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Kalicharan Saraf should take moral responsibility and quit for deaths during doc strike: Rajkumar Sharma

Rajkumar Sharma had come to Vidhan Sabha. Apparently, he had not taken prior appointment from the Speaker, Kailash Meghwal who left on a pre-decided tour to Bhilwara for three days. When asked by the media whether he would contest the by-election, Sharma said, “I will submit my resignation, there will be a by-election after the speaker accepts it.” Sharma, who was MoS medical and health in the Gehlot government, had announced to resign from his membership of the legislative assembly to protest against the government’s mishandling of the doctors’ strike in Rajasthan. Health minister Kalicharan Saraf had termed it a publicity stunt.”
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<!–end of artlbotbor–><!–end of artlsocl–>Written BySangeeta Pranvendra <!–end of artlbotbor–>Saturday 30 December 2017 4:13 ISTMust readVasundhara Raje ensures ‘smooth landing’ for PM Modi at BarmerNow, Veg khao, paisa bachao: Air India style<!–end of artlmustredbx–><!–end of articllftpbx–>Independent MLA from Nawalgarh Rajkumar Sharma could not tend his resignation on Friday as the Assembly speaker Kailash Meghwal was not in Jaipur. As per rules, a member can hand over resignation only to the speaker. The assembly secretary, Prithviraj was also not present. He was at an official exam for stenographers jobs at the assembly. Staff at the assembly told Sharma to come back on Monday. “The speaker had left for Bhilwara early today morning. He will be back on Monday. I will meet him then and hand over my resignation,” said Sharma speaking to DNA.Sharma continued with his offensive against the health minister and demanded that Kalicharan Saraf should take moral responsibility of 304 deaths that occurred during the strike and resign from his post.Rajkumar Sharma had come to Vidhan Sabha. Apparently, he had not taken prior appointment from the Speaker, Kailash Meghwal who left on a pre-decided tour to Bhilwara for three days. When asked by the media whether he would contest the by-election, Sharma said, “I will submit my resignation, there will be a by-election after the speaker accepts it.” Sharma, who was MoS medical and health in the Gehlot government, had announced to resign from his membership of the legislative assembly to protest against the government’s mishandling of the doctors’ strike in Rajasthan. Health minister Kalicharan Saraf had termed it a publicity stunt.

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New NHM results reverse outcomes for most candidates

Following the outcry over the discrepancies in the results of the Uttar Pradesh National Health Mission written exam for the posts of nurses and other staff, the results have been reversed and those who were earlier declared pass were failed and vice versa.After the Yogi Adityanath government order, the NHM published revised results, in which those in the general category, who had been declared fail, were declared passed, while reserved category candidates —who were earlier declared successful — were flunked.A total of 3,814 candidates were declared successful in the revised results tabulated with new cut-off marks for general (33 per cent), OBC (30 per cent) and 24 per cent for the SC/ST following the controversy over results declared on December 22.A general category candidate, who had obtained 64 out of 90 marks and was declared failed, has now been deemed selected in the revised result. Similarly, reserved category candidates who had scored a paltry 3 and 8 out of 90were declared failed in the revision.Thus, a total of 258 reserved category candidates who had obtained less than 24 per cent marks and were declared successful earlier have now failed to qualify for interviews.Taking a serious note of the irregularities, the Adityanath government had ordered a probe and suspended the General Manager Human Resources (HR) NHM Sandeep Saxena. A show cause notice was also slappedon NHM Director Pankaj Kumar.State Health Minister Dr Siddharth Nath Singh has assured strict action against erring officials after the probe is completed. “We have already placed the HR Head under suspension for a free and fair probe. Further action would be taken against officials responsible for the goof-up once the inquiry is over and report submitted,” said the minister.

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Ban display of non-veg food outside eateries

Scrumptious seekh kebabs on skewers and juicy chicken tikkas put up outside food stalls to draw customers may soon have to be relegated to inside shelves, as the civic body in south Delhi has proposed that they cannot be displayed in the open.The proposal was brought in the South Delhi Municipal Corporation (SDMC) in its last House, which approved it, Leader of House Shikha Rai said, adding that hygiene and “sentiments of people affected by the sight” of meat were the main reasons behind the move.“It was a private member resolution originally moved by a councillor from Kakrola village in Najafgarh Zone in the Health Committee meeting. The committee then moved it to the SDMC House, which then approved it,” a spokesperson of the SDMC said. “The proposal would now be sent to the Commissioner to be examined, if it in accordance with the Delhi Municipal Corporation Act,” he said. South Delhi is home to many eateries and restaurants selling meat products.

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Controversy around vaccine gets muckier

The controversy surrounding vaccination for preventing cervical cancer, one of the most deadly cancers to afflict women in India, refuses to die.A week ago, Prime Minister’s office shot a letter to Ministry of Health and Family Welfare (MoHFW) to examine the safety and efficacy of Human Papilloma Virus (HPV) vaccine for preventing Cervical Cancer. On the other hand, Delhi state government around the same time has announced a roll-out of free HPV vaccine jabs for school girls.After receiving a complaint from Rashtriya Swayam Sevak Sangh (RSS) based organisation Swadeshi Jagran Manch wrote to the PMO objecting the introduction of HPV vaccine in India, MoHFW’s office of Deputy Commissioner (Immunization) has been asked to look into the complaint.In the meanwhile, East Delhi Municipal Corporation (EDMC) has started a drive to vaccinate up to 5,000 girls between 11 to 13 years with the controversial HPV vaccine. “We will identify school girls who are eligible to take this vaccine, link the vaccination to their Aadhaar card, train teachers to seek parents consent , arrange transport to take the girls to Delhi State Cancer Institute and get them vaccinated,” said Dr Sharda Jain, Chairperson, Delhi Gynaecology Forum.When questioned about controversies around it’s safety and efficacy, Jain retorted, “It is absolutely safe to administer HPV vaccine to girls.”Ashwani Mahajan, co-convenor of SJM said, “While health is a state subject, the state government should also keep in mind the safety of it’s population while administering a vaccine.”The letter forwarded by PMO office to MoHFW stated, “It has been alleged that HPV vaccine has highest rate of adverse effect among all vaccines in use as per World Health Organisation.”

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NHM recruitment in UP: Candidates find glaring discrepancies in written exam result

Glaring discrepancies have been found in the results declared for recruitment of about 4700 nurses and other staff under the National Health Mission (NHM) in Uttar Pradesh.In the results declared on December 22 for the written test, those who got 64 out of 90 marks were declared failed while those who obtained 3 and 8 marks were declared passed. The results went viral on social media indicating towards a possible scam in the recruitment process. Also readUnnao: Cataract surgery on 32 patients done under torchlight; CMO suspendedThose who failed to clear the test even after obtaining good marks have decided to file a lodge a complaint with the Chief Minister Yogi Adityanath and also take legal recourse. They have demanded results to be withheld and written exam copies to be re-evaluated. The written exam for about 4688 contractual posts of Staff Nurse, ANM, PRO, Lab Technicians etc was held on November 5 2017 all over the state. The results for the same were declared on December 22. But after detection of irregularities, candidates are now raising questions over the evaluation of examination copies. The Principal Secretary Health Prashant Trivedi has assured to look into the anomalies brought to his knowledge. “I have issued directions to check results again,” said Trivedi. Trivedi said that written exam was only a part of the selection process and only those who have cleared the interviews and other technical processes will be selected for the NHM. “The final result and selection process are yet to be completed,” he clarified. “Only those candidates would be selected who cleared all the selection criterion. We will ensure that no bogus candidates gets job under the current NHM recruitment drive to fulfil existing vacancies,” he added.

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Central medical units not following MCI norms

In its recently revised guidelines, the Medical Council of India (MCI) has enhanced the upper age limit for appointment to senior residentship from 33 to 40 years. Some doctors have, however, pointed out that some Central and autonomous medical institutions have still not implemented these guidelines.In a letter written to the Health Minister on December 25, 2017, the Federation of Resident Doctors’ Association (FORDA), an umbrella body of resident doctors, pointed out that the guidelines have been implemented in Delhi government institutions but the not in Institutions such as AIIMS and PGI, Chandigarh.”Implementation of the 40 year age criteria for senior residents will help in filling up the posts lying vacant in our medical institutions. In addition to this, various state governments have rural service bonds after MBBS and some have service bonds after post-graduation as well. Many doctors are well above the age of 33 years when they complete the compulsory posting. Bringing uniformity in age criteria for SRs will help in solving the problem of shortage of doctors in the country,” stated the letter signed by FORDA president Dr Vivek Chouksey.

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Max case: Dad seeks fresh inquiry on docs

The father of the twin babies, one of whom was wrongly declared dead by Max Hospital in Delhi’s Shalimar Bagh, has sought a court-monitored probe. He has alleged that the ongoing “tainted” probe may harm the prosecution case.In a plea at magistrate’s court here, Ashish Kumar has urged the station house officer concerned be directed to share details of the progress made in the investigation.Doctors at the hospital had allegedly declared the baby dead along with his still-born twin and handed over the bodies to the parents in plastic bags. The father was on his way to a cremation ground when he noticed moments in one of the bags.The family alleged that the babies were declared dead after it expressed its inability to pay exorbitant fees for their treatment.Union Health Minister JP Nadda had directed the Delhi government to look into the matter, after which a probe was ordered and a report sought. A case has been registered under Section 308 (attempt to commit culpable homicide) of the Indian Penal Code (IPC). The Delhi Medical Council (DMC) also took cognizance of the case.The plea in the court has sought directions to the police to explain why the statements of the family members of the complainant (the father) have not been recorded by the police.The hospital’s licence was cancelled by the Delhi government on December 8, following an uproar over the incident. But the hospital resumed its operations 10 days later after it got relief from an appellate authority which stayed the Delhi government’s order.

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Centre has asked states to regulate remuneration given to nurses, Lok Sabha told

The Centre has asked all states to regulate the issue of remuneration given to nurses working in private medical institutions.Union Health Minister J P Nadda said in Lok Sabha that several advisories have been sent to all chief ministers to do the needful for providing better salaries to the nurses working in private hospitals and nursing homes.”Private institutions cannot remain unregulated” and for that the state governments, if necessary, should bring a legislation so that “this sector can be regulated,” he said.The minister said the government has received representation from the All India Government Nurses Federation demanding revision in pay and allowances against the 7th central pay commission’s report.”The government has examined their demands along with the demands of other associations. The government accepted the Commission’s recommendations on minimum pay, fitment factor, index of rationalisation, pay matrices and general recommendations on pay without any material alteration,” he said.Also readWe will ensure doctors get a safe work environment: JP NaddaNadda said the recommendation on allowances was referred to an empowered committee, comprising the finance secretary, secretary (expenditure) as chairman and secretaries of ministries of home, defence, health, personnel, posts and chairman Railway Board as members for further consideration.

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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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Max hospital case: Family of twin babies seeks CBI probe

The family of the twin babies, one of whom was wrongly declared dead by Max Hospital in Shalimar Bagh, on Thursday demanded a CBI probe into the case after an appellate authority stayed the Delhi government order cancelling the hospital’s licence.At a press conference held here, 48-year-old Kailash Kumar, grandfather of the baby boy, who later died at a nursing home in Pitampura while his sister was still born, alleged that the family was not even “informed” about the stay order.”We tried to silently protest in front of Max Hospital in Shalimar Bagh, but police asked us to move from there. The Delhi government had taken the decision that would have served as a warning to other hospitals.”But, now the cancellation order has been stayed. We are running for justice. We want justice and so we demand a CBI probe into the whole case so that things get clear,” Kailash told reporters.He said they have hired an advocate to pursue the case and claimed that on Thursday a plea was filed by him in Rohini court for a status report in the ongoing investigation in the case.The Court of Financial Commissioner stayed the cancellation order issued by the Directorate General of Health Services (DGHS) till January 9, when the next hearing will be held.Rishi Pal Singh, counsel for the aggrieved family, said “if the appellate authority summons us, we will present our case or else we may move the high court”.Meanwhile, the father of the babies, Ashish Kumar, and about 10 other family members, picketed on a dusty pavement right across the facility in Delhi’s Shalimar Bagh, demanding justice.”We’ll not move and we’ll not relent, till we get justice,” asserted Ashish Kumar, 24, father of the infants, one of whom was wrongly declared dead by the hospital on November 30, where they were born.”We are demanding a CBI probe because we feel that is the only way we will be able to get justice,” he said.The premature baby boy had died on December 6 at a nursing home in Pitampura after battling for life for nearly a week since he was found alive on the way to be cremated by family members.

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Rajasthan High Court notice to Centre over curbs on condom ads on TV

The Rajasthan High Court in Jaipur has issued a show cause notice to the Center for issuing an advisory to broadcasters about not telecasting and airing condom advertisements between 6 am and 10 pm. A division bench of Chief Justice Pradeep Nandrajong and Justice DC Somani issued the notices.Counsel for litigant, Prateek Kasliwal, told DNA, “Notices have been issued to two ministries, namely the Ministry of Information and Broadcasting, and Ministry of Health to respond within eight weeks. They have been asked as to why the advisory should not be annulled on account of being arbitrary.”The said advisory had been issued citing exposure of children to explicit material and advertisements.The notices have been issued on a petition filed by an NGO called Global Alliance for Human Health, alleging that the action of Ministry of Information & Broadcasting is against the interest of public.It also alleges that it vindicates the hypocritical approach wherein the government, on one hand, promotes awareness about family planning, AIDS and STD; and on the other hand, it obstructs dissemination of condom advertisements which are crucial for family planning, decreasing abortion deaths, and spreading awareness about HIV-AIDS and STDs.A copy of the PIL available with DNA further reads that children and adolescents must know about safe sex and be given sex education.The petition questioned the rationale of the advisory, “There is no iota of reason as to how an advertisement for condom is an unhealthy practice,” reads the PIL. “The same has also been interpreted wrong by the respondent as it would be creating unhealthy/indecent/undignified impression over children which would promote unhealthy/indecent/undignified practices among them, whereas the respondent, with all due respect, has ignored the vulnerable and major group of adolescents who require knowledge of sex education.”

