The National Medical Newspaper

Pakistan’s First Independent Medical Periodical from Karachi Vol. 52 No. 17 February 15-29, 2020 Published Fortnightly Reg. No. ID. MC-153 ISSN 1728-1520 Controlled Circulation

Robotic and dimensional Induction of 900 5th Pharma Summit FBR starts Inside laparoscopic ... 03 trainee medical ... 05 by PPMA 06 crackdown on ... 12 THE MYSTERY OF GAS LEAK PMC ordinance Death toll mounts amid ‘null and void’ by IHC confusion over source MN Report ISLAMABAD - The Islamabad High Court recently declared Medical and MN Report health ministry came up with the patients were collected Dental Council (PMDC) dissolution null and KARACHI - As per sources, the latest casualty figures. and sent to Aga Khan void and restored the dissolved Pakistan the death toll from the "To conclude the report, 14 University Hospital and Medical and Dental Council (PMDC) by mysterious gas leak rose to patients expired," said the International Center for setting aside the presidential ordinance 14, recently. Many Chemical and people have been Biological Sciences hospitalised ever (ICCBS) for further since the leak was investigation and first noticed. The analytical study. people of the Efforts to affected areas took determine the to the streets, cause or even the accusing the exact place of gas administration of leak failed to throw that had replaced the PMDC with the paying only lip up anything Pakistan Medical Commission over three service over the conclusive. and a half months ago. grave issues involved. Special Health Secretary in The International Centre for Giving a short verdict, which had been After a brief respite earlier, the his report to Chief Minister Chemical and Biological reserved in PMDC dissolution case on Jan situation began deteriorating Syed Murad Ali Shah. Sciences at the University of 8, Justice Mohsin Akhtar Kayani declared again when a number of It is pertinent to mention here Karachi suspected that 'soya that the ordinance that repealed the PMDC people, including women and that 258 patients were bean dust (aeroallergens)' was was ultra vires, held that the PMC formation children, were rushed to examined and 232 were behind the problem. However, was not authorised by the law and directed private and government discharged after treatment and a study conducted by a private the federal government to reinstate the hospitals. This exercise 12 patients were under laboratory assisting the sacked employees of the PMDC. President continued till sunrise. Finally observation in relevant environment authorities spoke Arif Alvi had promulgated the PMC in the evening, the Sindh hospitals. The specimens of Continued on Page 09 Continued on Page 09 Nationwide polio eradication Founder: Ayaz Mahmood campaign begins Publisher: M Hassan Mahmood MN Report Chief Executive: Syed Hashim Hasan /MedicalNewsPk ISLAMABAD - The year's first nationwide December last Online Editor: Haseeb Uddin /MedicalNewsPk polio vaccination drive has been all set to year, the nation is Assistant Editor: begin recently, apart from Karachi where all set to Dr Muattar Hanif the campaign began a week ago, aiming undertake aggressive Honorary Advisor: Dr Sulman Akhtur to vaccinate approximately 39.6 million measures to push the virus Manager Production children. The campaign would involve nearly back during 2020, setting the stage to root out polio & Coordination: M Irfan Ali medicalnewspk.com 265,000 polio workers going door-to-door from the country once and for all," claimed Special Advertising Manager to inoculate children under the age of five. Assistant to the Prime Minister on Health Dr Zafar Mirza. Tel: 021-35833172 SM Shakil (0300-2559344) 021-35872289 Earlier, though the National Institute of Health "We have critically reviewed our performance during Business Executives Khawaja Akhlaq Ahmed confirmed five more polio cases from Khyber the last campaign and worked with provincial and district (0342-2393917) Haroon Rashid Pakhtunkhwa and Balochistan, bringing the tally teams for even better preparedness for the upcoming (Islamabad: 0300-9710774) for the current year so far to 17. vaccination effort," Zafar added. Designing & Layout "Building on the successful national campaign in Continued on Page 09 Sh M Sadiq Ali Coronavirus: Awarness programme to address preventive measures

MN Report urged the citizens to protect KARACHI - A public themselves against the awareness seminar titled possible threat from the 2019 "Novel Coronavirus (nCoV) novel coronavirus (2019- and Preventive Strategies" nCoV) in the country, saying PMA calls for increment was recently organized at that the World Health in health budget

