.5 0.86 120 84 N

269 34 M 1 D 3 H M M II N - - - U 8 - 180 10 - - Y - - - N 7 S - - - - 23.5 0.96 134 80 N

270 41 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 12 S - - - - 20.7 0.86 110 80 N

271 40 M 1 D 2 H M M II N - - - - - - - - - - Y - + - Y 16 N - - - - 29.3 1.01 140 100 H

272 50 M 1 D 1 H M M II N 2 10 - - - - 360 15 - - Y - - - N 23 S - - - - 27.4 0.98 130 70 N

273 43 M 1 D 1 H M M III N - - - U 20 - - - - - Y - - - N 21 S - - - - 25.8 0.97 136 86 N

274 48 M 1 D 1 H M M II N - - - U 10 - 180 10 - - Y - + - N 13 S - - - - 27.4 1.02 170 100 H

275 39 M 1 D 2 H M M II N - - - U 10 - - - - - - Y + + N 12 S - - - - 27.5 0.98 138 88 N

276 56 M 1 D 1 H M M II N - - - - - - - - - Y - - - N 31 S - - - - 28.7 1.01 150 90 H

277 33 M 1 D 2 H M M II N - - - U 10 - 360 10 - - Y - - - N 5 S - - - - 22.2 0.89 110 70 N




Annexure-II

138

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

278 25 M 1 D 3 H U M IV N - - E - - E - - E - Y - - - N 1 S - - - - 18.9 0.87 100 70 N

279 30 M 1 D 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 19.1 0.88 106 70 N

280 35 M 1 D 2 H M M II N - - - U 10 - 360 10 - - Y - - - N 5 S - - - - 27.6 0.99 130 80 N

281 37 M 1 D 2 H M M III N - - - U 10 - - - - - Y - - - N 9 S - - - - 23.4 0.93 100 60 N

282 38 M 1 D 2 H M M II N - - - U 15 - - - - - Y - - - N 10 S - - - - 22.8 0.89 110 70 N

283 36 M 1 D 2 H M M III N 2 5 - - - - - - - - Y - - - N 7 N - - - - 25.5 0.99 140 110 H

284 35 M 1 D 1 H M M III N - - - - - - - - - - Y - - - N 10 S - - - - 24.8 0.93 120 80 N

285 33 M 1 D 2 M M M II N - - - U 11 - - - - - Y - + + N 7 N - - - - 27.8 1.01 130 100 H

286 49 M 1 D 1 M M M II N - - - - - - 45 7 - - Y - + + N 23 S - - - - 24.1 0.96 130 80 N

287 33 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 7 S - - - - 20.1 0.86 130 86 N

288 32 M 1 D 2 H M V IV N - - - U 2 - - - - - Y - - - N 1 S - - - - 22.4 0.86 120 70 N

289 38 M 1 D 2 H M M IV N 1 2 - - - - - - - - Y - - - N 8 S - - - - 23.9 0.98 100 70 N

290 43 M 1 D 2 H M M IV N - - - U 10 - - - - - Y - - - N 21 S - - - - 23.4 0.94 120 76 N

291 29 M 1 D 4 H M M IV N - - - - - - 20 3 - - Y - - - N 2 S - - - - 24.9 0.97 120 80 N

292 29 M 1 D 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 24.5 0.93 100 70 N

293 29 M 1 D 4 H M M IV N - - - - - - - - - + - - - - N 1 S - - - - 18.5 0.88 120 70 N

294 35 M 1 D 3 H M M IV N - - - U 2 - - - - - Y - - - N 1 S - - - - 17.6 0.86 130 80 N

295 27 M 1 D 4 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 19.7 0.89 120 80 N

296 56 M 1 D 2 M M M II N - - - - - - - - - - Y - - - N 32 S + - - - 19.9 0.89 120 70 N

297 46 M 1 D 1 H M M II N 2 4 - - - - - - - + - - - - N 13 S - - - - 27.4 0.99 120 80 N

298 28 M 1 D 3 H M M IV N - - - - - - - - - - Y - - - N 15 S - - - - 19.4 0.86 110 70 N

299 42 M 1 D 3 H M V I N - - - - - - - - - - Y - - - N 15 S - - - - 21.4 0.82 136 86 N

300 32 M 1 D 3 H M M IV N - - - U 7 - - - - - Y - - - N 1 S - - - - 20.4 0.86 120 76 N

301 47 M 1 D 1 H M M II N - - - U 15 - - - - - Y - - - N 23 S - - - - 21.4 0.82 130 70 N

302 42 M 1 D 1 M M M II N - - - - - - 60 5 - - Y - - - N 8 S - - - - 26.2 0.98 150 80 H

303 54 M 1 D 1 H M M II N - - - - - - - - - - Y - - - N 25 S - - - - 26.8 0.98 110 70 N

304 33 M 1 D 2 H M M III N - - - U 7 - - - - - Y - - - N 10 S - - - - 26.1 0.97 130 80 N

305 52 M 1 D 1 H M M II N - - - U 4 - - - - - Y - - - N 22 S - - - - 23.9 0.98 120 86 N

306 25 M 1 D 3 H M M IV N - - - U 5 - - - - - Y - - - N 1 S - - - - 18.9 0.89 120 80 N




Annexure-II

139

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

307 30 M 1 D 3 H M M IV N - - - - - - 90 4 - + - - - - N 8 S - - - - 20.1 0.82 120 76 N

308 41 M 1 D 1 H M M II N - - - - - - - - - - Y - - - N 19 S - - - - 25.9 0.94 150 80 H

309 25 M 1 D 3 H M M IV N - - - U 5 - - - - - Y - - - N 1 S - - - - 22.7 0.86 120 80 N

310 35 M 1 D 2 H M M III N - - - U 4 - - - - - Y - - - N 5 S - - - - 18.9 0.89 120 84 N

311 30 M 1 D 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 19.1 0.89 110 80 N

312 45 M 1 D 1 H M M III N - - - U 10 - 180 10 - - Y - - - N 22 N - - - - 26.2 0.97 130 100 H

313 46 M 1 D 1 H M M IV N - - - - - - 45 7 - - Y - - - N 21 S - - - - 23.8 0.96 110 70 N

314 40 M 1 D 1 H M M II N 4 12 - - - E 180 12 - - Y - + + N 15 S - - - - 21.8 0.89 140 100 H

315 33 M 1 D 2 H M M III N 2 10 - - - - - - - Y - + - Y 7 S - - - - 27.1 0.99 150 100 H

316 36 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 7 S - - - - 19.9 0.89 120 70 N

317 37 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 24.9 0.97 120 80 N

318 36 M 1 D 2 H M V II N 1 2 - - - - - - - - Y - - - N 10 S - - - - 23.4 0.94 130 80 N

319 29 M 1 D 3 H M M III N - - - - - - - - - - Y - - - N 1 S - - - - 22.8 0.86 110 70 N

320 38 M 1 D 1 H M M II N 4 12 - - - - 360 8 - - Y - + + Y 12 S - - - - 30.1 1.01 140 100 H

321 26 M 1 D 4 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.1 0.89 110 80 N

322 30 M 1 D 3 H M M IV N - - - - - - - - - - Y - - - N 3 S - - - - 24.9 0.95 126 80 N

323 30 M 1 D 4 H M M IV N - - - U 8 - 180 5 - - Y - - - N 1 S - - - - 23.7 0.94 130 80 N

324 26 M 1 D 4 H U M IV N 2 1 U 7 - - - - Y - - - N 1 S - - - - 21.7 0.89 100 70 N

325 39 M 1 D 2 H M M IV N 1 4 - U 5 - 90 5 - - Y - - - N 2 S - - - - 22.8 0.86 110 80 N

326 38 M 1 D 1 H M M II N - - - - - - - - - - Y - + + N 20 S - - - - 25.8 0.99 146 80 H

327 37 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 23.1 0.86 100 70 N

328 26 M 1 D 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 23.4 0.93 130 80 N

