Two siblings mauled by stray dogs in Delhi; An urban jungle-where animals hunt humans

In an horrifying and frightening incident, mauled and hunted two siblings, aged 7 & 5, killed in stray dog attack in Delhi’s Vasant Kunj

NEW DELHI: Two siblings, aged seven and five, were killed allegedly in stray dog attack in two separate incidents in the Vasant Kunj area of Delhi. The police said that the 7-year-old boy went missing on March 10 and his body was recovered later with animal bite like injuries.

They needed some shield to protect himself which society, government, courts and so called “dog-lovers” failed to provide.

4-year-old mauled to death by stray dogs in Amberpet

An urban jungle-where animals hunt humans

Dog Lover but not for human child

Courts have also upheld animal rights but failed to formulate and implement policies to ensure safety of humans from these violent strays. Government has not made out any policy to safeguard public from such attacks nor have courts come up with any solid guidelines, which can save public, children, women and older people from such bites.

Danger of stray dogs is increasing every day around us. As the strays population in increasing, now they are grouped and see vulnerable humans as easy prey. Packs of dogs have become dangerous and difficult to control. Protected by Dog lovers and animal right laws, the danger to normal people of being hunted even around their homes is real. Human right of being in a safe environment is being ignored. Is it not hypocritical that you care for a violent stray that is a threat to the society? Problem is not about loving and feeding dogs, but simultaneous apathy towards safety of humans. Such dog lovers most of the time, totally ignore the fact that these dogs are a threat to children and older people. An immediate sense of hatred towards such dog lovers is a consequence and a natural thought.

Animal lovers while pretending of “dog love” have formed NGOs and have donations and accumulate money. But have failed to create shelters for stray dogs. Neither have any steps been taken to save people from dog bites. So consequently, people especially vulnerable are children and older people who are mauled and eaten alive by stray dogs. What responsibility and accountability these animal lovers and NGO bear towards such incidents? Why people who collect money in name of animals do not take care and form shelters for these strays? every single death from such preventable cause raise a question on this issue.

Apathy of these so called dog lovers towards humans is appalling.

SUGGESTION: the Government, NGOs and people who claim to be “animal lovers” should create shelters to save strays “as well as people”. It should be mandatory that all the dog and animal (stray or pet) droppings are properly collected and disposed off. This single step can do wonders as it will reduce infections, people’s suffering, save lives and eventually reduce use of antibiotics. A rationale mind will definitely appreciate the danger due to strays, and can initiate proper steps rather criticizing above said facts in the name of animal rights. An animal has no sense of responsibility, so rights should be limited accordingly.

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March 12, 2023 0

Obesity-a growing epidemic & relation to climate

Twelve years from now, 4 billion people, or more than half the world’s population, will be overweight or obese, according to a recent report. While obesity is an issue more commonly associated with high-income countries, the World Obesity Federation (WOF) points out that lower income countries are facing rapid increases in its prevalence. The economic and environmental costs of obesity aside, there is also the impact on the climate to contend with in the battle of the bulge. A $4tn crisis

The World Obesity Atlas 2023 says the cost of obesity-related issues would be more than $4 trillion globally by 2035. Apart from health, high BMI – obesity is defined as a Body Mass Index (BMI) equal to or more than 30 – also impacts economic productivity, including through premature retirement or death. The biggest presence of obese people will continue to be in high-income countries, the report says, but it is the low and lower middle income countries that are likely to experience major increases in the prevalence of obesity by 2035. The total economic costs linked to a rise in obesity in these countries would be more than $350 billion but the burden for upper middle and high income countries would be close to $4 trillion. The share of obese people in middle-income countries could jump to 66% among men and 70% for women even as the rate of increase in obesity prevalence appears to be slowing down in some rich countries. The chief reasons for rising obesity in poorer countries include a shift towards more highly processed foods and greater levels of sedentary behaviour.

What climate change has to do with it.