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Disclose hospital fees upfront: Bombay High Court

The Bombay High Court on Wednesday suggested to private hospitals that they discuss a patient’s financial condition during the admission process and make him or her aware of the estimated cost of the treatment. This will avoid any payment discrepancies or complications later. This would not be applicable to emergency cases.A division bench of Justices Naresh Patil and N W Sambre said, “This is a sensitive issue, but some remedy has to come out. If this method is adopted, then a filter can be put in place in the initial stage only. This way, both (patient and the hospital) will benefit; and also, the bond between a patient-doctor will not break.”The court has also suggested that the Association of Hospitals and Medical Insurance companies to come out with new policies to suit patients. “Like we take travel insurance for a month or 15-days, why can’t insurance be provided to patients when (s)he enters the hospital, taking into consideration the kind of illness. This would comfort the patient.”Advocate Mankuwar Deshmukh, appearing for the State, argued that a draft policy has been formulated by the government and is yet to be finalized.To which the court replied, “All stake-holders should come to a consensus and then only proceed.” The court has now asked the director of Health Services to file a reply by next month as to what steps it plans to take to regulate hospital treatment charges.The suggestion came while the court was hearing a public interest litigation filed challenging the purported practice of detainment of patients by hospitals for recovery of dues.A Kurla resident, 54-year-old Trevor Britto, alleged that Prachin Healthcare Multi-specialty Hospital at Panvel refused to discharge his injured bus driver, Chandrakant Pawar. Another petition is filed by a Santacruz-resident alleged that Seven Hills Hospital at Marol had refused to discharge his brother for not paying disputed dues of Rs 1.80 lakh. Both the hospitals have refuted the allegations.Court suggestsMedical insurance companies invent new short-term policies to suit patients The pre-discussion of treatment fees would not be applicable to emergency cases

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After saffron sweep in Assembly polls, Mamata trying to appease Hindus, alleges Bengal BJP

After BJP’s victory in Himachal Pradesh and Gujarat, Bengal unit of the party believes CM Mamata Banerjee is looking for an image correction. After a cabinet meeting chaired by Chief Minister Mamata Banerjee on Tuesday, state education minister Partha Chatterjee said that Rs 17 crore has been allotted for the renovation of 74 ghats centred around Dakshineswar and Belur.“The decision has been taken in today’s cabinet meeting. It is a message to those who had been spreading canards about our party,” he said. He also said that a total of 1220 new posts have been created including 460 in the Home and Hill Affairs department, 82 in the Health and Family Planning department and 42 in the Finance department.With the panchayat election next year and BJP getting a shot in the arm in the shape of the defection of former TMC Rajya Sabha member Mukul Roy to BJP, TMC leaders have been trying their best to give out the message that they are for inclusive development of the state, irrespective of the person’s faith. At the district level too it is being used as a tool. In Birbhum district of West Bengal, a Brahmin Sammelan will be conducted on January 8, 2018. District TMC president Anubrata Mondal told DNA that it was being done in accordance with a party circular. “About 15,000 brahmins across the district will gather. They will perform pujas and each of them will be given a Gita, a religious shawl and a photograph of Ramkrishna Paramhansa and Saradha Ma,” he said and denied that it had any political connotation. “We had done this earlier at a block level but going by the party’s instructions, this year I am doing it at a district level,” he said.Also readHow BJP’s victory in Gujarat and Himachal will impact Bengal political equationsBJP leaders, however, said that the Mamata Banerjee-led government was doing those out of fear that the party and the government was growing unpopular among the members of the majority community. “They had taken appeasement of the minority to such a level that members of the majority community was disturbed and sensing it, they have now turned to do some damage control but I don’t think these will work. I have also heard that ahead of panchayat polls the TMC will donate cows to people in the rural areas. I have have seen Mamata chant mantras full of mistakes on stage to show people that she is a Hindu,” said Rahul Sinha, BJP national secretary and former party state president. He alleged that Mamata had started the politics of division in Bengal and had she done politics on the basis of developmental work in the state, there would have been no question of appeasing members of any religion.

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Picture perfect: the effectiveness of pictorial health warnings on tobacco products

The Karnataka high court on Friday struck down the 2014 amendment rules that mandated pictorial health warnings to cover 85% of tobacco product packaging space on all tobacco products sold in India. It is worth mentioning that the pictorial warnings on both sides of packages of tobacco products came into effect in April 2016 following the direction of the Rajasthan High Court and subsequently the Supreme Court too made it mandatory. After the decision of Karnataka High Court, health activists and doctors in Rajasthan have expressed their worries about the adverse effects of diluting the pictorial warning.“The second edition of Global Adult Tobacco Survey (GATS-2) says that in Rajasthan 50.4% of cigarette smokers,47.4% of bidi smokers and 60.5% of smokeless tobacco users thought of quitting smokeless tobacco use because of warning label on the packets. These figures show that the bigger pictorial warning on pack is critical to protect our youth from the dangers of tobacco and the government’s earlier decision of 85% pictorial warnings on all tobacco packages should be defended,” said Jayesh Joshi, Secretary of Vaagdhara, an NGO working for tobacco control in Rajasthan. Highlighting the severity of tobacco triggered cancer, Dr Naresh Somani, senior consultant, Medical Oncology Department at Bhagwan Mahavir Cancer Hospital and Research Centre, Jaipur said that in Rajasthan 30% of total cancers patients suffer from the cancer caused by tobacco use. “It is estimated that 30,000 new cancer patients every year reach to the hospital due to tobacco generated cancer. Cancers of oral cavity and lungs in males account for over 50% of all cancer deaths in India,” he added.Raj takes the first step:Bigger pictorial warnings were first mandated by a notification issued in October 2014. Followed by the removal of the then Union Health Minister, Dr Harsh Vardhan and the then Health Secretary Keshav Desiraju, the notification was then taken up suo motu by the Lok Sabha Committee on Subordinate Legislation, which asked the government to put the implementation on hold. While the implementation was then stayed, Rajasthan HC in July 2015 asked the government to implement it.Bigger the picture, bigger the impact:As per GATS-2, there has been a change in perception. 92% of adults surveyed under GATS-2 believed smoking caused serious illness, and 96% said use of smokeless tobacco causes serious illness. It was also found in survey that in Rajasthan 50.4% of cigarette smokers,47.4% of bidi smokers and .60.5% of smokeless tobacco users were planning or thinking of quitting tobacco use.Pictorial warning impact across IndiaIn India, more and more people of those still consuming tobacco are thinking of quitting on seeing pictorial warnings. AS PER GATS-262% feetcigarette smokers…54% feetbeedi users…46% feetsmokeless tobacco… …users are thinking of quitting because of pictorial warnings, compared with 38%, 29% & 34%, respectively during GATS-1

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Ram Manohar Lohia Hospital’s resident doctor assaulted by patient’s attendant

In another case of an attack on doctors by patient’s attendants in a government hospital, the resident doctors at the Ram Manohar Lohia Hospital (RML) were allegedly abused by the family members of a patient on Saturday, after his planned surgery was postponed by them just before the schedule.A senior resident doctor at the RML hospital confirmed that the surgery was postponed because the patient was stable and another critical patient needed to be operated immediately. The doctor also confirmed that the patient was counseled for this delay but despite that, a mob entered the hospital ward and abused the doctors.”If the guards and the bouncers had not intervened, the doctors would have faced physical assault too,” he added.The hospital authorities called the police but by that time the mob of about 20-30 people had already left the hospital. A case in this regard has been filed by the hospital at the North Avenue Police Station. “An FIR has been lodged and investigations are underway. Nobody has been arrested yet,” said a senior police official.Cases of verbal and physical assault against doctors have become common in hospitals. In another case in November, a resident doctor was physically assaulted by a patient and her attendant, after which the Federation of Resident Doctor’s Association (FORDA), which includes over 20,000 doctors, had announced an indefinite state-wise strike to demand better security for doctors at all the government hospitals.The strike, which would have seen a closure of all out-patient departments to demand more guards at the hospitals, was cancelled later after FORDA received an assurance from the Principal Health Secretary that their demands were being looked into.

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Shutting hospitals randomly not in public interest, will directly impact patients, says Ficci

Closing down hospitals “randomly” due to individual errors is not in the interest of the public and nation and will directly affect the health and well-being of patients undergoing treatment, Ficci said on Thursday, asking the the media and the government not to “pre-judge” in any case.Ficci’s stand comes against the backdrop of alleged medical negligence and overcharging by two private hospitals recently.While Fortis in Gurgaon came under a cloud because of the death of a 7-year-old girl from dengue and overcharging issues, a premature baby was wrongly declared dead by Max Hospital, Shalimar Bagh in the national capital.”India is already grappling with extremely low bed density at 1.3 beds per 1,000 population, as compared to WHO recommendation of 3.5 beds. Hence, it is not in the interest of public and nation if hospitals are randomly shut down due to individual errors,” said the industry chamber.It observed that such a move will only widen the gap further and directly affect the health and well-being of patients undergoing treatment in hospitals.”Rational and appropriate action is necessary in case of negligence or failure of the healthcare system based on proper investigation, validation based on the principles of natural justice and not based on emotional outburst,” Ficci said.While the chamber did not name any particular hospital, it asserted that the Indian healthcare industry is concerned and worried over the recent onslaught of negativity generated following a few unfortunate cases.”While we fully support the legal and medico-legal actions that need to be taken against those found guilty by the Medical Council or by legal authorities, our request to the government and public is to give cognisance to the good work carried out by the private healthcare industry that is now being vilified,” Ficci said.It said the need of the hour is to bridge the widening trust deficit between the private healthcare providers and the government as also between the doctor and the patient.”Under the current scenario, expeditious implementation of Standard Treatment Guidelines, Electronic Health Records and Clinical Establishments Act across the country is imperative. The affordability aspect needs to be covered with increasing penetration of health insurance through social and private health insurance schemes,” said the chamber.Max Healthcare on Wednesday moved a “government authority” against the cancellation of licence of its hospital in Shalimar Bagh in north-west Delhi, even as it appealed to the Directorate General of Health Services (DGHS) to “reconsider” its decision.

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Infant death: Probe report reveals unethical acts carried out by Fortis

A probe instituted by the Haryana state government in the alleged case of overcharging and medical negligence of baby Adya by Fortis Memorial Research Institute (FMRI) in Gurugram has led to scathing revelations of misconduct by the private hospital. DNA had first reported the story of the deceased baby on November 20.A seven-member committee headed by Dr Rajiv Vadhera, Additional Director General of Health Services, has submitted the report to Haryana state government. DNA accessed a copy of the report which criticises FMRI at various levels.It states that it is unethical to pull off life support from a patient who has sought Leave Against Medical Advice (LAMA) from the hospital. It also raises questions on forging the signatures of the parents on hospital documents and overpricing drugs and consumables.The report notes that on September 14, there was a huge lapse in Adya’s treatment. Life support was pulled off in the ambulance by Fortis doctors while she was being shifted to another hospital. It says that the withdrawal of life support by the hospital staff in the ambulance amounts to negligence and is against the law of the land. “LAMA does not mean that the hospital disowns the patient completely. They must ensure all facilities for transfer/transport them to their home or other hospitals,” said the report.Dr Jitendra Kumar Jakhar, forensic expert from Post Graduate Institute of Medical Sciences, Rohtak, was a part of the investigation committee. He observed, “It was unethical for the doctor to stop assisted ventilation without handing over the patient to another specialist or directing the relatives to ventilate the child by means of an ambu-bag.”The investigation committee has recommended that the case be sent to the Medical Council of India for action under (Professional conduct, etiquette, and ethics) Regulations 2002. “Under this all the senior doctors treating the case in PICU like Dr Krishna Chugh, Dr Vikas Taneja, Dr Vikas Verma, and others should be held accountable,” the report states.The report also raises serious questions on how the deceased’s parents were not counselled. While Fortis maintains that the protocol of explaining seriousness to the parent/attendant and putting name and signature of both the doctor and the attendant to whom it was explained was seen in the case record of PICU, the report notes that except on September 12, none of these documents bear the signatures of the parents.”Further, it was noticed that the entire patient record was being maintained on loose sheets and no proper files with page marking were maintained,” it states. “This protocol should not have been ignored in an NABH accredited hospital like FMRI.”The hospital said that while it purchased drugs for Rs 3,33,044, it charged the patient Rs 6,70,126 and took a whopping 108 per cent profit margin. The report noted, “Hospital management looks to be attempting to get maximum profit out of drugs and consumables in the garb of MRP.”

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Include pollution when assessing when to play a cricket match, IMA tells BCCI

The Indian Medical Association (IMA) wrote to the Board of Control for Cricket in India (BCCI) on Thursday to include atmospheric pollution while assessing the criteria for a match.In a letter to BCCI acting president CK Khanna and head of committee of administrators Vinod Rai, IMA president Dr KK Agarwal said the message that has gone home from the India and Sri Lanka cricket match is that it is safe for children to play cricket even when PM 2.5 level is more than 300.The five-day match, in which Sri Lankan players were seen wearing masks on the field, ended on Wednesday.”Air pollution also reduces performance of the athletes. In a situation where milliseconds and millimetres often determine success of athletes, air pollution can be an important factor in affecting their performance. Rain and poor light are taken into consideration when determining suitable playing conditions, we suggest that atmospheric pollution should now also be included in the assessing criteria for a match,” the medical body said in its letter.The safe levels of atmospheric particulate matter (PM), according to the World Health Organization (WHO) air quality guidelines, are 20 ?g/cu mm (annual mean) for PM10 and 10 ?g/ cu mm (annual mean) for PM2.5.If the AQI is between 151 and 200, it is recommended that outdoor exercises be reduced. If the AQI is between 201 and 300, all outdoor activities and sports should be reduced. If the AQI is more than 300, all outdoor exercise and activities should be avoided as much as possible. If the AQI crosses 400, indoor activities, too, should be reduced and no exercise even at home is recommended.”Air quality in the Delhi-NCR region has been ranging between ‘very poor’ and ‘severe’ for several days. This has been a cause of great concern to us. Exposure to air pollution increases the risk of lung and heart disease and may precipitate an acute potentially life-threatening event. But, when pollution levels are this high, everyone, including healthy persons may experience some level of discomfort,” said Dr Aggarwal.
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Max under scanner as second twin dies, government assures action

