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9th September, 2017
All nursing homes with no ICU should have tie up with nearest ICU facility is only an observation? 
Dr KK Aggarwal, National President, IMA 
In a judgement in the case of Bijoy Sinha Roy (D) vs Biswanath Das & Ors. Civil Appeal no(S).4761 of 2009 with C.A. Nos. 4762-4763 of 2009, delivered on August 30, 2017, the Supreme Court of India concurred with the appellant (since deceased) when it said, "We however, find that neither the State Commission nor the National Commission have examined the plea of the appellant that the operation should not have been performed at a nursing home which did not have the ICU when it could be reasonably foreseen that without ICU there was post-operative risk to the life of the patient.  There was no serious contest to this claim by the opposite parties".
Here is a synopsis of the course of events.
  • The appellant Bijoy Sinha Roy underwent a hysterectomy for multiple uterine fibroids on 1.12.93 morning (8.45 am) at a nursing home in Kolkata. She was hypertensive and had anemia (Hb 7).
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Iron deficiency anemia one of the top causes of disability in India
Iron needs are higher in women than in men
Many people are unaware of the symptoms of iron deficiency anemia

New Delhi, 08 September 2017: As per recent reports, about 48% women in India in the age group 15 to 49 years have hemoglobin concentrations lower than 120g/L (12g/dL) and are diagnosed with anemia. Analysis also show that iron-deficiency anemia has remained the top cause of disability in India for 10 years now. The IMA indicates that anemia can have serious consequences such as fetal deaths, abnormalities, pre-term and underweight babies in pregnant women.
Anemia is a condition in which the number of red blood cells or their oxygen-carrying capacity is insufficient to meet physiologic needs, which vary by age, sex, altitude, smoking, and pregnancy status. Hemoglobin, a pigment present in red blood cells, binds oxygen and delivers it to various cells in the body. Menstrual bleeding causes loss of iron in women of reproductive age, and thus, iron needs are higher in women than in men.
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