CMAAO Statement on World AIDS Day 2019: Ending the HIV Epidemic in Asia

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A Plan for CMAAO Countries for reducing the incidence of HIV by 75% in 5 years, and by 90% by 2030 has been developed. The key highlights of the plan are:

  1. Today, antiretroviral drugs combined in a single pill taken once a day can enable a person living with HIV to achieve a nearly normal lifespan.
  2. Antiretrovirals can treat HIV, maintain the health of an individual, and prevent transmission of the virus
  3. People living with HIV, and on antiretroviral drugs to achieve and maintain a durably undetectable level of virus, do not transmit HIV. This prevention strategy, is known as Undetectable = Untransmittable, or U=U.
  4. Antiretrovirals in pregnant HIV positive can prevent perinatal transmission of the virus.
  5. ART is recommended for all HIV-infected pregnant women to decrease the rate of perinatal HIV transmission as well as to treat the mother.
  6. For HIV-negative people at risk for HIV, a single pill given daily as pre-exposure prophylaxis, or PrEP, can reduce the risk of acquiring HIV by 99%.
  7. Emergency post-exposure prophylaxis, or PEP, can also prevent HIV from becoming established in the body if initiated within three days of exposure and taken for an additional 28 days.
  8. NIH continue to pursue the development of a safe and effective vaccine to prevent HIV and a cure for those living with HIV.
  9. “Community by Community” approach should be adopted to end the HIV epidemic.
  10. Ensure that hard-to-reach communities; the transgender, black, gay, injection users, and CSW communities — benefit from these strategies.
  11. Test and treat policy: ART (potent three drugs combination) is recommended for all HIV-infected individuals regardless of CD4 cell count.

Dr KK Aggarwal

Padma Shri Awardee

President Confederation of Medical Associations in Asia and Oceania (CMAAO)

Group Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Past National President IMA

HCFI and RKGIT College jointly organize training on how to save a life in the event of choking for pharmacy students on World Diabetes Day

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Guests at the event gave insights on managing diabetes and preventing complications to students and others present

Ghaziabad, 14th November 2019: The Heart Care Foundation of India (HCFI), a leading national non-profit organization, committed to making India a healthier and disease-free nation, in association with the Raj Kumar Institute of Technology (Pharmacy division), Ghaziabad, recently organized a programme commemorating World Diabetes Day.

Dr K K Aggarwal, President Heart Care Foundation of India and CMAAO was the Chief Guest for the event and Shri Laxman Prasad from RKGIT was the Guest of Honor. The delegation from HCFI included Dr (Major) Prachi Garg, Mr Saurabh Aggarwal, Ms Poonam Gupta, Mr Deepak Verma, Mr Sanjeev Khanna, Mr Dheeraj Kumar, Ms Ritu Manjhi, Ms Vandana Rawat, Mr Ram Singh, Mr Daya Ram, Mr Himanshu and Ms Sabina.

During the event, all pharmacy students from RKGIT were trained on how to save a life in the event of choking. The guests present gave their valuable insights on various aspects related to diabetes and its management. Dr Monica Sachdeva, Ms Supriya, and Mr Akshat from RKGIT were also present at the event.

Speaking to the students, Dr KK Aggarwal, said, “The mantra to avert diabetes or even prevent the complications associated with the condition should be ‘meetha bolo, kadwa khao’. Diabetes is assuming epidemic proportions in India and the need of the hour is large-scale awareness on the condition. People should take proactive steps to follow a healthy lifestyle right from a young age.”

Adding his comments, Shri Laxman Prasad, said, “All students should be aware of how to save a life in case someone is choking. First aid is something that everyone should learn, and lifesaving techniques can come to the aid of someone who is suffering. As students of medicine, this should be your first responsibility.”

Dr (Major) Prachi Garg, added, “One of the major risk factors that can worsen the symptoms and outcomes of diabetes is oppressing one’s emotions. One should avoid taking undue stress and ensure that they stay calm and happy.”

HCFI regularly conducts several awareness programmes around the city and the event on World Diabetes Day was also a step towards educating students about other aspects of the condition.

