Bhubaneswar,25/08/18:The Vice President of India M Venkaiah Naidu has said that doctors must be trained to be more sensitive towards the sufferings of patients.
He was addressing the first convocation of All India Institutes of Medical Sciences (AIIMS) in Bhubaneswar, Odisha today.
The Vice President asked the doctors to be abreast with modern methods and latest trends in their fields of specialization. He further said that they should focus on disciplines such as family and community medicine. This will help in providing comprehensive health care for people of all ages in families and communities, he added.
The Vice President said that schemes such as ‘Ayushman Bharat Yojana’ or the ‘National Health Protection Scheme’ will be a game-changer in terms of accessing healthcare services in India. He asked doctors to give their best to make these schemes a success so that no needy or deserving person is denied medical treatment at the right time.
The Vice President said that Medical Education curriculum has to be constantly updated by including the latest developments and methods of treatment.
The Vice President said that there is shortage of physicians, other specialists and nurses in the country and stressed on the need to increase the number of medical colleges and also expand medical services to every nook and corner of the country. The government is doing its best in this regard, the corporate sector and NGOs must come forward to supplement the efforts of the government, he added.
The Vice President said that it is a matter of concern that the absence of qualified medical practitioners is making people to go to quacks. We need to overcome the acute shortage of health providers as also the infrastructure in rural areas, he added.
Highlighting on the need to accord priority to primary healthcare and tertiary healthcare, the Vice President said that there is a need to increase the number of doctors available at health care centres residing in rural areas. It should be mandatory for young doctors to serve at least two-three years in rural areas before considering promotions for them, he added.
The Vice President lauded the contributions of former Prime Minister Atal Bihari Vajpayee, who laid foundation for the institution and remembered his memories with the leader.
The Governor of Odisha, Ganeshi Lal, the Union Minister for Health & Family Welfare J.P. Nadda, the Union Minister for Petroleum & Natural Gas and Skill Development & Entrepreneurship Dharmendra Pradhan, the Minister for Health & Family Welfare, Odisha, Pratap Jena and other dignitaries were present on the occasion.
Balasore,25/08/18:Union Minister of Health JP Nadda laying the foundation-stone for the Balasore Satellite Centre of AIIMS, Bhubaneswar here on Saturday.
Nadda said the satellite centre would be turned into a super specialty hospital in a phased manner. Urging the Odisha Government to adopt the Ayushman Bharat scheme, he said the scheme is a unique one which could be availed by rural people as well as people of urban areas of certain categories and it would benefit 55 crore people of over 10 crore families.
The Central Government would bear the cost of treatment up to Rs 5 lakh in the empanelled hospitals across India and the service under the scheme is paperless and cashless, he said. He lamented that the Odisha Government is not inclined to be part of such a scheme.
“Since a large number of people from Odisha migrate to other States for jobs, the Ayushman Bharat scheme would be a boon for them as one can avail treatment facilities. The beneficiary would get a unique identity number and hassle-free treatment facilities would be given once enrolled under the scheme.
The Odisha Government should consider the scheme in large perspectives in the interest of people of the State,” said Nadda. Union Minister Dharmendra Pradhan also emphasised about the benefits of the Ayushman Bharat scheme.
AIIMS, Bhubaneswar Director Gitajali Batmanbane informed that the satellite centre is the first in India of any AIIMS after New Delhi.
New Delhi,17/08/18:Leading doctors in two reputed hospitals here report that over 490,000 persons in India developed paralysis between 2000 to 2017 because of oral polio vaccine (OPV).
Jacob Puliyel, a pediatrician at St Stephens Hospital and co-workers say their study has shown that "the frequency of pulse polio administration is directly or indirectly related to the incidence of non-polio acute flaccid paralysis (NPAFP)."
Their study which calls for judicious use of OPV schedule to prevent vaccine induced paralysis is published in the International Journal of Environmental Research and Public Health. To monitor progress in polio eradication, the World Health Organization (WHO),recommends that countries conduct surveillance for cases of acute flaccid paralysis (AFP) which is defined as a sudden onset of paralysis or weakness in any part of the body of a child less than 15 years of age.
The surveillance allows nations to detect paralytic poliomyelitis due to wild poliovirus transmission in the population. There are many causes of AFP, so each case needs to be evaluated to find out if the paralysis is due to polio or not. This investigation includes testing stool specimens of all AFP cases for polio virus detection.
More than 50,000 AFP cases are investigated in India every year as part of this surveillance system that has been in place since 1997.
In 2009, 741 of these AFP cases in India tested positive for polio. In 2010 only 42 cases tested positive while in 2011 only a single AFP case tested positive for polio. Not a single AFP case tested positive for polio in 2012, 2013 and 2014. All AFP cases during the last three years have been due to non-polio causes.
