Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                                    Dated: 28th July,2019

Guidelines for introducing solid foods to infants may lead to unhealthy weight
(NIH, July 26, 2019): Common recommendations from hospitals and infant formula manufacturers for introducing solid foods to infants could raise the risk of overfeeding or underfeeding, suggests a computer modeling study funded by the National Institutes of Health. The study, led by Bruce Y. Lee, M.D., executive director of the Global Obesity Prevention Center at the Johns Hopkins Bloomberg School of Public Health, Baltimore is published in the American Journal of Preventative Medicine.

Parents often seek guidance from medical professionals on how and when to first give solid foods to their infant. Many national and international organizations recommend waiting until an infant is 6 months old before introducing solid foods. However, recommendations vary significantly for infants between 6 months and 1 year. Little research evidence is available on how much solid food is appropriate during this time and what types of solid food are best.

In the current study, researchers developed a computer model that captured feeding behaviors, physical activity levels, estimated metabolism and body size of infants from 6 months to 1 year in response to guidance from Children’s Hospital of Philadelphia, Johns Hopkins Medicine in Baltimore, and baby formula manufacturers Enfamil and Similac. All of the simulated tests resulted in either overweight or underweight simulated infants by 9 months. The researchers recommend that medical and professional organizations, government agencies and industry consider developing consistentguidelines on how best to introduce infants to solid food, including appropriate portion sizes and food types based on whether the primary feeding type is breastmilk or formula.

To minimize the risk of foodborne infection, children should not be fed
   Raw (unpasteurized) milk or juice

   Raw or partially cooked eggs or foods containing raw eggs

   Raw or undercooked meat, poultry, fish, or shellfish

   Raw sprouts

On this World Hepatitis Day, let’s join hands to eliminate hepatitis from the country
Viral hepatitis is emerging as an important global public health challenge. Infectious diseases such as HIV and TB have been the hot topics for discussion, but, according to the World Health Organization (WHO), viral hepatitis is the 2nd major killer infectious disease after tuberculosis (TB), and 9 times more people are infected with hepatitis than HIV. Viral hepatitis is now the 7th most important cause of death worldwide, as per the World Hepatitis Alliance, moving up three ranks from the 10th position in 1990.

Hepatitis is preventable, treatable and in the case of hepatitis C, curable. Yet its prevalence is rising. This is because in its early stages, viral hepatitis is mostly asymptomatic. Many people are unaware that they are infected because jaundice appears only in the later stages. But asymptomatic patients are as infectious as those who have symptoms. This scenario highlights the role of “silent transmission” in spread of the disease.....read more

The very purpose of life is to face sufferings
According to Hinduism, the very fact we are born means that in our last life, we did not get liberation or Moksha. It also means that some sufferings in our last birth still remained. Therefore, the purpose of this birth is to face those sufferings.

When the purpose of our life is to face sufferings, then why suffer from them?

This should be considered as ‘sukh’ and not ‘dukh’. As per Vedic literature, every adversity is an opportunity to learn or to do something different.....read more

Healthcare News Monitor

Safdarjung Hospital open for elderly on Sundays
ET Healthworld

New Delhi: In a unique initiative, the central government has decided to keep Safdarjung Hospital open on Sundays for elderly people. They can seek consultation from 9.30am to 12.30pm, officials said. Laboratory and diagnostic facilities will be available at the emergency block. Dr Sunil Gupta, medical superintendent of Safdarjung Hospital, said Union health minister Harsh Vardhan will inaugurate the first Sunday OPD for the elderly on July 28. Health ministry officials said OPD services had been extended to Sundays for the elderly because they faced various difficulties during the weekday rush at the hospitals. “Nearly 8,000 patients, many of the senior citizens, visit Safdarjung daily. So they have to stand in queue for hours to see the doctor or get medicines. The new initiative is aimed at offering some comfort to elderly patients,” explained a doctor. He added that working family members would also find it more convenient to bring the elders to hospital on Sundays.

