Orientation on Y-SMilES Programme for CBSE Schools

Added: 2026-05-12

[00:00:00]So we are starting.

[00:00:04]So good morning to all distinguished guests, principals, teachers and participants joining us from across the country. As you all know CBSC has recently issued a circular uh in which it has been mentioned that we are collaborating with institution of liver and bilary sciences and conducting a vice miles program in our schools. This program uh is has been initiated for the welfare of our students with the vision uh in in line with the vision of CBSC school health policy. Uh I'm sure you all must be very eager to know more about it so that we can successfully implement it and before getting it in detail into all the u processes and how you can register and everything else I would request our director Dr. Dr. Praya M Singh to address a welcome note to start with to start the session.

[00:01:02]>> Uh thank you Anjelie. Good morning. It's a privilege to welcome you to this orientation webinar on vision for school health and wellness initiative. I extend a warm welcome to our respected chairperson CBSC Shira Singh GI who guides and inspires us to work hard for our schools. I extend my greetings to dignitaries from ILBS professor Dr. SK Sarin, Dr. Kanika and Dr. All directors of CBSC officers and officials, principals and teachers from CBSC schools and participants joining us online via this live telecast are warmly welcomed to today's webinar.

[00:01:38]Schools today play a critical role not only in academic learning but also in shaping the physical, mental, emotional well-being of students. Hence, CBSC is introducing the vice miles program for the students of age group 11 to 17 years. uh the program will not have any financial burden on school, students or parents. You're all requested to actively participate and contribute to building a healthier more aware generation. And with this, I welcome you once again and wish the webinar a great success. I request chairperson sir to address the participants.

[00:02:11]As always, it's a privilege to be speaking to all the educators. I think quite a lot of principles and the teachers have the name.

[00:02:24]>> I also have the privilege of welcoming Dr. SK >> Dr. have all the opinions of CBC to this particular webinar.

[00:02:35]Schools today as Praa said they at one level they are meant for in a way students which promote academic growth >> wellbeing but increasingly as society has evolved there are also now places where we focus more on the holistic development of the child that includes the social emotional needs and also as part of our health policy the focus on the health of children. So we initiated certain initiatives earlier as well including discussed >> sugar initiative and then the oil board initiative.

[00:03:17]Today's webinar focuses on one particular aspect of it that is the non-communicable diseases and in this I would like to thank once again it is initiative once again it is inative of the IND >> for the past I think not less than six seven months that we have to get it up and running and children must be motivated to recognize diagnosis not a very inclusive program in the sense that doesn't require blood tests and all that expert medical opinion it's a screening program essentially and obviously after the screening there's a second level intervention which has visualized the program I think that will be discussed in detail when Dr. takes the chair.

[00:04:12]CBSC has been consistently working towards the school health and wellness program.

[00:04:18]the partnership we have partnered with UNESCO also has been approaching this but I think this particular initiative we hope to have a more compul framework.

[00:04:50]The approach has been rather the approach is that it be introduced I want to see the fire.

[00:06:23]and a few other institutions. But uh I will I look forward to this continued collaboration and improving the health outcomes.

[00:06:32]I would urge all the principles and promoters of schools who are in the webinar today to actively participate in the program. It it will succeed only if the efforts are persistent, responsibilities are shared collectively and the vision is diffused equally to all.

[00:06:54]In the end, I would once again like to reiterate that CBSC is committed not only to academic excellence but to the holistic welfare of the child including health and one facet of it that is preventive health. Our goal is to nurture a generation that is knowledgeable, healthy, aware and resilient.

[00:07:15]Thanks a lot. Over to you. Thank you.

[00:07:22]>> Uh thank you sir. I would now request Dr. Kanika to for the further proceedings of the webinar.

[00:07:31]>> Ma'am before Dr. Kanika uh Dr. Sarin is the next speaker. So I'll read a brief introduction of uh Dr. Serin. Dr. Sarin uh is director and chancellor of ILBS.

[00:07:46]He is a globally renowned heptologist and director of ILBS with decades of contribution to clinical care research and policy. He has been instrumental in advancing liver disease management in India. Under his leadership, ILBS has emerged as a center of excellence driving impactful initiative in preventive heptologology and public health. I would now like to uh hand over the mic or the munch to you sir.

