#Nurse/doctor/soldier vs Filmy superstar: Reel Heroes or Real Heroes. what does the society Need/deserve?


 

     In the current era of media domination where media projection shapes the perception and may defy reality.  Media has dominated our lives and can sway the opinion formation of masses.  Written media, television, social media can collectively influence the mass opinion.

   A reel hero who acts like a soldier is famous and richer and than the actual soldier, who dies unnamed and in penury.   Children of today’s times will strive to become, who is worshiped and paid respect by society and therefore will prefer to become the ‘Reel heroes’.

Even a junior doctor saves many lives in a  day in emergencies as compared to the work of a superstar in films.  A teacher, nurse or scientist have a contribution which is more fruitful to our generation. Also, the scientists, who contribute immensely and bring about the real change in our lives. Their contribution is huge to our society and much more than doing just acting on screen. The reel actor merely imitates the real-life lived and actual work done by real heroes like a soldier, doctor or teacher. Someone who only acts and  behaves like one, is respected and paid thousand times or more than the real one. In reality, people need  more than mere entertainment and reel role models and actors in their real lives.

       A  society truly needs the real people, who work and act for them, more than just entertainment. It will need a total change in the attitude of people to deconstruct their perceptions, which are based on mere projections and are away from reality.

21 occupational risk to doctor and nurses

The naivety of masses to perceive the projected character as real one  goes beyond a reasonable thought process and imagination.

These roles played in films are  not  really acts of   inspiration  in real life as the actual purpose accomplished at the end of a movie  is entertainment of society and business for themselves.

   At the best, a particular projected character  (and not individual acting star) may be a  role model. An actor or superstar, is simply doing his work of “acting” in  the end. This work of acting may bring an entertainment of few hours at the most.

One  cannot stray away from the wisdom to  choose between what we consume merely for our entertainment and  what we believe or face in real life. One needs to differentiate between rational truth behind the celebrity gimmicks in the media and exaggerated sensationalism. Sensation created merely for a commercial successful venture should not be allowed to overpower the judgments of real life.

 

But the problem starts, when these false perceptions created merely   by a projected  glimmer    takes the shimmer  away from the real worthy. The real  professionals and people who are worthy of glory become invisible behind  the glittery mist, a haze, which is unreal and unhelpful in real life.

  Compare the trivial  amount of  remuneration, fame  and respect the real worker  gets  as compared to the film stars, who merely imitate their actions. Reel projection for the purpose  of entertainment is more easier to enact and more profitable  than actual performance  in real life.  It is easier to become a reel hero, as it requires little hard work or just connections to get an opportunity.  Some one can be a reel hero just  by  dynastic factor  easily. Hard work is definitely required but that may or may not be prerequisite.

In present era, real contributions by people, who are saviours of human life and  the real heroes, remain unappreciated. People are so besotted by  fame and money that they fail to appreciate the sacrifices made by real heroes. Filmy super hero  just imitates  a doctor, soldier,  dacoit or a street hooligan and just pretends to be one on the screen.

     But there are  real life heroes that exist around us. Doctors awake at night saving lives every minute or soldier in freezing cold are worthy  of more respect and are real heroes.  And it is up to the society  to look beyond the superficial and reel story, and focus on the real life actors. There has to be an true effort to make, respect and appreciate  real heroes.

Point to  ponder  is that whether society needs people  just  acting like   doctors,  soldiers  and not the  actual and real ones, who saves lives. Does Society need  only  entertainment, because respect  which is paid to someone who is  just  an   actor, is  not extended to real doctors, soldiers or other altruistic professions.

         It is time to recreate and worship real heroes, who have become invisible behind the glittery mist.

Society needs to envisage the bigger real picture, and should not be mistaken for another projected story.                          

The perception of the projection will decide, what does the   society actually  need- or desire-or deserve , “Reel Heroes or Real Heroes”.

Novel Coronavirus (2019-nCoV); diagnosis, DO’s and DON’Ts, prevention


2019 Novel Coronavirus (2019-nCoV)-  WHO reported that a novel virus was identified by the Chinese authorities. It is a contagious virus, can transfer from human to human. WHO advisory

The virus is associated with an outbreak of pneumonia in Wuhan City, Hubei Province, China.

