emedinews
Head Office: E–219, Greater Kailash, Part 1, New Delhi–110 048, India. e–mail: emedinews@gmail.com, Website: www.ijcpgroup.com
FIRST NATIONAL eMEDICAL NEWSPAPER OF INDIA
eMedinewS is now available online on www.emedinews.in or www.emedinews.org
  From the Desk of Editor–in–Chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group & Hony. Visiting Professor (Clinical Research) DIPSAR

 

For updates follow at www.twitter.com/DrKKAggarwal     www.facebook.com/Dr KKAggarwal

    Health Videos …
Nobility of medical profession Video 1 to 9 Health and Religion Video 1–7
DD Take Care Holistically Video 1–4 Chat with Dr KK On life Style Disorders
Health Update Video 1–15 Science and Spirituality
Obesity–Towards all Pathy Consensus ALLOVEDA: A Dialogue with Dr KK Aggarwal
  Editorial …

11th September 2012, Tuesday

Lifestyle can prevent 50% of Common Cancers

More than 50% of cancer could be prevented if people simply change lifestyles according to Graham Colditz, PD, DrPH, from the Washington University School of Medicine in St. Louis, Missouri here at the Union for International Cancer Control (UICC) World Cancer Congress 2012.

Among the "biggest buys" from lifestyle intervention is smoking cessation. One third of cancer in high–income countries is caused by smoking.

Being overweight or obese causes approximately 20% of cancer today. If people could maintain a healthy body mass index (BMI), the incidence of cancer could be reduced by approximately 50% in 2 to 20 years.

Poor diet and lack of exercise are each associated with about 5% of all cancers. Improvement in diet could reduce cancer incidence by 50% and increases in physical activity could reduce cancer incidence by as much as 85% in 5 to 20 years.

Eradicating the main viruses associated with cancer worldwide by implementing widespread infant and childhood immunization programs targeting 3 viruses — human papillomavirus and hepatitis B and C — could lead to a 100% reduction in viral–related cancer incidence in 20 to 40 years.
Tamoxifen reduces the rate of both invasive and noninvasive breast cancer by 50% or more, compared with placebo, at 5 years.

Raloxifene has been shown to reduce the risk for invasive breast cancer by about 50% at 5 years. Bilateral oophorectomy in women carrying the BRCA1 or BRCA2 gene, although rare, has been associated with a 50% reduction in breast cancer risk among high–risk women.

Aspirin is associated with a 40% reduction in mortality from colon cancer.

Screening for colorectal cancer has a similar magnitude of mortality reduction (30% to 40%). Tobacco, alcohol, and diet, lack of physical activity, and obesity — accounted for more than half of all cancer.

For Comments and archives…

Dr KK Aggarwal
Group Editor in Chief

    Constipation Update

What are the nonpharmacological ways to treat constipation?

General measures such as increased fluid intake and exercise are suggested to treat constipation, but there is little evidence to support this.

For comments and archives

 
Dr K K Aggarwal
  eMedinewS Audio PostCard

Stay Tuned with Padma Shri and Dr BC Roy National Awardee Dr KK Aggarwal on

Should I be registered with MCI

Audio PostCard
    Photo Feature (from the HCFI Photo Gallery)

Seminar on Diet, Health & Religion

An Inter Religion Seminar on Diet, Health & Religion was organized at Bharatiya Vidya Bhavan in association with Heart Care Foundation of India

 
Dr K K Aggarwal
 
    National News

Air–conditioned life can pollute homes in Mumbai, say doctors

MUMBAI: Civic doctors have identified flora specific to Mumbai that could be triggering asthma or aggravating allergies. Pollen, for instance, has been acknowledged as a trigger for respiratory ailments. Also, fungi, molds and dust mites, not expected in a hot climate, are stalking Mumbai homes. The findings are from an ongoing study undertaken by KEM Hospital’s Department of Chest Medicine and Environmental Pollution Research Centre. Doctors, who set out to study the effect of environmental factors on asthma, have since January zeroed in on 468 homes in Khar, Andheri and Borivali, covering 540 Mumbaikars. After an initial census and round of questionnaire circulation conducted by social workers, medical experts armed with peak flow meters and portable spirometers visited homes to assess residents’ lung functions. They collected pollen grains and fungal spores by hanging slides near windows in the identified homes. Of those with asthma, nearly 3.5% were found to have been affected by environmental factors, according to preliminary findings. "For the first time, we can say with authority that there is pollen in Mumbai’s air that acts as an asthma trigger in some Mumbaikars," said Dr Amita Athavale, head of KEM Hospital’s chest medicine department. It is usually believed that fungus is not common in desi homes due to India’s tropical climate. But the KEM study found that it is as common in Mumbai as in Western cities.