[00:08:18]Thank you very much uh uh chairman Shir Rahul Gya and uh all the other colleagues uh it's a privilege for us and to me it's a historic day uh because uh I think 6th of May and today's webinar will go long in my opinion in making a different generation of students and uh probably a different generation of teachers. So I thank you all. For me it's a historic day. Uh I would like to also acknowledge that uh whatever I am saying is with an intention to sensitize teachers and then through them to everyone. So I will make a presentation and make it so simple that you all probably would be able to uh use it. Uh can we have the next slide? Kaneka can you move my Yeah. So I'll share with you what are NCDs is liver the core to identify yourself without going to the doctor. Am I healthy school as a public health institution and why we are promoting and suggesting why smiles? Please go ahead.

[00:09:42]So my disclosure is like you I will remain and I am a student who is exploring secrets of good health and longevity. I'm sure you all are interested and try to explore with me secrets.

[00:10:00]Next please.

[00:10:02]And students become teachers reflection.

[00:10:05]So today's webinar for the principles and teachers will probably change them and through them the students. So thank you all for joining us next.

[00:10:21]So what is health? I would try and tell you and would like you to know how to be nerogi and dear guide and through you you would lead others next.

[00:10:34]So diseases are of two types communicable like an infective agent there is malaria TB covid flu hepatitis and non-communicable means there is no infective agent bacteria virus parasite and these include obesity fatty liver heart disease blood pressure diabetes high lipids liver kidney lung mental diseases and cancers Next please. So India is the metabolic disease capital of the world with the largest population in the world. This is not unexpected. So diabetes, rediabetes, hypertension, fatty liver, obesity, high cholesterol are all part and to us core for all these remains the liver. Next please.

[00:11:31]So three of four deaths in the world today are from non-communicable diseases.

[00:11:38]41 million people die. Four crores plus die from NCDS and of them cardiovascular is about 1/4 and the cost to India between 2012 to 2030 is about $3.5 trillion.

[00:11:56]Next please.

[00:11:57]So now walk with me for your health because your health lies in your hands and in your liver and of course your genes. Next please.

[00:12:10]So liver is located on the right hand side upper part of the abdomen. You know that it has many functions but three most important functions. We have one circulation which is blood. Second circulation we have is a bile. So what you eat goes to liver and comes back through bile to the intestine. This is liver intestine circulation which is six times a day and this is what is called as pithagini jhataragini. Your pith or your bile is the source of your energy because it contains all those things which you have eaten into a usable energy providing mechanism. Second thing liver does is controls your blood sugar.

[00:12:58]Third controls your fat, cholesterol, triglyceride and others. Next, what damages liver? Of course you know alcohol, you know hepatitis B or A, but it is now most important is fat. Next.

[00:13:17]So liver has less than 5% fat of 1,500 grams 75 grams can be fat but if it is more than 10% due to overeating excess calories or inheritance you have fatty liver. Next please.

[00:13:35]So these are important for all of you to learn so that you can teach your students. Surplus fat inflames liver and other organs. Next.

[00:13:47]So this is a healthy liver. If you take a liver tissue, it has all these cords of cells. Every uh blue dot is a cell.

[00:13:56]So they are all healthy. But when you take this which has fat, all these are cells, but they are full of white material which is fat. And therefore this is an unhealthy liver. It inflames.

[00:14:09]Next please. So when somebody has such a liver which has fat the liver cells are attacked by white blood cells WBC's and they will kill these cells. Please remember this is the death of these cells which causes fat induced hepatitis which is healed by scarring fibrosis.

[00:14:34]Finally, it leads to cerosis, may lead to liver cancer and both these conditions may need liver transplant.

[00:14:41]That's another part. How do you read out this is inside the liver? The readout is in the blood by high SGPT or ALT. So if your liver has fat, the readout is SGPT or ALT. Next, so this is an important slide for you.

[00:15:01]These are your genetic signatures.

[00:15:04]So a normal liver you have a blood sugar of 90 after a overnight dinner and you are using two units of insulin to have this blood sugar. You have a healthy liver. But for the same 90 mg of blood sugar after a dinner you are using 20 units of insulin you have a unhealthy body poor metabolism. Why you need 20 units? Because of the fat insulin doesn't get in. If insulin doesn't get in more and more insulin has to be produced. This is the basis of all NCDs.

