28 cases positive in India: It’s like a public corona health emergency in Rajasthan and Delhi

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Remember “three Cs” scenarios –1st Case, 1st Cluster and 1st Community spread whenever a new Case comes

India, 28 cases: 3 Kerala, 1 Telangana, 1 + 6 Delhi, 1 + 1+ 15 Jaipur

  1. Cases in Delhi and Telangana: Red alarm
  2. Cluster in Jaipur: Red alarm
  3. Community spread not yet
  4. People who have been in contact with the positive cases in last 14 days must be isolated: Yellow alarm
  5. All others (standard precautions): Green

Red: Infected cases; Yellow: Close contacts of infected cases; Green: Others

In the last 24 hours, almost 9 times more cases have been reported outside China than inside China. Epidemics in the Republic of Korea, Italy, Iran and Japan are of significant concern. The cases in the Republic of Korea are most likely to emerge from suspected cases from the 5 known clusters, rather than the community. It is important as it indicates that surveillance measures are working and Korea’s epidemic can still be contained.

This virus is not influenza. This respiratory pathogen has the potential of community transmission, however, it can be contained, if right measures are taken.

  • Of the 88,913 cases reported across the globe, 90% are from China, mostly 1 province.
  • Of the 8,739 cases reported outside China, 81% are from 4 countries.
  • Of the other 57 countries affected, £ 10 cases have been reported from 38 countries, 1 case from 19 countries, and none from many countries as they have already contained the virus in the last 2 weeks.

No one-size fits all approach

Different countries are in different scenarios:

  • Over 130 countries have not detected any case yet
  • Some have just mentioned their first cases on March 1
  • Some countries have clusters of cases, with transmission between family members and other close contacts
  • Some are experiencing rapidly expanding epidemics while some have declining epidemics, and have not reported a case for more than 2 weeks.

Some countries are experiencing more than one of the above mentioned scenarios at the same time. For instance, China had community transmission in Wuhan, however, relatively small numbers of cases have been reported in other provinces. Other countries also have a similar pattern.

The basic actions in all scenarios remain the same, however, the emphasis may change according to the country affected.

Dr KK Aggarwal

President CMAAO, HCFI and Past National President IMA

USA, Japan and India to evacuate their citizens from virus-affected areas in China, Air India jet on standby

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As the coronavirus outbreak continues to spread, Air India awaits a government decision on whether to move the jet to evacuate Indians in China

An Air India Boeing 747 jet, 423 seater, double decker jumbo aircraft with 12 crew members, has been put on standby for the evacuation of Indians (including medical students) from Chinas Wuhan city where the coronavirus outbreak has already claimed the lives of 81 people and the administration has shut down the entire city to prevent the spreading of the virus.

US and Japan are also evacuating theircitizens. We also wrote to the PMO on 25th January to evacuate the Indian citizens, including the medical students.

Points being resolved -

  1. No crew member gets infected in the process
  2. Full-body protection kits are being made available to them
  3. Prevent aircraft becoming a carrier of the virus.

Dr KK Aggarwal

President CMAAO, HCFI and Past National President IMA

Budget 2019 must focus on making One Health a reality in India: HCFI

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All health-related aspects must come under the ambit of single department

New Delhi, 28th June 2019: As the nation gears up for the first set of policies to be announced by the new government, it remains to be seen what the powers-that-be have in store for India’s healthcare sector. Making simple, accessible, and affordable healthcare a reality is the need of the hour as is the idea of ensuring that the concept of One Health turns into a reality in the country.

In most nations world over, inter-sectoral coordination has been established by the concerned governments, to consult with each other, share their knowledge, and provide effective and efficient means to control emergence of such diseases as per protocols set by the World Health Organization under their one health programme.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “The time has come for health professionals, environmentalists, and agriculture professionals to work collaboratively and develop solutions to various problems which are increasing with each passing year. Although the One Health programme is in place in India, it does not seem to be getting the right results due to different administrative and ministerial controls. It has often been seen that allocation of budgets are spread over different ministries looking after the human, animal, agriculture, and environmental health programmes.”

One Health is a concept that incorporates human, animal, plant, and environmental health (air, water, earth) under one roof. It recognizes that the health of people is connected to the health of animals, plants and the environment.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, said, “At present, the ministries of health, agriculture, rural development, environment, road transport, climate change, earth sciences, water, Women and child development, Swatch Bharat Program, ICMR, ICAR, IARI, etc., are looking after their respective matters of human concern.”

The Heart Care Foundation of India (HCFI would request the government to consider the following while framing guidelines for the budget.

  • Bring administrative and budgetary control of all such schemes of all segments that deal with health of humans, animals, environment-climate change, agriculture production, and disease control, under one roof namely “One health Program”. This will enable the scientists working in these sectors independently on prevention and control of diseases that have potential to shift their host from one sector to other, and these can be better researched and controlled.
  • Allocate common budget or link these budgets for these programmes so that more intersectoral cooperation and sharing of knowledge takes place. Besides, overlapping of programmes in these ministries will also go away to a large extent and thus would also result in more saving of financial outflow.
  • Provide emergent care services free of cost or reimbursed to the private sector by the government.

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