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March Final Issue.pmd - CHANGE 'Gateway to All Competitive Exams'

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MARCH 2012 Get Previous <strong>Issue</strong>s Free of Cost on Our Website: www.changetabloid.com<br />

HEALTH COVERAGE<br />

2012: Year of Intensification of<br />

Routine Immunization<br />

India has declared year 2012 as the year of intensification<br />

of routine immunization. The present full immunization<br />

coverage of children is 61%. The key objective of this<br />

campaign is <strong>to</strong> improve full immunization coverage and<br />

reach all children, particularly in remote, inaccessible<br />

and backward areas as well as in urban slums. The<br />

strategies that are being deployed include:<br />

• Updating of Micro plans <strong>to</strong> cover all villages<br />

and hamlets in the country;<br />

• Special immunization drives in pockets of low<br />

immunization coverage;<br />

• Intensification of immunization activity by<br />

observing immunization weeks in low<br />

performing states;<br />

• IEC related activities for demand generation<br />

<strong>to</strong>wards immunization;<br />

• Deployment of adequate number of Health<br />

workers;<br />

• Prioritization of areas with exclusive strategy<br />

for 200 districts poor performing districts in the<br />

country;<br />

• And Special focus on migrant and mobile<br />

populations.<br />

Government of India has also expanded the Universal<br />

Immunization Progranme (UIP) by introducing 2nd dose<br />

of Measles, Hepatitis B and Pentavalent vaccination:<br />

India has introduced second dose of measles vaccine in<br />

UIP. The target is <strong>to</strong> vaccinate more than 12 crore children<br />

through Supplementary Immunization Activity (SIA) in<br />

14 states of which 3.4 crore children have already been<br />

vaccinated. This will prevent an estimated 1 lakh measles<br />

related death. Hepatitis B has been expanded and<br />

universalized across the entire country. Pentavalent, a<br />

combination vaccine against five diseases (Diphtheria,<br />

Pertussis, Tetanus, Hepatitis B and Haemophilus<br />

influenza B) has been introduced on pilot basis in 2<br />

States – Tamil Nadu and Kerala – in mid December 2011.<br />

The initial response of the community has been very<br />

encouraging and more than one lakh children have been<br />

successfully vaccinated within the 1st month.<br />

In order <strong>to</strong> track every child for assured delivery of<br />

immunization services, a web enabled name based<br />

tracking system has been put in place with a database<br />

of more than 10 million children. Parents are being sent<br />

SMS alerts before the due date of vaccination and health<br />

workers are also now receiving the list of children due<br />

for vaccination through SMS. This is expected <strong>to</strong><br />

improve immunization coverage substantially within the<br />

next one year and facilitate real time reporting on<br />

immunization coverage.<br />

Molecular Pathology Boon for<br />

Prenatal Diagnosis: Expert<br />

Around half a million newborns in India suffer from<br />

congenital genetic disorders every year – the highest in<br />

the world – but advances like molecular pathology have<br />

helped detecting these disorders at early stages, an<br />

expert said.<br />

“The number of children born with genetic disorders in<br />

India is highest in the world,” I.C. Verma, direc<strong>to</strong>r, Sir<br />

Ganga Ram hospital, said at International Symposium<br />

on Molecular Pathology.<br />

However, because of advancements like molecular<br />

pathology, the cases of genetic disorders are being<br />

detected at an early stage. “There has been an increase<br />

in prenatal diagnosis in such cases and its success is<br />

above 30 percent,” Verma said.<br />

Molecular pathology is a discipline within pathology<br />

which focuses on the study and diagnosis of disease<br />

through the examination of molecules within organs,<br />

tissues or bodily fluids.<br />

India Declared itself Free from<br />

Bird Flu, H5N1<br />

India became free from bird flu, H5N1. The government<br />

made a declaration <strong>to</strong> this effect on 4 January 2012. The<br />

states were advised <strong>to</strong> have strict surveillance, especially<br />

