November 4   2015, Wednesday
EDITORIAL
Dr KK AggarwalDr KK Aggarwal Laws applicable on Quacks (Part 3)

Drugs and Cosmetics Act, 1940
The import, manufacture, distribution and sale of drugs and cosmetics in India is regulated by the Drugs and Cosmetics Act, 1940 (hereinafter referred to as “DCA”) and Drugs and Cosmetics Rules, 1945 (hereinafter referred to as “DCR”).

According to Section 3(b) of DCA “drug” includes—

(i) all medicines for internal or external use of human beings or animals and all substances intended to be used for or in the diagnosis, treatment, mitigation or prevention of any disease or disorder in human beings or animals, including preparations applied on human body for the purpose of repelling insects like mosquitoes;

(ii) such substances (other than food) intended to affect the structure or any function of the human body or intended to be used for the destruction of vermin or insects which cause disease in human beings or animals, as may be specified from time to time by the Central Government by notification in the Official Gazette;

(iii) all substances intended for use as components of a drug including empty gelatin capsules; and

(iv) such devices intended for internal or external use in the diagnosis, treatment, mitigation or prevention of disease or disorder in human beings or animals, as may be specified from time to time by the Central Government by notification in the Official Gazette, after consultation with the Board;

According to Section 4 of DCA, any substance specified as poisonous by rule made under Chapter III or Chapter IV or Chapter IVA shall be deemed to be a poisonous substance for the purposes of Chapter III or Chapter IV or Chapter IVA, as the case may be.

According to Section 24 of DCA, persons bound to disclose place where drugs or cosmetics are manufactured or kept.—Every person for the time being in charge of any premises whereon any drug or cosmetic is being manufactured or is kept for sale or distribution shall, on being required by any Inspector so to do, be legally bound to disclose to the Inspector the place where the drug or cosmetic is being manufactured or is kept, as the case may be.

According to Section 27 of DCA, Whoever, himself or by any other person on his behalf, manufactures for sale or for distribution, or sells, or stocks or exhibits or offers for sale or distributes, — Whoever, himself or by any other person on his behalf, manufactures for sale or for distribution, or sells, or stocks or exhibits or offers for sale or distributes, —
(a) any drug deemed to be adulterated under section 17A or spurious under section 17B or which when used by any person for or in the diagnosis, treatment, mitigation, or prevention of any disease or disorder is likely to cause his death or is likely to cause such harm on his body as would amount to grievous hurt within the meaning of section 320 of the Indian Penal Code (45 of 1860), solely on account of such drug being adulterated or spurious or not of standard quality, as the case may be, shall be punishable with imprisonment for a term which shall not be less than five years but which may extend to a term of life and with fine which shall not be less than ten thousand rupees;

(b) any drug—
(i) deemed to be adulterated under section 17A, but not being a drug referred to in clause (a), or
(ii) without a valid licence as required under clause (c) of section 18,

shall be punishable with imprisonment for a term which shall not be less than one year but which may extend to three years and with fine which shall not be less than five thousand rupees: Provided that the Court may, for any adequate and special reasons to be recorded in the judgment, impose a sentence of imprisonment for a term of less than one year and of fine of less than five thousand rupees;

(c) any drug deemed to be spurious under section 17B, but not being a drug referred to in clause (a) shall be punishable with imprisonment for a term which shall not be less than three years but which may extend to five years and with fine which shall not be less than five thousand rupees: Provided that the Court may, for any adequate and special reasons, to be recorded in the judgment, impose a sentence of imprisonment for a term of less than three years but not less than one year;

(d) any drug, other than a drug referred to in clause (a) or clause (b) or clause (c), in contravention of any other provision of this Chapter or any rule made thereunder, shall be punishable with imprisonment for a term which shall not be less than one year but which may extend to two years and with fine:

Provided that the Court may, for any adequate and special reasons, to be recorded in the judgment impose a sentence of imprisonment for a term of less than one year.

