2 - Orion Group

Newsletter
st Newsletter
on Zinc in Bangladesh
For health and happiness
Issue-02, September-November 2007
Up to one-fifth of the world's people lack sufficient Zinc in their diet
Renowned Paediatrician Dr. Charles
P Larson has been working on Zinc
for many days. He is the Director of
SUZY project of ICDDR,B. Dr. Larson
talked with the editor of Pep
Newsletter frankly regarding various
topics on Zinc that is given below.
Pep Newsletter: Zinc is being used
for many days by the Physicians in the
treatment of different diseases but
recently the use of Zinc has reached
to a remarkable position in the
treatment of childhood diarrhea, what
may be the cause behind this
Dr. Charles P Larson: There are
various reasons behind this. I'm just
telling you about one important
reason. Continuous research is going
on in Bangladesh, India and Africa for
the evaluation of Zinc in childhood
diarrhea. All these researches and
clinical data support that Zinc has
wide role in the management of
diarrhea.
Pep Newsletter: What is the role of
Zinc in the management of childhood
diarrhea
Dr. Charles P Larson: Zinc reduces
the severity and duration of diarrhea
among children less than five years of
age. Besides speeding up recovery,
Zinc provides immunity to the children
for the prevention of diarrhea for the
next 3 months.
Pep Newsletter: How does Zinc
reduce the severity and duration of
diarrhea
Dr. Charles P Larson: There are
two main pathways by which Zinc
reduces the severity and duration of
diarrhea. First, Zinc increases the
immunity of the children by activating
T-cell, thus it inhibits the microorganisms
responsible for diarrhea.
Second, Zinc regenerates intestinal
microvilli which help to absorb foods.
By these ways Zinc reduces the
severity and duration of diarrhea. Zinc
also repairs the damaged gut mucosa.
Pep Newsletter: Now we see
various advertisements on Zinc in
different media. As a Physician what
is your comment regarding the use of
Zinc in children without prescription,
especially in Bangladesh
Dr. Charles P Larson: We
discussed with many paediatricians
and other healthcare professionals.
They recognized that, Zinc has no
major side effect other than vomiting
and Zinc could be given to children
without prescription. The one
exception, those being severely
malnourished. The advertisements
would not be harmful; rather it would
help the parents to treat their children
(suffering from diarrhea) immediately
with ORS and Zinc. I further want to
add that the Drug Administration of
Bangladesh also approved us to go for
minimize this scenario
Dr. Charles P Larson: Diarrhea can
be prevented by pursuing
multisectoral efforts like improving
access to clean water and safe
sanitation, promoting hygiene
education, exclusive breast-feeding,
improved weaning practices, using
sanitary latrines, keeping food and
water clean, washing hands with soap
(the baby's as well) before and after
touching food and after using latrine.
Pep Newsletter: Does Zinc play any
role for the treatment of diarrhea in
food. How the children can be
benefited by using Zinc
Dr. Charles P Larson: Although
there are not enough studies but
there are few studies to support that
Zinc increases appetite in children.
After talking to the parents, from my
experience I can say that Zinc
increases appetite. I have an advice
to the parents that don't insist your
child to eat more and more.
Pep Newsletter: Suppose a child
eats according to his/her need that is
sufficient but his/her parents claim
that the child is not eating adequately
and they encourage to take Zinc to
eat more, is there any problem with
this
Dr. Charles P Larson: I think "No",
as Zinc doesn't have any major side
effect. But I would discourage the
parents to administer Zinc for these
children and also suggest them not to
push their children to eat more and
more. We do not want to encourage a
drug as a solution for poor appetite in
children.
Pep Newsletter: What are the
outcomes of Zinc deficiency in human
body
Dr. Charles P Larson: Growth
retardation, weight loss, intercurrent
infections, delayed puberty in
adolescents, rough skin, poor
appetite, delayed wound healing, poor
immune system, short stature or
dwarfism, diarrhea, pneumonia, white
spots on fingernails,
mass media campaign giving the Zinc
dispersible tablet OTC (over-thecounter)
waiver.
Pep Newsletter: Recently WHO and
UNICEF revised their
recommendations on managing
childhood diarrhea and added the use
of Zinc to reduce the severity and
duration of diarrhea. How will you
evaluate the revised
recommendations
Dr. Charles P Larson: We evaluated
the impact of Zinc supplementation
on 26,000 children at ICDDR,B for the
management of diarrhea and found
the result very satisfactory.