in the vulnerable areas bordering the infected countries<br />

and in areas visited by migra<strong>to</strong>ry birds.<br />

WHAT IS H5N1<br />

Influenza A virus subtype H5N1 is also known as bird<br />

flu , A(H5N1) or simply H5N1, is a subtype of the<br />

influenza A virus .It can cause illness in humans and<br />

many other animal species.<br />

HIV Drug now Available as Oral<br />

Powder for Children<br />

The HIV drug Viread will now be available in powder<br />

form for HIV positive children after its approval by the<br />

US Food and Drug Administration (FDA), a biopharmaceutical<br />

company said. The move is expected <strong>to</strong><br />

benefit millions of HIV positive children.<br />

The FDA also approved a New Drug Application (NDA)<br />

for an oral powder formulation of Viread for children<br />

ages 2-5. The active ingredient in Viread, tenofovir<br />

disoproxil fumarate, is currently the most-prescribed<br />

molecule for adults receiving HIV therapy in the United<br />

States.<br />

In pediatric patients, the use of either the lower-strength<br />

tablets or the oral powder formulation of Viread is based<br />

on the patient’s age and weight. The safety and efficacy<br />

of Viread has not been established in children less than<br />

two years of age. For adults unable <strong>to</strong> swallow Viread<br />

tablets, the oral powder formulation equal <strong>to</strong> 300 mg<br />

may be used.<br />

According <strong>to</strong> the World Health Organization (WHO),<br />

there are approximately 2.5 million children under the<br />

age of 15 living with HIV worldwide, and more than 90<br />

percent live in sub-Saharan Africa.<br />

WHO Recognizes Progress of Gulf<br />

States for Adopting Regional<br />

Strategy <strong>to</strong> Address Non<br />

communicable Diseases<br />

The Gulf Cooperation Council (GCC), whose Ministers<br />

of Health met in Muscat, Oman is the first regional entity<br />

<strong>to</strong> respond, at a heads of state level, <strong>to</strong> the UN General<br />

Assembly Political Declaration on the Prevention and<br />

Control of Noncommunicable Diseases (NCDs) by<br />

developing a regional strategy <strong>to</strong> address diseases, such<br />

as diabetes, cardiovascular disease, cancer and chronic<br />

respira<strong>to</strong>ry disease.<br />

Putting Commitments in<strong>to</strong> Action<br />

The strategy outlines a plan <strong>to</strong> put in<strong>to</strong> action the<br />

commitments agreed upon in September in the UN<br />

General Assembly’s Political Declaration on NCDs.<br />

NCDs cause more than 60% of all deaths in GCC<br />

countries, and are caused by shared risk fac<strong>to</strong>rs like<br />

<strong>to</strong>bacco use, unhealthy diet and physical inactivity.<br />

“The regional strategy details what the six countries<br />

(Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, United<br />

Arab Emirates) will be doing <strong>to</strong> tackle NCDs during the<br />

next years in terms of reducing people’s exposure <strong>to</strong><br />

causative risk fac<strong>to</strong>rs and improving services <strong>to</strong> prevent<br />

