Editor in Chief Dr KK Aggarwal, Padma Shri Awardee
Dated: 18th June, 2019
More than a hundred deaths in Bihar Muzaffarpur
In the last few weeks over 120 deaths have been reported in children in Muzaffarpur Bihar because of encephalopathy syndrome mostly associated in malnourished children.
1. Encephalopathy like presentation
2. In most cases virus is not detected
3. Malnourished children
4. Hypoglycemia because of Lichi syndrome a possibility
5. Precipitation by heat disorder a possibility
Ministry of Health Government of India, Ministry of Ayush Government of India, Ministry of Women and Child Development Government of India along with the Ministry of Rural Development to work together in finding a solution
If the root cause is severe malnutrition that must be addressed on top priority.
The disease should be made notifiable
In unexplained deaths, postmortem should be done
All children must be treated with standard Protocol (treat hypoglycemia, hyperthermia and possible treatable infection like typhus)
Declare it as a State Public Health Emergency so that all focus shifts to the outbreak in reducing further mortality
Airlift patients to AIIMS like institutions to find out the cause and possible future public health interventions
Can one use expired injections?
EpiPens and other autoinjectors filled with epinephrine to treat severe allergic reactions may still be potent enough to work many months past their labeled expiration date, according to a new study in online May 28 in the Journal of Allergy and Clinical Immunology.
The US FDA requires autoinjector expiration dates to ensure that the devices never contain less than 90% of the original dose of epinephrine.
For the study, researchers tested the contents of 46 different autoinjectors to see how much epinephrine remained after the expiration dates on the labels. Half of the devices were tested at least two years after their labeled expiration date. At this point, 80% of the devices still retained 90% or more epinephrine, indicating they were still effective under the FDA rules.
Devices six months past their labeled expiration date in the study still had 100% of the original epinephrine dose. One year after the labeled expiration date, devices still had 95% of the original epinephrine dose.
The authors also note that they did not test the expired injectors' effectiveness in stopping an anaphylaxis episode.
Right now, the expiration date is 18 months from the time the product is manufactured, a duration that is shorter than the expiration date for most other medications.
Supreme court of India any violation of the manufacturer’s warning and recommendation is not to be done (Balram Prasad vs Kunal Saha & Ors on 24 October 2013).But in life threatening situations in absence of any other available alternative there are exceptions
Supreme court to hear pil seeking protection for doctors today
The Supreme Court has agreed to hear a petition on 18th June filed seeking security for doctors in government hospitals across the country.
Do not equate big risks, small risks and hypothetical risks under one umbrella as unsafe
When the government warns us about the risks of fats, salt, sugar, alcohol or electronic cigarettes, they equate big risks, small risks and hypothetical risks under one umbrella as "unsafe." No one talks about potential risks against potential benefits.
The Skill of Controlling Anger
Cynicism is a recognized major risk factor for coronary artery disease (blockages in the channels supplying blood to the heart). And, anger, jealousy and irritability form the triad responsible for this. Anger is the enemy of peace, knowledge and devotion. According to Ayurveda, anger is a manifestation of Pitta (metabolism) imbalance and is a predisposing risk factor for causation of heart attack, paralysis, gall bladder stone, kidney stone, acidity, ulcer and cancer......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 16 June, 2019 to 0830 hrs IST 17 June, 2019)
Heat Wave Conditions were observed at some places with severe Heat wave at isolated places over Bihar. Heat Wave Conditions were observed at many places over Vidarbha, Coastal Andhra Pradesh & Yanam and Telangana and in isolated pockets over Gangetic West Bengal, Jharkhand, East Uttar Pradesh, Marathawada, Chhattisgarh and Tamilnadu, Puducherry & Karaikal.
Maximum temperature departures as on 16-06-2019: Maximum temperatures were markedly above normal (5.1°C or more) at most places over Jharkhand; at many places over Bihar, Telangana and Coastal Andhra Pradesh & Yanam; at a few places over Chhattisgarh and at isolated places over East Uttar Pradesh, Gangetic West Bengal, Vidarbha and Tamilnadu, Puducherry & Karaikal; appreciably above normal (3.1°C to 5.0°C) at most places over Marathawada, North Interior Karnataka and Rayalaseema; at many places over Coastal & South Interior Karnataka and Kerala & Mahe; at isolated places over Madhya Maharashtra; above normal (1.6°C to 3.0°C) at most places over Lakshadweep; at many places over Konkan & Goa; at a few places over Madhya Pradesh and Odisha and at isolated places over Sub-Himalayan West Bengal & Sikkim and Nagaland, Manipur, Mizoram & Tripura. Yesterday, the highest maximum temperature of 45.3°C was recorded at Allahabad (East Uttar Pradesh).
Temperatures Recorded at 1430 Hours IST of Yesterday, the 17th June, 2019