Considering this I can say WHO and
UNICEF's revised recommendations
on managing childhood diarrhea is
very very logical and time demanded.
Pep Newsletter: In Bangladesh a
child suffers from diarrhea at least 3-4
times in a year on an average. This is,
of course, an alarming situation. What
preventive measures can be taken to
adult
Dr. Charles P Larson: Zinc
treatment of diarrhea in adults has
not been studied.
Pep Newsletter: Pneumonia is
another common problem for the
Bangladeshi children. Would you
please tell us about the role of Zinc in
the treatment of Pneumonia
Dr. Charles P Larson: Early studies
suggest that Zinc treatment may have
a positive impact on childhood
pneumonia. Two studies were
conducted in India and Nepal, one
study showed that Zinc had a
significant role in the treatment of
Community Acquired Pneumonia. In
ICDDR,B a study is still going on and
the result will be published very soon.
We are very hopeful about this study.
Pep Newsletter: Most of the parents
complain against their children that
they don't eat properly and they
(children) have no interest on given
Continued on page 2
Dr. Charles P Larson
MDCM(McGill University,
Canada)
Fellow, Royal College
of Physicians (Canada)
M.Sc in Epidemiology
& Biostatistics (McGill
University, Canada)
Certified Specialist,
Paediatrics &
Community Medicine
Director, Health
System and Infectious
Diseases Division, ICDDR, B
Head, Health & Family Planning System, ICDDR, B
Principal Investigator, Scaling Up Zinc for Young
Children (SUZY) with diarrhea Project, ICDDR, B
Faculty of Medicine, McGill University, Montreal, Canada.
Pep Newsletter is published by the Product Management Department of Orion Laboratories Ltd. You may
provide us any information, suggestion or advice regarding Pep Newsletter. We shall salute your valuable
comment. You may also send articles related to Zinc . For any query please feel free to contact with Product
Management Department, Orion Laboratories Ltd., Orion House, 153-154 Tejgaon I/A, Dhaka-1208
Corporate Head Office : 153-154, Tejgaon I/A, Dhaka-1208
PABX: 02-9888494, 9888176 Fax : 88-02-8829314, 8854567
www.orion-group.net/pepnewsletter
1

your inspiration, our aspiration
SL. Name Qualification Designation Address Comment Signature
54 Dr. Nikhil Kumar Saha MBBS Clinical
Assistant
55 Dr. Ershadullah MBBS Residential
Medical Officer
56 Dr. Md. Nazrul Islam MBBS Residential
Medical Officer
57 Dr. Jannmoy Joy Datta MBBS Residential
Medical Officer
58 Dr. Khan Ahmed Helali MBBS Residential
Medical Officer
59 Dr. Motahar Ali MBBS Residential
Medical Officer
60 Dr. Md. Abdul Awal Pramanik MBBS Residential
Medical Officer
61 Dr. A.H.M.G Sorowar MBBS Residential
Medical Officer
Pabna Mental Hospital,
Pabna
Aurobindo Shishu
Hospital, Dinajpur
Ambia Hospital, Pirojpur
Jokigonj THC, Sylhet
Khulna Shishu Hospital,
Khulna
Seba Hospital, Pabna
Fouad Al Khateeb
Hospital, Cox's Bazar
Fouad Al Khateeb
Hospital, Cox's Bazar
Excellent.
It is an excellent publication. Please continue
it.
Excellent newsletter carrying latest information to
the physician and hope it will be continued.
Excellent job. Continue it.
Excellent.
Thank you for publishing the Pep Newsletter. It
is helpful to me and also to other doctors.
Excellent.
Excellent.
62 Dr. Shishir Ranjon Adhikari MBBS Emergency
Medical Officer
63 Dr. Ajoy Kumar Ghosh MBBS Emergency
Medical Officer
Pirojpur Sadar Hospital,
Pirojpur
Cox's Bazar Sadar
Hospital, Cox's Bazar
Zinc is a trace element of human body which
acts as a co-factor of various enzymes. Pep
Newsletter published by Orion Laboratories
ltd. is excellent. I am very pleased to read it.
I hope it will be published regularly.
Informative and rich.
