RNI No. DELBIL/2012/45560 Monthly Newspaper Vol - 3, Issue - 3 DL(E)-20/5415/2012-14 21 July 2014 10:06:23 AM About DTO Subscribe DTMT Advertise With Us Buy Subscription Drug Directory Archives Advertisement Jobs Bea User Name Fitness u ty st th Diet September 1 - 30 , 2014 • ` 10/- • New Delhi Health  A Newspaper For the Health Conscious He rba l LOG IN Sign Up / Forgot Password Yoga Remedies Medicine Ready Reckoner Of Current Search company,Brand,Generic Medical Formulations Newspaper for the health conscious Home City Institutions Pharmacy Paramedical Review Voice Nation Latest Globe Exclusive Business Mix

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www.drugtodayonline.comBENEFITS  24*7 online visibility Find your company listing in  Most cost effective drugtodayonline.com TODAY a Sp readcomplete information quickly website for the  Online business solution to its customers If your company name is not listed then contact  Personal web-site us at: [email protected] NOW health Will promote your pconsciousroduct  Helps in sending business enquiries  Sell or purchase product And want to see your business  Medical Times growing by creating your own For enquiry call us at.: 09971995818 Medical Times hours a day, 7 day a week, Medical Times website through drug today at a Mail us.: [email protected] 365 day a year. very economical price cute rate This online platform will promote your company products and services and also help the visitor connect with you easily, resulting City Scope P2 Pharmacy P4 Review P6 Excluins businessive enquiry. DRUG TODAY MART exclusively provides requirements to help, support andP14 grow your business. ICMR: No conclusive data Drug industry seeks talks, Studies reveal therapeutic Ebola: The threat looms! on mobile affects on health keeps legal option open effect of curcumin in OSMF How prepared are we? Authorities in face-saving mode as JE toll mounts West Bengal takes punitive action against doctors, health officials

Nabanita.Sengupta Trail of the disease dent of Hooghly district, Sadhan @drugtodayonline.com Pal, a retired railway employee, Burdman was also admitted in the BR Singh Kolkata: Panic gripped West Ben- Hospital. Hooghly gal even as Japanese Encephalitis Sources in the Uttarbangho (JE) went on the rampage leav- Murshidabad Medical College informed that ing behind a trail of death and Paschim Medinipur Acute Encephalitis Syndrome mayhem in the state. Laidback Nadia (AES) claimed life of a seven- attitude of healthcare institu- year-old. Two patients, one each tions and lacklustre approach Malda from Chakduar and Raipur, also of health officials worsened the lost their lives to AES at the same situation. But as things went out Hospitals in Kolkata reported hospital. of hands there is a scramble in several cases of JE. Due to Meanwhile, South Bengal has Health Department to find scape- shortage of kits for the blood seven patients suffering from goats among doctors and health test many cases go undetected Japanese Encephalitis. Among officials. them, two were admitted in Burd- Taking Maldah in the north to resident of Hooghli, was recently A few days ago, a man from As- man, one each in Hooghly, Mur- Murshidad in the south under its on an official visit to Assam, from sam died of JE in the same hos- shidabad, and Paschim Medin- sway, the dreaded disease spread where he was suspected to have pital. Germs of the dreaded dis- ipur, Nadia and Kolkata. The to the state capital. Ashok Yadav, been infected with the disease. He ease were also detected in the patient who was in Kolkata was a 39-year-old railway employee, is under treatment at BR Singh blood sample of another patient said to have been “referred” from is the latest victim of JE. Yadav, a Hospital in Sealdah. in Kolkata, while another resi- Continued on P 3

Illegal path labs Unholy nexus behind AIIMS CVO’s sack mushrooming Politicians and babus The tenure of the Chief Viligence Officer (CVO) of the All India Insti- Mumbai: Six months af- gang up, undermine tute of Medical Institute (AIIMS) ter DTMT reported how healthcare sector was to last till June 2016. By sack- lab technicians and pa- ing him midway the Health Minis- thologists openly flout BS.Rawat try compromised on the interests norms (For many path- @drugtodayonline.com of the healthcare sector which has labs, one ghost patholo- been accorded priority by the new gist – DTMT July 2014), New Delhi: Zero tolerance against Government. we have stumbled upon corruption has been one of the Health Minister Dr Harsh Vard- a report of over 6,000 main poll planks of Prime Minis- Sanjeev Chaturvedi han’s justification of his action on illegal pathological ter Narendra Modi during the Lok the premise that his appointment labs in Maharashtra Sabha elections, but it seems his Sanjeev Chaturvedi was uncer- itself had violated procedural run without requisite colleagues in the party and Gov- emoniously removed from office, norms in the absence of approval permit from Health De- ernment are in no mood to coop- the Government does not seem to of the Central Vigilance Commis- partment. erate with him on this front. Going be too serious to eliminate corrup- sion (CVC) sounds a lame defence. Details on P 5 by the way an upright officer like tion from public life. Continued on P 10 42 deaths in over one lakh abortions in Delhi hospitals in five years

DTMT.Network @drugtodayonline.com

New Delhi: A total of 1,00,010 abortions were car- ried out in various government hospitals in Delhi in the past five years till March 31, 2014. Going by the numbers, on an average over 55 abortions took place per day in the hospitals. Of these, 42 cases ended up in death. This was revealed by Dr Jyoti Sachdeva of Di- rectorate of Family Planning, Delhi Government in a reply to an RTI query filed by Human Right Activist RH Bansal on June 23, 2014. In the light of statistics YEAR ABORTIONS 2008-2009 40,238 2009-2010 13,580 2010-2011 15,157 2011-2012 10,406 2012-2013 10,672 2013-2014 9,966 YEAR DEATHS 2008-2009 08 2009-2010 04 1,00,010 2010-2011 05 abortions 2011-2012 15 in Govt 2012-2013 06 Hospitals 2013-2014 04

Citing a database for 2008-09, Dr Sachdeva said in public hospitals of the city, a total of 40,238 fe- tuses were aborted while eight cases of abortion related death were reported. There was a drastic decline in the number of abortions last year with the numbers coming down to 13,850 and of death just four, but it went up again in 2010-11 with 15,157 abortions and five deaths. In 2011-12, there were 10,406 abortions but deaths in abortion recorded was the highest at 15 and in 1012-13, around 10,672 abortions were conducted while six cases of death were Continued on P 8 DRUG TODAY MEDICAL TIMES 2 City Scope 1st - 30th September 2014, New Delhi

Bara Hindu Rao a sanitary mess: No conclusive data on effects of mobile on health, says ICMR Opposition raises matter in NDMC DTMT.Network period of time @drugtodayonline.com n An animal study indicated significant reduction in testicular size, weight and BS.Rawat Leader of the Opposi- New Delhi: Time and again a lot of hue in sperm counts after chronic exposure @drugtodayonline.com tion in the NDMC Mukesh and cry was raised over the mobile tow- to Radio Frequency Radiation (RFR) imi- Goel said that the patients ers in the past. Many studies have claimed tated from cell phone which may lead to Lack of proper waste man- of the hospital are facing that these towers are indeed a threat to infertility agement has turned Bara many inconveniences due health and well-being of the people even n Headache, dizziness, numbness in the Hindu Rao Hospital into to waste material and un- as there is no confirmed data available to thigh and heaviness in the chest among a sanitary mess. So piti- hygienic conditions in the prove that there is any health risk from mobile phone users able are the sanitary con- hospital. these. In this context, Indian Council of n Long term and intensive mobile ditions in the hospital that Meanwhile, irked by the Medical Research (ICMR) set the mat- phone use may cause inner ear damage patients under treatment charges, Mayor Yogender ter straight by claiming that there is no n Increase in peak heart rat, serum to- here fear infection and Chandolia on August 22 conclusive data available on the issue of tal cholesterol, VLDL cholesterol and disease during their stay. sent a letter to Lt Governor health hazards due to radiation emitted triglycerides concentration in acute RFR Garbage is strewn all Najeeb Jung complaining from cell phone tower. exposed male students in comparison to around on the floor next alleged misbehaviour of The growing body of scientific evidenc- control students to the water pipelines and A single bed being shared by multiple patients (pregnant women) at Bara Hindu Rao Hospital the Opposition. es indicates some bio-effects and possible n Microwave radiation caused an in- dogs can be seen roam- Taking cognisance of adverse health effects of Radio Frequency crease in erythrocyte and leukocyte ing around in every ward. kept in a room instead of publish a folder listing its Sharma. the complaint about un- Radiation (RFR). ICMR has informed that counts, a significant DNA strand break in The toilet here meant for central store meant for it. achievements for distri- He said that the Hindu sanitary conditions, the the World Health Organization (WHO) for brain cells and the loss of spatial memory women does not have Sources alleged that the bution at its national ex- Rao today is suffering for mayor directed hospital research on cancer has classified radio in mice windowpanes. Live elec- medicines were shifted to ecutive meet. want of sanitation, life authorities to suspend the frequency electromagnetic field as possi- n Microwave exposure adversely af- tric cables are hanging the room with an inten- The issue of unhygienic saving drugs and basic sanitary Inspector at the ble carcinogenic agent to humans. fects male fertility from the ceiling posing a tion to sneak them out of conditions at the Bara medical facilities. An in- hospital. It said that they have initiated a multi- n Reduction in melatonin or an increase risk to the lives of the in- the hospital for sale in the Hindu Rao Hospital was spection by the Health As for the medicines disciplinary cohort study in Delhi and in caspase-3, creatine kinase, and calcium mates. open market. raised in the North Delhi Committee on August 20 being kept in an isolated National Capital Region (NCR) to find ion may cause significant damage to rat Two to three pregnant Earlier, it was alleged Municipal Corporation on found irregularities in the chamber, he said that an out adverse effects of Radio Frequency brain due to chronic exposure of micro- women are forced to share that the ruling BJP used August 21 by Opposition functioning of the busy inquiry has been ordered Radiation (RFR), if any, emitted from cell wave radiations. These biomarkers indi- one bed. Medicines are the hospital’s fund to Congress councilor Satbir hospital. into the matter. phone on adult Indian population. cate possible health implications of such Under this study, efforts are on to exam- exposures ine whether use of cell phone is associated n Chronic exposure to non-ionizing Mi- with reproductive dysfunctions, infertility, crowave radiation may lead to infertility. Advanced implantable pacing system arrives in NCR neurological disorders (cognitive behav- n An animal study concluded that 3G iour, sleep related disorders, depression mobile phone radiations affect the brain DTMT.Network He claimed that new device Ad- etc.), cardiovascular disorders, Otorhi- function and cause several neurologi- @drugtodayonline.com visa MRI SureScan pacing system nolaryngology (ENT) disorders and can- cal disorders. The data of the study also has now made MRI scanning pos- cer in human volunteers. In addition to indicated testicular impairment in male Gurgaon: Medanta Medicity sible for patients with pacemakers the above, the ICMR has also funded few Westar rats due to long-term exposure of turned one of the first hospitals to implanted. other studies in India to address this is- Microwave . introduce advanced pacing sys- The device would allow patients sue. The significant finding of the studies A sum of Rs 824.30 crore has been ear- tem, Evera MRI SureScan implant- to have full-body access to MRI in India in this area is given below: marked in the 12th Five-Year Plan for set- able cardioverter-defibrillator would be a significant break- n Cytogenetic damage in tissues of ting up of pharmacy colleges in Govern- (ICD) to benefit thousands of heart through for the patient in the world. some individuals using cell phone over a ment Medical Colleges. patients in the National Capital It is designed to better fit inside the Region (NCR). The device is ap- body, with a contoured shape and proved for magnetic resonance thin, smooth edges that increase imaging (MRI) scan positioned on patient comfort by reducing skin National bio-material centre any region of the body. Patients pressure by 30 percent. with such device will now have The device feature a contoured access to full body scans, without shape with thin smooth edges that for organ donation soon positioning limitations in the MRI Dr Balbir Singh with Evera MRI SureScan implanted patient better fits inside the body, increas- scanner. ing patient comfort by reducing DTMT.Network to develop a repository of The Government has also First such implant was done Speaking to DTMT, Dr Singh said, According to an estimate, as skin pressure by 30 per cent. @drugtodayonline.com body parts for donation, as given approval for inclu- last month by Dr Singh, chairman “MRI scanning is unequivocally many as 63 per cent of ICD patients While majority of shocks deliv- approved under National sion of three new vaccines of Electrophysiology and pacing superior to X-ray based imaging are expected to need an MRI within ered are necessary to treat poten- New Delhi: To develop a Organ Transplant Pro- in Universal Immunisation at Medanta Medicity. He has im- methods and is fast becoming an 10 years of receiving a device. tially fatal arrhythmias, approxi- repository of body parts gramme (NOTP) for 12th Programme (UIP) includ- planted the new pacemaker on a essential diagnostic tool for clini- Dr Singh described the device as mately 20 per cent of patients with for donation, the Gov- Plan, the process has been ing Injectable Polio Vac- 69- year- old Gurgaon patient SR cians. Existing pacemaker tech- standard of care in soft tissue im- implantable defibrillators may ex- ernment has initiated the initiated by the Ministry. cine (IPV). Vij with Bradycardia. Bradycardia nology meant that MRI scans were aging, providing information not perience inappropriate shocks in process for setting up a The minister said that The Centre has not been is a disease condition where heart not safe for over a quarter of a mil- seen with X-ray, ultrasound, or CT response to a benign arrhythmia national-level bio-materi- the NOTP will promote delaying introduction of beat is less than 60 beats per min- lion patients because of the strong scan, and critical for early detec- or electrical noise sensed by the al centre. The Centre will and facilitate donation of injectable polio vaccine ute and can lead to heart failure. magnetic fields it uses.” tion, diagnosis and treatment. device. come up soon at Safdar- body parts from deceased due to cost implications. jung Hospital here. Con- donors. In fact, on July 12, National struction work for the Work for establishing Technical Advisory Group 21 July 2014 10:06:23 AM About DTO Subscribe DTMT Advertise With Us Buy Subscription Drug Directory Archives Advertisement Jobs proposed centre has been an online system with a on Immunisation (NTAGI) already completed. dedicated website (www. recommended IPV as an Bea User Name Replying to a query in notto.nic.in) has also been additional dose along with Fitness u Parliament on August 5, started for establishing third dose of Diphthe- ty Diet Health  Health Minister Dr Har- network for retrieval of ria, Pertussis and Tetanus sha Vardhan said though organs from deceased/ca- (DPT) in the country. The A Newspaper For the Health Conscious He it is the responsibility of daver donors and their al- Health Minister stated this rba l LOG IN Sign Up / Forgot Password states/Union territories location and distribution. in the Rajya Sabha. 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BENEFITS  24*7 online visibility Find your company listing in  Most cost effective drugtodayonline.com TODAY  Spread information quickly  Online business solution to its customers If your company name is not listed then contact  Personal web-site us at: [email protected] NOW  Will promote your product  Helps in sending business enquiries  Sell or purchase product And want to see your business

 growing by creating your own For enquiry call us at.: 09971995818 hours a day, 7 day a week, website through drug today at a Mail us.: [email protected] 365 day a year. very economical price cute rate This online platform will promote your company products and services and also help the visitor connect with you easily, resulting in business enquiry. DRUG TODAY MART exclusively provides requirements to help, support and grow your business. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi Institutions 3

Schools roped in to lead fight against diabetes

New Delhi: Sanofi, International will create awareness on dia- extra-curricular activities to en- dren to feel comfortable man- identify gaps in the knowledge Diabetes Federation (IDF), HRI- betes (Type 1 and Type 2) and gage children on the issue. Infor- aging their diabetes in school, so that appropriate 2/3 resourc- DAY and Public Health Founda- benefits of healthy nutrition and mation about diabetes will reach whilst at the same time educat- es and dissemination routes can tion of India (PHFI) on July 23 exercise habits among school approximately 3,00,000 stu- ing their care-giving network on be developed.” have rolled out a project called children. dents and teachers by year-end. the best way to deal with diabe- “We found that there are no ‘School Diabetes Information A total of 15 schools will re- “By tackling diabetes, early- tes. This project has the poten- structured training programs, Pack’ specially designed for ceive training and information on in schools, the KIDS project tial to have a positive impact on plan or activity, implemented in teachers, parents and children packs on managing diabetes has a unique opportunity influ- communities in general.” the school settings that focus on of Delhi. from experts in healthcare, pub- ence how we perceive and man- K Srinath Reddy, President - diabetes management. Almost The project aims at encourag- lic health and health promotion age diabetes in and outside of PHFI said, “The program’s first all the respondents emphasized ing safe and supportive school from HRIDAY and PHFI. The in- school” said Dr David Chaney, step was a feasibility study to the need for a comprehensive environment for children with formation pack offers informa- senior education specialist dur- understand the status of diabe- awareness/educational pro- Type 1 diabetes to manage their tion on diabetes management to ing a launch of Indian Diabetes tes management by reviewing gramme in schools to sensitize diabetes and avoid discrimina- children as well as teachers. Information Pack (project KIDS). current policies on diabetes in students, teachers and parents tion. In addition, the programme The pack suggests interesting He further said, “We want chil- schools, existing school guide- on management of Type 1 dia- lines and initia- betes, and control of risk factors tives, any best for Type 2 diabetes,” Reddy said. practices -- and —DTMT.Network

Iraqi siblings with rare genetic disorder get a new lease of life in India Life of an Iraqi couple came to a standstill when they came to know that their young children, Ibrahim, 4, Sozan, 10, and Lozan, 11, were suffering from a rare genetic dis- order called pro- gressive familial intrahepatic chol- estasis (PFIC), a class of chronic cholestasis disor- der (a condition where bile cannot flow from the liver to the duodenum) . Surgeons, anes- thetists and 30 nurses led by Dr Vivek Vij, Direc- tor GI Surgery and Liver Transplant at Fortis Hospital, Noida persevered for 12 hours for each liver trans- plant for the three Iraqi siblings. Terming it as the rarest of rare case, Dr Vivek Vij said, “Very few such cases have been reported in the medical literature. This is for the first time that we came across a family wherein all their young children were suffering from PFIC.” —DTMT Network

Authorities in face-saving mode as JE toll mounts Continued from page 1

Maldah. Hospitals in the state capital including Cal- cutta Medical College, SSKM, National Medical Col- lege Hospital have reported several cases of JE. The number of patients is increasing by the day, but due to shortage of kits for the blood test many cases JE go undetected. In Malda Hospital, blood tests were delayed due to shortage of the kit. In Kolkata, a renowned health centre like School of Tropical Medicine is also fac- ing the kit crunch. “Shortage of the kits is a major hurdle in the treat- ment of patients. The kits available with us can test blood of only up to 100 patients,” lamented Nimai Bhattacharya, Head of Tropical Biology, Kolkata, while speaking to DTMT. A total of 40 people admitted in Malda Medical College. Blood test of 30 of them was carried out. Of them two local patients were tested positive. But, hospital authorities are tight-lipped about these cases. District Health Department rushed a group of specialists to assess the gravity of the situation as many more people were coming for the treatment of this disease. While doctors here ruled out existence of any case of JE, Abdur Rashid, Superintendent of Mal- dah Medical College, denied any knowledge about patients being tested positive for JE here. District magistrate Sarod Kumar Trivedi too denied preva- lence of the disease in Malda.. It is reliably learnt that while doctors and health workers are trying to save their skin, health work- ers are maintaining silence over the cases at the in- stance of their seniors and higher authorities. The sources said so far 19 doctors have been transferred from the hospitals and several health officials were suspended for dereliction of dutyfor not informing their superiors about the spread of the disease. First it was Super, then principal of Ut- tarbangho Medical College to be suspended in the case. Then came the order for transfer of the doc- tors. Many more heads are expected roll in the case. It was the doctors from the Association of Health Service who demanded suspension of the principal and Sankar Prasad Kabhiraj (Super), Partho Sarathi Ghosh, secretary and Bhaskar Roy assistant Secre- tary of the association. Susanto Bandopadhay, an official of Health and Education Department of North Bengal, however, denied issuance of any transfer order. DRUG TODAY MEDICAL TIMES 4 Pharmacy 1st - 30th September 2014, New Delhi