MN Report by the government," PMA KARACHI - Addressing a recent representatives told. press conference at the MPA Similarly, an effective House, The Pakistan Medical vaccination/immunization program Association officials (PMA) recently should be carried out honestly and demanded increase in the health professionally, to eradicate budget of the country. diseases like polio, TB, whooping Dr S M Qaisar Sajjad, Secretary- cough, diphtheria, measles, General, PMA Centre, Dr Qazi smallpox, hepatitis, typhoid, University of Karachi (KU). Dr Organization (WHO) has Muhammad Wasiq, Dr Muhammad meningitis, pneumonia, mumps, Muhammad Rashid, Senior declared the outbreak of new Sharif Hashmani, President, PMA rubella, and others for good. Research Officer at the coronavirus a global health Karachi Chapter, and Dr Abdul "Unfortunately, healthcare and National Institute of Virology emergency. He told that the Ghafoor Shoro, General-Secretary, education are not priority areas for that works at under the Dr virus had infected more than PMA Karachi spoke to the media our government," noted the PMA. Panjwani Center for Molecular 30,000 people, while more persons regarding the dilemma. "It is the need of the hour that our Medicine and Drug Research than 600 people have died due They said that Pakistan, with a government puts its act together, (PCMD), KU was invited as to the fatal infection in China. population of over 219,006,884, make a people-friendly health Chief Guest. PCMD and the Dr Rashid said that citizens stands fifth in the world, with one policy, increase the health budget, Virtual Education Project were advised to practice the of the fastest-growing populations. concentrate on preventive Pakistan (VEPP) jointly best hygiene. They should "The country is facing challenges healthcare, eliminate corruption, organized the seminar to raise wash their hands frequently like poverty, illiteracy, energy crisis, honor merit, and, above all, public awareness about the and thoroughly for at least 20 terrorism, and, indeed, a massive demonstrate a political will to most important current seconds, or use alcohol-based burden of diseases," PMA told. address the issues of health and challenges that our nation is hand sanitizer if soap and PMA, through its health of the education in the country on a facing. water are not available. nation report, has already priority basis," urged PMA. Virology expert, Dr Rashid Following the global health highlighted these pressing issues They demanded the reinstatement while addressing the audience Continued on Page 09 and offered recommendations. For of the Pakistan Medical and Dental many years, health indicators have Council, which should be an failed to show any positive trend. autonomous, democratic, In fact, in some of the areas, things transparent, and vibrant body have worsened, said in Press comprising of elected and 47 more quackery conference. nominated members as per the The PMA leaders said that 1962 ordinance, with the inclusion outlets sealed according to the WHO's of stakeholders like the PMA and recommendations, the health the PDA. in Sindh budget of a country should at least They demanded a complete MN Report be 6% of the national GDP. In our overhauling of medical education KARACHI - The Directorate of case, the health budget, despite and training of doctors according Anti-Quackery of the Sindh Healthcare the PMA's repeated pleas and to recent trends in the world. They Commission (SHCC) recently sealed 47 reminders to the government, has demanded a people-friendly more quack clinics across the Sindh province remained less than 1%, out of national health policy based on the in a week. Various successful raids were led which 80% is spent on salaries ground realities of the country. against quacks in the province as well. and administrative costs. Out of The PMA spokespersons urged The SHCC has sealed 3,306 healthcare establishments (HCEs) the 20% that is the share of the that adequate health budgets are in Sindh so far. Warnings for non-compliance have also been poor masses, corruption eats up assigned with the assurance that issued to 1046 clinics to date. a major chunk, leaving a negligible the allocated amount would be The Directorate of Licensing & Accreditation received 38 new amount for the poor patients, they spent with honesty. "We demand applications for registration in a week, taking the total number noted. a check on the mushroom growth of applications to 10,500. Certificates were issued to five HCEs "Pakistan carries a heavy burden of medical colleges and universities this week, bringing the total number of issued registration of diseases because of the lack of regarding the faculties, certificates to 9,466. awareness and ignorance and the infrastructure, tuition fee, etc." Meanwhile, the SHCC will also collaborate on the polio campaign poor healthcare delivery system at "We advocate that prevention is with the Sindh government and write letters to hospitals seeking the primary level. Most diseases better than cure must be our support for the polio campaign as well. are preventable through national goal. Print and electronic Meanwhile, Chief Executive Officer (CEO), SHCC, Dr Minhaj vaccination/immunization or by media must allocate some time for Qidwai, held a meeting with the Pakistan Islamic Medical way of simple awareness and the creating awareness of this slogan," Association (PIMA) and encouraged them to plan an awareness provision of some basic facilities the PMA concluded. session for their healthcare providers across the Sindh province.

02 MEDICAL NEWS / February 15-29, 2020 welcomed the donor and President inaugurates Fazaia presented the details of his institute activities. Ruth Pfau Medical College The SIUT has a well-structured surgical program comprising MN Report of experienced surgeons in the KARACHI - President Dr Arif Alvi recently field of robotic surgery for inaugurated the newly constructed Fazaia urological disorders, according Ruth Pfau Medical College in Karachi. He to the Press Release. was welcomed by the Air Chief Marshal, A SIUT press release Mujahid Anwar Khan, Chief of the Air Staff, highlighting the salient features Pakistan Air Force, on arrival. of the new surgery unit stated that the 3D surgery facility, Robotic and dimensional which will do away with the conventional open surgery, will laparoscopic facilities provide relief to patients with less pain, less loss of blood, opened by SIUT less risk of infection, shorter hospital stay, and above all, MN Report installed, as per reports. quicker recovery time. KARACHI - The Sindh Renowned philanthropist, Speaking at the opening Addressing the occasion, the Chief Guest Institute of Urology and Bashir Dawood, who donated ceremony, Bashir Dawood appreciated the relentless efforts of the Transplantation (SIUT) is the an amount of Rs450 million to lauded the dedication and team members in carrying out this first public sector hospital to establish the unit, inaugurated professional excellence of the remarkable project in record time, as per open its own robot facility the unit at a recent ceremony. SIUT's doctors and the standards of the Pakistan Medical along with a 3-dimensional The unit has been dedicated paramedics. Council. laparoscopic unit to provide to Kassim Parekh, a renowned He has also pledged a Dr Arif Alvi further said that the Pakistan state-of-the-art surgical banker and a close family donation of Rs1 billion to build Air Force had been significantly facilities to its patients. The friend of the Dawood family. an SIUT Children and Cardiac contributing towards nation-building, in robot was currently being Director, SIUT, Prof Adib Rizvi, Hospital. the fields of healthcare and education, in particular. He hoped that this college would be a valuable addition in the long list of public service endeavors carried out by the PAF in recent years. Later on, the Chief Guest unveiled the plaque and prayers for the success of the project. Dr Arif also visited the various facilities of the college and interacted with the faculty Continued on Page 08 Workshop on ultrasound held Coronavirus: Suspected patient admitted in Khairpur at Altamash General Hospital MN Report MN Report KARACHI - A workshop was KHAIRPUR - After arriving from China, a recently held at Altamash General Pakistani student, suspected of being Hospital to highlight various affected by the coronavirus, has been aspects of Ultrasound. admitted to the program focused on Obstetrics Institute and Gynaecology subjects and the of Medical effects of Doppler in these fields. Sciences after The topics of Transvaginal presenting with Sonography (TVS), Infertility, cough and Foetal echo, interventional and bleeding from the recent advancement were also discussed. The expert speaker invited in the conference was nose and mouth. Dr. Musarrat Hasan. The workshops were facilitated by Dr. Fatima Musarrat and Dr. Samina. The patient, Shahzeb Rahujo, along with The event was participated by everyone amd was attended by around 250 people. his two attendants, has been kept in the isolation ward of the hospital after the suspected coronavirus patient's condition worsened. Rahujo, a student at the University of China, returned three days prior to Pirjo Goth near Khairpur following the coronavirus outbreak in China. Rahujo's condition worsened soon after arrival as he reported severe cough and bleeding from the nose and mouth. The young man was first shifted to the Civil Hospital Khairpur, where coronavirus kits were unavailable. He was later brought to the Gambat Hospital, where the kits Altamash General Hospital recently organized a Free Medical Camp at Behbud Open House. were available. Continued on Page 08 Medical Check-ups along with basic lab tests were also conducted free of charge.