One of the prematurely born twins, who was mistakenly declared dead by a private hospital in Delhi, died on Wednesday after battling for life for five days. The 22-week baby, who was born at the Max hospital in Shalimar Bagh, was undergoing treatment at the Delhi New Born Centre in Pitampura.”The infant died due to multiple organ failure. His condition was critical from the very first day. He was immediately put on ventilator and had been responding to medicines. He passed away in Wednesday afternoon. We had informed the family about his condition after looking at all the medical reports. The survival chances were quite less,” Dr Sandeep Gupta, director, Delhi New Born Centre, said.Meanwhile, Delhi Health Minister Satyendar Jain said that strict action will be taken against the hospital, once the report has been finalised. “The final report will come out in two days. No one will be spared, if found guilty,” Jain said on Wednesday.The matter was reported last Friday, after Ashish Kumar, father of the twins, who was on his way to the cremation ground, noticed that one of the polybags handed over by the doctors was moving.The agitated family members then protested outside the hospital throughout the day.”We will not cremate our baby till this hospital is shut. We will not let this matter die,” Kumar had said.A preliminary report submitted by a panel of doctors to the Delhi government on Tuesday found the hospital guilty of not having followed the prescribed medical norms in dealing with the infants. The three-member panel has submitted the preliminary report after scrutinising hospital records and meeting the staffers concerned.”No ECG tracings were done to check whether the child was alive. The body was handed over without written instructions. The dead and the alive children were not kept separately,” the report stated.A medical negligence case was registered under Section 308 of Indian Penal Code (IPC) against the hospital. Also, services of two doctors concerned were terminated on Sunday.Reacting to the baby’s death, Max hospital said in a statement:”We just learnt of the sad demise of the 23-week preterm baby, who was on ventilator support. Our deepest condolences are with the parents and other family members. While we understand that survival in extreme preterm births is rare, it is always painful for parents and family. We wish them the strength to cope with their loss.”The rising number of cases of medical negligence by private hospitals has prompted the Delhi government to prepare a legal framework to track the ‘loot’ and ‘criminal negligence’ by hospitals.”We never wanted to interfere in the functioning of private hospitals, but the public should not suffer in any case. The general public is being looted and cheated by these hospitals, which are guilty of criminal negligence. As a responsible government, it is our duty to come up with a solution,”chief minister Arvind Kejriwal had said.While talking about the framework, he pointed out two recent incidents — a private hospital charging Rs 15 lakh from a dengue patient and Max hospital wrongly declaring the infant dead.Union Health Minister JP Nadda also directed the Delhi government to look into the matter, after which the government ordered a probe and sought a preliminary report within three days.The case has been transferred to the Crime Branch.
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Govt to pull up erring private hospitals, take strict action under Nursing Cell Act

Tightening the noose over private hospitals for not paying fines for refusing free treatment to the poor, the Delhi government on Wednesday said that a decision will be taken on the same in two days. Delhi Health Minister Satyendar Jain on Wednesday said among the private hospitals, Max Hospital in Shalimar Bagh has also been found flouting the rules. A notice was issued to the hospital on November 22 regarding the treatment given to the EWS patients. “We had found deficiencies in the process of giving treatment to the EWS patients. Even the additional beds which were specially allotted for fewer patients were being used by the hospital after the season was over. The government is preparing a report on all the issues and whatever action is listed under Nursing Cell Act,” said Jain. The AAP-led government in 2016 had slapped the fine on five hospitals— Max Super Speciality Hospital (Saket), Fortis Escorts Heart Institute, Shanti Mukand Hospital,Dharamshila Cancer Hospital and Pushpawati Singhania Research Institute. These hospitals were provided land at concessional rates between 1960 and 1990 on the condition that they will treat the poor free of cost.“Three hospitals have gone through the process. The hearing for the other two will take place in the coming week. If at fault, none of them will be spared,” said Dr Kirti Bhushan, Director General of Health Services (DGHS), Delhi government.A total of 43 private hospitals in Delhi were allotted land at concessional rates on the condition that they will keep 10 per cent of their in-patient department capacity and 25 per cent of out-patient department capacity to treat economically weaker patients for free. “The matter relates to an erroneous demand of Rs 32 crore from Max Hospital, East Block, Saket. The HC has stayed proceedings and has directed a Special Committee constituted for this purpose to hear the reasons of the concerned hospitals. The hearings continue,” a spokesperson from Max Healthcare said.MAX HOSPITALDec 1Newborn declared dead by hospital, found alive when taken for last ritesDec 1 Delhi Police registers case of attempt to commit culpable homicide against the hospital. Delhi government orders probeDec 2 Delhi Medical Council issued show-cause notice to the hospital. Delhi health minister says if found guilty of medical negligence, hospital’s licence could be cancelledDec 3 The hospital terminates two doctors for negligenceDec 5 Initial probe finds hospital “guilty of not having followed prescribed norms”Dec 5 Delhi govt says it would form a legal framework to track “criminal negligence” casesDec 6 Newborn passes awayFORTIS HOSPITALSeptember 15- 7-yr-old girl dies of dengue, hospital bills family Rs 16 lakh November 20 Union Health Minister JP Nadda asks for details and said necessary action will be taken against the hospital November 21Family demands probe into the treatment and billing done by hospitalNovember 22 Haryana health minister assures probe, CMO initiates inquiry. IMA defends Gurgaon hospital for Rs 16 lakh billNovember 25 The National Pharmaceutical Pricing Authority (NPPA) decides to probe caseDecember 6 Haryana writes to MCI to cancel hospital’s licence
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Year on, 5 hospitals still to deposit Rs 600-cr fine

The five private hospitals, which were fined more than Rs 600 crore by the Delhi government a year ago, are yet to pay the amount. They were fined for refusing free treatment to the poor, which was the prime condition for land allotment lease.The AAP-led government in 2016 had slapped the fine on five hospitals— Max Super Speciality Hospital (Saket), Fortis Escorts Heart Institute, Shanti Mukand Hospital, Dharamshila Cancer Hospital and Pushpawati Singhania Research Institute. These hospitals were provided land at concessional rates between 1960 and 1990 on the condition that they will treat the poor free of cost.”These five hospitals were given a chance to explain their stand.” We are hearing their reasons.Three hospitals have gone through the process. The hearing for the other two will take place in the coming week. If at fault, none of them will be spared,” said Dr Kirti Bhushan, Director General of Health Services (DGHS), Delhi government.A total of 43 private hospitals in Delhi were allotted land at concessional rates on the condition that they will keep 10 per cent of their in-patient department capacity and 25 per cent of out-patient department capacity to treat economically weaker patients for free. The penalty was imposed on the basis of a high court order passed in 2007 on a PIL demanding implementation of the provision of free treatment to poor and action against the erring hospitals.”The matter relates to an erroneous demand of Rs 32 crore from Max Hospital, East Block, Saket. This is presently sub-judice. The Hon’ble High Court of Delhi has stayed proceedings and has directed a Special Committee constituted for this purpose to hear the reasons of the concerned hospitals. The hearings continue,” a spokesperson from Max Healthcare said. There were no response from Fortis Healthcare on the matter.The government had in December 2015, sent notices to these hospitals seeking an explanation as to why they failed to treat the poor and why they should not be fined. None of them had satisfactory replies so action was initiated against them.According to sources, top officers in the Delhi government have been pulled up for not taking any decision in the matter. “The officials are sitting on it and no decision has been taken on collecting the fine,” said another health official.”We have been called by the government regularly but they have not taken any decision,” said Dr S Khanna, president, Dharamshila Cancer Foundation.Recently, the Comptroller Auditor General (CAG), who was preparing the audit report, had also pulled up the health department for failing in recover the fine. The auditor had then questioned the department for the delay. The special committee, appointed to look into the affairs of the hospitals as per a high court order of 2007, had imposed a fine of over Rs 32 crore on Max, Rs 36.30 on Shanti Mukand, Rs 10.6 on Pushpawati Singhania, over Rs 100 crore on Fortis and Rs 17.86 crore on Dharamshila.
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Licence can also be cancelled if medical negligence found: Satyendar Jain on Max Hospital declaring live baby dead

In the wake of a premature baby being wrongly declared dead by a city-based private hospital, Delhi Health Minister Satyendar Jain today said if the hospital is found guilty of negligence in the probe, its licence can be cancelled.The government had yesterday ordered an inquiry into the “criminal negligence” by the Max Hospital in Shalimar Bagh, after it surfaced that its doctors had declared the baby dead but he was found to be alive later.”Once the report comes out, toughest action will be taken. And, if the hospital is found guilty of medical negligence, then its licence can also be cancelled,” Jain told reporters.Chief Minister Arvind Kejriwal had promised “strict action”.This baby boy was one of the prematurely born twins (boy and girl) delivered on the morning of November 30 to Varsha at Max Hospital. The other baby was stillborn.The mother was brought to the hospital from a nursing home in Paschim Vihar, police said.Also readMax Hospital goof-up: Family of twins stage dharna demanding action against authoritiesThe parents were earlier told by the hospital that both the babies were stillborn, and were handed to them in a polythene bag, but just before their last rites, the family found that the boy was alive, police said.”We rushed the baby to a nearby nursing home in Pitampura, where he is in life support,” the father told reporters yesterday.Jain said the report is expected in two days.The Delhi health minister said, “The same hospital was issued a show cause notice on November 22 for not fulfilling some norms related to providing services to patients of EWS (economically weaker section) category.””We had done a probe (in EWS case) and it was also found that in the OPD, only 10 per cent of the patients were being attended to than the 25 per cent,” Jain alleged.Also readDelhi: Max hospital gives ‘dead’ twins to parents in polythene bag, one found alive Asked if any action will be taken against the doctors involved in the case, he said, the matter will be sent to the Medical Council of India (MCI) and then based on the response, any action will be taken.Expressing displeasure over the incident, Jain also alleged that “in the name of reforms, private hospitals have been given concessions, and government hospitals been destroyed, deliberately”.He claimed that a lot of influential people are involved with running private hospitals, and so “government hospitals are being ruined, to benefit the private ones”.”The Delhi government is all focused on strengthening the healthcare system. In the last two-and-a-half years, the number of patients visiting our facilities have increased one-and-a-half times, and we are determined to bolster our health sector,” he asserted.Police has already registered a case under section 308 of the IPC, which governs cases related to attempt to commit culpable homicide and the offence under it is punishable by up to seven years in jail.A senior police official yesterday said, “Two doctors from the hospital have been named in the case.”
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Govt depts in state ‘inactive’ on social media

RSRTC: completely absent

PHED: Not active despite being direct public contact

JVVNL: Twitter account of JVVNL MD inactive for some time. People facing problem

Police: Totally inactive

PWD – People miss absence of the department

Education – Ministers are active personally, not the department

JMC: JMC and other municipal bodies keep away from social media, however Mayor Ashok Lahoti is on twitter to make himself popular

UDH: There was twitter handle but never used

JDA: Twitter handle inactive for long

Housing Board: Couldn’t create a social media account

Health department: Not found on social media

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JNU VC urges Centre to install Army tank on campus as ‘symbol of patriotism’
Former ISRO chief UR Rao, man behind India’s 1st satellite Aryabhatta, passes away
US biologists discover three new toad species

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<!–end of artlbotbor–><!–end of artlsocl–>Written ByShivendra Parmar <!–end of artlbotbor–>Saturday 2 December 2017 7:00 ISTMust readOm Prakash Galhotra takes over as new DGPRajasthan crime graph shows steady rise<!–end of artlmustredbx–><!–end of articllftpbx–>Social media’s rising influence in our lives has failed to find favour with government departments in Rajasthan. While central government and other state governments have been using Twitter and Facebook to resolve common man’s day-to-day problems, Rajasthan miserably lags behind.Zee Media’s investigation revealed that people have been trying to connect with government departments but don’t get response. What is highly disappointing is that departments providing basic facilities like water, electricity and road are not active on the social media. Personally ministers and officers are active on social media but don’t give much importance to social media presence of their departments.Unlike other states where government departments are active on social media, in Rajasthan people have to run around in government offices to get their work done. Even district collectors and superintendents of police are not very social media savvy. Only Jaipur traffic police and RIICO are somewhat active on the social media.It is ironic that a state where chief minister is very active and influential on social media, the government departments have a lethargic attitude towards social media and making mockery of e governance.DEPARTMENT-WISE REPORTCARDRSRTC: completely absent PHED: Not active despite being direct public contact JVVNL: Twitter account of JVVNL MD inactive for some time. People facing problem Police: Totally inactive PWD – People miss absence of the department Education – Ministers are active personally, not the department JMC: JMC and other municipal bodies keep away from social media, however Mayor Ashok Lahoti is on twitter to make himself popular UDH: There was twitter handle but never used JDA: Twitter handle inactive for long Housing Board: Couldn’t create a social media account Health department: Not found on social media
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Rs 9,046-crore nutrition mission gets go-ahead

The Cabinet on Friday approved the National Nutrition Mission (NNM), giving nod to a funding of over Rs 9,046 crore, till 2020, to combat malnutrition in the country.According to the government, the policy aims at bringing down the incidence of undernutrition and low birth weight by 2 per cent every year, and reduce stunting from 38.4 per cent, as per the National Family Health Survey, to 25 per cent by 2022. Currently, 43 per cent of children under five years of age in India are underweight, while 48 per cent suffer from stunting due to undernutrition. The policy will affect over 10 crore beneficiaries, the government stated.The policy is a part of the government’s efforts to end malnutrition by 2022. Last week, in a high-level meeting, PM Narendra Modi called for a comprehensive movement to end malnutrition and said that with such high incidence of malnutrition, India’s image of growth and development was tarnished.The mission will first be rolled out in 315 districts this year, and will be extended to 235 more districts in 2018-19. The remaining districts will be covered in 2019-20. The Rs 9,046 crore budget will be funded in a 50:50 ratio, by the Centre and the International Bank for Reconstruction and Development (IBRD).The policy will be implemented by the Ministry of Women and Child Development, Ministry of Health and Family Welfare, Minsitry of Drinking Water and Sanitation, and government think-tank NITI Aayog. A technical committee, formed by the NITI Aayog and comprising dieticians, doctors, and experts will decide on the delivery system, WCD minister Maneka Gandhi said.Finance minister Arun Jaitley said infection and malnutrition were deeply connected. “Since the incidence of stunting in India is high, we need inter-ministerial cooperation. The first 1,000 days of a child’s life, including the nine months of pregnancy, are crucial,” Jaitley said.As part of the policy, there will be real-time monitoring of take-home rations and the updates of health parameters of beneficiaries through smartphones given to anganwadi workers. The Android smartphones will be given to over 10 lakh anganwadi workers. They will have an operating system version of 4.4 or above, which will support 3G, 4G, and Wi-Fi connectivity, with a screen size of 5 inch, and a RAM of 1GB.Ministry officials said the mission beneficiaries will need Aadhaar cards, and those without Aadhaar cards will be assisted by anganwadi workers, who will get Rs 500 as incentive. WCD officials said they were trying to ensure over 85 per cent enrollment by December 31, including that of six-month children. When pointed out that Aadhar guidelines prohibit children below five years of age, officials said their cards will be linked to their mothers’.Policy goalsAims at bringing down undernutrition and low birth weight by 2% per yearReduce stunting from 38.4% to 25% by the year 2022
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DNA Exclusive: At Rs 3.8 crore, novel cancer therapy distant dream for Indians

