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Author: Cheena Kapoor

Lodi Garden’s forgotten Baoli

Kyun mata-e-dil ke lut jaane ka koi gham kare, Shahr-e-dilli mein to aise vaqiye hote raheThe national Capital is like ‘Phoenix’ – a city which has been destroyed several times but has revived itself every time from the ashes. The city still holds impressions, in the form of structures/monuments, of all its bygone eras. While some of the structures have been revived over the time, few have completely lost their identity. One such forgotten structure is the Baoli, or stepwell, which once existed in the Lodi Garden, but got lost in colonial landscaping.A first monument list created by Maulvi Zafar Hasan, an archaeologist with the Archaeological Survey of India (ASI), worthy of preservation in 1916, refers to the Baoli in need of attention. Hasan’s list features 1,317 buildings in the Capital, of which 174 are currently protected by the ASI. While Hasan did not include the Baoli in his list, but he has written about it in his book ‘Monuments of Delhi, Lasting splendour of the Great Mughals and Others’.”To the North-East of the Sheesh Gumbad are the remains of a garden, the four walls of which, brick built, are broken in several places. The double-storeyed entrance is in no better condition. To the south of the latter is a mosque also ruined and neglected. The Baoli in front of the entrance outside the enclosure is in the same condition. In the center of the garden is a small brick-built enclosure furnished with arched openings, apparently intended for a tomb but now containing no grave.”The Baoli and the mosque came under the’Khairpur’village area back then. In 1936, Lady Willingdon, wife of the then Viceroy of India, got the villagers relocated and landscaped the garden which was then known as’Lady Willingdon Park’. It is believed that the Baoli was also landscaped around that time. But, its name was changed to Lodi Gardens post-independence.”There are such Baolis lost in time, most important being the ‘Palam’ and ‘Khari’Baolis, but we may never be able to unearth them due to the dense settlement around them. However, we should still try and revive this Lodi Garden Baoli. If the ASI and the government decide to restore these structures, they would attract a lot of visitors,” says Vikramjit Singh Rooprai, a heritage activist.A total 25 Baolis have been identified by historians in Delhi, of which 11, including Hauz Khas Enclave Baoli are not accessible to the public. Of these 25, 12 can be easily revived.

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ASI finds Mughal-era paintings inside Red Fort’s Chhata Bazaar

The Archaeological Survey of India (ASI) has found rare Mughal-era wall paintings at Chhata Bazaar, set up by emperor Shah Jahan, inside the Red Fort, during lime plaster removal. India’s apex conservation body is now working on scientific treatment of the paintings.”The bazaar has been in use since the 17th century. There have been several coatings of lime plaster. After the removal of six layers, we started to see colourful patterns, well preserved in the seventh layer,” said ASI’s Dr DN Dimri.These are intrinsic floral geometric patterns in red, yellow, green and black — common during the Mughal era.Chhata Bazaar (roofed market) was earlier known as Bazaar-i-Musaqaf — ‘safaq’ means roof — as markets in those times were mainly open. This was one of its kind that led people directly from Lahori Gate to Naubat Khana and Diwan-i-Am, crossing through a fine exhibition of carpets, zari, velvets and even gold and ivories.The market still attracts crowds visiting the fort, but silk shops now mostly sell handicraft.The ASI’s work will take at least a year to complete as it is taking the layers off the entire ceilings and walls and applying chemicals to preserve the findings.There might be plans to copy the paintings on canvas for exhibition. “I had no idea that the walls are so pretty. Though they are all covered up with scaffoldings, I climbed up to see the work that and was amazed,” said Dharampal Nagar, a third-generation shopkeeper.

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Injured soldiers get new lease of life through prosthetics

In an unfortunate accident, where a high explosive bomb blasted prematurely during a field firing exercise its splinter went directly into the eye socket of Colonel (Rtd) Yashpal Jagia leaving him blind in the left eye way back in 1983. But now after 34 years, Col Jagia finally received an eye prosthesis at the Army Dental Centre in Delhi, known to carry out such processes.”The Armed Forces did not have customised eye prosthesis back then and the ones that were there did not match either the colour/size or shape of the other half of the organ,” said Col. Jagia. “I am glad that my left eye looks as good as the other eye now,” he added.Col Jagia is not the only one. This year alone, 67 new prosthesis which includes new artificial eyes, nose, ears and even skull bones were given to soldiers at this Centre.A total 265 Maxillofacial Prosthesis, rehabilitation of patients with defects or disabilities developed due to trauma or present by birth, have been performed in the last five years in the Prosthodontics Department of the Dental Centre. Out of total 50 Prosthodontists in the Military Services, the five specialists are at the Delhi Centre alone.”The cases we receive, directly from the conflict areas, are challenging where lives have been compromised. Prosthodontists work with various other departments from ENT, Psych, Plastics, to improve the quality of lives of our soldiers,” said Lt Col (Dr) Viswambaran Mandamparambil, Head of Department, Prosthodontics.”As a doctor, it moves me when these smart, young officers suddenly become handicapped,” he added.Artificial materials like Silicone, Acrylics, and Metals like Cobalt-Chromium are being used to provide the Prosthetic rehabilitation. The Centre has been receiving tertiary cases from all across the country, as no other Dental Centre provides this kind of prosthetics elsewhere. For instance, AFMC (Armed Forces Medical College), Pune, does not make prosthetic eyes and ears at their Centre; and they along with the AFIDS (Airforce Institute of Dental Sciences) and CMDC (Command Military Dental Centres) all refer their cases here.”Apart from the improved quality of life, we are also always working on giving a better experience. We are now working on digitalising the complete procedure and will be the first ones to do so. We will be using 3D scanning and printers for this process,” says Brigadier (Dr) Subrata Roy, Commandant, Army Dental Centre (Research and Referral).265 PARTS IN 5 YRSA total 265 Maxillofacial Prosthesis, rehabilitation of patients with defects or disabilities developed due to trauma or present by birth, have been performed in the last five years in the Prosthodontics Department of the Dental Centre Out of total 50 Prosthodontists in the Military Services, the five specialists are currently at this Delhi facility alone

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49 girls saved from Delhi baba ashrams

In fresh raids at self-proclaimed godman Virendra Dev Dixit’s ashrams in Northeast Delhi’s Karawal Nagar by Delhi Commission for Women (DCW), three more minors and as many adults or ‘matas’ were rescued. This took the number of minors rescued so far to 49. Ten adults were found at an ashram West Delhi’s Nangloi.Soon after PILs were filed by Foundation for Social Empowerment, DCW, with the help of Delhi Police and locals, started raids at eight ashrams in Delhi. Five of these, including those in Vijay Nagar, Dwarka, and Palam, Karawal Nagar and Nangloi have been raided since Friday.At Karawal Nagar, a DCW team and Ajay Verma, advocate appointed as amicus curiae by the High Court, discovered that all gates and doors were locked.”It appears that Baba is running a human trafficking racket. CBI should urgently and simultaneously conduct raids at all ashrams of Baba across India and close them down,” said Swati Maliwal, DCW Chief.”Baba is getting time for a cover up. All women and girls should be immediately rescued. The teachings of Baba are irrational and evil.”Locals in Karawal Nagar and Nangloi said that many girls were moved out just before the raids. Neighbours said that they saw cars filled with girls being taken to other locations, but matas at both locations called DCW allegations wrong and said that they have been living comfortably and do not wish to be removed.The minors refused to give any information about themselves. DCW said the girls have been brain-washed and need counselling.

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Speak up Delhi: Autorickshaw finance mafia – a menace staring at govt’s face

Last week Delhi Government suspended licenses of two automobile dealers— Bagga Link Services Limited and JS Automobiles— after complaints filed by social workers and Presidents of Autorickshaw Unions for charging extra money from the customers. The government, in a show cause notice, asked the two dealers to reply with the reason for the extra charge else their licenses will be cancelled.An autorickshaw which should cost close to Rs 1,80,000 on road is sold for Rs 5,50,000 in the market. There are several extra charges on top which include logistic charges, annual maintenance charges etc. An extra handling charge was also added along with the GST since August, about which most of the drivers did not know.In petitions filed by Narendra Giri, President of the Pragatisheel Auto Union, and social workers from different NGOs, in the High Court, the discrepancies and the stronghold of auto finance mafia were highlighted which led to the temporary suspension of the two market leaders in autorickshaw dealing.“Supreme Court had passed 1,00,000 auto rickshaws in 2011, out which 55,000 were already on the road, 35,000 more were issued between 2011 and 2014. The last 10,000 got delayed and then were eyed by finance mafias. Those who bought had to pay hefty amounts as procuring ‘Letters of Intent’ to secure an auto unit became a difficult task. But most importantly, buyers had to pay additional charges with GST etc, thus in-total, the Autorickshaws have become very expensive,” said Giri.Even though the license was suspended for a short while, the Union members now look for stronger steps by the government. They are demanding cancellation of these dealer’s license and formation of a committee which looks into these permit procurements.EXPERT SPEAKThese dealers had been charging logistic charges of Rs10,000 which was not required, but nobody ever highlighted/questioned. Out NGO challenged this in the High Court. In 2010, I also filed a PIL against Auto finance mafia in High Court, which raised two main points of Permit trading i.e., auto rickshaw black marketing, and true ownership of Autorickshaws i.e. where drivers are driving autos granted on other’s names. The PIL was first dismissed in HC on technical grounds, then moved to Supreme Court which then sent to back to High Court, we are still awaiting a response on this Rakesh Aggarwal, Secretary, Nyaya Bhoomi, a registered NGO working for the welfare of societyIn complaint letters written to the Prime Minister’s and Lieutenant Governor’s office, we highlighted the extra costs that we have to pay for getting an autorickshaw. I requested them to take strong actions against these dealers who are charging optional AMC (auto maintenance charges) to everyone, handling charges etc since GST came. We have also raised a complaint against Rajesh Kumar Meena, MLO, Transport, who had a partnership with these dealers and earned money out of poor drivers’ pockets. I hope this suspension is not just the only step taken against these dealers and their licenses are cancelled tooYashpal Arora, General Secretary, Azad Hind Auto/Taxi Chalak UnionVOICES“I have been driving an autorickshaw since last seven years, I bought this second hand rickshaw for Rs 2 lakhs, whereas a new one should come much lower than this. It was easy then but, now, it has become very difficult to procure a new one”— Vipin Kumar, autorickshaw driver“A new autorickshaw costed me Rs 5 Lakhs, I had to sell my land in the village for this. But now the earning is not much as people generally do not pay by the meter and ask us to reduce the rates.”— Faizan Ahmed, autorickshaw driver“Recently a social worker told me that I can get a new rickshaw for Rs 1,80,000, but I paid three times of this price in August. How could nobody ever knew this? I hope they take away the licenses of the dealers who have been ripping poor drivers.”— Bikram Singh, autorickshaw driver “It was so difficult to get a permit for the autorickshaw and the ‘Letter of Intent’, as the mafia members already take so many permits on different names. The ones who need them the most always have to run around and pay more than needed.”— Sandeep Verma, autorickshaw driver “I had to sell my father’s land in Uttar Pradesh to buy myself an auto. Now they tell me that it was not required after running around for months first to sell the land and then to get the permit. Those people should be punished harsher than just seven days suspension”— Rakesh Kumar, autorickshaw driver

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RR Dental Hospital a beacon of hope for soldiers

Naik Sushil Sharma had lost all hope after he was hit on the ear by a bullet at Tangdhar in Jammu and Kashmir during a militant attack in 2012. The bullet entered his ear and came out of his mouth leaving his jaws damaged. Sharma’s facial organs, including eyes, were also affected and he could not talk also. But the impossible was made possible at the Army Dental Centre (R & R) in Delhi, equipped in handling such cases, to perform a set of surgeries that got Sharma talking and look normal again.”We were three people at the raid post on that dreaded night when we were attacked. I lost two of my brothers and could not even move my face. I lost hope that I would ever speak again,” says Sharma, in a telephonic conversation with DNA, recalling the night.”It has been five years. Though the treatment is still on as the bullet affected many other organs, I have so much confidence in our Army doctors now. They left no stone unturned to help me speak/hear and look the same again,” he added.The Army Dental Hospital with various departments, including Periodontology, Prosthodontics, Oral and Maxillofacial, and all the latest equipment, including a recent’hard and soft tissue laser’from Israel, has expertise in handling cases direct from the conflict zones, where patients come with all kinds of deformities. The 35 specialised dental officers and another 20 postgraduate trainees are experts in handling such cases which require both – a doctor’s expertise and an officer’s training.”Naik Sharma had come here with an open oral and nasal communication (broken upper palate) and required many surgeries from Maxillofacial surgery, where a remnant portion of the bones was restored, followed by grafting and reconstructive surgery. Vestibular depth was extended to further go for titanium implants in the bone and give a fixed implant-supported prosthesis,” informs Brigadier Subrata Roy, Commandant, Army Dental Centre (Research & Referral).”We are one of the very few who do Periodontal Microsurgery in India,” he adds.The hospital with all its facilities has a daily footfall of over 400 patients, which include serving soldiers, their dependents, and veterans. By the end of this year, this will be the first hospital to go paperless where a patient management software has been designed and data archival is also taking place. This new software, TASKA will have all the details and past records of patients.Apart from taking care of Army smiles, dental records have other importance in the Armed Forces.”DNA analysis, in case of a mass disaster, is very expensive. Identification in such cases is best done by dental records. We keep a dental record of every soldier and it has been helpful in the past where bodies have been completely charred,” adds Roy.EXPERTISEThe Army Dental Hospital with various departments, including Periodontology, Prosthodontics, Oral and Maxillofacial, and all the latest equipment, including a recent ‘hard and soft tissue laser’ from Israel, has expertise in handling cases direct from the conflict zones, where patients come with all kinds of deformities

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Air pollution linked to defects in foetal growth

As smog engulfed the national Capital on Wednesday, again, and the air quality dropped to ‘very poor’ pointing 400 AQI on the scale, city doctors, in alignment with a paper published in British Medical Journal, talked about the consequences of air pollution on birth weight. The outcome of the paper published in the UK-based journal states that air pollution from road traffic is affecting the foetal growth.”Pollution from vehicular traffic, in particular, releases gases which directly affect the growth of a foetus’ sensitive organs like the brain and the heart,” says Dr SP Byotra, Head of Department of Internal Medicine, Sir Ganga Ram Hospital.”In urban settings, children and pregnant women suffer due to the bad air quality caused by emissions from traffic,” he adds.Another 2017 study published in the Journal of Pediatrics shared their findings that women’s exposure to air pollution before conception causes an increased risk of birth defects in children. This birth data, taken from Ohio Department of Health, and particulate matter data from US Environmental Protection Agency’s 57 monitoring stations, studied the impact on children’s development by linking geographic coordinates of mothers with the station.The Ohio study, holds weight in the current smog scenario in Delhi as it confirms the association between air pollution and birth defects. It suggests that the most susceptible time where women’s exposure to air pollution-related birth-defects is a month before and after conception. The children affected by this may be born with a cleft lip or a palate or abnormal hearts.”All the Nitrogen and small particles released from the vehicles is inhaled by us and travel to our bloodstream, and thus to the entire system. It affects all organs. In case of a pregnant woman, these particles may also travel to the foetus through the placenta and affect growth or cause defects,” Dr Vikas Maurya, Senior Consultant, Pulmonologist, Fortis Healthcare said.”It is strange that other countries are doing such research work despite good air quality, while we see this as ‘new awareness’,” he adds.