According to Section 2(ee) of Drugs and Cosmetics Rules, 1945, “Registered medical practitioner” means a person__

(i) holding a qualification granted by an authority specified or notified under section 3 of the Indian Medical Degrees Act, 1916 (7 of 1916), or specified in the Schedules to the Indian Medical Council Act, 1956 (102 of 1956); or

(ii) registered or eligible for registration in a medical register of a State meant for the registration of persons practising the modern scientific system of medicine excluding the Homoeopathic system of medicine; or

(iii) registered in a medical register, other than a register for the registration of Homoeopathic practitioner, of a State, who although not falling within sub-clause (i) or sub-clause (ii) is declared by a general or special order made by the State Government in this behalf as a person practising the modern scientific system of medicine for the purposes of this Act; or

(iv) registered or eligible for registration in the register of dentists for a State under the Dentists Act, 1948 (16 of 1948); or

(v) who is engaged in the practice of veterinary medicine and who possesses qualifications approved by the State Government;

According to the provisions of Drugs & Cosmetics Act, 1940 and Drugs & Cosmetics Rules, 1945 certain restrictions have been imposed on the manufacture, sale, advertisement, labeling, packing, etc. of certain drugs. Thus, some allopathic drugs and ayurvedic, siddha and unani drugs can be termed as Schedule Drugs / Prescription Drugs. The List of schedule / prescription drugs of allopathic and ayurvedic, siddha and unani drugs is mentioned in Schedules appended to the Drugs and Cosmetics Rules, 1945. The drugs mentioned in Schedule E1, G, H, H1 and X appended to the Drugs and Cosmetics Rules, 1945 can be termed as Schedule Drugs / Prescription drugs. The drugs mentioned in Schedule H, H1 and X can be prescribed only by the registered medical practitioner as defined in Section 2(ee) of Drugs and Cosmetics Rules, 1945.

According to the Rule 123 of DCR, the drugs specified in Schedule K shall be exempted from the provisions of Chapter IV of the Act and the rules made thereunder to the extent and subject to the conditions specified in that Schedule. Thus, there are certain drugs as specified in Schedule K which can be sold without fulfilling all the conditions of the Chapter IV of DCA as well as the rules made under DCR upto the extent of exemption as mentioned in the Schedule K... (To be continued)
eMediNexus: A new initiative from IJCP Group DR kk Aggarwal
IJCP Group has pioneered medical journalism in India since its inception in the year 1990. This year marks 25 years of its founding, a journey I look back upon with great pride and happiness.

It has been rightly said “A journey of a thousand miles begins with a single step”.

We too started our journey with the ‘Indian Journal of Clinical Practice’, our flagship journal, which was launched in June 1990 as a monthly journal. And along the way, we added more specialty medical journals – Asian Journal of Cardiology, Asian Journal of Pediatrics, Asian Journal of Obstetrics & Gynaecology, to name a few.

Over the years, we have widened our horizons and branched out into many other activities. IJCP has covered the proceedings of annual conferences of various professional associations and has conducted many day long CMEs in the capital as well as conducted online CMEs.

In 2009, we started eMedinewS, the first national daily emedical newspaper of the country. eMedinewS is mailed to more than 2 lakh doctors every day. It has been incorporating IMA news ever since I took over as the Hony Secretary General of IMA, as eIMAnewS, the voice of the medical profession.

I am happy to introduce another new initiative from the IJCP Group, eMediNexus.

eMediNexus will provide daily updates to doctors in the form of news, questions, quizzes etc. It has been designed as an interactive platform and provides a forum where doctors can also collaborate, discuss and post recent happenings and events in the field of medicine. eMediNexus will also be available as an android and ios mobile app. Besides email notifications, you will also get notifications through the App.

eMedinewS will now become a part of eMediNexus.

eMedinexus will also be a platform for the National IMA Satyagraha for a Healthy India on 16th November. The weekly webcast organized by eMedinewS and eIMAnewS will now be available on the eMediNexus website and mobile apps.

I hope you will find it informative and useful.

I look forward to your comments and suggestions.

