May 20  2015, Wednesday
editorial
Managing wounds at home
Dr KK Aggarwal
  • A wound is a disruption of the normal structure and function of the skin.
  • Antibiotic therapy is not indicated in all wounds and is reserved only for infected wounds.
  • It is important to keep blood sugar under control while managing a wound.
  • All wounds, which are contaminated or have foreign bodies, need debridement.
  • Irrigation of the wound reduces bacterial load and also removes loose material.
  • Wound irrigation can be done with warm saline.
  • Principles of wound management are: scrub, clean and dress.
  • Scrubbing means that dressing should be done with clean hands, which requires proper scrubbing of the hands.
  • Would cleaning means that the wound should first be cleaned.
  • After cleaning, the wound requires a proper dressing.
  • Some wounds may require suturing, especially if the wound is of less than six hours duration.
  • In an accident if a finger is cut or a tooth is removed, one should preserve the finger or the tooth and take it to the nearest hospital along with the patient for reimplantation.
  • The best way to carry the amputated finger or uprooted tooth is to put them in a plastic bag and put that bag in a box containing ice.
  • Skin burns should be treated firstly by putting the area under the running water till the burning disappears.
  • In a patient with burns, the blister that forms should not be punctured.
  • Presence of pain is also a good sign and indicates that the burns are superficial.
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Mission A Clean India will deliver a Healthy India
News
  • According to the CDC, risk to people from the highly pathogenic avian influenza (HPAI) H5 infections in wild birds, backyard flocks and commercial poultry, is low. No human infections with the virus have ever been detected and there is no food safety risk for consumers.
  • Women with dense breasts are not necessarily at higher risk for cancer in the year after a normal mammogram, suggests a prospective cohort study on breast cancer risk. The risk seems to be elevated only for the 24% of women with extremely or heterogeneously dense breasts who also have other risk factors. The findings are published online May 18 in the Annals of Internal Medicine.
  • Serum levels of oxidized low-density lipoprotein (oxLDL) may predict sustained virologic response (SVR) in patients with chronic hepatitis C virus (HCV) infection who receive interferon (IFN)-based therapy, suggests a new study published in the May issue of Cellular and Molecular Gastroenterology and Hepatology.
  • New research suggests that regular use of aspirin may slow the progression of the chronic lung disease. The findings were presented at the 2015 American Thoracic Society International Conference.
  • The American College of Physicians (ACP) has suggested that screening for cancer should be less intensive and more value focused. Instead of trying to screen everyone more frequently or with more sensitive tests, the medical community should stick with less intense but proven strategies for screening. The new guideline, published in the May 19 issue of Annals of Internal Medicine, addresses screening for five common cancers in average-risk adults who have no family history or other risk factors and who are without symptoms.
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Dr KK Spiritual Blog
Do we get a human birth each time we die?

As per Vedic sciences, Hindu philosophy believes in rebirth unless your Sanchit and Prarabdha Karmas are totally exhausted.

It also believes in liberation wherein once your past karmas debt is over, you do not take a rebirth.

On the other hand, Garuda Purana says that you can take rebirth in animal species, which means you can be born like a donkey or a dog. Vedic science, on the other hand, says that once you get a human body, you will either be liberated or only get another human body.

The message of Garuda Purana can be read and interpreted in a different perspective. In mythology, humans have been linked to animal tendencies. For example, bull is linked to sexual and non–sexual desires, peacock to vanity etc. Probably, people who wrote Garuda Purana meant that if you do not live according to the Shastras, you will end up getting another human body but with animal tendencies and behavior.
Cardiology eMedinewS
  • Among post-MI patients receiving antithrombotic therapy (aspirin, clopidogrel, an oral anticoagulant, or any combination of these medications), the use of NSAIDs was associated with increased risk of bleeding and excess thrombotic events, even after short-term treatment regardless of the type of NSAID or duration of use or the type of antithrombotic agent (JAMA 2015;313(8):805-14).
  • A small randomized pilot study suggested that the burden of atrial fibrillation (AF) after CABG surgery fell precipitously after intraoperative injections of botulinum toxin into the epicardial fat pads. The results were presented at the Heart Rhythm Society 2015 Scientific Sessions.
Pediatrics eMedinewS
  • Daptomycin is safe and effective for the treatment of complicated skin infections in children, suggests a trial presented at the 33rd Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID).
  • Children with autism spectrum disorder (ASD) and comorbid anxiety show increased attention to faces, especially emotional faces, in comparison with objects following treatment with cognitive-behavioral therapy (CBT), thus suggesting that CBT may alter cognitive processes in these patients, report preliminary findings presented at the International Meeting for Autism Research (IMFAR) 2015.
Make Sure
Situation: A patient with dengue fever developed shock.
Reaction: Oh my God! Why was the blood pressure of 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 pregnant diabetic came with A1c 7%.
Dr Bad: Very good control.
Dr Good: You need further control.
Lesson: The A1c goal in pregnancy is less than 6% if this can be achieved without significant hypoglycemia (ADA 2015).

