Editor in Chief Dr KK Aggarwal, Padma Shri Awardee                                                                                    Dated: 29th July,2019

Bangladesh, Bhutan, Nepal and Thailand achieve Hepatitis B control: WHO
New Delhi, July 26, 2019: Bangladesh, Bhutan, Nepal and Thailand have become the first countries in WHO South-East Asia Region to achieve Hepatitis B control, with prevalence of the deadly disease dropping to less than 1% among five-year-old children,the World Health Organization announced. “Unwavering determination to reach every child, everywhere, every time, with life-saving Hepatitis B vaccines through childhood immunisation, has made this achievement possible. These successes are a testimony of the countries’ commitment to health of their people, and the untiring efforts being made by health workers and communities for the well-being of children,” said Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia.

The Expert Panel for Verification of Hepatitis B Control in WHO South-East Asia Region recommended verification of Bangladesh, Bhutan, Nepal and Thailand, after reviewing childhood immunisation data that showed consistent over 90% coverage with Hepatitis B vaccine doses provided during infancy for past many years. Studies conducted among five-year old children in these countries corroborated the high immunisation rates, and that Hepatitis B prevalence in these four countries among children was less than 1%.

Children across 11 countries of WHO South-East Asia Region get three doses of Hepatitis B containing vaccines in their first year of life under national immunisation programme. Eight countries also administer Hepatitis B vaccine birth dose crucial to prevent mother-to-child transmission of the disease.
Preventing Hepatitis B infection in infancy substantially reduces chronic infections and cases of liver cancer and cirrhosis in adulthood. Hepatitis B control through immunisation gained momentum in the WHO South-East Asia Region with countries endorsing it as a target by 2020, as part of the South-East Asia Regional Vaccine Action Plan… (SEAR/PR/1714)


Route of medication administration
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FDA approves Boxed Warning about increased risk of thrombosis with higher dose of tofacitinib used for ulcerative colitis
(Excerpts from US FDA): In an update to its Drug Safety Communication issued on February 25, the US FDA has approved new warnings about an increased risk of thrombosis (blood clots) and of death with the 10 mg twice daily dose of tofacitinib, which is used in patients with ulcerative colitis. Tofacitinib 10 mg twice daily is not approved or recommended for the treatment of rheumatoid arthritis or psoriatic arthritis.

The FDA has issued the following safety information:

   For the treatment of ulcerative colitis, reserve tofacitinib as second-line therapy for use in patients who have failed or cannot tolerate TNF blockers.

   For ulcerative colitis, use tofacitinib at the lowest effective dose and for the shortest duration needed to achieve/maintain therapeutic response.....read more


Healthcare News Monitor

Coronary angioplasty, dialysis among top 5 procedures performed under Ayushman Bharat
ET Healthworld-PTI

New Delhi: Coronary angioplasty and dialysis are among the top five medical procedures that beneficiaries have undergone under the Centre's flagship Ayushman Bharat health insurance scheme, the government informed the Lok Sabha on Friday. Percutaneous transluminal coronary angioplasty (PTCA), a minimally invasive procedure to unblock coronary arteries and allow blood circulation unobstructed to the heart muscle, has been performed the most under the scheme, according to government data. The next four were hemodialysis, high-risk delivery, cataract surgeries and coronary artery bypass grafting, respectively. Treatment for most diseases/conditions is available free at public hospitals. Still, a large number of people, including those from poor and vulnerable sections, have to incur out-of-pocket expenditure to get treatment, particularly for secondary and tertiary care hospitalisation, given India's large population, MoS for Health Ashwini Choubey said.

10-year jail for assaulting doctors on duty
Hindustan Times- Anonna Dutt

People assaulting and “grievously injuring” doctors on duty may end up with a 10-year prison sentence or be fined up to Rs 10 lakh, according to the provisions the draft bill meant to prevent violence against doctors, people familiar with the matter told HT on condition of anonymity. The draft bill was presented in the second meeting of the 10-member committee constituted by the Union health ministry in the first week of July to examine the feasibility of bringing in a central law to make violence against doctors a criminal offence covered under the Indian Penal Code (IPC) and the Code of Criminal Procedure (CrCP). The committee unanimously decided that such a law was needed, and an eight-member subcommittee was constituted to draft the bill. “The most important aspect of the draft bill is the gradation system, which looks at the type of assault and describes the punishment accordingly. For a simple injury, the minimum punishment would be six months imprisonment and/or Rs 50,000 fine and the maximum would be five years imprisonment and/or Rs 5 lakh fine,” said one of the eight-member drafting subcommittee members.

Rajasthan hospital asks for patients’ religion, says it’s for research
The Times of India- Syed Intishab Ali

JAIPUR: Patients registering for treatment at SMS Medical College and all hospitals attached to it are required to disclose their religion under a new system that the authorities say is meant to help create a database of population-specific diseases. “The information gleaned from registration records will help us research diseases that are mostly prevalent among the beef-eating population. Conversely, there are diseases more common among the vegetarian population,” SMS hospital superintendent D S Meena said. He added, “Such figures will help in research works and medical studies. Like, in Hindus, penile carcinoma is more common, while among Muslims, arthritis is common. Also, among Muslim women vitamin D deficiency is common.” The order issued by Bhandari, a copy of which TOI has acquired, states, “Complete details of patients coming to the hospitals are not registered... SMS hospital has started the process of filling a pre-OPD form in which patients have to fill in all details.” SMS Hospital, named after Maharaja Sawai Man Singh of Jaipur, has already introduced registration forms with “religion” included in the personal particulars section.

Shortage of staff: Youngsters clean govt hospital in Sullia regularly
The Times of India

Mangaluru: Since the government hospital in Sullia is facing shortage of Group D staff, a local youth organization has come forward to take up the job of cleaning the hospital premises including toilets. Viqaya, the emergency response wing of the SKSSF, has been offering voluntary service on a regular basis till the government appoints permanent staff. Accordingly, they have created five teams to clean the hospital on a rotational basis. Thajudin Tarly, vice-chairman of Viqaya Dakshina Kannada district unit, told TOI that the Sullia Government Hospital gets 200 to 300 patients per day. But there are only four Group D workers to keep the hospital clean. “We understood that the hospital lacks staff to clean the premises and to support patients. Hence, we submitted a request letter to the hospital authorities seeking permission for our group to serve voluntarily. Meanwhile, we created five teams with not less than five members in each team to work for the hospital. The first team commenced its service on Monday and another team took up the job on Tuesday. Team members clean outpatient department, corridors , wards, casualty and toilets too. We also help patients to get their outpatient registration done at the reception and support them in wards. We will continue our voluntary service till the government appoints permanent staff. We want our government hospital to be maintained well,”Thajudin Said.

Apollo Hospital asked to pay ?10 lakh compensation to Delhi patient
Mint-PTI

Human touch is "necessary" and the "duty" of hospitals, the Delhi State Consumer Commission has said while directing Apollo Hospital to pay ?10 lakh compensation to the father of a 24-year old woman who died because of its negligence in 2007. The commission said that hospitals are "required to implement" this human touch in their day-to-day functioning. It made the observation while directing the Indraprastha Apollo Hospitals to pay the compensation to Delhi resident, Raj Karan Singh, for the suffering, mental pain and agony caused by the hospital's negligence. The commission said the compensation may bring about a "qualitative change" in the attitude of hospitals for providing service to "humans as humans". "This may serve the purpose of bringing about a qualitative change in the attitude of the hospitals for providing service to the human beings as human beings. Human touch is necessary; that is their code of conduct; that is their duty and that is what is required to be implemented," said the commission's member Anil Shrivastav in a recent order.