Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                               Dated:20 February,2020

API makers surge up to 110% in 50 days as virus hits Chinese exports

Brokerage sees coronavirus crisis as a positive for companies like Granules India and Natco.

Shares of some of the API-focused pharma companies are making merry on Dalal Street, as the coronavirus epidemic has hit supplies of some critical active salts from China to drugmakers across the world.

Shares of some of the pharma firms have jumped up to 110 per cent, as market participants see them as possible candidates to fill the void....read more


Trust in todays patient-doctor relationship

On Monday, I was invited to participate in Apollo Republic Health Conclave and there was a discussion on trust deficit in today’s patient-doctor relationship.

Over 2 crore people are seen by doctors daily, which amounts to 730 crore patients in a year. Incidents of major violence occurring once or twice in a year do not amount to calling mistrust against medical profession as a widely prevalent issue....read more


Diamond Princess COVID-19 Cases

Dear Colleague I am enclosing the NIID report sent to me by our Japan CMAAO colleague, Marie Urabe. Great work being done.

National Institute of Infectious Disease (NIID) Excerpts:

A cruise ship, Diamond Princess, had travel that originated in Yokohama on 20 January and included stops in Japan (Kagoshima), Hong Kong, Vietnam, Taiwan and Japan (Okinawa), before arriving back in Yokohama on 3 February....read more


Drop in new cases for 6th straight day, 20 cases on ship in serious condition, over 3818 likely deaths, fatality 2.3%, 7 health workers have died, 1,716 doctors and nurses infected

Summary COVID-19 virus possibly behaves like SARS; causes mild illness in 82%, severe illness in 15%, critical illness in 3% and death in 2.3% cases (15% of admitted serious cases, 71% with comorbidity); affects all ages but predominantly males (56%) with median age 59 years (2-74 years, less in children below 15); with mean incubation period 2-14 days (3 days based on 1,324 cases); 5.2 days (based on 425 cases), 6.4 days in travellers from Wuhan); mean time to symptoms 5 days, mean time to pneumonia 9 days, mean time to death 14 days, 3-4 reproductive number R0 (flu 1.2 and SARS 2), epidemic doubling time 7.5 days, has origin possibly from bats, spreads via large droplets and predominantly from people having lower respiratory infections and hence, standard droplet precautions are the answer for the public and close contacts and airborne precautions for the healthcare workers dealing with the secretions....read more


Role of CMAAO in COVID-19 started as early as 9th January

Dear Colleague
I have completed six months of my Presidentship of CMAAO which has 19 member countries. One of my biggest achievements has been the role played by CMAAO in COVID-19 coronavirus outbreak. As early as 7th January, CMAAO warned about the mysterious virus in China. Since then, I have been regularly writing about the update, I am reproducing the early writings from 7th to 25th January which makes the important role played by CMAAO in creating awareness about coronavirus in Asian countries evident....read more


How Corona Aware Are You

Health Sutras By Dr K K Aggarwal

Eat less, walk more.


Medbytes

       


Healthcare News Monitor

Drug makers must convert China crisis into an opportunity: Kiran Mazumdar Shaw
ET Healthworld

What is the current API situation for pharma companies? Have prices of select pharma APIs already begun to go up? There is a very high dependence on APIs and intermediates from China. In fact, most companies have a dependence of between as low as 20 per cent but as high as 80 per cent. If the coronavirus crisis does not get resolved within the next few months then we are in danger of affecting and impacting global healthcare. India supplies a very large chunk of generics that is going to be a very very alarming situation not just for India but globally. We need to take immediate steps to convert this crisis into a state of preparedness and an opportunity for Indian pharma. The industry has made many recommendations. It itself talked about implementing the Katoch Committee recommendations of 2015 wherein the Committee did recommend a change in environmental and pollution control norms where any change in product mix can be automatic approval. It is the simplest part of the recommendation but there are many other measures that can be taken. There are plants that have not been in operation for long. We have seeded our position to China for years in terms of antibiotics and APIs simply because we were not competitive enough to match the Chinese incentives that the Chinese pharma companies were getting from their government. This is something that we discussed with the government in the past and this is the right time and the opportune to really implement many of these incentives. Before India would run out of inventory…Well, I understand there are many companies who are talking about running out of inventory within the next three to four months and that is sort of an average. I would say after three to six months there will be a problem.

The Times of India - Jaskaran Singh

The officials of railway hospital, Ambala Cantonment recovered a female foetus from the toilet of the hospital on Wednesday morning. The woman who dumped the unborn baby is yet to be traced by the police. As per the information, the sanitation staff of railway hospital was cleaning the premises when they spotted the foetus in the toilet and informed the senior administrative officials. The hospital officials lodged a written complaint at Parao police station and station house officer (SHO) inspector Ajaib Singh reached the spot for inspection. Northern railway, civil hospital, chief medical superintendent, Dr Latha Ramalingam lodged a complaint with Ambala police, she stated to the police, “This is to inform you that at 11.10am on February 19, 2020, a dead female foetus was found in the commode of toilet of the female ward in northern railway divisional hospital Ambala by contract cleaner Balbir Kaur. This is for your kind information and necessary action please.” “We received the information from railway hospital officials in written and during inspection, we recovered a foetus from the hospital toilet. The concerned investigating teams including a scene of crime team was called and the foetus was taken into possession and its post-mortem examination will be done as per the due procedure" said SHO Ajaib

14 hospital workers laid off, pay due since October
The Times of India – Meenakshi Sinha

AMBALA: The officials of railway hospital, Ambala Cantonment recovered a female foetus from the toilet of the hospital on Wednesday morning. The woman who dumped the unborn baby is yet to be traced by the police. As per the information, the sanitation staff of railway hospital was cleaning the premises when they spotted the foetus in the toilet and informed the senior administrative officials. The hospital officials lodged a written complaint at Parao police station and station house officer (SHO) inspector Ajaib Singh reached the spot for inspection. Northern railway, civil hospital, chief medical superintendent, Dr Latha Ramalingam lodged a complaint with Ambala police, she stated to the police, “This is to inform you that at 11.10am on February 19, 2020, a dead female foetus was found in the commode of toilet of the female ward in northern railway divisional hospital Ambala by contract cleaner Balbir Kaur. This is for your kind information and necessary action please.”

Financial Express- PTI

The World Health Organisation (WHO) Director-General Tedros Adhanom Ghebreyesus has condoled the death of a Chinese hospital chief who died of the deadly coronavirus in Wuhan, the epicenter of the outbreak. Dr Liu Zhiming, president of the Wuhan Wuchang Hospital in Hubei province died of the novel coronavirus pneumonia on Tuesday despite medical efforts to revive him, the state-run CCTV reported, the latest fatality among medical workers as they rush to save tens of thousands of patients at the epicenter of the outbreak. “My deepest condolences to the family of Dr Liu Zhiming, his colleagues and patients for this enormous loss,” the WHO chief tweeted on Tuesday. Liu “touched and saved numerous lives in the COVID-19 outbreak,” Tedros said, adding that “my thoughts are with them and all the front-line health workers fighting the virus.” An eulogy issued by the local health commission said Liu, 51, head of the Wuchang Hospital in Wuhan, had made important contributions to the city’s epidemic prevention and control while leading all medical personnel of Wuchang Hospital on the frontline to fight against the epidemic. A total of 1,716 Chinese medical workers have been infected with the novel coronavirus by February 11, and six of them have died. The death toll from the coronavirus epidemic in China crossed the 2,000-mark on Wednesday with the death of 136 more people, while the overall confirmed cases climbed to 74,185, Chinese authorities said on Wednesday.