January 20 2015, Tuesday
National Health Policy: IMA demands equity and scientific practices

Now 13 years after the last National Health Policy, the Ministry of Health has brought out a draft new national health policy, which is in the public domain for discussions. The National Health Policy of 1983 and the National Health Policy of 2002 have served us well, in guiding the approach for the health sector in the Five-Year Plans and for different schemes. Development of a more robust, effective and credible new national health policy will give direction and coherence to our efforts further to improve health of the nation.

IMA congratulate the government in bringing out a policy within few months of assuming power. However it seems that not enough homework has gone into preparing the draft policy and is reflected in the fact that the policy lacks clear directions and more importantly no clear-cut targets or objectives; unlike the previous policies.

The Indian Medical Association (IMA) feels that the policy, should give greater focus for preventive and rehabilitative care in context of rising burden of non-communicable diseases.

The policy has a reluctant and hesitant approach towards enhancing GDP for health – a mere increase to 2.5% proposed whereas the policy itself acknowledge that only if we govt starts to spend 4 to 5% of GDP, a real impact can be made in the health sector. It is almost silent on many things including improving the family planning program, or on how to improve medical education, on health education in the schools. Over all the policy lacks any measurable objectives apart from some statements.

A large part of allocation of funds is spent on pay and allowances, pensions, transport and establishments. Funds for actual expenditure on health and medical care needs to be more specified. There should be a permanent mechanism to monitor the utilization of funds and to ensure that funds reach the targeted population with the intended purpose. There is need for inculcating better managerial skills; an Indian Medical Service just like the IAS, IRS is needed.

There appears that this policy is more beneficial to people who can afford even otherwise. Govt policy seems to give undue importance to corporate sector forgetting the fact that majority of health care in the country is still delivered by small-scale institutions, and these small players move the national health indices. Some of the policy statements expose the lack of in-depth knowledge of Govt reg the role of the small and medium hospitals in delivering health care particularly to the poor and in remote areas. Govt policy should aim to sustain and promote these own-account-enterprises (OAEs) so that affordability and accessibility is not affected. Govt should consciously discourage the corporate culture in health care, which will definitely push up the cost of treatment and affects accessibility because all the corporate hospitals are city centered.

Govt policy tries to claim that in terms of comparative efficiency, public sector is value for money. This is an innocent misinterpretation of statistics. Value for money is a myth since even those who seek health care from public sector do equally spend Out Of Pocket, same amount as in private due to sheer non availability of diagnostics and essential drugs and while the lion share of the public sector facility is utilized by VIPs, Govt bureaucrats and people who can afford to pay and the deserving poor public are kept away and forced to seek health needs from private sector. If these factors are also considered, the efficiency figures will not stand.

Under this policy, poor shall still depend on quacks. There is no clear-cut policy on Health Human Resource Development. The lack of any clear policy direction, may lead to uncontrolled, unregulated expansion as has happened so far, with Health Professional Education institutions proliferating in already saturated geographical regions rather than in the ‘unreached’ areas?

In a place where the private sector provides care for 70 percent of the population, it is un-wise to sideline the private providers. Income tax, luxury tax and service tax in hospitals and VAT on drugs goes contrary to the government policy of making health a fundamental right. Government policy should influence and encourage private health care establishments by exempting them from the purview of income taxes and providing subsidies to these institutions. Govt in turn can demand at least 15% free care in these institutions for poor patients. This will reduce the cost of care eventually avoiding catastrophic health expenses. Government also should provide water electricity and basic amenities at reduced rates for hospitals. This model will be cost effective compared to heavy investments required in health insurance systems. Failure of American model insurance driven health care provisioning should be a lesson while framing the policy

Considering private hospitals as pure industry is entirely misleading and it contradicts the Govt policy of making health as a fundamental right. When the Govt demands that medical ethics need to be followed and considers it as a service sector, branding clinical establishments in private sector as an industry exposes a contradiction in Govt policy. The need for standardization and quality health care services is understandable, but the mechanism to ensure it thru Clinical Establishment Act will be counter-productive. A process of voluntary and incentive driven accreditation is the best practical option. The pre-conceived notion that private sector always is profit-driven and ignoring it in the over all structure of health delivery and allowing it to run parallel to the Govt sector rather than promoting them to compliment is unbecoming of a health policy

