May 14  2015, Thursday
editorial
Psoriasis Update
Dr KK Aggarwal Psoriasis is a complex immune–mediated disease and is a common disorder that affects men and women equally.

Although it can begin at any age, the peak times for disease onset are young adulthood (ages 20 to 30 years) and late middle age (ages 50 to 69 years).

There are multiple clinical subtypes of psoriasis. Plaque psoriasis, the most common presentation of psoriasis, most commonly presents with sharply defined erythematous plaques with overlying silvery scales. The scalp, extensor elbows, knees, and back are common locations for plaque psoriasis lesions.

Psoriatic arthritis occurs in about 30 percent of patients with psoriasis, and precedes the skin manifestations in approximately 15 percent of patients.

A diagnosis of psoriasis can be made by history and physical examination in the vast majority of cases. Occasionally, a skin biopsy is needed to rule out other conditions.

Numerous topical and systemic therapies are available for the treatment of psoriasis. Treatment modalities are chosen on the basis of disease severity, relevant comorbidities, patient preference (including cost and convenience), efficacy and evaluation of individual patient response.
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eMedipics IMA,IJCP,HCFI
Heart Care Foundation of India, a leading national non-profit organization celebrated World Earth Day jointly with Indian Medical Association, the Ministry of Earth Sciences, Govt. of India
News
  • Do not take painkillers if you are on drugs for high blood pressure. Taking two anti-hypertensives, a diuretic and an ACE inhibitor or angiotensin-receptor blocker along with a painkiller (NSAID) significantly increases the risk of hospitalization for acute kidney injury, particularly in the first 30 days of treatment. The absolute risk may be low but one needs to be aware of it and one should use only paracetamol in this situation (BMJ).
  • Insulin-treated type 2 diabetes (I-T2D) patients have a greater probability of stopping insulin after Roux-en-Y gastric bypass surgery (RYGB) than after laparoscopic adjustable gastric banding (LAGB) (62% vs. 34%, respectively, at 1 year), with weight-independent effects in the early months after surgery. These findings support RYGB as the procedure of choice for reversing I-T2D.
  • TSH is positively associated with serum TC and LDL-C in euthyroid diabetic women, as per a study in BMC Endocr Disord. 2015;15(12).  (Medscape)
  • Women experience less pain during insertion with an experimental nitinol intrauterine device (IUD) as compared to a copper-T IUD, and are more likely to continue using it, suggests new research presented at the American Congress of Obstetricians and Gynecologists Annual Clinical Meeting 2015.
  • Women with acute asthma going to the emergency department (ED) have a two-fold increased risk of hospitalization compared to men, despite having less severe attacks and better long-term care, reported new research published online in Annals of Allergy, Asthma & Immunology.
Vaccine Recommendations for Older Adults
Vaccine
General Recommendations
Notes
Influenza
All adults
For adults aged =65 intramuscular only; standard or high dose
Pneumococcal conjugate vaccine
All adults aged ≥65
Pneumococcal polysaccharide vaccine 6–12 months later
Zoster vaccine
All adults aged =60
Live vaccine, avoid if immunocompromised
Tetanus, diphtheria, acellular pertussisa
Give once to all adults
No upper age limit
Hepatitis A
No age-specific recommendation; give based on risk factors
Hepatitis B
Give based on risk factors
Recommended for <60 with DM; consider if ≥60 with DM
Measles or MMR
Adults born before 1957 considered immune; if born after 1957, documentation of =1 dose of MMR
Live vaccine, avoid if immunocompromised

MMR = measles, mumps, rubella; DM = diabetes mellitus.

aWhen it is given after an injury it is considered a treatment and not a preventive measure.
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Dr KK Spiritual Blog
I want to live after my death

In my workshops, whenever I ask delegates as to how long they want to live, the answer I get from most of them is 60, 70 or 80 years. While answering they forget that they are only talking about the death of the physical body but what about the mental, social, intellectual and spiritual bodies.

It is well known that the soul never dies and so follow your Sanskars and do good work. The aim of life should be that one should live even after the death of his or her physical body. It is your good Karmas, which keep your memories alive even after your physical death.

It is equally true that your bad Karmas too can make people remember you after death but that is not the purpose of life. We would like to be remembered as Rama and not like Ravana after death.

