January 25 2015, Sunday
IMA NEWS
Launch of IMA Rise and Shine Web Lecture Series
 
Date of webcast
8th February 2015
Time of webcast
11:00 AM - 11.30 AM
Mode
Live webcast http://www.ima-india.org/ima/
Opening remarks:
Dr K K Aggarwal, Honorary Secretary General, IMA - 2 minutes
Introduction of President IMA and Chairman Apollo Hospitals Group
Dr. Anupam Sibal, Group Medical Director, Apollo Hospitals - 3 minutes
Presidential Address
Dr. Marthanda Pillai, National President – IMA - 7 minutes
Leadership Qualities: My personal Journey and Healthcare challenges
Dr. Prathap C Reddy, Chairman Apollo Hospitals Group - 15 minutes
Concluding Remarks and Thanks
Dr. K K Aggarwal - 3 minutes


IMA, IAP, NNF & FOGSI Initiative
  • No child (0 to 5 years) should die of diarrhea and pneumonia. At present 2 lacs children die of diarrhea and 3 lacs from pneumonia every year, which is not acceptable to the medical profession. For every Neo-natal death public should make public outcry.
  • No child should die just because preventive and infrastructure facilities are not available for treating diarrhea and pneumonia.
  • To reduce infant mortality rate to 20 per 1000 from the present 40 per thousand.
  • Every Branch of IMA to have a Women Wing for educating adolescent girls.
  • Every Branch of IMA to have adolescent weekly clinics.
  • Every IMA member to sensitize adolescents about life style, reproductive and mental health.
  • IMA to focus on Delhi as a model to achieve zero death with diarrhea and pneumonia in 0-5 years of age.
Ten Questions You Should ask Your Health Care Provider

Thyroid Disease
  1. Where is the thyroid located, and what does it do?
  2. What are the differences between hypothyroid (low functioning) and hyperthyroid (hyper functioning) patients and what are the symptoms of each?
  3. What is Thyroid Stimulating Hormone (TSH), how is it measured, and what should my target number be?
  4. How often should I repeat my thyroid test?
  5. What else besides TSH levels are important for making sure my thyroid condition is under control?
  6. Why are more people than ever being diagnosed with thyroid cancer and should I be checked for it?
  7. What is the difference between a generic thyroid hormone pill and a brand name thyroid hormone pill?
  8. What time of day is best to take my thyroid hormone pill?
  9. May I take my thyroid medication with food, other medications, vitamins or supplements?
  10. Can any of my other medications affect my thyroid?
eMedipics IMA,IJCP,HCFI
In the PEDICON 2015, Annual Conferee of Indian Academy of Pediatrics, Padma Shri Awardee Professor Dr K K Aggarwal and Honorary Secretary General, IMA, said that No child (0 to 5 years) should die of diarrhea and pneumonia
editorial
Transplantation of Human Organs and Tissues Rules, 2014: 31 3 a violation of MCI act
Dr KK Aggarwal The rules are now been implements and the rule 31 (4e) is a violation of MCI act.

Rule 31: Manner of establishing National or Regional or State Human Organs and Tissues Removal and Storage Networks and their functions.—

(4) The broad principles of organ allocation and sharing shall be as under,—

(a) The website of the transplantation center shall be linked to State or Regional cum State or National networks through an online system for organ procurement, sharing and transplantation.

(b) patient or recipient may get registered through any transplant centre, but only one centre of a State or region (if there is no centre in the State) and his or her details shall be made available online to the networking organisations, who shall allocate the registration number, which shall remain same even if patient changes hospital;

(c) the allocation of the organ to be shared, is to be decided by the State networking organization and by the National networking organization in case of Delhi;

(d) all recipients are to be listed for requests of organs from deceased donors, however priority is to be given in following order, namely:-

(i) those who do not have any suitable living donor among near relatives;

(ii) those who have a suitable living donor available among near relatives but the donor has refused in writing to donate; and

(iii) those who have a suitable living donor available and who has also not refused to donate in writing;

(e) sequence of allocation of organs shall be in following order: State list/Regional List/ National List/Person of Indian Origin/ Foreigner.

