Health Archive

Andhra orders probe as 10 lose sight after surgery

Hyderabad, Oct 26 – The Andhra Pradesh government has ordered a probe after 10 people who underwent cataract surgery following a free eye check-up camp a few days ago lost their eyesight, officials said Monday.

The incident took place in Nellore district, bordering Tamil Nadu.

After the surgery, eyeballs of four of the affected people had to be removed to save their lives, their relatives.

They were among the 24 people operated upon Oct 20 by a team of doctors at Bollineni Eye Hospital and Research Centre in Nellore town. Global Eye Foundation had conducted a camp at a couple of villages in Indukurpet mandal in the district Oct 18.

While the families of the victims alleged that they turned blind due to negligence by the doctors, the hospital authorities said the infection was a result of the patients not taking precautions.

Officials said 15 of the people who were operated upon at the hospital came back the next day with complaints of severe pain and a burning sensation.

They were shifted to Sankara Nethralaya in Chennai, where the doctors said that the chances of getting their eyesight back were bleak.

The attendants of the patients claimed that the eyeballs of the four patients were removed as doctors at Chennai hospital said this was necessary to prevent the infection from spreading to other parts. Blaming the doctors at Bollineni for the tragedy, they demanded that the government take serious action against them.

‘We have launched the probe. We have directed the hospital authorities to stop all operations till the probe is completed,’ Nellore district collector K. Ramgopal told reporters.

The district authorities have also sent a team of doctors to Chennai to collect swabs from the patients.

The Bollineni hospital authorities have denied that negligence by the doctors led to the incident. ‘There is not a single incident where negligence by doctors has resulted in the infection. There could be several reasons for the infection and we will know the facts after the testing of the swabs which have already been sent to government labs,’ N. Sai Murali, chief ophthalmologist at the hospital, said.

A team of four doctors had performed the surgery. Terming the incident as unfortunate, Murali pointed out that 45,000 cataract surgeries were performed at the hospital during the last six years and not a single incident of infection was reported.

Jammu and Kashmir to get two air ambulances

Jammu, Oct 26 – Jammu and Kashmir will soon get two air ambulances to move seriously injured and critically ill people to speciality hospitals in New Delhi or Chandigarh, according to official sources.

The purchase has been sanctioned by the union health ministry, headed by Ghulam Nabi Azad.

Aware of the problems of transporting patients in this mountainous state, Azad had mooted this proposal when he was Jammu and Kashmir chief minister.

The state’s remote areas of Doda, Kishtwar, Rajouri and Poonch are notorious for bad roads. Even the 294-km Jammu-Srinagar highway is often closed by landslides or heavy snowfall. A number of people have died because they could not reach hospital on time.

Cost of bone grafting, dental filling to come down

Kolkata, Oct 25 – The cost of medical treatment involving bone grafting or dental filling could come down in India with the Central Glass and Ceramic Research Institute (CGCRI) Sunday signing an agreement for low-cost application of the technology with private player IFGL Refractories Limited.

In the latest instance of institute-industry tie-up, the CGCRI – a constituent laboratory of India’s largest research and development conglomerate Council of Scientific and Industrial Research (CSIR) – signed an agreement with IFGL for the low-cost application.

The product was likely to be ready for commercial production within nine months, said IFGL director and chief executive Pradeep Bajoria, at the signing ceremony which coincided with the 67th CSIR foundation day.

‘The cost of the treatment using such coatings will be much less than the expenses involved in using similar substances imported from the US,’ said CSIR director general Samir Brahmachary.

Explaining the technology, CGCRI Bio-Ceramic and Coatings Division head Debabrata Basu said: ‘These coatings are made of bio-ceramic materials like synthetic hydroxyapatite and beta tricalcium phosphate and their combinations having the exact composition of bones. They will be long-lasting and free of wear and tear’.

Earlier, CGCRI had transferred know-how to IFGL for manufacturing a synthetic hydroxyapatite-based ocular implant developed as a substitute for lost natural eye ball.

‘It is becoming popular gradually. Now every month, 50 such implants are done. We are planning a series of events to sensitise the eye surgeons,’ said IFGL company secretary Rajesh Agarwal.