64 Dr. Ripon Barua MBBS Emergency
Medical Officer
65 Dr. Azim Mahmud MBBS Emergency
Medical Officer
66 Dr. Ashraf Habib Sharif MBBS Emergency
Medical Officer
Cox's Bazar Sadar
Hospital, Cox's Bazar
Bangladesh Medical College
& Hospital, Uttara, Dhaka
Bangladesh Medical College
& Hospital, Uttara, Dhaka
Excellent.
Excellent.
Best.
67 Dr. Goutam K Mukharji MBBS, FCPS Emergency
Medical Officer
Central Hospital, Dhaka
Excellent and Informative.
68 Dr. Rabaya Akter MBBS Indoor Medical
Officer
69 Dr. Md. Golam Mowallah MBBS Outdoor
Medical Officer
70 Dr. Md. Nuruzzaman Shakil MBBS Outdoor
Medical Officer
Mowlana Bhasani Medical
College, Dhaka
Mirpur Shishu Hospital,
Dhaka
Mirpur Shishu Hospital,
Dhaka
Very good.
It is an excellent idea for huge information on
Zinc & for using Zinc in paediatric patients.
Pep Newsletter is very much helpful. It
should be more informative.
71 Dr. Md. Mamunal Haq MBBS, DCH Medical Officer Naogaon Sadar Hospital,
Naogaon
72 Dr. Md. Aminul Islam MBBS, DCH Medical Officer Thana Health Complex,
Sadar, Sirajgonj
73 Dr. H Chakravarty MBBS Medical Officer Sadar Hospital, Sunamgonj
74 Dr. Prokash Chandra Debnath MBBS Medical Officer Pirojpur Pouroshova,
Pirojpur
75 Dr. Md. Idrish Miah MBBS Medical Officer Pirojpur Sadar Hospital,
Pirojpur
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I hope Pep Newsletter will continue with
recent data.
Most comprehensive, recent advances are
highlighted and it is very useful.
Thanks for delivering us such nice Pep
Newsletter. Please continue its publication.
Excellent Pep Newsletter. I wish its success.
76 Dr. Afroz Zahan Habiba MBBS Medical Officer 30 , West Agargaon, Dhaka This Newsletter is very much beneficial for my
baby. Pep is always 1 st choice for my baby.
77 Dr. Ashrafur Rahman MBBS Medical Officer Islam Pharmacy, East
Nakhal Para, Dhaka
78 Dr. Shafiur Rahman MBBS Medical Officer Bhai Bhai Clinic, Kochukhet,
Dhaka
79 Dr. Abdul Baten MBBS Medical Officer Afia Medicine Corner,
Mirpur, Dhaka
80 Dr. Sajal Majumder MBBS, MS Child Surgeon Central Hospital, Dhaka
This Newsletter is more effective for
paediatric patients.
This Newsletter is sophisticated ever in
Bangladesh. It should be continued.
Pep Newsletter is very much helpful for
huge information on Zinc.
Well done & full of useful information.
www.orion-group.net/pepnewsletter 4

Up to one-fifth of the world's people lack sufficient Zinc in their diet
reduction in collagen turnover and
synthesis, acne, cross-linking of
collagen, hyaluronic acid
abnormalities, defective connective
tissue, cataracts, teeth with black
plaque like deposits etc.
Pep Newsletter: Would you please
provide us any information on the
prevalence of Zinc deficiency
worldwide
Dr. Charles P Larson: Up to onefifth
of the world's people lack
sufficient Zinc in their diet, while an
estimated one-third live in thrid-world
countries considered at high risk of
Zinc deficiency.
Pep Newsletter: Which foods
contain Zinc most
Dr. Charles P Larson: Zinc is
mostly available in red meats, poultry
products, milk and dairy products,
spinach, nuts, oats, beans, and
certain seafoods. Oysters contain
more Zinc per serving than any other
food.
Pep Newsletter: What are the main
causes of Zinc deficiency in
Bangladeshi people
Dr. Charles P Larson: Although
Zinc is available in foods, the poor
people of Bangladesh don't receive
enough Zinc in their diets. They eat
cereals, legumes-based diets,
vegetables which are low in Zinc
content and also inhibit Zinc
absorption (as they have phytic acid
Approximately 300 enzymes
require Zinc for their activities. Zinc
is an essential trace mineral for
DNA synthesis, cell division, protein
synthesis and all necessary
processes for tissue regeneration &
repair. Zinc deficiency has been
associated with poor wound
healing and decreased breaking
strength of animal
wounds, which can
result from
decreased protein
and collagen
synthesis during
healing found in
Zinc-deficient
animals. Senapati
and Thompson
found Zinc levels
were 50-percent
higher in muscle and
skin from abdominal
wounds of rats
during wound
healing, but mild
deficiency reduced
this accumulation. Zinc demands
are thought to be the highest from
time of wounding throughout the
early inflammatory phase.