The last case of polio from India was reported in 2011 but India even after it was certified polio-free maintains its surveillance system in order to pick up any imported cases of polio.
In the absence of wild polio transmission, it was expected that the AFP cases in India would reduce to acceptable rate of around 2 per100,000. "Although surveillance in India has been exemplary, this has not yet materialized," the report says. The AFP rate in some states is as high as 30 per 100,000.
The present study - using surveillance data obtained from all 36 states and Union Territories - was done to see if the incidence of NPAFP declined with reduction in pulse polio immunization rounds.
The results however showed that the number of pulse polio rounds conducted in a state had a "high correlation" with the NPAFP rate in the state.
The NPAFP rates in the states of Uttar Pradesh and Bihar were the highest in the country. "Our study found that NPAFP rate in these states was high in those years when the number of pulse polio rounds conducted was high," the authors say.
For instance, in 2011, there were an additional 47,500 children with paralysis which was over and above the assumed NPAFP rate of 2 per100,000 and the NPAFP rate started to decrease from 2012 when the number of pulse polio rounds had decreased.
"From the results, the NPAFP rate has been shown to decline with a reduction in the pulse polio doses suggesting that OPV vaccinations are responsible for the paralysis," the authors say.
"A total of 640,000 children developed NPAFP in the years 2000–2017, suggesting that there were an additional 491,000 paralyzed children above the numbers expected to develop NPAFP," the authors say.
According to their report "repeated doses of the live vaccine virus delivered to the intestine may colonize the gut and alter the viral microbiome of the intestine."
Also studies from Finland and Turkey suggest that Guillain Barre Syndrome (GBS) is causatively associated with OPV vaccination campaigns .
"While the mechanism involved is speculative, our findings supports the hypothesis that the frequency of pulse polio administration is directly or indirectly related to the incidence of NPAFP," the report says. "Now that India has been polio-free for over six years, we may be able to reduce NPAFP by further reducing pulse polio rounds."
While commending the government for its enormous effort at polio eradication, the authors hope their observation "will help at optimizing the dose schedule of OPV administration" to prevent paralysis in vaccinated children.
Puliyel's team included Rachana Dhiman and Sandeep Prakash at St. Stephens Hospital and V. Sreenivas of the All India Institute of Medical Sciences'.
Press Release by; Jagannath Chatterjee,This press release has been written with help from an experienced science reporter
Nabarangpur,11/08/18:In a shocking incident, as many as 23 children, including a seven-month-kid were branded with hot iron in a village at Kadara Sahi,under Papdahandi Block in Nabarangpur district.
Sources said the parents of the children, all are tribal’s, branded their kids with hot iron on the occasion of ‘Chitalagi Amabasya’ believing it will help their children to live a disease-free life. It is a common practice among tribal parents every year on the occasion ‘Chitalagi Amabasya’.
Despite awareness against superstition, 22 children in the district were branded with hot sickles and rods in an attempt to raise their digestive capacity in Papdahandi block of Nabarangpur district.
Most of the children were aged between two and 10 years. The incident took place at Bhimasahi and Khadarasahi even as health workers, ASHAs and Anganwadi workers have been creating health awareness pertaining to mothers and children. At least 14 branded children belong to a single family.
The kids who were subjected to branding by their family members included Payal Patra, Chandan Patra, Sagar Sahu, Lambadar Sahu, Arun Sahu, Labali Sahu, Risan Sahu, Seshadev Sahu, Sriya Sahu, Sridhar Sahu, Smruti Sahu, Manasi Sahu, Asha Sahu, Ashish Sahu, Purosttom Sahu, Kanhei Sahu and Radhakant Sahu. According to sources, the families did not disclose the branding incidents to the Anganwadi workers.
Kadand Sahu, a resident claimed, “I have 14 grandchildren. All of them were branded. We believe that children who are branded on Chitau Amavasya Day (It is August 11 this year as per Hindu almanac) will be strong and their digestive capacity will grow in the rainy season. Though ASHAs and Anganwadi workers prohibit the practice, we have been following our tradition.”.
Disari (a traditional healer) Kalpana Majhi, health worker Krishna Samal, Anganwadi worker Chandrama Moharana and ASHA Hemlata Majhi immediately visited the houses and noted down the names of branded kids.
The Anganwadis, the health workers and ASHA have termed the incident as “unfortunate”. Despite their effort and awareness programmes against such practice, people have been subjecting their infants to branding, they lamented. When contacted, Disari Kalpana Majhi said she had been branding kids, but has given up the practice for two years after being made aware of its adverse impact. On a tip-off, Anganwadi workers from Papadahandi reached the village and helped rescue at least 50 children from being branded.
According to file report during Jan, 2017, one two-month infant died in hot cashew nut branding. But the tribal community people said we believe on our traditional healer (Disari) when the kid suffering from cold cough and fever.