Rising temperature and rainfall due to climate change could lead to higher obesity rates by hampering physical activity, studies say. The impact of extreme weather on fruit and vegetable production could also make it harder to maintain a healthy diet owing to rising prices. Higher prices could prompt a shift towards processed foods, which are linked to obesity. A 2019 Lancet report says severe food insecurity and hunger are associated with lower obesity prevalence, but mild to moderate food insecurity is “associated with higher obesity prevalence”. Another 2019 study says obesity is linked to about “20% greater GHG emissions compared with the normal weight state”. The total impact of obesity “may be extra emissions of (about) 700 megatons per year of CO2 equivalent. about 1. 6% of worldwide GHG emissions”.

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March 9, 2023 0

All about Holi colours, Harms, Removal and Prevention

We all love playing with Holi colours, but do they leave any harmful side-effects?

With the festival of colours just around the corner, we are all bound to be excited about having fun with family and friends.

However, as Holi is played with lots of colours, it’s important to keep safety in mind and take proper care to control the damaging effects of colours.

HOLI COLOURS

The market is flooded with a variety of colours – paste, dry and watercolours. Rather, industrial dyes being cheap and bright are widely used to make them. However, these can have detrimental effects on humans as they were never meant for playing Holi.

Metallic pastes: These pastes are used for a silver, golden and/or black effect. While it’s a very popular practice in youngsters, the use of metallic pastes during Holi is highly discouraged in view of the harmful effects.

Dry colours: Commonly called as gulaal, dry colours are a mix of toxic heavy metals like lead, chromium, cadmium, copper, mercury, nickel, and asbestos.

Water Colours: These colours commonly use gentian violet dye as colourant. Gentian violet is a hazardous chemical that can cause many serious health problems. The water colours used in Holi fare no better.

Harmful effects of colours

All these are known to cause skin allergies, dermatitis and a host of other issues including problems with the scalp.

Metallic pastes- These colours can cause eye allergies, blindness, skin irritation, skin cancers, and even kidney failure.

The colored powders used during Holi can cause various respiratory problems when inhaled. This can lead to conditions such as bronchitis, asthma, and allergies.

Being exposed to these colors can cause irritation and inflammation of the eyes, nose, and throat, and can also trigger asthma attacks in people with pre-existing respiratory conditions.

Long-term exposure to these chemicals can lead to chronic respiratory problems such as bronchitis, emphysema, and lung cancer.

Other problems include conjunctivitis and hair loss.

Additionally, the colours, if inhaled can irritate the delicate tissues in the nose and throat, causing inflammation and discomfort.

If Holi is played out in the sun, it can further damage the skin, causing depletion of moisture and sun tan, leaving your skin dry and dull.

HOW TO PREVENT THE HARMFUL EFFECTS OF HOLI COLORS?

To apply sunscreen 20 minutes before going out in the sun. Make sure to use sunscreen for SPF 30 and above. Most sunscreens have built-in moisturizers. For the hair, apply a hair serum or leave-in conditioner. Alternatively, you can use pure coconut oil and massage it lightly into the hair.

REMOVAL OF COLOURS

Appropriate removal of colours is equally important to get rid of the damaging effects of playing Holi. To begin with, rinse your face with plenty of water, followed by a cleansing cream or lotion, and lastly, wipe off with moist cotton wool. In case you experience itching, add two tablespoons of vinegar to a mug of water and use it as a last rinse.

Cleanse the area around the eyes. While bathing, gently scrub the body and apply a moisturiser on the face and body immediately after while the skin is still damp.

He said that if itching continues or you see a rash and redness, make sure to consult a doctor as there may be an allergic reaction to the colour. For the hair, use plenty of water to wash away the dry colours and tiny mica particles. Then use a mild shampoo and massage the scalp gently and rinse thoroughly with water again. Lastly, condition your hair with a mild conditioner.

Prevention

Instead, opt to use eco-friendly colours made of flower petals, herbs, vegetable extract, and turmeric.

Keep an eye out for any of these symptoms post your Holi party.

If you experience fever, nausea, vomiting, red eyes, difficulty seeing, skin eruptions, burning skin, dizziness, confusion, inability to concentrate, headaches, and/or blurred vision consult a doctor immediately.