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Ministry sends 40 removal orders to encroachers around Begumpur Masjid

After many complaints of encroachment around one of the most significant structure from Tughlaq era- the Begumpur Masjid, along with Mughal-era Sarai Shahji monuments, the Ministry of Culture has finally sent 40 removal orders in response to the complaints from the ASI.The decision came after the Archaeological Survey of India (ASI) sent 93 complaints to the ministry confirming the unauthorised construction near both the monuments. In an earlier report, DNA had highlighted the deplorable condition and encroachments around the mosque.In a written letter to Rajya Sabha, Dr Mahesh Sharma, Minister of State (Independent charge) for Culture and Tourism and Civil Aviation, confirmed that forty removal orders under Rule 38 (1) to the concerned persons/offenders and 24 demolition order under Rule 38(2) of Ancient Monuments and Archaeological Sites and Remains Rules, 1959, to the concerned Deputy Commissioner (Revenue) which were issued in response to the 93 complaints from ASI. As per Sections 20A and 20B of Ancient Monuments and Archaeological Sites and Remains (AMASR) Act, 1958 (amended therein 2010), prohibited (100 metres from protected area) and regulated area (200 metres beyond prohibited area) have been defined- Only repair or renovation of existing structures are allowed in prohibited area, construction or reconstruction or repair or renovation is permitted in regulated areas.Begumpur Masjid is also known as the ‘Jama Masjid’ of Tughlaq era in Delhi, built along with a few other structures in Mohammed bin Tughlaq’s new city called”Jahanpanah’, which was built between 1326 and 1327 A. The mosque is said to be built on an Iranian design by the then famous architect- Zahir al-din al-Jayush.It stands amid a village of the same name and inside its premises, it has a huge open courtyard, a chamber for women to worship and three different gates.The mosque area has been encroached by villagers from Haryana. A local proudly tells that his ancestors lived inside the mosque when hundreds of them came here due to the atrocities committed by the Nawab of Jhajjar after which the entire village moved to Delhi. In 1921, a portion of the mosque roof collapsed after which the ASI cleared it from the encroachers. These people then created shanties around it, but they confirm that during their stay they had established a proper village inside the premises. These families still live in Begumpur village.All these years, the mosque has been in a dilapidated condition and despite several attempts from heritage activists and historians, there has been no improvement.

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Rare papers on Bhagat Singh trial lead London Prof to India

Dr Satvinder Juss never imagined that his curiosity to know more about Bhagat Singh’s trial would get him access to some rare documents rotting away in time and an invitation to give lectures, in two different countries. A law professor at the King’s College in London, Juss has been working on the legal events leading to Bhagat Singh’s execution since 2016.”Gandhi and Nehru’s imagination became the mainstream vision of this country, but what has always intrigued me is how India would look today if the ones sidelined had led the country,” says Professor Juss, during an interview with DNA.After reading an article that mentioned 135 documents on Bhagat Singh’s case at the Punjab Archives in Lahore, which is not accessible to local scholars, Juss started on a journey to locate the rare files.”It was interesting to have access to these almost century-old files at a tomb on the grounds of Punjab Civil Secretariat in Lahore. These yellow pages give details on the case proceedings that led to Bhagat Singh, Sukhdev and Rajguru’s execution,” he narrates. Juss even visited the Anarkali Police Station in Lahore to see the FIR, in this case, filed on December 17, 1928, at 4:30 pm, which clearly mentions two “unknown” gunmen.Juss adds that while researching he has been wondering whether Section 72 of the Government of India Act, which talks about good governance, was invoked in Bhagat Singh’s trial.”A three-judge special tribunal was set-up; the tribunal was not to be challenged; it was never approved by the Central Assembly, and became void soon after the trial confirming that it was set-up only to execute the three freedom fighters.”Juss is currently in the national Capital to go through the national archival data after which he will share his findings. In collaboration with ‘Youth for Heritage Foundation’, the professor also gave a lecture in Delhi on’Demystifying Bhagat Singh’s trial’.

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LHMC nurses go on hunger strike after 28-day protest

After 28 days of indefinite strike by 266 contractual nurses at the Lady Hardinge Medical College (LHMC), some of the nursing staff went on a hunger strike on Monday. On November 20, the central government institute handed over termination letters to 36 of its contractual nursing staff without any prior warning, causing anger among other staff. The indefinite strike has reduced the total nursing strength to half as there are only 270 permanent nurses, thus affecting patient care at the hospital.”I brought my daughter here for treatment but was sent outside as the doctors told me that there is no nursing staff,” said Samima Afroz, who had to stand outside the hospital holding an IV bottle as her daughter sat on the ground.None of the contract staff have received salaries for the last four months. On November 20, 36 of them were terminated on the basis that an equal number of permanent candidates had joined. After continued protests and letters to ministers, the staff members received salaries but their jobs are still at risk.”Our agreement letters clearly stated that the hospital cannot terminate us without a month’s notice. This action was really unexpected,” said Sandeep Yadav, 28, one of the contractual nursing officers.”We will continue this hunger strike until our death if they do not reinstate the terminated employees,” he added.

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Rohit Jigyasu first Indian to be elected to ICOMOS board

The newly elected board of International Council on Monuments and Sites (ICOMOS), which includes an Indian on the board of members for the first time, held its first meeting in Delhi recently. ICOMOS Triennial General Assembly was hosted by Indian National Committee of ICOMOS (ICOMOS India) in Delhi from December 11-15, followed by meetings on December 16-17.Headquartered in Paris, France, ICOMOS organised its 19th Triennial General Assembly in Delhi and the theme of the assembly was ‘Heritage and Democracy’. This event of heritage professionals from around the world was held for the first time in India and third time in Asia. It was attended by nearly 900 professionals from more than 80 countries.During the assembly, elections of the new ICOMOS board were also held. Dr Rohit Jigyasu, conservation and risk management professional and president of ICOMOS India was elected as the Vice-President of ICOMOS. He is the first Indian to get elected to the bureau of ICOMOS. Toshiyoko Kono from Japan has been elected as the President.This year’s General Assembly elected 20 members of the board by a secret ballot for a term of three years. The members then elected a president, a secretary geICOMOS Triennial General Assembly was hosted by Indian National Committee of ICOMOS (ICOMOS India) in Delhi from December 11-15, followed by meetings on December 16-17neral, a treasurer, and five vice- presidents.India supported the ICOMOS India initiative and hosted the General Assembly through the engagement of the Ministry of Housing and Urban Affairs, Ministry of Culture, the Archaeological Survey of India, and Wild Life Institute of India. Regional states, such as the government of Jammu and Kashmir, Odisha and Bihar too supported the initiative.”It is a great honour to be selected as the vice-president. It is very important to bring Indian perspective to world heritage. I will do my best to do the same,” said Jigyasu.Dr Mahesh Sharma, Minister of State (Independent charge) for Culture and Tourism and Civil Aviation, gave a concluding speech at the session and emphasised on the importance of protecting and managing living heritage through engagement of communities.WHAT IS ICOMOS?ICOMOS is an association that works for the conservation and protection of cultural heritage around the world and offers advice to UNESCO on world heritage sites.

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World heritage conservation body to hold meet in Delhi

<!– /11440465/Dna_Article_Middle_300x250_BTF –>More than 800 delegates — with hundreds of heritage professionals including archaeologists, architects, urban planners, curators and art historians — from 85 countries will be coming to the Capital to attend an ‘general assembly’ meet organised by International Council on Monuments and Sites (ICOMOS), a body which conserves and protects cultural heritage around the world.Headquartered in Paris, France, ICOMOS is organising its 19th Triennial General Assembly in New Delhi between December 11 and 15 and the theme of the assembly is ‘Heritage and Democracy’.”The idea of holding this Assembly here is to provide the Indian perspective on heritage conservation and place it within the wider international discourse,” says Prohibit Jigyasu, president, ICOMOS India Executive Committee. “So far ICOMOS has mainly been Euro-centric and by bringing it here, we can help them understand our challenges and integrate the Indian discourse into their charters. The topic ‘Heritage and Democracy’is the ideal topic for this as we have diversity and multiple narratives here,” he adds.This year’s General Assembly will elect 20 members of the Board by a secret ballot for a term of three years 2017 – 2020. These elected board members will then elect a president, a secretary general, a treasurer, and five vice presidents.Also, according to the group’s website — this Assembly and Scientific Symposium will provide an opportunity to promote international co-operation and strengthen understanding and communication in the field of heritage. It also provides an opportunity for heritage professionals and enthusiasts to come together on a common platform to deliberate on various aspects of heritage conservation and management.As a result, young professionals and enthusiasts will get a chance to interact with experts and comprehend emerging issues and case studies on conservation and management of cultural resources.For the India event, various self-help groups have been pulled together for the preparations. A women’s self-help group established by the Aga Khan Trust for Culture (AKTC) — which is an institutional member of ICOMOS India — is preparing the registration bags and notebooks for the delegates. The group has been running the Humayun’s Tomb – Nizamuddin Urban Renewal Project in Delhi.For the events, there will be pre-meetings from 8-10 December and post-meetings and events from 16-17 December.WHAT IS ICOMOS?International Council on Monuments and Sites is an association that works for the conservation and protection of cultural heritage around the world, now offers advice to UNESCO on world heritage sites.

Fortis and Medanta: 2 cases that show India’s crumbling private healthcare system

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Shock and anger swept the country on Monday when it emerged that the parents of seven-year-old girl Adya, who died of dengue at Gurugram’s Fortis hospital, were billed Rs 16 lakh for 15 days of treatment. The bill also included the costs of over a thousand gloves and 660 syringes. The father alleged that the hospital even refused an ambulance after her death, and went on to charge for the gown on her body. As the media flashed images of the cherubic child, the family also alleged that it was made to purchase the costliest brands of medicines.As the Central government was writing to states on Thursday to warn them of action for such cases, reports poured in that Gurugram’s Medanta Hospital billed an insurance agent Rs 15.88 lakh for his seven-year-old son’s 22-day dengue treatment. The father said he mortgaged his house to pay the bill but did not have money for further treatment. He shifted his son, Saurya Pratap, to the Central government’s Ram Manohar Lohia (RML) Hospital in Delhi where the child died on Wednesday.The two cases have brought the spotlight back to private hospitals who milk families in a country where millions continue to grapple with a crumbling and corrupt public healthcare system. As if losing a loved one is not enough, every item — even hand sanitisers, hair oil or wet wipes — is charged most exorbitantly by private hospitals.A 14-year fightOctogenarian BR Saini recounts his 14-year struggle to seek justice for his eldest son, who died due to the alleged medical negligence of Lions Hospital & Research Centre in South Delhi’s New Friends Colony. On November 19, 2001, Trilok Nath (37) was admitted to the hospital. He had been complaining of a headache for five months and had vomiting bouts 10 days prior to the admission. He had been brought from state-run GB Pant Hospital. A former Pant surgeon was heading the neurosurgery at Lions. A brain surgery was conducted on November 20. Trilok’s condition worsened. He became drowsy, and slipped into a coma. Five days later, he died.A resident of West Delhi’s Najafgarh, Saini had been billed approximately Rs 1 lakh. He had no insurance cover. Dr Brahm Prakash, who performed the operation, was insured for professional risks — if a botch up is proved, the insurance agency will pay for the doctor. And records show that the hospital had botched up the case.An expert medical opinion was sought from RML Hospital, which said, “The surgery was uneventful. The patient was conscious and oriented, and obeyed verbal commands in the immediate post-op period. Vitals were normal. However, in the evening, the patient became drowsy. At the first sign of deterioration, an immediate NCCT (Non-Contrast Computerised Tomography) of the head should have been done for an appropriate management, which was not done in this case.”Saini moved the Delhi State Consumer Disputes Redressal Commission in 2003. He spent thousands of rupees and made numerous visits to the Commission. In 2017, the Commission asked the hospital to pay Rs 24,56,000. The judgement says, the hospital conducted neurosurgery without CT scan/NCCT facilities. In response to an RTI application filed by Saini, RML Hospital confirmed, “A neurosurgical centre should have all the required facilities, including CT scan, for diagnosing as well as follow-up.””The hospital has now moved the National Consumer Disputes Redressal Commission. A fresh battle has started. I am not sure if I will live to see justice,” rues Saini, a former Central government employee, who has submerged himself in papers despite his poor health.’What EWS quota? Pay Rs 10 lakh’While Saini has been fighting a losing battle, the healthcare scene in India is plummeting. “National Sample Survey findings show a decline in the share of public hospitals treating patients,” says Denny John, a Delhi-based health economist. In India, 64.21 per cent of patients end up paying through their nose at private facilities because government systems fail them at each step, as is the case with 49-year-old Mandawali resident Subhash Chand. On the night of October 19, he met with a road accident. The police took him to two government centres and finally admitted him to Max Hospital in Saket. Less than a week ago, Max discharged him because bills soared to Rs 10 lakh in a month.Items such as gloves, tubes and syringes alone cost over Rs 1 lakh. Drugs, lab tests meant another Rs 1.5 lakh; the Intensive Care Unit (ICU) rent was Rs 1.76 lakh. And then there were ambulance, blood bank, surgery, physiotherapy, radio diagnosis and consultation charges. Chand, who is a driver, earns Rs 8,000 a month but has a family of four to feed. He was certified an “Economically Weaker Section (EWS) member by Delhi Health Minister Satyendra Jain’s office. “We asked for free treatment mandated under a Delhi High Court order but the hospital refused,” says his wife, Rama.Chand had suffered extensive brain damage, is in a semi-conscious state and does not recognise anyone. Now at Bal Kishan Memorial Hospital, he has a feed tube in his mouth and an air pipe in the throat. “The hospital made me sign an undertaking that I must pay the bill otherwise legal proceedings would be initiated. Should I take care of him or fight the system?” Rama asks. DNA’s questions to Max Hospital remained unanswered.Unending court battleDwarka resident and former Delhi University professor KC Malhotra (83) is a man with slow movements but a strong voice. He has spent a decade seeking justice for his dead wife. Krishna was admitted to Escorts Heart Institute & Research Centre in 2006, and diagnosed with diabetes and coronary artery disease, for which she was operated upon. Soon, she developed a diabetic foot and the hospital amputated her left leg up to the thigh. This led to a total handicap, as the veins from the right leg had been removed for a bypass surgery.Malhotra filed a complaint in 2008 at the Delhi State Consumer Disputes Redressal Commission. She died in 2010. He paid a bill of Rs 4 lakh. After seven years, the Commission has held the hospital guilty of medical negligence and asked it to pay Rs 20 lakh in damages to Malhotra, and Rs 75,00,000 to a consumer welfare fund. The case is in the High Court now. “So many years and I am still running around at this age. At 83, a man breaks down, but this is for my wife and I will fight till the end. As of now, there has been no conclusive decision but I am hopeful,” says Malhotra.Complaints aboundAt least three private hospitals — BL Kapoor, Rockland and Gupta Multi-speciality Hospital — in Delhi have been indefinitely barred from providing services under the Central Government Health Scheme (CGHS) after complaints were received against them. In 2016-17, 143 complaints were received across India against CGHS-empanelled private hospitals for denying admissions and cashless facilities, inflated bills and medical negligence. The CGHS was started under the Union Health Ministry to provide comprehensive medical care to Central government employees, pensioners and their dependents at fixed subsidised rates at empanelled private hospitals.Of the 1,114 private hospitals, diagnostic centres and clinics empanelled with CGHS, 300 are in Delhi. “So many pensioners complain that they did not get beds, they were forced to take loans or sell their property. They are overbilled or are discharged against their wishes. Often the hospital staff have been rude to them,” CGHS director Dr DC Joshi tells DNA.In December 2016, a CGHS beneficiary patient died in an empanelled hospital in Kanpur. “A death certificate was issued and his details were updated in our records. A month later, we received a fraudulent bill raised by the hospital in his name. Private hospitals don’t even spare the dead for their greed,” he says. This, despite Rs 600 crore being disbursed towards settling bills of private hospitals since April 2017.This is exactly what happened in Adya’s case. Fortis hospital procured 21 vials of the costlier brand of Meropenem injection —Merocrit— by Cipla, per vial priced at approximately Rs 3,100 billed at Rs 65,362, and 9 vials of cheaper brand of the same Meropenem injection — Merolan —by Mylan, per vial costing approximately Rs 500 billed at Rs 4,491. “Both the brands were pumped into my baby’s body. Clearly, more vials of the expensive injection, up to seven times the price but said to have the same effect, were administered. We were not even asked our preference for drugs which is an essential right of the citizen,” Jayant Singh, deceased’s father told DNA.Centre cracks the whipThe Health Ministry has asked the Haryana government to launch an urgent inquiry and submit an action taken report in Adya’s case and written to all states to implement the provisions of the Clinical Establishments (Registration and Regulation) Act under which effective action can be taken against healthcare establishments for fraudulent and unethical practices.The Centre has advised that lessons be learnt from widespread cases and a meeting with all important healthcare establishments, including private hospitals, of each state be held, and they be clearly warned against any such practices, failing which strict action will be taken.The government has said exorbitant charges, deficiencies in service, violation of standard treatment protocols resulting not only in compromised patient safety but also concerns about transparency and accountability in healthcare costs have an extremely deleterious impact on the faith of general public of the country.”It is our duty to ensure that such incidents don’t recur, quality care and treatment is provided to persons in need and that it is provided at a fair and affordable price,” a ministry letter has told states.CASES REGISTERED IN THE LAST 3 YEARS68 cases against hospitals before Delhi State Consumer Disputes Redressal Commission
19 cases against private doctors before the Commission
156 cases against private hospitals in Delhi’s 10 district consumer forums
57 cases against private doctors in Delhi’s 10 district consumer forums

