eMedinewS
15th October 2014, Wednesday

Dr K K AggarwalPadma Shri, Dr B C Roy National Awardee and National Science Communication Awardee. Limca Book of Record Holder (CPR). Gold Medalist

Dr KK Aggarwal

President, Heart Care Foundation of India; Senior Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, Senior National Vice President, Indian Medical Association; Member Ethics Committee Medical Council of India, Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Limca Book of Record Holder in CPR, Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); 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);
For updates follow at :  www.twitter.com/DrKKAggarwal, www.facebook.com/Dr KKAggarwal

High TGs and cancer link

The US Multi-Society Task Force on Colorectal Cancer has published new consensus guidelines aimed at raising the preparation compliance goal to at least 85%, reports Medscape.

Elevated triglycerides after radical prostatectomy significantly increased the likelihood of prostate cancer recurrence. The risk of recurrence rises about 3% for every 10 mg/dL increase in triglyceride levels.

As per a new retrospective cohort study reported online in Cancer Epidemiology, Biomarkers and Prevention, total cholesterol, LDL, and HDL does not have significant associations with prostate cancer recurrence. In the subgroup of men with dyslipidemia, however, higher total cholesterol levels were associated with an increased risk of recurrence, whereas higher HDL levels decreased the risk.

"These findings, coupled with evidence that statin use is associated with reduced recurrence risk, suggest that lipid levels should be explored as a modifiable risk factor for prostate cancer recurrence," said Stephen J. Freedland, MD, of Duke University.

21st MTNL Perfect Health Mela 2014

 

7th Asia-Pacific Heart Rhythm Scientific Session New Delhi, India

21st MTNL Perfect Health Mela 2014 21st MTNL Perfect Health Mela 2014 21st MTNL Perfect Health Mela 2014

News Around The Globe

  1. The first drug–coated angioplasty balloon catheter was approved today by the FDA for use in the U.S. Called the Lutonix 035 Drug Coated Balloon Percutaneous Angioplasty Catheter (Lutonix DCB), the device's balloon is coated with paclitaxel and for use in native femoropopliteal arteries to prevent restenosis after angioplasty.
  2. CDC Director Tom Frieden, MD, acknowledged that the case of a Dallas healthcare worker who developed Ebola "does change substantially how we address" efforts to prevent additional infections. During a press call with reporters on Monday, Frieden insisted that the case did not undermine the prevailing theories of how Ebola is transmitted. But it does suggest that existing infection control measures may not be adequate.
  3. The Asian Interventional Cardiovascular Therapeutics (AICT) will be celebrating its 10th Anniversary in Jakarta on November 27–29. AICT 2014 will be an important milestone for Asia Pacific Society of Interventional Cardiology(APSIC) as it will be the inaugural year as it's Official Congress. We hope that AICT, as the Official Congress of APSIC, will be a pivotal meeting and the platform for one large Asia Pacific meeting in the region.
  4. PTI News: In a first of its kind initiative, live telemedicine facility will be offered to people visiting the 21st edition of MTNL Perfect Health Mela this year

    Organised by Heart Care Foundation of India, the five day Mela based on the theme 'Swachch Bharat, Swasth Bharat', will feature health check-ups, exhibitions, workshops and infotainment at the Talkatora Indoor Stadium starting from October 15. 

    "A confluence of tradition and modernity, the aim of the Mela is to create mass awareness about all aspects of health. Also a special cleanliness drive will be initiated to raise awareness about the importance of cleanliness and hygiene in disease prevention," said Dr KK Aggarwal, President of the Heart Care Foundation of India. 

    "This year we are moving one step forward and concentrating on actual disease diagnosis and treatment along with prevention. A special feature of this year's event, will be the availability of a live telemedicine facility through which people visiting the Mela can seek consultation from doctors at Medanta – the Medicity," Aggarwal said.

    In addition to this, a Health and Heart Pavilion will be set up in association with SAIL to provide free medical check–ups and disease diagnosis tests to consumers.

    Also heart surgeries at subsidized rates for the poor and needy will be provided by the Heart Care Foundation of India.

