Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                            Dated:6th September,2019

Exposure to environmental factors in early life may lead to high BP in children
Where a mother lives and the temperature outside while she is pregnant, among other environmental factors, can impact whether her child is prehypertensive or hypertensive during childhood, according to a study published in the Journal of the American College of Cardiology. Researchers evaluated a total of 89 prenatal maternal exposures and 128 postnatal child exposures. Of these, four broader environmental factors were determined to influence blood pressure status in children:Built environment (where the mother was living during pregnancy), outdoor temperature, fish intake and exposure to chemicals.

  Mothers who lived in a walkable environment with access to green spaces, shops, restaurants and public transportation during
  pregnancy were associated with normal blood pressure in their children. Alternatively, the mothers who did not live in an urban
  or highly walkable environment had higher blood pressure.

  Exposure to a higher outdoor temperature during the time of the blood pressure assessment was associated with lower
  diastolic blood pressure in children.

  Both low and high fish intake during pregnancy were associated with an increase in blood pressure in children. While the
   omega-3 fatty acids found in fish are beneficial for overall cardiovascular health, fish contaminated by chemicals or metals     could reduce any positive effects of omega-3 fatty acids.

  Exposure to bisphenol-A (BPA) (chemical found in various consumer plastics) during pregnancy resulted in higher BP in
  children, as did exposure to perfluorooctanoate (PFOA) concentrations (chemical found in cosmetics, household cleaners or

“In the path of wellness, One Health will be my priority this year”
The 34th CMAAO General Assembly and 55th Council Meeting

Dear Colleague

Yesterday, I took over as the President of CMAAO for the year 2019-20 during the ongoing 34th CMAAO General Assembly in Goa. Here are excerpts from my speech delivered on the occasion.

“It is my immense privilege and honor to assume the role of President of CMAAO for the year 2019-20 in this 34th CMAAO General Assembly.

Coming to a General Assembly of CMAAO, the confederation of 19 National Medical Associations in Asia and Oceania feels like homecoming and a reunion of family as it resonates with my philosophy of life as a student of Vedic literature. ....read more

Mera Bharat Mahan 22: Think differently for inner happiness
Happiness or sorrow are the two ends of a continuum (the same situation) and are dependent on its interpretation. The same situation may provide happiness to one and sorrow to the other. There are many situations in our day to day practice, which can be converted into happiness by changing the interpretation.

I often ask my patients two questions: how old you are and what your age is. How old are you indicates the chronological age of the body? The age of the person, on the other hand, is the number of years remaining.

If we take the age of a person as 100 years, then a person who is 55 years old will have an age of 45 years. [????? ???? ???? [????????, ????? ??, ????? ??]: We should live for 100 years] ....read more

Why do We Burn Camphor in Any Pooja?
No Aarti is performed without camphor. Camphor, when lit, burns itself out completely without leaving a trace of it.

Camphor represents our inherent tendencies or vasanas. When lit by the fire of knowledge about the self, the vasanas burn themselves out completely, not leaving a trace of ego.

Ego is responsible for a sense of individuality that keeps us separate from the Lord or consciousness. ....read more

Healthcare News Monitor

ET Health-PTI

New Delhi: The Indian Medical Association has written to Prime Minister Narendra Modi, underlining the urgent need to enact a Central law to check violence against health professionals and urged him to bring an ordinance in this regard. The letter comes in the backdrop of protests by the medical fraternity in Assam against the deadly assault on a doctor at a tea garden. Stating that it was not possible to provide quality treatment to the public in an atmosphere of fear and violence, the IMA, which is the largest body of doctors and students in the country with around three lakh members, in a letter requested Prime Minister Modi to highlight the issue in his 'Mann Ki Baat' programme. Lending them support, the World Medical Association (WMA), a global federation of physicians, has also written to Prime Minister Modi and Health Minister Harsh Vardhan expressing concern over increasing incidents of violence against health professionals in India.

The Health Ministry has drafted the Healthcare Service Personnel and Clinical Establishments (Prohibition of Violence and Damage to Property) Bill, 2019 seeking to punish people who assault on-duty doctors and other healthcare professionals by imprisoning them for up to 10 years or fine of Rs 10 lakh. The draft legislation has been put in the public domain for feedback from the public. Referring to the death of Dr Deben Dutta in Assam, the WMA in an open letter said, "The news is a matter of great concern to us, reflecting the increasing trend of violence against health professionals in India". It stated that health professionals are threatened and attacked, sometimes even when they provide life saving emergency care which affects them in the discharge of their duty as well as their physical and moral integrity. "They can be deliberate targets of violence and used as scapegoat, such as in the case of Dr Dutta. Such violence affects profoundly health professionals in the discharge of their duty as well as their physical and moral integrity, with unavoidable consequences on the provision of healthcare and patients' safety. "Furthermore, the proliferation of such violence tends to make these acts a common occurrence, instilling mistrust against health professionals," the WMA said in the letter.