Blackish cottony growth on home walls could be telltale signs of fungi, warn doctors. "Leakage in walls and ceilings is one of the commonest causes for fungus to breed in Mumbai homes," said allergy specialist and honorary professor at JJ Hospital, Wiqar Sheikh, who pointed out that dust mites were more common triggers than fungi. Homes where air–conditioners run through the night and where windows are not regularly opened for airing are particularly prone to fungal growth. "People leave ACs on the whole night and leave home the next morning without opening the windows. The environment in the rooms continue to be moist, preparing favourable grounds for fungal growth," explained Dr Athavale.

But chest specialist Dr Rohini Chowghule said that while fungi and pollen grains would be present in the city’s air, it is difficult to pin them down as the main cause for asthma and allergy among Mumbaikars. "Only if a person’s lungs are weak will fungi and pollen have effect," she said. The main reason for asthma’s incidence in Mumbai, she said, was urbanization. "In villages, you barely get people with asthma. In cities, changing lifestyles, along with indoor pollution, cause the ailment." Sheikh advised Mumbaikars to safeguard themselves against such allergens by taking small yet significant measures such as removing carpets and indoor plants, fixing leakages that leave indoor dampness, switching over from cotton pillows and mattresses to foam and getting pest control done regularly. Athavale suggested opening homes to fresh air and sunlight. (Source: TOI, Sept 8, 2012)

For comments and archives

4th Dil Ka Darbar

September 23, 2012, 9:00 AM–6:00 PM , Tal Katora Indoor Stadium, Connaught Place, New Delhi

A non stop question answer–session between all top cardiologists of the NCR region and the public.

Medical mistakes in Indian movies

Dear all, eMedinewS is starting a special series on ‘Medical mistakes in Indian movies’. We invite all our readers to share with us the following information:

  1. Scene/s where the image of the medical profession has been maligned in an unrealistic manner, or
  2. Scene/s where medical care and approach has been depicted incorrectly, or
  3. Scenes where the medical profession has been portrayed correctly.

Send us the clippings or description of the scenes. This would be a start to a special campaign to rebuild the image of the medical profession.

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

 
    Valvular Heart Disease Update

How is the severity of MR defined?

  • Mild MR: RV <30 ml/beat, regurgitant fraction (RF) <30%, effective regurgitant orifice (ERO) <0.2 cm
  • Moderate MR: RV 30–59 ml/beat, RF 30–49%, EROA 0.2–0.39 cm
  • Severe MR: RV ≥60 ml/beat, RF ≥50 percent, and EROA ≥0.4 cm, respectively

(Experts: Dr Bhabha Nanda Das and Dr Ganesh K Mani, Dr. Yugal Mishra, Dr Deepak Khurana, Dr K S Dagar, Dr Rajesh Kaushish, Dr K S Rathor, Dr Sandeep Singh and Dr KK Aggarwal)

For comments and archives

 
    International News

(Contributed by Dr Monica and Brahm Vasudev)

Mixed message for cranial RT in NSCLC

Conflicting data on prophylactic cranial irradiation left the issue in limbo for patients with non–small cell lung cancer (NSCLC), researchers said. Results of a randomized trial showed a 35% reduction in the risk of brain metastases in patients who had cranial irradiation. However, the trial ended before enough patients could be enrolled to assess the impact of prophylactic cranial irradiation in patients with advanced NSCLC. (Source: Medpage Today)

For Comments and archives…

Biomarkers may refine thyroid cancer diagnosis

A three–step genetic analysis of thyroid nodule tissue, obtained by fine needle aspiration, could improve the diagnosis of cancer, researchers reported. (Source: Medpage Today)

For Comments and archives…

SPECT perfusion imaging works fine in women

SPECT myocardial perfusion imaging (MPI) is as accurate among women as men, according to data from a meta–analysis presented at the annual meeting of the American Society of Nuclear Cardiology (ASNC).