    Speaking on the occasion, National Awardee and the Chairman and Director of Medanta – the Medicity, Dr Naresh Trehan said, "As our country moves on the path of development, in the medical field we primarily face two challenges. One is to seamlessly integrate medical advancements in our system to provide the highest quality of care and other is to make medicine more accessible and affordable for all.

    "We will not only just be providing live telemedicine facilities at the venue but have also associated with one of the NGO's key projects the Sameer Malik Heart Care Foundation Fund to provide subsidized surgery for heart patients who can't afford treatment.
  5. The festive season is here and various exhibitions and fairs are sprucing up in every nook and corner of the city. Bringing a different flavour to the ever so popular events culture of Delhi comes the MTNL Perfect Health Mela scheduled to be held between October 15 – 19th 2014 at the Talkatora Stadium in New Delhi from 8am to 8pm.
    Organized by the Heart Care Foundation of India, a leading national not-for-profit organization committed to making India a healthier and disease free nation, jointly with the Delhi Government, NDMC, MCD, SAIL and MTNL; the first Perfect Health Mela was held in 1991. A mélange of entertainment, lifestyle exhibitions competitions, workshops, health education and check–ups; the Mela is based on the concept of creating mass awareness about preventive health measures using a consumer driven model as the base.

     

National News

Bedaquiline fumarate

MUMBAI: Bedaquiline, the first anti-tuberculosis drug manufactured after rifampicin almost 50 years ago, has been effective in five Indian patients.

But it cannot be prescribed to other drug-resistant TB patients because the Indian government, unlike the West and the World Health Organization, has yet to approve its use.

"We got bedaquiline on 'compassionate grounds' at no cost from its Belgium-based manufacturer for 14 patients," said Dr Zarir Udwadia of Hinduja Hospital.


His study about the presence of totally drug–resistant TB, published in Clinical Infectious Diseases in January 2012, forced the Indian government to immediately introduce special treatment plans for Mumbai, considered the world's TB capital. [TOI]

Is an oral diarylquinoline, was approved by the US FDA in 2012 for treatment of multidrug-resistant tuberculosis (MDR–TB). Both CDC and WHO have published recommendations.

Bedaquiline should be used as part of combination therapy for treatment of pulmonary MDR–TB via directly observed therapy for patients >18 years of age. Experience with bedaquiline in special populations is limited, including pediatrics, pregnancy, and in patients with extrapulmonary TB.

Peak concentrations of bedaquiline occur approximately five hours after the oral dose. The drug has a large volume of distribution and extensive protein binding (more than 99.9 percent). Hepatic oxidative metabolism (via isoenzyme CYP3A4) to a largely inactive metabolite is followed by elimination primarily via stool.
Dosing of bedaquiline in adults consists of 400 mg orally once daily for two weeks, followed by 200 mg three times weekly (with at least 48 hours between doses) for a total treatment duration of 24 weeks. It should be administered with food to increase bioavailability.

The FDA issued a black box warning to alert healthcare practitioners regarding an increased rate of death due to QT prolongation has been observed among patients treated with bedaquiline compared with patients treated with placebo (11.4 percent versus 2.5 percent, respectively).  Bedaquiline may also result in increases in liver function tests.

A baseline electrocardiogram (ECG) is warranted, with followup and ECG at least 2, 12, and 24 weeks after starting therapy to monitor for QT prolongation.

 Measurements of serum calcium, potassium, and magnesium should be obtained prior to treatment and corrected if needed. Bedaquiline should be discontinued in patients who develop QTc interval >500 ms or a significant ventricular arrhythmia.

Liver function testing should also be performed prior to initiation of treatment initiation and repeated monthly.

Dr KK Spiritual Blog

Dharma, Artha, Kama and Moksha of Medical Profession

The eras of Ram and Krishna represents two different perceptions of life. While Rama taught us the message of truthfulness, Krishna taught us when not to speak the truth and when is speaking a lie justified.

The medical profession today cannot survive on the principles of Rama. According to principles of Krishna a truth which if spoken may cause harm to someone and if not spoken does not cause any harm may not be spoken. Similarly, a lie, which without harming the community may help a particular person or situation, may be spoken.

In medical profession doctors come across situations every day, where speaking the truth may be harmful to the patient. Quite often false hopes are given and patients of terminal cancer are not told about their exact nature of illness and the prognosis. There is no way a doctor is going to tell the patient that you are going to die in the next 24 hours even if it is medically true.