Enjoy!
Breaking news
WHO clarifies processed meat/cancer link

After days of headlines proclaiming that bacon and hot dogs cause cancer following the World Health Organization's (WHO's) classifying processed meat as a human carcinogen ? in the same category as tobacco and asbestos ? the WHO released a statement in clarification. It pointed out that the latest report from the International Agency of Cancer Research (IACR), issued last week, "does not ask people to stop eating processed meats"; rather, it indicated "that reducing consumption of these products can reduce the risk of colorectal cancer." The WHO also published online a question-and-answer document and tweeted large parts of this in an attempt to present the facts ? but it was a little after the event, coming 4 days after the IACR report had been published, after headlines worldwide had demonized bacon and sausages, and after the Twitter hashtag #JeSuisBacon had been trending. A major point made in the WHO Q&A document is that although processed meats have now been classified as carcinogenic to humans (IACR Group 1), and although this category also includes tobacco and asbestos and other substances, the WHO pointed out that the substances in this classification are not "all equally dangerous." "The IARC classifications describe the strength of the scientific evidence about an agent being a cause of cancer, rather than assessing the level of risk," it added... (Medscape)
Dr Good Dr Bad
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Specialty Updates
• Sleep apnea is independently associated with an increased risk of gout, as per an analysis of a large general practice cohort in the U.K. reported by Yuqing Zhang, MD, of the Boston (Mass.) Medical Center, and colleagues in Arthritis & Rheumatology.

Data from a genetic association study suggest that inflammatory bowel disease (IBD) should be divided into a three-group continuum, rather than the current division between Crohn's disease and ulcerative colitis (Lancet 2015)

• A new computational model published online September 11 in Clinical Infectious Diseases has shown that improved efforts to link and retain HIV-positive individuals in care, along with increased screening for HIV, could reduce the incidence of HIV infection and deaths from AIDS in the United States by more than 50% during the next 20 years.

• Both traditional cardiovascular (CV) risk factors and elevated disease activity explain the increased incidence of CV events in patients with psoriatic arthritis (PsA). The data appeared on line in Annals of the Rheumatic Diseases.

• In relatively unfit adults, 12 weeks of aerobic exercise significantly improved asthma control, according to preliminary results from the randomized Impact of Aerobic Exercise on Asthma Morbidity (Ex-Asthma) study presented at CHEST 2015: the American College of Chest Physicians Meeting.

• A retrospective analysis of nearly 4000 US military personnel who were critically wounded in Iraq or Afghanistan showed that each 5-point increase on an injury-severity score was associated with a 15% increase in CKD, a 13% increase in CAD or diabetes, and a 6% increase in hypertension. Those who had acute kidney injury (AKI) after a combat trauma had a 66% increased adjusted risk of developing comorbid hypertension and a 479% increased rate of having comorbid CKD. The findings were published online November 2, 2015 in Circulation.

• For adolescents who ate with at least one family member, those who did so with increasing frequency were more likely to be classified with a lower body-mass index (BMI) and have better waist-to-hip ratios, as well as lower total cholesterol, non-HDL cholesterol, and blood-pressure levels, than kids who ate alone. The greatest benefit was observed in adolescents who ate dinner with family six or seven times per week, as reported at the 2015 Canadian Cardiovascular Congress (CCC).

• Researchers from Taiwan report that men who have irritable bowel syndrome (IBS) face an increased risk of erectile dysfunction (ED).

• Time to clinical worsening was significantly faster with an endothelin receptor antagonist (ERA) as primary therapy for systemic sclerosis-related pulmonary arterial hypertension compared with a phosphodiesterase-5 (PDE5) inhibitor, or the combination of a PDE5 inhibitor and an ERA as reported in Arthritis & Rheumatology.

• New research presented at the 44th Child Neurology Society (CNS) Annual Meeting 2015 shows that transcranial direct-current stimulation (tDCS) is safe and well tolerated and that it enhances motor learning in healthy children.
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Media
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eSPIRITUAL
Science behind Training and Development

Training in any field requires gaining knowledge, skills and positive mental attitude towards the object of learning. Knowledge is everything about what and why. In Yoga, it correlates with the Gyan (Gnana) Marg. The skill is all about how to do it and correlates with Karma Marg. A positive mental attitude is linked to willingness to do any work or in other words one’s Astha in that action. In Yoga, it is synonymous with Bhakti Marg.