Appointments Pilots for free TB medicine for Legal Column Situation vacant Patna and Mehsana kick off Are all license forms, Shruthi REQUIRED BK.Jha @drugtodayonline.com We were working hard on 20, 21, 20a, 21a, 20b FOR PHARMA notification of patients from hospitals MARKETING New Delhi: In view of growing incidence private practitioners and Wanted AREA/REGIONAL of tuberculosis (TB) and to provide med- and 21b restricted? SALES MANAGER nearly one lakh patients icine support to hitherto unreported pa- were notified by them Query: “Please elucidate rule 65 (19) and pose, it needs no services of registered nurses FOR RAJASTHAN/ GUJRAT/ tients of private practitioners, the Gov- rule 61 of the Drugs and Cosmetics Act pharmacist but any person who holds a Address: Raghupati Complex, MAHARASHTRA ernment has launched two district-level last year. In view of 1940 and rule 61 of the Drugs and Cos- bachelor’s degree with one-year experi- Beside Andhra Bank, Candidate with rich pilot schemes to make free medicine this, we have launched metics Rules 1945. In my opinion, all li- ence of sales of drugs. In case a person’s Pulimamidi Road, experience of at least available through chemists. The schemes two district-level pilots cense forms, 20, 21, 20a, 21a, 20b and 21b, qualification is higher secondary or inter- Maheshwaram, 7 years in have been launched in Patna (Bihar) and come under restricted category.” mediate, he should have a four-year sales Rangareddy, Pharmaceutiacal sector in Patna and Mehasana. Under the Telangana Mehsana (Gujarat) districts. scheme, TB patients from private —Jaideep Gupta experience to qualify. with good exposer “We were working hard on notification In licensee 20A and 21A it is for restricted Contact Details: to Propaganda doctors will get free medicine Dr. Syed Jameer Ahmed of patients from private practitioners Under Drugs and Cosmetics Act 1940 and license which needs no registered phar- Marketing (PCD) Ph:09666078697 and nearly one lakh patients were noti- from the local chemists and the Drugs and Cosmetics Rules 1945, Rule macist because they sell only OTC drugs. Head Office in Rohini, Delhi fied by them last year. In view of this, we Government will reimburse the cost 65(19) is related to retail sales license, Hence, they have no right to sell Prescrip- SALARY NEGOTIABLE have launched two district-level pilots in to them through an online system. which needs qualified person (registered tion Drugs. 8826980444 Patna and Mehasana. Under the scheme, pharmacist). The drugs which need no prescription of Sai 9818154848 TB patients from private doctors will get —Dr Niraj Kulshrestha, The qualified person shall pack the drug RMP are Prescription Drugs. 8826694978 free medicine from the local chemists in envelop or small containers as the case If any whole seller and retailer violates tirumala and the Government will reimburse the may be, by indicating name of drug, quan- the provisions of rules 65(Conditions of pharmacy 9810880905 cost to them through an online system,” incidence of 8.7 million TB cases; 2-2.4 tity sold, name and address of the dealer Licensees), the Drug Licensing Authority [email protected] Dr Niraj Kulshrestha, Additional Deputy million were estimated to have occurred from whom he has acquired the drug as has the right to take action against the Wanted [email protected] Director General (ADDG), TB Division, in India. per rule 65(19) of Drugs and Cosmetics whole seller and retailer as the case may pharmacists Ministry of Health and Family Welfare “Nearly 4 per cent patients die due Act 1940 and Rules 1945. Wholesale licen- be according to Rules 66(1) of Drugs and Sri Krishna Endo told on the sidelines of a confer- to TB and 60,000 new cases are added see (Form 20B & 21B) has no right to sell Cosmetics Rules 1945. helpers DTMT Care Super ence. annually. Drug Resistant TB is a serious the drug in retail sale. Address:4-6-510/511, Esamia Giving details of the scheme, he said, challenge. The pilots will help in reduc- Rule 61 is related to Forms of licensees for Bazar,Hyderabad Speciality Clinic all patients, practitioners, chemists and ing the number of incidence. Early detec- sale of drugs. RAMESH CHAND, ADVOCATE Ph:040-24741208, 040-65441208 Wanted coordinators of the districts would be tion and proper treatment is the key for Licensee on Form 20 & 21 is a qualified Nationally acclaimed expert on nurses linked together with the online system success,” Dr Kulshrestha said. person (registered pharmacist) essential Drugs and Cosmetics Act (1940) pharmacists and patients will be given a Unique Num- The Government plans to roll out the for retail sale license. [email protected] Triveni ber and with this the patient will get free scheme across the country but much Licensee 20B & 21B is for wholesale pur- Mob-09810129898 lab technicians medicine from the chemists. would depend of its success in the two hospital receptionists According to Health Ministry estimates districts. (The views expressed in this column are those of the Address: Plot no: 21&22, and World Health Organisation (WHO), “It is a dynamic and evolving scheme. author and do not necessarily represent the views of, and Wanted First Floor, Above icici India is the highest TB burden country It is difficult to say when it would be should not be attributed to, Drug Today Medical Times) Bank,Vanastalipuram, Nurses and Hyderabad in the world, accounting for nearly one- launched in other districts and at state For any legal query you can write us at: Receptionist Contact details: fourth of the global incidence and in level. However, we are hopeful about the [email protected] Dr. Nagendar Reddy 2012, out of the estimated global annual success of this scheme,” the ADDG said. Address:19-4-321/4/b/4,kishan Ph: 09705473999, bagh,bahadurpura 07680974999 road,hyderabad-500064 Email: [email protected] Contact details: Dr.A.Gyaneshwar rao Industry seeks talks, keeps legal option open Ph:040-24475005 Medivine Pharmaceuticals lation packs and 247 car- products in the domestic ing patient interest,” DG Divya clinic dio-vascular formulation market for better reali- Shah, Secretary General, REQUIRED DRUG PRICE Wanted packs under price control. zation abroad. In either IPA told DTMT. We are looking for experienced CONTROL This has disappointed the case, it is a loss to the According to AIOCD nurses and well-qualified sales profes- pharma industry. country,” the IPA said. Pharmasoftech, a phar- Address:14-9-823, Opp. sionals for our newly start up Two associations of One of the major objec- maceutical market re- Lalabhavan, Jumerat pharmaceutical company. BK.Jha drug manufacturers— the tives of the NPPP 2012 search company, the to- Bazar, Hyderabad Designations: sales manager @drugtodayonline.com Indian Pharmaceutical Al- is to ensure abundant tal market consists of Rs Contact Details: and sales executive. liance (IPA) and the OPPI — availability of drugs in 75,690 crore and market Dr. Kiran Thakur Salary: negotiable (not an issue New Delhi: The last price have challenged the order the country. To this end, under control was 13 per Ph: 0756975162 for right candidate) fixation exercise of the in the Bombay and Delhi the NPPP 2012 unam- cent. With 108 Formula- D-166, Patel Garden Ext. Dwarka National Pharmaceuti- high courts, respectively. biguously assured the tions of Non- scheduled More, New Delhi-78 cal Pricing Authority The Delhi High Court had industry that the span of products brought under Contact: 8800356392/9818097563 (NPPA) sent jitters in Rs dismissed a petition filed control will be limited to control regime, the total 75,690-crore pharmaceu- by the OPPI seeking a stay National List of Essential market under price con- tical industry. To resolve on NPPA’s July 10 order for all. Focus on human further order. Medicine (NLEM) only. trol would be at Rs 15, 210 the issue its representa- fixing prices of over 100 resource augmentation, According to IPA, many However, breach of this crore, nearly 20 per cent Drug Price Control tive bodies sought negoti- non-scheduled drugs, but last-mile availability of developed and the de- assurance could lead to of the total market. ations with authorities on sought responses from medicines and stronger veloping countries im- industry not fulfilling its Shah said that with new Order needs extensive the one hand while keep- the pricing authority by healthcare distribution porting drugs from India obligations of servicing formulations, span of ing legal option open on September 29. will catalyse access to benchmark their pro- the domestic demand. It control has increased by the other. Since the court ob- healthcare,” OPPI presi- curement price with the could look for greener almost 50 per cent from changes: Report Initial response from the served that paragraph 19 dent Shailesh Ayyangar domestic price. pastures elsewhere. 13 per cent to 20 per cent. courts was not very en- of the 2013 DPCO does reportedly said. “This may either lead to “The NPPA may achieve “This overarching policy DTMT.Network couraging for the industry. not restrict price fixation “The Government is still loss of exports or encour- narrow band but without enlarging span of control @drugtodayonline.com While rejecting a plea of to only essential drugs, considering the industry age companies not to adequate supply in the is a major concern of the Organisation of Pharma- the industry bodies feel representations on er- supply price controlled long run compromis- industry,” he added. New Delhi: The expected improvement in availability ceutical Producers of In- that dialogue with the au- roneous interpreta- and affordability of essential medicines as envisaged un- dia (OTTP) for stay, Delhi thorities must continue tion of Para 19 of the der the National Pharmaceutical Pricing Policy(NPPP High Court sought reply to resolve the issue. DPCO 2013 to find an 2012) has been badly vitiated “to a large extent” by the from authorities by Sep- Paragraph 19 of the amicable solution,” a Drug Price Control Order (DPCO 2013), a latest study of tember 29. Mumbai High DPCO, 2013 authorises senior Government the pharma industry by an industry body revealed. Court sticks to its stand, the NPPA in extraordi- official toldDTMT . Charging the National Pharmaceutical Pricing Author- ‘no coercive action’, on the nary circumstances, if it Meanwhile, legal ity (NPPA) of “erroneous interpretation” of the pricing part of NPPA. considers necessary so to proceedings are on control order and “arbitrary and ultra vires exercise of The NPPA on July 10 do in public interest, to fix with the Mumbai power by it” beyond the scope of both the national phar- had brought over 100 the ceiling price or retail High Court double ma pricing policy and the drug price control order, an As- non-scheduled drugs price of any drug for such Bench of Justice SJ socham study on the Pharmaceutical industry said this under price control re- period as it deems fit. Vazifdar and Justice was causing “chaos and unpredictability” for the industry gime as per paragraph 19 “The pharma industry Revati Mohite Dere “in terms of implementation and adherence to the NPPP”. of the DPCO (drug price is more than willing to on August 20 stick- The study also found that the drug price fixation mech- control order). The order partner with the Govern- ing to their the ad- anism “does not provide any distinction for formulations would bring as many as ment to achieve the vi- interim relief of “no under NLEM that are sold as new drug delivery systems 120 anti-diabetic formu- sion of healthcare access coercive steps” until on development of which pharma industry had made considerable investments and had developed these for different set of patient groups. Included in this list were disposable tablets, gelatin Claris Life Sciences gets MHRA coated tablets, bilayered tablets, sustained released tab- lets etc. Such specified drug formulations improved re- approval for its new plant lease pattern and stability of the drugs targeted to spe- cific patient groups. Pointing our several other anomalies and problems DTMT.Network the products currently to industry posed by the wrong implementation of the @drugtodayonline.com under development,” the price control order and pricing policy, the called for early company said. formation of a robust regulatory framework for pricing New Delhi: Claris Lifes- The company’s flag- of drugs “so as to ensure availability of required medi- ciences Limited today ship plant (Plant 1) is cines – “essential medicines”- at reasonable prices. Such announced it has re- already approved by framework should also provide sufficient opportunity ceived the Medicine and MHRA-UK. This is the “for innovation and competition”, the chamber said. Healthcare products first regulatory inspec- Releasing the report that deals with all aspects of In- Regulatory Authority tion and compliance dian Pharmaceutical industry, Assocham Secretary-Gen- (MHRA) approval for its approval conducted by eral DS Rawat said that it revealed the latent potential newly commissioned MHRA-UK in line with of the present 18 billion USD industry that is expected to plant. ally, there are 28 ANDAs the EU GMP regulations grow to 45 billion USD by 2020. In a statement issued in the US, 8 molecules for Plant 2, this approval to the media, the com- in Europe and 10 mol- is for Terminally Steri- pany said, “This will help ecules in ORM, which lized products presented in enhancing capacities are filed and awaiting in glass ampoules man- DISCLAIMER to grow in the regulated approval. ufactured in Line 1 of the The Printer, Publisher, Editor, and owners of markets, especially the The company is cur- Plant 2. European Union. The rently functioning at The company plans to the DTMT are not responsible for any claims Company’s specialty in- high capacity utilisation install another line in made by the advertisers. TheDTMT shall not in jectables business saw a and is adding capacities this new plant (Plant 2) any way be held liable for any consequences in growth of 30 per cent in in Plant 2 (newly com- which will be ready for the event such claims are not honoured by the the last quarter.” missioned plant) to ser- commercial production advertisers. As on June 30, 2014, vice future demands. by the end of this year. Readers are, therefore, requested to sat- the company had ap- “For sustainable growth, The existing line has ca- isfy themselves with appropriate inquiries provals of 13 abbrevi- attaining the required pabilities to manufac- before venturing to send money, incur ex- ated new drug applica- regulatory approvals is ture Aseptic Sterilized penses, act on medical recommendations tions ( ANDAs) in the one of the key growth products as well, and or entering into any commitment in rela- US, 14 molecules in Eu- drivers; and the compa- the new line will have tion to any advertisement published in this rope and 11 molecules ny has a large pipeline of the capability to manu- publication. in Other Regulated Mar- products; which includes facture Lyophilized kets (ORM), addition- the under approval and Products. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi In Focus 5

For momentary boost, many say goodbye to good health

prove looks and boost perfor- The Mayo clinic in the US of such drugs also affect joints. “Once you come off the ef- time due to abnormal lifestyle. mance in the sports arena. says the use of performance- “Since the muscle grow faster fect of drug that is masking the “Many are using these drugs as PERFORMANCE Such drugs have tradition- enhancing drugs by men and and stronger than the liga- problem, rebound inflamma- competition and diet fix,” she ENHANCERS ally been associated with women from India is leading ments and tendons, the risk tion and accompanying pain said. bodybuilding, but those in the to deepening of the voice, in- for injury increases due to the occurs and you are suddenly “It’s very harder for women health and fitness industry say creased body hair, hair loss and excessive force on the tendons unable to even train,” he said. and men to build a body or Prateek.Chauhan they have noticed increased infertility and especially infre- and ligaments that are above The rise in the popularity of reduce fat easily as many are @drugtodayonline.com number of women and men are quent or lost menstrual cycles. their tensile strength of load extreme fitness and sports as not willing to spend time due using them. What is surprising Men and women can also capacity, which will have a neg- bodybuilding and cross fit has to some reason or hard work These days more and more men is that these drugs are out of experience severe acne, liver ative effect on the joints,” Dr been attributed by experts in or their coaches are unedu- and women from Asia, espe- the closet today. abnormalities, high blood pres- Schacht said. the industry to the increase in cated to do the job properly. cially India, are falling prey to “So many people want the re- sure, heart and circulatory ered irreversible, even after the Some drugs disguise injuries people’s use of performance Therefore, it is time the people performance-enhancing drugs sults right away that they are problems, aggression and psy- steroids use is stopped,” said by masking pain and inflam- enhancers. Malin Blomdahl understood that these drug en- little knowing their impact on not taking a second thought chiatric disorders in cluding Camper. mation, so that you continue Lenner, a personal trainer, said hancers guaranteeing fat loss health. These drugs include fat about what they are injecting depression. Li Schacht, a doctor of nap- to train with an injured joint, she had seen it among men and and muscle buildup are just burners, growth hormones and in their bodies,” said Amada “The scariest thing is that most rathy, a mix of osteopathy and tendon or muscle causing it to women who have increased a mirage, don’t get into their steroids which promise to im- Camper, a personal trainer. of these side effects are consid- physiotherapy, said the effects become a chronic issue. their weight in very short trap,” she warns. Sampoorna Meditation to help doctors cope with stress

BK.Jha Eminent panelists explained ferent diseases. Moreover they @drugtodayonline.com to doctors, who are hard- think a lot which has adverse pressed by workload, the im- impact on their health,” Dr Pa- Ajmer: Doctors lead a very busy portance of yoga, meditation nagariya said. and stressful life. Nearly 1000 and spiritualism in maintain- Giving details about Samarpan doctors from various parts of ing a balance between person- meditation, Trustee of Shivkru- Rajsathan spared a day recently al, social and professional life panand Swami Ashram, Navsari, to get some useful tips to main- and keep themselves free from Gujarat Anurag described Sa- tain a balance between personal, stress and disease. Dr Vijay Lata marpan as an 800-year-old easy social and professional life and Rashtogi, Microbiologist from way of meditation. keep themselves free from stress Jawarlal Nehru Hospital, Ajmer He said, “Meditation brings and disease at event organised made a detailed presentation on about positive thoughts and here by Rajasthan Samarpan role and impact of meditation increase power of concentra- Meditation group, an affiliate of on doctors’ life. tion. It also fills the gap and Sampoorna Meditation dedicat- “Due to nobility of the profes- builds faith and trust between ed to the cause of physical and The Sampoorna Meditation summit for doctors in progress in Ajmer sion, doctors always ignore their doctors and patients. Regular spiritual well-being of people. own health and give priority to meditation makes doctors more The group organised a seminar Presiding the inaugural ses- stress right from the time of the treatment and cure of their positive and creates a feeling on ‘Science and Spiritualism – sion, renowned neurologist joining a medical college, estab- patients. While performing du- of closeness with their patients the inseparable duo for univer- Ashok Panagariya said that a lishing career and then during ties towards the patients doctors which has almost disappeared sal well being” for doctors. doctor’s life is always full of medical practice. are often exposed to several dif- in the present world.” Illegal path labs mushroom in Maharashtra too

BS.Rawat nicians carry out all the work. Pa- pathological lab? @drugtodayonline.com thologists only sign the reports. When questioned about the Most of the pathologists spend anomaly, a medical officer with the Mumbai: Six months after DTMT 2-3 hours in their own laboratory MBMC said there is no such law reported how lab technicians and daily while spending the entire day that authorises us to take action pathologists openly flout norms visiting from one lab to another for against these technicians. How- (For many pathlabs, one ghost a hefty commission from each. ever, they have taken up the mat- pathologist – DTMT July 2014), What is intriguing is that there ter with deputy director of health we have stumbled upon a report are many pathologists whose services. of over 6,000 illegal pathological names appear on pathological re- Many doctors refer patients to labs in Maharashtra run without ports but don’t sign them. Their specific labs knowing full well that requisite permit from Health De- names are misused or their sig- they do not have qualified pathol- partment. Many of these labs are natures forged by the technicians, ogists. There are allegations that run by MD microbiology, Diplo- who are not qualified to carry out these doctors receive commission ma holders in medical laboratory the tests. from the labs for referring the pa- technology (DMLT). The RTI reply also narrates how tients to them. In reply to an RTI query, Mira illegal path labs have been mush- Dr Jayesh Lele, secretary, Maha- Bhayander Municipal Council, rooming. it says there is a path rashtra IMA told DTMT on phone, Thane, informed that only 52 labs lab at almost every 100 meter and “We have issued a detailed circu- are registered with them, most most of these are run by diploma lar to all our members in the state. of which have registration in the holders in DMLT. We feel that doctors should not name of 3-4 MD (Path). Each of DMLT is a one-year diploma refer patients to laboratories that these MD doctors has more than course after class 10 or 12. They don’t have qualified pathologists. 20 labs registered in his/her name. have no knowledge of medicine. We never support such illegal In most of such laboratories, tech- The question is how can they run a practice.” Subscribe NOW! Yes, I wish to subscribe to Drug Today Medical Times Enter my subscription for

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Chickens come home to roost with antibiotics going on the rampage BS.Rawat nately fed on antibiotics by Repeated and pro- ace’. They are now proposing antimicrobial resistance is due @drugtodayonline.com poultry owners as growth pro- to aggressively target doctors to their overuse, misuse and moter to gain weight and grow longed ex- to ensure that they don’t over- indiscriminate use by doctors, ublic health ex- fast. The study conducted by posure to prescribe antibiotics. nurses and pharmacists and Pperts have long the Centre for Science and En- antibiotics by “Repeated and prolonged self-medication by patients. suspected that rampant vironment (CSE) set the matter exposure to antibiotics by There is also an urgent need use of antibiotics could straight once and for all. natural selec- natural selection lead to the to break the habit among the be the reason for increas- Going by the analysis of the tion leads emergence of resistant strains people of wanting to pop an ing drug resistance in India. data provided by various hos- of bacteria,” says Dr Narendra antibiotic for any and every But there was no data on the pitals it is evident that high to the emer- Saini, Hony. Secretary General ailment. We also feel that the extent of use of antibiotics levels of resistance is present gence of resistant strains of IMA. Centre’s move to ban over- in the country, leave alone on in Indians against antibiotics of bacteria.’’ Dr Saini further said, “These the-counter sales of 92 drugs, the prevalence of antibiotic such as ciprofloxacin, tetracy- mutated robust strains by- including antibiotics, will go a resistance. In this context, the cline and doxycyclin. Bacteria Dr Narendra Saini pass toxic effects of antibiot- long way to curbing this prac- recent study that has come up such as Escherichia coli, Kleb- ics making them ineffective. tice. with the shocking revelation siella spp., Pseudomonas spp., Secretary General Of IMA They can easily spread among IMA on July 31 demanded that antibiotics were found in Enterobacter spp. and Entero- the flock raised in squalor and from the Health Ministry im- 40 per cent of the chickens has coccus spp. which are respon- Governments worldwide contaminate the food chain. mediate ban the use of anti- been long overdue. sible for a large number of in- are adopting regulations to They can also alter the genet- biotics for growth promotion It is, in fact, an open secret fections in humans are found control the use of antibiot- ic material of other bacteria, and mass disease prevention. that chickens are indiscrimi- resistant. ics. But, only those countries often pathogenic ones, mak- It should only be used to cure have shown signs of improve- ing them resistant to several the sick based on prescription ment that have taken stringent drugs and resulting in a global of veterinarians. Implement CSE Found antibiotics in 40% of chicken action. European countries pandemic.” stringent control on import of samples from most of locations tested were the first to ban penicil- Despite governmental antibiotics and feed supple- lin, streptomycin and tetracy- checks and prohibition of ments. There should be as- clines as feed additives in the over-the-counter sale of an- tringent act on the same and Antibiotics Chickens with 1970s. tibiotics several chemists proper monitoring and sur- antibiotic The culprits are many and continue to sell them. In fact, veillance of antibiotics sup- Oxytetracycline 11.4% most of us know them by we have patients coming to plied to the chemist. heart. So, be it Erythromycin, doctors and asking them for Lack of data on the use of Azithromycin, Amoxicillin or specific antibiotics to be pre- antibiotics and drug resist- Chlortetracycline 1.4% Ciprofloxacin, self-medication scribed. ance is a major problem in In- with antibiotics is now a grow- Antibiotics get prescribed for dia. It is necessary to create an 40% Doxycycline 14.3% ing trend among the general ordinary fevers, self-limiting integrated surveillance system samples found population in India. diarrhoea and other com- to monitor antibiotics use and Enrofloxacin Delhi/NCR After the revelation, doctors monly occurring diseases. antibiotics resistance trends tainted in 20% under the banner of the Indian Medicines have to be pre- in humans, animals and food Medical Association are not scribed after knowing the ac- chain. A national level data- Ciprofloxacin 14.3% looking at targeting the gener- tual cause of the illness. The base should be developed and DELHI/NCR al population to curb the ‘men- development and spread of kept in the public domain. Studies reveal therapeutic effect of curcumin in OSMF Nutraceutical – a new mantra to keep