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A new therapy is showing positive results in the US, but children in India suffering from blood cancer may not be able to access it anytime soon, Frances Milnes, Market Access Head of multi-national pharma giant Novartis, shared this information.Introduced last month in the US, Chimeric Anitigen Receptor (CAR) T- cell therapy is a last resort for children suffering B-cell acute lymphoblastic leukemia (ALL), a type of blood cancer.In India, over the last 20 years, number of children affected by ALL has doubled and the number stands at an estimated 25,000 children diagnosed with ALL every year. It will be tough to bring the CAR-T therapy to India because the cost of the therapy is eye-watering.The one time therapy costs Rs 3.8 crore or US$4,75,000 and Novartis has no plans to make it accessible to India in near future.It is the first-ever FDA approved cell therapy and it shows high rates of remission. Over 80% of paediatric patients who were treated got cured. “Most children have a stem-cell transplants and are cured but it relapses in some children, and in most children with relapse the CAR-T therapy works and it is really the last chance for them,” said Milnes. Currently the therapy is available in only a few accredited hospitals in the US to patients who are insured.”We are not looking at India as a market at the moment because of affordability issues. Also it is too early to say anything. We are now moving towards introducing it in Europe first,” said Milnes.Cell therapy is a novel approach to fight tough cancers. Kymriah, first such drug developed by Novartis, earlier this year for treatment of blood cancer when other treatments fail is showing hope.It involves extracting and genetically modifying millions of patient’s T-cells to destroy malignant cancers.Milnes said that it took an immensely long time for the process of research and formulation of the therapy. “We remove cells from the patient and take them to a processing plant. After about 21 days, the cells are ready to be reintroduced in the patients. The process is to modify the cells and and scale them up to make sure there are enough cells to put back in the body, so they can go and fight the cancer,” said Milnes.”It is an exciting therapy. It is one of a kind and helps give patients another shot at life. However it is too expensive for Indians to afford and we are hoping that Indians can access it in India sooner,” said Dr Sameer Kaul, Surgical Oncologist at Indraprastha Apollo Hospital in New Delhi.MIlnes said that the patient will only get charged by the pharma company if they have responded to the therapy by the end of the first month. “This is outcomes based contracting or pricing and you do not pay if the therapy fails to work on you,” Milnes stated.Top scientific journal Nature reported that remission in patients lasted a median six months and most patients remained in remission for up to 21 months from the time they were administered the therapy. Remission suggests lessening or disappearance of symptoms of disease. In the US, Novartis is looking at fighting new indications, like adult cancers with CAR-T now and trials are under way.INTRODUCED IN USThe Chimeric Anitigen Receptor T- cell therapy is a last resort for children suffering from blood cancer
It was introduced in the US last month
Nearly 25,000 children in India are diagnosed with the deadly disease every year

Adverse male to female sex ratio major cause for concern: President Kovind

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The adverse male to female sex ratio is a major cause for concern, President Ram Nath Kovind said today, and sought support from medical officers to the government’s ‘Beti Bachao, Beti Padhao’ initiative. He also asked the medical officers to remain sensitive to the poor and the needy.”Our country is making rapid economic progress. Health and socio-economic indicators must gallop along with it,” Kovind said. He said the disease burden in the country is undergoing change. “We have to tackle communicable diseases such as TB, malaria and dengue, and at the same time deal with the rising incidence of non-communicable diseases,” the president said, addressing General Duty Medical Officers (GDMOS) of the second foundation course conducted by the National Institute of Health and Family Welfare. These GDMOS called on Kovind at the Rashtrapati Bhavan here.Kovind said that to address these shifting health priorities, the government has after more than a decade come up with a revised national health policy. “The adverse male to female sex ratio is a major cause for concern. Undernutrition and malnutrition remains an area where we have a lot more to do,” he said. Kovind said while health may be a core concern, they have an equally important role to play in the socio-economic progress of the country. “Several key government initiatives such as ‘Beti Bachao, Beti Padhao’ and ‘Swachh Bharat’ need your support and service,” he said.The president suggested the medical officers to take a preventive approach to health rather than solely a curative one.”In this context, integrating our traditional systems of medicine — AYUSH — into our healthcare system must be a priority,” he said. Kovind said digital technology combined with Aadhar and mobile telephony can work wonders for health care. “Our e-aushadhi programme is on course. Tele-medicine is another effective technology intervention which we must put to greater use,” he said.Kovind said the society places high faith in doctors and their noble profession.”I am sure you will reciprocate their faith with committed service, always being compassionate and sensitive to the poor and the needy,” the president said. He said the country’s disease burden remains high. “Coupled with it we have issues of delivery, access to services and affordability. But with dedication, drive and determination, we can achieve our goals,” Kovind said. The president said that the goal of universal health coverage is a priority for the government. “The implementation of the national health mission critically depends on your commitment. This needs effective governance at the community, village and district levels,” he said, addressing the medical officers.

Fortis case fall-out: Health ministry asks states to warn hospitals against malpractices

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Health Ministry today asked all states to issue strict warnings and take action against hospitals, including private ones, which indulge in malpractices such as overcharging and don’t follow standard treatment protocols.The move comes in the wake of allegations that Gurgaon- based Fortis Hospital billed the family of a dengue patient Rs 16 lakh.In a letter to the chief secretaries, Union Health Secretary Preeti Sudan said that alleged malpractices by clinical establishments not only compromise patient safety but also raise concerns about accountability in healthcare costs. She asked the states to ensure implementation of the Clinical Establishment (Registration and Regulation) Act, 2010 under which all hospitals can be regulated. “It is time to learn lessons from such incidents and I advise that a meeting with all important healthcare establishments, including private hospitals, of your state be taken and they be clearly sounded not to indulge in such practices, failing which strict action will be taken. “I request you to kindly get the clinical establishment act adopted/implemented by your state also,” Sudan said in the letter.Referring to the recent incident in which a 7-year-old girl died of dengue at Fortis hospital, Sudan said it was alleged that the patient was grossly overcharged and standard treatment protocols were not followed.She also drew attention to the alleged malpractices by various clinical establishments in the recent past. These include exorbitant charges, deficiency in services, not following the standard treatment protocols, etc, resulting not only in compromised patient safety but also concerns about transparency and accountability in healthcare costs, she said.”Such incidents have an extremely deleterious impact on the faith of the general public in the healthcare system of the country. “It is our duty to ensure that such incidents don’t recur, quality care and treatment is provided to those in need and that it is provided at a fair and an affordable price,” she said. She said effective action can be taken against such healthcare establishments indulging in fraudulent and unethical practices under the act.Moreover, there are provisions under other acts, rules and regulations under which action can be contemplated against such activities. The clinical establishments act was been enacted by the Centre to provide for registration and regulation of all clinical establishments in the country with a view to prescribe the minimum standards of facilities and services provided by them.The act is applicable to all types (both therapeutic and diagnostic types) of clinical establishments in the public and private sectors. Till now, five states including Arunachal Pradesh, Rajasthan, Jharkhand and Assam and all Union Territories except the NCT of Delhi have adopted and implemented the act. States like Sikkim, Mizoram, Bihar, UP and Uttarakhand have adopted the act but are yet to implement it. Under the act, standard treatment guidelines are specified for 227 diseases, including dengue, chikungunya and malaria. The hospitals are supposed to abide by minimum standards in terms of infrastructure, services, staff, equipment and lighting arrangements among others.A technical committee is to be set up to decide on charges for treatment of diseases and procedures at clinical establishments, including private hospitals. Health facilities are supposed to display the charges for each procedure and facility to keep the patient informed in advance. Failure to adhere to these guidelines would result in imposition of penalty.

Assam Health Minister Himanta Biswa Sarma apologises for his ‘cancer is divine justice’ comment

<!– /11440465/Dna_Article_Middle_300x250_BTF –>After much uproar over Assam Health Minister Himanta Biswa Sarma’s comment about cancer being divine justice, the BJP leader has now issued a public apology. He said that his statement was taken out of context but if it had caused anxiety to someone, he offers ‘unconditional apology’.Sarma who initially tried to defend his remarks and even sparred with P Chidambaram on Twitter, apologised on Thursday evening. He had made the statement on Tuesday when he said, “God makes us suffer when we sin. Sometimes we come across young men getting inflicted with cancer or young men meeting with accidents. If you observe the background you will come to know that it’s divine justice. Nothing else. We have to suffer that divine justice”. “In this lifetime or in our previous life, or perhaps my father or mother… perhaps that young man did not do but his father has done something wrong. It is mentioned even in Gita, Bible about the outcome of one’s actions. No point in being sad… all will get the outcome of this life’s actions in this life only. That divine justice always will be there. Nobody can escape the divine justice that will happen”.
ALSO READ Himanta Biswa Sarma says cancer is ‘divine justice’, Chidamaram blames comment on party switchHowever after much outrage, Sarma has apologised. In a written statement he said, ” My speech on divine justice and Karmic deficiency is being quoted out of context. In their bid to trivialize and sensationalise, no one is looking at content of my whole speech and intent. It was said in the context of helping poor students of Government schools and request to teachers not to neglect them. It was also a message to indicate district eduction officers not to harass teachers.”He further wrote, ” At no point my statement was intended to cause any pain to cancer patients. However, if owing to the blatant distortions, it has caused any anxiety and problems to anyone, I hereby offer my unconditional apology for the pain.”

Post-mortem must in UP infant deaths

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Post-mortem will soon be conducted in all future deaths of babies below five years of age in eastern Uttar Pradesh to examine the worrying trend and correct healthcare systems, a senior central government official told DNA. The move comes after rising casualties in Gorakhpur’s state-run BRD Hospital recently shook the nation.A child health and mortality prevalence surveillance (CHAMS) will be conducted, initially in four UP districts including Gorakhpur, Kushinagar and Maharajganj.About 45% deaths (4,118 of 9,000) due to Encephalitis infection or brain inflammation in India have occurred in UP since 2010. Most vulnerable to die are children below five.Initially, the CHAMS exercise will be conducted in public hospitals and will gradually spread to conducting post-mortem of babies that die at homes.”Post-mortem will be done in a minimally invasive method, wherein biopsy samples of various body part tissues, including those from brain, kidney and liver, will be extracted. Our idea is to capture the cause for every child who dies,” said Dr Soumya Swaminathan, secretary, department of health research, Ministry of Health and Family Welfare (MoHFW).The mystery of Acute Encephalitis Syndrome (AES) in Gorakhpur only gets murkier and the Indian Council of Medical Research (ICMR) aims to crack it by ascertaining its causes.”Of every 100 deaths due to AES, the cause is known in 40 cases . Majority are due to Scrub Typhus infection, while other causes include dengue, malaria, meningitis and Japanese Encephalitis. Now conducting post-mortem in each death will be a step forward to further investigate causes in more cases about which we are still in dark,” Dr Swaminathan said.Vital death registration systems are very poor in India. Only 10% of all deaths are ascertained for a cause, according to the World Health Organisation.”Of all babies succumbing in BRD Medical College, very few undergo systematic post-mortem. CHAMS will provide evidence-based insights into causes, leading to better intervention strategies on the ground,” said Dr Swaminathan. “After death, the cause is mentioned as cardiac failure or something of that sort which may be the ultimate event but not the underlying cause. This is why CHAMS is required.”She emphasised that obtaining the family’s consent to conduct post-mortem is crucial and necessary. “This is why we will first start with investigating deaths in hospital set-ups and then move into communities. Each district will have 10 to 15 outreach workers who will go until the homes to convince families to participate in the CHAMS exercise,” she said.”Families’ consent will be obtained before conducting post-mortem in both hospitals and community set-ups. Before the exercise begins in UP, a pilot will be conducted at Safdarjung Hospital in Delhi. The plan should roll out in next six months.”Conducting post-mortem to ascertain clinical causes of deaths has been successfully employed in countries such as Mozambique, Mali and Bangladesh.BRD Hospital hogged international headlines when 31 deaths took place during August 10-11, amid reports of oxygen supplies being snapped due to unpaid bills. As many as 296 children died of encephalitis and other tropical illnesses at the Gorakhpur facility in August. Deaths have continued.Eight hospital staffers, including then Principal Dr Rajiv Mishra and his wife Purnima Shukla, and the oxygen supplier Manish Bhandari, had been held responsible for the August tragedy. They are in Gorakhpur’s jail.

Himanta Biswa Sarma says cancer is ‘divine justice’, Chidamaram blames comment on party switch

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Assam Health Minister Himanta Biswa Sarma has kicked up a storm with his remarks that some people suffer from life-threatening diseases such as cancer because of sins committed in the past which he called “divine justice”.The comments sparked sharp reactions in the political circles and among cancer patients.”God makes us suffer when we sin. Sometimes we come across young men getting inflicted with cancer or young men meeting with accidents. If you observe the background you will come to know that it’s divine justice. Nothing else. We have to suffer that divine justice,” Sarma said at a function organised for distribution of appointment letters to teachers here yesterday.”In this lifetime or in our previous life, or perhaps my father or mother… perhaps that young man did not do but his father has done something wrong. It is mentioned even in Gita, Bible about the outcome of one’s actions. No point in being sad… all will get the outcome of this life’s actions in this life only. That divine justice always will be there. Nobody can escape the divine justice that will happen,” he said.Attacking Sarma over his comments, former Union Minister P Chidamabaram said ‘that is what switching parties does to a person’.Reacting to Chidamabaram’s comments, Sarma wrote: “Sir, please do not distort. Simply I said that Hinduism believe in karmic law and human sufferings are linked to karmic deficiency of past life. Don’t you belief that too? Of course in your party I do not know whether Hindu philosophy can be discussed at all.”Reacting to the comments, Congress leader Debabratta Saikia today said, “It is unfortunate that the health minister has made such a remark on cancer patients hurting their feelings. As he has made the remark publicly, the minister should also apologise for it publicly.”AIUDF leader Aminul Islam asserted that the health minister made this remark to cover his failure to control the spread of cancer in the state.”He has given up, he can’t control,” he said.Some cancer patients said they were saddened by the health minister’s remarks at a time when it is an established medical fact that there are scientific reasons and various other parameters responsible for the disease.State-run Dr B Barooah Cancer Institute’s Medical Superintendent Dr B B Borthakur sought to downplay Sarma’s remarks.”I don’t think the minister made the remark on scientific basis but in a social context as I understand. I don’t think it is a matter to be made into a controversy. It is not a matter to be given so much importance,” he told PTI.