In Bhagwad Gita, Lord Krishna talks about all the principles of management including how to train and develop an individual. The development teaches and increases one’s intelligence quotient (IQ), physical quotient (PQ), emotional quotient (EQ) and moral quotient (MQ).
Legal Quote
Samira Kohli vs Dr. Prabha Manchanda and Anr, SCI, Civil Appeal No. 1949 of 2004, 16.01.2008

“The ‘adequate information’ to be furnished by the doctor (or a member of his team) who treats the patient, should enable the patient to make a balanced judgment as to whether he should submit to the particular treatment or not. This means that the doctor should disclose (a) the nature and procedure of the treatment and its purpose, benefits, and effect; (b) alternatives, if any, available; (c) an outline of the substantial risks; and (d) adverse consequences of refusing treatment. But there is no need to explain remote or theoretical risks involved, which may frighten or confuse a patient and result in refusal of consent for the necessary treatment. Similarly, there is no need to explain the remote or theoretical risks of refusal to take treatment, which may persuade a patient to undergo a fanciful or unnecessary treatment...”
Medicofinance
Estate Planning: Insurance

From the point of view of Return on Investment, insurance is not an ideal investment tool. Returns from insurance plans rarely beat inflation. One should keep in mind that whole life insurance plan is primarily an estate for the heirs. The longer the term of the policy, the lower will be the amount of premium, i.e. maximum benefit at the lower cost.

(Source: IJCP)
Industry News
Government to provide launchpad for disruptive ideas: The Narendra Modi government wants to provide a powerful launchpad for startups by drastically simplifying the rules and ensuring that innovators are able to take advantage of such an enabling environment, thus unleashing entrepreneurial energies BSE -6.25 % and creating jobs. At the heart of the initiative is distilling the cumbersome process of compliances under 22 different laws into a two-page Startup Act… (The Economic Times- Ruchika Chitravanshi)

Facebook will help BSNL set up 100 Wi-Fi hotspots in rural areas: Boosting the government’s ambitious ‘Digital India’ drive, social media giant Facebook has come forward to facilitate state-run BSNL in setting up 100 wi-fi sites in rural areas of western and southern India. (The Financial Express- PTI)

India's largest tech incubator attracts 130 startups even before launch: Creating a buzz even before its formal launch, T-Hub, India's largest technology incubator, is almost completely booked, attracting over 130 startups from across the country. The facility, claimed to be only one of its kind in the country, has also tied-up with 20 venture capitalists and is also in talks with University of Texas, Houston, MIT Media Lab, Incubio of Spain and laboratories and academic institutions in India and abroad for collaboration… (Deccan Herald – IANS)

Quintype’s SpeakWrite to invest in digital media startups: Quintype, a CMS that lets publishers manage editorial assignments, has launched SpeakWrite, a platform for digital media startups where it will provide design services, developing and testing for websites and apps and 1,000 hours of professional services over 12 months… (Medianama.com- Sneha Johari)
Inspirational Story
Remember the Small Things

Some of my sisters work in Australia. On a reservation, among the Aborigines, there was an elderly man. I can assure you that you have never seen a situation as difficult as that poor old man's. He was completely ignored by everyone. His home was disordered and dirty. I told him, "Please, let me clean your house, wash your clothes, and make your bed." He answered, "I'm okay like this. Let it be." I said again, "You will be still better if you allow me to do it."

He finally agreed. So I was able to clean his house and wash his clothes. I discovered a beautiful lamp, covered with dust. Only God knows how many years had passed since he last lit it. I said to him, "Don't you light your lamp? Don't you ever use it?" He answered, "No. No one comes to see me. I have no need to light it. Who would I light it for?" I asked, "Would you light it every night if the sisters came?" He replied, "Of course." From that day on the sisters committed themselves to visiting him every evening. We cleaned the lamp and the sisters would light it every evening.