DTMT Network found in soy. important role in the devel- Bax, and enzyme-linked im- Curcumin is the main cur- opment of oral submucous munosorbant assay was em- lifestyle disorders at bay A statistical analysis of mil- cuminoid of turmeric, and fibrosis (OSF). In the current ployed to examine the levels lions of scientific studies responsible for most its study, the effect of curcumin of collagen type I and III in DTMT.Network ards Authority of India (FSSAI) K lighting role of nutraceuticals for reveals that curcumin – one biological activity. Curcumi- on growth and apoptosis of the supernatants of myofi- @drugtodayonline.com Chandramouli said, “As an apex health management especially of the active chemical con- noids are natural phenols myofibroblasts derived from broblasts. food regulator we undertake Type 2 Diabetes. stituents in turmeric – is the that give turmeric its distinct human oral mucosa was in- Curcumin inhibits prolif- New Delhi: For a healthy nation regular surveillance, monitoring Indranil Chatterji, business most widely-studied phyto- yellow-orange colour. Tur- vestigated. eration of fibroblasts and proper intake of nutritional food and sampling of food products manager at Solae Company, Du- chemical in modern science. meric contains up to 5 per Myofibroblasts were gen- myofibroblasts; it also dis- is a necessity for its citizens. In under the Food Safety and Stand- pont spoke on world class inno- The analysis was done by cent essential (also called erated by incubating fibro- turbs the cell cycle, induces this context, food experts believe ards Act (FSSA), 2006 in order to vative products which his com- medical science researcher volatile) oils and 5 per cent blasts, obtained from human apoptosis and decreases that many lifestyle disorders eliminate the food adulteration pany was offering in the country. Mike Adams (editor of Natu- curcumin. oral mucosa, with trans- generation of collagen type such as obesity, diabetes and in the country.” Gurjeet Kaur Chawla, Associate ralNews.com). Curcumin, a polyphenol, is forming growth factor-β 1 I and III in myofibroblasts, cardiovascular diseases can be “We are making all efforts to Professor and head of nutrition Based on a statistical anal- a pH indicator turning yel- (TGF-β 1). MTT, PI staining, which are more sensitive to prevented with a smart dietary ensure that people get healthy and dietetics department Manav ysis of over three million low in acidic solutions and and FACS assays were used its effects than fibroblasts. practice. food,” he added. Rachna University highlighted published scientific stud- red in alkaline solutions. It to investigate curcumin’s Curcumin induces apoptosis At a conference on ‘Indian Nu- During Technical Session on ‘ the role of miracle food soya. She ies, curcumin is the most is a potent antioxidant that effect on proliferation and in myofibroblasts by down- tra & Health Food Industry’ or- Overview of nutraceuticals and made a presentation on ‘Soya frequently mentioned phy- acts as an anti-mutagenic, cell cycle of fibroblasts and regulating the Bcl-2/ Bax ganised here by PHD Chamber world class innovative prodcuts’ Foods- A Treasure of Nutrition tonutrient, followed by res- meaning curcumin stops myofibroblasts. Annexin V/ ratio. of Commerce and Industry, pan- Arti Shankar, senior manager, and Wellness.” veratrol (found in red grapes cells from mutating. Cur- PI binding and FACS assays These results demonstrate elists highlighted role of nutra- Abott Nutrition highlighted the Vijay Sardana, Head, Food Se- and watermelon), flavonoids cumin stops toxic com- were used to examine ap- the antifibrotic effect of cur- ceuticals for health management regulatory challenges whereas curity Initiatives, UPL Ltd and Co (a class of phytochemicals), pounds from reacting with optosis of myofibroblasts, cumin in vitro. It may, there- and related issues. Dr Seema Gulati, chief project of- Chairman of PHD Agri business quercetin (found in onions) body tissues. Western blotting to deter- fore, be a candidate for the Opening the conference, chair- ficerm Diabetes Foundation (In- committee moderated the tech- and genistein, commonly Myofibroblasts play an mine the levels of Bcl-2 and treatment of OSMF. person of Food Safety and Stand- dia) made a presentation high- nical session. Bulge in your belly? Blame it on stress

fat due to the actions it has on sulting in ugly flabby abs. right time. KNOW the major fat storing enzyme This triggers a vicious cycle Sleep at least 7.5 to 9 hours called lipoprotein lipase (LPL). where healthy peripheral fat is every night and eat at the right YOUR But ironically, it also speeds converted into unhealthy vis- time. Lack of sleep makes us up fat burning by stimulating ceral fat, which results in in- wake up with higher amounts ENEMY the major fat releasing enzyme flammation and insulin resist- of cortisol, which fuels appe- hormone sensitive lipase (HSL). ance in the body. This belly fat tite and increases our cravings, MADHURI SHUKLA Alone it does not have much of leads to more cortisol produc- particularly for sugary and an impact on belly fat, unless it tion because it has higher con- carb-laden treats, even when emember chucking your teams up with insulin. The two centrations of an enzyme that we have eaten enough. In turn Rfavorite pair of denims be- together -- with excess calories converts inactive cortisone into a good sleep actually helps lose cause you cannot fit in them -- are the real culprits for ‘waist active cortisol. Stress from hav- weight by influencing the hor- anymore? Of course, all of us tires’. ing a flabby belly would again mones that control appetite have experienced that depress- A mood disorder such as anx- pile on another layer of fat. So, and increase your metabolism. ing feeling. Sigh! Everyone is iety, depression, post-traumatic essentially, belly fat will keep A study at the University of familiar with the price of get- stress, exhaustion, or a increasing with each passing Chicago shows that sleep is a ting older with an expanding digestive issue such as ir- day. major regulator of leptin, the waistline. hormone that tells you to put The stubborn waist fat termed down the fork. In the same as muffin tops or beer bellies year, researchers at the Stan- is definitely not attractive or ford School of Medicine found healthy. Time and again, we jug- that subjects who had only five gle from one workout plan to hours of sleep per night experi- another, experiment with crash enced an increase in their BMI, diets and what not to get rid of regardless of diet and exercise. it. However, to battle the bulge Replace the sugar and starch it’s important to understand its with fiber and raise the protein root cause. while normalising the fat. The While everyone blames neg- foods with the highest ratio of ligible physical activity, junk fiber relative to starch are veg- food and less sleep for the etables (beans, corn and po- bulge, stress has emerged as tatoes are considered starch, the main culprit. When we are ritable bowel syndrome, indi- Solution is simple and especially when trying to lose stressed, our body releases cer- cates that the body is cranking straightforward – de-stress to fat) and foods rich in protein tain “fight-or-flight” stress hor- up cortisol. Normally, cortisol lose weight. Focus on reducing are eggs, and all lean cuts of mones namely norepinephrine, levels keep going up and down stress in the area that is causing meat. While cheese and yogurt epinephrine and cortisol that during the day, but in case of the most problems. Adopt stress are also rich in protein, they can are produced in the adrenal a constant stress, they go high reduction techniques such as add to the fat and sugar burden. glands. and stay there. This is when the yoga, meditation, self-hypno- So, use dairy foods in small Norepinephrine directs the body resists weight loss. sis, belly breathing at stressful amounts. For exercise, make body to stop producing insu- In such a scenario, our con- times throughout the day. your dominant form of activ- lin so that plenty of fast-acting cerned bodies think that we are Dehydration is another com- ity fast-paced metabolically de- blood glucose gets ready, while undergoing a tough time and mon cause of internal stress. manding weight training. epinephrine relaxes the stom- we might starve to death. So, Hydrate at regular intervals Remember, change will not be ach and intestine muscles and it starts making emergency fat throughout the day. Limit caf- visible overnight. It’s a day by decreases blood flow to these reserves from the food we eat. feine to 200 milligrams a day, day choice you’ll have to make, organs. The third hormone cor- Cortisol takes fat from healthier avoid simple carbs, processed but the results will be worth it. tisol has a dual personality. It areas like the butt and hips and foods and refined grains, get Think how good it will be when can be your best friend or your moves it to the abdomen which plenty of high-quality protein you are as healthy inside as you worst enemy as it increases has more cortisol receptors, re- and sleep enough and at the look on outside. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi Opinion 7

FROM THE EDITOR’S DESK Taking healthcare to rural hinterland Govt’s initial response does not inspire confidence Indian health parameters cannot be improved until the Government focuses on Will India pass the Ebola test? rural communities with innovative delivery models, observes Gopi Gopalakrishnan overty and sickness go hand-in- Informal providers are an important cover to include outpatient care would fter HIV/AIDS, dengue (H5N1) and chikungunya, here is another medical Phand in rural India where 68.8 per part of the village community and can- prove to be a game changer in rural Acatastrophe waiting to strike it big leaving behind all other outbreaks in cent of our total population lives. Per- not be wished away. The Government healthcare. both severity and outreach. Though it has yet to manifest itself in terms of af- haps no other factor makes the rural- needs to co-opt and train them, rather Healthy environment: Pervasive mal- fliction and mortality, if it does, is sure to break all the records set by public urban divide starker than healthcare than shun them. Other Asian countries nutrition is a major cause of ill health. health disasters befallen on the humanity lately. In fact, going by the facts and delivery which is currently heav- have done this successfully. Using in- Three factors, inadequate food, inad- ily tilted towards cities. According to a formal providers as a resource, Bang- equate immunisation and insanitary figures emanating from the African continent, where the pandemic is originat- study, rural India accounts for only 34 ladesh has vastly improved its health conditions, contribute to malnutrition. ed, once the virus goes on the rampage at the world stage it is bound to dwarf per cent of all hospital beds available. parameters, which, in many cases, are The issue of sanitation has been inade- all other pandemics we are witness to in the recent past. This is the reason Trained doctors are unwilling to work now better than India’s. We need to quately addressed in India. When open World Health Organization (WHO) was prompt to declare global emergency in in villages. This has led to a wide gap align our healthcare structures with the drains carrying untreated sewage sur- the wake of the outbreak. As per estimations, so far, the deadly virus has claimed as many as 932 in health indicators of rural and urban actual resources available, rather than round habitations and an estimated 597 lives while infecting 1,700 people since it broke out in the western Africa earlier this year. areas. wait for modern healthcare to catch up million Indians defecate in the open, Let’s determine what the Ebola is all about. Ebola virus disease (EVD), formerly known as Ebola Consider these figures: Infant mortal- with rural areas. lack of sanitation is not only aestheti- ity rate in rural India is 51 compared to Leverage technology: Technology has cally jarring, it is a serious health haz- haemorrhagic fever, is a severe, often fatal illness in humans. EVD outbreaks have a case fatality 31 in cities. For under-five mortality, now advanced sufficiently to make a ard too. rate of up to 90 per cent. The virus is transmitted to people from wild animals before spreading the figures are worse (71 V/s 41). The serious impact on healthcare delivery. The disdain with which healthcare is in the human population through human-to-human transmission. Fruit bats of the Pteropodidae crude death rate is also higher in vil- Modern communication tools can con- treated by the successive governments family are considered natural host of the Ebola virus. Severely ill patients require intensive sup- lages (7.7 V/s 5.8). Prompt treatment of nect informal providers in villages with at the Centre in the past can be gauged portive care. No licensed specific treatment or vaccine is available for use in people or animals. only four diseases – diarrheal diseases, qualified doctors in cities through spe- by the fact that public health expendi- Going by WHO report EVD is the world’s most virulent disease. It says Ebola virus disease out- respiratory infections, tuberculosis and cial devices to provide medical advice ture has now dropped down to only 1 breaks can devastate families and communities, but the infection can be controlled through the malaria – can save 24.5 lakh lives each and remote diagnosis to patients. per cent of GDP. The incumbent NDA year in rural India. SIM card-based applications, rid- Government needs to engineer a clean use of recommended protective measures in clinics and hospitals, at community gatherings, or For rural healthcare, we cannot rely ing on the success of extensive mobile break from the past and create innova- at home. on public sector alone. Take the case of phone coverage, already offer health- tive new delivery models. It needs to Against this backdrop, the scary question uppermost in the minds of Indians as well as panic- Bihar where 90 per cent of all health- care solutions. These need to be de- catalyse a stronger ecosystem to har- stricken citizens of other countries is that will the virus reach us. And if it does, are we able to care is delivered by private players. ployed to make basic healthcare easily ness all the national resources – be it in take on it? If we could recall, how the country reacted to the news of outbreak of plague in Surat, Even if its public healthcare system is accessible in rural India. Technology the public, private or NGO sectors – to Gujarat, in 1992, we can presume what would be the situation if the threat of a pandemic, of the made very efficient, it still won’t make such as broadband, mobile apps, Web- deliver basic health services to the ru- much of a difference to the lives of the based solutions and mobile phones can ral and marginalised communities. magnitude of the notoriously deadly plague, turns out to be real. The government was then sim- majority. The Government, therefore, substantially improve healthcare ac- Better government support for rural ply at its wits end. It did not know how to react leave alone handling a situation arising out of the needs to involve private sector in rural cess by addressing the problem of re- healthcare should not merely be re- scare in the populace. Imagine the chaos and confusion in case the threat turns out to be real. health after laying down a proper regu- locating health professionals to serve stricted to making more funds avail- In its initial reaction to the threat, the Government did precious little apart from placing airports latory framework. It should also make remote communities. able. It should go the extra mile to align on alert, screening passengers returning from the West African nations, earmarking a few hospi- full use of unconventional resources to OPD care under RSBY: The Rashtriya with a plan of the Health Ministry which tals for dealing with the epidemic and announcing a helpline number. According to Health Minis- reach the masses. Swasthya Bima Yojna offers up to Rs 1 will focus on training of all providers, ter Harsh Vardhan’s own admission, the deadly virus can be imported into the country if the large Here is what the Government can do lakh for medical expenses during hos- better connectivity, corruption-proof to extend healthcare to rural areas: pitalisation. Studies have shown that regulatory mechanisms and independ- population of Indians working in the affected African nations returns. Yet, the Government has Leverage informal providers: These the main challenge for the rural poor is ent monitoring tools. All these factors not undertaken any awareness campaign about the disease through mass media. Going by this are pejoratively called quacks but are not inpatient care but routine, frequent coming together with undergirding fi- laidback attitude it does not seem to have learnt any lesson from past experience. the first point of care for most rural pa- primary health issues that require out- nancial support will prove to be a game Given that the symptoms surface only after 21 days of contracting the infection, can suspected tients. They use a combination of social patient care. These simple illnesses en- changer in rural healthcare delivery. carriers of the virus be quarantined at the airport for the stipulated period? If the answer is ‘no’, skills and empathy for the community tail significant health expenses. what would be the consequences if any of the passengers develop full blown EVD on reaching with a modicum of technical and medi- The expenditure on drugs alone rep- (The author is the president and found- home? God forbid, if such an eventuality occurs, imagine what would the consequences. All the cal skills. Jon Rohde, former head of resents 70-80 per cent of total out-of- er of the World Health Partners. He has Unicef in India, estimated in the early pocket payments on healthcare in In- received highest civilian honours from the assurance or reassurance of the Health Minister has given to Parliament of early detection and 1990s a strength of 1.25 million such ru- dia. The result: the number of untreat- Government of Vietnam for his work as isolation of cases, contact tracing and monitoring, and following rigorous procedures for infec- ral providers against the total of half a ed ailments is gradually rising due to the country director of DKT tion control will come to naught in the absence of a vaccine or curative therapy for the disease. million formal providers. financial reasons. Extending the RSBY International in Hanoi) Quote of the month History makers

Nelson Mandela Dr Joseph Smagorinsky

Every year I spend one month Nelson Mandela: The South African activist and former president Dr Joseph Smagorinsky (1924-2005): A meteorologist and Nelson Mandela (1918-2013) helped end apartheid has been a founding director of NOAA’s Geophysical Fluid Dynam- just sailing, but I still work when“ I’m global advocate for human rights. A member of the African Na- ics Labortory, Dr Smagorinsky was pioneer in combining on“ the boat. You never separate work tional Congress (ANC), he was a leader of both peaceful protests computers and mathematical models to make extended and armed resistance against the white minority’s oppressive prediction of the waters and trends in the global climate. from leisure. A boat is like a magic regime. His actions landed him in prison for nearly three decades His work at NOAA profoundly influenced the practice world, like a little island. and made him the face of the antiapartheid movement. Released Numerical weather prediction. Climate models developed in 1990, he participated in the eradication of apartheid and in 1994 under his direction have led to greater understanding — Renzo Piano became the first black president of South Africa. about humans’ capabilities to affect climate change.

Readers are welcome to write to us on any health and medicine related issue. We will be glad to pub- We owe every child fair chance to live: Dr Santosham lish the same on merit after suitable editing. You may email us at — PERSONALITY His oral rehydration solution, known as ORS, saved over 50 million lives since [email protected] OF THE MONTH 1980. Meet Dr Mathuram Santosham who was recently conferred the Albert B Sabin Gold Medal for his pioneering role in the prevention of deadly H influenza Visit us at www.drugtodayonline.com type b (Hib) diseases, including paediatric bacterial meningitis and pneumonia. His rehydration formula, known as Pedialyte in the US, is the standard care for treating diarrheal dehydration. He conducted trials to demonstrate the efficacy LETTERS TO THE EDITOR of rotavirus and pneumococcal conjugate vaccines. In partnership with the Navajo native American tribe, Dr Santosham developed Hib vaccine, which saved hundreds of thousands of Navajo children from A voice for the voiceless pediatric bacterial meningitis and pneumonia. The vaccine is now the standard care for children worldwide. It is estimated that by 2020 the Hib vaccine will Sir, have prevented 7 million deaths. In an exclusive interview with BS Rawat, Dr Apropos your article ‘Quest for medical status pits Santosham spoke about the need to step up efforts to address the issue of leading physios against docs’ (DTMT – August, 2014), it is hearten- killers of children globally. Following are the excerpts: ing to note that your paper has once again stood by the underdogs of the medical fraternity by lending voice to the voiceless. I, as a physiotherapist, express my whole- who live in remote communities. Even hearted gratitude for your noble gesture. when ORS is available, families often Your report rightly pointed out that physiotherapists are do not use it early enough during the the victim of the inherent bias in favour of the doctors. disease. Since ORS is not considered a “medicine”, families often do not It’s high time the Government did something to end the give it to their babies when they have monopoly of this one section of the medical fraternity diarrhea. and accord due recognition to the contribution of others ORS does not stop diarrhea. It makes including physiotherapists. up for the loss of fluids and electrolytes. If it is continued during a diarrheal Basavaraj, Bangalore episode, the diarrhea will usually stop in three to five days. Many parents Post-mortem in open reflects Govt’s apathy opt to give their babies anti-diarrheal medications and antibiotics which are Sir, Drug Today Medical Times: were National Diarrheal Disease impact of Hib vaccine in preventing not necessary in majority of the cases It is a moot point what better common man can expect in Investing in child health and vaccine Control Programs in countries around this deadly disease. of diarrhea and can cause serious side state where post-mortem is carried out in the open. The programmes is the best bet to secure the world with the extensive use of ORS DTMT: Your experience of working effects. story from Madhya Pradesh (DTMT – August 2014) was future of a nation. What is the reason as the primary strategy. The impact hand-in-hand with tribal leadership in DTMT: After ORS was used on the indeed quite shocking. many countries are not taking interest was dramatic. However, over the years, America? reservation, what was the rate of the Busy as it is in propagating its achievements in the field in doing so? diarrheal disease control programmes DMS: Working with the White diarrhea mortality globally? of healthcare, the Government seems to have no time to While all have lost focus. Mountain Apache Tribe and the DMS: When I started my work on Dr Mathuram Santosham: do anything except making tall claims about healthcare. the countries are interested in securing DTMT: What is Hib initiative? Is there Navajo people has been one of the the reservation in late 1970s and health of their children, they have any study being conducted to evaluate most rewarding experiences in my life. early 1980s, approximately 5 million They wound do better if they focus on what is lacking in many competing priorities to fulfill the disease burden of Hib in different In the past, they have suffered some of children used to die from diarrhea the healthcare system focus and creating good health in- within their limited resources. Often, countries? How many deaths will have the highest rates of diseases such as each year globally. Now, there are frastructure. I congratulate DTMT for bringing the matter there are misconceptions about the been prevented by 2020? infections caused by pneumococcus approximately 6,00,000 deaths each in the public domain. burden of vaccine preventable diseases DMS: Hib Initiative was a project and Hib. They also suffered diarrhea year. There has been a lot of progress and their potential to prevent disease. funded by GAVI to provide information like the way developing countries did. but there is lot more that we need to do Saurabh Srivastav, Azamgarh DTMT: Diarrhea continues to rank about the importance of Hib disease However, the rates of these diseases in order to wipe out diarrheal deaths. among the leading killers of children as well as the potential impact of have come down dramatically owing DTMT: Giving every child a fair chance. No hope of achieving MDGs globally taking more lives than HIV/ using the vaccine in preventing death to several factors including the use of What do you mean the opportunity to AIDS, TB and malaria combined. Is and suffering from the disease to the new vaccines, extensive use of ORS live a full, healthy life? Sir, there any social movement needed to poorest countries in the world. When and improved water and sanitation. DMS: As a community, we owe every It would be embarrassing for India if it does not meet the eradicate this disease like that of polio? the initiative began in 2005, only 20 DTMT: Did you find any difficulty in child a fair chance to live. The only Millennium Development Goals (MDGs) in the stipulated DMS: There needs to be renewed per cent of the poor countries were introducing ORS? Please explain. way this can happen is by ensuring time. The goals set at United Nation summit in 2000 in- efforts to combat diarrhea. We have using Hib vaccine. Now, every country DMS: ORS is a simple but very powerful that every child has access to clude eradication of extreme poverty and hunger, access very inexpensive but powerful tools is either using the vaccine or has taken tool. In fact, an editorial in the Lancet powerful tools such as ORS and zinc of universal primary education, promotion of gender like ORS and zinc supplementation to a decision to use it. It is estimated in 1978 claimed that it was the most supplementation, vaccines such as equality, empowerment of women, reduction child mor- treat diarrhea. We also have a very that by 2020, seven million lives important discovery of the century. Hib, pneumooccal conjugate vaccine tality and improvement in maternal health and to fight effective vaccine against childhood will be saved by Hib vaccines. There However, it is often not available to and Rotavirus vaccine as well as safe HIV/AIDS, malaria, and other disease. diarrhea – rotavirus. In 1980s, there are studies going on to measure the some of the poorest people in the world water and sanitation. Sonu Panday, Ghaziabad DRUG TODAY MEDICAL TIMES 8 Nation 1st - 30th September 2014, New Delhi