 

Clinical Features
Fever

Tightness of chest

Running nose

symptoms of lower respiratory illness

cough, difficulty breathing

Headache

Feeling unwell

Pneumonia

Kidney failure

Incubation period: 14 days

 

 

Mode of Transmission – Human coronaviruses most commonly spread from an infected person to others through

  • the air by coughing and sneezing
  • close personal contact, such as touching or shaking hands
  • touching an object or surface with the virus on it, then touching your mouth, nose, or eyes before washing your hands
  • rarely, faecal contamination

Prevention- How to reduce risk

How to protect yourself

There are currently no vaccines available to protect you against human coronavirus infection. You may be able to reduce your risk of infection by doing the following

  • wash your hands often with soap and water for at least 20 seconds
  • avoid touching your eyes, nose, or mouth with unwashed hands
  • avoid close contact with people who are sick

How to protect others

If you have cold-like symptoms, you can help protect others by doing the following

  • stay home while you are sick
  • avoid close contact with others
  • cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the trash and wash your hands
  • clean and disinfect objects and surfaces

 

Treatment

There are no specific treatments for illnesses caused by human coronaviruses. Most people with common human coronavirus illness will recover on their own. However, you can do some things to relieve your symptoms

  • take pain and fever medications (Caution: do not give Aspirin to children)
  • use a room humidifier or take a hot shower to help ease a sore throat and cough

If you are mildly sick, you should

  • drink plenty of liquids
  • stay home and rest

If you are concerned about your symptoms, you should see your healthcare provider.

 

DO’s and DON’Ts

DO’s:

  •   avoid close contact with others
  • cover your mouth and nose with a tissue when you cough or sneeze, then throw the tissue in the trash.
  • wash your hands and clean and disinfect objects and surfaces
  • take pain and fever medications (Caution: do not give Aspirin to children)
  • use a room humidifier or take a hot shower to help ease a sore throat and cough
  • drink plenty of liquids
  • stay home and rest- avoid crowded areas
  • consult a doctor

DON’Ts

-touching eyes, nose and mouth with unwashed hands

-Hugging, kissing, shaking hands while greeting

-spitting in public places

-taking medicines without consulting doctor

-excessive physical exercise

-disposal of used napkins or tissue papers in open areas

-touching surfaces usually used by public (railing, gates, etc)

-smoking in public places

-unnecessary testing.

 

For doctors and nurses

 CORONAVIRUS – DO’s in case of suspicion 

Obtain a detailed travel history for patients with fever and respiratory symptoms.

Is there a history of travel from Wuhan City, China on or after December 1, 2019?

Are there any Symptoms like runny nose, headache, cough, sore throat, fever and difficulty in breathing?

If yes to any or both questions above, then such patients to wear a surgical mask as soon as they are identified.

Healthcare professionals including doctors, nurses and others to conduct their evaluation in a private room with the door closed, ideally an airborne infection isolation room.

Personnel entering the room should use standard precautions, contact precautions, and airborne precautions and use eye protection (goggles or a face shield).

 

Recommendations for Reporting, Testing, and Specimen Collection

Interim Guidelines for Collecting, Handling, and Testing Clinical Specimens from Patients Under Investigation (PUIs) for 2019 Novel Coronavirus (2019-nCoV)

Healthcare providers should immediately notify both infection control personnel and administration at their healthcare facility and their local or state health department in the event of a PUI for 2019-nCoV.

To increase the likelihood of detecting 2019-nCoV infection, collection of three specimen types, lower respiratory, upper respiratory and serum specimens for testing is recommended. Additional specimen types (e.g., stool, urine) may be collected and stored. Specimens should be collected as soon as possible once a PUI is identified regardless of time of symptom onset.

For biosafety reasons, it is not recommended to perform virus isolation in cell culture or initial characterization of viral agents recovered in cultures of specimens from a PUI for 2019-nCoV.

For further details on Guidelines for Collecting, Handling, and Testing and Laboratory Biosafety Guidelines refer – Information for Laboratories (https://www.cdc.gov/coronavirus/2019-nCoV/guidance-laboratories.html) This page includes interim guidance for laboratory professionals working with specimens from patients under investigation for human infections with 2019 novel coronavirus (2019-nCoV).

