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 Page 1


MAIN COURSE BOOK
N
I
T
U
 
1
HEALTH HEALTH 
AND MEDICINE AND MEDICINE
HEALTH 
AND MEDICINE
Introduction
In groups of 4-5, discuss and make a list of things that, according to you, contribute 
towards good health and wellness in an individual.
 (a) a balanced diet  
 (b) ____________   (   )
 © ____________   (   )
 (d) ____________   (   )
 (e) ____________   (   )
 (f) ____________   (   )
 (g) ____________   (   )
 (h) ____________   (   )
 (I) ____________   (   )
 (j) ____________   (   )
 (k) ____________   (   )
Source- Reader's Digest (August 2006)
Put a tick against the five most popular choices made by the groups in your class. How 
many groups included "A good night's sleep" as an important contributor to good health 
and well-being? 
A. Do Indians get enough sleep?
A1. Read the following feature article on Sleep Habits among Indians. 
1. Aviral knew he was exhausted. Though it had been more than thirty eight hours 
since the forty four year old marketing executive returned to Delhi early one 
morning from New York, he was still recovering from jet lag. He had forced himself 
to remain awake the whole day, as he had hoped to coerce his body into sleeping at 
night.                                                                                                  
3 
Page 2


MAIN COURSE BOOK
N
I
T
U
 
1
HEALTH HEALTH 
AND MEDICINE AND MEDICINE
HEALTH 
AND MEDICINE
Introduction
In groups of 4-5, discuss and make a list of things that, according to you, contribute 
towards good health and wellness in an individual.
 (a) a balanced diet  
 (b) ____________   (   )
 © ____________   (   )
 (d) ____________   (   )
 (e) ____________   (   )
 (f) ____________   (   )
 (g) ____________   (   )
 (h) ____________   (   )
 (I) ____________   (   )
 (j) ____________   (   )
 (k) ____________   (   )
Source- Reader's Digest (August 2006)
Put a tick against the five most popular choices made by the groups in your class. How 
many groups included "A good night's sleep" as an important contributor to good health 
and well-being? 
A. Do Indians get enough sleep?
A1. Read the following feature article on Sleep Habits among Indians. 
1. Aviral knew he was exhausted. Though it had been more than thirty eight hours 
since the forty four year old marketing executive returned to Delhi early one 
morning from New York, he was still recovering from jet lag. He had forced himself 
to remain awake the whole day, as he had hoped to coerce his body into sleeping at 
night.                                                                                                  
3 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
4
2. But the much needed sleep seemed to elude him completely. "I hardly managed 
any sleep that night," Aviral recalled. The time change had completely disrupted 
his sleep pattern, and when he got out of bed at 7a.m. to head for office, he was 
entirely ill at ease, to say the least. At the office, he could barely concentrate on his 
work.      
3. Aviral wasn't aware simply how exhausted he was until he had driven a quarter of 
the twenty-four kilometre stretch on his way back home in the suburbs of Delhi. 
He halted at a busy signal on the way, but fell asleep suddenly at the wheel. He 
woke up dazed after the motorist behind him honked. Aviral drove on, but felt he 
couldn't focus any further. He decided to pull off the main road and parked the car 
in a quiet place. Then, he rolled down the windows a bit and managed to take a 
two-hour nap in his car. It was only after taking the nap that Aviral could drive 
home safely.    
Page 3


