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Medical Updates Medicine & Health

Sputnik takers in a fix as Russian vaccine is still not widely accepted

Synopsis

Sputnik-V is one of the three main vaccines that was used in India. The vaccine is based on human adenoviral vectors and uses two different vectors for the two shots. India had approved a gap of 21 days between the two doses.

There seems to be no end to hurdles for the takers of Sputnik vaccine for Covid-19. Vishal Patil, an IT executive in Pune, has not been able to attend a conference in Paris as he was vaccinated with Sputnik, which is not an accepted vaccine in France.

Like Patil, some of the Sputnik recipients have approached the government now to allow them revaccination so that they can generate a new certificate, which they can use when they travel.

Sputnik takers in a fix as Russian vaccine is still not widely accepted

“I was supposed to attend a conference in Paris in November but could not due to the vaccine issue. There are a few countries that allow travel with a Covid negative report but there are some in Europe and US which do not allow longer duration of stay,” Patil told ET.

He said that there are many countries mandating vaccines to visit them and many do not recognise Russia’s Sputnik vaccine. “This is making it difficult to travel or get a visa even if it is for a temporary company work or job,” he said.

Patil said that a set of people who are facing the issue have approached the government to allow paid revaccination. “As this would solve our problem. We can take a WHO-approved vaccine and travel with a new vaccine certificate,” he added.

Sputnik-V is one of the three main vaccines that was used in India. The vaccine is based on human adenoviral vectors and uses two different vectors for the two shots. India had approved a gap of 21 days between the two doses.
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Medical Updates Medicine & Health

Meet the jury of ZS PRIZE healthcare tech challenge

Synopsis

The top eight teams who are selected after completion of multiple phases will present their healthcare innovations to the ZS PRIZE jury.

Healthcare challenge ZS PRIZE, which is designed by global management consulting and tech firm ZS, recognizes and rewards the most disruptive healthcare innovations solving for India, and is powered by an august jury.

The top eight teams who are selected after completion of multiple phases will present their healthcare innovations to the ZS PRIZE jury. The jury comprises 7 eminent members from the healthcare and innovation space.

Meet the jury of ZS PRIZE healthcare tech challenge

Here’s more on the jury of ZS PRIZE healthcare tech challenge:
The jury chair is Ravi Venkatesan, Chairman of the board for Global Energy Alliance for People and Planet. He is also the founder and chairman of Global Alliance for Mass Entrepreneurship (GAME). Venkatesan has also held the post of the UNICEF Special Representative for Young People and Innovation, and served as the Chairman of Microsoft India for nearly 8 years. He has been on the board of multiple other multinational companies as well. He did his Btech from IIT Bombay and MBA from Harvard Business school.

G V Prasad is the co-chairman and the MD of Doctor Reddy’s Laboratories. He is also the chairman of the CII National Committee on Pharmaceuticals and has served on the board of multiple higher education institutions including IIT Hyderabad and Ashoka University. He did his bachelors in Chemical Engineering from Illinois Institute of Technology and his masters in Industrial Administration from Purdue University.

Aarti Shah was the former senior vice president, chief information and digital officer at Eli Lilly & Co. Her time at Eli Lilly & Co. gave her 28 years of experience in the pharmaceutical industry. She currently sits on the board of NVIDIA and Northwestern Mutual. She has a Ph.D. in applied statistics from the University of California, Riverside, Master’s in Science and mathematics from Gujarat University.

Meet the jury of ZS PRIZE healthcare tech challenge

Prof. K. Srinath Reddy is the president of Public Health Foundation India. He was the former head of the Department of Cardiology at the All India Institute of Medical Sciences. He was a visiting Professor of Cardiovascular Health at the Harvard School of Public Health and an Adjunct Professor of Epidemiology at Harvard Medical School. He is also the advisor on Health to the Indian State Governments of Odisha, Punjab, Haryana and Andhra Pradesh.

