Editor in Chief Dr KK Aggarwal, Padma Shri Awardee

Dated: 16th June, 2019

Dr Harsh Vardhan writes to all CMs - Calls for strict action against any person who assaults doctors

In view of the recent assault on doctors in West Bengal, Dr. Harsh Vardhan, Union Minister for Health and Family Welfare yesterday wrote a letter to the Chief Ministers of all States and UTs drawing their attention for strict action against any person who assaults doctors.

Expressing deep concern over the recent act of violence against doctors, the Union Health Minister stated that incidents of assaults on doctors are reported from different parts of the country and this leads to sudden strike by doctors, gravely affecting the healthcare services. “Resident doctors in many parts of the country are agitating and not providing healthcare services. Agitations by doctors in West Bengal seem to be getting aggravated and taking shape of strike by both Government and Private sector doctors, all over the country”, he wrote. Representatives from the Indian Medical Association (IMA) and Delhi Medical Association (DMA) also called on Dr. Harsh Vardhan.

Stressing further on the need for avoiding such incidents in future, Dr Harsh Vardhan said that the law enforcement should prevail so that doctors and clinical establishments discharge their duties and professional pursuit without fear of any violence.

“Strict action against any person who assaults them, must be ensured by the law enforcement agencies,” he emphasized. Through his letter to the States, Dr. Harsh Vardhan has reminded the Chief Ministers and requested them to consider enacting specific legislation for protecting doctors and medical professionals, and has forwarded the Draft Act provided by IMA i.e. the Protection of Medical Service Persons and Medical Service Institutions (Prevention of Violence and Damage or Loss of Property) Act, 2017... (PIB, Ministry of Health & Family Welfare, June 15, 2019)

Personalized Eating

As per modern medicine we have long assumed that the same "healthy" diet was healthy for everyone. But not as per Ayurveda.

Personalized nutrition is a new emerging field using a mix of science and technology that determines what foods are good or bad for you by designing an individualized diet.

Personalized nutrition is an approach that uses information on individual characteristics to develop targeted nutritional advice, products, or services.

Those "individual characteristics" can include

1.Physiologic features (eg, age, gender)

2.Fluctuating environmental factors (eg, sleep patterns, physical activity)

3.Person's genetic or microbiome profile, or some combination thereof.

4.Ayurvedic body profile

So far, the most compelling data on the promise of personalized nutrition have come from studies incorporating the gut microbiome profile. These raise the tantalizing possibility that the information gleaned from a simple stool sample can help predict responses to specific foods.

Elinav and colleagues tested this theory in a watershed three-part study focusing on postprandial glycemic responses (PPGRs).

First, they enrolled 800 participants from Israel and tested glucose after every meal they consumed, confirming that PPGRs varied considerably among them, even when they ate identical foods.

Next, they incorporated all the information they obtained from this cohort into an algorithm, along with other factors, such as age, weight, and microbiome profiles, and validated the algorithm's ability to accurately predict PPGRs in a separate, smaller cohort.

Finally, they confirmed the algorithm's real-world value in a blinded, randomized study, in which microbiomes and clinical information were used to create customized diets for each participant based on that person's predicted PPGR to foods. The algorithm-designed diets resulted in significantly lower PPGRs.

Assault on doctors and remedies against the same

Junior doctors in West Bengal are on a strike since Tuesday after two of their colleagues were attacked and seriously injured at the NRS Medical College and Hospital in Kolkata by the relatives of a patient who died. Showing solidarity with their colleagues in Kolkata, doctors across the country have joined the protest. The Indian Medical Association (IMA) has called a nationwide strike on Monday.

Violence against doctors is unacceptable and needs to be condemned. The medical fraternity is very disturbed and concerned about the rising incidents of physical violence and assault or attack on doctors and their staff, clinical establishments, etc.

The government of India had constituted an Inter-Ministerial Committee, which had promised to soon enact a central Act for violence against doctors. But, sadly, this has yet to see the light of the day. ...read more

Doctors blame staff shortage & poor infrastructure, not angry relatives for attacks on them

Himani Chandna

Reproduced from: https://theprint.in/india/doctors-blame-staff-shortage-poor-infrastructure-not-angry-relatives-for-attacks-on-them/250249/

Doctors across the country on strike to protest against assault also call for stringent law to act as a deterrence against the violence.

New Delhi: Doctors across the country are showing solidarity with their counterparts in West Bengal where junior doctors are on strike for the fourth consecutive day Friday. The strike was called Tuesday after relatives of a patient assaulted two junior doctors at the NRS Medical College and Hospital in Kolkata. ...read more

Current Temperature Status and Warning for next five days

Heat Wave and Temperature Observed Yesterday (Past 24 hours from 0830 hrs IST of 14 June, 2019 to 0830 hrs IST 15 June, 2019)

Heat Wave:

Yesterday, Heat Wave to Severe Heat Wave Conditions observed in isolated pockets over West Rajasthan. Heat Wave Conditions observed at many places over Vidarbha; in isolated pockets over West Madhya Pradesh, Odisha, Chhattisgarh, Telangana and Coastal Andhra Pradesh & Yanam.