329 26 M 1 D 4 H M M IV N 1 2 - U 5 - 90 2 - - Y - - - N 1 S - - - - 20.5 0.89 120 76 N

330 53 M 1 D 1 H M M II N 4 8 - U 10 - 180 5 - - Y - - - N 29 S - - - - 19.8 0.89 120 70 N

331 35 M 1 D 4 H M V IV N - - - U 7 - - - - - Y - - - N 1 S - - - - 24.9 0.97 110 70 N

332 31 M 1 D 3 H M M III J - - - U 10 - 180 5 - - Y - - - N 5 S - - - - 23 0.96 120 86 N

333 26 M 1 D 4 H M V II N - - - - - - - - - - Y - - - N 5 S - - - - 23.4 0.95 110 70 N

334 36 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 23.2 0.94 120 76 N

335 52 M 1 D 1 H M M II N - - - - - - 360 20 - - Y - - - N 21 S - - - - 26.5 0.97 160 100 H




Annexure-II

140

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

336 41 M 1 D 2 H M M II N - - - U 15 - 450 15 - - Y - + + N 10 N - - - - 24.4 0.94 140 100 H

337 56 M 1 D 1 M M M II N - - - - - - - - - - Y - - - N 26 S - - - - 24.5 0.96 120 76 N

338 48 M 1 D 2 H M M II N - - - - - - - - - + - - - - N 18 S - - - - 21.2 0.86 116 70 N

339 31 M 1 D 4 H M V IV N - - - U 5 - - - - - Y - - - N 1 S - - - - 21.4 0.84 130 60 N

340 29 M 1 D 3 H M M III N - - - U 4 - - - - - Y - - - N 1 S - - - - 23.9 0.95 120 84 N

341 29 M 1 D 2 H M M III N - - - U 4 - 90 4 - - Y - - - N 5 S - - - - 18.9 0.89 110 80 N

342 41 M 1 D 2 H M M II N - - - - - - 360 15 - - Y - - - N 9 S + - - - 26.7 0.99 150 100 H

343 42 M 1 D 1 H M M II N - - - U 7 - - - - - Y - - - N 10 S - - - - 24.8 0.97 130 80 N

344 38 M 1 D 2 H M M III N - - - - - - - - - - Y - - - N 11 S - - - - 20.9 0.86 116 74 N

345 51 M 1 D 1 H M M II N 4 12 - U 13 - 270 15 - - Y - + + N 22 S - - - - 32.4 1.06 170 100 H

346 42 M 1 D 1 M M M II N - - - - - - - - - - Y - - - N 18 S - - - - 21.4 0.83 100 70 N

347 46 M 1 D 1 H M M II N 4 12 - - - - 360 12 - - Y - + + N 19 S - - - - 35.6 1.12 150 80 H

348 48 M 1 D 2 H M V II N - - - - - - - - - - Y - - - N 20 S - - - - 22.7 0.84 120 86 N

349 45 M 1 D 2 M M M II N - - - - - - - - - + - - - - N 18 S - - - - 19.8 0.86 136 88 N

350 39 M 1 D 2 H M M III N 4 12 - U 11 - - - - - Y - - - N 12 S - - - - 29.1 1.02 150 100 H

351 39 M 1 D 3 H M V III N - - - - - - - - - - Y - - - N 2 S - - - - 24.8 0.98 130 86 N

352 42 M 1 D 2 H M V II N - - - - - - 45 4 - - Y - - - N 12 S - - - - 25.4 0.99 130 86 N

353 48 M 1 D 2 H M M II N 2 8 - U 5 - - - - - Y - - - N 20 S - - - - 24.2 0.97 120 80 N

354 46 M 1 D 1 M M M III N 4 4 - - - - 45 7 - - Y - - - N 22 S - - - - 28.5 1.04 130 86 N

355 43 M 1 D 2 M M M III N 4 11 - - - - 360 12 - - Y - - - N 17 S - - - - 25.8 1.01 150 100 H

356 42 M 1 D 2 M M M III N - - - - - - - - - - Y - - - N 7 S - - - - 20.4 0.86 134 84 N

357 42 M 1 D 1 H M M III N - - - - - - - - - - Y - - - N 7 S - - - - 21 0.89 126 80 N

358 35 M 1 D 2 H M M III N - - - U 4 - - - - - Y - - - N 5 S - - - - 24 0.94 130 86 N

359 47 M 1 D 1 H M M II N - - - - - - - - - - Y - - - N 15 S - - - - 23 0.89 116 70 N

360 45 M 1 D 2 H M M II N - - - - - - 360 13 - - Y - + + N 26 S - - - - 26 0.95 150 80 H

361 42 M 1 D 1 H M M II N - - - U 7 - - - - + - - - - N 10 S - - - - 17.7 0.85 120 70 N

362 40 M 1 D 2 H M M II N - - - - - - - - - - Y - - - N 10 S - - - - 22 0.85 120 80 N

363 43 M 1 D 1 H M M II N 4 11 - - - - 480 12 - - Y - - - N 15 S - - - - 29 1.01 150 86 H

364 38 M 1 D 2 H M M IV N 4 12 - - - - - - - - Y - - - N 1 S - - - - 26 0.92 180 110 H

365 38 M 1 D 3 H M M III N 10 7 - - - - - - - - Y - + + N 4 S - - - - 21 0.91 160 80 H




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MASTER CHART OF CONDUCTORS

Tobacco Smoking

Use of Smokeless

Tobacco

Alcohol Consumption

Physical Activity

Psycho-Social Stress

Personal history of

hypertension

Sr.N

o.

Age

(in

year

s)

Sex

Dep

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o.

Occ

upat

ion

Educ

atio

n

Rel

igio

n M

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Die

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Type

of F

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No. p

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Dur

atio

n (in

yea

rs)

Ex- S

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Use

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N

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Dur

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(in y

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Qua

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(in

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Dur

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(in y

ears

)

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Exer

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ily

Prob

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ular

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Syst

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B.P

.

Dia

stol

ic B

.P.