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March 8, 2023 0

How Heart (Cardiovascular) Disease in Women differs from that of Men #Sushmita-Sen-Angioplasty

A long-held belief has been that women are less prone to heart attacks, because of their so-called oestrogen advantage. Heart attacks in men is much higher than women. By classic teaching women have an advantage of 10 years in terms of getting cardiovascular disease (CVD), usually around the age of 55, compared to men who can get a CVD around the age of 45. That is partially correct as well, but one should be extra careful about the hugely increased vulnerability of post-menopausal women. More recent research findings that even younger #Sushmita Sen shared that she has had to undergo angioplasty, much public surprise centred on her age.

As a Lancet global commission has emphasised, despite being responsible for causing 35% of deaths in women each year, their cardiovascular disease remains understudied, under-recognised, under-diagnosed, and under-treated, with women also under-represented in clinical trials.

Heart disease may be considered by some to be more of a problem for men. Because some heart disease symptoms in women can differ from those in men, women may not know what to look for.

The following discussion is about the differences in cardiovascular disease between men and women.

How is the cardiovascular system different in women vs. men?

Researchers have found many sex-related differences in the cardiovascular system. These complex differences, often at a microscopic level, can affect how women and men experience heart disease. A few examples include:

Anatomy. Women have smaller blood vessels and heart chambers. The walls of their ventricles are also thinner.
Blood count. Women have fewer red blood cells. As a result, women can’t take in or carry as much oxygen at any given time.
Cardiovascular adaptations. Changes in altitude or body position (like quickly standing up after lying down) affect women more than men. Women are more likely to have sudden drops in blood pressure or faint.
Hormones. Estrogen and progesterone dominate in women and people AFAB, while testosterone dominates in men and people AMAB. These hormones can impact many aspects of heart health and overall health.

Heart attack symptoms for women

The most common heart attack symptom in women is the same as in men — some type of chest pain, pressure or discomfort that lasts more than a few minutes or comes and goes.

But chest pain is not always severe or even the most noticeable symptom, particularly in women. Women often describe heart attack pain as pressure or tightness. And it’s possible to have a heart attack without chest pain.

Women are more likely than men to have heart attack symptoms unrelated to chest pain, such as:

Neck, jaw, shoulder, upper back or upper belly (abdomen) discomfort
Shortness of breath
Pain in one or both arms
Nausea or vomiting
Sweating
Lightheadedness or dizziness
Unusual fatigue
Heartburn (indigestion)

These symptoms may be vague and not as noticeable as the crushing chest pain often associated with heart attacks. This might be because women tend to have blockages not only in their main arteries but also in the smaller ones that supply blood to the heart — a condition called small vessel heart disease or coronary microvascular disease.

Compared with men, women tend to have symptoms more often when resting, or even when asleep Emotional stress can play a role in triggering heart attack symptoms in women.

Because women’s heart attack symptoms can differ from men’s, women might be diagnosed less often with heart disease than are men. Women are more likely than men to have a heart attack with no severe blockage in an artery (nonobstructive coronary artery disease).

Heart disease risk factors for women

Several traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — affect both women and men. But other factors may play a bigger role in the development of heart disease in women.

Heart disease risk factors for women include:

Diabetes. Women with diabetes are more likely to develop heart disease than are men with diabetes. Also, because diabetes can change the way women feel pain, there’s an increased risk of having a silent heart attack — without symptoms.
Emotional stress and depression. Stress and depression affect women’s hearts more than men’s. Depression may make it difficult to maintain a healthy lifestyle and follow recommended treatment for other health conditions.
Smoking. Smoking is a greater risk factor for heart disease in women than it is in men.
Inactivity. A lack of physical activity is a major risk factor for heart disease.
Menopause. Low levels of estrogen after menopause increase the risk of developing disease in smaller blood vessels.
Use of Contraceptives – They do tend to increase a woman’s blood pressure. If a woman has other risk factors for heart disease, taking birth control pills can compound that risk of heart disease.
Pregnancy complications. High blood pressure or diabetes during pregnancy can increase the mother’s long-term risk of high blood pressure and diabetes. These conditions also make women more likely to get heart disease.
Family history of early heart disease. This appears to be a greater risk factor in women than in men.
Inflammatory diseases. Rheumatoid arthritis, lupus and other inflammatory conditions may increase the risk of heart disease in both men and women.

Women of all ages should take heart disease seriously. Women under age 65 — especially those with a family history of heart disease — also need to pay close attention to heart disease risk factors.

Lifestyle remedies

Living a healthy lifestyle can help reduce the risk of heart disease. Try these heart-healthy strategies:

Quit smoking. If you don’t smoke, don’t start. Try to avoid exposure to secondhand smoke, which also can damage blood vessels.
Eat a healthy diet. Opt for whole grains, fruits and vegetables, low-fat or fat-free dairy products, and lean meats. Avoid saturated or trans fats, added sugars, and high amounts of salt.
Exercise and maintain a healthy weight. If you’re overweight, losing even a few pounds can lower heart disease risks. Ask your health care provider what weight is best for you.
Manage stress. Stress can cause the arteries to tighten, which can increase the risk of heart disease, particularly coronary microvascular disease. Getting more exercise, practicing mindfulness and connecting with others in support groups are some ways to tame stress.
Avoid or limit alcohol. If you choose to drink alcohol, do so in moderation. For healthy adults, that means up to one drink a day for women and up to two drinks a day for men.
Follow your treatment plan. Take medications as prescribed, such as blood pressure medications, blood thinners and aspirin.
Manage other health conditions. High blood pressure, high cholesterol and diabetes increase the risk of heart disease.

Exercise and heart health

Regular activity helps keep the heart healthy. In general, aim for at least 30 minutes of moderate exercise, such as walking at a brisk pace, on most days of the week. If that’s more than you can do, start slowly and build up. Even five minutes a day of exercise has health benefits.

For a bigger health boost, aim for about 60 minutes of moderate to vigorous exercise a day, five days a week. Also do strength training exercises two or more days a week.

It’s OK to break up your workouts into several 10-minute sessions during a day. You’ll still get the same heart-health benefits.

Interval training — which alternates short bursts of intense activity with intervals of lighter activity — is another way to maintain a healthy weight, improve blood pressure and keep the heart healthy. For example, include short bursts of jogging or fast walking into your regular walks.

You can also add exercise to your daily activities with these tips:

Take the stairs instead of an elevator.
Walk or ride your bike to work or to do errands.
March in place while watching television.

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March 6, 2023 0

End of Life issues- ‘Hold on’ or ‘Let go’ #Tom-Sizemore

A difficult decision near death- try to ‘hold on’ or ‘let go’

The eternal human wish is to fight hard against age, illness, and death and holding on to life, to our loved ones, is indeed a basic human instinct. However, as an illness advances, “raging against the dying of the light” often begins to cause undue suffering, and “letting go” may instead feel like the next stage.

Tom Sizemore has no hope of recovery after he suffered a brain aneurysm, his family has said, confirming they are making an end-of-life decision for the Saving Private Ryan actor. The 61-year-old has been in a coma in the intensive care unit of Providence Saint Joseph Medical Center in Los Angeles since he was hospitalised on 18 February. On Monday night, Sizemore’s representative, Charles Lago, issued a statement revealing that there was no chance for his recovery. “Today doctors informed his family that there is no further hope and have recommended end of life decision. The family is now deciding end of life matters and a further statement will be issued on Wednesday,” Lago said.

Humans have an instinctive desire to go on living. We experience this as desires for food, activity, learning, etc. We feel attachments to loved ones, such as family members and friends, and even to pets, and we do not want to leave them.

When we realize that the end of life may be approaching, other thoughts and feelings arise. Fears arise, and may be so strong that they are hard to think about or even admit to: fear of change, of the dying process, of what happens after death, of losing control, of dependency and more. Both the person who is ill and the caregiver might also experience resentment, guilt, sadness, and anger at having to do what neither wants to do, namely face death and dying.

As death nears, many people feel a lessening of their desire to live longer. This is different from depression or thoughts of suicide. Instead, they sense it is time to let go. They may reach a point where they feel they have struggled as much as they have been called upon to do and will struggle no more. Refusing to let go can prolong dying, but it cannot prevent it. Dying, thus prolonged, can become more a time of suffering than of living.

Family members and friends who love the dying person may learn to accept a life limiting illness, and then accept the possibility of a loved one dying. They may see that dying is the better of two choices and accept the inevitability of death.

The dying may be cause distress and grief for those who love them. If a stage has reached when treatments are no longer working as well as before, and everyday life maintaining activities are becoming more and more burdensome. In a sense, life is disappearing. One has to look beyond the fears and wishes. What is really best for the one who is dying, and for the others around? Given that death is unavoidable, what is the kindest thing to do? It might be holding on or it might be letting go.

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March 1, 2023 0

Protection to Dogs but not to Human Child- Shameful Scenario

A horrifying and frightening video was recorded in Hyderabad, where a four year child was seen running and screaming for his life. 4-5 stray dogs were near him, mauled and hunted him as a prey. He needed some shield to protect himself which society, government, courts and so called “dog-lovers” failed to provide.

4-year-old mauled to death by stray dogs in Amberpet

HYDERABAD: In yet another gruesome incident of its kind in Hyderabad, a four-year-old boy was mauled and killed by stray dogs in Amberpet area. Although the attack happened on Sunday, it came to light on Tuesday after CCTV footage of the dogs surrounding the boy and not letting him escape went viral. In the past year alone, the government-run fever hospital in the city has seen at least four cases of people dying after contracting rabies from dog bites. Toddlers have been killed by strays in various parts of the state. According to data submitted in Parliament, Telangana reported about 80,000 cases of dog bite last year. Greater Hyderabad Municipal Corporation (GHMC) officials said the victim, Pradeep, accompanied his father K Gangadhar, a security guard at a car service centre, to his workplace on Sunday. The dogs attacked the boy while he was playing by himself. The 1:07-minute CCTV footage shows the child walking alone in the parking area of the service centre and three dogs rushing towards him. The boy, surrounded by the aggressive canines, looked scared and tried to run away. Soon, a dog pounced on him from the rear, resulting in him falling to the ground. The child gathered himself, got up on his feet and tried to escape, but the dogs attacked him again. Within seconds, all three canines began mauling him. The dogs tried to pull him away in different directions even as three other sub-adult dogs tried to join them. CCTV footage shows that the boy tried to fend off the attack, but gave up after being surrounded by the strays. A few seconds later, as the boy lay limp, the dogs tried dragging him away. Gangadhar, along with other staff members, rushed in and chased away the dogs. They rushed the boy to a hospital, but he succumbed to his injuries on the way and doctors pronounced him dead on arrival. Officials said the boy was carrying food in one hand, which might have attracted the dogs.

An urban jungle-where animals hunt humans

Dog Lover but not for human child

Apathy of these so called dog lovers towards humans is appalling.

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February 23, 2023 0

Harm of unregulated Heath Products-Sad Picture of Gym Supplements

While pharmaceuticals and scientific drugs are regulated to some extent, side effects and harms associated with various health products worth billions of market remain untested and unregulated.

It has become a common practice to advertise health products that claim to be panacea for all ailments, enhance immunity, to increase power and health by creating an impression on minds on various platforms. Instead of producing scientific evidence, such products and therapies are sold under disguise of natural therapies or alternate medicines. Needless to say, the objective evidence or global neutral trial for the claimed efficacy or about real side effects is always missing.

No one can deny that the knowledge circulated through various media plays an important role in reframing the narrative in patient’s or people’s mind. These can be in form of advertisements in television or articles in newspapers. The subjectivity of such advertisements creating new impressions and replacing previous ones, right or wrong cannot be denied.

A youth with a history of taking excessive gym supplements and protein powder

Companies have created huge fortunes based on circulation of such pedagogic narratives and social knowledge. But in real sense, these are actually chemical and have biological actions and reactions. Chemical derived from natural sources can have side effects and contain impurities. Global neutral trials to validate effects and side effects remain an urgent need of the hour for all health products.

A frightening scenario is emerging as there seems to be an epidemic about fake or substandard medicines, spurious drugs and heightened belief in marketed therapies by advertisements. An epidemic of ignorance that causes people to believe in pseudoscience or merely in projected promise of cure. A hope of miracle is flashed to patients, who have been given a ‘no hope’ by scientific medicine. Such patients are an easy prey for such fraudsters. It is not uncommon that lethal substances like steroids, hormones and heavy metals are given in dangerous doses.