Maximum Temperature

Maximum temperatures were markedly above normal (5.1°C or more) at many places over Bihar and at isolated places over Gangetic West Bengal, Vidarbha and Coastal Andhra Pradesh & Yanam; appreciably above normal (3.1°C to 5.0°C) at most places over Uttar Pradesh, Jharkhand, Sub-Himalayan West Bengal & Sikkim and Odisha; at many places over Punjab, Himachal Pradesh and Uttarakhand; at a few places over West Rajasthan and West Madhya Pradesh and at isolated places over Haryana, Chandigarh & Delhi, Marathwada, Telangana, Rayalaseema and Tamilnadu, Puducherry & Karaikal; above normal (1.6°C to 3.0°C) at a few places over Arunachal Pradesh, Assam & Meghalaya, Konkan & Goa and East Madhya Pradesh and at isolated places over East Rajasthan, Madhya Maharashtra, North Interior Karnataka and Kerala & Mahe. Yesterday, the highest maximum temperature of 47.4°C was recorded at Phalodi (West Rajasthan).

Temperatures Recorded at 1430 Hours IST of Yesterday, the 15th June, 2019

  • Sultanpur(East Uttar Pradesh) recorded the maximum temperature of 46.2°C

  • Temperatures recorded at 1430 hours IST of Yesterday rose by 3-5°C. in one or two pockets of Madhya Pradesh, Saurashtra & Kutch, interior Karnataka and Kerela, by 1-3°C in most Parts over East Uttar Pradesh; in many Parts over Uttrakhand,Telangana and Coastal Karnataka , at some parts over Bihar, Jharkhand Coastal Andhra Pradesh and Tamilnadu and in one or two pockets of Himachal pradesh, Assam & Meghalaya, Chattisgarh, Odisha, West Rajasthan and Konkan & Goa.

Healthcare News Monitor

Nipah scare over, says Kerala Health Minister

ET Healthworld-IANS

Thiruvananthapuram: After one positive case and over 300 suspects, the scare of the second attack of Nipah virus in Kerala is over, state Health Minister K.K. Shailaja told the media on Saturday. "Even though the Nipah scare is over and there is no need for complete surveillance, the situation will be under observation till the middle of next month," Shailaja said. On June 3, a 23-year-old college student, admitted to a private hospital in Ernakulam, tested positive for Nipah virus. Since then, the health authorities in the state have been on their toes to prevent the virus from spreading. And after almost two weeks, Shailaja finally gave the signal that the scare was over.

Informed consent must before surgery: Panel

Aamir Khan, ET Healthworld

New Delhi: In an important judgment, Delhi State Consumer Disputes Redressal Commission (DSCDRC) said that merely asking patients to sign a consent form not enough as they ought to be informed about the consequences of a surgery. The commission’s observation came while awarding Rs 8 lakh compensation to the family of a city-based journalist, 60-year-old Bhushan Raina, who lost vision in one of his eyes after cataract surgery in 2008. He died in 2016. DSCDRC member (judicial) OP Gupta found the doctors guilty of negligence and said, “The life of a person is almost like death without eyesight. He cannot see properly or walk or eat with comfort. He feels secluded from society and his near and dear ones.” He also noted that the man lived in such a state from 2008 till 2016. “His family must get compensation of Rs 1 lakh per year,” the commission held.

Many of the world’s rivers are flush with dangerous levels of antibiotics

Carolyn Wilke, Science News

In a massive survey of rivers across 72 countries, researchers found antibiotics at 66 percent of 711 sites sampled. Many of the most drug-polluted waterways were in Asia and Africa, where there hadn’t been much data until now. Environmental pollution from antibiotics is one driver of microbial drug resistance, which threatens public health. People should be as concerned about resistance evolving abroad as they are about resistance brewing in their own backyards, says William Gaze, a microbial ecologist at the University of Exeter Medical School in England who was not involved with the research. Even if wealthy countries curb antibiotic pollution, drug-resistant microbes can hitch a ride across the globe with traveling people, migrating birds or traded food and livestock, he says. “It’s a global problem, and we need global solutions.”

Initiatives on avoidable blindness develops models to prevent, treat sight of millions of Indians


In a first of its kind initiative, to address the problem of avoidable blindness in India, the Ministry of Health, Government of India, Public Health Foundation of India (PHFI), the London School of Hygiene and Tropical Medicine (LSHTM), the Queen Elizabeth Diamond Jubilee Trust and partners successfully implemented two pilot initiatives focusing on a comprehensive health system approach to Diabetic Retinopathy (DR) and Retinopathy of Prematurity (ROP). This was implemented in 14 states across the country between 2014-2019. The initiatives were implemented by the Public Health Foundation of India's Indian Institute of Public Health, Hyderabad (IIPH-H) with technical support from the London School of Hygiene and Tropical Medicine (LSHTM) in 10 states for DR and 4 states for ROP.

Telangana: Government hospitals face acute medicine shortage

The Indian Express- Sreenivas Janyala

A series of measures initiated by the Telangana Health Department to regulate and track supply and storage of essential medicines has resulted in an acute shortage of life-saving medicines and injections at government hospitals. The shortage at some of the biggest hospitals in Hyderabad, like Osmania General Hospital, Nilofer Children’s Hospital, Gandhi Hospital and Mahatma Gandhi Medical College and Hospital at Warangal, is so acute that patients are being asked by doctors to bring dressing bandages or surgical suture apart from medicines. The medicines are supposed to be provided free at government hospitals. However, a scrutiny of books at Osmania General Hospital and Gandhi Hospital showed that out of every 10 medicines requested by doctors, eight were not available or not supplied by the government. The shortage was even worse at rural primary health centres and community health centres.