MEDICAL NEWS / February 15-29, 2020 03 MN Report Department, KMDC and KARACHI - A Cancer World Cancer Day: participants included Awareness program and Professor Syed Mahmood walk was recently Experts call for United Action Haider, Principal KMDC, conducted to Professors Tazeen Abbas, commemorate the World Raheel Rehman, Aneela Cancer Day at the Altaf (KMDC) and Mr Karachi Medical and Hashim Hasan, Chief Dental College (KMDC). Executive Officer (CEO) On this occasion, a talk of Dental News. The show show was recorded in the was largely attended by Ishtiaque Ahmed Khan KMDC faculty and Auditorium in students and members of collaboration with local the public. news Channel, Aaj News. Following the programme, The famous talk show a walk was organised to "Sawal hay Pakistan ka" increase awareness hosted by Mr Rizwan among general public. Jaffer was put togather by 'World Cancer Day' is Dr Mudassir Hussain of annually celebrated on Community Dentistry the 4th of February. We are moving Isra University celebrates the towards improvement: Dr Azra Pechuho graduation of 249 students

MN Report MN Report burst its banks. He advised in his address, said that the - Sindh KARACHI - The 5th that we must learn swimming primary purpose of such Minister for Health Dr Convocation of Isra University or else we will drown." events was not only to confer Azra Pechuho along (IU) was recently held with full As a parting message to the degrees on the students but with World Health zeal and enthusiasm. The students, he said, "Work hard also to honor those who have Organisation (WHO) event was presided by Dr to achieve your goals. I want performed meritoriously. "This country head, Dr Palitha Asadullah Kazi, Chancellor, you to become great, as we day will remain in the memory Gunaratna Mahipala Isra University. Prof Dr Abdul are optimistic about you. You of many for long, especially and Sindh Head, Dr Sara Salman recently Rashid Shaikh, Vice- are the leaders of tomorrow, the students, the parents, the inaugurated labour room at the Shaikh Chancellor, Isra University was so get yourself ready to faculty, and the Zayed Hospital for Women, Chandka also present besides the address the challenges of the administration," he added. Medical College Hospital (CMCH). She also inaugurated the Nutrition Stabilisation Centre at taluka hospital in . Speaking at the inauguration ceremonies and later talking to reporters, Dr Pechuho claimed that the HIV/AIDS cases in Ratodero registered, had a decline. "The problem has been brought under control," she said, adding, "Credit goes to Shaheed who had initiated WHO funded project in the country." She pointed out that the project was still continuing successfully. The minister said that different programmes were under way to deal with dignitaries, faculty members, future." He went on and He congratulated the any outbreak and for its effective parents, and a large number reminded the students about graduates and said that the containment. She said from now on, the of students in the occasion. their goals as educated position and status of today Nutrition Stabilisation Centre would The Isra University conferred citizens, "to uphold the image demanded a more humble, become a part of the Ratodero Taluka degrees to around 249 of your country, by letting the humane approach and Hospital where patients suffering from students belonging to Medical world know that we are a positive attitude to your fellow AIDS, nutritional deficiencies and Sciences, Vision Sciences, peaceful nation." beings, loved ones, and gastroenteritis would receive nutritional and Physical Therapy. Furthermore, in his address, humanity at large. "Use the supplements. Also, expecting mothers Prof Dr Asadullah Kazi while he accentuated the skills that you have acquired would receive treatment at this centre, she addressing the audience said importance of education and now and will acquire in the added. that everything changes with said that learning is a lifelong future, for the betterment of "We are moving towards improvement," time, except for the change process that continues from the less privileged in our she asserted, and announced that more itself. "We live in an age of the cradle to the grave. He society, and extend your surgeons would be posted at the taluka innovation and change, and urged the students to be hands to anyone who needs hospital. Dr Pechuho said that the Sindh in such an age, universities competitive and to extend their it," Rashid said. government intended to provide health have a special obligation. They knowledge. "There can be no Dr Abdul Rashid stressed, "It facilities to people at their doorsteps to must hold fast to the best of development without is time that you should set for serve a huge population. "We are putting the past, and do more for the participation, and there can be yourself a set of values that in all possible efforts to provide health best of the future," said Dr no participation without distinguishes you from the rest services to the masses. Doctors should Asadullah communication, in this age of of the people around you. perform their duties with honesty and Prof Kazi said that, "We must digital literacy," Kazi said. Time is a precious commodity. Continued on Page 08 get ready for globalization, On this felicitous occasion, Do not waste it, and the values which is like the river that has Prof Dr Abdul Rashid Shaikh, Continued on Page 09

04 MEDICAL NEWS / February 15-29, 2020 ‘FUTURE AT STAKE’ Induction of 900 trainee 2020 medical officers demanded NATIONAL MN Report induction as trainee PESHAWAR - The medical officers to March 26-28 representatives of various complete the mandatory 26th Annual Meeting: Pakistan Association groups of doctors recently training in teaching hospitals of Plastic Surgeons (PAPSCON 2020) at demanded from the for taking Part-II examination over Lahore. government to ensure the in different specialties, weren't 900 awaited induction as induction of 900 young doctors adjusted by the government TMOs (Treating Medical in its hospitals as trainee despite repeated requests. Officers). March 28-29 medical officers to save their "We contacted the relevant The association leader said International Conference on Medical & Health future. health officials time and again the future of 900 doctors had Science at Pearl Continental Hotel, They warned that if the but none of them paid serious been endangered by the Rawalpindi, Pakistan. demand wasn't met, the attention to resolve our government even though they doctors and students of demands," he said. passed FCPS examination. He March 27-28 different medical colleges Dr Qasim warned that the said the government was Internal Medicine Symposium 2020 would stage a sit-in outside associations of doctors had bound to train all doctors Quality in education and healthcare at AKU the provincial assembly also taken the students of selected for specialisation. Auditorium, Karachi. building after one week. various medical colleges into Dr Qasim said all public sector Leading a group of doctors, confidence to launch a joint hospitals in the province All Doctors Association leader, protest campaign soon if the lacked medical staff but the April 7-9 Dr Qasim told reporters that government didn't pay government wasn't interested Health Asia & Pharma Asia at Lahore Expo the young doctors, who had attention to their issues. He in filling vacancies. He said as Center, Lahore, Pakistan. passed the FCPS (Fellow of said of the total young doctors, the population grew, the College of Physicians and only 385 had been given the people's problems were fast Surgeons) Part 1 examination opportunity to undergo increasing due to a lack of 2020 and fulfilled the criteria for training, while the remaining health facilities.