Inte

rpre

tatio

n

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

1 40 M 3 C 3 H M M II N - - - U 10 - 90 8 - - Y - - + N 14 S - - - - 23.6 0.95 120 80 N

2 52 M 3 C 3 H M M II N 4 10 - U 10 - 120 10 - - Y - - - N 26 N + - - - 25.5 0.97 170 100 H

3 46 M 3 C 2 M M M II N - - - - - - - - - - Y - - - N 21 S - - - - 23.9 0.98 120 86 N

4 57 M 3 C 4 H M V II N - - - U 15 - - - - - Y - - - N 29 S - - - - 21.1 0.95 120 70 N

5 52 M 3 C 2 M M V II N 4 7 - - - - - - - - Y - - - N 25 N - - - - 20.76 0.94 120 70 N

6 31 M 3 C 2 H M V III N - - - - - - - - - - Y - - - N 5 S - - - - 22.43 0.95 120 80 N

7 56 M 3 C 2 H M V I N - - - - - - - - - - Y - - - N 30 D - - - - 25.09 0.98 120 76 N

8 50 M 3 C 2 H M M II N - - - - - - - - - - Y - - - N 26 N - - - - 28.40 1.02 120 84 N

9 40 M 3 C 4 H M M III N - - - U 10 - 90 15 - - Y - - + N 15 N - - - - 24.22 0.99 130 86 N

10 39 M 3 C 3 H M V I N - - - - - - - - Y - - + N 8 S - - - - 18.44 0.86 130 86 N

11 40 M 3 C 2 H M M IV N - - - - - - 90 10 - - Y - - + N 10 N - - - - 24.44 0.99 120 70 N

12 34 M 3 C 2 H M V V J - - - - - - - - - - Y - - + N 1 S - - - - 22.26 0.96 114 70 N

13 35 M 4 C 3 H M M IV N - - - U 10 - - - - - Y - - + N 1 S - - - - 17.14 0.83 106 76 N

14 28 M 3 C 3 H M M II J - - - U 6 - 60 5 - - Y - - + N 1 S - - - - 21.7 0.84 120 70 N

15 39 M 4 C 2 H M V V N - - E - - - - - E - Y - - - N 1 S - - - - 18.32 0.83 110 80 N

16 27 M 3 C 2 H M V IV N - - - U 1 - - - - - Y - - - N 1 S - - - - 24.42 0.97 110 80 N




Annexure-II

142

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

17 53 M 3 C 2 H M V I N - - - U 15 - - - - - Y - + - Y 31 S - + 2 Y 22.9 0.94 120 70 H

18 44 M 3 C 3 H M M II N - - - U 14 - - - - - Y - - - N 18 N - + 7 Y 19.85 0.86 140 70 H

19 56 M 3 C 3 H M V II N 2 - - - - - 180 8 - - Y - + - N 30 N - + 2 Y 33.59 1.05 150 100 H

20 47 M 3 C 2 M M M I T - - - - - - - - - - Y - - - N 23 S - - - - 22.07 0.98 120 70 N

21 44 M 3 C 2 M M V II J - - - - - - 540 30 - - Y - + - N 17 N - - - - 21.76 0.98 150 100 H

22 36 M 3 C 3 H M V II N - - E - - - - - E - Y - - - N 9 S - - - - 23.04 0.97 120 70 N

23 56 M 3 C 2 H M V I N 1 25 - - - - - - - - Y - - - N 30 N - - - - 25.73 0.99 110 70 N

24 38 M 3 C 3 H M V II N 2 10 - U 10 - - - - - Y - + + N 15 N - - - - 27.94 0.97 130 100 H

25 52 M 3 C 2 H M M II N 1 15 - - - - 360 15 - - Y * - - N 17 S - - - - 21.24 0.95 120 80 N

26 40 M 3 C 3 H M M II T - - - U 15 - 270 4 - - Y - - - N 14 N - - - - 19.46 0.86 120 86 N

27 25 M 3 C 2 M M V III N - - - U 3 - - - - - Y - - + N 1 S - - - - 23.16 0.98 110 70 N

28 33 M 4 C 4 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 21.45 0.88 130 70 N

29 25 M 3 C 2 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.56 0.86 120 86 N

30 27 M 3 C 3 H U M IV N 1 4 U 4 - 60 6 - - Y - - - NA 1 S - - - - 21.8 0.95 110 80 N

31 26 M 3 C 3 H U M IV N - - - U 6 - 60 4 - - Y - - - N 1 S - - - - 18.58 0.86 110 70 N

32 25 M 3 C 3 H U V IV N - - - U 8 - - - - - Y - - - N 1 S - - - - 21.1 0.86 110 70 N

33 40 M 3 C 2 H M V IV N - - - - - - - - E - Y - - - NA 1 S - - - - 22.34 0.95 130 86 N

34 28 M 3 C 3 H M M IV N - - - - - - - - - - Y - - - N 2 S - - - - 27.2 0.98 110 80 N

35 39 M 3 C 2 H M M III N - - - - - - 60 15 - - Y * - - N 2 S - - - - 25 0.97 130 80 N

36 31 M 4 C 2 H M M IV N - - - U 10 - - - E - Y - - - N 1 S - - - - 22.06 0.97 120 76 N

37 35 M 3 C 3 H M M III N - - - U 3 - - - E - Y - - - N 8 S - - - - 24.16 0.98 120 70 N

38 37 M 3 C 2 H M M IV N - - - - - - - - - - Y - - - N 2 S - - - - 23.76 1.01 130 80 N

39 33 M 3 C 3 H M M IV N - - - U 5 - - - - - Y - - - N 2 S - - - - 18.68 0.87 120 80 N

40 35 M 3 C 3 H M M III J - - - - - - 360 3 - - Y - - - N 2 S - - - - 22.22 0.89 120 86 N

41 26 M 3 C 2 H U M IV N - - - U 6 - - - - - Y - - - N 1 S - - - - 19.3 0.85 120 70 N

42 28 M 3 C 2 H M M IV J - - - U 5 - - - - - Y - - - N 1 S - - - - 22.06 0.96 130 80 N

43 36 M 3 C 2 H M M IV N - - E U 6 - - - E Y - - + NA 2 S - - - - 20.59 0.95 114 76 N

44 35 M 3 C 3 H M M III N - - - U 5 - 60 6 - - Y - - + N 5 S - - - - 23.53 0.98 100 70 N

45 27 M 3 C 3 H M V V J - - - - - - - - - - Y - + N 1 S - - - - 20 0.97 110 70 N




Annexure-II

143

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

46 40 M 3 C 2 H M M III N - - - - - - 90 20 - - Y * - + N 1 S - - - - 22.8 0.86 126 86 N

47 28 M 3 C 2 H U V II N - - - - - E - - - - Y - - + N 1 S - - - - 18.6 0.86 110 70 N

48 29 M 3 C 3 H M V IV N - - - - - - - - - - Y - - + N 1 S - - - - 18.9 1.01 120 60 N

49 48 M 3 C 2 M M M II N - - - - - - - - E - Y - + + Y 22 N - - - - 25.53 1.01 146 94 H

50 34 M 3 C 3 H M V III N - - - - - - 60 5 - - Y - - - NA 6 S - - - - 25.36 0.88 120 86 N

51 30 M 3 C 2 H U V II N - - - - - - - - - - Y - + - N 2 S - - - - 20.22 0.88 120 86 N

52 53 M 3 C 2 H M V III N 6 2 - - - - 90 10 - - Y - - - Y 28 S - - - - 19.68 0.84 110 70 N

53 56 M 3 C 2 H M V III N - - - - - - - - - - Y - - - N 24 S - - - - 15.03 0.97 130 80 N

54 37 M 3 C 3 H M M III N - - - U 10 - - - E - Y - - - N 15 S - - - - 25.95 0.98 120 70 N

55 37 M 3 C 4 H M M I J 5 5 - - - - 60 3 - - Y - - - N 15 S - - - - 27.7 0.96 110 80 N

56 54 M 3 C 3 H M M II N - - - U 20 - 90 10 - - Y - - - N 28 S - - - - 22.36 0.96 136 86 N

57 43 M 3 C 4 H M V II N - - - - - - - - - - Y - - - N 18 S + - - - 22.66 0.97 110 80 N

58 36 M 3 C 4 H M V III N - - - - - - 360 15 - - Y - - - N 18 S - - - - 26.9 0.99 110 80 N

59 39 M 3 C 3 H M M II N 4 10 U 10 90 10 - - Y - - - N 18 S - - - - 20.61 0.89 110 80 N

60 39 M 3 C 2 M M V III N - - - U 10 180 4 - - Y - - - N 9 S - - - - 25.44 1.02 130 86 N

61 40 M 3 C 4 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 26.02 0.99 110 80 N

62 40 M 3 C 3 H M M II N - - - U 6 - 180 4 - - Y - - - N 15 S - - - - 20.7 0.88 110 80 N

63 46 M 3 C 4 H M V II N - - - U 20 - 180 8 - - Y - - - N 18 S - - - - 30.14 1.03 170 80 H

64 52 M 3 C 2 H M V II N - - - U 10 - - - - - Y - - - N 22 S - - - - 26.17 0.97 130 80 N

65 50 M 3 C 3 M M M II N - - - - - - - - Y - - - N 29 S - - - - 21.48 0.87 110 70 N

66 36 M 3 C 3 H M M III N - - - U 5 - - - - - Y - - - N 13 S - - - - 28.67 0.99 120 90 N

67 44 M 3 C 2 H M V III N - - - - - - - - - - Y - - - N 10 S - - - - 20 0.88 120 80 N

68 51 M 3 C 2 H M V III N 5 25 - - - - 270 20 - - Y - + - Y 28 N - - - - 25.9 0.99 150 80 H

69 45 M 3 C 3 H M V III N - - - - - - - - - - Y - - - Y 15 S - - - - 23.8 0.98 130 86 N

70 47 M 3 C 2 H M M III N - - - - - - - - - - Y - + - Y 23 S + + 10 Y 26 0.99 160 100 H

71 50 M 3 C 4 H M M II J - - - - - E - - - - Y - + + N 23 S - + 1 Y 29 1.07 140 90 H

72 47 M 3 C 2 H M M IV N - - - U 15 360 14 - - Y * - - N 5 N - - - - 26.32 0.99 120 84 N

73 52 M 3 C 3 M M M II N - - - - - - - - - - Y - - + N 25 S - - - - 27.34 0.99 120 80 N

74 34 M 3 C 3 H M M III N - - - U 4 90 3 - - Y - + - N 4 S - - - - 25.73 0.94 136 88 N




Annexure-II

144

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

75 44 M 3 C 3 H M M III N 4 20 - - - - 270 10 - - Y - - - NA 15 S - - - - 20.31 0.85 120 70 N

76 40 M 3 C 2 H M V III N - - - U 15 - - - - - Y - - - N 10 S - - - - 29.33 0.98 130 80 N

77 42 M 3 C 2 H M M III N 2 20 - U 20 420 20 - - Y - - - N 10 D - - - - 24.22 0.99 110 80 N

78 48 M 3 C 2 H M M II N - - - - - - - - - - Y - - - N 20 S - - - - 29.41 1.02 126 84 N

79 42 M 3 C 4 H M M II N - - - U 15 - - - - - Y - - - NA 12 S - - - - 28.13 0.99 120 78 N

80 31 M 2 C 2 H M M IV N - - - U 6 - - - - - Y - - - N 1 S - - - - 18.08 0.95 110 84 N

81 26 M 2 C 2 H M V IV N 20 2 - - - - - - - - Y - - - N 1 S - - - - 21.45 0.97 120 86 N

82 33 M 2 C 3 H M M III N - - - - - - 650 5 - - - * - - Y 2 S - - - - 27 0.99 120 86 N

83 26 M 2 C 2 M U V II N - - - - - - - - - - Y - - - N 1.6 S - - - - 22.7 0.98 120 60 N

84 30 M 2 C 4 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 22.3 0.98 104 70 N