Two years passed. I had completely forgotten that man. He sent this message: "Tell my friend that the light she lit in my life continues to shine still." I thought it was a very small thing. We often neglect small things.
eMEDIPICS
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Cardiology - Yesterday, Today & Tomorrow - A CME was organized by IMA HQs on World Heart Day at IMA House, New Delhi
eMEDI QUIZ
The cells belonging to the following type of epithelium are provided with extra reserve of cell membrane:

1. Transitional
2. Stratified squamous
3. Stratified cuboidal.
4. Stratified columnar.

Yesterday’s Mind Teaser: A 30-year-old man came to the outpatient department because he had suddenly developed double vision. On examination it was found that his right eye, when at rest, was turned medially. The most likely anatomical structures involved are:

1. Medial rectus and superior division of oculomotor nerve.
2. Inferior oblique and inferior division of oculomotor nerve.
3. Lateral rectus and abducent nerve.
4. Superior rectus and trochlear nerve

Answer for Yesterday’s Mind Teaser: 3. Lateral rectus and abducent nerve. Answers received from: Dr Jainendra Upadhyay, Raghavendra Chakurkar, Raju Kuppusamy, Dr Avtar Krishan, Dr.Bitaan Sen & Dr.Jayashree Sen

Answer for 2nd November Mind Teaser: 3. Pain sensation on the contralateral side.

Answers received from: Dr Arvind Jain, Dr.Bitaan Sen & Dr.Jayashree Sen, Dr Poonam Chablani, Dr Jainendra Upadhyay, Raju Kuppusamy,
MTNL Perfect Health Mela 2015.
Pls click here for details
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Humor
Rice Preference

The young woman really thought she'd been very patient, through a protracted period of dating with no talk of marriage. One night her steady boyfriend took her to a Chinese restaurant. As he perused the menu, he casually asked her, "So . . . how do you like your rice? Boiled? Steamed? Or fried?" Without missing a beat, she looked over her menu at him and replied clearly, "Thrown."
BIOETHICAL ISSUES IN MEDICAL PRACTICE
Right to refuse treatment

Smita N Deshpande
Head, Dept. of Psychiatry, De-addiction Services
PGIMER-Dr. Ram Manohar Lohia Hospital,
New Delhi

In India, going on protest fasts is a recognized method of registering opposition to several public issues- from AFSPA to reservations and pensions. Indian law permits force feeding of protesters.

a) While correct in law, is this ethically proper?

b) What alternatives should the State follow, if force feeding is not permissible?

Do write in with views and your solutions!
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Breaking news
Prices of 98 drugs not fixed due to non availability of information

New Delhi: The central government has not been able to fix the price of 98 drugs used for treating various diseases such as tuberculosis, cardiac conditions, anemia, malaria and infections due to non-availability of information. "NPPA prepared list of 98 medicines included in Schedule - I of DPCO, 2013 for which no information is available and prices could not be fixed/notified," National Pharmaceutical Pricing Authority said in a statement on its website. In an earlier statement in July, NPPA had asked various stakeholders to provide related data in 30 days. It had sought data/information about these 98 formulations from all state governments and UTs, Drug Controller General of India, drug controllers of states and UTs, IMS health, Pharma Trac and apex pharma organisations such as OPPI, IDMA, IPA, among others, and trade associations. The authority had then said that it fixed the ceiling price of 530 formulations from the list of essential medicines included in Schedule-1 of DPCO, 2013.

At present, the government caps prices of essential drugs based on the simple average of all medicines in a particular therapeutic segment with sales of more than 1 per cent. In the case of non-scheduled drugs, companies are allowed to hike prices by only up to 10 per cent in a year. (ET Healthworld - PTI)
eWELLNESS
Diabetes is preventable

Diabetes can be prevented. Type 2 diabetes is due to a faulty lifestyle due to insulin resistance and the same can be prevented by change in diet and regular exercise. With proper risk factor management it is possible to get rid of both insulin and drugs in type 2 diabetes.

Tips to prevent diabetes

• Do not eat white refined carbohydrates.

• Eat less at a time.

• Work out at least 30 minutes a day.

• Eat plenty of green bitter vegetables

• Eat a high fiber diet.

• Do not eat trans fats in food.
MAKE SURE
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Indian Medical Association National Satyagraha for a Healthy India
IMA Digital TV

IMA Satyagraha

https://www.youtube.com/watch?v=UV1zCH33BlU
IMA Satyagraha, suggested slogans
• Allow doctors to treat patients irrespective of patients’ income - If compensation is not capped, we can't do this.

• Writing prescription drugs by anyone other than with an MBBS degree is injurious to peoples’ health.