(Copyright IJCP)
Events
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Inspirational Story
The Smell of Rain

A cold March wind danced around the dead of night in Dallas as the Doctor walked into the small hospital room of Diana Blessing. Still groggy from surgery, her husband David held her hand as they braced themselves for the latest news. That afternoon of March 10,1991, complications had forced Diana, only 24 weeks pregnant, to Danae Lu Blessing.

At 12 inches long and weighing only one pound and nine ounces, they already knew she was perilously premature. Still, the doctor’s soft words dropped like bombs. I don’t think she’s going to make it, he said, as kindly as he could. "There’s only a 10 percent chance she will live through the night, and even then, if by some slim chance she does make it, her future could be a very cruel one." Numb with disbelief, David and Diana listened as the doctor described the devastating problems Danae would likely face if she survived. She would never walk, she would never talk, she would probably be blind, and she would certainly be prone to other catastrophic conditions from cerebral palsy to complete mental retardation, and on and on. "No! No!" was all Diana could say. She and David, with their 5–year–old son Dustin, had long dreamed of the day they would have a daughter to become a family of four. Now, within a matter of hours, that dream was slipping away.

Through the dark hours of morning as Danae held onto life by the thinnest thread, Diana slipped in and out of sleep, growing more and more determined that their tiny daughter would live, and live to be a healthy, happy young girl. But David, fully awake and listening to additional dire details of their daughter’s chances of ever leaving the hospital alive, much less healthy, knew he must confront his wife with the inevitable. David walked in and said that we needed to talk about making funeral arrangements. Diana remembers, ‘I felt so bad for him because he was doing everything, trying to include me in what was going on, but I just wouldn’t listen, I couldn’t listen. I said, "No, that is not going to happen, no way! I don’t care what the doctors say; Danae is not going to die! One day she will be just fine, and she will be coming home with us!"

As if willed to live by Diana’s determination, Danae clung to life hour after hour, with the help of every medical machine and marvel her miniature body could endure. But as those first days passed, a new agony set in for David and Diana. Because Danae’s under–developed nervous system was essentially raw, the lightest kiss or caress only intensified her discomfort, so they couldn’t even cradle their tiny baby girl against their chests to offer the strength of their love. All they could do, as Danae struggled alone beneath the ultraviolet light in the tangle of tubes and wires, was to pray that God would stay close to their precious little girl. There was never a moment when Danae suddenly grew stronger.

But as the weeks went by, she did slowly gain an ounce of weight here and an ounce of strength there. At last, when Danae turned two months old, her parents were able to hold her in their arms for the very first time. And two months later–though doctors continued to gently but grimly warn that her chances of surviving, much less living any kind of normal life, were next to zero. Danae went home from the hospital, just as her mother had predicted.

Today, five years later, Danae is a petite but feisty young girl with glittering gray eyes and an unquenchable zest for life. She shows no signs, what so ever, of any mental or physical impairment. Simply, she is everything a little girl can be and more–but that happy ending is far from the end of her story.

One blistering afternoon in the summer of 1996 near her home in Irving, Texas, Danae was sitting in her mother’s lap in the bleachers of a local ballpark where her brother Dustin’s baseball team was practicing. As always, Danae was chattering non–stop with her mother and several other adults sitting nearby when she suddenly fell silent. Hugging her arms across her chest, Danae asked, "Do you smell that?" Smelling the air and detecting the approach of a thunderstorm, Diana replied, "Yes, it smells like rain." Danae closed her eyes and again asked, "Do you smell that?" Once again, her mother replied, "Yes, I think we’re about to get wet, it smells like rain. Still caught in the moment, Danae shook her head, patted her thin shoulders with her small hands and loudly announced, "No, it smells like Him. It smells like God when you lay your head on His chest." Tears blurred Diana’s eyes as Danae then happily hopped down to play with the other children.