85 30 M 2 C 2 M M M IV N - - - - - E - - - - Y - - - N 1 S - - - - 19.5 0.96 110 80 N

86 38 M 2 C 2 H M V II N 4 10 - - - - 180 15 - - - + + - NA 1 S - - - - 23.63 0.97 144 100 H

87 35 M 2 C 3 M M M IV N - - - U 5 - 60 6 - - Y - N 1 S - - - - 19.5 0.86 120 84 N

88 31 M 2 C 3 H U M IV N - - - - - - - - - - - + + - N 1 S - - - - 23.44 1.04 130 100 H

89 38 M 2 C 4 H M V II N - - - - - - - - - Y - - - N 16 S - - - - 14.88 0.95 120 78 N

90 38 M 2 C 2 M M M I N - - - - - - - - - Y - - - NA 6 S - - - - 19.6 0.86 130 70 N

91 52 M 2 C 2 M M M I N 2 4 - - - - - - - Y - - - Y 27 S - + 8 Y 37 1.04 130 90 H

92 27 M 2 C 2 H U M I N 1 7 - U 4 - 1260 6 - - Y - - - N 8 S - - - - 19.2 0.88 110 60 N

93 36 M 2 C 2 H M M II N - - E - - - 90 8 - - Y - + + N 15 D - - - - 30 1.02 120 86 N

94 55 M 2 C 2 M M M II N 2 2 - - - - - - - Y - - - N 27 S - - - - 20 0.86 130 70 N

95 36 M 2 C 3 H M M II N - - - - - - 90 4 - - Y - - - N 16 S - - - - 25 0.99 110 70 N

96 35 M 2 C 4 H M M III N - - - U 7 - - Y - + - N 10 N - - - - 26 1.01 150 92 H

97 42 M 2 C 2 H M V III N - - - - - - - - E * - - - - N 18 S - - - - 20.7 1.01 110 80 N

98 32 M 2 C 4 H M M III N - - - - - - - - - - Y - - - Y 10 S - - - - 26.5 1.05 130 80 N

99 28 M 2 C 2 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 22.65 0.97 110 70 N

100 41 M 2 C 3 H M V III N - - - - - - - - - - Y - - - N 16 S - - - - 24 0.98 126 80 N

101 28 M 2 C 3 H M M I N - - - - - - - - - - Y - - - N 6 N - - - - 22.5 0.95 110 70 N

102 30 M 2 C 3 H M M II N - - - - - - - - - - Y - - - N 6 S - - - - 20 0.88 110 70 N

103 49 M 2 C 2 M M M III N - - E U 10 - - - - - Y - - - N 20 S - - - - 20.7 0.98 120 70 N




Annexure-II

145

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

104 32 M 2 C 3 H M M II N - - - - - - - - - - Y - - - N 7 S - - - - 26 0.99 110 80 N

105 44 M 2 C 2 H M M II N - - - - - - - - - - Y - - - N 6 S - - - - 23.62 0.97 110 80 N

106 28 M 2 C 3 H M M IV J - - - - - - - - - * - - - - Y 2 S - - - - 28.14 0.99 120 80 N

107 41 M 2 C 3 H M M III N - - - - - - - - - * - - - - N 15 S - - - - 22 0.99 110 80 N

108 46 M 2 C 2 H M M II N - - - - - - - - - - Y - - - N 22 S - - - - 22.42 0.98 120 86 N

109 50 M 2 C 3 H M V II N - - - - - - - - - - Y - - - N 25 S - - - - 22 0.96 110 80 N

110 32 M 2 C 2 M M M II N 1 2 U 6 - - - - - Y - - - N 9 S - - - - 22 0.98 116 80 N

111 29 M 2 C 2 H M V IV N 3 2 - U 8 - - - E - Y - - - Y 6 S - - - - 22 0.97 90 60 N

112 31 M 2 C 3 H M M III N 1 2 - - - - 180 2 - - - * - - N 7 S - - - - 22.5 0.98 120 76 N

113 26 M 2 C 2 H M M IV N - - - U 12 - - - - - Y - - - N 1 S - - - - 19.85 0.88 110 70 N

114 30 M 2 C 2 H M M III N - - - U 10 - 180 5 - * Y - - - N 1 S - - - - 23.52 0.98 122 86 N

115 33 M 2 C 2 H M M IV N - - - U 8 - - - - - Y - - - N 1 S - - - - 22.7 0.98 130 84 N

116 26 M 2 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 24.8 0.97 120 70 N

117 34 M 2 C 2 H M M IV N - - - U 5 - - - - - Y - - - N 2 S - - - - 26.4 1.05 120 76 N

118 26 M 2 C 2 H U M I N - - - - - - - - - - Y - - - Y 1 S - - - - 20 0.89 110 70 N

119 34 M 2 C 2 H M M IV N - - - - - - - - - - Y - - - Y 1 S - - - - 21.32 0.97 120 80 N

120 34 M 2 C 2 H M V IV N - - - U 2 - - - - - Y - - - N 1 S - - - - 19.53 0.87 114 76 N

121 33 M 2 C 2 H M M IV N - - E U 6 - 30 4 - - Y - - - N 1 S - - - - 18.38 0.86 110 76 N

122 34 M 2 C 2 M M M IV N - - - - - E 60 10 - - Y - - - N 1 S - - - - 23.9 0.97 114 70 N

123 27 M 2 C 2 M M M II N - - E - - - - - - - Y - - - N 2 S - - - - 20.9 0.85 100 60 N

124 36 M 2 C 2 M M M IV N 3 4 - - - - - - - - Y - - - Y 1 S - - - - 25.19 0.97 110 80 N

125 28 M 2 C 3 H M M IV J - - - - - - - - - - Y - - - Y 1 S - - - - 20.5 0.94 114 80 N

126 32 M 2 C 3 H M M IV N - - - U 10 - 30 5 - - Y - - - N 1 S - - - - 20.44 0.98 110 80 N

127 37 M 2 C 2 M M M V N - - - U 10 - - - - - Y - - - N 1 S - - - - 20.33 0.96 126 80 N

128 36 M 2 C 2 H M V IV N - - - U 6 - 60 8 - - - * N 1 S - - - - 24.05 0.98 124 80 N

129 32 M 2 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 26.6 0.99 134 94 N

130 34 M 2 C 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 27.5 1.07 114 70 N