Raw rage: Trend factored in psychology, food Indiscretion of come a common and destructive behaviour espe- tions. Unfortunately, the expec- The idea is that there are sys- states renders place these days. cially in men. tations from today’s youth are tems in the brain that compel us People in general The question is what makes too high to meet with limited and to react differently to different and youths in par- people lose their cool so easily? at times shrinking resources. Ac- situations. The empathy is some- vaccine redundant ticular have become Why they are lax in anger man- cording to statistics released in times with or without action,” so irritable that even a agement? What could be the the year 2011 by the Delhi police, said Siddique referring to cases in rotavirus vaccine as its trivial issue is enough cause of such a rage that blinds 15 per cent of killings in 2010 re- which individuals lose their cog- ROTAVIRUS efficacy is comparable to to send them into a them to its consequences? If it sulted from spur-of-the-moment nitive control and various mental that of other international violent rage. Such vi- is overriding frustration, what provocations. mechanisms are deranged. RAMPAGE ON brands available in the olent streaks at times could be the cause of the frustra- According to reports, the en- “People are getting desperate. market.” end up in murder and tion? Does mental disturbance ergy and drive that originally fo- Social pressures and television BS.Rawat When asked why most mayhem. really affect a person at a level cused on basic survival, such as are the main factors behind the @drugtodayonline.com of the countries did not Ramola Chatterjee, a dietician where he can murder other over food and shelter, have become rage,” said Srijita Basu, a psychia- introduce the vaccine in from Khar, Mumbai said, “Al- a petty issue like parking or scar- secondary in the 21st century. trist from Kolkata. Rotavirus is the most their national immunisa- though outlet of anger depends city of water? Let’s try to get an- This is bound to cause frustration “TV serials,” she explains “of common cause of severe tion programme, Dr San- on the nature of reaction at the swer to all these questions. among the youth. late started showing depict in- diarrhea among infants tosham cited the follow- spur of the moment, sometimes “Last month, my car was banged Arshad Siddique, a psycholo- fidelity in a cruel manner often and young children. It is a ing reasons: an improper diet can also lead by a senior citizen. I was already gist, explains this phenomenon compel the couples to take steps genus of double-stranded Physicians and families to aggression. True, ‘an apple a getting late for my office. I went in the following words: which they never had thought of. RNA virus in the family are often unaware of the Paroma.Bhattacharya day keeps the doctor away’. But into a rage and started abusing “We humans have reached a For example, it shows how easy Reoviridae. The deadly vi- seriousness of the disease @drugtodayonline.com the same apple if taken in large the old man. But soon a police- level where we can’t stand slight- it is to kill the lady your husband rus continues to ravage There is a perception quantity can cause aggression.” man intervened and prevented est provocation to our egos. is having an extra marital affair children despite the fact that the disease can be 25-year-old youth flew into a She goes on to explain, “It is a us from coming to blows. I did Traffic congestion, long queues, with or how women react when that its vaccine is widely treated easily with ORS. A rage when a car cut him off form Salicylate that occurs natu- not understand what went wrong crowded buses, jokes on sensi- they see their partners talking available and affordable Hence, there is no need of on a Mumbai highway. He fol- rally in fruits, vegetables, herbs with me that day since I am not tive topics etc. All such minor to the opposite sex. So, all these throughout the world. a vaccine lowed the offending car to a shop and spices. There are certain aggressive by nature,” narrated things irritate us. Most of us ex- things instigate your anger and Many countries have yet The vaccine has been where the driver, 47-year-old, fruits like orange, grapes and Mansi Kukreja (name changed) a pect everything perfect accord- although television is close to fic- to incorporate the vac- documented to be less had stopped for refreshment. He blue berries which are rich in nu- resident of Delhi. ing to our desires, that too, on tion, you tend to relate things in cine in their national im- efficacious in developing pounced on the driver swearing trients, but if your body has trou- Another case study that of Ra- a platter, which is impossible to your personal life. munisation programmes. countries compared to at him with choicest abuses be- ble detoxifying or digesting it can man Dutt (name changed), who come by. If anything goes wrong, When asked how TV is respon- Speaking to DTMT, Dr developed ones. However, fore stabbing him to death with cause significant aggression and works in a private company. His frustration is the logical conclu- sible for rage among people, she Mathuram Santosham a people don’t realise that a knife he was carrying. He was hyper activity.” boss used to scold him off and on sion. And this frustration mani- said, “Of late, characters in TV leading child health ex- in spite of the lower effi- convicted of a murder in a court Many dieticians are of the view for his poor English. This irritat- fests itself in violent reactions serial started indulging in undue pert and one of the pio- cacy of the vaccine in de- of law. that foods with ingredients like ed him so much that he became such as road rage, family feuds violence. For example, infidel- neers of oral rehydration veloping countries, it has In a similar incident that took white flour and sugar should rude to his family members, es- etc.” ity invariably compels men and therapy for diarrhea man- the potential to save many place in the National Capital, a be avoided as they tend to strip pecially wife. Later he was diag- Experts trace this raw anger to women to take extreme steps that agement, lamented that more lives in developing 57-year-old businessman was away nutrients from the bodies nosed with some psychological mirror neurons that send fierce would be abnormal in a civilised despite high incidence of countries compared to beaten to death inside his home of people who consume them. disorder that came from a sense control messages to brain. Mirror society. But, in TV serials even severe rotavirus-associ- developed countries in Central Delhi’s West Patel Na- For example cream roll that con- of incompetence. After changed neurons are cells that fire when killing a woman your husband is ated diarrhea in infants, Cost of the vaccine is gar area by neighbours over a tains both white flour and added of job and a new environment, he we see or do any activity. For ex- having affair with is no big deal. so far only 69 countries seen as a barrier. Howev- parking row. sugars deplete the body of B vita- is feeling fine. ample: I grab a cup of coffee. But Such things instigate you to give have introduced the vac- er, GAVI now provides co- Incidents of such kind, which mins, causes deficiencies. These Psychologists trace the trend when I see you grabbing it, my re- vent to your pent up frustration cines in their national im- financing for the poorest follow a certain pattern, have be- deficiencies lead to anti-social to unfulfilled desires and aspira- action varies. through bad temper. munisation programs. countries “It highlights the urgent Easy to administer with need for introduction of cross protection against rotavirus vaccine into ETEC diarrhea and en- 42 deaths in over one lakh abortions in Delhi the national immunisa- hanced with a longer shelf Continued from page 1 tion programme and the life, the vaccine candidate need to adequately equip will be most suited for ge- reported from the hospitals across the and adolescent women undergoing abor- health facilities to enable ographies with the high- city. Dr Sachdeva also reveals that in 2013- tion. them to administer intra- est cholera burden like 2014, a lowest number of 9,966 abortions Medical Termination of Pregnancy venous fluids to critical West Bengal Delta area, were conducted but four deaths were re- (MTP) is legal and it allows abortion on diarrhea patients to re- Africa and South Asia. ported. medical grounds, including abnormalities duce morbidity and mor- Demand estimates for Speaking to DTMT, activist Bansal de- in the foetus, contraceptive failure and tality, said Dr Santosham. cholera vaccines vary scribed the figures of legal abortions and risk to the mother’s physical and mental Lauding India’s recent significantly across sce- related deaths reported in Delhi hospitals health. decision to introduce narios with an expected as very high and requested the authorities Dr DK Dewan, director of the Delhi’s the rotavirus vaccine in 30 million doses needed to investigate if people are using medical Health and Family Welfare Department, its universal immuni- by 2016 rising to expected ground for sex-selective abortions as it is who has been raising objection to DTMT Photo by Ranganath Tiwari sation programme, Dr 200 million doses by 2025, common in private hospitals. naming his colleagues in the past as Santosham said, “India assuming vaccination of He, however, received no information sources in the stories on this subject, de- Dog day: A stray canine ensconced himself under a bed in a government hospital seems to be would do well to use the all 1-14 year old patients from the directorate regarding unmarried clined to comment on the RTI data. unfazed by his surroundings just half -an-hour before visit of state health secretary indigenously developed in high risk populations. Mother’s milk banks to the rescue of Raj babies An option for babies

BK.Jha fants. who can’t be breastfed @drugtodayonline.com Through breastfeeding and donated mother’s milk, infant DTMT.Network health workers to convince Rajasthan, a state which is mortality rate can be reduced @drugtodayonline.com them that bottle feeding is as historically weak on health by 22 per cent. If a child is good as breastfeeding. This parameters, is making all ef- breastfed, her chances of sur- New Delhi: According to a undermines breastfeeding in forts to bring down Infant vival increases by six times, joint statement by the World many ways and has contrib- Mortality Rate (IMR) to below Devendra Agrawal, founder, Health Organization (WHO) uted to the decline of breast- 40 per thousand births this Maa Bhagwati Vikas San- and United Nations Children’s feeding rates. year. In 2013, the state almost sthan, an NGO that runs the Fund (Unicef), the best food To break this trend and pro- achieved its target of 42 and bank in Udaipur, said. for a baby, who cannot be mote breastfeeding there ex- the better facilities for new- The mother’s milk banks breastfed, is milk extracted ists the Infant Milk Substitutes, borns at government hospi- aim at providing milk to from her mother’s breast or Feeding Bottles and Infant tals have given top priority by those infants whose moth- from that of another healthy Foods (Regulation of Produc- the new government as well. ers are not healthy enough mother. tion, Supply and Distribution) To provide better facilities to feed their infants. Through Breastfeeding contributes Act, 1992 (The IMS Act), which to newborns and to reduce modern techniques of pas- to emotional and psychologi- came into force on August 1, IMR, along with schemes like teurization and storage, this cal development of infants. It’s 1993. The Act aims to prohibit Janani Shishu Suraksha, the milk is made available to key to healthy life and one of the promotion of infant foods, state Government is also en- thousands of infants and mil- the most critical interventions infant milk substitutes and couraging Non Government lions of young lives can be which can help bring down feeding bottles. Organisations (NGO) to set NGO officials and beneficiaries at Divya Mother Milk Bank at in Udaipur, Rajasthan saved. infant mortality. The constitu- The Act prohibits the adver- up mother’s milk bank to save Providing mother’s milk tional mandate for breastfeed- tisement of infant milk sub- lives of new born babies. six days, the baby’s condi- be set up by Inaya Foundation, gurated in Udaipur. Till June to infants could save lives ing is provided under Article stitutes and feeding bottles So far, a mother’s milk bank tion improved. Ever since, the a Jaipur based NGO. this year, the Divya Moth- of many babies who are de- 42 of the Constitution of In- to ensure that no impression in Udaipur has been very suc- concept of milk bank started The Foundation has start- ers Milk Bank (DMMB) in prived of mothers’ milk due to dia which says the state shall is given that feeding of these cessful in saving lives of many gaining ground in the state. ed training its staff for this Udaipur provided 5,120 units many reasons ranging from make provision for securing products is equivalent to, or an infant. According to media Such banks are important job and are making on-the- of mother’s milk to infants infants with life-threatening just and humane conditions of better than, breastfeeding. reports, while treating a pre- because malnutrition and spot assessment of ongoing on urgent requirement for in- diseases or conditions, multi- work and for maternity relief. It is a well known fact that term baby, Maharana Bhopal IMR in Rajasthan is still high. mother’s milk banks located fants whose biological moth- ple birth babies whose moth- To quote Dalai Lama, our bottled milk is not good for Hospital’s doctors came to According to a survey, nearly at Udaipur, Kolkata, Pune and ers were unable to feed them ers can’t keep up with the very first act after birth is to kid for any good reason, but the conclusion that the baby 42 per cent of newborns in the other places, Inaya Founda- for a variety of reasons. milk required to nourish their suck our mother’s milk. This is the mother’s milk stored in needed mother’s milk for state were undernourished tion’s secretary Nitisha Shar- Each unit contains 30 ml of infants, mothers who are on an act of affection, of compas- different milk banks are as growth and nutrition instead and needed mother’s milk. ma told DTMT. mother’s milk. The milk was medications that may pass sion. Without that act, we can- beneficial for a newborn as of medicines. They fed her Now, the state is in for an- In April last year, the first donated by 666 mothers and into their milk and which can not survive. breast-fed milk. But, the sour on mother’s milk and within other mother’s milk bank to mother’s milk bank was inau- saved lives of at least 459 in- be harmful for the infant. WHO and Unicef recom- point of the story is that India mended early initiation of has only 14 human milk banks breastfeeding within the first since the idea of conceptual- fering from ear infection, vomiting, hour after the birth; exclu- ized in 1994 by Dr Armida Renewed call by doctors for diarrhoea, pneumonia, urinary tract sive breastfeeding for the Fernadez, who encouraged infection or certain types of spinal 42% first six months; and lactating mothers to donate breastfeeding marks the week meningitis. Newborns continued breast- their milk. Breastfed babies are less likely to Undernourished feeding for two Human milk bank is a ser- Prateek.Chauhan atrician at LLH Hospital Abu Dhabi. suffer lower respiratory tract infec- years or more, vice in which milk is collected @drugtodayonline.com “These substances protect your tion such as croup, bronchiolitis and together with from mothers, and stored. baby against a wide variety of dis- pneumonia, or diarrhoeal diseases safe, nutrition- The milk is collected using Dubai (UAE) Doctors highlighting ease and infection. Formula cannot than those fed with formula. 666 ally adequate, breast pumps and then kept the benefits of breast milk to mark offer this protection,” he added. Research also suggests breast- Mothers age appropri- into sterilised containers. It is the World Breastfeeding Week, urged The World Health Organization fed babies have a lower risk of Donate ate, respon- further pasteurised up to 65 new mothers to give their babies the (WHO) recommended exclusive sudden infant death syndrome sive com- degree centigrade for 30 min- best start in life, saying human milk breastfeeding starting within an hour and are less likely to be obese in plementary utes and then frozen at minus provides virtually all the protiens, after birth until a baby is six months adolescence and adulthood. feeding after 20 degree Celsius. The sample sugar and fat your baby needs to be old. At six months of age, babies According to the United Nation 5,120 sixth month. stored can last for four - five healthy. The event is celebrated from should be introduced to mashed Children’s Fund (Unicef), breastfeed- Units Of Wide avail- months. August 1-7 in over 170 countries. solid food coupled with breastfeed- ing within the first hour of birth Mother’s ability of infant Where it is not possible “Breast milk contains many sub- ing up to the age of 2 or older. could save lives of more than 1,500 Milk milk substitutes in for the biological mother to stances including antibodies, im- Breastfeeding goes beyond basic children every day. But fewer than the market has led breast feed her baby, the first mune factors, enzymes, and white nutrition. It is packed with substanc- half of the world’s newborns receive 459 to extensive promo- alternative should be the use blood cells that immensely benefit es that provide a defence against their mother’s milk, according to tions by the infant food of human milk from other baby’s immune system,” said Dr disease and infection significantly Anthony Lake, Unicef’s executive Infants manufacturing companies, sources. Human milk banks Maya Prabhakaran, a specialist pedi- decreasing chances of the baby suf- director. Saved through advertisements, free should be made available in samples, gifts to mothers and appropriate situations. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi Nation 9

Heart disease: Trend catching up Unplanned growth left Bengaluru simmering

fast with youth and women Shubhra.Sharma adopted these strategies, like @drugtodayonline.com green buildings meant to consume DTMT.Network cardiac treatment.” partment at Fortis Hospi- 40 per cent less energy and rain- @drugtodayonline.com The onus, he said lies on tal Noida is fully equipped Bengaluru: Steep rise in tempera- water harvesting. each one of us to alleviate with an advanced Cardiac tures in the city during the past However, one of the successful Noida: With over 3 million this potential burden by Cath Lab for both adult few years has set alarm bells ring- architects of the country, Hafeez, deaths due to cardiovas- propagating the need for and paediatric care. The ing for residents and town plan- termed the green buildings as a cular diseases every year, a healthy lifestyle and in centre offers comprehen- ners of this silicon city of India. ‘joke’. India is likely to be the creating a robust system sive care in all cardiology Many trace this sudden change in “Fighting this burning issue ‘heart disease capital of the across the full spectrum of procedures like PTCA (Per- climate to unplanned construc- needs more effective ways to world’, in a few years. It is cardiac care; from preven- cutaneous Transluminal tion activities going on in the city minimize the unbearable rise in estimated that by 2020, tion to treatment, of car- coronary angioplasty), ICD unchecked. While experts claim temperature rather than going for cardiovascular diseases diovascular diseases. (implantable cardioverter- that the transformation has taken unplanned horizontal growth we will be the cause of over Dr Seth observed that defibrillator) pacemakerplace gradually over many years, need to focus on vertical growth 40 per cent deaths in the 45-minute walk each day implantation and complex locals feel, of late, temperatures cent of green cover for each of the rainwater evaporates in a matter that will minimize the consump- country. not only helps reduce 25- surgery procedures like are rising at a more rapid pace. 198 wards of BBMP, the figures for of few hours owing to intense heat tion of farmlands” he said. While launching a Com- 30 per cent risk of heart CABG (Coronary Artery The Garden City, as the erst- green cover have plunged to a new at the ground level,” he added. It’s high time the administration prehensive Cardiac Sci- disease but prevent diabe- Bypass grafting) and Valve while Bangalore is known for its low of 2 to 10 per cent. Experts are emphasising on the reigned in the building mafia be- ences Department at tes, reduce stress and in- replacement. greeneries and serene weather, Speaking to DTMT, Diwakar need for planned and energy ef- fore it is too late. It should evolve Fortis Hospital Noida, Dr crease flexibility. The cardiac department has started fast growing into a Shetty, researcher and scientist ficient building technology to re- ways and means to prevent an- Ashok Seth, chairman, On the occasion, the would be led by team of concrete jungle replacing the vast at KRG India Research Centre for store the city to its pleasant glory. other beautiful city of the country Cardiology Council, For- hospital introduced a senior cardiologists from stretches of greeneries with com- Rainwater Harvesting, squarely “All these buildings, whether a from going the Delhi way and end- tis Group of Hospitals, cardiac helpline number, Fortis Escorts Heart Insti- mercial and residential buildings. blamed builders and developers shopping mall, a multi-storey ing up as an urban mess. said, “Sedentary lifestyle; 8800496677 manned by tute, Dr Nishith Chandra, The rise in the mercury level is a for the sorry state of affairs. He complex for software or any other To this end the Government stressful work conditions qualified cardiac staff 24x7 who has over 19 years of price the city is paying for being said the string of lakes once dotted industry, have to adopt energy ef- and the city municipality should and compromised diet are to offer free ambulance experience in path break- one of the largest realty markets of the length and breadth of the city ficient building technology. That work in tandem and take strin- leading factors in precipi- services to patients for ing cardiac procedures the country today. would have cooled the heat wave, is something missing here. The gent measures to the break nexus tating heart disease risk. emergency cardiac cases and Dr SN Khanna, As- According to a report prepared but they have all been drained or municipality/government should between builders and bureaucrats It is increasingly affecting from Noida, Greater Noida sociate Director and HoD, by researchers at the Indian Insti- encroached upon to accommo- insist on many of the new tech- lest the hotter the city gets, the younger people and wom- and neighbourhood areas Cardiac Surgery, Fortis Es- tute of Science (IISc), drastic de- date the bustling population. As a nologies available for conserving more ACs are used, which in turn en over the last 10-15 years, of Indirapuram, Ghaziabad corts Heart Institute, with cline in green cover has exposed result the temperature has almost energy in buildings,” said Sriram would generate more heat with underscoring the need for and Vaishalli. over 6000 Cardiac Surger- the city to direct sunlight. While doubled. Palakad, an architect. island effects — a never-ending vi- continuous advances in The Cardiac Sciences De- ies to his credit in 25 years. experts recommend at least 20 per “The situation is such that even Although many developers have cious circle.