Dharma, artha, kama and moksha are the four basic purposes of life for which we are born. The basic purpose of life is to fulfill our desires in such a way that we end up in inner happiness. Fulfillment of desires should be done by following the principles of righteous or ethical earning.

Most charges in the hospital settings are different depending upon the categories chosen by the patient. A single room patient invariably has to pay more than a patient admitted in the concessional three–bed room or general ward. Even the charges of the treatment, operation theatre, investigations and consultations may be different depending upon the categories. Taking more money from the rich and helping the poor. This principle is more according to Krishna’s principle than Rama’s.

Placebo therapy is a well-established therapy in medical science, which means treating the patient without giving the actual drug to a patient. The information that the drug does not contain any ingredient is withheld from the patient in this type of therapy. As per the literature, 35% of the illnesses and symptoms may resolve using a placebo and is based on the principle that the very feeling that a medicine is being given stimulates the inner body pharmacy and produces healing substances and chemicals.

Nocebo effect on the other hand means that if the patient is told that your illness is not going to be cured even if medicines are given they may not act as the patient’s body produces negative chemicals, which neutralize the effect of medicines that otherwise are effective.

Indian doctors were known for their social medicine, which involves proper assessing of patients’ and their families’ financial status before deciding the treatment. There is no point giving options to a family to spend 10-15 lakhs of rupees for getting an ICD device implanted in the heart, which may increase life span only by one or two years or improve quality of life for a few years to a family who cannot afford this amount of money and may have to sell their house or spend all the money saved for the marriage of their daughters.

But today, with the Consumer Protection Act applicable to the medical profession also, not informing the family may even amount to negligence.

Inspirational Story

Love One Another

If anyone can relate to my experience, I hope this will help them: My parents raised me very well, with morals and values, one of which was a relationship with Christ. Because I was so rebellious as a teenager, I met a guy with a strong Muslim heritage at the age of 17 (I'm 23 now) and found him irresistible, probably because I knew it was the wrong thing to do.

Well, 6 years later, I realize that my parents really do just want what's best for me. For 6 years I missed out on everything I should have enjoyed during this age: the college "experience", moving out of my parents' house, making new friends and enjoying the old, etc. etc. etc. (I could go on). Because I loved this guy so intensely I did everything I never wanted to do.

I lived at home until just recently. It took me 4 years to obtain a 2 year degree at my local community college, and I abandoned good friends and didn't make any in the meantime just so that I could be with "the one I love".

We stuck around for 6 YEARS because both families knew that we were not being smart by staying together. I became more and more depressed until on my 23rd birthday I took a step back and asked myself, what have you done with your life?

God never crossed my mind as I packed up and left my boyfriend and my family plus everyone I love and who loves me back, so I could get away and think for a while. Now here I was, on my own, away from any influences, and I felt so alone.

I knew my life was not right and I felt as if I was at the bottom of an endless, hopeless hole. After a month of being five states away from home, I hit bottom one Sunday afternoon after breaking up with the guy. I was all alone in my apartment, sobbing uncontrollably, when I LITERALLY felt a weight being lifted off my back.

The only way I can explain this to myself is to believe that God knew of my worries and saw that I needed Him to take them off my back. I felt lighter. Since that Sunday, I really believe in God. Any time I feel worried or need an answer I open up Matthew, Mark, Luke, or John and before long, every time, I find the answer that I'm looking for. I hope that you will read Matthew, Chapter 6 beginning at verse 25. It is labeled "DO NOT WORRY" in my Bible. It helps me. If my experience helps ONE person who is struggling, it will all have been worthwhile!

Rabies News (Dr A K Gupta)

Do antibodies from rabies vaccination cross an intact blood-brain barrier?

No. Antibodies from vaccination do not cross an intact blood-brain barrier.

Cardiology eMedinewS

  • New preliminary research has identified psychological and physiological differences in how men and women with stable CAD respond to mental stress. After performing three stressful tasks, men with CAD were more likely than women with CAD to have changes in blood pressure and other traditional CVD risk factors. The findings were published October 13 in the Journal of the American College of Cardiology.
  • People with peripheral artery disease (PAD) can extend their lives and save their limbs if they quit smoking cigarettes, suggests new research. Researchers noted that PAD patients who continued to smoke were more than twice as likely to die within five years as those who quit within the year. The findings are published online in the Journal of Vascular Surgery.