It may be mentioned here that to check recurrence of such incidents every year in April-May the district administration had taken up an a 68-day-long awareness drive in all the 169,Gram Panchayats involving 4,300 traditional healers with three All anganwadi, Asha and ANM, Panchayat officials local youth club members with an aim to make them aware about the medical and legal implications of their superstitious practices.
In spite of Nabarangpur district administration’s awareness programmes and arrest of Disaris there seems to be no end to the menace of branding infants with a hot iron for curing them of illnesses in this tribal dominated district of Odisha.
This is high time unless the administration will not take right action in right time this incident has again hinted that much more has to be done to end the menace. It’s not just Nabarangpur, the practice is rampant even in remote areas of other districts.
Report by: Rajesh Mohapatra, Odishabarta
ROURKELA,03/08/18:A team of workers of Rourkela District Congress Committee under Rabi Ray, President and Shabbir Hussain, Working President, went to Rourkela Govt. Hospital (RGH) and met the Chief Medical officer. They informed him about different issues which need immediate attention for the patients come here for treatment. There are many vacancies of Doctors and para-medical staffs which is the major problem to provide due service to huge patient turnover on daily basis. Patients in and around 30 kms radius including outer State depends on this hospital and they come to this hospital with a hope for a better treatment with low cost but expectation remains on air than reality. X-Ray machine is available but without technician to run it. This is not all though this hospital carries the status of Capital Hospital; it acts like an Ordinary hospital. ICU is available here without proper infrastructure which is not expected. Patients are not getting sufficient medicines under Niramaya Yojana. Specialized doctors are not available in many departments hence creating crisis in medical treatment. These issues are raised by Congress members and they also alleged Juel Oram had visited the hospital and supervised different departments and wrote a letter to CM of Odisha for Govt.’s attention to this Hospital but proper follow up whether any action is being taken by the Govt. or not. Hence, party thinks none is serious about doing something for this hospital and patients as a whole. In the perspective, party has decided to carry out a huge protest in coming time if the demands are not met in proper time. The administration of the Hospital and the Govt. will be held responsible for the consequences. This press release have issued by Rabi Ray, President, District Congress committee. No doubt these issues are having genuineness but time will say how they are getting it done!!
Rayagada,August 3:”Ama sankalp” literary meaning of which is “Our resolve”, an innovative health initiative in Rayagada district, was conceptualised and jointly inaugurated by Collector Smt Guha Punam Tapas Kumar during September 2016 and meant to reduce infant and maternal mortality rates(IMR & MMR). Bike ambulances were introduced specially in Kalyan Singpur block during the year 2017 in the context of providing health services to Dangaria Kandha tribals of cut-off areas in Niyamagiri hills. Bus services were initiated this year to school students and especially women in pregnancy who were crossing the torrential streams and rivers in dangerous conditions by local made country boats, tubes, vessels. Movable/mobile medical tents were provided to inaccessible villages. Scores of impregnated bed-nets were freely distributed among villagers as a preventive measure to combat malaria and dengue. Vaccination was conducted en-masse for Japanese Encephalitis.
All these were good steps without proper implementation and monitoring at CHC/PHC/Sub-Centre levels. Though ama sankalp yielded some good results, other initiatives ended up in fiasco. The CDMO never agreed that there was a single death due to dengue this year though more than ten persons died of the dreaded disease after being diagnosed by renowned hospitals of the neighbouring Andhra Pradesh. The ambulance bikes are dysfunctional now. The buses owned by the private parties withdrew the service citing the reason as high running & maintenance cost.
There are 817 hard to reach villages according to the statistics provided by district administration. Eighty six numbers of movable tents for same number of inaccessible villages were purchased spending Rs.11,13,356.00 out of District Mineral Fund of 2016-17. Ten tents have been provided to Kashipur which has highest number of inaccessible villages, ie, 150. Equal number of tents have been provided to Padmapur block where the number of hard to reach village is 33. The logic behind this distribution is best known to CDMO. Unfortunately these tents have till not reached any single village leading to criminal wastage of resources from DMF.
There are eleven Community Health Centres(CHCs) in the district, 38 Primary Health Centres(PHCs) & 236 Sub-centres in the district. For Rayagada, the CHC is situated in Jemadeipentho which is around ten kilmeters from the district headquarters. There are five PHCs under this CHC. Khilmisguda PHC is dysfunctional according to the local medical staff. The PHC at Kerada does not have basic amenities like a single lavatory. The bed strength in the CHC is only six whereas all the PHCs under it has not a single bed. The number of sub-centres is 33. No ANM or medical staffs stay in any sub-centre of this CHC. If this is the situation of headquarter CHC, one can imagine the situation of Kalyan Singhpur, Kashipur, Chandrapur and Gudari blocks.