and treat these leading health problems,” said Dr Ahmed<br />

Al Saidi, Omani Minister of Health who chaired the<br />

meeting. “It also highlights what the six countries will<br />

do <strong>to</strong> set targets and measure results, advance<br />

multisec<strong>to</strong>ral action, and strengthen national capacity.”<br />

Reducing Premature Deaths<br />

The Oman meeting followed a two-day summit in<br />

December where heads of state of the Cooperation<br />

Council for the Arab States of the Gulf endorsed a<br />

regional approach <strong>to</strong> reduce premature deaths from<br />

noncommunicable diseases.<br />

Welcoming the announcement, WHO Regional Direc<strong>to</strong>r-<br />

Elect of WHO’s Eastern Mediterranean Region Dr Ala<br />

Alwan said, “We have the knowledge of what works <strong>to</strong><br />

prevent and treat NCDs, a global public health and<br />

development problem of increasing significance <strong>to</strong> many<br />

countries. We are pleased <strong>to</strong> see the Gulf Cooperation<br />

Council countries taking concrete action <strong>to</strong> implement<br />

affordable best practices (called ‘best buys’) <strong>to</strong> curb<br />

NCDs and we hope other regions will take similar action.”<br />

“Up <strong>to</strong> 50% of people dying from these diseases in some<br />

of the Gulf countries die prematurely, before the age of<br />

60 years. This initiative by the GCC should be a major<br />

landmark in s<strong>to</strong>pping these premature deaths,” said<br />

Alwan.<br />

DRDO’s Rs.7 cr Tulsi Project finds<br />

Anti Radiation Properties of Tulsi<br />

Extracts in Animal Trials<br />

There are more revelations coming <strong>to</strong> light about the<br />

home grown tulsi plant’s medicinal values. In a recent<br />

research conducted by scientists at DRDO’s (Defence<br />

Research Development Organization) Institute of<br />

Nuclear Medicines and <strong>All</strong>ied Sciences and Department<br />

of Radiobiology, Kasturba Medical College, Manipal,<br />

the scientists have successfully tested tulsi extracts on<br />

mice for its anti-radiation and anti-cancer properties. The<br />

DRDO is spending Rs.7 crore on the tulsi project.<br />

Earlier, the research students at the department of<br />

biotechnology of Vignan College in Gun<strong>to</strong>or, in Andhra<br />

Pradesh, had also revealed that Tulsi extracts had useful<br />

medicinal ingredients which can treat diabetics and<br />

cancerous ailments in humans.<br />

Now as the scientists have discovered one more<br />

medicinal value in tulsi extract which can be used as an<br />

anti-radiation agent, it is evidently proved that the<br />

ancient Indian tradition of growing tulsi (Ocimum<br />

Santum) in the backyard is not without scientific backing.<br />

With this new revelation, it can be said that tulsi plant is<br />

embedded with multiple medicinal values, as it can be<br />

used not only <strong>to</strong> treat diabetics, but also can be used for<br />

treating cancer and now as an anti-radiant substance.<br />

Research shows that the tulsi or Indian basil contains a<br />

chemical called glutathione which mitigates the ill-effects<br />

of radiation and can protect cells in patients undergoing<br />

radiation therapy for cancer. In fact when anybody is<br />

subjected <strong>to</strong> radiation, it affects the bone marrow first<br />

and thus the immunity level comes down. This will make<br />

the human body vulnerable for contracting diseases<br />

easily.<br />

Initially the scientists used tulsi extract on mice and<br />

they successfully found that the bone marrow of radiation<br />

exposed rodents was not affected and their immunity<br />

levels were intact. With this new success, the DRDO is<br />

now preparing a herbal concoction from tulsi that will<br />

serve <strong>to</strong> prevent and cure the ill-effects of radiation.<br />

Dr W Selvamurthy, chief controller (research and<br />

development) revealed that now DRDO is planning <strong>to</strong><br />

take up human trials. “We need <strong>to</strong> conduct a few more<br />

tests and take up phase II trials before it is released for<br />

general use,” said Dr Selvamurthy.<br />

In fact, the research on the anti-radiation effect of tulsi<br />

in animals has been going on in India since the past 40<br />

years and it is only in the recent years that scientist<br />

have been coming out with concrete evidence of tulsi’s<br />

mythic medicinal values.<br />

Health Scheme Approved for<br />

Nepal-domiciled Gorkhas<br />

The union cabinet approved the extension of the Ex-<br />

Servicemen Contribu<strong>to</strong>ry Health Scheme (ECHS) <strong>to</strong><br />

Nepal-domiciled Gorkha (NDG) pensioners in a decision<br />

expected <strong>to</strong> benefit around one lakh Indian exservicemen.<br />

There are about one lakh Indian exservicemen<br />

and 2.17 lakh dependents domiciled in Nepal<br />

who will benefit from the ECHS. They are so far entitled<br />

<strong>to</strong> medical treatment under ECHS at polyclinics and<br />

ECHS-empanelled civil hospitals in India.<br />

Considering the practical difficulties being faced by<br />

Nepal-domiciled Gorkha ex-servicemen in availing<br />

treatment, the government has decided <strong>to</strong> provide<br />

medical facilities <strong>to</strong> them in Nepal itself. The ECHS<br />

provides comprehensive and quality healthcare benefits<br />

<strong>to</strong> pensioner ex-servicemen residing in India. Extending<br />

it <strong>to</strong> Nepal for Nepal-domiciled Gorkha ex-servicemen<br />

would meet a long-standing need for providing<br />

healthcare <strong>to</strong> them.<br />

<strong>All</strong> other policies and procedures of ECHS which are<br />

applicable in India will also apply <strong>to</strong> pensioner NDGs<br />

ex-servicemen in Nepal.<br />

Infotech can Improve Healthcare in India: Nasscom<br />

Information technology (IT) can make healthcare accessible and affordable <strong>to</strong> more people in the country, industry<br />

lobby the National Association of Software and Services Companies (Nasscom) said. “IT can provide access <strong>to</strong><br />

healthcare facilities. Also, it can have a positive impact on affordability and effectiveness of healthcare in India,”<br />

Som Mittal, president of the IT-BPO sec<strong>to</strong>r apex body, said at the ‘Health 2.02 conference.<br />

Experts from the healthcare sec<strong>to</strong>r have come <strong>to</strong>gether for the first conference that emphasizes on innovation and<br />

IT in health services. In the country’s 12th Five Year Plan (2012-2017), the Planning Commission is likely <strong>to</strong> increase<br />

the spending on healthcare <strong>to</strong> increase its affordability and accessibility.<br />

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