MAIN COURSE BOOK
N
I
T
U
 
1
HEALTH HEALTH 
AND MEDICINE AND MEDICINE
HEALTH 
AND MEDICINE
Introduction
In groups of 4-5, discuss and make a list of things that, according to you, contribute 
towards good health and wellness in an individual.
 (a) a balanced diet  
 (b) ____________   (   )
 © ____________   (   )
 (d) ____________   (   )
 (e) ____________   (   )
 (f) ____________   (   )
 (g) ____________   (   )
 (h) ____________   (   )
 (I) ____________   (   )
 (j) ____________   (   )
 (k) ____________   (   )
Source- Reader's Digest (August 2006)
Put a tick against the five most popular choices made by the groups in your class. How 
many groups included "A good night's sleep" as an important contributor to good health 
and well-being? 
A. Do Indians get enough sleep?
A1. Read the following feature article on Sleep Habits among Indians. 
1. Aviral knew he was exhausted. Though it had been more than thirty eight hours 
since the forty four year old marketing executive returned to Delhi early one 
morning from New York, he was still recovering from jet lag. He had forced himself 
to remain awake the whole day, as he had hoped to coerce his body into sleeping at 
night.                                                                                                  
3 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
4
2. But the much needed sleep seemed to elude him completely. "I hardly managed 
any sleep that night," Aviral recalled. The time change had completely disrupted 
his sleep pattern, and when he got out of bed at 7a.m. to head for office, he was 
entirely ill at ease, to say the least. At the office, he could barely concentrate on his 
work.      
3. Aviral wasn't aware simply how exhausted he was until he had driven a quarter of 
the twenty-four kilometre stretch on his way back home in the suburbs of Delhi. 
He halted at a busy signal on the way, but fell asleep suddenly at the wheel. He 
woke up dazed after the motorist behind him honked. Aviral drove on, but felt he 
couldn't focus any further. He decided to pull off the main road and parked the car 
in a quiet place. Then, he rolled down the windows a bit and managed to take a 
two-hour nap in his car. It was only after taking the nap that Aviral could drive 
home safely.    
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
5
4. It is an undisputed fact that not getting enough sleep can lead to problems in 
concentrating. In fact, many sleep disorder experts think that lack of sleep is the 
reason for many ailments. Dr. Kumar Menon and his colleagues presented a study 
paper on sleep disorders in Mumbai in which they stressed on the need for early 
detection of the problem and concluded that it was high time that all the 
physicians "woke up to sleep disorders and included sleep history in evaluating 
their patients."                                                                                              
5. Whatever be the cause of not getting proper and enough sleep, we've all 
experienced the exhaustion caused by lack of sleep. Thus, sleep is as important to 
a healthy lifestyle as eating properly and exercising. Getting a good night's sleep is 
one of the simplest things we can do to stay healthy. 
6. A good night's sleep means waking up rested and re-invigorated. On an average, a 
healthy adult requires just over eight hours of sleep per night, according to Dr. 
Jeffrey Lipsitz, a Canadian expert on sleep disorders. However, the amount of 
sleep it takes to rejuvenate an individual varies from person to person. "It's not a 
fixed number," opines Joseph De Koninck, a renowned professor of psychology, 
adding that if one consistently gets less sleep than one needs, then "sleep deficit 
accumulates." The time it takes for a sleep deficit to accrue depends on how 
consistent the problem is. "Missing a couple of hours of sleep every night for a 
week is probably enough," says another psychiatrist, Robert Levitan.          
7. Swarup Chatterjee, the 28 year-old IIM graduate and assistant manager at a BPO 
in Hyderabad, knows very well that he doesn't get enough sleep. "I haven't had 
more than four to five hours of sleep for the last three years. There's always so 
much that needs to be done in my professional as well as personal life that I am 
constantly thinking." Swarup is fully aware that all this is very stressful and he 
admits that even though he has high energy levels, he is often tired and so he 
drinks several cups of coffee to counter the fatigue. "But I know that I'll be able to 
concentrate better if only I got more sleep," Chatterjee concludes.                 
8. In a study conducted by sleep-disorder experts, it has been found that at least 
one-third of adults have significant sleep loss, i.e. they have just six and a half 
hours or less of sleep every night. Then a recent survey conducted in India has 
Page 4