Pediatrics eMedinewS

  • In a retrospective study from Nigeria, chelation therapy using dimercaptosuccinic acid (DMSA) appeared to lower blood lead levels in children with severe lead poisoning. The study is published online in PLoS Medicine.
  • A new study published in Pediatrics regarding sleep–related infant deaths suggests that having an infant sleep on a sofa – even for a nap – is especially risky. Researchers found that out of 9,073 sleep–related infant deaths, 12.9% occurred on sofas, with 72% of these deaths happening in infants between 0–3 months of age.

emedipicstoday emedipics

Renowned religious leaders join the Health and Hygiene Campaign

Come together at an initiative organized by Heart Care Foundation of India at the onset of the 21st MTNL Perfect Health Mela 2014

mela_brochure
Self-Assessment-Quiz

 

expert_choice
Zee News – Health Wealth Shows

Alcohol

press release

Skin care

video of day video of day

Other Blogs

Video Library

MTNL Perfect Health Mela

Heart Care Foundation of India, a leading national non–profit organization committed to making India a healthier and disease-free nation announced the upcoming activities of the 21st MTNL Perfect Health Mela scheduled to be held from 15th – 19th October 2014 at the Talkatora Indoor Stadium in New Delhi.

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 +91 9958771177 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

Total CPR since 1st November 2012 – 96458 trained

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

CPR 10 Success Stories

Ms Geetanjali, SD Public School
Success story Ms Sudha Malik
BVN School girl Harshita
Elderly man saved by Anuja

CPR 10 Videos

cpr 10 mantra
VIP’s on CPR 10 Mantra Video

Hands–only CPR 10 English
Hands–only CPR 10 (Hindi)

 

IJCP Book of Medical Records

IJCP Book of Medical Records Is the First and the Only Credible Site with Indian Medical Records.

If you feel any time that you have created something which should be certified so that you can put it in your profile, you can submit your claim to us on :

 

Dr Good and Dr Bad

Situation:A patient came with tubercular pericarditis
Dr Bad: No steroids are needed

Dr Good:Start steroids

Lesson:The current recommendation is to use corticosteroids for patients with constrictive tuberculous pericarditis and for those felt to be at high risk of developing the condition (ie, large effusion, high level of pericardial fluid inflammatory cells, or early signs of constriction)

Make Sure

Situation: An elderly patient with unstable angina presented with URTI and was found to be positive for C. pneumoniae infection.
Reaction: Start macrolide immediately
Make sure to remember that erythromycin 2 g/day for 10–14 days reverses the increased risk of atherosclerosis. Sero–epidemiological studies have shown a strong association between C. pneumoniae infection and atherosclerosis in patients with cardiovascular disease.

eMedinewS Humor

Three Professionals

A Mechanical, Electrical and Computer Engineer were riding together to an Engineering Seminar; the car began jerking and shuttering.
The mechanical engineer, said, "I think the car has a faulty carburetor."
The electrical engineer said, "No, I think the problem lies with the alternator."
The computer engineer brightened up and said, "I know, let’s stop the car, all get out of the car and get back in again!"

Twitter of the Day

Dr KK Aggarwal: ECG not reliable marker for predicting heart disease
Dr Deepak Chopra: Harness the power of intention

Quote of the Day

  • Be ready when opportunity comes...Luck is the time when preparation and opportunity meet. Roy D. Chapin Jr.

IMA NEWS

Hudhud impacts severely and its painful blow to our infant state of A.P., especially the economic hub of A.P.–VIJAG. The cyclone ravages all the greenery(70% of city's trees),20000 electric poles, all cell towers, hundreds of fishing boats,trawlers were devastated leaving the city without any communication link,broken transport. The livelyhood of thousands of fisherman community in jeopardy. vast length and breadth of important roads eroded,acres of agrofields bearing paddy,sugarcane and horticulture crops completely inundated in flood water leaving lacs of farmers in hunger pangs and would be in debt trap. AP state IMA Coordinating with   our local branches in those 3 districts and commissioned 10 teams with needy medicines, utensils, clothes. We have also formed "disater management teams" and would work under respective district health authorities.