Afghan girl injured in blast recovers at AIIMS

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It is a miracle for ten-year-old Zakia Moqim, who is finally able to stand and is hopeful again to lead a normal life. Moqim was airlifted from Afghanistan 14 days back after she was injured in a bomb blast on November 1. Surgeons at Jai Prakash Narain Apex Trauma Center (AIIMS) confirmed that she has completely recovered from the neurosurgical issue and is good to go home in a few days.”She was brought here a week after the blast, unconscious and with some massive damage to her brain. There were some infections too due to untreated injuries. We had to put her on a ventilator and give drugs to reduce swelling,” said Dr Deepak Gupta, Professor of Neurosurgery, AIIMS.”Multiple shrapnel had penetrated her right lobe and thus there was swelling,” he added.Moqim, who is now walking and is ambulatory, went through few surgeries, including an orthopaedic surgery to treat the infections in her right leg.She is now being taken care of at the Neurological Intensive Care Unit with regular antibiotics.Accompanied by her father, the 10-year-old girl has not stopped smiling since she came to her senses after the surgery.”Presently, the child is fully alert and conscious. Weakness in her left arm and leg has improved significantly. She also had a fracture in her leg with skin loss, which was managed by the Orthopedic and Plastic Surgery team here,” stated a press note by AIIMS Trauma Centre.The case was treated as a ‘goodwill gesture’ when her father approached the Afghan Embassy in Delhi, which then reached out to a Consortium of AIIMS, to help and treat the little victim of violence.

Doctors Association announces strike after patient assaults medic in govt hosp

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Three days after a doctor was physically assaulted by a patient and her attendant, at the Delhi government’s Maharishi Valmiki Hospital, the Federation of Resident Doctor’s Association, FORDA, has announced an indefinite state wise strike to ask for better security for doctors at government hospitals.”We have lost count of the number of similar incidents against doctors at their workplaces. Anyone can walk inside and beat-up a doctor these days,” says Dr. Vivek Chouksey, President, FORDA Federation of Resident Doctor’s Association, that works for the welfare of resident doctors all over India.”All the state and central hospital have decided to support our friends from Maharishi Valmiki Hospital and to put forth the more important issue in front of authorities,” he added.An estimated 20,000 doctors from the city will go on indefinite strike from Thursday onwards. All out-patient departments will remain closed to the public to demand better security and give more guards at the hospital.Doctors at the Maharishi Valmiki Hospital went on an indefinite strike on Sunday after a woman patient and her attendant physically assaulted a doctor on duty. Doctors allege that there are several JJ colonies near the Pooth Kurd situated hospital and the patients come in drunk sometimes. Hospital Medical Superintendent, Beena Khurana, called this an “assault against doctors” and registered a case against the accused.”There was just an individual FIR registered, no Institutional FIR was registered by the hospital which shows the lack of concern,” added Chouksey.”Every day resident doctors have to bear the wrath of aggressive attendants. We are outraged and anguished by this act of violence against resident doctors and support their indefinite strike to express our outrage and condemnation of this act,”stated the letter was written by FORDA to the Health Minister.INDEFINITE STRIKEAn estimated 20,000 doctors from the city will go on indefinite strike from Thursday onwards. All out-patient departments will remain closed to the public to demand better security and give more guards at the hospital.

Encroachers take over heritage mosques, bar visitors

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Qasai Wala Gumbad, the only Tughlaq-era mosque with a hemispherical dome, on Muradabad Pahadi in south Delhi’s Vasant Vihar is a heavily encroached heritage structure. It is a unique construction mainly because two mosques – one a Tughlaq-era mosque and other a Lodi-era mosque – stand adjacent to each other .Deep inside a park, few meters away from the Vasant Vihar Club, exist the two mosques. A huge gate, guarded by young kids, and a long pavement takes one towards the two marvelous white structures. One of these mosques is now used as a madrasah, known as Abdul Mannan Academy, where over 100 kids stay and study.The two beautiful structures are encroached and nobody is allowed inside the main gate, except on Thursdays when people visit the Dargah, which is just next to the two mosques. Few people visit Dargah of Syed Murad Ali Baba Shah here on Thursdays for prayers. There is very limited access to the mosques as the structures are under the control of a religious organisation, that does not allow outsiders here, not even students’ parents.When DNA visited the heritage structures, several questions were asked at the gate and the reporter was strictly asked to not take any pictures and leave within five minutes.”We do not even let in parents of over 100 madrasah students. The Archaeological Department is eyeing our mosque and a case is going on. This is our land,”says Mohammad Feroze, caretaker of one of the structures.Because of the encroachment, many Delhiites, even the historians, and locals living in the area are unaware of one of the Capitals’s beautiful heritage.”I have always been fascinated with these two mosques and visited on a Thursday when many local women go to the dargah. But the caretakers inside recognised me as an outsider with my camera, and asked me to leave that very moment,”said Vikramjit Singh Rooprai, Heritage activist.”These structures have so much potential due to their dual history and location, the government should do something about opening them to the public,”he adds.Inside the premises exists Delhi’s largest Baoli, or step-well, which has been taken over by the mosque authorities. Visits to either the mosque or the step-well are prohibited. The step-well is crumbling, struggling to retain its identity due to the neglect.”Also, these structures are under the flight path i.e. close to a runway and planes pass over these mosques, an area like this should be accessible to security and police, if it is not to the public,” adds Rooprai.

Rape survivor discharged, hospital denies DCW allegations

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A day after Chief of Delhi Commission for Women, Swati Maliwal wrote a letter to Union Minister J P Nadda, highlighting the ill-treatment at the Safdarjung Hospital faced by the family of the 18-month-old rape victim, the hospital denied the allegations and confirmed that the toddler was given the best treatment leading to fast her recovery, and discharge on Thursday.”The child was brought with some wounds and bleeding on her parts, but did not require any major surgeries. She was kept in the Gynecology Intensive Care Unit, where we have two POSCO (Protection of Children from Sexual Offences) beds for such cases and was discharged today after her fast recovery,” said Dr Ravinder Sharma, Medical Superintendent, Safdarjung Hospital.In response to DCW Chief’s letter, the superintendent further added, “Nobody can enter the restricted area without prior consent. When the chief and her team, which included men as well, tried to enter the Gynaec ICU area, the guards obviously unaware of who they were stopped them. As for the father, men are generally not allowed inside.”In her letter to Nadda, asking him to intervene in the matter, Maliwal had highlighted the restriction on victim’s father to meet his daughter. She had mentioned that the child and her mother were on their own for the entire night while the father waited outside, crying. Also, that she had to make her way inside after jostling with various authorities for two hours.On Monday, a day before Children’s Day, the minor girl was sexually assaulted by a 26-year-old male known to the family at their residence in an urban village in Hauz Khas area of Delhi. She was then admitted to the Safdarjung Hospital. When Maliwal met the father next morning, he was crying profusely for not being able to meet or talk to his wife and child.

Kids take over the National Stock Exchange on Children’s day

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It is a big day for 17-year-old Maali Prasad Goraksh, a student of one of the government-run ‘Aadiwasi Ashram School’ and a state-level marathon runner, who has been selected to ‘ring the closing bell’ at the National Stock Exchange, during a week-long program to highlight the need to save children’s lives, fight for their rights and fulfil their potential this Children’s day.An underprivileged child, who lost his father at a very young age, Maali, from Kapor gain Taluka in Ahmed Nagar, belongs to the Bhil tribal community. He has been a diligent student at the government tribal school since 2008 and had always wanted to do something big. He sees coming at the NSE for the bell ring and being a part of a panel discussion which discusses that how industries/businesses can focus on children, with some renowned names is already taking the first step towards his dream.“This opportunity makes me feel proud and tells me that even a person like me, from a small background, can dream big. I really feel that if we are guided right, and given self-training, we can achieve whatever we want,” says Maali, after participating in a panel discussion with UNICEF and NSE officials.The group of 35 children participated in the #KidsTakeOver program organized by UNICEF along with some participating NGOs like NineisMine, Ashramshalas, and the NSE. To mark the Children’s day, the week-long event that starts on November 14 and goes on till November 20, will see these children take-over ‘high profile’ roles in media, politics, business, sport, and entertainment.“These children are not just the citizens of tomorrow, they are citizens of today and thus we need to invest in them now so that the future will be secured. They will be responsible for the sustainable growth of this country. For us this occasion is symbolic to ensuring each and every child is included and his or her right fulfilled by engaging in dialogue with influencers which in this case is businesses,” said Henriette Ahrens, Deputy Representative- Programmes, UNICEF India. “Also, I must add that the first 1,000 days for a child are important and gives the highest returns on your investment.”

On Children’s Day, Delhi kids ask PM Modi for their right to breathe

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As National Capital wakes up to even higher smog levels on Tuesday as compared to Monday, shooting past 500 level into the ‘severe plus’ category, Delhi’s children come out on streets on Children’s day asking Prime Minister Narendra Modi for their right to breathe.100 young kids from the capital will mark Children’s day with masks and National Flag to share a plea with the Prime Minister for ‘My Right to Breathe’, organised by a citizen group of the same name, on Tuesday at India Gate at 3 PM.“It’s a plea from the children of Delhi directly to their PM pleading for clean air. Their right to breathe, their right to a future, their right to live,” said a member.According to the Central Pollution Control Board (CPCB) officials,”Pollution levels will see a rise on Tuesday owing to meteorological conditions. But, the conditions are expected to improve between Tuesday night and Wednesday morning.” The conditions are expected to improve as rains are predicted on November 15. Besides, moderate to dense fog is expected across Delhi-NCR.Monday early morning hours in the national Capital were bad with a blanket of haze and visibility less than 500 meters. However, by evening some monitoring stations under the Delhi Pollution Control Committee (DPCC) showed the pollution levels coming down in some places, including R K Puram and Rohini.

‘Ittefaq’ team served notice for promoting smoking

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Couple of days after the release of Ittefaq, Delhi health department slashed notices to the Director and Producer of the thriller movie under Section five of Cigarette and other Tobacco Products Act (COTPA) 2003 for promoting smoking. The notice points out that a promotional poster shows one of the actors lighting a cigarette.”We have sent a notice under COTPA Act to Karan Johar, his production house, and the director of the movie for promoting smoking. One of the promotional posters show Akshaye Khanna lighting a cigarette, which encourages younger generation and promotes tobacco,” said Dr SK Arora, Additional Director, State Tobacco Control Officer, Delhi Health Department.”It has been three days since we sent out the notice via speed post (and e-mailed), but we have not heard anything from them so far. If we do not hear for another four days, we will send a strict compliance notice to take down this promotional poster from everywhere including social media sites,” he adds.Section 5 of COTPA act states: “No person engaged in, or purported to be engaged in the production, supply or distribution of cigarettes or any other tobacco products shall advertise and no person having control over a medium shall cause to be advertised cigarettes or any other tobacco products through that medium and no person shall take part in any advertisement which directly or indirectly suggests or promotes the use or consumption of cigarettes or any other tobacco products. No person, shall, under a contract or otherwise promote or agree to promote the use or consumption of Cigarettes or any other tobacco product.”Movie PosterThe promotional poster of the movie, which does not display any warning, shows actor Akshaye Khanna lighting a cigarette.