The integrated medicine concept is again a misplaced thought process, which is not based on ground reality or evidence. Public always would like to prefer an alternate system of medicine when one system fails. Through the integration of systems, the Govt is denying the right of the public to choose an alternate system, which is pure. It is not their desire to opt for a different system when the process of integration has already diluted it. In the process of strengthening alternate systems, the integrated system will only destroy those systems of medicine.

In these circumstances, we feel that the new policy document does not make a strong case for moving towards our objective of universal access to affordable health-care services. There are innumerable challenges to be overcome before its stated objectives become a reality. IMA demands serious deliberations and consultations with all stakeholders including professional associations before the policy is finalized

Prof. Dr. A. Marthanda Pillai
Padma Shri Awardee
President, Indian Medical Association

Dr. K.K. Aggarwal
Padma Shri, National Science Communication &
Dr. B.C. Roy National Awardee
President, Heart Care Foundation of India
Honorary. Secretary General Indian Medical Association
Twitter of the Day
Dr KK Aggarwal: Birth defects linked to mother’s use of cold medicines. http://bit.ly/1cAcPdc #Health

Dr Deepak Chopra: We experience bits and pieces of sensory information and call it the world
Why Ebola is not a National Emergency?
Dr KK Aggarwal
  1. As per an article in The Washington Post, by Paul Farmer dated 16 January 2015, not a single American has died of Ebola; the majority of Europeans infected have survived; a Cuban survivor is already back.
  2. Across West Africa, 70 percent of those afflicted die. And that figure applies only to the sick who receive care at treatment centers: More than 90 percent of those who stay home perish.
  3. What kills most Ebola patients is a massive loss of the body’s vital fluids — up to 10 liters of day — along with proteins and electrolytes, primarily through vomiting and diarrhea. Same is true for dengue and any other hemorrhagic fever.
  4. The statement "there is no cure for Ebola or other hemorrhagic viruses" is not true as most will survive with fluid resuscitation. Answer is timely better intravenous access and intraosseous needles, which can infuse large volumes of fluid when patients arrive at clinics so dehydrated that it’s difficult to find a vein.
  5. Improving care means introducing capacity to monitor electrolytes and maintain fluid loss.
  6. In India it has taken over a decade that the treatment of dengue shock syndrome is not platelet resuscitation but fluid resuscitation and that to massive fluid resuscitation.
  7. In India no one should die of dengue or Ebola if timely supportive fluid care is given which is available even in remotest of remote areas.
IMA UNICEF Initiative in child sexual abuse

