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Editor-in-Chief eMediNexus – Dr KK Aggarwal
Editor-in-Chief eIMANews - Dr Ravi Wankhedkar
26th March, 2018
Universal Healthcare for All

Dr KK Aggarwal, Recipient of Padma Shri

There is a wide gap in the availability of healthcare service in the country. On one hand, India is fast becoming the hub of medial tourism, whereas in a sharp contrast, healthcare including essential healthcare is still out of reach for many of her citizens.

The private sector provides 80% of healthcare in the country today, while only 20% is by govt. sector. This is because the govt. spends very little on health. Currently, India spends just 1% of its gross domestic product (GDP) on health and is ranked at 180th position out of 192 countries on this. Without spending at least 5-6% of the GDP on health, the basic healthcare needs of the population cannot be fulfilled. Although the National Health Policy, 2017 has provided for increasing public expenditure on health to 2.5% of GDP from the current ~1%, it is still very inadequate to provide universal healthcare.

The highly priced private healthcare is inaccessible to many; yet many seek healthcare in the private sector, and often find themselves in financial trouble....... read more

Top News

Health Ministry launches new initiatives to combat TB on World TB Day

"We are already aligned with world TB treatment protocols. It has to a mission to End TB by 2025, through community participation, involving civil societies and other stakeholders." This was stated by Smt. Preeti Sudan, Secretary (Health) at a function on the occasion of 'World TB Day'...... read more

Morning Medtalks

Morning Medtalks with Dr KK Aggarwal: IMA Mahapanchayat

Morning Medtalks with Dr KK Aggarwal
1. The European Commission has approved Alofisel for the treatment of complex perianal fistulas in adult patients with nonactive-to-mild luminal Crohn's disease who have shown inadequate response to at least one conventional or biologic therapy
2. Alofisel (darvadstrocel; Takeda, TiGenix) is the first allogeneic stem cell therapy to receive central marketing authorization in Europe.... read more

Practice Updates

Bariatric surgery reduces risk for premature heart disease in severely obese teens

Bariatric surgery is predicted to cut in half the 30-year risk of having a heart disease event, such as a heart attack or stroke in teens with severe obesity, according to preliminary research presented March 23, 2018 at the American Heart Association's Epidemiology and Prevention .... read more

Adjustable gastric banding causes fewer fracture than Roux-en-Y surgery

As per a study presented March 17, 2018 at ENDO 2018, the 100th annual meeting of the Endocrine Society in Chicago, Illinois, patients undergoing Roux-en-Y gastric bypass (RYGB) surgery may be at greater risk for non-vertebral fracture than those having adjustable gastric banding (AGB)...... read more

Apixaban is a safe alternative to warfarin during catheter ablation of AF

Results of the AXAFA-AFNET 5 trial presented March 20, 2018 at EHRA 2018, a European Society of Cardiology (ESC) congress show that apixaban and warfarin had similar rates of stroke and bleeding and improvement in cognitive function up to three months after catheter ablation in patients with atrial fibrillation (AF)..... read more

Genetic screening advised before dapsone treatment in Asians

A systematic review and meta-analysis reported online March 14 in JAMA Dermatology has recommended genetic screening before starting dapsone treatment in Asian populations because of the association of HLA-B*1301  with dapsone-induced cutaneous adverse reactions. ..... read more

Venetoclax + rituximab improves progression free survival in refractory CLL

Treatment of patients with relapsed or refractory chronic lymphocytic leukemia (CLL) with a combination of venetoclax and rituximab resulted in significantly higher rates of progression-free survival compared to bendamustine + rituximab as demonstrated in a study published in the New England Journal of Medicine...... read more

Transmission of infection in an airplane is higher within two rows of an infectious passenger

A new research published online March 19, 2018 in the Proceedings of the National Academy of Sciences shows that passengers seated within one row or two seats on either side of an infected individual are at higher risk of acquiring the infection (80% or greater) compared to less than 3% risk for the remaining..... read more

eMedi Humor
Medicolegal Corner
eMedi Quiz
A. Encouraging the client to take adequate deep breaths by mouth
B. Encouraging the client to cough and deep breathe
C. Changing the dressing at least BID
D. Irrigate the T–tube frequently
Lifestyle Updates
Inspirational Story 1: Finding Happiness
Inspirational Story 2: An Office Boy
Medical waste in India expected to grow substantially in the coming years
Awareness on safe disposal and waste management key
New Delhi, 25th March 2018: According to a recent study, conducted jointly by Assocham and Velocity, India is likely to generate about 775.5 tonnes of medical waste per day by 2022 from the current level of 550.9 tonnes daily. It is expected to grow at a compounded annual growth rate (CAGR) of about 7%.

There is an urgent need for a stringent monitoring and evaluation framework to ensure safe and effective management of waste. It is not only a legal necessity but also a social responsibility. Lack of concern, motivation, awareness and cost factor are some of the problems faced in proper biomedical waste management.

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