(incorporating eIMA News)
10th March 2016
Editorial (Dr S S Agarwal, Dr K K Aggarwal)
Ten Golden Rules for preventing CKD​
Kidney diseases are silent killers. There are several easy ways to reduce the risk of developing kidney disease.
  1. Keep active: Keeping fit helps to reduce your blood pressure and therefore reduces the risk of Chronic Kidney Disease. “On the move for kidney health” is a worldwide collective march involving the public, celebrities and professionals moving across a public area by walking, running and cycling.
  2. Keep fasting sugar < 80 mg%: About half of people who have diabetes develop kidney damage. Kidney damage from diabetes can be reduced or prevented if detected early. 
  3. Keep lower BP < 80 mm Hg: High blood pressure is also the most common cause of kidney damage. High blood pressure is especially likely to cause kidney damage when associated with other factors like diabetes, high cholesterol and Cardio- Vascular Diseases.
  4. Keep your abdominal circumference < 80 cm: Eat healthy and keep your weight in check. This can help prevent diabetes, heart disease and other conditions associated with Chronic Kidney Disease. Reduce your salt intake. The recommended sodium intake is 5-6 grams of salt per day (around a teaspoon). Limit the amount of processed and restaurant food and do not add salt to food. 
  5. Drink adequate fluids: Drink 1.5 to 2 litres (3 to 4 pints) of water per day. Consuming plenty of fluid helps the kidneys clear sodium, urea and toxins from the body which, in turn, results in a “significantly lower risk” of developing chronic kidney disease, according to researchers in Australia and Canada. Do not advocate “aggressive fluid loading”, which can cause side effects. In addition, people who have already had a kidney stone are advised to drink 2 to 3 litres of water daily to lessen the risk of forming a new stone.
  6. Do not smoke: It slows the flow of blood to the kidneys. Smoking also increases the risk of kidney cancer by about 50 percent.
  7. Do not take over-the-counter pain killers: Common drugs such non-steroidal anti-inflammatory drugs like ibuprofen are known to cause kidney damage and disease if taken regularly.
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eMediNexus Guest Editorial
Celebrating World Kidney Day in India
In a country where doctor-to-patient ration is 1:1700, the abysmal dip on the nephrology front is further depressing. There are only 1,100 nephrologists for a population of 120 crore people.
Of this huge population nearly 3% develops Chronic Kidney Disease (CKD) in their lifetime, with over 90% dying annually according to a recent All India Institute of Medical Sciences (AIIMS) study. Only 10% of Stage 5 CKD patients receive either dialysis (80% of this 10%) or transplant according to Dr SK Agarwal at AIIMS.
Two reasons for the low capacity to deal with CKD in a country as vast as India, are lack of healthcare resources and affordability. The situation is hard in rural areas as most of these specialists are based in urban areas; possibly due to access to specialty hospitals where they could work or better infrastructure available.
Nephrologists, who assemble in conferences and CMEs, are also worried by this skewed ratio, but can do little about it. Medical colleges offering postgraduate specialization in nephrology are few due to lack of faculty, over and above of an already small funnel of medical colleges created and maintained in India.
This makes the role of the nephrologist even more important, and the need to train General Practitioners on the basics of diagnosis and referral of kidney care patients even more important. This should be a major goal of World Kidney Day, over and above creating better capacity for delivery of related services. A vital shot in the arm to kidney care has been provided by Union Budget 2016, identifying public private partnership (PPP) provision of healthcare services, as a major thrust area for healthcare delivery.
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Press Release
Nephrologists call for aggressive Chronic Kidney Disease screening programs for population at risk
  • Unanimously agree India needs more nephrologists
  • Call for CKD education programs (run by educators) in India
March 9, 2016 : Nephrologists in India have unanimously called for aggressive CKD screening programs for the population at risk, according to a survey conducted by eMediNexus.
eMediNexus, India’s leading advocacy and networking platform for doctors, conducted a survey amongst 200 nephrologists on the occasion of World Kidney Day, a number that translates to 20% of the nephrologists in India.
100% of the doctors also accepted that India has a big shortfall of nephrologists with only 1000 nephrologists covering a population of 1.3 billion and said that these are also mostly scattered in urban areas. 100% of them also believe it is important to determine the etiology of kidney disease.
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  • April 25: IMA Polio Switch Day, when tOPV would be completely withdrawn and replaced by bOPV in both routine immunization and polio campaigns.
  • 9th May: IMA National Validation Day when India would be declared free of tOPV. 

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The Indian Medical Association (IMA) presents a series of weekly webcasts for the benefit of the Indian medical profession, engaging you with the latest in advocacy efforts for doctors, through an interactive exclusive digital webcast partnership with eMediNexus.

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 March 2016
Topic: Child Sexual Abuse 
Faculty: Dr Rajeev Seth, Dr Rajesh Sagar