 

Infection Prevention and Control Recommendations for Patients Under Investigation

Airborne infection isolation

For additional infection control guidance you can visit CDC’s Infection Control webpage.

nurses and doctor at risk from mutated viruses

administrators prefer to refrain from  the risk to health workers

21 occupational risk to doctor and nurses

Corona Virus unmasks danger to nurses and doctors, which administrators prefer to refrain or oppress


 

Working of a doctor and nurses has never free from risk to themselves. The risk is generally underestimated, although it often involves major  risk  to their  life. Problem is that  majority of people, society, governing bodies  and even doctors themselves do not perceive or acknowledge  many times  the risks seriously.  Deadly Corona virus has unmasked and unveiled the danger to nurses and doctors,  the topic often suppressed, shunned by administrators and those who govern.

    An extreme example is the Chinese doctor, who was reprimanded, humiliated and made to apologize for doing right.  But this one example  is tip of the iceberg, for the Global phenomenon, where risk to front line workers is ignored routinely. They are just taken as  the routine workers, who have consented to be sacrificed. Chinese doctor Li Wenliang, one of the eight whistle-blowers who warned other medics of the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday,

 

  As per reports, 40 staff members of Wuhan hospital are  infected with Virus.

    Administrators and regulators refrain to study data that would establish and quantify the occupational hazards of being a doctor and nurses. Some of these hazards may be known, but there is no comprehensive analysis of workplace risk for physicians and nurses, like those that have been done for other professions. As physicians, we have a sense of the risk, and yet we remain engaged, continuing to care for our patients as we know  “these things” happen. Perhaps society prefers to remain blissfully ignorant of the sacrifice and risk their doctors  and nurses take on, comforted by the fantasy of the serene  hospital. Perhaps we  all despise to let reality and data shatter the illusion.

   But since  these risks are increasing exponentially every day, because of unknown and mutated germs (bacteria and viruses),  awareness is needed.  There are lesser set procedures, lack of awareness, not protective equipment or supportive society, governance and  laws, at most of  the places globally.  doctors  and nurses continue to work  in danger zones. These risks can be of varied types and contracting the diseases is just one of them.

Patients carrying specially unknown germs are  handled by doctor and nurses, who have no clue, what they are dealing with.   Time gap in such  patients coming to the  hospital  and  the exact diagnosis of finding a dreaded disease, may be  quite dangerous to doctors and nurses. To add to the problem, In  large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be  isolated or identified.  It is important for  doctors and nurses  to take universal precautions at every level. There can be many more viruses or germs which are yet to be discovered or mutated ones that  are unknown.

H1N1, Zika,  Ebola,  SARS  are few examples,  just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

Worst part is that our systems are not defined to prevent, treat or compensate or even acknowledge for these big disasters, if it happens to healers. These problems are not known to students, when they decide to take medicine, nor they are taught in medical school. Most of the time they have to fend for themselves, if problems occur.

Everyday globally, the doctors and the nurses  greet the new day and return to their work of taking care of their patients, knowing well the risk  involved.

Maybe it is time that we are little more aware  and acknowledge that even doing everything in best manner and honestly, they are in a  conflict zone and  are all in harm’s way. Just be careful and be mindful that  doctors, nurses, and healthcare workers,  may get  sickened, injured, disabled even  as they care for their patients in best manner.

21 occupational hazards to nurses and doctors

30 hours baby born to a Wuhan Coronavirus patient infected; possible vertical transmission


The child was born in Wuhan on Sunday and tested positive 30 hours later .