131 27 M 2 C 2 H U M III N 2 1 U 5 - - - - - - * - - Y 1 S - - - - 19.5 0.85 120 70 N

132 25 M 2 C 2 H U M I N - - - U 10 - - - - - Y - - - N 2 S - - - - 19.5 0.85 120 80 N




Annexure-II

146

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

133 32 M 2 C 2 H M V IV N - - - - - - - - - - Y - - - NA 1 S - - - - 18.4 0.86 120 84 N

134 30 M 2 C 3 H M M III N - - - - - - - - - - Y - - - N 1 S - - - - 17.92 0.87 100 60 N

135 26 M 2 C 3 H M V IV N - - - - - E - - * - - - - N 1 S - - - - 17.92 0.98 126 86 N

136 26 M 2 C 2 H U V IV N - - - U 1 - - - - - Y - - - NA 1 S - - - - 17.73 0.94 110 70 N

137 29 M 2 C 3 H M M IV N - - - - - - - - - - Y - - - N 2 S - - - - 19.71 0.94 120 90 N

138 28 M 2 C 3 H M M IV N - - - - - 90 6 - - Y - - - N 1 S - - - - 24.9 0.98 136 88 N

139 44 M 2 C 2 H M M III N 4 10 - U 10 - - - E - Y - - - N 1 S - - - - 22.87 0.96 130 86 N

140 37 M 2 C 2 M M M IV N 2 5 - U 5 - - - E - Y - + Y 1 S - - - - 26.5 0.97 150 90 H

141 54 M 2 C 2 H M M III N - - - U 20 - - - - - Y - - + N 18 S - - - - 25.4 0.97 110 70 N

142 42 M 2 C 2 H M M III N - - - - - - 90 2 - - Y - + - N 15 D - - - - 26.8 0.95 150 110 H

143 53 M 2 C 2 H M M II N - - - U 20 - 60 20 - - Y - - - N 30 S - - - - 28 0.99 130 80 N

144 41 M 2 C 2 H M M I N - - - - - - - - - - Y - - - N 4 S - - - - 30.8 0.98 124 80 N

145 23 M 2 C 2 M M V II N - - - - - - - - - - Y - - - N 5 S - - - - 19.28 0.89 120 74 N

146 26 M 2 C 2 H U M III N 1 6 - - - - 420 7 - - Y - - - N 3 S - - - - 17.6 0.89 110 70 N

147 28 M 2 C 3 H M M III N - - - - - - - - E - Y - + - N 6 S - - - - 21.2 0.94 114 74 N

148 52 M 2 C 2 H M M II N - - - U 15 - 90 16 - - Y - + + N 21 S - + 3 Y 29.3 1.05 140 94 H

149 46 M 2 C 2 H M V IV N 3 3 - - - - - - - - Y - - - N 10 S - - - - 20.2 0.89 130 84 N

150 34 M 2 C 2 H M M III N - - - - - - - - - - Y - - - N 14 S - - - - 24 0.93 120 78 N

151 55 M 2 C 4 H M V II N - - - - - - - - E - Y - + + N 30 N - + 2 Y 32 1.01 140 90 H

152 35 M 2 C 2 H M V II N - - - - - - 90 2 - - Y - - + N 14 S - - - - 30.9 0.99 124 80 N

153 54 M 2 C 2 H M M III N - - - - - - - - - - Y - - - N 20 S - - - - 22.9 0.89 120 80 N

154 52 M 2 C 2 H M M II N - - - - - - - - - - Y - - - Y 26 S - - - - 19.9 0.89 130 84 N

155 26 M 2 C 3 H U M IV N - - - - - - - - - - Y - - - N 3 S - - - - 19 0.87 120 80 N

156 45 M 2 C 1 H M M IV J 2 8 - - - - 90 8 - - Y - - - N 20 S - - - - 26.2 0.85 116 80 N

157 40 M 2 C 1 H M M III N 1 5 - - - - 60 5 - - Y - + + N 10 D - - - - 24.3 0.96 130 86 N

158 40 M 2 C 3 M M M II N - - - - - - - - E - Y - - - N 9 S - - - - 20.4 0.95 136 84 N

159 50 M 2 C 2 M M M II N 20 15 - - - - - - - - Y - - - NA 22 S - - - - 28.3 1.04 160 90 H

160 57 M 2 C 2 H M M III N - - - - - - - - - - Y - - - N 27 S - - - - 16.9 0.89 120 70 N

161 37 M 2 C 3 H M M II N - - - - - - - - - - Y - - - N 11 S - - - - 24.9 0.95 124 80 N




Annexure-II

147

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

162 47 M 2 C 2 H M V II N 3 3 - - - - - - - - Y - - - N 10 S - - - - 21.6 0.89 136 80 N

163 46 M 2 C 4 H M V II N 1 10 - - - - 1260 10 - - Y - + - Y 17 S - - - - 24.3 0.92 130 86 N

164 37 M 2 C 4 H M M III N - - - - - - 30 10 - - Y - - - N 15 N - - - - 26.8 0.94 130 80 N

165 35 M 2 C 4 H M M III N - - - U 16 - - - - - Y - - - N 16 S - - - - 21.8 0.82 120 86 N

166 32 M 2 C 3 H M M III N - - E - - - - - - - - Y - + N 2 S - - - - 24 0.97 110 70 N

167 35 M 2 C 3 H M M IV N 2 15 - U 15 - 180 8 - - Y - - + N 9 S - - - - 21.5 0.89 130 80 N

168 42 M 2 C 2 H M M II N - - E U 8 - - - - - Y - - - N 19 S - - - - 24.9 1.01 120 80 N

169 32 M 2 C 3 H M M III N - - - - - - - - - - Y - - - N 6 S - - - - 25.3 0.96 120 76 N

170 24 M 2 C 2 M M M III N - - - - - - - - - - Y - - - N 6 N - - - - 15.5 0.86 100 60 N

171 40 M 2 C 4 H M M II N - - - U 25 - 180 15 - - Y - + - N 18 S - - - - 17.5 1.02 160 92 H

172 24 M 2 C 3 H U M IV N - - - - - - - - - - Y - - - N 6 S + - - - 20.8 0.94 130 86 N

173 57 M 2 C 2 H M M II N - - - U 20 - 60 20 - - Y - + - N 20 S - - - - 29.2 1.04 170 100 H

174 47 M 2 C 2 H M M I N - - - - - - - - - - Y - + + N 18 S - + 3 Y 26.5 1.06 130 80 H

175 33 M 2 C 4 H M M II J - - - - - - - - - - Y - - - Y 7 S - - - - 17.7 0.87 130 80 N

176 35 M 2 C 2 M M M III N - - - - - - - - - - Y - - - N 14 S - - - - 22.5 0.96 110 70 N

177 26 M 2 C 4 H U M V J - - - U 8 - - - - - Y - - - N 1 S - - - - 18.8 0.86 120 86 N

178 48 M 2 C 2 M M M II N - - - - - - - - - Y - - - + N 25 D - - - - 24 0.95 130 86 N

179 27 M 2 C 4 H U M III N - - - - - - - - - - - Y - + N 7 N - - - - 24 1.03 120 76 N

180 37 M 2 C 3 H M M II J - - - U 7 - 90 6 - - Y - - - N 14 S - - - - 26.3 1.01 120 80 N

181 37 M 2 C 3 H M M III N - - - U 12 - 270 12 - Y - - - - NA 16 S - - - - 20 0.86 120 76 N

182 34 M 2 C 3 H M M III N - - - U 6 - 1260 5 - - Y - - - N 10 S - - - - 22.4 0.97 120 78 N

183 47 M 2 C 3 H M M IV N 2 2 - U 8 - - - - - Y - - - N 15 S - - - - 27.7 1.01 120 76 N

184 39 M 2 C 3 M M M III N - - - - - - - - - - Y - - - N 10 N + - - - 20.2 0.83 120 70 N

185 45 M 2 C 3 M M M II N - - - - - - - - - - Y - - - N 15 S - - - - 16.9 0.86 106 60 N

186 51 M 2 C 1 H M M II N - - - - - - - - - - Y - - - NA 26 S - - - - 19.5 0.86 136 80 N