10 points about child sexual abuse every doctor must know
  1. Worldwide, on an average, 18% of girls and 8% of boys have suffered sexual abuse. In India, around 53% of children have suffered from sexual abuse (Study by Ministry of Women and Child Development, 2007).
  2. The Protection of Children from Sexual Offences (POCSO) Act, 2012, defines a child as any person below the age of 18. The Act applies to all cases of sexual assault of a child.
  3. Doctors are in a unique position to protect children from sexual assault and its consequences. They can:
    • Teach parents about safe, unsafe and uncomfortable touch and how to keep their children safe.
    • Teach children how to protect themselves.
    • They can provide appropriate care and treatment to the survivor.
    • They can give social, psychological and legal guidance to the survivor and the family.
    • They can help the process of justice delivery by conducting accurate and complete forensic medical examination and be willing to testify in court.
  4. In the Indian social context, the sexual abuse of children goes unreported due to fear of stigmatization. Hence, the Protection of Children from Sexual Offences (POCSO) Act provides for mandatory reporting according to which any adult who is aware that a child has been sexually assaulted or is at risk of being sexually assaulted must report this to the appropriate authorities, i.e., the nearest police station or Special Juvenile Police Unit.
  5. Every case of sexual assault is a medical emergency. Treatment has to be provided free of cost by government as well as private medical facilities.
  6. No police or magisterial requisition is required to examine or provide emergency medical care to a person who has been or may have been sexually assaulted.
  7. In a case of sexual assault of a child, it is the legal duty of a doctor to give medical care, collect forensic evidence, report the offence to the police and give testimony in court if required.
  8. Informed consent must be obtained from the survivor (or his or her guardian, where the child is below 12 years of age) before the medical examination. Where such consent is not given the examination cannot be performed and informed refusal is documented.
  9. Under Section 166B of the IPC, a doctor who refuses to perform a medical examination in a case of sexual assault can be punished with imprisonment up to one year and/ or fine.
  10. Doctors should prominently display the Child line number (1098) in their clinics and hospitals. Any case of known or suspected child abuse or neglect can be reported to this number.
CSA, IMA in Association with UNICEF
Make Sure
Situation: A patient with acute chest pain died before reaching the hospital.
Reaction: Oh my God! Why was water–soluble aspirin not given?
Lesson: Make sure that at the onset of acute heart attack and chest pain, water–soluble aspirin is chewed to reduce chances of sudden death.
Cardiology eMedinewS
  • Early-life exposure to the plastics ingredient bisphenol A (BPA) seems to alter cardiac function and blood pressure in a sex-specific manner, suggests a new study published online in Endocrinology.
  • Interventional cardiology is now recognized as its own specialty by payers, including the Centers for Medicare & Medicaid Services (CMS), and will no longer be stacked together with general cardiology or internal medicine. The Society for Cardiovascular Angiography and Interventions (SCAI) lobbied the CMS for the change and hopes that the interventional-cardiology designation will result in a fairer comparison of quality metrics and resource utilization among interventionalists.
Quote of the Day

A joyful heart is the inevitable result of a heart burning with love. Mother Teresa
News on Maps
CPR 10

Total CPR since 1st November 2012 – 101090 trained
Rabies News (Dr A K Gupta)
What is pre–exposure vaccination?
Pre–exposure (Prebite) vaccination means immunization before the bite.
IMA Facebook Likes
Click here
IMA supports ESI students
KOLKATA: The Indian Medical Association has extended its support to the students of ESI medical colleges who are fighting against the Centre's decision to exit from medical education sector.

The Indian Medical Association has written to President Pranab Mukherjee and Prime Minister Narendra Modi to reconsider their decision which will put the career of many medical students at stake.

"At present, four ESI medical colleges are functioning in the country, while inspection of a few colleges has been completed. Four more colleges are also being developed. So, the government's order means that altogether 12 colleges will stop functioning. When the government is trying to create 1 lakh doctors by 2021, this kind of the decision is alarming," IMA honorary general secretary K K Agarwal said.
Inspirational Story
The Given Light

