Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:17 February,2020

Delhi: 17 with coronavirus symptoms hospitalised

Delhi government has identified 17 local residents with history of travel to China who showed symptoms of coronavirus infection. They have been hospitalised.

NEW DELHI: Delhi government has identified 17 local residents with history of travel to China who showed symptoms of coronavirus infection. They have been hospitalised.

According to state health officials, till February 13, over 5,700 such passengers were approached after being informed by the Delhi airport authorities. “As many as 4,707 passengers were found asymptomatic and advised for home isolation (self-quarantined). Total 17 patients were found symptomatic and isolated at hospitals,” a senior official of the Delhi health department said....read more


Basic reproduction number, or R0 or contagiousness

R0 represents the average number of susceptible individuals an infected person will transmit the disease to.

R0 = Attack rate X Contacts Attack rate (the percent chance a given contact will get the disease).

If the R0 is < 1, a disease outbreak should wane over time, and if it's > 1 , cases should continue to increase...read more


Isolation vs. quarantine vs. cohorting vs. surveillance

1.Isolation is used to separate ill persons with a communicable disease from healthy individuals. The movement of ill persons under isolation is restricted in order to help stop the spread of certain diseases. Hospitals use isolation for patients with infectious tuberculosis. More often, isolation is required for airborne infections and precautions. MDR patients require strict isolation....read more


What is the difference between smile, hug and laugh?

Smile is a sign of joy, while hug is a sign of love. Laughter on the other hand is a sign of inner happiness. None of them are at the level of mind or intellect. All come from within the heart. They are only the gradations of your expressions of your happiness....read more


How Corona Aware Are You

Health Sutras By Dr K K Aggarwal

Do not ignore first-onset of breathlessness after the age of 40 years.


Medbytes

       


Healthcare News Monitor

Health ministry issues notification to make marketers liable for drug quality along with manufacturers
Pharmabiz India - Laxmi Yadav

The Union health and family welfare ministry has come out with a notification on implementation of Drugs and Cosmetics (Amendment) Rules, 2020 holding marketers along with the manufacturers responsible for ensuring quality and regulatory compliances of the marketed drugs in the country. The Rule will come into force from March 1, 2021. As of now, marketing companies are not liable for defect in drug quality. The onus of ensuring drug quality solely falls on drug manufacturers. As per the gazette notification issued by the ministry on February 13, 2020, in Rule 2 of Drugs and Cosmetics Rules, 1945, existing clause (ea) shall be re-lettered as clause (eb) containing definition of “Marketer” which means a person who as an agent or in any other capacity adopts any drug manufactured by another manufacturer under an agreement for marketing of such drug by labeling or affixing his name on the label of the drug with a view for its sale and distribution. The clause (eb) shall be re-lettered as clause (ec) in the Rule 2. Besides this, Rule 84D and Rule 84E have been inserted in Drugs and Cosmetics Rules, 1945 after Rule 83C to define agreement for marketing and responsibility of marketer of the drugs respectively. The newly inserted Rule 84D containing agreement for marketing stated that no marketer shall adopt any drug manufactured by another manufacturer for marketing of such drug by labeling or affixing his name on the label of the drug with a view for its sale and distribution without an agreement as referred to in clause (ea) of Rule 2.

Pharmabiz India - Shardul Nautiyal

Patients undergoing treatment in civic-run hospitals in Mumbai like JJ Hospital, St George Hospital, Cama Hospital and GT Hospitals have been denied life saving drugs like pantoprazole, piperacillin, painkillers like ketamine and oncology drugs among others as 150 Maharashtra based drug stockists have stopped drug supplies over non-payment of dues of Rs.60 crore. This is also a big blow to the 30-odd small scale manufacturers or pharma companies giving supplies to the Maharashtra-based stockists. These drugs are being given to the hospitals at a subsidized price which is 40 to 50 percent lesser than the branded generics available in the retail supply chain. “The issue of non-payment of dues has been festering for the past five years due to red tapism and negligence on the part of hospital authorities,” the stockists have alleged. The stockists have further alleged that the non-payment issue for which the Directorate of Medical Education and Research (DMER) has called for an immediate inquiry is just an eye wash as these drugs were being bought on local purchase mode. “A hospital is allowed local purchases for emergency life saving drugs. Based on this the hospitals can use 10% of their budget for these purchases but on the contrary the hospital administrations have stated that the local purchase orders are fake and therefore have denied payments. This has jeopardised the overall healthcare system in Maharshtra,” explains The All India Food and Drug License Holder Association (AIFDLH) president Abhay Pandey.

What you need to know for preventing, detecting and fighting breast cancer
Business Standard - Haruto Iwata

There’s a common expression that goes — prevention is better than cure. Though clichéd, this wise expression has held true for years, inspiring constructive action to address a problem before it’s too late. The proverb is most commonly used to encourage people to take proactive health measures; by going for regular tests and checkups to identify any potential infections as early as possible. According to a report released by Indian Council of Medical Research (ICMR) in 2018, cancer took more than 700,000 lives in India. This whopping number, excludes the over 2,000,000 Indians who continue to live and suffer from the deadly disease. As per ICMR’s estimate, the death toll is expected to rise to 880,000 by 2020. When it comes to cancer amongst women, the number of breast cancer cases are the highest. According to the ministry of health and family welfare, the incidence of breast cancer is 25.8 per 100,000 women and is expected to rise to 35 per 100,000 women in 2026. Despite the innovations in treatment and various awareness campaigns, the risks associated with breast cancer continues to rise. Most doctors believe mammography to be the best way for detecting breast cancer at its nascent stage. However, in India, it has still not been widely adopted, unlike other parts of the world. Although it has numerous advantages over other screening methods.

Zee Business - Prashant Singh

The death toll from the coronavirus outbreak in mainland China is rising day by day. According to the World Health Organisation (WHO) website, if you are healthy, you only need to wear a mask if you are taking care of a person with suspected 2019-nCoV infection. WHO has issued advisory on "When and how to use masks". Here are the details:- - Wear a mask if you are coughing or sneezing. - Masks are effective only when used in combination with frequent hand-cleaning with alcohol-based hand rub or soap and water. - If you wear a mask, then you must know how to use it and dispose of it properly. - Before putting on a mask, clean hands with alcohol-based hand-rub or soap and water - Cover mouth and nose with mask and make sure there are no gaps between your face and the mask - Avoid touching the mask while using it; if you do, clean your hands with alcohol-based hand-rub or soap and water - Replace the mask with a new one as soon as it is damp and do not re-use single-use masks - To remove the mask: remove it from behind (do not touch the front of mask); discard immediately in a closed bin; clean hands with alcohol-based hand-rub or soap and water.