Violation of MCI act if doctors follow this

At the time of registration, each applicant shall be given a copy of the following declaration by the Registrar concerned and the applicant shall read and agree to abide by the same:

d. I will not permit considerations of religion, Nationality, race, party politics or social standing to intervene between my duty and my patient.

The issue is being taken up by the IMA with the government. Will IAP and FOGSI join hands.

*********************************
ManKind News ManKind News
ManKind News ManKind News
The Year in Medicine 2014: News That Made a Difference
Digital Medicine Makes Its Mark

Physicians are beginning to embrace technology to improve patient care as policies and legislation to regulate such care, including telemedicine, move a bit more slowly. In the WebMD/Medscape Digital Technology Survey from August and September, 69% of physicians said they embrace technology to enhance and aid the diagnostic process, and 63% of physicians agreed that the smartphone can be a useful diagnostic tool with regard to blood tests.[68] The CMS proposed in July to increase incrementally the telehealth services that Medicare will cover, including wellness visits and some behavioral health services. However, CMS continues to restrict telehealth coverage to rural areas and offers a very circumscribed definition of the telehealth technology that can serve as the basis for coverage. (Source: Medscape)
Reader Response
Excellent initiatives. God bless you all in this great endeavor. Best regards to all. Doc VJ
IMA,IJCP,HCFI
Quote of the Day

Nothing ever comes to one, that is worth having, except as a result of hard work. Booker T. Washington
News on Maps
CPR 10
Total CPR since 1st November 2012 – 101090 trained
IMA Facebook Likes
Click here
 27791 likes
Make Sure
Situation: A patient after receiving 40 units of insulin developed severe hypoglycemia.

Reaction: Oh my God! The order was for 4 units.

Lesson: Make sure that 4 unit is not written as 4.0 units.
Twitter of the Day
Dr KK Aggarwal: Long term use of painkillers can cause kidney cancer http://bit.ly/15QdVeB #Health

Dr Deepak Chopra: Despite five decades of modern neuroscience, we have only a very limited knowledge of the role of sleep http://bit.ly/15QdVeB #Health
Rabies News (Dr A K Gupta)
Is sera testing of IDRV patients for antirabies antibodies necessary as a measure of knowing its efficacy?

Routine sera testing for rabies antibodies to know its efficacy is not required.
eMedinewS Humor
When she went before the judge he asked her, "What did you steal?"

She replied, "Can of peaches."

The judge asked her why she had stolen the can of peaches and she replied that she was hungry. Then the judge asked her how many peaches were in the can. She replied 6.

The judge said, "Then I will give you 6 days in jail."

Before the judge could actually pronounce the punishment, the woman's husband spoke up and asked, the judge if he could say something on his wife's behalf. The judge said, "What is it?"

The husband said, "She also stole a can of peas."
PEDICON 2015
AICOG 2015
THE DRUGS AND COSMETICS (AMENDMENT) BILL, 2015
Amendment of section 21
26. In section 21 of the principal Act,-
 
(a) after sub-section (4), the following sub-section shall be inserted, namely:-
 
“(5) Any person appointed as the Inspector under this section, before the commencement of the Drugs and Cosmetics (Amendment) Act, 2014, shall, after such commencement, be deemed to have been appointed as the Drugs Control Officer for the purposes of this Chapter and shall continue to discharge his functions as the Drugs Control Officer unless his appointment is terminated or withdrawn.”
Amendment of section 22.
27. In section 22 of the principal Act,-
 
(a) for the words “drug or cosmetic” wherever they occur, the words “drug or cosmetic or notified category of medical device” shall be substituted;
 
(b) for the words “this Chapter”, wherever they occur except in clause (cca) of sub-section (1), the words, figures and letter “Chapter IIA or Chapter IV” shall be substituted
 
(c) in sub-section (1),- (A) in clause (b), in sub-clause (i), for the words “being manufactured”, the words “being imported or manufactured” shall be substituted;
 
(B) in clause (d), for the words „exercise such other powers?, the words „exercise such other powers and perform such functions shall be substituted;
 