Patient dies of malaria infected in premier hospital Raghunath is no more, but the Nabanita.Sengupta the hospitals for the treatment of @drugtodayonline.com Localities surrounding the the dreaded disease is from this legacy he left behind lives on hospital are traditionally city. According to a Health Depart- On a Tuesday night, a male pa- ment report, a woman who died BS.Rawat any longer, Neha and Dadhichi Mission tient, Nitai Bag, died at Calcutta known as hotbeds for because of Japanese Encephalitis @drugtodayonline.com informed about the development to the Medical College Hospital. He was mosquito breeding. was from Bihar. She had come to MK International Eye Bank, Indore. She a 65-year-old and was suffering celebrate Eid in Beniapukur. Indore: When Raghunath Prasad Agar- had to fulfill another wish of her father: from high fever. In his blood two These are the areas where Yasmin Parvin from Chachle, wal of Indore, Rajasthan passed away Donation of his body for research pur- types of malaria’s germs – Plas- Anophilis Stephensai Maldah, a 12-year-old girl, is suf- on August 11 at the ripe age of 89, he left poses. During a programme organised modium Falsiperam and Bhaib- mosquito is found in large fering from Japanese Encephalitis. behind an indelible mark of an by Dadhichi Mission Indore, hask – were detected. She is under treatment at SSKM elderly person who thought Raghunath had heard anatomy What is intriguing is that Bag numbers. Every year, at this Hospital. Her condition is im- much beyond himself and his students speak of the shortage was not suffering from malaria time of the season, malaria proving as stated by the hospital family. of human bodies for research. when admitted to the hospital but authorities. His family did not hold He kept reminding his daughter developed symptoms the disease spreads rapidly here As for malaria, it seems the resi- the usual funeral ceremony that his body had to be do- during his stay in the hospital. dents have no option but to rec- because he had told them to nated for research. He left strict How did he contract malaria? oncile with the hazards of living donate his eyes to those who instructions that the family A casual visit to the area where areas where Anophilis Stephensai hospital. We are doing our best to in the metropolis. If the Health longed to regain vision and the Raghunath Agarwal should not get swayed by emo- Calcutta Medical College Hospital mosquito is found in large num- ensure safety of the patients, but Department joins hands with the body to a medical college for tions or forget to do it. Neha is located is enough to get the an- bers. Every year, at this time of during the rainy season it is im- municipal administration takes the anatomy class. through Dadhichi Mission honoured swer. The area is known as a “dan- the season, malaria spreads rap- possible to clear all the water col- timely precautions before the on- Raghunath had pledged his eyes in his wishes and took his body to MGM ger zone” among the local people idly here. Another mosquito, Edis- lected around such a big hospital set of rainy season, the outbreak 2010 to Dadhichi Mission. His only Medical College and handed it over to as it is infested with mosquitoes. Egyptai, is also found in Kolkata building.” of malaria can be prevented. But, daughter Neha, 22, says his father doctors there. College Street, Kolutola Street which causes dengue. Doctors here feel relieved that the same old story is repeated would tell them that his eyes had to be Neha has decided to follow in the and Mirzapur Street are the locali- Speaking to DTMT, Tapan Ku- the environment currently in year after year with dysfunctional donated when he died. footsteps of his father and pledge her ties surrounding the hospital are mar Lahiri, an official at the hospi- Kolkata is not favourable for Health Department and lethargic When it became obvious that her body too for the cause of medical re- traditionally known as hotbeds for tal said, “We are taking all precau- Japanese Encephalitis. In Kolkata, municipality coming into action father was sinking and would not live search. mosquito breeding. These are the tions against mosquito bite in the none of the patients arriving at only when things go out of hand. Top class health expertise at attractive prices is India’s USP

treasure house of knowledge for MEDICAL both preventive and curative health- care,” she added. TOURISM Sanyal said that emerging brands in the hospitality and super critical BK.Jha medical facilities sector would be in- @drugtodayonline.com tegrating the traditional services in their existing infrastructure to pro- New Delhi: Thousands of years ago, vide for best available medical fa- Greek pilgrims used to travel from cilities to promote medical tourism all over the Mediterranean to the in India. Going forward, the experts small territory in the Saronic Gulf and industry representatives feel called Edidauria, the sanctuary of that the government should devise healing god Asklepios. The territory and develop a fully dedicated web- was the original destination for med- site for medical tourism, where Pan ical tourism. In 18th century England India public/private hospitals, tour patients used to visit spas because operators, medical facilitators are they were hubs of health-giving listed with all their specialists and mineral waters, treating all types of best of the doctors. As of now, a for- diseases from gout (arthritis) to liver eign resident has to go hospital by disorders and bronchitis. hospital surfing their websites and Today, people traverse beyond then deciding how to go about the geographical borders for medi- medical treatment they are looking cal/cosmetic surgeries and alterna- to avail in India. tive therapies like ayurveda, reju- Medical tourism involves people venation therapies, hot spring baths who travel to a far-off place to get etc for their health and well-being. treated for a disease, ailment, or to No wonder, India has emerged as a undergo a cosmetic procedure, and favourite destination for wellness who quality at an affordable price, or tourism. care different from what they could Alternative or traditional medi- receive in their home state. cine is rapidly growing in popularity Wellness tourism involves peo- worldwide. India too is witnessing ple who travel abroad to pro- resurgence of indigenous systems of actively pursue activities that medicine. Although new treatments maintain or enhance their health and technologies for dealing with ism followed by Singapore with 8 per and wellbeing, and who are seeking healthcare issues are aplenty, more cent and Mexico with 5 per cent. In- unique, authentic or location based and more patients today are looking dia claims 4th slot with 2-3 per cent As per industry estimates, the Indian medical tourism industry, which is currently growing at 20 per cent CAGR, experience/therapies not available for simpler, gentler therapies for im- share of medical tourists in the total is expected to reach a value of $6 billion by 2018, boosting the number of medical tourist arrivals in the country in the home country. proving quality of life and avoiding number of foreign tourist arrivals. to a projected level of 4 lakh in next four years. As per a PHD-RNCOS assessment, the size of medical tourism State-wise, Tamil Nadu, Gujarat, iatrogenic problems. As per industry estimates, the Indi- Maharashtra, Karnataka and Kerala Lov Verma, Secretary, Department an medical tourism industry, which industry in the country, in value terms, is little over US$ 3 billion with tourist arrivals estimated at 2.3 lakh. The have taken lead with proactive poli- of health and family welfare noted is currently growing at 20 per cent incentives, to be notified shortly, are likely to comprise part reimbursement of expenses undertaken cies in promoting medical and well- that many people from the devel- CAGR, is expected to reach a value ness tourism. Among private sector oped world come to India for the of $6 billion by 2018, boosting the by tour operators and market facilitators to propagate medical tourism in India and overseas hospitals Medanta – the Medic- rejuvenation promised by Yoga and number of medical tourist arrivals ity, Apolo Hospitals, Fortis Escorts Ayurvedic massage, while many oth- in the country to a projected level Heart Institute and Wockhardt at- ers consider it a destination for sur- of 4 lakh in next four years. As per untapped and unexplored,” Parvez that traditional medicines, manu- tough to prove the magic of Indian tract large number foreign tourists. geries. a PHD-RNCOS assessment, the size Dewan, Secretary, Ministry of Tour- factured in India under trademark of products to westerners. Only when There are many wellness centres A blend of top-class medical exper- of medical tourism industry in the ism told DTMT. Ayurveda, Unani and the likes would we proved miracles in front of them that have come up recently to ca- tise at attractive prices is helping a country, in value terms, is little over The incentives, to be notified short- have to conform to the prescriptions, they adopted and appreciated our ter the growing needs of the sector. growing number of Indian corporate US$ 3 billion with tourist arrivals es- ly, are likely to comprise part reim- provided under the World Health strength.” Businesses of wellness centres like hospitals to attract foreign patients, timated at 2.3 lakh. bursement of expenses undertaken Organization (WHO) in recent times,” “We will have to prove, with au- Soukya (Karnataka), Ananda SPA he added. “We have finalised fresh guidelines by tour operators and market facili- Nilanjan Sanyal, Secretary, Depart- thenticity, our strength in medical (Uttarkhand), Shreyas Retreat According to RNCOS, a business to promote and market medical and tators to propagate medical tourism ment of AYUSH said. and wellness tourism to the world (Karnataka), Kalari ( Kerala) consultancy services firm, Thailand wellness tourism. The Government in India and overseas, indicated the Shahnaz Husain Group of Com- and that would not be a tough task and Sunrise Health Resort with nearly 11per cent of share in for- would incentivise tour operators and Secretary, Tourism without elaborat- panies is aggressively promoting as India possesses an unmatched (Rajasthan) are booming and poised eign tourists occupies number one market facilitators to cash in on our ing much on it. Ayurvedic products globally. Its CMD heritage represented by its ancient to touch a new high in the next place in medical and wellness tour- hidden potential that hitherto stays “The Government would ensure Shahnaz Husain said, “It was very systems of medicines which are a two years. DRUG TODAY MEDICAL TIMES 10 Nation 1st - 30th September 2014, New Delhi

Silicosis deadlock ends; Jharkhand , Govt to cough up compensation

BS.Rawat sis is recognised as a professional @drugtodayonline.com WHAT IS SILICOSIS? or labour disease, the conse- Known as labour disease, silicosis is quences being classified as labour The decision of National Human classified as consequences of labour ac- accidents. And of course the prob- Rights Commission (NHRC) to cidents. Constant exposure to silica dust lem is complicated by India’s his- settle with 24 miners who died causes silicosis resulting in disfiguring tory of discrimination. after contracting silicosis while of lungs with non-functional fibrous Most of the initiatives to com- working in Jharkhand mines pensate the miners till now have could be the first step in breaking tissue eventually leading to pulmonary been skewed in favour of silicosis the decade-old hurdle in the way massive fibrosis (PMF) miners. It was not until the dawn of silicosis compensation. of India’s democracy that the Oc- Coming down heavily on the THE VICTIMS NHRC INITIATIVE cupational Diseases in Mines and Jharkhand Government on the Around 25-30 lakh miners are affect- State Government Works Act was amended to give documented silicosis deaths in the ed by silicosis 24 miners died after ordered to pay a com- miners equal compensation. state, the commission asked Chief contracting the dreaded disease pensation of Rs 4 lakh Finding a common ground for Secretary of the state to explain Children are compelled to live in dis- each to the next of kin mutually acceptable solution and why the families of the deceased determining the cost is a priotity. should not be recommended for tress after death of earning parents of 24 deceased miners The miners’ lawyers have already monetary compensation. WHAT’S AT STAKE accused the mining companies of Proposing a compensation of Rs deliberately adopting the cynical 4 lakh each to the next of kin of 24 Most of the initiatives to compensate the miners have been hope that the claimants will die workers died due to inaction of skewed in favour of miners Mining houses are reluctant to ac- during the litigation, thus lower- the enforcement agencies of the cept liability for silicosis among their workers fearing flood- ing their liability. state Government, the commis- gate of compensation claims What is at stake is trying to find In Jharkhand, 25-30 lakh work- sion has asked the Chief Secretary the common ground to a mutually acceptable solution and de- ers are affected by silicosis. As the to submit a compliance report termining what it will cost victims are mostly tribals and Dal- Click 'n' Win along with proof of payment with- its their plight is ignored by the Photo by Mantosh Panday in eight weeks’ time. Government. The worst victims in A member of the NHRC, while important among the pneumo- Today, everyone accepts that mining areas are children as they recommending the ex gratia, set conioses. Lawyers world-wide silicosis can be caused by a mini- are compelled to live in distress FAITH HEALING: A faith tree greeting visitors at the aside the contention of the state have been battling for a decade mum of seven microns of silica when their earning parents are entrance of the prestigious Medanta Hospital. Patients that it had constituted a com- to get mining houses to admit dust. It causes fibrosis and disfig- dead and gone. tie red threads on its branches in the hope of divine mittee under a retired high court some form of liability for silicosis uring of lungs with non-functional According to a WHO report, the intervention to cure their loved ones. The photograph judge to recommend model cal- among their workers, a position fibrous tissue, eventually becom- average life span of those work- sent by one of our readers won a prize of Rs 500. We invite culation for compensation to the they have vigorously defended ing pulmonary massive fibrosis ing in stone-crushing mines is 33 other readers to participate in DTMT PHOTO CONTEST and next of kin of deceased. in the fear that should they do so, (PMF). This stage is reached after years. It has been also reported Silicosis is the oldest, most it would open the floodgates to considerable exposure. that 56 per cent of the mine work- win prizes. The criterion for adjudging a photograph for a price common, most serious and most claims. As in most of the nations, silico- ers are affected with silicosis. is the powerful message it carries.

Call for new model for healthcare delivery Unholy nexus behind unceremonious removal of CVO of AIIMS

DTMT.Network Continued from page 1 @drugtodayonline.com This is not the first time tary Standing Committee on tration who is now additional New Delhi: Tracing afford- Chaturvedi was unceremoni- Health and Family Welfare This is not the first chief secretary in Himachal ability, accessibility and ac- ously removed from the post chairman Brajesh Pathak. Pradesh made Nadda uneasy countability are key challeng- he was holding. He saw a dozen Both of them refused to oblige time Chaturvedi was and he started seeking his re- es to healthcare profession- transfers in his two-year stint him as Chatuvedi is widely unceremoniously removed moval. als, Executive Vice Chairman under the Bhupinder Singh considered an honest, upright from office. He saw a dozen Though Azad did not act on of Fortis Health care and a Hooda-led Congress Govern- and efficient officer. Nadda’s letter, but he had for- captain of the healthcare in- ment in Haryana. By now, he Giving vent to his pent up transfers in his two-year warded it to the Central Vigi- dustry in the country Shivin- is used to such transfers that anger over his unwarranted stint in Haryana lance Commission for appro- der Mohan Singh underlined smacks of political vendetta. removal, Chaturvedi wrote to priate action. Nadda pointed the need for a new model of Once again his crusade the Health Minister exposing out this ‘anomaly’ to Dr Vard- delivery. against corruption came in his the nexus between political in corruption nor allow others han, who decided to remove Addressing medical profes- way of discharging his duty leaders and a top-ranked bu- to do so) and speaks of a new him before he could complete sionals at the foundation day as an honest officer. The only reaucrat of Himachal cadre work culture based on honesty his term. ceremony of Army Hospital difference this time around is along with mismanagement and efficiency and on the oth- Three month ago, Chatur- (R&R) here, he said, “You need that the NDA has replaced the and irregularities in the coun- er hand right under his nose in vedi’s performance at AIIMS to do a couple of innovations Foundation Day ceremony of R&R UPA as a ruling alliance. try’s premier hospital. He al- the most prestigious medical was lauded as an exemplary which are more developed, healthcare units. do cardiac catheterisation. Sources said that the Health leged that a lobby of corrupt institute of the country, cer- work by none other than Chief not saturated but first.” They have taken cardiac They don’t do any emergen- Minister acted on senior officials backed by Congress tain corrupt elements succeed Vigilance Officer (CVO) in Un- Referring to US experiment, catheterisation, which is just cies or anything complex but BJP leader from Himachal and BJP got him sacked. in achieving what they could ion Health Ministry Vishwas he said, “In the last 10 years the catheterisation lab part of basic cardiac catheterisation. Pradesh JP Nadda’s letter ask- Chaturvedi had said in his not in the past two years”. Mehta. The same CVO has a lot of healthcare models the cardiac business, to a to- They do much better than ing for removal of the officer. letter that on the one hand, Meanwhile, sources said recommended his removal. have come up in that coun- tally new level.” anybody else, which is a new In 2012, Nadda had written to the Prime Minister publicly that Chaturvedi’s recommen- This sudden turnaround casts try, which have mushroomed He further said that there derivation because it is basi- then health minister Gulam declares “na khaunga, na dation of CBI inquiry against doubts on the intentions of much better than traditional are a few companies that only cally a hospital-based model. Nabi Azad and Parliamen- khane dunga” (will not indulge a deputy director of adminis- the Government.

www.latinamericahealthcare.com Conference & Exhibition Don’t take acidity lightly, treat it before it is too late

Dr Arti M Sathe gry, don’t delay. Make it a point to old patient with itching com- @drugtodayonline.com eat millets, vegetables and salad plaint also got good result after in sufficient quantity in your dai- a combination of natural treat- ach one of us suffers from ly diet. Eat after regular intervals. ments. But remember, acidity, at E‘acidity’ at some point of life Do not keep your stomach empty an advanced stage, need modern or the other. But, if it becomes for more than three hours. Take treatment first. a recurring phenomenon, it is less of fermented food. Drink So, what are you waiting for? a matter of concern. If this hap- enough quantity of water. Re- Cool down and find a way out of pens, one should be cautious duce intake of tea, coffee, and the acidity problem before it gets and take proper treatment, oth- green chilies, instead take alka- on to your nerves. erwise, it can lead to some seri- line food items. ous complications and even re- n The Fast changing lifestyle of (The author is a practitioner of sult in arthritis. today has opened up a plethora accupressure based in Mumbai) Unfortunately, people gener- problems. Everyone seems to be ally do not take acidity seriously ignorance or purposely which on the fast lane of success. Ten- in the beginning and indulge in leads to disturbance in acid pro- sion is the logical outcome of this self-medication which is anoth- duction cycle thereby acid is not lifestyle. Tension follows you in Increase your er mistake they often make. An- produced when necessary or is and outside home and at work- business prospects yone can take treatment in any produces when not necessary. If place. This tension leads to many upto system of medicine that suits indigestion is already there then psychological and biological him/her for acidity. Naturopa- the gases produced carry the problems. Acidity is one of them. thy is one system of medicine acid produced upward causing n If you want to come out of that boasts of surefire cure for burning sensation is the chest. this mess, try to remain calm 100% acidity, that too, that too without CAUSES AND Factors and follow some meditation tips. any risk of side effects. Consumption of hot, oily and Avoiding unnecessary competi- LATIN AMERICA & CARIBBEAN Naturopathy has helped many spicy food, intake of excess tea, tion, recite ‘Omkar’ whenever patients suffering from acid- coffee, sweet drinks, alcohol you get time and do pranayam HEALTHCARE SUMMIT 2015 ity. One of them is 38-year-old and smoking generally causes exercises (deep breathing). Be- woman. A doctor herself, the of acidity. Besides, your state of sides ridding you of the tension Mexico City – February 19th & 20th 2015 lady in question was on antac- mind also plays an important and anxiety, it will help you in re- Book your ids and milk and rice for months role in aggravating it. Tension, ducing acidity. at end before she eventually got fear, anger, anxiety, working late n In Naturopathy, wet bands advertisment today!!! Developments, Partnerships and Opportunites in the relief from the therapy. night, irregular eating habits and and mud therapy really works WHAT IS ACIDITY? sleeplessness, all these factors, wonders in reducing acidity. Latin America & Caribbean Healthcare Sector Let’s first understand what which are linked to lifestyle, are Proper diet routine is key to suc- Call us at 9971995818 or acidity is all about. Acidity is not sources of acidity. cess in the treatment. A 48-year- Write to us at — [email protected]@gmail.com something that is very danger- SIGNS AND SYMPTOMS ous as patients suffering from Headache, sour or bitter tast- it generally take it to be. The ing eruction in mouth (one Notice hydrochloric acid our body feels better after vomiting it) or Readers are recommended to make appropriate enquiries RECENT SPONSORS INCLUDE produces is absolutely neces- sour or bitter taste in mouth in sary at the time of hunger. We mornings, burning sensation in and seek appropriate advice before sending money, incur- have to eat proper food to sati- chest, stomach pain (especially ring any expenses, acting on medical recommendations or ate the appetite. In the Naturo- before or after food), burning entering into any commitment in relation to any advertise- MEDIA PARTNERS pathic parlance the food we eat sensation in stomach in which ment published in this publication. TheDrug Today Group is an aahuti (sacrifice) in a yagya the patient becomes irritable. doesn’t vouch for any claims made by the Advertisers of (process) which calms down the A 78-year-old lady used to get products and services. The Printer, Publisher, Editor and Agni (fire) and this Agni in turn sour taste in mouth after tak- Owners of Drug Today Group publications shall not be held Email: [email protected] Telephone: +44 207 065 5529 helps in digestion of food. ing tea or any sweet food item. liable for any consequences, in the event such claims are not This simple natural phenom- THINGS TO REMEMBER honoured by the Advertisers. enon is disturbed by mistake, n Eat whenever you feel hun- DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi Nation 11