Sequential changes in Zinc
concentrations were studied in the
incisional wound model in the rat.
Zinc levels increased from
wounding and peaked on the fifth
which hamper the absorption of
Zinc). In their regular diet, they lack
protein-based foods like red meat,
milk, which are potent Zinc source.
Moreover, Zinc level in the soil of this
country is decreasing day by day, so
we don't get enough Zinc from rice
and other cereals. In case of the
infants, 70% of pregnant and
breastfeeding women are
malnourished, so their babies are not
getting enough Zinc from the
mothers. Some other reasons of Zinc
deficiencies are high prevalence of
hookworm infestation, hot and humid
climate (increase sweating and
considerable Zinc loss).
Pep Newsletter: Mention the name
of some regions of Bangladesh that
are Zinc deficient.
Dr. Charles P Larson: Almost all
over Bangladesh.
Pep Newsletter: Orion introduced
Zinc under the brand name Pep in
2000 for the first time in Bangladesh
and now Pep is the number one
brand in Zinc market of Bangladesh
with highest six different
presentations. Now we are publishing
Pep Newsletter. I think you read the
first issue. What is your comment on
it
Dr. Charles P Larson: Very well
done. I hope it will be published
regularly.
Pep Newsletter: Thank you for
Zinc in wound healing
day - at a time of high
inflammation, granulation tissue
formation, and epidermal cell
proliferation. Zinc concentrations
returned to normal by the seventh
day, when inflammation had
regressed. It has been suggested
that increased local demand for
Zinc resulting from surgery and
wounding exposes otherwise
marginal Zinc deficiencies in
humans. Perioperative Zinc
supplementation is recommended
for Zinc-depleted patients.
Data is lacking to show Zinc
supplementation improves healing
in non-deficient individuals;
however, Zinc deficiency in humans
spending your valuable time with us.
Dr. Charles P Larson: Best wishes
for Pep Newsletter and you also.
Ten tips for growing children
1. A child raised with patience will
learn about tolerance
2. A child raised with approval will
grow up with confidence
3. A child raised with encouragement
will be fulfilled
4. A child raised with laughter will live
joyfully
5. A child raised with fairness will
understand justice
6. A child raised with acceptance will
have many friends
7. A child raised in security will know
how to trust
8. A child raised with understanding
will gain self-knowledge
9. A child raised with love will love in
return
10. A child raised with compassion is
a gift to the world
is widespread and injured and
stressed individuals are more prone
to developing deficiencies. Ehrlich
et al suggest Zinc is lost in
significant amount after surgery
because of fistulas, stress, and
diarrhea. Zinc deficiencies have
also been identified in individuals
with deep partial or full-thickness
burns and chronic
venous leg ulceration.
Further research is
needed on the efficacy
of Zinc supplements for
wound healing.
Justification for
perioperative Zinc
supplementation
includes the absence of
adverse effects at
moderate doses (15-30
mg daily) and evidence
that Zinc deficiency
impairs wound healing.
Zinc supplementation of
15-30 mg daily is
recommended
perioperatively to prevent
unmasking of marginal deficiencies.
Higher levels of Zinc
supplementation may be necessary
in patients with malnutrition,
malabsorption, chronic diarrhea, or
other risk factors of Zinc deficiency.
Ref: Alternative Medicine Review, Vol-8, Number-4.
2003, Page-364
Children with HIVinfection
benefit
Ref: www.therainbowbabies.com
from Zinc supplements
Zinc supplements are safe, simple,
and cost-effective method of
reducing illness in children infected
with HIV, concludes a randomised
trial in the latest issue of "The
Lancet". Previous studies have
shown that Zinc supplements can
reduce the incidence of diarrhea and
pneumonia in children in resourcepoor
settings.
However, the HIV virus requires Zinc
for its structure and function, and
Zinc activates lymphocytes that are
target cells for HIV-1 replication. For
these reasons the safety of Zinc
supplementation in children with
HIV-infection has been uncertain.
