February 27  2015, Friday
editorial
Financial health advice is also our responsibility while dealing with patients.
Dr KK Aggarwal Dear Colleague,

Financial health advice is also our responsibility while dealing with patients.

We must explain to our patients
  1. To get insurance done
  2. To wrote a will
  3. About reverse mortgage policies
  4. About railway concessions
  5. about income tax benefits for patients etc
From time to time we will sensitize our members in these issues. The first in the series is on deduction under 80DDB.
Kindly circulate these in your correspondence, bulletins, website etc.

Dr A M Pillai and Dr K K Aggarwal

(Deduction in respect of medical treatment, etc.
80DDB. Where an assessee who is resident in India has, during the previous year, actually paid any amount for the medical treatment of such disease or ailment as may be specified in the rules made in this behalf by the Board—
  • For himself or a dependant, in case the assessee is an individual; or
  • For any member of a Hindu undivided family, in case the assessee is a Hindu undivided family, the assesses shall be allowed a deduction of the amount actually paid or a sum of forty thousand rupees, whichever is less, in respect of that previous year in which such amount was actually paid:
Provided that no such deduction shall be allowed unless the assessee furnishes with the return of income, a certificate in such form, as may be prescribed, from a neurologist, an oncologist, a urologist, a hematologist, an immunologist or such other specialist, as may be prescribed, working in a Government hospital:
Provided further that the deduction under this section shall be reduced by the amount received, if any, under an insurance from an insurer, or reimbursed by an employer, for the medical treatment of the person referred to in clause (a) or clause (b):
Provided also that where the amount actually paid is in respect of the assessee or his dependant or any member of a Hindu undivided family of the assessee and who is a senior citizen, the provisions of this section shall have effect as if for the words “forty thousand rupees”, the words “sixty thousand rupees” had been substituted.
Explanation.—For the purposes of this section,—
  1. “Dependant” means—
    1. in the case of an individual, the spouse, children, parents, brothers and sisters of the individual or any of them,
    2. in the case of a Hindu undivided family, a member of the Hindu undivided family, dependant wholly or mainly on such individual or Hindu undivided family for his support and maintenance;
  2. “Government hospital” includes a departmental dispensary whether full-time or part-time established and run by a Department of the Government for the medical attendance and treatment of a class or classes of Government servants and members of their families, a hospital maintained by a local authority and any other hospital with which arrangements have been made by the Government for the treatment of Government servants;
  3. “Insurer” shall have the meaning assigned to it in clause (9) of section 2 of the Insurance Act, 1938 (4 of 1938);
  4. “Senior citizen” means an individual resident in India who is of the age of (sixty years) or more at any time during the relevant previous year.)
(Specified diseases and ailments for the purpose of deduction under section 80DDB.
11DD. (1) For the purposes of section 80DDB, the following shall be the eligible diseases or ailments:
  1. Neurological Diseases where the disability level has been certified to be of 40% and above,—
    1. Dementia;
    2. Dystonia Musculorum Deformans;
    3. Motor Neuron Disease;
    4. Ataxia;
    5. Chorea;
    6. Hemiballismus;
    7. Aphasia;
    8. Parkinson’s Disease
  2. Malignant Cancers
  3. Full Blown Acquired Immuno-Deficiency Syndrome (AIDS)
  4. Chronic Renal failure
  5. Hematological disorders
    1. Hemophilia;
    2. Thalassaemia.
(2) The certificate in respect of the diseases or ailments specified in sub-rule (1) shall be issued by the following specialists working in a Government hospital—
  1. for diseases or ailments mentioned in clause (i) of sub-rule (1) - a Neurologist having a Doctorate of Medicine (D.M.) degree in Neurology or any equivalent degree, which is recognized by the Medical Council of India;
  2. for diseases or ailments mentioned in clause (ii) of sub-rule (1) - an Oncologist having a Doctorate of Medicine (D.M.) degree in Oncology or any equivalent degree which is recognized by the Medical Council of India;
  3. for diseases or ailments mentioned in clause (iv) of sub-rule (1) - a Nephrologist having a Doctorate of Medicine (D.M.) degree in Nephrology or a Urologist having a Master of Chirurgiae (M.Ch.) degree in Urology or any equivalent degree, which is recognized by the Medical Council of India;
  4. for diseases or ailments mentioned in clause (v) of sub-rule (1) - a specialist having a Doctorate of Medicine (D.M.) degree in Hematology or any equivalent degree, which is recognized by the Medical Council of India:
Provided that where in respect of any diseases or ailments specified in sub-rule (1), no specialist has been specified or where the specialist specified is not posted in the Government hospital in which the patient is receiving the treatment, such certificate, with prior approval of the Head of that hospital, may be issued by any other specialist working full-time in that hospital and having a post-graduate degree in General or Internal Medicine, which is recognized by the Medical Council of India.
(3) The certificate from the prescribed authority to be furnished along with the return of income shall be in Form No. 10-I.)