An outfall of Gorakhpur: ICMR considers post-mortem of every child death in four districts of eastern UP

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Babies that die in eastern Uttar Pradesh (UP) will have to undergo a post-mortem procedure, a crucial step towards efforts to correct health systems, after a spate of child deaths in Gorakhpur this August, shook the conscience of India.Labelled the Child Health and Mortality Prevalence Surveillance (CHAMS), it will be conducted in four districts of UP including Gorakhpur, Kushinagar, Maharajganj, initially in a baseline population of 50,000 persons.45% deaths (up to 4118 of 9000) due to Encephalitis infection or brain inflammation in India have occurred in UP, since 2010. Most vulnerable to die are children under-five years of age.Initially, the CHAMS exercise will be conducted in public hospitals in four districts and will gradually spread to conducting post-mortem of babies that die at home in the community. “The post-mortem of the baby will be done in a minimally invasive method, wherein biopsy samples of various body part tissues will be extracted, including the brain, kidney and liver. Our idea is to capture the cause for every child who dies,” said Dr Swaminathan.The mystery of Acute Encephalitis Syndrome (AES) in Gorakhpur only gets murkier and Indian Council of Medical Research (ICMR) aims to crack it by ascertaining it’s causes. “Of every 100 deaths due to AES, in 40 cases the cause is known. Majority are due to Scrub Typhus infection while other causes include dengue, malaria, meningitis and Japanese Encephalitis. Now conducting post-mortem in each death case will be the step forward to further investigate causes in more cases about which we are still in dark,” Dr Swaminathan said.Vital death registration systems are very poor in India. Only 10% of all deaths are ascertained for a cause according to World Health Organization’s India country figures.“Of all the babies succumbing in BRD Medical College at Gorakhpur, very few undergo systematic post-mortem to ascertain the cause of death. CHAMS will provide evidence-based insights on causes of death leading to better intervention strategies on ground,” said Dr Soumya Swaminathan, secretary, department of health research, Ministry of Health and Family Welfare (MoHFW).“After death, the cause is mentioned as cardiac failure or something of that sort which may be the ultimate event but not the underlying cause. This is why CHAMS is required.”She emphasised that obtaining family’s consent to conduct PM on the baby is absolutely crucial and necessary. “This is why we will first start off with investigating deaths in hospital set-up and then move into community. Each district will have 10 to 15 outreach workers who will go until the homes to convince families to participate in the CHAMS exercise. Families consent will be obtained before conducting PM in both hospital and community set-up,” Dr Swaminathan stated. “Before the exercise begins in UP, a pilot will be conducted at Safdarjung Hospital in Delhi. The plan should roll out in next six months.”Conducting post-mortem to ascertain clinical causes of deaths has been successfully employed in countries like Mozambique, Mali and closer to home Bangladesh earlier.

RSS-affiliate body accuses Niti Aayog of misleading govt

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Swadeshi Jagran Manch (SJM), a RSS-affiliated body, on Tuesday attacked Niti Aayog for pushing packed dietary supplements for malnourished children instead of supplying fresh, home-cooked meals by seeking Prime Minister Narendra Modi’s intervention in tackling the problem. SJM has long been opposing ready-to-use therapeutic foods (RUTF) provided by several states to malnourished children.Talking to DNA, SJM national co-convener Ashwani Mahajan said Niti Aayog is trying to mislead the government by pushing for RUTF which would benefit certain private entities.”We, however, will continue to oppose the move tooth and nail as RUTF is not a sustainable solution to malnutrition. There are no studies to indicate its long-term health risks,” Mahajan said.In a letter to the PM, Mahajan said, “We are concerned about the decision taken, especially with inputs from Niti Aayog — who had recently constituted a working group on nutrition riddled with conflicts of interests. This is inspite of the fact that National Nutrition Strategy — launched by the Deputy Chairperson of Niti Aayog in September — recommends avoiding conflicts of interest in its guiding principles.””These food supplements will only serve the corporate interests rather than treating the malnourished children,” Mahajan wrote in the letter.He also stated that evidence is not in favour of use of RUTF adding that Union Health Minister JP Nadda had said RUTF may not benefit a common household in developing appropriate food habits for children against home-cooked food.RUTF food packets or supplements are a mixture of protein, carbohydrate, lipid and vitamins and minerals.In August, the Women and Child development ministry issued a circular to state governments telling them that the use of RUTF food to tackle Severe Acute Malnutrition is not ‘accepted policy’ of the Centre.In his letter, he also stated that in a response to parliament question in 2010, then Minister of External Affairs SM Krishna stated that UNICEF distributed RUTF in contravention to Government of India guidelines and was asked to ship it out.As a proof of that, the ministry referenced a February 2009 circular issued by the health ministry. The circular came a few days after the RSS-linked Swadeshi Jagran Manch objected the use of packet foods as RUTF because they felt that the move will only benefit corporate bodies and in states where it has been launched, RUTF have proved to be an expensive affair.However, WHO deputy director and former ICMR chief Soumya Swaminathan had told DNA that there is no health issue with the usage of RUTF food.”In several cases that we have observed, RUTF food has helped severely-malnourished children regain back their health without side-effects. I would recommend it,” said Swaminathan.WHAT IS RUTFRUTF food packets or supplements are a mixture of protein, carbohydrate, lipid and vitamins and minerals.

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.

Delhi hosts its first global Military Medicine Congress

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Armed Forces Medical Services (AFMS), under the aegis of the Ministry of Defence, has organised the 42nd World Congress of the International Committee of Military Medicine (ICMM).The six-day conference, which was inaugurated on Sunday, will see the participation of over 350 foreign delegates from as many as 80 countries out of the total 112 member nations of ICMM. India has been a permanent ICMM member since 1949.The Congress, being held at Vigyan Bhawan between November 19 and 24, will comprise 26 thematic scientific sessions, covering four broad subject areas — terrain-specific military medical support, health protection and promotion in the military environment, combat medical support, and humanitarian aid and disaster relief.In addition to the foreign delegates, nearly 300 Indian AFMS delegates from medical, dental, nursing, and veterinary fields, and a large number of experts and researchers from other Indian institutions, Ministry of Defence, Ministry of Health, the United Nations, and the International Committee of the Red Cross would also be attending the event.The biennial event was last held in Bali, Indonesia, in 2015. This is the first time that the event, which invites global military medicine experts, is being organised by India. It will also be the largest medical conference ever organised by the AFMS.The delegates will visit the Military Medical Facility at Air Force Station Hindon, where they will see a display of a casualty air evacuation exercise and deployment of the Rapid Action Medical Team. Round-table discussions on dental, veterinary, nursing, and paramedical sciences, and pharmacy will also be a part of the scientific programme of the World Congress.

Sasikala’s husband M Natarajan admitted to hospital after Madras HC upholds jail term in luxury car case

<!– /11440465/Dna_Article_Middle_300x250_BTF –>A day after Madras High Court sentenced him for two-years-imprisonment in a two-decade-old luxury car import case, jailed AIADMK leader VK Sasikala’s husband M. Natarajan is admitted to the hospital.He is admitted to Gleneagles Global Health City where underwent dual organ transplant last month.Sources said that he was admitted after he complained of some uneasiness. He was discharged from the hospital on November 2 after the successful organ transplant.Natarajan and three others were convicted of conspiracy, forgery, cheating and tax evasion and sentenced to two years in jail in the case by a CBI court in 2010.The case relates to the import of a Toyota Lexus car in 1994, declaring it as a used vehicle and thereby allegedly evading tax to the tune of Rs 1.06 crore.The CBI and Enforcement Directorate had registered separate cases against Natarajan and three others after it was found that the documents presented by them were fabricated.According to CBI, Natarajan, along with three others –his nephew V Bhaskaran, Yogesh Balakrishnan and Sujaritha Sundararajan substituted the original sale invoice with a photocopy of an invoice fabricated by changing the vehicle’s manufacturing date to July 1993.They cleared the car under transfer of residence provision, and thereby caused a of Rs 1.06 crore to the exchequer by way of short levy, penalty and redemption fine, the CBI said.

Arvind Kejriwal approves setting up of 1,000 Mohalla clinics

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Delhi Chief Minister Arvind Kejriwal on Thursday has approved a proposal in which the Delhi State Health Mission (DSHM) will manage and set up 1,000 Mohalla clinics in the Capital. The decision was taken in a review meeting of the DSHM along with Health Minister Satyendar Jain, Social Welfare Minister Rajendar Pal Gautam and senior officers.At present, there are 160 Mohalla clinics running in the national capital. These clinics are aimed at providing free healthcare to people close to their homes. The scheme is a flagship project of the AAP government.The meeting chaired by the Chief Minister also allowed the Rogi Kalyan Samitis (RKS) to hire short-term manpower for hospitals to fill the gaps in health services.”This will help hospitals have an adequate number of staff for services as and when required,” Kejriwal said.The decision came after a month-long indefinite strike by the health mission workers demanding ‘same work, same pay’. The 2,700 workers in the city went on a strike paralyzing the health system at the grassroots level. Workers in all the eleven vertical programs including Reproductive Child Health RCH, Tuberculosis Program, Leprosy Program, IDSP, Integrated Disease Surveillance Program etc, involving doctors, pharmacists, nurses, ANMs, lab technicians, had ceased work for the longest strike this year.The 800 Auxillary Nurse Midwife, ANM workers, perform at least two immunisations weekly for children in different areas and if calculated, more than 40,000 children did not receive their vaccines during the strike, thus questioning the working of these clinics.’Remove politics from Mohalla clinics’Recently, Chief Minister Arvind Kejriwal on Sunday had requested everyone to leave behind party politics and help in setting up of Mohalla clinics in the national capital. “Everybody should come forward for the cause leaving behind party politics,” the chief minister wrote on Twitter.
Talking about the clinics, Kejriwal said that any help in setting these clinics up was an “act of virtue”. “Poor people are treated in the Mohalla clinics. Any help towards setting up these clinics is an act of virtue,” he said.
Kejriwal was referring to media reports about the Delhi government not being given land by the East Delhi Municipal Corporation for the expansion of the Mohalla clinics.

Good Samaritans helping road mishap victims to get Rs 2,000

<!– /11440465/Dna_Article_Middle_300x250_BTF –>This December, Delhiites will be awarded an incentive of Rs 2,000 for helping accident victims to reach hospitals. The ‘Good Samaritan’ scheme launched by the Delhi government will help in reducing the time for an accident victim to reach a hospital.”The government has decided that if there is an accident on Delhi roads and anyone takes the patient to a nearby hospital — government or private — we will give Rs 2,000 incentive to the person who takes the patient to the hospital,” Delhi Health Minister Satyendar Jain said on Wednesday while addressing the second edition of the ‘MeltingPot 2020 Innovation Summit 2017’ here .The Aam Aadmi Party-led Delhi government had in January this year approved the ‘Good Samaritan’ scheme. It had mooted a proposal in August last year after a road accident victim in west Delhi’s Subhash Nagar bled to death because no one helped him.”If there is an accident in Delhi, the patient is taken to the hospital earlier (faster)than New York and after this (after the introduction of this) scheme you will see a further reduction in time. The government will also bear the treatment cost of the patient,” Jain added. He said there is a need for a health maintenance programme for everyone.With a population of two crore, the government health system caters to 20 per cent people, the minister said, adding that now “our target is to provide the health care system to all free of cost.””We are renovating all the existing hospitals, doing capacity building and also making new hospitals. Right now, we are having 10,000 beds and are making 25,000 beds,” he said.”Our health care system goes to the people,” he said. After running 100’Mohalla’ (neighbourhood) clinics as a pilot project, there were not more than three per cent referrals to hospitals, which means 97 per cent people are treated right next to their doorsteps, Jain informed. “This, I think, will change our health care delivery system. The Mohalla clinics are much in demand in upper middle class colonies,” he added.According to a Central government study, Mumbai has got the dubious distinction of the city with maximum road accidents in the country, while the number of deaths in road mishaps is highest in Delhi.MAKING A DIFFERENCEThe Delhi government had in January this year approved the ‘Good Samaritan’ scheme. It had mooted a proposal in August last year after a road accident victim in Subhash Nagar bled to death as no one helped him.

Health department wakes up to threat

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Better late than never, the state health department has finally woken up to the threat of Japanese Encephalitis after the first death was reported in the state. On Monday, 4 days after the report from National Institute of Virology, (NIV), Pune confirmed that the death was caused by JE, a team of specialists was sent to Keshoraipatan in Bundi.“A three-member central team of Integrated Disease Surveillance Program (IDPS) from state headquarter has been sent to the area, the deceased belonged from,” Dr Ravi Prakash Mathur, Director (Rural Health) told DNA.“The team, including epidemiologist, microbiologist and entomologist, will visit Keshoraipatan, including Bundi and Kota. It will investigate from where and how the victim got the virus infection. Her travel history will be investigated and the team will submit its finding report by this Thursday,” he added.On November 9, a NIV report of serum sample of Manju (30), confirmed that she was positive for JEIgM Elisa. Manju, wife of Parasram, was a resident of Chamunda colony in Kishoraipatan in Bundi district. She was brought to a private hospital in Kota after running high fever and several spell of un-consciousnesses. Later, she was admitted to MBS hospital, Kota where she breathed her last on October 16. After 25 days of her death it was confirmed that she was infected with JE virus.Though, the health directorate appeared to be in a state of alleged “slumber” in response to the lethal disease, but health official at Bundi, meanwhile, conducted prevention activities as they got the report from Kota Medical College.“Anti-larval activity including fogging has been conducted in the region. I have also sought a fact finding report in the matter,” Dr Suresh Kumar Jain,Chief Medical and Health Officer, Bundi,told DNA.

WB dengue crisis: BJP writes to JP Nadda seeking central intervention

<!– /11440465/Dna_Article_Middle_300x250_BTF –> BJP West Bengal president Dilip Ghosh has written to Union Health Minister J P Nadda seeking his intervention to tackle the state’s dengue situation which, he said, has become an ‘epidemic’.In a letter to Nadda, Ghosh alleged that hospitals and health centres of the state are inadequately equipped to treat patients and are sending them home without meaningful treatment. “Under such precarious situation where common people are victims and state government is busy subverting the facts, I am compelled to request you to kindly intervene in this ‘dengue epidemic situation’ in West Bengal immediately and please take necessary steps to provide relief to the people,” he said in the letter.The BJP leader also accused the Mamata Banerjee government of discreetly instructing the hospitals not to write dengue in prescriptions or in death certificates and has created fear psychosis among doctors. “The CM, who is also the health minister, has declined to accept that there is any epidemic of dengue in Bengal and said ‘it is a conspiracy of the opposition political parties’,” Ghosh said. Alleging that there is a huge shortage of dengue test kits in state-run hospitals, he wrote to the union minister that the number of dengue deaths in the state were much more than the state government’s claim of 18.The number of dengue cases have crossed 50,000 while the health department is saying it is only 18,000, he claimed in the letter written on Thursday, a copy of which was made available to the media today. When contacted, Ghosh told PTI that the state government is unwilling to solve the situation and that is why it is trying to suppress facts. “Lives of the common people hold no value to this government. The Mamata Banerjee government has lost the trust of the people,” he said.