Once upon a time a man had heard that in a foreign place, far away, there was a holy flame burning. So he got up and left his home to find the holy flame and bring some of its light back home to his house. He thought: 'When I have this light, then I will have happiness and life and all the people I love will have it too.'
He travelled far, far away and finally found the holy flame, with which he lit his light. On his way back he had only one worry: 'That his light could go out.'
On his way home he met someone who was freezing and didn't have any fire and who begged him to give him some of his fire. The man with the light hesitated for a moment. Wasn't his light too precious, too holy to be given away for something ordinary like that? Despite these doubts, he decided to give some of his light to the one who was freezing in the darkness.
The man continued his journey home and when he had almost reached his house a terrible thunderstorm started. He tried to protect his light from the rain and the storm, but at the end his light went out.
To return the long way back to the place where the holy flame was burning was impossible, he wouldn't have had enough strength to go back this far - but he was strong enough to return to the human being whom he had helped on his way home.
.........and with his light he could light his own again.
Wellness Blog
CT not required in appendicitis
When a patient has all the signs of acute appendicitis, waiting to get a CT scan to confirm the diagnosis is not required. Compared with a straight–to–surgery approach, the CT strategy is linked to delayed surgery and increased risk of a burst appendix.
Pre–operative CT is not necessary in cases with straightforward signs and symptoms of appendicitis. If, after a thorough physical examination, the diagnosis is still in question, then patients should be scanned. These patients tend to be older, female and have symptoms that are not typical for acute appendicitis.
Power Of Central Government to regulate, restrict Or prohibit Import or manufacture, sale or distribution of notified category of medical device in public interest.
7-I. (1) Without prejudice to any other provision contained in this Chapter, if the Central Government is satisfied that the use of any notified category of medical device is likely to involve any risk to human beings or animals or that any such medical device does not have the functional value claimed or purported to be claimed for it or which is not safe or effective for use or for which there is no functional justification and that in the public interest it is necessary or expedient so to do, then, it may, by notification, regulate, restrict or prohibit the import, manufacture, sale or distribution of such medical device.
(2) The notification issued under sub-section (1) shall be laid, as soon as may be after it is made, before each House of Parliament.
Offences for import or manufacture, sale or distribution of medical device in contravention of this Chapter.
7J. Whoever, himself or by any other person on his behalf, import or manufacture for sale or for distribution or market, or sell, or stock or exhibit or offer for sale any notified category of medical device,-
(a) deemed to be adulterated under section 7D or spurious under section 7E and which when used by any person for or in the diagnosis, treatment, mitigation, or prevention of any disease or disorder is likely to cause his death or such bodily harm which amount to grievous hurt within the meaning of section 320 of the Indian Penal Code, solely on account of such medical device shall be punishable with imprisonment for a term which shall not be less than three years but which may extend to seven years and shall also be liable to fine which shall not be less than five lakh rupees or three times the value of the device whichever is more and in case of failure to pay fine, liable to imprisonment up to one year:
Provided that the fine imposed under this clause shall be paid to the person who had been administered such medical device:
Provided further that where the use of such medical device caused death of a person who was administered such medical device, the fine imposed shall be paid to his legal heir;
(b) deemed to be adulterated under section 7D but not being a device referred to in clause (a), or misbranded under section 7C, or without a valid licence as required under clause (c) of section 7F, shall be punishable with imprisonment for a term which shall not be less than one year but which may extend to three years and shall be liable to fine which shall not be less than one lakh rupees or three times the value of the medical device, whichever is more:
Provided that the court may, for any adequate and special reason, to be recorded in the judgment, impose a sentence of imprisonment for a term of less than one year or of fine of less than one lakh rupees;
(c) deemed to be spurious under section 7E, but not being a device referred to in clause (a) shall be punishable with imprisonment for a term which shall not be less than two years but which may extend to five years or shall also be liable to fine which shall not be less than two lakh rupees or three times the value of the device, whichever is more or both;
(d) other than a device referred to in clause (a) or clause (b) or clause (c), in contravention of any other provision of this Chapter or any rule made thereunder, shall be liable to pay penalty which shall not be less than one lakh rupees to be imposed by the Central Licensing Authority.
Penalty for Import or manufacture, etc. of medical device in contravention of section 7-1.
7K. Whoever himself, or by any other person on his behalf, imports or manufactures or sells or distributes any notified category of medical device in contravention of the provisions of any notification issued under section 7-I, shall be punishable with imprisonment which may extend to five years and with fine which may extend to five lakh rupees.
Penalty for repeat offence.
7L. (1) Whoever having been convicted of an offence,-
(i) under clause (a) of section 7J, is again convicted of an offence under that clause shall be punishable with imprisonment for a term which shall not be less than five years but which may extend to seven years and shall also be liable to fine which shall not be less than five lakh rupees;
(ii) under clause (b) of section 7J, is again convicted of an offence under that clause shall be punishable with imprisonment for a term which shall not be less than two years but which may extend to five years or shall also be liable to fine which shall not be less than two lakh rupees;
