TIMES CITY THE TIMES OF INDIA, MUMBAI | SATURDAY, OCTOBER 29, 2016

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Fire at Deonar dump again, Dearth of lung surgeons hits TB patients harder locals worried Operation At A Late Stage Results In Loss Of Diseased Lung, BIGGEST HEALTH CONCERN [email protected] Making Remaining Pulmonary Organ Vulnerable To Infection TB patients Mumbai: A fire broke out at Deonar in India dumping ground on Friday afterno- [email protected] gery. GTB Hospital has three such sur- gence. He then underwent surgery,” said on. It took around two hours for the fi- geons, including Dr Shirodkar. “Most Dr Dalal. Unfortunately, doctors had to 2.8mn re brigade to extinguish the blaze. Mumbai: The city, often dubbed as the private sector hospitals don’t offer lung remove a lung as it was extensively dam- Locals said it was the second fire tuberculosis (TB) capital of the world, surgery as they don’t have isolation aged. “The need for surgery is acute at the dump in about a week. On the has too few surgeons to operate on dis- rooms (for TB patients),” he said. More- when one considers that these patients night of October 21, a fire had broken eased lungs, worsening the suffering of over, most surgeons trained in cardioth- have dead cells that harbour infection. out at the dump. some patients. A study looking at pa- oracic surgery (that includes both lungs Neither blood nor medicine can reach On Friday, the fire brigade recei- tients who needed surgery to cure their and heart) prefer to practise cardiac sur- these spots,” said Dr Shirodkar. ved a call at 3.17 pm about the fire at TB infection found that 42% of them lost gery instead of lung surgery. There also is a socioeconomic angle. the dump. alung in the process because the disease “Mumbai is the TB capital of the Dr Arshad Ghulam Mohammed, a gener- of the Kala Suresh, a resident, said so- was too advanced. al surgeon and an office-bearer of the In- 25%world’s TB meone from her society living on one The study, published in the medical Most private sector hospitals dian Medical Association, said, “A large patients are in India of the higher floors noticed the fire. journal Public Health Action, looked at don’t offer lung surgery as they part of medical practice today is driven by “The fire was at the same spot as 85 patients in the 14-65 age group who economic consideration. TB is mainly a 4.8 lakh people died Source: WHO’s don’t have isolation rooms for TB of TB in India in 2015 latest TB report, 2015 last time. Along with the toxic smoke were operated at either the civic-run patients. Mumbai is the TB capital of disease of the poor. It is the poor who don’t of firecrackers, do we need to bear Group Of TB (GTB) Hospital, Sewri, or get access to proper medicine and care this smoke too?” Suresh said. Jupiter Hospital, Thane, between 2010 the world, and yet it doesn’t have a and suffer extensively due to TB. There TERMS CAUSE FOR ALARM India’s f 85 TB patients who underwent Rais Shaikh, the local corporator and 2014. “While five patients died, 36 single fellowship in thoracic surgery aren’t enough doctors practising thoracic TB | Tuberculosis national TB programme had Osurgery between January 2010 and Samajwadi Party leader in the had an entire TB-infected lung re- Dr S Shirodkar | GTB HOSPITAL, SEWRI surgery, which isn’t as lucrative as, say, by- MDR TB | Multi- 61,000 MDR TB patients in 2014, and December 2014 at Sewri TB BMC, said fires were being reported moved,” said Dr Alpa Dalal, one of the pass surgery.” He said it is shocking that drug-resistant TB but only 6,413, or 11%, completed Hospital or Jupiter Hospital, Thane, 36 in a very short span. authors of the study and who is attached world, and yet it doesn’t have a single fel- in a city of almost 14 million, there are on- XDR TB | Extensively treatment and survived for one needed an entire lung removed, 14% “The fire breakout is happening to both hospitals. lowship in thoracic surgery,” said Dr ly three surgeons attached to the main drug resistant TB year without a relapse needed re-surgery and 5 died again. We had a review meeting on Stating that the government should Shirodkar. public TB hospital. “And in private hospi- Friday along with the civic chief and form guidelines on referring TB pa- Before the advent of antibiotics, sur- tals, it is rare to see surgeries for pulmona- MUMBAI, THE