Before the rains came, her daughter’s words confirmed what Diana and all the members of the extended Blessing family had known, at least in their hearts, all along. During those long days and nights of her first two months of her life, when her nerves were too sensitive for them to touch her, God was holding Danae on His chest and it is His loving scent that she remembers so well.
Wellness Blog
Caffeine–Alcohol combination in paralysis

A drug caffeinol containing caffeine and alcohol may help stroke patients recover.

In a small study at Texas Health Science Center in Houston, 60% of stroke patients who were given the drug, had no or minimal disability when they were discharged from the hospital. In contrast, only 26% of stroke survivors given standard therapy with tissue plasminogen activator, or tPA, fared that well.

Caffeinol contains about as much caffeine as 5 to 7 cups of good, strong New Orleans coffee and the equivalent of two shots of alcohol.

The study involved 100 people who had suffered an ischemic stroke. All received intravenous tPA; 10 were also given an infusion of caffeinol. Caffeinol allows cells to tolerate reduced blood flow longer, thereby giving tPA a longer opportunity to do its action.

Will these findings be applicable to heart attack? Only time will tell as heart attack treatment is also done with tPA.
eMedi Quiz
What is the number one cancer killer of women?

A. Colon cancer.
B. Breast cancer.
C. Lung cancer.
D. Cervical cancer.
E. Esophageal cancer.

Yesterday’s Mind Teaser: What is the main reason woman have trouble becoming pregnant after age 30?

A. Their ovaries release fewer eggs.
B. Their eggs have begun to degenerate.
C. They have sex less frequently.
D. The uterine lining thins.
E. It is a high-stress period in their lives.

Answer for yesterday’s Mind Teaser: B. Their eggs have begun to degenerate.

Correct Answers received from: Dr N K Mohanty, Dr Avtar Krishan, Dr G Madhusudhan, Tukaram Pagad, Dr Poonam Chablani, Dr K Raju.

Answer for 18th May Mind Teaser: D. Staying trim and exercising.

Correct Answers received: Dr Shangarpawar, Dr.K.Raju, Dr A K (jain)Diwaker, Dr Poonam Chablani, Dr Avtar Krishan
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Rabies News (Dr A K Gupta)
Is washing of animal bite wound (s) essential?

The risk of rabies reduces by about 50% by just washing of wounds and application of antiseptics.

The maximum benefit of the wound washing is obtained when the fresh wound is cleaned immediately. It is important to remove saliva containing rabies virus at the site of bite by physical or chemical means. This can be done by prompt and gentle thorough washing with ordinary soap or detergent and flushing the wound with running tap water for at least 15 minutes.

Washing of the wound must be done as long as the wound is raw irrespective of the time elapsed since the exposure. Care must be taken not to disturb the scab, if formed.

After washing with water and soap, disinfectants like Povidone Iodine or Surgical Spirit must be applied.

In extraneous circumstances, other alcoholic (>40%) preparations like Rum, Whisky or aftershave lotion may be applied on the wound. If soap or antiviral agent is not available, the wound should be thoroughly washed with water.
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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
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Opinion
The situation is not clear. Till it becomes clear I would recommend, not as a legal requirement, but as a good practice to get registered with the State Medical Council where he/she is practicing. It is a cautionary measure and will prevent a doctor from serious repercussions if he/she is found guilty of malpractice in the state practicing without registration. What is the harm of registering?

I was largely responsible for the Delhi Medical Council making it mandatory for doctors practicing in Delhi to register themselves with the Delhi Medical Council. I am glad that the Rajiv Gandhi Centre and Sir Ganga Ram are strictly following this rule or recommendation or guideline call it what you want.

Professor Ranjit Roy Chaudhry, Founder President DMC, Former Member Board of Governors MCI
Bachelor of Science (Community Health): Status of a case in Delhi high Court. IMA needs to intervene in this case
In the High Court of Delhi at New Delhi/ CONT.CAS(C) 137/2012: Meenakshi Gautham vs P K Pradhan and Anr... Respondent/ Hon'ble Mr. Justice Rajiv Shakdher

Order: 13.12.2012
  • Mr. Mehra has referred me to an affidavit filed on 29th November, 2011 by Secretary, Ministry of Health and Family Welfare. In paragraph 5 of the said affidavit, the deponent has indicated the following tentative schedule:
(1). Approval from Hon'ble Health and Family Welfare Minister on the Curriculum revised by Medical Council of India (MCI) by 30.10.2012.

(2). Constitution of a Task Force to frame the norms regarding requirements for introduction of the course by 01.11.2012.