MAIN COURSE BOOK
N
I
T
U
 
1
HEALTH HEALTH 
AND MEDICINE AND MEDICINE
HEALTH 
AND MEDICINE
Introduction
In groups of 4-5, discuss and make a list of things that, according to you, contribute 
towards good health and wellness in an individual.
 (a) a balanced diet  
 (b) ____________   (   )
 © ____________   (   )
 (d) ____________   (   )
 (e) ____________   (   )
 (f) ____________   (   )
 (g) ____________   (   )
 (h) ____________   (   )
 (I) ____________   (   )
 (j) ____________   (   )
 (k) ____________   (   )
Source- Reader's Digest (August 2006)
Put a tick against the five most popular choices made by the groups in your class. How 
many groups included "A good night's sleep" as an important contributor to good health 
and well-being? 
A. Do Indians get enough sleep?
A1. Read the following feature article on Sleep Habits among Indians. 
1. Aviral knew he was exhausted. Though it had been more than thirty eight hours 
since the forty four year old marketing executive returned to Delhi early one 
morning from New York, he was still recovering from jet lag. He had forced himself 
to remain awake the whole day, as he had hoped to coerce his body into sleeping at 
night.                                                                                                  
3 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
4
2. But the much needed sleep seemed to elude him completely. "I hardly managed 
any sleep that night," Aviral recalled. The time change had completely disrupted 
his sleep pattern, and when he got out of bed at 7a.m. to head for office, he was 
entirely ill at ease, to say the least. At the office, he could barely concentrate on his 
work.      
3. Aviral wasn't aware simply how exhausted he was until he had driven a quarter of 
the twenty-four kilometre stretch on his way back home in the suburbs of Delhi. 
He halted at a busy signal on the way, but fell asleep suddenly at the wheel. He 
woke up dazed after the motorist behind him honked. Aviral drove on, but felt he 
couldn't focus any further. He decided to pull off the main road and parked the car 
in a quiet place. Then, he rolled down the windows a bit and managed to take a 
two-hour nap in his car. It was only after taking the nap that Aviral could drive 
home safely.    
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
5
4. It is an undisputed fact that not getting enough sleep can lead to problems in 
concentrating. In fact, many sleep disorder experts think that lack of sleep is the 
reason for many ailments. Dr. Kumar Menon and his colleagues presented a study 
paper on sleep disorders in Mumbai in which they stressed on the need for early 
detection of the problem and concluded that it was high time that all the 
physicians "woke up to sleep disorders and included sleep history in evaluating 
their patients."                                                                                              
5. Whatever be the cause of not getting proper and enough sleep, we've all 
experienced the exhaustion caused by lack of sleep. Thus, sleep is as important to 
a healthy lifestyle as eating properly and exercising. Getting a good night's sleep is 
one of the simplest things we can do to stay healthy. 
6. A good night's sleep means waking up rested and re-invigorated. On an average, a 
healthy adult requires just over eight hours of sleep per night, according to Dr. 
Jeffrey Lipsitz, a Canadian expert on sleep disorders. However, the amount of 
sleep it takes to rejuvenate an individual varies from person to person. "It's not a 
fixed number," opines Joseph De Koninck, a renowned professor of psychology, 
adding that if one consistently gets less sleep than one needs, then "sleep deficit 
accumulates." The time it takes for a sleep deficit to accrue depends on how 
consistent the problem is. "Missing a couple of hours of sleep every night for a 
week is probably enough," says another psychiatrist, Robert Levitan.          
7. Swarup Chatterjee, the 28 year-old IIM graduate and assistant manager at a BPO 
in Hyderabad, knows very well that he doesn't get enough sleep. "I haven't had 
more than four to five hours of sleep for the last three years. There's always so 
much that needs to be done in my professional as well as personal life that I am 
constantly thinking." Swarup is fully aware that all this is very stressful and he 
admits that even though he has high energy levels, he is often tired and so he 
drinks several cups of coffee to counter the fatigue. "But I know that I'll be able to 
concentrate better if only I got more sleep," Chatterjee concludes.                 
8. In a study conducted by sleep-disorder experts, it has been found that at least 
one-third of adults have significant sleep loss, i.e. they have just six and a half 
hours or less of sleep every night. Then a recent survey conducted in India has 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
6
shown that twenty-nine percent of Indians went to sleep only after midnight and 
sixty-one percent slept for seven hours or less. The survey also arrived at the 
conclusion that Indians were among the world's earliest risers, with sixty-four 
percent getting out of bed before 7a.m. Is there a need to reiterate that "Early to 
Rise" is good provided a person follows the "Early to Bed" principle as well?                
 
A2.   Now that you have read a substantial part of the feature article, work with 
your partner and write at least five reasons that, according to you, are mainly 
responsible for Indians today not getting the desired quota of sleep each 
night. Share your views with other pairs of students in your class .
A3. On the basis of your reading of the article, answer the following questions:
a) The direct result of lack of sleep is _____________________.
b) Why is it important for physicians to 'wake up' to sleep disorders? How will it help?
c) What do you understand by sleep deficit? Why does the amount of sleep required 
to rejuvenate people vary from one person to another?
d) Why does the writer refer to the 'early to bed...' principle?
A.4.  Now, write a letter to your school going younger brother or sister who is sleep 
deprived. Advise him or her to make lifestyle changes to his/her daily 
schedule in order to get the desired hours of sleep daily.
 Work in pairs and follow the CODER (Collect, Organize, Draft, Edit, Review) 
steps recommended for writing.
 Language Tips: (a) Remember to use the imperative form of sentences 
mostly.
 E.g. "Drink a lot of water and take at least a fifteen minute stroll after dinner on a 
regular basis."
 (b) For the sake of introducing variety into your writing, use other forms of 
sentences making statements or asking questions, but consider the 
possibility of using modals like "should", "must", "may", "might", etc or using 
Page 5