EPICENTRE police about the status of all that was tients for surgery, Dr Dalal said, “Our gery was commonly used to treat TB pa- ry TB being performed,” he said. proposed for the Deonar dump after study shows that patients who have tients. But in the last decade, drug-resist- Chest physician Dr Zarir Udwadia, In 2011, Hinduja Hospital, to introduce a special 11 WARDS WITH the fires,” he said. waited long had extensive disease that ance among TB patients has increased whose research paper about the emer- Mahim, reported 12 TB TB-control programme in MAXIMUM TB CASES Several fires had broken out at the needed extensive surgery.” The fact that to such an extent that surgery has once gence of total drug resistant TB strains patients who were resistant Mumbai Deonar dump at the beginning of the over 42% of the patients had to lose a again gained importance. led to changes in treatment protocols in BMC report for March 2016 to all known TB medicines In March 2016, the year. On January 28, the smoke from a lung bears this out, she said. Consider the case of Raju (name the city, said, “Surgery is making a reap- NGO National M/W fire was so dense that schools in near- Dr S Shirodkar, an honorary sur- changed), whose TB infection resur- pearance as we run out of drugs, espe- They were While drug- E (Byculla) Forum on S by areas had to be closed. The fire was geon at GTB Hospital, Sewri, and a co- faced four times within four years. “Ev- cially in resistant strains. However, pa- dubbed as resistant cases are Tuberculosis G North finally extinguished on February 5, author of the study, said there aren’t ery time we thought he would be clear of tients must be carefully selected and the ‘totally drug R/S supposed to be barely said Mumbai (Dadar) over a week later. enough surgeons who practise lung sur- the bacteria, a final test showed resur- surgeon has to be experienced.” resistant’ 5% of all TB cases, cases, and has a P/N F North experts say the prevalence K/E needed off- corresponding figure N (Matunga- label use of of over 50,000 H/E Sion) in Mumbai could be TB cases. potent antibiotics G/N 10-15% The forum said H East (Santa (half of them died) M/E Mumbai is the hub F/N Cruz-Bandra Of loving, losing and learning The report led of MDR TB, with 28,000 E East) the central government notified cases N (Ghatkopar) SMS TREATMENT MDR TB XDR TB PATIENTS P North YOUR MOVIE PATIENTS K East 27,183 patients in (Andheri East) (Malad) REVIEWS/RATINGS government 3,632 32 645 hospitals 1,679 M West R South Type rev short code of movie as 11,102 (Chembur) (Kandivli) CINEMA OF THE WEEK given under each movie name your patients in 2012 2015 name your rating (choose from 1, private hospitals 2012 2015 Source: BMC M East (Govandi) S (Bhandup) Ae Dil Hai Mushkil (Drama) 1.5, 2, 2.5, 3, 3.5, 4, 4.5 or 5). add WHAT IS TB Spreads through the air; XDR TB is a rare ★★★★ your comments and send to 58888 e.g. rev dil when TB patients cough, type of MDR TB Cast: Ranbir Kapoor, Anushka Sharma, neha 3 super movie TB is caused sneeze or spit, they that is resistant Aishwarya Rai Bachchan by bacteria spread TB germs to isoniazid and (mycobacterium Direction: Karan Johar 58888 Codes for movies In MDR TB, bacteria are rifampicin, plus any Duration: 2 hours 37 minutes tuberculosis) that resistant to at least two of fluoroquinolone, and at Language: Hindi (U/A) most often affect the most powerful least one of three 58888 code: dil ● Ae Dil Hai Mushkil (dil) the lungs first-line anti-TB drugs— second-line drugs (ie, Is curable and isoniazid (INH) and amikacin, kanamycin ● Shivaay (shi) ■ Ayan falls in love with his soulmate, Alizeh, preventable rifampicin (RMP) and capreomycin) but she doesn’t reciprocate the feeling. Later, a To read/rate the movie, you can also go to relationship with Saba helps him realise review.timesofindia.com Alizeh’s value in his life, irrespective of their relationship status. This is Karan Johar’s most grown-up movie yet again. Seeing Aishwarya in the role of a Mundhe may stay on here’s a lot of good news, and only a little yet. He has come a long way from “Pyaar dosti confident seductress is a welcome change. Tbad news, so let’s start with the former. hai” (Kuch Kuch Hota Hai) to “Pyaar mein junoon On the downside, there’s a bizarre twist in the With Ae Dil Hai Mushkil, Karan Johar has hai, par dosti mein sukoon hai” (ADHM). In the last 15 minutes