187 49 M 2 C 2 M M M II N 2 20 - - - - - - - - Y - - - N 15 S - - - - 15.2 0.89 90 70 N

188 36 M 2 C 3 H M M II N - - - - - - - - - - Y - - + N 15 S - - - - 26.1 0.92 120 80 N

189 44 M 2 C 3 H M M II N - - - - - E 480 15 - - Y - - - Y 22 S - - - - 22 0.89 126 80 N

190 51 M 2 C 3 M M M II N - - - - - - - - - - Y - - - N 21 S - - - - 18.4 0.95 130 80 N




Annexure-II

148

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

191 38 M 2 C 2 H M M II N - - - U 10 - 45 15 - - Y - - - N 9 S - - - - 20.9 0.93 136 86 N

192 43 M 2 C 1 H M M II N - - - - - - - - - - Y - - - Y 15 S - - - - 24.8 0.94 120 80 N

193 29 M 2 C 3 H M M II N - 30 5 U 5 - 45 8 - - Y - - - Y 8 S - - - - 22.1 0.95 110 70 N

194 53 M 2 C 2 H M M II N - - - - - - 20 5 - - Y - - - Y 27 S - - - - 20 0.87 120 70 N

195 53 M 2 C 3 H M V II N - - E U 20 - 45 27 - - Y - - - Y 27 S - - - - 23.9 0.94 136 86 N

196 34 M 2 C 2 H M M III N - - - U 10 - 180 10 - - Y - - + Y 14 S - - - - 25.4 0.99 130 86 N

197 40 M 2 C 3 H M M II N - - - - - E - - E - Y - + + N 9 S - - - - 22.7 0.88 160 110 H

198 40 M 2 C 2 H M M III N 1 6 - U 10 - - - E - Y - - - NA 9 S - - - - 23.5 0.97 120 76 N

199 30 M 2 C 3 H M M III N - - - U 1 - 90 1 - - Y - - - N 5 S - - - - 22.1 0.86 110 86 N

200 30 M 2 C 2 M M M III N - - - - - - - - - - Y - - - Y 9 D - - - - 24.9 0.97 120 86 N

201 39 M 2 C 3 H M M III N - - - - - - - - - - Y - - - N 9 N - - - - 22.6 0.87 136 80 N

202 39 M 2 C 2 H M M III N - - - - - - - - - - Y - - - N 9 S - - - - 23.4 0.94 136 88 N

203 40 M 2 C 2 H M V II N 1 4 - U 20 - 360 20 - - Y - + + N 26 D - + 1 N 28.9 1.05 170 110 H

204 43 M 2 C 3 H M V III N - - - - - - - - - - Y - - - N 18 S - - - - 19.5 0.86 120 86 N

205 47 M 2 C 3 H M V II N - - - - - - - - - - Y - - - N 22 S - - - - 25.6 0.97 120 78 N

206 42 M 2 C 3 H M M II N 2 15 - - - - - - - - Y - - - N 16 S - - - - 24 0.97 120 86 N

207 48 M 2 C 2 H M M II N - - - - - - 45 15 - - Y - - - N 25 S - - - - 27.7 0.96 130 84 N

208 36 M 2 C 2 H M M II N - - - - - - 45 10 - - Y - - - Y 15 S - - - - 22 0.86 130 76 N

209 44 M 2 C 2 H M M II N - - - U 4 - 180 10 - - Y - - - N 20 N - - - - 25.2 0.98 120 78 N

210 48 M 2 C 2 H M M II N - - - - - - - - - - Y - + + Y 20 S - - - - 43 1.02 136 86 N

211 56 M 2 C 2 H M M I N 2 20 - - - - 90 15 - - Y - - - N 36 S - - - - 22.5 0.96 136 80 N

212 37 M 2 C 4 H M M II N 10 8 - U 7 - 45 10 - - Y - - - N 15 N - - - - 18.8 0.89 100 70 N

213 47 M 2 C 2 H M M II N 2 8 - - - - - - - - Y - - - N 23 S - - - - 29.8 1.07 144 90 H

214 27 M 2 C 4 H M M II N - - - U 5 - - - - - Y - - - N 8 S - - - - 22.05 0.96 130 80 N

215 51 M 2 C 2 H M M II N - - - - - - - - - - Y - - - N 26 S - - - - 29.4 0.99 114 80 N

216 49 M 2 C 2 H M M III N - - - - - - - - - - Y - - - N 26 S - - - - 15 0.88 100 60 N

217 40 M 2 C 2 H M M III N - - - - - - 45 5 - - Y - - - N 10 S - - - - 24.2 0.98 120 80 N

218 49 M 2 C 2 H M M II N - - - - - - 20 10 - - Y - - - N 26 S - - - - 22 0.86 126 80 N

219 48 M 2 C 2 H M M I N 1 15 - U 15 - - - E - Y - - - Y 24 S - + 2 Y 25.8 1.03 136 90 H




Annexure-II

149

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

220 38 M 2 C 3 H M M II N 10 10 - - - - - - - - - Y + - Y 16 S - - - - 31.9 1.03 160 100 H

221 52 M 2 C 3 H M M II N - - - U 20 - 360 15 - - Y - - - N 32 S - - - - 16.9 0.94 120 80 N

222 40 M 2 C 4 H M M III N - - - - - - - - - - Y - - - N 11 S - - - - 22.5 0.96 110 70 N

223 37 M 2 C 4 H M M III N 11 15 - - - - - - - - Y - + + N 1 S - - - - 26.2 1.03 150 86 H

224 40 M 2 C 4 H M M III N - - - - - - - - - - Y - - - N 10 S - - - - 22.3 0.95 120 84 N

225 38 M 2 C 3 H M M III N 10 12 - - - - 900 5 - - Y - + + N 12 S - - - - 26.6 0.96 144 90 H

226 44 M 2 C 3 H M M II N - - - - - - 20 10 - - Y - + + N 19 S - - - - 21.9 0.98 144 100 H

227 29 M 2 C 3 H M M III N - - - - - - - - - - Y - + - N 1 S - - - - 22.2 0.92 110 80 N

228 30 M 2 C 3 H M M IV N - - - U 5 - 45 2 - - Y - + + N 5 S - - - - 16.5 0.89 14 80 N

229 55 M 2 C 2 H M V I N 2 20 - - - - - - - Y - - + + N 16 N - - - - 27.6 1.01 170 96 H

230 42 M 2 C 2 H M M II N - - - - - - 180 20 - - - Y + - N 4 S - - - - 29.4 1.03 120 80 N

231 35 M 2 C 3 M M M IV N - - - - - - - - - - - Y - - Y 15 S - - - - 27.2 1.01 120 74 N

232 38 M 2 C 2 H M M II N - - - - - - 180 10 - - Y - - - N 16 S - - - - 23.5 0.94 120 76 N

233 43 M 2 C 4 H M M IV N 2 12 - - - - 360 12 - - Y - - + N 18 S - - - - 24.6 0.96 120 86 N

234 35 M 2 C 2 M M M IV N 4 6 - U 2 - - - - - Y - - + N 15 S - - - - 22.9 0.97 114 70 N

235 27 M 2 C 2 H U M I N 1 8 - U 12 - 420 8 - - Y - + + N 4 S - - - - 19.8 0.86 0.11 86 N

236 40 M 2 C 3 H M M IV N - - - U 10 - 90 3 - - Y - - - N 15 N - - - - 24.8 0.98 110 80 N

237 38 M 2 C 3 H M M II N - - - U 12 - - - - - Y - + + N 15 N - - - - 19.9 0.86 110 70 N

238 48 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 23 S - - - - 29.4 0.91 124 70 N

239 25 M 1 C 3 H U M III N - - - - - - - - - - Y - - - N 2 S - - - - 18.9 0.92 110 70 N

240 47 M 1 C 3 M M M III N - - - - - - - - - - Y - - - N 17 S - - - - 20.5 0.89 120 78 N

241 54 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 26 S - - - - 25.4 0.97 110 80 N