For Comments and archives…

Balloons carve spot in myeloma spine disease

Kyphoplasty for vertebral compression fractures led to significant pain relief and height restoration for patients with multiple myeloma, an analysis of small clinical series showed. (Source: Medpage Today)

For Comments and archives…

 
    Twitter of the Day

@DrKKAggarwal: Monsoon Reduces The Immunity Of The Body

@DeepakChopra: Our growing, evolving universe is much more like an organism than a machine. http://bit.ly/DpkBook #ScienceSetFree

 
    Spiritual Update

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinews)

What are the dietary restrictions in Buddhism?

Buddhism strictly prohibits alcohol. To obtain meat, you have to kill a sentient being which is the biggest sin. Therefore, consuming any kind of meat is not encouraged or

For Comments and archives…

 
    4th Asia Pacific Vascular Intervention Course (APVIC)
  • 4th Asia Pacific Vascular Intervention Course–Excerpts from a Panel discussion Read More
  • The 4th Asia Pacific Vascular Interventional Course begins Read More
  • Excerpts of a talk and interview with Dr. Jacques Busquet by Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and Editor–in–Chief Cardiology eMedinewS Read More
  • 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • Press Conference on 4th Asia Pacific Vascular Intervention Course – Dr KK Aggarwal with Faculty Read More
  • 4th Asia pacific vascular intervention course Read More
  • 4th Asia pacific vascular intervention course paper clippings Read More
 
    Infertility Update (Dr Kaberi Banerjee, IVF expert, New Delhi)

Smoking cessation as a treatment issue in couples undergoing fertility therapy

Cessation of smoking for at least two months before attempting IVF signi?cantly improved chances for conception. Although long–term cigarette smoking can have an irreversible effect on ovarian function, the harmful effect on treatment outcome may, in part, be reversed if smoking is discontinued prior to entering into fertility therapy.

For Comments and archives…

 
    Tat Tvam Asi………and the Life Continues……

(Dr N K Bhatia, Medical Director, Mission Jan Jagriti Blood Bank)

How is blood formed?

Blood consists of RBCs, WBCs and platelets suspended in plasma. In early embryonic life, blood cells are formed in liver and spleen. But by the 5th month, hemopoiesis (i.e., formation of blood) occurs in bone marrow and lymphatic tissues. At birth, the entire bone marrow is red and active. Gradually as the child grows, only the marrow in the flat bones and vertebrae remains red. The RBCs, grannulocytes of WBCs and platelets are mainly produced by bone marrow. The lymphocytes, monocytes, plasma cells are formed in the lymphoid and reticuloendothelial tissues. The orderly proliferation of the cells in the bone marrow and their release into circulation is carefully regulated according to the needs of body. Everyday new blood cells are being produced in the bone marrow and every day old cells are dying and are being removed from the body.

Red blood cells have life of 120 days i.e. any red cell formed in the body will live for the next 120 days and when it becomes old and senile it is thrown out. White cells live for a couple of weeks and platelets for a few days.

For Comments and archives…

 
    An Inspirational Story (Ms Ritu Sinha)

The doll and the white rose

I was walking around in a Target store, when I saw a Cashier hand this little boy some money back. The boy couldn’t have been more than 5 or 6 years old. The Cashier said, "I’m sorry, but you don’t have enough money to buy this doll." Then the little boy turned to the old woman next to him:" Granny, are you sure I don’t have enough money?" The old lady replied:" You know that you don’t have enough money to buy this doll, my dear." Then she asked him to stay there for just 5 minutes while she went to look around. She left quickly.

The little boy was still holding the doll in his hand. Finally, I walked toward him and I asked him who he wished to give this doll to. It’s the doll that my sister loved most and wanted so much for Christmas. She was sure that Santa Claus would bring it to her. I replied to him that maybe Santa Claus would bring it to her after all, and not to worry. But he replied to me sadly. "No, Santa Claus can’t bring it to her where she is now. I have to give the doll to my mommy so that she can give it to my sister when she goes there."