(3) Finalisation of the norms by the Task Force by 26.11.2012.

(4) Consultation with MCI and Director General of Health Services (DGHS) regarding the norms framed by the Task Force by 14.12.2012.

(5) Notification of regulations on Bachelor of Science (Community Health) by MCI by 31.12.2012.

(6) Meeting with the State Governments to decide upon the introduction of the course by 15.01.2013 and

(7) thereafter, commencement of the course in the States who agree to introduce it.
  • To be noted, insofar as the first two items are concerned, they stand liquidated as per the learned ASG. He states that approval of the Health Minister qua the revised curriculum submitted by MCI vis-a vis the Bachelor of Science (Community Health) course has received the necessary approval of the Health Minster. The task force to frame the norms for introduction of the aforementioned course has also been constituted. For this purpose, learned ASG has drawn my attention to the order dated 6th November, 2012 issued by Government of India, Ministry of Health and Family Welfare.
  • Insofar as the remaining aspects are concerned the learned ASG says that they shall be adhered to punctiliously. In case, any leeway is necessary, and that too for good reason, the Ministry of Health and Family Welfare, will approach this Court, with an application in that regard.
  • The steps taken, since the last date of hearing, at the behest of the learned ASG, by the concerned Ministry, are appreciated.
  • Insofar as the petitioners are concerned, they have two outstanding concerns, which have been put to the learned ASG as well as to the Advocate for the MCI, Mr. Ashish Kumar. These concerns being: first, that in the order of the Division, there is a submission made on behalf of the MCI, that the persons, who would undertake the aforementioned course, would be not only obliged to serve in the rural areas for a period of five years but thereafter would be required to undertake a bridge course of two years so that, they are put at par with a student who has taken a MBBS degree. The second concern is, with regard to the following recommendation of the MCI, which is contained in the curriculum submitted by them to the Government of India: The BSc (CH) graduates/CHOs shall not be eligible to provide private clinical services to any individual outside the government health system under any circumstances. They are trained only to provide certain limited tasks in specified public sector program settings under guidance and supervision of medical officers. Their main responsibility is public health??
  • The concern of the petitioner is that if the aforementioned recommendation of the MCI is to be implemented, it would virtually mean that the students who undertake the aforementioned course, would be left looking for a job in case they are not absorbed by the rural health centres run by the Central/State Governments. Therefore, what flows from this submission is that the persons who undertake the aforementioned course should also be permitted, like any other professional, to undertake private practice. Both, the Central Government i.e. the Ministry of Health and Family Welfare as well MCI, will deliberate on the aforementioned issues, and return to the Court, with instructions on the next date of hearing. Re-notify on 21st February, 2013. (Rajiv Shakdher) December 13, 2012
In the High Court of Delhi at New Delhi
137/2012 Meenakshi Gautham vs PK Pradghan: Hon'ble MR. Justice V.K. Shali

Order: 24.04.2015 CONT.CAS(C) 137/2012 & CM 3501/2013 (extension of time to comply with the order dt.13.12.12)

Learned counsel for the respondents, i.e., Union of India as well as MCI are given one final opportunity to file response to the reply-affidavit dated 15.03.2015, within four weeks.

Advance copy of the same shall be given to the learned counsel for the petitioner, who may file response thereto within two weeks thereafter.

List on 16th July, 2015. V.K. SHALI, J APRIL 24, 2015
IMA to provide health care during Kumbh Mela
Sumita Sarkar | 18 May 2015, 11:30 AM IST

Nashik: The Indian Medical Association (IMA) is coordinating with doctors, paramedics and non-governmental organisations to provide health care during the Kumbh Mela in case of an epidemic, emergency or a disaster. As many as 75 people from the medical field have been trained for the purpose. The IMA is also going to form a rapid task force with a group of doctors for the Kumbh.

The health care training is being done by the IMA in coordination with the Maharashtra University of Health Sciences (MUHS).

"We had four or five meetings with MUHS over the last two months. The IMA is coordinating to get all health care personnel like doctors, paramedics and NGOs together. The government will provide the infrastructure and we will provide health care," said IMA Nashik president Manoj Chopda.

"Three months of the Kumbh Mela and particularly the three parvanis (main days) for the shahi snan (holy bath) are important. We will be on our toes for nine days during the three shahi snans one day before each snan, on the day, and the day after. It is during these days that pilgrims come in large numbers," Chopda said.