Vijay Chandru is the co-founder of Stradn life sciences. He was also the co-founder of PicoPeta Simputers. In 2007 he was Technology Pioneer of the World Economic Forum and the Biospectrum Biotech Entrepreneur. He has a Ph.D. in Mathematics of Decision Sciences from MIT, MS from UCLA.

Sandeep Singhal is a pioneer in the Indian Venture Capital industry. He is the senior advisor at Avaana Capital. He is also the co-founder and senior advisor at Nexus Venture Partners and an independent director at Titan Company Ltd. He has an MBA from Wharton with a dual major in Finance and Marketing; BS from Stanford in Electrical Engineering.

Dr. Ferzaan Engineer is the co-founder and chairman of Cytecare Hospitals. He is also the Co-founder and Joint Chairman of Medwell Ventures and Member of the Board of Directors of Sun Pharma Advanced Research Company (SPARC) and Cytespace Research. He received the AACP New Investigator’s Award in 1990 and received research grants from the National Institutes of Health (NIH), USA. He has a Ph.D in Pharmaceutical Sciences from University of South Carolina, B Pharm from LM College of pharmacy.

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Government Guidelines Medical Updates Medicine & Health Techniques

Nikon India enters healthcare sector with microscopy solutions

Synopsis

The company has launched its ‘AXR Point’ scanning confocal microscope that has the capability to provide a field of view of 25mm in one single shot thereby helping researchers to generate most accurate statistical data while imaging, Nikon India said in a statement.

Imaging products firm Nikon India Pvt Ltd on Tuesday announced its foray into the healthcare sector through system product microscopy business.

The company has launched its ‘AXR Point’ scanning confocal microscope that has the capability to provide a field of view of 25mm in one single shot thereby helping researchers to generate most accurate statistical data while imaging, Nikon India said in a statement.

Nikon India enters healthcare sector with microscopy solutions

The product is targeted at premier research institutes, research centres funded and established by the India government, academic educational institutions, clinical centres such as hospitals and medical research institutes to boost research and development in medicine, it added.

“We plan to install AXR system in a few research institutes in India namely IIT Bhilai, IIT Mumbai, ACTREC Mumbai to name a few,” Nikon India Managing Director Sajjan Kumar said.

He said the microscopy business offers huge potential, and “we are extremely upbeat about its growth prospects…Our expected annual turnover for FY 22-23 will be around 5 per cent of Nikon’s India operations and we anticipate it to grow 10 per cent plus by the end of next year.”

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Medical Equipments Medical Updates Medicine & Health Techniques

Namma Homeopathy clinic gains popularity in Maharashtra and Karnataka due to its effective treatment

Synopsis

Homeopathy is a proven and effective method of medicine to fight diseases and Namma Homeopathy clinic have shown effective treatment all over India and have successfully treated more than 1 lakh acute and chronic diseases.

The science of homeopathy medicines was founded more than 200 years ago. It is a proven and effective method of medicine to fight diseases. Its classification of medicine is to cure the disease with no side effects and in a natural way. These medicines improve the immunity power of individuals helping the disease condition to reduce gradually and permanently and thereby removing the disease cause from the root. Homeopathy medicine is devoid of chemicals and particles causing adverse patient effect. On the contrary, it improves the overall well-being of the patient.

Keeping in mind these enormous benefits of Homeopathy and to uphold humanity’s quest to have a healthy life, Namma Homeopathy, a unit of Namma Vaidyashaala Pvt Ltd, was established in the year 2017. Today, the homeopathy clinic stands tall with a total of 20 branches across Maharashtra and Karnataka and 200+highly experienced and qualified doctors who have successfully treated more than 1 lakh acute and chronic diseases. Its clinic in Dadar, Mumbai is one of the biggest Homeopathic corporate branches in Asia.

Namma Homeopathy clinic gains popularity in Maharashtra and Karnataka due to its effective treatment

And the impetus behind starting the advanced chain of Homeopathic clinics for promoting wellness among people is none other than Dr More Raghu Prasad, who has carved a niche for himself as a renowned and well-known homeopathic physician. Furthermore, he has earned a name for pioneering research in homeopathic medicine for incurable diseases.

The vision of Namma is to make India a disease-free country, and it has a deep connection with Dr Prasad’s growing years in a rural area. He witnessed the pain of diseased people very closely with no facilities available for treatment. The experience stirred his conscience and paved the way for pursuing the subject of homeopathy in the later part of his life.
He completed his Bachelor of Homeopathic Medicine and Surgery and started Namma Homeopathy to provide a low-cost and effective treatment to the diseased.

Namma Homeopathy is an integrated health system and emphasises treating patients for all chronic problems and incurable conditions like infertility, diabetes, thyroid disorders, PCOD, allergies, asthma, psoriasis, vitiligo, back pain, varicose veins, hair loss, joint pains, gastritis, piles, migraines, anxiety, depression and sexual problems.

Highlighting more on the subject, Dr Prasad says, “At Namma, what comes first is an inclusive approach. The name ‘NAMMA’ means ‘ours’, and it has been coined to align with our belief that the responsibility of creating a healthy society is ‘ours’. It motivates us to act with conscience, perform responsibly, and function with integrity. We have a team of 50+ highly qualified and talented doctors in the research department at Bangalore researching new medicines and formulas for treating incurable diseases, including the Immunogenic Miasmatic 6th Generation Homeopathic Medicines.”

In Immunogenic Miasmatic 6th Generation Homeopathic Treatment, the Medicines act in the immune cells, which improves the immunity power, which is called immunogenic. The medicines work on the disease’s root cause removing the causative factor, which is called miasmatic. It acts according to the new generation’s present lifestyle and environmental condition, which is called the 6th generation. After a lot of research on new diseases, viruses, bacteria, pandemics, and present lifestyle conditions, Dr Prasad’s research team developed this treatment method, and it has successfully treated chronic diseases at their clinics.

“Research Department plays an important role in treating patients at Namma Homeopathy. Our doctors’ research considers the disease pattern, cause, symptom and condition. We have researched a new formula called Advanced Nano Genetic Constitutional medicines, which has helped patients treat diseases from cold to cancer. Its effectiveness has also been found in treating different kinds of arthritis, diabetes, varicose veins, asthma, infertility, and autoimmune disorders. A lot of effort is put into offering the best to our patients without any side effects and with a complete solution. Namma Homeopathy medicines can make a patient better emotionally and mentally,” adds Dr Prasad.

As a part of the diagnosis, doctors at Namma spend good quality time with the patient to understand the cause of the disease. Its research department studies the patient’s case details continuously and upgrades the way of treatment and medicines from time to time. The service team continuously follows up with the patients for appointments, feedback on the services and senior doctor appointments with the patients if needed.

Dr Prasad believes a conducive atmosphere within the clinic is necessary to promote the happiness and well-being of doctors who are the backbone of the Namma. To achieve this, regular CME programs are conducted where specialists, experts and renowned homeopaths from around the world come to train, motivate and enrich the lives of the doctors. The effectiveness of this program has led to a 90-95% success rate of Namma in treating diseases.

It also has a 24/7 call centre to help people to reach this modern science and to get free advice. All 20 branches of Namma Homeopathy are connected and interlinked with software. Patients can start the treatment anywhere and can continue the treatment whereever they are comfortable. The case details are available to doctors on the system, and they can treat patients remotely or else the patients can visit any branch in Karnataka and Maharashtra for their medicines and treatment. It aims to open branches at every 100 km distance and spread awareness about the benefits of Homeopathy treatments.

Namma Homeopathy has launched a web portal where people can get advice online at any time and from any part of the world.

About Namma Homeopathy
Namma Homeopathy, a unit of Namma Vaidyashaala Pvt Ltd, was established in the year 2017. The centre has 11 branches across Karnataka (Malleshwaram, Jayanagar, Mysore, Hassan, Davangere, Hubbli, Shimoga, Gulbarga, Hospete, Udupi, Belgaum) and 9 Branches in Maharashtra (Mumbai – Dadar, Thane, Solapur, Pune, Kolhapur, Aurangabad, Nashik, Nagpur, Nanded). It is home to more than 600 employees who work in various departments, including HR, IT, Patient Counselling, Pharmacy, Call Centre, and other integral services.

Times Group awarded the ‘Excellence award in medical services and treatment in the field of Homeoapthy’ to Namma, which was given by Padmashri Awardee Anupam Kher.

About Dr More Raghu Prasad
Dr More Raghu Prasad, Chairman and Managing Director of Namma Homeopathy, has been a dedicated practitioner of Homeopathy for more than 15 years. He is the founder of Namma Homeopathy, a unit of Namma Vaidyashaala Pvt Ltd.

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Uncategorized

IHH Healthcare says Fortis remains its main platform for growth in India

Synopsis

The company, which acquired a 31.17 per cent stake in Fortis by infusing fresh capital of Rs 4,000 crore in November 2018, is currently waiting for a go-ahead from capital markets regulator Sebi to proceed with its stalled open offer to acquire additional 26.1 per cent stake in the domestic healthcare major.

Malaysia’s IHH Healthcare has stressed that it is committed to the Indian market on a long-term basis and Fortis Healthcare remains its main platform for growth in the country.

Terming the freeze on its open offer to acquire additional 26.1 per cent stake in Fortis as ‘unfortunate’, the Malaysian entity feels that the ongoing legal battle has prevented it so far from injecting additional capital into the Indian healthcare provider.

The company, which acquired a 31.17 per cent stake in Fortis by infusing fresh capital of Rs 4,000 crore in November 2018, is currently waiting for a go-ahead from capital markets regulator Sebi to proceed with its stalled open offer to acquire additional 26.1 per cent stake in the domestic healthcare major.

IHH Healthcare says Fortis remains its main platform for growth in India

The open offer, which was originally scheduled to commence on December 18, 2018 and close on January 1, 2019, entailing a total sum of Rs 3,300 crore, could not materialise due to a Supreme Court order.

In an interaction with PTI, IHH Healthcare Managing Director and CEO Kelvin Loh said the last four years have turned out to be very frustrating for the company which counts India as one of its key markets.

“Is there frustration? Yes there is,” he said when asked about the legal proceedings which began in 2018.

“We feel that we are the aggrieved party here because the Supreme Court case was really between Daichii Sankyo and Singh brothers, in which we really had no part,” he noted.

Loh noted that IHH counts India, Turkiye, Malaysia and Singapore as its major markets even as it operates 82 hospitals across ten nations. “When we say we are committed to healthcare in India, we see a lot of opportunity for growth. We will be here for the long term because we are not financial investors, we are a strategic healthcare operator and the main platform for growth in India for us is Fortis,” Loh said.

The IHH-Fortis deal got stuck due to a legal battle between Daiichi and the former promoters of Fortis Healthcare.

The former promoters of Fortis Healthcare — Malvinder Singh and Shivinder Singh — were facing the court battle after Japanese firm Daiichi Sankyo challenged the Fortis-IHH share deal to recover the Rs 3,600-crore arbitration award that it had won before a Singapore tribunal against the Singh brothers.

In 2018, when some Indian lenders sold the pledged shares of Fortis Healthcare to the Malaysia-based firm, Daiichi went to court alleging that the former promoters of Fortis had assured them that their shares in the Indian hospital chain will cover the arbitral award amount.

Later, the Supreme Court ordered status quo with regard to the sale of controlling stakes of Fortis Healthcare to IHH Healthcare by Malvinder Singh and Shivinder Singh, and put on hold IHH’s open offer for an additional 26.1 per cent stake in Fortis.

The 26.1 per cent stake would have increased IHH’s shareholding in Fortis to 57 per cent.

“But unfortunately it got stuck. Even more unfortunate has been the suspension of the (open offer) process for four years now and that really frustrates us,” Loh noted.

IHH has already brought in management and operational changes in Fortis helping the company, which was on the verge of bankruptcy, recover financially.

IHH, however, aspires to help Fortis grow even faster, Loh said.

“We are committed to Fortis, we are committed to healthcare in India. We keep transforming and improving the healthcare product that we provide here in the country… and of course we aspire that we can grow even faster. Maybe inject more capital to grow on this,” he noted.

Fortis through its own means can grow from its current 4,000 beds capacity to 5,000 beds in the next two years, Loh said.

“With our support it can grow even faster. If we can bring in additional capital for growth for greenfield expansion or even acquisitions, it can grow even more. We would like to do that,” he noted.

Fortis Healthcare Chairman Ravi Rajagopal said it was unfortunate the way things have turned out for IHH Healthcare.

“In its ruling (the Supreme Court), according to my mind, has not cast a single negative aspersion either on IHH or Fortis. Despite that, the fact that it has taken so long, the frustration for Fortis is that it has been bereft of capital to grow its business,” he said.

IHH stake consolidation would have resulted in capital infusion in Fortis helping it scale up operations.

Rajagopal said that the majority of the initial Rs 4,000 crore capital infusion by IHH went into buyback of assets and debt payoff, leaving Fortis with little funds for expanding operations.

“If we want to grow in the way the rest of our peer group has grown, through both internal investments as well as inorganic, then we would need that extra capital. As a major shareholder, we look at IHH to help us secure that capital. Till such time, till September (this year), while the status quo was in force, those possibilities could not have been explored, but now those options are open,” he said.

In a statement last week, IHH Healthcare noted that following the recent judgment of the Supreme Court of India, the special leave petition, the original contempt petition and the suo moto contempt petition are disposed of.

“The honourable Supreme Court has not found nor indicated any wrongdoing by IHH in terms of our investment into Fortis in its final written judgment dated September 22, 2022. There is also currently no court order pending against IHH in these proceedings,” it said.

Accordingly, IHH is now in discussion with Sebi to determine the next steps pertaining to the mandatory tender offer in Fortis, in full compliance with all requisite regulations, the Malaysian firm said.

On replacing Fortis brand name with Parkway, Rajagopal said: “The Fortis board had decided a year ago to change the brand name to Parkway because the Fortis brand does not belong to Fortis Ltd, it belongs to a company which was owned and controlled by the former Fortis promoters.”

He further said: “We filed a notice with the stock exchange as well as with the Supreme Court last year on our intent. Now with the Supreme Court order behind us we will be moving very quickly to change the brand name.”

When asked for the timeframe for the same, Rajagopal said the matter involves trademark registration.

“We already have checked out the trademarks, but there is a process of filing it formally and going through that due process. It should take a few months,” he added.

IHH had pipped rival Manipal-TPG combine in the race to acquire Fortis Healthcare.

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Medical Updates Medicine & Health

Yoga for asthma: Breathing exercises for patients with bronchial asthma

Yoga expert suggests the following Yoga asanas or easy breathing exercises for patients with bronchial asthma. Here are their steps and health benefits.

Every organ, muscle and system in the body is affected by our breathing, which happens naturally and without our conscious involvement however, when we breathe intentionally like during Yoga practice, we may change this especially for the better for patients with bronchial asthma. Once the entire body is in balance, our thoughts and actions will be in harmony as breathing’s roles include bringing the body into alignment, calming it down and reawakening it.

In an interview with HT Lifestyle, Himalayan Siddhaa Akshar, Founder of Akshar Yoga Institutions, Himalaya Yoga Ashram and World Yoga Organisation, explained, “Controlling our breathing can aid in emotional regulation. You’ll notice that when we cry, when we’re angry, etc., our breathing becomes laboured and shallow. Therefore, by just controlling our breathing, we can control our emotions. We can learn to remain composed and support our own growth.”

Yoga for asthma: Breathing exercises for patients with bronchial asthma

Talking about Yoga for patients with bronchial asthma, he suggested, “It is advised to begin with Shaant gathi (Slow Speed) while learning these techniques for the first time and gradually increase your practise intensity before progressing to Madyam (Medium Speed), then Tivra Gami (Fast Speed). By practising in Tivra gami, you can graduate to that level but Shant gati is still ideal for experienced practitioners because all three of these levels have positive benefits on the body and the mind.”

