Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                             Dated:11th August,2019

Government is committed to ending morbidity and mortality in children due to diarrhea by 2022, says Health Minister
“The Health Ministry has drawn an ambitious plan under the 100-days agenda of the newly elected government, wherein it has been decided to provide Rotavirus vaccine to every child across all 36 states and UTs by September, 2019.” This was stated by Dr Harsh Vardhan, Union Minister of Health and Family Welfare while speaking on the expansion of Rotavirus vaccine to the entire country. The Union Health Minister further added that under the inspirational leadership of our beloved Prime Minister Shri Narendra Modi ji, the Government is committed to ending morbidity and mortality in children due to diarrhoea by 2022. Strengthening routine immunization is an essential investment in India’s children and will ensure a healthy future of the country, he stressed.

Dr Harsh Vardhan further said that Diarrhoea is one of the biggest killers in children and Rotavirus is one of the most common causes of severe diarrhoea in children less than 2 years of age. “Rotavirus vaccine along with proper sanitation, hand washing practices, ORS and zinc supplementation will go a long way in reducing the mortality and morbidity due to diarrhoea in children,” he mentioned. The Union Health Minister further added that the Government is also committed to increasing the full immunization coverage and ensuring that the benefit of the life-saving vaccines is provided to every child.

Dr Harsh Vardhan said that no child in the country should die from Vaccine Preventable Diseases and it is the ‘Goal and Commitment of our government’. “We stand committed to reducing child deaths and provide a healthier future to our children and the expansion of Rotavirus vaccine under UIP is a step in that direction”, he added… (PIB, Aug. 9.8.19)


With NMC taking over it may be time to revise MCI Code of Ethics (Part 2)
Here is how the American Medical Association Principles of Medical Ethics changed from that issued in 1980 to that adopted in 2001.

Appendix B American Medical Association Principles of Medical Ethics (1980)

Preamble

The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. As a member of this profession, a physician must recognize responsibility not only to patients, but also to society, to other health professionals, and to self. The following Principles adopted by the American Medical Association are not laws, but standards of conduct which define the essentials of honorable behavior for the physician.....read more


Always exclude conductive hearing loss in patients presenting with new sudden hearing loss
Conductive hearing loss must be ruled out when evaluating for sudden sensorineural hearing loss (SSNHL) in patients who present with new hearing loss. Patients with idiopathic sudden SSNHL (SSNHL with no identifiable cause despite adequate investigation) must be distinguished from those with nonidiopathic SSNHL. These recommendations are a part of the updated clinical practice guidelines for sudden hearing loss, published August 1 in the journal Otolaryngology–Head and Neck Surgery.....read more

Is the time and place of death predefined?
Some gurus teach that the time and place of death is predefined while some do not. I personally feel that life and respirations are predefined and not the day and time of death.

It is something like water in a sponge will become empty when every drop of water comes out but it does not matter how much time it takes to come out. It is, therefore, possible to postpone or prolong the fulfilment of Prarabhdha Karma and postpone death.....read more


Healthcare News Monitor

All kinds of cancer treatment will be included under PM-JAY
ET Healthworld-ANI

New Delhi: The National Health Authority (NHA) is planning to include all types of cancer and its treatment under their healthcare packages. As of now, officials feel the healthcare packages for cancer treatment are not very comprehensive. For the treatment of cancer, a patient has to undergo various types of medical procedures. These include chemotherapy, surgery and radiations. Therefore, the NHA is planning to include all kinds of regimes for chemotherapy for various kinds of cancer.
"There are some missing links in the treatment of cancer and it not very comprehensive. Hence, we have just recommended further strengthening of the medical packages for cancer. This has to be approved by the governing body and the entire process is likely to take three months," a senior official at the NHA told ANI. Confirming the development, Dr Indu Bhushan, CEO, National Health Authority said, "Treatment for cancer is very expensive. We want to include treatment for all type of cancer in our health packages which are cost-effective, proven and beneficial to the patients."

Health authorities sound diphtheria alert in Chennai
ET Healthworld

Chennai: The directorate of public health has asked doctors in the city to prescribe children coming with sore throat and fever with erythromycin, an antibiotic that is used to treat diphtheria. The recommendation came after the Institute of Child Health (ICH) told authorities that two children in Chennai showed symptoms of the bacterial disease. Although sore throat is commonly seen in tonsillitis and laryngitis, the health department has insisted that doctors should not rule out diphtheria. “We don’t have the results for these cases yet, but we have decided to be cautious. We have assumed that they have diphtheria because we have seen an outbreak in the neighbouring states and in some districts of Tamil Nadu,” said director of public health Dr K Kolandaisamy.

PMC provides free drug to check leptospirosis cases
The Times of India- Umesh Isalkar

PUNE: Waded through floodwater? If yes, then consult a doctor and pop in the prescribed medicine to prevent any chances of leptospirosis, a deadly bacterial infection. The cases of leptospirosis tend to rise during the monsoon, with the recent bring reported from Hadapsar on August 4. “We have already started administering prophylactic antibiotic to those who walked through inundated areas, irrespective of any wounds on the body. Over 100 residents have already been given the drug,” Sanjeev Wavare, assistant medical officer of health, PMC, told TOI. He said, “Those with open wounds, cuts or boils on their bodies, especially the feet, are more at risk of contracting the bacterial infection. Even extremely minor cut, which often goes unnoticed, can facilitate the entry of the bacterium inside the body.” The prophylactic drug should be taken within 72 hours of being exposed to the floodwater. “We are providing the drug for free at civic-run hospitals and dispensaries. Besides, the drug is also being given for free at health camps held at various places with the help of private hospitals and Indian Medical Association,” Wavare said. The bacteria ‘Leptospira interrogans’ is carried by many animals in their kidneys. It can end up in soil and water through their urine. “When you come in contact with the urine of the infected animal, the bacteria may enter your skin through open wounds,” Wavare said.

Telangana stalls deworming drive after tablets were found to be ‘Not of Standard Quality’
The Hindu

The deworming drive aimed at distribution of Albendazole tablets to around 6.68 lakh children in both Khammam and Bhadradri-Kothagudem districts as part of the National Deworming Programme (NDP) could not be held as per schedule on Thursday. The drive has been put off in the erstwhile Khammam district after two batches of the anti-worm tablets supplied to both the districts were found to be ‘Not of Standard Quality’ (NSQ).A couple of hours before the scheduled distribution programme came the orders from the Telangana State Medical Services and Infrastructure Development Corporation (TSMSIDC) to the officials concerned not to issue the two batches (9658 and 9659) of Albendazole tablets under the NDD programme. Health Department sources said an urgent message was flashed to the pharmacists of the central medicine stores of Khammam district on Wednesday night asking them to recall the stocks of the two batches of Albendazole tablets from the concerned institutions and programme officers.