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Editorial (Dr K K Aggarwal)                                                                                          (Dr RN Tandon)
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11th August, 2017
IMA TB Initiative: DTR-C

Tuberculosis (TB) is a major public health concern in the country. Despite advances in TB care, the disease continues to be a major cause of morbidity and mortality. And, it takes a heavy toll on the economy too. Emergence and spread of drug-resistant TB has become a major public health concern now.

India accounts for one fourth of the global TB burden, both TB and MDR TB, as reported in Global TB Report 2016. Every year, about 1.3 lakh incident multi-drug resistant (MDR) TB cases occur in India, including 79000 MDR-TB cases among the notified pulmonary cases (TB India 2017 Report). The incidence of primary MDR TB may be higher in selected states like Maharashtra. To prevent the epidemic of MDR TB, it should be declared a public health emergency.

 Multidrug resistant (MDR) TB is TB resistant to both isoniazid and rifampicin with or without resistance to other first-line anti-TB drugs. Extensive drug resistant (XDR) TB is TB resistant also to a fluoroquinolone (ofloxacin, levofloxacin or moxifloxacin) and a second-line injectable anti TB drug (kanamycin, amikacin or capreomycin).
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eMedi Humor
Medicolegal Corner
eMedi Quiz
A. Hypervolemia, hypokalemia, and hypernatremia. 
B. Hypervolemia, hyperkalemia, and hypernatremia. 
C. Hypovolemia, wide fluctuations in serum sodium and potassium levels. 
D. Hypovolemia, no fluctuation in serum sodium and potassium levels.
Lifestyle Updates
Inspirational Story 1: One Step
Inspirational Story 2: Peace of Mind
Urinary incontinence is a silent problem in many Indians
Those with the disorder face much stigma, with people isolating such patients due to lack of awareness

New Delhi, 10 August, 2017: Statistics indicate that as many as 24 million Indian adults suffer from urinary incontinence and another 27 million suffer from fecal or bowel incontinence. Although the loss of bladder and bowel control is common in people over the age of 40, it can start at the age of 20 as well. As per the IMA, people are not very kind towards those who lose bladder control and can even go to the extent of isolating such people. Old people, in particular, suffer much stigma due to this condition.
Urinary incontinence is a condition in which a person suffers from leaking of urine especially while coughing or sneezing loudly.
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