Brahmachari said CSIR now had 38 laboratories in various parts of the country and covers a large number of subject areas aimed at making the country self-reliant in science and technology.

‘It is striving forward along two main fronts. One is for competitive industrial growth through advanced engineering materials, smart materials, novel drugs and bio-therapeutics etc.

‘The second front is meant for sustainable inclusive growth through potable and affordable water, energy conservation and sustainable energy, affordable health care etc,’ he said.

The CSIR was also in the process of setting up six innovation centres in the country. ‘One of them will be set up at Baruipur in South 24 Parganas district, where the leading edge scientific science and technology activities will be pursued by the CSIIR laboratories in West Bengal,’ he said.

Another possible venue is Delhi. ‘The proposal is now with the Planning Commission’.

India can be world diabetes capital, warns Keith Vaz

Panaji, Oct 25 – Launching a mobile testing unit for diabetes in Goa, British MP Keith Vaz Sunday warned that India would be the world capital for diabetes if measures were not taken to prevent the disease.

‘There are already 14 million diabetes patients in India, but there are many, many more who are not diagnosed yet,’ Vaz said, warning that if remedial measures were not taken soon, India has the potential to the the world capital for diabetes.

Vaz is Labour MP in the British parliament and national patron of Silver Star, the charity that donated the mobile testing van, known as a Mobile Diabetes Assessment Unit.

The van can test for diabetes within minutes.

The fourth edition of the World Diabetes Atlas, released in Montreal recently, estimated that by 2010 about 50.8 million Indians in the 20-79 age group will have diabetes, rising to 87 million by 2030 – the highest in the world.

However, most Indians do not have easy access to diagnostic centres – a gap that mobile units can help plug.

The van, which comes with testing equipment, a bed and washing facilities, will travel across Goa providing free diabetes testing.

Vaz, who has his ethnic roots in Goa, said that the Silver Star initiative, which would involve mobile vans with diabetes diagnostic kits holding regular examination camps, would soon start operations in Mumbai too.

Registered in Britain, Silver Star has roped in Amitabh and actress Shilpa Shetty as their international patron.

Hospital trysts inspired Amithabh’s health endorsements

Panaji, Oct 25 – His numerous trysts with hospitals at various stages of his career inspired Bollywood actor Amitabh Bachchan to espouse campaigns linked to health issues.

The actor, who has in the past been a brand ambassador for the advertising campaigns like pulse polio, HIV/AIDS, cancer, was in Goa to kickstart operations of Silver Star, a diabetes charity foundation, as its international patron.

‘A lot of it came to mind during my several escapades after my accidents and visits to hospitals and intensive care units (ICUs),’ Amitabh said.

The Bollywood superstar, who launched Silver Star’s mobile diabetes assessment unit in Goa and donated Rs.11 lakh towards the initiative said ‘he was happy’ to endorse causes related to health.

‘When you speak of medicine and healthcare, any amount of charity is welcome,’ said Bachchan, who was recently diagnosed with diabetes.

13 new swine flu deaths take India’s toll to 444

New Delhi, Oct 25 – Thirteen new swine flu deaths were reported Sunday, taking the total toll in India due to Influenza A(H1N1) virus to 444, health authorities said here.

For the first time, Punjab and Mizoram reported deaths – one each – since the first death was reported in the country Aug 3.

The maximum deaths were from Maharashtra where 11 people died since Friday. The total toll in the state has now touched 185 – the highest in the country.

Kerala, where 10 deaths had occured earlier, also recorded two new casualties.

Also, 90 new cases were recorded Sunday. With this the total number of people affected with the contagious virus has gone up to 13,232.

Of the 90 cases, 22 alone were from Karnataka.

The other states where new cases were reported were – Maharashtra (21), Delhi (17), Andhra Pradesh (5) and Kerala (12).

Doctors, NGO to provide family planning among urban poor

New Delhi, Oct 25 – With nearly 21 percent of pregnancies in India unintended, a federation of gynaecologists and an NGO have come together to increase awareness on family planning and safe abortion among the urban poor in three states, including Delhi.

Population Services International (PSI), an NGO, has partnered for improving maternal health with the Federation of Obstetric and Gynaecological Societies of India (FOGSI), said Jyoti Vajpayee, PSI’s senior technical advisor.