Medics were monitoring the baby closely, but said its condition was stable 

  • Doctors warned the virus might be passed from mothers to unborn babies
  • Another 17-day-old baby in Wuhan was also found to be infected by the virus
  • Coronavirus death toll continues to soar as at least 493 people have been killed 
  • A Chinese baby born to a Wuhan coronavirus patient has been diagnosed with the deadly disease 30 hours after being delivered.Doctors in China. The child was born in Wuhan on Sunday and tested positive 30 hours later .
    Medics were monitoring the baby closely, but said its condition was stable
    • Doctors warned the virus might be passed from mothers to unborn babies
    • Another 17-day-old baby in Wuhan was also found to be infected by the virus
    • Coronavirus death toll continues to soar as at least 493 people have been killed
    • A Chinese baby born to a Wuhan coronavirus patient has been diagnosed with the deadly disease 30 hours after being delivered.Doctors in China are now fearing that the infection could be passed from mothers to their babies in the womb.The news came after experts claimed that the virus might also be spread by faeces. The infected child, whose gender has not been revealed, was born in Wuhan on Sunday. Its mother had been confirmed to have the coronavirus before going into labour.
    • Medics gave the baby a test 30 hours later and the result turned out to be positive. The baby was then transferred to the Wuhan Children’s Hospital, which has been appointed by the government to treat all infected children.The three-day-old baby’s condition was stable and it was being closely monitored, the hospital announced through a post on its official social media account today.’This reminds us to pay attention to a potential new transmission route of the coronavirus – vertical transmission from mothers to babies,’ said Dr Zeng Lingkong, chief physician from the hospital’s Department of Neonatal Medicine.
    • he newborn is one of the two babies that have been found to carry the coronavirus by Wuhan Children’s Hospital. Another 17-day-old baby was found to be sickened after being born healthy on January 13. The hospital said its family hired a wet nurse to look after it on January 22, but the wet nurse was diagnosed with the disease shortly after.The baby’s mother was found to have the coronavirus on January 26 and the baby started to cough and develop a fever three days later. The child was diagnosed with the virus on January 31 after doctors gave it a series of medical checks.
    • Medics are yet to confirm if the baby had caught the virus from its mother or its wet nurse.On Saturday, doctors and nurses wearing hazmat suits and goggles delivered a 7lb 14oz boy in Wuhan Union Hospital.
    a
    are now fearing that the infection could be passed from mothers to their babies in the womb.The news came after experts claimed that the virus might also be spread by faeces.The infected child, whose gender has not been revealed, was born in Wuhan on Sunday. Its mother had been confirmed to have the coronavirus before going into labour.
  • Medics gave the baby a test 30 hours later and the result turned out to be positive. The baby was then transferred to the Wuhan Children’s Hospital, which has been appointed by the government to treat all infected children.The three-day-old baby’s condition was stable and it was being closely monitored, the hospital announced through a post on its official social media account today.’This reminds us to pay attention to a potential new transmission route of the coronavirus – vertical transmission from mothers to babies,’ said Dr Zeng Lingkong, chief physician from the hospital’s Department of Neonatal Medicine.
  • he newborn is one of the two babies that have been found to carry the coronavirus by Wuhan Children’s Hospital. Another 17-day-old baby was found to be sickened after being born healthy on January 13. The hospital said its family hired a wet nurse to look after it on January 22, but the wet nurse was diagnosed with the disease shortly after.The baby’s mother was found to have the coronavirus on January 26 and the baby started to cough and develop a fever three days later. The child was diagnosed with the virus on January 31 after doctors gave it a series of medical checks.
  • Medics are yet to confirm if the baby had caught the virus from its mother or its wet nurse.On Saturday, doctors and nurses wearing hazmat suits and goggles delivered a 7lb 14oz boy in Wuhan Union Hospital.
  • corona virus
  • risk to doctor and nurses from mutated virus

Stools, diarrhea may be hidden risk of Corona Virus Spread


While most of screening for Corona virus is  focused on respiratory samples from pneumonia cases to identify corona-virus patients,  there is possibility that doctors might have ignored a less apparent and hidden source of the spread: diarrhea.

The new corona-virus was detected in faeces inthe first case confirmed in the United States and that finding could point to a hidden risk in the spread of the virus.

“It’s not only excreted in your respiratory secretions, it’s also secreted in your stool,” Scott Lindquist, the state epidemiologist for infectious disease at Washington State’s Department of Health, said on a conference call on Friday, reported Bloomberg.

Fang Li, an associate professor of veterinary and biomedical sciences at the University of Minnesota, said that the SARS and Wuhan viruses attach to the same protein receptors, which are seen in the lungs and intestines.

John Nicholls, a clinical professor of pathology at the University of Hong Kong, told Bloomberg that fecal material “would be a very likely place where you might get the transmission.”

“If it’s using the same receptor as for SARS, I can’t see why it shouldn’t be replicating in the gut,” he said.