[00:15:44]All metabolic diseases start from insulin resistance and this is insulin resistance which starts mainly due to fat in the liver. Next so as I said if there is extra fat in the liver you need more insulin more and more insulin made by pancreas and over a period of time someone will develop diabetes. So diabetes is a liver disease. Second, the fat from the liver spills into the blood and person gets high cholesterol triglyceride and it deposits on the arteries. So blood pressure, heart, kidney, bone, cancers, stroke, gallbladder stone, polycystic ovary all of them are a result. So diabetes to metabolic diseases start from fat in the liver and you have a readout in the form of high alt and therefore to take you to the NCDs the core is extra energy calories and a fatty liver. Next please.

[00:16:55]So let me summarize. Someone is obese or has fatty liver and has high SGPT or ALT. the same name alt is a liver enzyme I'll come to it then they develop diabetes four times more they also develop blood pressure they develop dementia in the late age Alzheimer's heart disease stroke kidney disease and all cancers so the core for all the metabolic diseases NCDS remains with fat in the liver and therefore we need to catch these diseases and the readouts early enough. Next please.

[00:17:40]So the treat of metabolic health all these diseases osteoporosis, kidney disease, diabetes, mental hypertension, lipids, cardiovascular, liver cancer, lung and all other cancers starts from fatty liver and which has a genesis on your lifestyle, on your gut bacteria, on the diet you have, on the environment and of course on your genes.

[00:18:08]Please remember that tree of metabolic health has the core not to spoil your liver because if you have metabolic ill health you are prone to develop this.

[00:18:19]Next please.

[00:18:21]And this kicks off very early from the mother to the baby and then subsequent babies. So if one person one of your parents one parent is obese the child will be obese at birth one in two. But if both parents mother and father both are obese to 80% of the children will be obese remember and now there is threefold increase in fatty liver in pregnant women in last decade. So imagine what will happen to India and should you have a baby if you are unhealthy, obese or fat. Now with this knowledge you have to train you have to tell people that don't be unhealthy obese so that your children are also obese and unhealthy. So the maternal fatty liver kicks off illness in the child and the next generation.

[00:19:17]Next please.

[00:19:19]And adult disease therefore is built in childhood in 1990 and 2022. You can see how much increase has occurred. Five times more increase in the children with obesity in India today about 12.5 million SL obese and less than five years are about 3.5 million and they have fatty liver if you do their ultrasound or other tests.

[00:19:53]So in the children you already have the seeds of blood pressure, lipids, insulin resistance and one message if you want to remember 10 year obese child his heart or her heart has worked so much as if it is 40 years old. So when you see an obese child don't accuse, don't blame but try and see how we can convert this into a healthy child. Next please.

[00:20:26]So what change I would like you to perceive liver fat precedes diabetes and heart disease by 15 and 20 years. So if someone has fatty liver, prevent development of diabetes, BP, heart disease, kidney disease and cancers.

[00:20:43]Next, how to prevent NCDS is part two. So should I go to a doctor? No, you have to fight your case yourself. The polymath is a multiaceted personality and he demonstrates the utility of challenging perceived wisdom. What is the perceived wisdom obese?

[00:21:09]No, you have to yourself in this school as principal, as a teacher or the kid, you have to fight your case and try to change how we can work. Next, please.

[00:21:23]So, three messages know your password to health and longevity. your waist, your weight and a liver enzyme SGPT or ALT.

[00:21:35]Next, so waist is measured like this. For a male, it should be less than 90 cm. For a female, less than 80. If you are above that, you have metabolic ill health. You have bad fat accumulated hair. And this must be taught taught to the tailor. And the children can teach the parents.

[00:22:02]You have to fit into the genes. Don't fit jeans onto you. Next, please.

[00:22:10]Second is self test. Every adult or a child can see black line warts moles. This you inherit. This is a sign of insulin resistance. You can have it at the neck.

[00:22:25]You can have it at the axilla in the armpits. So this is not a healthy sign.

[00:22:31]This in medical term has a name aanthtosis nigricans and this correlates with metabolic ill health but just you are you know highly susceptible. So teach all your barbers wherever you go check. Next please.

[00:22:57]So all of you know your hemoglobin. So now your ALT or SGPT which is the liver enzyme marker of ill health of liver inflammation in the liver and body. It should be less than 30 for a male less than 19 for a female. High ALT in childhood. Suppose there is a child of 10 years and he has or 12 years has a ALT of 80. The risk of developing diabetes is 5 to 20 times more than those who have normal ALT. Very simple health message 20 rupees test and you can make a world of difference. Next, if somebody has high ALT, his risk of coronary artery disease, heart disease increases and death due to coronary disease doubles. So, ALT is a marker of inflammation to all organs. Next, please.

