Health Archive

Madhu Koda in hospital after facing corruption charges

Ranchi, Nov 3 – Former Jharkhand chief minister Madhu Koda, who is alleged to have amassed illegal wealth worth at least Rs.2,000 crore (Rs.20 billion / $425 million), was admitted to a private hospital here Tuesday after he complained of severe stomach ache.

He was admitted to the Intensive Care Unit (ICU) of Apollo Hospital.

‘We cannot say what exactly is the problem. We are conducting tests and we will be able to say anything after the test reports,’ a doctor at the hospital told IANS.

Koda was operated upon a fortnight ago after he complained of similar stomach pain. The Lok Sabha MP returned home from the hospital last week when the Income Tax Department started raiding his houses and other properties.

The IT department has been probing a disproportionate assets allegation against Koda and his associates and Saturday conducted raids at 70 places in eight cities and discovered documents relating to illegal transactions worth Rs.2,000 crore (Rs.20 billion).

Koda was interrogated on camera by the IT sleuths and was charged with not cooperating with the investigation.

‘Koda is not fully cooperating in the investigation. The search operations would have concluded had Koda been cooperating fully,’ IT department’s Director General for Investigation Anjani Kumar had told reporters Monday.

More awareness on pneumonia needed: Health experts

New Delhi, Nov 2 – A vaccine targeting the rampant pneumonia haemophillus bacteria will soon be included in the country’s routine immunisation programme, health experts said Monday, also stressing the need to raise awareness on the disease that annually claims lives of 400,000 children in India.

‘Ten states will introduce the HiB vaccine into their routine immunisation programme next year,’ said Panna Choudhury of the Indian Academy of Paediatrics (IAP), at an event to observe World Pneumonia Day (Nov 2) held as part of a campaign in 20 countries to focus on the disease.

The WHO estimates that two bacteria alone – HiB and pneumococcus – cause nearly 50 percent of pneumonia deaths in children under five years in India. There are vaccines to treat the diseases but these are, however, expensive and cost nearly Rs.400 for three doses.

With the inclusion of the HiB vaccine next year and pneumococcal vaccine in 2010, costs could be reduced drastically, bringing preventive treatment within the common man’s reach.

At the event, health experts from national as well as international advocacy and aid agencies like World Health Care Organisation, USAID, UNICEF, IAP and Public Health Foundation of India (PHFI) held detailed discussions on controlling the spread of pneumonia, which kills more children in the world than any other disease.

‘Pneumonia is one of the most critical child health problem we face in India today. A common integrated plan will help us in vanquishing pneumonia as the number one killer of children under 5 in India,’ said Health Minister Ghulam Nabi Azad, in a statement read out at the event.

‘It is imperative to raise awareness among mothers, especially rural areas, about the early symptoms of pneumonia such as coughing and wheezing. Timely treatment could prevent the untimely deaths of many infants and toddlers,’ said K. Srinath Reddy, president of Public Health Foundation of India (PHFI).

India accounts for 27 percent of the average 2 million deaths from pneumonia and has the highest number of pneumonia cases in the world. The number of deaths is also high in Afghanistan, China, Pakistan and Bangladesh.

Henri Van Den Hombergh from UNICEF India said: ‘We need a full fledged war against the disease, not just peaks of advocacy. Funding is very crucial and building a support health care system for people to approach with trust is again essential.’

Another issue discussed was the treatment gap of children who suffered from pneumonia symptoms.

‘According to the national family health survey, only 12.5 percent received antibiotics for their complaints of cough and difficult breathing that is suggestive of pneumonia. If antibiotic treatment was universally delivered to children with pneumonia, around 600,000 lives could be saved annually,’ said Rajesh Mehta of WHO India.

Experts are also calling for improving training at the community level to rapidly provide care to children who otherwise may die of pneumonia at home without treatment.

Delhi reports 391 dengue cases so far

New Delhi, Nov 2 – At least 16 new cases of dengue were reported Monday, taking the total number of cases of the vector-borne disease in the national capital to 391, a health department official said.