Ten to 20 percent of SARS patients experienced diarrhea, according to the Centers for Disease Control and Prevention (CDC). Diarrhea was the source of a major outbreak of that coronavirus in a Hong Kong complex. The CDC said that coronaviruses most commonly spread through the air by coughing and sneezing or close personal contact. In rare cases, the viruses spread through fecal contamination.

risk to doctor and nurses from new and mutated germs

Corona virus

‘Reel Heroes vs Real Heroes’ Naseeruddin Shah’s Daughter Assaulted Vet clinic staff


‘Reel Heroes’ are seen proudly hitting the doctors and health staff in films and earn money and accolades for “acting” so well. But in the process, they give a message to society that they can hit and assault doctors and health staff with impunity, in case the patients feel unsatisfied. Being right or wrong does not matter. Projecting only negativism about medical profession by ‘REEL Heroes’ has resulted in demoralization, belittling and consequent increasing assaults on doctors.

Working on same principles, there was an incident, where health staff of vet clinic was assaulted by kin of “REEL Heroes”. An impression is being created to assault health staff, when-ever there is some dissatisfaction, specially by ‘Reel actors against Real actors’.

A non-cognisable offence has been registered against Naseeruddin Shah’s daughter Heeba Shah for allegedly assaulting two employees of a veterinary clinic reported mid-day. The complaint was registered on 17 January. The NC has been registered under sections 323 (voluntarily causing hurt), 504 (intentional insult) and 506 (criminal intimidation). The incident allegedly occured on 16 January and was captured in the clinic’s CCTV camera. The footage has been submitted to the Versova police, where the complaint has also been registered. The clinic is called The Feline Foundation. Heeba was helping out a friend, Supriya Sharma, by taking her two cats for sterilisation to the clinic.According to the report by mid-day, Heeba Shah entered the clinic in the afternoon at 2.50 pm on 16 January. She was asked to wait outside as surgery was on inside the clinic. After waiting for some time, Heeba allegedly got aggressive with her words and said, “Don’t you know who I am? How can you make me wait for so long outside without any assistance? How come no one helped me to get my cats’ cage out of the rickshaw on arrival?”As can be seen in the video, Heeba also physically assaulted the staff by pushing and slapping the person. She can also be seen yelling at the staff.

Reel heroes or Real heroes-Media projection

Self-proclaimed social activist ‘the Hero’ tring to espouse the cause of hapless patients, by projecting doctors as deceitful. In the process of self-projection as saviours of innocent patients, the ‘hero’ presents doctors as villains of the fleece tragedy as a generalization. Whole profession is painted with the same brush by ‘Reel Hero’, thereby creates a wave of huge mistrust among masses against ‘Real Heroes’ and true saviours.

Unfortunately masses trusted more on the person, who was dancing to entertain them rather than a doctor who was awake at night, trying to save lives. Sadly, in an era of media dominance, ‘Reel heroes’ get projected as ‘Real heroes’. The real become invisible behind the glittery mist. Masses fail to envisage the bigger real picture and are grossly mistaken by another projected story.

The old adage “All that glitters is not gold” is particularly relevant in current era of media domination, where media projection shapes the perception and may defy the reality. Media has dominated our lives and can sway the opinion formation of masses.

Media projections create a mirage of illusional glitter wherein there is blurring of real life from the reel life of heroes. The larger-than-life unreal persona of the celebrities on screen looks too charming and sometimes becomes undeniable and dominates mind of masses. The super-human characters played out in films and television appear to be too real. The problem arises when the imaginary characters of the reel life stories are emulated in real life. The naivety of masses to perceive the projected character as the real one goes beyond a reasonable thought process and imagination.

These roles played in films are not really act of inspiration in real life as the actual purpose accomplished in the end of a movie is entertainment of society and business for themselves. In present era, more people will choose to watch the criminal trial of a celebrity rather than the biography of a truly great human being.

At the best, a particular projected character (and not individual acting star) may be a role model. An actor or super star, is simply doing his work of “acting” in the end. This work of acting may bring an entertainment of few hours at the most.

One should not stray away from the wisdom to choose between what we consume merely for our entertainment or face in real life. One needs to differentiate between rationale truth behind the celebrity gimmicks in the media and exaggerated sensationalism. Sensation created merely for a commercial successful venture should not be allowed to overpower the judgments of real life.