Mask sales surge by 60% due to smog

<!– /11440465/Dna_Article_Middle_300x250_BTF –>With the smog ensuring Delhi’s air quality is falling to alarming levels, pharmacies and retail mask dealers are doing roaring business in masks and air purifiers. In fact, pharmacies across various parts of the city, sales have gone up by sixty percent over the last few days alone.After last year’s pollution rise, some pharmacies confirmed that they had stocked up on masks way before Diwali, but due to the cracker ban, sales remained low. But they said sales have just picked up since Wednesday, so much so that some pharmacies are even selling their last year’s stock.”I sold over 180 masks on Wednesday, which is a big number considering mine is a small shop in a residential area,” said Sanjay Kapoor, a chemist in West Delhi.Though all kinds of masks are available, doctors suggest the N95 are the most effective in Delhi’s pollution as they can stop the PM 2.5 as well. Costing anywhere between Rs 300 and 2,000, these masks are the highest in demand and many pharmacists say that they are running out of stock.Surgical masks too are available for anywhere between Rs 20 and 300, but doctors they are not suitable in high pollution areas.”In the last one year, sales of masks have gone up even on normal days, but int he last three days, I have sold masks worth Rs. 95,000 both in retail and wholesale. I believe masks worth several lakh have been sold in Delhi this week. Online sales have gone up too, as some of my customers bought masks online as well,” says Suresh Verma, a mask wholesaler from Laxmi Nagar.Meanwhile, over 2,000 free masks were distributed to security personnel at metro stations and Airport, but these free masks are surgical masks and not very effective in pollution control.However, doctors cautioned that all masks would save Delhiites from pollution. “We all need to understand that N95 masks and air purifiers, whose sale has increased in the last few days due to pollution, may not provide full-time protection, and are not completely effective,” said Dr Randeep Guleria, Medical Director and leading pulmonologist, AIIMSWHICH MASKS TO OPT FORSingle layer masks made of cotton are not very effective in filtering out minute particles. The triple-layered masks may help a bit and cost between Rs 50 and 100. The best ones are N95, which control PPM 2.5 and the cost starts from Rs 100

Respiratory cases on the rise in hosps

<!– /11440465/Dna_Article_Middle_300x250_BTF –>With Delhi’s air quality crossing the ‘severe’ mark on Wednesday, hospitals in the capital were swamped with patients complaining about breathlessness, headache, and fever.”We have seen around a 15 per cent hike in the patients in our OPDs in the last two days. Though the casualty has not seen any patients yet, if this smog continues, there will be an inflow of patients suffering from choking/suffocation. Some of my staff members are also wheezing and complaining of burning eyes,” said Dr Ritu Saxena, Deputy Medical Superintendent, Department of Accident and Emergency, Lok Nayak Hospital.In the last three days, there has been a rise in the number of respiratory patients in the hospitals.”In last few days, the number of patients has increased from 50-60 per cent with breathing problems. Patients are now also coming with severe problems like throat infection, respiratory tract infection and nasal allergies. Even asthmatic problems have increased. Patients with asthmatic problem are in a worse situation after the environmental changes after Diwali,” said Dr Sandeep Nayar, Senior Consultant & HOD, Respiratory Medicine, Allergy & Sleep Disorder, BLK Super Speciality Hospital.

Hospitals witness spurt in e-payments

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A year after demonetization, which especially affected the health industry, various hospitals have confirmed that there has been an exponential rise in E-payments, leading to more transparency. Some private hospitals even said that nearly 95 per cent of the patients were making E-payments.The impact was mostly felt in hospitals located in Tier 2 and 3 cities, as these areas have low digital penetration and residents largely rely on cash to avail health treatments.”We witnessed a 20 per cent decline in patients paying in cash. The healthcare industry has been marred by financial, demographic, and regulatory limitations. Therefore, it is highly vulnerable to such policies. Immediately after the move, medical care across the country got affected, with many medical facilities and pharmacies not accepting old currency. It also sensitised people to the fact that bills could be paid online and health insurance was important,” said Dr Dharminder Nagar, Medical Director, Paras Healthcare.Echoing the sentiment, Kamal Solanki, CEO of Venkateshwar Hospital in Dwarka, said: “As many as 80 per cent of Indians do not possess health insurance. So, when demonetization happened, the healthcare industry faced an initial crisis due to cash crunch. But many private and government hospitals did not stop accepting cash.””Initially, there was a strain on medical tourism as well as hospitals did not want to accept old currency from off-shore clients. But with digitisation, patients would have a better track record of their medical profile,” he added.

Da Vinci ‘gut feeling’ was right, says AIIMS

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Delving into the mysterious workings of the human gut, Indian doctors have stumbled upon a pathbreaking discovery, which has put centuries-old debate on the nature of the insides of the human abdomen to rest.Researchers from the All India Institute of Medical Sciences (AIIMS), New Delhi and Jawaharlal Institute of Postgraduate Medical Research, (JIPMER), Puducherry, have established that ‘Human Gut Mesentery,’ a crucial structure that attaches intestines to abdominal wall, is a single entity.This insight will aid surgeons world over to better maneuver surgeries. To take a closer peek at the human gut, AIIMS doctors dissected cadavers and studied them in meticulous detail.Interestingly, Indian doctors have validated what Leonardo Da Vinci had suggested in his sketches in the 15th century. Vinci had depicted mesentery as a continuous entity. Later, in the 19th century, this view was contradicted by Treves in his lectures at Royal College of Surgeons in London, who opined that mesentery was fragmented.”Since then, this view has been consistently followed by standard anatomy and embryology textbooks. For the first time ever, our findings have provided a comprehensive detail of the complete mesentery,” said Dr Muneeb Faiq, clinical researcher at AIIMS.The researchers developed a novel dissection method and produced direct evidence by going into excruciating details, visually documenting each minute fold, and painting a complete picture of how the entire mesentery looked like.”The world had not seen how a complete mesentery looked like, although it was present in each part of the intra-abdominal gut tube, including the duodenum. In some parts, it was hiding from the view and went unnoticed for centuries. Mesentery for the duodenum has been demonstrated for the first time in the history of human anatomy in our research,” said Dr Ashutosh Kumar, a senior researcher at thew Department of Anatomy, AIIMS, and lead investigator of the study.The new research will aid doctors to develop novel surgical management methods to help improved outcomes in intestinal surgeries.”Standard dissection techniques have not been able to confirm that the mesentery, an imperatively crucial structure of the human gut, is a single entity. It was believed to be fragmented and present or absent in some parts of the gut in adults, but our findings confirm that it is present throughout. This will create a paradigm shift in surgical approaches related to intestines,” he added.In newborn babies, at times, intestines can be malformed. This new research will help understand these anomalies better and aid in their management. “A relook at the gross anatomy of the mesentery is of great significance, since it can provide better understanding of congenital gastrointestinal anomalies, such as malrotation and malfixation of intestines in the process of development of embryo in the womb,” said Dr Gladwin V Raj, Associate Professor at Department of Anatomy, JIPMER, Puducherry.Being highly vascular, it also has a role in drug metabolism, and some important immunological functions and disorders.Mesentery had recently caught worldwide attention when a group of Irish scientists proposed it to be a new human organ, a top medical science journal ‘Lancet’ published that proposition. Globally, it is still a matter of debate.

Photo fest to be held at IHC for awareness about Aravallis

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Not far from the choking pollution of Delhi and an increasingly urbanised Gurugram exists a village that has managed to preserve a 1,200-acre green patch, owing to their religious faith. Residents of the Mangar village, located just 25 km from the Cyber City in the Aravallis, have named this patch ‘Mangar Bani’, and have miraculously saved the area from the city builders.Earlier this year, however, despite the National Green Tribunal’s (NGT) order to maintain the state of affairs in the area, over 200 trees were cut in Mangar Bani, considered sacred by the locals. This act not just angered the locals but also highlighted the rapid movement of builders into the heart of the Aravallis. In fact, a five-star hotel , The Lalit Mangar, also exists in the village now.”In the last one decade, the external movement has increased in our village, which has led to chaos. It was shocking to see people cut trees in the Bani as we have always maintained that it is a sin. Nobody takes anything from here, not even the fallen trees or fruits. The Bani has existed for over 700 years and the temple here has fulfilled many wishes. Those builders have bought land around the villages, but they will not be able to enter our sacred space,” said Rajveer, a local.Soon after the felling of trees, environmentalists, artists, students, and photographers came together to highlight the importance of this 1,200-acre green patch. Campaigns were created on social media and walks were conducted to spread awareness about the issue.Taking the initiative to the next level, a three-week festival will be held at the India Habitat Centre (IHC) to create awareness about the importance of Aravallis. The festival, titled ‘Aravalli Utsav’, will showcase works of different photographers, and will have photos of the landscape and wildlife, between October 28 and November 20..”People have been reading about the ranges in the news, but they still do not know what they are. We have just brought Aravallis to the people. The response, so far, has been tremendous. Now, we feel we should start a minibus from here to Mangar, as everyone suddenly wants to visit. The installation has actually caused a stir. Recently, the Gurugram MCD commissioner visited and suggested that we take the festival and pictures to Gurugram after this,” says Aditya Arya, photographer and the mind behind the festival.

Pneumonia killed Kathputli colony child, say residents

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A day after a family living in the Kathputli Colony slums alleged that their two-year-old child died due to the tear gas shelled by the police, the locals close to the family confirmed that the child was already sick and the NGOs working in the area were convincing the mother to talk negatively about the demolition drive.The Delhi Development Authority (DDA) had on Monday started a demolition drive in the colony.”The child was sick already and was not a resident of the colony. The DDA has no role to play in it. The residents misguided by local leaders have been spreading such rumors, just to put the blame on the authority. Even the court has modified its stay order today and we are going to resume the drive from Thursday or Friday,” said JP Agarwal, DDA’s housing commissioner.On Wednesday, some locals confirmed that the child died due to ‘double pneumonia’ and the demolition had nothing to do with it. While the mother was unavailable to comment, some members of the community close to the family and a DDA officer sitting at the site, confirmed that the woman has given an official written statement that her child was already sick and was being pressurised by the local NGOs. A senior police official refuted the family allegations and claimed that the police had not received any such complaint.

Demolition splits Kathputli locals

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Two days after the start of demolition drive at the Kathputli Colony in West Delhi, where over 1,000 jhuggis were demolished till Tuesday by the Delhi Development Authority (DDA), locals have had mixed reactions to it. While some pelted stones on the police and protested against the demolition, some considered this as their way out from a dirty neighborhood into clean flats.”We have been seeing the DDA and police walking in and out of the area since Monday noon. They not only beat-up some locals but even did not give us much time to gather our belongings before starting the demolition. Some people from slums have been sent to Anand Parbat Transit Camp now, and the rest of us have got a stay-order for the next ten days,” says Ashu Bodh, 31, a local from the colony. “Thousand of kilos of iron scrap has been sold at the Kabaadi shops since the demolition,” he adds.While many showed resistance to relocation, which will directly affect their art, there is a set of people, who are happy with moving out and were even heard saying that it was for the better. As the fight among locals and the authorities continue, as some women stand guard into their area, more than 1,000 families are already queuing up at the Anand Parbat site looking to get their documents for the ‘rehabilitation’ in the camp.The twelve artists’ communities living here, including puppeteers, magicians, acrobats, storytellers, folk dancers, and painters, are being relocated to one-room tenements in Narela and Anand Parbat Transit camps. The demolition first started on December 19, last year, and was the first step towards the redevelopment of the area, which lacks basic amenities like sanitation, drains, water supply etc. The DDA will resume its demolition drive on Thursday.Over 3300 families used to live in the colony, of which around 1660 have been moved out to the North-Delhi based Anand Parbat transit camp. The camp has a place for 2800 families. Almost all the families, originally from different parts of the country, settled here nearly 45 years ago.”492 families from the colony had already willingly signed to be moved to the Narela camp, even before the demolition,” confirmed a DDA official.The colony was the first slum taken up for in-situ redevelopment by the DDA in 2009, in collaboration with private firm Raheja Developers. As per the plan, families will have to move to single-room temporary houses in a resettlement area in Anand Parbat, till the construction of their permanent houses in the Kathputli Colony is completed.

15,000 docs to go on strike on Nov 1

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Medical services in Delhi are all set to be hit on November 1, as more than 15,000 resident doctors from state government hospitals have called a strike following the government’s failure to fulfil their demands. The resident doctors are protesting against the AAP-led government’s move to extend the timings for the Out-Patient Department (OPD).The Federation of Resident Doctors’ Association (FORDA), an umbrella body of resident doctors, had written to the Delhi government requesting to reconsider its decision on the extension of the OPD timings.“There has been no response from the Delhi government on our request. We are currently protesting peacefully against the increased working hours by wearing black ribbons on our arms and will do it until Tuesday. All resident doctors will be on strike on Wednesday by shutting down the OPDs,” said Dr Vivek Chouksey, president, FORDA.In its order dated October 9, the Delhi government had extended OPD timings saying they will remain functional from 8 am to 2 pm so that there is enough time to attend to patients which will ultimately reduce huge crowds at hospitals. The order had added that registration counters shall open at 7:30 am and close at 1 pm. The order had also said that a “token system” would be implemented, whenever required.“This is to ensure that there is sufficient time for the patients to be attended to. Towards achieving the above, the registration counters shall open at 7:30 am and close at 1 pm,” Delhi Health Minister Satyendar Jain had said while issuing the orders.

Despite barricades on ghats, Yamuna left a polluted mess after Chhath Puja

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As the festival season came to an end on Friday with Chhath Puja, DNA visited the Kalindi Kunj Yamuna ghat to see the level of pollution caused by the devotees there. Apart from the usual chemical froth layer on the water of the Yamuna, there is now all kinds of biodegradable and non-biodegradable waste lying on the ghats, including garlands, idols and frames of deities, plastic wrappers/bottles (containing oil), idols, diyas and cloth, among other things.The mess remains despite the government barricading the river and ordering basic cleaning post the festival. Instead, the day saw a repeat of the Durga Puja festival when more than a hundred idols of the goddess were immersed in the already burdened river.As per National Green Tribunal (NGT) guidelines, use of only biodegradable material is allowed at the ghats to be immersed in the river.A Delhi Pollution Control Committee (DPCC) report last year had revealed a rise in biological oxygen demand (BOD) levels up to 30 mg/l at several ghats, even as dissolved oxygen levels plummeted to zero.The standard BOD level for water bodies is 3mg/l. DO should be 4 mg/l, or higher. Yamuna’s water quality is currently in the ‘E’ category, which makes it fit only for irrigation and industrial usage.

After surgery, conjoined twins’ parents want to take them home

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It has been 72 hours since Bhuyan and Puspanjali Kanhar saw their sons, Jagga and Kalia, going into the operation theatre. In what has been one of the rarest surgeries in the country, the twins from Orissa, who were joined at the head, were separated in an 18-hour long surgery, which involved a team of 30 specialists. The surgery which started on Wednesday at 9 am only concluded the next day at 3 am.The 28-month-old kids from Milipada village in Kandhamal district of Orissa were born in April 2015, with their heads joined. The farmer family said that though initially they were shocked, they loved, accepted and pampered the kids and a result the boys remained happy and cheerful.”Except for the delay in the language development, they have been very playful and happy kids. They have shown strength during their time in various hospitals,” shared a source.The twins were shifted to a medical college 24 hours after birth where they lived for first five months. Five months later, both were sent back to the village where they lived with their grandparents, uncle, aunt, and parents.”It was difficult to take them out of the house due to their condition, the only time they went out was when they had to go to the hospital,” said a source from the family. The time in hospital has not been easy for the family. Bhuyan, a BPL card-holder, has been a farmer and a part-time auto-rickshaw driver back in his village. Spending time in hospitals for the last 28 months, ever since his children were born, has affected his work, he says.Meanwhile, the family says that twins were first brought to AIIMS in July when all major tests were conducted and they were put on high nutrition diet to build-up strength to handle the major surgeries that would follow. Doctors said that their high protein and high iron diet ensured that they gained weight and the first surgery was conducted on August 28.On October 19, however, Jagga had some heart ailment and his condition started to deteriorate, after which on a semi-urgent basis, the surgery was planned.Even though Jagga was the stronger one among the two, currently he is critical and his heath status will be confirmed on Saturday morning, when the twins are expected to come out of anaesthesia. Meanwhile, their parents stay glued to the waiting room.