Delhi-NCR air pollution: NHRC issues notice to Centre, states

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Taking a serious view of the ‘life threatening high pollution in Delhi-NCR’, the National Human Rights Commission (NHRC) on Thursday sought reports, within two weeks, from various Central government ministries and the Governments of Delhi, Haryana and Punjab about the ‘effective steps taken and proposed to be taken by them to tackle the situation’.Taking suo motu cognisance of media reports in this regard, the NHRC came down heavily on the authorities, observing, ‘It is apparent that the concerned authorities have not taken proper steps throughout the year to tackle this hazard, which amounts to violation of the Right to Life and Health of the residents in the region.’In its order, the NHRC asked the Secretary, Ministry of Health and Family Welfare, give details about the preparedness of the government hospitals to attend to the people affected by pollution.Underling the need for proper implementation of the environmental laws, the Commission said, ‘The state cannot leave its citizens to die due to toxic haze. There is a need for an effective study by the experts and proper implementation of their recommendations, including short-term and long-term measures identified. There is also a need for preventive medical check-ups for the people.’Noting that the ‘toxic smog’ had become an annual health hazard, particularly, at the time when winters are about to start, the Commission observed that several reasons had been mentioned for the pollution. These include pollution caused by the vehicles, particularly trucks and heavy vehicles running on diesel, dust due to construction work going on in the Delhi-NCR region, burning of stubble by farmers in the Punjab and Haryana.‘The proposal for alternative roads to link the highways to avoid entry of heavy vehicles inside the cities have been under contemplation but no effective steps in this regard have yet been taken,’ it noted.

Mamata Banerjee wishes L K Advani on his 90th birthday

Updated: Nov 8, 2017, 01:05 PM IST, PTI
<!– /11440465/Dna_Article_Middle_300x250_BTF –>West Bengal Chief Minister Mamata Banerjee on Wednesday greeted senior BJP leader LK Advani on his 90th birthday, wishing him a healthy and long life.”Wishing a very happy birthday to Lal Krishna Advani Ji. Health and happiness for a long life,” Banerjee wrote on her Twitter handle this morning.Advani is currently the chairman of BJP Parliamentary Party.The former deputy prime minister is a seven-term MP from Gandhinagar in Gujarat.

Indian Americans raise $2.4 million for public health in India

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Raised at the second annual gala of WHEELS Global Foundation (WGF) in New York over the weekend, organisers of the event said USD 2 million of this was donated by Chirag Patel, co-CEO and chairman, Amneal Pharmaceuticals, and his family.This donation will go towards the soon-to-be established WHEELS India Niswarth (WIN) Foundation, which will be based out of the IIT-Gandhinagar and Indian Institute of Public Health-Gandhinagar campuses.The foundation will work on core areas of water and sanitation and maternal and child health groups.At its inaugural gala last year WGF had raised USD 200,000.”The increase in donations this year demonstrates that donors see the urgency of the issues faced and that WGF is a dedicated partner in alleviating issues faced by rural areas.We are deeply gratified by the generous donations of attendees, sponsors and raffle and auction prize donors,” said Suresh Shenoy, president, WGF.With a vision to use “technology to enable philanthropy,” WGF provides funds to develop Clean Drinking Water Plants (CDWP) in remote villages to alleviate health issues related to poor-quality drinking water, a media release said.

Govt’s health dept pulls up DIAL for not destroying seized gutkha

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Days after the Delhi airport asked the Muslim pilgrims flying to Mecca and Medina to leave behind their gutkha sachets, weighing 270 kg, so as to avoid any tension in Saudi Arabia, the Delhi government’s Health Department has pulled up the airport operator for not destroying the banned product.According to sources, the Delhi International Airport Private Limited (DIAL) had decided to hand over the banned product to Haj committees so that it could be either sold or used to raise funds. The DIAL returned 120 kg of gutkha to the committee and was planning to return the remaining as well.A letter was then sent by the Delhi State Tobacco Control Society on Friday, directing the airport operator to take back the tobacco product sent to Haj committee and destroy it completely.”In view of the above, it is requested that even the gutkha that has been returned to one Haj committee may be taken back immediately and destroyed along with the available gutkha at the airport,” the department wrote in its letter.When contacted, DIAL refused to comment on the issue. Sources, however, said the operator has not received the letter from the department.According to the Food Safety and Standards (Prohibition and Restrictions on sales) Regulations, 2011, issued by the FSSAI, under the Food Safety & Standards Act, 2006, tobacco and nicotine shall not be used as ingredients in any food products.”This is really surprising that the airport operator that comes directly under the Ministry of Home Affairs (MHA) was not even aware that gutkha is a banned product. Such kind of seized products cannot be stored at all. The letter sent by us has been received by them,” said Dr SK Arora, Additional Director (Health).The Ministry of Health and Family Welfare, in December, 2016, had issued a complete ban on the production, promotion, and sale of food products containing tobacco and nicotine as ingredients across India.

Putting Rajasthan in ‘doc’

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The threat of crippled health service is looming large. With around 10,000 doctors expected to tender their resignation on Monday, government health facilities across the state medical and health services will be in dire straits and will have to hold its own. On Sunday, many rounds of negotiations between the government and in-service doctors, agitating in the support of their 33-point demands, produced no result.After a two-hour long meeting held at Swasthya Bhavan on Sunday evening, in which health minister Kalicharan Saraf; principal secretary, health Veenu Gupta; principal secretary, home, Deepak Upreti and director, public health, Dr VK Mathur were present, office bearers of All Rajasthan In-Service Doctors Association (ARISDA), the body under which doctors are agitating, made it clear that all ten thousand government doctors in the state will hand over their resignations to director(public health) on Monday and they will not go on their duties at all the district hospitals, satellite hospitals, sub divisional hospitals, community health centres and primary health centres.Government sought time till December 31 to take action on doctors’ demands, but doctors were adamant on written assurance from the government. ARISDA president Dr Ajay Chaudhary said that the government, instead of fulfilling doctors’ demand or giving any written assurance, is only giving oral assurance and they are not ready to accept it.“Doctors do not have intentions to create problems for patients by submitting mass resignation, but we are forced to do it,” said Dr Chaudhary.Meanwhile, in the day time, chief minister also took feedback of the situation. Health minister Kalicharan Saraf told that government is ready to fulfill most of the demands. “We are committed to take positive action on most of the demands raised by doctors, but running hospitals in single shift can not be fulfilled as it is a matter related to public health services,” said Saraf.

Migrants in Gujarat solidly back BJP: CR Patil

<!– /11440465/Dna_Article_Middle_300x250_BTF –>CR Patil, BJP MP from Navsari in Surat, originally hails from Jalgaon in Maharashtra. The party also has one MLA, and ten corporators in Surat-Udana Municipal Corporation who originally hails from Maharashtra’s Khandesh region. Patil, who commands influence over a sizeable chunk of migrant population, has been given responsibility of these voters. He spoke with DNA’s Sudhir Suryawanshi, when he expressed confidence of BJP bagging 120-125 seats of a total of 182 seats.Rahul Gandhi has been raising issues such as education, health, and Tata’s Nano factory…The Opposition will be raking up some issue. But Gujarat’s migrant population are with the BJP. The party has done a lot for them, be it jobs, roads, electricity, pure water and proper drainage system and road connectivity. The migrant population has secured their future in Gujarat.Is Khandesh population unhappy with GST implementation?Not only textile traders, but spinners, twisters, embroidery workers etc also come under GST. But it has impacted only a miniscule of traders. The big traders in fact are happy. PM Modi has also cut GST on textiles from 18% to 5%. Now people have got refunds, and the anger against GST has come down.Has costly health services made people unhappy?In each village, government health centres are providing free treatment. Besides, people are insured under Ma Amrutam Health scheme where upto Rs2.5 lakh expenses are taken care of, while under Ma Vatsalya scheme, delivery services have been made free.What of the forceful acquisition of farmers’ land?Land and development are interconnected. Without land, we cannot have development. We have mostly acquired salt pans. We are giving them good compensation that is four times that of market rate.Patidar leader Hardik Patel, OBC leader Alpesh Thakore and Dalit leader Jignesh Mewani have joined to defeat BJP…Congress has been out of power in Gujarat for last 22 years. Its leaders are desperate and are resorting to dirty caste politics.

Civic body’s health report witnesses drastic drop in H1N1 cases in Oct

<!– /11440465/Dna_Article_Middle_300x250_BTF –>As Mumbaikars continue to be severely affected due to viral infections and diseases, the Brihanmumbai Municipal Corporation’s (BMC) recently released health report reflected a drastic drop in H1N1 cases. The report stated that only five H1N1 cases were diagnosed in the city in the month of October. In comparison, the month of September saw 33 cases of swine flu. Of the 33 cases last month, 27 cases were detected till September 15. Only civic-run hospitals were taken into account for the health report.Speaking of the sharp fall in the number of cases, BMC health department official, said, “We can see that there is a drastic drop in H1N1 cases in the city. It can be due to climatic conditions. In October, out of five swine flu cases, three were diagnosed before October 15. Only two cases were diagnosed in the last 15 days. No deaths have been reported so far.”According to the health report, 563 malaria cases and 546 gastro cases were diagnosed in the month of October this year. A 72-year-old Grant Road resident who was admitted in a private hospital and later shifted to a public hospital died due to malaria on October 25. Speaking about the action taken, BMC officials, said, “Over 517 houses and 1,710 citizens were surveyed in Grant Road after the malaria deaths. Other vector control activities were done in the area and one malaria fever case detected was referred to a dispensary for treatment.”While in September there were 849 cases, in October 563 cases of Malaria were diagnosed. In case of gastro, 532 cases were diagnosed in the month of September. Overall the number of cases has decreased in comparison to the figures in September.REPORT FIGURESMalaria 563Gastro 546H1N1 05Dengue 212

90% of mental health patients deprived of medical care, warns President Kovind

<!– /11440465/Dna_Article_Middle_300x250_BTF –>President Ram Nath Kovind today warned that India was staring at a possible mental health epidemic and said over 90 per cent of those affected by mental health issues do not receive the required medical care.While inaugurating the World Congress of Mental Health here, the president quoted World Health Organisation (WHO) figures to state that India has one of the highest prevalence of mental illnesses globally. “Our National Mental Health Survey, 2016 found that close to 14 per cent of India’s population required active mental health interventions. About two per cent suffered from severe mental disorders,” Kovind said. Nearly two hundred thousand Indians take their own lives each year and if data for attempted suicide was included the number went up substantially, he added.The president warned that India was staring at a possible mental health epidemic. “These are worrying statistics. It is also a fact that those living in metropolitan cities and those who were young whether in the productive age group, or children and teenagers are most vulnerable to mental illnesses, he said. In India, he said, both these factors were a cause for concern as India had a young population, with 65 per cent of people below the age of 35. “And our society is rapidly urbanising. This leaves us staring at a possible mental health epidemic,” he said.Given the figures, the president said, it was “an irony that 90 per cent of Indians in need simply don’t receive mental healthcare”. “There are several reasons for this and I hope they will be addressed in this conference,” he said.The president said these issues should be treated with a correct approach. “The biggest obstacle that mental health patients have to encounter is stigma and denial. This leads to the issue being ignored or simply not discussed. In some cases it leads to self-diagnosis that is unsuitable or could worsen the situation. It may even lead to other extreme steps,” he said. Kovind added that as a society the country would have to fight this culture of stigma.”We need to talk about mental health issues and treat ailments such as depression and stress as diseases that can be cured -not as guilty secrets that must be pushed under the carpet,” he said.Kovind also highlighted the “scarcity” of doctors and counsellors to treat such instances. “A second major gap in combating the mental health challenge is that of human resources. India is a country with 1.25 billion people but just seven hundred thousand doctors less than one million,” he underlined. In the field of mental health, he said, the scarcity was even more acute. There are only about five thousand psychiatrists and less than two thousand clinical psychologists in the country, Kovind said.”We need to act,” he said, adding that these numbers of doctors and mental health experts were extremely inadequate. “It is vital to tap into our wealth of traditional knowledge and link its learning to modern research on mental health. This will promote a holistic approach to mental healthcare, combining the best of different fields of practice,” he said. The president said India’s mental health challenge was like capturing a society in multiple transitions.”From traditional diseases, it is gradually non- communicable diseases that are emerging as a major threat to our people and their well being. This is part of a worldwide trend. And many non-communicable diseases are either rooted in or associated with mental health issues,” he said. About a thousand delegates, including 300 from across the globe, are participating in the conference.

