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Disabilities......An over view.


              Dr Saim Ali Soomro
               Deputy Director.

                  I. Definition
                   II. History
               III. Classification
                 VI. Etiology.
       V. Society as a cause of
                                 disability
P o p u la t io n & D is a b ilit y E s t im a t e s
                                         W H O W o r ld w iid e F ig u r e o f P W D s = 1 0 % o f P o p u la tio n
                                          ( U N IC E F & U N E S C O F ig u r e u p to 1 7 % )

                                                                               L a h o re                                               P a k is t a n
 T o ta l p o p u la tio n
                                                                                         L ah ore
                                                                        7 0 la c s ( 7 m illio n )
                                                                                                                                            P a k is ta n
                                                                                                                             1 6 c r o re s ( 1 6 0 m illio n )

 R a t io o f c h ild r e n o f s c h o o l g o in g                    2 1 la c s ( 2 .1 m illio n )                        4 .8 c r o r e s ( 4 8 m illio n )
 a g e ( 4 - 1 5 y e a rs ) , 3 0 % o f to ta l
 p o p u la tio n

 P W D s : 1 0 % o f to ta l p o p u la tio n                           7 la c s ( 0 .7 m illio n )                          1 .6 c r o r e s ( 1 6 m illio n )


 C h ild r e n o f s c h o o l g o in g a g e w ith                     2 .1 la c s ( 0 .2 1 m illio n )                     4 8 la c s ( 4 .8 m illio n )
 d is a b ilit ie s :




O n ly 4 % o f c h ild r e n w it h d is a b ilit y g o in g t o s p e c ia l e d u c a t io n s c h o o ls / c e n t r e s .

W hatabout 96%                            ?        T h e s o lu t io n is : IN C L U S IV E E D U C A T IO N .
S p e c ia l E d u c a t io n P o lic y o f G o v t . o f P a k is t a n : T o t a l In c lu s iv e E d u c a t io n
in a ll m a in s tr e a m s c h o o ls b y e a r 2 0 2 5
                                                                                                W H O : W o r ld H e a lt h O r g a n iz a t io n
                                                                                                P W D : P e o p l e w it h D i s a b il i t ie s
➲   WHO” covers impairments, activity limitations, and participation restrictions.
    An impairment is a problem in body function or structure; an activity limitation
    is a difficulty encountered by an individual in executing a task or action; while
    a participation restriction is a problem experienced by an individual in
    involvement in life situations. Thus disability is a complex phenomenon,
    reflecting an interaction between features of a person’s body and features of
    the society in which he or she lives."
Definition (pope & Tarlov)


➲   A disability is "the expression of a physical or mental limitation in a
    social context - the gap between a person's capabilities and the
    demands of the environment." .
➲   Disability is not a single condition but a continuum which stretches
    from mild to severe and profound. According to the American
    Committee on a National Agenda for the Prevention of Disabilities
    (Pope & Tarlov, 1991), this continuum starts with a pathology. This
    professionally diagnosed condition may weaken or damage the
    patient's structures or functions, and result in an impairment. If this
    impairment limits a person's ability to perform a normal activity, there is
    a functional limitation. A functional limitation, combined with a
    community situation that restricts the person's ability to live a normal
    life,.
➲   According to Pope (1992), "disability in this model, then, corresponds
    to what has often been referred to as handicap. however, when used,
    it is considered to be synonymous with "disability".
History:


➲   First prosthesis was to warrior queen 2500 BC...(Rag ved).
➲   Blind Sahaba (Abdullah ibn Umm Maktum was a cousin of
    Khadijah bint Khuwaylid. )
➲   1400Ad church describes disabled, crippled , idiots,imbeciles.
➲   1500Ad: they are out cast in society, Mental asylums in Paris.
➲   1700 : Stephan Hopkins
➲   1784: school for blind in Paris.
➲   1800—1805: first Medical classification of Mental disorders. text
    for documentation & RX. Dr Benjamin Rush (F/o modern
    Am.Psychiatry).
➲   1809: Birth of Louise Braille invented braille in 1824...
➲
Development up to present:
   WWI & WWII brought lot of changes due to war verterns.
   Reverend Thomas Hopkins Gallaude in 1817, started first
    school of deaf & Mute in Connecticut..its university for HI..now!
   Racial & Civil rights movements, UNO and other Human rights
    bodies has developed many models & equality campaigns
    since than.
   1983-1992 decade of disability.
   From decades ,years to Inclusion now..its a long way to equality.
                                     In c lu s io n                                                                       In c lu s io n

     • T h e t im e t o e n d s e g r e g a t io n is N O W .                              W h a t is in c lu s io n ?
     • A ll p e o p le d e s e r v e t o b e v a lu e d a s
                                                                                        • “ In c lu s io n ” m e a n s a ll in d iv id u a ls – w it h a n d
       c o n tr ib u tin g c o m m u n it y m e m b e r s .
                                                                                          w ith o u t d is a b ilitie s – liv e , le a r n , w o r k , p la y
                                                                                          a n d p a r tic ip a t e t o g e t h e r in a ll life
                                                                                          e x p e r ie n c e s .
                N O W is t h e tim e f o r in c lu s io n .                             • S u p p o r ts a r e p r o v id e d to m e e t in d iv id u a l
                                                                                          n e e d s , a n d e v e r y o n e is a c c e p t e d a n d
                                                                                          r e g a r d e d a s a v a lu e d m e m b e r o f s o c ie ty .