Health problems galore, aid has just arrived Blueprint to ease NCD burden recommended But problems like declining sex work in health and medical field. HEALTH WOES ratio, high infant mortality rate Visiting rural areas can describe DTMT.Network examined the economic and low nutritional level for the pictures its own, people do @drugtodayonline.com impact of chronic NCDs OF ODISHA girls, health and well-being of not have any clinic or any other which is at an exponential women in the age group of 19- medical facility surrounding ar- New Delhi: A group of rise in the country. Experts Paroma.Bhattacharya 59 years, care and protection of eas of 10-12 km. Towns are fine prominent healthcare ex- advocated the need to @drugtodayonline.com elderly women above 60 years but these rural and tribal areas perts working in the field strengthen national moni- are the major areas of concern. need to be upgraded. Facilities of Non Communicable toring and surveillance, Odisha has been in news for all Unicef is working closely with in hospitals should be improved, Diseases (NCDs) in India scaling up the implemen- wrong reasons as well for quite the state Government to tackle life saving drugs should be have proposed concrete tation of evidence-based some time now. Be infant mor- the most pressing challenges make available, gynecologists steps to address the grow- measures to reduce risk tality rate (IMR), unhygienic women and children are facing should be appointed in the area.” ing disease burden, saying factors like tobacco use, conditions of midday meal or here. As 40 per cent of all chil- GOVT INITIATIVES that any further delay is unhealthy diet, physical malnutrition, there is no dearth Dr Harsh Vardhan with Odisha cm Naveen Patnaik dren under three years age are Many hospitals are function- likely to have a detrimen- inactivity and harmful al- of health issues for this state. an NGO which works for the towns located 600 to 700 kilom- underweight and 61 per cent of ing in the state alongside the tal effect on the economic cohol use, and improving The Centre has sanctioned health sector in Koraput, said, eters away from their home and adolescent girls are anaemic, newly constituted AIIMS but the health of the nation. access to cost-effective AIIMS like health centre for the “I personally believe there is no hearth. Take for example Ko- Unicef supports essential nutri- state is suffering from paucity of Addressing a multi- healthcare interventions state in its General Budget. But point in building hospitals when raput. A village 650 kilometers tion programmes focusing pri- faculty and non-faculty staff in stakeholder discussion on to prevent complications, can a state with 3.68 crore pop- not even a single doctor is will- away from Bhubaneswar boasts marily on the first two years of the healthcare sector. Keeping ‘Facing Our Future: Coun- disabilities and premature ulation, of which 85 per cent – ing to come and help us here. of no medical facilities worth- life. Some of these programmes this in mind a recruitment drive tering Non-Communicable death. 22 per cent Scheduled Tribe and There are absolutely no facilities while where pregnant women include promoting early and has been launched. Rejuvena- Diseases in India Through “If projections are true 16.5 per cent Scheduled Caste for tribes and also doctors for are dying for want of medical at- exclusive breastfeeding, timely tion of the AIIMS in Bhuwanesh- Investments in Innova- and 100 million people in – live in villages, survive with that matter.” tention with their babies in their complementary feeding, anae- war and establishment of a 100 tion’, in here on August 4, India are suffering from AIIMS and Apollo, that too, lo- More than 50 per cent of the womb. mia control programmes for bedded super specialty cancer Chairman of Partnership Type 2 diabetes alone by cated in the distant state capital posts of doctor are lying vacant STATE OF HEALTH adolescent girls and the use of hospital are among many fea- to Fight Chronic Diseas- the year 2040, this will Bhubaneswar. even as there has been a steep Health experts claim that the iodized salt by all families. tures of the package announced es (PFCD) Dr Kenneth E. severely undermine plans Commenting on the Govern- rise in the number of patients. situation in Odisha is better than Ram Chandra Sijwali, pro- by Union Minister Dr Harsh Var- Thorpe, said, “India finds for a more productive citi- ment’s grandiose move, Jaga- Tribal and under-privileged many other states so far as pro- fessor in Delhi University, said, dhan during his recent visit to itself facing its own grow- zenry and will also devas- nath Mishra, secretary of Ekta, people cannot afford to travel to tection of girl child is concerned. “Odisha needs a lot of ground the state. ing problem with non- tate the nation’s finances communicable illnesses. because of the resources Diabetes, cancer, vascular it will take to care for the diseases, hypertension and growing numbers of ill citi- stroke are all on the rise in zens,” he said. Now, online testing & training for MD aspirants this country. Some of this According to him, India is the expected effect of is not the only country fac- BS.Rawat author, Dr Mudit Khanna, who contemporary and well versed students the much needed edge an aging population, but ing this public health chal- @drugtodayonline.com has been an invaluable guide MyPGMEE is a one-stop with patterns and complexities to successfully tackle the exami- other factors include un- lenge. “With an 18 per cent to every aspiring All India Post of online examination in order nation. healthy diets and lack of GDP spent on healthcare, Gurgaon: Elsevier announced Graduate Medical Examination solution for all the needs of to excel in the highly competi- “I am delighted to partner with physical activity.” of which 84 per cent alone the launch of MyPGMEE, an in- (AIPGMEE) entrant for over a the PG medical aspirants tive medical PG exams. Elsevier for this avant-garde Dr Thorpe is also the is earmarked towards ad- tuitive, innovative, easy to use decade. and it eliminates multiple MyPGMEE is a one stop solu- product. There is little doubt Chair of the Department of dressing NCDs, the US first-ever online training and Some of the features of the tion for all the needs of the PG that the landmark transition Health Policy and Manage- still continues to face new testing platform for post-gradu- platform are most authentic communication touch points medical aspirants and it elimi- of the AIPGMEE from a paper- ment in the Rollins School challenges in tackling this ate medical students.It provides customisable testing environ- nates the need for multiple com- based pattern to a computer- of Public Health at the epidemic,” he said, how- a comprehensive learning suite, ment, dynamic database of munication touch points for the based pattern is set to alter the Emory University. ever, adding, “What makes incorporating an easy-to-use credible and recent exam style online on www.mypgmee.com students. preparation strategy,” says Dr The discussion, hosted this encouraging is that we online testing platform, dynam- questions, simulated tests, in- and Flipkart and similar prepa- Vast experience of Dr Mudit Khanna. by the Partnership to Fight can learn from each other’s ic database of recent examina- telligent testing and practice in ration tools for UPSC and Dental Khanna in guiding thousands of He further said, “It is crucial Chronic Diseases (PFCD), progress and successes. tion questions and simulated real exam like setting, intelli- PG examinations coming soon! PG medical aspirants with his that we recognize the momen- tests. gent performance tracking, im- In these evolving times and best in class content, combined tous change and aim at a unique The product has been devel- age based questions, well-ref- changing exam patterns, it is with Elsevier’s next generation and innovative approach to oped in conjunction with the erenced explanations, available imperative for students to be intello testing platform, will give counter the challenges.

spotlight West Bengal Another hospital, another crib death toll —NABANITA SENGUPTA Tragedy has become a recurring phenomenon in the state

While Dr Anjan Ghosh of the have taken the responsibility of newborns are called are Jangipur Hospital tried to de- of the childcare unit. Doctors not new to West Bengal. In the fend the hospital blaming pre- hired on contractual basis and past other hospitals too earned mature birth for the deaths, new batches of students who the dubious distinction of su- his colleague Saswato Mondal have just passed their final year pervising the most newborn seem to pass the buck on the of MBBS exam have the charge deaths. Crib deaths, in fact, health of the mothers. He said, of the unit which they alleged have of late become a recur- “If only you could know the con- explains the large number of ring phenomenon. But, when- dition the expecting mothers deaths. ever such a tragedy strikes, the when they were brought to the A heath official disclosed that blame-game follows. Rather hospital you would understand on July 29, one child, on July 30, than following buck to each the reason for the deaths”. two children and on July 31 as other, the authorities would do “Besides preterm birth and many as six children died in the better to find the real cause of breathing problems, the chil- hospital. these deaths and ensure that Behrampore: As many as 12 has been assigned with the dren were suffering various While some of the distraught such mishaps do not recur newborn died in Jangipur Hos- task to investigate the mat- other physical problems, “said families of the dead children in future. pital in just three days. Despite ter. Besides, a group of doctors Dr Ghosh. were seen crying in front of being equipped with latest have also been deputed by the However, family members the childcare unit inconsol- equipment in its childcare unit Health Department to make an of deceased children have a ably, others were giving vent the hospital failed to save the in-depth study of the situation. different story to tell. Their to their anger against the doc- innocent lives. Among the 12 deceased chil- grouse is that despite there be- tors doubting their efficiency to An experienced doctor of dren, eight died of breathing ing many child specialists on save the lives of the children. Murshidabad Medical College problems. the rolls of the hospital, none Mass Crib deaths as death Seven surgeries could not save Ambulance strike cuts this crusader against anarchy short a young life Kolkata: No private ambulance was avail- Kolkata: After a long battle toughest days of my life as a superintendent of Birbhum able at the Rampurhat Hospital as ambu- against death that lasted for doctor. I have tried my level District too donated Rs 3 lakh lance drivers were on strike on the fate- 55 days and seven surgeries, best but couldn’t succeed in from his pocket. ful night. At the momentous hour, Shantu doctors failed to save the life saving a life”. Prabhir Mukherjee, head Besara was badly in need of an ambulance of Amit Chakroborty. On an Amit was referred to the coordinator of the Mission to reach the nearest hospital to save his early July morning, he took Mission Hospital the day he Hospital said, “From medi- life. Time ran out for him and he had to his last breath in Mission was brought to the nursing claim and Birbhum Police we die without medical attention. Time ran Hospital in Durgapur where home. The same night, doc- have got Rs 11,80,000. I am out for the 20-year-old youth and he died he was admitted after being tors carried out a surgery on not sure who will clear the due to lack of medical attention. injured in a police operation him to fix his badly injured pending bills. Amit’s family Shantu was suffering from an injury in in June 2014. stomach. But, the surgery does not have that financial his right leg. On Thursday, his condition Amit was officer-in-charge also couldn’t solve the prob- condition to clear the pend- deteriorated. Jaundice and Septesemia at Duborajpur Police Station. lem. The doctors took some ing amount”. was detected in his body. He was referred He was sent to Gopalpur Vil- flesh from his thigh bone and Police superintendent of the to Burdman Medical College. But unavail- lage on a mission to quell a tried to do ‘Grafting” but that area disclosed that he had in- ability of hospital sealed his fate. fighting going on between too failed to show any result. formed the state Government “I saw my son dying in front of my eyes, some Trinamool Congress Subsequently, one after an- about the matter, but there is but could not do anything for him,” said workers and CPM activists. other, they conducted seven no response from the govern- Sraboni Besara, said distraught mother of During the scuffle, he was a surgeries. After seventh oper- ment. We are doing our best Shantu who was inconsolable at the loss. bomb detonated by the rebels ation in a row, following mas- and whatever is necessary at When the patient’s family failed to hire went off right in front of him sive bleeding Amit slipped the moment.” an ambulance after two hours of relent- badly injuring his stomach. into coma. Logically, people who are less effort, they contacted Hospital Co- Amit’s colleagues fastened a Amit was brought up by his responsible for the death of ordinator Subodh Kumar Mondol. He too towel around his stomach and uncle and aunty since he had the brave police officer should was could not arrange an ambulance. Af- rushed him to a nursing home lost both his parents at a ten- have been penalised. This ter all option were exhausted, at 9:00 pm in Duborajpur. The bomb had der age. Their financial con- time it is Amit, next time it will he lent his own car to take Shantu to the blown the flesh from the left dition was not such that they be some other police officer. If hospital but by then he had breathed his side of his body off. To stop could afford to pay up the these activists are allowed to last. the incessant bleeding, doc- amount went into her treat- settle political scores in such a A long life was cut short but nobody is tors stuffed cotton in his belly ment without selling their violent manner, only mayhem accountable for the tragic loss. While the with the help of a machine but land and house. will prevail in the society. management of the hospital passes the that too did not work. Rising to the occasion, the It is high time the authori- buck on the ambulance drivers for going In due course of time, his Dubrajpur Police Station ties took note of the serious- on a lightning strike, the drivers in turn injuries developed “severe raised funds for the valiant ness of the crime and meted blame the hospital authorities for forcing septicemia”, which started cop. Later, district police of- out exemplary punishment them to take the step to draw attention to spreading in the entire body. ficers also extended generous to these political pariahs. So their unrequited demands. This is become A dejected Dr Bhaskar Dhar, financial assistance by way that such people should think a recurring phenomenon where patients under whose treatment Amit of donation. When the bill twice before indulging in such have to pay for the indiscretion of hospi- was, said, “These were the exceeded 10 lakh, the police violence acts. tal management. DRUG TODAY MEDICAL TIMES 12 Latest 1st - 30th September 2014, New Delhi

Going under knife for perfect selfie Fibroscan replaces biopsy Shubhra.Sharma rent obsession with social beauty industry in the these days, finds it diffi- @drugtodayonline.com media selfie photos, more present scenario, one can cult to accept the way they as the best test for liver people are resorting to restore or modify their ap- look and choose to go in BS.Rawat or blood vomiting are liver biopsy is about Rs 10- There has been no dearth plastic surgery to fix im- pearance. for cosmetic treatments @drugtodayonline.com peculiarly absent till the 15,000 and needs days of of people opting for plas- perfections like promi- Dermatologist Dr Chytra for the flimsiest of reasons. very late stage of liver cir- care and observation. tic surgery to look good, nent noses, duck lips with V Anand says today people Speaking about her ex- With the number of Hepa- rhosis, this technique will Dr Praveen Sharma, con- but going under knife to pout, unacceptable wrin- addicted to social media perience, Preeti Thareja, titis B and C patients in- help in the assessment of sultant in the department grab attention on the so- kles or curves, or hands try to share every minute a 26-year old research creasing in India, a hos- liver stiffness in Hepatitis of gastroenterology, said, cial media is the latest fad that don’t look perfect at detail of their personal analyst who recently got pital here launched a patients. “Our study has opened new among the youngsters. engagement ceremony for life, the picture with new married, says, “I took a technique called fibroscan Fibroscan can also be pathway in treatment of A recent American sur- that perfect look. dress or a pair of shoes, a selfie after undergoing for the non-invasive as- repeatedly conducted to patients of liver disease. vey has found that plas- “The trend is fast taking new piercing or new eye dermaroller to get rid of sessment of liver stiffness assess the various stages Fibroscan can obviate the tic surgeons in the US are mammoth proportions in makeup all has to go on a my scars and make my which leads to cancer in of liver diseases before need of liver biopsy in witnessing a surge of un- our country. Looking good social networking site in skin glow, and it has got such patients. der-30 patients ready to has taken on a whole new added. a perfectly clicked selfie. a lot of likes on my social Sir Ganga Ram Hospital, A study in contrast go under the knife for cos- meaning today. Such is the Nonetheless, looking You would hardly find a networking page.” after conducting studies metic reasons. India too obsession that many are good has taken on a whole person who hasn’t clicked ‘First impression is the on 175 patients from 2012 LIVER BIOPSY is not far behind. While now opting for cosmetic new meaning today. Peo- a selfie. But some seek last impression’, goes to 2013, developed the n looks matter the most to surgery to look good in ple have never before perfection even in that. the saying. But in today’s technique that will help in Non-invasive procedure every individual, today’s that ‘perfect selfie’,” said, gone to such lengths to Getting yourself trans- context, the last impres- diagnosis of the liver sta- n No complication generation is ready to go Dr Naveen Rao plastic alter their appearance, to formed has created hype sion seems to be the first tus and start the treatment to any length for that chis- surgeon, Apollo Hospital. display the perfect picture in today’s younger gen- especially for the internet before fatal complications n Done in 5 minutes in OPD eled look even if means to “However, compared to online! With the recent eration but, technological savvy generation of today set in. Dr Anil Arora , chair- n Can be repeated any number of times go through the rigours of other countries, the youth technological advance- advancement has its limi- hooked to social media for man of the hospital’s de- a surgical procedure. in India limit the self-al- ment and availability of tations too. Experts say, whom the virtual world partment of gastroenterol- n Cost is approx Rs 3500-5000 In keeping with the cur- teration to an extent,” he several options in the most of the selfie freak, seems to be real. ogy said, “In our study, we FIBROSCAN found that fibroscan is a safe, quick and cost-effec- n Invasive procedure tive technique for diagnos- n Associated with complications like bleeding etc Doctors at Apollo help ing various stages of the liver disease.” n Takes 15-20 minutes with hospitilization 10-year-old walk again In coming days, the tech- n nique is billed to be of im- Difficult to repeat BS.Rawat gested robotic surgery mense help for a large n Cost is approx Rs 10-15000 @drugtodayonline.com as the best treatment op- number of obese, alcohol- tion. ics and patients with Hepa- New Delhi: Doctors at Speaking to DTMT, Dr titis -B or Hepatitis –C or and after the treatment. Dr more than 90 per cent of Indraprastha Apollo Rajendra Prasad said, fatty liver disease. Arora said, “Fibroscan can the patients as it can make Hospital here have per- “Standard surgery in- “It will help us immensely obviate the need of liver the same diagnosis at 1/3rd formed a “unique opera- volves a large cut in the in diagnosis of status of biopsy in more than 90 of the cost, and without any tion” to help a bed-rid- chest and over the back liver and start of treatment percent of the patients as complications.” den 10-year-old, Shivam, with prolonged hospital before fatal complications it can make the same di- Dr Pankaj Tyagi , anoth- to walk again. stay. Pain after the proce- set in .The best part is that agnosis at one-third of the er consultant, told DTMT, Shivam had his of ver- dure can make the recov- it can be repeated fre- cost, and without any com- “Our hospital has an extra tebrae collapsed at the ery and return to normal quently to assess the stage plications.” large probe called XL Probe mid chest level leading to activities slow.” of disease before and after Till recently, the gold for Obese individuals who compression of the spi- He further said, “After treatment .This was not standard for this diagno- are at high risk of develop- nal cord and collection review of the scans, ro- possible in liver biopsy ” Dr sis of liver cirrhosis was ment of fatty liver disease of pus in that area due to botic instrumentation Arora said.. biopsy of the liver, which related liver cirrhosis .As which he could not walk. and discussion it was felt As specific symptoms of is an invasive procedure in this group of patients Shivam underwent that the procedure can liver cirrhosis like jaun- with associated complica- conventional fibroscan Dr Arun Parsad (left) with patient Shivam and Dr Rajendra Parsad at Apollo robotic surgery on July be attempted robotically dice, swelling of the feet tions. Moreover, the cost of probe is not reliable.” 15. The procedure took and if successful would around two hours and give the child benefit of went off very well. Once this latest technology.” the boy recovered from His colleague Dr Arun Women in subordinate positions at higher heart attack risk the procedure, the ver- Prasad said, “Minimally tebrae were fixed from invasive surgery, which Prateek.Chauhan tions with your stress.” plaining of heart attacks,” a adverse impact on their other Asian countries, and es the risk of cardiovascu- behind a week later so uses a few small inci- @drugtodayonline.com Stress coupled with other Dr Thomas said sharing his health in the long run. This for most of them it is stress lar disease,” says Dr Gapr. as to enable early mobi- sions rather than one factors such as smoking, professional experience. is the reason cardiovascu- related,” he added. “It is a vicious circle. She lisation. He can now walk large incision, has been While the image of high-fly- obesity and sedentary life- Women in superior po- lar disease is the biggest Working women are goes to work, gets under very comfortably. associated with better ing career women from In- style is responsible for rise sition are less susceptible killer among women. more at risk because they stress leading to heart The boy, who was ini- outcomes than open sur- dia suffering from work-re- in the number of women to the effect of stress than Dr Ahmed Gapr, an Egyp- face stress inside and out- problem and thus starts tially diagnosed with gery, including fewer sur- lated stress could be a myth, under-50 suffering heart those in subordinate jobs tian cardiologist at Al Noor side the workplace. While a smoking and drinking. tuberculosis, was trans- gical site infections, less women in boring jobs with attacks. The figures have -al doing the same thing every Hospital’s Airport Branch, little pressure can be good, Then, she gets more heart ferred to Apollo Hospi- pain and shorter hospital no prospects of promotion most doubled from 15 years day. If you don’t have an op- has noticed a rising trend stress overload causes anx- problems.” tals later for latest and stays.” are certainly more suscep- ago when about 2 to 3 per portunity to expand, to take in women from India com- iety, agitation, depression According to Dr Thom- better treatment options. “The field of minimally tible to stress that can lead cent of the age group was at a new position and change plaining of stress-related and isolation. It can lead as, education encourages Dr Rajendra Prasad, sen- invasive surgery contin- to cardiovascular disease. risk. Now, the rate is about 7 the institution it will result heart problems. to the physical symptoms women to be proactive ior consultant-neurosur- ues to grow. Most surger- Dr Gerorgie Thomas, a per cent, in line with global in increased level of stress. “Maybe 60 to 70 per cent of chest pain and a rapid about their heart health. He gery and Dr Arun Prasad, ies today can be treated cardiologist, said, “If you trends. According to Dr Thomas, of the people who are com- heartbeat. says, “Women have to be senior consultant-mini- with some aspect of min- are doing a mundane job “For the past 15 to 20 years women have a tendency ing to my clinic complain- “Stress can also be a trig- aware of the problems they mal access surgery, after imally invasive surgery,” day and night you are likely we are seeing women as to bottle up stress more ing of heart palpitations ger for increased smoking may be facing as a precon- reviewing the case sug- he added. to get into more complica- young as 25-year-olds com- than men which can have are women from India and or drinking, which increas- dition to find a way out.”