In the absence of strict Government control, all kinds of dubious assertions are available about curing all types of ailments. These alleged remedies, and the belief systems they are based on, are based on the facts that can neither be proved nor disapproved. They are dangerous to life of patients, which is why it is necessary to fight them and refute them. But who should fight? Patients themselves are blinded by a projected faith and false belief about definite cure.

NEW DELHI: A youth with a history of taking excessive gym supplements and protein powder was brought to the emergency ward of Hospital in south Delhi in a comatose and critical condition. Doctors said the unconscious 22-year-old youth had extremely low oxygen levels, necessitating ventilatory support. He was immediately shifted to intensive care, where he stayed for almost a week. The patient was eventually discharged with no neurological deficit of any kind, said doctors at the hospital.

Citing the youth’s case, doctors caution against excessive use of fitness supplements and said that this can cause serious neurological damages besides proving fatal in some cases. He was found to be suffering from multiple severe metabolic derangement, including very high level of muscle enzymes, creatine phosphokinase, suggesting breakdown of muscle tissue. Further investigations revealed extremely low calcium levels which were also responsible for his deteriorating state. The patient was diagnosed as having toxic encephalopathy (brain dysfunction caused by toxic exposure) and rhabdomyolysis (a serious medical condition that can be fatal or result in permanent disability) which, occurred after excessive consumption of gym supplements. After stabilising the patient in the ICU, the youth was treated for correction of these medical issues, leading eventually to his recovery. The patient had no history of substance abuse and the toxicology screening of his urine also returned negative. After regaining consciousness after two days, the 22-year-old confessed to excessive intake of gym supplements and various types of protein powders. The case highlighted the hazards of use of body-building supplements, which could have catastrophic consequences. There was a strong possibility that significant muscle breakdown resulted in depletion of calcium levels which manifested with convulsions and altered level of consciousness. This can be labelled as toxic encephalopathy.

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February 19, 2023 0

Formula Milk Companies’ Exploitive Tactics to undermine Breastfeeding: Lancet

In another example of Medical Industry exploiting masses by false projection of Modern Medicine, the formula milk industry uses poor science to suggest, with little supporting evidence, that their products are solutions to common infant health and developmental challenges.

The CMF industry generates revenues of about $55 billion annually, with about $3 billion spent on marketing activities every year,” stated a Lancet editorial. The series details how marketing practices in violation of the voluntary Code of Marketing of Breast-milk Substitutes, developed by the World Health Assembly in 1981, have continued in nearly 100 countries and in every region of the world since the adoption of the code more than forty years ago.

A Lancet series on breastfeeding details strategies used by commercial formula manufacturers to undermine breastfeeding to turn the feeding of infants and young children into a multibillion-dollar business generating revenues of about $55 billion each year.

Lancet has issued an urgent call to protect breastfeeding. Formula milk marketing tactics are exploitative, and regulations need to be urgently strengthened and properly implemented, the three-paper series argued. The authors of the series argue that apart from influencing political organisations, formula milk companies also draw on credibility of science by sponsoring professional organisations, publishing sponsored articles in scientific journals, and inviting leaders in public health onto advisory boards and committees, leading to unacceptable conflicts of interest.

“The formula milk industry uses poor science to suggest, with little supporting evidence, that their products are solutions to common infant health and developmental challenges. Adverts claim specialised formulas alleviate fussiness, help with colic, prolong night-time sleep, and even encourage superior intelligence. Labels use words like ‘brain’, ‘neuro’ and ‘IQ’ with images highlighting early development, but studies show no benefit of these product ingredients on academic performance or long-term cognition,” stated Professor Linda Richter, Wits University, South Africa. “Breastfeeding has proven health benefits across high-income and low-income settings alike: it reduces childhood infectious diseases, mortality, and malnutrition, and the risk of later obesity; mothers who breastfeed have decreased risk of breast and ovarian cancers, type 2 diabetes, and cardiovascular disease. However, less than 50% of babies worldwide are breastfed according to the WHO recommendations, resulting in economic losses of nearly US$350 billion each year. Meanwhile, the CMF industry generates revenues of about $55 billion annually, with about $3 billion spent on marketing activities every year,” stated a Lancet editorial. The series details how marketing practices in violation of the voluntary Code of Marketing of Breast-milk Substitutes, developed by the World Health Assembly in 1981, have continued in nearly 100 countries and in every region of the world since the adoption of the code more than forty years ago. The series says that voluntary uptake of the Code is not enough and calls for an international legal treaty on the commercial marketing of food products for babies to protect the health and wellbeing of mothers and families. “Only 32 countries have legal measures that substantially align with the Code. A further 41 countries have legislation that moderately aligns with the Code and 50 have no legal measures at all. As a result, the Code is regularly flouted without penalty,” pointed out the editorial. An analysis in the series describes how profits made by the formula milk industry benefit companies located in high-income countries while the social, economic and environmental harms are widely distributed and most harmful in low and middle income countries. The authors stress that breastfeeding is a collective responsibility of society and call for more effective promotion, support and protection for breastfeeding, including a much better trained healthcare workforce and an international legal treaty to end exploitative formula milk marketing and prohibit political lobbying.