                                                                                                        F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il
                   F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il
A C iv il R ig h ts M o v e m e n t

     • D is a b ilit y R ig h t s M o v e m e n t ( 1 9 7 0 s – t o d a y )
➲   State the alternative strategies
    List S t r u g g lando consdofs eachestrategy
➲    • the pros e t e n              e g r g a t io n
➲   Give a forecast of costs




             S o u r c e : ( a b o v e a n d r ig h t ) S m it h s o n ia n N a t io n a l M u s e u m o f A m e r ic a n H is t o r y
             h t t p : / / a m e r ic a n h is t o r y . s i. e d u / d is a b ilit y r ig h t s / e x h ib it _ m e n u . h t m l




                                             F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il
Causes:

   PRE-Natal (Genetics, infections, Nutrition etc.)
   Natal : infection, injuries, genetic, Medication..etc.
   Post Natal: infections, accidents, metabolic, pre term, etc.
   Early & late child hood factors:
   Adolescence, adult hood & late adult hood disabilities
   Diagnosis: pre term, during pregnancy, immediately fetal
    period.
   Early detection & interventions.
   International & local scenario.
   Pakistan's Situation.
Major Forms of Disabilities

                   Recognized Forms of Disabilities




     Mental      Physical                   Visual           Hearing
   Retardation   Disability                Disability       Impairment




Cerebral Palsy                Autism                    Learning Disabilities
➲   Physical disabilities
Cerebral Palsy
Cerebral palsy is a static encephalopathy

Encephalopathy = Brain Injury that is non-progressive disorder
of posture and movement
Variable aetiologies
Often associated with epilepsy, speech problems, vision
compromise, & cognitive dysfunction
Over view of disabilities
Intellectual & Developmental disabilities:
There are also : Visual Impairment, Hearing impairment
and major or minor disabilities.
Age & chronic diseases causing impairments
But Major stigma is our society, where disabilities are
taken as curse, hidden, chained at home or thrown to
mazars, peer's dargah's and made out casts.

A burden of shame is on our society is where normal
children are born with mutilated or under developed
Genitalia..there can be termed male or female, by
Genetic testing, by plastic surgery and brought up as
Man or women ...not to disown by family and relatives if
proper awareness is given by us.
These children are on our streets as beggars, sex
workers and doing unethical jobs and seen by us a out
casts.
Dr Saim Ali Soomro