Crossword Hints Amazing Facts Across „„ Heart disease is the number one silent killer disease. 1. Image to car- The main risk factors that contribute to this increased During Pregnancy ry on the first risk include - Hypertension, smoking, sedentary life- morning sickness of March (5) style and raised cholesterol. 4. Angela’s „„ Among the mammals - Humans and Dolphins are the is a matter of concern cooked an Ital- only creatures that get pleasure out of sex. ian dish (7) TM 8. Weapon that „„ 30 minutes of aggressive sex can only burn about RaRadd--prpreegg Tab. comes to hand 200 calories. (3) „„ 465,000 women died due to breast cancer in 2007 Doxylamine Succinate 10 mg + 9. Chided for hav Pyridoxine HCl 10 mg + Folic Acid 2.5 mg ing a bun per „„ India is the diabetes capital of the world. It is esti- haps (9) mated that currently there are 40 million people with

Controls nausea & vomiting 10. A word of diabetes in India and by 2025 this number will swell during pregnancy praise (7) to 70 million. This would mean every fifth diabetic in Taking the Pyridoxine & 11. Fruit; soft and the world would be an Indian. Folic Acid early in pregnancy well-rounded prevents certain birth defects „„ The lungs contain over 300,000 million capillaries (5) Solution on page 16 Pyridoxine prevents (tiny blood vessels). If they were laid end to end, they 13. More unfor- convulsions during pregnancy would stretch 2400km (1500 miles). Folic Acid supports DNA tunate choice synthesis & helps in new cell in the marriage late (5) „„ A mans testicles manufacture 10 million new sperm formation during pregnancy ceremony (6) 4. In astrology his life is in cells each day – enough that he could repopulate the 15. Suitable voice for a the balance (6) entire planet in only 6 months! trio? (6) 5. Clear off unruly camp- „„ 10. The focusing muscles of the eyes move around 18. Dramatic episode is ers (7) Assuredp leasent morning 100,000 times a day. To give your leg muscles the witnessed we hear (5) 6. Gallivant with a son of 19. Put some notes in or Jacob (3) same workout, you would need to walk 80km (50 der? (7) 7. Finish on your head miles) every day. 21. Hardly the type to make maybe (3,2) „„ 11. In 30 minutes, the average body gives off enough a good lookout (9) 12. Stiff - but relaxing (9) heat (combined) to bring a half gallon of water to boil. 23. Anger in answering 14. Eeyore’s upset by a back (3) blemish (7) 24. An outside line to ring 16. Peak time before break Sudoku Corner (7) ( 7) 25. Not left any entitle- 17. Obvious protection for Trade enquiries welcome. Financially sound parties may ment (5) inventive types (6) How to play contact for Monopoly rights/ Franchise/ PCD base distributorship 18. Change of clothing (5) Fill in the grid so that every hori- Down 20. It goes round up or zontal row every vertical column down (5) and every 3 x 3 box contains the 1. It provides drink from a 22. Upset the fruit barrel (3) digits 1 to 9, without repeating pot he’s brewed up (7) the numbers in the same row, Corporate O ce : 402, NamrataCorp Society,orate O 274, ce Sher-E : 402, Punjab Nam Society,rata AndheriSociety (E), 274, Mumbai-400093 Sher-E-Punja / 10-96/B,b So Gokhaleciety, A Nager,ndhe Ramanthapur,ri (E) Mumb Hyderabad-500048ai-400093 2. To a doctor a precious column or box. DelhiDelh O cei O ce : 252 : Kailash252 K aHouse,ilash Kotla,Hou sMayure, Ko Vihartla, M Phase-1,ayur V Delhi-110091ihar Phase-I, Delhi-110091 EmailEma : radisun2005@redimail.comil : radisun2005@rediff ma/ [email protected] / [email protected] thing is the last tablet (9) You cant change the digits already Call us today, 09818368181 or 09868171928 given in the grid. Every puzzle has Call us today, 09818368181, 09868171928 or 09971758181 An 9001 : 2000 Certified Company 3. Be sorry for one who is one solution. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi World 13

Debt crisis a factor in most RRareare DDiseasesiseases Fatty deposits piling up suicides by Indians in Dubai referred to as Gaucher cells. Gaucher’s disease has three common clinical subtypes. Prateek.Chauhan too unpaid loans were the cause of Type I (or non-neuropathic @drugtodayonline.com the tragedy. type) is the most common form Suicides among Indians in the of the disease, occurring in ap- Dubai (UAE): Expressing concern UAE reached to the peak of 176 proximately one in 50,000 live over the growing cases of suicide during the 2008 economic crisis. births. It occurs most often in the Indian community in the Officials then had blamed unem- among persons of Ashkenazi Emirates, Indian ambassador in ployment, mental stress and finan- Jewish heritage. UAE TP Seetharam called upon cial woes. Social pressure and eas- Symptoms may begin early in the expatriates to come together ily accessible credit caused many life or in adulthood and include and help people in distress, par- to sink into a cycle of debt. enlarged liver and grossly en- ticularly those with financial prob- “Our advice to all expatriates is larged spleen (together hepato- lems. On an average, 100 suicides to avoid a debt and that requires splenomegaly); the spleen can of Indians were reported each year a change of attitude. And this is rupture and cause additional since 2011. possible with the help of family, complications. Skeletal weak- Around 1,300 deaths take place friends and society,” Seetharam ness and bone disease may be in the Indian diaspora every year. adding, “There are all kinds of extensive. Spleen enlargement However, there is no data avail- family and societal pressure in and bone marrow replacement able on the number of people who terms of expectation about what cause anemia, thrombocytope- took their own lives because of they should do and the support nia and leukopenia. spiraling debt. There are roughly they provide to family and gifts Type II (or acute infantile 100 cases of suicide out of 1,300 they give,” he said. neuropathic Gaucher’s dis- deaths in a year in a community of Over the last two to three years, the number suicides committed by “We live in a consumption orien- ease) typically begins within 6 2.5 million people living UAE. Indians living in the UAE has varied from 98 to 101 to 102 cases of tated society with advertisement months of birth and has an in- Seetharam’s call for financial suicide by Indians living in the UAE. While every case can’t be linked people to borrow or spend, and cidence rate of approximately prudence among the expatriates they try to match somebody else one in 100,000 live births. came in the wake of suicide by to debt, it is a factor prevalent in most cases lifestyle.” Symptoms include an enlarged an expatriate couple. The couple, He also urged vigilance within liver and spleen, extensive and Santosh Kumar, a film maker, and the community to notice sign of progressive brain damage, eye his wife Manu Menno, commit- varied from 98 to 101 to 102 cases “We have no magic wand to re- people getting into trouble. A young patient Gaucher's disease movement disorders, spastic- ted suicide by slitting their wrists of suicide by Indians living in the trieve everybody from debt crisis. “Such is the enormity of the situ- ity, seizures, limb rigidity, and after smothering their nine-year- UAE. While every case can’t be The people themselves should ation that it may tend to drive aucher’s disease is a rare inherited a poor ability to suck and swallow. Af- old daughter Gauri with the help linked to debt, it is a factor preva- take some initiative to spend wise- people to desperate measures. A Ggenetic condition that causes fatty fected children usually die by age 2. of a pillow. Dubai police which is lent in most cases. ly and responsibly. We also can’t large part can be played by family deposits to build up in certain organs Type III (the chronic neuropathic investigating the cases, has cited “It’s not as if more people have help to offer professional legal ad- and friends who are better placed and bones. It can cause a wide variety form) can begin at any time in child- financial problems and bounced committed suicide now. There are vice and guidance for better, wiser to be aware of situations when of symptoms. It affects less than 10,000 hood or even in adulthood, and occurs cheques as reason behind the no simple solution and we hope financial planning so they can get individual take these unfortunate people worldwide. in approximately one in 100,000 live tragedy. people will seek help rather than out through their own efforts. But, decision.” Our bodies contain thousands of births. It is characterised by slowly pro- The Indian ambassador is now take the extreme step,” says the we should not and do not want to The Indian missions and welfare active substances called enzymes. In gressive but milder neurologic symp- contemplating on launching a ambassador. create dependency. They should groups aim to increase awareness healthy people, the enzyme glucocer- toms compared to the acute or type 2 campaign to stop the loss of hu- In the first half of the year, 37 be not being rash and think some- about the availability of assis- ebrosidase (pronounced glooko-ser-e- version. Major symptoms include an man lives caused by desperation Indian nationals took their lives body else will bail me out,” said the tance. A round-the-clock toll-free bro-sy-daze) helps the body to break enlarged spleen and/or liver, seizures, over financial matters especially in Dubai and Northern Emirates Indian Ambassador. helpline, 80046342 (800-INDIA), down a certain type of fat molecule poor coordination, skeletal irregulari- in the Indian community leaving out of 544 reported deaths. Psy- Indian community here was has also been launched in 2010 (glococerebroside). People with Gau- ties, eye movement disorders, blood in UAE. chological and personal problems, shocked in 2011 when a couple with the help of Indian Commu- cher’s disease do not have enough of disorders including anemia and respir- Over the last two to three years, and debt, have been blamed for living in Ras Al Khaimah hanged nity Welfare Committee. Private this enzyme. As a result, cells fill up atory problems. Patients often live into the number suicides committed suicides. The Indian embassy did their eight-year-old daughter, be- radio stations also provide coun- with the undigested fat. These cells are their early teen years and adulthood. by Indians living in the UAE has not provide number for Abu Dhabi. fore taking their own lives. Then seling programmes.

India with Brazil, South Africa and China Switzerland hot favourite for assisted suicide makes pressure group on climate change DTMT.Network country in search of assisted sui- dignity - to die with dignity” is the @drugtodayonline.com cide, to ‘die with dignity’. motto of the organization, which is BS.Rawat The research reveals that Ger- a member of the World Federation @drugtodayonline.com Euthanasia tourism, popularly mans and Britons are the main of Right-to-Die Societies. known as ‘suicide tourism’ has be- groups visiting Switzerland for To investigate whether the The BASIC group of countries, com- come very controversial matter in assisted suicide, and the main rea- availability of suicide tourism in prising Brazil, South Africa, In- present scenario. Its occurrences sons for this trend include various Switzerland had influenced legal dia and China, has upped the ante have increased a lot over the past neurological conditions, such as changes in AS in other countries, against wealthy nations for not few years. Parkinson’s and multiple sclerosis, as well as who was going to Swit- doing enough to prevent climate A study revealed that within four motor neurone disease and pa- zerland for help with committing change. These nations came together years, the number of these suicide ralysis. suicide, the researchers searched at the 18th BASIC Ministerial Meet- tourists going to Switzerland has Dignitas is the main AS organisa- databases of the Institute of Legal ing on Climate Change reflecting doubled. However, it is not clearly tion operating near Zurich and, be- Medicine in Zurich for details of their aspirations to have a greater regulated in Switzerland, which tween its Swiss and German arms, investigations and post-mortem say in global politics. Prakash Javadekar with BASIC environment ministers at a summit leads to a convergence of so-called has over 5,500 members in 60 exams among non-Swiss nationals In the meeting, the group de- August 8, the ministers said all par- gether, and what they can contribute suicide tourists coming to the different countries. “To live with who had AS between 2008-2012. manded that the developed nations ties should publish plans on climate to climate discussions. should once again lead on providing as soon as possible. They showed re- Indian Environment Minister financial assistance to poorer na- luctance to make firm commitments Prakash Javadekar said time has tions to act on climate change. They to curb pollution until the developed come for ‘enhanced action’ by devel- also expected to make a strong pitch countries play their part. oping nations. Gaming online is fun, but offline a disaster for early capitalisation of the Green Actions of South Africa, Brazil and The signal of climate change is still Climate Fund so that poor nations China in this direction have been barely detectable and it is time for can use the money for their adapta- more concrete than many of the us to agree on precautionary meas- Withdrawal symptoms, anger and irritability traced to the indulgence tion and mitigation efforts to deal developed countries. And therefore, ures sufficiently robust to ensure with climate change. the group will make compendium of the worst fears are never realized. It Prateek.Chauhan fects, such as lack of sleep. India has long been insisting that what it has done actually. is perhaps unfortunate that several @drugtodayonline.com “There are people who the Global Climate Fund should be It is necessary to grasp the devel- states, including those having the spend a lot of time play- used to procure intellectual proper- opment concerns of each country historical responsibility for chang- Online gaming is the lat- ing,” he said. “When it ty right of high cost clean technology and the geopolitical value they see in ing the mix of atmospheric gases est fad catching up with comes to that kind of situ- which can be given to poor nations cooperation. As four separate states, indicated in global warming, are not young and old alike. Such ation, you yourself have to free of cost. it is domestic policy priorities that proposing control measures that indulgence, especially relaise that you’re putting In a joint statement released on condition how far they can work to- match the risks we face. when you have nothing yourself in jeopardy and else to do, is fun, but ex- ignoring the real world cess of it can be harmful. around you.” In fact, excess of anything, Many adolescents and for that matter, is always teenagers in the find on- bad. line gaming a cheaper Compulsive and ob- and easier option for sessive playing of online had surfaced. (RPGs), can become a dif- them in an otherwise ex- LOOKING FOR games can have adverse While excessive gam- ferent world for users. pensive city, said Dr Tho- impact, similar to that of ing has no physical ef- Gaming, Ansari says raiya Kanafani, a clinical addiction. In fact, many fects, as substance abuse has no greater potential psychologist and Clinics psychiatrists believe that would, the way it affects for obsession than other Dubai who has worked online gaming is indeed the brain’s nervous sys- activities people enjoyed. with a support group for an addiction. tem is similar to that of an To substantiate his point people who spend too Dr Khalid Mahmud, a addiction. This is some- of view he argues, “You much time gaming. psychiatrist at the Ameri- thing games manufactur- would’nt hear people say Dr Kanafani said while can Center for Psychiatry er know while designing ‘Oh, he’s addicted to books, she does not see a par- and Neurology who spe- these games. Some game it’s affecting his life.” ticular lack of awareness cialises in addiction, says, makers do admit that ex- The Diagnostic and Sta- about the problem in the “Gaming for hours at end cessive playing can be tistical Manual Disorder UAE, the general trend of can lead to withdrawal harmful, yet they insist it fifth edition lists five com- more accessible technol- symptoms, anger and irri- should not be viewed as mon references for psy- ogy and the time spent tability among the partici- an addiction until more chiatrist. Among them, it using it was becoming an pants. Urge to play more research is done. says “Internet Gaming increasing problem. exciting games or spend Ali Ansari, 24, who is Disorder” as a condition “If you find that you’re more quality time playing involved in local gam- warrants more clinical re- just playing a lot on the to get the same satisfac- ing events, said, “People search before it is consid- net cruising a lot of the tion level at all time keeps find in gaming an outlet ered a formal disorder. apps on a daily basis and one going.” of tension. But excessive “I think it depends on neglecting social or per- Full time/freelance journalists in Delhi, Mumbai, Bangalore, Chennai, Hyderabad & “So, you really find the time spent gaming could how long you spend play- sonal activities that you Kolkata for our pan India level English monthly medical newspaper. Science basic elements of addic- be a symptom of another ing a particular game,” would have normally background will be preferred. tion in gaming,” he con- problem social isolation said Nick Rego, an edi- done, that’s when I would cludes. which may cause anxiety tor at IGN Middle East, a say you should start real- ‘DRUG TODAY MEDICAL TIMES’ Dr Mahmud said some and depression.” gaming publication. Rego ising there’s a problem. “ of his patients exhibited Some tournaments for said he knew someone She advises children to Interested candidates can contact at: these symptoms but ap- competitive games, such who would stay up from play for not more than proached him for other as first-person shooters, 11 pm to 3 or 4 am playing half an hour to an hour (011) 22792554, 22792078 problems, such as in- could last 20 hours for up World of Warcraft, a popu- and asks adults to notice a Or somnia. However, in the to three days with breaks lar RPG. The person found red flag it started to affect E-mail at: [email protected], Website: http://www.drugtodayonline.com course of treatment symp- in between. Others, such it normal until he had a their work before calling toms of excessive gaming as role-playing games child and realised its ef- it quits. DRUG TODAY MEDICAL TIMES 14 Exclusive 1st - 30th September 2014, New Delhi

An Ebola Virus particle, shown 1.55 million times its actual size EBOLA!!! An obscure virus, but DISTRIBUTION OF PREVIOUS OUTBREAKS the threat is real Ebola first appeared in 1976 in two simultaneous outbreaks, HOW DOES in Nzara, Sudan, and Yambuku, Democratic Republic of EBOLA Congo. The latter was in a village situated near the Ebola SPREAD? River, from which the disease takes its name. Bats may be the natural host for Ebola Viruses Transmission to wild animals such as monkeys and gorillas occurs Human-to-Human transmission can occur by direct contact with body fluids This is not the first time that of infected individuals the world is so fearful about the threat of Ebola Virus typical path through a human being DEADLY EBOLA SPECIES an epidemic outbreak. Ever since it struck in a nonde- There are five known species of Ebola virus. The script West African region, Ebola instilled the kind terror in Bundibugyo, Zaire and Sudan species have been the hearts and minds of people across the globe that was never associated with large EVD outbreaks in Africa, whereas Reston and Tai Forest have not. The seen before. Though it has yet to fully manifest itself in terms of Reston species, found in Philippines and the People's Republic of China, can infect humans, affliction and mortality, going by the nature of the viral infection, as but no illness or death in humans from this reported in the world media, the horror with which governments across species has been reported to date. the world reacted is justified. Against this backdrop, the steps taken by AVERAGE FATALITY RATE India to keep the disease off its shores seem too little, too late. The fact that the deadly virus can be imported into the country if the large Day 7-9 Day 10 Day 11 Day 12 Headache, Sudden high Bruising, brain Loss of population of Indians working in the affected African nations fatigue, fever, fever, vomiting damage, consciousness, 78% 53% 27% returns makes us all the more vulnerable and the Gov- muscle blood, passive bleeding from seizures, ernment needs to do more. soreness behavior nose, mouth, massive internal eyes, anus bleeding, death Zaire Sudan Bundibugyo Graphics by Somesh Kumar Mishra Delhi on Ebola alert Old disease assumes its deadliest avatar Rohit.Kumar with 24x7 helpline @drugtodayonline.com

BK.Jha While Ebola Virus Disease (EVD) @drugtodayonline.com is not new to the world, this time around, it has assumed its dead- New Delhi: Following the World Health Organisation liest manifestation. The virus af- (WHO) declaration of global emergency over the out- fected West African countries in break of Ebola Virus Disease (EVD), as a precaution- a big way claiming nearly 1,350, ary measure, the Central Government opened a 24- that too, at the very initial stage hour “Emergency Operation Centre” (Helpline). of its outbreak. The Helpline has become operational from August 9. Given the weak healthcare Its numbers are: (011)-23061469, 3205 and 1302. system and large population of In New Delhi, Ram Manohar Lohia Hospital has country what could be the con- been identified for treatment and management of any sequences if Ebola virus enters case of Ebola. India is anybody’s imagination. Union Health Minister Dr Harsh Vardhan said the Fortunately, the Indian authori- Government was taking all measures and keeping a ties have not confirmed any re- close watch over the movement of people into India ported case of virus. from African nations affected by the virus. There are All the precautionary meas- about 45,000 Indians in the Ebola-affected countries. ures are being taken to tackle The World Health Organization (WHO) on August any emergency. According to 8 declared the Ebola virus disease (EVD) outbreak in Government reports, estimated West Africa as an “international health emergency”. 44, 700 Indians are living in “A coordinated international response is deemed es- different countries affected sential to stop and reverse the international spread by Ebola. Though the health of Ebola,” the WHO said in a statement issued after a ministry is denying any case global public health emer- tential exposure.” it said. require intensive supportive two-day meeting of its emergency committee. of Ebola and asking people gency in the wake of the out- According to WHO, Ebola is a care. They are frequently dehy- It noted that the Ebola outbreak in West Africa con- not get any panic about it. break of Ebola Virus Disease disease that creates a lot of anxi- drated and need intravenous flu- stituted an “extraordinary event” and a public health Speaking about how people (EVD), World Health Organisa- ety and fear. “Clear, transparent ids or oral rehydration with so- risk to other countries. become infected with Ebola, tion (WHO) has recommended and balanced messaging infor- lutions that contain electrolytes. The WHO termed EVD as the “most complex out- Dr Randeep Guleria, Depart- that travelers to affected areas mation can help reduce such There is currently no specific break leading to public health emergency”. It has ment of Pulmonary Medicines should be given all information panic. Getting public to take treatment to cure the disease. called for global health alert in all countries. As of and Sleep Disorder at AIIMS on how minimise risks. an active role in implementing Prevention of infection and August 4, WHO says 1,711 people have been infected, said, “Ebola is introduced into In a technical briefing here, the preventive measures, creating transmission- While initial cases of whom 932 have died. The four countries affected the human population through cause they WHO said that in view of serious awareness and participation in of Ebola virus disease are con- are all in western Africa– Guinea (393 deaths), Sierra close contact with the blood, are not wear- ing personal consequences of international the management of the outbreak, tracted by handling infected Leone (286 deaths), Liberia (282 deaths) and Nigeria secretions, organs or other bod- protection equipment, such as spread, severity/fatality of ill- can limit spread of the disease in animals or carcasses, second- (1 death). ily fluids of infected animals. In gloves, when caring for the pa- ness (no vaccine or cure); intense the Community.” it said. ary cases occur by direct con- In India, a mechanism has been worked out in con- Africa, infection has occurred tients. community and health facility Symptoms of infection: Sud- tact with the bodily fluids of an sultation with the civil aviation and home ministries through the handling of infected According to healthcare pro- spread; weak health systems in den onset of fever, intense weak- ill person, either through unsafe for collection and collation of information on travel- chimpanzees, gorillas, fruit bats, viders at all levels of the health affected and at-risk countries, ness, muscle pain, headache and case management or unsafe lers to India through the affected countries. monkeys, forest antelope and system -- hospitals, clinics and there is a need of coordinated sore throat are typical signs and burial practices. During this Surveillance is being strengthened at airports porcupines found ill or dead or health posts should be briefed international response to stop symptoms. This is followed by outbreak, most of the disease and ports. The Integrated Disease Surveillance Pro- in the rainforest”. on the nature of the disease and and reverse spread of Ebola. vomiting, diarrhoea, rash, im- has spread through human-to- gramme (IDSP) is on alert. The National Institute of Experts said that health work- how it is transmitted, and strict- Along with travelers, general paired kidney and liver function, human transmission. Several Virology, Pune and National Centre for Disease Con- ers have frequently been exposed ly follow recommended infec- public should also be made and in some cases, both internal steps can be taken to help in pre- trol in Delhi are prepared to test samples for diagnosis. to the virus when caring for Eb- tion control precautions. aware about Ebola outbreak and and external bleeding. venting infection and limiting or The Ministry is working in close coordination with ola patients. This happens be- Following the declaration of measures to reduce risk of po- Treatment-Severely ill patients stopping transmission. the state governments to implement its action plan. The Chief Secretaries of all states have been informed on the need for strengthening their own tracking, sur- veillance and isolation facilities. In no mood to take chances, India gears for any eventuality