(iii) under clause (c) of section 7J, is again convicted of an offence under that clause shall be punishable with imprisonment for a term which shall not be less than three years but which may extend to seven years and shall also be liable to fine which shall not be less than five lakh rupees;
(iv) under clause (d) of section 7J, is again convicted of an offence under that clause shall be punishable with imprisonment for a term which shall not be less than one year but which may extend to three years or shall also be liable to fine upto two lakh rupees.
(2) Whoever having been found guilty of an offence under section 7K is again found guilty under that clause shall be liable for punishable with imprisonment not less than three years and shall also be liable to fine which may extend to five lakh
7M. (1) Where any person is convicted under this Chapter for contravening any of the provisions of this Chapter or any rule made thereunder, the stock of the notified category of medical device in respect of which the contravention has been made in respect of-
(a) import or manufacture of any device deemed to be misbranded under section 7C or adulterated under section 7D or spurious under section 7E; or
(b) import or manufacture for sale, or for distribution, sale, or stocking or exhibiting or offering for sale or distribution of any notified category of medical device without a valid licence as required under clause (b) of subsection (1) or clause (c) of sub-section (2) of section 7F and any implements or machinery used in such import or manufacture, sale, or distribution and any receptacles, packages or coverings in which such device is contained and the animals, vehicles, vessels or other conveyances used in carrying such device, shall be liable to confiscation.
(2) Without prejudice to the provisions contained in sub-section (1), where the court is satisfied, on the application of a Drugs Control Officer or any other officer duly authorised in this behalf or otherwise and after such inquiry as may be necessary, that the device is not of standard quality and required performance shall be liable to confiscation.
Powers of the Central Government to make rules.
7N. (1) The Central Government may after consultation with or on the recommendation of the Medical Devices Technical Advisory Board and subject to previous publication, by notification, make rules for classification, standards, manufacturing, testing, distribution, labeling, packaging, essential requirements for quality, safety and performance, adverse events, post marketing surveillance, conformity assessment bodies, exemptions and procedure to regulate notified category of medical devices under section 7B: Provided that consultation with the Board may be dispensed with if the Central Government is of opinion that circumstances have arisen which render it necessary to make rules without such consultation.”
Amendment of section 9B.
15. In section 9B of the principal Act, after clause (e), the following clause shall be inserted, namely:- “(f) if it does not contain active ingredient.”
eMedinewS Humor
Reading of the Will
The relatives of the family's rich dowager gathered for the reading of her will after her long awaited death.
“Being of sound mind,” read the lawyer, “I spent every last cent before I died.”
Pediatrics eMedinewS
  • A new study published in Pediatrics shows that medical professionals cannot rely solely on their clinical judgment to detect autism risk. The study reported that 10 to 20 minute observations, such as a pediatric exam, do not provide enough information about symptoms associated with autism.
  • A new study has reported that children whose parents are melanoma survivors are not receiving the best possible protection from the sun and ultraviolet radiation, which can lead to sunburn, increasing the risk of melanoma for the children who already face a significantly higher risk of developing the skin cancer due to their family history. The report is published in Cancer Epidemiology, Biomarkers & Prevention.
Dr Good Dr Bad
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 at: www.ijcpbookofmedicalrecords.com
  • First person and NGO to trained Maximum Number of Police People trained in Hands only CPR10 in one day
  • "First NGO and doctor to provide "hands on training" to 11543 people in "Hands Only CPR 10" in one day.
  • First individual doctor and NGO to provide "hands on training" to 8913 females in "Hands Only CPR 10" in one day.
IJCP’s ejournals
  • Indian Journal of Clinical Practice
  • Indian Journal of Multidisciplinary Dentistry
  • Asian Journal of Diabetology
  • Asian Journal of Critical Care
  • Asian Journal of Clinical Cardiology
  • Asian Journal of Obs & Gyne
  • Asian Journal of Paediatric Practice
  • Asian Journal of Ear Nose and Throat
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 https://www.youtube.com/watch?v=rjOel0aaqt0
IMA in the News
  • IMA tells branches to comply with international ethics guidelines: Times of India
  • Implementation of SC guidelines on medical negligence plaints sought: Millenium Post
  • IMA letter written to Hon’ble Home Minister: Amar Ujala
  • Inform police pan India to follow Supreme Court guidelines regarding criminal complaints against doctors: IMA: Deshbandhu
  • IMA letter written to Hon’ble Home Minister: Vir Arjun
  • IMA letter written to Hon’ble Home Minister: Virat Vaibhav
  • Police should follow guidelines: IMA: Hari Bhoomi
  • Tobacco Spiting at public places will now be an offence – IMA http://newssuperfast.com/2015/01/18/tobacco-spiting-at-public-places-will-now-be-an-offence-ima/
  • Equipped with SC guidelines, IMA approaches Rajnath on negligence cases against doctors http://www.drugtodayonline.com/medical-news/city/1599-equipped-with-sc-guidelines-ima-approaches-rajnath-on-negligence-cases-against-doctors.html
IMA in Social Media
https://www.facebook.com/ima.national 27905 likes
https://www.facebook.com/imsaindia 45872 likes
https://www.facebook.com/imayoungdoctorswing 247 likes
Twitter @IndianMedAssn 730 followers
http://imahq.blogspot.com/ www.ima-ams.org
http://www.imacgpindia.com/ http://www.imacgponline.com/ http://www.ima-india.org/ima/ www.indianmedicalassociation.info
IMA tells branches to comply with international ethics guidelines
CHANDIGARH: Seeing a growing trend of misunderstanding between doctors and patients, the national body of the Indian Medical Association (IMA) has come up with a unique initiative. It has issued directives to all state IMAs asking them to comply with an international ethics guideline: Acknowledge, Identify, Duration, Explanation and Thank you-AIDET. This implies that the doctor has to first acknowledge his patient, identify and introduce his credentials to them, tell them the duration that will take for the treatment, explain the problem and finally follow the medical ethics of thanking his/her patients.

