Editor-in-Chief eMediNexus – Dr KK Aggarwal
23rd June 2019

Bihar children deaths: Could refeeding syndrome precipitated by litchis be the cause?

Dr KK Aggarwal, Recipient of Padma Shri

What do we know so far about these deaths: Mostly malnourished children < 10 years old, linked to lychee orchids, convulsions early in the morning, no fever, high mortality the same day, all had low sugar but mortality still high even after infusing sugar.

This only means that some other metabolic factor is also at play apart from the sugar.

What might be happening? If significantly malnourished children, who have not eaten food for more than 3 days eat oral carbohydrates (litchi in this case), it can cause electrolyte and fluid shifts that may precipitate disabling or fatal medical complications. ...read more

HR/June 19/8: Increasing global recognition for tobacco harm reduction

Dr KK Aggarwal, Recipient of Padma Shri

The following quotes demonstrate an increasing global recognition for tobacco harm reduction.

“We (in 2007) suggested that making effective, affordable, socially acceptable, low-hazard nicotine products available to smokers as a market alternative to tobacco could generate significant health gains, by allowing smokers to stop smoking tobacco, without having to stop using the nicotine to which they are addicted. As most of the harm caused by smoking arises not from nicotine but from other components of tobacco smoke, the health and life expectancy of today's smokers could be radically improved by encouraging as many as possible to switch to a smoke-free source of nicotine.” Royal College of Physicians, Nicotine without smoke, 2016....read more

Practice Updates

New Multi-Partner Trust Fund launched to combat antimicrobial resistance globally

Noordwijk, the Netherlands: In a major boost to combat one of the gravest risks to global health, a dedicated funding vehicle allowing partners to devote resources to accelerate global action against Antimicrobial Resistance (AMR) was unveiled at a Ministerial Conference. The Tripartite – a joint effort by the Food and Agriculture Organization (FAO), the World Organisation for Animal Health... read more

FDA expands approval of treatment for cystic fibrosis to include patients ages 6 and older

The U.S. Food and Drug Administration has expanded the indication for Symdeko (a combination of tezacaftor/ivacaftor) tablets for treatment of pediatric patients ages 6 years and older with cystic fibrosis who have certain genetic mutations. Last year, the FDA approved Symdeko to treat patients ages 12 and older who had the same specific genetic mutations.... read more

Expected Shortage of TB Tests Prompts New CDC Recommendations

The Centers for Disease Control and Prevention (CDC) has issued new recommendations for tuberculosis (TB) skin testing in response to the anticipated 3- to 10-month nationwide shortage of Aplisol (Par Pharmaceuticals), a purified-protein derivative (PPD) tuberculin antigen approved by the US Food and Drug Administration (FDA) for tuberculin skin tests (TSTs).... read more

Northeast Congo Insecurity Hampers Response to Measles Outbreak

Insecurity in northeast Congo has hampered a measles vaccination drive and forced people to flee their homes, local responders said on Wednesday, complicating efforts to control the spread of a virus that has killed more people than Ebola this year.

At least 1,500 people have died from measles in Democratic Republic of Congo since the start of 2019, according to health authorities,... read more

Statins Linked to Fewer Strokes after Cancer Radiation

Patients taking statins after radiation therapy for head, neck, or throat cancer, had fewer strokes and a signal for fewer cardiovascular and cerebrovascular events overall as well, a retrospective cohort study found.... read more

IDEJ Update

Indian Diabetes Educator Journal (IDEJ), 1st of its kind in India aims to keep the members of diabetes care team abreast with concepts of DSME (Diabetes self-management education) and DSMS (Diabetes self-management support). IDEJ has set a new benchmark in educating the diabetes educators about evolving the concept of DSME- reaching to more than 25000 through Digital and Print Medium..... read more

Medical Voice

Save Muzaffarpur's children by repairing its broken primary health care

I agree with a TOI blog today which exposed the broken primary health care in Bihar.
Where is the Pradhan Mantri Jan Arogya Yojana for these children?
As per official norms of one PHC for every 30000 population and given its population of a little over 5.1 million, Muzaffarpur should have over 170 PHCs. But a health ministry database shows only 103 PHCs. ... read more

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