Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Dated: 9th June, 2019

Occupational hazards account for more than one in 10 persons with range of lung diseases

More than 1 in 10 people with a range of non-cancerous lung diseases may be sick as a result of inhaling vapors, gas, dust or fumes at work, according to a joint American Thoracic Society and the European Respiratory Society statement titled “The Occupational Burden of Nonmalignant Respiratory Diseases: An Official American Thoracic Society and European Respiratory Society Statement” published June 1, 2019 in the American Journal of Respiratory and Critical Care Medicine.

The authors included a range of respiratory conditions, ranging from asthma and COPD to scarring fibrosis and selected infections. They did not study cancer of the lung and pleura, the membrane surrounding the lungs, because the occupational burden for those conditions, which can be substantial, has already been reported. Similarly, they did not include in their burden estimate asbestosis, silicosis and coal workers’ pneumoconiosis (black lung), because those conditions are entirely work-related… (ATS).

Atrial fibrillation set to affect more than 14 million over-65s in the EU by 2060

Urgent action is needed to prevent, detect and treat atrial fibrillation to stop a substantial rise in disabling strokes. That’s the main message of a paper published June 6, 2019 in EP Europace, a journal of the European Society of Cardiology (ESC), during World Heart Rhythm Week.

The study estimates that 7.6 million people over 65 in the EU had atrial fibrillation in 2016 and this will increase by 89% to 14.4 million by 2060. Prevalence is set to rise by 22%, from 7.8% to 9.5%. The proportion of these patients who are over 80 will rise from 51% to 65%.

Prevention of atrial fibrillation is the same as for other cardiovascular conditions. This includes not smoking, exercise, a healthy diet, keeping alcohol under moderation, and controlling blood pressure and diabetes. GPs can inform patients about symptoms of atrial fibrillation such as palpitations, racing or irregular pulse, shortness of breath, tiredness, chest pain and dizziness. And they can teach patients how to check for an irregular pulse using the fingertips, which can be reported and followed-up with an ECG… (ESC)

Prefixing "Dr": Taking the Shine Away

Reproduced from: http://www.indialegallive.com/viewpoint/prefixing-dr-taking-the-shine-away-66572, published June 6, 2019

With the pharmacy council allowing its degree holders to use the "Dr" prefix, practitioners of modern medicine are irked and patients are left confused as to whom to go to in an emergency

As per Medical Council of India (MCI) ethics regulation 2.1, every doctor has an obligation towards the sick: "Though a physician is not bound to treat each and every person asking his services, he should not only be ever ready to respond to the calls of the sick and the injured, but should be mindful of the high character of his mission… A physician advising a patient to seek service of another physician is acceptable, however,...read more

Nipah Update: Duration of contact tracing

This page will be daily updated till the Nipah scare is over. Inputs invited in this white paper.

Duration of contact tracing is 21 days from the time of last contact with a case.

Active fever surveillance

Area: within 5 km radius from the periphery of the affected area (house/village of case/cases).

What has to be done

  • Enlist all houses (and persons): Daily visits to each house and enquire about any person developing any symptoms (like fever, cough, headache (and or other symptoms like altered sensorium, shortness of breath etc.)...read more

  • Science behind regrets