Taking charge as the general secretary elect of the IMA, Dr K K Agarwal said, "We are working on improvising upon the doctor-patient relationship. This is based on medical ethics. The IMA does not have the punitive powers, but we can work on emphasizing these guidelines." Most of the studies done on the reason of dispute between doctors and patients cite main reason to be misunderstandings and ego clash. "There have been studies done which have proved that 90% of the disputes are due to lack of communication between a doctor and a patient," said the General Secretary.

The ethics guidelines will have to mention lucidly all the complications involved so that the relatives are not kept in the dark. Moreover, the cost of the treatment must not exceed 10% of the estimate given to the patients. "We do come across cases where at the end of the treatment, the doctor asks for bills which are more than the estimate given. To curb this, a limit has been issued," said Dr Agarwal.

The IMA has recently started a grievance and mediation cell in Delhi's and if the model is found to be successful, the same will be replicated at all the 1,700 branches nationwide. The objective of each state IMA shall be to act as peace makers between the doctors and the patients before they approach court for any dispute.
4th February 2015 is World Cancer Day
Dear IMA Colleagues

Cancer is a complex group of 100 plus diseases. Cancer is a major public health problem that affects people in every nook & corner of every country of the world regardless of caste, creed, economic or social status. The disease has impact not only, on, the patient, but the whole family also suffers with him, and more so economically too. Unfortunately, most Indians have the pessimism that “Cancer means Death”, which is definitely, not true.

The Union for International Cancer Control (UICC) started the World Cancer Day to help save millions of preventable deaths each year by raising awareness and education about cancer, and pressing governments and individuals across the world to take action against the disease. It is observed on 4th February every year, in almost the whole world.

There were 14.1 million new cancer cases, 8.2 million cancer deaths and 32.6 million people living with cancer (within 5 years of diagnosis) in 2012 worldwide. In India, one million new cases occurred in 2012 with 6.8 lakh deaths. We have 17.9 million people living with Cancer (within 5 years of diagnosis). A WHO report shows that cancer mortality in India has been growing by 11percent annually. Breast cancer is becoming more common in 30s & 40s, and the rates are also increasing in India.