Some tips to prevent diabetes from HCFI

  • A diet rich in whole grain, fruits, and vegetables is very good for the body. Fibrous food will ensure that you feel fuller for a longer period and prevent any cravings. Avoid processed and refined food as much as possible.
  • Limit your alcohol intake and quit smoking. Too much alcohol leads to weight gain and can increase your blood pressure and triglyceride levels. Men should limit drinks to two per day and women to one per day. Smokers are twice as likely to develop diabetes as non-smokers and therefore, it is a good idea to quit this habit.
  • Understand your risk factors as it can help you in taking preventive measures at the earliest and avoid complications.

Cardiopulmonary resuscitation must be taught to everyone to save lives

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On World Heart Day, awareness is needed on the importance of initiating CPR within the first 10 minutes of a sudden cardiac arrest

Delhi, September 23, 2019: According to recent estimates, there are about 25 to 45 deaths in Delhi every day due to sudden cardiac arrest (SCA). The condition is emerging as the number one cause of mortality in India. With World Heart Day around the corner, there is a need to raise awareness on training people in essential life saving techniques such as cardiopulmonary resuscitation (CPR) and installing automatic external defibrillators (AEDs) in public places.

CPR is the most crucial and basic procedure to save a life in the event of an SCA. There is substantial evidence to suggest that CPR is effective in the first 10 minutes of cardiac arrest. After 10 minutes, there is practically no chance of recovery unless the patient is in hypothermia.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, Heart Care Foundation of India (HCFI), said, “Sudden cardiac arrest is more fatal than a heart attack given that it can lead to death in a matter of minutes. It is caused due to a sudden and complete blockage of blood flow to the various body organs. Timely help is of utmost importance in such cases and initiating cardiopulmonary resuscitation (CPR) within the first 10 minutes is important. The two pillars of community service include meaningful engagement and mindful participation. Learning the basics of CPR is community service at its best as it can help avert mortality through timely assistance, before medical help arrives. In case an ambulance reaches the patient very late or if there is an acute shortage of cardiac ambulances, an automatic external defibrillator (AED) installed at public places can help save lives in a timely manner.”

Defibrillation within 3 to 5 min of collapse can produce survival rates as high as 50% to 70%. Early defibrillation can be achieved through CPR providers using public access and on-site AEDs. Public access AED programmes should be actively implemented in public places that have a high density of citizens.

Adding further, Dr Aggarwal, said, “The CPR 10 was created so that the public could remember the process of revival after SCA. The CPR 10 Mantra is as follows: Within 10 minutes of cardiac arrest (earlier the better) for the next 10 minutes at least, compress the center of the chest with a speed of 100 compressions per minute (10×10). CPR 10 is easy to learn and easy to do and one does not need to be a doctor or be certified in this technique.”

There are three simple rules to be followed when a person suffers from SCA: Call the ambulance, check if the person is breathing or has a pulse and if not, then start chest compressions and continue for at least 30 minutes till medical help arrives. It is also imperative to not stop CPR too soon. The premise of a successful CPR is earlier the better and longer the better.

The Formula of 80 to prevent heart diseases· Keep your lower blood pressure, fasting sugar, abdominal circumference, resting heart rate and LDL cholesterol levels all below 80.

  • Walk 80 minutes each day; brisk walk 80 minutes a week with a speed of 80 steps per minute.
  • Eat less, not more than 80 gm/80 ml of caloric food in one meal. Do not eat carbohydrate–based refined cereals 80 days in a year to reduce chances of heart attack.
  • Take vitamin D through sunlight 80 days in a year.
  • Do not drink alcohol and if you drink, take less than 80 ml of whiskey in a day or less than 80 gm of whiskey in a week. Do not smoke or be ready for placement of stent costing Rs 80,000.
  • Give 80 minutes to yourself in a day.
  • When clapping, clap 80 times.
  • If you are a heart patient, ask your doctor to give 80 mg of aspirin and 80 mg of atorvastatin.
  • Donate blood 80 times in a lifetime to reduce chances of heart attack.
  • Avoid an atmosphere of more than 80 db of noise pollution.
  • While on treadmill, try to reach 80% of your heart rate.

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