In Vedic language, your present is decided by your past and your future is decided by your present. To improve your future you need to work positively in your present.

When you start working positively in your present moment, you will start neutralizing your bad karmas. It is like washing a dirty shirt, which will not become stain free in one washing. Only with repeated washings can it become stain-free. Similarly washing away your bad karmas with good karmas will take time.

It is possible that even when one starts doing good Karmas, one may still suffer as the sum total of past karmas may not have been neutralized by that time.

For example, if a dacoit surrenders and wants to live a civilian life he may be pardoned to some extent but may still be jailed for some duration of time. In other word he may be pardoned from death sentence and given life sentence.

As per Bhagavad Gita, whatever your thoughts are at the time of death will decide the atmosphere you will get in your rebirth. It also says that whatever will be your thoughts throughout your life will be your thoughts at the time of your death.

So do not expect that you can acquire positive thoughts at the time of death if you have been thinking negative throughout your life.
The gist is to start doing good actions in the present.
Cardiology eMedinewS
  • New data from several studies suggest that thrombolysis may be effective in stroke patients who present later than 4.5 hours after symptom onset and who have a particular abnormality identified by sophisticated imaging techniques. The studies were presented at the recent European Stroke Organisation (ESO) Conference 2015.
  • There may be no need for additional procedures after a patient with persistent atrial fibrillation undergoes pulmonary-vein isolation (PVI), suggests the Substrate and Trigger Ablation for Reduction of Atrial Fibrillation Trial Part II (STAR AF 2). The findings were published in the New England Journal of Medicine.
Pediatrics eMedinewS
  • Pregnant women should be vaccinated against pertussis during each pregnancy to protect their infants from the infection, according to new recommendations from the Global Pertussis Initiative (GPI). The recommendations are published online May 11 in Pediatrics.
  • Kids and teens who suffer a concussion worry about their academic skills in the weeks afterward, and older kids and those with more severe symptoms seem to worry the most, according to a new study reported in Pediatrics.
Make Sure
Situation:A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure 90/80 ignored?
Lesson: Make sure that a pulse pressure of less than 20 is not ignored, it is an impending sign that the patient is going into shock.
Dr Good Dr Bad
Situation:A patient with lung cancer was prescribed lung nosodes. 

Dr Bad: It has no role.

Dr Good: Homeopaths prescribe it.

Lesson: Different pathies have different treatments.

(Copyright IJCP)
Media
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Inspirational Story
A Gardener and the Portrait

A very wealthy man and his son loved to collect rare works of art. They had everything in their collection, from Picasso to Raphael. They would often sit together and admire the great works of art. When the Vietnam conflict broke out, the son went to war. He was very courageous and died in battle while rescuing another soldier.

The father was notified and he grieved deeply for his only son. About a month later, just before Christmas, there was a knock at the door. A young man stood at the door with a large package in his hands.

He said, "Sir, you don’t know me, but I am the soldier for whom your son gave his life. He saved many lives that day, and he was carrying me to safety when a bullet struck him in the heart and he died instantly. He often talked about you, and your love for art."

The young man held out his package. "I know this isn’t much. I’m not really a great artist, but I think your son would have wanted you to have this." The father opened the package. It was a portrait of his son, painted by the young man.

He stared in awe at the way the soldier had captured the personality of his son in the painting. The father was so drawn to the eyes that his own eyes welled up with tears. He thanked the young man and offered to pay him for the picture. "Oh, no sir, I could never repay what your son did for me. It’s a gift."

The father hung the portrait over his mantle. Every time visitors came to his home he took them to see the portrait of his son, before he showed them any of the other great works he had collected. The man died a few months later. There was to be a great auction of his paintings.

Many influential people gathered, excited over seeing the great paintings and having an opportunity to purchase one for their collection. On the platform sat the painting of the son. The auctioneer pounded his gavel. "We will start the bidding with this picture of the son. Who will bid for this picture?" There was silence.

Then a voice in the back of the room shouted, "We want to see the famous paintings. Skip this one." But the auctioneer persisted. "Will someone bid for this painting? Who will start the bidding? $100, $200?"