Karnataka: The parents of an eight-year-old girl who died after allegedly being administered an injection at a private hospital here, has reiterated their demand for the arrest of the two doctors, whose alleged negligence led to the death of their daughter. Chandrasekhar Bhandari and Thangemma Bhandari told presspersons here on Saturday that the victim, Akshana, who was brought to the hospital with stomach pain, was administered an injection by the two doctors without waiting for reports of scanning and other tests. Akshata died within 30 minutes after being given the injection on October 5.

Yoganand Reddy, president of the Indian Medical Association, Karnataka chapter, has urged the State government to pass the Anti–Quackery Bill in the best interest of the public and medical professionals. Delivering his presidential address at the inauguration of the 80th Conference of IMA here on Saturday, Dr. Reddy said according to an estimate, there were five quacks against one qualified doctor practising in rural areas. “To accord top priority for the protection of the health of the people and also the medical profession, the State government should introduce and pass the bill at the earliest,” he said. Dr. Reddy opposed allowing doctors of other systems of medicine to use emergency allopathic medicines because “they lacked complete knowledge of drugs.” Dr. Reddy said he was not in favour of introducing short–term medical courses and teaching crash course in allopathy to graduates or any other system of medicine.

RJD MP Rajesh Ranjan alias Pappu Yadav today held "people's court" here which supported his agitation against doctors charging "exorbitant" fees and other charges.

Accompanied by wife and Congress MP from neighbouring Supual Ranjeeta Ranjan, Yadav held "Jan Adalat" at Patel ground in Saharsa to know opinion of people whether to take on doctors "overcharging" commonman.

  1. Karnataka: The parents of an eight-year-old girl who died after allegedly being administered an injection at a private hospital here, has reiterated their demand for the arrest of the two doctors, whose alleged negligence led to the death of their daughter. Chandrasekhar Bhandari and Thangemma Bhandari told presspersons here on Saturday that the victim, Akshana, who was brought to the hospital with stomach pain, was administered an injection by the two doctors without waiting for reports of scanning and other tests. Akshata died within 30 minutes after being given the injection on October 5.
  2. Yoganand Reddy, president of the Indian Medical Association, Karnataka chapter, has urged the State government to pass the Anti-Quackery Bill in the best interest of the public and medical professionals. Delivering his presidential address at the inauguration of the 80th Conference of IMA here on Saturday, Dr. Reddy said according to an estimate, there were five quacks against one qualified doctor practising in rural areas. “To accord top priority for the protection of the health of the people and also the medical profession, the State government should introduce and pass the bill at the earliest,” he said. Dr. Reddy opposed allowing doctors of other systems of medicine to use emergency allopathic medicines because “they lacked complete knowledge of drugs.” Dr. Reddy said he was not in favour of introducing short–term medical courses and teaching crash course in allopathy to graduates or any other system of medicine.
  3. RJD MP Rajesh Ranjan alias Pappu Yadav today held "people's court" here which supported his agitation against doctors charging "exorbitant" fees and other charges. 
    Accompanied by wife and Congress MP from neighbouring Supual Ranjeeta Ranjan, Yadav held "Jan Adalat" at Patel ground in Saharsa to know opinion of people whether to take on doctors "overcharging" commonman. 

Wellness Blog

How to prevent getting lifestyle diseases including heart attack

Wild animals do not get heart attack, blood pressure, diabetes or stroke. These are all lifestyle disorders. But they can occur in a lion caged in a zoo, a rabbit in a laboratory or a pet dog in the house.
The biggest challenge, therefore, in cardiology internationally is – how to prevent development of lifestyle diseases including heart attack.

Most lifestyle disorders are linked to abdominal obesity, which is the latest epidemic in the society in the west. It is also becoming an epidemic in urban India and is now gradually shifting to the middle class. It is linked to eating white sugar, white rice, white maida and not exercising.

Traditionally, Indian sages knew that Indians are prone to getting abdominal obesity, therefore, they promoted observing fast at least 80 days in a year which involves one fast every week, one extra fast on Ekadashi and two Navratras of nine days each at the onset of summer and winter. Traditionally, the Indian fast includes not eating cereals on the fast day. Avoiding cereals 80 days in a year does not allow a person to develop metabolic syndrome and insulin resistance, which is responsible for inflammation of arteries and subsequent lifestyle disorders including heart attack and paralysis.