MAIN COURSE BOOK
N
I
T
U
 
1
HEALTH HEALTH 
AND MEDICINE AND MEDICINE
HEALTH 
AND MEDICINE
Introduction
In groups of 4-5, discuss and make a list of things that, according to you, contribute 
towards good health and wellness in an individual.
 (a) a balanced diet  
 (b) ____________   (   )
 © ____________   (   )
 (d) ____________   (   )
 (e) ____________   (   )
 (f) ____________   (   )
 (g) ____________   (   )
 (h) ____________   (   )
 (I) ____________   (   )
 (j) ____________   (   )
 (k) ____________   (   )
Source- Reader's Digest (August 2006)
Put a tick against the five most popular choices made by the groups in your class. How 
many groups included "A good night's sleep" as an important contributor to good health 
and well-being? 
A. Do Indians get enough sleep?
A1. Read the following feature article on Sleep Habits among Indians. 
1. Aviral knew he was exhausted. Though it had been more than thirty eight hours 
since the forty four year old marketing executive returned to Delhi early one 
morning from New York, he was still recovering from jet lag. He had forced himself 
to remain awake the whole day, as he had hoped to coerce his body into sleeping at 
night.                                                                                                  
3 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
4
2. But the much needed sleep seemed to elude him completely. "I hardly managed 
any sleep that night," Aviral recalled. The time change had completely disrupted 
his sleep pattern, and when he got out of bed at 7a.m. to head for office, he was 
entirely ill at ease, to say the least. At the office, he could barely concentrate on his 
work.      
3. Aviral wasn't aware simply how exhausted he was until he had driven a quarter of 
the twenty-four kilometre stretch on his way back home in the suburbs of Delhi. 
He halted at a busy signal on the way, but fell asleep suddenly at the wheel. He 
woke up dazed after the motorist behind him honked. Aviral drove on, but felt he 
couldn't focus any further. He decided to pull off the main road and parked the car 
in a quiet place. Then, he rolled down the windows a bit and managed to take a 
two-hour nap in his car. It was only after taking the nap that Aviral could drive 
home safely.    
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
5
4. It is an undisputed fact that not getting enough sleep can lead to problems in 
concentrating. In fact, many sleep disorder experts think that lack of sleep is the 
reason for many ailments. Dr. Kumar Menon and his colleagues presented a study 
paper on sleep disorders in Mumbai in which they stressed on the need for early 
detection of the problem and concluded that it was high time that all the 
physicians "woke up to sleep disorders and included sleep history in evaluating 
their patients."                                                                                              
5. Whatever be the cause of not getting proper and enough sleep, we've all 
experienced the exhaustion caused by lack of sleep. Thus, sleep is as important to 
a healthy lifestyle as eating properly and exercising. Getting a good night's sleep is 
one of the simplest things we can do to stay healthy. 
6. A good night's sleep means waking up rested and re-invigorated. On an average, a 
healthy adult requires just over eight hours of sleep per night, according to Dr. 
Jeffrey Lipsitz, a Canadian expert on sleep disorders. However, the amount of 
sleep it takes to rejuvenate an individual varies from person to person. "It's not a 
fixed number," opines Joseph De Koninck, a renowned professor of psychology, 
adding that if one consistently gets less sleep than one needs, then "sleep deficit 
accumulates." The time it takes for a sleep deficit to accrue depends on how 
consistent the problem is. "Missing a couple of hours of sleep every night for a 
week is probably enough," says another psychiatrist, Robert Levitan.          
7. Swarup Chatterjee, the 28 year-old IIM graduate and assistant manager at a BPO 
in Hyderabad, knows very well that he doesn't get enough sleep. "I haven't had 
more than four to five hours of sleep for the last three years. There's always so 
much that needs to be done in my professional as well as personal life that I am 
constantly thinking." Swarup is fully aware that all this is very stressful and he 
admits that even though he has high energy levels, he is often tired and so he 
drinks several cups of coffee to counter the fatigue. "But I know that I'll be able to 
concentrate better if only I got more sleep," Chatterjee concludes.                 
8. In a study conducted by sleep-disorder experts, it has been found that at least 
one-third of adults have significant sleep loss, i.e. they have just six and a half 
hours or less of sleep every night. Then a recent survey conducted in India has 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
6
shown that twenty-nine percent of Indians went to sleep only after midnight and 
sixty-one percent slept for seven hours or less. The survey also arrived at the 
conclusion that Indians were among the world's earliest risers, with sixty-four 
percent getting out of bed before 7a.m. Is there a need to reiterate that "Early to 
Rise" is good provided a person follows the "Early to Bed" principle as well?                
 