Another voice shouted angrily. "We didn’t come to see this painting. We came to see the Van Goghs, the Rembrandts. Get on with the real bids!" But still the auctioneer continued. "The son! The son! Who’ll take the son?"

Finally, a voice came from the very back of the room. It was the longtime gardener of the man and his son. "I’ll give $10 for the painting." Being a poor man, it was all he could afford. "We have $10, who will bid $20?" "Give it to him for $10. Let’s see the masters." "$10 is the bid, won’t someone bid $20?"

The crowd was becoming angry. They didn’t want the picture of the son. They wanted the more worthy investments for their collections. The auctioneer pounded the gavel. "Going once, twice, SOLD for $10!" A man sitting on the second row shouted, "Now let’s get on with the collection!"
The auctioneer laid down his gavel. "I’m sorry, the auction is over."

"What about the paintings?"

"I am sorry. When I was called to conduct this auction, I was told of a secret stipulation in the will. I was not allowed to reveal that stipulation until this time. Only the painting of the son would be auctioned. Whoever bought that painting would inherit the entire estate, including the paintings. The man who took the son gets everything!"
Events
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Wellness Blog
All About Calcium Carbide
 
  • Under PFA Section 44AA, the use of calcium carbide for artificial ripening of mangoes, apple, plum, banana is prohibited and can attract both imprisonment and fine.
  • Calcium carbide powder is usually kept wrapped in paper between the fruits (unripe mangoes) in a basket or box.
  • Once the basket of mango is closed from the top, calcium carbide absorbs moisture and produces acetylene gas, which accelerates the ripening process of fruits.
  • The health hazards are related to the gastrointestinal tract, kidney, heart, liver and brain and in long run cancer.
  • Calcium carbide 1kg is available for Rs. 25/– and is sufficient to ripen 10 tons of fruit.
  • How do we know that the fruit has been artificially ripened with calcium carbide?
    • It will be less tasty.
    • The aroma will be different
    • It is uniform in color.
    • The color of the mango changes from green to dark yellow.
    • It will have a shorter shelf life.
    • It will be overtly soft.
    • There may be black patches on the mango skin.
    • There may be multi color patches on the skin of the mango (Red, yellow, green patches)
  • How should artificially ripened fruits be handled?
    • Never eat off–season fruits, especially before time
    • Rinse all fruits in running tap water for few minutes before use.
eMedi Quiz
Since sunscreen-awareness campaigns began, have skin-cancer rates decreased?

A. Yes, fewer people are getting skin cancer.
B. No, skin-cancer rates and deaths from the disease are on the upswing.
C. No, skin cancer is on the rise, but fatalities are down.
D. Skin-cancer rates have been stable over the past decade.
E. Yes, but only among older women.

Yesterday’s Mind Teaser: How much exercise do you really need?

A. 45 minutes twice a week.
B. 30 minutes three or four days a week.
C. 60 minutes at least three or four days a week.
D. 30 minutes at least four or five days a week.
E. It depends on your age and overall physical-fitness level.

Answer for yesterday’s Mind Teaser: D. 30 minutes of exercise at least four times a week.

Correct Answers received from: Dr Lakshmi, Dr K C Sharma, Dr Jainendra Upadhyay, Raju Kuppusamy, Tukaram Pagad, Dr K V Sarma, Dr Shangar Pawar.

Answer for 12th May Mind Teaser: C. about 30 percent of your total calories should be from fat.

Correct Answers received: Dr Poonam Chablani, Dr G Madhusudhan, Dr K C Sharma.
eMednewS Humor
Jogging Shoes

Deciding to take up jogging, the middle–aged man was astounded by the wide selection of jogging shoes available at the local sports shoe store.

While trying on a basic pair of jogging shoe, he noticed a minor feature and asked the clerk about it.

"What’s this little pocket thing here on the side for?"