JUNE OCTOBER 1 World Milk Day 8 World Sight Day Coronavirus safety Tally for H1N1 deaths 1 International Children Day 10 World Mental Health Day 5 World Environment Day 12 World Arthritis Day 14 World Blood Donor Day 12 World Bone And Joint Week 15 World Handwashing Day 19 World Sickle Cell Day rises to 5 so far 16 World Food Day kits donated to DRAP 26 International Day Against Drug 17 World Spine Day Abuse And Illicit Drug Trafficking 17 World Trauma Day MN Report 20 World Osteoporosis Day JULY MN Report 24 World Polio Day KARACHI - As many as 129 cases of the 11 World Population Day 29 World Stroke Day KARACHI - The Pharma H1N1 virus have been reported in the Sindh 28 World Hepatitis Day Bureau and the Healthcare NOVEMBER province in 2020 so far out of which five AUGUST 1 Lung Cancer Awareness Medical Devices Association 1-7 World Breastfeeding Week Month patients have been reported dead, latest 9 World Quality Day of Pakistan (HDAP) have sources claim. 14 International Diabetes Day recently donated SEPTEMBER 17 World Chronic Obstructive The Coordinator to the Sindh Health Minister 9 International Fetal Alcohol Pulmonary Disease Day coronavirus safety kits to the Drug recently noted that at least 129 cases of Syndrome Day 26 World Anti-Obesity Day 20 World Retina Week Regulatory Authority of Pakistan (DRAP) to H1N1 flu had been detected in Sindh since DECEMBER minimize the impact of coronavirus in 21 World Alzheimer’s Day 1 World Aids Day the start of the year. Additionally, one 25 World Pharmacist Day 3 International Day of Disabled Pakistan. 26 World Retina Day Persons influenza B virus and non-H1N1 influenza 29 World Heart Day 5 World Patient Safety Day Representatives of the Pharma Bureau and virus case were also detected. the HDAP handed over the kits to Chief Out of the total of 129 reported cases, 58 Executive Officer, DRAP, Dr Asim Rauf. are males, and 71 are females. Five people Reported cases of These 500 donation kits include Tyvek, have succumbed to the ailment so far. gowns, masks, gloves, etc. In addition to H1N1, commonly known as the swine flu, dengue mount in Karachi the kits, 2000 face masks and 2500 gloves is a contagious disease which spreads were also handed over to the DRAP, which through air droplets. If the infected MN Report were immediately dispatched to the National individuals sneeze or cough without covering KARACHI - As many as 35 new dengue fever Institute of Health. their mouth or nose, they put everyone cases were detected across Karachi in the past "The Pharma Bureau extends its full support around them at risk. week, taking the reported case toll to 297 since to the DRAP and the Ministry of National The swine flu or H1N1 is considered a the start of the year. Health Services to limit the coronavirus deadly disease, unlike the common flu. The Prevention and Control Program for Dengue impact on the citizens of Pakistan," said (PCPD) in Sindh registered 37 more dengue fever Ayesha Tammy Haq, Executive Director, cases across the province in a week, out of which Pharma Bureau. 35 were reported from Karachi and two from other "There is a global shortage of safety clothing districts. to prevent healthcare professionals from In this month only, a total of 74 positive dengue catching the virus. All of our members are cases surfaced from all over the province so far, aware of the situation, and we are doing out of which 64 were confirmed from Karachi and whatever we can to arrange more safety ten from other districts. kits and give to the DRAP and the Ministry This year, a total of 326 dengue cases emerged if needed," she added. from Sindh to date, out of which 297 were reported Pharma Bureau is the representative body from Karachi and 29 from other districts of the of research-based multinational province. A dengue-related death was also reported pharmaceutical companies in Pakistan. from Karachi, claim sources.