His eyes were so sad while saying this. "My Sister has gone to be with God. Daddy says that Mommy is going to see God very soon too, so I thought that she could take the doll with her to give it to my sister." My heart nearly stopped. The little boy looked up at me and said: "I told daddy to tell mommy not to go yet. I need her to wait until I come back from the mall." Then he showed me a very nice photo of him where he was laughing. He then told me "I want mommy to take my picture with her so she won’t forget me." "I love my mommy and I wish she doesn’t have to leave me, but daddy says that she has to go to be with my little sister." Then he looked again at the doll with sad eyes, very quietly.

I quickly reached for my wallet and said to the boy. "Suppose we check again, just in case you do have enough money for the doll?" "OK" he said, "I hope I do have enough." I added some of my money to his without him seeing and we started to count it. There was enough for the doll and even some spare money. The little boy said: "Thank you God for giving me enough money!" Then he looked at me and added, "I asked last night before I went to sleep for God to make sure I had enough money to buy this doll, so that mommy could give it to my sister. He heard me!" "I also wanted to have enough money to buy a white rose for my mommy, but I didn’t dare to ask God for too much. But He gave me enough to buy the doll and a white rose." "My mommy loves white roses."

A few minutes later, the old lady returned and I left with my basket. I finished my shopping in a totally different state from when I started. I couldn’t get the little boy out of my mind. Then I remembered a local news paper article two days ago, which mentioned a drunk man in a truck, who hit a car occupied by a young woman and a little girl. The little girl died right away, and the mother was left in a critical state. The family had to decide whether to pull the plug on the life-sustaining machine, because the young woman would not be able to recover from the coma. Was this the family of the little boy? Two days after this encounter with the little boy, I read in the news paper that the young woman had passed away. I couldn’t stop myself as I bought a bunch of white roses and I went to the funeral home where the body of the young woman was exposed for people to see and make last wishes before her burial. She was there, in her coffin, holding a beautiful white rose in her hand with the photo of the little boy and the doll placed over her chest. I left the place, teary–eyed, feeling that my life had been changed forever. The love that the little boy had for his mother and his sister is still, to this day, hard to imagine. And in a fraction of a second, a drunk driver had taken all this away from him.

The value of a man or woman resides in what he or she gives, not in what they are capable of receiving…

For comments and archives

 
   Cardiology eMedinewS

Non–alcoholic red wine may help reduce blood pressure Read More

Calcification of renal arteries may increase death risk Read More

 
   Pediatric eMedinewS

Pyloric stenosis risk linked to bottle–feeding Read More

Swallowing tiny batteries big problem in kids Read More

 
    IJCP Special

Dr Good Dr Bad

Situation: A patient had a strong family history of cancer.
Dr Bad: Just get regular check ups.
Dr Good: Take low dose aspirin.
Lesson: An observational analysis published online in The Lancet reported that long–term daily aspirin may prevent cancer deaths. (Ref: Rothwell PM, et al. Effect of daily aspirin on long–term risk of death due to cancer: analysis of individual patient data from randomised trials. Lancet 2011 Jan 1;377(9759):31–41)

For comments and archives

Make Sure

Situation: A patient with acid peptic disease was denied any painkiller for his distressing illness.
Reaction: Oh, my God! Why did you not give him nimesulide?
Lesson: Make Sure to prescribe nimesulide as it is safe in acid peptic disease.

For comments and archives

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Photos and Videos of 3rd eMedinewS – RevisitinG 2011 on 22nd January 2012

Photos of Doctor’s Day Celebration

 
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  Quote of the Day (Dr GM Singh)

If you judge people, you have no time to love them. Mother Teresa

 
  Legal Question of the Day (Dr MC Gupta)

Q. Please answer the following as regards drug trials:

  • Under what provision of law are drug trials permitted?
  • What are the penal provisions for violation of the condition of a drug trial?
  • Are the drug inspectors under Drugs and Cosmetics Act competent to take prosecution steps against violation of drug trial rules?
  • What are the examples of criminal cases registered at Police Stations for violation of drug trial provisions?
  • What are the examples of court cases related to drug trial violations?