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Over view of disabilities

  • 1. Disabilities......An over view. Dr Saim Ali Soomro Deputy Director. I. Definition II. History III. Classification VI. Etiology. V. Society as a cause of disability
  • 2. P o p u la t io n & D is a b ilit y E s t im a t e s W H O W o r ld w iid e F ig u r e o f P W D s = 1 0 % o f P o p u la tio n ( U N IC E F & U N E S C O F ig u r e u p to 1 7 % ) L a h o re P a k is t a n T o ta l p o p u la tio n L ah ore 7 0 la c s ( 7 m illio n ) P a k is ta n 1 6 c r o re s ( 1 6 0 m illio n ) R a t io o f c h ild r e n o f s c h o o l g o in g 2 1 la c s ( 2 .1 m illio n ) 4 .8 c r o r e s ( 4 8 m illio n ) a g e ( 4 - 1 5 y e a rs ) , 3 0 % o f to ta l p o p u la tio n P W D s : 1 0 % o f to ta l p o p u la tio n 7 la c s ( 0 .7 m illio n ) 1 .6 c r o r e s ( 1 6 m illio n ) C h ild r e n o f s c h o o l g o in g a g e w ith 2 .1 la c s ( 0 .2 1 m illio n ) 4 8 la c s ( 4 .8 m illio n ) d is a b ilit ie s : O n ly 4 % o f c h ild r e n w it h d is a b ilit y g o in g t o s p e c ia l e d u c a t io n s c h o o ls / c e n t r e s . W hatabout 96% ? T h e s o lu t io n is : IN C L U S IV E E D U C A T IO N . S p e c ia l E d u c a t io n P o lic y o f G o v t . o f P a k is t a n : T o t a l In c lu s iv e E d u c a t io n in a ll m a in s tr e a m s c h o o ls b y e a r 2 0 2 5 W H O : W o r ld H e a lt h O r g a n iz a t io n P W D : P e o p l e w it h D i s a b il i t ie s
  • 3. WHO” covers impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations. Thus disability is a complex phenomenon, reflecting an interaction between features of a person’s body and features of the society in which he or she lives."
  • 4. Definition (pope & Tarlov) ➲ A disability is "the expression of a physical or mental limitation in a social context - the gap between a person's capabilities and the demands of the environment." . ➲ Disability is not a single condition but a continuum which stretches from mild to severe and profound. According to the American Committee on a National Agenda for the Prevention of Disabilities (Pope & Tarlov, 1991), this continuum starts with a pathology. This professionally diagnosed condition may weaken or damage the patient's structures or functions, and result in an impairment. If this impairment limits a person's ability to perform a normal activity, there is a functional limitation. A functional limitation, combined with a community situation that restricts the person's ability to live a normal life,. ➲ According to Pope (1992), "disability in this model, then, corresponds to what has often been referred to as handicap. however, when used, it is considered to be synonymous with "disability".
  • 5. History: ➲ First prosthesis was to warrior queen 2500 BC...(Rag ved). ➲ Blind Sahaba (Abdullah ibn Umm Maktum was a cousin of Khadijah bint Khuwaylid. ) ➲ 1400Ad church describes disabled, crippled , idiots,imbeciles. ➲ 1500Ad: they are out cast in society, Mental asylums in Paris. ➲ 1700 : Stephan Hopkins ➲ 1784: school for blind in Paris. ➲ 1800—1805: first Medical classification of Mental disorders. text for documentation & RX. Dr Benjamin Rush (F/o modern Am.Psychiatry). ➲ 1809: Birth of Louise Braille invented braille in 1824... ➲
  • 6. Development up to present:  WWI & WWII brought lot of changes due to war verterns.  Reverend Thomas Hopkins Gallaude in 1817, started first school of deaf & Mute in Connecticut..its university for HI..now!  Racial & Civil rights movements, UNO and other Human rights bodies has developed many models & equality campaigns since than.  1983-1992 decade of disability.  From decades ,years to Inclusion now..its a long way to equality. In c lu s io n In c lu s io n • T h e t im e t o e n d s e g r e g a t io n is N O W . W h a t is in c lu s io n ? • A ll p e o p le d e s e r v e t o b e v a lu e d a s • “ In c lu s io n ” m e a n s a ll in d iv id u a ls – w it h a n d c o n tr ib u tin g c o m m u n it y m e m b e r s . w ith o u t d is a b ilitie s – liv e , le a r n , w o r k , p la y a n d p a r tic ip a t e t o g e t h e r in a ll life e x p e r ie n c e s . N O W is t h e tim e f o r in c lu s io n . • S u p p o r ts a r e p r o v id e d to m e e t in d iv id u a l n e e d s , a n d e v e r y o n e is a c c e p t e d a n d r e g a r d e d a s a v a lu e d m e m b e r o f s o c ie ty . F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il
  • 7. A C iv il R ig h ts M o v e m e n t • D is a b ilit y R ig h t s M o v e m e n t ( 1 9 7 0 s – t o d a y ) ➲ State the alternative strategies List S t r u g g lando consdofs eachestrategy ➲ • the pros e t e n e g r g a t io n ➲ Give a forecast of costs S o u r c e : ( a b o v e a n d r ig h t ) S m it h s o n ia n N a t io n a l M u s e u m o f A m e r ic a n H is t o r y h t t p : / / a m e r ic a n h is t o r y . s i. e d u / d is a b ilit y r ig h t s / e x h ib it _ m e n u . h t m l F lo r id a D e v e lo p m e n ta l D is a b ilitie s C o u n c il
  • 8. Causes:  PRE-Natal (Genetics, infections, Nutrition etc.)  Natal : infection, injuries, genetic, Medication..etc.  Post Natal: infections, accidents, metabolic, pre term, etc.  Early & late child hood factors:  Adolescence, adult hood & late adult hood disabilities  Diagnosis: pre term, during pregnancy, immediately fetal period.  Early detection & interventions.  International & local scenario.  Pakistan's Situation.
  • 9. Major Forms of Disabilities Recognized Forms of Disabilities Mental Physical Visual Hearing Retardation Disability Disability Impairment Cerebral Palsy Autism Learning Disabilities
  • 10. Physical disabilities
  • 11. Cerebral Palsy Cerebral palsy is a static encephalopathy Encephalopathy = Brain Injury that is non-progressive disorder of posture and movement Variable aetiologies Often associated with epilepsy, speech problems, vision compromise, & cognitive dysfunction
  • 14. There are also : Visual Impairment, Hearing impairment and major or minor disabilities. Age & chronic diseases causing impairments But Major stigma is our society, where disabilities are taken as curse, hidden, chained at home or thrown to mazars, peer's dargah's and made out casts. A burden of shame is on our society is where normal children are born with mutilated or under developed Genitalia..there can be termed male or female, by Genetic testing, by plastic surgery and brought up as Man or women ...not to disown by family and relatives if proper awareness is given by us. These children are on our streets as beggars, sex workers and doing unethical jobs and seen by us a out casts. Dr Saim Ali Soomro