A2.   Now that you have read a substantial part of the feature article, work with 
your partner and write at least five reasons that, according to you, are mainly 
responsible for Indians today not getting the desired quota of sleep each 
night. Share your views with other pairs of students in your class .
A3. On the basis of your reading of the article, answer the following questions:
a) The direct result of lack of sleep is _____________________.
b) Why is it important for physicians to 'wake up' to sleep disorders? How will it help?
c) What do you understand by sleep deficit? Why does the amount of sleep required 
to rejuvenate people vary from one person to another?
d) Why does the writer refer to the 'early to bed...' principle?
A.4.  Now, write a letter to your school going younger brother or sister who is sleep 
deprived. Advise him or her to make lifestyle changes to his/her daily 
schedule in order to get the desired hours of sleep daily.
 Work in pairs and follow the CODER (Collect, Organize, Draft, Edit, Review) 
steps recommended for writing.
 Language Tips: (a) Remember to use the imperative form of sentences 
mostly.
 E.g. "Drink a lot of water and take at least a fifteen minute stroll after dinner on a 
regular basis."
 (b) For the sake of introducing variety into your writing, use other forms of 
sentences making statements or asking questions, but consider the 
possibility of using modals like "should", "must", "may", "might", etc or using 
UNIT-1
MAIN COURSE BOOK
HEALTH AND MEDICINE
7
words or expressions that we usually employ when we advise others. 
 E.g. "You are recommended/advised to….."
 "You ought to..."
 "You must not forget to...."
 "It is important to...."
A.5. a) Phrasal verbs are "multi-word verbs". These verbs consist of a base verb + 
another word or words. The other word(s) can be preposition(s) and/or adverb(s) 
that modify or change the meaning of the basic verb. For example 'give up' is a 
phrasal verb that means 'stop doing' something, which is very different from the 
base verb 'give'. In the article that you have just read there are a few phrasal verbs 
like:
 pull off : Manage to do something difficult or tricky/to steer or turn a vehicle \
off the road
 roll down : roll down (something) or roll (something) down to move \
(something) down especially by turning a handle
 head for : to go or cause to go (towards) \
 woke up : arose from sleep/realized \
 Now go through the unit of Health and Medicine, figure out the phrasal verbs that 
you come across and list them.
b)  Find words from the article which mean the same as the following:
 i. compel (para1)
 ii. evade (para 2)
 iii. revitalize (para 6)
 iv. amass ( para 6)
 v. oppose (para 7)
 vi. restate (para 8)
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FAQs on CBSE Textbook: Do Indians Get Enough Sleep? - Communicative English for Class 10

1. What are the common reasons why Indians do not get enough sleep?
Ans. Common reasons for insufficient sleep among Indians include high stress levels due to work and academic pressures, the use of electronic devices before bedtime, irregular sleep schedules, and cultural factors that promote late-night activities. Additionally, environmental factors such as noise and pollution can also disrupt sleep patterns.
2. How many hours of sleep do teenagers in India generally need?
Ans. Teenagers in India typically need between 8 to 10 hours of sleep each night for optimal health and development. However, many adolescents fall short of this recommendation due to various lifestyle factors, including academic stress and social commitments.
3. What are the health effects of not getting enough sleep?
Ans. Lack of sufficient sleep can lead to several health issues, including weakened immune function, increased risk of obesity and diabetes, mental health disorders such as anxiety and depression, and impaired cognitive function, which can affect academic performance and daily activities.
4. What strategies can help improve sleep quality among Indians?
Ans. Strategies to improve sleep quality include establishing a regular sleep schedule, creating a relaxing bedtime routine, reducing screen time before bed, maintaining a comfortable sleep environment, and practicing relaxation techniques such as meditation or deep breathing exercises.
5. How does sleep deprivation affect students' academic performance in India?
Ans. Sleep deprivation can significantly hinder students' academic performance by affecting their concentration, memory, and problem-solving abilities. Lack of sleep may lead to decreased motivation and increased absenteeism, ultimately impacting their grades and overall educational experience.
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