[00:23:58]So, I've told you about very strictly the waste. Now, let's come to weight. So an adult male height minus 100 should be your weight cm height weight fee that means your weight should be 65 and if there is a parent one parent who has any of the NCD non-communicable disease five more has to be reduced so 170 minus 105 will 65 and for a female 170 minus 110 will be 60 kg. So remember this formula and there are very large studies from Japan you live 10.5 years more and you have 10 more years than the people who gain weight. Next, how to prevent and manage. One was that now how to prevent. So my request to teachers is to first develop self youth students and a candle which is not lit cannot light others. So you teachers and CBSC in particular and principles have a huge role. Please start with yourself and then change everybody. Light and lit provide the kids what they should know and how to lead them. Next please.

[00:25:45]Our vision in 2014 that India is as good probably as the most developed country.

[00:25:53]So we can have best of the areas, best of minds and best of the children and of course best sportsman. Next please.

[00:26:05]How to prevent? First is your attitude.

[00:26:08]I told you not like a polymath not to go to doctors. Everybody should own your body. Own your own body. How to do that?

[00:26:18]First attitude change.

[00:26:32]Next please.

[00:26:35]So there is no clinic, no hospital, no national campaign reaches every Indian child. You people, the school teachers and the schools reach there. So you in CBSC have a very large number and I therefore urge you and I want to sensitize you that yes through you every household in the country can be read and it is the classroom where habits are practiced and they develop continue in the adulthood. Next please.

[00:27:07]So health depends on how you keep your gut bacteria.

[00:27:17]process.

[00:27:20]See just an example of apple and all other natural stuff. Next please.

[00:27:28]Second is you become when you eat.

[00:27:31]Remember 8 to 8 time restricted eating.

[00:27:35]It is in in fact better than intermittent fasting. So do not eat late in the night. Next please.

[00:27:45]Exercise means sweating. Till the time you have started sweating, it is warm up. So after you have started sweating, every kid child must exercise for 30 minutes. And this is called talk test. You're doing exercise and so this is called a talk test. When you are not able to complete a good sent complete sentence, it means you are exercising good and that should be 30 minutes. No holidays, no Sundays and try and do good resistance as well as aerobic exercise. Next please.

[00:28:28]So the vision for through me is that if you have healthier students and of course healthier teachers, we will have a healthier India. So we should make a chain all those who are hearing today or subsequently should teach 10 more and 10 more. Our aim is that by probably next one year or two we have one more person 1% of more Indians especially children are healthy and we can decrease the non-communicable diseases in a decade CBSC and the children have to lead. Now my question is who all want to join this school mission and what to do. I will see to it how we lead it further next.

[00:29:15]So we thought of this in 2022 for adults means 18 and 25. We wanted to have stronger India through a million health educated students. Next and then we realize it is too late. We have to start with wise smiles. Young Stronger India through a me million health educated student. This program is for 11th to 17 years of kids. There are four pillars. Sensitize then we screen the kids through a online program and then we engage them. Those who are healthy may remain healthy and then sustain this the time for rest of their life. We have been able to reach out to about 20,000 students. We have screened them across nine states in the country and from tomorrow hopefully we will be able to reach out to more states. Thanks to CBSC and our colleague Kanika as you can see her here she is the prime motivator and helpful all the time to kids and the CBSC. Next please.

[00:30:32]There are three commitments we require from CBSC family. We as doctors have very limited knowledge but three things we want.

[00:30:51]simple commitment change first that CBSC and through you you have taken so many initiatives want to you we want you to be recognized as a health institution and I would like everyone is so smart I am not is Instagram and all social network I want every child if you can share one message once a week on health to your friends If you would share it will go viral all across the globe. Two fourpillar module for CBSC affiliated schools sensitize screen engage and then sustain.

[00:31:43]And last part the commitment is that we will try and separate kids into red, yellow and green. Kika will tell you what is red, what is yellow, what is green. Green means totally healthy parents be healthy be healthy and you maintain into the green lane. Next please to the principles to the teachers and the CBSC family. Every CBSC classroom is a public health institution. Please excuse me if I have overstepped. But for me, health education probably if not more is equally important than academic education. And if you learn how to maintain your health, you will maintain academics without doubt. So preventing NCDS must start in schools. I've told you the science which is settled clear and the model exists. What remains is the will and I trust with the chairman CBSC joining us and blessing us. I trust it is with CBSC and in the classroom and I must thank Dr. Pragya for her very proactive very helpful uh you know guidance and support to this program.