AIIMS resident doctors continue hunger strike

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Over 1,700 resident doctors of the All India Institute of Medical Sciences (AIIMS) have gone on a hunger strike, demanding proper implementation of the Seventh Central Pay Commission’s recommendations. The doctors alleged that employees at other medical institutes have been getting their allowances since July this year. All 14,000 employees at AIIMS are supporting the seventh pay commission protest.The staffers at the country’s biggest hospital have announced that they will go on an indefinite strike from November 1 onwards if their demands are not met.On Friday, resident doctors, along with other staff including the nurses union, officers association, society of young scientists, students union, karamchari union, technical staff and even the radiographer’s association, protested in the hospital during lunch hours and have announced to join the indefinite strike starting November 1.”We have not had food since two days now and are still working as we do not want to affect the patient care. But in a letter to the administration, we have mentioned that if we get into any problem, or faint due to hypoglycemia, then the AIIMS administration and government is responsible. Also, no food leads to low immunity which may lead to infection working in this high risk environment, we suggest the management to look into our requests,” says Dr. Harjit Singh Bhati, president, Resident Doctors’ Association (RDA), AIIMS.”Our Deputy Director (Administration), K Ramesh Kumar Sudhanshu, has confirmed that he is keeping a track with the joint secretary of the Ministry of Family and Health Welfare,” he added.Long haul: Other autonomous medical institutes including Safdarjung, Ram Manohar Lohia and even PGI Chandigarh have implemented the 7th Central Pay Commission.AIIMS has been waiting for a confirmation from the ministry. The doctors had earlier written to the PM, asking him to look into the matter.LONG HAULOther autonomous medical institutes including Safdarjung, Ram Manohar Lohia and even PGI Chandigarh have implemented the 7th Central Pay Commission.AIIMS has been waiting for a confirmation from the ministry. The doctors had earlier written to the PM, asking him to look into the matter.

Patients suffer as hospitals lack planning

<!– /11440465/Dna_Article_Middle_300x250_BTF –>There are overcrowded hospitals, and there are hospitals which have which have been around for years, but due to either the lack of necessary infrastructure or awareness, the latter stands as proof of bad planning and under-utilisation of available resources, as their halls remain empty.Nine years after the inauguration, Janak Puri and Rajiv Gandhi Super Speciality Hospitals of the Delhi government barely have the required ‘specialised’ staff and facilities to cater to the treatment goals they were expected to achieve. The hospitals are only partially able to perform laboratory tests for Cardiology, Neurology, Nephrology, and Gastroenterology, in which they specialise.The Janak Puri Super Speciality Hospital recently started its first CATH (catheterisation laboratory for cardio problems) Lab, nine years later, and even now it is only equipped to perform small procedures like Stenting. In the 25 days since it started, the lab has only performed 33 surgeries, of which only 25 are angio/stent-related. The hospital currently receives 1,500 patients in its OPD every day, and only 40-45 patients in its IPD, but it is not capable of handling any major surgeries due to lack of operation theatres (OT).“We currently do not have a Nephro/Neuro or Gastro surgeon, but we have floated a tender for OTs and in the coming six to eight months, we will have seven OTs. We are also looking to start the dialysis treatment in the near future,” says Dr Ashok Kumar, Medical Superintendent, Janak Puri Super Speciality Hospital.The 250-bed hospital was inaugurated along with the 650-bed Rajiv Gandhi Super Speciality Hospital on a budget of Rs 150 crore, back in 2008. Since then, the hospital has not been able to walk the walk. Currently, the hospital has ECG, ECHO, TMT facilities available for heart patients, but the major surgeries are yet to start; the unavailability of these treatments raises questions on the specialised healthcare facility. Nephrology is another speciality but the hospital does not have a dialysis facility yet.A large part of the hospital building is deserted, including the first-floor ward area. The few (admitted) patients from different departments have all been moved to one floor in a total of four wards. The rest of the floors are locked. Thousands of people wait outside the AIIMS and Safdarjung hospitals for treatment while hospitals like Janakpuri and Rajiv Gandhi show a result of bad planning and vision. A good amount of money has been spent in ‘decorating’ the hospital than on providing healthcare.In its direction, the Delhi High Court noted that a “great public expense” went into building both the hospitals and in procuring medical infrastructure in the form of equipment and highly specialised diagnostic machines. The shortage of staff has, however, “translated into both severe lack of access to cheap or free medical aid to the general public and scarcity of such public resources, though physical infrastructure has been created.”NOT IMPLEMENTEDThe 250-bed Janak Puri Super Speciality Hospital has ECG, ECHO, and TMT facilities available for heart patients, but the major surgeries are yet to start. The unavailability of these treatments raises questions on the specialised healthcare facility. Nephrology is another speciality but the hospital does not have a dialysis facility yet. A good amount of money has been spent in ‘decorating’ the hospital than on providing healthcare

Delhi hospitals in the ICU

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It’s 2 pm. The Delhi government’s Deen Dayal Upadhyay Hospital (DDU) is teeming with patients, attendants and medical staff. Priya Tiwari has a worried look on her face. She has been sitting in the corridor since 8.30 am. Her wait for medicines for her paralytic mother, Shubhkanti Tiwari, lying next to her in much discomfort, seems never-ending. Earlier, either Priya’s brother or father used to take her mother to the hospital. But they were warned that they would lose their jobs because of the frequent leaves they were taking. “My brother or father would come here twice a week. They would take several hours to go back home. Now I know why. Once, they waited for six hours, only to be told that the MRI scanner was not working,” says Priya, who has been taking care of the household since her mother fell ill.The scene is no different at most other Delhi government hospitals that see a huge rush in their Out-Patient Departments (OPDs), with thousands of patients lined up for treatment. The DDU receives over 5,000 patients on an average in its OPD every day and this leads to overcrowding. The Central government’s All India Institute of Medical Sciences (AIIMS) has 10,000 patients every day, who throng the gates of the hospital from as early as 4 am.Delhi Health Minister Satyendra Jain directed medical superintendents of all city hospitals on October 9 to increase consultation time from four hours to six hours. He had said, “This is to ensure that there is sufficient time for the patients to be attended to. Towards achieving the above, the registration counters shall open at 7.30 am and close at 1 pm.”While the timings may have increased, thousands still suffer every day as hospitals face an acute shortage of doctors. Most exits have been triggered by fat salaries and better work environment offered by the private sector. The AIIMS is short of 863 doctors, including 241 faculty members, 458 senior resident doctors and 164 junior resident doctors. Across the street, Safdarjung Hospital has a shortage of 423 doctors. The number for Ram Manohar Lohia (RML) Hospital and Lady Hardinge Medical College (LHMC) is 157 and 152, respectively.Most doctors, who stay on, are forced to strike work every now and then, which further leads to long waiting hours for patients. About 300 resident doctors at the DDU went on a strike recently, demanding better security, after two doctors from the paediatric ward were assaulted by a patient’s attendants. This was the second instance in October and third this year of doctors from the hospital striking. The latest strike led to the cancellation of more than 30 surgeries, and patients had to move to other hospitals. In August, over 1,500 resident doctors at Safdarjung Hospital, a Central government facility, struck work over a similar reason, calling off surgeries and disrupting patient care affecting over 300 patients. Doctors at the AIIMS have also been protesting, demanding higher pay than recommended by the 7th Pay Commission, since Diwali.All 2,700 workers of the Delhi State Health Mission have been on a strike for six weeks, demanding regularisation of their service and pay at par with their counterparts in other departments, paralysing healthcare at the grassroots level. Doctors, pharmacists, nurses, Auxiliary Nurse Midwives (ANMs) and lab technicians in all 11 programmes, including reproductive child health (for reduction of infant, child and maternal mortality rates), tuberculosis, leprosy and integrated disease surveillance (to monitor trends and detect and respond to outbreaks) have stopped work. “There has been no recruitment of senior or junior resident doctors in any Delhi government hospital in the past five years, but the number of patients and the work have increased manifold. With an added workload because of polyclinics and mohalla clinics (neighbourhood health centres), doctors have to devote their time everywhere, leading to chaos and increased rush in OPDs. This is a result of bad planning,” says Dr Vivek Chouksey, President, Federation of Resident Doctors’ Association that works for the welfare of resident doctors across India.The government also started a scheme in 2012, under which patients from economically weaker sections (EWS) are to be given free treatment at private hospitals in Delhi. Each hospital has to reserve 10 per cent beds and 25 per cent of their OPD capacity for EWS patients. Chouksey says this is poor planning because the government is giving hundreds of crores of rupees to private hospitals to cater to a small number of patients. Had the money been used for the development of government hospitals, the situation would have been much better, he says.DDU Medical Superintendent Dr A K Mehta says, “We have 148 security guards for our wards, but we need another 70 to control the movement of people within the hospital. Everyone comes and waits outside the doctors’ rooms, leading to chaos. Attendants are becoming aggressive by the day and doctors bear the brunt. We have floated a tender to get more guards and equipment to improve the situation.”Resident doctors at the Safdarjung hospital were given 100 security guards after their strike. The number now is 660, while the hospital needs 2,200 guards.Mohammad Iqbal (30), a driver, has been visiting the AIIMS and the Delhi government’s Lal Bahadur Shastri Hospital for over a year. His wife, Zeenat Khatoon (26), is suffering from gallbladder stones. Her surgery has been scheduled for April 2018. Their three-year-old daughter, Saima Parveen, suffers from epilepsy. Twice a week, Iqbal takes off from work to bring them to the hospital.“I leave home at 4 am to reach the AIIMS’ OPD by 5.30 am. The registration opens at 7.30 am. There are card queues before entry. Then stamping happens followed by other formalities. By the time we have seen the doctor, it is already 2-3 pm,” says Iqbal, who has visited the AIIMS seven times this month.“I do not bother trying to take free medicines from the hospital as the queues are long. I buy them from outside. But I have been taking many leaves from work and that scares me because I am the only earning member of the family.”Delhi attracts patients from across the country, as the government has not been able to improve healthcare in towns and villages. Many patients from Uttar Pradesh and Bihar visit the national Capital for treatment. Hospitals in these states lack infrastructure. At any given time, hundreds of outstation patients can be seen waiting at the gates of AIIMS or Safdarjung Hospital. Even the AIIMS Metro station is crowded with attendants who sleep on the floor.Instead of addressing the issues, Union Minister of State for Health Ashwini Choubey said earlier this month that he has instructed the AIIMS Director to send back Bihari patients crowding the hospital with minor ailments which can be treated back home. This created a controversy after which an AIIMS doctor wrote an open letter to him calling his remarks “morally incorrect”. In his letter, Dr Shah Alam Khan, Professor, AIIMS Orthopaedic Centre, mentioned that overcrowding in hospitals is due to poor healthcare infrastructure in the country. He agreed that there is a “loss of gate-keeping” in referrals, but said it is not the patients’ fault and they should not be punished.“We receive at least 5,000 patients in our OPD every day and over 1,000 in the emergency department. These numbers have increased lately after the government announced free medicines and tests for everyone. A lot of patients from adjacent areas and states are coming to Delhi to avail of the benefits. This has overburdened the doctors,” says Dr Ritu Saxena, Deputy Medical Superintendent, Department of Accident and Emergency, Lok Nayak Hospital.“There is no proper check or filter to refer patients to hospitals. Smaller hospitals within Delhi are also referring patients even for minor treatment, which leads to unwanted rush.”Last month, the Delhi High Court had directed the city government to take urgent steps for a third-party audit of all public medical institutions under its control. The order said that the audit would be to “point out the deficiencies and shortcomings and suggest remedial measures to ensure availability of clinical, diagnostic and full panoply of medical services that each hospital was designed to cater to.”The court lamented the shortage of staff at the Janakpuri Super Speciality Hospital and the Rajiv Gandhi Super Speciality Hospital, opining that the same has “led to a woeful situation of the inadequacy of services to the general public”.The Aam Aadmi Party (AAP) government in the last two years launched many initiatives to solve the crisis. Increasing OPD timings, making radiology tests free and introducing the concept of Mohalla clinics were some of them.“The ideal way to solve the problem is to think rationally and come out with a scientific solution. The approach must involve the stakeholders as they understand the situation much better than the bureaucrats. The hospitals, at their level, are putting the best foot forward to manage the crowd and no patient is sent back,” said Dr Sunil Arora, Medical Director, Guru Tegh Bahadur Hospital.Many hospitals still complain about the shortage of life-saving drugs and essential equipment. The government had formed a Central Procurement Agency (CPA) in 2015 to ease out purchasing processes. For every medicine or equipment, hospitals had to put in a demand through the central agency. The agency, however, did not receive a positive response from hospitals. Sources in various government hospitals alleged that the agency had failed to fulfil the demands. Even the director of the agency was changed twice as the hospitals complained about the unmet demands.“It was a failed experiment. The CPA is now under the CBI scanner after the audit department smelled a rat in its functioning. All the hospitals are now making their own purchases,” said a senior official from Delhi government’s health department.CHOKED HEALTHCAREOn any given day, hospitals in Delhi are teeming with patients. Safdarjung on October 26 received 8,475 patients in its OPD; 622 new admissions and 110 deliveries were conducted.
Ram Manohar Lohia Hospital on October 26 received 7,865 patients in its OPD; 202 new admissions and 698 casualties.
AIIMS on an average receives about 10,000 patients in its OPD every day. Major surgeries or lab tests are booked for the next six months for all major departments.
Even hospitals like Sucheta Kriplani Hospital and Kalawati Hospitals, associated with Lady Hardinge Medical College, received 3,000 and 1,000 patients in their OPD respectively.

Docs at DDU hospital call off strike but over 30 surgeries get cancelled

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As many as 30 surgeries were canceled on Tuesday after 300 resident doctors at Deen Dayal Upadhyay (DDU) hospital went on strike demanding better security in the hospital.The doctors from the hospital have been on strike from Monday after two doctors from the paediatric ward were assaulted by a patient attendants.The strike had been called off on Tuesday evening after the hospital administration ensured security of the doctors in the hospital premises. On Tuesday, patients were transferred to other hospitals and OPDs did not run. This was the third time this year, and second, this month, when DDU doctors went on strike due to lack of security inside the hospital after assaults.”We have decided to call off the strike as we don’t want to affect patient care. The hospital administration has promised to fulfill our demands within three weeks. If not done, we will take appropriate action,” said Dr Gursimar Singh, President, Residents Doctors’ Association (RDA) DDU Hospital.In their meeting, doctors raised their concerns over shortage of medicines in the hospital as one of the major reasons for the quarrels. The meeting was attended by the medical superintendent and representatives of DDU RDA.A FIR had been filed by the RDA against the patient attendants under sections of the Delhi Medicare Service Personnel and Medicare Service Institutions (Prevention of Violence and Damage to Property) Act, 2008.Various other resident doctors have also come out in support and criticised the incident. “Such type of incidents affect the overall health system. The safety and security of the doctors should be taken seriously,” said Dr Sumedh, president, RDA, RML.In last one year, doctors in Delhi government’s hospital have been frequently beaten up by the patient’s family members. In Delhi alone in the last two years, more than 50 such cases have been reported, and doctors have gone on a strike as many as 30 times.”It’s high time that the government should start looking for the root of these issues. Why are doctors regularly going on strike? The government must come out with a solution. Most of the government hospitals are running short of medicines, equipment and doctors,” said Dr Vivek Chouksey, president, Federation of Resident Doctors’ Association (FORDA)Early this year, a nationwide protest by doctors had left the medical system crippled. The doctors were protesting against cases of violence against medical personnel, including recent instances in Dhule and Mumbai’s Sion Hospital, where relatives of patients attacked their respective doctors-in-charge.STRIKE ACTIONOn Tuesday, 2,000 AIIMS resident doctors held a protest against the improper implementation of the seventh central pay commission recommendation. Residents doctors said that all the other autonomous hospitals like JIPMER, PGI, and even Safdarjung gave allowances, but not AIIMS.
In a letter to Prime Minister Narendra Modi, the AIIMS Resident Doctors Association (RDA) said even one-and-half- years after the implementation of the 7th CPC recommendations and four months of allowance approval in other medical institutes, the AIIMS doctors here still didn’t get the revised pay because of administrative lapses. The strike was held outside the Jawahar Lal Nehru stadium.