Medical certificate format:
http://taxguru.in/wp-content/uploads/2013/10/Form10I.pdf

                                      FORM NO. 10-I
                                      (See rule 11DD)
Certificate of prescribed authority for the purposes of section 80DDB
  1. Name of the Patient
  2. Address
  3. Father’s name
  4. Name and address of the person on whom the patient is dependent and his relationship with the patient.
  5. Name of the disease or ailment (please see rule 11DD)
  6. For diseases or ailments mentioned in item (i) of clause (a) of sub-rule (1), whether the disability is 40% or more (Please specify the extent).
  7. Name, address, registration number and qualification of the specialist issuing the certificate, along with the name and address of the Government hospital (see rule11DD(2))
Verification

This is to verify that I, Dr.___________________________________ s/o (w/o) Shri_____________________, in the case of the patient Shri/Smt./Ms._____________________________, after considering the entire history of illness, careful examination and appropriate investigations, am of the opinion that the patient is suffering from________________________disease/ailment during the previous year ending on 31st March,____________________________

I also certify (only in case of neurological disease) that the extent of disability is more than 40%) (Strike off, if not applicable).
I certify that the information furnished above is true to the best of my knowledge.

Date ______________ Signature
Place ______________ (Name and Address)

To be countersigned by the Head of the Government hospital, where the prescribed authority is a specialist with post-graduate degree in General or Internal Medicine.

Date ______________ Signature
Place ______________ (Name and Address)
80D-Medical Insurance:
Medical insurance premia paid by any mode other than cash to LIC or any other insurer up to following limits (subject to certain conditions)
  1. In case of individuals, premia paid
    1. for self, spouse and dependent children : Rs. 15,000 (Rs. 20,000 if person insured is a senior citizen); and
    2. for parents of the assessee : (Additional) Rs. 15,000 (Rs. 20,000 if person insured is a senior citizen)
In case of HUF, premia up to Rs. 15,000 (Rs. 20,000 if person insured is a senior citizen) paid to insure any member of the family
(The sudden medical expenses incurred for self and family members comes under this section. This deduction can be claimed irrespective of parents being dependent on you or not. This in not applicable for in-laws mediclaim policies.)
With effect from 1-4-2013 (a) deduction is available in respect of any payment made by an assessee on account of preventive health check-up of self, spouse, dependent children or parent during the previous year upto a limit of five thousand rupees within the existing limits prescribed above; (b) the age for defining a senior citizen is reduced from sixty five years to sixty and (c) cash may be paid on account of preventive health check up.
With effect from 1-4-2014, deduction shall also be allowed in respect of any payment or contribution made by assessee to any other health scheme (other than CGHS) as may be notified by the Central Government (Contributory Health Service Scheme of the Department of Space).
80DD-Handicapped Dependents:
Deduction of Rs. 50,000 (Rs. 1,00,000 in case of severe disability) to a resident individual/HUF where (a) any expenditure has been incurred for the medical treatment (including nursing), training and rehabilitation of a dependant, being a person with disability (as defined under Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995) (w.e.f. assessment year 2005-06 including autism, cerebral palsy and multiple disability as referred to in National Trust for Welfare of Persons with Autism, Cerebral Palsy, Mental Retardation & Multiple Disabilities Act, 1999), or (b) any amount is paid or deposited under an approved scheme framed in this behalf by the LIC or any other insurer or the Administrator or the specified company (as referred to in UTI (Transfer of Undertaking & Repeal) Act, 2002) for the maintenance of a dependent, being a person with disability (subject to certain conditions)
80U - Physically Disabled Assessee:
Deduction of Rs. 50,000 to a resident individual who, at any time during the previous year, is certified by the medical authority to be a person with disability [as defined under Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995) (w.e.f. assessment year 2005-06 including autism, cerebral palsy, and multiple disabilities as defined under National Trust for Welfare of Persons with Autism, Cerebral Palsy, Mental Retardation & Multiple Disabilities Act, 1999) (in the case of a person with severe disability, allowable deduction is Rs. 1,00,000) (subject to certain conditions).
eMedipics
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Heart Care Foundation of India launches its key project – Sameer Malik Heart Care Foundation Fund – in Varanasi
News Around the Globe
  • The combination of tenofovir and emtricitabine used as prophylaxis is highly effective in reducing the rate of HIV infection in real-world settings, suggest two pilot studies presented at the Conference on Retroviruses and Opportunistic Infections 2015.
  • A drop in HbA1c was associated with lower mortality among people with type 2 diabetes who had initial HbA1c values over 8%, but with a higher death rate for those who started out at 8% or lower, suggests a 6-year study published online in BMJ Open Diabetes Research & Care.
  • A new study suggests that the growing popularity of in-helmet add-ons, such as extra padding or external coatings, do little to reduce the angular force associated with concussions. The study will be presented at the upcoming 67th American Academy of Neurology (AAN) Annual Meeting.
  • Older patients hospitalized for 10 days or less after hip fracture faced increased risk of dying within 30 days of discharge, reported a cohort study published online in the BMJ.
  • Men with a history of testicular cancer not only have a greater risk of developing prostate cancer, the disease is more likely to be of intermediate to high risk when it does develop, suggested a registry analysis presented during a press conference ahead of the Genitourinary Cancers Symposium (GUCS) 2015.
Dr KK Spiritual Blog
My answer is yes; now tell me your problem