[00:32:58]Next please.

[00:33:02]Next please.

[00:33:04]My suggestion now is to start the following things which are in addition to what I have said. We can have health competitions sports annual sports competition.

[00:33:19]Maybe CBSC can consider some health competitions, better slogans, better skits, better debates all are related to health. And also we can see which school can proudly say more than 90% of our students are healthy. They are in green lane. Well, that will be amazing and we would like to recognize give awards or recognize five best wise smile schools and we think ILBS can join you if you agree for a September five teachers day uh recognition I won't say awards recognition of such five best schools and I would like you to endorse and embibe why smiles 1 million students young will change this country and the generation to come. Next, please.

[00:34:15]With this, I would like to show my gratitude as a doctor that today CBSC has added to its mission smiles. And through Y smiles and through CBSC, I do hope that we will have healthier students, healthier teachers and a healthier families and of course a very healthy India. With that my gratitude and thanks to all those who are listening. Thank you.

[00:34:46]Thank you so much sir for highlighting the importance of uh preventive healthcare among schools and students and I'm sure all the schools will very enthusiastically participate in it as it is a need of the R as you are saying and parents will also be u conscious of all the details you have shared with us.

[00:35:08]Thank you so much once again. Now I would uh invite Dr. Dr. Kanika Poshel who has been coordinating with us throughout this program uh from the beginning and she is associate professor and principal investigator Vice Miles over to you ma'am.

[00:35:26]>> Thank you so much uh Anjali ma'am uh taking the lead of Dr. Sarin sir um I since we are surrounded with so many teachers today I would like to thank sir for trusting us with this visionary initiative.

[00:35:42]So as sir mentioned these are the stages from fatty liver to liver cancer and it can be it can happen over the years but it is very scary to see that you can reach from healthy liver to inflamed liver and liver cancer uh over these years if the uh this goes unnoticed.

[00:36:02]So uh we are al also is also a WH center uh for squyly surveillance for liver cancer. So fatty liver has been found to be leading cause of liver cancer even more than alcohol which uh generally people think. So just following diabetes 36% of those who had liver cancer were found to be because of non-alcoholic fatty liver disease and then followed by the viruses and alcohol uh which was a scary number to see. So as sir mentioned we started uh in collaboration with UGC University grants commission to do something about it and target the age 18 to 25 years through smiles initiative and uh this was an in-house initiative uh funded internally funded by IBS and we were able to enroll six 16,000 students all across India uh through um by enrolling 160 colleges but these are some of the snap snapshots but we found that 30% were still in some moderate to high risk and with family history being reported in high numbers from these kids. So every third child had a family history of diabetes, hypertension, dysipidemia or such illnesses. So we wanted to cater to this one in three uh one in three student who is metabolically ill. So why schools is a perfect setting because unhealthy habits can be nipped in the bud here for uh healthy adults to emerge for a longlasting impact and generational change.

[00:37:38]So uh one year later today uh in uh in May 2025 just uh last year sugar boards were a landmark circular that uh CBSC issued in schools uh targeting towards a national signal that childhood metabolic health could no longer wait and following that the same year we had the priv we had the honor of having Rahul Singh G and Nita Dr. Vinop Palgi to launch Y smiles here on global fatty liver day 12th of June. So Y smiles is a national initiative to address the growing burden of non-alcoholic fatty liver disease among adolesccents and the mission is simple to prevent it early to detect it early if it uh is there timely intervene and reverse the early stages of fatty liver so that it does not lead to liver cancer in coming decades. So we have um initial target is 70,000 students. We keep u we intend to keep it going even beyond this number and this children will fall in classes 6 to 12 this uh to cater to this age group.

[00:38:45]So just uh uh just minutely seeing the nationwide impact 20,000 children um have been sensitized and enrolled in vice so far from 51 schools. Leading states uh till now out of nine states are Himachel, Madhya Pradesh and Rajasthan. As we speak we are having currently two states who are currently having Vice Miles initiative in Madhya Pradesh and Rajasthan even today. So these are uh astonishing numbers but with the help of this webinar and CBSC uh support we intend to reach 70,000 and more.

[00:39:22]Uh sugar both started this conversation around metabolic health and wise miles is here to deliver the intervention and do something about the early reversal of early stages of napford.