"Oh, that’s to carry spare change so you can call your wife to come pick you up when you’ve jogged too far."
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IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
Team IMA at Nepal
Dr. Sujit Damodar Adsul, Anesthesiologist

Upon receiving instructions from Dr Chetan Patel, Secretary of the Disaster Management Cell of the IMA to join the pilot team being sent for providing humanitarian help to the earthquake victims in Nepal, I immediately jumped at the opportunity. Upon reaching the airport, I was introduced to the larger team comprising of doctors from various specialities and the IndiGo team who was supporting our travel for the mission. The doctors present on this special relief mission by IMA included Dr Ashok Gupta, Dr Kanchan Gupta, Dr Shashank and myself. Upon reaching Nepal, we were taken to a small place called Kirtipur, where we set up an OPD in the temple. The medicines were provided to us by Vyodhaya Hospital. We saw some critical patients who needed immediate care including one who had both of his legs crushed under a building. He was operated upon by Dr Shashank and I helped with the administration of the Anesthesia. After helping the people in this region we moved on to Sindupal, one of the worst earthquake affected districts on Day 5.
IMA moots child diarrhoea study with RO plant in slum
May 13, 2015 | Age Correspondent | New Delhi

The Indian Medical Association plans to adopt a model slum area in the national capital to study the impact of safe drinking water in reduction of child deaths due to diarrhoea.

A community RO plant will be placed in the slum for a period of six months for the study. According to the IMA, about three lakh children in the country die every year before the age of three years due to diarrhoea, which can easily be prevented by providing safe drinking water.

The World Health Organisation says that water-borne diseases account for around 4.1 per cent of the total global disease burden, causing over 1.8 million deaths annually, the IMA secretary-general, Dr K.K. Aggarwal, said. “Over 88 per cent of these deaths are attributed to unsafe water supply, sanitation and hygiene. We finalised the plan to install a community RO plant, realising the need to raise urgent awareness nationally about the prevention of water-borne diseases, with a focus on safe water consumption,” said Dr Aggarwal. As per the IMA plan, in association with a water purifier manufacturer, the association will adopt a slum cluster where the community RO plant will be installed. A team of health experts from the IMA and local NGOs will closely monitor the health conditions of people residing in the locality.

“Our team will keep an eye on the deaths caused in the area due to water-borne diseases, including diarrhoea. We are doing this with only aim to reduce the number of deaths caused by water-borne diseases through mass awareness drives and educational initiatives,” added Dr Aggarwal.

The IMA claimed that about 70 per cent of the population in the country has no access to safe drinking water, so has a high percentage of infections transmissible by contaminated water, including diarrhoea, typhoid, Hepatitis A and E. “Drinking contaminated water can lead to the transmission of parasitic infections.”
WMA Newsletter May 2015
WMA News & Advocacy

Involvement of physicians in inhuman state punishment condemned by WMA

The WMA has condemned unreservedly the practice in Iran of involving physicians in delivering punishment to people convicted of crimes.
 
WMA warns against making essential anaesthetic a controlled drug

The WMA urged its member associations to lobby their governments to oppose scheduling the anaesthetic agent ketamine as a controlled drug.
 
Addressing the social determinants of health: Roles of physicians and national medical associations

This was the theme of a global symposium organized by the British Medical Association, Canadian Medical Association, World Medical Association, and the UCL Institute of Health Equi­ty, which took place in London from 24 to 25 March. Participants discussed actions that can be undertaken by physicians to address health inequities among pa­tients and communities, recommendations for national medical associations, and the establishment of an international network and knowledge exchange platform focusing on social determinants of health and health equity.
 
WMA supports opposition to Korean government medical plans

Plans by the South Korean Government to allow traditional practitioners of oriental medicine to use modern medical equipment have been condemned by the World Medical Association as costly and a danger to patient safety.
 
Public consultation opened on health databases and biobanks

The WMA has launched a public consultation on the ethical issues surrounding health databases and biobanks. The deadline for comments is 5 June 2015.
 
WMA Council Meeting, April 2015 in Oslo

The 200th WMA Council meeting, held in Oslo, Norway from 16-18 April, was attended by delegates from more than 35 national medical associations. The attendees discussed issues including alcohol, mobile health, social determinants of health, street children, nuclear weapons and riot control agents. Those highlighted included:
 
  • Support for growing moves for plain tobacco packaging
  • Condemnation of growing violence against doctors -
  • A WMA Resolution urging governments to ensure the protection of health care in trade agreements
Elections also took place for key Council positions. Dr Ardis Hoven, Immediate Past President of the American Medical Association, was elected as the first female chairperson of the WMA.
 