MEDICAL NEWS / February 15-29, 2020 05 PAKISTAN PHARMACEUTICAL MANUFACTURERS’ ASSOCIATION

ISLAMABAD - The 5th Pharma Summit was recently organised by 5TH PHARMA SUMMIT BY PAKISTAN PHARMACEUTICAL with same privileges and subsidies. the Pakistan Pharmaceutical Manufacturers' Association (PPMA), Khalid Mahmood, Managing Director, Getz Pharma said "According the experts told that the pharma stake holders and think tanks have MANUFACTURERS’ ASSOCIATION (PPMA) to UNDP (United Nations Development Programme) report, Pakistan's converged on a single platform to highlight the export potential of the HDI (Human Development Index ) is amongst the lowest in the world industry. The title of the summit was 'Mastering Innate Strengths and and in the medium human development category, it is now raked at Acquiring New Capabilities' and was arranged by Terrabiz. Pharma industry has the highest 152 out of 189 countries and territories." Speakers included Managing Directors and Chief Executives of "Human Development Index report by UNDP puts Pakistan's 75% various pharmaceutical giants. This also provided an opportunity to people below the poverty line. This is people who are earning Rs the people from the pharmaceutical industry, government officials as 25000 or less per month," Khalid highlighted. well as representatives from the Drug Regulatory Authority Pakistan forex earnings potential - Experts Khalid Mahmood told "Funding is not the only solution as there were (DRAP) to sit together on a common platform and listen to each only 23 cases per 100000 of TB before any kind of funding arrived. other's point view on various issues. A large number of problems and for incentives and we must said Pakistan had the After 400,000 USD funding the number rose to 287 per 100000 people. issues facing the pharmaceutical trade and industry came under collectively evaluate how to strongest pharma industry Issue lies with management expertise for handling the disease. discussion and some useful suggestions were also made by various achieve it," Tariq told. in all Muslim countries and Pakistan facing HIV endemic and an issue of co-infections which speakers to overcome the problems. "It is time that a joint working 98pc of the country's means that patients having HIV have also developed TB or vice versa." Earlier, Abdul Razzak Dawood, Adviser to the Prime Minister on group comprising officials of requirement were being Panellist Hanif Ajari urged the government to grant industry status to Commerce speaking on the occasion, said the government was all stakeholders FBR, DRAP fulfilled locally. Pharmaceutical sector and stop treating it like an unwanted child. committed to increasing the country's exports by removing all obstacles. and Pharma manufacturers The pharma sector has Speaking as a panellist he said that export is easier said than done. Special focus was also being given to increase export volume through is formed to sort out export witnessed 20pc growth in "A properly documented registration dossier can cost as much as half tariff rationalisation, trade-related investment, institutional reforms opportunities through more last two years, he said, a million dollars, government must come forward and support the and easing of business regulations, he added. government facilitation and adding that "we can fulfil the industry," Ajari said. He called upon the pharma industry to come forward to enhance the curb the powers of agencies requirement of whole region Nusrat Munshi, Chief Executive Officer, Executive Director & MD, current volume of over $300 million exports to over $3 billion. who create obstacles for the as Allah Almighty has ADP Limited, appreciated the streamlining of drug registration process "The local pharma industry can tap markets like Africa and all industry," Ikram further blessed us with raw and urged the ministry to come out of price fixation stakeholders need to work together to enhance exports added. materials being used in Zahid Saeed, Managing Director, Indus Pharma said that the industry Dr Zafar Mirza advisor to PM on Health in his can take bio equivalency waivers especially for speech said that the draft of national medicine injectables and derma products. Derma products policy has been prepared and would be in many countries have now been treated as launched in the next two weeks. Dr Mirza said medical devices provided the facility where they efforts were also being made to appoint are made is ISO 13485 approved. He said that competent people on the regulatory authority. DRAP should also evolve as per international He urged the pharmaceutical sector to shun standards and urged an end to media happy practice of unethical promotion of their products debates. It is time to stop playing with the and champion a cause rather than asking for sentiments of the business community, he price increase only. The prices of essential added. drugs should be regulated only, he added. Pharma Expert, Tauqeer ul Haq while speaking Former state minister, Tariq Ikram also briefed at the conference said that pharma products that Pakistan had rich potential to export from Pakistan carry a good image and we pharma products.The current export volume should now be focussing on products not of pharma sector could easily be enhanced to $5.4 billion from $300 Later a fire chat round, moderated by Haroon Qasim was held. Sultan manufacturing of medicines". requiring bio-equivalence. "If the industry is expected to take the million, he added. Ghani, Ex Associate Director, Office of Compliance, Planning and Rehman said there were tremendous opportunities for the pharma exports to 2 billion USD from 300 million, the government must come Tariq Ikram in his presentation said that there was a lack of Coordination, Therapeutic Products Directorate, Canada and presently sector to export their products in African countries. forward and support the industry. Testing and manufacturing equipment understanding of the pharma sector and "it is time to target international the Adviser to the Drug Regulatory Authority of Pakistan (DRAP) said "The joint working among the government, the business community, must be exempted from all taxes," he told. markets. In 2000 there was not a single pharma product from Pakistan that the price control should not be there at all. "Prices in Pakistan the exporters and the national drug regulator could help Pakistan The conference concluded with a take home message that pharma registered abroad. It is time that the trust deficit is removed and are one of the lowest" Ghani said. grab more global market share in pharma exports." PPMA Chairman prices in Pakistan are the lowest and the industry has enormous concession due to the sector are given. Packaging and raw materials Sultan Ghani implied that in order for pharma industry to prosper the Muhammad Zakaur Rehman. potential to grow from existing three per cent global share and the should be completed exempted from all kinds of sales tax. The way forward was consultation and not imposition by the ministry. The Conference Chair, Kaiser Waheed urged the need to bridge the current government must extend supporting hand to the exporters to industry with a potential to bring in $ 5.4 billion dollars must be eligible Earlier, in his opening remarks, PPMA Chairman Mian Zakaur Rehman trust deficit gap and bring the industry at par with traditional industries explore and tap new markets. -PR

