Now blood donors can avail official leave on the day of donation

Health Care, Heart Care Foundation of India, Medicine Comments Off

India faces a shortage of 10% relative to its blood requirements

New Delhi, 05 January 2017: The Heart Care Foundation of India (HCFI), which is celebrating 25 years of Perfect Health Mela   this year, lauded the order from DoPT approving 4 days special casual leave each year for blood donation or apheresis donation at any licensed blood bank for all Central Government employees. The aim is towards ushering in 100% voluntary blood donation by 2020.

Every year India requires about 5 crore units of blood, out of which only a meager 2.5 crore units of blood are available. India faces a shortage of 10% relative to its blood requirements. In absolute terms, this means covering a shortfall of over 12 lakh units. Given that the eligible donor population of India is more than 512 million, this deficit is alarming.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “India has huge population of more than 1.3 billion, but is still short of blood. Blood donation is a requirement of the society. All donations should be voluntary. One should donate blood at least once in a year. Donating blood regularly has been shown in many reports to reduce chances of future heart attacks. Blood donation is also one of the best charities that one can do as it can save multiple lives through various components taken out of a single blood transfusion. The move by DoPT is a very positive one and will hopefully encourage more and more people to come forward and donate blood. My humble suggestion is that all private sector establishments should also adopt this rule.All those who are going for elective surgery should donate their blood well in advance and the same should be used at the time of surgery.”

Under the new National Blood Transfusion Council regulations, no blood is to be wasted. The surplus left over plasma is fractionated to manufacture products like albumin and intravenous immunoglobulins (IVIG). The blood that is donated in voluntary blood donation should be maximally utilized.

Adding further, Dr Aggarwal, Vice President CMAAO, said, “Now no camp should be organized for ‘whole blood donation’. Instead components-only blood donation camps should be organized. One unit of blood collected can be used to help 3 to 4 patients, instead it is being wasted as whole blood depriving another patient in need. And, voluntary blood donation camps should be now called ‘blood component donation’ camp and not just blood donation camp. So, if the blood being donated is collected in a single bag, do not give blood. Usually two component bags are used. 100 ml bags should be promoted for pediatric use.”

Some things to consider for donating blood are as follows.

  • Prepare yourself by having enough fruit juice and water in the night and morning before you donate blood.
  • Avoid donating blood on an empty stomach. Eat three hours before you donate blood. Avoid fatty foods. Eat food rich in iron such as whole grains, eggs, and beef, and spinach, leafy vegetables, orange and citrus.
  • Don’t consume alcohol or caffeine beverages before donating blood.
  • Avoid donating blood for 6 months if you had any major surgery.

Malpractice fears are the chief reason that doctors overtreat

Health Care Comments Off
  • NEET-PG 2018 is being conducted on 7th January 2018 (Forenoon Session)

Number of Cities 147

Number of Centers 364

Number of Candidates 1,33,435

Security Features: Finger prints and digital photograph capture, CCTV surveillance, frisking with handheld metal detector, provision of jammers at all centers and seating of candidates and room allocation of invigilators

  • India reported more over 1.5 lakh cases of dengue in 2017 and 250 deaths; 60,000 cases of Chikungunya were reported across the country. The data from the National Vector Borne Disease Control Programme (NVBDCP) under the Union Health Ministry showed that maximum dengue deaths were reported from Tamil Nadu (63 deaths out of the total 23,035 cases). Tamil Nadu was followed by Maharashtra, where 41 people died from dengue out of the total 7,442 cases reported. As many as 37 deaths were reported from Kerala while the disease claimed the lives of 28 people in Uttar Pradesh.
  • Haryana Health Minister Anil Vij has indicated the private hospitals to make self-regulatory rules after the state government cancelled the licence of the blood bank and pharmacy of the Fortis hospital at Gurugram. “With the action against Fortis Hospital, corporate-type hospitals should get a message that they make self-regulatory rules. Only minting money should not be the aim of hospitals,” Vij told ANI on Sunday.
  • Chikungunya virus (CHIKV) infection leaves about one quarter of those infected with persistent arthritis, according to data from the Chikungunya Arthritis Mechanisms in the Americas (CAMA) study. The joint symptoms, however, do not appear to be associated with persistent infection, suggesting it is safe to treat patients with regimens used for other types of inflammatory arthritis. Chronic joint pain after CHIKV is present in 30% to 70%. The most commonly affected joints are wrists, ankles, and fingers, and initial joint pain lasts a median of 4 days. With a median follow-up of 20 months, 25.4% of participants report that they had persistent joint pain. Factors associated with persistent pain included initial symptoms of headache or joint pain, 4 or more days of initial symptom, 4 or more weeks of initial pain, missed work, missed normal activities, and college graduate status. At follow-up, most patients had only one swollen joint, but also had tenderness in three more joints, with a mean global pain score of 47. The authors write in an article published online December 20 in Arthritis & Rheumatology.