But the problem starts, when these false perceptions created merely by a projected glimmer takes the shimmer away from the real worthy. The real professionals and people who are worthy of glory become invisible behind the glittery mist, a haze, the unreal and the unhelpful in real life.

A soldier contributes to our society much more in real terms. Even a junior doctor saves many lives in a day in emergencies as compared to work of a superstar in films. A teacher, nurse or scientist have contribution which is more fruitful to our generation. The reel actor merely imitates the real life lived and actual work done by real heroes like soldier, doctor or teacher. Someone who only acts and behaves like one, is respected and paid thousand times or more than ‘the real one’.

In reality, people need more than mere entertainment, reel role models and actors in their real lives. Unfortunately, reel projection for purpose of entertainment is more easier to enact and has become more profitable than actual performance in real life.

Human-to-human transmission of China Corona virus # symptoms # doctor, nurses


Symptoms: including fever, coughs, breathing difficulties and pneumonia.

Coronaviruses are transmitted between animals and people, and the outbreak in Wuhan has been linked to a now-closed seafood market where live animals were reportedly sold. Preventive measures were also being taken to protect doctors and health care workers.

Patients carrying specially unknown germs are handled by doctor and nurses, who have no clue, what they are dealing with. Time gap in such patients coming to the hospital and the exact diagnosis of finding a dreaded disease, may be quite dangerous to doctors and nurses.To add to the problem, In large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be isolated or identified. It is important for doctors and nurses to take universal precautions at every level. There can be many more viruses or germs which are yet to be discovered or mutated ones that are unknown.

H1N1, Zika, Ebola, SARS are few examples, just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

China’s National Health Commission has confirmed human-to-human transmissionof a mysterious Sars-like virus that has spread across the country and fueled anxiety about the prospect of a major outbreak as millions begin travelling for lunar new year celebrations.

Zhong Nanshan, a respiratory expert and head of the health commission team investigating the outbreak, confirmed that two cases of infection in China’s Guangdong province had been caused by human-to-human transmission and medical staff had been infected, China’s official Xinhua news agency said on Monday.

Authorities earlier reported 139 new cases of the new strain of coronavirus over the weekend, bringing the total number of infected patients to 217 since the virus was first detected last month in the central city of Wuhan.

Cases were confirmed in Beijing, Shanghai, and Guangdong province in the south, heightening fears ahead of the lunar new year holiday, when more than 400 million people are expected to travel domestically and internationally.

State broadcaster CCTV said on Monday evening there were seven suspected cases in other parts of the country, including Shandong in the east, and the south-western provinces of Sichuan, Guangxi and Yunnan. Five people who travelled from Wuhan were also being treated for fevers in Zhejiang province.

“People’s lives and health should be given top priority and the spread of the outbreak should be resolutely curbed,” said China’s president, Xi Jinping, weighing in on the matter for the first time.

The strain has caused alarm because of its connection to severe acute respiratory syndrome (Sars), which killed nearly 650 people across mainland China and Hong Kong in 2002-03. Three people have so far died in the current outbreak, which has spread to Thailand, Japan and South Korea.

The World Health Organization has said an animal source was “the most likely primary source” of the outbreak, with “some limited human-to-human transmission occurring between close contacts”. Researchers worry the number of infections has been severely underestimated.

21 occupational risk to health workers

Doctor & nurses at risk from unknown or mutated germs@ Mystery virus in China


 

First pneumonia death from mystery virus in China, world on high alert

          The  viruses, bacteria are germs  had been discovered only in last one century and many more are still not known. Patients carrying specially unknown germs are  handled by doctor and nurses, who have no clue, what they are dealing with.   Time gap in such  patients coming to the  hospital  and  the exact diagnosis of finding a dreaded disease, may be  quite dangerous to doctors and nurses. To add to the problem, In  large number of patients, exact viruses cannot be diagnosed or even suspected. In many cases of ARDS, the causative organism cannot be  isolated or identified.  It is important for  doctors and nurses  to take universal precautions from the beginning. There can be many more viruses or germs which are yet to be discovered or mutated ones that  are unknown.

21 occupational risk to doctor and nurses

H1N1, Zika,  Ebola,  SARS  are few examples,  just to imagine that they existed and handled by health workers as unknown germs, till they were discovered.

The death of a 61-year-old man  due to pneumonia from a mystery virus in the central Chinese city of Wuhan on Saturday has put the world on high alert against another new life-threatening illness. Seven of the 43 others diagnosed with the disease are in a critical condition, but no new cases have been reported since January 3.

To protect the world still smarting from the lightning spread of devastating viral diseases such as H1N1, Zika and Ebola, the World Health Organisation (WHO) issued this year’s first  international travel and trade alert on  on January 10 that advised all international travellers to report symptoms of fever with breathlessness and difficulty breathing, especially if they have travelled from China.

On January 9, China announced that the cluster of pneumonia cases reported in December in Wuhan in the Hubei Province of China was caused by a new coronavirus.

Only six viruses from the coronavirus family infect humans, which would make the new one the seventh to cause human disease. The coronavirus viruses cause diseases ranging from the common cold to very severe and life-threatening illness from Middle-East Respiratory Syndrome that caused 851 deaths since it was identified in 2012, and the Severe Acute Respiratory Syndrome (SARS), which killed 774 of the 8,098 people infected in an outbreak that started in China in 2002.

“Though currently there is no evidence of human-to-human transmission, we need to remain vigilant. WHO has shared with all Member States technical guidelines on surveillance, testing as well as infection prevention and control practices for suspected cases. WHO is in close contact with national authorities in the region and will extend all possible support to ensure core capacities are geared up for addressing potential cases that may come to countries,” said Dr Poonam Khetrapal Singh, WHO regional director, South East Asia Region.

Unknown threat

Some countries in the region, including Indonesia, Myanmar and Thailand, have started screening passengers travelling from China for pneumonia symptoms at airports. The health ministry reviewed the situation with WHO experts on Wednesday and plans to start providing travellers with risk-reduction information at airports and other ports of entry, travel agencies and conveyance operators.

“We are waiting and watching as entry screening at ports of entry like airports, seaports, train stations and border check-posts are not cost-effective. It is resource-intensive but offer little benefit,” said a health ministry official, who did not want to be named.

Though no pneumonia have been reported outside Wuhan, which has a population of 11 million, WHO said there is need for caution as the city is a major domestic and international transport hub with heavy population movement. Travel in the region is expected to significantly increase during the Chinese New Year in the last week of January, which increases the potential of infected travellers carrying to other parts of China and the world.

New viruses are formed when mutate to jump species and cause infection in humans. SARS jumped from the civet cat into humans, MERS from dromedary camel, H1N1 from pigs, and Ebola from bats, just to name a few.

The Wuhan City cases have been linked to the South China Seafood Wholesale Market, where some of the patients worked as dealers or vendors. The Huanan Seafood Wholesale Market deals with fish and other seafood, including sea mammals, along with chicken, bats, rabbits and snakes.

Signs of trouble; The clinical signs of the new lung infection are mainly fever, with a few persons reporting difficulty in breathing. Clinical signs include chest x-rays showing bilateral lung infiltrates (markings) associated with pneumonia and tuberculosis.

With no infection among health care workers treating the patients, preliminary information suggests there is no significant human-to-human transmission, but till the mode of transmission is clearly established, it’s best to take precautions to stay safe.

The WHO advises people travelling in or from affected areas (currently Wuhan) to avoid close contact with people with acute respiratory infections; wash hands frequently, especially after direct contact with ill people or their environment; and avoid close contact with live or dead animals. In case of respiratory symptoms before, during or after travel, travellers must seek medical attention and share their travel history with the doctor.

“The WHO advises against travel or trade restrictions on China based on the information currently available on this event,” said Dr Singh.

 

 

Healthcare system a sinking ship: Says Niti Aayog


A chaotic and non-uniform system, after years of neglect cannot be corrected overnight or by change in piecemeal policies. It needs to be revamped from the roots. To do it from grass root  level especially with financial constraints,  it will need a  sincere will to develop  the system.

                     India’s top think tank said Thursday that the country’s healthcare system resembled a “sinking ship”and desperately needs more private participation in smaller towns to run the government’s ambitious Ayushman Bharat program efficiently.

“We would require all hands on deck, as they say,” Niti Aayog adviser Alok Kumar said at the Healthcare Federation of India’s Sixth Annual Summit, referring to the poor state of healthcare in India. The Ayushman Bharat’s insurance program, Pradhan Mantri Jan Arogya Yojana (PMJAY), has been facing constraints in smaller cities due to a dearth of hospitals.

“We can’t have all the patients being transported to tier-1 and tier-2 cities for treatment because that is not a model which is sustainable,” Kumar said.

The Lancet, the world’s oldest and most prestigious journal, had last year ranked India’s healthcare system at a dismal 145 out of 195 countries, worse than even North Korea and Syria. The ranking was worse than its smaller Asian peer Philippines and neighbour Sri Lanka, a fact also pointed by Kumar.

Kumar said that a number of hospitals in smaller cities, including those run by public sector enterprises, are under-utilized even though there is strong demand for their services in these regions, especially because of the insurance program.

“Singrauli, for instance, the power capital of India, has hospitals of NTPC, Coal India Ltd; all of them underutilized (like) shells standing. Railway hospitals (are like) shells standing but not being utilized efficiently enough,” Kumar said.

He urged large private hospital chains to manage the hospitals run by state enterprises better by widening the scope of their services to beyond their own employees.

The PMJAY was introduced last year, and aims to provide health insurance cover of 5 lakhs per family per year for secondary and tertiary care hospitalization to over 10 crore poor and vulnerable families, which would total around 50 crore beneficiaries.

Ayushman Bharat is the umbrella program, with PMJAY for secondary and tertiary hospitalization, and health and wellness centres for primary healthcare facilities. Under the Ayushman Bharat, the government aims to create around 1.5 lakh health and wellness centres.

While the Indian government aims to increase the share of public health spending to 2.5% of GDP by 2025 under the National Health Policy, currently it is still only around 1%.

Another major problem for the poor state of the sector is the lack of health insurance for patients, leading to an out of pocket expenditure making up for 61% of total health expenses for households, as of 2015-16, latest National Health Accounts data showed.

To reduce out of pocket expenses, the government introduced the Ayushman Bharat insurance scheme, but large private hospital chains have shown resistance to participating in it due to ‘low package rates’ for various treatment procedures. Kumar said that the government was willing to listen to hospitals and other private entities and make changes to policy if they were ready to invest in the sector.

 

Risk to health workers working in remote areas (specially-Women; Doctors & Nurses)


 

Often  an issue is raised that doctors and nurses  are hesitant to go to  remote places.  Brutal rape and murder of Hyderabad vet doctor  is an evidence of the  dangers lurking because of  preying eyes   and lack of security, specially to women health workers (doctors and nurses).

 A  ghastly  incident that highlights the dangers associated with entering unfamiliar places, unsecured environment  and a dark world with  no one to listen to   heart wrenching cries of the unassuming victim. With no serious policing activities, it may turn out to be unthinkable nightmare.

       But  the lady doctor  went  to a place where transport was difficult and paid the price. A  women  is being  posted to an area where transport and security  were not provided and thereby  assigned  an unsafe posting.

         Doctor   should consider these factors before joining at unsafe places.

          Problem is that the system does not take into account the risk to health workers, their convenience  and  family obligations. Their difficulty in transport,  the security issues, providing basic amenities are  not considered important by  administrators.

  The system  that failed to  provide proper transport and security is the  real culprit.

 Till  some one  puts a question to  the  system and makes them accountable, there will be  more cases of this kind.

  Had  the  deceased  not been  a doctor, or from  some  other profession,  there was no compulsion  for her to go to remote areas.

        Lack of medical facilities  and infrastructure add to the  risk, as the health workers are held responsible for  all the short comings. Not infrequently they become the punching bags for the  inept system and infra structure deficiencies.     Females doctors and nurses are at greater  risk for obvious reasons and strangely there are no special provisions made for their security. Usually they are allotted a place where  they have to fend for themselves.  If one thinks it seriously, risk is even  greater than anticipated.

   Women -Doctors & Nurses- need to take precautions and save themselves in view of system insensitivity.

 

21  occupational-risk factors – for doctor and nurses

Real story of female doctor assault- serving uncivilized society

Work life balance problem for female doctor and nurses

Disadvantage of being a doctor

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