This was the best statement I have ever come across in my life. One of the medical superintendents at Moolchand Hospital when he joined had this statement on the wall behind him. It clearly indicates that he was sitting to solve the problem and not to create problems.

If all the service provider agencies follow this statement, the scenario of the country can change. Our job should be to solve problems and not find mistakes. None of us is 100% truthful, honest or hardworking. Each one of us will have some positive points and some negative points. Our job should be to remove our negative points and convert them into positive.

Remember, the SWOT analysis taught in marketing i.e. "Strength, Weakness, Opportunity and Threat". Our job should be to convert our weakness into strength and threat into opportunities.
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Cardiology eMedinewS
  • Episodes of intense anger can trigger a heart attack, especially for those at high risk, suggests a new study published in the European Heart Journal: Acute Cardiovascular Care. The study authors reported that the increased risk of heart attack, or myocardial infarction (MI), lasts for 2 hours following an episode of intense anger.
  • Homeless people with mental disease have a more than two-fold risk of developing serious or fatal cardiovascular disease over 30 years than people of the same age and gender with no risk factors for the disease, suggests new research published in the journal BMC Public Health.
Pediatrics eMedinewS
  • Insulinlike growth factor–1 (IGF-1) is safe, effective, and significantly improves social withdrawal in children with a rare type of autism spectrum disorder (ASD) but may also have treatment implications for other ASDs, suggests early research published online in Molecular Autism.
  • Children with moderate or severe amblyopia experience significant improvement in visual acuity with the use of daily 2-hour patching of the stronger eye, suggest data from a trial's run-in phase published online in JAMA Ophthalmology.
Make Sure
Situation: A patient on dialysis and on oral antacid developed aluminum toxicity.
Reaction: Oh my God! You should have put him on magaldrate preparations?
Lesson: Make sure to remember that magaldrate preparations do not cause aluminum toxicity in patients undergoing dialysis.
Medicolegal
(Contributed by Dr MC Gupta, Advocate)

Q. What is the definition (with references) of: Hospital death, Surgical death, Anaesthetic death and Death on Operation table (DOT)?

A.
These are not legal or strict scientific/medical terms and hence, as far as I know, there are no strict definitions and references. From a general legal perspective, the meanings that a court is likely to attach to these terms are as follows:
  • Hospital death: Death of a patient that occurs in a hospital.
  • Surgical death: Death of a patient who was subjected to a procedure by a surgeon.
  • Anaesthetic death: Death of a patient related to administration of anesthesia.
  • Death on Operation table (DOT): Death that occurs while the patient is still on the operation table. This would include deaths that might be attributable to or related to the anesthetic or surgical procedure that was being carried out.
Dr Good Dr Bad
Situation: A patient with liver tenderness had TLC of 18000.
Dr. Bad: It is sepsis.
Dr. Good: It is classical liver abscess.
Lesson: Liver abscess usually has liver tenderness and TLC of more than 15000.
(Copyright IJCP)
IJCP Book of Medical Records
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Twitter of the Day
Dr KK Aggarwal: Stress may increase smoking habits http://youtu.be/NMIK16PyBrY?a via @YouTube

Dr Deepak Chopra: What keeps life fascinating is the constant creativity of the soul.
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Rabies News (Dr A K Gupta)
Are there any survivors of human rabies?