(C) after clause (d), the following proviso shall be inserted, namely:– “Provided that in case the stocks of the drugs or cosmetics or notified category of medical devices, and the record, registers, documents or any other material objects connected or related thereto are seized, he shall, as soon as may be, inform the Judicial Magistrate and take his orders as to the custody thereof.”
Substitution of new section for section 23.
28. For section 23 of the principal Act, the following section shall be substituted, namely:-
Sampling of drug, cosmetic and notified category of medical device.
“23. The Drugs Control Officer or any other officer duly authorised by the Central Government, State Government, the Drugs Controller General India or State Drugs Controller by whatever name called, as the case may be, shall take sample of drug, cosmetic and notified category of medical device for test, analysis and examination under Chapter IIA, Chapter III and Chapter IV in such manner as may be prescribed.”.
Media
IMA,IJCP,HCFI
PEDICON 2015
IMA,IJCP,HCFI
Dr KK Spiritual Blog
Sacrifice a goat and clear the board exam: It’s scientific

"Students in tribal–dominated Jhabua district in Madhya Pradesh and adjoining villages in Gujarat believe that sacrificing goats can help them pass an exam. Ranapur, 45 km from Jhabua, an idol of Baba Dongar, a tribal god is making all wishes come true. Here, photocopies of exam admit cards are tied around trees and in return for their entreaties coming true, the supplicants promise to offer the god a goat, a hen or a bottle of liquor. Some 500 animals are sacrificed here every day and there are more than a dozen such priests who do the slaughtering."

The above story is published in TOI and is correct as per mythology provided one understands the mythology.

In mythology riding means controlling and sacrificing means killings and animals are symbolized by human nature and behaviors.

For example, mouse is a vahan of Ganesha and symbolizes that to overcome obstacles one need to control one’s greed. Similarly owl is the vahan of Laxmi and means that for righteous earning one should be able to control one’s foolishness.

Goats and Rams represent sexuality and sexual desires and lambs represent purity and innocence.

Goat is mentioned in mythology both as a symbol and as a vehicle of Gods. In the Samkhya system Prakriti is depicted as a female goat (Mother Nature). The color of goat is red, black or white representing Sattva, Rajas, and Tamas.

The vehicle of Goddess Kali is a black goat. Agni rides Mesha – a ram. Kubera, the god of wealth, also has a ram as his vehicle. A ram is an uncastrated adult male sheep.

Sacrificing during exams means controlling your tamas or inertia and rajas or aggression, and controlling your sexual desires (un–castrated males).

Brahmacharya in mythology is a period where you are supposed to keep your sexual deviations and other desires under control. So sacrificing a goat does not mean physical killing of goat but killing of goat like activities within you.
Dr Good Dr Bad
IMA,IJCP,HCFI
Wellness Blog
Every arthritis is not same

Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child–bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease–modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1–2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of 50+age group and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight–bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout, which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.
Medicolegal
IMA,IJCP,HCFI
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 -
WhistleblowerDumped/videoshow/4468283.cms
Heart Care Foundation of India announces the Mrs Abheeta Khanna Oration on Excellence in Sports and Health
https://www.youtube.com/watch?v=6Ktz5-iUINE
Betiyan Hain Anmol, Bachao Dil Se, Medanta joins hands with Heart Care Foundation of India
https://www.youtube.com/watch?v=TGEGauzE0kg
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
https://www.youtube.com/watch?v=Mc3kKDXKWvs
Kishan, SM Heart Care Foundation Fund,
Post CHD Repair
https://www.youtube.com/watch?v=OTEG7toVkAQ
Deepak, SM Heart Care Foundation Fund,
CHD TOF https://www.youtube.com/watch?v=rjOel0aaqt0
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
IMA in the News
IMA in Social Media
https://www.facebook.com/ima.national 27937 likes
https://www.facebook.com/imsaindia 45928 likes
https://www.facebook.com/imayoungdoctorswing 254 likes
Twitter @IndianMedAssn 738 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
PEDICON 2015
Quality development of every child: need of the hour
Dr Anupam Sachdeva, Organizing Secretary

Dear Friends, colleagues and delegates, PEDICON 2015 is different as we have tried to put academics first. This conference is different, because we are talking about quality development of every child which has to be taken as a holistic concept. This involves allowing the child to grow and develop emotionally, culturally and academically.This in turn will ensure good health for every child automatically. It is not as important to put up huge tertiary care hospitals all over the country as it is for the government to act at the primary care level and improve the sanitation, vaccination coverage and primary health of this county. With this 90%of people who end up in tertiary care hospitals will never ever need that kind of services.This will help balance out our resources in a much better way and reduce the burden on tertiary care services.this will translate into a lesser spend on health care as compared to what us being done now. Every paisa spent on primary care translates into saving hundreds of thousands of rupees in tertiary care which can then be utilised in a much better way.