To study the affect of Zinc
supplementation, William Moss
(Johns Hopkins School of Public
Health, Baltimore, MD, USA) and
his colleagues recruited 96 children,
aged between 6 months to 5 years,
from Grey's Hospital in
Pietermaritzburg, South Africa. The
team randomly assigned children to
receive Zinc supplements or a
placebo daily for 6 months.
The investigators found that Zinc
supplementation did not result in an
increase in blood HIV viral load.
However, children receiving Zinc had
less diarrhea. The authors state that
Zinc supplementation should be
used as an adjunct therapy for
children with HIV-1 infection.
Dr Moss states: "Few interventions
are available to reduce morbidity in
children with HIV-1 infection in
resource-poor countries. Although
UNAIDS, WHO, and their partners
are committed to providing
antiretroviral therapy to 3 million
people by the end of 2005,
antiretroviral therapy and
prophylaxis for opportunistic
infections are not accessible for
many children. Consequently, more
than half of these children die
before the age of 3 years, most
commonly of respiratory tract
infections and diarrheal diseases.
Zinc supplementation could be a
simple and cost-effective
intervention to reduce morbidity and
mortality in children with HIV-1
infection. Programmes to enhance
Zinc intake in deficient populations
with a high prevalence of HIV-1
infection can be implemented
without concern for adverse effects
on virus replication."
Ref: www.medicalnewstoday.com
www.orion-group.net/pepnewsletter 2

your inspiration, our aspiration
Your profound response towards the 1 st issue of Pep Newsletter has made us much more enthusiastic to publish the 2 nd issue. We have gone through all
of your comments with keen attention and will follow your valuable advice gradually. We believe, you are one who can make us smile & without your direct
support it is quite impossible for us to go ahead. A part of your comments has been attached herewith from which you might know other comments.
Due to space constraint we are sorry to infrom you that the rest of your comments will be published in the next issue. We hope your kind interest regarding
Pep Newsletter will be continued.
SL. Name Qualification Designation Address Comment Signature
01
Dr. M.A.K. Azad Chowdhury
MBBS,DCH, MRCP
(UK), MRCP (IRE),
FRCP (EDIN)
Professor &
Head of
Neonatal Divn.
Bangladesh Institute of
Child Health, Dhaka
Shishu Hospital, Dhaka
The Newsletter, first of its kind is very
informative and edited by the right individual.
To my opinion as Zinc interacts with other
microelements, its use should be judicious,
prescribed only by well informed physicians.
02
Dr. Md. Sirajul Islam
MBBS, FCPS
(Paed.), PhD
Professor, Ex-
Head of Paediatric
Medicine
Advanced Doctors Care,
Dhanmondi, Dhaka
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03
Dr. M. Hanif MBBS, FCPS, FRCP Professor
Bangladesh Institute of
Child Health, Dhaka
Shishu Hospital, Dhaka
Must be standard for a Consultant. The
Newsletter must be short in size.
04 Dr. Md. Hamidur Rahman MBBS, FCPS Professor Department of Paediatrics,
BSMMU, Dhaka
Encouraging.
05 Dr. Manzoor Hussain MBBS, FRCP Professor & Sr.
Consultant
Dhaka Shishu Hospital,
Dhaka
Praiseworthy initiative.
06 Dr. N. I. Khan MBBS, MRCP (UK),
FRCP (EDIN) FRCP (UK)
Professor
Ma-O-Shishu Hospital,
Chittagong
Informative.
07
Dr. Md. Mohibul Haque
Haidary
MBBS, FCPS
(Paediatrics)
Professor
Islami Bank Medical College
& Hospital, Rajshahi
Please change the cover page and make
smaller size of the Pep Newsletter.
08 Dr. Rehana Begum MBBS, FCPS Lieutenant
Colonel
09 Dr. S. Alam MBBS, MS Associate
Professor
10 Dr. M. A. Afzal Bhuiyan MBBS, DCH, MRCP Associate
Professor
11 Dr. M. A. Wahed MBBS, FCPS, PhD Associate
Professor
Kachukhet, Dhaka
Cantt. Dhaka
BSMMU, Dhaka
Holy Family Red Crescent
Hospital, Dhaka
Department of Paediatrics,
Rangpur Medical College
& Hospital, Rangpur
This is a very good initiative for healthcare
professionals.
Good for healthcare professionals.
It is a good one and encouraging.
Nice to disseminate information to healthcare
professionals.
