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In this edition, few chapters are changed for better understanding of the students like health care delivery system, health planning and management, screening, immunization and vaccine related issues, medicine and social sciences, genetics and health, health programmes of India as per suggestions from students, friends and faculties. Multiple Choice Questions are incorporated as new chapter picked up from different universities questions. Few true or false and fill in the blanks questions are also provided in the book. In this edition immunization chapter has been fully revised provided with updated national immunization schedule and role of IPV incorporated. In health planning and management chapter sustainable development goals are discussed in detail. Treatment of tuberculosis revised as per FDC, waste management revised, BFHI revised as per WHO guidelines. Seventeen (17) universities questions up to 2019 are incorporated to cover wide range of questions for undergraduate and postgraduate students and researchers.\