that could have been replaced with let go of the “candy” but retained the “floss”, first half, there’s a getting-to-know-each-other a scene or two of good conversation, but if you have despite Sena pressure resulting in a beautiful-looking film that isn’t arc which reminds you of Before Sunrise; there’s an appetite for melodrama, you might just like it. bereft of logic. also a slight Imtiaz Ali flavour lingering through That said, you usually come away from a Ayan (Ranbir) and Alizeh (Anushka) strike the movie (strong female characters help a Karan Johar movie dreaming of singing sweet up a friendship after meeting at a bar. They’re broken boy find himself). There’s no celebration tunes in the Alps; but ADHM makes you realise Netas, Babu COUNTDOWN TO THE RIFT Bollywood-crazy goofballs who sing cheesy 80s of heartbreak; there’s no pausing-for-laughs, just how cold it is, up there. Go watch it for a songs, poke fun at each other’s partners and fit there are no convenient coincidences. relatable portrayal of modern-day relationships. Trade Charges hOn May 4, Mundhe told the hawkers, hutments and into each other like pieces of a jigsaw puzzle. But The laughter comes from genuine chemistry municipal transport body to business houses Ayan wants more from the relationship. between the leads. The sadness comes from real On Civic Works adhere to protocol for Direction: 3.5/5 | Dialogues: 3.5/5 hScrapped unnecessary Alizeh on the other hand is still reeling from consequences of heartbreak that Johar has Prafulla Marpakwar & inauguration of a depot in projects like marble-cladding her break-up with Ali (Fawad) and a chance always shied away from, but not this time. Karan, Story: 4/5 | Music: 4/5 TNN Sanjay Banerjee Ghansoli. NCP honcho Ganesh of an Ambedkar memorial in encounter makes her slip back into his arms, the writer, overpowers Karan, the director, here. Visual Appeal: 3.5/5 Naik was denied the honour Airoli and a solar scheme at leaving Ayan distraught. Ayan then finds solace Anushka Sharma plays the most well-rounded Mumbai/Navi Mumbai: Our rating is not the average of the above hHe cracked down on Morbe dam. There in a (mostly physical) relationship with Saba character with abandon; she’s remarkable. Ranbir’s Chief minister Devendra indiscipline in the were whispers that (Aishwarya), who helps him get a new perspective portrayal of the clumsy, turned-down one-sided Fadnavis is unlikely to shift on one-sided love. lover is heartbreaking; his honesty comes through — Nihit Bhave out Navi Mumbai municipal corporation, corporators lost commissioner Tukaram suspended cuts from the Mundhe, notwithstanding several officials projects Shiv Sena executive presi- hOn June 7, he hOn June 25, dent Uddhav Thackeray’s undertook a he suggested mounting pressure. demolition drive imposing water Ajay’s never-ending saga is While in Navi Mumbai, against illegal charges based corporators have alleged that constructions, on usage, and not the “intransigence” of the ci- particularly in the at a flat rate vic administration has resul- gaothans. This led to ted in stalling of develop- hA month later, he ordered murmurs that vested interests installation of automated ment work. However, Mund- of corporators were affected he said that proposals that ha- water meters, which turned high on action but lacks soul hEarlier, he had cracked into a flashpoint with the ve completed the 90-day period had been sent to the ur- down on thousands of illegal ruling NCP for an adrenaline pumping ride and action sequences take centre ban development depart- Shivaay (Action/Drama) expect a nerve-racking survival stage, which are on a par with the ment for approval. Deemed Nod Sought From State ★★★ drama to unfold in the hills, on the Hollywood films. An extended car- The CM’s stand on the is- lines of Cliffhanger or Vertical chase sequence in particular is sue may cast a shadow on the hSetting up of hConstruction hProposal to use light Cast: Ajay Devgn, Abigail Eames, Limit. However, the film takes a outstanding. subcentre for persons of subway at detection and ranging Erika Kaar, Sayyeshaa Saigal, alliance. “Fadnavis may not cliched spin and ends up looking like However, the film has its issues, oblige Uddhav despite a no- with different TTC industrial | technology to survey Girish Karnad a slow-mo version of Liam Neeson’s biggest being its runtime (3 hours) Direction: Ajay Devgn confidence resolution was abilities | `1cr `10cr properties | `20cr Taken franchise. and thus, poor editing. Ajay, who is passed against Mundhe. Un- Duration: 2 hours 52 minutes perhaps in every frame of the film The abduction of his daughter der the convention, Fadnavis Language: Hindi (U/A) turns our chillum-smoking cool doesn’t know where to stop as a PENDING PROJECTS will first suspend the resolu- 58888 code: shi trekker into an angry killer, director. Scenes linger on forever, Construction of hWater body tion and subsequently reject h who vows to bust the flesh trade nullifying their own significance. pedestrain facilities beautification on it with a reasoned order in racket in Bulgaria. Soon high- His wish to incessantly harp on the Palm Beach, Nerul larger public interest,” a se- in Nerul, Sector 11 | ■ octane, gravity and death-defying ‘father-daughter drama’ makes his Shivaay (Ajay Devgn), a fearless nior bureaucrat told TOI. `2cr Sector 26 | `18cr action thriller dreary, an odd Himalayan mountaineer covered in A day after the general bo- mishmash of multiple genres that Tarring work of Road work in Lord Shiva tattoos, heads to dy meeting of the Navi Mum- h h Bulgaria to fulfil his nine-year-old leaves you exhausted. Parsik Hill Belapur Koparkhairane bai Municipal Corporation daughter Gaura’s (Abigail Eames) Boasting of great production (NMMC) passed a no-confi- sectors 23, 24, 26, and Airoli | wish of seeing her mother Olga values, we wish Ajay had invested dence motion against Mund- and 27 | `1.2cr `7cr (Erika Kaar), who abandoned them in a better story as well. You don’t he, the urban development years ago. But their plan goes for a feel for the characters or their Gas pipeline connection at civic hospitals department had called for an h Tukaram Mundhe toss when the little girl gets ordeal. His quick romance with explanation from him and kidnapped in the foreign land. Hindi-speaking Olga, which canvas but despite the efforts, his the NMMC secretary. turpitude or he must have be- ders at Matoshree on Friday Rescuing her from the masked child- blossoms in a dim-lit falling tent is second directorial venture fails to “We have received a state- en convicted by a court. In a that he was “confident traffickers becomes his only reason preposterous. engage you emotionally. ment from Mundhe and a re- democratic setup, it is a bu- the chief minister would re- for survival. Sayyeshaa Saigal makes a decent Hindi debut. Girish Karnad, port on the deliberations at reaucrat’s responsibility to move the civic chief,’’ said Vi- n heart-pounding beats of who plays her father, ends up being Direction: 3/5 | Dialogues: 2.5/5 the meeting from the NMMC respect and honour an elec- jay Nahata, the former Navi secretary. Before taking a de- ted representative,’’ the bu- Mumbai civic chief and Bolo Har Har, Shivaay has a the unintentional comic relief, Story: 2.5/5 | Music: 3.5/5 O cision, we will give an oppor- reaucrat said. senior Sena leader. owing to his inappropriate, corny spectacular opening scene Visual Appeal: 4/5 that sees Ajay descending dangerous dialogues. tunity to the NNMC mayor Uddhav has become the fo- NMMC mayor Sudhakar Himalayan cliffs like a pro. The stun- Overall, Ajay is unstoppable in Our rating is not the average of the above and the corporators to pre- cal point in the row between Sonawane and other corpora- ning cinematography captures the Shivaay but you wish he wasn’t! sent their case before the go- his corporators in Navi Mum- tors met Fadnavis on Friday mountains like no Hindi film has Laced with visual excellence, you vernment,” he said. bai and Mundhe. Thirty- demanding Mundhe’s ouster. managed so far. You feel you are in applaud his film’s larger than life — Renuka Vyavahare The bureaucrat pointed eight Sena corporators had “We had a positive discus- out that merely because voted in favour of the no-con- sion with the CMWe are posi- Mundhe is “arrogant” can- fidence motion against the tive that he will take appro- RATING TRASH ★ | BELOW AVERAGE ★★ | AVERAGE ★★ | ABOVE AVERAGE ★★★ not be the reason for his remo- bureaucrat earlier this week. priate steps,” said Sonawane. ★★★ ★★★★ ★★★★ ★★★★★ val. “There should be specific Having green-lighted the (Inputs from Sameera SCALE | GOOD | VERY GOOD | VERY GOOD+ | OUTSTANDING charges of corruption, moral vote, Uddhav told several lea- Kapoor Munshi)