PSI, which works in the area of health, including among the HIV patients, maternal and child health in 22 states, will be starting this initiative at places with high population, poor indicators and high need.

‘These states are Uttar Pradesh, Rajasthan and Delhi,’ Vajpayee told IANS.

Apart from focusing on maternal health, they will also be providing Copper Intrauterine Contraceptive Devices (IUCDs) as a safe, effective and reversible option for family planning. IUCD is commonly known as Copper-T.

‘We want to create a service delivery network to improve access to affordable and high quality IUCD services and products to low and middle income groups and complement family planning efforts of the government,’ she added.

She said they are providing an IUCD called Freedom Five at an highly subsidised cost of Rs.75. In the market, it costs Rs.250.

‘Since many women like to avail family planning services from private providers, the potential of such providers located near areas where the urban poor reside, can be harnessed to address their needs,’ she said.

Vajpayee said that evidence has long endorsed the IUCD as a long term, highly effective and reversible contraceptive method.

‘The contraceptive effectiveness of the IUCD is very high and is comparable to that of male and female sterilization,’ she added.

‘It is a long-term method as it prevents pregnancy for three, five or 10 years depending on the type of IUCD inserted. As it is reversible, the IUCD has the potential to satisfy family planning needs of women who want to end childbearing, as well as those who wish to postpone childbearing for some time,’ she said.

In India, 117,000 women die every year from complications arising out of pregnancy and childbirth, while many more suffer debilitating complications.

‘Family planning is central to reduction of maternal mortality and ill health by reducing the number of pregnancies, unsafe abortions and high risk births,’ she stressed.

Quoting the National Family Health Survey-3 (2005-06), Vajpayee said that it shows that nearly 21 percent of all pregnancies are either unintended or mistimed.

It also states that 13 percent of married women want to postpone their next pregnancy or stop having children altogether but for whatever reason are not using contraception.

‘Thus, it becomes vital that quality family planning services are made available to lower income groups in urban areas, who are largely underserved in terms of quality health care,’ Vajpayee told IANS.

C.N. Purandare, the president of FOGSI, said: ‘Family planning is helpful in saving lives of women and children lives because it prevents untimely and unintended pregnancy. Reduces women’s exposure to the health risks of unsafe childbirth and abortion and lessens the health risks associated with pregnancies that are early, closely spaced or very late.’

The FOGSI has 24,800 members and have worked on anaemia eradications, adolescent health and save the girl child initiatives in the country.

Mobile vans to rescue the mentally ill abandoned in Delhi

New Delhi, Oct 25 – Taking note of the shocking saga of former model Gitanjali Nagpal, who was found begging on the streets of the capital, the government is soon going to have mobile health vans for mentally ill people found abandoned on the streets.

The Delhi government along with the Institute for Behavioural Health Studies and Applied Sciences (IBHAS) under the Urban Mental Health Module informed the Delhi High Court earlier this week that they have already got the sanction for five such mobile vans.

‘We have got the necessary permission from the central government for the mobile health vans along with the team of specialised doctors for the five districts,’ advocate Zubeda Begum told a division bench consisting of Chief Justice Ajit Prakash Shah and Justice S. Muralidhar.

The bench was hearing a public interest petition from a Delhi University law student, Pratibha Chopra, drawing the court’s attention towards the plight of mentally ill people in the capital.

The petitioner referred to the case of Nagpal and said there are more than 2,500 women in Delhi who are mentally ill and are not receiving any aid from the government which has led to their exploitation.

Nagpal, 32, who once walked the ramp for top designers, was last year found begging at a market in south Delhi. The Delhi Commission for Women (DCW) took her to VIMHANS hospital, where doctors diagnosed her as suffering from fear psychosis.

However, the bench was surprised by the centre’s order sanctioning only five mobile health vans. ‘It is pointed out that under the scheme of urban mental health module, nine mobile vans were required for the nine districts across the capital but the government has agreed to start only five which is contrary to our orders.

‘So the government must explain as to why our orders were not complied with by Nov 18,’ the judges said.

Last year the court directed the government to create separate wards for mentally ill women, especially the homeless, in the state government-run Nirmal Chhaya shelter homes.