• Please allow Doctors to treat poor and rich equally.

• More patients will die if doctors are not provided protection during duty hours.

• Death does not mean negligence.

• Save single clinic and small establishments - Exclude them from Clinical Establishment Act

• PCPNDT act needs graded punishments
Allied and Healthcare Bill proposes to set up State Allied & Healthcare Professional’s Council in every state

The draft Allied and Healthcare Professional’s Central Council Bill, 2015, issued recently by the Union health ministry, proposes to set up State Allied and Healthcare Professional’s Council in every state which will regulate the professional conduct of allied and healthcare professionals through enforcing the standards of professional conduct and etiquette to be observed by professionals for each cadre and take disciplinary action, including the removal of a professional’s name from the register, in case found guilty of violating as prescribed in the Rules.

The State Council will ensure compliance to minimum standards of education, courses, curricula, physical and instructional facilities, staff pattern, staff qualifications, quality instructions, assessment, examination, training, research, continuing professional education and promote innovations in the professions for the categories prescribed under the Rules by the central government, for granting recognised qualification by the universities or institutions within the respective state. It will conduct a uniform entry examination for admission into allied and healthcare educational institutions at all level as per procedure prescribed under the Rule by the central government… (Pharmabiz - Ramesh Shankar)
IFCD data on nutrition in India to be released by December

The comprehensive Indian Food Composition Database (IFCD) prepared by nutritional scientists and researchers will be released by this December in New Delhi. The Indian food database was taken up to develop a comprehensive, coherent and validated databank that will provide a single authoritative source for food composition data in India. The last such comprehensive study of Indian food was done in 1971 and another limited study was taken up in 1989 by nutritional researchers in the country. “The new IFCD with its wide range of new data is bound to shake-up nutritional research, especially with public health emphasis on diet-related diseases. Policy makers in will now have access to new region-wise data of nutrition based on which they can take decisions,” says In-charge Director, National Institute of Nutrition (NIN) T. Longvah. It took four years of intense study of close to 500 food items and 150 nutrients and bio-active substances from six regions in India to prepare the IFCD. While developing the database, dietary intakes of 30,244 individuals were collected and consumption of each food was calculated for the IFCD, NIN researches said during the inaugural of Food Data Conference here in Hyderabad… (The Hindu - M Sai Gopal)
Anti-smoking messages actually make it harder to quit, says study

Public health policies which stigmatise smoking can actually make it harder for people to quit because they become angry and defensive and the negative messages lead to a drop in self-esteem, a new study has found.

The findings highlight the potential for negative stereotypes to backfire, especially when it comes to public health campaigns. "Consequences of stigmatising stereotypes ranged from increased intentions to quit smoking to increased stress to greater resistance to quitting smoking," said Rebecca Evans-Polce, postdoctoral fellow, The Methodology Center and the Bennett Pierce Prevention Research Center, Pennsylvania State University Evans-Polce and colleagues from the UK, Brazil and Germany conducted a review of almost 600 articles relating to smoking self-stigma. While the evidence shows that stigmatising smoking may prompt some individuals to quit, the researchers found that health policies could instead focus on more positive strategies, reinforcing the benefits of giving up smoking rather than reiterating negative stereotypes… (First Post)
Health cover rejections grow as insurance companies bypass rules

Mumbai: Rejection of applications for health covers are on the rise with insurers turning down any applicant having a pre-existing condition or even disabilities. The rejections follow the stand taken by the Insurance Regulatory and Development Authority of India (IRDAI) that even exclusions named in the policy would be covered once the policy has been in force for four years. This issue is being taken up with IRDAI, sources said. (Times of India – Mayur Shetty)
WHO mobilizes 510 000 doses of oral cholera vaccine to help control the cholera outbreak in Iraq