‘There were 16 new, confirmed cases of dengue today (Monday). The numbers are rising. However, there is no need to panic since last year the numbers had been higher than this,’ N.K. Yadav, chief medical officer of the Municipal Corporation of Delhi (MCD), told IANS.

On Sunday, the total number of cases reported stood at 366.

In the past few months, there have been two deaths recorded due to dengue – a 15-year-old boy and a nine-year-old boy.

Yadav said temperatures were warmer this year due to less-than-normal rains during the monsoon and, therefore, there was not much breeding of mosquitoes. Last year till Nov 1, a total of 1,070 cases of dengue had been reported.

Besides the door-to-door checks, the MCD is also fumigating several places in the capital to curb mosquito breeding.

‘We are well-prepared to handle dengue, and our domestic breeding checkers have been taking rounds of their respective areas since May,’ Yadav said.

Mid-day meal menu changed in Madhya Pradesh

Bhopal, Nov 2 – Hot pulao, puri and kheer will be on the menu of the mid-day meal at anganwadis (grassroots child and mother care centres) on Tuesdays as the Madhya Pradesh government has decided to provide better nutrition to children in the age group of three to six and pregnant women and lactating mothers, officials said Monday.

The move will come into force from Tuesday, officials added.

‘The department of women and child development (DWCD) has changed the menu under the supplementary nutrition project (SNP) for Tuesdays and Saturdays in a bid to provide better nutrition to the children,’ an official said adding that the DWCD and the panchayat (village council) and rural development department that takes care of the mid-day meal scheme would monitor the process jointly under the Sanjha Chulha scheme.

‘While the beneficiaries at the anganwadis would be given puri, pulao, kheer and potato-tomato curry on Tuesdays, on Saturdays they would be given chapatti, rice, moong daal and Rajma-tomato curry as per the revised menu,’ said Madhya Pradesh Women and Child Welfare Minister Ranjana Baghel.

Presently, there are about 67,000 self-help groups involved in preparing mid-day meals for about 9.2 million primary and middle schoolchildren in the state.

‘The idea is not bad if implemented properly with honesty. Studies show that usually children and women get nutrition for 90 to 165 days, against their entitlement of nutrition for minimum of 300 days in a year,’ said Prashant Dubey of the NGO Lok Sangarsh Saajha Manch.

‘Secondly, the issue of quality is to be considered seriously. Only provision of some food, without ensuring quality, will not serve the purpose of tackling the problem of under nutrition in the state,’ he added.

Awareness campaigns galore on World Pneumonia Day

New Delhi, Nov 2 – Advertisements, campaigns and discussions marked the first World Pneumonia Day being observed Monday. A number of awareness drives were held in the capital in an effort to sensitise people about this curable disease that kills 400,000 children every year in India alone.

According to Save the Children, an international NGO working on child rights issues, the number of children that killed by pneumonia every year is more than those dying because of HIV/AIDS, malaria and measles combined. The NGO participated in the Delhi half marathon Sunday to raise awareness on the issue.

Thomas Chandy, CEO of Save the Children India said: ‘Most people are unaware that pneumonia kills more children than any other disease and that in fact, it is the single largest cause of death in children worldwide, taking the lives of more than two million children annually.’

Pneumonia takes the life of one child every 15 seconds, and accounts for 20 percent of all deaths of children under five worldwide. In India, West Bengal and Delhi have the highest number of pneumonia related deaths, Chandy added.

‘We live in a world with limitless possibilities. Science has made it possible to have a heart transplant, medical advances happen every day. Yet, in the national capital hundreds of children die of pneumonia every year. This is outrageous,’ he said.

Issuing advertisements in public interest, the ministry of health and family welfare Monday said: ‘Early diagnosis and appropriate case management by rational use of antibiotics is the most effective intervention to prevent deaths due to pneumonia’.

