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Editorial (Dr K K Aggarwal)                                                                                                    (Dr RN Tandon)
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26th April, 2017
New AAN-AES guidelines on sudden unexpected death in epilepsy

The American Academy of Neurology (AAN) and the American Epilepsy Society (AES) have jointly developed a new guideline on SUDEP or sudden unexpected death in epilepsy. SUDEP is the term used when a patient with epilepsy, who is otherwise healthy, dies suddenly without any known cause. 
  • SUDEP is rare in children, affecting just one in 4,500 children every year. It is also uncommon in adults, typically affecting one in 1,000 adults every year. 
  • Generalized tonic-clonic seizures are a major risk factor for SUDEP. 
  • SUDEP is more likely in patient with frequent generalized tonic-clonic seizures. People with ≥ 3 episodes of generalized tonic-clonic seizures in a year are 15 times more likely to die suddenly vs people who have ≤ 3 generalized tonic-clonic seizures per year. 
  • The guidelines stress on education about the condition for both physicians and patients with epilepsy. Patients should be informed that controlling seizures, especially tonic-clonic seizures, may reduce the risk of SUDEP. They should be encouraged to take their medications on time, not miss a dose and to learn and manage their seizure triggers to reduce frequency of seizures.
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A World Malaria Day initiative

Mosquito menace likely to be back
Time to learn from mistakes made last year and take steps to take preventive measures early on this year, including a community driven approach
 
New Delhi, 25 April, 2017: According to statistics, the mosquito container index (the percentage of water-holding containers infested with larvae or pupae) in Delhi is over 5% and had crossed 40% last year.  Any index above 5% requires a community integrated cluster approach to reduce mosquito density together with effective anti-larval measures. Cases of dengue and chikungunya have started in the capital already. Unfortunately, no alert has been issued and in sporadic cases, no surgical strikes have been attempted openly in selected breeding places. 
 
It is a fact that we have collectively failed last year in controlling the mosquito menace and consequently, the mosquito menace is back this year. Speaking on the issue, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon - Honorary Secretary General IMA in a joint statement, said "There is a need for a paradigm shift in our thinking.
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