Daily News & Analysis

Pakistan’s commerce ministry, in order to avoid a severe crisis on the availability of life-saving drugs in the local market, on Tuesday, exempted the pharmaceutical industry from a ban on bilateral trade with India announced last month after New Delhi stripped the disputed Kashmir region of its special status, sparking tensions between the nuclear-armed neighbours. Statutory regulatory orders (SROs) issued by the Ministry of Commerce and Textile state that the ban on trade with India would remain effective; however, it would not apply to therapeutic products regulated by the Drug Regulatory Authority of Pakistan (Drap). The decision came after concerns that Pakistan’s drug manufacturers would soon be unable to supply life-saving medicines due to the industry’s dependence on India began emerging soon after the trade ban was imposed. Around 50 percent of medicines made in Pakistan use raw materials from India, according to the Pakistan Pharmaceutical Manufacturers Association. Pakistan imports around 150 medicines and vaccines from India each year, data from the Senate Committee on National Health Services shows, and in 2019 alone, according to the Pakistani ministry of health, medicines worth Rs.136,99,87,000 were imported by Pakistan from India.

The Indian Express

India has announced a contribution of $22 million to the Global Fund for AIDS, TB and Malaria (GFTAM) for the 6th replenishment cycle (2020-22). This is an increase of 10 per cent over the amount contributed by the US in the 5th cycle. The Global Fund is a partnership designed to accelerate the end of AIDS, tuberculosis and malaria. As an international organization, the Global Fund mobilizes and invests more than $4 billion a year to support programs run by local experts in more than 100 countries. India has had a sustained partnership with the Global Fund since 2002 both as a recipient and as a donor. So far, India has received $2.0 billion from the Global Fund for attaining targets related to HIV/AIDS, TB and Malaria reduction. In the current funding cycle (2018-21), the Global Fund has allocated $500 million to India. As a donor, India has contributed $46.5 million so far till 2019 including $20 million for the 5th Replenishment. Announcing the decision, Union Health Minister Harsh Vardhan said, “India’s pledge for the Global Fund strongly demonstrates its strong political leadership to achieve the universal health for all and its equally strong commitment to work across borders to join hands in fighting the epidemics of these three diseases”. He said that India was the first implementing country to host a replenishment milestone of the Global Fund and now has become first among G20, BRICS and implementer countries to announce the pledge for the 6th Replenishment Conference, setting precedent for other donors to contribute generously for the cause.

The Times of India

After conducting three rounds of admissions for degree and diploma courses in pharmacy colleges, about 33% seats still remain vacant. Out of the total 6,442 seats under Admission Committee for Professional Courses (ACPC), 2,119 seats remain vacant after three rounds, including two online admission rounds. To fill the vacant seats, the ACPC has now directed all colleges to carry out admissions on their own, said an ACPC official. The situation was very different after the first round when only eight seats were left vacant. In the first round of allotment for admission to pharmacy colleges, 6,434 candidates had taken admission, leaving only eight seats vacant. The change is attributed to admission rounds that were later carried out for medical and paramedical admissions by ACPC. The last date for candidates to fill their forms at colleges is September 15.

Pharmabiz India - Peethaambaran Kunnathoor

In association with pharmacy colleges that run Pharm D programmes, the National Coordination Centre (NCC) for Pharmacovigilance Programme of India (PvPI) will collect adverse drug reaction (ADR) information from hospitals in order to expand the programme throughout the country. In this regard, Dr. Jai Prakash, the officer-incharge of PvPI has written a letter to the Pharmacy Council of India (PCI) requesting Council’s support. NCC has also shared the copies of the letter with all the principals and HoDs of pharmacy institutions. Speaking to Pharmabiz, Dr. Jai Prakash said as part of curriculum, the students of Pharm D collect ADRs from hospitals for their project work. They can share this information with the ADR monitoring centres (AMCs) to understand the benefit and risk of medicines. Besides, this way of collection by students will help to ensure effective implementation of PvPI all over the country. This is an opportunity for the pharmacy colleges to contribute their part to the patient safety, he felt. Regarding cooperation from institutions, he said several of the institutions are now in touch with NCC and they assign their students of Pharm D to report the ADR information to the AMCs or to the nearest national coordination centre of the PvPI directly. Indian Pharmacopoeia Commission (IPC) that functions as the national coordination center for the PvPI hopes that this joint effort by NCC and PCI will help the pharmacovigilance programme to expand all over the country. Currently, 270 AMCs are functioning in various places in India. The Union health ministry wants to increase the number of ADCs to 1,000 this year.