‘Pneumonia is preventable. Pneumonia is treatable,’ it pointed out.

Listing the symptoms and the danger signs of the disease, the advertisement said: ‘Fever, cough and fast breathing in a child are signs of pneumonia. Inability to feed, lethargy, breathing trouble, grunting in a child with fever and cough are the danger signs.’

Nitin Shah, chairperson of the Indian version of Asian Strategic Alliance for Pneumococcal disease prevention (ASAP), said: ‘Pneumonia is largely preventable through vaccination. The main motive behind observing World Pneumonia Day is to provide necessary medication to the world’s most vulnerable countries.’

India with 27 percent has the highest number of pneumonia cases in the world, followed by Afghanistan, China, Pakistan and Bangladesh. Africa and Asia record the highest number of pneumonia deaths.

Chandy said: ‘The disease can be prevented with simple interventions, and treated effectively with antibiotics that cost less than a dollar. On World Pneumonia Day, we call on the government to implement life-saving pneumonia interventions for those that need them the most.’

A campaign to spread awareness about the disease is in momentum on the social networking site Facebook. ‘Wear blue jeans’, as the campaign is called, asks people to wear that in support of all those who are victims of the disease.

Two more swine flu cases in Chandigarh

Chandigarh, Nov 2 – Two more people, including a doctor at of a leading hospital here, have tested positive for the influenza A (H1N1) virus, taking the total number of swine flu cases in the city to 59, officials said Monday.

The latest to contract the virus were a senior resident doctor of the Postgraduate Institute of Medical Education and Research (PGIMER) and a 27-year-old resident of Mohali, some 10 km from here.

‘We had collected the throat and nasal swab samples of these patients yesterday (Sunday) and their reports have come positive. Their condition is stable and there is no need to worry,’ a health official said.

‘Besides, we have got five new suspected cases, including a 71-year-old man from Ambala, Haryana. Their reports are still awaited,’ he added.

A 14-year-old girl had died due to swine flu in PGIMER Saturday. A native of Haryana’s Karnal town, around 130 km from here, she had been admitted to the hospital Friday with breathing problem.

Following her death, the Chandigarh health department had quarantined 14 of her relatives at their house in Sector 23 here.

‘We had examined their condition on Sunday evening; all of them are fine and exhibiting no symptoms of swine flu. But still we will keep them quarantined for a few more days as a precautionary measure,’ stated the official.

This was the third casualty reported so far in this region due to swine flu.

Earlier a 12-year-old from Uttar Pradesh’s Meerut town had died of the virus at a private hospital in Chandigarh. She was staying in the hostel of a residential school on the Chandigarh-Ambala highway.

A 48-year-old woman from Himachal Pradesh had died of swine flu at a private hospital in Mohali near here.

Of the 59 people who have tested positive for H1N1 so far, 15 are doctors.

Find kidnapped doctors or face strike, says Bihar medicos

Patna, Nov 2 – The Indian Medical Association (IMA) Monday threatened to paralyse medical services in Bihar if the two doctors who were allegedly abducted nearly forty-eight hours ago in the state’s Samastipur district were not found soon.

The association also protested against the ‘police’s failure’ in recovering the abducted doctors.

A.K. Sahay and Santosh Kumar, doctors who work at a nursing home located in a village, went missing late Saturday evening from Sahpur Patauri in Samastipur. They were abducted when they were out on work, a police official said.

‘Police have failed to make any breakthrough, though two suspected people involved in the abduction were detained,’ an official in Samastipur said.

A hunt has been launched to find the doctors after their motorcycles were recovered and investigations have begun in the case, he added.

‘A special police team has been constituted to look into the case,’ Deputy Inspector General (Darbhanga range) Baldeo Prasad said.

Their families suspect that both were kidnapped over a property dispute.

Abductions are common in Bihar for ransom and revenge. According to police sources here, 45 people have been abducted for ransom in the state from January to July this year. Last year, 32 people were kidnapped during the same period.