242 21 M 1 C 2 M U M II N 1 4 - - - - - - - - Y - - - N 2 S + - - - 18.6 0.85 120 86 N

243 44 M 1 C 3 H M M II N 1 7 - U 20 - 750 15 - - Y - - - N 18 S - - - - 22.8 0.94 110 70 N

244 49 M 1 C 2 H M V II N - - - - - - - - - - Y - - - N 27 S - - - - 21.3 0.89 130 86 N

245 46 M 1 C 3 H M M II N - - - - - - 90 10 - - Y - - + N 23 S - - - - 30.8 1.02 116 80 N

246 37 M 1 C 3 H M M III N - - - U 10 - 180 10 - - Y - - - N 11 S - - - - 20.4 0.89 110 80 N

247 35 M 1 C 3 H M V II N - - - - - - - - - Y - - - - N 15 S - - - - 20.8 0.89 120 70 N

248 40 M 1 C 2 H M M III N 2 10 - - - - - - - - Y - - - Y 15 N - + 8 Y 21.8 0.89 130 80 H




Annexure-II

150

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

249 51 M 1 C 2 H M M II N - - - - - - 360 20 - - Y - - - NA 28 S - + 8 Y 26.6 0.96 144 98 H

250 50 M 1 C 3 H M M II N - - - - - - - - - - Y - - - N 18 N - - - - 24.3 0.96 130 86 N

251 53 M 1 C 4 H M M II N - - E - - - - - - - Y - - - N 22 N + - - - 23.9 1.01 120 70 N

252 52 M 1 C 2 H M M II N 5 15 - - - - 45 10 - - Y - - - N 21 N - - - - 19.5 1.01 154 94 H

253 50 M 1 C 4 H M M II N - - - - - - 45 7 - - Y - - - N 22 S - - - - 25.6 0.94 126 80 N

254 57 M 1 C 2 H M M II N - - - - - - 360 10 - - Y - + - N 27 S - - - - 27.3 1.01 180 94 H

255 55 M 1 C 2 H M M II N 2 10 - U 15 - - - E - Y - - - Y 34 S - - - - 22 0.91 110 70 N

256 32 M 1 C 4 H M M II N - - - - - - - - - - Y - - - Y 5 S - - - - 15.8 0.86 110 80 N

257 52 M 1 C 2 H M M II N - - - - - - - - - - Y - - - Y 27 S - - - - 15.9 0.92 130 80 N

258 49 M 1 C 3 H M M II N - - E - - E - - E - Y - - - N 24 S - + 2 Y 30.2 1.01 106 80 H

259 52 M 1 C 2 M M M II N 2 12 - U 10 - 360 15 - - Y - + - N 26 S - + 2 Y 25.3 0.98 160 100 H

260 56 M 1 C 2 H M V II N - - - - - - - - - - Y - - - N 35 S - - - - 30.1 1.02 120 70 N

261 54 M 1 C 2 H M M II N 15 15 - U 10 - 540 15 - - Y - + - N 24 S - - - - 27.3 1.01 150 80 H

262 44 M 1 C 3 H M M II N - - - - - - - - - - Y - + - N 18 N - + 2 N 25.4 0.98 180 110 H

263 56 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 29 S - - - - 19.5 0.89 120 84 N

264 54 M 1 C 4 H M M II N 10 20 - - - - 180 10 - - Y - + - N 28 S - + 1 Y 20.1 0.86 190 90 H

265 51 M 1 C 3 H M M II N - - E - - - 540 20 - - Y - - - Y 24 S - + 2 Y 29.7 1.02 150 94 H

266 41 M 1 C 2 H M M II N - - - - - - 90 8 - - Y - - - N 18 S - - - - 29.4 0.97 110 76 N

267 28 M 1 C 2 H U M III N 4 4 - - - - - - - - Y - - - N 7 S - - - - 26.3 0.99 130 86 N

268 55 M 1 C 3 H M M II N - - - - - - 90 10 - - Y - + - N 28 S - - - - 25.2 1.01 144 96 H

269 43 M 1 C 4 H M M II N - - - - - - 20 10 - - Y - - - N 17 S - - - - 28.7 1.01 120 70 N

270 49 M 1 C 4 H M M II N - - - U 10 - 360 25 - - Y - - - N 24 S - - - - 28.8 0.86 100 60 N

271 35 M 1 C 4 H M M II N 2 10 - U 15 - 180 8 - - Y - - - N 15 S - - - - 25.7 0.93 120 70 N

272 35 M 1 C 3 H M M II N - - - - - - 180 5 - - Y - - - N 16 S - - - - 21.7 0.89 120 80 N

273 46 M 1 C 3 M M M II N - - - - - - - - - - Y - - - N 15 S - - - - 30 1.01 130 84 N

274 42 M 1 C 3 H M M II N - - - - - - - - - - Y - - - N 15 S - - - - 20.9 0.91 120 96 N

275 54 M 1 C 4 H M M II N - - - - - - - - - - Y - + - Y 22 S - - - - 23.4 0.98 150 94 H

276 33 M 1 C 4 H M M II N - - - - - - - - - - Y - - - N 10 S - - - - 20.2 0.89 124 80 N

277 43 M 1 C 2 H M V II N - - - - - - 180 8 - - Y - - - N 20 S - - - - 26 0.94 120 82 N




Annexure-II

151

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

278 49 M 1 C 2 H M M II N - - - - - - - - - - Y - + + N 20 S - - - - 25.2 0.97 154 88 H

279 53 M 1 C 2 H M V II N 10 15 - - - - 630 10 - - Y - - - N 26 S - + 1 N 20.8 0.84 100 70 N

280 50 M 1 C 3 H M M II N - - - U 10 - - - - - Y - - - N 20 S - - - - 28.4 1.01 150 100 H

281 52 M 1 C 2 H M M II N 10 15 - - - - 240 20 - - Y - - - N 22 S - - - - 22.8 0.88 160 100 H

282 30 M 1 C 4 H M M IV N - - - - - - - - - - Y - - - N 3 S - - - - 21.9 0.86 110 70 N

283 47 M 1 C 2 H M M II N - - - - - - 180 10 - - Y - - - Y 26 S - - - - 23.5 0.94 130 80 N

284 46 M 1 C 4 H M M II N - - - - - - - - - - Y - - - N 22 S - - - - 28.7 0.96 136 86 N

285 37 M 1 C 2 H M M II N - - E - - E - - E - Y - + - Y 9 D + + 5 Y 30.1 1.01 130 94 H

286 50 M 1 C 4 H M M II N - - - - - - - - - - Y - - - N 25 S - - - - 35.5 1.05 132 70 N

287 42 M 1 C 4 H M M II N 2 8 - - - - - - - - Y - - - N 18 S - - - - 25.7 0.96 120 84 N

288 38 M 1 C 3 H M M I N - - - - - - - - - - Y - - - N 15 S - - - - 25.5 0.93 124 80 N

289 39 M 1 C 2 H M M II N 2 10 - U 10 - 540 15 - - Y - - - NA 18 S - - - - 26.2 0.98 140 100 H

290 42 M 1 C 4 H M M II N - - - - - - - - - Y - - - - N 12 S - - - - 25.7 0.96 130 80 N

291 40 M 1 C 2 H M M III N - - - U 10 - 360 12 - - Y - - - N 5 S - - - - 26.9 0.98 120 82 N

292 40 M 1 C 2 M M M II N - - - U 15 - 270 25 - - Y - - - N 11 S - - - - 26.1 0.96 110 66 N

293 22 M 1 C 3 H U M IV N - - - - - - - - - - Y - + - N 1 S - - - - 21.8 0.89 140 70 N

294 36 M 1 C 3 H M M IV N - - - - - - - - - - Y - - - N 14 S - - - - 22.7 0.86 110 80 N

295 41 M 1 C 2 H M M II N - - E U 12 - - - - - Y - - - N 22 S - - - - 18.8 0.87 90 60 N

296 45 M 1 C 2 H M M III N 2 10 - - - - - - - - Y - - - N 12 S - - - - 20.1 0.86 110 70 N

297 47 M 1 C 3 H M V I N - - - - - - - - - - Y - - - N 24 S - - - - 23.7 0.97 124 86 N

298 41 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 19 S - - - - 20.5 0.84 120 70 N

299 39 M 1 C 3 H M M II N - - - - - - - - - - Y - - - N 18 S - - - - 27.8 1.01 124 86 N

300 39 M 1 C 2 H M M II N - - - U 10 - 90 10 - - Y - - - N 18 S - - - - 21 0.89 130 80 N

301 33 M 1 C 2 H M M III N - - - U 7 - - - - - Y - - - N 6 S - - - - 23.9 0.97 110 70 N

302 39 M 1 C 2 H M M III N - - - - - - 120 10 - - Y - - - N 9 S - - - - 22.7 0.86 120 84 N

303 54 M 1 C 2 H M M I N - - - - - - - - - - Y - - - N 28 S - - - - 20.5 0.86 130 80 N

304 47 M 1 C 2 H M M II N - - - U 10 - - - - - Y - - - N 24 S - - - - 18.8 0.88 126 86 N

305 47 M 1 C 3 H M M II N - - - - - - 360 20 - - Y - - - N 24 S - - - - 19.4 0.89 130 86 N

306 43 M 1 C 2 H M M II N 4 15 - - - - 630 25 - - Y - - - N 17 S - - - - 18.9 0.89 96 60 N




Annexure-II

152

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

307 37 M 1 C 3 H M M III N - - E - - E - - - - Y - - - N 9 S - + 5 Y 30.2 1.03 130 94 H

308 55 M 1 C 2 H M M II N - - - U 15 - 180 5 - - Y - - - N 20 S - - - - 24.8 0.98 120 96 N

309 49 M 1 C 2 H M M II N 1 10 - - - - - - - - Y - - - N 25 S - - - - 23.7 0.94 120 80 N

310 57 M 1 C 2 H M M II N - - - - - - 360 10 - - Y - - - N 33 S - - - - 21.4 0.86 150 80 H

311 46 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 9 S - - - - 28.3 0.97 110 70 N

