Stretch marks typically appear as bands of parallel lines on your skin. These lines are a different color and texture than your normal skin, and they range from purple to bright pink to light gray. When you touch stretch marks with your fingers, you might feel a slight ridge or indentation on your skin. Sometimes, stretch marks feel itchy or sore. These lines commonly appear during or after pregnancy or after a sudden change in your weight. They also tend to occur in adolescents who are rapidly growing.
In 2005, we estimated pneumococcal disease caused 136,000 deaths (46,000-253,000) comprising 10% of deaths in Indian children aged 1-59 months. The death rate for pneumococci was 106 per 100,000 (36-197), and more than two thirds of pneumococcal deaths were pneumonia-relate. Across regions, pneumococcal mortality ranged from 51-141 deaths per 100,000 1-59 months children and was highest in the Central and Eastern regions >50% of pneumococcal deaths occurred in four states with reported low rates of antibiotic use3: Bihar, Madhya Pradesh, Rajasthan, and Uttar Pradesh. The national rates of pneumococcal pneumonia, meninges, and NPNM were: 89.2 (30.7 – 164.6), 9.9 (3.9 – 18.3), and 5.4 (0.9 – 12.4), respectively.
If PCV is introduced similar to Hib vaccine, then the two lowest pneumococcal mortality states, Kerala and Tamil Nadu would be the first to receive vaccine. The treatment for stretch marks is limited, and there is no curative treatment. The most invasive therapies for stretch marks involve physician-administered laser surgery. Improvement in stretch marks with laser therapy is accomplished by wounding the scarred skin and hoping that the newly healed skin will have a more normal, cosmetically acceptable appearance. Medical reports of Nd:YAG laser, radiofrequency devices, and fractional photothermolysis have shown some degree of improvement in stretch mark appearance but not resolution. The earlier the stretch mark is treated, generally the better the result. Red immature stretch marks are more amenable to treatment than those that have matured to a silvery white.