Carrying the pregnant tribal women by cloth tied with bamboo sticks is still going on in Kayan Singhpur in the absence of 102/108 ambulance, which is non-responsive even after continuous phone calls by the family members of the patients. In spite of Collector’s instructions, CDMO is yet to take action in the case of Mita Sabara of Perupanga village under Padmapur block. A dibyangjan named Sri China Majhi Kadraka alias China babu of Kalyan Singhpur block is yet to get proper assistance from the district administration in spite of order from District Collector during grievance.
“The officers at the lower rung need to be more proactive to carry out the instructions of the Collector. They need to strictly follow-up and monitor to take corrective measures and use available resources and infrastructures on a sustainable basis. Collector can conceptualise and take lead in floating ideas; but the officers need to carry those forward in a team spirit which seems to be lacking”, said Sri Bijaya Mishra, an enterprising farmer from Munising village.
Report; Pranya Panda, Odishabarta
Berhampur,26/07/18:A six member team of doctors comprising of plastic surgeon, surgery expert, paediatrician and others of MKCG Medical College and Hospital here began the rare surgery on the six-year-old boy Kanha of Jagannathprasad in Ganjam, who is suffering from acute Congenital Hairy Nevus.
A team consisting six expert plastic surgeons of MKCG Hospital had a wide meeting last night and discussed about the operation said Dr.Dash.
The first phase operation is being conducted today, which will take around 2.30 to 3 hours. The hanging tissues and hairy skin on the face operated out in the first phase and the operation is success according to medical sources.
It is a rare surgery. It will be conducted in several stages, Dr.Dash added. All the expenses of the entire operation will be borne by the government as declared by the Ganjam District Administration.
His parents had consulted doctors at the MKCG hospital last week following which doctors admitted the boy to the plastic surgery ward. After all examinations, the operation has commenced.
Kanha is the only son of Rama Chandra Naik of Baghua village under Jagannath Prasad block. He has been suffering a lot from acute Congenital Hairy Nevus on his face, chest, hand and leg since his birth.
#Partial input from MKCG
Bhubaneswar dated 29th June 2018: Thyroid disorders are increasing in prevalence. There is a constantly ongoing scientific research in every field of medicine including thyroid disorders, owing to its impact on general health in females. In order to update the doctors from various fields, the endocrine society of Odisha led by its secretary Dr J B Kanwar did organize a thyroid symposium at Bhubaneswar. It was presided over by Dr P K Mishra, senior Endocrinologist, president endocrine society of Odisha. Several topics pertaining to importance of thyroid to general physicians, paediatricians, gynaecologists, surgeons and otolarlngologists were discussed by eminent endocrinologist speakers from across India and Odisha.
Dr Sunil Kumar Kota, Consultant Endocrinologist from Diabetes & Endocare Clinic, Berhampur was invited as a guest speaker to deliver on Congenital Hypothyroidism (Hypothyroidism since birth). Thyroid hormone is essential for physical, mental and sexual growth of children. Congenital hypothyroidism is very common condition found in 1 in 3000 children newborn children across the globe. In fact it is the most common preventable cause of mental retardation worldwide. Most of the Western countries have already adopted universal blood testing (for thyroid disorders) of every newborn on day 3-5 after birth to rule out this easily treatable condition. Unfortunately India is yet to adapt to this. If not treated, it can present with weight gain, sleepiness, dry skin, hoarse cry, poor feeding, constipation, puffy face, dullness, enlarged tongue and umbilicus, prolonged jaundice. During childhood, it can give rise to short stature, pubertal disorder, menstrual problems and poor school performance. Treatment is in the form of tablets to be taken daily lifelong with periodic testing as per advice of treating endocrinologist. Dr Sunil and other eminent endocrinologists unanimously called upon for affirmative action from all quarters to make universal thyroid screen mandatory by Govt of India.
There were total of 8 different topics presented by other speakers as well on other aspect of thyroid disorders. Prof Dr A K Baliarsinha, Head, Endocrinology, SCB Medical College, Cuttack; Prof Dr Binay Mohanty, Head, Endocrinology, MKCG Medical College, Berhampur; Prof Dr K A V Subrahmaniam, Head, Endocrinology, King George Hospital, Visakhapatnam and Prof Dr Abhay Sahu, Head, Endocrinology, IMS & SUM, Bhubaneswar were amongst other speakers for the symposium. Around 150 doctors from various stream from the twin city of Bhubaneswar, Cuttack and Berhampur attended the session. Prof Dr P C Sahu, senior physician from Berhampur too was invited to chair one of the session. Dr J B Kanwar, Organizing secretary, concluded the session by extending vote of thanks to all the chairpersons, speaker, audience and media personnel.