Ans.

  1. Drug trials cannot be undertaken without prior permission in accordance with Rule 122–DA of the Drugs and Cosmetics Rules, 1945, reproduced below:
    "122DA. Application for permission to conduct clinical trials for New Drug/Investigational New Drug.–
    (1) No clinical trial for a new drug, whether for clinical investigation or any clinical experiment by any institution, shall be conducted except under, and in accordance with, the permission, in writing, of the Licensing Authority defined in clause (b) of Rule 21."
  2. Violation of the condition of a drug trial can invite action under Rule 122-DB of the Drugs and Cosmetics Rules, 1945, reproduced below: "122DB. Suspension or cancellation of Permission/Approval – If the importer or manufacturer under this Part fails to comply with any of the conditions of the permission or approval, the Licensing Authority may, after giving an opportunity to show cause why such an order should not be passed, by an order in writing stating the reasons therefore, suspend or cancel it." Please note that, in addition to the above, any drug trial resulting in any damage to anybody would invite further civil or criminal liability as per law.
  3. It does not appear that the drug inspectors under Drugs and Cosmetics Act are competent to take prosecution steps against violation of drug trial rules.
  4. Some examples of FIRs in connection with drug trials are given below:
    1. A man in Indore alleged that his two days old son was given vaccine Imovax, produced by Panacea Biotech, as a part of a drug trial in a private hospital following which he developed adverse reactions. The SSP (Indore) A. Sai Manohar said nothing much can be done about the complaint. "There are no relevant sections to book the accused". http://articles.timesofindia.indiatimes.com/2012–01–21/indore/30650107_1_drug–trial–drug–
      trail–police–stations
      NOTE—This was a wrong statement by the SSP. The police could have registered an offence for causing hurt as defined in section 319, IPC. The police refused to register an FIR unless the complainant got his complaint verified by the treating hospital. This was a highly objectionable and illegal stand taken by the police. It was the duty of the police to refer the complaint to the medical council or to a government hospital for an independent opinion and to register an FIR if there was an adverse opinion against the hospital.
    2. An FIR was registered against Sun Pharma in September 2002 in connection with the drug trial of Citalopram, an anti–psychotic drug. http://articles.timesofindia.indiatimes.com/2002–09–10/ahmedabad/27314690_1_clinical–
      trial–drug–trial–amarsinh–vasava
    3. On April 4, an FIR pertaining to illegal drug trial, cheating, and fraud was lodged against Dr Amul Bhattacharya, the assistant professor with the M P Shah Medical College, Jamnagar. http://www.indianexpress.com/news/illegal–drug–trials–cast–a–shadow–on–cancer–
      institute/443905/2
    4. An example of judicial notice of illegal drug trials was recently published as given below— http://newstrackindia.com/newsdetails/2012/07/16/115–Supreme–Court–pulls–up–Centre–
      Madhya–Pradesh–govt–on–illegal–drug–trials.html

According to the news item—

"The Supreme Court on 16–7–2012 expressed concern over alleged illegal clinical trial of drugs in the country, saying its "unfortunate" that humans were being treated as "guinea pigs".

A bench headed by Justice R M Lodha pulled up the Central Government and the Madhya Pradesh Government for not filing their response on PILs alleging large–scale illegal drug trials in the state and other parts of the country.

The bench said, "There has to be some sense of responsibility (on the part of the government). "Human beings are being treated as guinea pigs. This is unfortunate," the bench said granting the government and Medical Council of India eight weeks more time to file their replies.

The bench was hearing two PILs filed by a group of doctors and an NGO alleging that illegal and unethical clinical trials were being done on poor persons including juveniles, tribals and dalits who were used as guinea pigs for testing of drugs and vaccines produced by multinational corporations.

Pointing out various cases of illegal drug trials in Indore, the petitioners have said many people have lost their lives during the trials.

"Over 3,300 patients were used for the tests. Approximately 15 government doctors were involved. About 40 private doctors in 10 private hospitals were involved. "Clinical trials were conducted on 233 mentally–ill patients, 1,833 children in the age group of one day to 15 years. Approximately Rs. 5.5 crores were paid to the government doctors alone. In 2008, there were 288 deaths, in 2009, there were 637 deaths, and in 2010, there were 597 deaths," the PILs have alleged."