06 MEDICAL NEWS / February 15-29, 2020 MEDICAL NEWS / February 15-29, 2020 07 President inaugurates ... although staffers had already Larkana Commissioner Experts call for Continued from page 03 been trained at a hospital in Saleem Raza Khuhro, and paramedic staff. Larkana. "The need is to have Additional Deputy systematic approach Principal Staff Officers and high a supervisor," she explained, Commissioner-I Imdad Ali ranking civil and military officials and promised that the Abro, Mayor Khair Mohammed to reduce injury deaths also attended the ceremony. emergency unit at the CMCH Shaikh, Sindh AIDS Control MN Report PAF Hospital Faisal and PAF would be improved and her Programme project director Dr Hospital Masroor would serve department would prepare a Sikandar Memon and officials KARACHI - The inaugural session of the as teaching hospitals for the new plan to resolve the issue of the health department 5th AKU Annual Surgical Conference titled college along with a state-of- of ventilators. attended the events. 'Trauma: Striving for Change' was recently the-art diagnostic center She invited United Nations organized by the Department of Surgery equipped with most modern linked organisations to work SHCC trains healthcare ... at the Aga Khan University in Karachi, facilities including an MRI, CT here. Continued from page 10 offers unparalleled hands-on and didactic scan, digital X-ray, Shaheed Mohtarma Benazir The Directorate of Complaints learning opportunities, timely discourse mammography, and Bhutto Medical University, inspected the Noor Hospital in on the most relevant surgical practices fluoroscopy equipment. Registrar Prof Dr Shahida Karachi against a complaint. and research, and networking with peers. The college also has a well- Magsi speaking to the SHCC also established a equipped laboratory, with audience, said that the Shaikh Complaint Desk of the SHCC facilities of hematology, Zayed Hospital for Women in the hospital. The Directorate serology, chemical pathology, became the first pioneer centre has received 125 complaints blood bank, microbiology, for early essential newborn so far out of which 84 clinical pathology, and care (EENC) training in the complaints have been histopathology tests. country. resolved, 35 complaints are Last year, WHO-trained senior under processing, and the Coronavirus: Suspected ... obstetricians trained 145 remaining 6 are sub judice. Continued from page 03 dedicated staffers, she The Directorate of Anti- After shifting the student to the recalled. Quackery sealed three clinics AKU's Annual Surgical Conference hospital's isolation ward, the Explaining the concept of taking the total sealed HCEs brought together national and international people in the hospital were EENC, she said it was based number in Sindh to 3259. The experts with expertise in pre-hospital care, instructed to wear masks inside on using cost effective methods warnings for non-compliance mass casualty, rehabilitation, prevention the hospital. The police for improving neonatal health. have been issued to 1025 and disaster management. The panel personnel outside the isolation Every month around 500 clinics to date. consisted of Professor Syed Ather Enam, ward were also provided with deliveries are handled. The Directorate of Licensing & chair of the Department of Surgery at masks so they can stay More than 6,000 deliveries a Accreditation received 15 new protected as well. year are conducted at one [of applications for registration, AKU, Hasan Badre Alam, a professor of the three EENC] unit alone, taking the total number of surgery at the University of Michigan and We are moving towards ... she said. received applications for Eileen Bulger, a professor of surgery at Continued from page 04 WHO enhances and equips registration to 10,462. The the University of Washington. AKU Vice dedication," she said. labour room to facilitate the certificates were also issued to Provost Anjum Halai, Medical College During her visit, the doctors delivery process and treatment 22 HCEs bringing the total Dean Adil Haider and chair of the event's doing their post-graduation in at Shaikh Zayed Hospital for number of registration organising committee Hasnain Zafar also different disciplines held a Women. certificates issued to 9461. spoke at the conference. protest demonstration before She thanked WHO-Pakistan The team also inspected the The experts shared that thousands of her against the non-payment for funding and supervising the Ibne-Sina Hospital in Karachi. injury deaths every year in Pakistan can of their salaries for the last 10 facility, which was catering to be averted by taking safety measures on months. She asked the officials the needs of a huge population IHC issue notice to Ministry ... one side and by adopting a systematic concerned present there to coming from the Continued from page 12 approach to improve trauma care on the immediately address the underdeveloped areas. Earlier, the NHS ministry issued other. A systematic approach would ensure doctors' issues. She called for setting up a directions to seal the PMDC that life-saving interventions should be Meanwhile, the health minister neonatal nursery with the offices, because of which performed in a timely manner so that no also launched a week-long labour room and a separate reinstated staff who approved life-threatening conditions were missed, anti-polio campaign by coaching centre for the EENC. the building were not allowed speakers at the event noted. administering vaccine drops to She said separate funds would in. The court expressed The speakers highlighted that as per World a child. She admitted that her be needed for training of displeasure with this notification Health Organization-WHO guidelines, department was facing a primary healthcare and and, after issuing the notice to such an approach could consist of shortage of human resources secondary healthcare hospital the NHS secretary, adjourned emergency care in the form of first aid in operating ventilators workers. until further proceedings. being provided by a trained bystander, who can also call an ambulance - The National Medical Newspaper equipped with necessary life support and