A specialised ward will have a team of a psychiatrist along with medical staff and all necessary facilities for the rehabilitation of the mentally ill.

The court in a separate case last year also ordered the Reserve Bank Of India to formulate guidelines for opening bank accounts for mentally ill children so that they don’t feel left out of society.

(Kanu Sarda can be contacted at kanu.s@ians.in)

Non-payment to health workers could derail polio drive in Uttar Pradesh

Lucknow, Oct 25 – Simmering discontent among thousands of basic health workers over non-payment of dues is likely to derail the November pulse polio round in Uttar Pradesh, India’s most populous state that has the highest incidence of the disease.

Basic health workers serving as vaccinators and supervisors, who are entitled to a daily allowance of Rs.75 and Rs.150 respectively, have not received any payment for the September and October rounds, according to the UP Basic Health Workers Association (UPBHWA).

They are also seeking a raise of Rs.25 and Rs.50 in daily allowances.

Teams of vaccinators and supervisors are required to go from house to house to immunise children, often working long hours over seven or eight days of the polio programme every month in scorching heat and humid conditions.

Significantly, until 2008, such allowances were disbursed to them either in advance of the pulse polio round or on the second or third day of the programme as an incentive to fulfil targets.

But payment for this August round materialised much later. From September on, daily allowances remain unpaid to the polio teams all over the state, according to UPBHWA sources.

Reportedly, vaccinators’ daily allowances are even less than the minimum wages fixed for unskilled labour at Rs.100 per day under the National Rural Employment Guarantee Act.

S.D. Sharma, a UPBHWA office-bearer, told IANS from Meerut that several representations by the association to the principal secretary, health and family welfare, and the minister concerned about unpaid allowances have failed to elicit any response.

Sharma alleged that a large part of the funds is being siphoned off by district and primary health centre officials even as polio teams working under harsh conditions remain unpaid.

Sources at the National Polio Surveillance Project unit here said the matter had already been brought to the notice of Raja Ram Bharti, the director general of health.

Bharti said the state unit of the National Rural Health Mission (NRHM), which funds polio, leprosy and tuberculosis programmes, has been formally requested to release money for pending allowances.

He said the money should have been released on time. Such delays, he admitted, would only hamper the steady progress made by these time-bound programmes.

S.K. Singh, NRHM general manager (administration) for Uttar Pradesh, refused to comment.

Polio, which is passed on through the faecal-oral route, affects children up to five years of age. It causes paralysis of the limbs and can be fatal in severe cases.

In India 498 polio cases were reported till Oct 23 this year. The highest 397 cases of polio were reported from parts of Uttar Pradesh till Oct 23, officials said.

Bihar comes second with 90, followed by Delhi with four cases, Uttarakhand and Punjab with three each and Rajasthan with one.

The national polio eradication projects are being funded by Rotary International, besides the World Bank, Unicef, the USAID and Centres for Disease Control and Prevention.

Doctor contracts swine flu in Chandigarh

Chandigarh, Oct 25 – A resident doctor of the leading Post-Graduate Institute of Medical Education and Research (PGIMER) here tested positive for influenza A (H1N1) virus, a health official said Sunday.

The 27-year-old doctor of the paediatrics department was residing in the doctors’ complex of PGIMER and his samples were collected Saturday morning for tests.

‘The patient was exhibiting symptoms of swine flu like sore throat, high fever and running nose. We had sent his throat and nasal swab samples in the virology lab of PGIMER yesterday (Saturday) and his reports have come positive,’ the health official said.

‘The patient is undergoing treatment and has been administered Tamiflu. His condition is stable and there is nothing to worry. We are also checking the condition of those people who were in direct contact with him,’ he added.

Last week also, a senior resident doctor of PGIMER was tested positive for swine flu.

So far, over a dozen doctors and other medical staff were reported to have been suffering from H1N1 in this city — seven of these cases are from PGIMER alone.

Till now, over 250 suspected cases of swine flu have been reported in Chandigarh hospitals, of which 51 tested positive. Two casualties, one each in Chandigarh and its neighbouring town Mohali, were reported till now.

In Chandigarh, testing facility for this virus is available at the virology department of PGIMER, which is catering to the needs of Punjab, Haryana and Himachal Pradesh.