WMA Global Influenza Immunization Campaign update

During the World Immunization Week from 24 – 30 April, the World Medical Association embarked on the third phase of its global immunization campaign against seasonal influenza. In 2015, the campaign will continue to encourage physicians to act as role models for their patients and get immunized against the flu. The campaign’s secondary target will be children as one of the vulnerable groups.
 
WMA General Assembly, 14 - 17 October 2015, Moscow, Russia
The next WMA General Assembly will be held from 14 - 17 October 2015 in Moscow, Russia.

International Update
 
World Health Assembly 2015, 18 - 26 May, Geneva, Switzerland

The upcoming World Health Assembly (WHA) will address issues of interest for the WMA, including: non-communicable diseases, the health impact of air pollution, antimicrobial resistance and the global vaccine action plan. Events taking place in Geneva to coincide with the WHA include:
  • WHPA Luncheon at noon on Monday, 18 May at the Intercontinental Hotel
  • WMA Luncheon at noon on Tuesday, 19 May at the Château de Penthes
Thematic Report on Juveniles by UN Special Rapporteur on Torture, March 2015

In his latest report, the Special Rapporteur on Torture, Juan E. Méndez, focuses on children deprived of their liberty. He has examined the current legal framework protecting children from torture and ill-treatment, and identified the particular obligations of states. Even very short periods of detention can undermine a child’s psychological and physical well-being and compromise cognitive development, concludes the Special Rapporteur.

This year’s major thematic focus is on pre-trial detention, which the SPT links to a number of forms of torture and ill-treatment. The report discusses the ways in which the overuse of pre-trial detention is linked to forced confessions and the poor treatment of detainees. The report also places an emphasis on the range of different actors, including judges and prosecutors, medical professionals, and members of civil society, that must be engaged by preventive bodies if pre-trial detention numbers are to be reduced.

Report on “Ethical Guidelines and Practices for U.S. Military Medical Professionals”

Military physicians everywhere often face serious problems of dual loyalty.
 
Green News

Launch of major new Australian Academy of Science report: Climate change challenges to health: Risks and opportunities

Australia's top medical and science organisations have joined forces to call for action from the Australian government to plan for and address the impacts of climate change on human health. The report, which is backed by the Australian Medical Association (AMA), makes eight key recommendations, including programs to prevent health impacts upon the sick, the elderly, poor and those in remote communities.

WHO Chemical Risk Assessment Network: New projects and training database

Two new projects have been launched by the WHO Chemical Risk Assessment Network: "Assessing immunotoxicity risk associated with exposure to nano materials” and "Review of chemical-specific adjustment factors in risk assessment". In addition, the new network train­ing database is now available, providing information on not-for-profit training courses related to human health chemical risk assessment.
 

Conferences

WHPA biannual leadership forum, 17 May 2015, Geneva, Switzerland

The WHPA will hold its biannual leadership forum on 17 May, prior to the World Health Assembly, and invites all WMA leaders to participate in the meeting. This year’s agenda will focus on the health workforce implications of policies in all sectors, and will lead to the WMA and the WHPA cooperating closely with WHO to develop their new Global Health Workforce Strategy. The afternoon programme will deal with the way forward in an aging society and an aging workforce. More information will be sent out shortly.
 
WVA/WMA conference on Drivers towards One Health, 21 - 22 May 2015, Madrid, Spain

The World Veterinary Association and the World Medical Association, in collaboration with the Spanish medical and veterinary associations, will host a Global Conference on Drivers towards One Health "Strengthening collaboration between Physicians and Veterinarians" in Madrid from 21 - 22 May. The main objectives of the conference are to strengthen links and communication and to achieve closer collaboration in order to improve the health and welfare of humans, animals and the environment.
 
UN Summit to adopt the post-2015 development agenda, 25 - 27 September 2015, New York, USA

This Summit will be convened as a high-level plenary meeting of the United Nations General Assembly.

Global Maternal Newborn Health Conference, 18 - 21 October 2015, Mexico City, Mexico

This conference is open to stakeholders at all levels, including programme managers, policymakers, researchers, clinicians, donors, advocates and representatives of professional organizations.
 
Global Health Conference, 5 - 7 November 2015, Montreal, Canada

The 22nd Canadian Conference on Global Health entitled “Capacity Building: Research and Practice” will be hosted by the Canadian Society for International Health in Montreal.