Nearly four months ago, the Bihar government said that between 2001 and 2009, 2,167 children had been kidnapped. Of them, 1,752 were found and 75 killed while the fate of 340 was still unknown.

Government system failure killing mothers in Madhya Pradesh

Bhopal, Oct 28 – A complaint by a patient that a doctor in a government-run hospital left her unattended in the operation theatre has turned the spotlight on the role played — or not played — by these hospitals in reducing deaths at childbirth in Madhya Pradesh, a state with one of the highest maternal mortality rates (MMR) in India.

Vidhya, wife of Anil Magarde, was admitted to the Betul district hospital Oct 3. She has said in her complaint: ‘Dr. Renuka told me on Oct 5 that an operation will have to be conducted and demanded Rs.2,500 for the same.

‘I told her that Rs.1,000 has already been paid and the remaining amount would be paid after the delivery. I was taken to the operation theatre the same evening but left unattended by the doctor after administration of local anesthesia. Later, my family members took me to a private hospital where the delivery was conducted.’

Denying the charge, the doctor, Renuka Gohia, told IANS: ‘No extra money except Rs.100 towards registration charge was taken from her or her relatives. The patient’s family members shifted her from the hospital on their own without any reason. The delay in the operation was not for money but because her blood pressure had gone down after the administration of anesthesia.’

Vidhya has urged Betul Collector Vijay Anand Kuril that the doctor be asked to return the Rs.1,000 paid as well as Rs.25,000 spent in the private hospital. The collector has ordered an inquiry.

Civil society groups working to promote safe motherhood say Vidhya was lucky. In June this year, six women died within 15 hours in Bhopal’s Sultania Government Hospital.

As per the 2007 Registrar General of India survey, Madhya Pradesh has an MMR of 379 per 10,000 live births as against the national average of 301.

‘Seventy percent of the national budget allocated for health support goes back unutilised. The system is not delivering results and that’s where the problem lies,’ says Hamid El-Bashir, the Unicef representative in Madhya Pradesh.

‘The cause for the high MMR in the state is not lack of resources alone but failure of the system,’ says Seema Jain of Vikas Samvad, an NGO that works on safe motherhood. ‘No one is held responsible when a mother dies … most of the time it’s not even registered. It’s very important to keep a tab on a pregnant woman’s health.’

Besides negligent doctors, non-functional health centres, scarcity of blood banks, inadequate number of specialists in rural areas and poor transport system are other bottlenecks, she added.

‘Approximately, 10,000 women die every year in Madhya Pradesh during pregnancy or within 42 days of delivery. These deaths may be due to haemorrhage, infection, eclampsia or unsafe abortion. A majority of these could be prevented once the system is made accountable,’ says Rolly Shivhare, activist of the Right to Food campaign.

‘These deaths are completely preventable and that is the greatest tragedy. It is a silent tsunami,’ says Sachin Kumar Jain of the Madhya Pradesh Lok Sangharsh Sajha Manch.

‘We have to ensure increased presence of skilled birth attendants at the village level, provide care before birth, address sociological issues and bring about a change in attitude of health personnel,’ he said.

(Sanjay Sharma can be contacted at sanjay.s@ians.in)

Treating patients, not tourists, Kerala ayurveda centre stands apart

Kottakkal (Kerala) Oct 26 – Ayurveda centres that promise to pamper tourists have mushroomed all over India, but a reputed 107-year-old institution in Kottakkal still strictly adheres to the philosophy of ‘treating patients’ – while doing good business.

The Arya Vaidya Sala here is into ‘treatment’ and not into ‘entertainment’ of those who arrive at the hospitals run by the centre, said P.M. Varier, chief superintendent of the famed Kottakkal Hospital it runs. It was founded by Vaidyaratnam P.S. Varier.

‘We are not into providing ayurveda packages as offered by various resorts in the state. We treat a patient depending on the physical and mental condition. We offer time-tested treatment protocols using our own medicines,’ said Varier, who is also the additional chief physician at the hospital.