World Cancer Day 2015: Taking place under the tagline ‘Not Beyond Us’, World Cancer Day 2015 will take a positive and proactive approach to the fight against cancer, highlighting that solutions do exist across the continuum of cancer, and that they are within our reach. World Cancer Day is a unique opportunity to raise awareness that there is much that can be done at an individual, community and governmental level, to harness and mobilize these solutions and catalyze positive change. By moving forward together we have the potential to show: Cancer. It is not beyond us.

Prevention of Cancer

Ensuring the availability of, and access to, early detection programs for cancer can significantly reduce the cancer burden in all countries. Lifestyle modifications namely abstinence from tobacco, limited consumption of alcohol, regular exercises, healthy diet with good food habits, safe environment, maintaining healthy weight-avoiding obesity and vaccination against Hepatitis B have always been stressed to prevent cancer.

Forty percent of cancers can be prevented, and one-third of cancers can be cured through early diagnosis and treatment. The economic costs of lost life years due to cancer exceed that of any other disease.
All branches are advised to observe WORLD CANCER DAY - arrange exhibitions, distribute pamphlets, take out rallies, hold Press conference, organize Cancer Detection Camps etc.

Please do email a report of the activity along with photographs to IMA HQ with a copy to dilipacharya@gmail.com.

Dr Marthanda Pillai, National President, IMA

Dr KK Aggarwal, Hony. Secretary General, IMA

Dr Dilip Kumar Acharya
Chairman-IMA National Cancer & Tobacco Control Committee.
Ethical Norms to be Followed by Doctors Issued: By Express News Service
THIRUVANANTHAPURAM: The Ethics Committee meeting of Indian Medical Association (IMA) held here on Sunday published ethical norms to be followed by doctors and hospitals. The Indian Medical Association directed the doctors and hospitals to follow the norms prepared in line with the guidelines of the Medical Council of India. The meeting also decided to form Ethics Committees and Grievance Redressal Forums at district-levels to receive the complaints directly. Indian Medical Association would make strong interventions to ensure transparency in scan and lab rates and would prevent unhealthy practices such as taking commission for conducting scan and lab tests. “The IMA views the practice of temporary appointments of teachers, instead of regular appointments, in government and private medical colleges to get through the inspection of the Medical Council with great concern,” the meeting said. The meet called for govt and private managements to stop such practice. Ethics Committees had also evaluated the increase in fake medical practitioners and fake medical certificates and decided to bring such incidents to the attention of the authorities concerned.
The Year in Medicine 2014: News That Made a Difference
13. Robin Williams and Suicide Risk Awareness

The death of actor/comedian Robin Williams at age 63 is a tragic reminder that the risk for suicide is pervasive, particularly among white, middle-aged men, experts say. They recommend being on the alert for patients who may be suicidal and asking questions such as, "Have you ever felt so down or so despondent that you felt that life wasn't worth living anymore?" If the answer is yes, the clinician should ask follow-up questions, including: "Have you ever actually thought about killing yourself?" "Have you made a plan?" One expert pointed out that in the wake of all of the comments about Williams' death, that suicide may be rare but it is not random, and Williams had several risk factors — he did not "struggle with demons," as some said. One of those risk factors was only made public after his death, that he had recently been diagnosed with Parkinson's disease. (Source: Medscape)
News around the Globe
  • Researchers from Georgia State University claim to have identified a new way to suppress inflammation without harmful side effects. The research suggests that boosting IRAK-M expression blocks the activity of MyD88 and IRAK1/4 - proteins that drive inflammation. The report is published in the journal Nature Communications.
  • Serum adalimumab levels vary considerably and are related to disease activity in ankylosing spondylitis, suggests a prospective observational cohort study published online in Annals of the Rheumatic Diseases.
  • The presence of cerebral microbleeds on brain imaging appears to be an independent predictor of early recurrent stroke following transient ischemic attack (TIA), reported a prospective study of outcomes among patients treated at comprehensive stroke centers in South Korea. The findings are published in JAMA Neurology.
  • Two thirds of patients with advanced, MET-amplified gastroesophageal cancer had objective responses to treatment with an investigational MET inhibitor AMG-337, suggested a subgroup analysis of a phase I trial. The findings were presented at the Gastrointestinal Cancers Symposium.
  • A new study suggests that those who live near hydraulic fracturing sites and use water from a well might be at higher risk for adverse health symptoms than those who live further away. The study is published in Environmental Health Perspectives. Researchers noted that the number of reported health symptoms per person was higher among those living less than 1 km from a natural gas well than those living more than 2 km away.
Dr KK Spiritual Blog
Values, Morals and Ethics