5th World Health Professions Regulation Conference, 14 - 15 May 2016, Geneva, Switzerland

The WMA, together with the other health professionals of the WHPA, will hold the fifth World Health Professions Regulation Conference on 14 - 15 May 2016 in Geneva.

Publications & Calls for Papers

Cancer research collection and call for papers

In April 2015, to coincide with the annual meeting of the American Association for Cancer Research (AACR), PLOS Medicine launched a Cancer Research Collection together with a call for papers to expand the spectrum of open-access articles on clinically relevant cancer research.
 
Lancet Commission report on Global Surgery 2030

This report covers evidence and solutions for achieving health, welfare, and economic development.

Report: "Doctors in the Crosshairs: Four years of Attacks on Health Care in Syria"

As we approach the fifth year of the conflict, at least 610 medical personnel have been killed and there have been 233 attacks on 183 medical facilities, according to Physicians for Human Rights (PHR).
 
Report: Death sentences and executions in 2014

This Amnesty International report covers the judicial use of the death penalty for the period January to December 2014. 

Report: Global Prison Trends 2015

This report by Penal Reform International is designed to describe key global trends in the use and practice of imprisonment and to identify some of the pressing challenges facing states that wish to organise their penitentiary system in accordance with international norms and standards. 
 
WMA book celebrating the 50th anniversary of the adoption of the Declaration of Helsinki

The WMA has produced a celebratory publication to mark the 50th anniversary of the adoption of the Declaration of Helsinki.

Courses

Summer School on Health Law and Ethics 2015, Erasmus University Rotterdam

This summer school, jointly organised by the Erasmus Observatory on Health Law and the Institute of Health Policy & Management, will take place from 1-10 July 2015.

IMA,IJCP,HCFI
Doctors should boycott the makers of "Gabber is back"
On the issue of Gabber is Back, I feel it is important to locate all the doctors who are treating Akshay Kumar, Sanjay Leela Bhansali and their families to pressurize them to remove objectionable scenes against medical profession from the movie. If they do not budge then these doctors, rather all doctors should boycott these film personalities, rather all film personalities. Doctors should directly attack the goons attacking them. They can at least avoid providing non emergency outdoor treatment and home visits to the film personalities. Jogesh Gambhir, President AHPI Jharkhand.
Awareness drive on water-borne diseases
Bindu Shajan Perappadan: New Delhi, May 13, 2015

To adopt a model slum where a osmosis plant will be placed
Each summer, the city sees a spike in water-borne diseases. However, the Indian Medical Association (IMA) has decided to educate and bring in a positive change this summer with ‘one slum at a time.’

The association has announced that it will be adopting a model slum area in Delhi-NCR where a community-RO (reverse osmosis) plant will be placed for a period of six months to study its impact in reduction of water-borne diseases.

 IMA national president Dr. A Marthanda Pillai, highlighting the issue of safe drinking water for everyone, noted that there is an urgent need to raise urgent awareness nationally about the prevention of water-borne diseases with a focus on safe water consumption. IMA and a private company — which is in the field of treating drinking water — is partnering under the Association’s ‘Swachh Bharat Swasth Bharat’ campaign for this community programme.

Announcing the initiative here on Tuesday, IMA honorary secretary general Dr. K.K. Aggarwal said: “Article 47 makes it one of the primary duties of the State to provide clean and safe drinking water to its citizens. Yet three lakh children in India die due to diarrheal diseases every year before the age of three, a condition that is completely preventable by the elimination of unsafe drinking water.”

“Through this programme, we aim to reduce number of deaths caused by water-borne diseases through mass awareness drives and educational initiatives,” he noted.
Indian Medical Association to serve legal notice to makers of 'Gabbar is Back'
Economics Times: Mumbai: The Indian Medical Association (IMA), an umbrella body of doctors practising modern medicine, has decided to serve a legal notice to "Gabbar is Back" actor Akshay Kumar and producer Sanjay Leela Bhansali for portraying the medical profession in poor light.

"The way the producer and the actor have shown the medical profession is a wrong way. People may lose faith in this noble profession. That is why we have decided to serve them legal notice tomorrow," IMA's honorary secretary general Dr K K Aggarwal told PTI. 

