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Epidemiological transition with a shift in causes of deaths from communicable to NCDs has occurred even in a rural underdeveloped district like Gadchiroli. Public health system in rural India which focuses on infections and maternal and child health will now need to be strengthened urgently to face the triple challenge of communicable and non-communicable diseases as well as injuries.

A prospective study of causes of death in rural Gadchiroli, an underdeveloped district of India (2011-2013)