"A team from Atlanta, US, had come to the NDMVP's Dr Vasantrao Pawar Medical College had offered training to 75 people from the medical field in handling epidemics and disaster management. This was the leadership programme. One programme was also conducted for paramedics," he said.

These programmes were held during in April-end and the start of May. The IMA is also trying to create a Rapid Task Force (RTF) with a group of doctors for the main shahi snan days. Nine centres are being developed for the shahi snan so that Ramkund does not get overcrowded. The RTF will be posted at these centres.

"There will be physicians, orthopaedicians, anaesthetists and general physicians at work during the Kumbh," Chopda said. "We met the deputy director of health services, municipal commissioner and district collector in this connection. We had an emergency case during the last Kumbh and it took us almost two hours to transport a patient over a distance of barely 1.5km. We are also planning to have a tent ICCU (Intensive Cardiac Care Unit), cardiac ambulance with ventilator and a doctors' team to help in emergencies."

Chopda pointed out that around 5-6 lakh sadhus and visitors will attend the Kumbh Mela from July to September. The municipal corporation will have a mobile OPD and 10-bedded hospital at Sadhugram, he said.

Additionally, the IMA and MUHS have identified hospitals near Ramkund for treatment, such as the Ganeshwadi Ayurvedic Hospital, Dental College at Panchavati, Saptashrungi Medical College and Dr Vasant Pawar Medical College.

"During the shahi snan, the services of these hospitals can be used to treat emergency cases and for disaster management," Chopda said
“Right-to-try” Experimental Prescription Drugs.
In 2013 and 2014, Colorado, Missouri, and Louisiana passed “right-to-try” laws that permit manufactures to provide experimental medicines to terminally ill patients without US FDA authorization. US FDA currently has a process by which patients can access experimental drugs through "expanded access" or "compassionate use".

Compassionate use refers to the use of an investigational new drug outside of a clinical trial by patients with serious or life-threatening conditions (HIV/AIDS, cancer, rare diseases) who do not meet the enrollment criteria for the clinical trial in progress. It allows access only to medications that have passed manufacturers’ Phase I clinical trials. Access limited to use by terminally ill patients who have exhausted other available treatments.

Laws require that the treating physician recommend the experimental therapy, and the Colorado and Louisiana statutes further mandate that the treating physician attest to the inadequacy of FDA-approved treatment alternatives. The laws shelter physicians from professional discipline and negligence actions for making good-faith recommendations; & extend limited civil immunity to manufacturers related to harms that experimental drugs may cause.

(Darrow JJ, Sarpatwari A, Avorn J, Kesselheim AS. Practical, legal, and ethical issues in expanded access to investigational drugs. N Engl J Med. 2015 Jan 15;372(3):279-86).

Do Indian doctors have the “Right-to-try” Experimental Prescription Drugs to terminally ill patients?

Do Indian patients have the “Right-to-try” Experimental Prescription Drugs?

Thanking you

Dr. Vivekanshu

Medanta-The Medicity, Gurgaon
PMT question paper racket busted; 6 held
Monday, 18 May 2015 | PNS | Dehradun |

The city police claimed to have busted a racket which allegedly was involved in defrauding candidates of the Uttarakhand Pre-Medical Test (UPMT) examination. Acting on a tip-off, a police team swooped on a hotel late on Saturday night and arrested six persons in connection with the fraud. The team has recovered cheques worth Rs 1.40 crore, cash of Rs 93,000, a laptop and a car from their possession.
Media
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Kind attention all:

In the ecircle, IMA is blamed of supporting the MCI circular. IMA has not so far issued any such directions. The Supreme Court Judgment and MCI circular has been circulated for comments, as per following letter. This letter has gone to all president and secretaries.

Supreme Court Judgment on the issue strike done by the medical profession

Dear Colleague,

Greetings from Indian Medical Association!

Please find attached herewith a scanned copy of recent Supreme Court Judgment along with a Circular by MCI regarding the issue of strikes done by medical profession.

You are requested to kindly send us your suggestions regarding the same in this regard.