12 Dr. Syed Mesbahul Haque MBBS, MCPS,
DCH, DMEd
Associate
Professor
Department of Child Health,
Chittagong Medical College
& Hospital, Chittagong
Interesting and useful information. Please
continue the Newsletter.
13 Dr. Tahmidur Rahman MBBS, MD (Paed.) Assistant
Professor
14 Dr. Md. Tareq Azad MBBS, DCH, MCPS Assistant
Professor
Rajshahi Medical College &
Hospital, Rajshahi
Jalalabad Ragib Rabeya
Medical College, Sylhet
Excellent.
Best information on Pep.
15 Dr. Md. Abdul Hai MBBS, DCH (DU),
FRSH (UK)
Assistant
Professor
Child Healthcare, Main Road
Kallyanpur, Dhaka
It is very useful for updating knowledge.
16 Dr. Shariful Islam MBBS, DCH Assistant
Professor
Department of Paediatrics,
Rangpur Medical College &
Hospital, Rangpur
It is very useful for updating knowledge.
17 Dr. Nikhait Shaila MBBS, MD
(Medicine)
Assistant
Professor
Crescent Hospital, Uttara,
Dhaka
Excellent.
18 Dr. Sabina Sultana MBBS, DCH, MCPS,
MD (G.Paed.), MD
(Paed. Nephrology)
Assistant
Professor
Bangladesh Medical
College & Hospital,
Uttara, Dhaka
Newsletter should be on different topics.
19 Dr. Quazi Rakibul Islam MBBS, MD (Paed.) OSD (DGHS) Health & Hope Hospital I will be very happy if you supply it
152/1, Green Road, Dhaka regularly with the comments of Clinicians.
20 Dr. Md. Mahbubul Haque MBBS, DTCD
(Chest), DN
Assistant
Professor
Meducine Plus, 51-52
Green Road, Dhaka
Very useful for upgrading knowledge on
medical science.
21 Dr. S.I.M Khairun Nabi Khan MBBS, MS
(Neurosurgery)
Assistant
Professor
BSMMU, Dhaka
Good.
22 Dr. Zahid Hossain MBBS, FCPS Assistant
Professor
23 Dr. Mosharaf Hossain MBBS, M.Phil Assistant
Professor
BSMMU, Dhaka
Comilla Medical College &
Hospital, Comilla
New & good concept. It should be
continued.
It is nice & informative. I think Zinc may
have positive role in the management of DM,
metabolic syndrome and even CV diseases.
Please extend your collaboration in this field.
24 Dr. Md. Yousuf Ali MBBS, MCPS,
DCH, PhD
Assistant
Professor
Chittagong Medical College
& Hospital, Chittagong
Acceptable.
www.orion-group.net/pepnewsletter 3

your inspiration, our aspiration
SL. Name Qualification Designation Address Comment Signature
25
Dr. A S M Moniruzzaman MBBS, MD (Paed.) Assistant
Professor
Rangpur Medical College
& Hospital, Rangpur
Pep Newsletter provides information on the
role of Zinc in diarrheal diseases which is
very important.
26
Dr. Anjuman Ara (Beauty) MBBS, DCH, FCPS Assistant
Professor
Apollo-2, Dhap, Rangpur
Pep Newsletter is informative and helpful.
27
Dr. Bikash Mojumder MBBS, FCPS Assistant
Professor
Rangpur Medical College
& Hospital, Rangpur
Readable and informative.
28
Dr. Noni Gopal Roy MBBS Assistant
Director (Rtd.)
Dosh Niren Goli, Pirojpur
Good idea. Please continue the publication
of Pep Newsletter.
29
Dr. Md. Shahabuddin MBBS Assistant
Director (CC)
Family Planning Office,
Dinajpur
Pep Newsletter provides essential information for
health & happiness. Please send it periodically.
30
Dr. Swapan Kumar Halder
MBBS, DCH
(England), MSc
Ex- Senior
Consultant
Christian Mission
Hospital, Rajshahi
At a glance it is an excellent job regarding
nutrition knowledge. Thanks for all.
31
Dr. Masudur Rahman MBBS Consultant Anonto Bazar, Pabna
Thanks for Pep Newsletter and hope it will
be continued.
32
Dr. Samiul Haque MBBS, DCH, PhD Consultant
(Paed.)
Sunamgonj Sadar
Hospital, Sunamgonj
It is very informative and useful newsletter.
Wishing its continuation and success.
33
Dr. Nurul Alam Khan MBBS, DCH Consultant
(Child)
Durre Samad Rahman
RCM Hospital, Sylhet
The Pep Newsletter is very much helpful for
improving our knowledge about recent information.
34
Dr. Md. Ayob Ali
MBBS, DCH (DU),
FCPS (Paed.), MD
(Neonatology)
Consultant
(Paed.)
Tangail General Hospital,
Tangail
This Newsletter is able to give the detail,
updated and exciting news on the role of Zinc.
Thanks for publishing this Pep Newsletter.
35
Dr. Md. Nurunnabi MBBS, DCH Consultant
(Paed.)
Gaibandha Sadar Hospital,
Gaibandha
The information that was given to Pep
Newsletter is very correct. I am using Pep
in all cases mentioned in the Newsletter.
36
37
Dr. S M Abdur Rahim MBBS, DCH Consultant Sadar Hospital,
Brahmanbaria
Dr. N K Das MBBS, DCH, MSc Consultant Shishu Hospital , Faridpur
Please supply latest information about Zinc
(Pep).
Excellent.
38
Dr. A T M Sanaul Bashar
MBBS, MD (Medicine),
MPH (EPI)
Program
Consultant
NSDP/URC, Gulshan,
Dhaka
Excellent.
39
Dr. Abdur Razzaq MBBS, DCH, MCPH Jr. Consultant Diabetic Association, Pabna
The Pep Newsletter will be very much
helpful for the doctors.
40
Dr. A T M Anowarul Hoque MBBS, DCH Jr. Consultant
(Paed.)
Kurigram Sadar Hospital,
Kurigram
Innovation and support is always welcome.
41
Dr. Md. Atiqul Islam
MBBS, DCH, MCPS,
MD
Registrar
Dhaka Shishu Hospital,
Dhaka
News about recently emerging viral encephalitis
of children may be given. It should be continued.
42
Dr. Amin Ahmed Khan MBBS Assistant
Registrar
Pabna General Hospital,
Pabna
It will be helpful to know about the latest
information on Zinc.
43
Dr. S M Tarik Amin MBBS Assistant
Registrar
Bangladesh Medical College
& Hospital, Uttara, Dhaka
Excellent.
44
Dr. Mrinal Kanti Das MBBS Assistant
Registrar
Bangladesh Medical College
& Hospital, Uttara, Dhaka
Excellent.
45
Dr. Feroz Kader MBBS Assistant
Registrar
Mowlana Bhasani Medical
College, Dhaka
It is a very nice thing. Please keep it up.
46
Dr. Mahbub Hasan MBBS Assistant
Registrar
General Hospital, Faridpur
Very good.
47
Dr. Ratan Kumar Singh
MBBS, DCH, PGT
(Neonatology & Paed.)
Child
Specialist
Naogaon Sadar Hospital,
Naogaon
Pep all forms are best medicine. Pep
Newsletter is also best to me.
48
Dr. Md. Akmol Hossain MBBS, FCPS, MD Child Medicine
Specialist
Tangail General Hospital,
Tangail
Attractive and fine.
49
Dr. Yusuf Ahmed
MBBS, DCH
(Dublin)
Child
Specialist
RK Road, Islambag,
Rangpur
Scientific, informative, timetesting & appreciable.
Anticipating more. Thanks for Pep Newsletter.
50
Dr. Md. Abdul Maleque Sarker BSc, MBBS, DCH Child
Specialist
DB Road, Gaibandha
Like Pep Newsletter other Newsletters may
be published.
51
52
Dr. Sirajul Islam Khan MBBS THA Jokigonj THC, Jokigonj,
Sylhet
Dr. Abul Hossain MBBS Medical Officer Turag Medical Centre,
Uttara, Dhaka
It will be very much helpful for health
professionals if published & circulated regularly.
Please continue the publication of Pep
Newsletter.
53
Dr. Ziad-Al-Hossain MBBS Medical Officer
(ENT)
Mowlana Bhasani Medical
College, Dhaka
It is very informative. Please continue the
publication of Pep Newsletter.
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SL. Name Qualification Designation Address Comment Signature
81
82
83
84
Dr. Mousumi Sultana MBBS Medical Officer Pirojpur Paribarik Sastho
Clinic, Pirojpur
Dr. Siddiqur Rahman MBBS Medical Officer Pirojpur Sadar Hospital,
Pirojpur
Dr. Md. Nizam Uddin MBBS Medical Officer Pirojpur Sadar Hospital,
Pirojpur
Dr. Sankor Kumar Gosh MBBS Medical Officer Sadar UHC, Pirojpur
Pep Newsletter is very important and
informative.