Till date only seven survivors have been recorded. These patients survived not due to any specific anti–rabies therapy but following intensive life support and excellent nursing care. These patients survived for variable periods with residual neurological deficits. All the survivors had paralytic form of rabies and majority had history of some anti–rabies vaccination in the past.
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
IMA NEWS
Digital presence of National President & Honorary Secretary General, IMA in various State / Branch events
Dear Colleague,

Greetings from Team IMA

We are sure you must be receiving regular updates from our office on the various activities and decisions of Team IMA.
As a part of our dedication to a Healthy India, some new schemes and initiatives have been launched by us which have been intimated to you with a request to start the same in your State / Branch too under intimation to the HQs. office.

Besides official communications on the IMA Headquarters address, we can be contacted by you electronically with prior intimation and appointment for ensuring our digital presence in your important meetings, conferences, scheme launches and other important IMA events etc.

Our digital communication details are as follows:-
  1. Face Time: (apple iphone/ipad users): Mobile Dr KK 9811090206/ Dr AMP 9847062019
  2. Video conference: ip address = 59.177.181.174
  3. Skype ( Dr Pllai @dramp2014/ Dr KK @ drkkaggarwal
  4. www.gotomeeting.com" upto 20 members can be connected together at one time·
    1. Install the software from the following link:·
    2. After installing the gotomeeting application, IMA HQs. office may be contacted for further details· On successful testing, the respective Team IMA members (National President and Honorary Secretary General) may be contacted for scheduling a digital connectivity during your event.
    3. For Dr A Marthanda Pillai: Contact person Mr.Santosh, Ananthapuri Hospitals, Thiruvananthapuram, Kerala (Mob. +91-9447777427 Tel. +91-471-2579900)
    4. For Dr K K Aggarwal: Contact person Mr. Sanjay Sharma, IMA HQs., New Delhi (Mob.+91-9811007828, Tel.+91-11-23370009)
Looking forward to connecting with you digitally and with kind regards.

Sincerely yours,

Dr A M Pillai                                                      Dr K K Aggarwal
 

IMA Alert
Do not add an NSAID to a patient on dual anti platelet therapy after a heart attack

It might boost bleeding risk, even if taken briefly as a painkiller.

Adding another NSAID atop recommended dual anti-platelet therapy with aspirin and clopidogrel in a study was associated with 2.41-fold higher risk of bleeding requiring hospitalization than the same regimen without an NSAID. The study led by Anne-Marie Schjerning Olsen, MD, PhD, of Copenhagen University Hospital is published in JAMA Feb issue.

The same was true for an NSAID added to a regimen of oral anticoagulants plus any other single anti-platelet drug.

The association with increased risk was observed for all antithrombotic treatment regimens, and the association was apparent regardless of whether selective COX-2 inhibitors (rofecoxib and celecoxib) or nonselective COX inhibitors (ibuprofen and Diclofenac) were involved.

There was no safe therapeutic window for concomitant NSAID use, because even short-term (0-3 days) treatment was associated with increased risk of bleeding compared with no NSAID use.

Overall, receiving an NSAID versus no NSAID was associated with 40% higher risk of cardiovascular events and 2.02-fold higher risk of bleeding requiring hospitalization.

While NSAIDs can be helpful and at times necessary medications for satisfactory quality of life, use of these medications among patients with a history of a recent MI is likely to be associated with clinically meaningful bleeding and ischemic risks. (Source: MedPage)
States told to keep cost of swine flu test below Rs 2,500:
Press Trust of India | New Delhi

DGHS: economictimes.indiatimes.com : As the swine flu onslaught continues unabated in the country, the Director General of Health Services today said there should be no exploitation of the situation and noted that all states have been asked to ensure that the cost of the test for the H1N1 virus does not exceed Rs 2,500.

"There is no cause for panic. The situation is totally under control. There is no dearth of funds or vaccines to tackle swine flu," DGHS Dr Jagdish Prasad told PTI.

He added that, from now onwards, the casualty figure would only go down.

