Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                                  Dated:14 October,2019

Air pollution Update

Air pollution is a major environmental risk to health. By reducing air pollution levels, countries can reduce the burden of disease from stroke, heart disease, lung cancer, and both chronic and acute respiratory diseases, including asthma. The lower the levels of air pollution, the better the cardiovascular and respiratory health of the population will be, both long- and short-term. In addition to outdoor air pollution, indoor smoke is a serious health risk for some 3 billion people who cook and heat their homes with biomass, kerosene fuels and coal.

In 2016, 91% of the world population was living in places where the WHO air quality guidelines levels were not met. Ambient (outdoor air pollution) in both cities and rural areas was estimated to cause 4.2 million premature deaths worldwide in 2016.

Some 91% of those premature deaths occurred in low- and middle-income countries, and the greatest number in the WHO South-East Asia and Western Pacific regions.

#MainFitToHiIndiaFit: Join the Fit India-Fit Delhi movement
Riding a bicycle lowers the BP in patients with essential hypertension

A Cyclathon will be held as part of the 26th Perfect Health Mela at the Jawaharlal Nehru Stadium from 18th to 20th October.

The Cycle rally with professional cyclists will be flagged off from India Gate at 7am on 19th October (Saturday) and end at the Jawaharlal Nehru Stadium.

The Cyclathon is not a race or competition. The aim is to promote cycling as a means to healthier life and cleaner environment.....read more

Lasmiditan: A new treatment for migraine?
Physicians may soon have the option of a new treatment for migraine. Oral lasmiditan has been approved by the US FDA for the acute (active but short-term) treatment of migraine with or without aura in adults. It is not indicated for preventive treatment of migraine. It will be available in doses of 50 mg, 100 mg and 200 mg.

Lasmiditan is a serotonin agonist, which targets the 5-HT1F receptor. It supposedly exerts its beneficial effect by terminating migraine in the brain stem and preventing processing of the migraine centrally. ....read more

Do Your Duty with Discipline and Devotion
“Vasudhaiva kutumbakam” (the whole world is one family) and “Ekam Sat Viprah Bahudavanti” (truth is one but the wise call it by various names) are two basic statements, which come from the ancient Rig Veda and form the fundamentals of Vedic philosophy.

One should do one’s duty with devotion and discipline. This principle can be remembered as the principle of three Ds. ....read more

Healthcare News Monitor

Maharashtra: Private medical colleges must show NRI, management quota fees as income
ET Health

MUMBAI: In what could be a relief to students and a setback to private and unaided medical & dental colleges in the state, the Fees Regulating Authority (FRA) has turned down the college proposal to exclude excess fees taken from NRI and management quota students from their annual income. The authority observed that allowing colleges to collect four to five times fees without reducing them from expenses would amount to 'tremendous' profiteering. FRA also refused to include stipends paid to resident doctors in medical and dental colleges as expenditure. For deciding fees for the academic session 2020-21, for the first time FRA will be excluding stipends from college expenses list and bring it under hospital's list. This is likely to lower fees further for meritorious students seeking admissions to private colleges. In their observation, FRA noted, "Whether it is stipend or salary, their services are predominantly used for the hospital. Hence it can rightly be treated as hospital expenditure." "Though we consider hospital expenses too while deciding the fee structure, there is a cap. Students' services are used for hospitals, so there is no reason for including it as college's expenditure. If we account for it as a college expense, fees are bound to go up," said Ravindra Dahad, an FRA member.

WCD to develop Poshan-atlas to map crops, foodgrains to tackle malnutrition
ET Healthworld-PTI

New Delhi: The Women and Child Development Ministry would develop a 'Poshan-atlas' to map crops and food-grains grown in different regions of the country in a bid to tackle malnutrition by promoting regional cropping patterns and embracing local food that are rich in protein, WCD Minister Smriti Irani said. Chairing the fifth National Council on India's Nutrition Challenges, Irani said a humane solution has to be developed to tackle the menace of malnutrition in India and for this, the economic benefits of investing in nutrition has to be highlighted and propagated. Irani said the ministry, along with the Bill & Melinda Gates Foundation and Deendayal Research Institute, is developing the Poshan atlas. It was also decided in the meeting that a national advisory panel for agri-nutrition will be set up, an official statement said, but no further details of it were given. Irani, according to the statement, suggested that to acknowledge the unsung heroes of the POSHAN Abhiyaan, who work tirelessly and selflessly for the cause of nutrition like the Anganwadi and ASHA workers, a system of ranking of states on health and nutritional parameters may be developed and for this, the NITI Aayog may develop a framework for the states to rank districts.

3-month rural stint to be mandatory for postgraduate medical students
Indian Express-Abantika Ghosh

Endorsement by states is essential because health is a state subject and medical education is in the concurrent list, so while the MCI (BoG) sets policy direction, the actual implementation will have to be done by states. Postgraduate medical students will have to compulsorily serve three months in a district hospital before they get their degrees. The decision of the Board of Governors (BoG) of Medical Council of India was on Friday endorsed by the Central Council of Health and Family Welfare (CCHFW) — the apex advisory body with representation from state governments, legislature, health ministry, NITI Aayog, etc. The resolution adopted at the meeting reads: “Considering the importance of medical education, the CCHFW resolves to take steps to increase the availability of doctors and specialists in the country to improve access to quality and affordable health care. The CCHFW further resolves for adoption and smooth implementation of District Residency Programme as may be provided for by MCI through regulations.”

More Indians prefer physical wellbeing over mental: Survey
The Pioneer-IANS

A majority of Indians, at 75 per cent, are preoccupied about their physical wellbeing, over mental wellbeing at 62 per cent, a survey by global market research agency Ipsos has found. The survey, conducted to coincide with the World Mental Health Day, found 64 per cent Indians believe that is equally important to have both, physical and mental health. Indians want a clear shift in the handling and perception of mental illness. As many as 64 per cent Indians want the stigma attached with mental health issues to go and they would prefer if it was treated like any other illness. Further, 74 per cent Indians exhort adoption of a more tolerant attitude towards those with mental illness in the society. The survey also shows a more positive and empathetic change coming about towards those with signs of mental health conditions with 64 per cent urban Indians believe seeing a mental health specialist or therapist, as a sign of strength. "Indians are recognising that being healthy and well is a combination of both, physical and mental wellbeing and both work in tandem. Also mental health issues are like any other illness and it is alright to see a doctor for alleviating symptoms," says Monica Gangwani, Executive Director & Country Service Line Leader, Healthcare, Ipsos India. The Ipsos survey found that views around mental health somewhat disjointed and devoid of clear consensus. About half of Indians polled (52 per cent), disagree that increased spending on mental health services is a waste of money. However, 27 per cent think it is a wasteful expenditure, while 17 per cent were neutral, 3 per cent were undecided and 1 per cent refused to tender opinion. As many as 39 per cent Indians reject exclusion of someone from public office, on the grounds of mental health history, while 32 per cent agree on exclusion, 25 per cent were neutral, 3 per cent undecided and 1 per cent refused an opinion.