10.74 crore families benefited under Ayushman Bharat: Vardhan
ET Healthworld- PTI

NEW DELHI: As many as 10.74 crore poor families in the country have been benefited from the Ayushman Bharat under which free treatment up to Rs five lakh can be availed, health minister Harsh Vardhan said in Lok Sabha on Friday. He said during the Question Hour that as on July 23, a total of 16,039 hospitals (8,059 private hospitals and 7,980 public hospitals) have been empanelled under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY). "The total number of beneficiary families under AB-PMJAY are around 10.74 crore. Under AB- PMJAY, states are free to add additional families at their own cost," he said. Vardhan said under the scheme, states have the flexibility to choose the mode of implementation. They can either implement it in insurance mode, or through a trust or in a mixed mode i.e. both the insurance and trust mode, he said.

Govt readies compensation plan for patients affected by faulty devices
Mint- Teena Thacker

Patients suffering from adverse effects of a faulty medical device will soon be entitled to compensation from the manufacturers and importers of such devices. A nine-member medical devices sub-committee headed by former director general of health services (DGHS), Dr B.D. Athani, is in the final stages of coming up with a legally binding compensation formula, two people aware of the matter said, requesting anonymity. New provisions will be added to the Drugs and Cosmetics Act to introduce a compensation plan for faulty medical devices having adverse impacts on patients, they said. India does not have any legal provisions to compensate patients facing health problems due to implants or use of faulty medical devices. Under the law, companies are liable to pay compensation only when something goes wrong during a clinical trial. The medical devices sub committee, which was set up in December 2018, has already examined relevant provisions in legislation, such as the motor vehicles Act, the formula prescribed in the Johnson and Johnson (J&J) hip implant case and the rules for injuries or deaths from clinical trials. Compensation has been determined on the basis of parameters such as the base amount, loss of wages, and the degree of disability, said the first person mentioned above.

National Medical Commission Bill 2019 may create 3.5 lakh registered, legal quacks in India, say doctors
India Today- Milan Sharma

The government may be on track to bring in the new National Medical Commission (NMC) Bill, 2019, in Parliament. However, there is another predicament that could lead to stormy discussions and protest from the doctor fraternity. India Today has learnt that the contentious bridge course, that was met by wide spread protests from the doctor community in the country has been quietly replaced by the "limited license to practice modern medicine" clause. Under section 32 of the NMC Act 2019, which talks about the role of the community health provider, it states , "The commission may grant limited license to practice medicine at mid-level as a community health provider to such person connected with modern scientific medical profession who qualify such criteria as specified by the regulations: provided that the limited license to be granted under this sub-section shall not exceed more than one-third of the total number of licensed medical practitioners registered under sub-section (1) of section 31." Section 31 of the Act pertains to maintaining a national register of all the recognised medical practitioners to be maintained by the Ethics and Medical Registration Board. In the earlier version of the NMC Bill 2018, doctors and health practitioners opposed the proposed bridge course which allowed practitioners of alternative medicines such as homoeopathy and ayurveda to practice allopathy.

Health ministry constitutes MDTAG to advise CDSCO on matters related to regulation of medical devices
Pharmabiz India- Shardul Nautiyal

In order to advise Central Drugs Standard Control Organisation (CDSCO) on matters related to regulation of medical devices, the Union health ministry has constituted a Medical Devices Technical Advisory Group (MDTAG) with Drugs Controller General of India (DCGI) as the Chairperson and Deputy Drugs Controller of India, Medical Devices Division, CDSCO as the Member Secretary. MDTAG has been envisaged to examine the issues relating to implementation of medical devices regulations, suggest CDSCO regarding strengthening of medical devices regulations in the country including Make in India, ease of doing business etc. and taking up matters with Drug Consultative Committee (DCC), Drug Technical Advisory Board (DTAB) and the Union health ministry as per requirement. The meeting will be called by DCGI at least once in four months at CDSCO, headquarters, New Delhi. The group may co-opt other experts from relevant field as deemed necessary. MDTAG will have representatives from Department of Science and Technology(DST), National Institute of Biologicals (NIB), Indian Council of Medical Research (ICMR), Atomic Energy Regulatory Board (AERB), Defence Research and Development Organization (DRDO), Bureau of Indian Standards (BIS), IIT, New Delhi, Department of Electronics and Information Technology (DEITY), Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), National Health Systems Resource Centre (NHSRC), state drugs controller (Haryana state), Confederation of Indian Industry (CII), Medical Technology Association of India (MTAI), Association of Diagnostics Manufacturers of India (ADMI), Association of Indian Medical Device Industry (AIMED), Federation of Indian Chambers of Commerce and Industry (FICCI) and American Chamber of Commerce in India (AMCHAM India) as its members.