Editor-in-Chief eMediNexus – Dr KK Aggarwal
11th February 2019
Some never events are non-reimbursible: Who should bear the cost of their treatment?

Dr KK Aggarwal, Padma Shri Awardee

Never events are events, such as surgery performed on the wrong patient or wrong site surgery, which should never happen in a healthcare setting. They are defined as adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability.

Ken Kizer, MD, former CEO of the National Quality Forum (NQF) first coined the term never event in 2001. The list of never events has been revised over the years and there are now 29 "serious reportable events" that have been grouped into 7 categories: ....read more

NICE recommendations on antibiotic prescribing for acute cough

Dr KK Aggarwal, Padma Shri Awardee

NICE has published new recommendations on antimicrobial prescribing for acute cough. It says that acute cough is usually self-limiting and resolves within 3 to 4 weeks without antibiotics. The most common cause is a viral upper respiratory tract infection. Acute bronchitis, a lower respiratory tract infection can also cause acute cough.

The guideline advises that medical help should be sought if symptoms worsen rapidly or significantly, do not improve after 3 to 4 weeks, or the person becomes systemically very unwell....read more

Practice Updates

WHO supports five countries to fight Lassa fever outbreaks

With five countries in Western Africa reporting outbreaks of Lassa fever, the World Health Organization (WHO) has scaled up its efforts to support the region’s response to the disease. While these outbreaks are occurring during the Lassa fever season in countries where the disease is endemic, the speed of escalation is of concern.... read more

Delhi High Court asks Centre and Delhi Govt. to frame rare disease policy

Delhi high court on Friday told the Centre and AAP government to swiftly roll out a comprehensive rare disease treatment policy. Justice Manmohan also grilled the Union health secretary, who was present in court, on the manner in which the government had backtracked and withdrawn its earlier policy despite giving an undertaking in court.... read more

Global rates of suicide death have fallen by a third since 1990

The total number of global deaths from suicide increased annually from 762,000 to 817,000 between the years 1990 and 2016. However, after making adjustments for asymmetric age group population growth across the 27-year time span, it was found that the suicide fatality rate actually decreased by nearly a third during that time..... read more

Waste management rules

The Ministry of Environment, Forests & Climate Change, in supersession of Municipal Solid Waste (Management and Handling) Rules, 2000, has notified the Solid Waste Management Rules, 2016. The Rules direct the waste generators to segregate the waste at source and hand over the segregated waste to authorised waste pickers or waste collectors. ...read more

Study of PrEP and vaginal ring for HIV prevention begins in girls and young women

A clinical trial, funded by the National Institutes of Health (NIH), has begun to examine the safety and use of two HIV prevention tools—oral pre-exposure prophylaxis (PrEP) and a vaginal ring—in adolescent girls and young women in southern Africa. The Phase 2a clinical trial is called REACH(link is external),... read more

Higher fruit and vegetable consumption linked to lower risk of early death for dialysis patients

Higher consumption of fruits and vegetables may be associated with a lower risk of premature death in patients undergoing maintenance hemodialysis, according to a study published January 31, 2019 in the Clinical Journal of the American Society of Nephrology. Compared with patients who had 0–5.5 servings of combined fruits and vegetables per week,... read more

Medical Voice

Delhi: Doctors named in RML radiologist's suicide note booked for abetment.

1. It's a case of abetment
2. No, its not. Charges of abetment to suicide cannot be levelled if a "person of weak mentality" names somebody in his suicide note but a subsequent investigation fails to establish the accused... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
a. Hemiplegia
b. Ramsay hunt syndrome
c. Bell's palsy
d. Leprosy
Lifestyle Updates
Inspirational Story 1: Pickup in the Rain
Inspirational Story 2: Emotional management
Urgent need to remove myths and misconceptions about vaccination
This method is one of the most pertinent harm reduction strategies and can help prevent several diseases
New Delhi, 10th February 2019: About 2 to 3 million deaths from diseases such as pneumonia, diarrhea, measles, and diphtheria are averted annually due to vaccinations. They are universally recognized as among the most cost-effective public health interventions. They are an established harm reduction strategy. Although the overall prevalence of complete vaccine refusal is <2%, the same may lead to preventable diseases in an individual. There is thus a need to create awareness about the importance of this method in the country.

The first-ever conference on harm reduction organized on 30th January 2019 by the Heart Care Foundation of India (HCFI) and IJCP focused on vaccination. It discussed how the aim should be to eradicate a disease and if not, then reduce the burden in the society.

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