These treatments using the traditional Indian medical system ayurveda are specially effective for those suffering from paralysis, rheumatism, arthritis, spondylosis, other psychosomatic diseases as well as degenerative and other systemic diseases, say the many patients who throng the hospitals.

The average treatment takes 21-28 days and costs around Rs.45,000, a pittance compared to what the tourists pay at other places.

‘To get admitted as an in-patient, the patient has to come to our out-patient department first and they are given a time to come back. Today the waiting period for undergoing our in-patient treatment is four months under normal circumstances,’ Varier told IANS.

Arya Vaidya Sala now has four hospitals — a 300-bed hospital and a 120-bed hospital at its headquarters here, a 45-bed one in New Delhi and one recently opened in Kochi. Located in Malappuram district, Kottakkal is 165 km from Kochi.

Apart from the hospital, the centre has 22 branches which offer out-patient treatment and 1,200 dealers that sell the 530 medicines it manufactures in two factories in the state. In Mysore, a third factory is having its trial run.

The organisation employs 2,200 people full time in the hospitals and in its 220-acre farm in Palakkad district where its grows several medicinal herbs, besides having a 40-acre gooseberry farm.

K. Muraleedharan, superintendent of the main hospital here, said the medicines include raisins from Afghanistan, 2.5 kg of gold every month, five kg of saffron from Kashmir every month and resin from forests in Gujarat.

‘We use more than 4,000 tonnes of raw material a year to produce 530 formulations for the market. It includes 7,000 kg of medicinal herbs and 3,000 litres of milk every day,’ Muraleedharan told IANS.

Fourteen tonnes of cardamom, 180 tonnes of ghee, 290 tonnes of honey and 750 tonnes jaggery also go into the medicines every year.

‘People from 41 countries have undergone treatment here and we are growing around 10 to 15 percent every year. Last fiscal we had a turnover of Rs.160 crore. Our social commitment is such that we plough back 45 percent of our revenues into the hospital which provides free treatment. Ten percent is given to our ayurveda college,’ said chief legal manager K. Venugopalan.

In 2003, Arya Vaidya Sala set up the Centre for Medicinal Plants and Research (CMPR), which carries out various extension activities with village councils, where people are trained to cultivate medicinal herbs.

‘This would supplement the 40 families which have been supplying us medicinal plants for several decades now. The new people are being encouraged mainly for conservation and propagation because quite a few valuable herbs are on the verge of extinction. We conduct classes and seedlings free of cost are given to them. We remunerate them when they come back with the herbs,’ said Reghu, a scientist with CMPR.

(Sanu George can be contacted at sanu.g@ians.in)

Manipur doctors to cease work after colleague’s murder

Imphal, Oct 26 – Healthcare facilities in Manipur will come to a halt Wednesday when doctors go on a daylong strike to protest the killing of a colleague by unidentified gunmen.

‘We shall resort to a daylong cease work Wednesday and also stage a three-hour sit-in demonstration to protest the killing of our colleague Huidrom Binodkumar,’ A. Dwijamani, president of the Manipur chapter of the Indian Medical Association (IMA), told IANS.

Binodkumar, 60, former chief medical officer of Bishnupur district hospital, was found murdered on the outskirts of capital Imphal Oct 22.

‘Doctors are constantly being harassed and threatened by various groups and we feel we are not safe. The murder of one of our colleagues further aggravated our concerns and fears,’ Dwijamani said.

The IMA held an emergency general body meeting Sunday and condemned the incident. It also demanded adequate security to doctors and other healthcare workers in the state.

Doctors at both government and private hospitals would remain off duty Wednesday, although they have decided to attend to emergency calls.

Meanwhile, educational institutions in the state continue to remain closed since Sep 9 with various groups demanding the resignation of Chief Minister Okram Ibobi Singh following charges of a string of fake shootouts.