18 dead, 100 hurt in UP’s NTPC blast

<!– /11440465/Dna_Article_Middle_300x250_BTF –>At least 18 people were killed and more than 100 wounded when a boiler exploded and caused a massive fire at a state-run NTPC power plant at Unchahar in Uttar Pradesh’s Rae Bareli on Wednesday evening, triggering widespread panic and chaos.The toll is likely to go up in the industrial disaster because most injured have serious injuries and some are still feared trapped inside the coal-fired plant. More than 150 ambulances were pressed into relief and rescue work that was affected by a huge ball of dust that rose after the 500-MW boiler (power generating unit) exploded.The injured have been admitted to various hospitals in Lucknow, Balrampur and Allahabad. All burn units in adjoining districts have been put on high alert. About 20 workers with serious burns were shifted to Lucknow.Among the injured are four assistant general manager-rank officials. Three of them, first shifted to a private hospital in Lucknow, were being flown to Delhi.One injured died in Lucknow’s civil hospital where eight had been admitted. Medical Superintendent Ashutosh Dube said all of them had 80 to 90 percent burns and are in critical condition.Eyewitnesses said that the explosion was so powerful that the employees had little chance to save themselves. “I heard a deafening sound and saw fire. There were bodies all around Unit 6,” said Rakesh Pandey, who was at a nearby tea-stall.Union Health Minister JP Nadda spoke to UP’s Health Minister, and asked the Union Health Secretary to extend all possible help. Congress president Sonia Gandhi asked party workers in Rae Bareli — her parliamentary constituency — to extend all possible help.UP Energy Minister Shrikant Sharma admitted that it was a major industrial accident and said, “Our top priority is to rescue those still trapped and provide best medical care to injured workers. We will certainly fix responsibility and initiate action against anyone found guilty,” he said.A 32-member team of the National Disaster Response Force (NDRF) has reached the plant to supervise relief and rescue operations. A high-level team of NTPC — India’s biggest power utility — rushed to the site to ascertain the cause of the blast and help the local administration in relief and rescue.Initial reports suggest that the blast occurred due to high pressure in a steam pipe of the boiler, said Rae Bareli sub-divisional magistrate Alok Kumar. Fire engulfed the entire Unit 6 where about 200 workers were on duty. CRPF and police jawans have been deployed at the plant which has been sealed to check any unauthorised entry.Unit 6 was commissioned recently. It was still running on trial. NTPC has ordered an inquiry. “We do not rule out any human error,” said an NTPC official.Chief Minister Yogi Adityanath, on a three-day tour to Mauritius, asked officials to ensure effective relief and rescue operations, besides best medical facilities to the injured. The state government announced Rs 2 lakh for the families of the dead, Rs 50,000 for those seriously burnt and Rs 25,000 for the injured. The 30-year-old plant has been shut for now.INDUSTRIAL DISASTERWhat
500-MW power-generating unit explodes, causes inferno
Where
Unit 6 of NTPC’s plant at Unchahar in UP’s Rae Bareli
When
Wednesday evening while 200 workers were on duty
Why
High pressure in one of the pipes, says area SDM
How
Blast causes fire, raises a huge ball of dust, hits rescue
Toll Likely to go up as many seriously burnt, others trapped inside
Rescue Operations on till late in the night

Delhi High Court seeks response over insurance cover to HIV/AIDS patients

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Delhi High Court on Tuesday sought the response of several public sector insurance firms on whether any policy was being offered to people suffering from HIV-AIDs. A bench of Acting Chief Justice Gita Mittal and Justice C Harishankar’s query came on a petition which sought inclusion of HIV positive and AIDS-afflicted people in life and health insurance policies with consequential benefits.The court, while posing the question, also directed the PSU insurance firms to forthwith take a stand and comply with the guidelines of Insurance Regulatory and Development Authority (IRDA).”Inform this court about your (insurance firms) stand on making available insurance services to people afflicted with HIV and AIDS,” the bench said and asked them to file an affidavit and listed the matter for January 22 next year.Appearing for the Centre, its counsel informed the court that the HIV and AIDS (Prevention and Control) Act, mandates equality of people and prohibits any discrimination against people suffering from HIV or AIDS.The counsel for the state-owned insurance companies submitted that the issue was under consideration and they required time but were ready to follow the guidelines of the IRDA. Earlier, the court had issued a notice to Ministry of Health, public sector insurance companies and the IRDA seeking their responses. The plea had alleged discrimination against people with HIV and AIDS (PLHAs).The petition filed by Rajeev Sharma has alleged that there was no “effective progress and implementation of any insurance policies for the benefit of PLHAs”.The court has tagged the matter with another similar pending petition which had the grievance of non-availability of the facility of insurance for children born with congenital or birth defects.The plea had contended that the Centre had in 2013 said that by April 1, 2014, the insurance cover would be available to all PLHAs, but nothing has happened.

Indoor air pollution behind 1.24 lakh premature deaths in India in 2015: Lancet report

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Indoor air pollution caused 1.24 lakh premature deaths in India in 2015, more than the emissions from coal power plants or other industrial sources, a report published in Lancet, a noted medical journal, has said.The findings establish what experts have been saying for long – that air quality in Indian households, especially in the rural areas, is lethal due to use of wood or cow dung as cooking fuel coupled with poor ventilation.The report states that while the country recorded 524,680 premature deaths in 2015 due to air pollution caused by the presence of ultrafine particulate matter PM2.5, “the biggest contributor was household air pollution, which was responsible for 124,207 premature deaths per million people.” In May last year, the Indian government had embarked on a drive to provide free cooking gas connections to five crore women from poor households in three years with a view to reduce the use of polluting fuels such as wood and dried cow dung.Among other sources, emissions from coal power plants, transport and other industries caused 80,368, 88,019 and 1,24,207 preventable deaths respectively, the report said.The report, ‘The Lancet Countdown: Tracking Progress on Health and Climate Change’, is an account of a global study on climate change and the risks it poses in terms of temperature- related illness and death, worsening air quality, extreme weather events among others.Pollutant particles PM2.5 measure less than 2.5 microns, up to 30 times finer than the width of a human hair, can embed themselves deep into the lungs and enter the bloodstream, triggering respiratory or cardiovascular diseases.”Annual average PM2.5 concentrations in India are 59 ug/m3, with a maximum measurement of 176 ug/m3 in Gwalior. The WHO recommends that PM2.5 concentrations do not exceed 10 ug/m3,” the report said.The corresponding standard set by the Indian authorities is 60 ug/m3.China, with 966,793 premature deaths topped the list in 2015, but in its case the maximum number of deaths were caused due to industrial sources, the report said.According to the ‘Lancet Countdown’, between 2000 and 2016, global labour capacity in populations exposed to temperature change is estimated to have decreased by 5.3%, with India bearing the brunt.”Compared with the 1986-2008 average, labour capacity (or productivity) in India has decreased by 2.85% on average between 2000 and 2016. This decrease has been most significant from 2015, since when labour capacity has decreased by an average of 8.25%,” it said.The report also refers to a “notable increase” in the heatwave exposure and length in India since 2014.The findings come days before the UN climate summit in Bonn, Germany, scheduled to start on November 6.

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.

DNA THEME: Bride & prejudice… How SC ruling can help

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The recent Supreme Court ruling that sex with a minor wife amounts to rape, could be a game changer for underage girls aged between 0 and 19 years in the state who are already mothers. This judgment will indisputably correct the view that early marriage is a serious infringement of child rights. According to the 2011 Census, 31.6 per cent girls in Rajasthan were married off before the age of 18. A more recent survey by the National Family Health Survey (NFHS-4) 2015-16 pointed to an even higher number, with 35.4 per cent of girls aged between 20 and 24 years got married off before attaining the legal age.Hook or by crook, this progressive decision will not only break the social orthodoxy but will also help in improving the health scenario of the state. Maternal mortality and infant mortality rates are closely linked to early marriages. A UNICEF study revealed that early marriage hinders educational attainment, which then leads to poor maternal health and higher infant mortality rates. Child-bearing at a young age is detrimental to the health of both the mother and the infant. This is why child marriage affects women more than men, other than the fact that men are less likely to be married as children. Nearly 4 lakh children were born to couples married in the age group of 0-19. Rajasthan has the highest number of female brides where 15.6% girls were married before the age of 19 or less then it.National Commission for Protection of Child Rights (NCPCR) made “A Statistical Analysis of Child Marriage in India based on Census 2011” wherein 70 districts out of 640 districts with high incidence of child marriages were identified. Some 17 districts of Maharashtra, including Latur, Mumbai and Pune have reported high instances of child marriage. In Rajasthan, 13 districts, including Jaipur, Ajmer and Bhilwara, have reported increasing incidents of child marriage.What are the main reasons for early marriage?The main reasons of early marriage for both male and female children vary. Parents of daughters reported that the main reasons for early marriage of their girls are safety and security problems of girls, traditional system, pressure from relatives, economic hardship and poverty as well as demand of dowry. The parents of boys reported that the main reasons for early marriage of their boys are pressure from relatives and family members, traditional system, economic hardship and poverty as well as land ownership related issues.Lack of awareness adds to the miseryAs per the study of Planning commission published on Child marriage in November, 2014. Child marriages are prevalent not just because of regressive traditions, but because of other reasons as well. Poverty & lesser demand for dowry are also major reasons. The offenders were not aware of the Child Marriage prohibition act Law and enforcement has to be made accountable. Passing the laws are only the first step, implementing and executing them in accordance with the law are also important.

CM Vasundhara Raje lays foundation stone for state-of-art cancer institute

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The much delayed cancer specialty centre, State Cancer Institute to be developed in the Pink City has been put on a rigid deadline for completion following its foundation laying stone ceremony by chief minister Vasundhara Raje on Saturday. The institute to be developed at an estimate cost of Rs120 crore at Rajasthan University of Health Sciences (RUHS) campus at Pratap Nagar is proposed to have several cancer specialty departments and is scheduled to be developed in exactly one year, by October 27,2018.“The Institute will be equipped with latest technology and infrastructure for treatment of several types of cancer. Along with treatment it will also have facilities for rehabilitation of the patients,” said Raje during the foundation stone laying ceremony.Rehabilitation of the patients will be ensured through physiotherapy and exercises at the paraplegic rehabilitation centre at the institute. At the paraplegic centre the patients will be extended treatment by experts assisted with state of art technology and equipment.CM Raje on Saturday also laid the foundation stone for the paraplegic treatment wing and a sports complex to be developed at RUHS.The State Cancer Institute is proposed to be spread over 35,000 square metres of land and will have specialised wings for radiology, surgical oncology, medicinal oncology, pathology, etc.The project has once again gained pace on account of efforts from the CM and its proposal received economical sanctions from the central health and family welfare ministry in January this year.Money mattersThe State Cancer Institute to be developed with an estimated cost of Rs119.25 crore. Of this, 60% will be provided by central ministry of health and family welfare and remaining 40% by the state government. Rs32 cr is for construction of building while around Rs82 crore will be spent on procurement of equipment.

Kashmir: 72 assaulted in braid-chopping incidents in Valley

<!– /11440465/Dna_Article_Middle_300x250_BTF –>In Kashmir, there were 72 cases of people beating up innocents on the suspicion of them being braid-choppers and cases would be registered against all those who took law into their own hands, Director General of Police (DGP) Dr S P Vaid said on Monday.He also said if needed, those accused of beating up the innocent would be slapped with Public Safety Act (PSA), but no innocent person being branded as braid-chopper by the public on suspicion would be booked.”In 72 cases (of braid chopping), people took law into their own hands and beat up the innocent (in Kashmir Valley)”, Vaid told PTI on Monday.Asserting that FIRs would be lodged in all the 72 cases, he said, “The police will deal with miscreants sternly.” The DGP said police would not book any innocent person and in cases where an innocent person have been handed over to the police by the public on the suspicion of being a braid- chopper, police authorities should tell the facts to the media clearly.Vaid said all districts now have Special Investigation Teams (SITs) and officials from Social Welfare and Health department have be involved in it.The health department should depute teams to meet braid- chopping victims and probe the matter, he said.The DGP said, “It (braid-chopping incidents) took place in many parts of northern India and then it was reported in Jammu. Such cases were also reported in south, central and north Kashmir”.”But the difference is that, in Kashmir, there are elements who do not want peace and normalcy,” Vaid said, adding such elements were trying to exploit people’s sentiments to trigger unrest.

Sushma Swaraj in Bangladesh: MEA opens India’s new chancery complex in Dhaka

Updated: Oct 23, 2017, 12:34 PM IST, PTI
<!– /11440465/Dna_Article_Middle_300x250_BTF –>External Affairs Minister Sushma Swaraj opened the new chancery complex of the Indian High Commission in Dhaka on Monday on the last day of her Bangladesh visit.Swaraj lit a candle to mark the opening of the huge complex at Dhaka’s Baridhara diplomatic enclave while the High Commission was previously operating from a house in Gulshan area of the city.During the ceremony, she also inaugurated 15 development projects of Bangladesh being funded by India.Bangladesh Foreign Minister A H Mahmood Ali, Health Minister Mohamad Nasim, and Prime Minister Sheikh Hasina’s political affairs adviser H T Imam among others joined the ceremony.Swaraj will return to New Delhi later today wrapping up her Dhaka visit, the second since assuming office in 2014.​