“If persistent CHIKV infection is responsible for ongoing arthritis, immunocompromising disease modifying agents may be improper and potentially dangerous treatments. Alternatively, if CHIKV does not persist in the joint, then evaluation of immunomodulating arthritis agents could be useful,” they write. CHIKV causes arthritis through induction of potential host autoimmunity suggesting a role for immunomodulating medications in the treatment of CHIKV arthritis or that low-level viral persistence exists in synovial tissue only that is undetectable in synovial fluid.”

  • Malpractice fears are the chief reason that doctors overtreat. As per a research published in journal PLos One, physicians across a wide range of specialties and practice settings reported that, in their estimation, 20.6% of all medical care was unnecessary, including 22% of prescription medications, 24.9% of tests, and 11.1% of procedures. An overwhelming 84.7% of the 2106 survey respondents identified malpractice fears as the chief reason that doctors overtreat. Fear of litigation was followed in descending order by: Patient pressure/requests (59%); difficulty accessing prior medical records (38.2%); borderline indications of disease (37.7%); inadequate time to spend with patients (37.4%); lack of adequate information/patient history (36.7%) and pressure from the institution or management (20.8%). Significantly, only 9.2% of respondents identified “financial security of physicians” as the reason for overtreatment. 70.8% said that physicians are more prone to provide unnecessary procedures “when they profit from them.”

Only 2-3% of patients harmed by negligence pursue litigation, of whom about half receive compensation. But about 55% of physicians are being sued. But no matter what the outcome of the suit, the preparation, time spent, anxiety, and harm to ones reputation weigh heavily on physicians minds.

  • Nurses fill shoes of striking doctors at Beawar hospital (TNN). Jaipur: With the doctors on strike, nurses have stepped in their shoes at a hospital in Beawar district. The 300-bed Amrit Kaur District Hospital saw at least 1,500 outpatients every day, which has drastically come down 500 after the strike began on December 16. Principal medical officer Dr MK Jain said, “We have issued orders empowering nurses to see the patients. At least 30 doctors are on strike and only three of us are on duty currently.” He added that once the nurses prescribe the medicine, one of the three doctors verify it and sign the prescription card.
  • CDC urges shingles vaccination for patients 60+. If you’ve ever had chickenpox, there’s a good chance you’ll develop shingles — −a viral infection that causes a painful rash and blisters. The CDC estimates 1 in 3 people will get shingles in their lifetime, and risk increases significantly after age 50. The CDC currently recommends the vaccine Zostavax. It cuts the risk of developing shingles by half and is given in one dose as an injection. This recommendation is likely to change as a result of a recently approved vaccine that reduces the risk of shingles by as much as 90 percent. The new vaccine, called Shingrix, isn’t available to the public yet, but is expected to be this year.
  • Dr D Nageshwar Reddy was honored with the prestigious Dr MG Garg All Time Achievement Award by the Indian Medical Association (IMA). Dr Reddy who is currently the chairman of Asian Institute of Gastroenterology, Hyderabad and President of World Endoscopy Organization was shortlisted for this award in recognition of his distinguished contribution to medical services in India and globally. Speaking about the achievement Dr Reddy said, “It is heartwarming to be recognized for all that youve done. This is just the beginning, theres still a long way to go when it comes to medical advances”. Dr Reddys main area of research interest has been in G.I. Endoscopy particularly in Therapeutic Pancreatio Biliary Endoscopy and Innovations in Transgastric Endoscopic Surgery.
  • You cannot buy happiness. Current research is confirming what many of us have heard from our elders and spiritual leaders: satisfaction comes with being engaged, doing good and focusing on the present.
  • Continuously moving while sitting at a desk may boost metabolic rate more than sitting or standing at a desk. Using a desk fitted with a movable footrest raises metabolic rate more than sitting or standing at a desk as per a report published in the journal Work. Using a desk fitted with the moving device raised metabolic rate 7% more than standing and 17% more than just sitting. Movement while sitting had no impact on the cognitive function of participants.

Dr KK Aggarwal

Padma Shri Awardee Vice President CMAAO Group Editor-in-chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA