IMA calls for immediate cancellation of Airtel Delhi Half Marathon

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IMA calls for immediate cancellation of Airtel Delhi Half Marathon

New Delhi, 03 November 2017: Indian Medical Association (IMA) has called for the immediate cancellation of the Airtel Delhi Half Marathon to be held at 7.00 a.m. on Sunday, November 19, 2017 in view of the alarmingly high levels of air pollution in the capital.

The Air Quality Index (AQI) in Delhi has constantly ranged from ‘very unhealthy’ to ‘hazardous’ levels since the last few days with AQI crossing the 300 ‘danger’ mark at many places.

In a joint statement, Padma Shri Awardee Dr KK Aggarwal, National President IMA & President Heart Care Foundation of India (HCFI) and Dr RN Tandon Honorary Secretary General IMA, said, “Delhi has been experiencing high air pollution levels these past days. The air quality is particularly poor in the early morning when pollution is extremely high. This is also the time when the proposed Half Marathon is scheduled to start. Air pollution not only affects the performance of the runner, the dangerously high pollution levels may have disastrous health consequences, even for the healthy participants, including the volunteers involved in the organization of the event.

“There is scientific evidence to show that poor air quality can aggravate asthma or other existing lung disease such as chronic obstructive pulmonary disease (COPD). High PM2.5 levels can increase BP and can also increase the risk of acute cardiovascular events such as heart attack, stroke. Also, patients of heart disease are at a risk of sudden cardiac death. Hence, we demand that the event be cancelled immediately and postponed to a later date when air pollution levels are better. IMA will be writing to Hon’ble Delhi Chief Minister, Chief Justice Delhi High Court and the Chairperson, National Green Tribunal in this regard.”

Dr Aggarwal further added, “The organizers of such events while deciding the dates of the event should take into consideration the air quality at the time of the marathon so that no runner suffers any adverse health effects on account of exposure to hazardous levels of air pollution.

There have been instances from around the world, from USA, Malaysia, Singapore (1-5) when marathons and other sports events have been cancelled due to poor air quality. If the AQI is above 100, it is prudent for race administrators to warn participants and volunteers, particularly those with lung conditions, about the potential risk.”

IMA End TB Initiative: 10 points what every doctor should know about TB

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1. Tuberculosis is a public health emergency in view of the rising number of cases of MDR Multi Drug Resistant and XDR Extensively Drug Resistant TB especially in Delhi and Mumbai. 2. The prevalence of MDR TB is more than 2 in primary TB cases. 3. Every sputum should be tested with GeneXpert test. It not only diagnoses the presence of TB but also detects rifampicin resistance. No treatment should be started without first confirming rifampicin resistance. Rifampicin resistance indicates primary MDR TB. 4. Treatment for MDR TB should be taken for the required 2 years to prevent conversion from MDR TB to XDR TB. Treatment of MDR TB in India is available free of cost. 5. All doctors health establishments should register themselves with Nikshay the online tool for monitoring of TB patients developed by the Central TB Division Ministry of Health Family Welfare https nikshay.gov.in HFUSER HFLogin.aspx . If you register with Nikshay you can get free medicines for your TB patients. 6. Every patient of TB has to be notified as required by the MCI Code of Medical Ethics under Regulations 5.2 and 7.14. Not doing so is professional misconduct. 5.2 Public and Community Health Physicians especially those engaged in public health work should enlighten the public concerning quarantine regulations and measures for the prevention of epidemic and communicable diseases. At all times the physician should notify the constituted public health authorities of every case of communicable disease under his care in accordance with the laws rules and regulations of the health authorities. When an epidemic occurs a physician should not abandon his duty for fear of contracting the disease himself. 7.14 The registered medical practitioner shall not disclose the secrets of a patient that have been learnt in the exercise of his her profession except in a court of law under orders of the Presiding Judge in circumstances where there is a serious and identified risk to a specific person and or community and notifiable diseases. In case of communicable notifiable diseases concerned public health authorities should be informed immediately. 7. In sputum positive cases re test sputum with GeneXpert test after 2 months of treatment to assess response and screen for drug resistant TB. 8. Lekin TB Kis se hua Trace contacts of your patients with infectious TB and screen them for latent TB infection. Put them on full course of anti tuberculosis treatment ATT if required. This will prevent further spread of TB including MDR TB. 9. Fixed dose combination FDC drugs are now available for drug sensitive TB. Treatment has to be as per body weight of the patient. 10. Preferably get a 6 month course of ATT at one time so that the patient knows he she has to take treatment for at least this duration of time.