Thanking you,

Yours sincerely,

Dr A Marthanda Pillai                         Dr K K Aggarwal
Quote of the Day
Failures are finger posts on the road to achievement. Charles F. Kettering
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Reader Response
  • IMA Stand on Strike: The NP was very categorical in the just concluded State Working Committee of IMA Kerala, where I raised the issue. Even if there is a BAN by MCI on Doctor's strike, we will go for it, if the situation warrants! There can't be more emphatic statement from anyone. Dr Babu
  • Total 30-35 cases under PCPNDT Act in Kota (Raj) only, out of 80 working USG Centers because of minor irregularities like improper records, incomplete Form F, seal & sign, wearing apron without name tag etc. Amit Goyal
IMA Humor
A friend recently explained why he refuses to get to married. He says the wedding rings look like miniature handcuffs.
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Press Release
Indian Medical Association supports Alkem Chronic, an SBU of Alkem Laboratories, to roll out the biggest ever Clean India National Movement by Indian doctors with the message “A Clean India will deliver a Healthy India”

In a Press Conference held in the capital yesterday, the Indian Medical Association and Alkem Laboratories Ltd - India’s 5th largest pharmaceutical company, announced that they would be organising the biggest ever Clean India National Movement by Indian doctors on 23rd May, 2015. The cleanliness drive will witness participation of over 20,000 doctors, 3 lakh citizens and 900 Alkem employees across 135 cities in India. The message of the campaign is short and simple, “A Clean India will deliver a Healthy India”. The rally in New Delhi will be initiated at two parallel venues, namely the Bhagwan Mahavir Hospital & the Guru Tej Bahadur Hospital.

Improper sanitation, unhygienic habits, unclean surroundings, improper disposal of waste and open defecation all drastically increase the prevalence of disease in our country. It is deplorable that over 3 lakh children die before the age of 3 every year of diarrheal illnesses. This situation is preventable and the medical fraternity can play a great role in educating the masses about the inextricable relationship between sanitation and health. It is a fact that over 50% of the common diseases such as Malaria, Cholera, Diarrhea, Typhoid, Gastroenteritis can be prevented just by keeping one's environment clean; and the resultant burden on the health budget can also be reduced.

Addressing the media, Mr. Mahesh Kavathekar – Vice President of Alkem Laboratories Ltd said, “Alkem is proud to be the first pharmaceutical company to initiate the biggest ever ‘Clean India’ National movement by Indian doctors as our contribution to the Swachh Bharat Abhiyan. The message we are trying to take to the people is simple, that ‘A Clean Indian will deliver a healthy India’. We are extremely pleased to have the support of the medical fraternity & Indian Medical Association. We hope that together we will give a clarion call to all Indian citizens about keeping their environment clean and healthy. We would like to use this platform to call on every individual to join us at either Bhagwan Mahavir Hospital or Guru Tej Bahadur Hospital in New Delhi between 9:30 – 11am on Saturday 23rd May to help make Mission Clean India a reality”.

Speaking about IMA’s association with the campaign Dr KK Aggarwal - Padma Shri Awardee, & the Hon. Secretary General of the Indian Medical Association & Dr Ajay Lekhi, President, Delhi Medical Association in a joint statement said, “We at Indian Medical Association believe that awareness is the first step to disease prevention and are proud to be associated with this movement. Health and cleanliness are two sides of the same coin and we sincerely believe that just by keeping the environment clean, the majority of common diseases can be eliminated. We will be spreading awareness about this cause to all 2.5 lakh members of IMA across 1700 branches and asking them to join the movement.”

Discussing the intrinsic relationship between cleanliness & health Dr. Pankaj Aneja - Senior Consultant at Fortis Hospital, Dr S.C. Manchanda - Senior Cardiologist at Gangaram Hospital & Dr. Ashok Kumar Jhingan – renowned Diabetologist added, “Globally 33 percent of the diseases in children under the age of five are caused by environmental exposures which include living in unclean surroundings and following unhygienic practices. According to a recent research by the Public Health Association, only 53 percent of the population wash hands with soap after defecation, 38 percent before eating and 30 percent before preparing food. Hand washing with soap, can reduce diarrheal diseases by over 40 per cent. It’s in our hands to give our future generation a clean and healthy India. There could have been no better platform to raise awareness about this cause than the one that has been provided by Alkem Chronic. We are proud to be associated with such a noble initiative and glad that we can help the society at large”.

The World Health Organization recently released a report declaring Delhi is the most polluted city in the world. There are various diseases like chronic respiratory ailments, heart problems that get precipitated by an unclean environment. Steps can be taken by each and every individual to reduce this environmental disease burden. Small measures like safe household water storage, better hygienic measures, more judicious waste management and use of pest control at home and workplace can help us to pave a long way in keeping city clean and thus in turn avert a host of diseases.

Also present at the occasion was Mrs. Ashvini R. Khandelwal, Sr. Brand Manager Alkem Chronic.