[00:39:34]So what is exactly vice miles? We have tried to divide it into phase one and phase two. With phase one you will uh your child u will get the comprehensive health profile form performer. So we actually visit your states uh we are 90% of the model is that IBS staff we have uh 12 staff right now under vice miles.

[00:39:56]So we will visit your state, your schools and we will um after parental consent we will give a detailed English Hindi questionnaire. Um but it will only take around 10 minutes to fill uh anthropometric measurements. Our team will help you with height, weight, waist circumference, neck and hip circumference. We also provide school with one weighing machine and one stometer which is used to measure the height and one inch tape to measure the waist and neck circumference. and risk factor assessment we are doing uh right now with the preliminary risk score. I will just brief on that just to walk you through this is the informed consent form. This will go to the parents to sign it. This is information sheet of what Y smiles is, why are we doing what we are doing, what to expect uh through parent side, teacher side or the child side. This is the questionnaire. it uh it has been um coded into both English and Hindi for uh because various states uh we cater to. So we walk you through this questionnaire. It looks a bit detailed but it takes less than 10 minutes to fill. We have also internally uh designed this easy coloring book sort of to introduce children on what exactly is this organ um and what role does it play why it is important uh to keep it healthy. So it's a easy way to make children understand that liver is the powerhouse of the body and how it helps um keep us healthy. So all we will also be distributing these copies uh to each and every child in your school. Then um without intervention early identification has no role. So we are following these are who modules world health organization modules for preventing NCD risk factors among school children. So the this modules uh we will give you one copy each one is the facilitator manual for the teachers and one is the um intervention tool for prevention among school children. So there are separate uh intervention strategies across uh classes. So class 6, class 7 till class 12th. For phase two uh we actually uh will we will divide the students into red zone, yellow zone and green zone based on the number of risk factors.

[00:42:14]Four or more risk factors will be red zone, three risk factors will be yellow zone and if there are less than two risk factors then green zone. Initially we had decided that we will stick to fibroscan and blood test in the red and yellow zone. But now we will uh with the help of our funding agency NTPC uh we will uh we will offer fibrocan facility and blood test uh to all the students whether um they fall under any category.

[00:42:42]Fibro scan facility is such that even the teachers who are there at the time of the health camp that we will be conducting in phase 2 even teachers can avail this facility and get their fibrocan done.

[00:42:55]So uh this this is just to enumerate line list we will be requiring from schools uh from each and every class. So the medical team will arrive fibrocan looks like this. It is just like um how you lie down for ultrasound non-invasive liver assessment and blood samples will be collected only after parental consent. We have u we have taken on board Dr. Dang's lab network for the same and specific tests everything will be included in the patient information sheet so that parents know teachers know students also know that which tests we are offering them and only after the con consent um they uh will be uh asking to get the fibrocan done or the blood sample done. So if any child does not want to get blood sampling then they can get the fibrocans done because it is noninvasive. Communication of test results uh will be directly the results will directly be communicated to the uh registered mobile number whether that is of the child or the parent or the school itself. So uh that uh we will ensure we are also giving certificates of appreciation to children to the schools to the teachers and recently on the world liver day uh on 19th of April we had two teachers um who got felicitated from honorable LG Delhi and we had one celebrity Sangram Singh for the kids and these are the kids from the local government school here in Chhatarpur in Delhi. So just to encourage the teachers and the children to get enrolled in vice smiles initiatives for long-term uh support from ILBS for health promotion.

[00:44:37]So uh just to brief that we uh want each school to kindly appoint one nodal officer, vice nodal officer who uh we can communicate with. Uh so our team will reach out to you for coordinating for parental consent for line list that we want uh you to be kindly sharing with us to introduce the health intervention modules. uh uh our team also take sessions across the schools in person and to coordinate with you uh for phase one and phase two.