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February 13, 2023 0

Singed with hot rod to ‘cure pneumonia’- the child dies: Illogical distribution of health care

BHOPAL: A newborn has died after being singed more than 50 times with a red hot iron rod in a bizarre ritual to 'cure pneumonia' in MP's Shahdol district. A local anganwadi worker saw this horror being inflicted upon the child by a quack and persuaded the parents to take her to a hospital, say sources. They did, but it was too late. The baby's body was exhumed on Friday evening for post-mortem examination. Even as police were grappling with this horror, a similar case was reported in a nearby village. This infant is in hospital. Police are yet to arrest anyone in either case and it's not yet known if the same quack, a woman, was behind singeing both babies. The Child Welfare Committee has written to police to take action under section 75 of Juvenile Justice Act, but nothing has been done. When TOI spoke with Singhpur police, they said they were taking legal opinion on how to proceed with the

In a heart wrenching and unfortunate incident from Bhopal (Madhya Pradesh), a 2.5 month child was singed with hot iron 50 times by a quack for treatment of pneumonia. He died and the incident appeared in newspapers, but similar kind of treatments must be going on at many places and gullible patients keep on suffering .The suffering is of two types; one, that they are deprived of correct treatment and other is the tremendous suffering because of such nature of cruel practices in the garb of treatment.

That brings to the fore the basic question; why such type of treatments are being practiced and allowed to be conducted in 21th century. Why people allow and consent for such treatments by quacks?

These incidents simply reflect that the health system has not been able to travel the last mile and has failed to touch the last man.

Most important reason for such disparity is illogical distribution of health care. Corporatization of health care has projected medicine as a purchasable commodity and consequently resulted in an Illogical distribution of health care

People, who can afford, spend millions in the last few days of their life, just to have only a few more days to live. Resources spent in such a futile quest are equivalent to thousands of times the money for food and medicines for the poor who lose lives for fraction of that expense.

It seems humanity has legalized the hoarding of medical care; give it to the rich, bundled with consumerism though not necessarily the needy. It is the same as hoarding of the food that is sold to rich, letting the poor die somewhere in the world without food, which remains invisible to all.

Another worrisome aspect of the incident is that avoidance of people to seek treatment from appropriate clinics and hospitals. Anganwadi worker was there in the village, so it was possible to seek help from the health system. Is the mistrust and malice generated by media towards doctors and medical professionals is the reason to avoid seeking help from them?

BHOPAL: A newborn has died after being singed more than 50 times with a red hot iron rod in a bizarre ritual to ‘cure pneumonia’ in MP’s Shahdol district. A local anganwadi worker saw this horror being inflicted upon the child by a quack and persuaded the parents to take her to a hospital, say sources. They did, but it was too late. The baby’s body was exhumed on Friday evening for post-mortem examination. Even as police were grappling with this horror, a similar case was reported in a nearby village. This infant is in hospital. Police are yet to arrest anyone in either case and it’s not yet known if the same quack, a woman, was behind singeing both babies. The Child Welfare Committee has written to police to take action under section 75 of Juvenile Justice Act, but nothing has been done. When TOI spoke with Singhpur police, they said they were taking legal opinion on how to proceed with the case. An officer said they are waiting for the autopsy report to see what charges can be pressed. The baby who died was two and a half months old and suffering from pneumonia. Her parents live in Kathotiya village, around 520km from Bhopal and close to Chhattisgarh. “The infant was ‘torched’ as a method of ‘treatment’ on January 10.” Singhpur police station in charge, MP Ahirwar told TOI. The second incident happened in Samtapur villagee. The baby’s parents deny they put the girl through the burning ritual.