Excellent. Please continue the publication of
such informative Pep Newsletter.
Vast information on ZnSO 4 is available in
this Newsletter. This is very rational.
Informative, easy language and beneficial.
It should be continued.
85
Dr. Md. Showkat Hossain MBBS Medical Officer C. S Office, Brahmanbaria Pep Newsletter gives us much information
about Zinc. We want such information
about other newly introducing products.
86
87
88
89
90
91
92
Dr. Shamim Ahmed MBBS, MPH Medical Officer General Hospital, Faridpur
Dr. Afroza Parvin MBBS Medical Officer Shishu Hospital, Faridpur
Dr. Sheikh Anisuzzaman MBBS, DCH Medical Officer Faridpur Medical College
& Hospital, Faridpur
Dr. Rabindranath Mondol MBBS Medical Officer Khulna Shishu Hospital,
Khulna
Dr. A.K.M. Morshedur Rahman MBBS Medical Officer Khulna Shishu Hospital,
Khulna
Dr. Shah Muradur Rahman MBBS Medical Officer Khulna Shishu Hospital,
Khulna
Dr. Md. Faridul Hoque MBBS Medical Officer Cox's Bazar Sadar
Hospital, Cox's Bazar
Good Newsletter.
Excellent.
Quality of Pep Newsletter is very good.
Excellent.
I am looking for more information about Pep
family. This type of step is helpful for us.
I have learnt many information about the
Pep family.
So nice and informative.
93
94
Dr. Abdus Salam MBBS Medical Officer F. K. H Cox's Bazar Excellent.
Dr. Manjura Rahman MBBS Medical Officer F. K. H Cox's Bazar Good.
95
Dr. Ata-E-Elahi MBBS Medical Officer Chakaria THC, Cox's
Bazar
Excellent.
96 Dr. Bazlur Rahman MBBS Medical Officer Lalmonirhat Sadar
Hospital, Lalmonirhat
Pep Newsletter is very impressive. Many information
are existed here. Immunological support of Zinc
should be more in details. Thanks.
97 Dr. S. M. Asaduzzaman MBBS, PGT
(Child Health)
Medical Officer
Bangladesh Medical College
& Hospital, Uttara, Dhaka
Excellent article.
98 Dr. Zahanara Begum MBBS Medical Officer Bangladesh Medical College
& Hospital, Uttara, Dhaka
Very good.
99
Dr. Saiful Arefin Tutul MBBS Medical Officer Khulna Shishu Hospital,
Khulna
Pep Newsletter is informative as well as
useful for medical professionals.
100 Dr. Kamrul Islam MBBS, PGT Medical Officer Mirpur Shishu Hospital,
Kalshi Road, Pallabi, Dhaka
This is a very good initiative. It should be
continued.
101
102
103
104
Dr. Mahbub Alam MBBS Medical Officer Comilla Medical College &
Hospital, Comilla
Dr. Lovely Yeasmin MBBS Clinic Manager Askona Clinic, Dhaka
Dr. Soheli Parvin (Popy) MBBS Clinic Manager FDSR, Askona, Dhaka
Dr. Md. Zahir Abedin BDS Dental Surgeon Sadar Hospital, Pirojpur
I have looked through the Newsletter. It is a time
demanded publication. It is beneficial both for
physicians and patients because of Bangla
version has been done on the same issue
simultaneously. This type of attempt is worthy of
praise. I expect such type of publications on
different topics in future.
If Pep Newsletter is continued we shall be
benefited.
Good.
It is a nice idea. Please continue it.
for health & happiness
Product Strength Age group Dose
Syrup
Zinc 4.05 mg/5 ml Infant 2 tsf 2-3 times daily
Syrup
-20
plus
-20
plus
Syrup
Syrup
Tablet
Tablet
Zinc 10 mg/5 ml Infant + Children 2 tsf 1-3 times daily
Zinc 20 mg/5 ml Children + Adult 2 tsf 1-2 times daily
(Zinc 10 mg+Vit B-complex)/5 ml Infant + Children 2 tsf 1-3 times daily
Zinc 20 mg Adult 1-3 tablets daily
Zinc 10 mg+Vit B-complex Children + Adult 2-4 tablets daily
3