312 42 M 1 C 2 H M M I N - - - U 13 - 360 12 - - Y - - - Y 18 S - - - - 28.4 1.01 140 96 H

313 43 M 1 C 2 H M M I N - - - - - - 90 4 - - Y - - - N 18 S - - - - 19.5 0.88 100 70 N

314 26 M 1 C 3 H M V III N - - - - - - - - - - Y - - - N 1 S - - - - 19.8 0.89 116 80 N

315 26 M 1 C 4 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.1 0.89 110 70 N

316 32 M 1 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 22.3 0.89 120 70 N

317 28 M 1 C 2 H M M IV N 2 4 - U 11 - - - - - Y - - - N 1 S - - - - 24 0.98 130 86 N

318 25 M 1 C 3 H U V IV N - - - - - - - - - - Y - - - N 1 S - - - - 20.4 0.84 130 86 N

319 40 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 18 S - - - - 19.5 0.89 120 86 N

320 27 M 1 C 3 H M M IV N - - - U 2 - - - - - Y - - - N 1 S - - - - 18.5 0.87 106 78 N

321 29 M 1 C 4 H M M IV N - - - U 4 - - - - - Y - - - N 1 S - - - - 24.1 0.97 120 86 N

322 32 M 1 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 24.7 0.98 120 70 N

323 29 M 1 C 2 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 24.2 0.96 124 80 N

324 31 M 1 C 3 H M V IV N - - - - - - - - - - Y - - - N 1 S - - - - 24.1 0.95 120 80 N

325 25 M 1 C 2 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 17.9 0.87 110 70 N

326 26 M 1 C 3 H U V III N - - - - - - - - - - Y - - - N 1 S - - - - 20.1 0.94 114 70 N

327 34 M 1 C 4 H M M IV N - - - U 4 - - - - - Y - - - N 1 S - - - - 20.1 0.93 110 70 N

328 28 M 1 C 4 M M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 20 0.86 120 70 N

329 37 M 1 C 1 H M M IV N - - - - - - - - - - Y - - - N 10 S - - - - 18.5 0.87 110 70 N

330 45 M 1 C 3 H M V I N - - - - - - - - - - Y - - - N 17 S - - - - 20.1 0.89 130 76 N

331 40 M 1 C 2 H M M II N - - - - - - - - - - Y - - - N 13 S - - - - 24.4 0.86 136 86 N

332 42 M 1 C 3 H M M II N - - - - - - - - - - Y - - - N 20 S - - - - 22.8 0.84 126 86 N

333 37 M 1 C 2 H M M III N 1 4 - - - - - - - - Y - - - N 16 S - - - - 24.6 0.83 130 80 N

334 35 M 1 C 2 H M M III N - - - - - - 90 4 - - Y - - - N 14 S - - - - 17.8 0.88 100 76 N

335 25 M 1 C 4 H U M IV N - - - - - - 45 4 - - Y - - - N 1 S - - - - 17.4 0.87 120 76 N




Annexure-II

153

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

336 52 M 1 C 2 H M M II N 6 11 - - - - - - - - Y - - - N 28 S - - - - 25.4 0.99 170 110 H

337 30 M 1 C 3 H M V IV N - - - - - - - - - - Y - - - N 1 S - - - - 19.1 0.84 100 60 N

338 34 M 1 C 3 H M M III N - - - - - - - - - - Y - - - N 1 S - - - - 24.9 0.96 110 80 N

339 34 M 1 C 4 H M V IV N - - - - - - - - - - Y - - - N 1 S - - - - 17.9 0.88 120 70 N

340 31 M 1 C 3 H M M IV N - - - U 3 - - - - - Y - - - N 1 S - - - - 19.4 0.84 130 80 N

341 36 M 1 C 2 M M M III N - - - - - - 90 6 - - Y - - - N 4 S - - - - 20.1 0.86 110 80 N

342 52 M 1 C 3 H M M II N - - - - - - - - - - Y - - - N 27 S - - - - 29.7 1.08 130 86 N

343 46 M 1 C 3 H M M II N - - - U 8 - - - - - Y - - - N 22 S - - - - 23.2 0.94 130 80 N

344 42 M 1 C 2 M M M III N 3 12 - - - - 270 11 - - Y - - - Y 10 N + + 3 Y 31.4 1.08 154 100 H

345 33 M 1 C 4 H M V IV N - - - - - - - - - - Y - - - N 1 S - - - - 21.8 0.84 130 86 N

346 31 M 1 C 3 H M V IV N - - - U 3 - - - - - Y - - - N 1 S - - - - 19.4 0.88 120 70 N

347 26 M 1 C 4 H U M III N 2 3 - U 3 - 90 3 - - Y - - - N 1 S - - - - 19.8 0.88 110 86 N

348 26 M 1 C 3 H U M IV N - - - - - - 120 4 - - Y - - - N 1 S - - - - 24.5 0.86 114 80 N

349 26 M 1 C 3 M M M III N - - - - - - - - - - Y - - - N 1 S - - - - 21 0.89 110 80 N

350 30 M 1 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 26 0.94 110 80 N

351 39 M 1 C 2 H M V III N - - - - - - - - - - Y - - - N 16 S - - - - 24 0.93 100 70 N

352 29 M 1 C 3 H M M IV N - - - - - - - - - - Y - - - N 1 S - - - - 22 0.92 138 86 N

353 55 M 1 C 2 H M M I N - - - - - - 630 15 - - Y - + - N 28 S - - - - 27.5 0.99 150 80 H

354 27 M 1 C 4 H M V IV N - - - - - - - - - - Y - - - N 1 S - - - - 18 0.86 110 80 N

355 52 M 1 C 2 H M M III N - - - - - - - - - - Y - - - N 23 S - - - - 20 0.89 120 84 N

356 30 M 1 C 1 H M V IV N - - - - - - - - - - Y - - - N 6 S - - - - 22.5 0.83 120 86 N

357 29 M 1 C 2 H M V III N - - - U 4 - - - - - Y - - - N 1 S - - - - 23.1 0.89 124 84 N

358 27 M 1 C 2 H U V IV T - - - - - - - - - - Y - + + N 1 S - - - - 20 0.87 120 70 N

359 28 M 1 C 2 H U M IV N - - - - - - - - - - Y - - - N 1 S - - - - 23.2 0.92 116 84 N

360 29 M 1 C 3 H M V IV N - - - - - - - - - Y - - + + N 1 S - - - - 19.4 0.88 118 86 N

361 28 M 1 C 3 H M V III T - - - U 5 - - - - Y - - - - N 1 S - - - - 20.1 0.89 114 82 N

362 26 M 1 C 3 H U M II N - - - U 3 - - - - - Y - - - N 1 S - - - - 22 0.91 110 70 N

363 29 M 1 C 4 M M M III T - - - U 2 - - - - Y - - - - N 1 S - - - - 19.8 0.89 116 80 N

364 30 M 1 C 4 M M M III N 1 2 - - - - - - - - Y - - + N 1 S - - - - 21.2 0.88 124 76 N




Annexure-II

154

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

365 31 M 1 C 1 M M M IV N - - - - - - - - - - Y - - - N 2 S - - - - 20.4 0.89 118 76 N

366 30 M 1 C 2 H M M IV N - - - U 3 - - - - Y - - - - N 1 S - - - - 24.4 0.93 120 80 N

367 34 M 1 C 2 H M M IV T - - - - - - 60 1 - - Y - - - N 1 S - - - - 20.4 0.89 120 70 N

368 32 M 1 C 2 H M M IV N 2 3 - - - - - - - - Y - - - N 1 S - - - - 19.8 0.89 110 70 N

369 36 M 1 C 2 H M M III N - - - - - - - - - - Y - - - N 1 S - - - - 24.6 0.94 114 70 N

370 37 M 1 C 3 H M V II N - - - - - - - - - - Y - - - N 1 S - - - - 23.7 0.92 120 80 N




Chizoba project

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Transcript of Chizoba project