Diabetes Day-to-day Care
Dr M Vijay Kumar, Kerala
  • In children, nearly 90% of the diabetes cases are type 1 diabetes.
  • Type 1 diabetes is characterized by autoimmune destruction of cells and absolute deficiency of insulin secretion.
  • A child with type 1 diabetes has an acute presentation, is more prone to complications and insulin is the only treatment option for this patient.
  • Diagnosis is confirmed when plasma glucose is >200 mg/dL, FPG is >126 mg/dL and HbA1c is >6.5%. Presence of autoantibodies is confirmatory.
  • Basic day-to-day care involves:
    • Insulin administration
    • Nutritional and growth monitoring
    • Prevention and treatment of acute complications
    • Exercise
    • Long-term follow-up.
  • Insulin regimens are of three types: Split mix, basal-bolus and insulin pumps. Split mix is the most popular regimen.
  • Guidelines for insulin administration:
    • Injection site rotation is mandatory
    • Always match IU on syringe and bottle
    • Monitoring with glucometer is necessary.
  • Urine sugar testing is never an alternative to blood sugar test.
  • Hypoglycemia is a significant acute complication which should be managed if levels reach 70 mg/dL. Glucose tablet or powder is the ideal treatment. Milk, chocolate and ice cream should be avoided since their fat content decreases the absorption of glucose.
  • Severe hypoglycemia may be associated with seizure and loss of consciousness.
  • Sick day rules - Never stop insulin, more frequent monitoring of blood glucose to be done, maintenance of fluid and electrolytes, adjust insulin frequently and carefully.
  • Care during exercise - Reduce pre-meal insulin by 1-2 units and plan exercise within 1-2 hours of injection; eat a snack before exercise.
MRI in Cardiac Diseases
Dr Smita Mishra, Noida
  • Challenges with the use of MRI in children - Immature thermoregulation in children, greater surface area to weight ratio, thus leading to increased heating in children.
  • MRI has the following uses in children:
    • Helps in tissue characterization
    • Helps in prediction of outcome in tetralogy of Fallot
    • Useful in shunt calculation
    • Helps in detection of pediatric cardiac tumors, amyloidosis, acute onset of LV dysfunction, hypertrophic cardiomyopathy, myocarditis, cardiomyopathies, arrythmogenic RV dysplasia and restrictive cardiomyopathy.
AICOG 2015
Cesarean myomectomy