DTMT.Network about the anatomy of the minimise the outbreak in of passengers is being car- @drugtodayonline.com disease leave alone find- The Health Minister confirmed that there was a risk the country? ried out rigorously at the ing an effective drug to India is on alert for the Delhi, Mumbai, Bangalore, Even as the world is strug- contain its spread. of the virus hitting Indian shores if Indians working virus. Health Minister Chennai, Trivandrum, Kol- gling to deal with infec- The country of the origin in affected nations return home. He, however, assured Harsh Vardhan, confirmed kata and Kochi airports. tions like AIDS, swine of the Ebola virus disease that there was a risk of the There are plans to train flu, dengue, tuberculosis, (EVD), which scientists that the outbreak could be contained through deadly virus hitting Indian immigration officers at the Hepatitis A, B and C, Japa- prefer to call Ebola hem- early detection and segregation of patients, contact shores if Indians work- identified airports on how nese Encephalitis, menin- orrhagic fever (EHF), is yet tracing and monitoring, and infection control ing in the affected African to deal with the passen- gitis, etc, another deadlier to be ascertained. But sci- nations return home. He, gers travelling from affect- virus, Ebola is threatening entists investigating the however, assured that the ed countries. The Directo- to take in its sway the en- source of the deadly virus outbreak could be con- rate General of Civil Avia- tire human race. Declaring in West Africa believe that healthcare worker from India, Ebola may also get tained through early de- tion (DGCA) has issued public health emergency, the latest outbreak can be Guéckédou. Publishing carried away by the Indian tection and segregation directives to all airlines the World Health Organi- traced to a two-year-old their findings in the New citizens working in Afri- of patients, contact trac- operating on international zation (WHO) sounded a toddler in Guinea. The England Journal of Medi- can countries like Nige- ing and monitoring, and routes and asked them to warning: “Ebola virus dis- unnamed boy lived in a cine, the team of epidemi- ria, Guinea, Sierra Leone following rigorous proce- take a series of precau- ease outbreaks can dev- village in Guéckédou, in ologists said they traced and Liberia. Till date 2,127 dures for infection control. tionary measures with im- astate families and com- southeastern Guinea, and the disease by ‘reviewing cases have been identified, Laboratory capacity has mediate effect to prevent munities, but the infection died on 6 December last hospital documentations with 1,145 deaths. also been strengthened the entry and spread of the can be controlled through just a few days after falling and interviews with af- The question intrigu- at the National Institute Ebola Virus Disease (EVD) the use of recommended ill with a fever, vomiting fected families, patients ing the medical fraternity of Virology, Pune and Na- in India. Passengers would protective measures in and diarrhea. with suspected disease, is that are we prepared tional Centre for Disease be asked to fill up special clinics and hospitals, at From there, the dis- and inhabitants of villages to check spread of Ebola. Control, Delhi, to diagnose health forms for submit- community gatherings, or ease reportedly killed in which cases occurred’. The immediate answer the disease. In Delhi, the ting information regard- at home.” the child’s mother, three- Like other incurable dis- would be a big ‘NO’. What Government has opened ing visit to any affected What is worrying is sci- year-old sister and grand- eases that travelled from then are the plans of the 27x7 helpline number at country in the last 21 days, entists are still clueless mother, before infecting a one part of the world to Indian Government to RML Hospital. Screening among other things. DRUG TODAY MEDICAL TIMES 1st - 30th September 2014, New Delhi Business 15

North as favourite investment destination for healthcare

BK.Jha ters. But now, the northern Number of hospital beds per 1000 people Number of doctors per 1000 people Chandigarh (Punjab) and incentives such as allot- tion which envisages 20 @drugtodayonline.com states have realised their will include world class ment of land for hospitals per cent of the funds being potential in this sector. India 0.7 India 0.7 hospitals and a medical at concessional price. contributed by the people New Delhi: North India Punjab, recently, came college. Phase I is under- Interestingly, Himachal and the remaining 80 per is fast emerging favour- out with the new Industrial Rajasthan 0.5 Rajasthan 0.4 way with development of has started one scheme cent coming from the state ite destination for invest- Promotion Policy 2013 of- Uttarakhand 0.8 Uttarakhand 0.3 a leading hospital – Tata with people’s participa- Government. ment in healthcare sec- fering host of incentives Himachal 1.3 Himachal 0.1 Cancer Research Centre tor. The northern states and reforms to attract in- and Hospital. of Delhi, Haryana, Punjab, vestments. UP 0.4 UP 0.3 “Uttar Pradesh has Jammu & Kashmir, Uttar Uttar Pradesh Govern- J&K 0.4 J&K 0.9 adopted a long term Pradesh (UP), Himachal, ment has taken several Panjab 0.7 Panjab 1.4 strategy to upscale Uttarkhand and Rajasthan measures for the develop- healthcare delivery. We together constitute over ment of industrial sector Haryana 0.5 Haryana 0.2 are focusing on ‘tech- 30 per cent of India popu- with an investor friendly Chandigarh 0.6 Chandigarh 0.6 nology’ and ‘empow- lation with UP, the most policy framework with erment’ to ensure that populous state, having a thrust areas including Delhi 2.8 Delhi 2.8 the state improves on population of more than healthcare, said Sanjeev 0 1 2 3 0 1 2 3 healthcare parameters,” 200 million is leading the Saran, Principal Secretary, No of Beds No of Doctors Saran said. pack. UP Government. Source: CBHI 2011, Indiastat, KPMG Analysis Source: CBHI 2011, Indiastat, KPMG Analysis Veenu Gupta, prin- The demand-supply gap Rajasthan, Himachal cipal secretary, Indus- for healthcare delivery Pradesh, Uttarakhand and also fuel investment in the including hospitals and di- maceuticals and medical tries, Rajasthan Gov- services in the northern Jammu & Kashmir are healthcare sector. We (at agnostic services, is grow- equipments. ernment, said, “We had states remains a concern in the process of making Fortis) are also planning ing rapidly. The north has Tarun Bajaj, managing a preliminary discus- and to bridge this gap the their policies attractive for to expand aggressively in begun seeing proliferation director, Haryana State sion with Fortis Health- respective state govern- investors. major cities of North.” of specialty hospitals and Industrial Development care. A MoU with them ments have come out with Acknowledging the trend, Singh further said, “We healthcare centres, ma- Corporation, said, “The would be signed soon investor friendly polices Malvinder Mohan Singh, were exploring sector spe- jor players such as Fortis, state government has de- for opening up of Fortis especially for attracting executive chairman, For- cific opportunities, show- Apollo, Medanta and Me- veloped a pharmaceuti- hospitals at every divi- private investment in the tis Healthcare, told DTMT cased north’s vast invest- tropolis investing in this cals cluster in Karnal and sional head quarter cit- sector. on the sidelines of Invest ment opportunities and I space. we are planning to set ies of the state. Barring Delhi with 2.8 North 2014 conclave or- am very hopeful that these The entire region is wit- up more such clusters in “The state Government hospital beds per 1000 ganised by Confederation states would attract huge nessing an increase in the other parts. The proposed will provide all sup- people and similar num- of Indian Industry (CII), investments going for- number of hospitals, pri- global city in Gurgaon will port to private players ber of doctors per thou- “Huge opportunities ex- ward.” mary clinics, diagnostic also have more space for investing in healthcare sand, northern states do ist in North India and the According to a KPMG centres etc. It is promot- healthcare sector. sector,” she added. not have a good record on new Government’s budget report, in North India the ing healthcare industry by A 260-acre Medicity is Rajasthan Govern- any health related parame- announcements would healthcare delivery sector, developing SEZs for phar- being developed in New ment has also adopted Home healthcare, as parental love transcends boundaries Venus to launch Gemcitabine in Swiss market

BS.Rawat ing from heart problems all their worries at rest by is extremely organised DTMT.Network quarters. “The company the first Indian company @drugtodayonline.com while Mrs Pai has weak In India, organised gifting their parents with in the West, India is fast @drugtodayonline.com has achieved yet another to get marketing approv- knees and finds it difficult door-to-door healthcare catching up on the same landmark by securing al for this product from Mr and Mrs Pai, both in to move around. players taking up home services of Portea Medi- with a number of organ- New Delhi: With approval its first marketing au- Switzerland, Venus enjoys their 80s, are based in On April 28, 2014, Rajat healthcare as a serious cal. For NRIs in particu- ised players taking up this from Swiss drug authority, thorisation in Switzerland a competitive edge over Bangalore. They have two Mehta, who is working business with high lar, the mushrooming as a serious business with Venus Remedies Limited, from Swiss drug author- other players and is all set sons, Akhil and Aneesh. with an MNC and is post- home healthcare in India high quality delivery of a leading research-based ity Swissmedic for Gem- to capture a substantial But unfortunately both ed in London, woke up to quality delivery is a boon, a considerable services. global pharmaceutical citabine, an oncology drug, share in the Swiss market of them are living away the news of his mother of services load off their back. Home So, the irony remains company, is planning to through Venus Pharma for Gemcitabine,” the com- in the US for the last 25 based in Mumbai had a healthcare is a $3 Billion that while an estimated launch Gemcitabine, an GmbH, its Germany-based pany said. years leaving their old heart attack. Her neigh- industry and expanding at 100 million elderly popu- oncology drug early in the subsidiary,” it said. The company claimed and frail parents to fend bours rushed her to a which NRIs can show their 15-20 per cent per annum. lation feels the need for next quarter of the fiscal This marketing approval that the approval proves for themselves at this ripe nearby hospital. Post her parents that no matter In the UK and other this service, home health- year. for Gemcitabine 200 mg its R&D capabilities and age. They have also as got discharge from hospital, where they are, they care. developed countries, care industry happens to “The product will be and 1 g injections will help expertise in developing American citizens. Mehta was worried about Parents are any child’s the concept of in-home be still at a nascent stage. launched in Switzerland by Venus Remedies further world-class products with Though the old couple her recovery at home and treasure, but miles away healthcare is catching up The lack of affordable and Swiss Pharma GmbH, with strengthen its oncology regulatory might, consid- interacts with their sons was looking for a profes- when such children sit fast. The home healthcare quality home healthcare which Venus has a market- portfolio and improve its ering that the dossier was every week on Skype sional nurse/attendant to back and take stock, the industry has existed in in India was a big pain- ing tie-up,” the company presence in the oncology developed as per interna- and through email, it just be by her side all the time. welfare of their parents the US for over 120 years. point and provided a said in a statement. space. tional guidelines, as a ge- isn’t the same as having Amidst surfeit of insur- is one of the things that The global home health- large ‘whitespace’ oppor- The launch of this prod- “Being among the first neric against the origina- their children around to ance policies for senior is lurking beneath all the care market is expected tunity that many in-home uct is expected to add to few pharma firms to re- tor’s product (Gemzar of care for them. Mr Pai is citizens, here is a novel success. to reach $372 Billion by healthcare providers are the company’s top line and ceive marketing authorisa- Eli Lilly’s, a major global diabetic and is also suffer- and ingenious way with But now, NRIs can set 2015. While this market grasping at. bottom line in the coming tion for Gemcitabine and pharma player). Pharma cos eye regulated markets BK.Jha product and improvement in al to be able to sell their generic @drugtodayonline.com GMP standards. The invest- medicines in regulated markets. ment also includes expansion Consequently, annual filing New Delhi: India’s top-20 phar- of capacity for the regulated of (or ANDA, which seeks ap- maceutical companies are ex- markets,” he added. proval to sell generic versions pected to spend more than Rs Of these pharma companies, of patented medicines), by In- 50,000 crore by 2018 to tap Capex spending of eight com- dian companies is expected to regulated markets, especially panies, which currently gener- increase to over 100. US Market. The increase, in ate a majority of revenues do- As on March 31, 2014, the capital expenditure by 40 per mestically, would almost dou- top-20 companies had around cent by these companies, aims ble by fiscal 2018, growing at a 1,000 ANDAs, pending approv- to take advantage of substan- much faster pace compared to al from the US FDA, compared tial patent expiries expected in the rest which are already fo- to around 715 as on March 31, the medium term, as well as an cused on regulated markets. 2010. ever increasing demand for ge- "Increasing domestic pres- Thirdly, investments to build nerics. sures will force Indian compa- FDA-approved manufacturing In a recent report, credit rat- nies to seek greener pastures facilities and processes would ing agency CRISIL said that abroad. This will lead to higher rise. Revenue from regulated India's top-20 pharmaceutical expenditure related to compli- markets is poised to increase by companies would increase cap- ital expenditure by 40 per cent. In pharma sector, potential of exports is huge. Over Regulated markets require higher investments to meet USD 35 billion worth drugs will be off-patented stringent standards, it added. in the next three years. Indian companies These top companies con- can easily tap this opportunity, if the tribute to nearly two-thirds of government provides incentives with regard India’s export and their capi- tal expenditure was around Rs to registration of new formulations. 36,000 crore. —Ajay Sahay, director general & CEO, FIEO However, DG Shah, Secretary General Indian Pharmaceutical Alliance (IPA) said, “ It would be ance, research and manufac- about 1.7 times in the next four incorrect to assume that this turing capacities. We see their years through fiscal 2018. This investment is for the domestic capex rising around 200 basis would mean a significant ramp- market. In fact, the number of points to nearly eight percent up of existing capacities due to applications for discontinuing of operating income by fiscal sharper focus on the regulated production of NLEM formula- 2018 from six per cent now," market. tions is indicative of the mood CRISIL's President Ratings “In pharma sector, potential of the companies.” Ramraj Pai said. of exports is huge. Over USD 35 “The CRISIL report should Three factors would drive billion worth drugs will be off- have clarified that most of Capex increase. The first is the patented in the next three years. these investments are for up need to adhere to compliance Indian companies can easily gradation of the quality of the regulations of the US Food and tap this opportunity, if the gov- Drugs Admin- ernment provides incentives istration (FDA). with regard to registration of Disclaimer: FDA scrutiny of new formulations,” Ajay Sahay, Indian manufac- director general & CEO of Fed- We exercise due care, diligence and turing plants has eration of Indian Export Or- caution in publishing the news and been increasing ganisations told DTMT. articles. None of the report or arti- of late, so compa- “Bulk drug supply is dominat- cles constitute any form of advice, nies would have ed by MNCs and entry of fast recommendation or arrangement to invest in up- growing Indian pharma com- grading facilities panies to regulated markets is by us. Readers are requested to proactively to en- tough. We need to create value make their own research and en- joy uninterrupted chain to tap these markets. For quiries prior to making any invest- benefits from op- example Russia would not al- ment or other decisions. We are not portunities. low bulk drug supply from In- liable for any claim of loss or dam- Secondly, re- dia if the Indian companies do ages suffered by any person due to search spending not have their plants there,” he such decisions solely based on our would rise since said, adding that only creation reports or articles. companies would of value chain can make a posi- need FDA approv- tive impact. DRUG TODAY MEDICAL TIMES 16 Trends 1st - 30th September 2014, New Delhi

Enjoy fruits for a beautiful reason: Glowing skin Musical immunisation campaign to save children Reiterating his Government's commit- immunisation of children. The lyrics for ment to tackling child mortality, Minister the theme song were written by Javed DR AAKRITI natural moisturizer and can be components help treat dark like carotenes, vitamin C and of Health and Family Welfare Dr Harsh Akhtar. MEHRA used in homemade scrubs and spots and blemishes. The orange flavo- noids, B vitamins, folate Vardhan said that the Centre will ensure The song highlights the importance of im- masks. peel can be powdered and used and pantothenic that the benefits of immunisation reach munisation in saving lives of children. Ac- or most of Orange: Like most citrus fruits it as a scrub for instant glow and acid. It keeps all sections of society, regardless of social cording to an estimation, 14 lakh children Fus, fruits contains a high level of vitamin skin whitening as it acts as natu- your skin hy- and economic status. under five years of age die every year in In- are just a tasty C along with ral bleach. It also acts as atoner, drated, mak- He was speaking after launching a music dia due to preventable diseases, like pneu- treat. While beta caro- removing dirt, dead skn and giv- ing it supple video ‘Phool Khil Jayenge’ on the theme monia and diarrhoea. —DTMT.Network many like them tene, folic ing the skin a firmer feel. and smooth. It for their sweet acid, phos- Strawberry: It contains a higher also has exfoli- delectable flavour and enchant- phates, io- level of vitamin C and manga- ant and anti-aging ing aroma, a miniscule minority dides, iron, nese which helps to exfoliate properties. have them for their health ben- phytonutri- & cleanse the Avocado: With a high concentra- efits. Fruits are not just preferred ents and fla- skin, lightens tion of vitamin A and E it gives for a balanced diet, but also to vonoids. These age spots & your skin a natural glow. It also attain a healthy and glowing skin. freckles. It helps moisturise and rejuvenate So, the next time you have this contains el- scalp. nature’s delicacies, savour them lagic acid Grapes: They have phytochemi- not only for health but also out- which is a ward appearance. cals and phytonutrients which UV protector. are antioxidant and anti-inflam- Banana: A rich source of vita- Strawberries matory in nature and help regen- mins and min- also prevent thin- ning eration and healing of skin. erals in- of hair and give it a glossy shine. cluding It can be used as an exfoliator in Apples: It contains vitamin C that potas- foot scrubs. helps boost collagen and tightens sium, the skin, copper which is impor- Tomato: It is rich in vitamin A, tant for melanin production and C and K and acts as an antioxi- vitamin A with other an- dant in preventing aging and tioxidants which is used widely as whiten- contain acne, de- ing and de-tanning agent. crease dark eye manganese, Papaya: Contains a rich pigmentation biotin, vita- amount of antioxidants and increase hair min C and B6. growth. It has The vitamins also been shown t o maintain elas- decrease dandruff from the ticity of the skin scalp. and the anti- oxidants prevent (The author is a dermatolo- aging. It is also a gist based in Mumbai)

Combating malnutrition with edible oil fortification DTMT.Network According to experts, ventions. growth,” Pillai said. dren suffer from sub-clin- @drugtodayonline.com multiple micronutrient The National Edible Oil Recent researches sug- ical Vitamin-A deficiency. deficiencies continue to be Fortification Project de- gest that vitamin D could Vitamin D deficiency is New Delhi: India over significant public health veloped by Confederation play a role in decreasing emerging as a big public the years has taken im- problem in India with se- of Indian Industry (CII) the risk of many chronic health problem that af- pressive strides in lead- rious consequences and a was recently launched illnesses, including osteo- fects populations across ing the developing world devastating impact on the with the support of Global malacia and muscle weak- the spectrum of age and in economics and com- health and the produc- Alliance for Improving ness, common cancers, gender. merce. With the youngest tivity of the population. Nutrition (GAIN). autoimmune diseases, Hence, fortification of population in the world, Fat-soluble vitamins such “By using the model of infectious diseases, dia- edible oil with vitamin A the country is rearing to as Vitamins A and D have public-private partner- betes and cardiovascular and D, offers one of the capture the world stage in multiple functions. ships, we can bring many disease. most feasible and cost- growth and development. Launching the National diverse actors from the The dietary intake of vi- effective intervention. The Paradoxically, India’s Edible Oil Fortification public and private sec- tamin A and D rich foods merit in pursuing edible RNI No. DELBIL/2012/45560 growth story is marred Project, Sudha Pillai, for- tors into a coalition, to across India is very low. oil fortification lies in the Published by Poonam Mishra for and on behalf of Drug Today Medical Times, 252, Kailash House, Kotla, Mayur Vihar –I, Delhi -110 091 by the exceptionally high mer member secretary work on improving nutri- Also, the uptake of vita- mass penetration of edible Ph No.: (011) 22792078, 22792554, Fax No.: (011) 22759677 and printed at India Offset Printers, X-36, Okhla Industrial Area, Phase-II, Delhi - 110 020 Email - [email protected], [email protected] levels of hunger and mal- of Planning Commission, tion together in a way that min A amongst children oil across the population Editor: Lalit Mishra nutrition, particularly the said the nation’s health reflects local culture and under the Government of groups and geographies, © All rights reserved. Reproduction in whole or in part without written permission of the publisher is strictly prohibitedWe have taken every possible being paramount, ad and also in its effective care to avoid errors. Since this publication is being sold on the condition and understanding that information given herein is merely for reference, it micronutrient malnutri- - conditions, fosters inno- India’s Vitamin A Supple- - must not be treated as an authority of or binding in any way on the writers, editors, publisher, and printer and sellers who do not owe any responsi- tion, which often goes dressing management of vation and entrepreneur- mentation programme is ness in addressing some bility for any damage or loss to any person. All disputes are subject to the exclusive jurisdiction of competent court and forums in Delhi/NCR only. unnoticed, even by those these deficiencies war- ship, and works to create very low. Consequently, a of the challenges related For the use only of a registered Medical Practitioner or a hospital or a Laboratory affected. rants public health inter- self-sustaining cycles of high percentage of chil- to nutrition security. For inquiries call us at : 09971523292 Jokes n Munnna: Kya kar rela hain circuit? Circuit: Bhai bulb pe baap ka naam likh rela hu Munna: Kyu! Circuit: Bhai, baap ka naam roshan karne ka he na. n Principal: School ka time 8 baje tak ka tha or tum 9 baje aa rahe ho? Little cute student: Sir tussi na mera intzar na krya karo, school suru kar diya karo n Boy: mom, please give me a glass of water, Mom: You come & drink. Boy: Please mom. Mom: If you repeat, I will slap you Boy: When you come to slap me, bring the water….. n Beta: Papa, aap jaise mujhe marte ho, vaise Dadaji bhi apko marte the kya? Papa: Bilkul maarte the Beta: Toh yeh khandani gundagardi kab tak chalegi n Chor aya, Tijori par likha tha ‘Todne ki zaroorat nahi button dabao, khul jayegi” Button dabate hi police aa gai Police: Tumko kuch apni safai main kehna hai? Chor: Maa kasam aaj insaniyat se vishwas Sudoku solution uth gaya. n Girl: Mom-Dad ne kaha hai k agar exams me fail hui to shadi kar denge. Boy: Tumne kitni tayari ki..? GIRL: Bus Reception k dress lena reh gaya hai.!

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