 
    Stem Cell Update (Dr S K Verma, Consultant Ophthalmologist, New Delhi)

Using highly purified mesenchymal stem cells, researchers from Duke University Health System have proven that it is possible to prevent the development of arthritis in mice after injury.

 
  Lab Update (Dr Arpan Gandhi and Dr Navin Dang)

BUN: Creatinine ratio

The BUN: creatinine ratio is usually >20:1 in prerenal and postrenal azotemia, and <12:1 in acute tubular necrosis. Other intrinsic renal diseases characteristically produces a ratio between these values.

 
    Mind Teaser

Read this…………………

Which is an incorrect statement pertaining to the following procedures for cancer diagnostics?

A. Biopsy is the removal of suspicious tissue and the only definitive method to diagnose cancer
B. Ultrasonography detects tissue density changes difficult to observe by X–ray via sound waves.
C. CT scanning uses magnetic fields and radio frequencies to provide cross–sectional view of tumor
D. Endoscopy provides direct view of a body cavity to detect abnormality.

Yesterday’s Mind Teaser: High uric acid levels may develop in clients who are receiving chemotherapy. This is caused by:

A. The inability of the kidneys to excrete the drug metabolites
B. Rapid cell catabolism
C. Toxic effect of the antibiotic that are given concurrently
D. The altered blood ph from the acid medium of the drugs

Answer for Yesterday’s Mind Teaser: B. Rapid cell catabolism

Correct answers received from: Dr Ajay Gandhi, Raghavendra H Gobbur, Dr Rajiv Kohli, Dr KV Sarma, Prabha Sanghi , Dr PC Das, Dr Thakor Hitendrsinh G, Dr Pankaj Agarwal, Dr Jainendra Upadhyay,
Dr Chandresh Jardosh, Dr Kanta Jain, Dr AP Bhatia, Dr K Raju, Muthumperumal Thirumalpillai, Dr Avtar Krishan, Dr Valluri Ramarao.

Answer for 9th September Mind Teaser: B. "My 7 year old twins should not come to visit me while I’m receiving treatment."
Correct answers received from: Dr Valluri Ramarao, Dr PC Das, Dr Thakor Hitendrsinh G, Dr K Raju,
Dr LC Dhoka.

Send your answer to ijcp12@gmail.com

 
    Laugh a While (Dr GM Singh)

The Leave Application

An employee applied for leave as follows: "Since I have to go to my village to sell my land along with my wife, please sanction me one–week leave."

 
  Medicolegal Update

(Dr Sudhir Gupta, Additional Prof, Forensic Medicine & Toxicology, AIIMS)

What is lucid interval?

Lucid interval is the period during which the mentally unsound person behaves very much like a normal person. During this period all the signs and symptoms of insanity are absent. The person is responsible for all his acts performed during the period of lucid interval.

For comments and archives

 
    Public Forum

(Press Release for use by the newspapers)

Post monsoon health problems

The dramatic change in weather during and post–monsoon results in a range of health concerns, said Padma Shri and Dr B C Roy national Awardee Dr KK Aggarwal President Heart Care Foundation of India.

Here are the top five post monsoon illnesses which one can prevent:

1. Dengue fever

Dengue fever is a viral infection that is carried by mosquitoes and causes fever, body aches, joint pain, and rash. It is spread by what’s known as the tiger mosquito (Aedes Aegypti), which has black and white stripes and typically bites in the early morning or at dawn. These mosquitoes are also known to spread the Chikungunya fever virus. Dengue is most common in India during the few months after the monsoon, but also occurs during the monsoon season.

Preventive measures: Unfortunately, there aren’t any drugs available to prevent the virus. As it’s transmitted via mosquitoes, one should wear a strong insect repellent containing DEET to prevent getting bitten. Avoid wearing perfume and aftershave, and dress in light-colored loose clothing.

2. Malaria

Malaria is another mosquito-transmitted disease that is common during and after the monsoon, when mosquitoes have had a chance to breed in stagnant water. The more severe falciparum strain is the most active after the monsoon.