He recommended the following Yoga exercises or easy breathing techniques:

1. Bhastrika Pranayama

Breathing exercises are known as pranayama and this one is referred to as bhastrika. Your breath should make a sound similar to the bellows blacksmiths use while performing this pranayama.

The practice of bhastrika helps the body’s capacity grow. As you deepen your practice of this breathing method, you’ll benefit in a number of ways—physical, psychological, and spiritual.

Method

• Take up any comfortable position for sitting, such as Sukhasan, Ardhapadmasan, or Padmasana.

Close your eyes, arch your back, and place your hands in the Prapthi Mudra on your knees.

• Take a full, deep breath in and out. Inhalation to exhalation should be a 1:1 ratio. For instance, if you take six breaths in, you must also take six breaths out.

2. Anulom Vilom

The term anulom vilom refers to a specific type of controlled breathing (pranayama) utilised in the practise of yoga. In order to do it, you must keep one nostril closed when inhaling and the other closed while exhaling. After that, the process is repeated in reverse.

A few of the many stated medical and psychological benefits of alternate nostril breathing include stress reduction, improved breathing, and improved circulation. Scientific evidence backs up some of these statements.

Method

• Sit down in a relaxed position, ideally cross-legged. (such as Ardhapadmasan, Sukhasan, or Padmasana) • Align your spine and close your eyes

• The technique entails breathing via your opposing nostrils, with your left nose inhaling and your right nostril expelling.

• To complete a breath cycle, close your right nostril for left-sided inhalation, your left nose for right-sided exhalation, and your right nostril for right-sided inhalation.

• Use your thumb to gently press the air out of your nostril. The right nostril’s airflow is intended to be stopped.

• Make sure that when you inhale through your left nose, your right nostril feels equally pressured.

• Breathe deeply as you inhale.

• As you open your right nose, close your left nostril to let

Himalayan Siddhaa Akshar concluded, “These four pranayama breathing techniques—Basthrika, Udgeeth, Anulom Vilom, and Kapal Bhati—will be very helpful to you. When carried out correctly, it enables us to go deeper and gain a number of physical, psychological, and spiritual benefits. Every practitioner should take the time to completely master them as a result.”

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Medical Updates Medicine & Health

Gambia deaths: ‘WHO yet to give relevant papers’

Synopsis

India’s drug regulator has written thrice to the WHO to provide documents but there has been no response, they said. Last month, the WHO had issued a warning on cough syrups after which Indian health authorities halted all production of the company.

The Indian government has not been able to make headway into the mysterious deaths of children in Gambia as the World Health Organization (WHO) has failed to provide it “relevant documents” needed to investigate and find causality between the deaths and cough syrups made by Maiden Pharmaceuticals, people in the know told ET.

India’s drug regulator has written thrice to the WHO to provide documents but there has been no response, they said. Last month, the WHO had issued a warning on cough syrups after which Indian health authorities halted all production of the company.

Gambia deaths: 'WHO yet to give relevant papers'

“We have so far not got anything from the WHO to take a step forward into the investigation,” said a person in the know.

A detailed email sent by ET to WHO on November 3 regarding the issue did not elicit any response.

Earlier last month, Indian government formed a committee under noted pharmacologist YK Gupta to investigate the mysterious child deaths that were thought to be linked to cough syrups made by Sonipat-based Maiden Pharmaceuticals.

The committee met three times but has not been able to make any headway.

Gambia’s national drug regulatory body, which has also been investigating, has so far not found any link between cough syrups from India and deaths of at least 70 children, and said some children died without consuming the suspected drugs, a local newspaper had reported early this month. However, the real cause of the acute kidney injury cases linked to the child deaths is still “unknown”, Medicines Control Agency ,The Gambia, told The Point newspaper.

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Medical Equipments Medical Updates Medicine & Health

‘Measles deaths’: Health ministry sends team to Mumbai

“The team will also undertake field visits to investigate the outbreak and assist the state health department in terms of public health measures, management guidelines, and protocols to manage the increasing cases of measles being reported in Mumbai,” said the ministry in a statement.