The other challenges at an international level in cardiology involve safer alternatives for surgery and angioplasty. Today, most angioplasties with stenting and bypass surgeries last for 6–10 years. We want such procedures to last lifelong, obviously with control of risk factors. Stents may be needed, which can be resorbed completely.

A large number of patients die because cardiac transplant facilities are not available in many countries, especially the Asian countries. Every country should have all transplant-friendly laws so that any patient who dies in an accident and is brain dead, but has a living heart ends up as a heart living brain dead donor. In India, thousands of patients die every year for want of a heart donor.

Diastolic dysfunction, heart failure and atrial fibrillation are the other new epidemics of the society.  In diastolic dysfunction, the heart does not relax properly and leads to breathlessness on exertion. It is again linked to obesity. If not treated in time, it causes enlargement of the left smaller chamber of the heart called left atrium. This leads to atrial fibrillation, where the heart beats are irregularly irregular. This is the commonest cause of paralysis in elderly age group.

Most lifestyle disorders are also linked to eating high salt diet and/or a diet high in transfats. Every country must come out with its policy and guidelines in which they must restrain various restaurants and hotels from using trans fats in their food and limiting the content of salt in their dishes.

They are also challenges for cardiologists. A cardiologist must practice what he preaches.  A patient will not listen to the cardiologist if he/she (the cardiologist) is overweight and has abdominal obesity, drinks excessive alcohol or smokes.

Cardiologists internationally also face legal threat. Most of the law suits in the west are filed against cardiologists, especially those linked to the need of putting a stent or doing bypass surgery. Clear cut guidelines should be laid down and impunity should be given to doctors, if they follow those guidelines.

It is a duty of the cardiological association of every country to come out with transparent and standard guidelines in the treatment of heart diseases and when not to put devices in a patient.

Due to lucrative packages, a large number of cardiologists are shifting towards interventional cardiology. Very few people, a time will come, will remain in clinical, preventive or diagnostic cardiology. It will be sad scenario to watch, if it happens.

Young doctors and medical students should devote their life to combat these challenges. They must learn the principles of Vedic philosophy, especially ethical earning.  They must follow the principles of counseling as taught by Lord Krishna to Arjuna. Krishna took 18 counseling sessions. In the first, he only listened, in the second he counseled in great detail, from 3 to 17, he gave reasoning at every stage and in the last session, he revised.

The budding doctors must remember that the word ‘Dr.’ as a prefix is given to them as an honour which differentiates them from the society. These prefixes or suffixes are not even available even to Prime Minister or President of India. They must maintain nobility of the medical profession.

In Islam, one of the five pillars mentioned is compulsory charity. The budding doctors should decide at this stage that throughout their life they will involve in doing 10% of charity on a daily basis.

ePress Release

Renowned religious leaders join the Health and Hygiene Campaign

Come together at an initiative organized by Heart Care Foundation of India at the onset of the 21st MTNL Perfect Health Mela 2014
The concept of ritual purity is especially important when it comes to worship or offering obligatory prayers. Every religion has some guidelines associated with cleanliness and has specific practices relating to personal hygiene. On the occasion of the onset of the government’s Swachch Bharat campaign and the commencement of its annual flagship event the 21st MTNL Perfect Health Mela& SAIL Health Pavilion; Heart Care Foundation of India along with Temple of Understanding India Chapter and the World Fellowship of Religion organized a one of its kind round table conference of renowned religious leaders in Delhi today.

The topic of the panel discussion was religious purity and was attended by scholars and religious gurus from across faiths such as Sikhism, Jainism, Islam, Christianity, Hinduism, and Baha’ism. Dr A.K. Merchant National Trustee Baha’i Community of India and Padma Shri Awardee and President of the Heart Care Foundation of India Dr K K Aggarwal moderated the discussion. All religious leaders were seen sharing their views and experiences about the importance of keeping one’s internal and external environment clean and pure.