Pakistan’s First at least two personnel - one to monitor Independent Medical Periodical from and manage the patient and the other to Karachi drive. Ambulance personnel should be able to communicate to a relevant hospital prior to arrival, if needed. During the handover, the ambulance provider should share critical information with hospital personnel, who then triage patients to different areas based on the seriousness of their condition, as per experts. Research from the conference was published in a special supplement of the Journal of the Pakistan Medical Association. During the event, Professor Syed Ather Enam, referred to a case report of a two and half-year old boy, who Continued on Page 09

08 MEDICAL NEWS / February 15-29, 2020 The mystery of gas leak to issue ordinances in the Acts of against the virus is increased. a graduate of the DPT (Doctor of Continued from front page 1861 and 1935.The petition Repeated immunisations have Physical Therapy) program, received of high levels of hydrogen sulfide and contended that although the protected millions of children from gold medals. Silver medals were nitric oxide in the air. Parliament was empowered to polio, allowing almost all countries in awarded to outstanding students, Amid confusing statements from dissolve the PMDC but the president, the world to become polio-free. There including Farukh Sahar and Faryal different agencies, the people of vice-president and the executive are only two countries in the world Abbasi, graduates of the MBBS Kemari, including the Railway Colony, committee of the council would stay Pakistan and Afghanistan where polio program, Nimra Anwar, a graduate Sikandarabad, Jackson Market and till a new commission was elected cases continue to be reported. of the BS Vision Sciences program, Masaan Road, continued to suffer as through annual elections. It also Samra Noureen, a graduate of the the authorities only promised to pointed out that the government was Coronavirus: Awarness ... DPT program. The bronze medal was evacuate them without proper unauthourised to appoint an official Continued from page 02 awarded to Khizra Rabbani, a planning and arrangements on the below grade 20 to head the executive issue, the WHO has already declared graduate of the MBBS program, ground. committee. the coronavirus outbreak a global Samreen Brohi, a graduate of the BS The situation sparked a protest when Representing the petitioners, Babar emergency, as it continues to spread Vision Sciences program, and hundreds of Kemari residents took to Sattar, however, argued that it was a outside China, Rashid added. Sanam, a graduate of the DPT the streets and blocked the main road, matter of basic rights of the erstwhile Dr Rashid stressed the need to aware program. suspending traffic to and from the PMDC and the IHC had all the powers the citizens about the fatality of Besides the dignitaries, other faculty Karachi Port Trust premises. to examine this presidential coronavirus, as well as preventive members, parents, and a large The situation arising out of the protest ordinance. measures that could keep them safe number of students were present on took more than three hours to The petitioners maintained that the against the deadly virus. He said that occasion. normalise and the people dispersed PMDC employees were terminated the 2019 novel coronavirus caused after the administration made several without an opportunity for hearing viral pneumonia presenting with Experts call for systematic ... promises. But panic and fear didn't and expressed reservation over the symptoms including cough, fever, and Continued from page 08 go away. newly-formed PMC that it may hire shortness of breath. sustained three gunshots at point- A majority of the schools in the employees on sanctioned and "In rare cases, it can lead to severe blank range. The child was affected areas and neighbouring contractual posts through varying respiratory problems, kidney failure, unresponsive when the terrified family blocks announced a holiday for the modes which may jeopardise or death," Dr Rashid maintained. brought him to the emergency rest of the week and the state-run oil chances of previous PMDC "If someone believes that he or she department of the Aga Khan marketing company decided to employees. owns these symptoms and had University Hospital after trying two suspend operations at its oil terminal traveled to Wuhan, China, within 14 nearby hospitals. When the patient in Kemari. Nationwide polio eradication ... days, they must contact their health did not respond to initial resuscitation Chief Minister Shah acknowledged Continued from front page care provider. Citizens must cover efforts, a team of paediatric, that authorities had been unable to Coordinator of the National their coughs and sneezes with a cardiothoracic and orthopaedic determine the cause of the toxic gas Emergency Operations Centre tissue and then throw the tissue in surgery, and paediatric leak, which he said had not spread (EOC), Dr Rana Muhammad Safdar the trash," Rashid stressed. anesthesiology specialists was taken to other parts of the city. He called it said that the current geographical Dr Rashid said that they should avoid on board and he was moved to the a 'mystery', but insisted that all spread and the intensity of the virus touching their eyes, nose, or mouth operating room immediately. institutions concerned were involved transmission posed a real risk to with unwashed hands, adding that "Today, he is a healthy four-and-a- in efforts to unearth the cause of the children across the country. sick people were required to stay at half-year old school going child. There incident. "Reaching every child during the home. He reiterated that there was could be thousands of people who Meanwhile, traders have rejected the nationwide door-to-door campaign no pathological laboratory performing were not lucky like him. That's report which blamed consignments would provide a much needed diagnostic tests in Pakistan for the because our hospitals lack of soya bean as cause of the toxic immunity boost to our children and confirmation of coronavirus infections. multidisciplinary teams of specialists air. They claimed to have met all ensure they stay protected from "There was a need to monitor and and the emergency care system as quality checks defined under the law lifelong paralysis. Learning from 2019, control all immigrants and visitors, a whole is short of fully equipped and said the consignment was we have the firm resolve to turn the livestock, and goods at entry points. ambulances and trained bystanders," believed to be of highest quality. situation around in 2020," Rana said. People at all international airports Professor Enam said. To benefit from a decrease in should be scanned for temperature, "Since blood loss is the leading cause PMDC ordinance ... temperatures across the country as and suspected individuals should be of preventable death following injury, Continued from front page the cold weather made it tough for examined in isolation," he concluded. rapid control of bleeding at the scene Ordinance 2019, dissolving the the virus to survive, the polio of an event can be lifesaving, PMDC and establishing the PMC, on eradication programme scheduled Isra University celebrates ... especially if bystanders can step in Oct 19 last year. three back-to-back national Continued from page 04 to help before emergency responders The presidential ordinance had paved campaigns during the months of will earn you dignity and respect in arrive," said Eileen Bulger. way for the establishment of a new December, February and April with society." Later, on the second day of the nine-member body namely the two additional rounds in high-risk Dr Shaikh highlighted the importance conference, AKU's upcoming Centre Pakistan Medical Commission. districts during January and March. of female education, "I earnestly of Excellence for Trauma and Following the promulgation, the As per reports, the EOC was also desire our female students to be pro- Emergencies, and partners would Ministry of National Health Services deploying 50 experts as facilitators active in their future life. You should launch a national life-saving initiative (NHS) through the federal capital's across critical areas of the country to not waste your skills and professional focused on bystander training in life district administration and police had support anti-polio campaign workers. knowledge by sitting idle at home. support. taken over the possession of the They would administer two drops of You should come out and work Hasan Badre Alam stated, PMDC building and shut down the oral polio vaccine to every child during alongside male professionals because "Emergency care is essential to many office. the February national campaign. the nation needs your services more." targets of the United Nations' Raja Saimul Haq Satti, who The programme has also launched He mentioned a report which Sustainable Development Goals represented the CPSP, told the court 'Sehat Tahafuz Helpline 1166' with suggested that 85,000 female doctors (SDGs). Under SDG 3, good health that the organisation supported the local language capacities through in Pakistan were not working after and wellbeing: Post-crash emergency stance taken by the Ministry of which the public can report children receiving their education. "This care and rehabilitation has been National Health Services. The ministry who have not been vaccinated due certainly is an alarming figure, and I estimated to play a role in preventing in its written reply to the petitions to any reason. hope you will not be among those 40 per cent of road traffic deaths. stated that the ordinance had been It is pertinent to mention here that adding to this number," he added. Also, timely emergency care access promulgated in the larger interest of polio is a highly infectious disease In the end, gold, silver, and bronze is critical to effective universal health the stakeholders, which provided for caused by poliovirus mainly affecting medals were awarded to outstanding coverage." the restructuring and re-organisation children under the age five. It invades students for securing positions in their "Emergency care could also of the regulatory body, pertaining to the nervous system and can cause relevant faculties and departments. contribute to efforts to achieve targets and dealing with regulations and paralysis or even death. While there This year, Ukeer Fatima, a graduate under 10 more SDGs by addressing control of medical profession. is no cure for polio, vaccination is the of the MBBS (Bachelor of Medicine, non-communicable diseases, Additional Attorney General Tariq most effective way to protect children Bachelor of Surgery) program, Shari obstetric complications, child health Mehmood Khokhar argued that the from this crippling disease. Each time Musadiq Ali, a graduate of the BS issues, and injuries related to legislation for the subcontinent a child under the age of five is (Bachelor of Science) Vision Sciences disasters and violence," informed empowered the British government vaccinated, his or her protection program, Muhammad Usama Sheikh, Hasan Badre Alam. MEDICAL NEWS / February 15-29, 2020 09 New study links 'over-excitable' visual cortex with Migrain