Dr Alka Kriplani, New Delhi

Cesarean myomectomy is traditionally not recommended except in cases of pedunculated / subserous fibroid, lower segment / incision line fibroid.
  • If not removed, complications may occur in post partum period: PPH, inversion uterus, intra-leiomyoma massive hemorrhage after delivery, spontaneous expulsion of fibroid postpartum
  • Key to success: Careful patient selection, detailed counseling, well equipped set up and skilled surgeon who can do cesarean section + myomectomy
  • It avoids repeated surgeries, relieves symptoms in the long term, reduces postpartum complications (PPH) and saves cost.
Toxoplasmosis in pregnancy Dr A Jaishree Gajaraj, Chennai
  • Toxplasmosis is zoonotic disease caused by protozoan parasite Toxoplasma gondii. Worldwide about 2 billion people are affected. The seroprevalence of T. gondii infection in India - 24.3%; the lowest being in the northern parts of India and the highest in the south
  • Transmission is mainly by ingestion of food or water contaminated with oocysts. Congenital toxoplasmosis - transplacental passage of the parasite from mother to fetus
  • Infection may be congenitally or postnatally acquired.
  • Congenital infection occurs only when a woman becomes infected during pregnancy. Infections acquired during the first trimester are more severe than those acquired in the second and third trimesters.
  • Maternal infection in 1st and 2nd trimesters? severe toxoplasmosis ?IUFD and spontaneous abortion
  • The overall frequency of subclinical infection in the new born with congenital toxoplasmosis is as high as 85%.
  • Early treatment of congenital toxoplasmosis to avoid late complications
  • The frequency of severe congenital infection can be limited by routine screening of mothers and babies and by early specific treatment.
  • Infected is subclinical in 67-80% of prenatally infected infants; they appear healthy at birth anddevelop clinical symptoms and deficiencies later in life.
  • Congenital T. gondii infection: Hydrocephalus, microcephalus, deafness, or blindness, fetal demise
  • Evaluation of serum for antibodies to TORCH agents is important as these infections are not clinically apparent & may cause severe central nervous system impairment in newborns
  • Toxoplasmosis usually responds well to treatment. Good recovery is the general rule.
  • Spiramycin is a macrolide antibiotic with a difference more stable than erythromycin’ it accumulates in the tissues and stays there for long periods. The drug should be started as soon as possible after proven or suspected maternal diagnosis and continued throughout pregnancy. Monitoring for the presence of fetal infection is indicated
  • Dose in pregnant women: 6-9 MIU (2 to 3 tablets) daily in 2 or 3 divided doses for 3 weeks. Repeat after a 2-week interval till delivery
Safe Laparoscopy Entry

Dr Anuradha Pichumani, Chengalpattu, Tamil Nadu
 
  • First step in laparoscopy is safe and successful insertion of primary port; most important and potentially dangerous.
  • Despite advances in endoscopic technique and instumentation, inadvertent and potentially avoidable injuries continue to occur. Finding a safe entry technique is our priority
  • Most common procedures used in laparoscopy to enter into the peritoneal cavity: Verres needle (closed technique), Hasson technique (open technique). Hasson method remains the favorite entry method.
  • Advantages of Hasson technique: Avoidance of blind puncture, certainty of establishing pneumoperitoneum, avoiding preperitoneal insufflations, correct anatomical repair of abdominal wall incision and vascular injuries are nearly entirely prevented by the open entry technique.
  • Selection of technique depends on surgeon preference: Skill, anatomical knowledge, experience and thoughtful planning.
  • Open technique – modified Hasson is safe, reliable, acceptable and less life threatening major complications
FIGO: Best practice advices

Dr Gian Carlo Di Renzo, Gen Secy FIGO, Italy

It is very difficult to gather data on maternal mortality and maternal health. There is an inequity despite declining maternal mortality globally; perspectives for women in poor resource countries are much worse than those in industrialized countries. FIGO works with a mission dedicated to the improvement of women’s health and right and to the reduction of disparities in health care available to women and newborns as well as to advancing the science and practice of obstetrics and gynecology.

FIGO best practice in maternal fetal medicine
 
  • Periconceptional folic acid to prevent NTDs: Women who are planning pregnancy or they are not using any contraception and who do not have risk factors for NTDs should be advised 400 mcg folic acid starting at least 30 days before conception and continued daily all through the 1st trimester All women in reproductive age group should be informed about the benefits of folic acid during any medical appointment. FIGO encourages food fortification with synthetic folic acid efforts and vigilance in monitoring them
  • Screening for chromosomal abnormalities and non invasive prenatal diagnosis and testing: Maternal age should not be the only consideration for invasive tests to diagnose fetal aneuploidies; combined test (NT thickness, FHR, ß-hCG and PAPP-A) to screen for trisomies 21, 18 and 13.
  • Cervical length and progesterone to predict and prevent preterm birth: Cx length to be measured in all pregnant patients at 19-23 weeks with transvaginal ultrasound; give daily vaginal micronized progesterone to women with short length (<25 mm) diagnosed in mid trimester to prevent preterm birth; this is a cost effective model.
  • MgSO4 use in obstetrics: Antenatal MgSO4 for women with imminent preterm birth for fetal neuroprotection;discontinue tocolytics if MgSO4; discontinue MgSO4 after 24 hours of therapy or if delivery is no longer imminent.
FIGO initiative on GDM addresses the issue of diabetes and pregnancy based on available resources in countries - fully or low resourced.