Post GTB eye fiasco, UP woman shuffles between hospitals

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Six months after the Guru Tegh Bahadur Hospital eye fiasco where 20 patients were injected with contaminated injections; Farhat Nabi, 25-year-old woman from Ballia district of Uttar Pradesh, who is one of the victims, is still looking for treatment which was promised to her and is visiting the hospital every month in this regard.While the other patients received further treatment at AIIMS and recovered, the hospital staffers had failed to even inform her of their blunder in the first few days.”I still go to Delhi almost every month for check-ups but neither has there been any improvement in my eye, I still see the black spots, nor I have been referred elsewhere. On this recent visit, after I had an argument with the staff, they signed a referral and hand it over to me but still refused to give me the necessary documents. This was their fault and now they have left me to be on my own with a referral paper,” says Nabi.On April 1, Nabi was given Avastin injection at the GTB Hospital. The medicine is used to prevent blindness due to aging, diabetes, hypertension, and rupturing of blood vessels. Soon after being administered the injection, she fell unconscious and was later sent home and asked to visit for a follow-up.Even though she kept complaining of excruciating pain and a dark spot in her eye, she was sent back after a routine check-up and asked to visit on April 7.At the same time, other patients who were administered this contaminated injection were called back the next day and referred to AIIMS, where surgeries were conducted in eight critical cases. The hospital authorities, however, did not make any such calls to the Nabi family.”Her vision is still the same, she can still read as much as she could before the blunder. Hers is a progressive disease and will have to come for follow-ups all through her life. We are analysing the issue regarding her eye and referred her to AIIMS because she wanted to go there,” says Dr. Sunil Kumar, Medical Director, GTB Hospital.Another patient had alleged that even though surgeries were conducted at AIIMS soon after, the hospital had refused to return the last OPD papers, which had the doctor’s prescription of the medicine.The fiasco had also led to the death of a 70-year-old woman, Gyanwati, who had to stop taking her medicines after she was put on different ones when she developed blurred vision. She later suffered a cardiac arrest.

Three newborns die in one night at Hindu Rao Hospital

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Three Delhi families along with Hindu Rao Hospital had a black Diwali after three newborns died on the same night due to different causes. The family alleges that the deliveries happened but it was due to medical negligence that the babies did not survive. North Municipal Corporation Department suspended the Medical Superintendent and the Head of Gynecology Department after the family allegations.On the night of October 18, three different cases of deliveries were handled in Unit three of the Hindu Rao Hospital, of which one had been referred to the hospital and the other two were in-house patients. All the three deliveries were conducted but none of the newborns survived. While two died of intra-uterine complications, the third one, which had been referred from another hospital, died due to slow heartbeat says the hospital sources.The Medical Superintendent, AK Goyal, and the Head of the Department, Mala Shukla, were suspended by the hospital administration of the North Municipal Corporation. One of the families had two previous miscarriages and this child was conceived after a long wait, said one of the sources.”My heart goes out to the families who lost their children on Diwali morning. The woman, who lost the child after two previous miscarriages, alleged that the junior doctors attended the case, the baby was born okay and later complications occurred which were not handled tactfully,” said Dr DK Seth, Director, Administration.SUSPENDEDNorth Municipal Corporation Department suspended the Medical Superintendent, AK Goyal, and Mala Shukla, Head of Gynecology Department.

Severe burn injury patients throng hospitals

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Despite the Supreme Court’s ban on the sale of firecrackers in Delhi, many Delhiites still managed to burst crackers. Hospitals across the city reported severe burn injuries, of which the maximum were Diwali-related burns. All Delhi hospitals ran round-the-clock emergencies for the Diwali related admissions and Out-Patient Departments (OPDs).Safdarjung Hospital, which has a big burn-ward, received a total of 77 burn patients between 6 pm on October 19 and 6 am on October 20. Of these, 55 were Diwali-related burns, of which 50 were treated in the OPD and the remaining five had to be admitted due to several severe burns.At Ram Manohar Lohia Hospital, total 29 burn cases were received of which ten were children.”We received total 29 cases in our burn ward, of which there were 10 children and 19 adults. There were total 23 males and 6 females. One patient was admitted with 28 per cent burns. Of the 29, 12 were eye burns,” says Smriti Tiwari, spokesperson at RML.Sir Ganga Ram Hospital received total 15 burn cases, which is higher than the last year’s figures.”Looks like the cracker ban did not have the desired effect among Delhiites. The casualty ward at Sir Ganga Ram Hospital was busy during the night. SGRH received 15 cases of burn injuries during the night out of which ten were adults and five children. Two patients with severe burn injuries were operated and rest were discharged. Four patients with breathing difficulties also came to the casualty ward,” said a source from the hospital.Apart from burns, the air quality also affected the lungs and hearts of many with a 15 per cent rise in the number of patients visiting AIIMS due to cardio-pulmonary problems.Doctors at various hospitals said that the ban on the sale of crackers did lower the number of cases as compared to last year, but there is still a lot that can be achieved.

Marred by time and apathy, British-era park lies forgotten

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Away from the hustle-bustle of Lutyens’ Delhi exists a space that once witnessed King George V being commemorated as the Emperor of India. Coronation Park near the Nirankari Sarovar on Burari Road in north Delhi is the site where Delhi Durbars were held in 1877, 1903, and 1911. After independence, it was converted to coronation memorial, when statues of former British Kings were moved from various locations in the city to here.Coronation Park was also considered for the building site for the Viceroy House, but due to its proximity to the Yamuna flood-prone area, Raisina Hill was chosen, where the Rashtrapati Bhawan stands today.Today, as one walks into the park, which still has the Obelisk constructed to commemorate King George V, who presided at the location as Emperor of India in December, 1911, one can see graffiti on the heritage walls. It is at this spot that the decision of shifting the Capital from Calcutta to Delhi was made. But now, several plinths created for the statues stand vacant and the five with statues do not have anything written under them.”This is a park from the British Era but we call it the Tagore park. The statue opposite the Obelisk looks like Tagore with a big beard,” says Manish Maurya, 19, a Delhi University student. “How would we know who these people were? There is nothing written under them. We come here to relax. We have no idea who these people were,” he adds.The entire park is littered with garbage, broken dustbins, and broken barbed wire, while people have defaced the walls by witing and drawing on them. The spot is mostly frequented by couples, who come here to get away from the prying eyes of their families. The park still has all the grandeur of the past but the royal magic has been marred by neglect for years.Over the years, the park did see some restoration and conservation work by the Indian National Trust for Art and Cultural Heritage (INTACH). First in 2005, INTACH and the Government of India restored the park. Then again in 2015, when the park underwent its second round of restoration, some marbles were placed, walls were painted, gardens were tended to, and lights were put up, but it already looks in a bad shape today.The park’s condition also raises the question that why is Delhi so keen on parting with its British roots — first the roads were renamed, and now this beautiful British-era park lies neglected.FLOOD-PRONECoronation Park was also considered for the building site for the Viceroy House, but due to its proximity to the Yamuna flood-prone area, Raisina Hill was chosen, where the Rashtrapati Bhawan stands today.

Delhi sees less swine flu cases, says Union report

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After a bout of swine flu in August, where it was confirmed by a Union health report that the cases had increased 14 folds in 2017, as compared to 2016, a new report confirmed that Delhi has reported 2,798 cases in Delhi this year until October 1, while the last year the number was only 193.The new report confirmed that there has not been a single case in Delhi in the last two weeks as the last report had the same figures.As the figures remain same in the last two weeks, the overall country figures continue to rise. There have been 36,486 cases of swine flu in the country taking almost 1,965 lives.After causing 12 deaths in Delhi this year, even though no cases have been reported in the last two weeks, but experts say that the season is yet to come. Swine flu cases generally rise in winters, and the real picture will start to come out after Diwali.

An asthmatic breathes a sigh of relief

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Swapnil Mathur, 31, has been suffering from asthma since he was a toddler, but in the last few years, his condition had severely deteriorated due to the bad air quality. His problems would get worse around Diwali, as this is the time when the weather changes as well. In fact, last year, he had to be hospitalisedjust after Diwali.The Supreme Court’s decision to completely ban the sale of of firecrackers in the city till November 1 has come as a boon to Mathur.”Any change in weather conditions i.e. temperature or wind, has been a problem for me since birth. Exposure to pollen, dust, or even strong smells lead to an asthma attack,” said Mathur, a technology reviewer. “Last year was the worst in my three decades of asthma. Despite starting the precautionary medicines two weeks ahead of Diwali, I still had to be hospitalised the next day,” he said.Mathur later had to get an industrial-grade mask, which is specifically designed to filter out fumes and particulate matter, and nebulise for several days, even at home. This year again, he has started taking the precautionary medicines and will leave the city for a week during Diwali. His doctor has strictly prescribed him to move out of the city for a few days and return only after the fumes have settled. Unfortunately, he will not be able to celebrate Diwali with his family.”I absolutely love the SC decision. But I would have loved it if it had barred the use of firecrackers as well. Right now, it is illegal only to sell them in Delhi-NCR, but those who want to burn crackers would still get them from Meerut, Sonipat, and other areas on the outskirts. It’s still good to know that they have taken a step like this,”he said.

Lack of funds hits repair of Delhi’s oldest church

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The oldest church in the Capital, Saint James, was all set to get a complete face-lift after the restoration work started earlier this year, but the plan might not reach the finishing line now due to lack of funds.Built in 1836, the church is a major landmark in the Kashmere Gate area. The church committee had directed the Indian National Trust for Art and Cultural Heritage (INTACH) to create a Detailed Project Report, which was submitted in April, 2016. The first phase of restoration started in March, 2017.However, the crucial part B of Phase I, which involves waterproofing the terrace that was damaged by water, was abandoned midway. The church committee even wrote to the Governor of Delhi and some overseas organisations, asking for funds. But as of today, the work, which requires Rs 2.7 crore more, remains suspended.The 180-year-old colonial structure with classical architecture and a Florentine dome is historically significant. Over a period of time, the rising pollution and vibrations due to trains passing nearby have left the building vulnerable to damages. Every two-three years, the church committee gets it painted, but the damage due to the underground Metro tunnels has caused havoc to its structure. The two tunnels are only 15 and 35 m away from the church.Kamal Baluja, Chairman of the Church Conservation Committee, said, “We realise that the church needs urgent attention. That is why he had collaborated with INTACH. The part A of Phase I, which involved stabilising the structure and taking care of the damages caused over the years, is complete. A four-feet construction below the surface, around the boundary wall, has been finished.””This part cost us Rs 50 lakh. After that, we had to stop the work. Part B of Phase I requires Rs 38 lakh and the complete restoration, including Phase II, requires Rs 2.7 crore,” he said.When queried, an INTACH source said, “This structure has a rich past. We hope that the church generates enough funds to get the work done without any disruption. It requires intense conservation as decades of work has caused damages. It requires careful work to maintain its authenticity and integrity. The church is a living testimony to events of the last 150 years in the city.”Some valuable objects, which have high antiquarian value and need to be restored using scientific methods, also belong to the church. The list includes original European stained-glass windows depicting the crucifixion, ascension of Christ and his resurrection, a painting titled ‘The Prodigal Son’, original work of Italian painter Pompeo Batani, a processional cross gifted by Lord Irwin, a rare pipe organ gifted by T Ralph in 1899, and a church bell.

Eye catching! Delhi tattoo artist gets his eyeballs tattooed

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It may seem like a script from a science fiction movie but it is anything but. A tattoo artist in Delhi got his eyeballs permanently tattooed to black, to match with his full body suit. And though the Tattoographer Karan (he goes only by one name) claims that it does not involve risks and is just a way to look and feel different, the medical fraternity is up in arms at his seemingly irresponsible attitude. Ask the tattoographer just why he wanted to get this done, he retorts that it had been a dream of his for some time now. “I always wanted to get something like this done and thus made sure that I get it done from the person who invented eyeball tattooing a decade back — Howard Smith. Because as a tattoo artist, my eyes are very important to me,” he adds.Recommending the treatment to anyone who wants to try something different, Karan say that he can personally vouch for its safety. “I started tattooing almost 12 years back and in all these years have got recognition in the country and abroad for my safe and innovative techniques. My work has got me accolades in the ‘Guinness Book of World Records’ for making the maximum tattoo flags on someone,” he says.Karan, 28, started tattooing when he was 16 and has been doing this ever since. Though confirms that tattooing is not registered as a profession in India and there has never been any study on the risks involved in eyeball tattooing, he believes that his experience of working as a tattoo artist for over a decade came in handy for taking a decision like this.But the medical fraternity isn’t impressed. Most doctors DNA spoke to were horrified at the idea “In all my career, I have never heard of anything like this. I did not even know that something like this exists and that people are crazy enough to get it done. I cannot really comment on the risks involved,” says Dr Atul Kumar, Head of Ophthalmology Department, AIIMS.“This is nothing but a type of quackery. These people use needles/syringes to risky parts only to look different without consulting medical practitioners.”The eyeball permanent tattooing (also known as Sclera Staining) is done through needles and leaves the pupil swollen for a week to ten days, just like any other regular tattoo. The ink is then injected through a syringe in the Sclera, the white portion of the eye.But there have been risks reported with the procedure. In a recent case, a 24-year-old Canadian woman tried Sclera Staining, which caused eye-infection. Now doctors have warned her that she is at a risk of losing her vision permanently. After this, medical experts in New Zealand have asked for a strict ban on Sclera Staining.SIMILAR CASEA 24-year-old Canadian woman tried Sclera Staining, which caused eye-infection.
Doctors have warned her that she is at a risk of losing her vision.
Medical experts in New Zealand have asked for a strict ban on it

Narela hosp staffers strike work after two doctors beaten up

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The entire medical staff of the Narela-based Satyawadi Raja Harish Chandra Hospital went on a strike on Sunday, to express solidarity with two doctors, who faced violence by attendants. This was the third such strike by doctors in the national Capital within a month. It was called off on Monday, after the hospital’s Medical Superintendent promised to look into the matter.On Sunday around 5.40pm, two persons injured during the Muharram procession were brought to the hospital. As many as 25 more men were accompanying them. “Over 25 men came to the casualty and started creating chaos, preventing the doctors from doing their job. They even harassed a nurse, which led to an argument between the staff and them. Finally, they beat up two doctors — Senior Resident, Surgery, Dr Jitendra Nath Jha and Junior Resident Dr Kamal Kishore. A BAC test revealed that the men were intoxicated,” Junior Resident Dr Aditya Kumar Pandey said.Despite several requests from the guards, the attendants continued to disrupt the services. Soon after this, the staffers went on a strike, demanding an increase in the number of guards and policemen deployed in the hospital. The staffers also asked for CCTV cameras within the premises. The strike was called off on Monday morning.Meanwhile on Monday, members of the Indian Medical Association (IMA) organised a hunger strike at Jantar Mantar, demanding a safe environment for doctors. Thousands of association members protested across the country. In the ‘Dawn to Dusk Fast’ by the IMA, members demanded that the government bring in a central act to prevent violence against doctors.”There should be strict laws against violence against doctors and once reported, they should be implemented in fast-track courts,” said Dr Harjit Singh Bhatti, President of AIIMS RDA. “The government should also look into the cost-capping in medical negligence cases,” he added.