[00:45:09]Just some snapshots from some of the states that we have mentioned. This is Himachel, Delhi ch children getting fibro scans done, Rajasthan all geotag pictures, Hana and many more across India, nine states, 14 districts so far and 20,000 plus uh students who have enrolled in vice miles. So as Dr. Sarin breathed that wellness drives academic excellence. We talk of air pollution in Delhi but gut pollution um has much more striking threats to wellness than external environmental factors and is directly related to fatty liver. We u thank CBSC for uh integrating this health education initiatives uh in their mainstream education line and wellness is directly linked to academic performance as sir said and with Y smiles I would just uh close my session saying that why smiles is a road map for transforming school health and uh since we are also working with ministry of health and family welfare to have a long-term national impact in combating obesity and napold You saw the tree of metabolic health and all the NCDs that are connected with fatty liver and especially tackling the um mult multi-cancers that uh emerge as a result of this and this can be a global model for NCD prevention at such a big level. I don't think any country has done it. I would thank all my team members under the visionary leadership of Dr. Sarin sir, Dr. BB Reari sir and all my team members who have been uh tirelessly working across states. I also like to take a second to um uh thank team NTPC for all the funding support and if I may request all the uh teachers and principles who have joined today with us if they can um if at all they wish they can scan this QR code and you will be directly connected with us. We will also uh need the uh Dr. will walk us through that we will need the official lists to get in touch with you personally onetoone uh but in for the meantime we can be connected through this official group I have also written my email id and phone number at the bottom of the slide you can directly call me and uh we will be u I mean I think the schools are shutting down for summer holidays but uh immediately after that we uh we can reach out to you in person uh I think we can take up three to four states at a time thank Thank you so much.

[00:47:40]>> Thank you so much Dr. Kanika for the details and the guidance and uh this presentation. Now I would uh like to invite Dr. BB Reari who is professor epidemiology and public health uh specialist at ILBS to deliver closing remarks and share the way forward for this important initiative. Over to you sir.

[00:48:01]>> Thank you. Thank you Angelie. As we conclude this webinar, we are concluding the webinar but it is beginning of a journey. Journey towards healthy schools, journey towards healthy students and journey towards a healthy nation as was highlighted by Dr. Serin.

[00:48:15]So on behalf of I would like to express gratitude to CBSC for being a partner with this voice smile initiative. Thanks to Shir Rahul Singh Gi chairman, Dr. Pragya and the full team for highlighting the need for holistic development of children in school vision of healthy schools and school health manuals that have been developed by CBSC. I have just briefly gone through them. Uh as she Rahul gi very rightly said healthy students learn better and so vision must be diffused to all schools across the country and that that was a great statement that we need to reach out to all schools. You all listened to Dr. in highlighting the non-communicable disease like obesity, diabetes, fatty liver that they are no longer restricted to adults and prevention must start in the school to protect our youth.

[00:49:05]Dr. Zelin also called this as a historic day and called upon all of us and the participants the teachers head of the institutions to lit your candle and then use that candle with more candles. So in that regard, Vice Miles provides a comprehensive health initiative which combines early screening, targeted education, clinical interventions also for the students in the age of 11 to 17 years. But not only the students but also to reach out to their parents, teachers and other family members through them. So vision for the future basically is to empower the students.

[00:49:41]Through this initiative, students will receive personalized health reports, become health ambassadors, and drive change within their families and communities leading to a healthier nation. Uh as was rightly said, every CBSC school should be a public health institution and why smile should be embedded into academic uh year and uh I'm pretty sure with CBSC taking the lead and partnering with us that will be possible. So call to action to the school is basically that school that will be participating in this will be recognized as CBSC health promoting schools. We can discuss more on that and uh we request CBSC to provide us the list of schools so that we can move further and nominate each school will nominate a nal officer and we'll coordinate with that nodal officer to engage the school the parents and facilitate the communication and screening. uh I think more details have been shared by Dr. Kaneka regarding the phase one where it will be screening and phase two where people will children will be categorized into red green and yellow zones and and to close the loop uh what interventions are required that kind of education will also be provided.

[00:50:56]So thanks Dr. Praa Angelie for your visit to LBS and engaging with us on this webinar and the activity. So uh to close uh I would call upon everyone to let us work together to make health an integral part of our daily school culture and build a stronger healthy India through healthy schools. Thank you very much.

[00:51:18]>> Thank you Dr. Ravari. And uh with this we come to the end of this uh uh great uh initiative uh Vice Miles we call it.

[00:51:27]And before we formally close the session, I would like to thank our chairperson Shir Rahul Singh, our director Pragya, Dr. Pragyam Singh, Dr. Sarin, Dr. Reari and Dr. Kaneka for all the efforts and uh uh big thank you to our technical team who always support us and led by Mr. Dhir Malik secretary CBSC. So with this we conclude this uh session and uh thank you and have a wonderful day ahead. Thank you so much.

[00:51:57]Thank you.