FIGO is also publishing an opinion on reproductive health impacts of exposure to toxic environmental chemicals, which are harmful to the reproductive ability
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.
eMedi Quiz
The following statements about meningococcal meningitis are true, except:

1. The source of infection is mainly clinical cases.
2. The disease is more common in dry and cold months of the year.
3. Chemoprophylaxis of close contacts of cases is recommended.
4. The vaccine is not effective in children below 2 years of age.

Yesterday’s Mind Teaser: A measure of location which divides the distribution in the ratio of 3:1 is:

1. Median.
2. First quartile.
3. Third quartile.
4. Mode.

Answer for yesterday’s Mind Teaser: 3. Third quartile.
Correct Answers received from: Dr. Avtar Krishan, Dr. Poonam Chablani.
Answer for 23rd Jan Mind Teaser: 3. Sound referral system.
Correct Answers receives: Viswanatha Sarma, Daivadheenam Jella, Dr Avtar Krishan
Press Release of the Day
Indian Medical Association, Indian Academy of Pediatrics, National Neonatology Forum and Federation of Gynaecology Societies of India will join hands to reduce the infant mortality rate in the country.

The 52nd Annual Conference of Indian Academy of Pediatrics is ongoing in the city and aims to discuss and debate one of the most crucial aspects of healthcare in our country – the quality development of children. Attended by over 8,000 doctors the PEDICON 2015 is the largest gathering of pediatrics in the country.

In a special session Padma Shri Awardee and Honorary Secretary General IMA, Professor Dr K K Aggarwal said that no infant should die just because preventive and infrastructure facilities are not available. For every infant death someone should be accountable. He added that every infant’s death should be made a public outcry. Our country has in the recent past woken up to violence and abuse against women, they must now also come together and raise their voice against preventable infant deaths.

“Why report a rare Congo- Hemorrhagic death and not report a preventable infant death", Dr Aggarwal asked the hall full of doctors listening to his talk.

Talking about children in the age group of 0-5 years, Dr Aggarwal added that,“Today over 2 lakh children die of diarrhea and 3 lakh from pneumonia every year. This is not acceptable to the medical profession. IMA will take up the task of sensitizingover 2.5 lakh of its member doctors on these subjects. Bangladesh, one of the world’s poorest countries, is a leader in the fight against diarrhea. There is no reason why India should not too”.

In addition to this IMA will also open 1700 adolescent clinics in the country to educate girls on lifestyle, reproductive and mental health.

Congratulating this initiative and discussing the existing problem, Dr. Ajay Gambhir Organizing Chairperson of PEDICON 2015 said, “There has been a decline in infant and neonatal mortality rates in our country but the rates are still relatively high in urban slums and rural areas. It is our aim to bring this number down by 2020 in accordance with the millennium development goals through programs on immunization, women empowerment and reduction in female feoticide and infanticide. I thank the Indian Medical Association for supporting this initiative and look forward to working with them towards this cause.

Adding to this, Dr Anupam Sachdev, Organizing Secretary, PEDICON 2015 said,” It is unfortunate that India has the highest newborn mortality and it is a need of the hour to tackle this situation. The PEDICON 2015 has been unique for it has brought together not only doctors but also government leaders, NGO’s and International organizations to discuss a cause of national importance under one roof. I thank the Indian Medical Association for their support and hope that we can together put an end to preventable child deaths’. Bangladesh, one of world’s poorest countries, is a leader in the fight against diarrhea, which is the number two killer of children under age 5 worldwide after pneumonia. Diarrhea claims 1.5 million kids annually – more than AIDS, malaria and measles combined. There is no reason why India should not lead over Bangladesh in this issue.

--Ends—

About IMA: Indian Medical Association is the only representative, national voluntary organization of Doctors of Modern Scientific System of Medicine, which looks after the interest of doctors as well as the well being of the community at large. It has it's Headquarter in Delhi and State / Terr. Branches in 29 States and Union Territories. It has over 2, 15,000 doctors as its members through more than 1650 active local branches spread across the country.