AFTER REPORTS of increase in suspected measles cases and three deaths in children, the Union Health Ministry on Wednesday rushed a multi-disciplinary team to Mumbai. It is yet to be determined whether the deaths could have been due to measles that can sometimes lead to complications such as encephalitis (swelling in the brain), blindness, and pneumonia.

“We don’t even know whether the deaths are because of measles; the state government has also not categorised these deaths as measles. The team of experts from different fields will determine whether these were in fact measles cases. The team will also see the vaccination status of the children who have died; measles deaths should not occur because our vaccination coverage is nearly 100%,” said an official from the Health Ministry. The team is likely to submit a preliminary report by Thursday evening.

‘Measles deaths’: Health ministry sends team to Mumbai

AFTER REPORTS of increase in suspected measles cases and three deaths in children, the Union Health Ministry on Wednesday rushed a multi-disciplinary team to Mumbai. It is yet to be determined whether the deaths could have been due to measles that can sometimes lead to complications such as encephalitis (swelling in the brain), blindness, and pneumonia.

“We don’t even know whether the deaths are because of measles; the state government has also not categorised these deaths as measles. The team of experts from different fields will determine whether these were in fact measles cases. The team will also see the vaccination status of the children who have died; measles deaths should not occur because our vaccination coverage is nearly 100%,” said an official from the Health Ministry. The team is likely to submit a preliminary report by Thursday evening.

The three-member team is headed by Dr Anubhav Srivastava, Deputy Director, Integrated Disease Surveillance Programme (IDSP), NCDC.

India has seen an increase in the number of measles cases – 11,156 cases of measles have been reported in 2022 till September, according to data from the World Health Organization. To compare, there were 6,078 recorded in 2021, 5,598 cases in 2020, and 10,708 cases in 2019.

Measles is a highly contagious infection with vaccination considered to be one of the most effective intervention for reducing cases and deaths. With a goal of eliminating measles and rubella (another similar viral infection), India launched a one-time immunisation campaign for all children between the ages of 9 months to 15 years in a phased manner 2017 onwards, with almost all states including Maharashtra having completed the vaccination.

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Medical Equipments Medical Updates Medicine & Health

Cholesterol medicines lessen risk of degenerative eye disease of ageing

In high-income nations, AMD is the main contributor to serious vision impairment in elderly adults. The ailment presently affects 67 million individuals in Europe alone, and as the continent’s population ages, it is expected that the number of new cases would skyrocket.

According to a pooled data analysis of the available evidence, which was published online in the British Journal of Ophthalmology, regular use of medications to lower cholesterol and manage type 2 diabetes may reduce the risk of AMD, a degenerative eye condition associated with ageing.

According to the findings, these common medications are associated with a lower prevalence of AMD (age-related macular degeneration) in European populations.

Cholesterol medicines lessen risk of degenerative eye disease of ageing

In high-income nations, AMD is the main contributor to serious vision impairment in elderly adults. The ailment presently affects 67 million individuals in Europe alone, and as the continent’s population ages, it is expected that the number of new cases would skyrocket.

AMD impairs both central vision and fine detail perception. AMD is assumed to be caused by a number of genetic and environmental ageing-related factors, but the best ways to prevent it or halt its growth are yet unknown.

Prior studies have suggested that medications to lower cholesterol, manage diabetes, and reduce inflammation may assist to minimise the chance of getting AMD, but these results were inconsistent and based on small participant numbers.

The researchers aggregated the findings from 14 population-based and hospital-based studies, encompassing 38,694 participants from France, Germany, Greece, Ireland, Italy, Norway, Portugal, Russia, and the UK, in an effort to circumvent these problems.

The studies are a part of the European Eye Epidemiology (E3) project, a pan-European collaborative network whose main goal is to create and analyse sizable pooled datasets to further our understanding of eye illness and vision loss.

All of the participants were over 50 and receiving at least one of the medications listed below: Levodopa used to treat movement difficulties brought on by neurodegenerative diseases; statins to lower cholesterol; insulin to regulate diabetes; steroids to reduce inflammation.