ILBS nurses on indefinite strike over colleague’s sacking

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After a nurse attempted suicide by slitting her wrist on Friday, the entire nursing staff of the Institute of Liver and Biliary Sciences (ILBS) has gone on an indefinite strike. In fact, on Saturday, 12 pre-planned surgeries at the hospital could not be performed, 350-400 patients in the Out-Patient Department had to wait the entire day, and many in-patients were discharged.Senior nurse Jeena Joseph, a patient care executive, slit her wrist in the hospital washroom after she was handed over the termination letter. She was later found by colleagues and given basic treatment, before being shifted to the AIIMS Trauma Centre. Following this, the nursing staff went on an a strike, accusing the hospital management of ignoring their grievances for long.Then on Sunday, in a written statement, the hospital appealed to the employees to “view Jeena’s termination as an individual case of disciplinary action, based solely on her individual misconduct and unprompted by any prejudice against any other employee”. “Her termination is not a sign of obstinacy and high-handedness on part of the ILBS management,” it stated.Talking about her ordeal, Joseph said: “My contract expires on October 16, but I was told that there was some problem with my conduct and was handed over the termination letter. Now, I am being given psychiatric consultation at the hospital as they are trying to declare me mentally disturbed. If I had psychiatric issues, the entire nursing staff would not be supporting me.”Earlier on July 17, Jeena was issued a show cause notice, reportedly after she raised her voice against the management during a meeting. The notice stated that instead of putting across the employees’ grievances, she used the occasion to display her contempt for rules, show disrespect for the authority, and general affront to the management by using offensive language. “I had only shared the grievances faced by employees,” she said.Also, earlier in June, another ILBS nurse, Rakesh Sharma, had gone on an eight-day hunger strike after his colleague Anil Lamba’s services were terminated. Then the entire nursing staff had held a candlelight march on July 24, followed by an announcement of an indefinite strike. At the time, the hospital authorities had assured the staffers of changes. According to the employees, services of over 21 employees have been terminated in the last few years.

DU prof’s death due to dengue causes anger against MCD

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A second case of dengue death was reported in the Capital on Thursday after a Delhi University professor succumbed to the vector-borne disease due to low blood platelet count.Dr Sanjay Kumar was admitted to Sunder Lal Jain Hospital late on Wednesday evening and his platelets dropped alarmingly later in the night. His family was advised to arrange platelets but he passed away on Thursday morning after his platelet count dropped to 10,000.Ironically, the DU professor had updated his Facebook status on Tuesday, making a joke about his low platelet count.His family members have stated that a number of people in the neighbourhood, some of whom include faculty members, are suffering from the disease too.Apart from the hospital’s seeming inability to cope with the dengue menace, the MCD too has received its share of the blame. Despite the large number of deaths in the Capital due to dengue, MCD records still show only one death related to dengue.The Delhi civic body has recorded the death of 13-year-old Nitish Kumar, a resident of Safdarjung development area, who died of ‘Dengue Shock Syndrome’ on August 1, thirty six hours after he was admitted to Sir Ganga Ram Hospital.Meanwhile, deaths related to dengue continue to occur in the Capital.A 40-year-old man died of dengue at Lok Nayak Hospital in August.The case was followed by that of a 13-year-old girl from Burari area last week who succumbed to dengue at the Hindu Rao Hospital.So far, at least 288 fresh cases of dengue have been reported by the civic bodies of Delhi last week till September 23, taking the total count of people affected by the disease to 3,109. The number includes 1,465 Delhi residents and 1,644 people from neighbouring states.

Safdarjung Hosp in soup over designation

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Days after the Safdarjung Hospital authorities were accused of appointing senior resident doctors without following the protocol, the hospital administration has now decided to appoint Dr NN Mathur as the Head of the ENT Department, even though he already holds the post of Principal at the Vardhman Mahavir Medical College (VMMC). The current ENT HOD, Dr Gul Motwani, is soon to retire.”Dr Mathur already holds a crucial position, which requires him to give his 100 per cent. Giving him another important responsibility will not only affect his work but will also take chances away from deserving candidates. Such discrepancies are being reported from Safdarjung quite often. This leads to mistrust,”said Dr Vivek Chauksey, President of the Federation of Resident Doctors Association (FORDA).As per the Medical Council of India (MCI) guidelines, Dean or Principal or Director of Medical College and Institution, who is the head of the Institute, and the Medical Superintendent, who is the head of affiliated teaching hospital, can be in charge of a unit but cannot be an HOD. They can, however, teach and practice in the department concerned.”This is very unfortunate that doctors are holding more than one administrative post. At the All India Institute of Medical Sciences (AIIMS), the Director handed over the post of HOD to the next person in line. That is how it should be done,”said Dr Vijay Gurjar, AIIMS, RDA.While both FORDA and AIIMS’ Resident Doctors’ Association (RDA) have expressed their reservations regarding the decision, Safdarjung Medical Superintendent Dr AK Rai begs to differ.”Dr NN Mathur is not the Head of the Institution but the Head of Office. He looks after partial administration, only the academic part of it, and thus is eligible to hold this position. I, as the Medical Superintendent, head the hospital and the college. I was not very satisfied with the doctor next in line. I believe Dr Mathur would do a better job.”

Lab technicians cannot sign test reports, says HC

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Delhi High Court (HC) has now restricted the lab technicians to merely conducting pathology tests and noting the results. The conversion of this data into a report, which includes interpretations of the technical analysis, will henceforth be done only by a pathologist registered with the Medical Council of India (MCI).Justice Vibhu Bakhru pronounced the order on the heels of a petition filed by an association of lab technicians, which submitted that they were skilled professionals.The Association of Clinical Biochemists and Microbiologists had filed the present petition, in response to a letter issued by the MCI that highlighted the decision of its Executive Committee that “all lab reports to be signed/countersigned by persons registered with MCI/State Medical Council”.The petitioners stated that the association members were highly qualified and engaged in the activity of laboratory testing. However, since they do not have an MBBS or MD degree, they are not registered with the MCI or the State Medical Councils. They added that conducting laboratory tests and submitting reports are essentially skilled tasks, for which the association members are qualified enough, and it is not necessary that the reports submitted by them be countersigned by a medical practitioner.

Woman with dead foetus made to wait for 24 hrs

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The last five days have been nothing short of a horrid nightmare for Vinay and Priyanka Pathak, who not only lost their child but were at the receiving end of a lot of pain and harassment at the hands of the Safdarjung Hospital authorities.On September 20, a six-month pregnant Priyanka, 25, felt ill and was taken to a nursing home, where she came to know that the foetus had died inside her. “We reached the hospital late at night, after it was confirmed that the baby had died and that Priyanka needed an urgent operation. First, the authorities refused to admit my wife, who was in extreme pain. Then, they did admit her but did not attend her for an entire night. She was not even given a bed and had to wait on the floor,” said Vinay, 28, an advocate practicing in Delhi.”The next day also, nobody tended to her. When I questioned, they said it was a government hospital and this was how things were done,” he added.Priyanka waited on the floor for 24 hours, after which the family decided to shift her to another hospital, where they were told that any further delay would have led to fatal infection.But before that, the distressed couple was subjected to even more harassment. When they requested the medical staffers and then the Chief Medical Officer of Safdarjung to discharge Priyanka, it was revealed that her records had been misplaced. She was finally discharged with a blank paper and no details about the treatment were given to her.When queried, Dr AK Rai, Medical Superintendent of the Safdarjung Hospital, said, “It may have been a case of missed abortion, where we wait for the foetus to come out on its own. We will look into it and get back. There are so many patients and the hospital is always overcrowded. We cannot always provide beds to patients.”Finally, with the help of social activist Ashok Agarwal, the family got a bed at Mata Chanan Devi Hospital under the EWS quota, where Priyanka was operated upon immediately, and was saved just in the nick of time.Long sufferingPriyanka waited on the floor for 24 hours, after which the family decided to shift her to another hospitalWith the help of social activist Ashok Agarwal, the family got a bed at Mata Chanan Devi Hospital under the EWS quota

Day in the life of an ambulance crew

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A normal day for an ambulance staff member at the Centralised Accident and Trauma Services (CATS) ambulance office in the Acharya Shree Bhikshu Hospital in Moti Nagar area starts at 8 am. This is when he logs into his company ‘tablet’ and tells them that he is ready to take calls now. He then gets set for a 12-hour shift which requires him to be on his toes at all times as the calls rarely stop.To get an idea of the trials and pressures that paramedic staff face, DNA took a trip with two paramedics of an ambulance — Anil Singh, 30, a pilot for the BVG contracted CATS, and Hari Kumar, 24 (names changed). As a team, the duo have been transferring patients across the city for the last two years.At 9 am, they receive their first call to take a patient suffering from respiratory disorder from Maharaja Agrasen Hospital to Ram Manohar Lohia Hospital.”It is difficult to transfer patients from one hospital to another, especially if it is a referral from a government hospital to a ‘higher centre’ (better-equipped hospital). In most cases, the medical staff (at the first hospital) just hands us a slip/referral letter and send us away, the higher centres — who almost never have beds free — refuse.This leads to chaos and there have been times when we end up moving around the city taking the patient from one hospital to another as the attendants do not get off the ambulance until they find a place,” says Singh.Other concern para-medical staff voice are the long delays in getting patients to the hospital. As DNA found out, most cars on the road, did not move for the ambulance despite constant ringing of the siren. This ensured that the journey made from Maharaja Agrasen Hospital to Ram Manohar Lohia Hospital, which should have taken 15 minutes, took 40 minutes.Forty minutes later, the team reached RML carrying the patient Shanta Devi, 55, to the Emergency block. It was here that the para-medical staff should have closed the trip on their tablets, but the team was made to wait for the attendant until they found a stretcher and the patient was carried inside for care. This took another half an hour.The problems of a paramedic do not end even when a patient passes away. “There is the question of the body. If a patient dies during transfer, we almost never know where to take the body. Hospitals do not take responsibility,” Kumar adds.Equipment issuesMany ambulances lack basic equipment required to help patients.Advanced Life Support fully equipped ambulances with ventilators are sometimes not available to patientsOther ambulances lack masks, swine flu kits and often face fuel issues too.

Delhi High Court orders govt for info after newborn dies

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A day after the death of a newborn girl child due to unavailability of beds at three major hospitals in the city, the Delhi High Court issued an order to the Health Department and Delhi government to make available the information regarding bed occupancy and other medical facilities online.A bench of Acting Chief Justice Gita Mittal and Justice C Hari also took note of a report highlighting difficulties faced by patients on the facilities available in the hospitals.”Perhaps if this information was readily available to the family of the newborn, the life of the child may have been saved.”Given the availability of websites and internet connectivity, it would appear justified if all information in this regard especially the position of bed occupancy at a particular point of time is made available to the public at large especially, patients and their attendants, to obviate distress to them and also to ensure availability of the best medical assistance at the earliest,” the bench said.Activists lauded the bench’s decision stating that the newborn’s born was a violation of basic rights under the Constitution”This is a clear violation of the Article 21 — Right to Life. If this is the case in Delhi, then imagine what people are facing outside. Infant mortality is anyway an issue in India,” said Advocate and social activist Ashok Aggarwal.

Depressed RML doctor commits suicide

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A first-year post-graduate student of the Ram Manohar Lohia (RML) Hospital committed suicide at his residence in the Old Rajindra Nagar area on Monday. The victim, Dr Siddharth Shankar Mahapatra, 26, was found hanging by the ceiling fan at the apartment that he shared with two other RML doctors.Hailing from Odisha, Mahapatra was with the Department of Anesthesiology at the Post Graduate Institute of Medical Education and Research (PGIMER) at RML Hospital and had joined in May, 2017. The police received the information regarding the suicide at 8.38 am on Monday, after which the body was shifted to the RML Hospital.”He had been performing well. He never had any issue with the faculty or his batch mates. He had been undergoing electroconvulsive therapy for depression for the last 3-4 years. He did not have many friends but was doing good academically,” RML Hospital spokesperson Smriti Tiwari said.”He had given a presentation on September 12, which had gone very well. We are very shocked and have informed his parents,” she added.According to Mahapatra’s colleagues, however, he was finding it hard to cope with the work stress. Police said they were yet to ascertain why he took the extreme step. “His body was brought in the casualty around noon. After the initial check-up, we sent it to the RML mortuary around 4 pm,” the doctor-in-charge said.Soon after the incident, doctors at the premier All India Institute of Medical Sciences (AIIMS) alleged that the cases of stress and suicide among doctors from the Anesthesia Department were increasing.”There is something drastically wrong with the working pattern of Anesthesia residents — long working hours without breaks, pathetic workplace conditions, no time for family life. Many residents are on the verge of this kind of step,” Doctor Vijay Gurjar, RDA General Secretary, AIIMS, said.Senior Anesthetist at the Lady Hardinge Medical College, Dr Jai Prakash, also alleged that the work pressure on Anesthesia doctors was a lot more. “We are made to work more hours. As per the Supreme Court orders, we should only do 40 hours of ICU duty, which may extend to 48 hours if needed, but we are made to work for at least 60 hours,” he said.A suicide note recovered later stated: “This is horrible. All I want to do is live like a bird, flying independently throughout the world, exploring the beauty of nature. The sense of pleasure, happiness is what is lost from my life. I want to sleep in the lap of mother nature. I hate this life like a prisoner. I want to be a tree. I want to get out of the delusion. I want my body to energise.”

