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January 14 2016, Thursday

EDITORIAL
 
     
 
   
   
     

National Medical & Wellness Tourism Promotion Board holds its first meeting - Dr SS Agarwal Dr KK Aggarwal

Medical tourism has been a major growth sector globally. The exorbitant healthcare costs in the affluent Western countries have made healthcare out of reach for even their citizens. Consequently, they are now looking beyond their borders to seek medical treatment.

India has emerged as a prime destination in the last few years for people across the globe in need of medical treatment. Affordability, high quality healthcare, availability of specialist treatment and advanced technologies are just a few reasons that have made India a much sought after destination. Furthermore, the diversity of its flora and fauna, its natural beauty including a rich and vibrant cultural heritage has already put India on the tourist map.  

Tourism also contributes a fair share to the economy of a country. Therefore, the government has important roles to play in the development and refinement of medical tourism in India, not only as a regulator but also as a facilitator. In view of this, the government of India has constituted a Medical and Wellness Tourism Board as a dedicated institution to guide the promotion and positioning of India as a competent and credible medical and wellness tourism destination.

Dr Mahesh Sharma, Union Minister of State (I/C) for Tourism & Culture & Civil Aviation chaired the first meeting of the “National Medical & Wellness Tourism Promotion Board”. The Board has representatives from Government Departments, Tourism & Hospitality sectors, Indian Medical Association and experts in various disciplines including Wellness and Yoga and other stakeholders.

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BREAKING NEWS

Incidence of copycat disease higher in India than thought

Online drugs sale: Delhi and Maharashtra crack down

 
IMA JIMA 

http://module.ima-india.org/ima/jima/2015/September/
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Surgery Update - New imaging technique may enable surgeons to remove all of tumor cells first time

Gynaecology Update - Breast density measurement: inconsistencies abound!

Ophthalmology Update - Downward dog position not good for glaucoma patients

Gastroenterology Update - Not just only lungs, beedis hit the gastric system too!

 

22nd MTNL Perfect Health Mela, the annual flagship event of the Heart Care Foundation of India 

LIFESTYLE UPDATES

eSPIRITUAL - Lohri: Adieu to winters: Til Tadake, Din Jhatake

eWELLNESS - Human body needs servicing too!

INSPIRATIONAL STORY - The Bumblebee

Dilemmas Answered - Dr Anita Kant A 30-year-old lady wanted to conceive immediately after a miscarriage, should she?

What’s Your Take?

1. Doctors are largely silent on whether or not online sale of drugs should be permitted. What is your take?

2. What is the other name for copycat disease and how is it acquired?

 

LIGHTER READING

HUMOR - "As you get older three things happen. The first is your memory goes, and I can't 

Photo -Quiz - Name the disease

   
 
 
INTERACTIVE CORNER

Legal Quote - V. Kishan Rao Vs. Nikhil Super Speciality Hospital & Anr on 8 March, 2010 Civil Appeal No.2641_ of 2010 (Arising out of SLP(C) No.15084/2009)

eMEDI QUIZ 

A 48-yr-old HIV-positive male has a 2-month history of tenesmus, fever/ night sweats, lethargy, weight loss of 14 kgs and anorexia. Which are the two most likely diagnoses?

1. IBD
2. Cryptosporidiosis
3. Tuberculosis
4. Lymphoma
5. Lymphogranuloma venereum colitis
6. Bacterial gastroenteritis

BIOETHICAL ISSUES IN MEDICAL PRACTICE - Unexplained UTI

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No wild poliovirus case reported in SEAR region in 5 years

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Govt showcases low-cost medical innovations

Doctors in UK strike for the first time in 4 decades

PRESS RELEASE

Indian Medical Association condemns the use of Electronic Cigarettes as a way to reduce the number of smokers in the country

 

New Delhi, January 13, 2016: Electronic cigarettes (e-cigarettes) have been touted as a sure fire way to reduce the negative health impacts of smoking, while still delivering nicotine to people accustomed to daily doses. Still, in comparison with available US FDA approved pharmaceutical therapeutics, the safety and efficacy of e-cigarettes as tools to quit smoking are unknown. The Indian Medical Association does not support the use of e-cigarettes and believes that there are many other ways through which individuals can be encouraged to quit smoking

E-cigarettes, invented in China in 2003, has seen a marked increase in global usage since 2010, typically targeting younger, high income, and more educated brackets of society. These e-cigarettes mimic the size and shape of cigarettes and contain a cartridge containing liquid, which includes nicotine (up to 36 mg/ML) amongst other chemicals (usually propylene glycol or glycerol).

Metals such as chromium, nickel, tin, and lead have been found in e-cigarette liquids/vapors amongst other compounds such as phenolic compounds, and volatile organic compounds. Still, constituents of cigarette smoke (carbon monoxide, oxidant gases, and tars for example) are absent in e-cigarettes.

While believed overall to be likely less harmful than cigarette smoke, evidence is not definitive. When heated and aerosolized, the overall safety of propylene glycol (producing the toxin, acrolein) or glycerol is unknown, with fears that propylene glycol may decompose at high temperatures producing propylene oxide. Both of these agents decompose to form carcinogens acetaldehyde and formaldehyde, depending of the batter voltage used in the e-cigarette. Further fluid ingestion could lead to consumption of a dosage of 20-100 mg/ml (in a typical 5 mL vial), against a lethal dose of nicotine of 10 mg in children. While less toxic, second hand smoke also includes serum cotinine, in comparable amounts to cigarette smoke exposure.

Commenting on this, Dr. S.S Agarwal – National President and Padma Shri Awardee Dr. KK Aggarwal – Honorary Secretary General of IMA in a joint statement said, ”The Indian Medical Association believes that e-cigarettes though not as harmful as normal cigarettes are not healthy and their use should not be encouraged. Like hookah’s, they are disguised forms of tobacco addiction and can have serious long-term effects on one’s health. Cigarette smoking and tobacco chewing are one of the leading causes death around the world. The medical fraternity must together raise awareness about making our country smoke free.”

E-cigarettes have been banned in Uruguay, Brazil, Singapore, and Canada – all fairly progressive countries. A WHO report suggested that regulations were needed to stop promotion to non-smokers, and the US FDA refuses to regulate e-cigarettes. These points should be noted by physicians when suggesting alternatives to their patients.

 

 

   
 
 
   
 
     
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