An estimated 250 000 displaced persons will be targeted during the oral cholera vaccine (OCV) campaign to help control cholera outbreak in Iraq. The World Health Organization (WHO) has mobilized 510 000 doses of OCV, and the 2-dose campaign is part of a strategy to prevent cholera transmission in high-risk areas and avert a potentially large-scale cholera outbreak in the 62 camps for refugees and internally displaced people. Preparation for the campaign is now on its final stage in 14 governorates. The campaign begins with an initial round of vaccinations during the first week of November followed by – after, as required, a minimum 14 days' interval – a second round of doses, which will complete the vaccination. For such a campaign to be effective, it is vital that a second dose is administered. Targeted social mobilization, campaign logistics and health education are key components to ensure the successful implementation of OCV. In order to achieve herd immunity, all members of a family above one year of age will be vaccinated… (WHO)
Dengue: Total Nears 15000-Mark; October Sees Maximum 7,283 Cases

The number of dengue cases in the national capital has inched closer to the 15,000-mark with over 7,200 of them being reported in October only, according to a municipal report released on Monday. Standing at 14,889, dengue outbreak this year has become the worst outbreak since 1996. That year, 10,252 cases and 423 deaths were reported. The figure for the total number of cases had crossed the 1996-mark on October 10 only with 10,683 people down with the deadly virus. Out of the total number of cases reported till October 31, south Delhi area has recorded the maximum number, at over 3,000 cases of the vector-born disease. With a tally of 7,283, the month of October has seen the maximum number of cases, among all the months this year. Over 6,700 cases had occurred in September... (NDTV – PTI)
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GP Tip: Gas producing foods

Any eatable item which can be broken into two equal parts like almonds, pulses, rajma (kidney beans), etc. when eaten raw, produces gas in the body. They should be taken either after slow boiling, heating or after soaking in water for some hours.

(Source: IJCP)
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Readers column
Dear Sir, very informative newspaper. Regards: Dr Shagun
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IMA Digital TV
Press Release
Heart Care Foundation of India (HCFI)’s annual flagship event, the 22nd MTNL Perfect Mela to commence today

The festive season is here and bringing a healthy twist to the popular events culture of Delhi comes the MTNL Perfect Health Mela. The event aimed at raising preventive health awareness using entertainment as a medium will take place from Nov 4-8, 2015 at the Talkatora Stadium in New Delhi from 8 am to 8 pm.

Organized by the Heart Care Foundation of India (HCFI), a leading national not-for-profit organization committed to making India a healthier and disease free nation, the first Perfect Health Mela was held in 1991. In its 22nd edition the event is being organized in association with the Indian Medical Association, Ministry of Science & Technology, Earth Sciences, Textile, and AYUSH – Government of India, NDMC, MCD and MTNL.

A mélange of entertainment, lifestyle exhibitions competitions, workshops, health education and check-ups; the Mela is based on the concept of creating mass awareness about preventive health measures using a consumer-driven model as the base.

Speaking about this, Padma Shri Awardee, Dr. K K Aggarwal – President HCFI and Honorary Secretary General IMA said, “The Perfect Health Mela is a confluence of tradition and modernity. In its 22nd edition the Health Mela will comprise of different activities such as inter-school and college competitions in the field of music, art, creative writing, sports, and dance; lifestyle oriented workshops on topics such as safe water, air and earth; lectures, live health check up camps and live entertainment programs. In addition to this, all visitors who are heart patients or have symptoms of heart disease will be provided free screening, consultation and financial assistance through the Sameer Malik Heart Care Foundation Fund, an initiative by the NGO to ensure that no person dies of heart disease because they cannot otherwise afford treatment”.

Some first of its kind activities at the event will include:
• The Indian Medical Association will be launching the UNESCO chairs in bioethics on November 7th in the presence of six health vice chancellors

• A special focus will also be given at the Mela towards preventive education about dengue and swine flu

• The Mela venue will be a completely no smoking zone

• The chief guest for the inauguration ceremony on Nov 4th will be none other than Shri Satyendra Jain, Padma Vibhushan awardee Dr. Sonal Mansingh, Mr. Naresh Kumar NDMC Chairman and Mr. N.K. Yadav, CMD MTNL.

• A daily webcast targeted at 2000 doctors

• Telemedicine facility connecting patients to doctors at Medanta – the Medicity live from the event

• Free WiFi zones by MTNL

• Over 60 handloom stalls for one’s Diwali shopping For more information about the event, please visit www.perfecthealthmela.com. Entry to the Mela is free for all.
Digital IMA