  • Values are our fundamental beliefs. They are the principles we use to define that which is right, good and just.
  • Values provide guidance to determine the right versus the wrong, the good versus the bad.
  • They are our standards.
  • When we evaluate anything we compare it to a standard.
  • Typical values include: honesty, integrity, compassion, courage, honor, responsibility, patriotism, respect and fairness.
  • Ethics are universal
  • Morals are values which we attribute to a system of beliefs, typically a religious system, but it could be a political system of some other set of beliefs.
  • These values get their authority from outside the individual– a higher being or higher authority (e.g. society).
  • Right as defined by a higher authority.
  • By that definition one could categorize the values listed above (honesty, integrity, compassion …) as "moral values" – values derived from a higher authority.
  • Ethics is about our actions and decisions.
  • When one acts in ways that are consistent with our beliefs (whether secular or derived from a moral authority) we characterize that as acting ethically.
  • When one’s actions are not congruent with our values – our sense of right, good and just – we view that as acting unethically.
  • The ethics of our decisions and actions is defined socially, not individually.
eMedi Quiz
Which of the following is present intracellularly in muscle cells?

1. Insulin.
2. Corticosteroid.
3. Epinephrine.
4. Glucagon.

Yesterday’s Mind Teaser: The buffering capacity of a buffer is maximum at pH equal to:

1. 0.5pKa.
2. pKa
3. pKa+1
4. 2pKa

Answer for yesterday’s Mind Teaser: 2. pKa

Correct Answers received from: Dr Avtar Krishan, Daivadheenam Jella, Dr Sushma Chawla, Dr Gopal Shinde.

Answer for 18th Jan Mind Teaser: 4.Vertebral venous plexus.

Correct Answers receives: Daivadheenam Jella, Dr Avtar Krishan, Dr Jainendra Upadhyay.
Video of the Day
Dr K K Aggarwal head on with Arnab Goswami of Times Now on MCI Issues

h t t p : / / w w w . t i m e s n o w . t v / D e b a t e -

Heart Care Foundation of India announces the Mrs Abheeta Khanna Oration on Excellence in Sports and Health


Betiyan Hain Anmol, Bachao Dil Se, Medanta joins hands with Heart Care Foundation of India

Press Release of the Day
Diet rich in whole grains can prevent heart attack, paralysis, obesity & diabetes

Diets rich in whole grains, fruits and vegetables can prevent heart attack, paralysis, obesity and diabetes, said Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Honorary Secretary General Indian Medical Association.

A study in the Archives of Internal Medicine identified four major dietary patterns. First is a healthy diet consisting of fruits, vegetables and legumes. The second is western or Swedish diet rich in red meat, processed meat, poultry meat, rice, pasta, eggs, fried potatoes and fish. The third type is alcohol based with wine, liquour, beer and snacks. The fourth type of diet is sweet taste diet consisting of sweet baked foot, candy, chocolates, jam and ice cream.

Dr. Aggarwal said It is only a healthy diet which is associated with reduced risk of heart attack. A low risk behavior is characterized by high intake of whole grains, fish, vegetables, fruits and legumes, moderate alcohol consumption, along with not smoking, being physically active and being relatively thin.

Enlightening about bird flu, Dr. Aggarwal said that it is better to be a vegetarian but those who cannot, should not fear as even if one eats an infected bird flu or diseased chicken, he or she is not going to get an infection provided it is properly cooked.
Reader Response
  • Thanks for your eMedinews. Excellent scientific content. Hats off to KK. Dr. Ghodke Priyadarshi, President of KSS (Kolhapur Surgical Society), Maharashtra.