Preventive measures: Take an antimalarial drug such as mefloquine, atovaquone/proguanil, or doxycycline. Also take measures to prevent against mosquito bites.

3. Viral fever

Viral fever is quite common in our country during changes in weather. It’s characterized by fatigue, chills, body aches and fever. The illness is usually transmitted through the air by droplets from infected people, or by touching infected secretions. It lasts from 3 to 7 days, with the fever at its most severe in the first three days. Respiratory symptoms tend to develop later on, and can include cough and in severe cases pneumonia.

Preventive measures: Unfortunately, viral fever is easily spread and difficult to prevent. Medications are available to treat the symptoms and control the side effects where necessary, but one should consult a doctor if you get viral fever.

4. Heat–related illness

Dehydration and heat exhaustion are big issues during the hot weather, particularly for children. Symptoms include absence of urination, lethargy, fatigue, and headaches. Skin rashes, caused by excessive perspiration, are also a concern.

Preventive measures: Drink lots of water (and the popular lemon water –– nimbu paani) and take oral rehydration salts (ORS). Alternatively, add half a teaspoon of salt and 3 teaspoons of sugar into 1 liter of water. Avoid drinking cold soft drinks containing preservatives. Also be aware that air conditioners can encourage dehydration by drying out your system. Bathe at least twice a day to remove perspiration from the skin and keep the body cool. Apply talcum powder to rash areas.

5. Allergies and Hay Fever

Many trees start pollinating from September to October, triggering seasonal allergies among people. Common symptoms include inflammation in the lining of the nose and eyes. Allergic bronchitis, which affects the lung area and may induce breathing problems, can also be a problem.

Preventive measures: Allergy symptoms can be treated to a certain extent by taking anti-allergy and antihistamine drugs. Those who suffer from asthma should always carry their inhaler.

 
    Readers Response
  1. Good information about dengue. Pravin Patel
 
    Forthcoming Events
Dr K K Aggarwal

Dil Ka Darbar

September 23, 2012 at 9:00 AM – 6:00 PM
Tal Katora Indoor Stadium, Connaught Place, New Delhi, 110001
A non stop question answer-session between all the top cardiologists of the NCR region and the public. Event will be promoted through hoardings, our publications and the press. Public health discussions
http://www.heartcarefoundation.org

TOGETHER WE CAN

RELAX *RECREATE* REJUVENATE

Weekend Retreat for Doctors on
Mind – Body – Medicine

8 (Sat) – 9 (Sun) September 2012 At Brahma Kumaris Om Shanti Retreat Centre NH–8, Bhorakalan, Pataudi Road, Bilaspur Chowk, Distt.-Gurgaon

There is NO REGISTRATION FEE but REGISTRATION is MUST
Visit us at: www.togetherwecan.in
Contact: BK Sister Sapna – M – 9650692204
E–mail: bksapna108@gmail.com

 
    eMedinewS Special

1. IJCP’s ejournals (This may take a few minutes to open)

2. eMedinewS audio PPT (This may take a few minutes to download)

3. eMedinewS audio lectures (This may take a few minutes to open)

4. eMedinewS ebooks (This may take a few minutes to open)

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  Personal Cleanliness

  Mental Diseases

  Perfect Health Mela

  FAQs Good Eating

  Towards Well Being

  First Aid Basics

  Dil Ki Batein

  How to Use

  Pesticides Safely

 
    Our Contributors

Dr Veena Aggarwal, Dr Arpan Gandhi, Dr Aru Handa, Dr Ashish Verma, Dr A K Gupta, Dr Brahm Vasudev, Dr GM Singh, Dr Jitendra Ingole, Dr Kaberi Banerjee (banerjee.kaberi@gmail.com), Dr Monica Vasudev, Dr MC Gupta, Dr Neelam Mohan (drneelam@yahoo.com), Dr Navin Dang, Dr Pawan Gupta(drpawangupta2006@yahoo.com), Dr Parveen Bhatia, (bhatiaglobal@gmail.com), Dr Prabha Sanghi, Dr Prachi Garg, Rajat Bhatnagar (http://www.isfdistribution.com), Dr. Rajiv Parakh, Dr Sudhir Gupta