In the studies that were considered, the prevalence of AMD ranged from 12.5 per cent to 64.5 per cent, totalling 9,332 instances, whereas the prevalence of advanced (late) AMD ranged from 0.5 per cent to 35.5 per cent, totalling 951.

After taking into account any potential influencing factors, the pooled data analysis revealed that medications to lower cholesterol or control diabetes were related to, respectively, 15 per cent and 22 per cent lower prevalence of any type of AMD.

Despite the fact that there were only a very small number of such cases, the researchers highlight that no such connections were discovered for any of the other drug classes or for severe AMD in particular.

Theirs are the first large pooled data analysis of its kind to use individual-level data from various population-based and hospital-based studies, highlight the researchers.

“Yet, further longitudinal data are needed to confirm our findings, which are inherently limited by using cross-sectional data only and cannot infer causality,” they cautioned.

But the findings point to a likely key role for metabolic processes in the development of AMD, which may offer potential new avenues for treatment and have implications for public health messaging, they suggest.

“Our study suggests that regular intake of [lipid lowering] and antidiabetic drugs is associated with reduced prevalence of AMD in the general population. Given a potential interference of these drugs with pathophysiological pathways relevant in AMD, this may contribute to a better understanding of AMD aetiology,” they concluded.

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Government Guidelines Medical Updates Medicine & Health

Health Ministry working on guidelines to scrap bond policy for doctors

The Union Health Ministry is working to finalise guidelines to do away with the bond policy for doctors based on the National Medical Commission’s recommendations in this regard, official sources said.

In pursuance of the Supreme Court’s directions, the Health Ministry constituted a committee under the chairmanship of Dr. B. D. Athani, Principal Consultant, Directorate General of Health Services, in 2019 to examine the matter. The committee submitted its report in May 2020 and it was forwarded to the National Medical Commission (NMC) for comments.

The NMC furnished its comments in February 2021. It said the report does not clearly address the origin of the policies on compulsory imposition of bond conditions by the various State governments for students.

Health Ministry working on guidelines to scrap bond policy for doctors

The NMC, in its comments, stated that since the promulgation of the bond policy by the various States, much has changed in medical education in the country and therefore, it may be worth reviewing the merits/effectiveness of this policy by the various States.

“The NMC submitted its detailed observations. In view of its observations and notwithstanding the observations of the SC upholding the legalities related to the bond policies of the state governments, the commission was of the considered view that medical students should not be burdened with any bond conditions and doing so may run contrary to the principles of natural justice,” the source said.

Further, the matter was thoroughly examined by the Ministry and it was proposed that there is a need to re-examine the entire bond policy de-novo along with the views of all States, Union Territories and other stakeholders.

Since then, meetings have been held to deliberate on operationalisation of the uniform bond policy, including finalisation of quantum of bond, manner of enforcement and timely availability of posts in States after completion of internship etc., the source said.

There is no provision of a bond under the NMC Act, 2019 or the erstwhile Indian Medical Council Act, 1956 and regulations made thereunder. The condition of bond is imposed by the State to increase access to improved healthcare services, especially in rural areas by filling the vacant position in community health centres (CHCs) and primary health centres (PHCs).

The amount of bond is decided by the State in lieu of subsidised education being provided in the government medical colleges.

The amount of bond varies from state to state and ranges widely between ₹5 lakh (Goa, Rajasthan, Tamil Nadu) and ₹1 crore (Uttarakhand) for MBBS and up to ₹2-2.5 crore (Kerala, Uttarakhand, Maharashtra) for PG and super-speciality.

The duration of compulsory service also varies between 1 year and 5 years.

“In a meeting, it was observed that there is a consensus that there should be mandatory rural service to enhance availability of doctors in rural and remote areas with flexibility. Also, the bond could be non-financial and implemented through an administrative mechanism,” the source said.

“The Health Ministry is working to finalise guidelines for doing away with the bond policy based on the recommendations by NMC,” the source added.

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