Land row stops heritage repair

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The plan to restore heritage structures in Mehram Nagar, to be handled by the Indian National Trust for Art and Cultural Heritage (INTACH) and the state Archaeological Department, may not see the light of the day. The work has been stopped after a Defence Estate Officer claimed that it was being done on Defence land. The work, started in October, 2016, was nearly 40 per cent complete.Mehram Nagar was one of the 18 monuments to be restored under Phase III of INTACH’s conservation plan. The Delhi government had assigned 155 such monuments to the body for their phase-wise restorationThe village is what has remained of a 17th Century Mughal-era ‘Katra’ (caravanserai). Katras and Sarais (inns) were common during Sher Shah Suri’s reign as these spaces served as resting places for the military and its animals. The village is said to have been established by one Mehram Khan in 1639. It also has a mosque in the center, which is enclosed by a wall with two gateways, on the western and eastern ends.”The Mehram Nagar village, along with the garden and enclosure walls on all sides, was in shambles. Part of it had been demolished as well,” INTACH Convenor Swapna Liddle said.”The structure, even in ruins, has high significance as it represents one of the rare historical complexes, which should be conserved. If properly worked on, the area can serve as a beautiful heritage tourist spot,” she added.One of the most important structures in the complex is the ‘Old Darwaza’, built by Shah Jahan and his son Aurangzeb in 1660. The Archaeological Survey of India (ASI) has certified Mehram Nagar to be a place of importance as it has structures showcasing the civilization in India.In May this year, after a major portion of the katra had been restored, including walls, gateway, Baradari, and a scientific excavation led to the discovery of a kitchen and a toilet, a letter from the office of Defence Estate Officer Alok Gupta led to the disruption in the work. “We had also discovered a water tank and were planning to restore it when we were asked to stop the work,” an official said.Despite repeated attempts, officials concerned at the Defence department could not be reached for comments.INDIAN TOUCHOne of the most important structures in the complex is the ‘Old Darwaza’, built by Shah Jahan and his son Aurangzeb in 1660.
The Archaeological Survey of India (ASI) has certified Mehram Nagar to be a place of importance as it has structures showcasing the civilization in India.

Defence forces follow Modi’s vision for ‘Swachh’ Bharat

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Keeping in mind Prime Minister Modi’s vision, Indian Army is also taking part in the ‘Swachh Bharat Abhiyan’ by keeping their surroundings, even in remote areas, clean and help in environmental conservation. Events like ‘Swachhta Pakhwada’, ‘Cleanliness Drives’, ‘Run for clean environment’, are becoming a regular feature by the Army to bring in the awareness. All the schools run by the Army are focusing on cleanliness other than tree plantation.All the military stations and cantonments have been working with the Cantonment Boards to arrive at a cleanliness mechanism. Huge cantonments like Delhi, Lucknow, Ambala, Pathankot, Kolkata, and others, can easily be nominated as the cleanest areas of the country. Biodegradable toilets, neat cubicle toilets have been established in almost all such stations and cantonments. Efforts are on to ensure that there is no open defecation in any of the cantonments of Indian Army. Cantonment boards have also acquired necessary equipment and additional manpower to clean their boards.On September 17, ‘Swachhta hi Sewa’ rally was also flagged off at the Military Station in Pithoragarh which was attended by the Officers, JCOs, and Jawans of all the units present at the Station. During the event, all ranks took a pledge to keep their unit, cantonment, and surroundings clean and spread the message of Swachh Bharat Abhiyan everywhere. This was also the opening ceremony for the two-week long Swachhta mission to clean the remotest of military occupied areas by the units, keeping Prime Minister’s vision in mind.“Shramdaan’ and clean the area in and around the place one works, is intrinsic to the character and routine activities of Indian Army personnel. Daily cleanliness drive is carried out by serving personnel on almost daily basis. The families and children join men in tree plantation, hygiene and sanitation awareness camps and cleanliness drives. Roll calls, Sainik Sammelans, and briefings during everyday routine find this aspect being highlighted,” said an official.Also, Rajendra Singh, Director General Indian Coast Guard, along with Manoj Tiwari, Member of Parliament, NGO Dkrrish Hanu and with a team of officers, sailor, civilian staff and their family members, visited the banks of river Yamuna to spread the message- Swachhta hi Sewa hai. While DGICG visited the Yamuna in Delhi, all his Regional Commanders of East coast, West coast and Andaman & Nicobar islands were also engaged in cleaning of beaches of their respective area of operations along the 7516 km long coastline of India for Swachh Sagar Abhiyan.Defence Minister, Nirmala Sitharaman, flagged off 11 ‘Swachhta’ and garbage collection vehicles at Delhi Cantonment while Admiral S Lanba started a Swachh Bharat cleanliness drive near his residence in Chanakyapuri in the Naval residential complex.

Suffering from AS, man gives up sitar

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Little did Ankush Chhatrapati, 30, know that one day he would have to part with his beloved sitar due to an illness which would restrict a lot of his routine life. A healthy adult, who has been very passionate about his music and taking care of his health, Chhatrapati has now been advised to quit playing the Sitar permanently due to excruciating pain in his leg and spine.”After my graduation in music in 2009, I was passionately focused on my Sitar playing and even played across the country. But after I started having mild shifting pains in my left leg and stiffness, sitting for long hours became difficult,” says Chhatrapati.”Initially, I ignored the pain, but a few weeks later, strong burning pain made me quit Sitar for some time and doctors visit became a routine. At first, doctors could not understand the problem and they gave me medicines for almost every routine disease including Tuberculosis,” he adds.”Ankylosing Spondylitis is a chronic disease and we receive at least 5-10 patients between the ages of 20 and 30, suffering from back pain in our OPD, every day. This is a huge number and is affecting our young population, which is worrisome,” says Dr RK Wadhwa, Professor, Department of Physical Medicine and Rehabilitation, Safdarjung Hospital.”We conduct X-rays, MRIs, and HLA-B27 tests to determine the disorder. Pain-killers, exercise, and heat can help, but it is a progressive illness,” Dr Wadhwa adds.Ankush is now focusing on blog writing which pays him just enough to survive and pay for his treatments (physiotherapies and some medicines). He says he spends around Rs 15,000 a month on his treatment.Lifestyle disorderAnkylosing Spondylitis is a chronic disease that affects males between 19-40 years, affecting their spine and legsIn a research done on 8,145 people, it was found that over 7 people in 10,000 suffer from AS. Those suffer from this disease are known to have HLA-B27 gene

Babu Jagjivan Ram MS booked for molestation, again

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Medical Superintendent (MS) of the Delhi government-run Babu Jagjivan Ram Hospital, Surinder Pal, has been booked after a Senior Medical Officer accused him of molestation.Pal has earlier faced similar allegations in two other hospitals. Reportedly, he had tried to molest a nursing staffer at the Ambedkar Hospital but no evidence could be found. He then tried to sexually assault a Data Entry Operator at the Bhagwan Mahavir Hospital, following which he was transferred to Babu Jagjivan Ram Hospital. As per the complainant, the MS tried to have obscene talks with her a few times in the past. Finally, as a proof, she recorded the conversation and handed it over to the police. The clip and the doctor’s statement were shared with the Assistant ACP at Ashok Vihar, following which a team of cops arrived at the hospital around noon on Saturday. Pal had, however, escaped by then. A police team searched his home also but couldn’t find him.A case under Sections 354, 354A, and 506 of the Indian penal Code (IPC) was subsequently registered.A source in the hospital said they were expecting such an incident to happen as Pal does not enjoy a good reputation. “We are not shocked at all. He has been known to do such things. We often raised our voice against his behaviour and even organised strikes but nothing changed. Whoever goes against him is either threatened or transferred to other hospitals,” he said.The source added: “On Monday, a doctor recorded his lewd conversation. He had been urging her to get physically involved with him in exchange of professional favours. Even the guards at the hospital, who have been appointed by him only, know what he does.””Every time we contacted him regarding the lack of equipment or salary-related issues, he would threaten that he would get us transferred. Once, he even threatened to register sexual harassment charges against me,” said Dr Avinash Kumar, who was transferred to the Deep Chand Bandhu Hospital.Dr Kumar added: “Pal had hired untrained women as purchase officers and even head of the office. They would threaten us that they would lodge sexual harassment case against us. Many of us faced this issue but remained silent as we have families.” At the time of Kumar’s transfer, the entire hospital staff had gone on a strike to express solidarity with him.

City’s major hospitals turn away two-day-old baby

<!– /11440465/Dna_Article_Middle_300x250_BTF –>For 22-year-old Viresh Dahiya, a para-medical staff working for the CATS ambulances, Thursday night was a nightmare as he tried to save a two-day-old baby with limited oxygen in the ambulance. Dahiya moved around the city for five hours with the newly-born baby and his parents in the wee hours as all major city hospitals refused to admit the baby.”At 2 am on Friday, we received a call on our helpline from a family at St Stephens’ Hospital. When we reached the hospital, we realised that it was an infant, who was breathless and with a heart issue, needed urgent oxygen support,” said Dahiya. “The family told us that they had already been refused at three hospitals,” Dahiya added.Ashish Bharti and his wife Geeta Bharti had given birth to a healthy child two days ago. The child developed a few heart complications on Thursday afternoon and was rushed to GTB hospital from where he was taken to Chacha Nehru and then St Stephens Hospital. However, they were refused admission due to either unavailability of bed or equipment. All the major hospitals including Kalavati, GB Pant, and even AIIMS refused to even look at the condition of the baby.”We waited outside every hospital and begged them to take a look at the child, but none of the doctors came out to see him in the ambulance,” said Denis Bharti, a family member. “Had we not involved the media, even RML would not have admitted him this morning,” he added.The patient is currently in the Intensive Care Unit and the RML staff refused to comment.

WTE plants no solution to the crisis

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Waste-to-Energy (WTE) plants have failed to solve Delhi’s garbage crisis. A WTE at the Okhla landfill site has been mired in court cases due to severe air pollution concerns. A R456-crore plant at Narela-Bawana is no success story either. Even before the plant became operational, authorities had piled up 5 lakh MT of garbage for its consumption. With fresh garbage coming in, it will take three years to process everything. That’s not the only problem. The 100-acre plant generates only 22-24 MW of electricity, and produces harmful waste. The plant can use only 2,000 MT of waste: 1,000 MT for power generation and 1,000 MT for making compost. About 2,000 MT of compost has been produced, but there is no market for it.“These plants, if not fed high calorific value waste, produce a large amount of waste that releases harmful Methane gases,” says Swati Sambyal, Manager, Environmental Governance Program, Centre for Science and Environment (CSE). “When you look at the economics, you realise that these plants consume more energy than they produce, and the cost of production is very high too,” she says.

Fragile self-esteem leads teens to such acts: Docs

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Youngsters seem to be going to great lengths to get noticed on social media, often with tragic results. While the Blue Whale challenge continues to see teenagers attempting to commit suicide, other incidents are also coming to the fore. In a new case, at a private school in Noida, teenaged boys shot a video while they slapped one another, mainly to put it up on social media. However, the game got so bad that one of them ended up losing his hearing.Commenting on these cases, Dr Samir Parikh, psychiatrist and director of the Department Of Mental Health and Behavioral Sciences, Fortis Healthcare, said, “These kids carry out such acts mainly to get noticed and in some cases outsmart their peers. The time required to create these videos and put them out is negligible thus giving them no time to realise the futility of such an act.”Doctors say that reports surrounding these dangerous acts, shows that most of this social media frenzy has some underlying cause that leads to an addiction. The youngsters carrying out these acts are often vulnerable and have fragile self-esteem. They thus need to rely on external factors to heighten their self belief .“During adolescence, behavior is more emotional than logical and is governed more by high arousal situations like the presence of friends or where they get instant gratification. Social media is an easy way of being an instant sensation among peers and sharing such videos,” says Dr. Jateen Ukrani, Senior Psychiatrist, Deep Chand Bandhu Hospital.“Parents need to monitor their child’s’ online activity as much as they monitor other activities,” he adds.Doctors say that often, the hormones of teenagers lead them towards aggression and thus experimentation. Mental Health and Behavioral Sciences specialist, Dr Sameer Malhotra, said, “Aimlessness and having ample time ensure teenagers spend a lot of their energy in trying to get noticed.”EASY GRATIFICATIONDuring adolescence, behavior is more emotional than logical and is governed more by high arousal situations like the presence of friends or where they get instant gratification, says a psychiatrist

CATS Ambulance services running short of fuel

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Essential ambulance services in Delhi hit another roadblock as the vehicles required to ferry patients are allegedly running short of fuel. Sources said that out of the 265 vehicle on the roads, 240 of them are being denied fuel at most petrol-pumps due to non-payment of dues or are getting fuel in small quantities.According to sources, the designated petrol pumps that the ambulances can use are directly paid for by a private agency – Bharat Vikas Group (BVG). Once the agency makes the payment to these petrol pumps, the ambulances to just go there for a refill.But Anil Chhillar, Para-Medical Staff Head, West Zone, claims that the agency is not doing its job. “These petrol pumps are not being paid by the agency. On Tuesday we had calls from Narela and Najafgarh, both are far places and we did not have enough fuel in the vehicles. Since we cannot say no, eventually ambulances were sent from other locations which took longer than usual. Most of the time people are told that they will have to wait at least two hours before the ambulance and they end up making their own arrangements,” he said.However, refuting the allegations,the CATS ambulances Delhi Operations Head, Laxman Singh Rana, said that no such problem is being reported by the staff.The CATS ambulances service helps over 8,000 patients every day in the city, in two different shifts. Earlier, the CATS staff union has highlighted several problems in the last one year since the private company took over including no sirens in many ambulances, no air conditioning, no oxygen, and most importantly no safety kits. None of the ambulances have swine flu kits and some even miss masks/gloves for the paramedical staff that runs them.Earlier, the staff of CATS ambulances had announced an indefinite strike in August, due to an ongoing issue with the management. The strike was later postponed due to patients getting affected and the situation seemed to have normalised. Officials however told DNA that not much has change in the situation.”We get only Rs. 500 or Rs. 700 for fuel a day for each vehicle, that’s not how ambulances run. When we get emergency calls, we should not be worried about fuel in the car, that’s the last thing a para-medical staff should bother himself with,” said Deepak Chillar, Para-Medical Staff Head, North West Zone.

Old Delhi comes alive with Eid festivities

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As one walks out of the Chawri Bazaar in Old Delhi, the street moving towards Jama Masjid is bustling with women decked up, and children eating at food stalls, all of which are open despite the heavy rains that lashed the city for the past few days. Matiya Mahal street opposite Jama Masjid smells of food, and colours can be seen everywhere with the constant sound of ‘Eid Mubarak’ being heard every few steps.Further ahead towards Meena Bazaar near Urdu Park, in front of historic Jama Masjid gate, hoards of people make their way through stalls buying jewellery, toys, clothes or footwear; and eating at food stall selling Biryani and fruits.Among all this ‘comfortable chaos’, sits Mohammad Salim Khan, a goat seller at the goat market here, who managed to not only sell all of his 80 goats but all managed to sell the most expensive goat in the market this year.”It takes efforts to rear a good herd of goats. My goats sell the quickest and highest rates every year. This year the most expensive goat sold weighed 350 kilograms and sold for Rs 4.5 lakh,” says Khan, who has been in the business for 35 years.”This is the only time where we earn enough money for the entire year. The rest I save for my two daughters’ tuition who are currently studying in class 12 and 9,” he adds.Khan and another seller, Ahmed Majid, say that a huge amount is spent on rearing the goats. “A goat, which will sell for lakhs, would need milk two times a day, channa and even almonds. It will have to be reared for at least 2-3 years to get a good price for it. Daily expenses can vary between Rs 300 and Rs 600.” Majid says.”I used to feed Masoom, who was two and a half year old. 2.5 litres of milk every morning and evening, and 100 grams of almonds. Channa would cost another Rs 150. Did this for a good 2.5 years to make it healthy,” he adds.Majid, on the other hand, was trying to sell his 58 kg goat for Rs 60,000. The other smaller goats were sold from anywhere between Rs 10-25,000 which is a lot higher than last year’s prices due to less supply.

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