The toll from swine flu in the country this year has jumped to 743 so far, according to Health Ministry data.

"We have asked all states to bring down the rate of test for the viral swine flu. It should not exceed Rs 2,500 per test. No one should exploit the situation," he said.

Prasad said that the four states of Rajasthan, Gujarat, Madhya Pradesh and Maharashtra are most seriously affected by the H1N1 virus.
UNICEF, IMA to deal with child sexual abuse cases
IANS | New Delhi February 25, 2015 Last Updated at 20:46 IST

The UN's children's fund (UNICEF) and the Indian Medical Association (IMA) Wednesday joined hands to strengthen the response of medical practitioners in identifying, reporting and treating cases of child sexual abuse (CSA).

Announcing the special partnership, the IMF and the UNICEF India chapter said that they will equip medical practitioners with a detailed understanding of diverse facets of child sexual abuse along with relevant legal provisions.

"Medical practitioners are often the first point of contact in a child sexual abuse case, and are required to take prompt action to ensure immediate and effective treatment of the child," they said.

"Violence against children is all too often unseen, unheard and under reported. This partnership with the medical fraternity of the country will play a key role in strengthening the care for child survivors and in bringing new ideas and expertise to support our mission in generating awareness among medical and allied professionals," David McLoughlin, a UNICEF official said.

"Every case of child sexual abuse has to be taken as medical emergency. Treatment has to be provided free of cost by the government as well as private medical facilities, A. Marthanda Pillai and K.K. Aggarwal national president and honorary secretary general, IMA respectively, said in a joint statement.

In a case of sexual assault of a child, it is the legal duty of a doctor to give medical care, collect forensic evidence, report the offence to the police and give testimony in court if required, they added.

In India, 4.5 percent of girls aged 15-19 have been subjected to sexual abuse. Boys are also exposed to sexual violence but usually to a less extent, a release issued here said.
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Inspirational Story
The Treasure

The cheerful girl with bouncy golden curls was almost five. Waiting with her mother at the checkout stand, she saw them: a circle of glistening white pearls in a pink foil box.

"Oh please, Mommy. Can I have them? Please, Mommy, please!" Quickly the mother checked the back of the little foil box and then looked back into the pleading blue eyes of her little girl's upturned face.

"A dollar ninety-five. That's almost $2.00. If you really want them, I'll think of some extra chores for you and in no time you can save enough money to buy them for yourself. Your birthday's only a week away and you might get another crisp dollar bill from Grandma." As soon as Jenny got home, she emptied her penny bank and counted out 17 pennies. After dinner, she did more than her share of chores and she went to the neighbor and asked Mrs. McJames if she could pick dandelions for ten cents. On her birthday, Grandma did give her another new dollar bill and at last she had enough money to buy the necklace. Jenny loved her pearls. They made her feel dressed up and grown up. She wore them everywhere--Sunday school, kindergarten, even to bed. The only time she took them off was when she went swimming or had a bubble bath. Mother said if they got wet, they might turn her neck green. Jenny had a very loving daddy and every night when she was ready for bed, he would stop whatever he was doing and come upstairs to read her a story.

One night when he finished the story, he asked Jenny, "Do you love me?" "Oh yes, Daddy. You know that I love you." "Then give me your pearls."

"Oh, Daddy, not my pearls. But you can have Princess--the white horse from my collection. The one with the pink tail. Remember, Daddy? The one you gave me. She's my favorite." "That's okay, Honey. Daddy loves you. Good night." And he brushed her cheek with a kiss. About a week later, after the story time, Jenny's daddy asked again, "Do you love me?" "Daddy, you know I love you." "Then give me your pearls."

"Oh Daddy, not my pearls. But you can have my babydoll. The brand new one I got for my birthday. She is so beautiful and you can have the yellow blanket that matches her sleeper." "That's okay. Sleep well. God bless you, little one. Daddy loves you." And as always, he brushed her cheek with a gentle kiss.

A few nights later when her daddy came in, Jenny was sitting on her bed with her legs crossed Indian-style. As he came close, he noticed her chin was trembling and one silent tear rolled down her cheek. " What is it, Jenny? What's the matter?"

Jenny didn't say anything but lifted her little hand up to her daddy. And when she opened it, there was her little pearl necklace. With a little quiver, she finally said, "Here, Daddy. It's for you."

