Times City the Times of India, Mumbai | Saturday, October 29, 2016
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TIMES CITY THE TIMES OF INDIA, MUMBAI | SATURDAY, OCTOBER 29, 2016 HOW TO DOWNLOAD Download ALIVE Open the app and Watch the alivear.com OneScan App from focus on the image image come Available on AND USE ALIVE APP Android and iOS your app store or go to 2 containing Alive logo ALIVE. View 1 3 devices PAGES 13 & 15 alivear.com/app and scan it. and share. 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 <space> short code of movie as 11,102 (Chembur) (Kandivli) CINEMA OF THE WEEK given under each movie name <space> your patients in 2012 2015 name <space> 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). <space> 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.