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February 6, 2023 0

Budget outlay on medical insurance up, public health infrastructure down

Whether it is better to buy fish for years or provide people with fishing net? This applies to public health care system in India. Times of India analysis points out the need to build and strengthen the public health care system. Building of infrastructure for massive population requires funds, but ultimately the investment will bring down the cost of treatment and better delivery of health care to the country.

NEW DELHI: The health budget is good news for the private health sector as there has been a substantial increase in allocation for health insurance schemes such as the Central Government Health Scheme (CGHS), treatment for CGHS pensioners and the Ayushman Bharat scheme. Government’s own data has shown that the private health sector corners the bulk of the spending under these schemes, which saw a nearly 22% jump in allocation in the 2023-24 budget.

In contrast, the allocation for schemes aimed at improvement in public health infrastructure has declined when adjusted for inflation. These include the National Health Mission (NHM), Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM), human resources for health and medical education and Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

The overall allocation for health after rising during Covid, has come down in real terms though it seems like an increase in nominal terms from Rs 83,000 in the budget estimates (BE) for the current year to Rs 86, 175 crore in BE 2023-24. The revised estimates (RE) for the current year indicate a 9% decline from the BE to Rs 76,370 crore. The allocation for insurance schemes, however increased substantially in RE 2022-23; more than 75% hike in allocation for CGHS pensioners from Rs 2,645 crore to Rs 4,640 crore and for the first time since the launch of Ayushman Bharat scheme, the RE is the same as the BE at Rs 6,400 crore. In the past, only about half the budgeted amount for Ayushman was getting spent. However, the allocation for all the public infrastructure schemes put together has been slashed by 16% in the RE for the current year. In comparison to the Rs 13,266 crore allocated for insurance schemes, which cover only a section of the population, about Rs 30,000 crore has been allocated for the National Health Mission and a separate Rs 6,500 crore for human resources for health and medical education, which was earlier part of the NHM budget.

Most of the allocation for the insurance schemes usually ends up in the coffers of the private sector. Despite private hospitals accounting for only 46% of empanelled hospitals under Ayushman Bharat, for instance, they accounted for 54% of hospitals admissions and since private healthcare is more expensive, that could account for a much higher proportion of the money spent. Most CGHS beneficiaries too go to private hospitals as noted by Dr Rakesh Sarwal, who was advisor health in Niti Aayog, in a study of the scheme. Dr Sarwal stated that CGHS had a higher cost of service because of its greater reliance on private facilities. Incidentally, though the finance minister announced a mission to eliminate sickle cell anaemia, there is no separate budget line for it. Thus even the money for a totally new scheme might have to come from within the NHM budget, further eating into the allocation. The tertiary care programme, which provides for transfer to states for implementing national programmes on control of blindness, tobacco control, capacity building for trauma centres and for prevention and control of non-communicable diseases such as cancer, diabetes, cardiovascular diseases and stroke, has had its allocation slashed to just Rs 290 crore, less than the actual spending of Rs 300 crore in 2020-21, and 42% less than the allocation of Rs 500 in the last budget.

The budget for the establishment and strengthening of the branches of the National Centre for Disease Control and for preparation and control of zoonotic and other neglected tropical diseases and for diseases surveillance, which had gone up during Covid, has been slashed from Rs 71.6 crore to just Rs 55.6 crore, despite the WHO asking countries to prepare for future pandemics by strengthening surveillance. Even the budget for the Indian Council for Medical Research, which played a crucial role during Covid, has been slashed along with a cut in the overall allocation for health research.

Advantages-Disadvantage of being a doctor

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REEL Heroes Vs Real Heroes

21 occupational risks to doctors and nurses

Covid paradox: salary cut for doctors other paid at home

Medical-Consumer protection Act- Pros and Cons

Expensive Medical College seat- Is it worth it?

NEET- Not so Neat- percentile system

The Myth of cost of spending on medical education needs to be made transparent.