Top 10 killers in India

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Global Burden of Disease study, released last month, provides shocking insights into what is causing deaths and disabilities among people — as many as 328 diseases in 195 countries continue to kill and cripple. India, one of the most populous nations, figures starkly in the study, which also measures injuries and risk factors. The top 10 killers in India range from Ischemic Heart Disease (IHD), or a simple heart attack, to tuberculosis.If India has to realistically move towards achieving the World Health Organisation (WHO)-recommended Universal Health Coverage (UHC) guidelines, it will have to provide much better preventive, clinical and financial services to reduce the number of deaths and disabilities.1 Ischemic Heart Disease (IHD) causes 17.8% of all deathsHeart attacks killed more people in India than any other cause in 2005, and it remained the biggest killer in 2016. It has been a decade since the disturbing trend of heart attacks striking people below 40 started in India. The Outpatient Department (OPD) in Gurugram’s Medanta, one of India’s largest private hospitals, is teeming with patients. Dr Ravi Kasliwal’s clinic is busy as ever. He heads the clinical and preventive cardiology departments there. Only a few weeks ago, a 28-year-old man showed up in the emergency department, complaining of a shooting pain in his chest. It was a heart attack. “His major artery was 100 per cent blocked. The heart attack must have taken place a few hours ago that day, but the thickening of the artery happens over 7-10 years. He had started smoking 12 years ago, and had up to 15 cigarettes a day,” Dr Kasliwal told DNA. One in four patients that Dr Kasliwal examines has a blocked heart artery, and up to 30 per cent of this patient group is young. “Diabetes and high blood pressure ring alarm bells for impending heart attacks, and these warning signs should not be ignored. Smoking, physical inactivity and psycho-social stress will inevitably lead to a heart attack,” he said.2 Chronic Obstructive Pulmonary Disease (COPD) causes 8.66% of all deathsLast week, 77-year-old Ramswaroop Goyal of Delhi’s Bhola Nagar came heaving to the OPD of Dr Randeep Guleria, a pulmonologist and director of All India Institute of Medical Sciences (AIIMS). Goyal has had difficulty in breathing over the past decade. But a few days ago, it got exacerbated, largely due to Delhi’s worsening air quality. “He suffers from COPD of the lungs. It leads to the weakening of lung capacity. He is largely bed-ridden and requires intermittent oxygen support to breathe,” said his son Banshi Dhar, as Goyal looked on from behind a mask that was releasing steroid gases into his lungs to help him widen his airway, and ease breathing. Meanwhile in Mumbai, Dr Amita Athavale, head of department, respiratory medicine at King Edward Memorial Hospital, is planning a long-term research on COPD exacerbation cases in rural areas. “It is largely caused due to indoor air pollution… in village kitchens, due to burning of biomass,” said Dr Athavale. Human lungs have a holding capacity of 3.5 litres. After 30 years of age, it declines by 10-30 ml per year, if a person does not exercise. In COPD patients, it declines faster, almost 100 ml per year. “The lungs enlarge, they lose elasticity, remain ballooned and oxygen holding capacity drops. Oxygen is heart fuel. The organ has to work more. This causes heart failures in COPD patients,” said Dr Athavale. Dr Athavale saw three women with COPD, who had come from Uttar Pradesh and Bihar, in her Mumbai clinic. “They said that they have now received LPG connection under the Pradhan Mantri Ujjwala Yojana. We get about 1,000 indoor admissions for COPD every year. We are collecting data for a longitudinal study to see if mass shift to LPG usage will reduce COPD cases. Three patients is too less a number to conduct a study, but it is a start,” she said.3 Diarrhoeal diseases cause 7.94% of all deaths Diarrhoea kills just a little less than COPD. In all age groups, it is the third largest killer in India. But when we consider percentage deaths from diarrhoea in children below five, the figure swells up to 13 per cent. We are losing three lakh children to diarrhoea every year. One such case emerged at Lady Hardinge Medical College and Kalawati Children’s Hospital a few weeks ago. A two-month-old from Haryana’s Mewat was wheeled into the hospital. “Ideally the infant should have weighed four kilos, but he weighed a measly two kilos. He was 2.5 kilos when he was born, a normal weight for a newborn, and shed 500 grams in two months, instead of gaining weight,” said Dr Varinder Singh, a senior paediatrician. The baby was admitted in a state of shock. He had been passing water in stools rapidly, and was severely malnourished. “The mother was not breastfeeding the child. Breastfeeding awareness in India is extremely poor. On top of that, diluted milk or plain water is fed to the child,” said Dr Singh. The result is infection, severe dehydration, loss of body fluids causing electrolyte imbalance and acidosis, which leads to multi-organ failure. It is a gruesome death caused due to poor hygiene and ignorance among the parents.4 Cerebrovascular diseases cause 7.09% of all deathsThey are essentially brain strokes or internal bleeds, and have moved up from the sixth position in 2005 to the fourth in 2016.A 11-year-old girl in Mumbai was admitted to KEM Hospital’s neurosurgery department after a vessel that carries blood to the brain burst and she had profuse internal bleeding. Doctors were baffled with the case as there was no blockage, and ruled out junk food or obesity to be the cause. “It was rather stress. She may have been facing a lot of psychosocial stress at school, which had caused inflammation of the vessel. Such internal bleeding is a silent killer,” said professor Aadil Chagla, neurosurgeon at KEM Hospital. When Dr Chagla started his practice in 1989, cerebrovascular diseases were prevalent in patients who were in their 60s or 70s. Three decades later, he says, more young patients have these phenomenon. “Pollution, stress and junk food are in general lowering resistance levels. If vessels are not strong enough to carry the blood load, they will burst and bleed,” he said.5 Lower Respiratory Tract Infections (LRI) cause 5.06% of all deaths These include pneumonia and influenza infections. Antibiotics often prove ineffective in today’s drug-resistant strains, including the infamous super-bugs. They include a battery of parasites, viruses and bacterial infections that strike the old and young alike. They mostly kill the elderly and children below five. Pneumonia is known to kill one in every four people that it infects.6 Tuberculosis (TB) causes 4.45% of all deaths After an eight-year fight against TB, Rahima Bi (44) of Uttar Pradesh died a lonely death earlier this year. She was one of the 12 documented cases of extremely drug-resistant (XXDR) TB cited by Dr Zarir Udwadia of private-run Hinduja Hospital, a research study that shook the world. The Indian government woke up to the ticking time bomb of drug-resistant TB, an ailment in which no medicine works. She was deemed cured of XXDR-TB before she died. She later had developed COPD and anaemia, which depilated her further, as after-effects of TB. Last when DNA met her, she was beaming and showed this correspondent her chest X-Ray report. Her lungs were clear of infection. She was still weak and spat blood at times. She was living alone in her shanty when she breathed her last. Her sons were away for work. Her husband had abandoned her. While India has records of close to 17 lakh TB patients, an additional 10 lakh patients have been undetected. According to WHO reports, up to four lakh Indians die of TB annually. “Sadly it’s a man-made problem caused by decades of a poorly functioning, underfunded and inefficient government TB programme, coupled with a dysfunctional and untrained private sector that is responsible for our present plight,” said Dr Zarir Udwadia, chest physician, Hinduja Hospital in Mumbai. “At my clinic, we see an endless stream of drug-resistant patients from all parts of the country, infected with highly resistant strains and denied access to the drugs that could save them. They are the young bread earners of their families, struggling to overcome a deadly disease and crippled by its social and economic ramifications. Each is a study in desperation. Sadly, each patient will infect 10-20 close contacts at home, in schools, colleges and work places ensuring that the problem will only amplify over the decades ahead.” New drugs like Bedaqualine and Delamanid could save thousands of lives but sadly the government sees it fit to control their use in such a draconian fashion that they are inaccessible to all except a tiny minority of those who would benefit from them, he said.7 Diabetes causes 3.11% of all deathsIn 2005, it was the least of our concerns. It ranked 13. In 2016, it is the seventh largest cause for deaths in India. Dr Shashank Joshi is treating a 16-year-old girl with Diabetes Mellitus or Type II diabetes after she recorded a fasting blood sugar level of 180 milligrams per deciliter (mg/dL) as opposed to the normal 100 mg/dL. She had a post-lunch reading of 300 mg/dL, up from a normal of 140. India has an estimated 6.5 crore diabetics. Joshi, a Mumbai-based endocrinologist says diabetes is equal to a heart disease. “Blood sugar sticks to vessels, retina, kidneys, nerves and damages arteries. A diabetic lives 7-8 years less than a normal person,” Joshi said. “Ten to 15 years later, diabetics face strokes or heart attacks.”8 Road injuries cause 2.59% of all deaths Deaths due to road injuries have spiked over the last decade, moving from the ninth position to the eighth in 2016. According to the government’s own admission, fatalities in road accidents have increased by 3.2 per cent between 2015 and 2016. A total of 1,50,785 persons were killed in over 4.8 lakh road accidents in 2016. Professor Aadil Chagla, neurosurgeon at KEM Hospital in Mumbai, was a victim of one such bus accident himself, years ago. “While most of us survived, the bus conductor succumbed because there was no first aid to salvage him,” said Chagla. Chagla has started building a trauma centre along National Highway-66 at Mahad in Raigad district neighbouring Mumbai and Pune. “There should be a trauma centre every 50-100 km on highways. Victims die due to non-receipt of care in the golden hour. It takes at least 3-4 hours to take them to a tertiary centre to Mumbai, and by the time they are admitted, they die,” said Chagla. “While the government has announced various new road projects, it has done nothing to ensure road safety. About 90 per cent of head injury victims do not need surgery. They need conservative treatment to stabilise breathing, regulate blood pressure and intravenous fluids.” We are also trying to arrange for a mobile CT scanner to be put in place to ply through 3-4 trauma centres along the highway, as also an ambulance. This is just a drop in the ocean but it has to start from somewhere,” said Chagla.9 Chronic Kidney Disease (CKD) causes 2.39% of all deaths It ranked 15 in 2005. It’s the ninth most probable cause of deaths in the 2016 rankings.“The reason CKD is such a huge problem is that there is a very high incidence of diabesity and hypertension in our country. These are major risk factors for CKD,” said Dr Bharat Shah, leading nephrologist at private-run Global Hospital in Mumbai’s Parel area. Heart attacks, cerebrovascular diseases, diabetes and CKD are all related to each other. One can lead to another or occur independently, even in younger age groups. A small percentage progress of CKD graduates to kidney failure. Other patients may have a higher risk of developing heart diseases. Some also have co-morbid condition of diabetes.Those who develop kidney failure have only two options — dialysis and transplant — most Indians cannot afford. It is estimated that only 15-20 per cent of patients get dialysis and transplant. This means 80 per cent do not survive, said Dr Shah. He advises, “The best way is to educate the masses about preventing and controlling diabetes and hypertension and avoiding unnecessary use of unknown alternative drugs and pain killers. The best way to detect early is to do two simple tests: urine routine and serum creatinine.”10 Self harm causes 2.35% of all deathsThere have been less deaths due to self harm in 2016 than in 2005. Of eight lakh suicides across the world annually, 1,35,000 are from India, which means one in every eight persons that ends her life is an Indian. Psychiatrists say that the overwhelming proliferation of romantic relationships on social media is a new cause for self harm. A 17-year-old girl was rushed into the emergency department of KEM Hospital after she consumed poison. She had befriended a man who had made a fake Facebook profile and masked his age online. He later blocked her. Dejected, she decided to take her life. She was later salvaged, said Dr Sagar Mundada, senior resident doctor, psychiatry. Every week, the Wednesday OPD in KEM deals only with self-harm patients. “We get at least three patients every week who have tried to harm themselves in someway or the other — poisoning or slashing of wrist. They fall in the age group of 15-25,” Dr Mundada said. (Maitri Porecha is a health correspondent with DNA, and is currently pursuing the Universal Health Coverage Fellowship supported by the World Health Organisation and the Centre for Media Studies)
WHAT ABOT CANCER?Cancer does not make it to the top 10 causes of death in India because the family of the variety of cancers is huge. If all types of cancers are summed up, they result in over 8 per cent deaths. That is like being in the top five killers. However, cancer is not seen as a single ailment. For example, oral cancer is separate from prostate cancer. Patients of blood cancer are considered a different group from those suffering from breast cancer. Eighty people in a population of one lakh suffer from cancer. Two-third cancers are lifestyle related. This means those pre-disposed to risks like diabetes, hypertension, alcohol, drug use, tobacco consumption are at greater risks. Sixty per cent of deaths in cancer can be attributed to tobacco.NOT DOING ENOUGHAccording to the GBD study, India is not spending enough to salvage the death and disability situation.
1990: Healthcare Access and Quality (HAQ) Index for India was 30.7 against best possible 48.8 with a gap of 18.1 units
2015: HAQ Index 44.8 against best possible 68.4 with a gap of 23.6 units WHAT IS DISABLING INDIA?1 Iron-deficiency anemia2 Sense organ disease3 Low back and neck pain4 Migraine5 Skin diseases6 Depressive disorders7 Other musculoskeletal disorders8 COPD9 Diabetes10 Anxiety disorders

Women’s body questions absence of female doc in health centre

<!– /11440465/Dna_Article_Middle_300x250_BTF –>The Delhi Commission for Women (DCW) on Monday sought a report from the Chief District medical officer (North zone) on why no female doctor has been appointed to the Hollambi Kalan JJ colony’s health centre.The DCW Chairperson Swati Maliwal, had earlier sent a notice to the Health Secretary over the issue, following which the department had ordered the zone’s Chief District Medical Officer to hire a female doctor in the Hollambi Kalan health centre. “But, no new lady doctor has been appointed yet. So, the commission has now notified the Chief District Medical Officer to send a report within seven days,” the Commission said in a statement.The matter came to the women body’s notice when a Mahila Panchayat organised by the commission in the area and local women complained about the unavailability of female doctors in the health centre there.The locals also suggested that the presence of a female doctor will also ease their problem. “The scarcity of female doctors in the Hollambi Kalan health centre has put the local women in a sorry situation. This is why the CDMO has been questioned as to why the appointment of female doctor hasn’t taken place yet,” Maliwal said.

Diwali 2017: Facebook, Whatsapp messages, SMSes and wishes to send your loved ones

<!– /11440465/Dna_Article_Middle_300x250_BTF –>Diwali, also known as the festival of lights, is an occasion to celebrate the victory of light over dark, good over evil. Here are some ‘Diwali Messages’ that you can mail, text or SMS to your loved ones.1. Diwali is a magical time to celebrate with loved ones. May you get to create special memories with the ones you love, this Diwali. Best wishes!2. This Diwali, may you be blessed with good fortune as long as Ganeshji’s trunk, wealth and prosperity as big as his stomach, happiness as sweet as his ladoos and may your trouble be as small as his mouse. Happy Diwali!3. HAPPY DIWALI TO YOU! May you be surrounded by family and lots of love on this Diwali 2017. Have prosperous Diwali.4. May the light that we celebrate at Diwali show us the way and lead us together on the path of peace and social harmony.5. रोशन हो दीपक और सारा जग जगमगाये लिए साथ सीता मैय्या को राम जी हैं लाये हर शहर यूँ लगे मानो अयोधया हो आओ हर द्वार हर गली हर मोड़ पे हम दीप जलाये6. Wishing a great Diwali that is all set to brighten your days with prosperity, warmth, success and the very best that life can offer, now and forever.7. Deepavali ka yeh pyara tyohaar, Jeevan me laye aapke khushiya apaar, Lakshmiji viraaje aapke dwar, Shubhkamna hamari karein sweekar! Diwali Ki Bahut Bahut Badhai!8. Let’s make this Diwali joyous and bright, Let’s celebrate in true sense this festival of light. Happy Diwali9. Peace Prosperity Joy Good Health Long Life These are my wishes for you this Diwali. Happy Diwali!10. झिलमिलाते दीपों की रोशनी से प्रकाशित ये दीपावली आपके घर में सुख समृद्धि और आशीर्वाद ले कर आए शुभ दीपावली!

Buying mawa this Diwali? Test it first

<!– /11440465/Dna_Article_Middle_300x250_BTF –>It is festive times and also time when sweets are consumed in large quantities. It is also the time when adulterated sweets flood the markets. While the Flying Squad of Ahmedabad Municipal Corporation routinely checks samples to check adulterations, experts show how simple it is to see if the sweets you are eating are safe.”Mawa is a common ingredient used in most sweets and hence it is also the most adulterated. It is often adulterated with palm oil and rice starch. It is quite simple to see if the mawa you bought is pure,” said Atul Soni, quality manager of AMC’s Public Health Laboratory.”One can test the mawa sample using this simple test. Boil a small portion of mawa in water. Let it cool. Then add a few drops of iodine solution. If it turns blue, it means starch has been added to mawa for volume,” he said.”Rub a little mawa on palm. Buy only if it leaves hands greasy and taste slightly sweet,” he said.He also revealed simple secret to identify if that silver foil used to garnish sweets is pure or not.”The silver foil has to be 99.9 percent pure if it is going to be used as a food item. If the foil has spread out smoothly on the surface, it is indeed pure. If it’s breaking, it’s not. To double check, rub a bit of the foil between fingers. Silver will not disintegrate while aluminium will roll up into a ball,” Soni said.