Commenting at the occasion Dr. KK Aggarwal said, “There is diversity amongst all religions about the concept of pure and impure. The main aim of this conference was to study the practices relating to purity and cleanliness and to identify a common ground where they all stand as one. It is such a pleasure to see people from across faiths coming to an agreement on the importance of keeping our external environment clean to help achieve health and happiness. I would like to urge everyone to come together and help us take Modiji’s Swachch Bharat movement and extend it to a Swachch and Swasth Bharat movement at the Perfect Health Mela 2014 for if we increase our concentration on keeping our environment clean, we can reduce the disease burden of the country by upto 50%”

A.K. MerchantNational Trustee Baha’i Community of India added, “In the existing religious system of the world, there is a great body of information regarding health and hygiene more particularly “ritual purity”. These discourses would be valuable to society at large. The central purpose of purity rituals is the relationship with the divine. I would like to congratulate Heart Care Foundation of India on this noble initiative and I would like to say on behalf of all the religious leaders present here today that we support their Swachch Bharat Swasth Bharat motto at the 21st Perfect Health Mela”.

Key points discussed during the session include:

  • Purity and pollution or impurity is fundamental religious categories, found with greater or lesser emphasis in every major religious tradition. 
  • Whether the pollution is intentional or not, a state of impurity exists that must be removed by some process that restores purity. Purity is restored by a wide variety of materials and rites, depending on the religious attitudes and ways of the group concerned.
  • Water is the greatest purifier and its use in rites of purification is almost universal. Fire is also considered purifying by some religions. Ash or deep soil mud can be used to purify or clean if water is not available. 
  • Prayer, meditation and rituals can purify. All religions emphasize cleanliness before offering prayers.
  • All religions stress on outward cleanliness as well as internal cleanliness and purity of thought.
  • Many laws of purity as prescribed in various religions serve the cause of cleanliness and sanitation and thus tend to prevent illness.
  • A clean environment is important for well–being, both physical and spiritual.
  • Inner cleanliness is achieved with prayer, fasting, compassion, seva.
  • The body should be treated with respect even after death

Other dharma gurus and scholars present at the event included: Fr. Bento Rodrigues, Christianity; Rabbi Ezekiel I. Malekar, Judaism; Sardar KP Singh, Sikhism; Ven. Sumithananda Thero, Buddhism; Fr. (Dr.) M. D. Thomas, Christianity; Dr AK Merchant, Baha’i; Archarya Ravindra Nagar,, Hinduism; Dr Hanif Md. Khan Shastri, Islam, Dr. Sarlaji Maharaj,  Jainism and Mrs. Rekha Modi, former Vice President, Mahabodhi Society.

eMedi Quiz

The Vitamin A supplement administered in Prevention of nutritional blindness in children programme" contain:

1. 25,000 i.u./ml.
2. 1 lakh i.u./m.l.
3. 3 lakh i.u./m.l.
4. 5 lakh i.u./m.l.

Yesterday’s Mind Teaser:Bacitracin acts on:

1. Cell wall
2. Cell membrane.
3. Nucleic acid.
4. Ribosome.

Answer for yesterday’s Mind Teaser:2. Cell membrane.

Correct answers received from:Daivadheenam Jella, Dr Jainendra Upadhyay, Dr.K.V.Sarma,Dr Avtar Krishan, Dr Poonam Chablani

Answer for 13th Oct Mind Teaser: :2. HbsAg and HBeAg positive.

Correct answers received from: : drpoonamchablani

Send your answer to email

medicolegal update

(Dr. K K Aggarwal, Padma Shri and Dr. B C Roy National Awardee; Editor eMedinewS and President Heart Care Foundation of India)

Can the court give compensation more than the amount asked?

A: Raj Rani & Ors. vs. Oriental Insurance Company Ltd. & Ors.  (2009 SCC 13, 654) in which the Apex Court has observed: “…..there is no restriction that compensation could be awarded only up to the amount claimed by the claimant.  In an appropriate case, where from the evidence brought on record if the Tribunal/court considers that the claimant is entitled to get more compensation than claimed, the Tribunal may pass such award (para 14).”

medicolegal update
  1. Good that you are one of the 9 icons in Swachch Bharat Swasth Bharat Abhiyan, Kindly include cleaning of Quacks who are also a big threat towards swasth Bharat. Dr. Parvesh Sablok

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