he effects of migraines are well known, this theory, by discovering a specific brain but the causes are less clear. Now response pattern among migraineurs." T scientists think they may have found a The study participants were shown a striped link between the neurological condition and a grating pattern (like those already known to give part of the brain called the visual cortex. migraine sufferers problems) and then asked to It's the bit of the brain that handles visual rate how uncomfortable it was to look at, and to information as it comes in, and based on a study log any other visual phenomena associated with condition, perhaps suggesting some underlying of 60 volunteers, an over-excitable visual cortex looking at it. biological cause, and we know migraines are could have some relationship with the risk of Further electroencephalogram (EEG) tests were much more common in women too. migraines. used to track and record the brain waves of the Around one in seven people are thought to have In the study published in Neuroimage: Clinical, volunteers. The migraineurs showed a larger problems with migraines - just about a billion of the 29 volunteers who suffer from migraines response in their visual cortices during both the us across the planet - so finding better ways of (migraineurs), the visual cortex was found to be pattern and EEG experiments. targeting the root causes of the condition is going more excitable and more responsive in a series What's more, a subgroup of non-migraineurs to bring a lot of relief to a lot of people. of tests. That could give us clues to the causes who reported seeing additional visual "Our study provides evidence that there are of migraines - and ways of treating them. disturbances also showed hyper-excitability in likely specific anomalies present in the way the "Most migraineurs also report experiencing their visual cortex responses. visual cortex of migraine sufferers processes abnormal visual sensations in their everyday On its own, the study isn't enough to prove a information from the outside world," says life, for example, elementary hallucinations, definitive link between migraines and brain over- neuroscientist Ali Mazaheri, from the University visual discomforts and extra light sensitivity," excitability, but the results fit in with previous of Birmingham. says psychologist Terence Chun Yuen Fong studies, and offer up an interesting avenue for "However, we suspect that is only part of the from the University of Birmingham in the UK. further investigation. picture, since the same patterns of activity can "We believe this hints at a link between migraine Work to unlock the secrets of migraine sources also be seen in non-migraineurs who are experiences and abnormalities in the visual continues. A study from 2017 found a link sensitive to certain visual stimuli." -Courtesy by cortex. Our results provide the first evidence for between the chronic headaches and a jaw ScienceAlert SHCC trains healthcare providers to improve performance MN Report KARACHI - The Sindh Healthcare Commission's (SHCC) Directorate of Clinical Governance & Training held training sessions for healthcare establishments (HCEs) in Hyderabad to improve service delivery standards. The series of training sessions in Hyderabad on Sindh Service Delivery Standards were held for primary healthcare clinics. A total of fifty clinics participated in the session. Later, another two-day session was held for healthcare establishments (HCEs) in which the staff of 48 HCEs were trained. The training was conducted on Sindh Service Delivery Standards, infection prevention & control, and inspection procedures of the SHCC and its requirements. The hospitals were also briefed about the functions of the SHCC. Meanwhile, Chief Executive Officer (CEO), SHCC, Dr Minhaj Qidwai, met with Ms Fareeda Shah Shaheed, Executive Director of the Shirkat Gah Women Resource Centre, along with others. The meeting aimed to discuss the options available for collaboration between the SHCC and the Shirkat Gah Women Resource Centre for creating awareness among the masses regarding family planning and also sharing the data available with the SHCC for the same purpose. The participants of the meetings also discussed that public hospitals would be assisted in developing information centers related to birth spacing. The heads of obstetrics and gynecology departments of hospitals would be engaged in this regard. Meanwhile, Director, Clinical Governance & Training, Dr Raza Kazmi, also attended the meeting organized by the Health Minister Sindh to discuss coronavirus awareness as well as the actions that must be taken with the help of the district bodies. Continued on Page 08

10 MEDICAL NEWS / February 15-29, 2020 MEDICAL NEWS / February 15-29, 2020 11 IHC issue notice to FBR starts Ministry over PMDC employee's plea crackdown on MN Report ISLAMABAD - IHC Justice Mohsin Akhtar Kayani recently issued a notice to National defaulting Health Services (NHS) Secretary Malik Allah Bakhsh on a petition filed by the registrar and other Pakistan Medical and Dental Council (PMDC) staff for not doctors implementing a court order reinstating council employees.

MN Report Identity Cards and contact health facilities and found KARACHI - The Federal information of the doctors, as guilty of the offence. Board of Revenue's (FBR's) well as details of their bank In case the hospitals fail to subordinate, the Regional Tax accounts and trips they made share the details asked for by Office in Sindh has served abroad. the FBR, they will be notices to 17 hospitals in The step was taken after FBR penalised under section 182 Karachi, seeking data of received information about of the Pakistan Penal Code doctors to identify those hiding doctors, mostly working at and section 191 of the Income their assets and incomes, private health facilities, Tax Ordinance. Earlier, Justice Kayani revived the dissolved revealed sources affiliated with concealing their income. According to source in FBR, PMDC by setting aside a presidential the board recently. According to FBR officials, two of the biggest health ordinance that replaced it with the Pakistan It has asked the hospitals' steps will not only be taken facilities in the city have Medical Commission. administrations to share the against defaulting doctors already been fined for failing PMDC registrar Hafizuddin Siddiqui filed names, ages, copies of employed at private clinics but to share the required a contempt petition before the court since Computerised National also those running their own information. the reinstated employees were not allowed into the PMDC building. The court also summoned district TUG OF WAR administration officials and asked why they had sealed the building. The additional deputy commissioner responded that the Murad claims Center wants building was not sealed. Sindh to run Major Hospitals Continued on Page 08

MN Report its administration," he said. Polio worker injured KARACHI - Sindh Chief Minister (CM), Syed In response to a question about the increase by rowdy youngsters Murad Ali, Shah spoke to the media reporters in the polio cases, the Chief Minister said that that the Prime Minister (PM) of Pakistan, a problem was created against polio vaccine MN Report during his recent visit to Karachi, told him that in the Khyber Pakhtunkhwa; therefore, the MIANWALI - A the federal government could not run three drive had come to a standstill, and we could polio worker was hospitals namely the National Institute of not launch it in March, last year. "The recent allegedly beaten Cardiovascular Diseases (NICVD), Jinnah increase of 19 cases in 2019 is the result of by three people Postgraduate this stalemate; at Takht Vichora Medical Centre otherwise, we had village situated in the hilly area of Khatak (JPMC), and controlled the belt in the Kalabagh police jurisdiction. National Institute polio situation. In Mohammad Ijaz Khan, Naib Qasid of the Of Child Health 2017, only one Govt High School of Tabisar, was deputed (NICH). case of polio was to administer polio drops to children in the Therefore, he reported." area during the ongoing polio campaign. permitted the He said that 2.3 When he went to Islam Khan's home at provincial million children Takht Vichora village, reports said, the old government to would be targeted man told him that veil-observing women take control of in the 7-day were at home and children and other operations. campaign. members were out of home and that he He said this while talking to the media after Another campaign would be launched from should come some other time. inaugurating a seven-day polio eradication February 17 in other districts of the province Meanwhile, some youngsters came out drive by administering polio drops to children. with a target of 6.7 million children. of the neighbouring house and thrashed The event was held at the Rural Health Center He thanked the 13,000 workers who will be the polio worker by blaming him for arguing in Baldia. participating in polio drive and also thanked with an old man. Ijaz Khan reported to the Shah said that he had given two options to the law enforcement agencies for providing Kalabagh police that armed men Tariq the federal government. "Under option one, them with security. and Anwar Sadat, along with another the federal government can give these three To address the complaints made by citizens, person, thrashed him and inflicted injuries hospitals, on the pattern of the PPP (Pakistan's the Chief Minister directed the Health on him. Peoples Party), to the Sindh government. Department to complete the under- As per sources, the police has been Option two is to hand them over to the construction 100-bedded hospital in Baldia investigating the issue. provincial government to operate them under as soon as possible.

12 MEDICAL NEWS / February 15-29, 2020

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