"Medical profession is like a temple and very different from political, police or other fields. Hence, you should be responsible and careful while portraying this profession," Aggarwal added. 

Aggarwal also parried a question on Delhi Chief Minister Arvind Kejriwal's tweet in which he described "Gabbar is Back" as "an amazing movie". 

The IMA, which has more than 2.5 lakh members across India, had yesterday sent a letter to the Union Information and Broadcasting Minister Arun Jaitley complaining that the recently released film projected the medical profession in a bad light. 

In its letter, the IMA demanded that the objectionable scenes be immediately removed from the film. It also demanded that the film's screening be suspended till those scenes are not removed. 

"IMA is anguished over the way medical profession is projected in the movie 'Gabbar is Back'. We have marked copies (of the letter sent to I&B minister) to the Censor Board and the Union Health Minister, hoping that some action will be taken on the same," Dr Jayesh Lele, president-elect, IMA-Maharashtra, said in a statement. 
Water-borne diseases awareness drive launched in Delhi
IANS | New Delhi May 12, 2015

Last Updated at 19:16 IS: Business Standard

 

In a bid to spread public awareness about water-borne diseases, the Indian Medical Association (IMA) launched a drive here on Tuesday.

Titled "Swachh Bharat Swasth Bharat", the campaign has been launched in association with water purifier brand Kent RO.

Under the awareness drive, volunteers of the two organisations will visit rural areas of the country and make people aware about safe drinking water besides educating them about how this can help in preventing water-borne diseases.

"Though it is the primary duty of the states to provide clean and safe drinking water to the people, yet three lakh children in India die due to diarrhoeal disease every year before the age of three," said K.K. Aggarwal, honorary secretary general of IMA.

These deaths could be very easily prevented by the elimination of unsafe drinking water, Aggarwal said.

According to the World Health Organisation, water-borne diseases account for around 4.1 percent of the total global diseases burden causing 1.8 million deaths annually. Of the total, 8.8 percent is attributed to unsafe water supply and bad sanitation and hygiene.

On this occasion the IMA announced it would adopt a model slum area in Delhi and the national capital region (NCR) where a community RO plant will be placed for six months to study its impact on the reduction of water-borne diseases.
Sonal Namaste
Antibiotics are not indicated for most children with acute watery diarrhea; suspected cholera is an important exception in which antibiotic therapy is warranted
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Quote of the Day
Accept responsibility for your life. Know that it is you who will get you where you want to go, no one else. Les Brown
Reader Response
Dear Sir, Very informative news. Regards: Dr Kapil
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Press Release
IMA sends Legal Notice to Sanjay Leela Bhansali and Akshay Kumar

IMA today sent a Legal Notice calling for removal of objectionable scenes from the movie ‘Gabber is Back’ released on 1st May, 2015.

Padma Shri Awardee Dr A Marthanda Pillai, National President, Indian Medical Association (IMA), Dr S S Aggarwal, National President-Elect and Padma Shri Awardee Dr K K Aggarwal, Hony Secretary General, IMA, in a joint statement said that in accordance with the Cinematograph Act, 1952 and other provisions of law, the Director, Producer and Actor are under the obligation and have a responsibility to ensure that no movie or scene of the movie would incite or likely to incite of commission of any offence.

The said movie scene shows doctors intentionally treating a dead patient to make money. The said intentional scene in the movie has not only lowered the dignity of the medical profession, but has also provoked the public at large against the noble profession of the doctors.

The legal notice says that the Producers, Directors and Actors in order to make money create false sensations in the public, so that the movie becomes a hit, which has caused immense loss to the reputation of the doctors.

The Medical Association has demanded to immediately remove the objectionable scene from the movie ‘Gabber is Back’.

IMA has also sent a notice to the Central Board of Certification, Censor Board to ban the movie with immediate effect till objectionable scenes from the movie are removed.

The Association has also called upon the addressees to tender a written apology in national newspapers to the doctors and pay Rs. 5 crore as compensation for damaging the image of the medical profession.

A copy of our Legal Notice is attached herewith.

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Rabies News (Dr A K Gupta)
Is there any dietary restriction during PEP?

It is advisable to abstain from alcoholic drinks during the course of rabies vaccination as it may affect the immune response.