With tears gathering in his own eyes, Jenny's kind daddy reached out with one hand to take the dime-store necklace, and with the other hand he reached into his pocket and pulled out a blue velvet case with a strand of genuine pearls and gave them to Jenny. He had them all the time. He was just waiting for her to give up the dime-store stuff so he could give her genuine treasure. So like our heavenly Father. What are you hanging on to?
Quote of the Day
The hardest battle you are ever going to fight is the battle to be just you. Dr. Felice Leonardo Buscaglia
Wellness Blog
Can blood pressure be higher in one arm?

A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have the doctor check both your arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.
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Reader Response
  1. Respected sir, with regard to DD Medical college it was the mistake of the parents to choose the college and now the solution will be in such way that the college should pay the compensation in the form of fees to be admitted by the govt colleges in different parts of the country in small batches thinking the future. Imagine how many meritorious students are not getting seats inspite of good marks and because no capitation they lose seat. Regards:,DR D Harishkumar Mishra
  2. Thanks a lot sir such a sweet mail. Especially for inspiration story. Really heart torching. Thanks n regards: Ganesh K Gupta
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Law of the Result

When you try to prove to someone that a machine won't work, it will.
eMedi Quiz
Granulocytopenia, gingival hyperplasia and facila hirsutism are all possible side effects of one of the following anticonvulsant drugs.

1. Phenytoin.

2. Valproate.

3. Carbamazepine.

4. Phenobarbitone.

Yesterday’s Mind Teaser: Medullary carcinoma of the thyroid is associated with which of the following syndrome:

1. MEN I.

2. MEN II.

3. Fraumeni syndrome.

4. Hashimoto's thyroiditis

Answer for yesterday’s Mind Teaser: 2. MEN II.

Correct Answers received from: Dr Shangarpawar. Nirmala Agarwal, Dr Poonam Chablani, Daivadheenam Jella, Tukaram Pagad.

Answer for 25th Feb Mind Teaser: 2. Familial polyposis coli.

Correct Answers receives: Dr M Mahesh, Dr Shangarpawar, Daivadheenam Jella, Dr Avtar Krishan, Dr K V Sarma.
Press Release of the Day
Railway Budget not Health Friendly

Remarking on the Railway Budget, Padmashri Awardee, Dr. A. Marthanda Pillai, National President and Padmashri Awardee, Dr K K Aggarwal, Hony. Secretary General, IMA said that the current Railway Budget, has no provision to travel in a healthy atmosphere.

IMA expected the followings:
  1. Special provision in the budget to prevent food borne diseases by providing hygienic food.
  2. Extra provision in the budget to prevent water borne diseases by supplying safe water. All Railway Stations should be equipped with Filtered/R.O water so that public has an access only to safe water.
  3. Every compartment of Rail should have a standard first aid box.
  4. There should also be a provision of defibrillator in every rail so that any victim of sudden cardiac arrest should be taken care of.
  5. There should be a provision for ambulance in every railway station.
  6. No. of causes of resistant urinary tract infection are rising because of sharing of toilets seats in the train. All toilets in the train should be bio-toilets and there should be separate provision for tissue napkins, soap, clean water, towel and sanitizers.
  7. In an outbreak, people with cough & cold, should not be allowed to travel.
  8. Special provisions for patients for concessional tickets. As on today concessions are available for cancer, Thalesemia, kidney, hemophilia, TB, AIDs, Ostomy, aplastic Anemia, & sickell cell disease patients. This list should be extended to include all patients with chronic disabling diseases, post transplant patients, liver patients & who are on oxygen dependent.
Similarly, disability list of beneficiaries, the deaf & dumb are clubbed category and should have been separated.

--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 its 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.
About the Editor
National Science Communication and Dr B C Roy National Awardee, Honorary Secretary General IMA, Immediate Past Senior National Vice President IMA, Professor of Bioethics SRM University, Sr. Consultant Medicine & Cardiology, Dean Board of Medical Education, Moolchand, President Heart Care Foundation of India, Chairman Legal Cell Indian Academy of Echocardiography, Editor in Chief IJCP Group of Publications & eMedinewS, Member Ethics Committee Medical Council of India (2013-14), Chairman Ethical Committee Delhi Medical Council (2009-14), Elected Member Delhi Medical Council (2004-2009), Chairman IMSA Delhi Chapter (March 10- March13), Director IMA AKN Sinha Institute (08-09), Finance Secretary IMA (07-08), Chairman IMAAMS (06-07), President Delhi Medical Association (05-06)